WorldWideScience

Sample records for position statement lightning

  1. Do lightning positive leaders really "step"?

    Science.gov (United States)

    Petersen, D.

    2015-12-01

    It has been known for some time that positive leaders exhibit impulsive charge motion and optical emissions as they extend. However, laboratory and field observations have not produced any evidence of a process analogous to the space leader mechanism of negative leader extension. Instead, observations have suggested that the positive leader tip undergoes a continuous to intermittent series of corona streamer bursts, each burst resulting in a small forward extension of the positive leader channel. Traditionally, it has been held that lightning positive leaders extend in a continuous or quasi-continuous fashion. Lately, however, many have become concerned that this position is incongruous with observations of impulsive activity during lightning positive leader extension. It is increasingly suggested that this impulsive activity is evidence that positive leaders also undergo "stepping". There are two issues that must be addressed. The first issue concerns whether or not the physical processes underlying impulsive extension in negative and positive leaders are distinct. We argue that these processes are in fact physically distinct, and offer new high-speed video evidence to support this position. The second issue regards the proper use of the term "step" as an identifier for the impulsive forward extension of a leader. Traditional use of this term has been applied only to negative leaders, due primarily to their stronger impulsive charge motions and photographic evidence of clearly discontinuous forward progression of the luminous channel. Recently, due to the increasing understanding of the distinct "space leader" process of negative leader extension, the term "step" has increasingly come to be associated with the space leader process itself. Should this emerging association, "step" = space leader attachment, be canonized? If not, then it seems reasonable to use the term "step" to describe impulsive positive leader extension. If, however, we do wish to associate the

  2. Delegation. Position Statement. Revised

    Science.gov (United States)

    Board, Connie; Bushmiaer, Margo; Davis-Alldritt, Linda; Fekaris, Nina; Morgitan, Judith; Murphy, M. Kathleen; Yow, Barbara

    2010-01-01

    It is the position of the National Association of School Nurses (NASN) that the delegation of nursing tasks in the school setting can be a valuable tool for the school nurse, when based on the nursing definition of delegation and in compliance with state nursing regulations and guidance. Delegation in school nursing is a complex process in which…

  3. Immunizations. Position Statement. Revised

    Science.gov (United States)

    Bobo, Nichole; Garrett, Jennifer; Teskey, Carmen; Duncan, Kay; Strasser, Kathy; Burrows-Mezu, Alicia L.

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that immunizations are essential to primary prevention of disease from infancy through adulthood. Promotion of immunizations by the registered professional school nurse (hereinafter referred to as school nurse) is central to the public health focus of school nursing practice…

  4. Peak Source Power Associated with Positive Narrow Bipolar Lightning Pulses

    Science.gov (United States)

    Bandara, S. A.; Marshall, T. C.; Karunarathne, S.; Karunarathne, N. D.; Siedlecki, R. D., II; Stolzenburg, M.

    2017-12-01

    During the summer of 2016, we deployed a lightning sensor array in and around Oxford Mississippi, USA. The array system comprised seven lightning sensing stations in a network approximately covering an area of 30 km × 30 km. Each station is equipped with four sensors: Fast antenna (10 ms decay time), Slow antenna (1.0 s decay time)), field derivative sensor (dE/dt) and Log-RF antenna (bandwidth 187-192 MHz). We have observed 319 Positive NBPs and herein we report on comparisons of the NBP properties measured from the Fast antenna data with the Log-RF antenna data. These properties include 10-90% rise time, full width at half maximum, zero cross time, and range-normalized amplitude at 100 km. NBPs were categorized according to the fine structure of the electric field wave shapes into Types A-D, as in Karunarathne et al. [2015]. The source powers of NBPs in each category were determined using single station Log-RF data. Furthermore, we also categorized the NBPs in three other groups: initial event of an IC flash, isolated, and not-isolated (according to their spatiotemporal relationship with other lightning activity). We compared the source powers within each category. Karunarathne, S., T. C. Marshall, M. Stolzenburg, and N. Karunarathna (2015), Observations of positive narrow bipolar pulses, J. Geophys. Res. Atmos., 120, doi:10.1002/2015JD023150.

  5. Lightning

    Science.gov (United States)

    Pampe, William R.

    1970-01-01

    Presents basic physical theory for movement of electric charges in clouds, earth, and air during production of lightning and thunder. Amount of electrical energy produced and heating effects during typical thunderstorms is described. Generalized safety practices are given. (JM)

  6. Position Statement on Active Outdoor Play

    OpenAIRE

    Tremblay, Mark S.; Gray, Casey; Babcock, Shawna; Barnes, Joel; Costas Bradstreet, Christa; Carr, Dawn; Chabot, Guylaine; Choquette, Louise; Chorney, David; Collyer, Cam; Herrington, Susan; Janson, Katherine; Janssen, Ian; Larouche, Richard; Pickett, William

    2015-01-01

    A diverse, cross-sectorial group of partners, stakeholders and researchers, collaborated to develop an evidence-informed Position Statement on active outdoor play for children aged 3–12 years. The Position Statement was created in response to practitioner, academic, legal, insurance and public debate, dialogue and disagreement on the relative benefits and harms of active (including risky) outdoor play. The Position Statement development process was informed by two systematic reviews, a critic...

  7. Position Statement on Active Outdoor Play

    Science.gov (United States)

    Tremblay, Mark S.; Gray, Casey; Babcock, Shawna; Barnes, Joel; Costas Bradstreet, Christa; Carr, Dawn; Chabot, Guylaine; Choquette, Louise; Chorney, David; Collyer, Cam; Herrington, Susan; Janson, Katherine; Janssen, Ian; Larouche, Richard; Pickett, William; Power, Marlene; Sandseter, Ellen Beate Hansen; Simon, Brenda; Brussoni, Mariana

    2015-01-01

    A diverse, cross-sectorial group of partners, stakeholders and researchers, collaborated to develop an evidence-informed Position Statement on active outdoor play for children aged 3–12 years. The Position Statement was created in response to practitioner, academic, legal, insurance and public debate, dialogue and disagreement on the relative benefits and harms of active (including risky) outdoor play. The Position Statement development process was informed by two systematic reviews, a critical appraisal of the current literature and existing position statements, engagement of research experts (N = 9) and cross-sectorial individuals/organizations (N = 17), and an extensive stakeholder consultation process (N = 1908). More than 95% of the stakeholders consulted strongly agreed or somewhat agreed with the Position Statement; 14/17 participating individuals/organizations endorsed it; and over 1000 additional individuals and organizations requested their name be listed as a supporter. The final Position Statement on Active Outdoor Play states: “Access to active play in nature and outdoors—with its risks— is essential for healthy child development. We recommend increasing children’s opportunities for self-directed play outdoors in all settings—at home, at school, in child care, the community and nature.” The full Position Statement provides context for the statement, evidence supporting it, and a series of recommendations to increase active outdoor play opportunities to promote healthy child development. PMID:26062040

  8. Position Statement on Active Outdoor Play.

    Science.gov (United States)

    Tremblay, Mark S; Gray, Casey; Babcock, Shawna; Barnes, Joel; Bradstreet, Christa Costas; Carr, Dawn; Chabot, Guylaine; Choquette, Louise; Chorney, David; Collyer, Cam; Herrington, Susan; Janson, Katherine; Janssen, Ian; Larouche, Richard; Pickett, William; Power, Marlene; Sandseter, Ellen Beate Hansen; Simon, Brenda; Brussoni, Mariana

    2015-06-08

    A diverse, cross-sectorial group of partners, stakeholders and researchers, collaborated to develop an evidence-informed Position Statement on active outdoor play for children aged 3-12 years. The Position Statement was created in response to practitioner, academic, legal, insurance and public debate, dialogue and disagreement on the relative benefits and harms of active (including risky) outdoor play. The Position Statement development process was informed by two systematic reviews, a critical appraisal of the current literature and existing position statements, engagement of research experts (N=9) and cross-sectorial individuals/organizations (N=17), and an extensive stakeholder consultation process (N=1908). More than 95% of the stakeholders consulted strongly agreed or somewhat agreed with the Position Statement; 14/17 participating individuals/organizations endorsed it; and over 1000 additional individuals and organizations requested their name be listed as a supporter. The final Position Statement on Active Outdoor Play states: "Access to active play in nature and outdoors--with its risks--is essential for healthy child development. We recommend increasing children's opportunities for self-directed play outdoors in all settings--at home, at school, in child care, the community and nature." The full Position Statement provides context for the statement, evidence supporting it, and a series of recommendations to increase active outdoor play opportunities to promote healthy child development.

  9. Position Statement on Active Outdoor Play

    Directory of Open Access Journals (Sweden)

    Mark S. Tremblay

    2015-06-01

    Full Text Available A diverse, cross-sectorial group of partners, stakeholders and researchers, collaborated to develop an evidence-informed Position Statement on active outdoor play for children aged 3–12 years. The Position Statement was created in response to practitioner, academic, legal, insurance and public debate, dialogue and disagreement on the relative benefits and harms of active (including risky outdoor play. The Position Statement development process was informed by two systematic reviews, a critical appraisal of the current literature and existing position statements, engagement of research experts (N = 9 and cross-sectorial individuals/organizations (N = 17, and an extensive stakeholder consultation process (N = 1908. More than 95% of the stakeholders consulted strongly agreed or somewhat agreed with the Position Statement; 14/17 participating individuals/organizations endorsed it; and over 1000 additional individuals and organizations requested their name be listed as a supporter. The final Position Statement on Active Outdoor Play states: “Access to active play in nature and outdoors—with its risks— is essential for healthy child development. We recommend increasing children’s opportunities for self-directed play outdoors in all settings—at home, at school, in child care, the community and nature.” The full Position Statement provides context for the statement, evidence supporting it, and a series of recommendations to increase active outdoor play opportunities to promote healthy child development.

  10. European position statement on lung cancer screening

    DEFF Research Database (Denmark)

    Oudkerk, Matthijs; Devaraj, Anand; Vliegenthart, Rozemarijn

    2017-01-01

    Lung cancer screening with low-dose CT can save lives. This European Union (EU) position statement presents the available evidence and the major issues that need to be addressed to ensure the successful implementation of low-dose CT lung cancer screening in Europe. This statement identified...... specific actions required by the European lung cancer screening community to adopt before the implementation of low-dose CT lung cancer screening. This position statement recommends the following actions: a risk stratification approach should be used for future lung cancer low-dose CT programmes...... need to set a timeline for implementing lung cancer screening....

  11. Marijuana and Children. Position Statement

    Science.gov (United States)

    Endsley, Patricia; Embrey, Mary Louise

    2014-01-01

    Registered professional school nurses (hereinafter referred to as school nurses) promote wellness and disease prevention to improve health outcomes for our nation's children. It is the position of the National Association of School Nurses (NASN) that the marijuana plant remain under the United States Drug Enforcement Agency's (DEA) Schedule I…

  12. A Comparative Study on the Positive Lightning Return Stroke Electric Fields in Different Meteorological Conditions

    Directory of Open Access Journals (Sweden)

    Chin-Leong Wooi

    2015-01-01

    Full Text Available Positive cloud-ground lightning is considerably more complex and less studied compared to the negative lightning. This paper aims to measure and characterize the significant parameters of positive return strokes electric field, namely, the zero-to-peak rise time, 10–90% rise time, slow front duration, fast transition rise time (10–90%, zero-crossing time, and opposite polarity overshoot relative to peak. To the best of the authors’ knowledge, this is the first time such detailed characteristics of positive lightning in Malaysia are thoroughly analyzed. A total of 41 positive lightning flashes containing 48 return strokes were analyzed. The average multiplicity is 1.2 strokes per flash. The majority of positive lightning was initiated from the primary positive charge rather than as a byproduct of in-cloud discharges. The cumulative probability distribution of rise time parameters, opposite polarity overshoot relative to peak, and slow front amplitude relative to peak are presented. A comparison between studies in four countries representing tropic, subtropic, and temperate regions was also carried out. Measured parameters in Florida, Sweden, and Japan are generally lower than those in Malaysia. Positive lightning occurrences in tropical regions should be further studied and analyzed to improve our current understanding on positive return strokes.

  13. December 2012 Connecticut School Shooting Position Statement

    Science.gov (United States)

    Journal of School Violence, 2013

    2013-01-01

    In response to the killing of 20 children and 6 adults at Sandy Hook Elementary School on December 17, 2012, this position statement argues that research supports a thoughtful approach to safer schools, guided by four key elements--balance, communication, connectedness, and support--along with strengthened attention to mental health needs in the…

  14. [Position statement: surgery and diabetes mellitus].

    Science.gov (United States)

    Fasching, Peter; Huber, Joakim; Clodi, Martin; Abrahamian, Heidemarie; Ludvik, Bernhard

    2016-04-01

    This position statement reflects the opinion of the Austrian Diabetes Association concerning the perioperative management of patients with diabetes mellitus based on the available scientific evidence. The paper covers necessary preoperative examinations from an internal/diabetological point of view as well as the perioperative metabolic control by means of oral antidiabetics and/or insulin therapy.

  15. 29 CFR 2200.39 - Statement of position.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Statement of position. 2200.39 Section 2200.39 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION RULES OF PROCEDURE... intervene, may file a statement of position with respect to any or all issues to be heard. The Judge may...

  16. Position Statement: Palliative Care for Children.

    Science.gov (United States)

    Death Studies, 1993

    1993-01-01

    Notes that International Work Group on Death, Dying, and Bereavement recognizes wide variation of attitudes, beliefs, and behaviors pertaining to childhood death, dying, and bereavement. Statement identifies set of assumptions which can serve as guidelines, across cultures, in care of children with terminal illness and their families. (Author/NB)

  17. Study on the streamer inception characteristics under positive lightning impulse voltage

    Directory of Open Access Journals (Sweden)

    Zezhong Wang

    2017-11-01

    Full Text Available The streamer is the main process in an air gap discharge, and the inception characteristics of streamers have been widely applied in engineering. Streamer inception characteristics under DC voltage have been studied by many researchers, but the inception characteristics under impulse voltage, and particularly under lightning impulse voltage with a high voltage rise rate have rarely been studied. A measurement system based on integrated optoelectronic technology has been proposed in this paper, and the streamer inception characteristics in a 1-m-long rod-plane air gap that was energized by a positive lightning impulse voltage have been researched. We have also measured the streamer inception electric field using electrodes with different radii of curvature and different voltage rise rates. As a result, a modified empirical criterion for the streamer inception electric field that considers the voltage rise rate has been proposed, and the wide applicability of this criterion has been proved. Based on the streamer inception time-lag obtained, we determined that the field distribution obeys a Rayleigh distribution, which explains the change law of the streamer inception time-lag. The characteristic parameter of the Rayleigh distribution lies in the range from 0.6 to 2.5 when the radius of curvature of the electrode head is in the range from 0.5 cm to 2.5 cm and the voltage rise rate ranges from 80 kV/μs to 240kV/μs under positive lightning impulse voltage.

  18. Study on the streamer inception characteristics under positive lightning impulse voltage

    Science.gov (United States)

    Wang, Zezhong; Geng, Yinan

    2017-11-01

    The streamer is the main process in an air gap discharge, and the inception characteristics of streamers have been widely applied in engineering. Streamer inception characteristics under DC voltage have been studied by many researchers, but the inception characteristics under impulse voltage, and particularly under lightning impulse voltage with a high voltage rise rate have rarely been studied. A measurement system based on integrated optoelectronic technology has been proposed in this paper, and the streamer inception characteristics in a 1-m-long rod-plane air gap that was energized by a positive lightning impulse voltage have been researched. We have also measured the streamer inception electric field using electrodes with different radii of curvature and different voltage rise rates. As a result, a modified empirical criterion for the streamer inception electric field that considers the voltage rise rate has been proposed, and the wide applicability of this criterion has been proved. Based on the streamer inception time-lag obtained, we determined that the field distribution obeys a Rayleigh distribution, which explains the change law of the streamer inception time-lag. The characteristic parameter of the Rayleigh distribution lies in the range from 0.6 to 2.5 when the radius of curvature of the electrode head is in the range from 0.5 cm to 2.5 cm and the voltage rise rate ranges from 80 kV/μs to 240kV/μs under positive lightning impulse voltage.

  19. Bullying Prevention in Schools. Position Statement

    Science.gov (United States)

    DeSisto, Marie C.; Smith, Suzanne

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) is a crucial member of the team participating in the prevention of bullying in schools. School nurses are the experts in pediatric health in schools and, therefore, can have an impact on the…

  20. Service Animals in School. Position Statement

    Science.gov (United States)

    Garret, Jennifer; Teskey, Carmen; Duncan, Kay; Strasser, Kathy

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that registered school nurses (hereinafter referred to as school nurses) are integral to the team planning process necessary to successfully integrate "service animals" into schools. A request to bring a service animal into the school setting presents questions due to…

  1. AWHONN Position Statement. Intimate partner violence.

    Science.gov (United States)

    2015-01-01

    The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) opposes laws and other policies that require nurses to report the results of screening for intimate partner violence (IPV) to law enforcement or other regulatory agencies without the consent of the woman who experiences the IPV. Nurses and other health care professionals, however, should become familiar with laws on mandatory reporting in their states and comply as applicable. Women should be universally screened for IPV in private, safe settings where health care is provided. Nurses are ideally positioned to screen for IPV for the purpose of initiating a referral for services and support when applicable. To protect the woman's safety, AWHONN supports policies that require a woman's consent before reporting occurs.

  2. Climate change and respiratory disease: European Respiratory Society position statement.

    Science.gov (United States)

    Ayres, J G; Forsberg, B; Annesi-Maesano, I; Dey, R; Ebi, K L; Helms, P J; Medina-Ramón, M; Windt, M; Forastiere, F

    2009-08-01

    Climate change will affect individuals with pre-existing respiratory disease, but the extent of the effect remains unclear. The present position statement was developed on behalf of the European Respiratory Society in order to identify areas of concern arising from climate change for individuals with respiratory disease, healthcare workers in the respiratory sector and policy makers. The statement was developed following a 2-day workshop held in Leuven (Belgium) in March 2008. Key areas of concern for the respiratory community arising from climate change are discussed and recommendations made to address gaps in knowledge. The most important recommendation was the development of more accurate predictive models for predicting the impact of climate change on respiratory health. Respiratory healthcare workers also have an advocatory role in persuading governments and the European Union to maintain awareness and appropriate actions with respect to climate change, and these areas are also discussed in the position statement.

  3. A Position Statement on Population Data Science:

    Directory of Open Access Journals (Sweden)

    Kim McGrail

    2018-02-01

    Full Text Available Information is increasingly digital, creating opportunities to respond to pressing issues about human populations in near real time using linked datasets that are large, complex, and diverse. The potential social and individual benefits that can come from data-intensive science are large, but raise challenges of balancing individual privacy and the public good, building appropriate socio-technical systems to support data-intensive science, and determining whether defining a new field of inquiry might help move those collective interests and activities forward. A combination of expert engagement, literature review, and iterative conversations led to our conclusion that defining the field of Population Data Science (challenge 3 will help address the other two challenges as well. We define Population Data Science succinctly as the science of data about people and note that it is related to but distinct from the fields of data science and informatics. A broader definition names four characteristics of: data use for positive impact on citizens and society; bringing together and analyzing data from multiple sources; finding population-level insights; and developing safe, privacy-sensitive and ethical infrastructure to support research. One implication of these characteristics is that few people possess all of the requisite knowledge and skills of Population Data Science, so this is by nature a multi-disciplinary field. Other implications include the need to advance various aspects of science, such as data linkage technology, various forms of analytics, and methods of public engagement. These implications are the beginnings of a research agenda for Population Data Science, which if approached as a collective field, can catalyze significant advances in our understanding of trends in society, health, and human behavior.

  4. Dependence of positive and negative sprite morphology on lightning characteristics and upper atmospheric ambient conditions

    Science.gov (United States)

    Qin, Jianqi; Celestin, Sebastien; Pasko, Victor P.

    2013-05-01

    Carrot sprites, exhibiting both upward and downward propagating streamers, and columniform sprites, characterized by predominantly vertical downward streamers, represent two distinct morphological classes of lightning-driven transient luminous events in the upper atmosphere. It is found that positive cloud-to-ground lightning discharges (+CGs) associated with large charge moment changes (QhQ) tend to produce carrot sprites with the presence of a mesospheric region where the electric field exceeds the value 0.8Ek and persists for >˜2 ms, whereas those associated with small QhQ are only able to produce columniform sprites. Columniform sprites may also appear in the periphery of a sprite halo produced by +CGs associated with large QhQ. For a sufficiently large QhQ, the time dynamics of the QhQ determines the specific shape of the carrot sprites. In the case when the sufficiently large QhQ is produced mainly by an impulsive return stroke, strong electric field is produced at high altitudes and manifests as a bright halo, and the corresponding conductivity enhancement lowers/enhances the probability of streamer initiation inside/below the sprite halo. A more impulsive return stroke leads to a more significant conductivity enhancement (i.e., a brighter halo). This conductivity enhancement also leads to fast decay and termination of the upper diffuse region of carrot sprites because it effectively screens out the electric field at high altitudes. On the contrary, if the sufficiently large QhQ is produced by a weak return stroke (i.e., a dim halo) accompanied by intense continuing current, the lightning-induced electric field at high altitudes persists at a level that is comparable to Ek, and therefore an extensive upper diffuse region can develop. Furthermore, we demonstrate that `negative sprites' (produced by -CGs) should be necessarily carrot sprites and most likely accompanied by a detectable halo, since the initiation of upward positive streamers is always easier

  5. Panel established to revise position statement on climate change

    Science.gov (United States)

    President Robert Dickinson has appointed a panel to review the current AGU position statement on climate change and greenhouse gases, and to consider revising the statement to reflect scientific progress over the last four years. Marvin Geller of the State University of New York-Stonybrook chairs the panel.Other panel members include: Andre Berger, George Lemaître Catholic University of Louvain, Belgium; Anny Cazenave, Observatoire Midi-Pyrénées, Toulouse, France; John Christy, University of Alabama, Huntsville; Ellen Druffel, University of California, Irvine; Jack Fellows, University Consortium for Atmospheric Research, Boulder; Hiroshi Kanzawa, Nagoya University, Japan; William Schlesinger, Duke University, Durham; William (Jim) Shuttleworth, University of Arizona; Eric Sundquist, U.S. Geological Survey, Woods Hole; Richard Turco, University of California, Los Angeles; Ilana Wainer, Universidade Cidade Sao Paulo, Brazil.

  6. Study of electric field distorted by space charges under positive lightning impulse voltage

    Science.gov (United States)

    Wang, Zezhong; Geng, Yinan

    2018-03-01

    Actually, many insulation problems are related to electric fields. And measuring electric fields is an important research topic of high-voltage engineering. In particular, the electric field distortion caused by space charge is the basis of streamer theory, and thus quantitatively measuring the Poisson electric field caused by space charge is significant to researching the mechanism of air gap discharge. In this paper, we used our photoelectric integrated sensor to measure the electric field distribution in a 1-m rod-plane gap under positive lightning impulse voltage. To verify the reliability of this quantitative measurement, we compared the measured results with calculated results from a numerical simulation. The electric-field time domain waveforms on the axis of the 1-m rod-plane out of the space charge zone were measured with various electrodes. The Poisson electric fields generated by space charge were separated from the Laplace electric field generated by applied voltages, and the amplitudes and variations were measured for various applied voltages and at various locations. This work also supplies the feasible basis for directly measuring strong electric field under high voltage.

  7. Diabetes Australia position statement. A new language for diabetes

    DEFF Research Database (Denmark)

    Speight, J.; Conn, J.; Dunning, T.

    2012-01-01

    can be the language used to refer to diabetes, its management and the person with diabetes. The way verbal and written language is used reflects and shapes people's thoughts, beliefs and behaviours. Language has the power to persuade, change or reinforce beliefs and stereotypes - for better or worse...... and countered. Diabetes Australia believes optimal communication increases the motivation, health and well-being of people with diabetes, and that careless or negative language can be de-motivating, is often inaccurate, and can be harmful. Diabetes Australia developed this position statement to encourage...

  8. The start of lightning: Evidence of bidirectional lightning initiation

    OpenAIRE

    van der Velde, Oscar; Williams, Earle R.; Montanya, Joan

    2015-01-01

    Lightning flashes are known to initiate in regions of strong electric fields inside thunderstorms, between layers of positively and negatively charged precipitation particles. For that reason, lightning inception is typically hidden from sight of camera systems used in research. Other technology such as lightning mapping systems based on radio waves can typically detect only some aspects of the lightning initiation process and subsequent development of positive and negative leader...

  9. Alcohol and cancer: a position statement from Cancer Council Australia.

    Science.gov (United States)

    Winstanley, Margaret H; Pratt, Iain S; Chapman, Kathryn; Griffin, Hayley J; Croager, Emma J; Olver, Ian N; Sinclair, Craig; Slevin, Terry J

    2011-05-02

    The Cancer Council Australia (CCA) Alcohol Working Group has prepared a position statement on alcohol use and cancer. The statement has been reviewed by external experts and endorsed by the CCA Board. Alcohol use is a cause of cancer. Any level of alcohol consumption increases the risk of developing an alcohol-related cancer; the level of risk increases in line with the level of consumption. It is estimated that 5070 cases of cancer (or 5% of all cancers) are attributable to long-term chronic use of alcohol each year in Australia. Together, smoking and alcohol have a synergistic effect on cancer risk, meaning the combined effects of use are significantly greater than the sum of individual risks. Alcohol use may contribute to weight (fat) gain, and greater body fatness is a convincing cause of cancers of the oesophagus, pancreas, bowel, endometrium, kidney and breast (in postmenopausal women). The existing evidence does not justify the promotion of alcohol use to prevent coronary heart disease, as the previously reported role of alcohol in reducing heart disease risk in light-to-moderate drinkers appears to have been overestimated. CCA recommends that to reduce their risk of cancer, people limit their consumption of alcohol, or better still avoid alcohol altogether. For individuals who choose to drink alcohol, CCA recommends that they drink only within the National Health and Medical Research Council guidelines for alcohol consumption.

  10. National Athletic Trainers' Association Position Statement: Anabolic-Androgenic Steroids

    Science.gov (United States)

    Kersey, Robert D.; Elliot, Diane L.; Goldberg, Linn; Kanayama, Gen; Leone, James E.; Pavlovich, Mike; Pope, Harrison G.

    2012-01-01

    This NATA position statement was developed by the NATA Research & Education Foundation. Objective This manuscript summarizes the best available scholarly evidence related to anabolic-androgenic steroids (AAS) as a reference for health care professionals, including athletic trainers, educators, and interested others. Background Health care professionals associated with sports or exercise should understand and be prepared to educate others about AAS. These synthetic, testosterone-based derivatives are widely abused by athletes and nonathletes to gain athletic performance advantages, develop their physiques, and improve their body image. Although AAS can be ergogenic, their abuse may lead to numerous negative health effects. Recommendations Abusers of AAS often rely on questionable information sources. Sports medicine professionals can therefore serve an important role by providing accurate, reliable information. The recommendations provide health care professionals with a current and accurate synopsis of the AAS-related research. PMID:23068595

  11. Palliative Sedation: An Analysis of International Guidelines and Position Statements.

    Science.gov (United States)

    Gurschick, Lauren; Mayer, Deborah K; Hanson, Laura C

    2015-09-01

    To describe the suggested clinical practice of palliative sedation as it is presented in the literature and discuss available guidelines for its use. CINAHL, PubMed, and Web of Science were searched for publications since 1997 for recommended guidelines and position statements on palliative sedation as well as data on its provision. Keywords included palliative sedation, terminal sedation, guidelines, United States, and end of life. Inclusion criteria were palliative sedation policies, frameworks, guidelines, or discussion of its practice, general or oncology patient population, performance of the intervention in an inpatient unit, for humans, and in English. Exclusion criteria were palliative sedation in children, acute illness, procedural, or burns, and predominantly ethical discussions. Guidelines were published by American College of Physicians-American Society of Internal Medicine (2000), Hospice and Palliative Nurses Association (2003), American Academy of Hospice and Palliative Medicine (2006), American Medical Association (2008), Royal Dutch Medical Association (2009), European Association for Palliative Care (2009), National Hospice and Palliative Care Organization (2010), and National Comprehensive Cancer Network (2012). Variances throughout guidelines include definitions of the practice, indications for its use, continuation of life-prolonging therapies, medications used, and timing/prognosis. The development and implementation of institutional-based guidelines with clear stance on the discussed variances is necessary for consistency in practice. Data on provision of palliative sedation after implementation of guidelines needs to be collected and disseminated for a better understanding of the current practice in the United States. © The Author(s) 2014.

  12. The start of lightning: Evidence of bidirectional lightning initiation.

    Science.gov (United States)

    Montanyà, Joan; van der Velde, Oscar; Williams, Earle R

    2015-10-16

    Lightning flashes are known to initiate in regions of strong electric fields inside thunderstorms, between layers of positively and negatively charged precipitation particles. For that reason, lightning inception is typically hidden from sight of camera systems used in research. Other technology such as lightning mapping systems based on radio waves can typically detect only some aspects of the lightning initiation process and subsequent development of positive and negative leaders. We report here a serendipitous recording of bidirectional lightning initiation in virgin air under the cloud base at ~11,000 images per second, and the differences in characteristics of opposite polarity leader sections during the earliest stages of the discharge. This case reveals natural lightning initiation, propagation and a return stroke as in negative cloud-to-ground flashes, upon connection to another lightning channel - without any masking by cloud.

  13. European Society of Endodontology position statement: The use of CBCT in Endodontics

    NARCIS (Netherlands)

    Patel, S.; Durack, C.; Abella, F.; Roig, M.; Shemesh, H.; Lambrechts, P.; Lemberg, K.

    2014-01-01

    This Position Statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on the use of Cone Beam Computed Tomography (CBCT). The statement is based on the current scientific evidence, and provides the clinician with evidence-based criteria on when

  14. American Society for Pain Management Nursing Position Statement: Pain Management in Patients with Substance Use Disorders

    OpenAIRE

    Oliver, June; Coggins, Candace; Compton, Peggy; Hagan, Susan; Matteliano, Deborah; Stanton, Marsha; St. Marie, Barbara; Strobbe, Stephen; Turner, Helen N.

    2012-01-01

    The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high qu...

  15. American Nurses Association. position statement on assisted suicide.

    Science.gov (United States)

    1995-01-01

    Nurses, individually and collectively, have an obligation to provide comprehensive and compassionate end-of-life care which includes the promotion of comfort and the relief of pain and, at times, forgoing life-sustaining treatments. The American Nurses Association (ANA) believes that the nurse should not participate in assisted suicide. Such an act is in violation of the Code for Nurses with Interpretive Statements (Code for Nurses) and the ethical traditions of the profession.

  16. The Process for the Formulation of the International Telehealth Position Statement for Occupational Therapy

    Science.gov (United States)

    JACOBS, KAREN; CASON, JANA; MCCULLOUGH, ANN

    2015-01-01

    The World Federation of Occupational Therapists (WFOT) consists of 84 member organizations representing over 420,000 occupational therapists internationally (WFOT, 2014). In 2014, WFOT published the WFOT Telehealth Position Statement on the use of telehealth in occupational therapy. The process for the formulation of the official document involved reviewing WFOT member organizations’ telehealth position statements and data collected from a survey sent to member organizations’ delegates in April 2014. Qualitative data from 39 countries yielded factors to consider in five key areas: licensure/registration requirements, the cost of technology, privacy and security, reimbursement/payment models, and other issues (e.g., need for collaboration/transfer of knowledge, client selection, provider competencies, standard of care). The WFOT Telehealth Position Statement addressed each of these areas. The collaborative effort resulting in the development of the WFOT Telehealth Position Statement serves as a model for other international organizations. PMID:27563380

  17. 75 FR 54802 - Requirement of a Statement Disclosing Uncertain Tax Positions

    Science.gov (United States)

    2010-09-09

    ... return. Corporations that prepare financial statements are required by generally accepted accounting principles to identify and quantify all uncertain tax positions as described in Financial Accounting..., including International Financial Reporting Standards and country-specific generally accepted accounting...

  18. Defense Business Operations Fund Consolidated Statement of Financial Position for FY 1994

    National Research Council Canada - National Science Library

    Rau, Russell

    1995-01-01

    The objective of the audit was to determine whether the Statement of Financial Position of the Defense Business Operations Fund for FY 1994 was fairly presented in accordance with Office of Management...

  19. European Society of Endodontology position statement: the use of CBCT in endodontics.

    Science.gov (United States)

    Patel, S; Durack, C; Abella, F; Roig, M; Shemesh, H; Lambrechts, P; Lemberg, K

    2014-06-01

    This Position Statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on the use of Cone Beam Computed Tomography (CBCT). The statement is based on the current scientific evidence, and provides the clinician with evidence-based criteria on when to use CBCT in Endodontics. Given the dynamic and changing nature of research, development of new devices and clinical practice relating to CBCT, this Position Statement will be updated within 3 years, or before that time should new evidence become available. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  20. AAE and AAOMR Joint Position Statement: Use of Cone Beam Computed Tomography in Endodontics 2015 Update.

    Science.gov (United States)

    2015-10-01

    The following statement was prepared by the Special Committee to Revise the Joint American Association of Endodontists/American Academy of Oral and Maxillofacial Radiology Position on Cone Beam Computed Tomography, and approved by the AAE Board of Directors and AAOMR Executive Council in May 2015. AAE members may reprint this position statement for distribution to patients or referring dentists. Copyright © 2015 American Academy of Oral and Maxillofacial Radiology and American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  1. The 2012 Hormone Therapy Position Statement of The North American Menopause Society

    Science.gov (United States)

    2012-01-01

    Objective This position statement aimed to update the evidence-based position statement published by The North American Menopause Society (NAMS) in 2010 regarding recommendations for hormone therapy (HT) for postmenopausal women. This updated position statement further distinguishes the emerging differences in the therapeutic benefit-risk ratio between estrogen therapy (ET) and combined estrogen-progestogen therapy (EPT) at various ages and time intervals since menopause onset. Methods An Advisory Panel of expert clinicians and researchers in the field of women’s health was enlisted to review the 2010 NAMS position statement, evaluate new evidence, and reach consensus on recommendations. The Panel’s recommendations were reviewed and approved by the NAMS Board of Trustees as an official NAMS position statement. Results Current evidence supports the use of HT for perimenopausal and postmenopausal women when the balance of potential benefits and risks is favorable for the individual woman. This position statement reviews the effects of ET and EPT on many aspects of women’s health and recognizes the greater safety profile associated with ET. Conclusions Recent data support the initiation of HT around the time of menopause to treat menopause-related symptoms and to prevent osteoporosis in women at high risk of fracture. The more favorable benefit-risk ratio for ET allows more flexibility in extending the duration of use compared with EPT, where the earlier appearance of increased breast cancer risk precludes a recommendation for use beyond 3 to 5 years. PMID:22367731

  2. An EASO Position Statement on Multidisciplinary Obesity Management in Adults

    Directory of Open Access Journals (Sweden)

    Volkan Yumuk

    2014-03-01

    Full Text Available Obesity has proven to be a gateway to ill health. It has already reached epidemic proportions becoming one of the leading causes of death and disability in Europe and world-wide. Obesity plays a central role in the development of a number of risk factors and chronic diseases like hypertension, dyslipidaemia and type 2 diabetes mellitus inducing cardiovascular morbidity and mortality. Therefore weight management plays a central role in controlling the respective risk factors and their consequences. Obesity is a complex condition of multifactorial origin. Biological but also psychological and social factors interfere to lead to excess body weight and its deleterious outcomes. Obesity management cannot focus any more only on weight (and BMI reduction. More attention is to be paid to waist circumference (or waist-to-hip ratio, especially in females, the improvement in body composition (measured with body composition tracking systems like BOD POD, dual energy X-ray absorptiometry or bioelectrical impedance analysis which is focusing on ameliorating or maintaining fat-free mass and decreasing fat mass. Management of co-morbidities, improving quality of life and well-being of obese patients are also included in treatment aims. This statement emphasises the importance of a comprehensive approach to obesity management.

  3. Chronic Health Conditions Managed by School Nurses. Position Statement. Revised

    Science.gov (United States)

    Morgitan, Judith; Bushmiaer, Margo; DeSisto, Marie C.; Duff, Carolyn; Lambert, C. Patrice; Murphy, M. Kathleen; Roland, Sharon; Selser, Kendra; Wyckoff, Leah; White, Kelly

    2012-01-01

    It is the position of the National Association of School Nurses that students with chronic health conditions have access to a full-time registered professional school nurse (hereinafter referred to as school nurse). School districts should include school nurse positions in their full-time instructional support personnel to provide health services…

  4. School Nurse Role in Electronic School Health Records. Position Statement

    Science.gov (United States)

    Hiltz, Cynthia; Johnson, Katie; Lechtenberg, Julia Rae; Maughan, Erin; Trefry, Sharonlee

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that Electronic Health Records (EHRs) are essential for the registered professional school nurse (hereinafter referred to as school nurse) to provide efficient and effective care in the school and monitor the health of the entire student population. It is also the position of…

  5. American Society for Pain Management nursing position statement: pain management in patients with substance use disorders.

    Science.gov (United States)

    Oliver, June; Coggins, Candace; Compton, Peggy; Hagan, Susan; Matteliano, Deborah; Stanton, Marsha; St Marie, Barbara; Strobbe, Stephen; Turner, Helen N

    2012-10-01

    The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management. Failure to identify and treat the concurrent conditions of pain and substance use disorders will compromise the ability to treat either condition effectively. Barriers to caring for these patients include stigmatization, misconceptions, and limited access to providers skilled in these two categories of disorders. Topics addressed in this position statement include the scope of substance use and related disorders, conceptual models of addiction, ethical considerations, addiction risk stratification, and clinical recommendations.

  6. Audiological practices and findings post HPCSA position statement ...

    African Journals Online (AJOL)

    Ethical clearance was obtained from the Medical Human Research .... study conducted in Malaysia identified that children were receiving initial evaluation before 3 months ... in decreasing false positives, which take up time and resources, and.

  7. IOF position statement: vitamin D recommendations for older adults

    NARCIS (Netherlands)

    Dawson-Hughes, B.; Mithal, A.; Bonjour, J.P.; Boonen, S.; Burckhardt, P.; Fuleihan, G.E.; Josse, R.G.; Lips, P.T.A.M.; Morales-Torres, J.; Yoshimura, N.

    2010-01-01

    This position paper of the International Osteoporosis Foundation makes recommendations for vitamin D nutrition in elderly men and women from an evidence-based perspective. © 2010 International Osteoporosis Foundation and National Osteoporosis Foundation.

  8. The Role of School Nursing in Telehealth. Position Statement

    Science.gov (United States)

    Haynie, Kathey M.; Mauter, Elaine; Lindahl, Brenda; Simons-Major, Keisha; Meadows, Lynne; Maughan, Erin D.

    2017-01-01

    It is the position of the National Association of School Nurses (NASN) that utilization of telehealth technology may be a valuable tool to assist registered professional school nurses (herein referred to as a school nurse) to provide school health services. The health of many students is impacted by lack of access to primary care and specialty…

  9. School Nurse Workload: Staffing for Safe Care. Position Statement

    Science.gov (United States)

    Dolatowski, Rosemary; Endsley, Patricia; Hiltz, Cynthia; Johansen, Annette; Maughan, Erin; Minchella, Lindsey; Trefry, Sharonlee

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that daily access to a registered professional school nurse (hereinafter referred to as a school nurse) can significantly improve students' health, safety, and abilities to learn. To meet the health and safety needs of students, families, and school communities, school nurse…

  10. Diabetes Management in the School Setting. Position Statement

    Science.gov (United States)

    Butler, Sarah; Fekaris, Nina; Pontius, Deborah; Zacharski, Susan

    2012-01-01

    It is the position of the National Association of School Nurses that the registered professional school nurse (hereinafter referred to as school nurse) is the only school staff member who has the skills, knowledge base, and statutory authority to fully meet the healthcare needs of students with diabetes in the school setting. Diabetes management…

  11. Concussions--The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Diaz, Anne L.; Wyckoff, Leah J.

    2012-01-01

    It is the position of the National Association of School Nurses that the registered professional school nurse (hereinafter referred to as school nurse) is an essential member of the team addressing concussions. As the school-based clinical professional on the team, the school nurse has the knowledge and skills to provide concussion prevention…

  12. School Health Education about Human Sexuality. Position Statement. Revised

    Science.gov (United States)

    Bradley, Beverly J.; Mancuso, Patty; Cagginello, Joan B.; Board, Connie; Clark, Sandra; Harvel, Robin; Kelts, Susan

    2012-01-01

    It is the position of the National Association of School Nurses (NASN) that age-appropriate health education about human sexuality should be included as part of a comprehensive school health education program and be accessible to all students in schools. NASN recognizes the role of parents and families as the primary source of education about…

  13. Osteoporosis management in patients with breast cancer : EMAS position statement

    NARCIS (Netherlands)

    Trémollieres, Florence A; Ceausu, Iuliana; Depypere, Herman; Lambrinoudaki, Irene; Mueck, Alfred; Pérez-López, Faustino R; van der Schouw, Yvonne T; Senturk, Levent M; Simoncini, Tommaso; Stevenson, John C; Stute, Petra; Rees, Margaret

    Aromatase inhibitors (AIs) are the first-line recommended standard of care for postmenopausal estrogen receptor-positive breast cancer. Because they cause a profound suppression of estrogen levels, concerns regarding their potential to increase the risk of fracture were rapidly raised. There is

  14. Diabetes Management in the School Setting. Position Statement. Revised

    Science.gov (United States)

    Wright, Janet B.; Easterling, Traci; Hardy, Alicen

    2017-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) is the school staff member who has the knowledge, skills, and statutory authority to fully meet the healthcare needs of students with diabetes in the school setting. Diabetes management in…

  15. Effectiveness of the Positioning Statement: Experimental Test on Brand Awareness in Competitive Contexts

    Directory of Open Access Journals (Sweden)

    Rafael Barreiros Porto

    2018-03-01

    Full Text Available Good positioning statements have an effect on consumer brand awareness. However, the competitive context formed by the novelty of the category and the brand market structure may hinder the assimilation of positioning and its association with the pre-existing image. This study assesses the effectiveness of positioning statements in the generation of brand awareness, considering its competitive context. Using an experimental design, with a group of control, the exposure of brands and their competitive contexts were manipulated and the positioning statement remained constant for a sample of consumers. The results show the positioning statement had an effect on both assimilation of the message and valence of image association, which adds awareness for the brand, but only for the traditional category. The effectiveness on the message assimilation occurred within the weak brand and within the less known median brand. For the image valence, it occurred only between the weak brand and the strong one from the traditional category. These findings are distinct among consumer segments. The research brings up a classic theme, but presents a new methodological approach to measure the effectiveness of brand positioning.

  16. Education, licensure, and certification of school nurses: position statement.

    Science.gov (United States)

    2013-07-01

    It is the position of the National Association of School Nurses (NASN) that every school-age child deserves a school nurse who has a baccalaureate degree in nursing from an accredited college or university and is licensed as a registered nurse through the state board of nursing. These requirements constitute minimal preparation needed to practice at the entry level of school nursing (American Nurses Association [ANA] & NASN, 2011). Additionally, NASN supports state school nurse certification, where required, and promotes national certification of school nurses through the National Board for Certification of School Nurses.

  17. NASN position statement: role of the school nurse.

    Science.gov (United States)

    2012-03-01

    It is the position of the National Association of School Nurses that the registered professional school nurse is the leader in the school community to oversee school health policies and programs. The school nurse serves in a pivotal role to provide expertise and oversight for the provision of school health services and promotion of health education. Using clinical knowledge and judgment, the school nurse provides health care to students and staff, performs health screenings and coordinates referrals to the medical home or private healthcare provider. The school nurse serves as a liaison between school personnel, family, community and healthcare providers to advocate for health care and a healthy school environment (National Association of School Nurses/American Nurses Association [NASN/ANA], 2005).

  18. Palliative sedation: the position statement of the Italian National Committee for Bioethics.

    Science.gov (United States)

    Orsi, Luciano; Gristina, Giuseppe R

    2017-05-01

    In January 2016 the Italian National Bioethics Committee (NBC) published a position statement entitled Deep and continuous palliative sedation in the imminence of death, related to the use of sedation and analgesia for relief from pain and psychological distress in dying patients. In this statement the Committee points out the clinical and ethical appropriateness of palliative sedation as a therapeutic procedure. As a result, today palliative sedation has to be considered useful, scientifically safe and reliable, and acknowledged as an integral part of good clinical practice. At the same time, the position statement, once and for all, makes clear that palliative sedation cannot and must not be equated with the practice of euthanasia. Thus, this document should be known by health professionals caring for dying patients not only in palliative as well as in intensive care settings, but it should be also considered as a milestone aimed to encourage and ease a widespread implementation of this procedure in all health care settings.

  19. Lightning Injuries

    Science.gov (United States)

    ... metal vehicle (for example, a car, van, or truck) with the windows closed. Sheltering in a small ... A person struck by lightning does not retain electricity, so there is no danger in providing first ...

  20. Lightning strikes

    International Nuclear Information System (INIS)

    Dance, B.

    1982-01-01

    If a nuclear weapon were struck by a powerful lightning flash, what would happen Scientists have assembled a simulator to produce exceptionally powerful discharges to try to find the answer to this question by practical test. The Sandia facility enables the extremely powerful lightning discharges which occur only once in every hundred lightning strokes to be duplicated. A bolt is composed of a series of strokes between two clouds or between one cloud and the earth. The simulator consists of four circuits, an inductor, a resistor and a special crowbar-switch developed at Sandia. The crowbar is for accuracy in the simulation of a lightning stroke. The test data is conveyed to computers for analysis by means of fibre-optic links. The first series of tests involve the warhead for the Air-Launched Cruise Missile

  1. World Federation of Occupational Therapists' Position Statement on Telehealth

    Directory of Open Access Journals (Sweden)

    World Federation of Occupational Therapists

    2014-09-01

    Full Text Available The purpose of this document is to state the World Federation of Occupational Therapists’ (WFOT position on the use of telehealth for the delivery of occupational therapy services. Telehealth is the use of information and communication technologies (ICT to deliver health-related services when the provider and client are in different physical locations. Additional terms used to describe this service delivery model include: tele-occupational therapy, telerehabilitation, teletherapy, telecare, telemedicine, and telepractice, among other terms. Telehealth may be used by occupational therapy practitioners for evaluation, intervention, monitoring, supervision, and consultation (between remote therapist, client, and/or local health-care provider as permitted by jurisdictional, institutional, and professional regulations and policies governing the practice of occupational therapy.Occupational therapy services via telehealth should be appropriate to the individuals, groups and cultures served,and contextualized to the occupations and interests of clients. Important considerations related to licensure/registration, collaboration with local occupational therapists, client selection, consent to treat, professional liability insurance, confidentiality, personal and cultural attributes, provider competence/standards of care, reimbursement/payer guidelines, and authentic occupational therapy practice are discussed.

  2. Reimbursement for school nursing health care services: position statement.

    Science.gov (United States)

    Lowe, Janet; Cagginello, Joan; Compton, Linda

    2014-09-01

    Children come to school with a variety of health conditions, varying from moderate health issues to multiple, severe chronic health illnesses that have a profound and direct impact on their ability to learn. The registered professional school nurse (hereinafter referred to as school nurse) provides medically necessary services in the school setting to improve health outcomes and promote academic achievement. The nursing services provided are reimbursable services in other health care settings, such as hospitals, clinics, and home care settings. The National Association of School Nurses (NASN) believes that school nursing services that are reimbursable nursing services in other health care systems should also be reimbursable services in the school setting, while maintaining the same high quality care delivery standards. Traditionally, local and state tax revenues targeted to fund education programs have paid for school nursing health services. School nurses are in a strategic position to advocate for improving clinical processes to better fit with community health care providers and to align reimbursements with proposed changes. Restructuring reimbursement programs will enable health care funding streams to assist in paying for school nursing services delivered to students in the school setting. Developing new innovative health financing opportunities will help to increase access, improve quality, and reduce costs. The goal is to promote a comprehensive and cost-effective health care delivery model that integrates schools, families, providers, and communities.

  3. Teaching the Statement of Changes in Financial Position--A Worksheet Approach.

    Science.gov (United States)

    Byrd, David B.; Byrd, Sandra D.

    1986-01-01

    The worksheet approach to preparing a Statement of Changes in Financial Position (SCFP) is presented. An example that has been developed for presentation to the class during the first class period spent on SCFPs is discussed. Conversion of working capital to cash is also explained. (CT)

  4. Evaluation of Increasing Antecedent Specificity in Goal Statements on Adherence to Positive Behavior-Management Strategies

    Science.gov (United States)

    Cohrs, Corey M.; Shriver, Mark D.; Burke, Raymond V.; Allen, Keith D.

    2016-01-01

    We evaluated the impact of antecedent specificity in goal statements on adherence to positive behavior-management strategies. Teaching staff were recruited from 2 different school settings where there were routine expectations to use behavior-specific praise in the classroom, but adherence was poor. In a concurrent multiple baseline design, the…

  5. Lightning prediction using radiosonde data

    Energy Technology Data Exchange (ETDEWEB)

    Weng, L.Y.; Bin Omar, J.; Siah, Y.K.; Bin Zainal Abidin, I.; Ahmad, S.K. [Univ. Tenaga, Darul Ehsan (Malaysia). College of Engineering

    2008-07-01

    Lightning is a natural phenomenon in tropical regions. Malaysia experiences very high cloud-to-ground lightning density, posing both health and economic concerns to individuals and industries. In the commercial sector, power lines, telecommunication towers and buildings are most frequently hit by lightning. In the event that a power line is hit and the protection system fails, industries which rely on that power line would cease operations temporarily, resulting in significant monetary loss. Current technology is unable to prevent lightning occurrences. However, the ability to predict lightning would significantly reduce damages from direct and indirect lightning strikes. For that reason, this study focused on developing a method to predict lightning with radiosonde data using only a simple back propagation neural network model written in C code. The study was performed at the Kuala Lumpur International Airport (KLIA). In this model, the parameters related to wind were disregarded. Preliminary results indicate that this method shows some positive results in predicting lighting. However, a larger dataset is needed in order to obtain more accurate predictions. It was concluded that future work should include wind parameters to fully capture all properties for lightning formation, subsequently its prediction. 8 refs., 5 figs.

  6. Lightning Safety Tips and Resources

    Science.gov (United States)

    ... Services Careers Contact Us Glossary Safety National Program Lightning Safety Tips and Resources Weather.gov > Safety > Lightning Safety Tips and Resources Lightning Resources Lightning strikes ...

  7. Ethnocentrism is an unacceptable rationale for health care policy: a critique of transplant tourism position statements.

    Science.gov (United States)

    Evans, R W

    2008-06-01

    Medical tourism has emerged as a global health care phenomenon, valued at $60 billion worldwide in 2006. Transplant tourism, unlike other more benign forms of medical tourism, has become a flashpoint within the transplant community, underscoring the uneasy relationships among science, religion, politics, ethics and international health care policies concerning the commercialization of transplantation. Numerous professional associations have drafted or issued position statements condemning transplant tourism. Often the criticism is misdirected. The real issue concerns both the source and circumstances surrounding the procurement of donor organs, including commercialization. Unfortunately, many of the position statements circulated to date represent an ethnocentric and decidedly western view of transplantation. As such, the merits of culturally insensitive policy statements issued by otherwise well-intended transplant professionals, and the organizations they represent, must be evaluated within the broader context of foreign relations and diplomacy, as well as cultural and ethical relativity. Having done so, many persons may find themselves reluctant to endorse statements that have produced a misleading social desirability bias, which, to a great extent, has impeded more thoughtful and inclusive deliberations on the issues. Therefore, instead of taking an official position on policy matters concerning the commercial aspects of transplantation, international professional associations should offer culturally respectful guidance.

  8. Developing an affirmative position statement on sexual and gender diversity for psychology professionals in South Africa

    Directory of Open Access Journals (Sweden)

    Cornelius J. Victor

    2017-06-01

    Full Text Available Background. Against the background of the dominance of patriarchy and heteronormativity in Africa and the resultant stigma, discrimination and victimisation of sexually and gender-diverse people, this article reports on the development of an affirmative position statement by the Psychological Society of South Africa (PsySSA for psychology professionals working with sexually and gender-diverse people. The position statement is an attempt to contribute positively to the de-stigmatisation, amongst psychology professionals, of all people with diverse sexual and gender identities. Objective. In documenting and reflecting on the process of developing the statement — a first on the African continent — the article aims to contribute to the potential resources available to others in their work on similar projects around the world. Design. Although initially intended to be relevant to the African continent, the position statement is appropriate to the South African context specifically, but developed in consultation with a range of stakeholders, also from other African countries. Results. Concerns expressed during stakeholder consultations, and thus taken into account in the development of the statement, include relevance to other African countries, negotiating the politics of representation and language, the importance of including gender and biological variance in addition to sexuality, and the need to be sensitive to how Western influence is constructed in some African contexts. Conclusion. Other national psychology organisations stand to benefit by ‘lessons learned’ during this country-specific process with global implications, especially with respect to broadening the lens from lesbian, gay, bisexual, transgender and intersex (LGBTI to sexual and gender diversity, as well as an acknowledgement of the multiple and fluid developmental pathways around sexuality and gender, in general.

  9. International Association for Hospice and Palliative Care Position Statement: Euthanasia and Physician-Assisted Suicide.

    Science.gov (United States)

    De Lima, Liliana; Woodruff, Roger; Pettus, Katherine; Downing, Julia; Buitrago, Rosa; Munyoro, Esther; Venkateswaran, Chitra; Bhatnagar, Sushma; Radbruch, Lukas

    2017-01-01

    Reports about regulations and laws on Euthanasia and Physician Assisted Suicide (PAS) are becoming increasingly common in the media. Many groups have expressed opposition to euthanasia and PAS while those in favor argue that severely chronically ill and debilitated patients have a right to control the timing and manner of their death. Others argue that both PAS and euthanasia are ethically legitimate in rare and exceptional cases. Given that these discussions as well as the new and proposed laws and regulations may have a powerful impact on patients, caregivers, and health care providers, the International Association for Hospice and Palliative Care (IAHPC) has prepared this statement. To describe the position of the IAHPC regarding Euthanasia and PAS. The IAHPC formed a working group (WG) of seven board members and two staff officers who volunteered to participate in this process. An online search was performed using the terms "position statement", "euthanasia" "assisted suicide" "PAS" to identify existing position statements from health professional organizations. Only statements from national or pan-national associations were included. Statements from seven general medical and nursing associations and statements from seven palliative care organizations were identified. A working document including a summary of the different position statements was prepared and based on these, an initial draft was prepared. Online discussions among the members of the WG took place for a period of three months. The differences were reconciled by email discussions. The resulting draft was shared with the full board. Additional comments and suggestions were incorporated. This document represents the final version approved by the IAHPC Board of Directors. IAHPC believes that no country or state should consider the legalization of euthanasia or PAS until it ensures universal access to palliative care services and to appropriate medications, including opioids for pain and dyspnea. In

  10. The real performance of radioactive lightning arrester

    International Nuclear Information System (INIS)

    Leite, D.M.

    1985-01-01

    The study of the performance of radioactive lightning arrester comparing to the performance of conventional one are presented. Measurements of currents between lightning arrester and an energyzed plate with wind simulation were done for radioactive and conventional lightning arresters, separately. The attraction range of radioactive and conventional lightning arresters using atmospheric pulses produced by a generator of 3MV were verified, separately and simultaneously. The influence of ionization produced by radioactive lightning arrester on critical disruptive tension of a spark plate, testing two lightning arresters for differents nominal attraction distances with applications of atmospheric pulses (positive and negative polarity) and tensions of 60 Hz was verified. The radiation emitted by a radioactive lightning had used in a building was retired and handled without special carefullness by a personnel without worthy of credence to evaluate the hazard in handling radioactive lightning arrester was measured. Critical disruptive tensions of radioactive and conventional lightning arrester using a suspensed electrode and external pulse generator of 6MV was measured. The effect of attraction of a radioactive and conventional lightning arresters disposed symmetrically regarding the same suspensed electrode was verified simultaneously. Seven cases on faults of radioactive lightning arrester in external areas are present. (M.C.K.) [pt

  11. International Association for Hospice and Palliative Care Position Statement: Euthanasia and Physician-Assisted Suicide

    Science.gov (United States)

    Woodruff, Roger; Pettus, Katherine; Downing, Julia; Buitrago, Rosa; Munyoro, Esther; Venkateswaran, Chitra; Bhatnagar, Sushma; Radbruch, Lukas

    2017-01-01

    Abstract Background: Reports about regulations and laws on Euthanasia and Physician Assisted Suicide (PAS) are becoming increasingly common in the media. Many groups have expressed opposition to euthanasia and PAS while those in favor argue that severely chronically ill and debilitated patients have a right to control the timing and manner of their death. Others argue that both PAS and euthanasia are ethically legitimate in rare and exceptional cases. Given that these discussions as well as the new and proposed laws and regulations may have a powerful impact on patients, caregivers, and health care providers, the International Association for Hospice and Palliative Care (IAHPC) has prepared this statement. Purpose: To describe the position of the IAHPC regarding Euthanasia and PAS. Method: The IAHPC formed a working group (WG) of seven board members and two staff officers who volunteered to participate in this process. An online search was performed using the terms “position statement”, “euthanasia” “assisted suicide” “PAS” to identify existing position statements from health professional organizations. Only statements from national or pan-national associations were included. Statements from seven general medical and nursing associations and statements from seven palliative care organizations were identified. A working document including a summary of the different position statements was prepared and based on these, an initial draft was prepared. Online discussions among the members of the WG took place for a period of three months. The differences were reconciled by email discussions. The resulting draft was shared with the full board. Additional comments and suggestions were incorporated. This document represents the final version approved by the IAHPC Board of Directors. Result: IAHPC believes that no country or state should consider the legalization of euthanasia or PAS until it ensures universal access to palliative care services and to

  12. Best practice in nurse-led chemotherapy review: a position statement from the United Kingdom Oncology Nursing Society

    OpenAIRE

    Lennan, E; Vidall, C; Roe, H; Jones, P; Smith, J; Farrell, C

    2012-01-01

    This position statement has been formulated by nurses from the United Kingdom Oncology Nursing Society (UKONS) to provide guidance on the provision of nurse-led chemotherapy review clinics for adult patients. For the purposes of this statement, a nurse-led chemotherapy clinic is defined as one that conducts formal review (in a consultation room) before the decision to proceed and prescribe the next cycle of chemotherapy. This statement does not address the toxicity checks that take place imme...

  13. Algorithm for the treatment of type 2 diabetes: a position statement of Brazilian Diabetes Society

    OpenAIRE

    Lerario, Antonio C; Chacra, Antonio R; Pimazoni-Netto, Augusto; Malerbi, Domingos; Gross, Jorge L; Oliveira, Jos? EP; Gomes, Marilia B; Santos, Raul D; Fonseca, Reine MC; Betti, Roberto; Raduan, Roberto

    2010-01-01

    Abstract The Brazilian Diabetes Society is starting an innovative project of quantitative assessment of medical arguments of and implementing a new way of elaborating SBD Position Statements. The final aim of this particular project is to propose a new Brazilian algorithm for the treatment of type 2 diabetes, based on the opinions of endocrinologists surveyed from a poll conducted on the Brazilian Diabetes Society website regarding the latest algorithm proposed by American Diabetes Associatio...

  14. Diabetes Canada Position Statement for People with Types 1 and 2 Diabetes Who Fast During Ramadan.

    Science.gov (United States)

    Bajaj, Harpreet Singh; Abouhassan, Tyceer; Ahsan, Muhammad Rauf; Arnaout, Amel; Hassanein, Mohamed; Houlden, Robyn L; Khan, Tayyab; Khandwala, Hasnain; Verma, Subodh

    2018-04-27

    Fasting from dawn to dusk during Ramadan, including abstaining from water and food, is 1 of the pillars of Islam and is observed by the majority of Muslims. Most research concerning diabetes and fasting during Ramadan originates from Middle Eastern or South Asian countries; however, differences exist in hours of work and fasting, pharmacotherapy and blood glucose monitoring between these countries and Canada. An expert forum of 7 Canadian experts and 1 international expert collaborated to develop Canadian guidelines using the same evidence-based principles, with the exception of an independent methods review used for the Diabetes Canada clinical practice guidelines. Diabetes Canada scientific leadership and Canadian health-care providers performed independent external reviews. Religious leaders endorsed the position statement and provided letters of support. An informed patient participated in the position-statement development. Each recommendation was approved with 100% consensus of the expert forum. Recommendations for risk stratification, education, pharmacotherapy and blood glucose monitoring for adults with type 1 and type 2 diabetes who intend to fast during Ramadan have been developed. This is the first Canadian position statement on the topic of Ramadan fasting and diabetes. It was developed by an expert faculty and endorsed by Diabetes Canada, and provides guidance about pharmacotherapy and glucose monitoring for health-care providers so that they can assist Canadian Muslims living with diabetes to observe fasting during Ramadan safely. Copyright © 2018. Published by Elsevier Inc.

  15. Reconceptualizing Media Literacy in the Social Studies: A Pragmatist Critique of the NCSS Position Statement on Media Literacy

    Science.gov (United States)

    Mason, Lance; Metzger, Scott Alan

    2012-01-01

    The National Council for the Social Studies Position Statement on Media Literacy argues that media literacy can facilitate participatory democracy if students' interest in media is harnessed. The statement conceives of media technology as neutral and under-conceptualizes socializing aspects of media technologies that foster atomized individualism.…

  16. Anxiety management training for anxiety states: positive compared with negative self-statements.

    Science.gov (United States)

    Ramm, E; Marks, I M; Yuksel, S; Stern, R S

    1982-04-01

    Twelve patients complaining of chronic free-floating anxiety, usually also with panic attacks, were assigned at random to treatment by six hour-long sessions of anxiety-management training, either with positive or with negative self-statements, given over six weeks. Patients in both treatment conditions improved, with a small trend favouring positive over negative self-instruction, especially at follow-up. It is unclear how much self-instruction, rather than therapeutic attention or mere passage of time, accounted for the bulk of the modest improvement obtained.

  17. Polish Society of Endocrinology Position statement on endocrine disrupting chemicals (EDCs).

    Science.gov (United States)

    Rutkowska, Aleksandra; Rachoń, Dominik; Milewicz, Andrzej; Ruchała, Marek; Bolanowski, Marek; Jędrzejuk, Diana; Bednarczuk, Tomasz; Górska, Maria; Hubalewska-Dydejczyk, Alicja; Kos-Kudła, Beata; Lewiński, Andrzej; Zgliczyński, Wojciech

    2015-01-01

    With the reference to the position statements of the Endocrine Society, the Paediatric Endocrine Society, and the European Society of Paediatric Endocrinology, the Polish Society of Endocrinology points out the adverse health effects caused by endocrine disrupting chemicals (EDCs) commonly used in daily life as components of plastics, food containers, pharmaceuticals, and cosmetics. The statement is based on the alarming data about the increase of the prevalence of many endocrine disorders such as: cryptorchidism, precocious puberty in girls and boys, and hormone-dependent cancers (endometrium, breast, prostate). In our opinion, it is of human benefit to conduct epidemiological studies that will enable the estimation of the risk factors of exposure to EDCs and the probability of endocrine disorders. Increasing consumerism and the industrial boom has led to severe pollution of the environment with a corresponding negative impact on human health; thus, there is great necessity for the biomonitoring of EDCs in Poland.

  18. WNA position statement on safe management of nuclear waste and used nuclear fuel

    International Nuclear Information System (INIS)

    Saint-Pierre, S.

    2006-01-01

    This World nuclear association (W.N.A.) Position Statement summarizes the worldwide nuclear industry's record, progress and plans in safely managing nuclear waste and used nuclear fuel. The global industry's safe waste management practices cover the entire nuclear fuel-cycle, from the mining of uranium to the long-term disposal of end products from nuclear power reactors. The Statement's aim is to provide, in clear and accurate terms, the nuclear industry's 'story' on a crucially important subject often clouded by misinformation. Inevitably, each country and each company employs a management strategy appropriate to a specific national and technical context. This Position Statement reflects a confident industry consensus that a common dedication to sound practices throughout the nuclear industry worldwide is continuing to enhance an already robust global record of safe management of nuclear waste and used nuclear fuel. This text focuses solely on modern civil programmes of nuclear-electricity generation. It does not deal with the substantial quantities of waste from military or early civil nuclear programmes. These wastes fall into the category of 'legacy activities' and are generally accepted as a responsibility of national governments. The clean-up of wastes resulting from 'legacy activities' should not be confused with the limited volume of end products that are routinely produced and safely managed by today's nuclear energy industry. On the significant subject of 'Decommissioning of Nuclear Facilities', which is integral to modern civil nuclear power programmes, the W.N.A. will offer a separate Position Statement covering the industry's safe management of nuclear waste in this context. The safe management of nuclear waste and used nuclear fuel is a widespread, well-demonstrated reality. This strong safety record reflects a high degree of nuclear industry expertise and of industry responsibility toward the well-being of current and future generations

  19. British Society of Gastroenterology position statement on serrated polyps in the colon and rectum.

    Science.gov (United States)

    East, James E; Atkin, Wendy S; Bateman, Adrian C; Clark, Susan K; Dolwani, Sunil; Ket, Shara N; Leedham, Simon J; Phull, Perminder S; Rutter, Matt D; Shepherd, Neil A; Tomlinson, Ian; Rees, Colin J

    2017-07-01

    Serrated polyps have been recognised in the last decade as important premalignant lesions accounting for between 15% and 30% of colorectal cancers. There is therefore a clinical need for guidance on how to manage these lesions; however, the evidence base is limited. A working group was commission by the British Society of Gastroenterology (BSG) Endoscopy section to review the available evidence and develop a position statement to provide clinical guidance until the evidence becomes available to support a formal guideline. The scope of the position statement was wide-ranging and included: evidence that serrated lesions have premalignant potential; detection and resection of serrated lesions; surveillance strategies after detection of serrated lesions; special situations-serrated polyposis syndrome (including surgery) and serrated lesions in colitis; education, audit and benchmarks and research questions. Statements on these issues were proposed where the evidence was deemed sufficient, and re-evaluated modified via a Delphi process until >80% agreement was reached. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool was used to assess the strength of evidence and strength of recommendation for finalised statements. Key recommendation : we suggest that until further evidence on the efficacy or otherwise of surveillance are published, patients with sessile serrated lesions (SSLs) that appear associated with a higher risk of future neoplasia or colorectal cancer (SSLs ≥10 mm or serrated lesions harbouring dysplasia including traditional serrated adenomas) should be offered a one-off colonoscopic surveillance examination at 3 years ( weak recommendation, low quality evidence, 90% agreement ). 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/.

  20. Comparative Study on Presentation of Statement of Financial Position in the Public Sector

    Directory of Open Access Journals (Sweden)

    Carmen Crețu

    2011-06-01

    Full Text Available Although it is more than a decade since the elaboration of the first public accountingstandards, countries are still reluctant to adopt them, preferring rather an adaptation of nationallegislation with the provisions IPSASs. Concerns about the necessity and usefulness of the applicationof International Public Sector Accounting Standards are due to economic influences, cultural, social,which made their mark on philosophy, doctrine and national accounting policies. Although financialstatements may appear similar from country to country, there are differences that can be caused by avariety of social, economic and legal factors, and that some countries when setting the nationalrequirements have considered the needs of different users of financial statements. These factors haveled to the use of different definitions of the structures of financial statements, such as assets,liabilities, equity, revenues and expenses. Scope and disclosures in the financial statements were alsoaffected. Therefore, this paper intends to emphasize similarities, but especially the differencesbetween the two frames of reference - national norms to international standards - regarding Statementof financial position on a public institution.

  1. The Australasian radiation protection society's position statement on risks fro low levels of ionizing radiation

    International Nuclear Information System (INIS)

    Higson, D.J.

    2006-01-01

    Full text: Controversy continues in the radiation protection literature on whether or not ionizing radiation is harmful at low doses, with unresolved scientific uncertainty about effects below a few tens of millisieverts. To settle what regulatory controls (if any) should apply in this dose region, an assumption has to be made relating dose to the possibility of harm or benefit. The assumption made and the way it is applied can have far-reaching effects, not only on the scale of regulatory compliance required but also on public perception of risk, and therefore on the technological choices made by society. It is important therefore that decisions reached concerning the regulation of low doses of ionizing radiation derive from rational arguments and are perceived to have an ethical basis. It is also important that such decisions are neither portrayed nor perceived as resolving the scientific uncertainties: rather, they serve merely to facilitate the implementation of appropriate measures to ensure safety. At its Annual General Meeting in 2004, the Australasian Radiation Protection Society (ARPS) set up a working group to draft a statement of the Society's position on this matter. The resulting position statement was adopted by the Society at its Annual General Meeting on 14 November 2005. Its salient features are as follows: There is insufficient evidence to establish a dose-effect relationship for doses that are less than a few tens of millisieverts in a year. A linear extrapolation from higher dose levels should be assumed only for the purpose of applying regulatory controls; Estimates of collective dose arising from individual doses that are less than some tens of millisieverts in a year should not be used to predict numbers of fatal cancers; The risk to an individual of doses significantly less than 100 microsieverts in a year is so small, if it exists at all, that regulatory requirements to control exposure at this level are not warranted. The paper will

  2. American Society for Pain Management Nursing position statement: pain management at the end of life.

    Science.gov (United States)

    Reynolds, Janice; Drew, Debra; Dunwoody, Colleen

    2013-09-01

    Pain at the end of life continues to be of great concern as it may be unrecognized or untreated. While nurses have an ethical obligation to reduce suffering at the end of life, barriers remain regarding appropriate and adequate pain management at the end of life. This position statement from the American Society for Pain Management Nursing contains recommendations for nurses, prescribers, and institutions that would improve pain management for this vulnerable population. Copyright © 2013 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  3. 17 CFR 210.3-02 - Consolidated statements of income and changes in financial positions.

    Science.gov (United States)

    2010-04-01

    ... General Instructions As to Financial Statements § 210.3-02 Consolidated statements of income and changes... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Consolidated statements of... SECURITIES AND EXCHANGE COMMISSION FORM AND CONTENT OF AND REQUIREMENTS FOR FINANCIAL STATEMENTS, SECURITIES...

  4. The American Chiropractic Board of Sports Physicians Position Statement on Pre-Participation Examinations: An Expert Consensus

    Science.gov (United States)

    Moreau, William J.; Nabhan, Dustin C.; Roecker, Christopher; Kimura, Melissa Nagare; Klein, Andrew; Guimard, Brett; Pierce, Kevin; Helma, Patrick; Nelson, Robert; Bahr, Kelly Shockley; Nelson, Laney; Williams, Perry

    2015-01-01

    Objective The purpose of this paper is to present a position statement of best practices for the provision of a safe and high-quality pre-participation examination (PPE) and to provide recommendations on education requirements for doctors of chiropractic providing the PPE. Methods In 2014, the American Chiropractic Board of Sports Physicians (ACBSP) Board of Directors identified a need to review and update the ACBSP position statements and practice guidelines in order to be current with evolving best practices. Twelve ACBSP certificants, 10 Diplomates of the ACBSP, and 2 Certified Chiropractic Sports Physicians, met in April 2015 to author a pre-participation position statement using an expert consensus process. Panel members excluded anyone with commercial conflicts of interest and included individuals with expertise in clinical sports medicine and the performance of PPEs. A literature review was performed and circulated in advance for use by the panel in addressing the topic. The position statement was written through a consensus process and accepted by the ACBSP Board of Directors in May of 2015. Results The ACBSP Position Statement on Pre-participation Examinations identifies the qualifications and best practices for doctors of chiropractic to perform a PPE. Conclusion This position statement states that doctors of chiropractic with post graduate education and current Diplomates of the ACBSP or Certified Chiropractic Sports Physicians certification have the prerequisite education and qualifying skills to perform PPEs. PMID:26778931

  5. The American Chiropractic Board of Sports Physicians Position Statement on Pre-Participation Examinations: An Expert Consensus.

    Science.gov (United States)

    Moreau, William J; Nabhan, Dustin C; Roecker, Christopher; Kimura, Melissa Nagare; Klein, Andrew; Guimard, Brett; Pierce, Kevin; Helma, Patrick; Nelson, Robert; Bahr, Kelly Shockley; Nelson, Laney; Williams, Perry

    2015-09-01

    The purpose of this paper is to present a position statement of best practices for the provision of a safe and high-quality pre-participation examination (PPE) and to provide recommendations on education requirements for doctors of chiropractic providing the PPE. In 2014, the American Chiropractic Board of Sports Physicians (ACBSP) Board of Directors identified a need to review and update the ACBSP position statements and practice guidelines in order to be current with evolving best practices. Twelve ACBSP certificants, 10 Diplomates of the ACBSP, and 2 Certified Chiropractic Sports Physicians, met in April 2015 to author a pre-participation position statement using an expert consensus process. Panel members excluded anyone with commercial conflicts of interest and included individuals with expertise in clinical sports medicine and the performance of PPEs. A literature review was performed and circulated in advance for use by the panel in addressing the topic. The position statement was written through a consensus process and accepted by the ACBSP Board of Directors in May of 2015. The ACBSP Position Statement on Pre-participation Examinations identifies the qualifications and best practices for doctors of chiropractic to perform a PPE. This position statement states that doctors of chiropractic with post graduate education and current Diplomates of the ACBSP or Certified Chiropractic Sports Physicians certification have the prerequisite education and qualifying skills to perform PPEs.

  6. World Nuclear Association position statement: Safe management of nuclear waste and used nuclear fuel

    International Nuclear Information System (INIS)

    Saint-Pierre, Sylvain

    2006-01-01

    This WNA Position Statement summarises the worldwide nuclear industry's record, progress and plans in safely managing nuclear waste and used nuclear fuel. The global industry's safe waste management practices cover the entire nuclear fuel-cycle, from the mining of uranium to the long-term disposal of end products from nuclear power reactors. The Statement's aim is to provide, in clear and accurate terms, the nuclear industry's 'story' on a crucially important subject often clouded by misinformation. Inevitably, each country and each company employs a management strategy appropriate to a specific national and technical context. This Position Statement reflects a confident industry consensus that a common dedication to sound practices throughout the nuclear industry worldwide is continuing to enhance an already robust global record of safe management of nuclear waste and used nuclear fuel. This text focuses solely on modern civil programmes of nuclear-electricity generation. It does not deal with the substantial quantities of waste from military or early civil nuclear programmes. These wastes fall into the category of 'legacy activities' and are generally accepted as a responsibility of national governments. The clean-up of wastes resulting from 'legacy activities' should not be confused with the limited volume of end products that are routinely produced and safely managed by today's nuclear energy industry. On the significant subject of 'Decommissioning of Nuclear Facilities', which is integral to modern civil nuclear power programmes, the WNA will offer a separate Position Statement covering the industry's safe management of nuclear waste in this context. The paper's conclusion is that the safe management of nuclear waste and used nuclear fuel is a widespread, well-demonstrated reality. This strong safety record reflects a high degree of nuclear industry expertise and of industry responsibility toward the well-being of current and future generations. Accumulating

  7. Algorithm for the treatment of type 2 diabetes: a position statement of Brazilian Diabetes Society.

    Science.gov (United States)

    Lerario, Antonio C; Chacra, Antonio R; Pimazoni-Netto, Augusto; Malerbi, Domingos; Gross, Jorge L; Oliveira, José Ep; Gomes, Marilia B; Santos, Raul D; Fonseca, Reine Mc; Betti, Roberto; Raduan, Roberto

    2010-06-08

    The Brazilian Diabetes Society is starting an innovative project of quantitative assessment of medical arguments of and implementing a new way of elaborating SBD Position Statements. The final aim of this particular project is to propose a new Brazilian algorithm for the treatment of type 2 diabetes, based on the opinions of endocrinologists surveyed from a poll conducted on the Brazilian Diabetes Society website regarding the latest algorithm proposed by American Diabetes Association /European Association for the Study of Diabetes, published in January 2009.An additional source used, as a basis for the new algorithm, was to assess the acceptability of controversial arguments published in international literature, through a panel of renowned Brazilian specialists. Thirty controversial arguments in diabetes have been selected with their respective references, where each argument was assessed and scored according to its acceptability level and personal conviction of each member of the evaluation panel.This methodology was adapted using a similar approach to the one adopted in the recent position statement by the American College of Cardiology on coronary revascularization, of which not only cardiologists took part, but also specialists of other related areas.

  8. The Australasian radiation protection society's position statement on risks from low levels of ionizing radiation

    International Nuclear Information System (INIS)

    Don, Higson; Ches, Mason; Andrew, McEwan; Peter, Burns; Riaz, Akber; Ron, Cameron; Pamela, Sykes; Joe, Young

    2006-01-01

    At its Annual General Meeting in 2004, the Australasian Radiation Protection Society (A.R.P.S.) set up a working group to draft a statement of the Society's position on risks from low levels of exposure to ionizing radiation. The resulting position statement was adopted by the Society at its Annual General Meeting in 2005. Its salient features are as follows: First, there is insufficient evidence to establish a dose-effect relationship for doses that are less than a few tens of milli sieverts in a year. A linear extrapolation from higher dose levels should be assumed only for the purpose of applying regulatory controls. Secondly, estimates of collective dose arising from individual doses that are less than some tens of milli sieverts in a year should not be used to predict numbers of fatal cancers. Thirdly, the risk to an individual of doses significantly less than 100 micro sieverts in a year is so small, if it exists at all, that regulatory requirements to control exposure at this level are not warranted. (authors)

  9. Endocrine Society of Australia position statement on male hypogonadism (part 2): treatment and therapeutic considerations.

    Science.gov (United States)

    Yeap, Bu B; Grossmann, Mathis; McLachlan, Robert I; Handelsman, David J; Wittert, Gary A; Conway, Ann J; Stuckey, Bronwyn Ga; Lording, Douglas W; Allan, Carolyn A; Zajac, Jeffrey D; Burger, Henry G

    2016-09-05

    Part 1 of this position statement dealt with the assessment of male hypogonadism, including the indications for testosterone therapy. This article, Part 2, focuses on treatment and therapeutic considerations for male hypogonadism and identifies key questions for future research. Key points and recommendations are:Excess cardiovascular events have been reported in some but not all studies of older men without pathological hypogonadism who were given testosterone treatment. Additional studies are needed to clarify whether testosterone therapy influences cardiovascular risk.Testosterone is the native hormone that should be replaced in men being treated for pathological hypogonadism. Convenient and cost-effective treatment modalities include depot intramuscular injection and transdermal administration (gel, cream or liquid formulations).Monitoring of testosterone therapy is recommended for efficacy and safety, focusing on ameliorating symptoms, restoring virilisation, avoiding polycythaemia and maintaining or improving bone mineral density.Treatment aims to relieve an individual's symptoms and signs of androgen deficiency by administering standard doses and maintaining circulating testosterone levels within the reference interval for eugonadal men.Evaluation for cardiovascular disease and prostate cancer risks should be undertaken as appropriate for eugonadal men of similar age. Nevertheless, when there is a reasonable possibility of substantive pre-existing prostate disease, digital rectal examination and prostate-specific antigen testing should be performed before commencing testosterone treatment.Changes in management as result of the position statement: Treatment aims to relieve symptoms and signs of androgen deficiency, using convenient and effective formulations of testosterone. Therapy should be monitored for efficacy and safety.

  10. Position statement on ethics, equipoise and research on charged particle radiation therapy.

    Science.gov (United States)

    Sheehan, Mark; Timlin, Claire; Peach, Ken; Binik, Ariella; Puthenparampil, Wilson; Lodge, Mark; Kehoe, Sean; Brada, Michael; Burnet, Neil; Clarke, Steve; Crellin, Adrian; Dunn, Michael; Fossati, Piero; Harris, Steve; Hocken, Michael; Hope, Tony; Ives, Jonathan; Kamada, Tadashi; London, Alex John; Miller, Robert; Parker, Michael; Pijls-Johannesma, Madelon; Savulescu, Julian; Short, Susan; Skene, Loane; Tsujii, Hirohiko; Tuan, Jeffrey; Weijer, Charles

    2014-08-01

    The use of charged-particle radiation therapy (CPRT) is an increasingly important development in the treatment of cancer. One of the most pressing controversies about the use of this technology is whether randomised controlled trials are required before this form of treatment can be considered to be the treatment of choice for a wide range of indications. Equipoise is the key ethical concept in determining which research studies are justified. However, there is a good deal of disagreement about how this concept is best understood and applied in the specific case of CPRT. This report is a position statement on these controversies that arises out of a workshop held at Wolfson College, Oxford in August 2011. The workshop brought together international leaders in the relevant fields (radiation oncology, medical physics, radiobiology, research ethics and methodology), including proponents on both sides of the debate, in order to make significant progress on the ethical issues associated with CPRT research. This position statement provides an ethical platform for future research and should enable further work to be done in developing international coordinated programmes of research. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  11. Cone-beam CT in paediatric dentistry. DIMITRA project position statement

    International Nuclear Information System (INIS)

    Oenning, Anne Caroline; Jacobs, Reinhilde; Pauwels, Ruben; Stratis, Andreas; Hedesiu, Mihaela; Salmon, Benjamin

    2018-01-01

    DIMITRA (dentomaxillofacial paediatric imaging: an investigation towards low-dose radiation induced risks) is a European multicenter and multidisciplinary project focused on optimizing cone-beam CT exposures for children and adolescents. With increasing use of cone-beam CT for dentomaxillofacial diagnostics, concern arises regarding radiation risks associated with this imaging modality, especially for children. Research evidence concerning cone-beam CT indications in children remains limited, while reports mention inconsistent recommendations for dose reduction. Furthermore, there is no paper using the combined and integrated information on the required indication-oriented image quality and the related patient dose levels. In this paper, therefore, the authors initiate an integrated approach based on current evidence regarding image quality and dose, together with the expertise of DIMITRA's members searching for a state of the art. The aim of this DIMITRA position statement is to provide indication-oriented and patient-specific recommendations regarding the main cone-beam CT applications in the pediatric field. The authors will review this position statement document when results regarding multidisciplinary approaches evolve, in a period of 5 years or earlier. (orig.)

  12. Position statement and guidelines on support personnel in audiology. American Speech-Language Hearing Association.

    Science.gov (United States)

    1998-01-01

    This policy document of the American Speech-Language-Hearing Association (ASHA) reflects the Association's position that the Certificate of Clinical Competence-Audiology (CCC-A) is a nationally recognized quality indicator and education standard for the profession. The following statement includes the CCC-A as the appropriate credential for audiologists supervising support personnel. The consensus panel document's exclusion of the CCC-A conflicts with ASHA's policy. Member organizations that composed the consensus panel on support personnel in audiology included: Academy of Dispensing Audiologists (ADA), American Academy of Audiology (AAA), ASHA, Educational Audiology Association (EAA), Military Audiology Association (MAA), and the National Hearing Conservation Association (NHCA). Representatives to the panel included Donald Bender (AAA) and Evelyn Cherow (ASHA), co-chairs; James McDonald and Meredy Hase (ADA); Albert deChiccis and Cheryl deConde Johnson (AAA); Chris Halpin and Deborah Price (ASHA); Peggy Benson (EAA); James Jerome (MAA); and Lloyd Bowling and Richard Danielson (NHCA). ASHA's Legislative Council and Executive Board elected not to adopt the consensus panel document because it excluded the CCC-A. In all others aspects, the documents remain similar. This position statement and guidelines supersede the audiology sections of the Guidelines for the Employment and Utilization of Supportive Personnel (LC 32-80).

  13. Algorithm for the treatment of type 2 diabetes: a position statement of Brazilian Diabetes Society

    Directory of Open Access Journals (Sweden)

    Lerario Antonio C

    2010-06-01

    Full Text Available Abstract The Brazilian Diabetes Society is starting an innovative project of quantitative assessment of medical arguments of and implementing a new way of elaborating SBD Position Statements. The final aim of this particular project is to propose a new Brazilian algorithm for the treatment of type 2 diabetes, based on the opinions of endocrinologists surveyed from a poll conducted on the Brazilian Diabetes Society website regarding the latest algorithm proposed by American Diabetes Association /European Association for the Study of Diabetes, published in January 2009. An additional source used, as a basis for the new algorithm, was to assess the acceptability of controversial arguments published in international literature, through a panel of renowned Brazilian specialists. Thirty controversial arguments in diabetes have been selected with their respective references, where each argument was assessed and scored according to its acceptability level and personal conviction of each member of the evaluation panel. This methodology was adapted using a similar approach to the one adopted in the recent position statement by the American College of Cardiology on coronary revascularization, of which not only cardiologists took part, but also specialists of other related areas.

  14. Geological Effects on Lightning Strike Distributions

    KAUST Repository

    Berdahl, J. Scott

    2016-05-16

    Recent advances in lightning detection networks allow for detailed mapping of lightning flash locations. Longstanding rumors of geological influence on cloud-to-ground (CG) lightning distribution and recent commercial claims based on such influence can now be tested empirically. If present, such influence could represent a new, cheap and efficient geophysical tool with applications in mineral, hydrothermal and oil exploration, regional geological mapping, and infrastructure planning. This project applies statistical analysis to lightning data collected by the United States National Lightning Detection Network from 2006 through 2015 in order to assess whether the huge range in electrical conductivities of geological materials plays a role in the spatial distribution of CG lightning. CG flash densities are mapped for twelve areas in the contiguous United States and compared to elevation and geology, as well as to the locations of faults, railroads and tall towers including wind turbines. Overall spatial randomness is assessed, along with spatial correlation of attributes. Negative and positive polarity lightning are considered separately and together. Topography and tower locations show a strong influence on CG distribution patterns. Geology, faults and railroads do not. This suggests that ground conductivity is not an important factor in determining lightning strike location on scales larger than current flash location accuracies, which are generally several hundred meters. Once a lightning channel is established, however, ground properties at the contact point may play a role in determining properties of the subsequent stroke.

  15. The 2017 hormone therapy position statement of The North American Menopause Society.

    Science.gov (United States)

    2017-07-01

    The 2017 Hormone Therapy Position Statement of The North American Menopause Society (NAMS) updates the 2012 Hormone Therapy Position Statement of The North American Menopause Society and identifies future research needs. An Advisory Panel of clinicians and researchers expert in the field of women's health and menopause was recruited by NAMS to review the 2012 Position Statement, evaluate new literature, assess the evidence, and reach consensus on recommendations, using the level of evidence to identify the strength of recommendations and the quality of the evidence. The Panel's recommendations were reviewed and approved by the NAMS Board of Trustees.Hormone therapy (HT) remains the most effective treatment for vasomotor symptoms (VMS) and the genitourinary syndrome of menopause (GSM) and has been shown to prevent bone loss and fracture. The risks of HT differ depending on type, dose, duration of use, route of administration, timing of initiation, and whether a progestogen is used. Treatment should be individualized to identify the most appropriate HT type, dose, formulation, route of administration, and duration of use, using the best available evidence to maximize benefits and minimize risks, with periodic reevaluation of the benefits and risks of continuing or discontinuing HT.For women aged younger than 60 years or who are within 10 years of menopause onset and have no contraindications, the benefit-risk ratio is most favorable for treatment of bothersome VMS and for those at elevated risk for bone loss or fracture. For women who initiate HT more than 10 or 20 years from menopause onset or are aged 60 years or older, the benefit-risk ratio appears less favorable because of the greater absolute risks of coronary heart disease, stroke, venous thromboembolism, and dementia. Longer durations of therapy should be for documented indications such as persistent VMS or bone loss, with shared decision making and periodic reevaluation. For bothersome GSM symptoms not

  16. Position statement on use of hand-held portable dental X-ray equipment

    International Nuclear Information System (INIS)

    2014-06-01

    The position statement focuses on justification in the medical field, in particular on the use of hand-held portable dental x-ray equipment. It supplements another HERCA position paper, providing a general overview of the use of all hand-held portable X-ray equipment. Key Messages: - HERCA finds that the use of hand-held portable X-ray devices should be discouraged except in special circumstances. - As a general rule, these devices should only be used in scenarios where an intraoral radiograph is deemed necessary for a patient and the use of a fixed or semi-mobile x-ray unit is impractical, e.g.: - nursing homes, residential care facilities or homes for persons with disabilities; - forensic odontology, - military operations abroad without dental facilities

  17. Intellectual Disability Policy as Developed, Expressed, and Evaluated in AAIDD/The Arc Joint Statements: The Role of Organization Position Statements.

    Science.gov (United States)

    Luckasson, Ruth; Ford, Marty E; McMillan, Elise D; Misilo, Frederick M; Nygren, Margaret A

    2017-07-01

    The American Association on Intellectual and Developmental Disabilities (AAIDD) and The Arc of the United States (The Arc) have a long history of joined efforts to develop, express, and evaluate disability policies. These efforts have resulted in a series of formal statements on critical issues such as education, healthcare, human rights, and criminal justice. Their joint efforts further important policy goals including providing clear strong communication about important policy values and directions, promulgating key principles of high quality supports and services, affirming best professional practices, and emphasizing personal outcomes. In addition, the joint efforts (a) affirm important aspects of organization identity; (b) enhance the organizations' abilities to assure the input of a wide variety of perspectives; (c) engage members' expanded ranges of experiences and talents; (d) multiply staff and leadership resources; (e) increase communication strength and avenues; and (f) establish processes for timely review and revision of policies as critical disability issues arise or change, and new opportunities for policy integration and advancement occur. This article describes the processes used to develop, express, and evaluate the position statements; summarizes the policy content of several joint statements; and discusses the role of these organization position statements.

  18. 'Risk or Right': a discourse analysis of midwifery and obstetric colleges' homebirth position statements.

    Science.gov (United States)

    Licqurish, Sharon; Evans, Alicia

    2016-03-01

    Within the context of global debates about safety and ethics of supporting women to give birth at home, it is important to analyse documents governing midwifery and obstetric practice and influence decision-making around place of birth. In Australia, the United States and the United Kingdom, relatively small numbers of women choose to give birth at home despite their midwifery colleges' support. In the United States and Australia, the obstetric colleges do not support homebirth and these countries have lower numbers of women who birth at home, compared with the United Kingdom. There are numerous regulatory and industry challenges for midwives attending homebirths. This paper reports on a Foucauldian analysis of Australian obstetric and midwifery colleges' position statements about homebirth, who have conflicting views, with the view to understanding their arguments and underlying assumptions. The documents highlighted tensions between competing discourses of risk and autonomy and differences in academic argument. Opportunities for strengthening their statements are highlighted. The methodology is applicable for future analysis of similar documents governing practice in other countries. © 2015 John Wiley & Sons Ltd.

  19. WOCN Society and AUA Position Statement on Preoperative Stoma Site Marking for Patients Undergoing Urostomy Surgery.

    Science.gov (United States)

    Salvadalena, Ginger; Hendren, Samantha; McKenna, Linda; Muldoon, Roberta; Netsch, Debra; Paquette, Ian; Pittman, Joyce; Ramundo, Janet; Steinberg, Gary

    2015-01-01

    Marking the optimal location for a stoma preoperatively enhances the likelihood of a patient's independence in stoma care, predictable pouching system wear times, and resumption of normal activities. Urologists and certified ostomy nurses are the optimal clinicians to select and mark stoma sites, as this skill is a part of their education, practice, and training. However, these providers are not always available, particularly in emergency situations. The purpose of this position statement, developed by the Wound, Ostomy and Continence Nurses Society in collaboration with the American Urological Association and the American Society of Colon and Rectal Surgeons, is to provide a guideline to assist clinicians (especially those who are not surgeons or WOC nurses) in selecting an effective stoma site.

  20. Consumer Sleep Technology: An American Academy of Sleep Medicine Position Statement.

    Science.gov (United States)

    Khosla, Seema; Deak, Maryann C; Gault, Dominic; Goldstein, Cathy A; Hwang, Dennis; Kwon, Younghoon; O'Hearn, Daniel; Schutte-Rodin, Sharon; Yurcheshen, Michael; Rosen, Ilene M; Kirsch, Douglas B; Chervin, Ronald D; Carden, Kelly A; Ramar, Kannan; Aurora, R Nisha; Kristo, David A; Malhotra, Raman K; Martin, Jennifer L; Olson, Eric J; Rosen, Carol L; Rowley, James A

    2018-05-15

    Consumer sleep technologies (CSTs) are widespread applications and devices that purport to measure and even improve sleep. Sleep clinicians may frequently encounter CST in practice and, despite lack of validation against gold standard polysomnography, familiarity with these devices has become a patient expectation. This American Academy of Sleep Medicine position statement details the disadvantages and potential benefits of CSTs and provides guidance when approaching patient-generated health data from CSTs in a clinical setting. Given the lack of validation and United States Food and Drug Administration (FDA) clearance, CSTs cannot be utilized for the diagnosis and/or treatment of sleep disorders at this time. However, CSTs may be utilized to enhance the patient-clinician interaction when presented in the context of an appropriate clinical evaluation. The ubiquitous nature of CSTs may further sleep research and practice. However, future validation, access to raw data and algorithms, and FDA oversight are needed. © 2018 American Academy of Sleep Medicine.

  1. NASN position statement: Sexual orientation and gender identity/expression (sexual minority students): school nurse practice.

    Science.gov (United States)

    Bradley, Beverly; Kelts, Susan; Robarge, Deb; Davis, Catherine; Delger, Suzey; Compton, Linda

    2013-03-01

    It is the position of the National Association of School Nurses that all students, regardless of their sexual orientation or the sexual orientation of their parents and family members, are entitled to a safe school environment and equal opportunities for a high level of academic achievement and school participation/involvement. Sexual minority persons are those who identify themselves as gay, lesbian, or bisexual (LGB) or are unsure of their sexual orientation, or those who have had sexual contact with persons of the same sex or both sexes (Kann et al., 2011). Sexual minority is thought to be a more inclusive and neutral term. For the purposes of this statement, the term sexual minority will be used in lieu of LGBTQ (lesbian, gay, bisexual, transgender, or questioning).

  2. [2015 updated position statement of the management of hyperglycaemia in type 2 diabetes].

    Science.gov (United States)

    Scheen, A J; Paquot, N

    2015-08-26

    The strategy for the management ot type 2 diabetes, summarized by a group of European and American experts, has been updated early 2015. A patient-centered approach is recommended and the first drug choice is metformin combined with lifestyle improvement. After failure of metformin monotherapy, the selection of a second drug should be based on the efficacy, safety and cost of each pharmacological class. When compared to the position statement of 2012, the most important changes are the possible addition of a gliptin to a dual oral therapy or even to insulin, the commercialization of sodium-glucose cotransporters type 2 (SGLT2) inhibitors (gliflozins, to be used in dual or triple therapy, even in combination with insulin) and the possible combination of a glucagon-like peptide-I receptor agonist together with a basal insulin.

  3. Diabetes and Anemia: International Diabetes Federation (IDF) - Southeast Asian Region (SEAR) position statement.

    Science.gov (United States)

    Sahay, Manisha; Kalra, Sanjay; Badani, Rajesh; Bantwal, Ganapathi; Bhoraskar, Anil; Das, A K; Dhorepatil, Bharati; Ghosh, Sujoy; Jeloka, Tarun; Khandelwal, Deepak; Latif, Zafar Ahmed; Nadkar, Milind; Pathan, Md Faruque; Saboo, Banshi; Sahay, Rakesh; Shimjee, Suleiman; Shrestha, Dina; Siyan, Ali; Talukdar, Shamim Hayder; Tiwaskar, Mangesh; Unnikrishnan, A G

    2017-12-01

    Anemia is often associated with diabetes mellitus and is known to intensify the risk of developing diabetes-related microvascular and macrovascular complications. There is paucity in understanding of co-existence of these conditions, especially in Southeast Asian countries. Iron and/or erythropoietin deficiencies are the major causes of anemia in diabetes, and diabetic kidney disease plays a key role. Patients with diabetes need to be screened for anemia along with other risk factors and anemia should be corrected appropriately to improve overall clinical outcomes. This position statement aims to provide a comprehensive overview and an algorithm for appropriate management of anemia in patients with diabetes. Copyright © 2017 Diabetes India. Published by Elsevier Ltd. All rights reserved.

  4. Indication, organization, practical implementation and interpretation guidelines for retrospective CGM recording: A French position statement.

    Science.gov (United States)

    Joubert, M; Baillot-Rudoni, S; Catargi, B; Charpentier, G; Esvant, A; Franc, S; Guerci, B; Guilhem, I; Melki, V; Merlen, E; Penfornis, A; Renard, E; Riveline, J P; Schaepelynck, P; Sola-Gazagnes, A; Hanaire, H

    2015-12-01

    The benefits of retrospective continuous glucose monitoring (retroCGM) recording have been widely explored in clinical studies, and many diabetes physicians routinely use this examination. However, the method of interpretation of CGM recordings has never been precisely described. An expert French panel of physicians met for two days to discuss several aspects of retroCGM use and to produce a position statement. The guidelines cover the indications for retroCGM, the general organization and practical implementation of CGM recordings, a description of the different devices available and guidelines for the interpretation of retroCGM recordings. This consensus document should help clinicians in the proper use of retroCGM. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  5. Study of the transport parameters of cloud lightning plasmas

    International Nuclear Information System (INIS)

    Chang, Z. S.; Yuan, P.; Zhao, N.

    2010-01-01

    Three spectra of cloud lightning have been acquired in Tibet (China) using a slitless grating spectrograph. The electrical conductivity, the electron thermal conductivity, and the electron thermal diffusivity of the cloud lightning, for the first time, are calculated by applying the transport theory of air plasma. In addition, we investigate the change behaviors of parameters (the temperature, the electron density, the electrical conductivity, the electron thermal conductivity, and the electron thermal diffusivity) in one of the cloud lightning channels. The result shows that these parameters decrease slightly along developing direction of the cloud lightning channel. Moreover, they represent similar sudden change behavior in tortuous positions and the branch of the cloud lightning channel.

  6. Youth resistance training: updated position statement paper from the national strength and conditioning association.

    Science.gov (United States)

    Faigenbaum, Avery D; Kraemer, William J; Blimkie, Cameron J R; Jeffreys, Ian; Micheli, Lyle J; Nitka, Mike; Rowland, Thomas W

    2009-08-01

    Faigenbaum, AD, Kraemer, WJ, Blimkie, CJR, Jeffreys, I, Micheli, LJ, Nitka, M, and Rowland, TW. Youth resistance training: Updated position statement paper from the National Strength and Conditioning Association. J Strength Cond Res 23(5): S60-S79, 2009-Current recommendations suggest that school-aged youth should participate daily in 60 minutes or more of moderate to vigorous physical activity that is developmentally appropriate and enjoyable and involves a variety of activities (). Not only is regular physical activity essential for normal growth and development, but also a physically active lifestyle during the pediatric years may help to reduce the risk of developing some chronic diseases later in life (). In addition to aerobic activities such as swimming and bicycling, research increasingly indicates that resistance training can offer unique benefits for children and adolescents when appropriately prescribed and supervised (). The qualified acceptance of youth resistance training by medical, fitness, and sport organizations is becoming universal ().Nowadays, comprehensive school-based programs are specifically designed to enhance health-related components of physical fitness, which include muscular strength (). In addition, the health club and sport conditioning industry is getting more involved in the youth fitness market. In the U.S.A., the number of health club members between the ages of 6 and 17 years continues to increase () and a growing number of private sport conditioning centers now cater to young athletes. Thus, as more children and adolescents resistance train in schools, health clubs, and sport training centers, it is imperative to determine safe, effective, and enjoyable practices by which resistance training can improve the health, fitness, and sports performance of younger populations.The National Strength and Conditioning Association (NSCA) recognizes and supports the premise that many of the benefits associated with adult resistance training

  7. Topical, geospatial, and temporal diffusion of the 2015 North American Menopause Society position statement on nonhormonal management of vasomotor symptoms.

    Science.gov (United States)

    Carpenter, Janet S; Laine, Tei; Harrison, Blake; LePage, Meghan; Pierce, Taran; Hoteling, Nathan; Börner, Katy

    2017-10-01

    We sought to depict the topical, geospatial, and temporal diffusion of the 2015 North American Menopause Society position statement on the nonhormonal management of menopause-associated vasomotor symptoms released on September 21, 2015, and its associated press release from September 23, 2015. Three data sources were used: online news articles, National Public Radio, and Twitter. For topical diffusion, we compared keywords and their frequencies among the position statement, press release, and online news articles. We also created a network figure depicting relationships across key content categories or nodes. For geospatial diffusion within the United States, we compared locations of the 109 National Public Radio (NPR) stations covering the statement to 775 NPR stations not covering the statement. For temporal diffusion, we normalized and segmented Twitter data into periods before and after the press release (September 12, 2015 to September 22, 2015 vs September 23, 2015 to October 3, 2015) and conducted a burst analysis to identify changes in tweets from before to after. Topical information diffused across sources was similar with the exception of the more scientific terms "vasomotor symptoms" or "vms" versus the more colloquial term "hot flashes." Online news articles indicated media coverage of the statement was mainly concentrated in the United States. NPR station data showed similar proportions of stations airing the story across the four census regions (Northeast, Midwest, south, west; P = 0.649). Release of the statement coincided with bursts in the menopause conversation on Twitter. The findings of this study may be useful for directing the development and dissemination of future North American Menopause Society position statements and/or press releases.

  8. Abiotic production of nitrous oxide by lightning. Implications for a false positive identification of life on Earth-Like Planets around quiescent M Dwarfs

    Science.gov (United States)

    Navarro, Karina F.; Navarro-Gonzalez, Rafael; McKay, Christopher P.

    Nitrous oxide (N _{2}O) is uniformly mixed in the troposphere with a concentration of about 310 ppb but disappears in the stratosphere (Prinn et al., 1990); N _{2}O is mostly emitted at a rate of 1x10 (13) g yr (-1) as a byproduct of microbial activity in soils and in the ocean by two processes: a) denitrification (reduction of nitrate and nitrite), and b) nitrification (oxidation of ammonia) (Maag and Vinther, 1996). The abiotic emission of N _{2}O in the contemporaneous Earth is small, mostly arising from lightning activity (2x10 (9) g yr (-1) , Hill et al., 1984) and by reduction of nitrite by Fe(II)-minerals in soils in Antarctica (Samarkin et al., 2010). Since N _{2}O has absorption bands in the mid-IR (7.8, 8.5, and 17 mumm) that makes it detectable by remote sensing (Topfer et al., 1997; Des Marais et al., 2002), it has been suggested as a potential biosignature in the search for life in extrasolar planets (Churchill and Kasting, 2000). However, the minimum required concentration for positive identification is 10,000 ppb with missions like Terrestrial Planet Finder and Darwin (Churchill and Kasting, 2000). Therefore, it is not a suitable biomarker for extrasolar Earth-like planets orbiting stars similar to the Sun. Because N _{2}O is protected in the troposphere from UV photolysis by the stratospheric ozone layer, its concentration would decrease with decreasing oxygen (O _{2}) concentrations, if the biological source strength remains constant (Kasting and Donahue, 1980). For a primitive Earth-like (Hadean) atmosphere dominated by CO _{2}, and no free O _{2}, the expected N _{2}O concentration would be about 3 ppb with the current microbial N _{2}O flux (Churchill and Kasting, 2000). The resulting N _{2}O spectral signature of this atmosphere would be undetectable unless the N _{2}O microbial flux would be 10 (4) greater than its present value (Churchill and Kasting, 2000). Since this flux is unlikely, it is impossible to use it as a biomarker in anoxic CO

  9. An International Position Statement on the Management of Frailty in Diabetes Mellitus: Summary of Recommendations 2017.

    Science.gov (United States)

    Sinclair, A J; Abdelhafiz, A; Dunning, T; Izquierdo, M; Rodriguez Manas, L; Bourdel-Marchasson, I; Morley, J E; Munshi, M; Woo, J; Vellas, B

    2018-01-01

    The International Position Statement provides the opportunity to summarise all existing clinical trial and best practice evidence for older people with frailty and diabetes. It is the first document of its kind and is intended to support clinical decisions that will enhance safety in management and promote high quality care. The Review Group sought evidence from a wide range of studies that provide sufficient confidence (in the absence of grading) for the basis of each recommendation. This was supported by a given rationale and key references for our recommendations in each section, all of which have been reviewed by leading international experts. Searches for any relevant clinical evidence were generally limited to English language citations over the previous 15 years. The following databases were examined: Embase, Medline/PubMed, Cochrane Trials Register, Cinahl, and Science Citation. Hand searching of 16 key major peer-reviewed journals was undertaken by two reviewers (AJS and AA) and these included Lancet, Diabetes, Diabetologia, Diabetes Care, British Medical Journal, New England Journal of Medicine, Journal of the American Medical Association, Journal of Frailty and Aging, Journal of the American Medical Directors Association, and Journals of Gerontology - Series A Biological Sciences and Medical Sciences. Two scientific supporting statements have been provided that relate to the area of frailty and diabetes; this is accompanied by evidence-based decisions in 9 clinical domains. The Summary has been supported by diagrammatic figures and a table relating to the inter-relations between frailty and diabetes, a frailty assessment pathway, an exercise-based programme of intervention, a glucose-lowering algorithm with a description of available therapies. We have provided an up to date evidence-based approach to practical decision-making for older adults with frailty and diabetes. This Summary document includes a user-friendly set of recommendations that should be

  10. Spatio-temporal dimension of lightning flashes based on three-dimensional Lightning Mapping Array

    Science.gov (United States)

    López, Jesús A.; Pineda, Nicolau; Montanyà, Joan; Velde, Oscar van der; Fabró, Ferran; Romero, David

    2017-11-01

    3D mapping system like the LMA - Lightning Mapping Array - are a leap forward in lightning observation. LMA measurements has lead to an improvement on the analysis of the fine structure of lightning, allowing to characterize the duration and maximum extension of the cloud fraction of a lightning flash. During several years of operation, the first LMA deployed in Europe has been providing a large amount of data which now allows a statistical approach to compute the full duration and horizontal extension of the in-cloud phase of a lightning flash. The "Ebro Lightning Mapping Array" (ELMA) is used in the present study. Summer and winter lighting were analyzed for seasonal periods (Dec-Feb and Jun-Aug). A simple method based on an ellipse fitting technique (EFT) has been used to characterize the spatio-temporal dimensions from a set of about 29,000 lightning flashes including both summer and winter events. Results show an average lightning flash duration of 440 ms (450 ms in winter) and a horizontal maximum length of 15.0 km (18.4 km in winter). The uncertainties for summer lightning lengths were about ± 1.2 km and ± 0.7 km for the mean and median values respectively. In case of winter lightning, the level of uncertainty reaches up to 1 km and 0.7 km of mean and median value. The results of the successful correlation of CG discharges with the EFT method, represent 6.9% and 35.5% of the total LMA flashes detected in summer and winter respectively. Additionally, the median value of lightning lengths calculated through this correlative method was approximately 17 km for both seasons. On the other hand, the highest median ratios of lightning length to CG discharges in both summer and winter were reported for positive CG discharges.

  11. Lightning Physics and Effects

    Science.gov (United States)

    Orville, Richard E.

    2004-03-01

    Lightning Physics and Effects is not a lightning book; it is a lightning encyclopedia. Rarely in the history of science has one contribution covered a subject with such depth and thoroughness as to set the enduring standard for years, perhaps even decades, to come. This contribution covers all aspects of lightning, including lightning physics, lightning protection, and the interaction of lightning with a variety of objects and systems as well as the environment. The style of writing is well within the ability of the technical non-expert and anyone interested in lightning and its effects. Potential readers will include physicists; engineers working in the power industry, communications, computer, and aviation industries; atmospheric scientists; geophysicists; meteorologists; atmospheric chemists; foresters; ecologists; physicians working in the area of electrical trauma; and, lastly, architects. This comprehensive reference volume contains over 300 illustrations, 70 tables with quantitative information, and over 6000 reference and bibliography entries.

  12. Storm on lightning conductors

    International Nuclear Information System (INIS)

    Broomhead, Laurent.

    1980-01-01

    Radioactive lightning conductors using radium or americium 241 sources are compared to Faraday cage and lightning rod. Americium source preparation is shortly described. Efficiency of the different systems is still controversed [fr

  13. Lightning safety of animals.

    Science.gov (United States)

    Gomes, Chandima

    2012-11-01

    This paper addresses a concurrent multidisciplinary problem: animal safety against lightning hazards. In regions where lightning is prevalent, either seasonally or throughout the year, a considerable number of wild, captive and tame animals are injured due to lightning generated effects. The paper discusses all possible injury mechanisms, focusing mainly on animals with commercial value. A large number of cases from several countries have been analyzed. Economically and practically viable engineering solutions are proposed to address the issues related to the lightning threats discussed.

  14. The lightning flash

    CERN Document Server

    Cooray, Vernon

    2014-01-01

    With contributions from today's leading lightning engineers and researchers, this updated 2nd edition of Vernon Cooray's classic text, The Lightning Flash provides the reader with an essential introduction to lightning and its impact on electrical and electronic equipment. Providing the reader with a thorough background into almost every aspect of lightning and its impact on electrical and electronic equipment, this new edition is updated throughout and features eight new chapters that bring the science up to date.

  15. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY POSITION STATEMENT ON MENOPAUSE-2017 UPDATE.

    Science.gov (United States)

    Cobin, Rhoda H; Goodman, Neil F

    2017-07-01

    EXECUTIVE SUMMARY This American Association of Clinical Endocrinologists (AACE)/American College of Endocrinology (ACE) Position Statement is designed to update the previous menopause clinical practice guidelines published in 2011 but does not replace them. The current document reviews new clinical trials published since then as well as new information regarding possible risks and benefits of therapies available for the treatment of menopausal symptoms. AACE reinforces the recommendations made in its previous guidelines and provides additional recommendations on the basis of new data. A summary regarding this position statement is listed below: New information available from randomized clinical trials and epidemiologic studies reported after 2011 was critically reviewed. No previous recommendations from the 2011 menopause clinical practice guidelines have been reversed or changed. Newer information enhances AACE's guidance for the use of hormone therapy in different subsets of women. Newer information helps to support the use of various types of estrogens, selective estrogen-receptor modulators (SERMs), and progesterone, as well as the route of delivery. Newer information supports the previous recommendation against the use of bioidentical hormones. The use of nonhormonal therapies for the symptomatic relief of menopausal symptoms is supported. Newer information enhances AACE's guidance for the use of hormone therapy in different subsets of women. Newer information helps to support the use of various types of estrogens, SERMs, and progesterone, as well as the route of delivery. Newer information supports the previous recommendation against the use of bioidentical hormones. The use of nonhormonal therapies for the symptomatic relief of menopausal symptoms is supported. New recommendations in this position statement include: 1. the use of menopausal hormone therapy in symptomatic postmenopausal women should be based on consideration of all risk factors for

  16. Harmful effects of lightning surge discharge on communications terminal equipments

    International Nuclear Information System (INIS)

    Liang, Sisi; Xu, Xiaoying; Tao, Zhigang; Dai, Yanling

    2013-01-01

    The interference problem of lightning surges on electronic and telecommunication products were examined, and a series of experiments were conducted to analyze the failure situations to find out the mechanisms of failures caused by the lightning surge. In addition, the ways in which lightning surges damaged equipment were deduced. It was found that failure positions were scattered and appeared in groups, and most of them were ground discharge. Internet access transformer had high withstand-voltage under the lightning pulse, and the lightning surge seldom passed through the internet access transformer. The lightning current can release to the ground via the computer network adapter of the terminal user. The study will help to improve the performance of lightning surge protection circuit and protection level.

  17. Irregularities of ionospheric VTEC during lightning activity over Antarctic Peninsula

    International Nuclear Information System (INIS)

    Suparta, W; Wan Mohd Nor, W N A

    2017-01-01

    This paper investigates the irregularities of vertical total electron content (VTEC) during lightning activity and geomagnetic quiet days over Antarctic Peninsula in year 2014. During the lightning event, the ionosphere may be disturbed which may cause disruption in the radio signal. Thus, it is important to understand the influence of lightning on VTEC in the study of upper-lower interaction. The lightning data is obtained from World Wide Lightning Location Network (WWLLN) and the VTEC data has analyzed from Global Positioning System (GPS) for O’Higgins (OHI3), Palmer (PALV), and Rothera (ROTH). The results demonstrate the VTEC variation of ∼0.2 TECU during low lightning activity which could be caused by energy dissipation through lightning discharges from troposphere into the thermosphere. (paper)

  18. National Strength and Conditioning Association Position Statement on Long-Term Athletic Development.

    Science.gov (United States)

    Lloyd, Rhodri S; Cronin, John B; Faigenbaum, Avery D; Haff, G Gregory; Howard, Rick; Kraemer, William J; Micheli, Lyle J; Myer, Gregory D; Oliver, Jon L

    2016-06-01

    There has recently been a growing interest in long-term athletic development for youth. Because of their unique physical, psychological, and social differences, children and adolescents should engage in appropriately prescribed exercise programs that promote physical development to prevent injury and enhance fitness behaviors that can be retained later in life. Irrespective of whether a child is involved in organized sport or engages in recreational physical activity, there remains a need to adopt a structured, logical, and evidence-based approach to the long-term development of athleticism. This is of particular importance considering the alarmingly high number of youth who fail to meet global physical activity recommendations and consequently present with negative health profiles. However, appropriate exercise prescription is also crucial for those young athletes who are physically underprepared and at risk of overuse injury because of high volumes of competition and an absence of preparatory conditioning. Whether the child accumulates insufficient or excessive amounts of exercise, or falls somewhere between these opposing ends of the spectrum, it is generally accepted that the young bodies of modern day youth are often ill-prepared to tolerate the rigors of sports or physical activity. All youth should engage in regular physical activity and thus should be viewed as "athletes" and afforded the opportunity to enhance athleticism in an individualized, holistic, and child-centered manner. Because of emerging interest in long-term athletic development, an authorship team was tasked on behalf of the National Strength and Conditioning Association (NSCA) to critically synthesize existing literature and current practices within the field and to compose a relevant position statement. This document was subsequently reviewed and formally ratified by the NSCA Board of Directors. A list of 10 pillars of successful long-term athletic development are presented, which summarize

  19. Defining Quality in Visual Art Education for Young Children: Building on the Position Statement of the Early Childhood Art Educators

    Science.gov (United States)

    McClure, Marissa; Tarr, Patricia; Thompson, Christine Marmé; Eckhoff, Angela

    2017-01-01

    This article reflects the collective voices of four early childhood visual arts educators, each of whom is a member of the Early Childhood Art Educators (ECAE) Issues Group of the National Arts Educators Association. The authors frame the article around the ECAE position statement, "Art: Essential for Early Learning" (2016), which…

  20. Correlative Studies in Clinical Trials: A Position Statement From the International Thyroid Oncology Group.

    Science.gov (United States)

    Bible, Keith C; Cote, Gilbert J; Demeure, Michael J; Elisei, Rossella; Jhiang, Sissy; Ringel, Matthew D

    2015-12-01

    Patients with progressive thyroid cancer in distant metastatic sites represent a population with a need for new therapeutic options. Aspiring to improve the treatment of such patients, the objective of this position statement from the International Thyroid Oncology Group (ITOG) is to clarify the importance of incorporating high-quality correlative studies into clinical trials. ITOG was formed to develop and support high-quality multicenter and multidisciplinary clinical trials for patients with aggressive forms of thyroid cancer. The Correlative Sciences Committee of the ITOG focuses on the quality and types of correlative studies included in ITOG-associated clinical trials. This document represents expert consensus from ITOG regarding this issue based on extensive collective experience in clinical and translational trials informed by basic science. The Correlative Studies Committee identified an international writing group representative of diverse specialties, including basic sciences. Drafts were reviewed by all members of the writing group, the larger committee, and the ITOG board. After consideration of all comments by the writing group and modification of the document, the final document was then approved by the authors and the ITOG board. High-quality correlative studies, which include variety in the types of correlates, should be intrinsic to the design of thyroid cancer clinical trials to offer the best opportunity for each study to advance treatment for patients with advanced and progressive thyroid cancer.

  1. National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

    Science.gov (United States)

    Kaminski, Thomas W.; Hertel, Jay; Amendola, Ned; Docherty, Carrie L.; Dolan, Michael G.; Hopkins, J. Ty; Nussbaum, Eric; Poppy, Wendy; Richie, Doug

    2013-01-01

    Objective: To present recommendations for athletic trainers and other allied health care professionals in the conservative management and prevention of ankle sprains in athletes. Background: Because ankle sprains are a common and often disabling injury in athletes, athletic trainers and other sports health care professionals must be able to implement the most current and evidence-supported treatment strategies to ensure safe and rapid return to play. Equally important is initiating preventive measures to mitigate both first-time sprains and the chance of reinjury. Therefore, considerations for appropriate preventive measures (including taping and bracing), initial assessment, both short- and long-term management strategies, return-to-play guidelines, and recommendations for syndesmotic ankle sprains and chronic ankle instability are presented. Recommendations: The recommendations included in this position statement are intended to provide athletic trainers and other sports health care professionals with guidelines and criteria to deliver the best health care possible for the prevention and management of ankle sprains. An endorsement as to best practice is made whenever evidence supporting the recommendation is available. PMID:23855363

  2. Australian Institute of Sport and Australian Medical Association position statement on concussion in sport.

    Science.gov (United States)

    Elkington, Lisa J; Hughes, David C

    2017-01-16

    Sport-related concussion is a growing health concern in Australia. Public concern is focused on the incidence and potential long term consequences of concussion. Children may be more prone to concussion and take longer to recover. The Australian Institute of Sport and the Australian Medical Association have collaborated to present the most contemporary evidence-based information in a format appropriate for all stakeholders. This position statement aims to ensure that participant safety and welfare is paramount when dealing with concussion in sport.First aid principles apply in the management of the athlete with suspected concussion, including protection of the cervical spine. Tools exist for use by members of the community, allowing identification of key symptoms and signs that raise the suspicion of concussion. Medical professionals should use the Sport Concussion Assessment Tool 3, in conjunction with clinical assessment for the diagnosis of concussion. Clinical assessment includes mechanism of injury, symptoms and signs, cognitive functioning, and neurological assessment including balance testing. In any situation where concussion is suspected, the athlete must be immediately removed from sport and not be allowed to return to activity until they have been assessed by a medical practitioner. "If in doubt, sit them out."A diagnosis of concussion requires immediate physical and cognitive rest, followed by a structured, graduated return to physical activity. Children require a longer period of recovery from concussion. Algorithms are provided for use by medical and non-medically trained stakeholders in the recognition and management of concussion.

  3. Practice guidelines on the use of esophageal manometry - A GISMAD-SIGE-AIGO medical position statement.

    Science.gov (United States)

    Savarino, Edoardo; de Bortoli, Nicola; Bellini, Massimo; Galeazzi, Francesca; Ribolsi, Mentore; Salvador, Renato; Savarino, Vincenzo; Penagini, Roberto

    2016-10-01

    Patients with esophageal symptoms potentially associated to esophageal motor disorders such as dysphagia, chest pain, heartburn and regurgitation, represent one of the most frequent reasons for referral to gastroenterological evaluation. The utility of esophageal manometry in clinical practice is: (1) to accurately define esophageal motor function, (2) to identify abnormal motor function, and (3) to establish a treatment plan based on motor abnormalities. With this in mind, in the last decade, investigations and technical advances, with the introduction of high-resolution esophageal manometry, have enhanced our understanding and management of esophageal motility disorders. The following recommendations were developed to assist physicians in the appropriate use of esophageal manometry in modern patient care. They were discussed and approved after a comprehensive review of the medical literature pertaining to manometric techniques and their recent application. This position statement created under the auspices of the Gruppo Italiano di Studio per la Motilità dell'Apparato Digerente (GISMAD), Società Italiana di Gastroenterologia ed Endoscopia Digestiva (SIGE) and Associazione Italiana Gastroenterologi ed Endoscopisti Digestivi Ospedalieri (AIGO) is intended to help clinicians in applying manometric studies in the most fruitful manner within the context of their patients with esophageal symptoms. Copyright © 2016 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  4. A simple lightning assimilation technique for improving ...

    Science.gov (United States)

    Convective rainfall is often a large source of error in retrospective modeling applications. In particular, positive rainfall biases commonly exist during summer months due to overactive convective parameterizations. In this study, lightning assimilation was applied in the Kain-Fritsch (KF) convective scheme to improve retrospective simulations using the Weather Research and Forecasting (WRF) model. The assimilation method has a straightforward approach: force KF deep convection where lightning is observed and, optionally, suppress deep convection where lightning is absent. WRF simulations were made with and without lightning assimilation over the continental United States for July 2012, July 2013, and January 2013. The simulations were evaluated against NCEP stage-IV precipitation data and MADIS near-surface meteorological observations. In general, the use of lightning assimilation considerably improves the simulation of summertime rainfall. For example, the July 2012 monthly averaged bias of 6 h accumulated rainfall is reduced from 0.54 to 0.07 mm and the spatial correlation is increased from 0.21 to 0.43 when lightning assimilation is used. Statistical measures of near-surface meteorological variables also are improved. Consistent improvements also are seen for the July 2013 case. These results suggest that this lightning assimilation technique has the potential to substantially improve simulation of warm-season rainfall in retrospective WRF applications. The

  5. Lightning activity during the 1999 Superior derecho

    Science.gov (United States)

    Price, Colin G.; Murphy, Brian P.

    2002-12-01

    On 4 July 1999, a severe convective windstorm, known as a derecho, caused extensive damage to forested regions along the United States/Canada border, west of Lake Superior. There were 665,000 acres of forest destroyed in the Boundary Waters Canoe Area Wilderness (BWCAW) in Minnesota and Quetico Provincial Park in Canada, with approximately 12.5 million trees blown down. This storm resulted in additional severe weather before and after the occurrence of the derecho, with continuous cloud-to-ground (CG) lightning occurring for more than 34 hours during its path across North America. At the time of the derecho the percentage of positive cloud-to-ground (+CG) lightning measured by the Canadian Lightning Detection Network (CLDN) was greater than 70% for more than three hours, with peak values reaching 97% positive CG lightning. Such high ratios of +CG are rare, and may be useful indicators of severe weather.

  6. Position statement on 'Economic Impact of Oil and Gas Development within the Province of Newfoundland and Labrador

    International Nuclear Information System (INIS)

    1998-01-01

    This document contains the statement outlining the official position of the Newfoundland Ocean Industries Association (NOIA) concerning the report on the 'Economic Impact of Oil and Gas Development within the Province of Newfoundland and Labrador'. NOIA's position reflects the concern that Newfoundland businesses and individuals be involved in this emerging industry. Not unexpectedly, the statement is directed primarily towards improving economic opportunity for its members, but it also argues in favour of increasing economic activity within the province as whole. The Position Statement addresses six major issues of concern. These are: a full and fair opportunity for Newfoundland-resident supply and service companies to bid on an internationally competitive basis; a level playing field for all those who submit bids for contracts; enhancement of Newfoundland technology, expertise and facilities, as well as support of technology transfer to interested and capable Newfoundland businesses or companies; a life-of-field approach to planning, or linking capital expenditure and operational expenditure in order to achieve long-term positive economic impact within Newfoundland and Labrador; a supplier development program to encourage the development of an internationally competitive Newfoundland supply community; and the encouragement of operators and major contractors to fulfill specific requirements for positive economic impact within the province

  7. Infrasound from lightning measured in Ivory Coast

    Science.gov (United States)

    Farges, T.; Millet, C.; Matoza, R. S.

    2012-04-01

    . Moreover, numerous infrasound events which have the infrasound from lightning signature could not be correlated when thunderstorms were close to the station. Statistical analyses of all correlated infrasound events show an exponential decrease of the infrasound amplitude with the distance of one order of magnitude per 50 km. These analyses show also that the relative position of lightning is important: the detection limit is higher when lightning occur at the East of the station than when they occur at the West. The dominant wind (the Easterlies) could be responsible of this dissymmetry. It also exists a high variability of detection efficiency with the seasons (better efficiency in fall than in spring). Finally, these statistics show clearly a structure inside the shadow zone (from 70 to 200 km away from the station). These results will be compared with intensive numerical simulations. The simulations are separated into two parts: the simulation of the near-field blast wave generated by a lightning and the simulation of the non-linear propagation of the shock front through a realistic atmosphere. By comparing our numerical results to recorded data over a full 1-year period, we aim to show that dominant features of statistics at the IMS station may be explained by the meteorological variability.

  8. Addressing Household Food Insecurity in Canada - Position Statement and Recommendations - Dietitians of Canada.

    Science.gov (United States)

    2016-09-01

    POSITION STATEMENT It is the position of Dietitians of Canada that household food insecurity is a serious public health issue with profound effects on physical and mental health and social well-being. All households in Canada must have sufficient income for secure access to nutritious food after paying for other basic necessities. Given the alarming prevalence, severity and impact of household food insecurity in Canada, Dietitians of Canada calls for a pan-Canadian, government-led strategy to specifically reduce food insecurity at the household level, including policies that address the unique challenges of household food insecurity among Indigenous Peoples. Regular monitoring of the prevalence and severity of household food insecurity across all of Canada is required. Research must continue to address gaps in knowledge about household vulnerability to food insecurity and to evaluate the impact of policies developed to eliminate household food insecurity in Canada. Dietitians of Canada recommends: Development and implementation of a pan-Canadian government-led strategy that includes coordinated policies and programs, to ensure all households have consistent and sufficient income to be able to pay for basic needs, including food. Implementation of a federally-supported strategy to comprehensively address the additional and unique challenges related to household food insecurity among Indigenous Peoples, including assurance of food sovereignty, with access to lands and resources, for acquiring traditional/country foods, as well as improved access to more affordable and healthy store-bought/market foods in First Nation reserves and northern and remote communities. Commitment to mandatory, annual monitoring and reporting of the prevalence of marginal, moderate and severe household food insecurity in each province and territory across Canada, including among vulnerable populations, as well as regular evaluation of the impact of poverty reduction and protocols for

  9. Audit of the US Department of Energy`s consolidated statement of financial position as of September 30, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-02-29

    In preparation for fulfilling our responsibilities under the Government Management Reform Act of 1994, we planned to conduct an audit of the Department of Energy`s FY 1995 Consolidated Statement of Financial Position. As discussed in the accompanying reports, the Office of Inspector General (OIG) could not express an opinion on the reasonableness of the value of assets and liabilities of the Department because of matters outside the control of the auditors that restricted the scope of their work. Although the OIG could not express an opinion, the audit disclosed reportable conditions in the Department`s internal control structure that adversely affected its ability to manage and account for its assets and liabilities. Corrective management actions on these reportable conditions should help the Department in preparing its Fiscal Year (FY) 1996 Statement of Financial Position.

  10. Position statement of the Australian Diabetes Society: individualisation of glycated haemoglobin targets for adults with diabetes mellitus.

    Science.gov (United States)

    Cheung, N Wah; Conn, Jennifer J; d'Emden, Michael C; Gunton, Jenny E; Jenkins, Alicia J; Ross, Glynis P; Sinha, Ashim K; Andrikopoulos, Sofianos; Colagiuri, Stephen; Twigg, Stephen M

    2009-09-21

    Tight glycaemic control reduces the risk of development and progression of organ complications in people with type 1 or type 2 diabetes. In this position statement, the Australian Diabetes Society recommends a general target glycated haemoglobin (HbA(1c)) level of position statement also provides guidelines for the individualisation of glycaemic targets to a tighter or lesser degree, with a recommended target HbA(1c) level of diabetes and its duration, pregnancy, diabetes medication being taken, presence of cardiovascular disease, risk of and problems from hypoglycaemia, and comorbidities. Management of diabetes also includes: adequate control of other cardiovascular risk factors, including weight, blood pressure and lipid serum levels; antiplatelet therapy; and smoking cessation.

  11. A solid state lightning propagation speed sensor

    Science.gov (United States)

    Mach, Douglas M.; Rust, W. David

    1989-01-01

    A device to measure the propagation speeds of cloud-to-ground lightning has been developed. The lightning propagation speed (LPS) device consists of eight solid state silicon photodetectors mounted behind precision horizontal slits in the focal plane of a 50-mm lens on a 35-mm camera. Although the LPS device produces results similar to those obtained from a streaking camera, the LPS device has the advantages of smaller size, lower cost, mobile use, and easier data collection and analysis. The maximum accuracy for the LPS is 0.2 microsec, compared with about 0.8 microsecs for the streaking camera. It is found that the return stroke propagation speed for triggered lightning is different than that for natural lightning if measurements are taken over channel segments less than 500 m. It is suggested that there are no significant differences between the propagation speeds of positive and negative flashes. Also, differences between natural and triggered dart leaders are discussed.

  12. Position statement: start middle and high schools at 8:30 am or later to promote student health and learning.

    Science.gov (United States)

    Trevorrow, Tracy; Zhou, Eric S; Dietch, Jessica R; Gonzalez, Brian D

    2018-03-13

    The Society of Behavioral Medicine recommends school officials start middle and high school classes at 8:30 am or later. Such a schedule promotes students' sleep health, resulting in improvements in physical health, psychological well-being, attention and concentration, academic performance, and driving safety. In this position statement, we propose a four-tiered approach to promote later school start times for middle and high schools.

  13. Estrogen and progestogen use in postmenopausal women: July 2008 position statement of The North American Menopause Society

    Science.gov (United States)

    2009-01-01

    Objective To update for both clinicians and the lay public the evidence-based position statement published by The North American Menopause Society (NAMS) in March 2007 regarding its recommendations for menopausal hormone therapy (HT) for postmenopausal women, with consideration for the therapeutic benefit-risk ratio at various times through menopause and beyond. Design An Advisory Panel of clinicians and researchers expert in the field of women’s health was enlisted to review the March 2007 NAMS position statement, evaluate new evidence through an evidence-based analysis, and reach consensus on recommendations. The Panel’s recommendations were reviewed and approved by the NAMS Board of Trustees as an official NAMS position statement. The document was provided to other interested organizations to seek their endorsement. Results Current evidence supports a consensus regarding the role of HT in postmenopausal women, when potential therapeutic benefits and risks around the time of menopause are considered. This paper lists all these areas along with explanatory comments. Conclusions that vary from the 2007 position statement are highlighted. Addenda include a discussion of risk concepts, a new component not included in the 2007 paper, and a recommended list of areas for future HT research. A suggested reading list of key references is also provided. Conclusions Recent data support the initiation of HT around the time of menopause to treat menopause-related symptoms; to treat or reduce the risk of certain disorders, such as osteoporosis or fractures in select postmenopausal women; or both. The benefit-risk ratio for menopausal HT is favorable close to menopause but decreases with aging and with time since menopause in previously untreated women. PMID:18580541

  14. Ethics of genetic testing and research in sport: a position statement from the Australian Institute of Sport

    OpenAIRE

    Vlahovich, Nicole; Fricker, Peter A; Brown, Matthew A; Hughes, David

    2016-01-01

    As Australia's peak high-performance sport agency, the Australian Institute of Sport (AIS) has developed this position statement to address the implications of recent advances in the field of genetics and the ramifications for the health and well-being of athletes. Genetic testing has proven of value in the practice of clinical medicine. There are, however, currently no scientific grounds for the use of genetic testing for athletic performance improvement, sport selection or talent identifica...

  15. Studies on an Electromagnetic Transient Model of Offshore Wind Turbines and Lightning Transient Overvoltage Considering Lightning Channel Wave Impedance

    Directory of Open Access Journals (Sweden)

    Li Zhang

    2017-12-01

    Full Text Available In recent years, with the rapid development of offshore wind turbines (WTs, the problem of lightning strikes has become more and more prominent. In order to reduce the failure rate caused by the transient overvoltage of lightning struck offshore WTs, the influencing factors and the response rules of transient overvoltage are analyzed. In this paper, a new integrated electromagnetic transient model of offshore WTs is established by using the numerical calculation method of the electromagnetic field first. Then, based on the lightning model and considering the impedance of the lightning channel, the transient overvoltage of lightning is analyzed. Last, the electromagnetic transient model of offshore WTs is simulated and analyzed by using the alternative transients program electro-magnetic transient program (ATP-EMTP software. The influence factors of lightning transient overvoltage are studied. The main influencing factors include the sea depth, the blade length, the tower height, the lightning flow parameters, the lightning strike point, and the blade rotation position. The simulation results show that the influencing factors mentioned above have different effects on the lightning transient overvoltage. The results of the study have some guiding significance for the design of the lightning protection of the engine room.

  16. National Athletic Trainers' Association position statement: safe weight loss and maintenance practices in sport and exercise.

    Science.gov (United States)

    Turocy, Paula Sammarone; DePalma, Bernard F; Horswill, Craig A; Laquale, Kathleen M; Martin, Thomas J; Perry, Arlette C; Somova, Marla J; Utter, Alan C

    2011-01-01

    To present athletic trainers with recommendations for safe weight loss and weight maintenance practices for athletes and active clients and to provide athletes, clients, coaches, and parents with safe guidelines that will allow athletes and clients to achieve and maintain weight and body composition goals. Unsafe weight management practices can compromise athletic performance and negatively affect health. Athletes and clients often attempt to lose weight by not eating, limiting caloric or specific nutrients from the diet, engaging in pathogenic weight control behaviors, and restricting fluids. These people often respond to pressures of the sport or activity, coaches, peers, or parents by adopting negative body images and unsafe practices to maintain an ideal body composition for the activity. We provide athletic trainers with recommendations for safe weight loss and weight maintenance in sport and exercise. Although safe weight gain is also a concern for athletic trainers and their athletes and clients, that topic is outside the scope of this position statement. Athletic trainers are often the source of nutrition information for athletes and clients; therefore, they must have knowledge of proper nutrition, weight management practices, and methods to change body composition. Body composition assessments should be done in the most scientifically appropriate manner possible. Reasonable and individualized weight and body composition goals should be identified by appropriately trained health care personnel (eg, athletic trainers, registered dietitians, physicians). In keeping with the American Dietetics Association (ADA) preferred nomenclature, this document uses the terms registered dietitian or dietician when referring to a food and nutrition expert who has met the academic and professional requirements specified by the ADA's Commission on Accreditation for Dietetics Education. In some cases, a registered nutritionist may have equivalent credentials and be the

  17. The influence of publication of financial statements, risk of takeover and financial position of the auditee on public auditors' unethical behaviour

    NARCIS (Netherlands)

    van Dijk, M

    2000-01-01

    This study examines the effects of publication of financial statements, the risk of a takeover of the auditee and the auditee's financial position on auditors' willingness to allow material errors in financial statements in case of management pressure. The results show that all factors significantly

  18. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY POSITION STATEMENT ON TESTING FOR AUTONOMIC AND SOMATIC NERVE DYSFUNCTION.

    Science.gov (United States)

    Vinik, Aaron I; Camacho, Pauline M; Davidson, Jaime A; Handelsman, Yehuda; Lando, Howard M; Leddy, Anne L; Reddy, Sethu K; Cook, Richard; Spallone, Vicenza; Tesfaye, Solomon; Ziegler, Dan

    2017-12-01

    This document represents the official position of the American Association of Clinical Endocrinologists and the American College of Endocrinology. Where there were no randomized controlled trials or specific U.S. FDA labeling for issues in clinical practice, the participating clinical experts utilized their judgment and experience. Every effort was made to achieve consensus among the committee members. Position statements are meant to provide guidance, but they are not to be considered prescriptive for any individual patient and cannot replace the judgment of a clinician.

  19. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY POSITION STATEMENT ON THE ASSOCIATION OF TESTOSTERONE AND CARDIOVASCULAR RISK.

    Science.gov (United States)

    Goodman, Neil; Guay, Andre; Dandona, Paresh; Dhindsa, Sandeep; Faiman, Charles; Cunningham, Glenn R

    2015-09-01

    This document represents the official position of the American Association of Clinical Endocrinologists and the American College of Endocrinology. Where there were no randomized controlled trials or specific U.S. FDA labeling for issues in clinical practice, the participating clinical experts utilized their judgment and experience. Every effort was made to achieve consensus among the committee members. Position statements are meant to provide guidance, but they are not to be considered prescriptive for any individual patient and cannot replace the judgment of a clinician.

  20. Spirometry training courses: Content, delivery and assessment - a position statement from the Australian and New Zealand Society of Respiratory Science.

    Science.gov (United States)

    Swanney, Maureen P; O'Dea, Christopher A; Ingram, Emily R; Rodwell, Leanne T; Borg, Brigitte M

    2017-10-01

    Spirometry training courses are provided by health services and training organizations to enable widespread use of spirometry testing for patient care or for monitoring health. The primary outcome of spirometry training courses should be to enable participants to perform spirometry to international best practice, including testing of subjects, quality assurance and interpretation of results. Where valid results are not achieved or quality assurance programmes identify errors in devices, participants need to be able to adequately manage these issues in accordance with best practice. It is important that potential participants are confident in the integrity of the course they attend and that the course meets their expectations in terms of training. This position statement lists the content that the Australian and New Zealand Society of Respiratory Science (ANZSRS) has identified as required in a spirometry training course to adequately meet the primary outcomes mentioned above. The content requirements outlined in this position statement are based on the current international spirometry standards set out by the American Thoracic Society and European Respiratory Society. Furthermore, recommendations around course delivery for theoretical and practical elements of spirometry testing and post-course assessment are outlined in this statement. © 2017 The Authors. Respirology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Respirology.

  1. LOFAR Lightning Imaging: Mapping Lightning With Nanosecond Precision

    Science.gov (United States)

    Hare, B. M.; Scholten, O.; Bonardi, A.; Buitink, S.; Corstanje, A.; Ebert, U.; Falcke, H.; Hörandel, J. R.; Leijnse, H.; Mitra, P.; Mulrey, K.; Nelles, A.; Rachen, J. P.; Rossetto, L.; Rutjes, C.; Schellart, P.; Thoudam, S.; Trinh, T. N. G.; ter Veen, S.; Winchen, T.

    2018-03-01

    Lightning mapping technology has proven instrumental in understanding lightning. In this work we present a pipeline that can use lightning observed by the LOw-Frequency ARray (LOFAR) radio telescope to construct a 3-D map of the flash. We show that LOFAR has unparalleled precision, on the order of meters, even for lightning flashes that are over 20 km outside the area enclosed by LOFAR antennas (˜3,200 km2), and can potentially locate over 10,000 sources per lightning flash. We also show that LOFAR is the first lightning mapping system that is sensitive to the spatial structure of the electrical current during individual lightning leader steps.

  2. Lightning injury: a review.

    Science.gov (United States)

    Ritenour, Amber E; Morton, Melinda J; McManus, John G; Barillo, David J; Cancio, Leopoldo C

    2008-08-01

    Lightning is an uncommon but potentially devastating cause of injury in patients presenting to burn centers. These injuries feature unusual symptoms, high mortality, and significant long-term morbidity. This paper will review the epidemiology, physics, clinical presentation, management principles, and prevention of lightning injuries.

  3. The physics of lightning

    Energy Technology Data Exchange (ETDEWEB)

    Dwyer, Joseph R., E-mail: jdwyer@fit.edu [Department of Physics and Space Sciences, Florida Institute of Technology, Melbourne, FL 32901 (United States); Uman, Martin A. [Department of Electrical and Computer Engineering, University of Florida, Gainesville, FL 32611 (United States)

    2014-01-30

    Despite being one of the most familiar and widely recognized natural phenomena, lightning remains relatively poorly understood. Even the most basic questions of how lightning is initiated inside thunderclouds and how it then propagates for many tens of kilometers have only begun to be addressed. In the past, progress was hampered by the unpredictable and transient nature of lightning and the difficulties in making direct measurements inside thunderstorms, but advances in instrumentation, remote sensing methods, and rocket-triggered lightning experiments are now providing new insights into the physics of lightning. Furthermore, the recent discoveries of intense bursts of X-rays and gamma-rays associated with thunderstorms and lightning illustrate that new and interesting physics is still being discovered in our atmosphere. The study of lightning and related phenomena involves the synthesis of many branches of physics, from atmospheric physics to plasma physics to quantum electrodynamics, and provides a plethora of challenging unsolved problems. In this review, we provide an introduction to the physics of lightning with the goal of providing interested researchers a useful resource for starting work in this fascinating field.

  4. Lightning Often Strikes Twice

    Science.gov (United States)

    2005-01-01

    Contrary to popular misconception, lightning often strikes the same place twice. Certain conditions are just ripe for a bolt of electricity to come zapping down; and a lightning strike is powerful enough to do a lot of damage wherever it hits. NASA created the Accurate Location of Lightning Strikes technology to determine the ground strike point of lightning and prevent electrical damage in the immediate vicinity of the Space Shuttle launch pads at Kennedy Space Center. The area surrounding the launch pads is enmeshed in a network of electrical wires and components, and electronic equipment is highly susceptible to lightning strike damage. The accurate knowledge of the striking point is important so that crews can determine which equipment or system needs to be retested following a strike. Accurate to within a few yards, this technology can locate a lightning strike in the perimeter of the launch pad. As an added bonus, the engineers, then knowing where the lightning struck, can adjust the variables that may be attracting the lightning, to create a zone that will be less susceptible to future strikes.

  5. Neutron generation in lightning bolts

    International Nuclear Information System (INIS)

    Shah, G.N.; Razdan, H.; Bhat, C.L.; Ali, Q.M.

    1985-01-01

    To ascertain neutron generation in lightning bolts, the authors have searched for neutrons from individual lightning strokes, for a time-interval comparable with the duration of the lightning stroke. 10 7 -10 10 neutrons per stroke were found, thus providing the first experimental evidence that neutrons are generated in lightning discharges. (U.K.)

  6. Catching lightning for alternative energy

    Energy Technology Data Exchange (ETDEWEB)

    Helman, D.S. [California State University, Long Beach, 1250 Bellflower Blvd., Long Beach, CA 90840 (United States)

    2011-05-15

    The article reviews the current literature related to lightning and makes a case for using lightning as an alternative source of energy. Objections to using lightning as an alternative source of energy are listed. Current literature is reviewed and articles are suggested as useful for building a tower, or using rockets or lasers to target a strike, or for quantifying a lightning strike. (author)

  7. Position Statement on Motivations, Methodologies, and Practical Implications of Educational Neuroscience Research: fMRI Studies of the Neural Correlates of Creative Intelligence

    Science.gov (United States)

    Geake, John

    2011-01-01

    In this position statement it is argued that educational neuroscience must necessarily be relevant to, and therefore have implications for, both educational theory and practice. Consequently, educational neuroscientific research necessarily must embrace educational research questions in its remit.

  8. Personal Services and Benefits Expenses in The FY 1996 Statement of Operations and Changes in Net Position of the Other Defense Organizations

    National Research Council Canada - National Science Library

    1997-01-01

    .... Specifically, we reviewed the DoD Chief Financial Officers Other Defense Organizations Statement of Operations and Changes in Net Position for the year ended September 30, 1996, to determine whether...

  9. Italian Society of Surgery and Association of Stoma Care Nurses Joint Position Statement on Preoperative Stoma Siting.

    Science.gov (United States)

    Roveron, Gabriele; De Toma, Giorgio; Barbierato, Maria

    2016-01-01

    Drawing on the existing position statements approved by the Wound, Ostomy and Continence Nursing Society in collaboration with the American Society of Colon & Rectal Surgeons and the American Urological Association, the Italian Association of Stoma care Nurses and the Italian Society of Surgery jointly developed and approved this document on July 27, 2013. Its purpose was to provide a formal recommendation for preoperative stoma siting and associated counseling for all patients undergoing enterostomy or urostomy surgery, with the goals of preventing complications, enhancing health-related quality of life, improving care, achieving better health outcomes, and reducing health care costs.

  10. Radon Gas in Ireland Joint Position Statement by the Radiological Protection Institute of Ireland and the Health Service Executive

    International Nuclear Information System (INIS)

    Part, A.M.; Colgan, P.A.; Fenton, D.; Kelly, I.; Long, S.; O'Mahony, M.; Pollard, D.

    2010-04-01

    This position statement is written by the Health Service Executive and the Radiological Protection Institute of Ireland with a view to forming and influencing policy in this area. It provides a summary of the health risks associated with radon exposure in Ireland and the steps that can be taken to reduce those risks. It outlines suggested ongoing work to reduce both the population dose from radon and the individual dose to those most at risk and considers future work needed to improve national policy to achieve these objectives

  11. Lightning in aeronautics

    International Nuclear Information System (INIS)

    Lago, F

    2014-01-01

    It is generally accepted that a civilian aircraft is struck, on average, once or twice per year. This number tends to indicate that a lightning strike risk is far from being marginal and so requires that aircraft manufacturers have to demonstrate that their aircraft is protected against lightning. The first generation of aircrafts, which were manufactured mainly in aluminium alloy and had electromechanical and pneumatic controls, had a natural immunity to the effects of lightning. Nowadays, aircraft structures are made primarily with composite materials and flight controls are mostly electronic. This aspect of the ''more composite and more electric'' aircraft demands to aircraft manufacturers to pay a particular attention to the lightning protection and to its certification by testing and/or analysis. It is therefore essential to take this risk into account when designing the aircraft. Nevertheless, it is currently impossible to reproduce the entire lightning phenomenon in testing laboratories and the best way to analyse the lightning protection is to reproduce its effects. In this context, a number of standards and guides are produced by standards committees to help laboratories and aircraft manufacturers to perform realistic tests. Although the environment of a laboratory is quite different from those of a storm cloud, the rules of aircraft design, the know-how of aircraft manufacturers, the existence of international work leading to a better understanding of the lightning phenomenon and standards more precise, permit, today, to consider the risk as properly controlled

  12. American Medical Society for Sports Medicine position statement: concussion in sport.

    Science.gov (United States)

    Harmon, Kimberly G; Drezner, Jonathan A; Gammons, Matthew; Guskiewicz, Kevin M; Halstead, Mark; Herring, Stanley A; Kutcher, Jeffrey S; Pana, Andrea; Putukian, Margot; Roberts, William O

    2013-01-01

    PURPOSE OF THE STATEMENT: ▸ To provide an evidence-based, best practises summary to assist physicians with the evaluation and management of sports concussion. ▸ To establish the level of evidence, knowledge gaps and areas requiring additional research. ▸ Sports medicine physicians are frequently involved in the care of patients with sports concussion. ▸ Sports medicine physicians are specifically trained to provide care along the continuum of sports concussion from the acute injury to return-to-play (RTP) decisions. ▸ The care of athletes with sports concussion is ideally performed by healthcare professionals with specific training and experience in the assessment and management of concussion. Competence should be determined by training and experience, not dictated by specialty. ▸ While this statement is directed towards sports medicine physicians, it may also assist other physicians and healthcare professionals in the care of patients with sports concussion. ▸ Concussion is defined as a traumatically induced transient disturbance of brain function and involves a complex pathophysiological process. Concussion is a subset of mild traumatic brain injury (MTBI) which is generally self-limited and at the less-severe end of the brain injury spectrum. ▸ Animal and human studies support the concept of postconcussive vulnerability, showing that a second blow before the brain has recovered results in worsening metabolic changes within the cell. ▸ Experimental evidence suggests the concussed brain is less responsive to usual neural activation and when premature cognitive or physical activity occurs before complete recovery the brain may be vulnerable to prolonged dysfunction. ▸ It is estimated that as many as 3.8 million concussions occur in the USA per year during competitive sports and recreational activities; however, as many as 50% of the concussions may go unreported. ▸ Concussions occur in all sports with the highest incidence in football, hockey

  13. Society position statement : Canadian Cardiovascular Society/Canadian Anesthesiologists' Society/Canadian Heart Rhythm Society joint position statement on the perioperative management of patients with implanted pacemakers, defibrillators, and neurostimulating devices.

    Science.gov (United States)

    Healey, Jeff S; Merchant, Richard; Simpson, Chris; Tang, Timothy; Beardsall, Marianne; Tung, Stanley; Fraser, Jennifer A; Long, Laurene; van Vlymen, Janet M; Manninen, Pirjo; Ralley, Fiona; Venkatraghavan, Lashmi; Yee, Raymond; Prasloski, Bruce; Sanatani, Shubhayan; Philippon, François

    2012-04-01

    There are more than 200,000 Canadians living with permanent pacemakers or implantable defibrillators, many of whom will require surgery or invasive procedures each year. They face potential hazards when undergoing surgery; however, with appropriate planning and education of operating room personnel, adverse device-related outcomes should be rare. This joint position statement from the Canadian Cardiovascular Society (CCS) and the Canadian Anesthesiologists' Society (CAS) has been developed as an accessible reference for physicians and surgeons, providing an overview of the key issues for the preoperative, intraoperative, and postoperative care of these patients. The document summarizes the limited published literature in this field, but for most issues, relies heavily on the experience of the cardiologists and anesthesiologists who contributed to this work. This position statement outlines how to obtain information about an individual's type of pacemaker or implantable defibrillator and its programming. It also stresses the importance of determining if a patient is highly pacemaker-dependent and proposes a simple approach for nonelective evaluation of dependency. Although the document provides a comprehensive list of the intraoperative issues facing these patients, there is a focus on electromagnetic interference resulting from electrocautery and practical guidance is given regarding the characteristics of surgery, electrocautery, pacemakers, and defibrillators which are most likely to lead to interference. The document stresses the importance of preoperative consultation and planning to minimize complications. It reviews the relative merits of intraoperative magnet use vs reprogramming of devices and gives examples of situations where one or the other approach is preferable.

  14. VHF lightning mapping observations of a triggered lightning flash

    Science.gov (United States)

    Edens, H. E.; Eack, K. B.; Eastvedt, E. M.; Trueblood, J. J.; Winn, W. P.; Krehbiel, P. R.; Aulich, G. D.; Hunyady, S. J.; Murray, W. C.; Rison, W.; Behnke, S. A.; Thomas, R. J.

    2012-10-01

    On 3 August 2010 an extensive lightning flash was triggered over Langmuir Laboratory in New Mexico. The upward positive leader propagated into the storm's midlevel negative charge region, extending over a horizontal area of 13 × 13 km and 7.5 km altitude. The storm had a normal-polarity tripolar charge structure with upper positive charge over midlevel negative charge. Lightning Mapping Array (LMA) observations were used to estimate positive leader velocities along various branches, which were in the range of 1-3 × 104 m s-1, slower than in other studies. The upward positive leader initiated at 3.4 km altitude, but was mapped only above 4.0 km altitude after the onset of retrograde negative breakdown, indicating a change in leader propagation and VHF emissions. The observations suggest that both positive and negative breakdown produce VHF emissions that can be located by time-of-arrival systems, and that not all VHF emissions occurring along positive leader channels are associated with retrograde negative breakdown.

  15. Simulating lightning tests to radar system

    NARCIS (Netherlands)

    Blaj, M.A.; Buesink, Frederik Johannes Karel; Leferink, Frank Bernardus Johannes

    2010-01-01

    The risk of destruction due to lightning makes simulating the effects of lightning strikes a necessity. We modeled a radar enclosure and simulated the effect of a lightning strike. The results have been validated using full threat lightning current tests.

  16. Lightning and severe thunderstorms in event management.

    Science.gov (United States)

    Walsh, Katie M

    2012-01-01

    There are a few national position stands/guidelines that address environmental conditions in athletics, yet they do not govern all outdoor sports. Extreme heat and cold, lightning, and severe wind can all be fatal, yet the majority of outdoor sports have no published guidelines addressing these conditions in relation to activity. Available research on extreme heat and cold conditions in athletics provides prevention strategies, to include acclimatization. Lightning and severe wind are two environmental conditions to which humans cannot accommodate, and they both can be deadly. There are strong positions on extreme heat/cold and lightning safety in athletics, but none affiliated with severe winds. Medical personnel involved in planning large outdoor sporting events must know of the presence of nationally published weather-related documents and apply them to their event. In addition, research needs to be expanded in the realm of establishing guidelines for safety to participants and spectators in severe wind conditions.

  17. The Australasian radiation protection society's position statement on risks from low levels of ionizing radiation

    Energy Technology Data Exchange (ETDEWEB)

    Don, Higson; Ches, Mason; Andrew, McEwan; Peter, Burns; Riaz, Akber; Ron, Cameron; Pamela, Sykes; Joe, Young [Australasian Radiation Protection Society (Australia)

    2006-07-01

    At its Annual General Meeting in 2004, the Australasian Radiation Protection Society (A.R.P.S.) set up a working group to draft a statement of the Society's position on risks from low levels of exposure to ionizing radiation. The resulting position statement was adopted by the Society at its Annual General Meeting in 2005. Its salient features are as follows: First, there is insufficient evidence to establish a dose-effect relationship for doses that are less than a few tens of milli sieverts in a year. A linear extrapolation from higher dose levels should be assumed only for the purpose of applying regulatory controls. Secondly, estimates of collective dose arising from individual doses that are less than some tens of milli sieverts in a year should not be used to predict numbers of fatal cancers. Thirdly, the risk to an individual of doses significantly less than 100 micro sieverts in a year is so small, if it exists at all, that regulatory requirements to control exposure at this level are not warranted. (authors)

  18. Do published ADA studies support the ADA-EASD position statement for the management of hyperglycaemia in type 2 diabetics?

    Science.gov (United States)

    Rimareix, Frédérique; Bauduceau, Bernard

    2013-07-01

    The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) published a position statement in 2012 on the management of hyperglycaemia in patients with type 2 diabetes. The Société Francophone du Diabète (SFD) adopted it while awaiting future French recommendations. This new care approach individualises the therapeutic choices and objectives for each patient based on their characteristics, through emphasis on the need for mutual cooperation with the patient in decision-making. Glycaemic management should naturally be considered in the context of overall cardiovascular risk reduction, which should remain the primary objective of treatment. The cornerstone of this treatment is based on lifestyle modifications, with the addition of metformin monotherapy if the desired glycaemic control is not attained. There are multiple second- and third-line treatment possibilities, and insulin therapy is an option that can be considered early in the bitherapy stage. On the whole, large published studies at the ADA conference in Philadelphia in June 2012, which are the subject of this article, support this patient-centred position statement. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  19. Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations.

    OpenAIRE

    Patricios, JS; Ardern, CL; Hislop, MD; Aubry, M; Bloomfield, P; Broderick, C; Clifton, P; Echemendia, RJ; Ellenbogen, RG; Falvey, ÉC; Fuller, GW; Grand, J; Hack, D; Harcourt, PR; Hughes, D

    2018-01-01

    The 2017 Berlin Concussion in Sport Group Consensus Statement provides a global summary of best practice in concussion prevention, diagnosis and management, underpinned by systematic reviews and expert consensus. Due to their different settings and rules, individual sports need to adapt concussion guidelines according to their specific regulatory environment. At the same time, consistent application of the Berlin Consensus Statement's themes across sporting codes is likely to facilitate super...

  20. Research on Line Patrol Strategy of 110kV Transmission Line after Lightning Strike

    Directory of Open Access Journals (Sweden)

    Li Mingjun

    2016-01-01

    Full Text Available Lightning faults occupy in the majority of instantaneous fault and reclosing can usually be successful, so power supply can be restored without immediate patrol in many cases. Firstly, this paper introduces the lightning fault positioning and identifying method. Then test electrical performance of insulators after lightning strike from 110kV lines. Data shows that lightning strike has little effect on the electric performance of insulator. Finally, illustrating disposal process of the 110 kV transmission line after lightning fault, certifying that the power supply reliability be ensured without line patrol.

  1. Situational Lightning Climatologies

    Science.gov (United States)

    Bauman, William; Crawford, Winifred

    2010-01-01

    Research has revealed distinct spatial and temporal distributions of lightning occurrence that are strongly influenced by large-scale atmospheric flow regimes. It was believed there were two flow systems, but it has been discovered that actually there are seven distinct flow regimes. The Applied Meteorology Unit (AMU) has recalculated the lightning climatologies for the Shuttle Landing Facility (SLF), and the eight airfields in the National Weather Service in Melbourne (NWS MLB) County Warning Area (CWA) using individual lightning strike data to improve the accuracy of the climatologies. The software determines the location of each CG lightning strike with 5-, 10-, 20-, and 30-nmi (.9.3-, 18.5-, 37-, 55.6-km) radii from each airfield. Each CG lightning strike is binned at 1-, 3-, and 6-hour intervals at each specified radius. The software merges the CG lightning strike time intervals and distance with each wind flow regime and creates probability statistics for each time interval, radii, and flow regime, and stratifies them by month and warm season. The AMU also updated the graphical user interface (GUI) with the new data.

  2. Assessments of Total Lightning Data Utility in Weather Forecasting

    Science.gov (United States)

    Buechler, Dennis E.; Goodman, Steve; LaCasse, Katherine; Blakeslee, Richard; Darden, Chris

    2005-01-01

    National Weather Service forecasters in Huntsville, Alabama have had access to total lightning data from the North Alabama Lightning Mapping Array (LMA) since 2003. Forecasters can monitor real-time total lightning observations on their AWIPS (Advanced Weather Interactive Processing System (AWIPS) workstations. The lightning data is used to supplement other observations such as radar and satellite data. The lightning data is updated every 2 min, providing more timely evidence of storm growth or decay than is available from 5 min radar scans. Total lightning observations have been used to positively impact warning decisions in a number of instances. A number of approaches are being pursued to assess the usefulness of total lightning measurements to the operational forecasting community in the warning decision process. These approaches, which include both qualitative and quantitative assessment methods, will be discussed. submitted to the American Meteorological Society (AMS) Conference on Meteorological Applications of Lightning Data to be held in San Diego, CA January 9-13,2005. This will be a presentation and an extended abstract will be published on a CD available from the AMS.

  3. The clinical application of genome-wide sequencing for monogenic diseases in Canada: Position Statement of the Canadian College of Medical Geneticists

    OpenAIRE

    Boycott, Kym; Hartley, Taila; Adam, Shelin; Bernier, Francois; Chong, Karen; Fernandez, Bridget A; Friedman, Jan M; Geraghty, Michael T; Hume, Stacey; Knoppers, Bartha M; Laberge, Anne-Marie; Majewski, Jacek; Mendoza-Londono, Roberto; Meyn, M Stephen; Michaud, Jacques L

    2015-01-01

    Purpose and scope The aim of this Position Statement is to provide recommendations for Canadian medical geneticists, clinical laboratory geneticists, genetic counsellors and other physicians regarding the use of genome-wide sequencing of germline DNA in the context of clinical genetic diagnosis. This statement has been developed to facilitate the clinical translation and development of best practices for clinical genome-wide sequencing for genetic diagnosis of monogenic diseases in Canada; it...

  4. Position Statement: Drug Holiday in Osteoporosis Treatment with Bisphosphonates in South Korea

    Science.gov (United States)

    Lee, Seung Hun; Gong, Hyun Sik; Kim, Tae-Hee; Park, Si Young; Shin, Jung-Ho; Cho, Sun Wook

    2015-01-01

    Bisphosphonates have been widely used in the treatment of osteoporosis with robust data from many placebo-controlled trials demonstrating its efficacy in fracture risk reduction over 3 to 5 years of treatment. Although bisphosphonates are generally safe and well tolerated, concerns have emerged about the adverse effects related to its long-term use, including osteonecrosis of the jaw and atypical femur fractures. Because bisphosphonates are incorporated into the skeleton and continue to exert an anti-resorptive effect for a period of time after the discontinuation of drugs, the concept of a "drug holiday" has emerged, whereby the risk of adverse effects might be decreased while the patient still benefits from anti-fracture efficacy. As randomized clinical trial evidence is not yet available on who may qualify for a drug holiday, there is considerable controversy regarding the selection of candidates for the drug holiday and monitoring during a drug holiday, both of which should be based on individual assessments of risk and benefit. This statement will provide suggestions for clinicians in South Korea on the identification of possible candidates and monitoring during a bisphosphonate drug holiday. PMID:26713307

  5. Neuromodulation of chronic headaches: position statement from the European Headache Federation

    Science.gov (United States)

    2013-01-01

    The medical treatment of patients with chronic primary headache syndromes (chronic migraine, chronic tension-type headache, chronic cluster headache, hemicrania continua) is challenging as serious side effects frequently complicate the course of medical treatment and some patients may be even medically intractable. When a definitive lack of responsiveness to conservative treatments is ascertained and medication overuse headache is excluded, neuromodulation options can be considered in selected cases. Here, the various invasive and non-invasive approaches, such as hypothalamic deep brain stimulation, occipital nerve stimulation, stimulation of sphenopalatine ganglion, cervical spinal cord stimulation, vagus nerve stimulation, transcranial direct current stimulation, repetitive transcranial magnetic stimulation, and transcutaneous electrical nerve stimulation are extensively published although proper RCT-based evidence is limited. The European Headache Federation herewith provides a consensus statement on the clinical use of neuromodulation in headache, based on theoretical background, clinical data, and side effect of each method. This international consensus further gives recommendations for future studies on these new approaches. In spite of a growing field of stimulation devices in headaches treatment, further controlled studies to validate, strengthen and disseminate the use of neurostimulation are clearly warranted. Consequently, until these data are available any neurostimulation device should only be used in patients with medically intractable syndromes from tertiary headache centers either as part of a valid study or have shown to be effective in such controlled studies with an acceptable side effect profile. PMID:24144382

  6. Exercise and Sports Science Australia position statement on exercise and falls prevention in older people.

    Science.gov (United States)

    Tiedemann, Anne; Sherrington, Catherine; Close, Jacqueline C T; Lord, Stephen R

    2011-11-01

    Falls affect a significant number of older Australians and present a major challenge to health care providers and health systems. The purpose of this statement is to inform and guide exercise practitioners and health professionals in the safe and effective prescription of exercise for older community-dwelling people with the goal of preventing falls. Falls in older people are not random events but can be predicted by assessing a number of risk factors. Of particular importance are lower limb muscle strength, gait and balance, all of which can be improved with appropriate exercise. There is now extensive evidence to demonstrate that many falls are preventable, with exercise playing a crucial role in prevention. Research evidence has identified that programs which include exercises that challenge balance are more effective in preventing falls than those which do not challenge balance. It is important for exercise to be progressively challenging, ongoing and of sufficient dose to maximise its benefits in reducing falls. Other (non-exercise) interventions are necessary for certain people with complex medical conditions or recent hospitalisation and risk factors relating to vision and the use of psychotropic medications. Qualified exercise professionals are well placed to implement the research evidence and to prescribe and supervise specific exercise aimed at preventing falls in both healthy older community-dwelling people and those with co-morbidities. Copyright © 2011 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  7. The Complementary Roles of the School Nurse and School Based Health Centers. Position Statement

    Science.gov (United States)

    Ondeck, Lynnette; Combe, Laurie; Baszler, Rita; Wright, Janet

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that the unique combination of school nursing services and school-based health centers (SBHCs) facilitate positive health outcomes for students. The registered professional school nurse (hereinafter referred to as school nurse) is responsible for management of the daily health…

  8. The School Nurse's Role in Behavioral Health of Students. Position Statement

    Science.gov (United States)

    McDermott, Elizabeth; Bohnenkamp, Jill Haak; Freedland, Mary; Baker, Dian; Palmer, Karla

    2017-01-01

    It is the position of the National Association of School Nurses (NASN) that registered, professional school nurses (hereinafter referred to as school nurses) serve a vital role in promoting positive behavioral health outcomes in students through evidence-based programs and curricula in schools and communities. Behavioral health is as critical to…

  9. Exercise and Sports Science Australia (ESSA) position statement on exercise prescription for the prevention and management of osteoporosis.

    Science.gov (United States)

    Beck, Belinda R; Daly, Robin M; Singh, Maria A Fiatarone; Taaffe, Dennis R

    2017-05-01

    Osteoporotic fractures are associated with substantial morbidity and mortality. Although exercise has long been recommended for the prevention and management of osteoporosis, existing guidelines are often non-specific and do not account for individual differences in bone health, fracture risk and functional capacity. The aim of the current position statement is to provide health practitioners with specific, evidence-based guidelines for safe and effective exercise prescription for the prevention or management of osteoporosis, accommodating a range of potential comorbidities. Position statement. Interpretation and application of research reports describing the effects of exercise interventions for the prevention and management of low bone mass, osteoporosis and osteoporotic fracture. Evidence from animal and human trials indicates that bone responds positively to impact activities and high intensity progressive resistance training. Furthermore, the optimisation of muscle strength, balance and mobility minimises the risk of falls (and thereby fracture), which is particularly relevant for individuals with limited functional capacity and/or a very high risk of osteoporotic fracture. It is important that all exercise programs be accompanied by sufficient calcium and vitamin D, and address issues of comorbidity and safety. For example, loaded spine flexion is not recommended, and impact activities may require modification in the presence of osteoarthritis or frailty. Specific guidelines for safe and effective exercise for bone health are presented. Individual exercise prescription must take into account existing bone health status, co-morbidities, and functional or clinical risk factors for falls and fracture. Copyright © 2016 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  10. LOFAR lightning imaging : mapping lightning with nanosecond precision

    NARCIS (Netherlands)

    Hare, B.M.; Scholten, O.; Bonardi, A.; Buitink, S.; Corstanje, A.; Ebert, U.; Falcke, H.; Hörandel, J.R.; Leijnse, H.; Mitra, P.; Mulrey, K.; Nelles, A.; Rachen, J. P.; Rossetto, L.; Rutjes, C.; Schellart, P.; Thoudam, S.; Trinh, T.N.G.; ter Veen, S.; Winchen, T.

    2018-01-01

    Lightning mapping technology has proven instrumental in understanding lightning. In this work we present a pipeline that can use lightning observed by the LOw-Frequency ARray (LOFAR) radio telescope to construct a 3-D map of the flash. We show that LOFAR has unparalleled precision, on the order of

  11. Laboratory demonstration of ball lightning

    International Nuclear Information System (INIS)

    Egorov, Anton I; Stepanov, Sergei I; Shabanov, Gennadii D

    2004-01-01

    A common laboratory facility for creating glowing flying plasmoids akin to a natural ball lightning, allowing a number of experiments to be performed to investigate the main properties of ball lightning, is described. (methodological notes)

  12. Emergency Preparedness and Response - Lightning

    Science.gov (United States)

    ... for Pet Owners Frequently Asked Questions Additional Information Lightning Language: English Español (Spanish) Recommend on Facebook Tweet ... you know what to do when you see lightning or when you hear thunder as a warning. ...

  13. An uncertain future for lightning

    Science.gov (United States)

    Murray, Lee T.

    2018-02-01

    The most commonly used method for representing lightning in global atmospheric models generally predicts lightning increases in a warmer world. A new scheme finds the opposite result, directly challenging the predictive skill of an old stalwart.

  14. A simple lightning assimilation technique for improving retrospective WRF simulations.

    Science.gov (United States)

    Convective rainfall is often a large source of error in retrospective modeling applications. In particular, positive rainfall biases commonly exist during summer months due to overactive convective parameterizations. In this study, lightning assimilation was applied in the Kain-F...

  15. WOCN Society and ASCRS Position Statement on Preoperative Stoma Site Marking for Patients Undergoing Colostomy or Ileostomy Surgery.

    Science.gov (United States)

    Salvadalena, Ginger; Hendren, Samantha; McKenna, Linda; Muldoon, Roberta; Netsch, Debra; Paquette, Ian; Pittman, Joyce; Ramundo, Janet; Steinberg, Gary

    2015-01-01

    Marking the optimal location for a stoma preoperatively enhances the likelihood of a patient's independence in stoma care, predictable pouching system wear times, and resumption of normal activities. Colon and rectal surgeons and certified ostomy nurses are the optimal clinicians to select and mark stoma sites, as this skill is a part of their education, practice, and training. However, these providers are not always available, particularly in emergency situations. The purpose of this position statement, developed by the Wound, Ostomy and Continence Nurses Society in collaboration with the American Society of Colon and Rectal Surgeons and the American Urological Association, is to provide a guideline to assist clinicians (especially those who are not surgeons or WOC nurses) in selecting an effective stoma site.

  16. American Society of Clinical Oncology Position Statement: Strategies for Reducing Cancer Health Disparities Among Sexual and Gender Minority Populations.

    Science.gov (United States)

    Griggs, Jennifer; Maingi, Shail; Blinder, Victoria; Denduluri, Neelima; Khorana, Alok A; Norton, Larry; Francisco, Michael; Wollins, Dana S; Rowland, Julia H

    2017-07-01

    ASCO is committed to addressing the needs of sexual and gender minority (SGM) populations as a diverse group at risk for receiving disparate care and having suboptimal experiences, including discrimination, throughout the cancer care continuum. This position statement outlines five areas of recommendations to address the needs of both SGM populations affected by cancer and members of the oncology workforce who identify as SGM: (1) patient education and support; (2) workforce development and diversity; (3) quality improvement strategies; (4) policy solutions; and (5) research strategies. In making these recommendations, the Society calls for increased outreach and educational support for SGM patients; increased SGM cultural competency training for providers; improvement of quality-of-care metrics that include sexual orientation and gender information variables; and increased data collection to inform future work addressing the needs of SGM communities.

  17. Position statement of the Slovenian society of anaesthesiology and intensive care medicine on the use of sugammadex

    Directory of Open Access Journals (Sweden)

    Neva Požar Lukanović

    2018-06-01

    Full Text Available We present our position statement for the use of sugammadex, a specific binder for aminosteroid muscle relaxants, in the most common clinical circumstances (in the case of an emergency intubation, when the patient cannot be ventilated or intubated; in patients with neuro-muscular disease, in patients with liver failure, in patients with renal failure, in patients with allergic reaction to sugammadex or to rocuronium, in cases of residual muscle relaxation and when we have to use a muscle relaxant short time after sugammadex application. Sugammadex is the drug of choice in cases of cardiac arhythmia, COPD, asthma, neuro-muscular diseases, pathological obesity, intraoperative use of continuous infusion of aminoglycoside muscle relaxants. It is therefore necessary to control the neuro-muscular block during surgery due to different response of patients to the muscle relaxant. Clinical tests alone are not an adequate substitute for objective control of muscular strength recovery.

  18. Insulin Therapy for Adult Patients with Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association, 2017.

    Science.gov (United States)

    Lee, Byung Wan; Kim, Jin Hwa; Ko, Seung Hyun; Hur, Kyu Yeon; Kim, Nan Hee; Rhee, Sang Youl; Kim, Hyun Jin; Moon, Min Kyong; Park, Seok O; Choi, Kyung Mook

    2017-10-01

    The Korean Diabetes Association (KDA) has regularly updated its Clinical Practice Guidelines. In 2017, the KDA published a position statement on the use of antihyperglycemic agents for patients with type 2 diabetes mellitus (T2DM). Growing evidence from new multinational clinical trials using novel and traditional insulin analogues has also been accumulated. Following global trends, many results of clinical trials, especially concerning the clinical efficacy and safety of insulin therapy, have been published about Korean patients with T2DM. After a systematic search of recent evidence, the KDA updated and modified its clinical practice recommendations regarding the initiation, choice, and intensification of insulin and created an insulin treatment algorithm for the first time to guide physicians caring for adult Korean patients with T2DM. Copyright © 2017 Korean Diabetes Association.

  19. Insulin Therapy for Adult Patients with Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association, 2017

    Directory of Open Access Journals (Sweden)

    Byung-Wan Lee

    2017-10-01

    Full Text Available The Korean Diabetes Association (KDA has regularly updated its Clinical Practice Guidelines. In 2017, the KDA published a position statement on the use of antihyperglycemic agents for patients with type 2 diabetes mellitus (T2DM. Growing evidence from new multinational clinical trials using novel and traditional insulin analogues has also been accumulated. Following global trends, many results of clinical trials, especially concerning the clinical efficacy and safety of insulin therapy, have been published about Korean patients with T2DM. After a systematic search of recent evidence, the KDA updated and modified its clinical practice recommendations regarding the initiation, choice, and intensification of insulin and created an insulin treatment algorithm for the first time to guide physicians caring for adult Korean patients with T2DM.

  20. A new blood glucose management algorithm for type 2 diabetes: a position statement of the Australian Diabetes Society.

    Science.gov (United States)

    Gunton, Jenny E; Cheung, N Wah; Davis, Timothy M E; Zoungas, Sophia; Colagiuri, Stephen

    2014-12-11

    Lowering blood glucose levels in people with type 2 diabetes has clear benefits for preventing microvascular complications and potential benefits for reducing macrovascular complications and death. Treatment needs to be individualised for each person with diabetes. This should start with selecting appropriate glucose and glycated haemoglobin targets, taking into account life expectancy and the patient's wishes. For most people, early use of glucose-lowering therapies is warranted. A range of recently available therapies has added to the options for lowering glucose levels, but this has made the clinical pathway for treating diabetes more complicated. This position statement from the Australian Diabetes Society outlines the risks, benefits and costs of the available therapies and suggests a treatment algorithm incorporating the older and newer agents.

  1. Canadian Association of Emergency Physicians position statement on acute ischemic stroke.

    Science.gov (United States)

    Harris, Devin; Hall, Christopher; Lobay, Kevin; McRae, Andrew; Monroe, Tanya; Perry, Jeffrey J; Shearing, Anthony; Wollam, Gabe; Goddard, Tom; Lang, Eddy

    2015-03-01

    The CAEP Stroke Practice Committee was convened in the spring of 2013 to revisit the 2001 policy statement on the use of thrombolytic therapy in acute ischemic stroke. The terms of reference of the panel were developed to include national representation from urban academic centres as well as community and rural centres from all regions of the country. Membership was determined by attracting recognized stroke leaders from across the country who agreed to volunteer their time towards the development of revised guidance on the topic. The guideline panel elected to adopt the GRADE language to communicate guidance after review of existing systematic reviews and international clinical practice guidelines. Stroke neurologists from across Canada were engaged to work alongside panel members to develop guidance as a dyad-based consensus when possible. There was no unique systematic review performed to support this guidance, rather existing efficacy data was relied upon. After a series of teleconferences and face to face meetings, a draft guideline was developed and presented to the CAEP board in June of 2014. The panel noted the development of significant new evidence to inform a number of clinical questions related to acute stroke management. In general terms the recommendations issued by the CAEP Stroke Practice Committee are supportive of the use of thrombolytic therapy when treatment can be administered within 3 hours of symptom onset. The committee is also supportive of system-level changes including pre-hospital interventions, the transport of patients to dedicated stroke centers when possible and tele-health measures to support thrombolytic therapy in a timely window. Of note, after careful deliberation, the panel elected to issue a conditional recommendation against the use of thrombolytic therapy in the 3–4.5 hour window. The view of the committee was that as a result of a narrow risk benefit balance, one that is considerably narrower than the same considerations

  2. Endocrine Society of Australia position statement on male hypogonadism (part 1): assessment and indications for testosterone therapy.

    Science.gov (United States)

    Yeap, Bu B; Grossmann, Mathis; McLachlan, Robert I; Handelsman, David J; Wittert, Gary A; Conway, Ann J; Stuckey, Bronwyn Ga; Lording, Douglas W; Allan, Carolyn A; Zajac, Jeffrey D; Burger, Henry G

    2016-08-15

    This article, Part 1 of the Endocrine Society of Australia's position statement on male hypogonadism, focuses on assessment of male hypogonadism, including the indications for testosterone therapy. (Part 2 will deal with treatment and therapeutic considerations.) Key points and recommendations are:Pathological hypogonadism arises due to diseases of the hypothalamus or pituitary gland (hypogonadotropic hypogonadism) or testes (hypergonadotropic hypogonadism). It is a clinical diagnosis with a pathological basis, confirmed by hormone assays.Hormonal assessment is based on measurement of circulating testosterone, luteinising hormone (LH) and follicle-stimulating hormone (FSH) concentrations. Measurement of sex hormone-binding globulin levels can be informative, but use of calculated free testosterone is not recommended for clinical decision making.Testosterone replacement therapy is warranted in men with pathological hypogonadism, regardless of age.Currently, there are limited data from high-quality randomised controlled trials with clinically meaningful outcomes to justify testosterone treatment in older men, usually with chronic disease, who have low circulating testosterone levels but without hypothalamic, pituitary or testicular disease.Obesity, metabolic syndrome and type 2 diabetes are associated with lowering of circulating testosterone level, but without elevation of LH and FSH levels. Whether these are non-specific consequences of non-reproductive disorders or a correctable deficiency state is unknown, but clear evidence for efficacy and safety of testosterone therapy in this setting is lacking.Glucocorticoid and opioid use is associated with possibly reversible reductions in circulating testosterone level, without elevation of LH and FSH levels. Where continuation of glucocorticoid or opioid therapy is necessary, review by an endocrinologist may be warranted.Changes in management as result of the position statement: Men with pathological hypogonadism should

  3. Position statement--altitude training for improving team-sport players' performance: current knowledge and unresolved issues.

    Science.gov (United States)

    Girard, Olivier; Amann, Markus; Aughey, Robert; Billaut, François; Bishop, David J; Bourdon, Pitre; Buchheit, Martin; Chapman, Robert; D'Hooghe, Michel; Garvican-Lewis, Laura A; Gore, Christopher J; Millet, Grégoire P; Roach, Gregory D; Sargent, Charli; Saunders, Philo U; Schmidt, Walter; Schumacher, Yorck O

    2013-12-01

    Despite the limited research on the effects of altitude (or hypoxic) training interventions on team-sport performance, players from all around the world engaged in these sports are now using altitude training more than ever before. In March 2013, an Altitude Training and Team Sports conference was held in Doha, Qatar, to establish a forum of research and practical insights into this rapidly growing field. A round-table meeting in which the panellists engaged in focused discussions concluded this conference. This has resulted in the present position statement, designed to highlight some key issues raised during the debates and to integrate the ideas into a shared conceptual framework. The present signposting document has been developed for use by support teams (coaches, performance scientists, physicians, strength and conditioning staff) and other professionals who have an interest in the practical application of altitude training for team sports. After more than four decades of research, there is still no consensus on the optimal strategies to elicit the best results from altitude training in a team-sport population. However, there are some recommended strategies discussed in this position statement to adopt for improving the acclimatisation process when training/competing at altitude and for potentially enhancing sea-level performance. It is our hope that this information will be intriguing, balanced and, more importantly, stimulating to the point that it promotes constructive discussion and serves as a guide for future research aimed at advancing the bourgeoning body of knowledge in the area of altitude training for team sports.

  4. Faraday Cage Protects Against Lightning

    Science.gov (United States)

    Jafferis, W.; Hasbrouck, R. T.; Johnson, J. P.

    1992-01-01

    Faraday cage protects electronic and electronically actuated equipment from lightning. Follows standard lightning-protection principles. Whether lightning strikes cage or cables running to equipment, current canceled or minimized in equipment and discharged into ground. Applicable to protection of scientific instruments, computers, radio transmitters and receivers, and power-switching equipment.

  5. Exploring Lightning Jump Characteristics

    Science.gov (United States)

    Chronis, Themis; Carey, Larry D.; Schultz, Christopher J.; Schultz, Elise; Calhoun, Kristin; Goodman, Steven J.

    2014-01-01

    This study is concerned with the characteristics of storms exhibiting an abrupt temporal increase in the total lightning flash rate (i.e., lightning jump, LJ). An automated storm tracking method is used to identify storm "clusters" and total lightning activity from three different lightning detection systems over Oklahoma, northern Alabama and Washington, D.C. On average and for different employed thresholds, the clusters that encompass at least one LJ (LJ1) last longer, relate to higher Maximum Expected Size of Hail, Vertical Integrated Liquid and lightning flash rates (area-normalized) than the clusters that did not exhibit any LJ (LJ0). The respective mean values for LJ1 (LJ0) clusters are 80 min (35 min), 14 mm (8 mm), 25 kg per square meter (18 kg per square meter) and 0.05 flash per min per square kilometer (0.01 flash per min per square kilometer). Furthermore, the LJ1 clusters are also characterized by slower decaying autocorrelation functions, a result that implies a less "random" behavior in the temporal flash rate evolution. In addition, the temporal occurrence of the last LJ provides an estimate of the time remaining to the storm's dissipation. Depending of the LJ strength (i.e., varying thresholds), these values typically range between 20-60 min, with stronger jumps indicating more time until storm decay. This study's results support the hypothesis that the LJ is a proxy for the storm's kinematic and microphysical state rather than a coincidental value.

  6. Lightning incidents in Mongolia

    Directory of Open Access Journals (Sweden)

    Myagmar Doljinsuren

    2015-11-01

    Full Text Available This is one of the first studies that has been conducted in Mongolia on the distribution of lightning incidents. The study covers a 10-year period from 2004 to 2013. The country records a human death rate of 15.4 deaths per 10 million people per year, which is much higher than that of many countries with similar isokeraunic level. The reason may be the low-grown vegetation observed in most rural areas of Mongolia, a surface topography, typical to steppe climate. We suggest modifications to Gomes–Kadir equation for such countries, as it predicts a much lower annual death rate for Mongolia. The lightning incidents spread over the period from May to August with the peak of the number of incidents occurring in July. The worst lightning affected region in the country is the central part. Compared with impacts of other convective disasters such as squalls, thunderstorms and hail, lightning stands as the second highest in the number of incidents, human deaths and animal deaths. Economic losses due to lightning is only about 1% of the total losses due to the four extreme weather phenomena. However, unless precautionary measures are not promoted among the public, this figure of losses may significantly increase with time as the country is undergoing rapid industrialization at present.

  7. Emergency Preparedness--The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Cagginello, Joan B.; Clark, Sandra; Compton, Linda; Davis, Catherine; Healy, Marilyn; Hoffmann, Susan; Tuck, Christine M.

    2011-01-01

    It is the position of the National Association of School Nurses (NASN) that school nurses provide leadership in all phases of emergency preparedness and management and are a vital part of the school team that develops emergency response procedures for the school setting, using an all-hazards approach. The school nurse is a vital school…

  8. The Patient Protection and Affordable Care Act: The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Combe, Laurie G.; Sharpe, Susan; Feeser, Cynthia Jo; Ondeck, Lynnette; Fekaris, Nina

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) serves a vital role in the delivery of health care to our nation's students within the healthcare system reshaped by the Patient Protection and Affordable Care Act of 2010, commonly known as…

  9. Unlicensed Assistive Personnel: Their Role on the School Health Services Team. Position Statement

    Science.gov (United States)

    Rose, Kathleen C.; Disney, Jody; Andresen, Kathleen; Tuck, Christine; Porter, Jessica; Bobo, Nicole

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that, where laws permit, unlicensed assistive personnel (UAP) can have valuable and necessary roles as assistants to school nurses. It is the professional responsibility of the registered professional school nurse (herein after referred to as school nurse) to identify UAP in…

  10. The Use of Volunteers in School Health Services. Position Statement. Revised

    Science.gov (United States)

    Rose, Kathleen C.; Blout, JoAnn; DiGregorio, Heiddy; Selekman, Janice

    2012-01-01

    It is the position of the National Association of School Nurses (NASN) that quality health care within the school environment can best be attained through the employment of a full-time registered professional school nurse (hereinafter referred to as school nurse) for each school building. The health services needed by students at school continue…

  11. Whole School, Whole Community, Whole Child: Implications for 21st Century School Nurses. Position Statement

    Science.gov (United States)

    Neumann, Linda; Combe, Laurie; Lambert, Patrice; Bartholomew, Kim; Morgan, Susan; Bobo, Nichole

    2017-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) be knowledgeable about and participate in the implementation of Whole School, Whole Community, Whole Child (WSCC) approach in the educational setting (ASCD & Centers for Disease Control…

  12. Do Not Attempt Resuscitation (DNAR)--The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Tuck, Christine M.; Jordan, Alicia; Lambert, Patrice; Porter, Jessica

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that each student with a Do Not Attempt Resuscitation (DNAR) order have an Individualized Healthcare Plan (IHP) and an Emergency Care Plan (ECP) developed by the registered professional school nurse (hereinafter referred to as school nurse) with input from parents or guardians,…

  13. Students with Chronic Health Conditions: The Role of The School Nurse. Position Statement

    Science.gov (United States)

    Combe, Laurie G.; Mattern, Cheryl; Fleming, Laurie; Killingsworth, Suzie

    2017-01-01

    It is the position of the National Association of School Nurses (NASN) that to optimize student health, safety, and learning, a professional registered school nurse (hereinafter referred to as school nurse) be present all day, every day. The American Academy of Pediatrics' Council on School Health (2016) highlights the important role school nurses…

  14. Nursing Delegation to Unlicensed Assistive Personnel in the School Setting. Position Statement. Revised

    Science.gov (United States)

    Cagginello, Joan; Blackborow, Mary; Porter, Jessica; Disney, Jody; Andresen, Kathleen; Tuck, Christine

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the delegation of nursing tasks in the school setting can be a valuable tool for the registered professional school nurse (hereinafter referred to as school nurse), when based on the nursing definition of delegation (American Nurses Association [ANA], 2012) and in…

  15. Sexual Orientation and Gender Identity/Expression (Sexual Minority Students): School Nurse Practice. Position Statement. Revised

    Science.gov (United States)

    Bradley, Beverly

    2012-01-01

    It is the position of the National Association of School Nurses that all students, regardless of their sexual orientation or the sexual orientation of their parents and family members, are entitled to a safe school environment and equal opportunities for a high level of academic achievement and school participation/involvement. Establishment of…

  16. Individualized Healthcare Plans: The Role of the School Nurse. Position Statement. Revised

    Science.gov (United States)

    McDowell, Bernadette Moran; Buswell, Sue A.; Mattern, Cheryl; Westendorf, Georgene; Clark, Sandra

    2015-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse), in collaboration with the student, family and healthcare providers, shall meet nursing regulatory requirements and professional standards by developing an Individualized Healthcare Plan…

  17. The Use of Restraints or Seclusion in the School Setting. Position Statement

    Science.gov (United States)

    Clark, Elizabeth; Compton, Linda; Westendorf, Georgene; Buswell, Sue; Chau, Elizabeth

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) is an essential advocate for the health and well-being of all students. Promoting a safe and secure environment is vital to the educational success and emotional development of children. The…

  18. Care of Victims of Child Maltreatment: The School Nurse's Role. Position Statement

    Science.gov (United States)

    Ondeck, Lynnette; Combe, Laurie; Feeser, Cindy Jo; King, Rebecca

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that prevention, early recognition, intervention and treatment of child maltreatment are critical to the physical well-being and academic success of students. Registered professional school nurses (hereinafter referred to as school nurses) serve a vital role in the recognition…

  19. 75 FR 78160 - Requirement of a Statement Disclosing Uncertain Tax Positions

    Science.gov (United States)

    2010-12-15

    ... amendments to the Income Tax Regulations (26 CFR part 1) under section 6012 relating to the returns of income... every person liable for income tax to make the returns required by regulation. Section 6012 requires... corporations to file a schedule disclosing uncertain tax positions related to the tax return as required by the...

  20. Sensitivity Analyses of Alternative Methods for Disposition of High-Level Salt Waste: A Position Statement

    International Nuclear Information System (INIS)

    Harris, S.P.; Tuckfield, R.C.

    1998-01-01

    This position paper provides the approach and detail pertaining to a sensitivity analysis for the Phase II definition of weighted evaluation criteria weights and utility function values on the total utility scores for each Initial List alternative due to uncertainty and bias in engineering judgment

  1. Physical Activity and Psychological Benefits. International Society of Sport Psychology Position Statement.

    Science.gov (United States)

    Physician and Sportsmedicine, 1992

    1992-01-01

    International Society of Sport Psychology clarifies the psychological benefits of physical activity, noting the positive relationship between physical activity level and mental health. Exercise can reduce anxiety, decrease depression levels, reduce neuroticism and anxiety, reduce stress, and have beneficial emotional effects for both sexes across…

  2. Allergy/Anaphylaxis Management in the School Setting. Position Statement. Revised

    Science.gov (United States)

    Zacharski, Susan; DeSisto, Marie; Pontius, Deborah; Sheets, Jodi; Richesin, Cynthia

    2012-01-01

    It is the position of the National Association of School Nurses (NASN) that the safe and effective management of allergies and anaphylaxis in schools requires a collaborative, multidisciplinary team approach. The registered professional school nurse (hereinafter referred to as the school nurse), is the leader in a comprehensive management approach…

  3. Intellectual Disability Policy as Developed, Expressed, and Valuated in AAIDD/The Arc Joint Statements: The Role of Organization Position Statements

    Science.gov (United States)

    Luckasson, Ruth; Ford, Marty E.; McMillan, Elise D.; Misilo, Frederick M., Jr.; Nygren, Margaret A.

    2017-01-01

    The American Association on Intellectual and Developmental Disabilities (AAIDD) and The Arc of the United States (The Arc) have a long history of joined efforts to develop, express, and evaluate disability policies. These efforts have resulted in a series of formal statements on critical issues such as education, healthcare, human rights, and…

  4. Management of non variceal upper gastrointestinal bleeding: position statement of the Catalan Society of Gastroenterology.

    Science.gov (United States)

    García-Iglesias, Pilar; Botargues, Josep-Maria; Feu Caballé, Faust; Villanueva Sánchez, Càndid; Calvet Calvo, Xavier; Brullet Benedi, Enric; Cánovas Moreno, Gabriel; Fort Martorell, Esther; Gallach Montero, Marta; Gené Tous, Emili; Hidalgo Rosas, José-Manuel; Lago Macía, Amelia; Nieto Rodríguez, Ana; Papo Berger, Michel; Planella de Rubinat, Montserrat; Saló Rich, Joan; Campo Fernández de Los Ríos, Rafel

    2017-05-01

    In recent years there have been advances in the management of non-variceal upper gastrointestinal bleeding that have helped reduce rebleeding and mortality. This document positioning of the Catalan Society of Digestologia is an update of evidence-based recommendations on management of gastrointestinal bleeding peptic ulcer. Copyright © 2016 Elsevier España, S.L.U., AEEH y AEG. All rights reserved.

  5. Sports Dietitians Australia position statement: sports nutrition for the adolescent athlete.

    Science.gov (United States)

    Desbrow, Ben; McCormack, Joanna; Burke, Louise M; Cox, Gregory R; Fallon, Kieran; Hislop, Matthew; Logan, Ruth; Marino, Nello; Sawyer, Susan M; Shaw, Greg; Star, Anita; Vidgen, Helen; Leveritt, Michael

    2014-10-01

    It is the position of Sports Dietitians Australia (SDA) that adolescent athletes have unique nutritional requirements as a consequence of undertaking daily training and competition in addition to the demands of growth and development. As such, SDA established an expert multidisciplinary panel to undertake an independent review of the relevant scientific evidence and consulted with its professional members to develop sports nutrition recommendations for active and competitive adolescent athletes. The position of SDA is that dietary education and recommendations for these adolescent athletes should reinforce eating for long term health. More specifically, the adolescent athlete should be encouraged to moderate eating patterns to reflect daily exercise demands and provide a regular spread of high quality carbohydrate and protein sources over the day, especially in the period immediately after training. SDA recommends that consideration also be given to the dietary calcium, Vitamin D and iron intake of adolescent athletes due to the elevated risk of deficiency of these nutrients. To maintain optimal hydration, adolescent athletes should have access to fluids that are clean, cool and supplied in sufficient quantities before, during and after participation in sport. Finally, it is the position of SDA that nutrient needs should be met by core foods rather than supplements, as the recommendation of dietary supplements to developing athletes over-emphasizes their ability to manipulate performance in comparison with other training and dietary strategies.

  6. Lightning on Venus

    Science.gov (United States)

    Scarf, F. L.

    1985-01-01

    On the night side of Venus, the plasma wave instrument on the Pioneer-Venus Orbiter frequently detects strong and impulsive low-frequency noise bursts when the local magnetic field is strong and steady and when the field is oriented to point down to the ionosphere. The signals have characteristics of lightning whistlers, and an attempt was made to identify the sources by tracing rays along the B-field from the Orbiter down toward the surface. An extensive data set strongly indicates a clustering of lightning sources near the Beta and Phoebe Regios, with additional significant clustering near the Atla Regio at the eastern edge of Aphrodite Terra. These results suggest that there are localized lightning sources at or near the planetary surface.

  7. Lightning activity on Jupiter

    Science.gov (United States)

    Borucki, W. J.; Bar-Nun, A.; Scarf, F. L.; Look, A. F.; Hunt, G. E.

    1982-01-01

    Photographic observations of the nightside of Jupiter by the Voyager 1 spacecraft show the presence of extensive lightning activity. Detection of whistlers by the plasma wave analyzer confirms the optical observations and implies that many flashes were not recorded by the Voyager camera because the intensity of the flashes was below the threshold sensitivity of the camera. Measurements of the optical energy radiated per flash indicate that the observed flashes had energies similar to that for terrestrial superbolts. The best estimate of the lightning energy dissipation rate of 0.0004 W/sq m was derived from a consideration of the optical and radiofrequency measurements. The ratio of the energy dissipated by lightning compared to the convective energy flux is estimated to be between 0.000027 and 0.00005. The terrestrial value is 0.0001.

  8. American Society for Pain Management Nursing (ASPMN) position statement: male infant circumcision pain management.

    Science.gov (United States)

    O'Conner-Von, Susan; Turner, Helen N

    2013-12-01

    The ASPMN strongly recommends that infants who are being circumcised must receive optimal pain management. ‘‘If a decision for circumcision is made, procedural analgesia should be provided’’ (AAP, 1999, p. 691). Therefore, it is the position of the ASPMN that optimal pain management must be provided throughout the circumcision process. Furthermore, parents must be prepared for the procedure and educated about infant pain assessment. They must also be informed of pharmacologic and integrative pain management therapies that are appropriate before, during, and after the procedure.

  9. The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets.

    Science.gov (United States)

    Bieszk, Nella; Grabner, Michael; Wei, Wenhui; Bonine, Nicole G; Stephenson, Judith J

    2016-01-01

    To evaluate awareness of the 2012 American Diabetes Association (ADA) Position Statement among physicians and assess its effects on patient-centered glycated hemoglobin (A1C) goals in the management of type 2 diabetes (T2D). The Summarizing Real-World Individualized TrEatmEnT GoalS and Potential SuppOrT Systems in Type 2 Diabetes (SWEET SPOTS) study used the HealthCore claims database to identify T2D patients, stratified by risk, and their treating physicians to assess primary care physician and endocrinologist awareness of the 2012 ADA Position Statement. Physicians completed online surveys on A1C targets before and after receiving an educational intervention to review the position statement. Of 125 responding physicians (mean age 50.3 years, 12.8% endocrinologists) who were linked to 125 patient profiles (mean age 56.9 years, 42% female, mean A1C 7.2%), 92% were at least somewhat aware of the position statement prior to the intervention and 59% believed that the statement would impact how they set A1C targets. The educational intervention resulted in mostly less stringent goal setting for both lower and higher risk patients, but changes were not significant. The proportion of physician-assigned A1C targets within ADA-recommended ranges increased from 56% to 66% post-intervention ( P ADA Position Statement and believe that it may influence treatment goals. While patient-specific A1C targets were not significantly impacted, physicians indicated that they would make targets more or less stringent for lower and higher risk patients, respectively, across their practice. Further research into optimizing physician education regarding individualized A1C targets is warranted.

  10. American College of Sports Medicine Joint Position Statement. Nutrition and Athletic Performance.

    Science.gov (United States)

    Thomas, D Travis; Erdman, Kelly Anne; Burke, Louise M

    2016-03-01

    It is the position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine that the performance of, and recovery from, sporting activities are enhanced by well-chosen nutrition strategies. These organizations provide guidelines for the appropriate type, amount, and timing of intake of food, fluids, and supplements to promote optimal health and performance across different scenarios of training and competitive sport. This position paper was prepared for members of the Academy of Nutrition and Dietetics, Dietitians of Canada (DC), and American College of Sports Medicine (ACSM), other professional associations, government agencies, industry, and the public. It outlines the Academy's, DC's and ACSM's stance on nutrition factors that have been determined to influence athletic performance and emerging trends in the field of sports nutrition. Athletes should be referred to a registered dietitian/nutritionist for a personalized nutrition plan. In the United States and in Canada, the Certified Specialist in Sports Dietetics (CSSD) is a registered dietitian/nutritionist and a credentialed sports nutrition expert.

  11. Artificial Neural Network applied to lightning flashes

    Science.gov (United States)

    Gin, R. B.; Guedes, D.; Bianchi, R.

    2013-05-01

    The development of video cameras enabled cientists to study lightning discharges comportment with more precision. The main goal of this project is to create a system able to detect images of lightning discharges stored in videos and classify them using an Artificial Neural Network (ANN)using C Language and OpenCV libraries. The developed system, can be split in two different modules: detection module and classification module. The detection module uses OpenCV`s computer vision libraries and image processing techniques to detect if there are significant differences between frames in a sequence, indicating that something, still not classified, occurred. Whenever there is a significant difference between two consecutive frames, two main algorithms are used to analyze the frame image: brightness and shape algorithms. These algorithms detect both shape and brightness of the event, removing irrelevant events like birds, as well as detecting the relevant events exact position, allowing the system to track it over time. The classification module uses a neural network to classify the relevant events as horizontal or vertical lightning, save the event`s images and calculates his number of discharges. The Neural Network was implemented using the backpropagation algorithm, and was trained with 42 training images , containing 57 lightning events (one image can have more than one lightning). TheANN was tested with one to five hidden layers, with up to 50 neurons each. The best configuration achieved a success rate of 95%, with one layer containing 20 neurons (33 test images with 42 events were used in this phase). This configuration was implemented in the developed system to analyze 20 video files, containing 63 lightning discharges previously manually detected. Results showed that all the lightning discharges were detected, many irrelevant events were unconsidered, and the event's number of discharges was correctly computed. The neural network used in this project achieved a

  12. Financial Statements Analysis

    OpenAIRE

    Tănase Alin-Eliodor

    2014-01-01

    This article focuses on analyzing of a consolidated financial statements of a hypothetically SME. The interpretation of the financial position and performances is based on the more than 40 financial key ratios computed by using financial data from consolidated income statement, consolidated financial position and cash flow. However additional data from notes to financial statements are provided.

  13. Overweight and obesity in youth in schools-the role of the school nurse: position statement.

    Science.gov (United States)

    2014-05-01

    It is the position of the National Association of School Nurses that the registered professional school nurse (hereinafter referred to as the school nurse) has the knowledge and expertise to promote the prevention of overweight and obesity and address the needs of overweight and obese youth in schools. The school nurse collaborates with students, families, school personnel, and health care providers to promote healthy weight and identify overweight and obese youth who may be at risk for health problems. The school nurse can refer and follow up with students who may need to see a health care provider. The school nurse also educates and advocates for changes in school and district policies that promote a healthy lifestyle for all students.

  14. The Patient Protection and Affordable Care Act - The Role of the School Nurse: Position Statement.

    Science.gov (United States)

    2015-07-01

    It is the position of the National Association of School Nurses that the registered professional school nurse (hereinafter referred to as the school nurse) serves a vital role in the delivery of health care to our nation’s students within the health care system reshaped by the Patient Protection and Affordable Care Act of 2010, commonly known as the Affordable Care Act (ACA). This law presents an opportunity to transform the health care system through three primary goals: expanding access, improving quality, and reducing cost (U.S. Government Printing Office, 2010). School nurses stand at the forefront of this system change and continue to provide evidence-based, quality interventions and preventive care that, according to recent studies, actually save health care dollars (Wang et al., 2014). NASN supports the concept that school nursing services receive the same financial parity as other health care providers to improve overall health outcomes, including insurance reimbursement for services provided to students.

  15. Organization position statements and the stance of "studied neutrality" on euthanasia in palliative care.

    Science.gov (United States)

    Johnstone, Megan-Jane

    2012-12-01

    In recent years, palliative care and related organizations have increasingly adopted a stance of "studied neutrality" on the question of whether euthanasia should be legalized as a bona fide medical regimen in palliative care contexts. This stance, however, has attracted criticism from both opponents and proponents of euthanasia. Pro-euthanasia activists see the stance as an official position of indecision that is fundamentally disrespectful of a patient's right to "choose death" when life has become unbearable. Some palliative care constituents, in turn, are opposed to the stance, contending that it reflects an attitude of "going soft" on euthanasia and as weakening the political resistance that has hitherto been successful in preventing euthanasia from becoming more widely legalized. In this article, attention is given to examining critically the notion and possible unintended consequences of adopting a stance of studied neutrality on euthanasia in palliative care. It is argued that although palliative care and related organizations have an obvious stake in the outcome of the euthanasia debate, it is neither unreasonable nor inconsistent for such organizations to be unwilling to take a definitive stance on the issue. It is further contended that, given the long-standing tenets of palliative care, palliative care organizations have both a right and a responsibility to defend the integrity of the principles and practice of palliative care and to resist demands for euthanasia to be positioned either as an integral part or logical extension of palliative care. Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  16. Diabetes Australia position statement. A new language for diabetes: improving communications with and about people with diabetes.

    Science.gov (United States)

    Speight, J; Conn, J; Dunning, T; Skinner, T C

    2012-09-01

    Diabetes is the fastest growing chronic condition in Australia, affecting 1.7 million Australians, requiring daily self-care, and known to reduce quantity and quality of life. On average, people with diabetes experience greater emotional distress than those without diabetes. One source of distress can be the language used to refer to diabetes, its management and the person with diabetes. The way verbal and written language is used reflects and shapes people's thoughts, beliefs and behaviours. Language has the power to persuade, change or reinforce beliefs and stereotypes - for better or worse. Words do more than reflect people's reality: they create reality and affect how people view the world and their diabetes. Language needs to engage people with diabetes and support their self-care efforts. Importantly, language that de-motivates or induces fear, guilt or distress needs to be avoided and countered. Diabetes Australia believes optimal communication increases the motivation, health and well-being of people with diabetes, and that careless or negative language can be de-motivating, is often inaccurate, and can be harmful. Diabetes Australia developed this position statement to encourage greater awareness of the language surrounding diabetes and provide recommendations for more careful and positive language use. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  17. Obesity: a chronic relapsing progressive disease process. A position statement of the World Obesity Federation.

    Science.gov (United States)

    Bray, G A; Kim, K K; Wilding, J P H

    2017-07-01

    This paper considers the argument for obesity as a chronic relapsing disease process. Obesity is viewed from an epidemiological model, with an agent affecting the host and producing disease. Food is the primary agent, particularly foods that are high in energy density such as fat, or in sugar-sweetened beverages. An abundance of food, low physical activity and several other environmental factors interact with the genetic susceptibility of the host to produce positive energy balance. The majority of this excess energy is stored as fat in enlarged, and often more numerous fat cells, but some lipid may infiltrate other organs such as the liver (ectopic fat). The enlarged fat cells and ectopic fat produce and secrete a variety of metabolic, hormonal and inflammatory products that produce damage in organs such as the arteries, heart, liver, muscle and pancreas. The magnitude of the obesity and its adverse effects in individuals may relate to the virulence or toxicity of the environment and its interaction with the host. Thus, obesity fits the epidemiological model of a disease process except that the toxic or pathological agent is food rather than a microbe. Reversing obesity will prevent most of its detrimental effects. © 2017 World Obesity Federation.

  18. Public acceptance of nuclear power: some ethical issues. [Position statement of World Council of Churches

    Energy Technology Data Exchange (ETDEWEB)

    Abrecht, P; Arungu-Olende, S; Francis, J M; de Gaspar, D; Nashed, W; Nwosu, B C.E.; Rose, D J; Shinn, R L

    1977-12-01

    The World Council of Churches favors the widest possible discussion of nuclear power issues with the immediate purpose of raising the level of public awareness of the social, political, and technical risks that are inevitably associated with the large-scale and accelerating adoption of nuclear power generation. Its general position on nuclear energy is presented as follows. (A) The availability of nuclear energy is a controversial feature of today's world in that it affords the opportunity to provide a large fraction of the world's energy needs, counter-balanced by the exceptional nature of the risks involved, and other problems related to the employment of large-scale, capital-intensive high technology. (B) The maturity of the nuclear energy system is not yet such as to justify its worldwide application; the consequences of large-scale expansion of nuclear energy production are still relatively poorly understood and require further assessment. (C) The rights of access to nuclear technology should be preserved to the extent that the nuclear ''haves'' may not deny the nuclear ''have nots'' by any form of exclusive consultation. (D) There should be sufficient discussion of the factors governing access to nuclear technology to bring all nations to a new awareness of its risks and uncertainties as well as its opportunities; and the collective responsibility for monitoring and administering safeguards should reside with the IAEA rather than with individual governments. (E) Public confidence in the use of nuclear energy, seriously shaken in recent years, can be revived only by the widest possible public discussion of the technical options and of the value judgements underlying present patterns of energy consumption.

  19. American Society of Clinical Oncology position statement on obesity and cancer.

    Science.gov (United States)

    Ligibel, Jennifer A; Alfano, Catherine M; Courneya, Kerry S; Demark-Wahnefried, Wendy; Burger, Robert A; Chlebowski, Rowan T; Fabian, Carol J; Gucalp, Ayca; Hershman, Dawn L; Hudson, Melissa M; Jones, Lee W; Kakarala, Madhuri; Ness, Kirsten K; Merrill, Janette K; Wollins, Dana S; Hudis, Clifford A

    2014-11-01

    Rates of obesity have increased significantly over the last three decades in the United States and globally. In addition to contributing to heart disease and diabetes, obesity is a major unrecognized risk factor for cancer. Obesity is associated with worsened prognosis after cancer diagnosis and also negatively affects the delivery of systemic therapy, contributes to morbidity of cancer treatment, and may raise the risk of second malignancies and comorbidities. Research shows that the time after a cancer diagnosis can serve as a teachable moment to motivate individuals to adopt risk-reducing behaviors. For this reason, the oncology care team--the providers with whom a patient has the closest relationships in the critical period after a cancer diagnosis--is in a unique position to help patients lose weight and make other healthy lifestyle changes. The American Society of Clinical Oncology is committed to reducing the impact of obesity on cancer and has established a multipronged initiative to accomplish this goal by 1) increasing education and awareness of the evidence linking obesity and cancer; 2) providing tools and resources to help oncology providers address obesity with their patients; 3) building and fostering a robust research agenda to better understand the pathophysiology of energy balance alterations, evaluate the impact of behavior change on cancer outcomes, and determine the best methods to help cancer survivors make effective and useful changes in lifestyle behaviors; and 4) advocating for policy and systems change to address societal factors contributing to obesity and improve access to weight management services for patients with cancer. © 2014 by American Society of Clinical Oncology.

  20. Lightning Imaging with LOFAR

    Directory of Open Access Journals (Sweden)

    Scholten Olaf

    2017-01-01

    Full Text Available We show that LOFAR can be used as a lightning mapping array with a resolution that is orders of magnitude better than existing arrays. In addition the polarization of the radiation can be used to track the direction of the stepping discharges.

  1. On the Simulation of the Interception of Lightning Dart Leaders

    OpenAIRE

    Long, Mengni; Becerra, Marley; Thottappillil, Rajeev

    2015-01-01

    This paper presents the numerical evaluation of the propagation of positive upward connecting leaders under the influence of lightning dart leaders. The simulation is performed with the self-consistent leader inception and propagation model - SLIM-. An analytical expression is derived for calculating the charge per unit length required to thermalize a new upward leader segment. The simulation is validated with two dart leader attachment events in a lightning triggering experiment reported in ...

  2. Geological Effects on Lightning Strike Distributions

    KAUST Repository

    Berdahl, J. Scott

    2016-01-01

    Recent advances in lightning detection networks allow for detailed mapping of lightning flash locations. Longstanding rumors of geological influence on cloud-to-ground (CG) lightning distribution and recent commercial claims based on such influence

  3. Ethics of genetic testing and research in sport: a position statement from the Australian Institute of Sport

    Science.gov (United States)

    Vlahovich, Nicole; Fricker, Peter A; Brown, Matthew A; Hughes, David

    2017-01-01

    As Australia's peak high-performance sport agency, the Australian Institute of Sport (AIS) has developed this position statement to address the implications of recent advances in the field of genetics and the ramifications for the health and well-being of athletes. Genetic testing has proven of value in the practice of clinical medicine. There are, however, currently no scientific grounds for the use of genetic testing for athletic performance improvement, sport selection or talent identification. Athletes and coaches should be discouraged from using direct-to-consumer genetic testing because of its lack of validation and replicability and the lack of involvement of a medical practitioner in the process. The transfer of genetic material or genetic modification of cells for performance enhancement is gene doping and should not be used on athletes. There are, however, valid roles for genetic research and the AIS supports genetic research which aims to enhance understanding of athlete susceptibility to injury or illness. Genetic research is only to be conducted after careful consideration of a range of ethical concerns which include the provision of adequate informed consent. The AIS is committed to providing leadership in delivering an ethical framework that protects the well-being of athletes and the integrity of sport, in the rapidly changing world of genomic science. PMID:27899345

  4. Ethics of genetic testing and research in sport: a position statement from the Australian Institute of Sport.

    Science.gov (United States)

    Vlahovich, Nicole; Fricker, Peter A; Brown, Matthew A; Hughes, David

    2017-01-01

    As Australia's peak high-performance sport agency, the Australian Institute of Sport (AIS) has developed this position statement to address the implications of recent advances in the field of genetics and the ramifications for the health and well-being of athletes. Genetic testing has proven of value in the practice of clinical medicine. There are, however, currently no scientific grounds for the use of genetic testing for athletic performance improvement, sport selection or talent identification. Athletes and coaches should be discouraged from using direct-to-consumer genetic testing because of its lack of validation and replicability and the lack of involvement of a medical practitioner in the process. The transfer of genetic material or genetic modification of cells for performance enhancement is gene doping and should not be used on athletes. There are, however, valid roles for genetic research and the AIS supports genetic research which aims to enhance understanding of athlete susceptibility to injury or illness. Genetic research is only to be conducted after careful consideration of a range of ethical concerns which include the provision of adequate informed consent. The AIS is committed to providing leadership in delivering an ethical framework that protects the well-being of athletes and the integrity of sport, in the rapidly changing world of genomic science. 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/.

  5. Treatment of Type 2 Diabetes: From "Guidelines" to "Position Statements" and Back: Recommendations of the Israel National Diabetes Council.

    Science.gov (United States)

    Mosenzon, Ofri; Pollack, Rena; Raz, Itamar

    2016-08-01

    Given the increased prevalence of type 2 diabetes worldwide, most patients are treated by their primary health care team (PHCT). PHCTs need guidance in choosing the best treatment regimen for patients, since the number of glucose-lowering agents (GLAs) is rapidly increasing, as is the amount of clinical data regarding these drugs. The American Diabetes Association/European Association for the Study of Diabetes Position Statement emphasizes the importance of personalized treatment and lists drug efficacy, risk of hypoglycemia, effect on weight, side effects, and cost as important parameters to consider when choosing GLAs. The suggested Israeli guidelines refocus earlier international recommendations from 2012 and 2015, based on emerging data from cardiovascular outcome trials as well as what we believe are important issues for patient care (i.e., durability, hypoglycemia risk, and weight gain). © 2016 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.

  6. Antihyperglycemic Agent Therapy for Adult Patients with Type 2 Diabetes Mellitus 2017: A Position Statement of the Korean Diabetes Association.

    Science.gov (United States)

    Ko, Seung Hyun; Hur, Kyu Yeon; Rhee, Sang Youl; Kim, Nan Hee; Moon, Min Kyong; Park, Seok O; Lee, Byung Wan; Kim, Hyun Jin; Choi, Kyung Mook; Kim, Jin Hwa

    2017-10-01

    In 2017, the Korean Diabetes Association (KDA) published a position statement on the use of antihyperglycemic agents for patients with type 2 diabetes mellitus (T2DM). The KDA regularly updates its Clinical Practice Guidelines, but since the last update in 2015, many results from clinical trials have been introduced, and domestic data from studies performed in Korean patients with T2DM have been published. Recently, evidence from large clinical studies assessing cardiovascular outcomes following the use of sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists in patients with T2DM were incorporated into the recommendations. Additionally, new data from clinical trials using dipeptidyl peptidase 4 inhibitors and thiazolidinediones in Korean patients with T2DM were added. Following a systematic review and assessment of recent evidence, the KDA updated and modified its clinical practice recommendations regarding the use of antihyperglycemic agents and revised the treatment algorithm for Korean adult patients with T2DM. Copyright © 2017 Korean Diabetes Association.

  7. Antihyperglycemic Agent Therapy for Adult Patients with Type 2 Diabetes Mellitus 2017: A Position Statement of the Korean Diabetes Association

    Directory of Open Access Journals (Sweden)

    Seung-Hyun Ko

    2017-10-01

    Full Text Available In 2017, the Korean Diabetes Association (KDA published a position statement on the use of antihyperglycemic agents for patients with type 2 diabetes mellitus (T2DM. The KDA regularly updates its Clinical Practice Guidelines, but since the last update in 2015, many results from clinical trials have been introduced, and domestic data from studies performed in Korean patients with T2DM have been published. Recently, evidence from large clinical studies assessing cardiovascular outcomes following the use of sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists in patients with T2DM were incorporated into the recommendations. Additionally, new data from clinical trials using dipeptidyl peptidase 4 inhibitors and thiazolidinediones in Korean patients with T2DM were added. Following a systematic review and assessment of recent evidence, the KDA updated and modified its clinical practice recommendations regarding the use of antihyperglycemic agents and revised the treatment algorithm for Korean adult patients with T2DM.

  8. Optimizing Precipitation Thresholds for Best Correlation Between Dry Lightning and Wildfires

    Science.gov (United States)

    Vant-Hull, Brian; Thompson, Tollisha; Koshak, William

    2018-03-01

    This work examines how to adjust the definition of "dry lightning" in order to optimize the correlation between dry lightning flash count and the climatology of large (>400 km2) lightning-ignited wildfires over the contiguous United States (CONUS). The National Lightning Detection Network™ and National Centers for Environmental Prediction Stage IV radar-based, gauge-adjusted precipitation data are used to form climatic data sets. For a 13 year analysis period over CONUS, a correlation of 0.88 is found between annual totals of wildfires and dry lightning. This optimal correlation is found by defining dry lightning as follows: on a 0.1° hourly grid, a precipitation threshold of no more than 0.3 mm may accumulate during any hour over a period of 3-4 days preceding the flash. Regional optimized definitions vary. When annual totals are analyzed as done here, no clear advantage is found by weighting positive polarity cloud-to-ground (+CG) lightning differently than -CG lightning. The high variability of dry lightning relative to the precipitation and lightning from which it is derived suggests it would be an independent and useful climate indicator.

  9. Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations.

    Science.gov (United States)

    Patricios, Jon S; Ardern, Clare L; Hislop, Michael David; Aubry, Mark; Bloomfield, Paul; Broderick, Carolyn; Clifton, Patrick; Echemendia, Ruben J; Ellenbogen, Richard G; Falvey, Éanna Cian; Fuller, Gordon Ward; Grand, Julie; Hack, Dallas; Harcourt, Peter Rex; Hughes, David; McGuirk, Nathan; Meeuwisse, Willem; Miller, Jeffrey; Parsons, John T; Richiger, Simona; Sills, Allen; Moran, Kevin B; Shute, Jenny; Raftery, Martin

    2018-05-01

    The 2017 Berlin Concussion in Sport Group Consensus Statement provides a global summary of best practice in concussion prevention, diagnosis and management, underpinned by systematic reviews and expert consensus. Due to their different settings and rules, individual sports need to adapt concussion guidelines according to their specific regulatory environment. At the same time, consistent application of the Berlin Consensus Statement's themes across sporting codes is likely to facilitate superior and uniform diagnosis and management, improve concussion education and highlight collaborative research opportunities. This document summarises the approaches discussed by medical representatives from the governing bodies of 10 different contact and collision sports in Dublin, Ireland in July 2017. Those sports are: American football, Australian football, basketball, cricket, equestrian sports, football/soccer, ice hockey, rugby league, rugby union and skiing. This document had been endorsed by 11 sport governing bodies/national federations at the time of being published. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  10. Cloud-to-ground lightning activity in Colombia: A 14-year study using lightning location system data

    Science.gov (United States)

    Herrera, J.; Younes, C.; Porras, L.

    2018-05-01

    This paper presents the analysis of 14 years of cloud-to-ground lightning activity observation in Colombia using lightning location systems (LLS) data. The first Colombian LLS operated from 1997 to 2001. After a few years, this system was upgraded and a new LLS has been operating since 2007. Data obtained from these two systems was analyzed in order to obtain lightning parameters used in designing lightning protection systems. The flash detection efficiency was estimated using average peak current maps and some theoretical results previously published. Lightning flash multiplicity was evaluated using a stroke grouping algorithm resulting in average values of about 1.0 and 1.6 for positive and negative flashes respectively and for both LLS. The time variation of this parameter changes slightly for the years considered in this study. The first stroke peak current for negative and positive flashes shows median values close to 29 kA and 17 kA respectively for both networks showing a great dependence on the flash detection efficiency. The average percentage of negative and positive flashes shows a 74.04% and 25.95% of occurrence respectively. The daily variation shows a peak between 23 and 02 h. The monthly variation of this parameter exhibits a bimodal behavior typical of the regions located near The Equator. The lightning flash density was obtained dividing the study area in 3 × 3 km cells and resulting in maximum average values of 25 and 35 flashes km- 2 year- 1 for each network respectively. A comparison of these results with global lightning activity hotspots was performed showing good correlation. Besides, the lightning flash density variation with altitude shows an inverse relation between these two variables.

  11. Lightning discharges produced by wind turbines

    Science.gov (United States)

    Montanyà, Joan; van der Velde, Oscar; Williams, Earle R.

    2014-02-01

    New observations with a 3-D Lightning Mapping Array and high-speed video are presented and discussed. The first set of observations shows that under certain thunderstorm conditions, wind turbine blades can produce electric discharges at regular intervals of 3 s in relation to its rotation, over periods of time that range from a few minutes up to hours. This periodic effect has not been observed in static towers indicating that the effect of rotation is playing a critical role. The repeated discharges can occur tens of kilometers away from electrically active thunderstorm areas and may or may not precede a fully developed upward lightning discharge from the turbine. Similar to rockets used for triggering lightning, the fast movement of the blade tip plays an important role on the initiation of the discharge. The movement of the rotor blades allows the tip to "runaway" from the generated corona charge. The second observation is an uncommon upward/downward flash triggered by a wind turbine. In that flash, a negative upward leader was initiated from a wind turbine without preceding lightning activity. The flash produced a negative cloud-to-ground stroke several kilometers from the initiation point. The third observation corresponds to a high-speed video record showing simultaneous upward positive leaders from a group of wind turbines triggered by a preceding intracloud flash. The fact that multiple leaders develop simultaneously indicates a poor shielding effect among them. All these observations provide some special features on the initiation of lightning by nonstatic and complex tall structures.

  12. Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations

    Science.gov (United States)

    Patricios, Jon S; Hislop, Michael David; Aubry, Mark; Bloomfield, Paul; Broderick, Carolyn; Clifton, Patrick; Ellenbogen, Richard G; Falvey, Éanna Cian; Grand, Julie; Hack, Dallas; Harcourt, Peter Rex; Hughes, David; McGuirk, Nathan; Meeuwisse, Willem; Miller, Jeffrey; Parsons, John T; Richiger, Simona; Sills, Allen; Moran, Kevin B; Shute, Jenny; Raftery, Martin

    2018-01-01

    The 2017 Berlin Concussion in Sport Group Consensus Statement provides a global summary of best practice in concussion prevention, diagnosis and management, underpinned by systematic reviews and expert consensus. Due to their different settings and rules, individual sports need to adapt concussion guidelines according to their specific regulatory environment. At the same time, consistent application of the Berlin Consensus Statement’s themes across sporting codes is likely to facilitate superior and uniform diagnosis and management, improve concussion education and highlight collaborative research opportunities. This document summarises the approaches discussed by medical representatives from the governing bodies of 10 different contact and collision sports in Dublin, Ireland in July 2017. Those sports are: American football, Australian football, basketball, cricket, equestrian sports, football/soccer, ice hockey, rugby league, rugby union and skiing. This document had been endorsed by 11 sport governing bodies/national federations at the time of being published. PMID:29500252

  13. Monitoring of lightning discharge

    International Nuclear Information System (INIS)

    Grigor'ev, V.A.

    2001-01-01

    The paper presents a brief description of a lightning discharge recording system developed at the NPO 'Monitoring Techniques' under the direction of V.M. Moskolenko (Moscow). The system provides information about dangerous environmental occurrences such as tornados and hurricanes, making the forecast of extreme situations possible, especially in the areas of dangerous industries and objects. The created automatic system can be useful in solving the tasks relating to nuclear test monitoring. (author)

  14. Which technology to select for primary focal treatment of prostate cancer?-European Section of Urotechnology (ESUT) position statement.

    Science.gov (United States)

    Ganzer, Roman; Arthanareeswaran, Vinodh Kumar Adithyaa; Ahmed, Hashim U; Cestari, Andrea; Rischmann, Pascal; Salomon, Georg; Teber, Dogu; Liatsikos, Evangelos; Stolzenburg, Jens-Uwe; Barret, Eric

    2018-05-09

    With growing interest in focal therapy (FT) of prostate cancer (PCa) there is an increasing armamentarium of treatment modalities including high-intensity focused ultrasound (HIFU), cryotherapy, focal laser ablation (FLA), irreversible electroporation (IRE), vascular targeted photodynamic therapy (VTP), focal brachytherapy (FBT) and stereotactic ablative radiotherapy (SABR). Currently there are no clear recommendations as to which of these technologies are appropriate for individual patient characteristics. Our intention was to review the literature for special aspects of the different technologies that might be of advantage depending on individual patient and tumour characteristics. The current literature on FT was screened for the following factors: morbidity, repeatability, tumour risk category, tumour location, tumour size and prostate volume and anatomical issues. The ESUT expert panel arrived at consensus regarding a position statement on a structured pathway for available FT technologies based on a combination of the literature and expert opinion. Side effects were low across different studies and FT modalities with urinary continence rates of 90-100% and erectile dysfunction between 5 and 52%. Short to medium cancer control based on post-treatment biopsies were variable between ablative modalities. Expert consensus suggested that posterior lesions are better amenable to FT using HIFU. Cryotherapy provides best possible outcomes for anterior tumours. Apical lesions, when treated with FBT, may yield the least urethral morbidity. Further prospective trials are required to assess medium to long term disease control of different ablative modalities for FT. Amongst different available FT modalities our ESUT expert consensus suggests that some may be better for diffe`rent tumour locations. Tumour risk, tumour size, tumour location, and prostate volume are all important factors to consider and might aid in designing future FT trials.

  15. Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association.

    Science.gov (United States)

    Munshi, Medha N; Florez, Hermes; Huang, Elbert S; Kalyani, Rita R; Mupanomunda, Maria; Pandya, Naushira; Swift, Carrie S; Taveira, Tracey H; Haas, Linda B

    2016-02-01

    Diabetes is more common in older adults, has a high prevalence in long-term care (LTC) facilities, and is associated with significant disease burden and higher cost. The heterogeneity of this population with regard to comorbidities and overall health status is critical to establishing personalized goals and treatments for diabetes. The risk of hypoglycemia is the most important factor in determining glycemic goals due to the catastrophic consequences in this population. Simplified treatment regimens are preferred, and the sole use of sliding scale insulin (SSI) should be avoided. This position statement provides a classification system for older adults in LTC settings, describes how diabetes goals and management should be tailored based on comorbidities, delineates key issues to consider when using glucose-lowering agents in this population, and provides recommendations on how to replace SSI in LTC facilities. As these patients transition from one setting to another, or from one provider to another, their risk for adverse events increases. Strategies are presented to reduce these risks and ensure safe transitions. This article addresses diabetes management at end of life and in those receiving palliative and hospice care. The integration of diabetes management into LTC facilities is important and requires an interprofessional team approach. To facilitate this approach, acceptance by administrative personnel is needed, as are protocols and possibly system changes. It is important for clinicians to understand the characteristics, challenges, and barriers related to the older population living in LTC facilities as well as the proper functioning of the facilities themselves. Once these challenges are identified, individualized approaches can be designed to improve diabetes management while lowering the risk of hypoglycemia and ultimately improving quality of life. © 2016 by the American Diabetes Association. Readers may use this article as long as the work is properly

  16. The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets

    Directory of Open Access Journals (Sweden)

    Bieszk N

    2016-11-01

    Full Text Available Nella Bieszk,1 Michael Grabner,2 Wenhui Wei,1 Nicole G Bonine,2 Judith J Stephenson,2 1Sanofi US, Inc., Bridgewater, NJ, 2HealthCore, Inc., Wilmington, DE, USA Objective: To evaluate awareness of the 2012 American Diabetes Association (ADA Position Statement among physicians and assess its effects on patient-centered glycated hemoglobin (A1C goals in the management of type 2 diabetes (T2D. Research design and methods: The Summarizing Real-World Individualized TrEatmEnT GoalS and Potential SuppOrT Systems in Type 2 Diabetes (SWEET SPOTS study used the HealthCore claims database to identify T2D patients, stratified by risk, and their treating physicians to assess primary care physician and endocrinologist awareness of the 2012 ADA Position Statement. Physicians completed online surveys on A1C targets before and after receiving an educational intervention to review the position statement. Results: Of 125 responding physicians (mean age 50.3 years, 12.8% endocrinologists who were linked to 125 patient profiles (mean age 56.9 years, 42% female, mean A1C 7.2%, 92% were at least somewhat aware of the position statement prior to the intervention and 59% believed that the statement would impact how they set A1C targets. The educational intervention resulted in mostly less stringent goal setting for both lower and higher risk patients, but changes were not significant. The proportion of physician-assigned A1C targets within ADA-recommended ranges increased from 56% to 66% post-intervention (P<0.0001. Conclusion: Physicians treating T2D are aware of the 2012 ADA Position Statement and believe that it may influence treatment goals. While patient-specific A1C targets were not significantly impacted, physicians indicated that they would make targets more or less stringent for lower and higher risk patients, respectively, across their practice. Further research into optimizing physician education regarding individualized A1C targets is warranted. Keywords

  17. Nonhormonal management of menopause-associated vasomotor symptoms: 2015 position statement of The North American Menopause Society.

    Science.gov (United States)

    2015-11-01

    To update and expand The North American Menopause Society's evidence-based position on nonhormonal management of menopause-associated vasomotor symptoms (VMS), previously a portion of the position statement on the management of VMS. NAMS enlisted clinical and research experts in the field and a reference librarian to identify and review available evidence. Five different electronic search engines were used to cull relevant literature. Using the literature, experts created a document for final approval by the NAMS Board of Trustees. Nonhormonal management of VMS is an important consideration when hormone therapy is not an option, either because of medical contraindications or a woman's personal choice. Nonhormonal therapies include lifestyle changes, mind-body techniques, dietary management and supplements, prescription therapies, and others. The costs, time, and effort involved as well as adverse effects, lack of long-term studies, and potential interactions with medications all need to be carefully weighed against potential effectiveness during decision making. Clinicians need to be well informed about the level of evidence available for the wide array of nonhormonal management options currently available to midlife women to help prevent underuse of effective therapies or use of inappropriate or ineffective therapies. Recommended: Cognitive-behavioral therapy and, to a lesser extent, clinical hypnosis have been shown to be effective in reducing VMS. Paroxetine salt is the only nonhormonal medication approved by the US Food and Drug Administration for the management of VMS, although other selective serotonin reuptake/norepinephrine reuptake inhibitors, gabapentinoids, and clonidine show evidence of efficacy. Recommend with caution: Some therapies that may be beneficial for alleviating VMS are weight loss, mindfulness-based stress reduction, the S-equol derivatives of soy isoflavones, and stellate ganglion block, but additional studies of these therapies are

  18. Present and future of clinical cardiovascular PET imaging in Europe - a position statement by the European Council of Nuclear Cardiology (ECNC)

    International Nuclear Information System (INIS)

    Le Guludec, D.; Lautamaeki, R.; Bengel, F.M.; Knuuti, J.; Bax, J.J.

    2008-01-01

    This position statement was prepared by the European Council of Nuclear Cardiology and summarises the current and future potential of PET as a clinical cardiovascular diagnostic imaging tool. The first section describes how methodological developments have positively influenced the transition of PET from a research tool towards a clinical diagnostic test. In the second section, evidence in support of its superior diagnostic accuracy, its value to guide decision making and to predict outcome and its cost effectiveness is summarised. The third section finally outlines new PET-based approaches and concepts, which will likely influence clinical cardiovascular medicine in the future. The notion that integration of cardiac PET into healthcare systems and disease management algorithms will advance quality of care is increasingly supported by the literature highlighted in this statement. (orig.)

  19. Experimental research on ball lightning

    International Nuclear Information System (INIS)

    Ofuruton, H.; Ohtsuki, Y.H.

    1990-01-01

    Experiments on producing ball lightning were made with discharge in flammable gas and/or aerosol. A long lifetime (2 s) ball lightning was observed in 2.7 % ethane and 100 cm 3 cotton fibers, and in 1.5 % methane and 1.9 % ethane

  20. Runaway breakdown and hydrometeors in lightning initiation.

    Science.gov (United States)

    Gurevich, A V; Karashtin, A N

    2013-05-03

    The particular electric pulse discharges are observed in thunderclouds during the initiation stage of negative cloud-to-ground lightning. The discharges are quite different from conventional streamers or leaders. A detailed analysis reveals that the shape of the pulses is determined by the runaway breakdown of air in the thundercloud electric field initiated by extensive atmospheric showers (RB-EAS). The high amplitude of the pulse electric current is due to the multiple microdischarges at hydrometeors stimulated and synchronized by the low-energy electrons generated in the RB-EAS process. The series of specific pulse discharges leads to charge reset from hydrometeors to the free ions and creates numerous stretched ion clusters, both positive and negative. As a result, a wide region in the thundercloud with a sufficiently high fractal ion conductivity is formed. The charge transport by ions plays a decisive role in the lightning leader preconditioning.

  1. Using Total Lightning Observations to Enhance Lightning Safety

    Science.gov (United States)

    Stano, Geoffrey T.

    2012-01-01

    Lightning is often the underrated threat faced by the public when it comes to dangerous weather phenomena. Typically, larger scale events such as floods, hurricanes, and tornadoes receive the vast majority of attention by both the general population and the media. This comes from the fact that these phenomena are large, longer lasting, can impact a large swath of society at one time, and are dangerous events. The threat of lightning is far more isolated on a case by case basis, although millions of cloud-to-ground lightning strikes hit this United States each year. While attention is given to larger meteorological events, lightning is the second leading cause of weather related deaths in the United States. This information raises the question of what steps can be taken to improve lightning safety. Already, the meteorological community s understanding of lightning has increased over the last 20 years. Lightning safety is now better addressed with the National Weather Service s access to the National Lightning Detection Network data and enhanced wording in their severe weather warnings. Also, local groups and organizations are working to improve public awareness of lightning safety with easy phrases to remember, such as "When Thunder Roars, Go Indoors." The impacts can be seen in the greater array of contingency plans, from airports to sports stadiums, addressing the threat of lightning. Improvements can still be made and newer technologies may offer new tools as we look towards the future. One of these tools is a network of sensors called a lightning mapping array (LMA). Several of these networks exist across the United States. NASA s Short-term Prediction Research and Transition Center (SPoRT), part of the Marshall Spaceflight Center, has access to three of these networks from Huntsville, Alabama, the Kennedy Space Center, and Washington D.C. The SPoRT program s mission is to help transition unique products and observations into the operational forecast environment

  2. An investigation of the generation and properties of laboratory-produced ball lightning

    Science.gov (United States)

    Oreshko, A. G.

    2015-06-01

    The experiments revealed that ball lightning is a self-confining quasi-neutral in a whole plasma system that rotates around its axis. Ball lightning has a structure of a spherical electric domain, consisting of a kernel with excess negative charge and an external spherical layer with excess positive charge. The excess of charges of one sort and the lack of charges of the other sort in the kernel or in the external spherical layer significantly reduces the possibility of electron capture by means of an electric field, created by the nearest ions and leads to a drastic slowdown of recombination process. Direct proof has been obtained that inside of ball lightning - in an external spherical layer that rotates around the axis - there is a circular current of sub-relativistic particles. This current creates and maintains its own poloidal magnetic field of ball lightning, i.e. it carries out the function of magnetic dynamo. The kernel of ball lightning is situated in a region with minimum values of induction of the magnetic field. The inequality of positive and negative charges in elements of ball lightning also significantly reduces losses of the charged plasma on bremsstrahlung. Ball lightning generation occurs in a plasmic vortex. The ball lightning energy in the region of its generation significantly differs from the ball lightning energy, which is drifting in space. The axial component of kinetic energy of particles slightly exceeds 100 keV and the rotational component of the ions energy is a bit greater than 1 MeV. Ball lightning is `embedded' in atmosphere autonomous accelerator of charged particles of a cyclotron type due to self-generation of strong crossed electric and magnetic fields. A discussion of the conditions of stability and long-term existence of ball lightning is given.

  3. A practice-based approach to the 2012 position statement of the American Diabetes Association and the European Association for the Study of Diabetes.

    Science.gov (United States)

    Schwartz, Stanley S

    2013-07-01

    The position statement on the management of hyperglycemia in patients with type 2 diabetes mellitus issued in 2012 by the American Diabetes Association and the European Association for the Study of Diabetes contains significant improvements over the 2009 version, including an emphasis on patient-centered care, enhanced strategies for lifestyle modification, a focus on comprehensive cardiovascular risk reduction, and increased pharmacotherapy choices. As diabetes management evolves over time, further improvements may be made in future consensus statements, including a focus on prevention and early treatment and improved glycemic control in all patients, including those with comorbidities. These goals will be achievable by waning use of therapies known to cause hypoglycemia and weight gain and the increased use of therapies that do not carry these risks.

  4. Harmonizing and consolidating the measurement of patient-reported information at health care institutions: a position statement of the Mayo Clinic

    Directory of Open Access Journals (Sweden)

    Eton DT

    2014-02-01

    Full Text Available David T Eton,1,2 Timothy J Beebe,1,2 Philip T Hagen,3 Michele Y Halyard,4 Victor M Montori,1,5 James M Naessens,1,2 Jeff A Sloan,6 Carrie A Thompson,7 Douglas L Wood1,81Division of Heath Care Policy and Research, Department of Health Sciences Research, 2Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, 3Department of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN, 4Department of Radiation Oncology, Mayo Clinic, Scottsdale, AZ, 5Knowledge and Evaluation Research Unit, 6Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, 7Division of Hematology, Department of Medicine, 8Center for Innovation, Mayo Clinic, Rochester, MN, USAAbstract: Patient-reported outcomes (PROs capture how patients perceive their health and their health care; their use in clinical research is longstanding. Today, however, PROs increasingly are being used to inform the care of individual patients, and document the performance of health care entities. We recently wrote and internally distributed an institutional position statement titled "Harmonizing and Consolidating the Measurement of Patient-Reported Outcomes at Mayo Clinic: A Position Statement for the Center for the Science of Health Care Delivery". The statement is meant to educate clinicians, clinical teams, and institutional administrators about the merits of using PROs in a systematic manner for clinical care and quality measurement throughout the institution. The present article summarizes the most important messages from the statement, describing PROs and their use, identifying practical considerations for implementing them in routine practice, elucidating potential barriers to their use, and formulating strategies to overcome these barriers. The lessons learned from our experience – including pitfalls, challenges, and successes – may inform other health care institutions that are interested in

  5. Ball lightning dynamics and stability at moderate ion densities

    International Nuclear Information System (INIS)

    Morrow, R

    2017-01-01

    A general mechanism is presented for the dynamics and structure of ball lightning and for the maintenance of the ball lightning structure for several seconds. Results are obtained using a spherical geometry for air at atmospheric pressure, by solving the continuity equations for electrons, positive ions and negative ions coupled with Poisson’s equation. A lightning strike can generate conditions in the lightning channel with a majority of positive nitrogen ions, and a minority of negative oxygen ions and electrons. The calculations are initiated with electrons included; however, at the moderate ion densities chosen the electrons are rapidly lost to form negative ions, and after 1 µ s their influence on the ion dynamics is negligible. Further development after 1 µ s is followed using a simpler set of equations involving only positive ions and negative ions, but including ion diffusion. The space-charge electric field generated by the majority positive ions drives them from the centre of the distribution and drives the minority negative ions and electrons towards the centre of the distribution. In the central region the positive and negative ion distributions eventually overlap exactly and their space-charge fields cancel resulting in zero electric field, and the plasma ball formed is quite stable for a number of seconds. The formation of such plasma balls is not critically dependent on the initial diameter of the ion distributions, or the initial density of minority negative ions. The ion densities decrease relatively slowly due to mutual neutralization of positive and negative ions. The radiation from this neutralization process involving positive nitrogen ions and negative oxygen ions is not sufficient to account for the reported luminosity of ball lightning and some other source of luminosity is shown to be required; the plasma ball model used could readily incorporate other ions in order to account for the luminosity and range of colours reported for ball

  6. Presentation of Consolidated Statement of Cash Flows under IAS 7, Statement of Cash Flows

    OpenAIRE

    Calota Traian-Ovidiu; Tănase Alin-Eliodor

    2013-01-01

    The consolidated financial statements must includ a specific statement, regarding cash flows from all activities of the entity, called „consolidated statement of cash flow”. Information for preparing cash flow statements can be found in all other components of the financial statements, such as financial position, statement of comprehensive income and statement of changes in equity. The cash flow statement shall report cash flows during the period classified by operating, investing and financi...

  7. Location accuracy evaluation of lightning location systems using natural lightning flashes recorded by a network of high-speed cameras

    Science.gov (United States)

    Alves, J.; Saraiva, A. C. V.; Campos, L. Z. D. S.; Pinto, O., Jr.; Antunes, L.

    2014-12-01

    This work presents a method for the evaluation of location accuracy of all Lightning Location System (LLS) in operation in southeastern Brazil, using natural cloud-to-ground (CG) lightning flashes. This can be done through a multiple high-speed cameras network (RAMMER network) installed in the Paraiba Valley region - SP - Brazil. The RAMMER network (Automated Multi-camera Network for Monitoring and Study of Lightning) is composed by four high-speed cameras operating at 2,500 frames per second. Three stationary black-and-white (B&W) cameras were situated in the cities of São José dos Campos and Caçapava. A fourth color camera was mobile (installed in a car), but operated in a fixed location during the observation period, within the city of São José dos Campos. The average distance among cameras was 13 kilometers. Each RAMMER sensor position was determined so that the network can observe the same lightning flash from different angles and all recorded videos were GPS (Global Position System) time stamped, allowing comparisons of events between cameras and the LLS. The RAMMER sensor is basically composed by a computer, a Phantom high-speed camera version 9.1 and a GPS unit. The lightning cases analyzed in the present work were observed by at least two cameras, their position was visually triangulated and the results compared with BrasilDAT network, during the summer seasons of 2011/2012 and 2012/2013. The visual triangulation method is presented in details. The calibration procedure showed an accuracy of 9 meters between the accurate GPS position of the object triangulated and the result from the visual triangulation method. Lightning return stroke positions, estimated with the visual triangulation method, were compared with LLS locations. Differences between solutions were not greater than 1.8 km.

  8. Lightning Jump Algorithm and Relation to Thunderstorm Cell Tracking, GLM Proxy and Other Meteorological Measurements

    Science.gov (United States)

    Schultz, Christopher J.; Carey, Lawrence D.; Cecil, Daniel J.; Bateman, Monte

    2012-01-01

    The lightning jump algorithm has a robust history in correlating upward trends in lightning to severe and hazardous weather occurrence. The algorithm uses the correlation between the physical principles that govern an updraft's ability to produce microphysical and kinematic conditions conducive for electrification and its role in the development of severe weather conditions. Recent work has demonstrated that the lightning jump algorithm concept holds significant promise in the operational realm, aiding in the identification of thunderstorms that have potential to produce severe or hazardous weather. However, a large amount of work still needs to be completed in spite of these positive results. The total lightning jump algorithm is not a stand-alone concept that can be used independent of other meteorological measurements, parameters, and techniques. For example, the algorithm is highly dependent upon thunderstorm tracking to build lightning histories on convective cells. Current tracking methods show that thunderstorm cell tracking is most reliable and cell histories are most accurate when radar information is incorporated with lightning data. In the absence of radar data, the cell tracking is a bit less reliable but the value added by the lightning information is much greater. For optimal application, the algorithm should be integrated with other measurements that assess storm scale properties (e.g., satellite, radar). Therefore, the recent focus of this research effort has been assessing the lightning jump's relation to thunderstorm tracking, meteorological parameters, and its potential uses in operational meteorology. Furthermore, the algorithm must be tailored for the optically-based GOES-R Geostationary Lightning Mapper (GLM), as what has been observed using Very High Frequency Lightning Mapping Array (VHF LMA) measurements will not exactly translate to what will be observed by GLM due to resolution and other instrument differences. Herein, we present some of

  9. Long-Range Lightning Products for Short Term Forecasting of Tropical Cyclogenesis

    Science.gov (United States)

    Businger, S.; Pessi, A.; Robinson, T.; Stolz, D.

    2010-12-01

    This paper will describe innovative graphical products derived in real time from long-range lightning data. The products have been designed to aid in short-term forecasting of tropical cyclone development for the Tropical Cyclone Structure Experiment 2010 (TCS10) held over the western Pacific Ocean from 17 August to 17 October 2010 and are available online at http://www.soest.hawaii.edu/cgi-bin/pacnet/tcs10.pl. The long-range lightning data are from Vaisala’s Global Lightning Data 360 (GLD360) network and include time, location, current strength, polarity, and data quality indication. The products currently provided in real time include i. Infrared satellite imagery overlaid with lighting flash locations, with color indication of current strength and polarity (shades of blue for negative to ground and red for positive to ground). ii. A 15x15 degree storm-centered tile of IR imagery overlaid with lightning data as in i). iii. A pseudo reflectivity product showing estimates of radar reflectivity based on lightning rate - rain rate conversion derived from TRMM and PacNet data. iv. A lightning history product that plots each hour of lightning flash locations in a different color for a 12-hour period. v. Graphs of lightning counts within 50 or 300 km radius, respectively, of the storm center vs storm central sea-level pressure. vi. A 2-D graphic showing storm core lightning density along the storm track. The first three products above can be looped to gain a better understanding of the evolution of the lightning and storm structure. Examples of the graphics and their utility will be demonstrated and discussed. Histogram of lightning counts within 50 km of the storm center and graph of storm central pressure as a function of time.

  10. Dual-Polarization Radar Observations of Upward Lightning-Producing Storms

    Science.gov (United States)

    Lueck, R.; Helsdon, J. H.; Warner, T.

    2013-12-01

    The Upward Lightning Triggering Study (UPLIGHTS) seeks to determine how upward lightning, which originates from the tips of tall objects, is triggered by nearby flash activity. As a component of this study we analyze standard and dual-polarization weather radar data. The Correlation Coefficient (CC) in particular can be used to identify and quantify the melting layer associated with storms that produce upward lightning. It has been proposed that positive charge generation due to aggregate shedding at the melting layer results in a positive charge region just above the cloud base. This positive charge region may serve as a positive potential well favorable for negative leader propagation, which initiate upward positive leaders from tall objects. We characterize the horizontal coverage, thickness and height of the melting layer in addition to cloud base heights when upward lightning occurs to determine trends and possible threshold criteria relating to upward lightning production. Furthermore, we characterize storm type and morphology using relevant schemes as well as precipitation type using the Hydrometer Classification Algorithm (HCA) for upward lightning-producing storms. Ice-phase hydrometeors have been shown to be a significant factor in thunderstorm electrification. Only a small fraction of storms produce upward lightning, so null cases will be examined and compared as well.

  11. 2016 T Division Lightning Talks

    Energy Technology Data Exchange (ETDEWEB)

    Ramsey, Marilyn Leann [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Adams, Luke Clyde [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Ferre, Gregoire Robing [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Grantcharov, Vesselin [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Iaroshenko, Oleksandr [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Krishnapriyan, Aditi [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Kurtakoti, Prajvala Kishore [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Le Thien, Minh Quan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Lim, Jonathan Ng [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Low, Thaddeus Song En [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Lystrom, Levi Aaron [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Ma, Xiaoyu [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Nguyen, Hong T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Pogue, Sabine Silvia [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Orandle, Zoe Ann [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Reisner, Andrew Ray [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Revard, Benjamin Charles [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Roy, Julien [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Sandor, Csanad [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Slavkova, Kalina Polet [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Weichman, Kathleen Joy [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Wu, Fei [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division; Yang, Yang [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Division

    2016-11-29

    These are the slides for all of the 2016 T Division lightning talks. There are 350 pages worth of slides from different presentations, all of which cover different topics within the theoretical division at Los Alamos National Laboratory (LANL).

  12. 2017 T Division Lightning Talks

    Energy Technology Data Exchange (ETDEWEB)

    Ramsey, Marilyn Leann [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Abeywardhana, Jayalath AMM [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Adams, Colin Mackenzie [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Adams, Luke Clyde [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Carter, Austin Lewis [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Ducru, Pablo Philippe [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Duignan, Thomas John [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Gifford, Brendan Joel [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Hills, Benjamin Hale [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Hoffman, Kentaro Jack [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Khair, Adnan Ibne [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Kochanski, Kelly Anne Pribble [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Ledwith, Patrick John [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Leveillee, Joshua Anthony [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Lewis, Sina Genevieve [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Ma, Xiaoyu [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Merians, Hugh Drake [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Moore, Bryan Alexander [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Nijjar, Parmeet Kaur [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Oles, Vladyslav [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Olszewski, Maciej W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Philipbar, Brad Montgomery [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Reisner, Andrew Ray [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Roberts, David Benjamin [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Rufa, Dominic Antonio [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Sifain, Andrew E. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Smith, Justin Steven [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Smith, Lauren Taylor Wisbey [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Svolos, Lampros [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Thibault, Joshua Ryan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Ushijima-Mwesigwa, Hayato Montezuma [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Weaver, Claire Marie [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Witzen, Wyatt Andrew [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Zentgraf, Sabine Silvia [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Alred, John Michael [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-10-06

    All members of the T Division Community, students, staff members, group leaders, division management, and other interested individuals are invited to come and support the following student(s) as they present their Lightning Talks.

  13. Update Direct-Strike Lightning Environment for Stockpile-to-Target Sequence

    International Nuclear Information System (INIS)

    Uman, M.A.; Rakov, V.A.; Elisme, J.O.; Jordan, D.M.; Biagi, C.J.; Hill, J.D.

    2008-01-01

    The University of Florida has surveyed all relevant publications reporting lightning characteristics and presents here an up-to-date version of the direct-strike lightning environment specifications for nuclear weapons published in 1989 by R. J. Fisher and M. A. Uman. Further, we present functional expressions for current vs. time, current derivative vs. time, second current derivative vs. time, charge transfer vs. time, and action integral (specific energy) vs. time for first return strokes, for subsequent return strokes, and for continuing currents; and we give sets of constants for these expressions so that they yield approximately the median and extreme negative lightning parameters presented in this report. Expressions for the median negative lightning waveforms are plotted. Finally, we provide information on direct-strike lightning damage to metals such as stainless steel, which could be used as components of storage containers for nuclear waste materials; and we describe UF's new experimental research program to add to the sparse data base on the properties of positive lightning. Our literature survey, referred to above, is included in four Appendices. The following four sections (II, III, IV, and V) of this final report deal with related aspects of the research: Section II. Recommended Direct-Strike Median and Extreme Parameters; Section III. Time-Domain Waveforms for First Strokes, Subsequent Strokes, and Continuing Currents; Section IV. Damage to Metal Surfaces by Lightning Currents; and Section V. Measurement of the Characteristics of Positive Lightning. Results of the literature search used to derive the material in Section II and Section IV are found in the Appendices: Appendix 1. Return Stroke Current, Appendix 2. Continuing Current, Appendix 3. Positive Lightning, and Appendix 4. Lightning Damage to Metal Surfaces

  14. Ground Optical Lightning Detector (GOLD)

    Science.gov (United States)

    Jackson, John, Jr.; Simmons, David

    A photometer developed to characterize lightning from the ground is discussed. The detector and the electronic signal processing and data storage systems are presented along with field data measured by the system. The discussion will include improvements that will be incorporated to enhance the measurement of lightning and the data storage capability to record for many days without human involvement. Finally, the calibration of the GOLD system is presented.

  15. Industrial accidents triggered by lightning.

    Science.gov (United States)

    Renni, Elisabetta; Krausmann, Elisabeth; Cozzani, Valerio

    2010-12-15

    Natural disasters can cause major accidents in chemical facilities where they can lead to the release of hazardous materials which in turn can result in fires, explosions or toxic dispersion. Lightning strikes are the most frequent cause of major accidents triggered by natural events. In order to contribute towards the development of a quantitative approach for assessing lightning risk at industrial facilities, lightning-triggered accident case histories were retrieved from the major industrial accident databases and analysed to extract information on types of vulnerable equipment, failure dynamics and damage states, as well as on the final consequences of the event. The most vulnerable category of equipment is storage tanks. Lightning damage is incurred by immediate ignition, electrical and electronic systems failure or structural damage with subsequent release. Toxic releases and tank fires tend to be the most common scenarios associated with lightning strikes. Oil, diesel and gasoline are the substances most frequently released during lightning-triggered Natech accidents. Copyright © 2010 Elsevier B.V. All rights reserved.

  16. Electromagnetic Methods of Lightning Detection

    Science.gov (United States)

    Rakov, V. A.

    2013-11-01

    Both cloud-to-ground and cloud lightning discharges involve a number of processes that produce electromagnetic field signatures in different regions of the spectrum. Salient characteristics of measured wideband electric and magnetic fields generated by various lightning processes at distances ranging from tens to a few hundreds of kilometers (when at least the initial part of the signal is essentially radiation while being not influenced by ionospheric reflections) are reviewed. An overview of the various lightning locating techniques, including magnetic direction finding, time-of-arrival technique, and interferometry, is given. Lightning location on global scale, when radio-frequency electromagnetic signals are dominated by ionospheric reflections, is also considered. Lightning locating system performance characteristics, including flash and stroke detection efficiencies, percentage of misclassified events, location accuracy, and peak current estimation errors, are discussed. Both cloud and cloud-to-ground flashes are considered. Representative examples of modern lightning locating systems are reviewed. Besides general characterization of each system, the available information on its performance characteristics is given with emphasis on those based on formal ground-truth studies published in the peer-reviewed literature.

  17. A general theory for ball lightning structure and light output

    Science.gov (United States)

    Morrow, R.

    2018-03-01

    A general theory for free-floating ball lightning is presented which unifies the phantom plasma ball theory involving the production of very little light, with theories for ball lightning involving light output produced by burning particles from the soil. The mechanism for the formation of plasma balls is shown to be quite general, producing very similar plasma balls independent of initial ion densities over four orders of magnitude. All that is required is an excess of positive ions in the initial ball of ions. The central plasma density after 1 s is shown to be the reciprocal of the ion neutralization coefficient for all cases, both analytically and computationally. Further, the plasma region has zero electric field in all cases. Surrounding the plasma ball is a sphere of positive ions moving away from the centre via their own space-charge field; this space-charge field, which is the same in all cases near the plasma ball, drives negative ions and negative particles towards the plasma centre. The connection with burning particle theories is the proposition that the burning particles are highly-charged which is very likely after a lightning strike. Burning negatively charged particles would be driven into the plasma ball region and trapped while any positively charged particles would be driven away. The plasma ball structure is shown to last more than 10 s and the ‘burnout time’ for a typical coal particle (as an example) has been measured at 5-10 s this is comparable with the lifetimes observed for ball lightning. The light output from a few hundred particles is estimated to be ~1 W, a typical output for ball lightning. Finally, suggestions are made for the generation of ball lightning in the laboratory.

  18. Lightning Impacts on Airports - Challenges of Balancing Safety & Efficiency

    Science.gov (United States)

    Steiner, Matthias; Deierling, Wiebke; Nelson, Eric; Stone, Ken

    2013-04-01

    Thunderstorms and lightning pose a safety risk to personnel working outdoors, such as people maintaining airport grounds (e.g., mowing grass or repairing runway lighting) or servicing aircraft on ramps (handling baggage, food service, refueling, tugging and guiding aircraft from/to gates, etc.). Since lightning strikes can cause serious injuries or death, it is important to provide timely alerts to airport personnel so that they can get to safety when lightning is imminent. This presentation discusses the challenges and uncertainties involved in using lightning information and stakeholder procedures to ensure safety of outdoor personnel while keeping ramp operations as efficient as possible considering thunderstorm impacts. The findings presented are based on extensive observations of airline operators under thunderstorm impacts. These observations reveal a complex picture with substantial uncertainties related to the (1) source of lightning information (e.g., sensor type, network, data processing) used to base ramp closure decisions on, (2) uncertainties involved in the safety procedures employed by various stakeholders across the aviation industry (yielding notably different rules being applied by multiple airlines even at a single airport), and (3) human factors issues related to the use of decision support tools and the implementation of safety procedures. This research is supported by the United States Federal Aviation Administration (FAA). The views expressed are those of the authors and do not necessarily represent the official policy or position of the FAA.

  19. The SWEET SPOTS study: a real-world interpretation of the 2012 American Diabetes Association Position Statement regarding individualized A1C targets

    OpenAIRE

    Bieszk, Nella; Grabner, Michael; Wei, Wenhui; Bonine, Nicole G; Stephenson, Judith J

    2016-01-01

    Nella Bieszk,1 Michael Grabner,2 Wenhui Wei,1 Nicole G Bonine,2 Judith J Stephenson,2 1Sanofi US, Inc., Bridgewater, NJ, 2HealthCore, Inc., Wilmington, DE, USA Objective: To evaluate awareness of the 2012 American Diabetes Association (ADA) Position Statement among physicians and assess its effects on patient-centered glycated hemoglobin (A1C) goals in the management of type 2 diabetes (T2D). Research design and methods: The Summarizing Real-World Individualized TrEatmEnT GoalS and Potential ...

  20. Total Lightning Flash Activity Response to Aerosol over China Area

    Directory of Open Access Journals (Sweden)

    Pengguo Zhao

    2017-01-01

    Full Text Available Twelve years of measurements of aerosol optical depth (AOD, cloud fraction, cloud top height, ice cloud optical thickness and lightning flash density from 2001 to 2012 have been analyzed to investigate the effect of aerosols on electrical activity over an area of China. The results show that increasing aerosol loading inspires the convective intensity, and then increases the lightning flash density. The spatial distribution of the correlation between aerosol loading and electrical activity shows a remarkable regional difference over China. The high-correlation regions embody the positive aerosol microphysical effect on the intensity of the electrical activity, while the large-scale processes may play the main role in convection development and producing lightning in low-correlation regions.

  1. The clinical application of genome-wide sequencing for monogenic diseases in Canada: Position Statement of the Canadian College of Medical Geneticists

    Science.gov (United States)

    Boycott, Kym; Hartley, Taila; Adam, Shelin; Bernier, Francois; Chong, Karen; Fernandez, Bridget A; Friedman, Jan M; Geraghty, Michael T; Hume, Stacey; Knoppers, Bartha M; Laberge, Anne-Marie; Majewski, Jacek; Mendoza-Londono, Roberto; Meyn, M Stephen; Michaud, Jacques L; Nelson, Tanya N; Richer, Julie; Sadikovic, Bekim; Skidmore, David L; Stockley, Tracy; Taylor, Sherry; van Karnebeek, Clara; Zawati, Ma'n H; Lauzon, Julie; Armour, Christine M

    2015-01-01

    Purpose and scope The aim of this Position Statement is to provide recommendations for Canadian medical geneticists, clinical laboratory geneticists, genetic counsellors and other physicians regarding the use of genome-wide sequencing of germline DNA in the context of clinical genetic diagnosis. This statement has been developed to facilitate the clinical translation and development of best practices for clinical genome-wide sequencing for genetic diagnosis of monogenic diseases in Canada; it does not address the clinical application of this technology in other fields such as molecular investigation of cancer or for population screening of healthy individuals. Methods of statement development Two multidisciplinary groups consisting of medical geneticists, clinical laboratory geneticists, genetic counsellors, ethicists, lawyers and genetic researchers were assembled to review existing literature and guidelines on genome-wide sequencing for clinical genetic diagnosis in the context of monogenic diseases, and to make recommendations relevant to the Canadian context. The statement was circulated for comment to the Canadian College of Medical Geneticists (CCMG) membership-at-large and, following incorporation of feedback, approved by the CCMG Board of Directors. The CCMG is a Canadian organisation responsible for certifying medical geneticists and clinical laboratory geneticists, and for establishing professional and ethical standards for clinical genetics services in Canada. Results and conclusions Recommendations include (1) clinical genome-wide sequencing is an appropriate approach in the diagnostic assessment of a patient for whom there is suspicion of a significant monogenic disease that is associated with a high degree of genetic heterogeneity, or where specific genetic tests have failed to provide a diagnosis; (2) until the benefits of reporting incidental findings are established, we do not endorse the intentional clinical analysis of disease-associated genes

  2. GRIP LIGHTNING INSTRUMENT PACKAGE (LIP) V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The GRIP Lightning Instrument Package (LIP) dataset was collected by the Lightning Instrument Package (LIP), which consists of 6 rotating vane type electric field...

  3. Lightning NOx and Impacts on Air Quality

    Science.gov (United States)

    Murray, Lee T.

    2016-01-01

    Lightning generates relatively large but uncertain quantities of nitrogen oxides, critical precursors for ozone and hydroxyl radical (OH), the primary tropospheric oxidants. Lightning nitrogen oxide strongly influences background ozone and OH due to high ozone production efficiencies in the free troposphere, effecting small but non-negligible contributions to surface pollutant concentrations. Lightning globally contributes 3-4 ppbv of simulated annual-mean policy-relevant background (PRB) surface ozone, comprised of local, regional, and hemispheric components, and up to 18 ppbv during individual events. Feedbacks via methane may counter some of these effects on decadal time scales. Lightning contributes approximately 1 percent to annual-mean surface particulate matter, as a direct precursor and by promoting faster oxidation of other precursors. Lightning also ignites wildfires and contributes to nitrogen deposition. Urban pollution influences lightning itself, with implications for regional lightning-nitrogen oxide production and feedbacks on downwind surface pollution. How lightning emissions will change in a warming world remains uncertain.

  4. Measuring Method for Lightning Channel Temperature

    Science.gov (United States)

    Li, X.; Zhang, J.; Chen, L.; Xue, Q.; Zhu, R.

    2016-09-01

    In this paper, we demonstrate the temperature of lightning channel utilizing the theory of lightning spectra and the model of local thermodynamic equilibrium (LTE). The impulse current generator platform (ICGS) was used to simulate the lightning discharge channel, and the spectral energy of infrared spectroscopy (930 nm) and the visible spectroscopy (648.2 nm) of the simulated lightning has been calculated. Results indicate that the peaks of luminous intensity of both infrared and visible spectra increase with the lightning current intensity in range of 5-50 kA. Based on the results, the temperature of the lightning channel is derived to be 6140.8-10424 K. Moreover, the temperature of the channel is approximately exponential to the lightning current intensity, which shows good agreement with that of the natural lightning cases.

  5. Multivariate Statistical Inference of Lightning Occurrence, and Using Lightning Observations

    Science.gov (United States)

    Boccippio, Dennis

    2004-01-01

    Two classes of multivariate statistical inference using TRMM Lightning Imaging Sensor, Precipitation Radar, and Microwave Imager observation are studied, using nonlinear classification neural networks as inferential tools. The very large and globally representative data sample provided by TRMM allows both training and validation (without overfitting) of neural networks with many degrees of freedom. In the first study, the flashing / or flashing condition of storm complexes is diagnosed using radar, passive microwave and/or environmental observations as neural network inputs. The diagnostic skill of these simple lightning/no-lightning classifiers can be quite high, over land (above 80% Probability of Detection; below 20% False Alarm Rate). In the second, passive microwave and lightning observations are used to diagnose radar reflectivity vertical structure. A priori diagnosis of hydrometeor vertical structure is highly important for improved rainfall retrieval from either orbital radars (e.g., the future Global Precipitation Mission "mothership") or radiometers (e.g., operational SSM/I and future Global Precipitation Mission passive microwave constellation platforms), we explore the incremental benefit to such diagnosis provided by lightning observations.

  6. Consensus statement: Management of drug-induced liver injury in HIV-positive patients treated for TB

    Directory of Open Access Journals (Sweden)

    E Jong

    2013-09-01

    Full Text Available Drug-induced liver injury (DILI in HIV/tuberculosis (TB co-infected patients is a common problem in the South African setting, and re-introduction of anti-TB drugs can be challenging for the healthcare worker. Although international guidelines on the re-introduction of TB treatment are available, the definition of DILI is not uniform, management of antiretroviral therapy (ART in HIV co-infection is not mentioned, and the guidance on management is not uniform and lacks a practical approach. In this consensus statement, we summarise important aspects of DILI and provide practical guidance for healthcare workers for different patient groups and healthcare settings on the re-introduction of anti-TB drugs and ART in HIV/TB co-infected individuals presenting with DILI.

  7. Protection of LV system against lightning

    OpenAIRE

    Yordanova Nedyalkova, Greta

    2010-01-01

    Lightning is a natural hazard and one of the greatest local mysteries. Scientists have not fully understood the mechanism of lightning. It is one of the most beautiful displays in nature and one of the nature's most dangerous phenomenon known to man. Overvoltage due to lightning is a very important problem of LV systems. Some lightning flashes damage buildings and a few kill or injure people and animals, either directly or indirectly, by causing fire and explosions. The need for protect...

  8. Lightning effects on electrical and nuclear equipment

    International Nuclear Information System (INIS)

    Gary, C.

    1986-01-01

    This paper gives the physical bases on which lightning protection of buildings and other erections such as nuclear power stations depend. To this end it first examines the impact phenomena of lightning, the operating systems of lightning conductors and methods of protection using metal mesh. It then describes various secondary effects of lightning, particularly those which occur inside buildings as a result of the potential rise in earthing systems and electromagnetic induction phenomena. 18 refs [fr

  9. Relating lightning data to fire occurrence data

    Science.gov (United States)

    Frank H. Koch

    2009-01-01

    Lightning disturbance can affect forest health at various scales. Lightning strikes may kill or weaken individual trees. Lightning-damaged trees may in turn function as epicenters of pest outbreaks in forest stands, as is the case with the southern pine beetle and other bark beetles (Rykiel and others 1988).

  10. Wind turbine with lightning protection system

    DEFF Research Database (Denmark)

    2016-01-01

    The present invention relates to a wind turbine comprising a lightning protection system comprising a waveguide interconnecting a communication device and a signal-carrying structure. In other aspects, the present invention relates to the use of a waveguide in a lightning protection system...... of a wind turbine, a power splitter and its use in a lightning protection system of a wind turbine....

  11. 49 CFR 176.120 - Lightning protection.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Lightning protection. 176.120 Section 176.120 Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS SAFETY... Requirements for Class 1 (Explosive) Materials Stowage § 176.120 Lightning protection. A lightning conductor...

  12. 14 CFR 35.38 - Lightning strike.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Lightning strike. 35.38 Section 35.38... STANDARDS: PROPELLERS Tests and Inspections § 35.38 Lightning strike. The applicant must demonstrate, by... lightning strike without causing a major or hazardous propeller effect. The limit to which the propeller has...

  13. Lightning Protection for Composite Aircraft Structures

    Science.gov (United States)

    Olson, G. O.

    1985-01-01

    Lightning protection system consisting of two layers of aluminum foil separated by layer of dielectric material protects graphite/epoxy composite structures on aircraft. Protective layer is secondarily applied lightning protection system, prime advantage of which is nullification of thermal and right angle effect of lightning arc attachment to graphite/epoxy laminate.

  14. LOFAR for lightning-interferometery and mapping

    NARCIS (Netherlands)

    Scholten, Olaf; Buitink, Stijn; trinh, Gia; Bonardi, Antonio; Corstanje, Arthur; Ebert, Ute; Falcke, Heino; Hoerandel, Joerg; Mitra, Pragati; Mulrey, Katherine; Nelles, Anna; Rachen, Joerg; Rossetto, Laura; Rutjes, Casper; Schellart, Pim; Thoudam, Satayendra; ter Veen, Sander; Winchen, Tobias; Hare, Brian

    2017-01-01

    We show that a new observation mode at the Low Frequency Array (LOFAR) for Lightning-Interferometery and Mapping (LIM) allows for lightning observations with a resolution that is at least an order of magnitude better than presently operating Lightning Napping Arrays LMAs. Furthermore the

  15. 14 CFR 420.71 - Lightning protection.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Lightning protection. 420.71 Section 420.71... protection. (a) Lightning protection. A licensee shall ensure that the public is not exposed to hazards due to the initiation of explosives by lightning. (1) Elements of a lighting protection system. Unless an...

  16. 14 CFR 25.581 - Lightning protection.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Lightning protection. 25.581 Section 25.581 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Structure Lightning Protection § 25.581 Lightning protection. (a...

  17. Electromagnetic emission from terrestrial lightning in the 0.1-30 MHz frequency range

    Science.gov (United States)

    Karashtin, A. N.; Gurevich, A. V.

    Results of measurements carried out at SURA facility of Radiophisical Research Institute and at Tien-Shan Mountain Scientific Station of Lebedev Physical Institute using specially designed installations for short electromagnetic pulse observation in the frequency range from 0.1 to 30 MHz are presented. Specific attention is paid to initial stage of the lightning discharge. It is shown that lightning can be initiated by extensive atmospheric showers caused by high energy cosmic ray particles. Analysis of emission of few thousand lightning discharges showed that • Short wave radio emission of lightning consists of a series of short pulses with duration from less than 100 nanoseconds to several microseconds separated well longer gaps. • Background noise between lightning discharges is not differ from one observed without thunderstorm activity (at given sensitivity). Usually it is the same between lightning pulses at least at the initial stage. • Each lightning discharge radio emission starts with a number of very short (less than 100 nanoseconds at 0.7 level) bi-polar pulses. Gaps between initial pulses vary from several microseconds to few hundreds of microseconds. No radio emission was observed before the first pulse during at least 500 milliseconds. Both positive and negative polarity of the first pulses occur in approximately equal proportion in different lightning discharges while the polarity was the same in any individual lightning. • First pulse amplitude, width and waveform are consistent with predicted by the theory of combined action of runaway breakdown and extensive atmospheric shower caused by cosmic ray particle of 1016 eV energy. Lightning discharges at other planets can be initiated by cosmic ray particles as well. This work was partly supported by ISTC grant # 2236p. The work of one of the authors (A. N. Karashtin) was also partly supported by INTAS grant # 03-51-5727.

  18. Tropic lightning: myth or menace?

    Science.gov (United States)

    McCarthy, John

    2014-11-01

    Lightning is one of the leading causes of death related to environmental disaster. Of all lightning fatalities documented between 2006 and 2012, leisure activities contributed the largest proportion of deaths, with water-associated, sports, and camping being the most common. Despite the prevalence of these activities throughout the islands, Hawai'i has had zero documented lightning fatalities since weather data tracking was initiated in 1959. There is a common misconception that lightning does not strike the ground in Hawai'i. This myth may contribute to a potentially dangerous false sense of security, and recognition of warning signs and risk factor modification remain the most important prevention strategies. Lightning damage occurs on a spectrum, from minor burns to multi-organ dysfunction. After injury, initial treatment should focus on "reverse triage" and immediate cardiopulmonary resuscitation when indicated, followed by transfer to a healthcare facility. Definitive treatment entails monitoring and management of potential sequelae, to include cardiovascular, neurologic, dermatologic, ophthalmologic, audiovestibular, and psychiatric complications.

  19. Attempts to Create Ball Lightning with Triggered Lightning

    Science.gov (United States)

    2009-10-01

    mechanisms by which ball lightning is generated. The most commonly reported observation is of an orange-to- grapefruit -size sphere (the range for the vast...Figure 5 shows a sequence of ten cropped frames extracted from the Phantom video at 48 ms intervals during the ICC process spanning the total 432 ms...strike the ground between 0.75-1.25 s after being emitted from the lightning-struck silicon wafers. A picture showing ten extracted frames at 280 ms

  20. Transition of gastroenterological patients from paediatric to adult care: A position statement by the Italian Societies of Gastroenterology.

    Science.gov (United States)

    Elli, Luca; Maieron, Roberto; Martelossi, Stefano; Guariso, Graziella; Buscarini, Elisabetta; Conte, Dario; di Giulio, Emilio; Staiano, Annamaria; Barp, Jacopo; Bassotti, Gabrio; Bianco, Maria Antonia; Buri, Luigi; Carrara, Maurizio; Ghidini, Benedetta; Giannini, Olivia; Knafelz, Daniela; Miele, Erasmo; Peralta, Sergio; Riccio, Elisabetta; Tomba, Carolina; Zilli, Maurizio; Guadagnini, Tiziana

    2015-09-01

    In 2013, four Italian Gastroenterological Societies (the Italian Society of Paediatric Gastroenterology, Hepatology and Nutrition, the Italian Society of Hospital Gastroenterologists and Endoscopists, the Italian Society of Endoscopy, and the Italian Society of Gastroenterology) formed a joint panel of experts with the aim of preparing an official statement on transition medicine in Gastroenterology. The transition of adolescents from paediatric to adult care is a crucial moment in managing chronic diseases such as celiac disease, inflammatory bowel disease, liver disease and liver transplantation. Improved medical treatment and availability of new drugs and surgical techniques have improved the prognosis of many paediatric disorders, prolonging survival, thus making the transition to adulthood possible and necessary. An inappropriate transition or the incomplete transmission of data from the paediatrician to the adult Gastroenterologist can dramatically decrease compliance to treatment and prognosis of a young patient, particularly in the case of severe disorders. For these reasons, the Italian gastroenterological societies decided to develop an official shared transition protocol. The resulting document discusses the factors influencing the transition process and highlights the main points to accomplish to optimize compliance and prognosis of gastroenterological patients during the difficult transition from childhood to adolescence and adulthood. Copyright © 2015 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  1. Positions statement: criteria for defining polycystic ovary syndrome as a predominantly hyperandrogenic syndrome: an Androgen Excess Society guideline.

    Science.gov (United States)

    Azziz, Ricardo; Carmina, Enrico; Dewailly, Didier; Diamanti-Kandarakis, Evanthia; Escobar-Morreale, Hector F; Futterweit, Walter; Janssen, Onno E; Legro, Richard S; Norman, Robert J; Taylor, Ann E; Witchel, Selma F

    2006-11-01

    The Androgen Excess Society (AES) charged a task force to review all available data and recommend an evidence-based definition for polycystic ovary syndrome (PCOS), whether already in use or not, to guide clinical diagnosis and future research. Participants included expert investigators in the field. Based on a systematic review of the published peer-reviewed medical literature, by querying MEDLINE databases, we tried to identify studies evaluating the epidemiology or phenotypic aspects of PCOS. The task force drafted the initial report, following a consensus process via electronic communication, which was then reviewed and critiqued by the AES Board of Directors. No section was finalized until all members were satisfied with the contents and minority opinions noted. Statements that were not supported by peer-reviewed evidence were not included. Based on the available data, it is the view of the AES Task Force on the Phenotype of PCOS that there should be acceptance of the original 1990 National Institutes of Health criteria with some modifications, taking into consideration the concerns expressed in the proceedings of the 2003 Rotterdam conference. A principal conclusion was that PCOS should be first considered a disorder of androgen excess or hyperandrogenism, although a minority considered the possibility that there may be forms of PCOS without overt evidence of hyperandrogenism but recognized that more data are required before validating this supposition. Finally, the task force recognized, and fully expects, that the definition of this syndrome will evolve over time to incorporate new research findings.

  2. New Physical Mechanism for Lightning

    Science.gov (United States)

    Artekha, Sergey N.; Belyan, Andrey V.

    2018-02-01

    The article is devoted to electromagnetic phenomena in the atmosphere. The set of experimental data on the thunderstorm activity is analyzed. It helps to identify a possible physical mechanism of lightning flashes. This mechanism can involve the formation of metallic bonds in thunderclouds. The analysis of the problem is performed at a microphysical level within the framework of quantum mechanics. The mechanism of appearance of metallic conductivity includes the resonant tunneling of electrons along resonance-percolation trajectories. Such bonds allow the charges from the vast cloud charged subsystems concentrate quickly in lightning channel. The formation of metal bonds in the thunderstorm cloudiness is described as the second-order phase transition. A successive mechanism for the process of formation and development of the lightning channel is suggested. This mechanism is associated with the change in the orientation of crystals in growing electric field. Possible consequences of the quantum-mechanical mechanism under discussion are compared with the results of observations.

  3. The clinical application of genome-wide sequencing for monogenic diseases in Canada: Position Statement of the Canadian College of Medical Geneticists.

    Science.gov (United States)

    Boycott, Kym; Hartley, Taila; Adam, Shelin; Bernier, Francois; Chong, Karen; Fernandez, Bridget A; Friedman, Jan M; Geraghty, Michael T; Hume, Stacey; Knoppers, Bartha M; Laberge, Anne-Marie; Majewski, Jacek; Mendoza-Londono, Roberto; Meyn, M Stephen; Michaud, Jacques L; Nelson, Tanya N; Richer, Julie; Sadikovic, Bekim; Skidmore, David L; Stockley, Tracy; Taylor, Sherry; van Karnebeek, Clara; Zawati, Ma'n H; Lauzon, Julie; Armour, Christine M

    2015-07-01

    The aim of this Position Statement is to provide recommendations for Canadian medical geneticists, clinical laboratory geneticists, genetic counsellors and other physicians regarding the use of genome-wide sequencing of germline DNA in the context of clinical genetic diagnosis. This statement has been developed to facilitate the clinical translation and development of best practices for clinical genome-wide sequencing for genetic diagnosis of monogenic diseases in Canada; it does not address the clinical application of this technology in other fields such as molecular investigation of cancer or for population screening of healthy individuals. Two multidisciplinary groups consisting of medical geneticists, clinical laboratory geneticists, genetic counsellors, ethicists, lawyers and genetic researchers were assembled to review existing literature and guidelines on genome-wide sequencing for clinical genetic diagnosis in the context of monogenic diseases, and to make recommendations relevant to the Canadian context. The statement was circulated for comment to the Canadian College of Medical Geneticists (CCMG) membership-at-large and, following incorporation of feedback, approved by the CCMG Board of Directors. The CCMG is a Canadian organisation responsible for certifying medical geneticists and clinical laboratory geneticists, and for establishing professional and ethical standards for clinical genetics services in Canada. Recommendations include (1) clinical genome-wide sequencing is an appropriate approach in the diagnostic assessment of a patient for whom there is suspicion of a significant monogenic disease that is associated with a high degree of genetic heterogeneity, or where specific genetic tests have failed to provide a diagnosis; (2) until the benefits of reporting incidental findings are established, we do not endorse the intentional clinical analysis of disease-associated genes other than those linked to the primary indication; and (3) clinicians should

  4. Lightning and Life on Exoplanets

    Science.gov (United States)

    Rimmer, Paul; Ardaseva, Aleksandra; Hodosan, Gabriella; Helling, Christiane

    2016-07-01

    Miller and Urey performed a ground-breaking experiment, in which they discovered that electric discharges through a low redox ratio gas of methane, ammonia, water vapor and hydrogen produced a variety of amino acids, the building blocks of proteins. Since this experiment, there has been significant interest on the connection between lightning chemistry and the origin of life. Investigation into the atmosphere of the Early Earth has generated a serious challenge for this project, as it has been determined both that Earth's early atmosphere was likely dominated by carbon dioxide and molecular nitrogen with only small amounts of hydrogen, having a very high redox ratio, and that discharges in gases with high redox ratios fail to yield more than trace amounts of biologically relevant products. This challenge has motivated several origin of life researchers to abandon lightning chemistry, and to concentrate on other pathways for prebiotic synthesis. The discovery of over 2000 exoplanets includes a handful of rocky planets within the habitable zones around their host stars. These planets can be viewed as remote laboratories in which efficient lightning driven prebiotic synthesis may take place. This is because many of these rocky exoplanets, called super-Earths, have masses significantly greater than that of Earth. This higher mass would allow them to more retain greater amounts hydrogen within their atmosphere, reducing the redox ratio. Discharges in super-Earth atmospheres can therefore result in a significant yield of amino acids. In this talk, I will discuss new work on what lightning might look like on exoplanets, and on lightning driven chemistry on super-Earths. Using a chemical kinetics model for a super-Earth atmosphere with smaller redox ratios, I will show that in the presence of lightning, the production of the amino acid glycine is enhanced up to a certain point, but with very low redox ratios, the production of glycine is again inhibited. I will conclude

  5. Lightning hazard reduction at wind farms

    Energy Technology Data Exchange (ETDEWEB)

    Kithil, R. [National Lightning Safety Institute, Louisville, CO (United States)

    1997-12-31

    The USA wind farm industry (WFI) largely is centered in low-lightning areas of the State of California. While some evidence of lightning incidents is reported here, the problem is not regarded as serious by most participants. The USA WFI now is moving eastward, into higher areas of lightning activity. The European WFI has had many years experience with lightning problems. One 1995 German study estimated that 80% of wind turbine insurance claims paid for damage compensation were caused by lightning strikes. The European and USA WFI have not adopted site criteria, design fundamentals, or certification techniques aimed at lightning safety. Sufficient evidence about lightning at wind farms is available to confirm that serious potential problems exist.

  6. Detached Statements

    Directory of Open Access Journals (Sweden)

    Mark McBride

    2018-04-01

    Full Text Available Joseph Raz has introduced an interesting class of statements —detached statements— into the philosophical lexicon. In brief, such statements are (informa- tive normative statements, yet the speaker does not, in so uttering them, express or convey acceptance of the point of view of the hearer to whom they are addressed (as contrasted with committed statements, where the speaker does express or convey such acceptance. I propose to offer a novel analysis of such statements (and to clear away some confusions about them. In brief, such statements will be analysed as wide-scope normative conditionals.

  7. CONSOLIDATED FINANCIAL STATEMENTS UNDER IFRS

    OpenAIRE

    Tănase Alin-Eliodor; Calotă Traian-Ovidiu

    2013-01-01

    This article is focuses on accounting consolidation techniques and the preparation of consolidation worksheets for the components of financial statements (statement of comprehensive income, statement of changes in equity, and financial position). The presented group includes parent company, two subsidiaries (only one fully controlled by the parent company) and a jointly controlled entity. The financial statements are presented under the following standards IFRS 3 Business Combination, IAS 27 ...

  8. Total Lightning as an Indicator of Mesocyclone Behavior

    Science.gov (United States)

    Stough, Sarah M.; Carey, Lawrence D.; Schultz, Christopher J.

    2014-01-01

    Apparent relationship between total lightning (in-cloud and cloud to ground) and severe weather suggests its operational utility. Goal of fusion of total lightning with proven tools (i.e., radar lightning algorithms. Preliminary work here investigates circulation from Weather Suveilance Radar- 1988 Doppler (WSR-88D) coupled with total lightning data from Lightning Mapping Arrays.

  9. Recommendations for treatment of hypothyroidism with levothyroxine and levotriiodothyronine: a 2016 position statement of the Italian Society of Endocrinology and the Italian Thyroid Association.

    Science.gov (United States)

    Biondi, B; Bartalena, L; Chiovato, L; Lenzi, A; Mariotti, S; Pacini, F; Pontecorvi, A; Vitti, P; Trimarchi, F

    2016-12-01

    Levothyroxine (L-T4) is recommended as lifelong replacement therapy for hypothyroidism. Recent clinical and experimental data support the addition of levotriiodothyronine (L-T3) treatment in some selected hypothyroid patients when their symptoms persist and their quality of life remains impaired despite adequate L-T4 monotherapy. An increase in L-T3 prescriptions has been recently observed in Italy due to availability of different L-T3 formulations, making it possible to clinicians to prescribe L-T3 alone or in combination with L-T4. The aim of the present position statement was to define the correct clinical indications, schedule, duration of treatment and contraindications of combined treatment with L-T4 and L-T3 in hypothyroid patients in an attempt to guide clinicians and to avoid potential adverse effects of overtreatment.

  10. Autologous hematopoietic progenitor cell mobilization and collection in adult patients presenting with multiple myeloma and lymphoma: A position-statement from the Turkish Society of Apheresis (TSA).

    Science.gov (United States)

    Tekgündüz, Emre; Arat, Mutlu; Göker, Hakan; Özdoğu, Hakan; Kaynar, Leylagül; Çağırgan, Seçkin; Erkurt, Mehmet Ali; Vural, Filiz; Kiki, İlhami; Altuntaş, Fevzi; Demirkan, Fatih

    2017-12-01

    Autologous hematopoietic cell transplantation (AHCT) is a routinely used procedure in the treatment of adult patients presenting with multiple myeloma (MM), Hodgkin lymphoma (HL) and various subtypes of non-Hodgkin lymphoma (NHL) in upfront and relapsed/refractory settings. Successful hematopoietic progenitor cell mobilization (HPCM) and collection are the rate limiting first steps for application of AHCT. In 2015, almost 1700 AHCT procedures have been performed for MM, HL and NHL in Turkey. Although there are recently published consensus guidelines addressing critical issues regarding autologous HPCM, there is a tremendous heterogeneity in terms of mobilization strategies of transplant centers across the world. In order to pave the way to a more standardized HPCM approach in Turkey, Turkish Society of Apheresis (TSA) assembled a working group consisting of experts in the field. Here we report the position statement of TSA regarding autologous HPCM mobilization strategies in adult patients presenting with MM and lymphoma. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. A comprehensive approach in high-grade glioma management: position statement from the Neuro-Oncology Scientific Club (NOSC), Shiraz, Iran.

    Science.gov (United States)

    Ansari, Mansour; Mosalaei, Ahmad; Ahmadloo, Niloufar; Rasekhi, Alireza; Geramizadeh, Bita; Razmkon, Ali; Anvari, Kazem; Afarid, Mohammad; Dadras, Ali; Nafarieh, Leila; Mohammadianpanah, Mohammad; Nasrolahi, Hamid; Hamedi, Seyed Hasan; Omidvari, Shapour; Nami, Mohammad

    2017-01-01

    Establishing a robust teamwork model in the practice of neuro-oncology requires continued interdisciplinary efforts. The Neuro-Oncology Scientific Club (NOSC) initiative is an interdisciplinary clinical forum promoting the comprehensive approach across involved disciplines in the management of central nervous system (CNS) malignancies. With its provincial founding panels and national steering board, NOSC has been operational in Iran since 2011. This initiative has pursued its mission through interval strategic meetings, tumor boards, case discussions as well as publishing neuro-oncology updates, case study periodicals, and newsletters. A provincial meeting of NOSC in Shiraz put together insights from international practice guidelines, emerging evidence, and expert opinions to draw a position statement on high-grade glioma management in adults. The present report summarizes key highlights from the above clinical forum.

  12. A comprehensive approach in high-grade glioma management: position statement from the Neuro-Oncology Scientific Club (NOSC, Shiraz, Iran

    Directory of Open Access Journals (Sweden)

    Ansari, Mansour

    2017-02-01

    Full Text Available Establishing a robust teamwork model in the practice of neuro-oncology requires continued interdisciplinary efforts. The Neuro-Oncology Scientific Club (NOSC initiative is an interdisciplinary clinical forum promoting the comprehensive approach across involved disciplines in the management of central nervous system (CNS malignancies. With its provincial founding panels and national steering board, NOSC has been operational in Iran since 2011. This initiative has pursued its mission through interval strategic meetings, tumor boards, case discussions as well as publishing neuro-oncology updates, case study periodicals, and newsletters. A provincial meeting of NOSC in Shiraz put together insights from international practice guidelines, emerging evidence, and expert opinions to draw a position statement on high-grade glioma management in adults. The present report summarizes key highlights from the above clinical forum.

  13. Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association

    Directory of Open Access Journals (Sweden)

    Hyun Jin Kim

    2017-12-01

    Full Text Available The glucagon-like peptide-1 receptor agonists (GLP-1RAs were recommended as a monotherapy or combination therapy with oral hypoglycemic agents or basal insulin in the position statement of the Korean Diabetes Association 2017 for pharmacological therapy. Many randomized clinical trials and systematic reviews report that GLP-1RAs have considerable glucose-lowering effect and lead to weight reduction and low risk of hypoglycemia when used as a monotherapy or combination therapy. The cardiovascular safety of GLP-1RAs has been assessed in several randomized clinical trials and systematic reviews. The results of cardiovascular outcome trials of long-acting GLP-1RAs (liraglutide, semaglutide demonstrated cardiovascular benefits in subjects with type 2 diabetes mellitus and a high risk of cardiovascular disease. The GLP-1RA may be a choice of therapy when weight control and avoidance of hypoglycemia are important, and patients with high risk of cardiovascular disease might also favor choosing GLP-1RA.

  14. Italian Association of Clinical Endocrinologists (AME) & Italian Association of Clinical Diabetologists (AMD) Position Statement : Diabetes mellitus and thyroid disorders: recommendations for clinical practice.

    Science.gov (United States)

    Guastamacchia, Edoardo; Triggiani, Vincenzo; Aglialoro, Alberto; Aiello, Antimo; Ianni, Lucia; Maccario, Mauro; Zini, Michele; Giorda, Carlo; Guglielmi, Rinaldo; Betterle, Corrado; Attanasio, Roberto; Borretta, Giorgio; Garofalo, Piernicola; Papini, Enrico; Castello, Roberto; Ceriello, Antonio

    2015-06-01

    Thyroid disease and diabetes mellitus, the most common disorders in endocrine practice, are not infrequently associated in the same subject. An altered thyroid function may affect glucose tolerance and worsen metabolic control in patients with diabetes. Thyrotoxicosis increases the risk of hyperglycemic emergencies, while a clinically relevant hypothyroidism may have a detrimental effect on glycemic control in diabetic patients. The association of alterations in thyroid function with diabetes mellitus may adversely affect the risk of cardiovascular and microvascular complications resulting from diabetes. Moreover, the treatments used for both diabetes and thyroid disease, respectively, can impact one other. Finally, multinodular goiter, but not thyroid carcinoma, was shown to be more prevalent in type 2 diabetes mellitus. Aim of the present Position Statement is to focus on the evidence concerning the association of thyroid disease and diabetes mellitus and to provide some practical suggestions for an updated clinical management.

  15. Position statement: Gender dysphoria in childhood and adolescence. Working Group on Gender Identity and Sexual Development of the Spanish Society of Endocrinology and Nutrition (GIDSEEN).

    Science.gov (United States)

    Esteva de Antonio, Isabel; Asenjo Araque, Nuria; Hurtado Murillo, Felipe; Fernández Rodríguez, María; Vidal Hagemeijer, Ángela; Moreno-Pérez, Oscar; Lucio Pérez, María Jesús; López Siguero, Juan Pedro

    2015-10-01

    Gender dysphoria (GD) in childhood and adolescence is a complex condition where early detection and comprehensive treatment are essential to improve quality of life, decrease mental comorbidity, and improve GD. In this position statement, the Working Group on Gender Identity and Sexual Development of the Spanish Society of Endocrinology and Nutrition (GIDSEEN), consisting of specialists in Endocrinology, Psychology, Psychiatry, Pediatrics and Sociology, sets out recommendations for evaluation and treatment of GD in children and adolescents. Interdisciplinary management of GD should be carried out at specialized units (UTIGs), considering that any clinical intervention should follow the principles of scientific rigor, experience, ethical and deontological principles, and the necessary caution in front of chronic, aggressive, and irreversible treatments. Copyright © 2015 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

  16. Physical mechanism of initial breakdown pulses and narrow bipolar events in lightning discharges

    Science.gov (United States)

    Silva, Caitano L.; Pasko, Victor P.

    2015-05-01

    To date the true nature of initial breakdown pulses (IBPs) and narrow bipolar events (NBEs) in lightning discharges remains a mystery. Recent experimental evidence has correlated IBPs to the initial development of lightning leaders inside the thundercloud. NBE wideband waveforms resemble classic IBPs in both amplitude and duration. Most NBEs are quite peculiar in the sense that very frequently they occur in isolation from other lightning processes. The remaining fraction, 16% of positive polarity NBEs, according to Wu et al. (2014), happens as the first event in an otherwise regular intracloud lightning discharge. These authors point out that the initiator type of NBEs has no difference with other NBEs that did not start lightning, except for the fact that they occur deeper inside the thunderstorm (i.e., at lower altitudes). In this paper, we propose a new physical mechanism to explain the source of both IBPs and NBEs. We propose that IBPs and NBEs are the electromagnetic transients associated with the sudden (i.e., stepwise) elongation of the initial negative leader extremity in the thunderstorm electric field. To demonstrate our hypothesis a novel computational/numerical model of the bidirectional lightning leader tree is developed, consisting of a generalization of electrostatic and transmission line approximations found in the literature. Finally, we show how the IBP and NBE waveform characteristics directly reflect the properties of the bidirectional lightning leader (such as step length, for example) and amplitude of the thunderstorm electric field.

  17. Treating tobacco dependence: guidance for primary care on life-saving interventions. Position statement of the IPCRG.

    Science.gov (United States)

    Van Schayck, O C P; Williams, S; Barchilon, V; Baxter, N; Jawad, M; Katsaounou, P A; Kirenga, B J; Panaitescu, C; Tsiligianni, I G; Zwar, N; Ostrem, A

    2017-06-09

    recognises that clinical decisions should be tailored to the individual's circumstances and attitudes and be influenced by the availability and affordability of drugs and specialist services. Finally it argues that the role of the International Primary Care Respiratory Group is to improve the confidence as well as the competence of primary care and, therefore, makes recommendations about clinical education and evaluation. We also advocate for an update to the WHO Model List of Essential Medicines to optimise each primary-care intervention. This International Primary Care Respiratory Group statement has been endorsed by the Member Organisations of World Organization of Family Doctors Europe.

  18. Canadian Cardiovascular Society/Canadian Anesthesiologists' Society/Canadian Heart Rhythm Society joint position statement on the perioperative management of patients with implanted pacemakers, defibrillators, and neurostimulating devices.

    Science.gov (United States)

    Healey, Jeff S; Merchant, Richard; Simpson, Chris; Tang, Timothy; Beardsall, Marianne; Tung, Stanley; Fraser, Jennifer A; Long, Laurene; van Vlymen, Janet M; Manninen, Pirjo; Ralley, Fiona; Venkatraghavan, Lashmi; Yee, Raymond; Prasloski, Bruce; Sanatani, Shubhayan; Philippon, François

    2012-01-01

    There are more than 200,000 Canadians living with permanent pacemakers or implantable defibrillators, many of whom will require surgery or invasive procedures each year. They face potential hazards when undergoing surgery; however, with appropriate planning and education of operating room personnel, adverse device-related outcomes should be rare. This joint position statement from the Canadian Cardiovascular Society (CCS) and the Canadian Anesthesiologists' Society (CAS) has been developed as an accessible reference for physicians and surgeons, providing an overview of the key issues for the preoperative, intraoperative, and postoperative care of these patients. The document summarizes the limited published literature in this field, but for most issues, relies heavily on the experience of the cardiologists and anesthesiologists who contributed to this work. This position statement outlines how to obtain information about an individual's type of pacemaker or implantable defibrillator and its programming. It also stresses the importance of determining if a patient is highly pacemaker-dependent and proposes a simple approach for nonelective evaluation of dependency. Although the document provides a comprehensive list of the intraoperative issues facing these patients, there is a focus on electromagnetic interference resulting from electrocautery and practical guidance is given regarding the characteristics of surgery, electrocautery, pacemakers, and defibrillators which are most likely to lead to interference. The document stresses the importance of preoperative consultation and planning to minimize complications. It reviews the relative merits of intraoperative magnet use vs reprogramming of devices and gives examples of situations where one or the other approach is preferable. Copyright © 2012 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  19. Lightning protection of wind turbines

    Energy Technology Data Exchange (ETDEWEB)

    Soerensen, T; Brask, M H [DEFU (Denmark); Jensen, F V; Raben, N [SEAS (Denmark); Saxov, J [Nordjyllandsvaerket (Denmark); Nielsen, L [Vestkraft (Denmark); Soerensen, P E [Risoe National Lab. (Denmark)

    1999-03-01

    Lightning damage to wind turbines is a serious problem for Danish power companies, who have experienced some cases with very costly lightning damage and a large number of cases with minor damage. The most costly cases include one catastrophic damage to an entire wind turbine, and several cases of destruction of blades, main bearings, generators and control systems. Over the years there have been several hundreds of cases with minor damage - typically damage and interruptions of the control and communication systems, or the power systems. The Danish power companies anticipate that the lightning threat will be even bigger for the large off-shore wind turbine installations that are currently being planned in Denmark. Furthermore, it is known from the off-shore wind turbines at Vindeby in Denmark that the costs of inspection and particularly repair work must be expected to be much higher off-shore as compared to wind turbines on land. These considerations was the background for a two year project concerned with investigation of lighting damages and with the formulation of a DEFU Recommendation for lightning protection of wind turbines, which was published in January 1999. The project was funded by the Danish power companies Elsam, Eltra, Elkraft and by DEFU. (au)

  20. NO signatures from lightning flashes

    Science.gov (United States)

    Stith, J.; Dye, J.; Ridley, B.; Laroche, P.; Defer, E.; Baumann, K.; Hübler, G.; Zerr, R.; Venticinque, M.

    1999-07-01

    In situ measurements of cloud properties, NO, and other trace gases were made in active thunderstorms by two research aircraft. Concurrent measurements from a three-dimensional (3-D) VHF interferometer and the 2-D National Lightning Detection Network were used to determine lightning frequency and location. The CHILL Doppler radar and the NOAA-WP-3D Orion X band Doppler radar were also used to measure storm characteristics. Two case studies from the (STERAO) Stratosphere-Troposphere Experiments: Radiation, Aerosols, and Ozone project in northeastern Colorado during the summer of 1996 are presented. Narrow spikes (0.11-0.96 km across), containing up to 19 ppbv of NO, were observed in the storms. Most were located in or downwind of electrically active regions where the NO produced by lightning would be expected. However, it was difficult to correlate individual flashes with NO spikes. A simple model of the plume of NO from lightning is used to estimate NO production from the mean mixing ratio measured in these spikes. The estimates range from 2.0×1020 to 1.0×1022 molecules of NO per meter of flash length.

  1. Emergency Preparedness and Response in the School Setting--The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Tuck, Christine M.; Haynie, Kathey; Davis, Catherine

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) provides leadership in all phases of emergency preparedness and response. School nurses are a vital part of the school team responsible for developing emergency response procedures for the…

  2. Phonemic Awareness and the Teaching of Reading. A Position Statement from the Board of Directors of the International Reading Association.

    Science.gov (United States)

    International Reading Association, Newark, DE.

    This position paper considers the complex relation between phonemic awareness and reading. The paper seeks to define phonemic awareness (although there is no single definition), stating that it is typically described as an insight about oral language and in particular about the segmentation of sounds that are used in speech communication. It also…

  3. School-Sponsored Before, After and Extended School Year Programs: The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Clark, Elizabeth; Buswell, Sue Ann; Morgitan, Judith; Compton, Linda; Westendorf, Georgene; Chau, Elizabeth

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) has the educational and clinical background to coordinate the necessary school health services to provide students with the same health, nutrition, and safety needs while attending…

  4. Overweight and Obesity in Youth in Schools--The Role of the School Nurse. Position Statement. Revised

    Science.gov (United States)

    Mehrley, Melissa; Leibold, Nancyruth

    2011-01-01

    It is the position of the National Association of School Nurses that school nurses have the knowledge and expertise to promote the prevention of overweight and obesity and address the needs of overweight and obese youth in schools. The school nurse collaborates with students, families, school personnel, and health care providers to promote healthy…

  5. Lightning Mapping Observations During DC3 in Northern Colorado

    Science.gov (United States)

    Krehbiel, P. R.; Rison, W.; Thomas, R. J.

    2012-12-01

    The Deep Convective Clouds and Chemistry Experiment (DC3) was conducted in three regions covered by Lightning Mapping Arrays (LMAs): Oklahoma and west Texas, northern Alabama, and northern Colorado. In this and a companion presentation, we discuss results obtained from the newly-deployed North Colorado LMA. The CO LMA revealed a surprising variety of lightning-inferred electrical structures, ranging from classic tripolar, normal polarity storms to several variations of anomalously electrified systems. Storms were often characterized by a pronounced lack or deficit of cloud-to-ground discharges (negative or positive), both in relative and absolute terms compared to the large amount of intracloud activity revealed by the LMA. Anomalous electrification was observed in small, localized storms as well as in large, deeply convective and severe storms. Another surprising observation was the frequent occurrence of embedded convection in the downwind anvil/outflow region of large storm systems. Observations of discharges in low flash rate situations over or near the network are sufficiently detailed to enable branching algorithms to estimate total channel lengths for modeling NOx production. However, this will not be possible in large or distant storm systems where the lightning was essentially continuous and structurally complex, or spatially noisy. Rather, a simple empirical metric for characterizing the lightning activity can be developed based on the number of located VHF radiation sources, weighted for example by the peak source power, source altitude, and temporal duration.

  6. Electric systems failures produced by CG lightning in Eastern Amazonia

    Directory of Open Access Journals (Sweden)

    Ana Paula Paes dos Santos

    2014-12-01

    Full Text Available Operational records of power outages of the electric energy distribution systems in eastern Amazonia presented a large number of events attributed to lightning strikes, during the 2006 to 2009 period. The regional electricity concessionary data were compared to actual lightning observations made by SIPAM's LDN system, over two areas where operational sub systems of transmission lines are installed. Statistical relations were drawn between the monthly lightning occurrence density and the number of power outages of the electric systems for both areas studied. The results showed that, although with some delays between these variables peaks, the number of power disruptions has a tendency to follow the behavior of the lightning occurrence densities variations. The numerical correlations were positive and may be useful to the transmission lines maintenance crews at least for the Belém-Castanhal electricity distribution sub system. Evidence was found, that the SST's over certain areas of the Pacific and Atlantic Oceans, influence convection over the area of interest, and may help to prognosticate the periods of intense electric storms, requiring repair readiness for the regional electric systems.

  7. On the Relationship between Observed NLDN Lightning ...

    Science.gov (United States)

    Lightning-produced nitrogen oxides (NOX=NO+NO2) in the middle and upper troposphere play an essential role in the production of ozone (O3) and influence the oxidizing capacity of the troposphere. Despite much effort in both observing and modeling lightning NOX during the past decade, considerable uncertainties still exist with the quantification of lightning NOX production and distribution in the troposphere. It is even more challenging for regional chemistry and transport models to accurately parameterize lightning NOX production and distribution in time and space. The Community Multiscale Air Quality Model (CMAQ) parameterizes the lightning NO emissions using local scaling factors adjusted by the convective precipitation rate that is predicted by the upstream meteorological model; the adjustment is based on the observed lightning strikes from the National Lightning Detection Network (NLDN). For this parameterization to be valid, the existence of an a priori reasonable relationship between the observed lightning strikes and the modeled convective precipitation rates is needed. In this study, we will present an analysis leveraged on the observed NLDN lightning strikes and CMAQ model simulations over the continental United States for a time period spanning over a decade. Based on the analysis, new parameterization scheme for lightning NOX will be proposed and the results will be evaluated. The proposed scheme will be beneficial to modeling exercises where the obs

  8. TRMM-Based Lightning Climatology

    Science.gov (United States)

    Cecil, Daniel J.; Buechler, Dennis E.; Blakeslee, Richard J.

    2011-01-01

    Gridded climatologies of total lightning flash rates seen by the spaceborne Optical Transient Detector (OTD) and Lightning Imaging Sensor (LIS) have been updated. OTD collected data from May 1995 to March 2000. LIS data (equatorward of about 38 deg) has been added for 1998-2010. Flash counts from each instrument are scaled by the best available estimates of detection efficiency. The long LIS record makes the merged climatology most robust in the tropics and subtropics, while the high latitude data is entirely from OTD. The mean global flash rate from the merged climatology is 46 flashes per second. The peak annual flash rate at 0.5 deg scale is 160 fl/square km/yr in eastern Congo. The peak monthly average flash rate at 2.5 scale is 18 fl/square km/mo, from early April to early May in the Brahmaputra Valley of far eastern India. Lightning decreases in this region during the monsoon season, but increases further north and west. A monthly average peak from early August to early September in northern Pakistan also exceeds any monthly averages from Africa, despite central Africa having the greatest yearly average. Most continental regions away from the equator have an annual cycle with lightning flash rates peaking in late spring or summer. The main exceptions are India and southeast Asia, with springtime peaks in April and May. For landmasses near the equator, flash rates peak near the equinoxes. For many oceanic regions, the peak flash rates occur in autumn. This is particularly noticeable for the Mediterranean and North Atlantic. Landmasses have a strong diurnal cycle of lightning, with flash rates generally peaking between 3-5 pm local solar time. The central United States flash rates peak later, in late evening or early night. Flash rates peak after midnight in northern Argentina. These regions are known for large, intense, long-lived mesoscale convective systems.

  9. NOx from lightning: 1. Global distribution based on lightning physics

    Science.gov (United States)

    Price, Colin; Penner, Joyce; Prather, Michael

    1997-03-01

    This paper begins a study on the role of lightning in maintaining the global distribution of nitrogen oxides (NOx) in the troposphere. It presents the first global and seasonal distributions of lightning-produced NOx (LNOx) based on the observed distribution of electrical storms and the physical properties of lightning strokes. We derive a global rate for cloud-to-ground (CG) flashes of 20-30 flashes/s with a mean energy per flash of 6.7×109 J. Intracloud (IC) flashes are more frequent, 50-70 flashes/s but have 10% of the energy of CG strokes and, consequently, produce significantly less NOx. It appears to us that the majority of previous studies have mistakenly assumed that all lightning flashes produce the same amount of NOx, thus overestimating the NOx production by a factor of 3. On the other hand, we feel these same studies have underestimated the energy released in CG flashes, resulting in two negating assumptions. For CG energies we adopt a production rate of 10×1016 molecules NO/J based on the current literature. Using a method to simulate global lightning frequencies from satellite-observed cloud data, we have calculated the LNOx on various spatial (regional, zonal, meridional, and global) and temporal scales (daily, monthly, seasonal, and interannual). Regionally, the production of LNOx is concentrated over tropical continental regions, predominantly in the summer hemisphere. The annual mean production rate is calculated to be 12.2 Tg N/yr, and we believe it extremely unlikely that this number is less than 5 or more than 20 Tg N/yr. Although most of LNOx, is produced in the lowest 5 km by CG lightning, convective mixing in the thunderstorms is likely to deposit large amounts of NOx, in the upper troposphere where it is important in ozone production. On an annual basis, 64% of the LNOx, is produced in the northern hemisphere, implying that the northern hemisphere should have natural ozone levels as much as 2 times greater than the southern hemisphere

  10. [Commentary by the German Society for Thoracic and Cardiovascular Surgery on the positions statement by the German Cardiology Society on quality criteria for transcatheter aortic valve implantation (TAVI)].

    Science.gov (United States)

    Cremer, Jochen; Heinemann, Markus K; Mohr, Friedrich Wilhelm; Diegeler, Anno; Beyersdorf, Friedhelm; Niehaus, Heidi; Ensminger, Stephan; Schlensak, Christian; Reichenspurner, Hermann; Rastan, Ardawan; Trummer, Georg; Walther, Thomas; Lange, Rüdiger; Falk, Volkmar; Beckmann, Andreas; Welz, Armin

    2014-12-01

    Surgical aortic valve replacement is still considered the first-line treatment for patients suffering from severe aortic valve stenosis. In recent years, transcatheter aortic valve implantation (TAVI) has emerged as an alternative for selected high-risk patients. According to the latest results of the German external quality assurance program, mandatory by law, the initially very high mortality and procedural morbidity have now decreased to approximately 6 and 12%, respectively. Especially in Germany, the number of patients treated by TAVI has increased exponentially. In 2013, a total of 10.602 TAVI procedures were performed. TAVI is claimed to be minimally invasive. This is true concerning the access, but it does not describe the genuine complexity of the procedure, defined by the close neighborhood of the aortic valve to delicate intracardiac structures. Hence, significant numbers of life-threatening complications may occur and have been reported. Owing to the complexity of TAVI, there is a unanimous concordance between cardiologists and cardiac surgeons in the Western world demanding a close heart team approach for patient selection, intervention, handling of complications, and pre- as well as postprocedural care, respectively. The prerequisite is that TAVI should not be performed in centers with no cardiac surgery on site. This is emphasized in all international joint guidelines and expert consensus statements. Today, a small number of patients undergo TAVI procedures in German hospitals without a department of cardiac surgery on site. To be noted, most of these hospitals perform less than 20 cases per year. Recently, the German Cardiac Society (DGK) published a position paper supporting this practice pattern. Contrary to this statement and concerned about the safety of patients treated this way, the German Society for Thoracic and Cardiovascular Surgery (DGTHG) still fully endorses the European (ESC/EACTS) and other actual international guidelines and

  11. 10. VDE/ABB lightning protection conference. Lectures

    International Nuclear Information System (INIS)

    2013-01-01

    The proceedings of the 10. VDE/ABB lightning protection conference include lectures on the following issues: Status on the standardization and resulting consequences; lightning protection of specific facilities; electrical grounding and potential equalization; lightning research; personal security and protection.

  12. Using Flow Regime Lightning and Sounding Climatologies to Initialize Gridded Lightning Threat Forecasts for East Central Florida

    Science.gov (United States)

    Lambert, Winifred; Short, David; Volkmer, Matthew; Sharp, David; Spratt, Scott

    2007-01-01

    Each morning, the forecasters at the National Weather Service in Melbourne, FL (NWS MLB) produce an experimental cloud-to-ground (CG) lightning threat index map for their county warning area (CWA) that is posted to their web site (httl://www.srh.weather.gov/mlb/ghwo/lightning.shtml) . Given the hazardous nature of lightning in East Central Florida, especially during the warm season months of May September, these maps help users factor the threat of lightning, relative to their location, into their daily plans. The maps are color-coded in five levels from Very Low to Extreme, with threat level definitions based on the probability of lightning occurrence and the expected amount of CG activity. On a day in which thunderstorms are expected, there are typically two or more threat levels depicted spatially across the CWA. The locations of relative lightning threat maxima and minima often depend on the position and orientation of the low-level ridge axis, forecast propagation and interaction of sea/lake/outflow boundaries, expected evolution of moisture and stability fields, and other factors that can influence the spatial distribution of thunderstorms over the CWA. The lightning threat index maps are issued for the 24-hour period beginning at 1200 UTC each day with a grid resolution of 5 km x 5 km. Product preparation is performed on the AWIPS Graphical Forecast Editor (GFE), which is the standard NWS platform for graphical editing. Until recently, the forecasters created each map manually, starting with a blank map. To improve efficiency of the forecast process, NWS MLB requested that the Applied Meteorology Unit (AMU) create gridded warm season lightning climatologies that could be used as first-guess inputs to initialize lightning threat index maps. The gridded values requested included CG strike densities and frequency of occurrence stratified by synoptic-scale flow regime. The intent was to improve consistency between forecasters while allowing them to focus on the

  13. Lightning attachment process to common buildings

    Science.gov (United States)

    Saba, M. M. F.; Paiva, A. R.; Schumann, C.; Ferro, M. A. S.; Naccarato, K. P.; Silva, J. C. O.; Siqueira, F. V. C.; Custódio, D. M.

    2017-05-01

    The physical mechanism of lightning attachment to grounded structures is one of the most important issues in lightning physics research, and it is the basis for the design of the lightning protection systems. Most of what is known about the attachment process comes from leader propagation models that are mostly based on laboratory observations of long electrical discharges or from observations of lightning attachment to tall structures. In this paper we use high-speed videos to analyze the attachment process of downward lightning flashes to an ordinary residential building. For the first time, we present characteristics of the attachment process to common structures that are present in almost every city (in this case, two buildings under 60 m in São Paulo City, Brazil). Parameters like striking distance and connecting leaders speed, largely used in lightning attachment models and in lightning protection standards, are revealed in this work.Plain Language SummarySince the time of Benjamin Franklin, no one has ever recorded high-speed video images of a lightning connection to a common building. It is very difficult to do it. Cameras need to be very close to the structure chosen to be observed, and long observation time is required to register one lightning strike to that particular structure. Models and theories used to determine the zone of protection of a lightning rod have been developed, but they all suffer from the lack of field data. The submitted manuscript provides results from high-speed video observations of lightning attachment to low buildings that are commonly found in almost every populated area around the world. The proximity of the camera and the high frame rate allowed us to see interesting details that will improve the understanding of the attachment process and, consequently, the models and theories used by lightning protection standards. This paper also presents spectacular images and videos of lightning flashes connecting lightning rods that

  14. The use of biosimilar medicines in oncology - position statement of the Brazilian Society of Clinical Oncology (SBOC).

    Science.gov (United States)

    Fernandes, G S; Sternberg, C; Lopes, G; Chammas, R; Gifoni, M A C; Gil, R A; Araujo, D V

    2018-01-11

    A biosimilar is a biologic product that is similar to a reference biopharmaceutical product, the manufacturing process of which hinders the ability to identically replicate the structure of the original product, and therefore, it cannot be described as an absolute equivalent of the original medication. The currently available technology does not allow for an accurate copy of complex molecules, but it does allow the replication of similar molecules with the same activity. As biosimilars are about to be introduced in oncology practice, these must be evaluated through evidence-based medicine. This manuscript is a position paper, where the Brazilian Society of Clinical Oncology (SBOC) aims to describe pertinent issues regarding the approval and use of biosimilars in oncology. As a working group on behalf of SBOC, we discuss aspects related to definition, labeling/nomenclature, extrapolation, interchangeability, switching, automatic substitution, clinical standards on safety and efficacy, and the potential impact on financial burden in healthcare. We take a stand in favor of the introduction of biosimilars, as they offer a viable, safe, and cost-effective alternative to the biopharmaceutical products currently used in cancer. We hope this document can provide valuable information to support therapeutic decisions that maximize the clinical benefit for the thousands of cancer patients in Brazil and can contribute to expedite the introduction of this new drug class in clinical practice. We expect the conveyed information to serve as a basis for further discussion in Latin America, this being the first position paper issued by a Latin American Oncology Society.

  15. An Integrated 0-1 Hour First-Flash Lightning Nowcasting, Lightning Amount and Lightning Jump Warning Capability

    Science.gov (United States)

    Mecikalski, John; Jewett, Chris; Carey, Larry; Zavodsky, Brad; Stano, Geoffrey; Chronis, Themis

    2015-01-01

    Using satellite-based methods that provide accurate 0-1 hour convective initiation (CI) nowcasts, and rely on proven success coupling satellite and radar fields in the Corridor Integrated Weather System (CIWS; operated and developed at MIT-Lincoln Laboratory), to subsequently monitor for first-flash lightning initiation (LI) and later period lightning trends as storms evolve. Enhance IR-based methods within the GOES-R CI Algorithm (that must meet specific thresholds for a given cumulus cloud before the cloud is considered to have an increased likelihood of producing lightning next 90 min) that forecast LI. Integrate GOES-R CI and LI fields with radar thresholds (e.g., first greater than or equal to 40 dBZ echo at the -10 C altitude) and NWP model data within the WDSS-II system for LI-events from new convective storms. Track ongoing lightning using Lightning Mapping Array (LMA) and pseudo-Geostationary Lightning Mapper (GLM) data to assess per-storm lightning trends (e.g., as tied to lightning jumps) and outline threat regions. Evaluate the ability to produce LI nowcasts through a "lightning threat" product, and obtain feedback from National Weather Service forecasters on its value as a decision support tool.

  16. Lightning transient analysis in wind turbine blades

    DEFF Research Database (Denmark)

    Candela Garolera, Anna; Holbøll, Joachim; Madsen, Søren Find

    2013-01-01

    The transient behavior of lightning surges in the lightning protection system of wind turbine blades has been investigated in this paper. The study is based on PSCAD models consisting of electric equivalent circuits with lumped and distributed parameters involving different lightning current...... waveforms. The aim of the PSCAD simulations is to study the voltages induced by the lightning current in the blade that may cause internal arcing. With this purpose, the phenomenon of current reflections in the lightning down conductor of the blade and the electromagnetic coupling between the down conductor...... and other internal conductive elements of the blade is studied. Finally, several methods to prevent internal arcing are discussed in order to improve the lightning protection of the blade....

  17. A lightning prevention system for nuclear operations

    International Nuclear Information System (INIS)

    Lanzoni, J.A.; Carpenter, R.B.; Tinsley, R.H.

    1994-01-01

    Lightning presents a significant threat to the uninterrupted operation of nuclear power generation facilities. There exists two categories of lightning protection systems-collectors and preventors. Collectors are air terminals, overhead shield wires and other devices designed to collect incoming lightning strikes. Preventors, on the other hand, lower the electrical potential between a thundercloud and ground to a level lower than that required to collect a strike. The Dissipation Array reg-sign Systems prevents lightning strikes from terminating in the protected area, consequently eliminating both the direct hazard and indirect effects of lightning. Over 1,600 Dissipation Array reg-sign Systems are currently in service, with more than 10,500 system-years of operating experience and a historical success rate of over ninety-nine percent. Lightning Eliminators ampersand Consultants has fulfilled 24 contracts for Dissipation Array reg-sign Systems at nuclear power generation facilities

  18. Thunderstorm ground enhancements (TGEs) abruptly terminated by negative cloud-to-ground lightnings

    International Nuclear Information System (INIS)

    Chilingarian, A.; Hovsepyan, G.; Khanikyanc, G.; Pokhsraryan, D.; Soghomonyan, S.

    2016-01-01

    The relationship of lightnings and particle fluxes in the thunderclouds is not fully understood to date. Using the particle beams (the so-called Thunderstorm Ground Enhancements – TGEs) generated in the lower part of clouds by the strong electric fields as a probe, we investigate the characteristics of the related atmospheric discharges. The well-known effect of the TGE dynamics is the abrupt termination of the particle flux. We demonstrate that among 12 atmospheric discharges that abruptly terminated TGE all are the negative cloud-to-ground lightnings. The flux termination and lightning occurred at one and the same second. With new precise electronics on millisecond time scales we can see that particle flux decline occurred simultaneously with abrupt increase of electrostatic field after the return stroke of the lightning. Therefore, the declining of particle flux is connected with rearranging of charge centers in the cloud involving removal of the Lower Positive Charged Region (LPCR). (author)

  19. Medical Cannabis and the Treatment of Obstructive Sleep Apnea: An American Academy of Sleep Medicine Position Statement.

    Science.gov (United States)

    Ramar, Kannan; Rosen, Ilene M; Kirsch, Douglas B; Chervin, Ronald D; Carden, Kelly A; Aurora, R Nisha; Kristo, David A; Malhotra, Raman K; Martin, Jennifer L; Olson, Eric J; Rosen, Carol L; Rowley, James A

    2018-03-30

    The diagnosis and effective treatment of obstructive sleep apnea (OSA) in adults is an urgent health priority. Positive airway pressure (PAP) therapy remains the most effective treatment for OSA, although other treatment options continue to be explored. Limited evidence citing small pilot or proof of concept studies suggest that the synthetic medical cannabis extract dronabinol may improve respiratory stability and provide benefit to treat OSA. However, side effects such as somnolence related to treatment were reported in most patients, and the long-term effects on other sleep quality measures, tolerability, and safety are still unknown. Dronabinol is not approved by the United States Food and Drug Administration (FDA) for treatment of OSA, and medical cannabis and synthetic extracts other than dronabinol have not been studied in patients with OSA. The composition of cannabinoids within medical cannabis varies significantly and is not regulated. Synthetic medical cannabis may have differential effects, with variable efficacy and side effects in the treatment of OSA. Therefore, it is the position of the American Academy of Sleep Medicine (AASM) that medical cannabis and/or its synthetic extracts should not be used for the treatment of OSA due to unreliable delivery methods and insufficient evidence of effectiveness, tolerability, and safety. OSA should be excluded from the list of chronic medical conditions for state medical cannabis programs, and patients with OSA should discuss their treatment options with a licensed medical provider at an accredited sleep facility. Further research is needed to understand the functionality of medical cannabis extracts before recommending them as a treatment for OSA. Copyright © 2018 American Academy of Sleep Medicine. All rights reserved.

  20. Using Cloud-to-Ground Lightning Climatologies to Initialize Gridded Lightning Threat Forecasts for East Central Florida

    Science.gov (United States)

    Lambert, Winnie; Sharp, David; Spratt, Scott; Volkmer, Matthew

    2005-01-01

    Each morning, the forecasters at the National Weather Service in Melbourn, FL (NWS MLB) produce an experimental cloud-to-ground (CG) lightning threat index map for their county warning area (CWA) that is posted to their web site (http://www.srh.weather.gov/mlb/ghwo/lightning.shtml) . Given the hazardous nature of lightning in central Florida, especially during the warm season months of May-September, these maps help users factor the threat of lightning, relative to their location, into their daily plans. The maps are color-coded in five levels from Very Low to Extreme, with threat level definitions based on the probability of lightning occurrence and the expected amount of CG activity. On a day in which thunderstorms are expected, there are typically two or more threat levels depicted spatially across the CWA. The locations of relative lightning threat maxima and minima often depend on the position and orientation of the low-level ridge axis, forecast propagation and interaction of sea/lake/outflow boundaries, expected evolution of moisture and stability fields, and other factors that can influence the spatial distribution of thunderstorms over the CWA. The lightning threat index maps are issued for the 24-hour period beginning at 1200 UTC (0700 AM EST) each day with a grid resolution of 5 km x 5 km. Product preparation is performed on the AWIPS Graphical Forecast Editor (GFE), which is the standard NWS platform for graphical editing. Currently, the forecasters create each map manually, starting with a blank map. To improve efficiency of the forecast process, NWS MLB requested that the Applied Meteorology Unit (AMU) create gridded warm season lightning climatologies that could be used as first-guess inputs to initialize lightning threat index maps. The gridded values requested included CG strike densities and frequency of occurrence stratified by synoptic-scale flow regime. The intent is to increase consistency between forecasters while enabling them to focus on

  1. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY 2018 POSITION STATEMENT ON INTEGRATION OF INSULIN PUMPS AND CONTINUOUS GLUCOSE MONITORING IN PATIENTS WITH DIABETES MELLITUS.

    Science.gov (United States)

    Grunberger, George; Handelsman, Yehuda; Bloomgarden, Zachary T; Fonseca, Vivian A; Garber, Alan J; Haas, Richard A; Roberts, Victor L; Umpierrez, Guillermo E

    2018-03-01

    This document represents the official position of the American Association of Clinical Endocrinologists and American College of Endocrinology. Where there are no randomized controlled trials or specific U.S. FDA labeling for issues in clinical practice, the participating clinical experts utilized their judgment and experience. Every effort was made to achieve consensus among the committee members. Position statements are meant to provide guidance, but they are not to be considered prescriptive for any individual patient and cannot replace the judgment of a clinician. AACE/ACE Task Force on Integration of Insulin Pumps and Continuous Glucose Monitoring in the Management of Patients With Diabetes Mellitus Chair George Grunberger, MD, FACP, FACE Task Force Members Yehuda Handelsman, MD, FACP, FNLA, MACE Zachary T. Bloomgarden, MD, MACE Vivian A. Fonseca, MD, FACE Alan J. Garber, MD, PhD, FACE Richard A. Haas, MD, FACE Victor L. Roberts, MD, MBA, FACP, FACE Guillermo E. Umpierrez, MD, CDE, FACP, FACE Abbreviations: AACE = American Association of Clinical Endocrinologists ACE = American College of Endocrinology A1C = glycated hemoglobin BGM = blood glucose monitoring CGM = continuous glucose monitoring CSII = continuous subcutaneous insulin infusion DM = diabetes mellitus FDA = Food & Drug Administration MDI = multiple daily injections T1DM = type 1 diabetes mellitus T2DM = type 2 diabetes mellitus SAP = sensor-augmented pump SMBG = self-monitoring of blood glucose STAR 3 = Sensor-Augmented Pump Therapy for A1C Reduction phase 3 trial.

  2. CAMEX-3 LIGHTNING INSTRUMENT PACKAGE (LIP) V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The CAMEX-3 Lightning Instrument Package (LIP) dataset contains electrical field measurements of lightning within storms studied during the Convection And Moisture...

  3. High-detail snapshots of rare gigantic jet lightning

    Science.gov (United States)

    Schultz, Colin

    2011-08-01

    In the ionosphere, more than 80 kilometers above Earth's surface, incoming radiation reacts with the thin air to produce highly charged ions, inducing an electric potential between the ionosphere and the surface. This charge difference is dissipated by a slow leak from the ionosphere during calm weather and reinvigorated by a charge built up near the surface during a thunderstorm. In 2001, however, researchers discovered gigantic jets (GJs), powerful lightning that arcs from tropospheric clouds up to the ionosphere, suggesting there may be an alternate path by which charge is redistributed. GJs are transient species, and little is known about how much charge they can carry, how they form, or how common they are. In a step toward answering these questions, Lu et al. report on two GJs that occurred near very high frequency (VHF) lightning detection systems, which track the development of lightning in three spatial dimensions, giving an indication of the generation mechanism. The researchers also measured the charge transfer in the two GJs through remote sensing of magnetic fields. They found that both jets originated from the development of otherwise normal intracloud lightning. The dissipation of the cloud's positively charged upper layer allowed the negative lightning channel to break through and travel up out of the top of the cloud to the ionosphere. The first jet, which occurred off the coast of Florida, leapt up to 80 kilometers, depositing 110 coulombs of negative charge in 370 milliseconds. The second jet, observed in Oklahoma, traveled up to 90 kilometers, raising only 10-20 coulombs in 300 milliseconds. Each new observation of gigantic jets such as these can provide valuable information toward understanding this novel atmospheric behavior. (Geophysical Research Letters, doi:10.1029/2011GL047662, 2011)

  4. Lightning Initiation Forecasting: An Operational Dual-Polarimetric Radar Technique

    Science.gov (United States)

    Woodard, Crystal J.; Carey, L. D.; Petersen, W. A.; Roeder, W. P.

    2011-01-01

    The objective of this NASA MSFC and NOAA CSTAR funded study is to develop and test operational forecast algorithms for the prediction of lightning initiation utilizing the C-band dual-polarimetric radar, UAHuntsville's Advanced Radar for Meteorological and Operational Research (ARMOR). Although there is a rich research history of radar signatures associated with lightning initiation, few studies have utilized dual-polarimetric radar signatures (e.g., Z(sub dr) columns) and capabilities (e.g., fuzzy-logic particle identification [PID] of precipitation ice) in an operational algorithm for first flash forecasting. The specific goal of this study is to develop and test polarimetric techniques that enhance the performance of current operational radar reflectivity based first flash algorithms. Improving lightning watch and warning performance will positively impact personnel safety in both work and leisure environments. Advanced warnings can provide space shuttle launch managers time to respond appropriately to secure equipment and personnel, while they can also provide appropriate warnings for spectators and players of leisure sporting events to seek safe shelter. Through the analysis of eight case dates, consisting of 35 pulse-type thunderstorms and 20 non-thunderstorm case studies, lightning initiation forecast techniques were developed and tested. The hypothesis is that the additional dual-polarimetric information could potentially reduce false alarms while maintaining high probability of detection and increasing lead-time for the prediction of the first lightning flash relative to reflectivity-only based techniques. To test the hypothesis, various physically-based techniques using polarimetric variables and/or PID categories, which are strongly correlated to initial storm electrification (e.g., large precipitation ice production via drop freezing), were benchmarked against the operational reflectivity-only based approaches to find the best compromise between

  5. Clinical Oncology Society of Australia position statement on the use of complementary and alternative medicine by cancer patients.

    Science.gov (United States)

    Braun, Lesley; Harris, Jessica; Katris, Paul; Cain, Michael; Dhillon, Haryana; Koczwara, Bogda; Olver, Ian; Robotin, Monica

    2014-12-01

    Health professionals involved in the clinical management of cancer are becoming increasingly aware that their patients use complementary and alternative medicine (CAM). As cancer incidence and survival rates increase, use of CAM is also likely to increase. This paper outlines the position of the Clinical Oncology Society of Australia (COSA) on the use of CAM by cancer patients and provides guidance for health professionals involved with the treatment of cancer patients who are using or wish to use CAM. Key definitions and common communication scenarios are presented along with evidence-based recommended steps for health professionals when discussing CAM use. COSA encourages health professionals to focus on open discussion with their patients regarding CAM, to become familiar with reputable resources for CAM information, to discuss with patients the concept of evidence-based medicine, to recognize limitations to their knowledge of CAM and seek further advice when necessary, and to be respectful of the patients' right to autonomy. © 2014 Wiley Publishing Asia Pty Ltd.

  6. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium.

    Science.gov (United States)

    Gribble, Phillip A; Delahunt, Eamonn; Bleakley, Chris; Caulfield, Brian; Docherty, Carrie; Fourchet, François; Fong, Daniel Tik-Pui; Hertel, Jay; Hiller, Claire; Kaminski, Thomas; McKeon, Patrick; Refshauge, Kathryn; van der Wees, Philip; Vincenzino, Bill; Wikstrom, Erik

    2014-07-01

    While research on chronic ankle instability (CAI) and awareness of its impact on society and health care systems has grown substantially in the last 2 decades, the inconsistency in participant/patient selection criteria across studies presents a potential obstacle to addressing the problem properly. This major gap within the literature limits the ability to generalise this evidence to the target patient population. Therefore, there is a need to provide standards for patient/participant selection criteria in research focused on CAI with justifications using the best available evidence. The International Ankle Consortium provides this position paper to present and discuss an endorsed set of selection criteria for patients with CAI based on the best available evidence to be used in future research and study designs. These recommendations will enhance the validity of research conducted in this clinical population with the end goal of bringing the research evidence to the clinician and patient. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Role of neuropsychologists in the evaluation and management of sport-related concussion: an inter-organization position statement.

    Science.gov (United States)

    Echemendia, Ruben J; Iverson, Grant L; McCrea, Michael; Broshek, Donna K; Gioia, Gerard A; Sautter, Scott W; Macciocchi, Stephen N; Barr, William B

    2011-11-01

    Over the past 20 years, clinical neuropsychologists have been at the forefront of both scientific and clinical initiatives aimed at developing evidence-based approaches to the evaluation and management of sport-related concussion. These efforts have directly impacted current policy on strategies for injury assessment and return-to-play by athletes after concussion. Many states are considering legislation requiring (a) education of athletes, parents, coaches, and school/organization officials on the recognition, evaluation, and management of sport-related concussions; (b) removal from play of any youth athlete that is suspected of having sustained a concussion; and (c) not allowing the student to return to participation until the student is evaluated and cleared for return to participation in writing by an appropriate healthcare professional. It is the official position of the American Academy of Clinical Neuropsychology (AACN), American Board of Neuropsychology (ABN), Division 40 (Neuropsychology) of the American Psychological Association (APA), and the National Academy of Neuropsychology (NAN) that neuropsychologists should be included among the licensed health care professionals authorized to evaluate, clinically manage, and provide return to play clearance for athletes who sustain a sport-related concussion.

  8. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement.

    Science.gov (United States)

    Colberg, Sheri R; Sigal, Ronald J; Fernhall, Bo; Regensteiner, Judith G; Blissmer, Bryan J; Rubin, Richard R; Chasan-Taber, Lisa; Albright, Ann L; Braun, Barry

    2010-12-01

    Although physical activity (PA) is a key element in the prevention and management of type 2 diabetes, many with this chronic disease do not become or remain regularly active. High-quality studies establishing the importance of exercise and fitness in diabetes were lacking until recently, but it is now well established that participation in regular PA improves blood glucose control and can prevent or delay type 2 diabetes, along with positively affecting lipids, blood pressure, cardiovascular events, mortality, and quality of life. Structured interventions combining PA and modest weight loss have been shown to lower type 2 diabetes risk by up to 58% in high-risk populations. Most benefits of PA on diabetes management are realized through acute and chronic improvements in insulin action, accomplished with both aerobic and resistance training. The benefits of physical training are discussed, along with recommendations for varying activities, PA-associated blood glucose management, diabetes prevention, gestational diabetes mellitus, and safe and effective practices for PA with diabetes-related complications.

  9. OPTICAL TRANSIENT DETECTOR (OTD) LIGHTNING V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The Optical Transient Detector (OTD) records optical measurements of global lightning events in the daytime and nighttime. The data includes individual point...

  10. OLS ANALOG DERIVED LIGHTNING V1

    Data.gov (United States)

    National Aeronautics and Space Administration — Global lightning signatures from the Defense Meteorological Satellite Program (DMSP) Operational Linescan System (OLS) have been analyzed from the filmstrip imagery....

  11. Lightning Strike in Pregnancy With Fetal Injury.

    Science.gov (United States)

    Galster, Kellen; Hodnick, Ryan; Berkeley, Ross P

    2016-06-01

    Injuries from lightning strikes are an infrequent occurrence, and are only rarely noted to involve pregnant victims. Only 13 cases of lightning strike in pregnancy have been previously described in the medical literature, along with 7 additional cases discovered within news media reports. This case report presents a novel case of lightning-associated injury in a patient in the third trimester of pregnancy, resulting in fetal ischemic brain injury and long-term morbidity, and reviews the mechanics of lightning strikes along with common injury patterns of which emergency providers should be aware. Copyright © 2016 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  12. Lightning Applications in Weather and Climate Research

    Science.gov (United States)

    Price, Colin G.

    2013-11-01

    Thunderstorms, and lightning in particular, are a major natural hazard to the public, aviation, power companies, and wildfire managers. Lightning causes great damage and death every year but also tells us about the inner working of storms. Since lightning can be monitored from great distances from the storms themselves, lightning may allow us to provide early warnings for severe weather phenomena such as hail storms, flash floods, tornadoes, and even hurricanes. Lightning itself may impact the climate of the Earth by producing nitrogen oxides (NOx), a precursor of tropospheric ozone, which is a powerful greenhouse gas. Thunderstorms themselves influence the climate system by the redistribution of heat, moisture, and momentum in the atmosphere. What about future changes in lightning and thunderstorm activity? Many studies show that higher surface temperatures produce more lightning, but future changes will depend on what happens to the vertical temperature profile in the troposphere, as well as changes in water balance, and even aerosol loading of the atmosphere. Finally, lightning itself may provide a useful tool for tracking climate change in the future, due to the nonlinear link between lightning, temperature, upper tropospheric water vapor, and cloud cover.

  13. Fifty Years of Lightning Observations from Space

    Science.gov (United States)

    Christian, H. J., Jr.

    2017-12-01

    Some of the earliest satellites, starting with OSO (1965), ARIEL (1967), and RAE (1968), detected lightning using either optical and RF sensors, although that was not their intent. One of the earliest instruments designed to detect lightning was the PBE (1977). The use of space to study lightning activity has exploded since these early days. The advent of focal-plane imaging arrays made it possible to develop high performance optical lightning sensors. Prior to the use of charged-coupled devices (CCD), most space-based lightning sensors used only a few photo-diodes, which limited the location accuracy and detection efficiency (DE) of the instruments. With CCDs, one can limit the field of view of each detector (pixel), and thus improve the signal to noise ratio over single-detectors that summed the light reflected from many clouds with the lightning produced by a single cloud. This pixelization enabled daytime DE to increase from a few percent to close to 90%. The OTD (1995), and the LIS (1997), were the first lightning sensors to utilize focal-plane arrays. Together they detected global lightning activity for more than twenty years, providing the first detailed information on the distribution of global lightning and its variability. The FORTE satellite was launched shortly after LIS, and became the first dedicated satellite to simultaneously measure RF and optical lightning emissions. It too used a CCD focal plane to detect and locate lightning. In November 2016, the GLM became the first lightning instrument in geostationary orbit. Shortly thereafter, China placed its GLI in orbit. Lightning sensors in geostationary orbit significantly increase the value of space-based observations. For the first time, lightning activity can be monitored continuously, over large areas of the Earth with high, uniform DE and location accuracy. In addition to observing standard lightning, a number of sensors have been placed in orbit to detect transient luminous events and

  14. Geolocalisation of athletes for out-of-competition drug testing: ethical considerations. Position statement by the WADA Ethics Panel.

    Science.gov (United States)

    Borry, Pascal; Caulfield, Timothy; Estivill, Xavier; Loland, Sigmund; McNamee, Michael; Knoppers, Bartha Maria

    2018-04-01

    Through the widespread availability of location-identifying devices, geolocalisation could potentially be used to place athletes during out-of-competition testing. In light of this debate, the WADA Ethics Panel formulated the following questions: (1) should WADA and/or other sponsors consider funding such geolocalisation research projects?, (2) if successful, could they be proposed to athletes as a complementary device to Anti-Doping Administration and Management System to help geolocalisation and reduce the risk of missed tests? and (3) should such devices be offered on a voluntary basis, or is it conceivable that they would be made mandatory for all athletes in registered testing pools? In this position paper, the WADA Ethics Panel concludes that the use of geolocalisation could be useful in a research setting with the goal of understanding associations between genotype, phenotype and environment; however, it recognises that the use of geolocalisation as part of or as replacement of whereabouts rules is replete with ethical concerns. While benefits remain largely hypothetical and minimal, the potential invasion of privacy and the data security threats are real. Considering the impact on privacy, data security issues, the societal ramifications of offering such services and various pragmatic considerations, the WADA Ethics Panel concludes that at this time, the use of geolocalisation should neither be mandated as a tool for disclosing whereabouts nor implemented on a voluntary basis. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement.

    Science.gov (United States)

    Stewart, Simon; Riegel, Barbara; Boyd, Cynthia; Ahamed, Yasmin; Thompson, David R; Burrell, Louise M; Carrington, Melinda J; Coats, Andrew; Granger, Bradi B; Hides, Julie; Weintraub, William S; Moser, Debra K; Dickson, Victoria Vaughan; McDermott, Cressida J; Keates, Ashley K; Rich, Michael W

    2016-06-01

    Multimorbidity in heart failure (HF), defined as HF of any aetiology and multiple concurrent conditions that require active management, represents an emerging problem within the ageing HF patient population worldwide. To inform this position paper, we performed: 1) an initial review of the literature identifying the ten most common conditions, other than hypertension and ischaemic heart disease, complicating the management of HF (anaemia, arrhythmias, cognitive dysfunction, depression, diabetes, musculoskeletal disorders, renal dysfunction, respiratory disease, sleep disorders and thyroid disease) and then 2) a review of the published literature describing the association between HF with each of the ten conditions. From these data we describe a clinical framework, comprising five key steps, to potentially improve historically poor health outcomes in this patient population. We identified five key steps (ARISE-HF) that could potentially improve clinical outcomes if applied in a systematic manner: 1) Acknowledge multimorbidity as a clinical syndrome that is associated with poor health outcomes, 2) Routinely profile (using a standardised protocol - adapted to the local health care system) all patients hospitalised with HF to determine the extent of concurrent multimorbidity, 3) Identify individualised priorities and person-centred goals based on the extent and nature of multimorbidity, 4) Support individualised, home-based, multidisciplinary, case management to supplement standard HF management, and 5) Evaluate health outcomes well beyond acute hospitalisation and encompass all-cause events and a person-centred perspective in affected individuals. We propose ARISE-HF as a framework for improving typically poor health outcomes in those affected by multimorbidity in HF. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  16. Lightning Protection and Detection System

    Science.gov (United States)

    Dudley, Kenneth L. (Inventor); Szatkowski, George N. (Inventor); Woodard, Marie (Inventor); Nguyen, Truong X. (Inventor); Ely, Jay J. (Inventor); Wang, Chuantong (Inventor); Mielnik, John J. (Inventor); Koppen, Sandra V. (Inventor); Smith, Laura J. (Inventor)

    2017-01-01

    A lightning protection and detection system includes a non-conductive substrate material of an apparatus; a sensor formed of a conductive material and deposited on the non-conductive substrate material of the apparatus. The sensor includes a conductive trace formed in a continuous spiral winding starting at a first end at a center region of the sensor and ending at a second end at an outer corner region of the sensor, the first and second ends being open and unconnected. An electrical measurement system is in communication with the sensor and receives a resonant response from the sensor, to perform detection, in real-time, of lightning strike occurrences and damage therefrom to the sensor and the non-conductive substrate material.

  17. Radioactive lightning rods waste treatment

    International Nuclear Information System (INIS)

    Vicente, Roberto; Dellamano, Jose C.; Hiromoto, Goro

    2008-01-01

    Full text: In this paper, we present alternative processes that could be adopted for the management of radioactive waste that arises from the replacement of lightning rods with attached Americium-241 sources. Lightning protectors, with Americium-241 sources attached to the air terminals, were manufactured in Brazil until 1989, when the regulatory authority overthrew the license for fabrication, commerce, and installation of radioactive lightning rods. It is estimated that, during the license period, about 75,000 such devices were set up in public, commercial and industrial buildings, including houses and schools. However, the policy of CNEN in regard to the replacement of the installed radioactive rods, has been to leave the decision to municipal governments under local building regulations, requiring only that the replaced rods be sent immediately to one of its research institutes to be treated as radioactive waste. As a consequence, the program of replacement proceeds in a low pace and until now only about twenty thousand rods have reached the waste treatment facilities The process of management that was adopted is based primarily on the assumption that the Am-241 sources will be disposed of as radioactive sealed sources, probably in a deep borehole repository. The process can be described broadly by the following steps: a) Receive and put the lightning rods in initial storage; b) Disassemble the rods and pull out the sources; c) Decontaminate and release the metal parts to metal recycling; d) Store the sources in intermediate storage; e) Package the sources in final disposal packages; and f) Send the sources for final disposal. Up to now, the disassembled devices gave rise to about 90,000 sources which are kept in storage while the design of the final disposal package is in progress. (author)

  18. Hybrid cardiac imaging: SPECT/CT and PET/CT. A joint position statement by the European Association of Nuclear Medicine (EANM), the European Society of Cardiac Radiology (ESCR) and the European Council of Nuclear Cardiology (ECNC)

    DEFF Research Database (Denmark)

    Flotats, Albert; Gutberlet, Matthias; Knuuti, Juhani

    2011-01-01

    . The European Association of Nuclear Medicine (EANM), the European Society of Cardiac Radiology (ESCR) and the European Council of Nuclear Cardiology (ECNC) in this paper want to present a position statement of the institutions on the current roles of SPECT/CT and PET/CT hybrid cardiac imaging in patients...

  19. Public-private collaboration in clinical research during pregnancy, lactation, and childhood: joint position statement of the Early Nutrition Academy and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition

    NARCIS (Netherlands)

    Koletzko, Berthold; Benninga, Marc A.; Godfrey, Keith M.; Hornnes, Peter J.; Kolaček, Sanja; Koletzko, Sibylle; Lentze, Michael J.; Mader, Silke; McAuliffe, Fionnuala M.; Oepkes, Dick; Oddy, Wendy H.; Phillips, Alan; Rzehak, Peter; Socha, Piotr; Szajewska, Hania; Symonds, Michael E.; Taminiau, Jan; Thapar, Nikhil; Troncone, Riccardo; Vandenplas, Yvan; Veereman, Gigi

    2014-01-01

    This position statement summarises a view of academia regarding standards for clinical research in collaboration with commercial enterprises, focussing on trials in pregnant women, breast-feeding women, and children. It is based on a review of the available literature and an expert workshop

  20. Does pre-emptive transplantation versus post start of dialysis transplantation with a kidney from a living donor improve outcomes after transplantation? A systematic literature review and position statement by the Descartes Working Group and ERBP.

    Science.gov (United States)

    Abramowicz, Daniel; Hazzan, Marc; Maggiore, Umberto; Peruzzi, Licia; Cochat, Pierre; Oberbauer, Rainer; Haller, Maria C; Van Biesen, Wim

    2016-05-01

    This position statement brings up guidance on pre-emptive kidney transplantation from living donors. The provided guidance is based on a systematic review of the literature. © The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.

  1. Result of observation on winter lightning onto a wireless tower in a mountainous area along the Sea of Japan. Nihonkai engan no sangakuchi musento ni okeru toki kaminari yosoku kekka

    Energy Technology Data Exchange (ETDEWEB)

    Katsuragi, Y; Yamauchi, M; Shimizu, M [The Chubu Electric Power Co. Inc., Nagoya (Japan); Sakurano, H [Ishikawa College of Technology, Ishikawa (Japan)

    1993-11-01

    This paper reports the result of observing winter lightnings for three years using a wireless tower on the summit of Mt. Hotatsu in Ishikawa Prefecture (with an altitude of 637 m and a distance of about 8 km to the western seashore) as an observation site. Battery driven lightning surge memory devices were used to measure lightning current waveforms at different parts of the wireless tower and power distribution poles. An automatic stationary camera was used to photograph lightning paths to the wireless tower and a rain radar. The result of the observation may be summarized as follows: about half of the lightnings is of positive polarity and dual polarity; the lightning current having struck the wireless tower flows back into a power distribution pole through the ground; the ratio of lightning on the wireless tower to that on the power distribution pole is 3 to 1; the ratio of lightning on the lightning arrestor on the tower to that on the building is 3 to 7; half of the lightnings on the rain radar has struck directly the radome; and the back-flow ratio of lightning current onto the arrestor in the case of positive polarity is more than double that in the case of negative polarity. 7 refs., 22 figs., 11 tabs.

  2. Lightning Burns and Electrical Trauma in a Couple Simultaneously Struck by Lightning

    Directory of Open Access Journals (Sweden)

    Stephanie A. Eyerly-Webb

    2017-07-01

    Full Text Available More people are struck and killed by lightning each year in Florida than any other state in the United States. This report discusses a couple that was simultaneously struck by lightning while walking arm-in-arm. Both patients presented with characteristic lightning burns and were admitted for hemodynamic monitoring, serum labs, and observation and were subsequently discharged home. Despite the superficial appearance of lightning burns, serious internal electrical injuries are common. Therefore, lightning strike victims should be admitted and evaluated for cardiac arrhythmias, renal injury, and neurological sequelae.

  3. Characteristics of Lightning Within Electrified Snowfall Events Using Lightning Mapping Arrays

    Science.gov (United States)

    Schultz, Christopher J.; Lang, Timothy J.; Bruning, Eric C.; Calhoun, Kristin M.; Harkema, Sebastian; Curtis, Nathan

    2018-02-01

    This study examined 34 lightning flashes within four separate thundersnow events derived from lightning mapping arrays (LMAs) in northern Alabama, central Oklahoma, and Washington DC. The goals were to characterize the in-cloud component of each lightning flash, as well as the correspondence between the LMA observations and lightning data taken from national lightning networks like the National Lightning Detection Network (NLDN). Individual flashes were examined in detail to highlight several observations within the data set. The study results demonstrated that the structures of these flashes were primarily normal polarity. The mean area encompassed by this set of flashes is 375 km2, with a maximum flash extent of 2,300 km2, a minimum of 3 km2, and a median of 128 km2. An average of 2.29 NLDN flashes were recorded per LMA-derived lightning flash. A maximum of 11 NLDN flashes were recorded in association with a single LMA-derived flash on 10 January 2011. Additionally, seven of the 34 flashes in the study contain zero NLDN-identified flashes. Eleven of the 34 flashes initiated from tall human-made objects (e.g., communication towers). In at least six lightning flashes, the NLDN detected a return stroke from the cloud back to the tower and not the initial upward leader. This study also discusses lightning's interaction with the human-built environment and provides an example of lightning within heavy snowfall observed by Geostationary Operational Environmental Satellite-16's Geostationary Lightning Mapper.

  4. Climatology of lightning in the Czech Republic

    Science.gov (United States)

    Novák, Petr; Kyznarová, Hana

    2011-06-01

    The Czech Hydrometeorological Institute (CHMI) has utilized lightning data from the Central European Lightning Detection Network (CELDN) since 1999. The CELDN primarily focuses on the detection of cloud-to-ground (CG) lightning but intra-cloud (IC) lightning detection is also available. Lightning detection is used by the CHMI forecasters as an additional source to radar and satellite data for nowcasting of severe storms. Lightning data are also quantitatively used in automatic nowcasting applications. The quality of lightning data can be evaluated using their climatological characteristics. Climatological characteristics are also useful for defining decision thresholds that are valuable for human forecasters as well as for automatic nowcasting applications. The seven-year period from 2002 to 2008, which had relatively even-quality lightning data, was used to calculate the spatial and temporal distributions of lightning. The monthly number of CG strokes varies depending on the season. The highest number of CG strokes occurs during summer, with more than 20 days of at least five detected CG strokes on the Czech Republic territory in June and July. The least number of CG stokes occurs in winter, with less than three days per month having at least five detected CG stokes. The mean diurnal distribution of CG strokes peaks between 1500 and 1600 UTC and reaches a minimum between 0500 and 0800 UTC. The average spatial distribution of CG strokes shows sharp local maxima corresponding with the locations of the TV broadcast towers. The average spatial distribution of CG flash density, calculated on a 20 × 20 km grid, shows the maximum (3.23 flashes km - 2 year - 1 ) in the western part of Czech Republic and the minimum (0.92 flashes km - 2 year - 1 ) in the south-southeast of the Czech Republic. In addition, lightning characteristics related to the identified convective cells, such as distribution of the lightning stroke rates or relation to the radar derived by Vertically

  5. [Lightning strikes and lightning injuries in prehospital emergency medicine. Relevance, results, and practical implications].

    Science.gov (United States)

    Hinkelbein, J; Spelten, O; Wetsch, W A

    2013-01-01

    Up to 32.2% of patients in a burn center suffer from electrical injuries. Of these patients, 2-4% present with lightning injuries. In Germany, approximately 50 people per year are injured by a lightning strike and 3-7 fatally. Typically, people involved in outdoor activities are endangered and affected. A lightning strike usually produces significantly higher energy doses as compared to those in common electrical injuries. Therefore, injury patterns vary significantly. Especially in high voltage injuries and lightning injuries, internal injuries are of special importance. Mortality ranges between 10 and 30% after a lightning strike. Emergency medical treatment is similar to common electrical injuries. Patients with lightning injuries should be transported to a regional or supraregional trauma center. In 15% of all cases multiple people may be injured. Therefore, it is of outstanding importance to create emergency plans and evacuation plans in good time for mass gatherings endangered by possible lightning.

  6. Growth and endocrine disorders in thalassemia: The international network on endocrine complications in thalassemia (I-CET position statement and guidelines

    Directory of Open Access Journals (Sweden)

    Vincenzo De Sanctis

    2013-01-01

    Full Text Available The current management of thalassemia includes regular transfusion programs and chelation therapy. It is important that physicians be aware that endocrine abnormalities frequently develop mainly in those patients with significant iron overload due to poor compliance to treatment, particularly after the age of 10 years. Since the quality of life of thalassemia patients is a fundamental aim, it is vital to monitor carefully their growth and pubertal development in order to detect abnormalities and to initiate appropriate and early treatment. Abnormalities should be identified and treatment initiated in consultation with a pediatric or an adult endocrinologist and managed accordingly. Appropriate management shall put in consideration many factors such as age, severity of iron overload, presence of chronic liver disease, thrombophilia status, and the presence of psychological problems. All these issues must be discussed by the physician in charge of the patient′s care, the endocrinologist and the patient himself. Because any progress in research in the field of early diagnosis and management of growth disorders and endocrine complications in thalassemia should be passed on to and applied adequately to all those suffering from the disease, on the 8 May 2009 in Ferrara, the International Network on Endocrine Complications in Thalassemia (I-CET was founded in order to transmit the latest information on these disorders to the treating physicians. The I-CET position statement outlined in this document applies to patients with transfusion-dependent thalassemia major to help physicians to anticipate, diagnose, and manage these complications properly.

  7. Hybrid cardiac imaging using PET/MRI: a joint position statement by the European Society of Cardiovascular Radiology (ESCR) and the European Association of Nuclear Medicine (EANM).

    Science.gov (United States)

    Nensa, Felix; Bamberg, Fabian; Rischpler, Christoph; Menezes, Leon; Poeppel, Thorsten D; la Fougère, Christian; Beitzke, Dietrich; Rasul, Sazan; Loewe, Christian; Nikolaou, Konstantin; Bucerius, Jan; Kjaer, Andreas; Gutberlet, Matthias; Prakken, Niek H; Vliegenthart, Rozemarijn; Slart, Riemer H J A; Nekolla, Stephan G; Lassen, Martin L; Pichler, Bernd J; Schlosser, Thomas; Jacquier, Alexis; Quick, Harald H; Schäfers, Michael; Hacker, Marcus

    2018-05-02

    Positron emission tomography (PET) and magnetic resonance imaging (MRI) have both been used for decades in cardiovascular imaging. Since 2010, hybrid PET/MRI using sequential and integrated scanner platforms has been available, with hybrid cardiac PET/MR imaging protocols increasingly incorporated into clinical workflows. Given the range of complementary information provided by each method, the use of hybrid PET/MRI may be justified and beneficial in particular clinical settings for the evaluation of different disease entities. In the present joint position statement, we critically review the role and value of integrated PET/MRI in cardiovascular imaging, provide a technical overview of cardiac PET/MRI and practical advice related to the cardiac PET/MRI workflow, identify cardiovascular applications that can potentially benefit from hybrid PET/MRI, and describe the needs for future development and research. In order to encourage its wide dissemination, this article is freely accessible on the European Radiology and European Journal of Hybrid Imaging web sites. • Studies and case-reports indicate that PET/MRI is a feasible and robust technology. • Promising fields of application include a variety of cardiac conditions. • Larger studies are required to demonstrate its incremental and cost-effective value. • The translation of novel radiopharmaceuticals and MR-sequences will provide exciting new opportunities.

  8. Dietary exposures and allergy prevention in high-risk infants: a joint position statement of the Canadian Society of Allergy and Clinical Immunology and the Canadian Paediatric Society.

    Science.gov (United States)

    Chan, Edmond S; Cummings, Carl; Atkinson, Adelle; Chad, Zave; Francoeur, Marie-Josée; Kirste, Linda; Mack, Douglas; Primeau, Marie-Noël; Vander Leek, Timothy K; Watson, Wade Ta

    2014-01-01

    Allergic conditions in children are a prevalent health concern in Canada. The burden of disease and the societal costs of proper diagnosis and management are considerable, making the primary prevention of allergic conditions a desirable health care objective. This position statement reviews current evidence on dietary exposures and allergy prevention in infants at high risk of developing allergic conditions. It revisits previous dietary recommendations for pregnancy, breastfeeding and formula-feeding, and provides an approach for introducing solid foods to high-risk infants. While there is no evidence that delaying the introduction of any specific food beyond six months of age helps to prevent allergy, the protective effect of early introduction of potentially allergenic foods (at four to six months) remains under investigation. Recent research appears to suggest that regularly ingesting a new, potentially allergenic food may be as important as when that food is first introduced. This article has already been published (Paediatr Child Health. 2013 Dec;18(10):545-54), and is being re-published with permission from the original publisher, the Canadian Paediatric Society.

  9. Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes Mellitus: A Position Statement of the Korean Diabetes Association.

    Science.gov (United States)

    Kim, Hyun Jin; Park, Seok O; Ko, Seung Hyun; Rhee, Sang Youl; Hur, Kyu Yeon; Kim, Nan Hee; Moon, Min Kyong; Lee, Byung Wan; Kim, Jin Hwa; Choi, Kyung Mook

    2017-12-01

    The glucagon-like peptide-1 receptor agonists (GLP-1RAs) were recommended as a monotherapy or combination therapy with oral hypoglycemic agents or basal insulin in the position statement of the Korean Diabetes Association 2017 for pharmacological therapy. Many randomized clinical trials and systematic reviews report that GLP-1RAs have considerable glucose-lowering effect and lead to weight reduction and low risk of hypoglycemia when used as a monotherapy or combination therapy. The cardiovascular safety of GLP-1RAs has been assessed in several randomized clinical trials and systematic reviews. The results of cardiovascular outcome trials of long-acting GLP-1RAs (liraglutide, semaglutide) demonstrated cardiovascular benefits in subjects with type 2 diabetes mellitus and a high risk of cardiovascular disease. The GLP-1RA may be a choice of therapy when weight control and avoidance of hypoglycemia are important, and patients with high risk of cardiovascular disease might also favor choosing GLP-1RA. Copyright © 2017 Korean Diabetes Association.

  10. Androgen Excess- Polycystic Ovary Syndrome Society: position statement on depression, anxiety, quality of life, and eating disorders in polycystic ovary syndrome.

    Science.gov (United States)

    Dokras, Anuja; Stener-Victorin, Elisabeth; Yildiz, Bulent O; Li, Rong; Ottey, Sasha; Shah, Duru; Epperson, Neill; Teede, Helena

    2018-05-01

    To formulate clinical consensus recommendations for screening depression, anxiety, health-related quality of life (HRQoL), and disordered eating symptoms in women with polycystic ovary syndrome (PCOS) and review prevalence based on phenotypes and ethnicity, changes over time, etiology, and impact of treatment. Systematic reviews and preparation of position statement. Not applicable. Women with PCOS and controls screened using validated tools. None. Depressive symptoms, anxiety symptoms, disordered eating, and HRQoL scores. Several studies demonstrate that women with PCOS have an increased prevalence of higher depression and anxiety scores and higher odds of moderate and severe depressive and anxiety symptoms compared with controls. Obesity, hyperandrogenism, and fertility have a weak association with these symptoms. HRQoL scores are consistently reduced in PCOS, with infertility and weight concerns having the most significant impact. Some studies suggest an increased prevalence of disordered eating in women with PCOS compared with controls. The few studies that have evaluated the impact of PCOS-related treatments (lifestyle interventions and pharmacotherapy) show no detrimental effect or some improvement in depressive and anxiety symptoms and HRQoL scores. In women with PCOS, screening for depressive and anxiety symptoms should be offered at the time of diagnosis and screening for disordered eating should be considered. Further research is required across PCOS phenotypes, in longitudinal cohorts and on impact of therapy on depressive and anxiety syptoms, HRQOL, and disordered eating. Copyright © 2018 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  11. Cell Mergers and Their Impact on Cloud-to-Ground Lightning Over the Houston Area

    Science.gov (United States)

    Gauthier, Michael L.; Petersen, Walter A.; Carey, Lawrence D.

    2009-01-01

    A previous hypothesis advanced from observational studies such as METROMEX suggests that the intensity, frequency, and organization of cumulus convection may be impacted by the forcing of enhanced merger activity downstream of urban zones. A resulting corollary is that cities may exert an indirect anthropogenic forcing of parameters related to convection and associated phenomena such as lightning and precipitation. This paper investigates the urban merger hypothesis by examining the role of convective cell mergers on the existence and persistence of the Houston lightning "anomaly", a local maximum in cloud-to-ground (CG) lightning activity documented to exist over and east of Houston. Using eight summer seasons of peak columnar radar reflectivity, CG lightning data and a cell-tracking algorithm, a two-dimensional cell merger climatology is created for portions of eastern Texas and Louisiana. Results from the tracking and analysis of over 3.8 million cells indicate that merger-driven enhancements in convection induce a positive response (O 46%) in ground-flash densities throughout the domain, with areas of enhanced lightning typically being co-located with areas of enhanced merger activity. However, while mergers over the Houston area (relative to elsewhere in the domain) do result in more vigorous convective cells that produce larger CG flash densities, we find that CG lightning contributions due to mergers are distributed similarly throughout the domain. Hence while we demonstrate that cell mergers do greatly impact the production of lightning, the urban cell merger hypothesis does not uniquely explain the presence of a local lightning maximum near and downstream of Houston.

  12. Experimental and analytical investigation on metal damage suffered from simulated lightning currents

    Science.gov (United States)

    Yakun, LIU; Zhengcai, FU; Quanzhen, LIU; Baoquan, LIU; Anirban, GUHA

    2017-12-01

    The damage of two typical metal materials, Al alloy 3003 and steel alloy Q235B, subjected to four representative lightning current components are investigated by laboratory and analytical studies to provide fundamental data for lightning protection. The four lightning components simulating the natural lightning consist of the first return stroke, the continuing current of interval stroke, the long continuing current, and the subsequent stroke, with amplitudes 200 kA, 8 kA, 400 A, and 100 kA, respectively. The damage depth and area suffered from different lightning components are measured by the ultrasonic scanning system. And the temperature rise is measured by the thermal imaging camera. The results show that, for both Al 3003 and steel Q235B, the first return stroke component results in the largest damage area with damage depth 0.02 mm uttermost. The long continuing current component leads to the deepest damage depth of 3.3 mm for Al 3003 and much higher temperature rise than other components. The correlation analysis between damage results and lightning parameters indicates that the damage depth has a positive correlation with charge transfer. The damage area is mainly determined by the current amplitude and the temperature rise increases linearly with the charge transfer larger.

  13. Preliminary Development and Evaluation of Lightning Jump Algorithms for the Real-Time Detection of Severe Weather

    Science.gov (United States)

    Schultz, Christopher J.; Petersen, Walter A.; Carey, Lawrence D.

    2009-01-01

    Previous studies have demonstrated that rapid increases in total lightning activity (intracloud + cloud-to-ground) are often observed tens of minutes in advance of the occurrence of severe weather at the ground. These rapid increases in lightning activity have been termed "lightning jumps." Herein, we document a positive correlation between lightning jumps and the manifestation of severe weather in thunderstorms occurring across the Tennessee Valley and Washington D.C. A total of 107 thunderstorms were examined in this study, with 69 of the 107 thunderstorms falling into the category of non-severe, and 38 into the category of severe. From the dataset of 69 isolated non-severe thunderstorms, an average peak 1 minute flash rate of 10 flashes/min was determined. A variety of severe thunderstorm types were examined for this study including an MCS, MCV, tornadic outer rainbands of tropical remnants, supercells, and pulse severe thunderstorms. Of the 107 thunderstorms, 85 thunderstorms (47 non-severe, 38 severe) from the Tennessee Valley and Washington D.C tested 6 lightning jump algorithm configurations (Gatlin, Gatlin 45, 2(sigma), 3(sigma), Threshold 10, and Threshold 8). Performance metrics for each algorithm were then calculated, yielding encouraging results from the limited sample of 85 thunderstorms. The 2(sigma) lightning jump algorithm had a high probability of detection (POD; 87%), a modest false alarm rate (FAR; 33%), and a solid Heidke Skill Score (HSS; 0.75). A second and more simplistic lightning jump algorithm named the Threshold 8 lightning jump algorithm also shows promise, with a POD of 81% and a FAR of 41%. Average lead times to severe weather occurrence for these two algorithms were 23 minutes and 20 minutes, respectively. The overall goal of this study is to advance the development of an operationally-applicable jump algorithm that can be used with either total lightning observations made from the ground, or in the near future from space using the

  14. Lightning Imaging Sensor (LIS) on the International Space Station (ISS): Launch, Installation, Activation, and First Results

    Science.gov (United States)

    Blakeslee, R. J.; Christian, H. J., Jr.; Mach, D. M.; Buechler, D. E.; Wharton, N. A.; Stewart, M. F.; Ellett, W. T.; Koshak, W. J.; Walker, T. D.

    2017-12-01

    Over two decades, the NASA Marshall Space Flight Center, the University of Alabama in Huntsville, and their partners developed and demonstrated the effectiveness and value of space-based lightning observations as a remote sensing tool for Earth science research and applications, and, in the process, established a robust global lightning climatology. The Lightning Imaging Sensor (LIS) on the Tropical Rainfall Measuring Mission (TRMM) provided global observations of tropical lightning for an impressive 17 years before that mission came to a close in April 2015. Now a space-qualified LIS, built as the flight spare for TRMM, has been installed on the International Space Station (ISS) for a minimum two year mission following its SpaceX launch on February 19, 2017. The LIS, flown as a hosted payload on the Department of Defense Space Test Program-Houston 5 (STP-H5) mission, was robotically installed in an Earth-viewing position on the outside of the ISS, providing a great opportunity to not only extend the 17-year TRMM LIS record of tropical lightning measurements but also to expand that coverage to higher latitudes missed by the TRMM mission. Since its activation, LIS has continuously observed the amount, rate, and radiant energy lightning within its field-of-view as it orbits the Earth. A major focus of this mission is to better understand the processes which cause lightning, as well as the connections between lightning and subsequent severe weather events. This understanding is a key to improving weather predictions and saving lives and property here in the United States and around the world. The LIS measurements will also help cross-validate observations from the new Geostationary Lightning Mapper (GLM) operating on NOAA's newest weather satellite GOES-16. An especially unique contribution from the ISS platform will be the availability of real-time lightning data, especially valuable for operational forecasting and warning applications over data sparse regions such

  15. Sensors for lightning measurements on aircraft

    NARCIS (Netherlands)

    Stelmashuk, V.; Deursen, van A.P.J.

    2008-01-01

    Lightning strikes a commercial airliner on the average once a year. The European project ldquoIn-flight Lightning Strike Damage Assessment System (ILDAS)rdquo [1] aims to develop and validate a prototype of a system capable to 1) reconstruct the current intensity and wave form, 2) determine of the

  16. Lightning protecting materials used on radar system

    NARCIS (Netherlands)

    Blaj, M.A.; Damstra, Geert C.; Buesink, Frederik Johannes Karel; Leferink, Frank Bernardus Johannes

    2009-01-01

    Because of the extensive use in modern systems of very sensitive electronic components, lightning strikes does not represent only a threat, but something that cannot be neglected anymore and safety hazards caused by direct and indirect lightning to the aircraft or naval industry. Everyday new

  17. A model for lightning in littoral areas

    NARCIS (Netherlands)

    Blaj, M.A.; Leferink, Frank Bernardus Johannes

    2009-01-01

    The littoral or coastal areas are different compared to the maritime or continental areas considering lightning. Only the last years some research about these areas has been carried out. The need for a model, regarding the lightning activity in these areas is much needed. And now, with the changes

  18. Conservation Education: A Position Statement.

    Science.gov (United States)

    Soil Conservation Society of America, Ankeny, IA.

    The Soil Conservation Society of America's (SCSA) aim is to advance the science and art of good land and water use. Conservation education has a significant role in achieving the wise use of these resources. In this report, perspectives are offered on: (1) the requirements for effective conservation education programs; (2) rationale for…

  19. Infrastructure package. Draft position statement

    International Nuclear Information System (INIS)

    Mascarin, Guillaume

    2011-01-01

    The European Commission published on 17 November 2010 the communication entitled: 'COM(2010)0677 - Energy infrastructure priorities for 2020 and beyond - A Blueprint for an integrated European energy network'. It aims at ensuring that strategic energy networks and storage facilities are completed by 2020. To this end, the EC has identified 12 priority corridors and areas covering electricity, gas, oil and carbon dioxide transport networks. It proposes a regime of 'common interest' for projects contributing to implementing these priorities and having obtained this label. The UFE, the professional association for the electricity sector, has analyzed the EC communication and presents its remarks in this document. UFE's focusses its analysis on 5 key points: 1. Towards a European 'strategic planning' tool for future investment; 2. The correlation between networks and security of Supply (production capacities, energy mix); 3. Financing; 4. Acceptability of projects; 5. Accelerate authorisation procedures

  20. Triggered lightning strikes to aircraft and natural intracloud discharges

    Science.gov (United States)

    Mazur, Vladislav

    1989-01-01

    The physical model of Mazur (1989) for triggering lightning strikes by aircraft was used to interpret the initiation of intracloud flashes observed by the French UHF-VHF interferometric system. It is shown that both the intracloud discharges and airplane-triggered lightning strikes were initiated by simultaneous bidirectional development of the negative stepped leader and the positive leader-continous current process. However, the negative stepped leader phase in triggered flashes is of shorter duration (tens of milliseconds), than that in intracloud flashes (usually hundreds of milliseconds). This is considered to be due to the fact that, on the aircraft there is a single initiation process, versus the numerous initiation processes that occur inside the cloud.

  1. Lightning injuries in sports and recreation.

    Science.gov (United States)

    Thomson, Eric M; Howard, Thomas M

    2013-01-01

    The powers of lightning have been worshiped and feared by all known human cultures. While the chance of being struck by lightning is statistically very low, that risk becomes much greater in those who frequently work or play outdoors. Over the past 2 yr, there have been nearly 50 lightning-related deaths reported within the United States, with a majority of them associated with outdoor recreational activities. Recent publications primarily have been case studies, review articles, and a discussion of a sixth method of injury. The challenge in reducing lightning-related injuries in organized sports has been addressed well by both the National Athletic Trainers' Association and the National Collegiate Athletic Association in their guidelines on lightning safety. Challenges remain in educating the general population involved in recreational outdoor activities that do not fall under the guidelines of organized sports.

  2. Progress towards a lightning ignition model for the Northern Rockies

    Science.gov (United States)

    Paul Sopko; Don Latham

    2010-01-01

    We are in the process of constructing a lightning ignition model specific to the Northern Rockies using fire occurrence, lightning strike, ecoregion, and historical weather, NFDRS (National Fire Danger Rating System), lightning efficiency and lightning "possibility" data. Daily grids for each of these categories were reconstructed for the 2003 fire season (...

  3. The Lightning Nitrogen Oxides Model (LNOM): Status and Recent Applications

    Science.gov (United States)

    Koshak, William; Khan, Maudood; Peterson, Harold

    2011-01-01

    Improvements to the NASA Marshall Space Flight Center Lightning Nitrogen Oxides Model (LNOM) are discussed. Recent results from an August 2006 run of the Community Multiscale Air Quality (CMAQ) modeling system that employs LNOM lightning NOx (= NO + NO2) estimates are provided. The LNOM analyzes Lightning Mapping Array (LMA) data to estimate the raw (i.e., unmixed and otherwise environmentally unmodified) vertical profile of lightning NOx. The latest LNOM estimates of (a) lightning channel length distributions, (b) lightning 1-m segment altitude distributions, and (c) the vertical profile of NOx are presented. The impact of including LNOM-estimates of lightning NOx on CMAQ output is discussed.

  4. Image navigation and registration for the geostationary lightning mapper (GLM)

    Science.gov (United States)

    van Bezooijen, Roel W. H.; Demroff, Howard; Burton, Gregory; Chu, Donald; Yang, Shu S.

    2016-10-01

    The Geostationary Lightning Mappers (GLM) for the Geostationary Operational Environmental Satellite (GOES) GOES-R series will, for the first time, provide hemispherical lightning information 24 hours a day from longitudes of 75 and 137 degrees west. The first GLM of a series of four is planned for launch in November, 2016. Observation of lightning patterns by GLM holds promise to improve tornado warning lead times to greater than 20 minutes while halving the present false alarm rates. In addition, GLM will improve airline traffic flow management, and provide climatology data allowing us to understand the Earth's evolving climate. The paper describes the method used for translating the pixel position of a lightning event to its corresponding geodetic longitude and latitude, using the J2000 attitude of the GLM mount frame reported by the spacecraft, the position of the spacecraft, and the alignment of the GLM coordinate frame relative to its mount frame. Because the latter alignment will experience seasonal variation, this alignment is determined daily using GLM background images collected over the previous 7 days. The process involves identification of coastlines in the background images and determination of the alignment change necessary to match the detected coastline with the coastline predicted using the GSHHS database. Registration is achieved using a variation of the Lucas-Kanade algorithm where we added a dither and average technique to improve performance significantly. An innovative water mask technique was conceived to enable self-contained detection of clear coastline sections usable for registration. Extensive simulations using accurate visible images from GOES13 and GOES15 have been used to demonstrate the performance of the coastline registration method, the results of which are presented in the paper.

  5. Estimates of the Lightning NOx Profile in the Vicinity of the North Alabama Lightning Mapping Array

    Science.gov (United States)

    Koshak, William J.; Peterson, Harold S.; McCaul, Eugene W.; Blazar, Arastoo

    2010-01-01

    The NASA Marshall Space Flight Center Lightning Nitrogen Oxides Model (LNOM) is applied to August 2006 North Alabama Lightning Mapping Array (NALMA) data to estimate the (unmixed and otherwise environmentally unmodified) vertical source profile of lightning nitrogen oxides, NOx = NO + NO2. Data from the National Lightning Detection Network (Trademark) (NLDN) is also employed. This is part of a larger effort aimed at building a more realistic lightning NOx emissions inventory for use by the U.S. Environmental Protection Agency (EPA) Community Multiscale Air Quality (CMAQ) modeling system. Overall, special attention is given to several important lightning variables including: the frequency and geographical distribution of lightning in the vicinity of the NALMA network, lightning type (ground or cloud flash), lightning channel length, channel altitude, channel peak current, and the number of strokes per flash. Laboratory spark chamber results from the literature are used to convert 1-meter channel segments (that are located at a particular known altitude; i.e., air density) to NOx concentration. The resulting lightning NOx source profiles are discussed.

  6. Proton-pump inhibitors adverse effects: a review of the evidence and position statement by the Sociedad Española de Patología Digestiva.

    Science.gov (United States)

    de la Coba Ortiz, Cristóbal; Argüelles Arias, Federico; Martín de Argila de Prados, Carlos; Júdez Gutiérrez, Javier; Linares Rodríguez, Antonio; Ortega Alonso, Aida; Rodríguez de Santiago, Enrique; Rodríguez-Téllez, Manuel; Vera Mendoza, María Isabel; Aguilera Castro, Lara; Álvarez Sánchez, Ángel; Andrade Bellido, Raúl Jesús; Bao Pérez, Fidencio; Castro Fernández, Manuel; Giganto Tomé, Froilán

    2016-04-01

    In the last few years a significant number of papers have related the use of proton-pump inhibitors (PPIs) to potential serious adverse effects that have resulted in social unrest. The goal of this paper was to provide a literature review for the development of an institutional position statement by Sociedad Española de Patología Digestiva (SEPD) regarding the safety of long-term PPI use. A comprehensive review of the literature was performed to draw conclusions based on a critical assessment of the following: a) current PPI indications; b) vitamin B12 deficiency and neurological disorders; c) magnesium deficiency; d) bone fractures; e) enteric infection and pneumonia; f) interactions with thienopyridine derivatives; e) complications in cirrhotic patients. Current PPI indications have remained unchanged for years now, and are well established. A general screening of vitamin B12 levels is not recommended for all patients on a PPI; however, it does seem necessary that magnesium levels be measured at therapy onset, and then monitored in subjects on other drugs that may induce hypomagnesemia. A higher risk for bone fractures is present, even though causality cannot be concluded for this association. The association between PPIs and infection with Clostridium difficile is mild to moderate, and the risk for pneumonia is low. In patients with cardiovascular risk receiving thienopyridines derivatives it is prudent to adequately consider gastrointestinal and cardiovascular risks, given the absence of definitive evidence regardin potential drug-drug interactions; if gastrointestinal risk is found to be moderate or high, effective prevention should be in place with a PPI. PPIs should be cautiously indicated in patients with decompensated cirrhosis. PPIs are safe drugs whose benefits outweigh their potential side effects both short-term and long-term, provided their indication, dosage, and duration are appropriate.

  7. An Integrated 0-1 Hour First-Flash Lightning Nowcasting, Lightning Amount and Lightning Jump Warning Capability

    Science.gov (United States)

    Mecikalski, John; Jewett, Chris; Carey, Larry; Zavodsky, Brad; Stano, Geoffrey

    2015-01-01

    Lightning one of the most dangerous weather-related phenomena, especially as many jobs and activities occur outdoors, presenting risk from a lightning strike. Cloud-to-ground (CG) lightning represents a considerable safety threat to people at airfields, marinas, and outdoor facilities-from airfield personnel, to people attending outdoor stadium events, on beaches and golf courses, to mariners, as well as emergency personnel. Holle et al. (2005) show that 90% of lightning deaths occurred outdoors, while 10% occurred indoors despite the perception of safety when inside buildings. Curran et al. (2000) found that nearly half of fatalities due to weather were related to convective weather in the 1992-1994 timeframe, with lightning causing a large component of the fatalities, in addition to tornadoes and flash flooding. Related to the aviation industry, CG lightning represents a considerable hazard to baggage-handlers, aircraft refuelers, food caterers, and emergency personnel, who all become exposed to the risk of being struck within short time periods while convective storm clouds develop. Airport safety protocols require that ramp operations be modified or discontinued when lightning is in the vicinity (typically 16 km), which becomes very costly and disruptive to flight operations. Therefore, much focus has been paid to nowcasting the first-time initiation and extent of lightning, both of CG and of any lightning (e.g, in-cloud, cloud-to-cloud). For this project three lightning nowcasting methodologies will be combined: (1) a GOESbased 0-1 hour lightning initiation (LI) product (Harris et al. 2010; Iskenderian et al. 2012), (2) a High Resolution Rapid Refresh (HRRR) lightning probability and forecasted lightning flash density product, such that a quantitative amount of lightning (QL) can be assigned to a location of expected LI, and (3) an algorithm that relates Pseudo-GLM data (Stano et al. 2012, 2014) to the so-called "lightning jump" (LJ) methodology (Shultz et al

  8. Resonating Statements

    DEFF Research Database (Denmark)

    Hjelholt, Morten; Jensen, Tina Blegind

    2015-01-01

    IT projects are often complex arrangements of technological components, social actions, and organizational transformation that are difficult to manage in practice. This paper takes an analytical discourse perspective to explore the process of legitimizing IT projects. We introduce the concept...... of resonating statements to highlight how central actors navigate in various discourses over time. Particularly, the statements and actions of an IT project manager are portrayed to show how individuals can legitimize actions by connecting statements to historically produced discourses. The case study...... as part of a feedback loop to re-attach the localized IT project to the broader national discourse. The paper concludes with reflections on how to actively build on resonating statements as a strategic resource for legitimizing IT projects...

  9. Financial Statements

    International Development Research Centre (IDRC) Digital Library (Canada)

    Financial Statements and accompanying notes provided on .... to good governance principles. there is the risk that ...... responsibilities of the centre's internal auditor includes reviewing internal controls, including accounting and financial.

  10. Recent Advancements in Lightning Jump Algorithm Work

    Science.gov (United States)

    Schultz, Christopher J.; Petersen, Walter A.; Carey, Lawrence D.

    2010-01-01

    In the past year, the primary objectives were to show the usefulness of total lightning as compared to traditional cloud-to-ground (CG) networks, test the lightning jump algorithm configurations in other regions of the country, increase the number of thunderstorms within our thunderstorm database, and to pinpoint environments that could prove difficult for any lightning jump configuration. A total of 561 thunderstorms have been examined in the past year (409 non-severe, 152 severe) from four regions of the country (North Alabama, Washington D.C., High Plains of CO/KS, and Oklahoma). Results continue to indicate that the 2 lightning jump algorithm configuration holds the most promise in terms of prospective operational lightning jump algorithms, with a probability of detection (POD) at 81%, a false alarm rate (FAR) of 45%, a critical success index (CSI) of 49% and a Heidke Skill Score (HSS) of 0.66. The second best performing algorithm configuration was the Threshold 4 algorithm, which had a POD of 72%, FAR of 51%, a CSI of 41% and an HSS of 0.58. Because a more complex algorithm configuration shows the most promise in terms of prospective operational lightning jump algorithms, accurate thunderstorm cell tracking work must be undertaken to track lightning trends on an individual thunderstorm basis over time. While these numbers for the 2 configuration are impressive, the algorithm does have its weaknesses. Specifically, low-topped and tropical cyclone thunderstorm environments are present issues for the 2 lightning jump algorithm, because of the suppressed vertical depth impact on overall flash counts (i.e., a relative dearth in lightning). For example, in a sample of 120 thunderstorms from northern Alabama that contained 72 missed events by the 2 algorithm 36% of the misses were associated with these two environments (17 storms).

  11. Three years of lightning impulse charge moment change measurements in the United States

    Science.gov (United States)

    Cummer, Steven A.; Lyons, Walter A.; Stanley, Mark A.

    2013-06-01

    We report and analyze 3 years of lightning impulse charge moment change (iCMC) measurements obtained from an automated, real time lightning charge moment change network (CMCN). The CMCN combines U.S. National Lightning Detection Network (NLDN) lightning event geolocations with extremely low frequency (≲1 kHz) data from two stations to provide iCMC measurements across the entire United States. Almost 14 million lightning events were measured in the 3 year period. We present the statistical distributions of iCMC versus polarity and NLDN-measured peak current, including corrections for the detection efficiency of the CMCN versus peak current. We find a broad distribution of iCMC for a given peak current, implying that these parameters are at best only weakly correlated. Curiously, the mean iCMC does not monotonically increase with peak current, and in fact, drops for positive CG strokes above +150 kA. For all positive strokes, there is a boundary near 20 C km that separates seemingly distinct populations of high and low iCMC strokes. We also explore the geographic distribution of high iCMC lightning strokes. High iCMC positive strokes occur predominantly in the northern midwest portion of the U.S., with a secondary peak over the gulf stream region just off the U.S. east coast. High iCMC negative strokes are also clustered in the midwest, although somewhat south of most of the high iCMC positive strokes. This is a region far from the locations of maximum occurrence of high peak current negative strokes. Based on assumed iCMC thresholds for sprite production, we estimate that approximately 35,000 positive polarity and 350 negative polarity sprites occur per year over the U.S. land and near-coastal areas. Among other applications, this network is useful for the nowcasting of sprite-producing storms and storm regions.

  12. Lightning-caused fires in Central Spain

    DEFF Research Database (Denmark)

    Nieto Solana, Hector; Aguado, Inmaculada; García, Mariano

    2012-01-01

    Lightning-caused fire occurrence has been modelled for two different Spanish regions, Madrid andAragon, based on meteorological, terrain, and vegetation variables. The model was built on two very contrasting regions, one presenting low number of lightning-caused fires whereas the other presented...... in the model, where an increasing number of thunderstorms leads to a higher probability of occurrence. Validation was assessed through the Receiver Operator Characteristic, showing a good agreement between the modelled probabilities and the reported lightning-caused fires, with an Area Under the Curve around 0...

  13. ENSO Related Inter-Annual Lightning Variability from the Full TRMM LIS Lightning Climatology

    Science.gov (United States)

    Clark, Austin; Cecil, Daniel

    2018-01-01

    The El Nino/Southern Oscillation (ENSO) contributes to inter-annual variability of lightning production more than any other atmospheric oscillation. This study further investigated how ENSO phase affects lightning production in the tropics and subtropics using the Tropical Rainfall Measuring Mission (TRMM) Lightning Imaging Sensor (LIS). Lightning data were averaged into mean annual warm, cold, and neutral 'years' for analysis of the different phases and compared to model reanalysis data. An examination of the regional sensitivities and preliminary analysis of three locations was conducted using model reanalysis data to determine the leading convective mechanisms in these areas and how they might respond to the ENSO phases

  14. The mechanism of lightning attraction and the problem of lightning initiation by lasers

    International Nuclear Information System (INIS)

    Bazelyan, E M; Raizer, Yurii P

    2000-01-01

    Physical processes determining the ability of lightning to change its trajectory by choosing high constructions to strike are discussed. The leader mechanism of lightning propagation is explained. The criterion for a viable ascending (upward) leader to originate from a construction is established. The mechanism of the weak long-distance interaction between the ascending counter leader originating from a grounded construction and the descending (downward) leader from a cloud is analyzed. Current problems concerning lightning protection and lightning triggering by a laser spark are discussed, the latter being of special interest owing to a recent successful experiment along this line. (physics of our days)

  15. Doppler Radar and Lightning Network Observations of a Severe Outbreak of Tropical Cyclone Tornadoes

    Science.gov (United States)

    Mccaul, Eugene W., Jr.; Buechler, Dennis E.; Goodman, Steven J.; Cammarata, Michael

    2004-01-01

    Data from a single Weather Surveillance Radar-1988 Doppler (WSR-88D) and the National Lightning Detection Network are used to examine the characteristics of the convective storms that produced a severe tornado outbreak, including three tornadoes that reached F3 intensity, within Tropical Storm Beryl s remnants on 16 August 1994. Comparison of the radar data with reports of tornadoes suggests that only 13 cells produced the 29 tornadoes that were documented in Georgia and the Carolinas on that date. Six of these cells spawned multiple tornadoes, and the radar data confirm the presence of miniature supercells. One of the cells was identifiable on radar for 11 h. spawning tornadoes over a time period spanning approximately 6.5 h. Several other tornadic cells also exhibited great longevity, with cell lifetimes longer than ever previously documented in a landfalling tropical cyclone (TC) tornado event. This event is easily the most intense TC tornado outbreak yet documented with WSR-88Ds. Time-height analyses of the three strongest tornadic supercells are presented in order to document storm kinematic structure and to show how these storms appear at different ranges from a WSR-88D. In addition, cloud-to-ground (CG) lightning data are examined in Beryl s remnants. Although the tornadic cells were responsible for most of Beryl's CG lightning, their flash rates were only weak to moderate, and in all the tornadic storms the lightning flashes were almost entirely negative in polarity. A few of the single-tornado storms produced no detectable CG lightning at all. There is evidence that CG lightning rates decreased during the tornadoes, compared to 30-min periods before the tornadoes. A number of the storms spawned tornadoes just after producing their final CG lightning flashes. Contrary to the findings for flash rates, both peak currents and positive flash percentages were larger in Beryl's nontornadic storms than in the tornadic ones.

  16. Multicolor Photometric Observation of Lightning from Space: Comparison with Radio Measurements

    Science.gov (United States)

    Adachi, Toru; Cohen, Morris; Said, Ryan; Blakeslee, Richard J.; Cummer, Steven A.; Li, Jingbo; Lu, Geopeng; Hsu, Rue-Ron; Su, Han-Tzong; Chen, Alfred Bing-Chih; hide

    2011-01-01

    This study evaluates the effectiveness of spectrophotometric measurements from space in revealing properties of lightning flash. The multicolor optical waveform data obtained by FORMOSAT-2/Imager of Sprites and Upper Atmospheric Lightning (ISUAL) were analyzed in relation to National Lightning Detection Network (NLDN), North Alabama Lightning Mapping Array (LMA). As of July 2011, we found six lightning events which were observed by ISUAL and North Alabama LMA. In two of these events, NLDN showed clear positive cloud-to-ground (CG) discharges with peak current of +139.9 kA and +41.6 kA and, around that time, LMA showed continuous intra-cloud (IC) leader activities at 4-6 km altitudes. ISUAL also observed consistent optical waveforms of the IC and CG components and, interestingly, it was found that the blue/red spectral ratio clearly decreased by a factor of 1.5-2.5 at the time of CG discharges. Other four lightning events in which NLDN did not detect any CG discharges were also investigated, but such a feature was not found in any of these cases. These results suggest that the optical color of CG component is more reddish than that of IC component and we explain this as a result of more effective Rayleigh scattering in blue light emissions coming from lower-altitude light source. This finding suggests that spectral measurements could be a new useful technique to characterize ICs and CGs from space. In this talk, we will also present a result from lightning statistical analysis of ISUAL spectrophotometric data and ULF magnetic data.

  17. GRIP LIGHTNING INSTRUMENT PACKAGE (LIP) V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The Lightning Instrument Package (LIP) consists of 6 rotating vane type electric field sensors along with a central computer to record and monitor the instruments....

  18. Lightning measurements from the Pioneer Venus Orbiter

    Science.gov (United States)

    Scarf, F. L.; Russell, C. T.

    1983-01-01

    The plasma wave instrument on the Pioneer Venus Orbiter frequently detects strong and impulsive low-frequency signals when the spacecraft traverses the nightside ionosphere near periapsis. These particular noise bursts appear only when the local magnetic field is strong and steady and when the field is oriented to point down to the ionosphere thus; the signals have all characteristics of lightning whistlers. We have tried to identify lightning sources between the cloud layers and the planet itself by tracing rays along the B-field from the Orbiter down toward the surface. An extensive data set, consisting of measurements through Orbit 1185, strongly indicates a clustering of lightning sources near the Beta and Phoebe Regios, with an additional significant cluster near the Atla Regio at the eastern edge of Aphrodite Terra. These results suggest that there are localized lightning sources at or near the planetary surface.

  19. Central hyperadrenergic state after lightning strike.

    Science.gov (United States)

    Parsaik, Ajay K; Ahlskog, J Eric; Singer, Wolfgang; Gelfman, Russell; Sheldon, Seth H; Seime, Richard J; Craft, Jennifer M; Staab, Jeffrey P; Kantor, Birgit; Low, Phillip A

    2013-08-01

    To describe and review autonomic complications of lightning strike. Case report and laboratory data including autonomic function tests in a subject who was struck by lightning. A 24-year-old man was struck by lightning. Following that, he developed dysautonomia, with persistent inappropriate sinus tachycardia and autonomic storms, as well as posttraumatic stress disorder (PTSD) and functional neurologic problems. The combination of persistent sinus tachycardia and episodic exacerbations associated with hypertension, diaphoresis, and agitation was highly suggestive of a central hyperadrenergic state with superimposed autonomic storms. Whether the additional PTSD and functional neurologic deficits were due to a direct effect of the lightning strike on the central nervous system or a secondary response is open to speculation.

  20. Lightning protection for wind turbines in Vietnam

    Directory of Open Access Journals (Sweden)

    Thuan Nguyen

    2017-01-01

    Full Text Available Wind energy has become increasingly important in the total electrical energy supply mix in Vietnam over the last few years. Small, kW turbines were installed in isolated areas a decade ago, while wind farms of several MW to few hundred MW are now being connected directly to national grid, with many additional projects in planning or under construction to fulfill an objective of 6% of the total installed capacity by 2030 (approximately 6200 MW of wind energy component. The increase in wind farm generation results in increased damage from lightning. In this paper, the annual frequency of lightning strikes to wind turbines in Vietnam is calculated using electrogeometric model. Reported lightning incidents to three major wind farms in Vietnam are summarized. Possible causes of failure are discussed, and an EMTP simulation for each incident was performed accordingly. The simulations suggest the failure mechanisms as well the potential of improved grounding to reduce lightning induced damage in future windfarms.

  1. Understanding Financial Statements. Financial Matters. Board Basics.

    Science.gov (United States)

    McCarthy, John H.; Turner, Robert M.

    1998-01-01

    This booklet for trustees of higher education institutions offers guidelines to help trustees understand the institution's financial statements. Individual sections describe the three major financial statements and cover topics such as: (1) standards of the Financial Accounting Standards Board; (2) the "statement of financial position,"…

  2. How Lightning Works Inside Thunderstorms: A Half-Century of Lightning Studies

    Science.gov (United States)

    Krehbiel, P. R.

    2015-12-01

    Lightning is a fascinating and intriguing natural phenomenon, but the most interesting parts of lightning discharges are inside storms where they are obscured from view by the storm cloud. Although clouds are essentially opaque at optical frequencies, they are fully transparent at radio frequencies (RF). This, coupled with the fact that lightning produces prodigious RF emissions, has allowed us to image and study lightning inside storms using various RF and lower-frequency remote sensing techniques. As in all other scientific disciplines, the technology for conducting the studies has evolved to an incredible extent over the past 50 years. During this time, we have gone from having very little or no knowledge of how lightning operates inside storms, to being able to 'see' its detailed structure and development with an increasing degree of spatial and temporal resolution. In addition to studying the discharge processes themselves, lightning mapping observations provide valuable information on the electrical charge structure of storms, and on the mechanisms by which storms become strongly electrified. In this presentation we briefly review highlights of previous observations, focussing primarily on the long string of remote-sensing studies I have been involved in. We begin with the study of lightning charge centers of cloud-to-ground discharges in central New Mexico in the late 1960s and continue up to the present day with interferometric and 3-dimensional time-of-arrival VHF mapping observations of lightning in normally- and anomalously electrified storms. A particularly important aspect of the investigations has been comparative studies of lightning in different climatological regimes. We conclude with observations being obtained by a high-speed broadband VHF interferometer, which show in unprecedented detail how individual lightning discharges develop inside storms. From combined interferometer and 3-D mapping data, we are beginning to unlock nature's secrets

  3. Lightning protection system for a wind turbine

    Science.gov (United States)

    Costin, Daniel P [Chelsea, VT; Petter, Jeffrey K [Williston, VT

    2008-05-27

    In a wind turbine (104, 500, 704) having a plurality of blades (132, 404, 516, 744) and a blade rotor hub (120, 712), a lightning protection system (100, 504, 700) for conducting lightning strikes to any one of the blades and the region surrounding the blade hub along a path around the blade hub and critical components of the wind turbine, such as the generator (112, 716), gearbox (708) and main turbine bearings (176, 724).

  4. Scientific Lightning Detection Network for Kazakhstan

    Science.gov (United States)

    Streltsov, A. V.; Lozbin, A.; Inchin, A.; Shpadi, Y.; Inchin, P.; Shpadi, M.; Ayazbayev, G.; Bykayev, R.; Mailibayeva, L.

    2015-12-01

    In the frame of grant financing of the scientific research in 2015-2017 the project "To Develop Electromagnetic System for lightning location and atmosphere-lithosphere coupling research" was found. The project was start in January, 2015 and should be done during 3 years. The purpose is to create a system of electromagnetic measurements for lightning location and atmosphere-lithosphere coupling research consisting of a network of electric and magnetic sensors and the dedicated complex for data processing and transfer to the end user. The main tasks are to set several points for electromagnetic measurements with 100-200 km distance between them, to develop equipment for these points, to develop the techniques and software for lightning location (Time-of-arrival and Direction Finding (TOA+DF)) and provide a lightning activity research in North Tien-Shan region with respect to seismicity and other natural and manmade activities. Also, it is planned to use lightning data for Global Electric Circuit (GEC) investigation. Currently, there are lightning detection networks in many countries. In Kazakhstan we have only separate units in airports. So, we don't have full lightning information for our region. It is planned, to setup 8-10 measurement points with magnetic and electric filed antennas for VLF range. The final data set should be including each stroke location, time, type (CG+, CG-, CC+ or CC-) and waveform from each station. As the magnetic field lightning antenna the ferrite rod VLF antenna will be used. As the electric field antenna the wide range antenna with specific frequencies filters will be used. For true event detection TOA and DF methods needs detected stroke from minimum 4 stations. In this case we can get location accuracy about 2-3 km and better.

  5. Lightning magnetic field measuring system in Bogota

    OpenAIRE

    Escobar Alvarado, Oscar Fernardo

    2013-01-01

    This thesis presents the configuration and performance of a lightning radiated electromagnetic field measuring system in Bogotá Colombia. The system is composed by both magnetic and electric field measuring systems working as separated sensors. The aim of the thesis is the design and construction of a Magnetic Field Measuring System and the implementation of a whole lightning measuring system in Bogotá. The theoretical background, design process, construction and implementation of the system ...

  6. Data Assimilation of Lightning using 1D+3D/4D WRF Var Assimilation Schemes with Non-Linear Observation Operators

    Science.gov (United States)

    Navon, M. I.; Stefanescu, R.; Fuelberg, H. E.; Marchand, M.

    2012-12-01

    between inner and outer loops of the incremental 3-D/4-D VAR minimization. The first part of this paper will describe the methodology and performance analysis of the 1D-Var retrieval scheme that adjusts the WRF temperature profiles closer to an observed value as in Mahfouf et al. (2005). The second part will show the positive impact of these 1D-Var pseudo - temperature observations on both model 3D/4D-Var WRF analyses and short-range forecasts for three cases - the Tuscaloosa tornado outbreak (April 27, 2011) with intense but localized lightning, a second severe storm outbreak with more widespread but less intense lightning (June 27, 2011), and a northeaster containing much less lightning.

  7. Lightning Arrestor Connectors Production Readiness

    Energy Technology Data Exchange (ETDEWEB)

    Marten, Steve; Linder, Kim; Emmons, Jim; Gomez, Antonio; Hasam, Dawud; Maurer, Michelle

    2008-10-20

    The Lightning Arrestor Connector (LAC), part “M”, presented opportunities to improve the processes used to fabricate LACs. The A## LACs were the first production LACs produced at the KCP, after the product was transferred from Pinnellas. The new LAC relied on the lessons learned from the A## LACs; however, additional improvements were needed to meet the required budget, yield, and schedule requirements. Improvement projects completed since 2001 include Hermetic Connector Sealing Improvement, Contact Assembly molding Improvement, development of a second vendor for LAC shells, general process improvement, tooling improvement, reduction of the LAC production cycle time, and documention of the LAC granule fabrication process. This report summarizes the accomplishments achieved in improving the LAC Production Readiness.

  8. A model for ball lightning

    International Nuclear Information System (INIS)

    Fryberger, D.

    1994-10-01

    A model for ball lightning (BL) is described. It is based upon the vorton model for elementary particles, which exploits the symmetry between electricity and magnetism. The core, or driving engine, of BL in this model is comprised of a vorton-antivorton plasma. The energy of BL, which derives from nucleon decay catalyzed by this plasma, leads, through various mechanisms, to BL luminosity as well as to other BL features. It is argued that this model could also be a suitable explanation for other luminous phenomena, such as the unidentified atmospheric light phenomena seen at Hessdalen. It is predicted that BL and similar atmospheric luminous phenomena should manifest certain features unique to this model, which would be observable with suitable instrumentation

  9. Rationales for the Lightning Launch Commit Criteria

    Science.gov (United States)

    Willett, John C. (Editor); Merceret, Francis J. (Editor); Krider, E. Philip; O'Brien, T. Paul; Dye, James E.; Walterscheid, Richard L.; Stolzenburg, Maribeth; Cummins, Kenneth; Christian, Hugh J.; Madura, John T.

    2016-01-01

    Since natural and triggered lightning are demonstrated hazards to launch vehicles, payloads, and spacecraft, NASA and the Department of Defense (DoD) follow the Lightning Launch Commit Criteria (LLCC) for launches from Federal Ranges. The LLCC were developed to prevent future instances of a rocket intercepting natural lightning or triggering a lightning flash during launch from a Federal Range. NASA and DoD utilize the Lightning Advisory Panel (LAP) to establish and develop robust rationale from which the criteria originate. The rationale document also contains appendices that provide additional scientific background, including detailed descriptions of the theory and observations behind the rationales. The LLCC in whole or part are used across the globe due to the rigor of the documented criteria and associated rationale. The Federal Aviation Administration (FAA) adopted the LLCC in 2006 for commercial space transportation and the criteria were codified in the FAA's Code of Federal Regulations (CFR) for Safety of an Expendable Launch Vehicle (Appendix G to 14 CFR Part 417, (G417)) and renamed Lightning Flight Commit Criteria in G417.

  10. On the Initiation of Lightning in Thunderclouds

    International Nuclear Information System (INIS)

    Chilingarian, A.; Chilingaryan, S.; Karapetyan, T.; Kozliner, L.; Khanikyants, Y.; Hovsepyan, G.; Pokhsraryan, D.; Soghomonyan, S.

    2017-01-01

    The relationship of lightning and elementary particle fluxes in the thunderclouds is not fully understood to date. Using the particle beams (the so-called Thunderstorm Ground Enhancements - TGE) as a probe we investigate the characteristics of the interrelated atmospheric processes. The well-known effect of the TGE dynamics is the abrupt termination of the particle flux by the lightning flash. With new precise electronics, we can see that particle flux decline occurred simultaneously with the rearranging of the charge centers in the cloud. The analysis of the TGE energy spectra before and after the lightning demonstrates that intense high-energy part of the TGE energy spectra disappeared just after lightning. The decline of particle flux coincides on millisecond time scale with first atmospheric discharges and we can conclude that Relativistic Runaway Electron Avalanches (RREA) in the thundercloud assist initiation of the negative cloud to ground lightning. Thus, RREA can provide enough ionization to play a significant role in the unleashing of the lightning flash. (author)

  11. The Elusive Evidence of Volcanic Lightning.

    Science.gov (United States)

    Genareau, K; Gharghabi, P; Gafford, J; Mazzola, M

    2017-11-14

    Lightning strikes are known to morphologically alter and chemically reduce geologic formations and deposits, forming fulgurites. A similar process occurs as the result of volcanic lightning discharge, when airborne volcanic ash is transformed into lightning-induced volcanic spherules (LIVS). Here, we adapt the calculations used in previous studies of lightning-induced damage to infrastructure materials to determine the effects on pseudo-ash samples of simplified composition. Using laboratory high-current impulse experiments, this research shows that within the lightning discharge channel there is an ideal melting zone that represents roughly 10% or less of the total channel radius at which temperatures are sufficient to melt the ash, regardless of peak current. The melted ash is simultaneously expelled from the channel by the heated, expanding air, permitting particles to cool during atmospheric transport before coming to rest in ash fall deposits. The limited size of this ideal melting zone explains the low number of LIVS typically observed in volcanic ash despite the frequent occurrence of lightning during explosive eruptions.

  12. Auditing nuclear materials statements

    International Nuclear Information System (INIS)

    Anon.

    1973-01-01

    A standard that may be used as a guide for persons making independent examinations of nuclear materials statements or reports regarding inventory quantities on hand, receipts, production, shipment, losses, etc. is presented. The objective of the examination of nuclear materials statements by the independent auditor is the expression of an opinion on the fairness with which the statements present the nuclear materials position of a nuclear materials facility and the movement of such inventory materials for the period under review. The opinion is based upon an examination made in accordance with auditing criteria, including an evaluation of internal control, a test of recorded transactions, and a review of measured discards and materials unaccounted for (MUF). The standard draws heavily upon financial auditing standards and procedures published by the American Institute of Certified Public Accountants

  13. Ball lightning. What nature is trying to tell the plasma research community

    International Nuclear Information System (INIS)

    Roth, J.R.

    1995-01-01

    Ball lightning has been extensively observed in atmospheric air, usually in association with thunderstorms, by untrained observers who were not in a position to make careful observations. These chance sightings have been documented by polling observers, who constitute perhaps 5% of the adult U.S. population. Unfortunately, ball lightning is not accessible to scientific analysis because it cannot be reproduced in the laboratory under controlled conditions. Natural ball lightning has been observed to last longer than 90 s and to have diameters from 1 cm to several meters. The energy density of a few lightning balls has been observed to be as high as 20000 J/cm 3 , well above the limit of chemical energy storage of, for example, TNT at 2000 J/cm 3 . Such observations suggest a plasma-related phenomenon with significant magnetic energy storage. If this is the case, ball lightning should have very interesting implications for fusion research, industrial plasma engineering, and military applications, as well as being of great theoretical and practical interest to the plasma research community. 20 refs., 15 figs., 2 tabs

  14. Global Lightning Response to Forbush Decreases in Short-term

    Science.gov (United States)

    Li, H.; Wu, Q.; Wang, C.

    2017-12-01

    , the results illustrate that there is a statistically significant positive correlation between FD and daily lightning count, and the latter reaches its minimum 2-3 days after the former onset. In addition, this response enhances if we only choose the stronger and the more standard FDs. This work has reached the 95% confidence level of Monte Carlo test.

  15. Lightning NOx Production in CMAQ Part I – Using Hourly NLDN Lightning Strike Data

    Science.gov (United States)

    Lightning-produced nitrogen oxides (NOX=NO+NO2) in the middle and upper troposphere play an essential role in the production of ozone (O3) and influence the oxidizing capacity of the troposphere. Despite much effort in both observing and modeling lightning NOX during the past dec...

  16. Lightning Performance on Overhead Distribution Lines : After Improvement Field Observation

    Directory of Open Access Journals (Sweden)

    Reynaldo Zoro

    2009-11-01

    Full Text Available Two feeders of 20 kV overhead distribution lines which are located in a high lightning density area are chosen to be observed as a field study due to their good lightning performance after improvement of lightning protection system. These two feeders used the new overhead ground wire and new line arrester equipped with lightning counter on the main lines. The significant reduced of lines outages are reported. Study was carried out to observe these improvements by comparing to the other two feeders line which are not improved and not equipped yet with the ground wire and line arrester. These two feeders located in the nearby area. Two cameras were installed to record the trajectory of the lightning strikes on the improved lines. Lightning peak currents are measured using magnetic tape measurement system installed on the grounding lead of lightning arrester. Lightning overvoltage calculations are carried out by using several scenarios based on observation results and historical lightning data derived from lightning detection network. Lightning overvoltages caused by indirect or direct strikes are analyzed to get the lightning performance of the lines. The best scenario was chosen and performance of the lines were improved significantly by installing overhead ground wire and improvement of lightning arrester installation.

  17. ENSO Related Interannual Lightning Variability from the Full TRMM LIS Lightning Climatology

    Science.gov (United States)

    Clark, Austin; Cecil, Daniel J.

    2018-01-01

    It has been shown that the El Nino/Southern Oscillation (ENSO) contributes to inter-annual variability of lightning production in the tropics and subtropics more than any other atmospheric oscillation. This study further investigated how ENSO phase affects lightning production in the tropics and subtropics. Using the Tropical Rainfall Measuring Mission (TRMM) Lightning Imaging Sensor (LIS) and the Oceanic Nino Index (ONI) for ENSO phase, lightning data were averaged into corresponding mean annual warm, cold, and neutral 'years' for analysis of the different phases. An examination of the regional sensitivities and preliminary analysis of three locations was conducted using model reanalysis data to determine the leading convective mechanisms in these areas and how they might respond to the ENSO phases. These processes were then studied for inter-annual variance and subsequent correlation to ENSO during the study period to best describe the observed lightning deviations from year to year at each location.

  18. Multiple Lightning Discharges in Wind Turbines Associated with Nearby Cloud-to-Ground Lightning

    DEFF Research Database (Denmark)

    Candela Garolera, Anna; Cummins, Kenneth L.; Madsen, Søren Find

    2015-01-01

    This paper presents the analysis of five events where simultaneous lightning currents were registered in different wind turbines of a wind farm with lightning monitoring equipment installed. Measurements from current monitoring devices installed at the wind turbines and observations from auto......-triggering video cameras were correlated with data from the U.S. National Lighting Detection Network. In all five events, the correlation showed that a cloud-to-ground (CG) lightning stroke with high peak current struck the ground within 10 km of the affected turbines at the time of the currents in the wind...... by the nearby CG strokes, involving mechanisms that vary depending on the polarity of the associated CG stroke. The analysis also suggests that the event of upward lightning from wind turbines triggered by nearby lightning activity occurs very often and therefore it should be considered carefully...

  19. Frequency domain analysis of lightning protection using four lightning protection rods

    Directory of Open Access Journals (Sweden)

    Javor Vesna

    2008-01-01

    Full Text Available In this paper the lightning discharge channel is modeled as a vertical monopole antenna excited by a pulse generator at its base. The lightning electromagnetic field of a nearby lightning discharge in the case of lightning protection using four vertical lightning protection rods was determined in the frequency domain. Unknown current distributions were determined by numerical solving of a system of integral equations of two potentials using the Point Matching Method and polynomial approximation of the current distributions. The influence of the real ground, treated as homogeneous loss half-space of known electrical parameters, expressed through a Sommerfeld integral kernel, was modeled using a new Two-image approximation which gives good results in both near and far fields.

  20. Lightning Attachment Estimation to Wind Turbines by Utilizing Lightning Location Systems

    DEFF Research Database (Denmark)

    Vogel, Stephan; Holbøll, Joachim; Lopez, Javier

    2016-01-01

    three different wind power plant locations are analyzed and the impact of varying data qualities is evaluated regarding the ability to detect upward lightning. This work provides a variety of background information which is relevant to the exposure assessment of wind turbine and includes practical......The goal of a lightning exposure assessment is to identify the number, type and characteristics of lightning discharges to a certain structure. There are various Lightning Location System (LLS) technologies available, each of them are characterized by individual performance characteristics....... In this work, these technologies are reviewed and evaluated in order to obtain an estimation of which technologies are eligible to perform a lightning assessment to wind turbines. The results indicate that ground-based mid-range low frequency (LF) LLS systems are most qualified since they combine a wide...

  1. Consolidated financial statements for fiscal year 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-02-01

    The following overview and accompanying audited financial statements have been prepared for Fiscal Year (FY) 1996 to report the financial position and the results of operations of the Department of Energy. These statements include the consolidated Statement of Financial Position and the consolidated Statement of Operations and Changes in Net Position. The statements have been prepared in accordance with the Office of Management and Budget Bulletin No. 94-01, Form and Content for Agency Financial Statements, and were developed in accordance with the hierarchy of accounting standards described therein. The overview provides a narrative on the Department of Energy`s mission, activities, and accomplishments. Utilizing performance measures as the primary vehicle for communicating Departmental accomplishments and results, this overview discusses the most significant measures while others are discussed in the supplemental information to the financial statements.

  2. Combined Aircraft and Satellite-Derived Storm Electric Current and Lightning Rates Measurements and Implications for the Global Electric Circuit

    Science.gov (United States)

    Mach, Douglas M.; Blakeslee, Richard J.; Bateman, Monte G.

    2010-01-01

    Using rotating vane electric field mills and Gerdien capacitors, we measured the electric field profile and conductivity during 850 overflights of electrified shower clouds and thunderstorms spanning regions including the Southeastern United States, the Western Atlantic Ocean, the Gulf of Mexico, Central America and adjacent oceans, Central Brazil, and the South Pacific. The overflights include storms over land and ocean, with and without lightning, and with positive and negative fields above the storms. The measurements were made with the NASA ER-2 and the Altus-II high altitude aircrafts. Peak electric fields, with lightning transients removed, ranged from -1.0 kV/m to 16 kV/m, with a mean value of 0.9 kV/m. The median peak field was 0.29 kV/m. Integrating our electric field and conductivity data, we determined total conduction currents and flash rates for each overpass. With knowledge of the storm location (land or ocean) and type (with or without lightning), we determine the mean currents by location and type. The mean current for ocean storms with lightning is 1.6 A while the mean current for land storms with lightning is 1.0 A. The mean current for oceanic storms without lightning (i.e., electrified shower clouds) is 0.39 A and the mean current for land storms without lightning is 0.13 A. Thus, on average, land storms with or without lightning have about half the mean current as their corresponding oceanic storm counterparts. Over three-quarters (78%) of the land storms had detectable lightning, while less than half (43%) of the oceanic storms had lightning. We did not find any significant regional or latitudinal based patterns in our total conduction currents. By combining the aircraft derived storm currents and flash rates with diurnal lightning statistics derived from the Lightning Imaging Sensor (LIS) and Optical Transient Detector (OTD) low Earth orbiting satellites, we reproduce the diurnal variation in the global electric circuit (i.e., the Carnegie

  3. Rio 2016 financial statements

    OpenAIRE

    2015-01-01

    These documents include the report from independent auditors balance sheet, the statement of income, the statement of changes in equity, the statement of cash flows and the explanatory notes to the financial statements.

  4. OLS DIGITAL DERIVED LIGHTNING FROM DMSP F10 V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The OLS Digital Derived Lightning from DMSP F10 dataset consists of global lightning signatures from the Defense Meteorological Satellite Program (DMSP) Operational...

  5. Lightning Imaging Sensor (LIS) on TRMM Science Data V4

    Data.gov (United States)

    National Aeronautics and Space Administration — The Lightning Imaging Sensor (LIS) Science Data was collected by the Lightning Imaging Sensor (LIS), which was an instrument on the Tropical Rainfall Measurement...

  6. Multiparameter Investigation of Significant Lightning Producing Storms in Northeastern Colorado

    National Research Council Canada - National Science Library

    Gauthier, Michael

    1999-01-01

    We present a regional, summer season, climatology of cloud to ground (CG) lightning immediately east of the central Rocky mountains from 1996-98 using data from the National Lightning Detection Network (NLDN...

  7. VAISALA US NLDN LIGHTNING FLASH DATA V2

    Data.gov (United States)

    National Aeronautics and Space Administration — The U.S. National Lightning Detection Network is a commercial lightning detection network operated by Vaisala. A network of over 100 antennae are connected to a...

  8. Identification of lightning vulnerability points on complex grounded structures

    OpenAIRE

    Becerra Garcia, Marley; Cooray, Vernon; Hartono, Z.A

    2007-01-01

    The identification of the most vulnerable points on a given structure to be struck by lightning is an important issue on the design of areliable lightning protection system. Traditionally, these lightning strike points are identified using the rolling sphere method, through anempirical correlation with the prospective peak return stroke current. However, field observations in Kuala Lumpur and Singapore haveshown that the points where lightning flashes strike buildings also depend on the heigh...

  9. Characteristics of cloud-to-ground lightning activity over Seoul, South Korea in relation to an urban effect

    Directory of Open Access Journals (Sweden)

    S. K. Kar

    2007-11-01

    Full Text Available Cloud-to-ground (CG lightning flash data collected by the lightning detection network installed at the Korean Meteorological Administration (KMA have been used to study the urban effect on lightning activity over and around Seoul, the largest metropolitan city of South Korea, for the period of 1989–1999. Negative and positive flash density and the percentage of positive flashes have been calculated. Calculation reveals that an enhancement of approximately 60% and 42% are observed, respectively, for negative and positive flash density over and downwind of the city. The percentage decrease of positive flashes occurs over and downwind of Seoul and the amount of decrease is nearly 20% compared to upwind values. The results are in good agreement with those obtained by Steiger et al. (2002 and Westcott (1995. CG lightning activities have also been considered in relation to annual averages of PM10 (particulate matter with an aerodynamic diameter smaller than 10 μm and sulphur dioxide (SO2 concentrations. Interesting results are found, indicating that the higher concentration of SO2 contributes to the enhancement of CG lightning flashes. On the other hand, the contribution from PM10 concentration has not appeared in this study to be as significant as SO2 in the enhancement of CG lightning flashes. Correlation coefficients of 0.33 and 0.64 are found between the change in CG lightning flashes and the PM10 and SO2, respectively, for upwind to downwind areas, suggesting a significant influence of the increased concentration of SO2 on the enhancement of CG flashes.

  10. Bipolar cloud-to-ground lightning flash observations

    Science.gov (United States)

    Saba, Marcelo M. F.; Schumann, Carina; Warner, Tom A.; Helsdon, John H.; Schulz, Wolfgang; Orville, Richard E.

    2013-10-01

    lightning is usually defined as a lightning flash where the current waveform exhibits a polarity reversal. There are very few reported cases of cloud-to-ground (CG) bipolar flashes using only one channel in the literature. Reports on this type of bipolar flashes are not common due to the fact that in order to confirm that currents of both polarities follow the same channel to the ground, one necessarily needs video records. This study presents five clear observations of single-channel bipolar CG flashes. High-speed video and electric field measurement observations are used and analyzed. Based on the video images obtained and based on previous observations of positive CG flashes with high-speed cameras, we suggest that positive leader branches which do not participate in the initial return stroke of a positive cloud-to-ground flash later generate recoil leaders whose negative ends, upon reaching the branch point, traverse the return stroke channel path to the ground resulting in a subsequent return stroke of opposite polarity.

  11. Nowcasting the lightning activity in Peninsular Malaysia using the GPS PWV during the 2009 inter-monsoons

    Directory of Open Access Journals (Sweden)

    Wayan Suparta

    2014-05-01

    Full Text Available The spatial and temporal radio wave delay of the Global Positioning System (GPS signal can be manipulated to estimate the precipitable water vapor (PWV which favorable for meteorological applications. A rapid change of the water vapor amount was a precondition for the unbalanced atmospheric charges, which noticeably associated with the development of convective cloud as a lightning chamber. According to this fact, GPS derived PWV will be utilized to nowcasting the lightning event for the next couple of hours. The variances of PWV of four-selected station of the Peninsular Malaysia during the past two inter-monsoons events in May and November 2009 were analyzed. To clarify the response, the changes of PWV in hourly Δ (max-min before the lightning event was investigated with minimum value 2 mm and is maintained at least three consecutive hours. There are 177 samples were extracted from this method and 69% of the sample showed the lightning occurrence with an average duration was after the six consecutive hours. The lightning day with 2 mm Δ was also higher than the fair weather of 6.3%. These findings suggest that the GPS data can be proposed further as a guide to nowcast the occurrence of lightning activity.

  12. 14 CFR 27.610 - Lightning and static electricity protection.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Lightning and static electricity protection....610 Lightning and static electricity protection. (a) The rotorcraft must be protected against catastrophic effects from lightning. (b) For metallic components, compliance with paragraph (a) of this section...

  13. 14 CFR 25.1316 - System lightning protection.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false System lightning protection. 25.1316... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Equipment General § 25.1316 System lightning... systems to perform these functions are not adversely affected when the airplane is exposed to lightning...

  14. 14 CFR 29.610 - Lightning and static electricity protection.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Lightning and static electricity protection... § 29.610 Lightning and static electricity protection. (a) The rotorcraft structure must be protected against catastrophic effects from lightning. (b) For metallic components, compliance with paragraph (a) of...

  15. 14 CFR 23.954 - Fuel system lightning protection.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel system lightning protection. 23.954... Fuel System § 23.954 Fuel system lightning protection. The fuel system must be designed and arranged to prevent the ignition of fuel vapor within the system by— (a) Direct lightning strikes to areas having a...

  16. 30 CFR 56.12065 - Short circuit and lightning protection.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Short circuit and lightning protection. 56... Electricity § 56.12065 Short circuit and lightning protection. Powerlines, including trolley wires, and telephone circuits shall be protected against short circuits and lightning. ...

  17. 30 CFR 57.12065 - Short circuit and lightning protection.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Short circuit and lightning protection. 57... MINES Electricity Surface Only § 57.12065 Short circuit and lightning protection. Powerlines, including trolley wires, and telephone circuits shall be protected against short circuits and lightning. ...

  18. A Performance Evaluation of Lightning-NO Algorithms in CMAQ

    Science.gov (United States)

    In the Community Multiscale Air Quality (CMAQv5.2) model, we have implemented two algorithms for lightning NO production; one algorithm is based on the hourly observed cloud-to-ground lightning strike data from National Lightning Detection Network (NLDN) to replace the previous m...

  19. Usage of internal statements in making consolidated financial statement

    Directory of Open Access Journals (Sweden)

    V.N. Herman

    2016-12-01

    Full Text Available The emergence of the consolidated financial statements is the result of integration processes in the businesses that lead to pooling of different companies. As consolidated financial statements present an aggregated look at the financial position of a parent and its subsidiaries, they let you gauge the overall health of an entire group of companies as opposed to one company’s standalone position. Consolidation of financial statements requires from the participants of joining elaborating their individual statements. The article describes the general scheme of consolidation process and defines the key trends of consolidation adjustments, in particular, financial investments, internal operations, goodwill and exchange rate differences. It is found out that to get information about internal operations and financial investments such data have to be synthesized from internal statements. This approach allows using the same accounting methods to parent and subsidiary entities. The objects, the users and the subject domain of internal statements are determined in order to make consolidation of financial statements of joining.

  20. Statistical Evolution of the Lightning Flash

    Science.gov (United States)

    Zoghzoghy, F. G.; Cohen, M.; Said, R.; Inan, U. S.

    2012-12-01

    Natural lightning is one of the most fascinating and powerful electrical processes on Earth. To date, the physics behind this natural phenomenon are not fully understood, due primarily to the difficulty of obtaining measurements inside thunderstorms and to the wide range of timescales involved (from nanoseconds to seconds). Our aim is to use accurate lightning geo-location data from the National Lightning Detection Network (NLDN) to study statistical patterns in lightning, taking advantage of the fact that millions of lightning flashes occur around the globe every day. We present two sets of results, one involving the patterns of flashes in a storm, and a second involving the patterns of strokes in a flash. These patterns can provide a surrogate measure of the timescales and the spatial extents of the underlying physical processes. First, we study the timescales of charge buildup inside thunderstorms. We find that, following a lightning flash, the probability of another neighboring flash decreases and takes tens of seconds to recover. We find that this suppression effect is a function of flash type, stroke peak current, cloud-to-ground (CG) stroke multiplicity, and other lightning and geographical parameters. We find that the probabilities of subsequent flashes are more suppressed following oceanic lightning, or following flashes with higher peak currents and/or higher multiplicities (for CG flashes). Second, we use NLDN data to study the evolution of the strokes within a CG flash. A CG flash typically includes multiple return strokes, which can occur in the same channel or in multiple channels within a few kilometers. We cluster NLDN stroke data into flashes and produce the probability density function of subsequent strokes as a function of distance and time-delays relative to the previous stroke. Using this technique, we investigate processes which occur during the CG lightning flash with nanosecond to millisecond timescales. For instance, our results suggest

  1. Management of radioactive disused lightning rods

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Paulo de Oliveira; Silva, Fabio, E-mail: pos@cdtn.br, E-mail: silvaf@cdtn.br [Centro de Desenvolvimento da Energia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2013-07-01

    The manufacture of radioactive lightning rod was allowed from 1970 to 1989. This authorization was based on state-of-the art science of that time that verified that radioactive lightning rods had efficiency superior to the conventional lightning rods, denominated Franklin. However, the experience showed that their efficiency was not superior enough to justify the use of radioactive sources. Consequently, in 1989, the National Commission or Nuclear Energy - CNEN, issued the Resolution 04/89 from 04-19-1989, that forbidden the importation of {sup 241}Am tapes, assembling and commercialization of radioactive lightning-rods. The institutes of CNEN are responsible for receiving these lightning-rods and sending to the users procedures for removing and dispatch to the institutes. Therewith, these devices are kept away from the human being and environment. The Nuclear technology Development Center - CDTN and Institute for Energy and Nuclear Research - IPEN of CNEN, has built laboratories appropriate for dismantling such devices and store the {sup 241}Am tapes safely. Nowadays are being researched methodologies to evaluate the contamination levels of the frame for possible recycling and become better the management of these devices. (author)

  2. Climate Change and Tropical Total Lightning

    Science.gov (United States)

    Albrecht, R.; Petersen, W.; Buechler, D.; Goodman, S.; Blakeslee, R.; Christian, H.

    2009-01-01

    While global warming is regarded as a fact by many in the scientific community, its future impact remains a challenge to be determined and measured. The International Panel on Climate Change (IPCC) assessment report (IPCC, 2007) shows inconclusive answers on global rainfall trends and general agreement on a future drier climate with increased global warming. The relationship between temperature, humidity and convection is not linear and is strongly dependent on regional scale features, such as topography and land cover. Furthermore, the relationship between convective lightning production (thunderstorms) and temperature is even more complicated, being subjected to the cloud dynamics and microphysics. Total lightning (intracloud and cloud-to-ground) monitoring is a relatively new field of observation. Global and tropical total lightning began to be more extensively measured by satellites in the mid 90s. In this scope, the Lightning Imaging Sensor (LIS) onboard of the Tropical Rainfall Measurement Mission (TRMM) has been operational for over 11 years. Here we address total lightning trends observed by LIS from 1998 to 2008 in different temporal (annual and seasonal) and spatial (large and regional) scales. The observed 11-year trends are then associate to different predicted/hypothesized climate change scenarios.

  3. The Sandia transportable triggered lightning instrumentation facility

    Science.gov (United States)

    Schnetzer, George H.; Fisher, Richard J.

    1991-01-01

    Development of the Sandia Transportable Triggered Lightning Instrumentation Facility (SATTLIF) was motivated by a requirement for the in situ testing of a munitions storage bunker. Transfer functions relating the incident flash currents to voltages, currents, and electromagnetic field values throughout the structure will be obtained for use in refining and validating a lightning response computer model of this type of structure. A preliminary shakedown trial of the facility under actual operational conditions was performed during summer of 1990 at the Kennedy Space Center's (KSC) rocket-triggered lightning test site. A description is given of the SATTLIF, which is readily transportable on a single flatbed truck of by aircraft, and its instrumentation for measuring incident lightning channel currents and the responses of the systems under test. Measurements of return-stroke current peaks obtained with the SATTLIF are presented. Agreement with data acquired on the same flashes with existing KSC instrumentation is, on average, to within approximately 7 percent. Continuing currents were measured with a resolution of approximately 2.5 A. This field trial demonstrated the practicality of using a transportable triggered lightning facility for specialized test applications.

  4. Management of radioactive disused lightning rods

    International Nuclear Information System (INIS)

    Santos, Paulo de Oliveira; Silva, Fabio

    2013-01-01

    The manufacture of radioactive lightning rod was allowed from 1970 to 1989. This authorization was based on state-of-the art science of that time that verified that radioactive lightning rods had efficiency superior to the conventional lightning rods, denominated Franklin. However, the experience showed that their efficiency was not superior enough to justify the use of radioactive sources. Consequently, in 1989, the National Commission or Nuclear Energy - CNEN, issued the Resolution 04/89 from 04-19-1989, that forbidden the importation of 241 Am tapes, assembling and commercialization of radioactive lightning-rods. The institutes of CNEN are responsible for receiving these lightning-rods and sending to the users procedures for removing and dispatch to the institutes. Therewith, these devices are kept away from the human being and environment. The Nuclear technology Development Center - CDTN and Institute for Energy and Nuclear Research - IPEN of CNEN, has built laboratories appropriate for dismantling such devices and store the 241 Am tapes safely. Nowadays are being researched methodologies to evaluate the contamination levels of the frame for possible recycling and become better the management of these devices. (author)

  5. The Deep Space Gateway Lightning Mapper (DLM) — Monitoring Global Change and Thunderstorm Processes through Observations of Earth's High-Latitude Lightning from Cis-Lunar Orbit

    Science.gov (United States)

    Lang, T. J.; Blakeslee, R. J.; Cecil, D. J.; Christian, H. J.; Gatlin, P. N.; Goodman, S. J.; Koshak, W. J.; Petersen, W. A.; Quick, M.; Schultz, C. J.; Tatum, P. F.

    2018-02-01

    We propose the Deep Space Gateway Lightning Mapper (DLM) instrument. The primary goal of the DLM is to optically monitor Earth's high-latitude (50° and poleward) total lightning not observed by current and planned spaceborne lightning mappers.

  6. Electrostatic charge bounds for ball lightning models

    International Nuclear Information System (INIS)

    Stephan, Karl D

    2008-01-01

    Several current theories concerning the nature of ball lightning predict a substantial electrostatic charge in order to account for its observed motion and shape (Turner 1998 Phys. Rep. 293 1; Abrahamson and Dinniss 2000 Nature 403 519). Using charged soap bubbles as a physical model for ball lightning, we show that the magnitude of charge predicted by some of these theories is too high to allow for the types of motion commonly observed in natural ball lightning, which includes horizontal motion above the ground and movement near grounded conductors. Experiments show that at charge levels of only 10-15 nC, 3-cm-diameter soap bubbles tend to be attracted by induced charges to the nearest grounded conductor and rupture. We conclude with a scaling rule that can be used to extrapolate these results to larger objects and surroundings

  7. Augmenting Satellite Precipitation Estimation with Lightning Information

    Energy Technology Data Exchange (ETDEWEB)

    Mahrooghy, Majid [Mississippi State University (MSU); Anantharaj, Valentine G [ORNL; Younan, Nicolas H. [Mississippi State University (MSU); Petersen, Walter A. [NASA Marshall Space Flight Center, Huntsville, AL; Hsu, Kuo-Lin [University of California, Irvine; Behrangi, Ali [Jet Propulsion Laboratory, Pasadena, CA; Aanstoos, James [Mississippi State University (MSU)

    2013-01-01

    We have used lightning information to augment the Precipitation Estimation from Remotely Sensed Imagery using an Artificial Neural Network - Cloud Classification System (PERSIANN-CCS). Co-located lightning data are used to segregate cloud patches, segmented from GOES-12 infrared data, into either electrified (EL) or non-electrified (NEL) patches. A set of features is extracted separately for the EL and NEL cloud patches. The features for the EL cloud patches include new features based on the lightning information. The cloud patches are classified and clustered using self-organizing maps (SOM). Then brightness temperature and rain rate (T-R) relationships are derived for the different clusters. Rain rates are estimated for the cloud patches based on their representative T-R relationship. The Equitable Threat Score (ETS) for daily precipitation estimates is improved by almost 12% for the winter season. In the summer, no significant improvements in ETS are noted.

  8. On the formation of ball lightning

    International Nuclear Information System (INIS)

    Silberg, P.A.

    1981-01-01

    A plasma continuum model for the formation of ball lightning is developed based on a substantial number of reports that the ball is often in the discharge column of a previous lightning stroke. The usual method of setting up the plasma equation for a one-component electron plasma is used. An approximate equation for the plasma is derived from the describing equation which is then solved exactly in terms of the Jacobi elliptic functions. The formation of the ball is based on a nonlinearity of the plasma equation which uner certain circumstances permits the field to collapse into a small region. This collapse is interpreted to be ball lightning. The approximate equation derived for the plasma has the same form as a previous equation used to describe the formation of the fireball plasma. (author)

  9. Magnetic field generated by lightning protection system

    Science.gov (United States)

    Geri, A.; Veca, G. M.

    1988-04-01

    A lightning protection system for today's civil buildings must be electromagnetically compatible with the electronic equipment present in the building. This paper highlights a mathematic model which analyzes the electromagnetic effects in the environment in which the lightning protection system is. This model is developed by means of finite elements of an electrical circuit where each element is represented by a double pole circuit according to the trapezoidal algorithm developed using the finite difference method. It is thus possible to analyze the electromagnetic phenomena associated with the transient effects created by the lightning stroke even for a high-intensity current. Referring to an elementary system comprised of an air terminal, a down conductor, and a ground terminal, numerical results are here laid out.

  10. Developing an Enhanced Lightning Jump Algorithm for Operational Use

    Science.gov (United States)

    Schultz, Christopher J.; Petersen, Walter A.; Carey, Lawrence D.

    2009-01-01

    Overall Goals: 1. Build on the lightning jump framework set through previous studies. 2. Understand what typically occurs in nonsevere convection with respect to increases in lightning. 3. Ultimately develop a lightning jump algorithm for use on the Geostationary Lightning Mapper (GLM). 4 Lightning jump algorithm configurations were developed (2(sigma), 3(sigma), Threshold 10 and Threshold 8). 5 algorithms were tested on a population of 47 nonsevere and 38 severe thunderstorms. Results indicate that the 2(sigma) algorithm performed best over the entire thunderstorm sample set with a POD of 87%, a far of 35%, a CSI of 59% and a HSS of 75%.

  11. Spatial variability of correlated color temperature of lightning channels

    Directory of Open Access Journals (Sweden)

    Nobuaki Shimoji

    Full Text Available In this paper, we present the spatial variability of the correlated color temperature of lightning channel shown in a digital still image. In order to analyze the correlated color temperature, we calculated chromaticity coordinates of the lightning channels in the digital still image. From results, the spatial variation of the correlated color temperature of the lightning channel was confirmed. Moreover, the results suggest that the correlated color temperature and peak current of the lightning channels are related to each other. Keywords: Lightning, Color analysis, Correlated color temperature, Chromaticity coordinate, CIE 1931 xy-chromaticity diagram

  12. Upper limit set for level of lightning activity on Titan

    Science.gov (United States)

    Desch, M. D.; Kaiser, M. L.

    1990-01-01

    Because optically thick cloud and haze layers prevent lightning detection at optical wavelength on Titan, a search was conducted for lightning-radiated signals (spherics) at radio wavelengths using the planetary radioastronomy instrument aboard Voyager 1. Given the maximum ionosphere density of about 3000/cu cm, lightning spherics should be detectable above an observing frequency of 500 kHz. Since no evidence for spherics is found, an upper limit to the total energy per flash in Titan lightning of about 10 to the 6th J, or about 1000 times weaker than that of typical terrestrial lightning, is inferred.

  13. Lightning, whistlers, and hiss - A possible relationship

    International Nuclear Information System (INIS)

    Sonwalkar, V.S.

    1990-01-01

    While it has been established that whistlers originate in terrestrial lightning, the generation mechanism remains unclear and is intractable by means of quasi-linear theory, which does not account for the generation of hiss from the background thermal noise. Observational data are presently discussed which indicate that the wave energy introduced in the magnetosphere by atmospheric lightning discharges may play an important role both in the loss of particles through wave-induced precipitation and in the embrionic generation of hiss. 13 refs

  14. Visual Analysis for Nowcasting of Multidimensional Lightning Data

    Directory of Open Access Journals (Sweden)

    Stefan Peters

    2013-08-01

    Full Text Available Globally, most weather-related damages are caused by thunderstorms. Besides floods, strong wind, and hail, one of the major thunderstorm ground effects is lightning. Therefore, lightning investigations, including detection, cluster identification, tracking, and nowcasting are essential. To enable reliable decisions, current and predicted lightning cluster- and track features as well as analysis results have to be represented in the most appropriate way. Our paper introduces a framework which includes identification, tracking, nowcasting, and in particular visualization and statistical analysis of dynamic lightning data in three-dimensional space. The paper is specifically focused on enabling users to conduct the visual analysis of lightning data for the purpose of identification and interpretation of spatial-temporal patterns embedded in lightning data, and their dynamics. A graphic user interface (GUI is developed, wherein lightning tracks and predicted lightning clusters, including their prediction certainty, can be investigated within a 3D view or within a Space-Time-Cube. In contrast to previous work, our approach provides insight into the dynamics of past and predicted 3D lightning clusters and cluster features over time. We conclude that an interactive visual exploration in combination with a statistical analysis can provide new knowledge within lightning investigations and, thus, support decision-making in weather forecast or lightning damage prevention.

  15. Statistical analysis of lightning electric field measured under Malaysian condition

    Science.gov (United States)

    Salimi, Behnam; Mehranzamir, Kamyar; Abdul-Malek, Zulkurnain

    2014-02-01

    Lightning is an electrical discharge during thunderstorms that can be either within clouds (Inter-Cloud), or between clouds and ground (Cloud-Ground). The Lightning characteristics and their statistical information are the foundation for the design of lightning protection system as well as for the calculation of lightning radiated fields. Nowadays, there are various techniques to detect lightning signals and to determine various parameters produced by a lightning flash. Each technique provides its own claimed performances. In this paper, the characteristics of captured broadband electric fields generated by cloud-to-ground lightning discharges in South of Malaysia are analyzed. A total of 130 cloud-to-ground lightning flashes from 3 separate thunderstorm events (each event lasts for about 4-5 hours) were examined. Statistical analyses of the following signal parameters were presented: preliminary breakdown pulse train time duration, time interval between preliminary breakdowns and return stroke, multiplicity of stroke, and percentages of single stroke only. The BIL model is also introduced to characterize the lightning signature patterns. Observations on the statistical analyses show that about 79% of lightning signals fit well with the BIL model. The maximum and minimum of preliminary breakdown time duration of the observed lightning signals are 84 ms and 560 us, respectively. The findings of the statistical results show that 7.6% of the flashes were single stroke flashes, and the maximum number of strokes recorded was 14 multiple strokes per flash. A preliminary breakdown signature in more than 95% of the flashes can be identified.

  16. Core competencies for cardiac rehabilitation/secondary prevention professionals: 2010 update: position statement of the American Association of Cardiovascular and Pulmonary Rehabilitation.

    Science.gov (United States)

    Hamm, Larry F; Sanderson, Bonnie K; Ades, Philip A; Berra, Kathy; Kaminsky, Leonard A; Roitman, Jeffrey L; Williams, Mark A

    2011-01-01

    Cardiac rehabilitation/secondary prevention (CR/SP) services are typically delivered by a multidisciplinary team of health care professionals. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recognizes that to provide high-quality services, it is important for these health care professionals to possess certain core competencies. This update to the previous statement identifies 10 areas of core competencies for CR/SP health care professionals and identifies specific knowledge and skills for each core competency. These core competency areas are consistent with the current list of core components for CR/SP programs published by the AACVPR and the American Heart Association and include comprehensive cardiovascular patient assessment; management of blood pressure, lipids, diabetes, tobacco cessation, weight, and psychological issues; exercise training; and counseling for psychosocial, nutritional, and physical activity issues.

  17. Thunderstorm and Lightning Studies using the FORTE Optical Lightning System (FORTE/OLS)

    Energy Technology Data Exchange (ETDEWEB)

    Argo, P.; Franz, R.; Green, J.; Guillen, J.L.; Jacobson, A.R.; Kirkland, M.; Knox, S.; Spalding, R.; Suszcynsky, D.M.

    1999-02-01

    Preliminary observations of simultaneous RF and optical emissions from lightning as seen by the FORTE spacecraft are presented. RF/optical pairs of waveforms are routinely collected both as individual lightning events and as sequences of events associated with cloud-to-ground (CG) and intra-cloud (IC) flashes. CG pulses can be distinguished from IC pulses based on the properties of the RF and optical waveforms, but mostly based on the associated RF spectrograms. The RF spectrograms are very similar to previous ground-based VHF observations of lightning and show signatures associated with return strokes, stepped and dart leaders, and attachment processes,. RF emissions are observed to precede the arrival of optical emissions at the satellite by a mean value of 280 microseconds. The dual phenomenology nature of these observations are discussed in terms of their ability to contribute to a satellite-based lightning monitoring mission.

  18. Thunderstorm and Lightning Studies using the FORTE Optical Lightning System (FORTE/OLS)

    International Nuclear Information System (INIS)

    Argo, P.; Franz, R.; Green, J.; Guillen, J.L.; Jacobson, A.R.; Kirkland, M.; Knox, S.; Spalding, R.; Suszcynsky, D.M.

    1999-01-01

    Preliminary observations of simultaneous RF and optical emissions from lightning as seen by the FORTE spacecraft are presented. RF/optical pairs of waveforms are routinely collected both as individual lightning events and as sequences of events associated with cloud-to-ground (CG) and intra-cloud (IC) flashes. CG pulses can be distinguished from IC pulses based on the properties of the RF and optical waveforms, but mostly based on the associated RF spectrograms. The RF spectrograms are very similar to previous ground-based VHF observations of lightning and show signatures associated with return strokes, stepped and dart leaders, and attachment processes,. RF emissions are observed to precede the arrival of optical emissions at the satellite by a mean value of 280 microseconds. The dual phenomenology nature of these observations are discussed in terms of their ability to contribute to a satellite-based lightning monitoring mission

  19. Lightning Jump Algorithm Development for the GOES·R Geostationary Lightning Mapper

    Science.gov (United States)

    Schultz. E.; Schultz. C.; Chronis, T.; Stough, S.; Carey, L.; Calhoun, K.; Ortega, K.; Stano, G.; Cecil, D.; Bateman, M.; hide

    2014-01-01

    Current work on the lightning jump algorithm to be used in GOES-R Geostationary Lightning Mapper (GLM)'s data stream is multifaceted due to the intricate interplay between the storm tracking, GLM proxy data, and the performance of the lightning jump itself. This work outlines the progress of the last year, where analysis and performance of the lightning jump algorithm with automated storm tracking and GLM proxy data were assessed using over 700 storms from North Alabama. The cases analyzed coincide with previous semi-objective work performed using total lightning mapping array (LMA) measurements in Schultz et al. (2011). Analysis shows that key components of the algorithm (flash rate and sigma thresholds) have the greatest influence on the performance of the algorithm when validating using severe storm reports. Automated objective analysis using the GLM proxy data has shown probability of detection (POD) values around 60% with false alarm rates (FAR) around 73% using similar methodology to Schultz et al. (2011). However, when applying verification methods similar to those employed by the National Weather Service, POD values increase slightly (69%) and FAR values decrease (63%). The relationship between storm tracking and lightning jump has also been tested in a real-time framework at NSSL. This system includes fully automated tracking by radar alone, real-time LMA and radar observations and the lightning jump. Results indicate that the POD is strong at 65%. However, the FAR is significantly higher than in Schultz et al. (2011) (50-80% depending on various tracking/lightning jump parameters) when using storm reports for verification. Given known issues with Storm Data, the performance of the real-time jump algorithm is also being tested with high density radar and surface observations from the NSSL Severe Hazards Analysis & Verification Experiment (SHAVE).

  20. Combining satellite-based fire observations and ground-based lightning detections to identify lightning fires across the conterminous USA

    Science.gov (United States)

    Bar-Massada, A.; Hawbaker, T.J.; Stewart, S.I.; Radeloff, V.C.

    2012-01-01

    Lightning fires are a common natural disturbance in North America, and account for the largest proportion of the area burned by wildfires each year. Yet, the spatiotemporal patterns of lightning fires in the conterminous US are not well understood due to limitations of existing fire databases. Our goal here was to develop and test an algorithm that combined MODIS fire detections with lightning detections from the National Lightning Detection Network to identify lightning fires across the conterminous US from 2000 to 2008. The algorithm searches for spatiotemporal conjunctions of MODIS fire clusters and NLDN detected lightning strikes, given a spatiotemporal lag between lightning strike and fire ignition. The algorithm revealed distinctive spatial patterns of lightning fires in the conterminous US While a sensitivity analysis revealed that the algorithm is highly sensitive to the two thresholds that are used to determine conjunction, the density of fires it detected was moderately correlated with ground based fire records. When only fires larger than 0.4 km2 were considered, correlations were higher and the root-mean-square error between datasets was less than five fires per 625 km2 for the entire study period. Our algorithm is thus suitable for detecting broad scale spatial patterns of lightning fire occurrence, and especially lightning fire hotspots, but has limited detection capability of smaller fires because these cannot be consistently detected by MODIS. These results may enhance our understanding of large scale patterns of lightning fire activity, and can be used to identify the broad scale factors controlling fire occurrence.

  1. Utilizing ISS Camera Systems for Scientific Analysis of Lightning Characteristics and comparison with ISS-LIS and GLM

    Science.gov (United States)

    Schultz, C. J.; Lang, T. J.; Leake, S.; Runco, M.; Blakeslee, R. J.

    2017-12-01

    Video and still frame images from cameras aboard the International Space Station (ISS) are used to inspire, educate, and provide a unique vantage point from low-Earth orbit that is second to none; however, these cameras have overlooked capabilities for contributing to scientific analysis of the Earth and near-space environment. The goal of this project is to study how georeferenced video/images from available ISS camera systems can be useful for scientific analysis, using lightning properties as a demonstration. Camera images from the crew cameras and high definition video from the Chiba University Meteor Camera were combined with lightning data from the National Lightning Detection Network (NLDN), ISS-Lightning Imaging Sensor (ISS-LIS), the Geostationary Lightning Mapper (GLM) and lightning mapping arrays. These cameras provide significant spatial resolution advantages ( 10 times or better) over ISS-LIS and GLM, but with lower temporal resolution. Therefore, they can serve as a complementarity analysis tool for studying lightning and thunderstorm processes from space. Lightning sensor data, Visible Infrared Imaging Radiometer Suite (VIIRS) derived city light maps, and other geographic databases were combined with the ISS attitude and position data to reverse geolocate each image or frame. An open-source Python toolkit has been developed to assist with this effort. Next, the locations and sizes of all flashes in each frame or image were computed and compared with flash characteristics from all available lightning datasets. This allowed for characterization of cloud features that are below the 4-km and 8-km resolution of ISS-LIS and GLM which may reduce the light that reaches the ISS-LIS or GLM sensor. In the case of video, consecutive frames were overlaid to determine the rate of change of the light escaping cloud top. Characterization of the rate of change in geometry, more generally the radius, of light escaping cloud top was integrated with the NLDN, ISS-LIS and

  2. Global reactive nitrogen deposition from lightning NOx

    NARCIS (Netherlands)

    Shepon, A.; Gildor, H.; Labrador, L.J.; Butler, T.; Ganzeveld, L.N.; Lawrence, M.G.

    2007-01-01

    We present results of the deposition of nitrogen compounds formed from lightning (LNO x ) using the global chemical transport Model of Atmospheric Transport and Chemistry¿Max Planck Institute for Chemistry version. The model indicates an approximately equal deposition of LNO x in both terrestrial

  3. CNEN resolution phohibits radioactive lightning rods

    International Nuclear Information System (INIS)

    1989-01-01

    After 15 years of irrestricted use in Brazil, the radioactive lightning rods were phohibited by Brazilian CNEN since the publication of a new law (Resolution number 4 of april 19,1989) published on may 9, 1989. All the existing ones will be removed at the time of their programed maintenance. (A.C.A.S.) [pt

  4. Lightning Pin Injection Testing on MOSFETS

    Science.gov (United States)

    Ely, Jay J.; Nguyen, Truong X.; Szatkowski, George N.; Koppen, Sandra V.; Mielnik, John J.; Vaughan, Roger K.; Wysocki, Philip F.; Celaya, Jose R.; Saha, Sankalita

    2009-01-01

    Lightning transients were pin-injected into metal-oxide-semiconductor field-effect transistors (MOSFETs) to induce fault modes. This report documents the test process and results, and provides a basis for subsequent lightning tests. MOSFETs may be present in DC-DC power supplies and electromechanical actuator circuits that may be used on board aircraft. Results show that unprotected MOSFET Gates are susceptible to failure, even when installed in systems in well-shielded and partial-shielded locations. MOSFET Drains and Sources are significantly less susceptible. Device impedance decreased (current increased) after every failure. Such a failure mode may lead to cascading failures, as the damaged MOSFET may allow excessive current to flow through other circuitry. Preliminary assessments on a MOSFET subjected to 20-stroke pin-injection testing demonstrate that Breakdown Voltage, Leakage Current and Threshold Voltage characteristics show damage, while the device continues to meet manufacturer performance specifications. The purpose of this research is to develop validated tools, technologies, and techniques for automated detection, diagnosis and prognosis that enable mitigation of adverse events during flight, such as from lightning transients; and to understand the interplay between lightning-induced surges and aging (i.e. humidity, vibration thermal stress, etc.) on component degradation.

  5. Control of Radioactive Lightning-Conductor

    International Nuclear Information System (INIS)

    Esposito, E.

    2004-01-01

    The radioactive lightning-conductor production in Brazil was started in 1970 and after a period of 19 years of commercialization of these devices, the National Nuclear Energy Commission (CNEN), based in studies done in Brazil and abroad, proved that the radioactive lightning-conductor performance wasn't superior to the conventional one, so the use of radioactive source is not justified. Thence, the authorization for its production was suspended and the installation of this type of lightning-conductor was forbidden. The radioactive material that results from the dismount of these devices must be immediately sent to CNEN, for treatment and temporary storage. After this prohibition and its publication in several specialized magazines, CNEN was searched for several institutions, factories, churches, etc, interested in obtaining information about the handling and shipment procedures of radioactive lightning-conductors that are inoperative and that must be sent to CNEN's Institutes, in a correct and secure form. From this moment CNEN technicians realize that the owners of radioactive lightning-conductors didn't have any knowledge and training in radiation protection, neither in equipment to monitoring the radiation. The radioactive material from these sources is, in almost all cases, the radioisotope 241Am which has a maximum activity of an order of 5 mCi (1,85 x 10-2 TBq); as the radiation emitted by 241Am is of alpha type, whose range in the air, is just few centimeters and the gamma rays are of low energy, an irradiation offer small risk. However, there is a contamination risk on someone hands, by the contact with the source. Aiming to attend, in an objective way, the users' interests in obtaining some pertinent technical information about the shipping of radioactive lightning-conductor that is inoperative or is being replaced and also to optimize its receipt in CNEN's Institutes, because there still has a great number of these lightning-conductors installed and still

  6. FINANCIAL AUDIT: Capitol Preservation Fund's Fiscal Years 2001 and 2000 Financial Statements

    National Research Council Canada - National Science Library

    Franzel, Jeanette

    2002-01-01

    The statements of the financial position of the Capitol Preservation Fund (the Fund) as of September 30, 2001, and 2000 were audited, and the related statements of activities and statements of cash flows for the fiscal years then ended...

  7. A projected decrease in lightning under climate change

    Science.gov (United States)

    Finney, Declan L.; Doherty, Ruth M.; Wild, Oliver; Stevenson, David S.; MacKenzie, Ian A.; Blyth, Alan M.

    2018-03-01

    Lightning strongly influences atmospheric chemistry1-3, and impacts the frequency of natural wildfires4. Most previous studies project an increase in global lightning with climate change over the coming century1,5-7, but these typically use parameterizations of lightning that neglect cloud ice fluxes, a component generally considered to be fundamental to thunderstorm charging8. As such, the response of lightning to climate change is uncertain. Here, we compare lightning projections for 2100 using two parameterizations: the widely used cloud-top height (CTH) approach9, and a new upward cloud ice flux (IFLUX) approach10 that overcomes previous limitations. In contrast to the previously reported global increase in lightning based on CTH, we find a 15% decrease in total lightning flash rate with IFLUX in 2100 under a strong global warming scenario. Differences are largest in the tropics, where most lightning occurs, with implications for the estimation of future changes in tropospheric ozone and methane, as well as differences in their radiative forcings. These results suggest that lightning schemes more closely related to cloud ice and microphysical processes are needed to robustly estimate future changes in lightning and atmospheric composition.

  8. Acute transient hemiparesis induced by lightning strike.

    Science.gov (United States)

    Rahmani, Seyed Hesam; Faridaalaee, Gholamreza; Jahangard, Samira

    2015-07-01

    According to data from the National Oceanic and Atmospheric Administration,in the years from 1959 to 1994, lightning was responsible for more than 3000 deaths and nearly 10,000 casualties. The most important characteristic features of lightning injuries are multisystem involvement and widely variable severity. Lightning strikes are primarily a neurologic injury that affects all 3 components of the nervous system: central, autonomic,and peripheral. Neurologic complications of lightning strikes vary from transient benign symptoms to permanent disability. Many patients experience a temporary paralysis called keraunoparalysis. Here we reported a 22-year-old mountaineer man with complaining of left sided hemiparesis after being hit by a lightning strike in the mountain 3 hours ago. There was no loss of consciousness at hitting time. On arrival the patient was alert, awake and hemodynamically stable. In neurologic examination cranial nerves were intact, left sided upper and lower extremity muscle force was I/V with a combination of complete sensory loss, and right-sided muscle force and sensory examination were normal. There is not any evidence of significant vascular impairment in the affected extremities. Brain MRI and CT scan and cervical MRI were normal. During 2 days of admission, with intravenous hydration, heparin 5000 unit SC q12hr and physical therapy of the affected limbs, motor and sensory function improved and was normal except mild paresthesia. He was discharged 1 day later for outpatient follow up while vitamin B1 100mg orally was prescribed.Paresthesia improved after 3 days without further sequels.

  9. Prevalent lightning sferics at 600 megahertz near Jupiter's poles

    Science.gov (United States)

    Brown, Shannon; Janssen, Michael; Adumitroaie, Virgil; Atreya, Sushil; Bolton, Scott; Gulkis, Samuel; Ingersoll, Andrew; Levin, Steven; Li, Cheng; Li, Liming; Lunine, Jonathan; Misra, Sidharth; Orton, Glenn; Steffes, Paul; Tabataba-Vakili, Fachreddin; Kolmašová, Ivana; Imai, Masafumi; Santolík, Ondřej; Kurth, William; Hospodarsky, George; Gurnett, Donald; Connerney, John

    2018-06-01

    Lightning has been detected on Jupiter by all visiting spacecraft through night-side optical imaging and whistler (lightning-generated radio waves) signatures1-6. Jovian lightning is thought to be generated in the mixed-phase (liquid-ice) region of convective water clouds through a charge-separation process between condensed liquid water and water-ice particles, similar to that of terrestrial (cloud-to-cloud) lightning7-9. Unlike terrestrial lightning, which emits broadly over the radio spectrum up to gigahertz frequencies10,11, lightning on Jupiter has been detected only at kilohertz frequencies, despite a search for signals in the megahertz range12. Strong ionospheric attenuation or a lightning discharge much slower than that on Earth have been suggested as possible explanations for this discrepancy13,14. Here we report observations of Jovian lightning sferics (broadband electromagnetic impulses) at 600 megahertz from the Microwave Radiometer15 onboard the Juno spacecraft. These detections imply that Jovian lightning discharges are not distinct from terrestrial lightning, as previously thought. In the first eight orbits of Juno, we detected 377 lightning sferics from pole to pole. We found lightning to be prevalent in the polar regions, absent near the equator, and most frequent in the northern hemisphere, at latitudes higher than 40 degrees north. Because the distribution of lightning is a proxy for moist convective activity, which is thought to be an important source of outward energy transport from the interior of the planet16,17, increased convection towards the poles could indicate an outward internal heat flux that is preferentially weighted towards the poles9,16,18. The distribution of moist convection is important for understanding the composition, general circulation and energy transport on Jupiter.

  10. Reference values for spirometry and their use in test interpretation: A Position Statement from the Australian and New Zealand Society of Respiratory Science.

    Science.gov (United States)

    Brazzale, Danny; Hall, Graham; Swanney, Maureen P

    2016-10-01

    Traditionally, spirometry testing tended to be confined to the realm of hospital-based laboratories but is now performed in a variety of health care settings. Regardless of the setting in which the test is conducted, the fundamental basis of spirometry is that the test is both performed and interpreted according to the international standards. The purpose of this Australian and New Zealand Society of Respiratory Science (ANZSRS) statement is to provide the background and recommendations for the interpretation of spirometry results in clinical practice. This includes the benchmarking of an individual's results to population reference data, as well as providing the platform for a statistically and conceptually based approach to the interpretation of spirometry results. Given the many limitations of older reference equations, it is imperative that the most up-to-date and relevant reference equations are used for test interpretation. Given this, the ANZSRS recommends the adoption of the Global Lung Function Initiative (GLI) 2012 spirometry reference values throughout Australia and New Zealand. The ANZSRS also recommends that interpretation of spirometry results is based on the lower limit of normal from the reference values and the use of Z-scores where available. © 2016 The Authors. Respirology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Respirology.

  11. Saskatchewan Energy Holdings Ltd. consolidated financial statements

    Energy Technology Data Exchange (ETDEWEB)

    1991-01-01

    The consolidated financial statements of Saskatchewan Energy Holdings Ltd. (formerly Saskatchewan Energy Corporation) as of December 31, 1990, and the consolidated statements of earnings and retained earnings and changes in cash position for the year are presented. Data include an inventory of supplies, natural gas in storage, property, plant and equipment. Financial statements are also presented for the year ending December 31, 1989, with comparative figures for the seven months ending December 31, 1988.

  12. Saskatchewan Energy Holdings Ltd. consolidated financial statements

    International Nuclear Information System (INIS)

    1991-01-01

    The consolidated financial statements of Saskatchewan Energy Holdings Ltd. (formerly Saskatchewan Energy Corporation) as of December 31, 1990, and the consolidated statements of earnings and retained earnings and changes in cash position for the year are presented. Data include an inventory of supplies, natural gas in storage, property, plant and equipment. Financial statements are also presented for the year ending December 31, 1989, with comparative figures for the seven months ending December 31, 1988

  13. Options for combination therapy in type 2 diabetes: comparison of the ADA/EASD position statement and AACE/ACE algorithm.

    Science.gov (United States)

    Bailey, Timothy

    2013-09-01

    Treating patients with diabetes is one of the most challenging and important activities a physician (primary care physician or specialist) can undertake. A key to successful therapy for type 2 diabetes is the insight that this condition is progressive and that the need for additional agents over time is normative. The ability to individualize therapy by patient and medication characteristics comes from experience and knowledge of pertinent clinical studies. However, guidelines from expert bodies such as the American Diabetes Association/European Association for the Study of Diabetes and American Association of Clinical Endocrinologists/American College of Endocrinology can help clinicians of all levels of expertise to approach therapy choices more rationally. There is unity across these guidelines about the role and benefits of metformin as first-line pharmacological treatment, probability of good efficacy, low risk of hypoglycemia, modest weight loss, and overall long-term data. Unfortunately, this unity does not extend to recommendations for subsequent pharmacological agents and their use in combination to intensify treatment when insulin is not (yet) appropriate. Across both statements, some drug classes seem more prominent, and looking at their benefit-risk profile, it is clear why this is the case. The most profound recent change in diabetes therapy has been the introduction of incretin therapies. Incretin therapies minimize 2 important adverse effects seen with many other therapies: hypoglycemia and weight gain. These agents have increased the range of options available for early intensification of treatment of type 2 diabetes. In combination with more established therapies, there are more opportunities than ever to accommodate patient preferences while improving glycemic control and harnessing extraglycemic benefits of a second (or third) agent. Copyright © 2013. Published by Elsevier Inc.

  14. Weekly Cycle of Lightning: Evidence of Storm Invigoration by Pollution

    Science.gov (United States)

    Bell, Thomas L.; Rosenfeld, Daniel; Kim, Kyu-Myong

    2009-01-01

    We have examined summertime 1998 2009 U.S. lightning data from the National Lightning Detection Network (NLDN) to look for weekly cycles in lightning activity. As was found by Bell et al. (2008) for rain over the southeast U.S., there is a significant weekly cycle in afternoon lightning activity that peaks in the middle of the week there. The weekly cycle appears to be reduced over population centers. Lightning activity peaks on weekends over waters near the SE U.S. The statistical significance of weekly cycles over the western half of the country is generally small. We found no evidence of a weekly cycle of synoptic-scale forcing that might explain these patterns. The lightning behavior is entirely consistent with the explanation suggested by Bell et al. (2008) for the cycles in rainfall and other atmospheric data from the SE U.S., that aerosols can cause storms to intensify in humid, convectively unstable environments.

  15. Sprite-producing Convective Storms within the Colorado Lightning Mapping Array

    Science.gov (United States)

    Lyons, W. A.; Cummer, S. A.; Rison, W.; Krehbiel, P. R.; Lang, T. J.; Rutledge, S. A.; Lu, G.; Stanley, M. A.; Ashcraft, T.; Nelson, T. E.

    2012-12-01

    The multi-year, multi-institution effort entitled Physical Origins of Coupling to the Upper Atmosphere from Lightning (PhOCAL), has among its goals to qualitatively understand the meteorology and lightning flash characteristics that produce the unusual and/or very energetic lightning responsible for phenomena such as sprites, halos, elves, blue jets and gigantic jets, collectively known as Transient Luminous Events (TLEs). A key task is to obtain simultaneous video, ideally with a high-speed imager (HSI), of both a TLE and its parent lightning discharge, within the domain of a 3-D Lightning Mapping Array (LMA). While conceptually simple, this task is logistically quite complicated. In 2012, a new 15-station Colorado LMA (COLMA) became operational, covering northeastern Colorado, with the Yucca Ridge Field Station (YRFS) near its western edge. The National Charge Moment Change Network (CMCN), which since 2007 has been documenting sprite-class +CGs (those with impulse change moment changes >100 C km), indicates that a strong gradient of energetic +CGs exists west-to-east through the COLMA, with the most likely region for sprite-producing storms being in the COLMA eastern fringes (western Kansas and Nebraska). Yet, on 8 and 25 June, 2012, intense convective systems formed in the COLMA along and just east of the Front Range, producing severe weather and intense lightning. On the 8th, four sprite parent +CGs were captured at 3000 fps from YRFS with the sprites confirmed by dual (conventional speed) cameras in New Mexico. In a second storm on the 25th, viewing conditions prevented +CG video acquisition, but sprites were logged over the COLMA and detailed reconstructions of the discharges are being made. The parent discharges often began as upward negative leaders propagating into a mid-level positive charge layer at 8-10 km. They often originated within or near the convective core before expanding outward into a stratiform region and involving several hundred square

  16. A Unified Model of Cloud-to-Ground Lightning Stroke

    Science.gov (United States)

    Nag, A.; Rakov, V. A.

    2014-12-01

    The first stroke in a cloud-to-ground lightning discharge is thought to follow (or be initiated by) the preliminary breakdown process which often produces a train of relatively large microsecond-scale electric field pulses. This process is poorly understood and rarely modeled. Each lightning stroke is composed of a downward leader process and an upward return-stroke process, which are usually modeled separately. We present a unified engineering model for computing the electric field produced by a sequence of preliminary breakdown, stepped leader, and return stroke processes, serving to transport negative charge to ground. We assume that a negatively-charged channel extends downward in a stepped fashion through the relatively-high-field region between the main negative and lower positive charge centers and then through the relatively-low-field region below the lower positive charge center. A relatively-high-field region is also assumed to exist near ground. The preliminary breakdown pulse train is assumed to be generated when the negatively-charged channel interacts with the lower positive charge region. At each step, an equivalent current source is activated at the lower extremity of the channel, resulting in a step current wave that propagates upward along the channel. The leader deposits net negative charge onto the channel. Once the stepped leader attaches to ground (upward connecting leader is presently neglected), an upward-propagating return stroke is initiated, which neutralizes the charge deposited by the leader along the channel. We examine the effect of various model parameters, such as step length and current propagation speed, on model-predicted electric fields. We also compare the computed fields with pertinent measurements available in the literature.

  17. Chasing Lightning: Sferics, Tweeks and Whistlers

    Science.gov (United States)

    Webb, P. A.; Franzen, K.; Garcia, L.; Schou, P.; Rous, P.

    2008-12-01

    We all know what lightning looks like during a thunderstorm, but the visible flash we see is only part of the story. This is because lightning also generates light with other frequencies that we cannot perceive with our eyes, but which are just as real as visible light. Unlike the visible light from lightning, these other frequencies can carry the lightning's energy hundreds or thousands of miles across the surface of the Earth in the form of special signals called "tweeks" and "sferics". Some of these emissions can even travel tens of thousands of miles out into space before returning to the Earth as "whistlers". The INSPIRE Project, Inc is a non-profit scientific and educational corporation whose beginning mission was to bring the excitement of observing these very low frequency (VLF) natural radio waves emissions from lightning to high school students. Since 1989, INSPIRE has provided specially designed radio receiver kits to over 2,600 participants around the world to make observations of signals in the VLF frequency range. Many of these participants are using the VLF data they collect in very creative projects that include fiction, music and art exhibitions. During the Fall 2008 semester, the first INSPIRE based university-level course was taught at University of Maryland Baltimore County (UMBC) as part of its First-Year Seminar (FYS) series. The FYS classes are limited to 20 first-year students per class and are designed to create an active-learning environment that encourages student participation and discussion that might not otherwise occur in larger first-year classes. This presentation will cover the experiences gained from using the INSPIRE kits as the basis of a university course. This will include the lecture material that covers the basic physics of lightning, thunderstorms and the Earth's atmosphere, as well as the electronics required to understand the basic workings of the VLF kit. It will also cover the students assembly of the kit in an

  18. Investigation of Lightning and EMI Shielding Properties of SWNT Buckypaper Nanocomposites

    National Research Council Canada - National Science Library

    Wang, Ben; Liang, Richard; Zhang, Chuck; Kramer, Leslie; Funchess, Percy

    2005-01-01

    ... EMI and lightning strike protection properties. The EMI shielding and lightning strike attenuation properties of the composites with the surface layer of SWNT buckypaper nanocomposite were preliminarily characterized...

  19. Automated analysis of lightning leader speed, local flash rates and electric charge structure in thunderstorms

    Science.gov (United States)

    Van Der Velde, O. A.; Montanya, J.; López, J. A.

    2017-12-01

    A Lightning Mapping Array (LMA) maps radio pulses emitted by lightning leaders, displaying lightning flash development in the cloud in three dimensions. Since the last 10 years about a dozen of these advanced systems have become operational in the United States and in Europe, often with the purpose of severe weather monitoring or lightning research. We introduce new methods for the analysis of complex three-dimensional lightning data produced by LMAs and illustrate them by cases of a mid-latitude severe weather producing thunderstorm and a tropical thunderstorm in Colombia. The method is based on the characteristics of bidrectional leader development as observed in LMA data (van der Velde and Montanyà, 2013, JGR-Atmospheres), where mapped positive leaders were found to propagate at characteristic speeds around 2 · 104 m s-1, while negative leaders typically propagate at speeds around 105 m s-1. Here, we determine leader speed for every 1.5 x 1.5 x 0.75 km grid box in 3 ms time steps, using two time intervals (e.g., 9 ms and 27 ms) and circles (4.5 km and 2.5 km wide) in which a robust Theil-Sen fitting of the slope is performed for fast and slow leaders. The two are then merged such that important speed characteristics are optimally maintained in negative and positive leaders, and labeled with positive or negative polarity according to the resulting velocity. The method also counts how often leaders from a lightning flash initiate or pass through each grid box. This "local flash rate" may be used in severe thunderstorm or NOx production studies and shall be more meaningful than LMA source density which is biased by the detection efficiency. Additionally, in each grid box the median x, y and z components of the leader propagation vectors of all flashes result in a 3D vector grid which can be compared to vectors in numerical models of leader propagation in response to cloud charge structure. Finally, the charge region altitudes, thickness and rates are summarized

  20. Assessment of lightning impact frequency for process equipment

    International Nuclear Information System (INIS)

    Necci, Amos; Antonioni, Giacomo; Cozzani, Valerio; Krausmann, Elisabeth; Borghetti, Alberto; Nucci, Carlo Alberto

    2014-01-01

    Fires and explosions triggered by lightning strikes are among the most frequent Natech scenarios affecting the chemical and process industry. Although lightning hazard is well known, well accepted quantitative procedures to assess the contribution of accidents caused by lightning to industrial risk are still lacking. In the present study, a quantitative methodology for the assessment of the expected frequency of lightning capture by process equipment is presented. A specific model, based on Monte Carlo simulations, was developed to assess the capture frequency of lightning for equipment with a given geometry. The model allows the assessment of lay-out effects and the reduction of the capture probability due to the presence of other structures or equipment items. The results of the Monte Carlo simulations were also used to develop a simplified cell method allowing a straightforward assessment of the lightning impact probability in a quantitative risk assessment framework. The developed approach allows an in-depth analysis of the hazard due to lightning impact by identifying equipment items with the highest expected frequency of lightning impacts in a given lay-out. The model thus supplies useful data to approach the assessment of the quantitative contribution of lightning-triggered accidents to industrial risk. - Highlights: • A specific approach to storage tank lightning impact frequency calculation was developed. • The approach is suitable for the quantitative assessment of industrial risk due to lightning. • The models developed provide lightning capture frequency based on tank geometry. • Lay-out effects due to nearby structures are also accounted. • Capture frequencies may be as high as 10 −1 events/year for standalone unprotected tanks

  1. When lightning strikes: bolting down the facts & fiction.

    Science.gov (United States)

    Usatch, Ben

    2009-04-01

    MYTH: There's no danger from lightning until the rain starts. FACT: Lightning often precedes the storm by up to 10 miles. A reasonable guideline is the "30-30 rule," by which you count the seconds between the flash and the thunder. If the time span is less than 30 seconds, seek shelter. Additionally, wait a full 30 minutes from last lightning flash to resume outdoor activities.

  2. Terrestrial gamma ray flash production by lightning current pulses

    OpenAIRE

    İnan, Umran Savaş; Carlson, B. E.; Lehtinen, N. G.

    2017-01-01

    Terrestrial gamma ray flashes (TGFs) are brief bursts of gamma rays observed by satellites, typically in coincidence with detectable lightning. We incorporate TGF observations and the key physics behind current TGF production theories with lightning physics to produce constraints on TGF production mechanisms. The combined constraints naturally suggest a mechanism for TGF production by current pulses in lightning leader channels. The mechanism involves local field enhancements due to charge re...

  3. A case study on lightning protection, building resonances considered

    OpenAIRE

    Deursen, van, A.P.J.; Geers - Bargboer, G.

    2011-01-01

    In a recent paper (G. Bargboer and A. P. J. van Deursen, IEEE Trans. Electromagn. Compat., vol. 52, no. 3, pp. 684-90, Aug. 2010) we dealt with current injection measurements to test the lightning protection system of a newly built pharmaceutical plant. In a tentative extrapolation, the measurements were extrapolated to actual lightning. Here, we extend the model and calculate the response of the installation on lightning currents and include resonances in the cable trays and test cables cont...

  4. Combined VLF and VHF lightning observations of Hurricane Rita landfall

    Science.gov (United States)

    Henderson, B. G.; Suszcynsky, D. M.; Wiens, K. C.; Hamlin, T.; Jeffery, C. A.; Orville, R. E.

    2009-12-01

    Hurricane Rita displayed abundant lightning in its northern eyewall as it made landfall at 0740 UTC 24 Sep 2005 near the Texas/Louisiana border. For this work, we combined VHF and VLF lightning data from Hurricane Rita, along with radar observations from Gulf Coast WSR-88D stations, for the purpose of demonstrating the combined utility of these two spectral regions for hurricane lightning monitoring. Lightning is a direct consequence of the electrification and breakdown processes that take place during the convective stages of thunderstorm development. As Rita approached the Gulf coast, the VHF lightning emissions were distinctly periodic with a period of 1.5 to 2 hours, which is consistent with the rotational period of hurricanes. VLF lightning emissions, measured by LASA and NLDN, were present in some of these VHF bursts but not all of them. At landfall, there was a significant increase in lightning emissions, accompanied by a significant convective surge observed in radar. Furthermore, VLF and VHF lightning source heights clearly increase as a function of time. The evolution of the IC/CG ratio is consistent with that seen in thunderstorms, showing a dominance of IC activity during storm development, followed by an increase in CG activity at the storm’s peak. The periodic VHF lightning events are correlated with increases in convective growth (quantified by the volume of radar echo >40 dB) above 7 km altitude. VLF can discriminate between lightning types, and in the LASA data, Rita landfall lightning activity was dominated by Narrow Bi-polar Events (NBEs)—high-energy, high-altitude, compact intra-cloud discharges. The opportunity to locate NBE lightning sources in altitude may be particularly useful in quantifying the vertical extent (strength) of the convective development and in possibly deducing vertical charge distributions.

  5. Lightning Strike Induced Damage Mechanisms of Carbon Fiber Composites

    Science.gov (United States)

    Kawakami, Hirohide

    Composite materials have a wide application in aerospace, automotive, and other transportation industries, because of the superior structural and weight performances. Since carbon fiber reinforced polymer composites possess a much lower electrical conductivity as compared to traditional metallic materials utilized for aircraft structures, serious concern about damage resistance/tolerance against lightning has been rising. Main task of this study is to clarify the lightning damage mechanism of carbon fiber reinforced epoxy polymer composites to help further development of lightning strike protection. The research on lightning damage to carbon fiber reinforced polymer composites is quite challenging, and there has been little study available until now. In order to tackle this issue, building block approach was employed. The research was started with the development of supporting technologies such as a current impulse generator to simulate a lightning strike in a laboratory. Then, fundamental electrical properties and fracture behavior of CFRPs exposed to high and low level current impulse were investigated using simple coupon specimens, followed by extensive parametric investigations in terms of different prepreg materials frequently used in aerospace industry, various stacking sequences, different lightning intensity, and lightning current waveforms. It revealed that the thermal resistance capability of polymer matrix was one of the most influential parameters on lightning damage resistance of CFRPs. Based on the experimental findings, the semi-empirical analysis model for predicting the extent of lightning damage was established. The model was fitted through experimental data to determine empirical parameters and, then, showed a good capability to provide reliable predictions for other test conditions and materials. Finally, structural element level lightning tests were performed to explore more practical situations. Specifically, filled-hole CFRP plates and patch

  6. Lightning Radio Source Retrieval Using Advanced Lightning Direction Finder (ALDF) Networks

    Science.gov (United States)

    Koshak, William J.; Blakeslee, Richard J.; Bailey, J. C.

    1998-01-01

    A linear algebraic solution is provided for the problem of retrieving the location and time of occurrence of lightning ground strikes from an Advanced Lightning Direction Finder (ALDF) network. The ALDF network measures field strength, magnetic bearing and arrival time of lightning radio emissions. Solutions for the plane (i.e., no Earth curvature) are provided that implement all of tile measurements mentioned above. Tests of the retrieval method are provided using computer-simulated data sets. We also introduce a quadratic planar solution that is useful when only three arrival time measurements are available. The algebra of the quadratic root results are examined in detail to clarify what portions of the analysis region lead to fundamental ambiguities in source location. Complex root results are shown to be associated with the presence of measurement errors when the lightning source lies near an outer sensor baseline of the ALDF network. In the absence of measurement errors, quadratic root degeneracy (no source location ambiguity) is shown to exist exactly on the outer sensor baselines for arbitrary non-collinear network geometries. The accuracy of the quadratic planar method is tested with computer generated data sets. The results are generally better than those obtained from the three station linear planar method when bearing errors are about 2 deg. We also note some of the advantages and disadvantages of these methods over the nonlinear method of chi(sup 2) minimization employed by the National Lightning Detection Network (NLDN) and discussed in Cummins et al.(1993, 1995, 1998).

  7. Monitoring of lightning from the April-May 2010 Eyjafjallajoekull volcanic eruption using a very low frequency lightning location network

    International Nuclear Information System (INIS)

    Bennett, A J; Odams, P; Edwards, D; Arason, P.

    2010-01-01

    The April-May 2010 explosive eruption of the Eyjafjallajoekull volcano in Iceland produced a tephra plume extending to an altitude of over 9 km. During many, but not all, of the periods of significant volcanic activity the plume was sufficiently electrified to generate lightning. This lightning was located by the UK Met Office long-range lightning location network (ATDnet), operating in the very low frequency radio spectrum. An approximately linear relationship between hourly lightning count rate and radar-derived plume height was found. A minimum plume height for lightning generation of sufficient strength to be detected by ATDnet was shown to be 5 km above sea level. It is not clear why some plumes exceeding 5 km did not produce lightning detected by ATDnet, although ambient atmospheric conditions may be an important factor.

  8. Monitoring of lightning from the April-May 2010 Eyjafjallajoekull volcanic eruption using a very low frequency lightning location network

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, A J; Odams, P; Edwards, D [Met Office, FitzRoy Road, Exeter EX1 3PB (United Kingdom); Arason, P., E-mail: alec.bennett@metoffice.gov.uk [Icelandic Meteorological Office, Bustaoavegi 9, IS-150 ReykjavIk (Iceland)

    2010-10-15

    The April-May 2010 explosive eruption of the Eyjafjallajoekull volcano in Iceland produced a tephra plume extending to an altitude of over 9 km. During many, but not all, of the periods of significant volcanic activity the plume was sufficiently electrified to generate lightning. This lightning was located by the UK Met Office long-range lightning location network (ATDnet), operating in the very low frequency radio spectrum. An approximately linear relationship between hourly lightning count rate and radar-derived plume height was found. A minimum plume height for lightning generation of sufficient strength to be detected by ATDnet was shown to be 5 km above sea level. It is not clear why some plumes exceeding 5 km did not produce lightning detected by ATDnet, although ambient atmospheric conditions may be an important factor.

  9. A first look at lightning energy determined from GLM

    Science.gov (United States)

    Bitzer, P. M.; Burchfield, J. C.; Brunner, K. N.

    2017-12-01

    The Geostationary Lightning Mapper (GLM) was launched in November 2016 onboard GOES-16 has been undergoing post launch and product post launch testing. While these have typically focused on lightning metrics such as detection efficiency, false alarm rate, and location accuracy, there are other attributes of the lightning discharge that are provided by GLM data. Namely, the optical energy radiated by lightning may provide information useful for lightning physics and the relationship of lightning energy to severe weather development. This work presents initial estimates of the lightning optical energy detected by GLM during this initial testing, with a focus on observations during field campaign during spring 2017 in Huntsville. This region is advantageous for the comparison due to the proliferation of ground-based lightning instrumentation, including a lightning mapping array, interferometer, HAMMA (an array of electric field change meters), high speed video cameras, and several long range VLF networks. In addition, the field campaign included airborne observations of the optical emission and electric field changes. The initial estimates will be compared with previous observations using TRMM-LIS. In addition, a comparison between the operational and scientific GLM data sets will also be discussed.

  10. Cochlear implantation for severe sensorineural hearing loss caused by lightning.

    Science.gov (United States)

    Myung, Nam-Suk; Lee, Il-Woo; Goh, Eui-Kyung; Kong, Soo-Keun

    2012-01-01

    Lightning strike can produce an array of clinical symptoms and injuries. It may damage multiple organs and cause auditory injuries ranging from transient hearing loss and vertigo to complete disruption of the auditory system. Tympanic-membrane rupture is relatively common in patients with lightning injury. The exact pathogenetic mechanisms of auditory lesions in lightning survivors have not been fully elucidated. We report the case of a 45-year-old woman with bilateral profound sensorineural hearing loss caused by a lightning strike, who was successfully rehabilitated after a cochlear implantation. Copyright © 2012 Elsevier Inc. All rights reserved.

  11. "Thunderstruck": penetrating thoracic injury from lightning strike.

    Science.gov (United States)

    van Waes, Oscar J F; van de Woestijne, Pieter C; Halm, Jens A

    2014-04-01

    Lightning strike victims are rarely presented at an emergency department. Burns are often the primary focus. This case report describes the improvised explosive device like-injury to the thorax due to lightning strike and its treatment, which has not been described prior in (kerauno)medicine. Penetrating injury due to blast from lightning strike is extremely rare. These "shrapnel" injuries should however be ruled out in all patients struck by lightning. Copyright © 2013 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

  12. Urban Influences on Convection and Lightning Over Houston

    National Research Council Canada - National Science Library

    Gauthier, Michael L

    2006-01-01

    The research presented in this dissertation addresses a fundamental question regarding urban, ultimately anthropogenic, influences on convection as it relates to lightning production and precipitation structure...

  13. An early record of ball lightning: Oliva (Spain), 1619

    Science.gov (United States)

    Domínguez-Castro, Fernando

    2018-05-01

    In a primary documentary source we found an early record of ball lightning (BL), which was observed in the monastery of Pi (Oliva, southeastern Spain) on 18 October 1619. The ball lightning was observed by at least three people and was described as a rolling burning vessel and a ball of fire. The ball lightning appeared following a lightning flash, showed a mainly horizontal motion, crossed a wall, smudged an image of the Lady of Rebollet (then known as Lady of Pi) and burnt her ruff, and overturned a cross.

  14. Nowcasting of Lightning-Related Accidents in Africa

    Science.gov (United States)

    Ihrlich, Laura; Price, Colin

    2016-04-01

    Tropical Africa is the world capital of thunderstorm activity with the highest density of strikes per square kilometer per year. As a result it is also the continent with perhaps the highest casualties and injuries from direct lightning strikes. This region of the globe also has little lightning protection of rural homes and schools, while many casualties occur during outdoor activities (e.g. farming, fishing, sports, etc.) In this study we investigated two lightning-caused accidents that got wide press coverage: A lightning strike to a Cheetah Center in Namibia which caused a huge fire and great destruction (16 October 2013), and a plane crash in Mali where 116 people died (24 July 2014). Using data from the World Wide Lightning Location Network (WWLLN) we show that the lightning data alone can provide important early warning information that can be used to reduce risks and damages and loss of life from lightning strikes. We have developed a now-casting scheme that allows for early warnings across Africa with a relatively low false alarm rate. To verify the accuracy of our now-cast, we have performed some statistical analysis showing relatively high skill at providing early warnings (lead time of a few hours) based on lightning alone. Furthermore, our analysis can be used in forensic meteorology for determining if such accidents are caused by lightning strikes.

  15. Doppler radar observation of thunderstorm circulation in the 1977 trip program. [triple Doppler radar network for lightning detection and ranging

    Science.gov (United States)

    Lhermitte, R. M.; Conte, D.; Pasqualucci, F.; Lennon, C.; Serafin, R. J.

    1978-01-01

    Storm data obtained on August 1, 1977 are examined in an attempt to interpret the relationship between lightning occurrence and the thunderstorm inner dynamics and precipitation processes. Horizontal maps are presented which indicated the position of radiation sources detected by the Lightning Detection and Ranging (LDAR) network, together with the horizontal motion fields and radar reflectivity data. Detailed inspection of these fields showed that, although radiation sources are found in the vicinity of precipitation cells, they are not located in the heavy precipitation areas, but rather on their rear side in regions where the configuration of the wind fields suggests the presence of updrafts.

  16. Structure of conducting channel of lightning

    International Nuclear Information System (INIS)

    Alanakyan, Yu. R.

    2013-01-01

    The spatial distribution of the plasma density in a lightning channel is studied theoretically. It is shown that the electric-field double layer is formed at the channel boundary. In this case, the electron temperature changes abruptly and ions are accelerated by the electric field of the double layer. The ion momentum flux density is close to the surrounding gas pressure. Cleaning of the channel from heavy particles occurs in particle-exchange processes between the plasma channel and the surrounding air. Hydrogen ions are accumulated inside the expanding channel from the surrounding air, which is enriched by hydrogen-contained molecules. In this case, the plasma channel is unstable and splits to a chain of equidistant bunches of plasma. The hydrogen-enrich bunches burn diffusely after recombination exhibiting the bead lightning behavior

  17. Ionospheric effects of thunderstorms and lightning

    Energy Technology Data Exchange (ETDEWEB)

    Lay, Erin H. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-02-03

    Tropospheric thunderstorms have been reported to disturb the lower ionosphere (~65-90 km) by convective atmospheric gravity waves and by electromagnetic field changes produced by lightning discharges. However, due to the low electron density in the lower ionosphere, active probing of its electron distribution is difficult, and the various perturbative effects are poorly understood. Recently, we have demonstrated that by using remotely-detected ?me waveforms of lightning radio signals it is possible to probe the lower ionosphere and its fluctuations in a spatially and temporally-resolved manner. Here we report evidence of gravity wave effects on the lower ionosphere originating from the thunderstorm. We also report variations in the nighttime ionosphere atop a small thunderstorm and associate the variations with the storm’s electrical activity. Finally, we present a data analysis technique to map ionospheric acoustic waves near thunderstorms.

  18. Gigantic balloon type artificial lightning generator

    Energy Technology Data Exchange (ETDEWEB)

    Horii; kenji

    1988-09-05

    This paper outlines a hot-air balloon type Van de Graaf 50-MV generator which can generate a 50,000,000 V, 0.2 to 0.3 coulomb artificial lightning comparable to natural lightning discharge and reports the results of investigation on discharging experiments conducted using this apparatus. The subjects covered are as follows: (1) Outline of the hot-air balloon type Van de Graaf 50-MV generator, (2) electric characteristics of the Van de Graaf 50-MV generator, (3) charge transfer with film and balloon charging, (4) the load of the balloon and buoyancy calculation, (5) leakage of charges, (6) study of charging experiments, and (7) evaluation of the apparatus and its method and problems to be solved. (4 figs, 4 tabs, 4 refs)

  19. Should patients with CKD stage 5D and biochemical evidence of secondary hyperparathyroidism be prescribed calcimimetic therapy? An ERA-EDTA position statement

    NARCIS (Netherlands)

    Goldsmith, David; Covic, Adrian; Vervloet, Marc; Cozzolino, Mario; Nistor, Ionut; Vervloet, Mark; Brandenburg, Vincent; Bover, Jordi; Evenepoel, Pieter; Massy, Ziad; Mazzaferro, Sandro; Urena-Torres, Pablo; Abramowicz, D.; Bolignano, D.; Cannata Andia, G.; Cochat, P.; Covic, A.; Delvecchio, L.; Drechsler, C.; Eckardt, K. U.; Fouque, D.; Fox, J.; Haller, M.; Heimburger, O.; Jager, K. J.; Lindley, E.; Marti Monros, A. M.; Nagler, E.; Oberbauer, R.; Spasovski, G.; Tattersall, J.; van Biesen, W.; Vander Veer, S.; Vanholder, R.; Wanner, C.; Wheeler, D.; Whithers, W.; Wiecek, A.; Zoccali, C.

    2015-01-01

    This paper reflects the position of the CKD-MBD workgroup, an official working group of ERA-EDTA and of the ERBP advisory board, the official guideline-producing body of ERA-EDTA, on the topic of the use of calcimimetics in patients with CKD stage 5D, as based on two recent meta-analysis

  20. Fifteen to Twenty Seconds of Eye Movements Have No Effect on Believability of Positive Personal Verbal Statements : Results From a Working Memory Study

    NARCIS (Netherlands)

    Matthijssen, S.J.M.A.; van den Hout, M.A.

    2016-01-01

    According to working memory theory, a task that taxes working memory during simultaneous focus on a memory will tend to reduce memory vividness and emotional intensity. Results have been found for both negative and positive memories. Some studies have shown the necessity of modality-specific tasks,

  1. Photonuclear reactions triggered by lightning discharge.

    Science.gov (United States)

    Enoto, Teruaki; Wada, Yuuki; Furuta, Yoshihiro; Nakazawa, Kazuhiro; Yuasa, Takayuki; Okuda, Kazufumi; Makishima, Kazuo; Sato, Mitsuteru; Sato, Yousuke; Nakano, Toshio; Umemoto, Daigo; Tsuchiya, Harufumi

    2017-11-22

    Lightning and thunderclouds are natural particle accelerators. Avalanches of relativistic runaway electrons, which develop in electric fields within thunderclouds, emit bremsstrahlung γ-rays. These γ-rays have been detected by ground-based observatories, by airborne detectors and as terrestrial γ-ray flashes from space. The energy of the γ-rays is sufficiently high that they can trigger atmospheric photonuclear reactions that produce neutrons and eventually positrons via β + decay of the unstable radioactive isotopes, most notably 13 N, which is generated via 14 N + γ →  13 N + n, where γ denotes a photon and n a neutron. However, this reaction has hitherto not been observed conclusively, despite increasing observational evidence of neutrons and positrons that are presumably derived from such reactions. Here we report ground-based observations of neutron and positron signals after lightning. During a thunderstorm on 6 February 2017 in Japan, a γ-ray flash with a duration of less than one millisecond was detected at our monitoring sites 0.5-1.7 kilometres away from the lightning. The subsequent γ-ray afterglow subsided quickly, with an exponential decay constant of 40-60 milliseconds, and was followed by prolonged line emission at about 0.511 megaelectronvolts, which lasted for a minute. The observed decay timescale and spectral cutoff at about 10 megaelectronvolts of the γ-ray afterglow are well explained by de-excitation γ-rays from nuclei excited by neutron capture. The centre energy of the prolonged line emission corresponds to electron-positron annihilation, providing conclusive evidence of positrons being produced after the lightning.

  2. Lightning Protection for the Orion Space Vehicle

    Science.gov (United States)

    Scully, Robert

    2015-01-01

    The Orion space vehicle is designed to requirements for both direct attachment and indirect effects of lightning. Both sets of requirements are based on a full threat 200kA strike, in accordance with constraints and guidelines contained in SAE ARP documents applicable to both commercial and military aircraft and space vehicles. This paper describes the requirements as levied against the vehicle, as well as the means whereby the design shows full compliance.

  3. An Optical Lightning Simulator in an Electrified Cloud-Resolving Model to Prepare the Future Space Lightning Missions

    Science.gov (United States)

    Bovalo, Christophe; Defer, Eric; Pinty, Jean-Pierre

    2016-04-01

    The future decade will see the launch of several space missions designed to monitor the total lightning activity. Among these missions, the American (Geostationary Lightning Mapper - GLM) and European (Lightning Imager - LI) optical detectors will be onboard geostationary satellites (GOES-R and MTG, respectively). For the first time, the total lightning activity will be monitored over the full Earth disk and at a very high temporal resolution (2 and 1 ms, respectively). Missions like the French Tool for the Analysis of Radiation from lightNIng and Sprites (TARANIS) and ISS-LIS will bring complementary information in order to better understand the lightning physics and to improve the weather prediction (nowcasting and forecasting). Such missions will generate a huge volume of new and original observations for the scientific community and weather prediction centers that have to be prepared. Moreover, before the launch of these missions, fundamental questions regarding the interpretation of the optical signal property and its relation to cloud optical thickness and lightning discharge processes need to be further investigated. An innovative approach proposed here is to use the synergy existing in the French MesoNH Cloud-Resolving Model (CRM). Indeed, MesoNH is one of the only CRM able to simulate the lifecycle of electrical charges generated within clouds through non-inductive charging process (dependent of the 1-moment microphysical scheme). The lightning flash geometry is based on a fractal law while the electrical field is diagnosed thanks to the Gauss' law. The lightning optical simulator is linked to the electrical scheme as the lightning radiance at 777.4 nm is a function of the lightning current, approximated by the charges neutralized along the lightning path. Another important part is the scattering of this signal by the hydrometeors (mainly ice particles) that is taken into account. Simulations at 1-km resolution are done over the Langmuir Laboratory (New

  4. Impact of lightning strikes on hospital functions.

    Science.gov (United States)

    Mortelmans, Luc J M; Van Springel, Gert L J; Van Boxstael, Sam; Herrijgers, Jan; Hoflacks, Stefaan

    2009-01-01

    Two regional hospitals were struck by lightning during a one-month period. The first hospital, which had 236 beds, suffered a direct strike to the building. This resulted in a direct spread of the power peak and temporary failure of the standard power supply. The principle problems, after restoring standard power supply, were with the fire alarm system and peripheral network connections in the digital radiology systems. No direct impact on the hardware could be found. Restarting the servers resolved all problems. The second hospital, which had 436 beds, had a lightning strike on the premises and mainly experienced problems due to induction. All affected installations had a cable connection from outside in one way or another. The power supplies never were endangered. The main problem was the failure of different communication systems (telephone, radio, intercom, fire alarm system). Also, the electronic entrance control went out. During the days after the lightening strike, multiple software problems became apparent, as well as failures of the network connections controlling the technical support systems. There are very few ways to prepare for induction problems. The use of fiber-optic networks can limit damage. To the knowledge of the authors, these are the first cases of lightning striking hospitals in medical literature.

  5. Performance Study of Earth Networks Total Lightning Network using Rocket-Triggered Lightning Data in 2014

    Science.gov (United States)

    Heckman, S.

    2015-12-01

    Modern lightning locating systems (LLS) provide real-time monitoring and early warning of lightningactivities. In addition, LLS provide valuable data for statistical analysis in lightning research. It isimportant to know the performance of such LLS. In the present study, the performance of the EarthNetworks Total Lightning Network (ENTLN) is studied using rocket-triggered lightning data acquired atthe International Center for Lightning Research and Testing (ICLRT), Camp Blanding, Florida.In the present study, 18 flashes triggered at ICLRT in 2014 were analyzed and they comprise of 78negative cloud-to-ground return strokes. The geometric mean, median, minimum, and maximum for thepeak currents of the 78 return strokes are 13.4 kA, 13.6 kA, 3.7 kA, and 38.4 kA, respectively. The peakcurrents represent typical subsequent return strokes in natural cloud-to-ground lightning.Earth Networks has developed a new data processor to improve the performance of their network. Inthis study, results are presented for the ENTLN data using the old processor (originally reported in 2014)and the ENTLN data simulated using the new processor. The flash detection efficiency, stroke detectionefficiency, percentage of misclassification, median location error, median peak current estimation error,and median absolute peak current estimation error for the originally reported data from old processorare 100%, 94%, 49%, 271 m, 5%, and 13%, respectively, and those for the simulated data using the newprocessor are 100%, 99%, 9%, 280 m, 11%, and 15%, respectively. The use of new processor resulted inhigher stroke detection efficiency and lower percentage of misclassification. It is worth noting that theslight differences in median location error, median peak current estimation error, and median absolutepeak current estimation error for the two processors are due to the fact that the new processordetected more number of return strokes than the old processor.

  6. Aerosol indirect effects on lightning in the generation of induced NOx and tropospheric ozone over an Indian urban metropolis

    Science.gov (United States)

    Saha, Upal; Maitra, Animesh; Talukdar, Shamitaksha; Jana, Soumyajyoti

    Lightning flashes, associated with vigorous convective activity, is one of the most prominent weather phenomena in the tropical atmosphere. High aerosol loading is indirectly associated with the increase in lightning flash rates via the formation of tropospheric ozone during the pre-monsoon and monsoon over the tropics. Tropospheric ozone, an important greenhouse pollutant gas have impact on Earth’s radiation budget and play a key role in changing the atmospheric circulation patterns. Lightning-induced NOx is a primary pollutant found in photochemical smog and an important precursor for the formation of tropospheric ozone. A critical analysis is done to study the indirect effects of high aerosol loading on the formation of tropospheric ozone via lightning flashes and induced NOx formation over an urban metropolitan location Kolkata (22°32'N, 88°20'E), India during the period 2001-2012. The seasonal variation of lightning flash rates (LFR), taken from TRMM-LIS 2.5o x 2.5o gridded dataset, show that the LFR was observed to be intensified in the pre-monsoon (March-May) and high in monsoon (June-September) months over the region. Aerosol Optical Depth (AOD) at 555nm, taken from MISR 0.5o x 0.5o gridded level-3 dataset, plays an indirect effect on the increase in LFR during the pre-monsoon and monsoon months and has positive correlations between them during these periods. This is also justified from the seasonal variation of the increase in LFR due to the increase in AOD over the region during 2001-2012. The calibrated GOME and OMI/AURA satellite data analysis shows that the tropospheric ozone, formed as a result of lightning-induced NOx and due to the increased AOD at 555 nm, also increases during the pre-monsoon and monsoon months. The seasonal variation of lightning-induced tropospheric NOx, taken from SCIAMACHY observations also justified the fact that the pre-monsoon and monsoon LFR solely responsible for the generation of induced NOx over the region. The

  7. Quantification and identification of lightning damage in tropical forests.

    Science.gov (United States)

    Yanoviak, Stephen P; Gora, Evan M; Burchfield, Jeffrey M; Bitzer, Phillip M; Detto, Matteo

    2017-07-01

    Accurate estimates of tree mortality are essential for the development of mechanistic forest dynamics models, and for estimating carbon storage and cycling. However, identifying agents of tree mortality is difficult and imprecise. Although lightning kills thousands of trees each year and is an important agent of mortality in some forests, the frequency and distribution of lightning-caused tree death remain unknown for most forests. Moreover, because all evidence regarding the effects of lightning on trees is necessarily anecdotal and post hoc, rigorous tests of hypotheses regarding the ecological effects of lightning are impossible. We developed a combined electronic sensor/camera-based system for the location and characterization of lightning strikes to the forest canopy in near real time and tested the system in the forest of Barro Colorado Island, Panama. Cameras mounted on towers provided continuous video recordings of the forest canopy that were analyzed to determine the locations of lightning strikes. We used a preliminary version of this system to record and locate 18 lightning strikes to the forest over a 3-year period. Data from field surveys of known lightning strike locations (obtained from the camera system) enabled us to develop a protocol for reliable, ground-based identification of suspected lightning damage to tropical trees. In all cases, lightning damage was relatively inconspicuous; it would have been overlooked by ground-based observers having no knowledge of the event. We identified three types of evidence that can be used to consistently identify lightning strike damage in tropical forests: (1) localized and directionally biased branch mortality associated with flashover among tree and sapling crowns, (2) mortality of lianas or saplings near lianas, and (3) scorched or wilting epiphytic and hemiepiphytic plants. The longitudinal trunk scars that are typical of lightning-damaged temperate trees were never observed in this study. Given the

  8. Estimates of lightning NOx production from GOME satellite observations

    Directory of Open Access Journals (Sweden)

    K. F. Boersma

    2005-01-01

    Full Text Available Tropospheric NO2 column retrievals from the Global Ozone Monitoring Experiment (GOME satellite spectrometer are used to quantify the source strength and 3-D distribution of lightning produced nitrogen oxides (NOx=NO+NO2. A sharp increase of NO2 is observed at convective cloud tops with increasing cloud top height, consistent with a power-law behaviour with power 5±2. Convective production of clouds with the same cloud height are found to produce NO2 with a ratio 1.6/1 for continents compared to oceans. This relation between cloud properties and NO2 is used to construct a 10:30 local time global lightning NO2 production map for 1997. An extensive statistical comparison is conducted to investigate the capability of the TM3 chemistry transport model to reproduce observed patterns of lightning NO2 in time and space. This comparison uses the averaging kernel to relate modelled profiles of NO2 to observed NO2 columns. It exploits a masking scheme to minimise the interference of other NOx sources on the observed total columns. Simulations are performed with two lightning parameterizations, one relating convective preciptation (CP scheme to lightning flash distributions, and the other relating the fifth power of the cloud top height (H5 scheme to lightning distributions. The satellite-retrieved NO2 fields show significant correlations with the simulated lightning contribution to the NO2 concentrations for both parameterizations. Over tropical continents modelled lightning NO2 shows remarkable quantitative agreement with observations. Over the oceans however, the two model lightning parameterizations overestimate the retrieved NO2 attributed to lightning. Possible explanations for these overestimations are discussed. The ratio between satellite-retrieved NO2 and modelled lightning NO2 is used to rescale the original modelled lightning NOx production. Eight estimates of the lightning NOx production in 1997 are obtained from spatial and temporal

  9. Using the VAHIRR Radar Algorithm to Investigate Lightning Cessation

    Science.gov (United States)

    Stano, Geoffrey T.; Schultz, Elise V.; Petersen, Walter A.

    2012-01-01

    Accurately determining the threat posed by lightning is a major area for improved operational forecasts. Most efforts have focused on the initiation of lightning within a storm, with far less effort spent investigating lightning cessation. Understanding both components, initiation and cessation, are vital to improving lightning safety. Few organizations actively forecast lightning onset or cessation. One such organization is the 45th Weather Squadron (45WS) for the Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS). The 45WS has identified that charged anvil clouds remain a major threat of continued lightning and can greatly extend the window of a potential lightning strike. Furthermore, no discernable trend of total lightning activity has been observed consistently for all storms. This highlights the need for more research to find a robust method of knowing when a storm will cease producing lightning. Previous lightning cessation work has primarily focused on forecasting the cessation of cloud-to -ground lightning only. A more recent, statistical study involved total lightning (both cloud-to-ground and intracloud). Each of these previous works has helped the 45WS take steps forward in creating improved and ultimately safer lightning cessation forecasts. Each study has either relied on radar data or recommended increased use of radar data to improve cessation forecasts. The reasoning is that radar data is able to either directly or by proxy infer more about dynamical environment leading to cloud electrification and eventually lightning cessation. The authors of this project are focusing on a two ]step approach to better incorporate radar data and total lightning to improve cessation forecasts. This project will utilize the Volume Averaged Height Integrated Radar Reflectivity (VAHIRR) algorithm originally developed during the Airborne Field Mill II (ABFM II) research project. During the project, the VAHIRR product showed a trend of increasing

  10. A case study of lightning attachment to flat ground showing multiple unconnected upward leaders

    Science.gov (United States)

    Cummins, Kenneth L.; Krider, E. Philip; Olbinski, Mike; Holle, Ronald L.

    2018-04-01

    On 10 July 2015, a cloud-to-ground (CG) lightning flash that produced two ground terminations was photographed from inside the safety of a truck in southern New Mexico. An analysis of archived NLDN data verified that this was a two-stroke flash, and a close-up view of the first stroke shows that it also initiated at least 12 unconnected, upward leaders (or "streamers") near the ground termination. No unconnected upward leaders were seen near the second ground attachment. After combining an analysis of the photograph with information provided by the NLDN, we infer that the first stroke was of negative (normal) polarity, had modest peak current, and struck about 460 m (± 24%) from the camera. Attachment occurred when an upward-propagating positive leader reached an inferred height of about 21 m above local ground. The second stroke struck ground about 740 m from the camera, and the height of its attachment leader is estimated to be 15 m. The estimated lengths of the unconnected upward leaders in the two-dimensional (2-D) plane of the first stroke range from 2 to 8 m, and all appear to be located within 15 m (2-D) of the main ground termination, with 24% uncertainty. Many of the unconnected upward leaders (inferred to be positive) exhibit multiple upward branches, and most of those branches have upward-directed forks or splits at their ends. This is the first report showing such extensive branching for positive upward leaders in natural lightning strikes to ground. None of the upward leaders can be seen to emanate from the tops of tall, isolated, or pointed objects on the ground, but they likely begin on small plants and rocks, or flat ground. In terms of lightning safety, this photo demonstrates that numerous upward leaders can be produced near a lightning strike point and have the potential to damage or cause injury at more than one specific point on the ground.

  11. Sensors for in-flight lightning detection on aircraft

    NARCIS (Netherlands)

    Stelmashuk, V.; Deursen, van A.P.J.; Webster, M.

    2008-01-01

    Commercial passenger aircraft are on average struck by lightning once a year. The In-flight Lightning Strike Damage Assessment System (ILDAS) project is to develop and validate a prototype of a system capable of in-flight measurement of the current waveform and reconstruction of the path of

  12. Lightning, IT Diffusion and Economic Growth across US States

    DEFF Research Database (Denmark)

    Andersen, Thomas Barnebeck; Bentzen, Jeanet; Dalgaard, Carl-Johan Lars

    Empirically, a higher frequency of lightning strikes is associated with slower growth in labor productivity across the 48 contiguous US states after 1990; before 1990 there is no correlation between growth and lightning. Other climate variables (e.g., temperature, rainfall and tornadoes) do...

  13. Wind Turbine Lightning Protection Project: 1999-2001

    Energy Technology Data Exchange (ETDEWEB)

    McNiff, B.

    2002-05-01

    A lightning protection research and support program was instituted by NREL to help minimize lightning damage to wind turbines in the United States. This paper provides the results of a field test program, an evaluation of protection on selected turbines, and a literature search as well as the dissemination of the accumulated information.

  14. Delayed Post Mortem Predation in Lightning Strike Carcasses ...

    African Journals Online (AJOL)

    Campbell Murn

    An adult giraffe was struck dead by lightning on a game farm outside. Phalaborwa, South Africa in March 2014. Interestingly, delayed post-mortem predation occurred on the carcass, which according to the farm owners was an atypical phenomenon for the region. Delayed post-mortem scavenging on lightning strike ...

  15. Reliable protection of electronics against lightning: some practical applications

    NARCIS (Netherlands)

    Laan, van der P.C.T.; Deursen, van A.P.J.

    1998-01-01

    The classical lightning conductor, which must prevent fire, has to have a sufficiently small resistance. An analogous condition can be formulated for the new challenge: the protection of sensitive electronics against lightning. In this case, the so-called transfer impedance, which gives the

  16. Lightning and 85-GHz MCSs in the Global Tropics

    Science.gov (United States)

    Toracinta, E. Richard; Zipser, E. J.

    1999-01-01

    Numerous observations of tropical convection show that tropical continental mesoscale convective systems (MCSs) are much more prolific lightning producers than their oceanic counterparts. Satellite-based climatologies using 85-GHz passive microwave ice-scattering signatures from the Special Sensor Microwave/Imager (SSM/I) indicate that MCSs of various size and intensity are found throughout the global tropics. In contrast, global lightning distributions show a strong land bias with an order of magnitude difference between land and ocean lightning. This is somewhat puzzling, since 85-GHz ice-scattering and the charge separation processes that lead to lightning are both thought to depend upon the existence of large graupel particles. The fact that low 85-GHz brightness temperatures are observed in tropical oceanic MCSs containing virtually no lightning leads to the postulate that tropical oceanic and tropical continental MCSs have fundamentally different hydrometeor profiles through the mixed phase region of the cloud (0 C Lightning Imaging Sensor (LIS), and the first space-borne radar, facilitates high-resolution case studies of MCS structure throughout the global tropics. An important precursor, however, is to better understand the distribution of MCSs and lightning in the tropics. With that objective in mind, this research undertakes a systematic comparison of 85-GHz-defined MCSs and lightning over the global tropics for a full year, as an initial step toward quantifying differences between land and ocean convective systems.

  17. Lightning Sensors for Observing, Tracking and Nowcasting Severe Weather

    Directory of Open Access Journals (Sweden)

    Colin Price

    2008-01-01

    Full Text Available Severe and extreme weather is a major natural hazard all over the world, oftenresulting in major natural disasters such as hail storms, tornados, wind storms, flash floods,forest fires and lightning damages. While precipitation, wind, hail, tornados, turbulence,etc. can only be observed at close distances, lightning activity in these damaging stormscan be monitored at all spatial scales, from local (using very high frequency [VHF]sensors, to regional (using very low frequency [VLF] sensors, and even global scales(using extremely low frequency [ELF] sensors. Using sensors that detect the radio wavesemitted by each lightning discharge, it is now possible to observe and track continuouslydistant thunderstorms using ground networks of sensors. In addition to the number oflightning discharges, these sensors can also provide information on lightningcharacteristics such as the ratio between intra-cloud and cloud-to-ground lightning, thepolarity of the lightning discharge, peak currents, charge removal, etc. It has been shownthat changes in some of these lightning characteristics during thunderstorms are oftenrelated to changes in the severity of the storms. In this paper different lightning observingsystems are described, and a few examples are provided showing how lightning may beused to monitor storm hazards around the globe, while also providing the possibility ofsupplying short term forecasts, called nowcasting.

  18. 14 CFR 25.954 - Fuel system lightning protection.

    Science.gov (United States)

    2010-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Powerplant Fuel System § 25.954 Fuel system lightning protection. The fuel system must be designed and arranged to prevent the ignition of fuel vapor... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel system lightning protection. 25.954...

  19. 14 CFR 27.954 - Fuel system lightning protection.

    Science.gov (United States)

    2010-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: NORMAL CATEGORY ROTORCRAFT Powerplant Fuel System § 27.954 Fuel system lightning protection. The fuel system must be designed and arranged to prevent the ignition of fuel vapor... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel system lightning protection. 27.954...

  20. 14 CFR 29.954 - Fuel system lightning protection.

    Science.gov (United States)

    2010-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Powerplant Fuel System § 29.954 Fuel system lightning protection. The fuel system must be designed and arranged to prevent the ignition of fuel vapor... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Fuel system lightning protection. 29.954...