WorldWideScience

Sample records for previous record set

  1. Canadian gas exports to U.S. set fourth consecutive record

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    Canadian natural gas exports in 1991 set a record for the fourth year in a row, Canadian Enerdata Ltd. reports. The Markham, Ont., consulting firm the shipments of gas to the U.S., Canada's only export customer for that fuel, jumped 16.8% in 1991 to 1.679 tcf. That volume replaced the previous record of 1.437 tcf exported just 1 year earlier. Enerdata figures show the 1991 export performance increased Canada's share of the U.S. gas market to a record high of 8.7%, up from 7.7% in 1990, 7.1% in 1989, 7.0% in 1988, 5.9% in 1987, and, only 4.6% in 1986. This paper reports that the performance positions Canadian exporters well for larger increases in volume and price as the U.S. gas market tightens and Canadian gas export capacity is increased in the mid-1990s

  2. Setting the Record Straight. The Truth About Fad Diets.

    Science.gov (United States)

    Wheat Foods Council, Parker, CO.

    The Setting the Record Straight information packet presents facts to set the record straight about nutrition and debunk fad diets. The kit features materials designed to communicate the importance of balanced eating. Materials include: a time line of fad diets; four reproducible fad diet book review handouts that show the misleading claims rampant…

  3. Physicists set new record for network data transfer

    CERN Multimedia

    2007-01-01

    "An international team of physicists, computer scientists, and network engineers joined forces to set new records for sustained data transfer between storage systems durint the SuperComputing 2006 (SC06) Bandwidth Challenge (BWC). (3 pages)

  4. Setting the Record Straight on "High-Yield" Strategies

    Science.gov (United States)

    Marzano, Robert J.

    2009-01-01

    Widely credited with proposing nine "high-yield" instructional strategies, author Robert J. Marzano sets the record straight about the broader number of strategies identified by the research. He provides a list of 41 strategies and suggests more nuanced ways of using, observing, and evaluating them. (Contains 1 figure.)

  5. Effect of a Neonatal Resuscitation Course on Healthcare Providers' Performances Assessed by Video Recording in a Low-Resource Setting.

    Science.gov (United States)

    Trevisanuto, Daniele; Bertuola, Federica; Lanzoni, Paolo; Cavallin, Francesco; Matediana, Eduardo; Manzungu, Olivier Wingi; Gomez, Ermelinda; Da Dalt, Liviana; Putoto, Giovanni

    2015-01-01

    We assessed the effect of an adapted neonatal resuscitation program (NRP) course on healthcare providers' performances in a low-resource setting through the use of video recording. A video recorder, mounted to the radiant warmers in the delivery rooms at Beira Central Hospital, Mozambique, was used to record all resuscitations. One-hundred resuscitations (50 before and 50 after participation in an adapted NRP course) were collected and assessed based on a previously published score. All 100 neonates received initial steps; from these, 77 and 32 needed bag-mask ventilation (BMV) and chest compressions (CC), respectively. There was a significant improvement in resuscitation scores in all levels of resuscitation from before to after the course: for "initial steps", the score increased from 33% (IQR 28-39) to 44% (IQR 39-56), pproviders improved after participation in an adapted NRP course. Video recording was well-accepted by the staff, useful for objective assessment of performance during resuscitation, and can be used as an educational tool in a low-resource setting.

  6. RECORD-SETTING COSMIC-RAY INTENSITIES IN 2009 AND 2010

    International Nuclear Information System (INIS)

    Mewaldt, R. A.; Davis, A. J.; Leske, R. A.; Stone, E. C.; Cummings, A. C.; Labrador, A. W.; Lave, K. A.; Binns, W. R.; Israel, M. H.; Wiedenbeck, M. E.; Christian, E. R.; De Nolfo, G. A.; Von Rosenvinge, T. T.

    2010-01-01

    We report measurements of record-setting intensities of cosmic-ray nuclei from C to Fe, made with the Cosmic Ray Isotope Spectrometer carried on the Advanced Composition Explorer in orbit about the inner Sun-Earth Lagrangian point. In the energy interval from ∼70 to ∼450 MeV nucleon -1 , near the peak in the near-Earth cosmic-ray spectrum, the measured intensities of major species from C to Fe were each 20%-26% greater in late 2009 than in the 1997-1998 minimum and previous solar minima of the space age (1957-1997). The elevated intensities reported here and also at neutron monitor energies were undoubtedly due to several unusual aspects of the solar cycle 23/24 minimum, including record-low interplanetary magnetic field (IMF) intensities, an extended period of reduced IMF turbulence, reduced solar-wind dynamic pressure, and extremely low solar activity during an extended solar minimum. The estimated parallel diffusion coefficient for cosmic-ray transport based on measured solar-wind properties was 44% greater in 2009 than in the 1997-1998 solar-minimum period. In addition, the weaker IMF should result in higher cosmic-ray drift velocities. Cosmic-ray intensity variations at 1 AU are found to lag IMF variations by 2-3 solar rotations, indicating that significant solar modulation occurs inside ∼20 AU, consistent with earlier galactic cosmic-ray radial-gradient measurements. In 2010, the intensities suddenly decreased to 1997 levels following increases in solar activity and in the inclination of the heliospheric current sheet. We describe the conditions that gave cosmic rays greater access to the inner solar system and discuss some of their implications.

  7. Earth's glacial record and its tectonic setting

    Science.gov (United States)

    Eyles, N.

    1993-09-01

    Glaciations have occurred episodically at different time intervals and for different durations in Earth's history. Ice covers have formed in a wide range of plate tectonic and structural settings but the bulk of Earth's glacial record can be shown to have been deposited and preserved in basins within extensional settings. In such basins, source area uplift and basin subsidence fulfill the tectonic preconditions for the initiation of glaciation and the accomodation and preservation of glaciclastic sediments. Tectonic setting, in particular subsidence rates, also dictates the type of glaciclastic facies and facies successions that are deposited. Many pre-Pleistocene glaciated basins commonly contain well-defined tectonostratigraphic successions recording the interplay of tectonics and sedimentation; traditional climatostratigraphic approaches involving interpretation in terms of either ice advance/retreat cycles or glacio-eustatic sea-level change require revision. The direct record of continental glaciation in Earth history, in the form of classically-recognised continental glacial landforms and "tillites", is meagre; it is probable that more than 95% of the volume of preserved "glacial" strata are glacially-influenced marine deposits that record delivery of large amounts of glaciclastic sediment to offshore basins. This flux has been partially or completely reworked by "normal" sedimentary processes such that the record of glaciation and climate change is recorded in marine successions and is difficult to decipher. The dominant "glacial" facies in the rock record are subaqueous debris flow diamictites and turbidites recording the selective preservation of poorly-sorted glaciclastic sediment deposited in deep water basins by sediment gravity flows. However, these facies are also typical of many non-glacial settings, especially volcanically-influenced environments; numerous Archean and Proterozoic diamictites, described in the older literature as tillites, have no

  8. A 60-year ocean colour data set from the continuous plankton recorder

    KAUST Repository

    Raitsos, Dionysios E.

    2012-11-20

    The phytoplankton colour index (PCI) of the Continuous Plankton Recorder (CPR) survey is an in situ measure of ocean colour, which is considered a proxy of the phytoplankton biomass. PCI has been extensively used to describe the major spatiotemporal patterns of phytoplankton in the North Atlantic Ocean and North Sea since 1931. Regardless of its wide application, the lack of an adequate evaluation to test the PCI\\'s quantitative nature is an important limitation. To address this concern, a field trial over the main production season has been undertaken to assess the numerical values assigned by previous investigations for each category of the greenness of the PCI. CPRs were towed across the English Channel from Roscoff to Plymouth consecutively for each of 8 months producing 76 standard CPR samples, each representing 10 nautical miles of tow. The results of this experiment test and update the PCI methodology, and confirm the validity of this long-term in situ ocean colour data set. In addition, using a 60-year time series of the PCI of the western English Channel, a comparison is made between the previous and the current revised experimental calculations of PCI. © 2012 The Author 2012. Published by Oxford University Press. All rights reserved.

  9. A 60-year ocean colour data set from the continuous plankton recorder

    KAUST Repository

    Raitsos, Dionysios E.; Walne, Anthony W.; Lavender, Sam; Licandro, Priscilla; Reid, Philip Chris; Edwards, Martin

    2012-01-01

    The phytoplankton colour index (PCI) of the Continuous Plankton Recorder (CPR) survey is an in situ measure of ocean colour, which is considered a proxy of the phytoplankton biomass. PCI has been extensively used to describe the major spatiotemporal patterns of phytoplankton in the North Atlantic Ocean and North Sea since 1931. Regardless of its wide application, the lack of an adequate evaluation to test the PCI's quantitative nature is an important limitation. To address this concern, a field trial over the main production season has been undertaken to assess the numerical values assigned by previous investigations for each category of the greenness of the PCI. CPRs were towed across the English Channel from Roscoff to Plymouth consecutively for each of 8 months producing 76 standard CPR samples, each representing 10 nautical miles of tow. The results of this experiment test and update the PCI methodology, and confirm the validity of this long-term in situ ocean colour data set. In addition, using a 60-year time series of the PCI of the western English Channel, a comparison is made between the previous and the current revised experimental calculations of PCI. © 2012 The Author 2012. Published by Oxford University Press. All rights reserved.

  10. Physicists set new record for network data transfer

    CERN Multimedia

    2006-01-01

    "An internatinal team of physicists, computer scientists, and network engineers led by the California Institute of Technology, CERN and the University of Michigan and partners at the University of Florida and Vanderbilt, as well as participants from Brazil (Rio de Janeiro State University, UERJ, and the State Universities of Sao Paulo, USP and UNESP) and Korea (Kyungpook National University, KISTI) joined forces to set new records for sustained data transfer between storage systems during the SuperComputing 2006 (SC06) Bandwidth Challenge (BWC)." (2 pages)

  11. An inventory of United States and Canadian growth record sets: preliminary report.

    Science.gov (United States)

    Hunter, W S; Baumrind, S; Moyers, R E

    1993-06-01

    A listing and description of longitudinal craniofacial growth record sets currently extant on the North American continent is provided. An argument is made for the preservation of these resources and for the generation of a pooled or shared image base of duplicate craniofacial physical records. This is a preliminary report and is assumed to be incomplete. In an effort to improve our accuracy and completeness, we invite corrections and additions.

  12. RLT-S: A Web System for Record Linkage.

    Directory of Open Access Journals (Sweden)

    Abdullah-Al Mamun

    Full Text Available Record linkage integrates records across multiple related data sources identifying duplicates and accounting for possible errors. Real life applications require efficient algorithms to merge these voluminous data sources to find out all records belonging to same individuals. Our recently devised highly efficient record linkage algorithms provide best-known solutions to this challenging problem.We have developed RLT-S, a freely available web tool, which implements our single linkage clustering algorithm for record linkage. This tool requires input data sets and a small set of configuration settings about these files to work efficiently. RLT-S employs exact match clustering, blocking on a specified attribute and single linkage based hierarchical clustering among these blocks.RLT-S is an implementation package of our sequential record linkage algorithm. It outperforms previous best-known implementations by a large margin. The tool is at least two times faster for any dataset than the previous best-known tools.RLT-S tool implements our record linkage algorithm that outperforms previous best-known algorithms in this area. This website also contains necessary information such as instructions, submission history, feedback, publications and some other sections to facilitate the usage of the tool.RLT-S is integrated into http://www.rlatools.com, which is currently serving this tool only. The tool is freely available and can be used without login. All data files used in this paper have been stored in https://github.com/abdullah009/DataRLATools. For copies of the relevant programs please see https://github.com/abdullah009/RLATools.

  13. YottaYotta announces new world record set for TCP disk-to-disk bulk transfer

    CERN Document Server

    2002-01-01

    The Yottabyte NetStorage(TM) Company, today announced a new world record for TCP disk-to-disk data transfer using the company's NetStorager(R) System. The record-breaking demonstration transferred 5 terabytes of data between Chicago, Il. to Vancouver, BC and Ottawa, ON, at a sustained average throughput of 11.1 gigabits per second. Peak throughput exceeded 11.6 gigabits per second, more than 15-times faster than previous records for TCP transfer from disk-to-disk (1 page).

  14. Records for radioactive waste management up to repository closure: Managing the primary level information (PLI) set

    International Nuclear Information System (INIS)

    2004-07-01

    The objective of this publication is to highlight the importance of the early establishment of a comprehensive records system to manage primary level information (PLI) as an integrated set of information, not merely as a collection of information, throughout all the phases of radioactive waste management. Early establishment of a comprehensive records system to manage Primary Level Information as an integrated set of information throughout all phases of radioactive waste management is important. In addition to the information described in the waste inventory record keeping system (WIRKS), the PLI of a radioactive waste repository consists of the entire universe of information, data and records related to any aspect of the repository's life cycle. It is essential to establish PLI requirements based on integrated set of needs from Regulators and Waste Managers involved in the waste management chain and to update these requirements as needs change over time. Information flow for radioactive waste management should be back-end driven. Identification of an Authority that will oversee the management of PLI throughout all phases of the radioactive waste management life cycle would guarantee the information flow to future generations. The long term protection of information essential to future generations can only be assured by the timely establishment of a comprehensive and effective RMS capable of capturing, indexing and evaluating all PLI. The loss of intellectual control over the PLI will make it very difficult to subsequently identify the ILI and HLI information sets. At all times prior to the closure of a radioactive waste repository, there should be an identifiable entity with a legally enforceable financial and management responsibility for the continued operation of a PLI Records Management System. The information presented in this publication will assist Member States in ensuring that waste and repository records, relevant for retention after repository closure

  15. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study.

    Science.gov (United States)

    Zivin, Kara; White, Jessica O; Chao, Sandra; Christensen, Anna L; Horner, Luke; Petersen, Dana M; Hobbs, Morgan R; Capreol, Grace; Halbritter, Kevin A; Jones, Christopher M

    2018-01-09

    To pilot test the effectiveness, feasibility, and acceptability of instituting a 15-pill quantity default in the electronic health record for new Schedule II opioid prescriptions. A mixed-methods pilot study in two health systems, including pre-post analysis of prescribed opioid quantity and focus groups or interviews with prescribers and health system administrators. We implemented a 15-pill electronic health record default for new Schedule II opioids and assessed opioid quantity before and after implementation using electronic health record data on 6,390 opioid prescriptions from 448 prescribers. We then analyzed themes from focus groups and interviews with four staff members and six prescribers. The proportion of opioid prescriptions for 15 pills increased at both sites after adding an electronic health record default, with one reaching statistical significance (from 4.1% to 7.2% at CHC, P = 0.280, and 15.9% to 37.2% at WVU, P default, although ease of implementation varied by electronic health record vendor. Most prescribers were not aware of the default change and stated that they made prescribing decisions based on patient clinical characteristics rather than defaults. This pilot provides initial evidence that changing default settings can increase the number of prescriptions at the default level. This low-cost and relatively simple intervention could have an impact on opioid overprescribing. However, default settings should be selected carefully to avoid unintended consequences. © 2018 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  16. Feasibility of Using Mobile ECG Recording Technology to Detect Atrial Fibrillation in Low-Resource Settings.

    Science.gov (United States)

    Evans, Grahame F; Shirk, Arianna; Muturi, Peter; Soliman, Elsayed Z

    2017-12-01

    Screening for atrial fibrillation (AF), a major risk factor for stroke that is on the rise in Africa, is becoming increasingly critical. This study sought to examine the feasibility of using mobile electrocardiogram (ECG) recording technology to detect AF. In this prospective observational study, we used a mobile ECG recorder to screen 50 African adults (66% women; mean age 54.3 ± 20.5 years) attending Kijabe Hospital (Kijabe, Kenya). Five hospital health providers involved in this study's data collection process also completed a self-administered survey to obtain information on their access to the Internet and mobile devices, both factors necessary to implement ECG mobile technology. Outcome measures included feasibility (completion of the study and recruitment of the patients on the planned study time frame) and the yield of the screening by the mobile ECG technology (ability to detect previously undiagnosed AF). Patients were recruited in a 2-week period as planned; only 1 of the 51 patients approached refused to participate (98% acceptance rate). All of the 50 patients who agreed to participate completed the test and produced readable ECGs (100% study completion rate). ECG tracings of 4 of the 50 patients who completed the study showed AF (8% AF yield), and none had been previously diagnosed with AF. When asked about continuous access to Internet and personal mobile devices, almost all of the health care providers surveyed answered affirmatively. Using mobile ECG technology in screening for AF in low-resource settings is feasible, and can detect a significant proportion of AF cases that will otherwise go undiagnosed. Further study is needed to examine the cost-effectiveness of this approach for detection of AF and its effect on reducing the risk of stroke in developing countries. Copyright © 2016 World Heart Federation (Geneva). Published by Elsevier B.V. All rights reserved.

  17. Queensland coal sets new records in 2001

    International Nuclear Information System (INIS)

    Smith, R.; Coffey, D.; Abbott, E.

    2002-01-01

    In 2001 the Queensland coal industry consolidated on record expansion in the export market over the past two years and again, increased its sales to overseas customers. New sales records were set in both the export and domestic markets. Unprecedented international demand for Queensland metallurgical coals coupled with improved prices and a favourable A$-US$ exchange rate created strong market conditions for the Queensland coal export industry, boosting confidence for further expansion and new developments. Australian coal exports in 2001 amounted to 194 Mt and are forecast to reach 275 million tonnes per annum (Mtpa) in 2020. The Queensland coal industry is poised to capture a significant share of this market growth. Queensland's large inventory of identified coal, currently estimated at more than 37 billion tonnes (raw coal m situ), is adequate to sustain the industry for many years and allow new opencut and underground mines to develop according to future market demand. Recent coal exploration successes are expected to add significant tonnage to the inventory (Coxhead, Smith and Coffey, 2002). Most of the coal exported from Queensland is mined in the Bowen Basin of central Queensland and additional tonnage of Walloon coal is exported by mines in the Moreton Basin and Surat Basin in south-east Queensland. The Walloon Coal Measures and its equivalents contain large resources of undeveloped opencut, high volatile, clean-burning thermal coal. The environmental advantages in the utilisation of these coals are now recognised and strong growth in production is expected in the near future for supply to both the domestic and export markets. Establishment of new rail transport and civil infrastructure will however, be required to support the development of large scale mining operations in this region

  18. A week for records… and things of record

    CERN Multimedia

    2015-01-01

    This week, the LHC set an important record on the way to the start of data taking for Run 2. At around 10.30 p.m. on Wednesday, 20 May, two bunches of particles were brought into collision at 13 TeV for the first time as part of the commissioning process for the systems that protect the detectors from stray particles. This milestone triggered ripples of excitement around the Laboratory and, coming right on schedule, is a clear sign that we are on course for physics data taking to start at the beginning of June. My congratulations go to all involved.   That was not the only record set this week: there was a sporting record as well. On Thursday, nearly 800 of you ran the traditional CERN Relay Race with 129 teams competing along with nine Nordic walkers, easily breaking the previous record of 108 teams set in 2013. However, despite so many pretenders to the crown, the course record of 10 minutes and 33 seconds set by the VELOcity team in 2013 still stands. Staying with a sporting theme, the an...

  19. Development of Hospital-based Data Sets as a Vehicle for Implementation of a National Electronic Health Record.

    Science.gov (United States)

    Keikha, Leila; Farajollah, Seyede Sedigheh Seied; Safdari, Reza; Ghazisaeedi, Marjan; Mohammadzadeh, Niloofar

    2018-01-01

    In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records. This comparative study was carried out in 2017 by studying the contents of the paper-based records approved by the health ministry in Iran and the international ASTM and HL7 standards in order to extract a minimum hospital data set for a national EHR. As a result of studying the standards and paper-based records, a total of 526 data elements in 174 classes were extracted. An examination of the data indicated that the highest number of extracted data came from the free text elements, both in the paper-based records and in the standards related to the administrative data. The major sources of data extracted from ASTM and HL7 were the E1384 and Hl7V.x standards, respectively. In the paper-based records, data were extracted from 19 forms sporadically. By declaring the confidentiality of information, the ASTM standards acknowledge the issue of confidentiality of information as one of the main challenges of EHR development, and propose new types of admission, such as teleconference, tele-video, and home visit, which are inevitable with the advent of new technology for providing healthcare and treating diseases. Data related to finance and insurance, which were scattered in different categories by three organizations, emerged as the financial category. Documenting the role and responsibility of the provider by adding the authenticator/signature data element was deemed essential. Not only using well-defined and standardized data, but also adapting EHR systems to the local facilities and

  20. Determination of Minimum Data Set (MSD) in Echocardiography Reporting System to Exchange with Iran's Electronic Health Record (EHR) System.

    Science.gov (United States)

    Mahmoudvand, Zahra; Kamkar, Mehran; Shahmoradi, Leila; Nejad, Ahmadreza Farzaneh

    2016-04-01

    Determination of minimum data set (MDS) in echocardiography reports is necessary for documentation and putting information in a standard way, and leads to the enhancement of electrocardiographic studies through having access to precise and perfect reports and also to the development of a standard database for electrocardiographic reports. to determine the minimum data set of echocardiography reporting system to exchange with Iran's electronic health record (EHR) system. First, a list of minimum data set was prepared after reviewing texts and studying cardiac patients' records. Then, to determine the content validity of the prepared MDS, the expert views of 10 cardiologists and 10 health information management (HIM) specialists were obtained; to estimate the reliability of the set, test-retest method was employed. Finally, the data were analyzed using SPSS software. The highest degree of consensus was found for the following MDSs: patient's name and family name (5), accepting doctor's name and family name, familial death records due to cardiac disorders, the image identification code, mitral valve, aortic valve, tricuspid valve, pulmonary valve, left ventricle, hole, atrium valve, Doppler examination of ventricular and atrial movement models and diagnoses with an average of. To prepare a model of echocardiography reporting system to exchange with EHR system, creation a standard data set is the vital point. Therefore, based on the research findings, the minimum reporting system data to exchange with Iran's electronic health record system include information on entity, management, medical record, carried-out acts, and the main content of the echocardiography report, which the planners of reporting system should consider.

  1. Novel screen printed electrode set for routine EEG recordings in patients with altered mental status.

    Science.gov (United States)

    Myllymaa, Sami; Lepola, Pasi; Hukkanen, Taina; Oun, Andre; Mervaala, Esa; Toyras, Juha; Lappalainen, Reijo; Myllymaa, Katja

    2013-01-01

    There is a growing need for an easy to use screening tool for the assessment of brain's electrical function in patients with altered mental status (AMS). The purpose of this study is to give a brief overview of the state-of-the-art in electrode technology, and to present a novel sub-hairline electrode set developed in our research group. Screen-printing technology was utilized to construct the electrode set consisting of ten electroencephalography (EEG) electrodes, two electrooculography (EOG) electrodes, two ground electrodes and two reference electrodes. Electrical characteristics of hydrogel-coated silver ink electrodes were found adequate for clinical EEG recordings as assessed by electrical impedance spectroscopy (EIS). The skin-electrode impedances remain stable and low enough at least two days enabling high-quality long-term recordings. Due to the proper material selection, thin ink layers and detachable zero insertion force (ZIF) - connector, electrode was observed to be CT- and MRI-compatible allowing imaging without removing the electrodes. Pilot EEG recordings gave very promising results and an on-going clinical trial with larger number of patients will show the true feasibility of this approach.

  2. 77 FR 70176 - Previous Participation Certification

    Science.gov (United States)

    2012-11-23

    ... participants' previous participation in government programs and ensure that the past record is acceptable prior... information is designed to be 100 percent automated and digital submission of all data and certifications is... government programs and ensure that the past record is acceptable prior to granting approval to participate...

  3. Medical Record Keeping in the Summer Camp Setting.

    Science.gov (United States)

    Kaufman, Laura; Holland, Jaycelyn; Weinberg, Stuart; Rosenbloom, S Trent

    2016-12-14

    Approximately one fifth of school-aged children spend a significant portion of their year at residential summer camp, and a growing number have chronic medical conditions. Camp health records are essential for safe, efficient care and for transitions between camp and home providers, yet little research exists regarding these systems. To survey residential summer camps for children to determine how camps create, store, and use camper health records. To raise awareness in the informatics community of the issues experienced by health providers working in a special pediatric care setting. We designed a web-based electronic survey concerning medical recordkeeping and healthcare practices at summer camps. 953 camps accredited by the American Camp Association received the survey. Responses were consolidated and evaluated for trends and conclusions. Of 953 camps contacted, 298 (31%) responded to the survey. Among respondents, 49.3% stated that there was no computer available at the health center, and 14.8% of camps stated that there was not any computer available to health staff at all. 41.1% of camps stated that internet access was not available. The most common complaints concerning recordkeeping practices were time burden, adequate completion, and consistency. Summer camps in the United States make efforts to appropriately document healthcare given to campers, but inconsistency and inefficiency may be barriers to staff productivity, staff satisfaction, and quality of care. Survey responses suggest that the current methods used by camps to document healthcare cause limitations in consistency, efficiency, and communications between providers, camp staff, and parents. As of 2012, survey respondents articulated need for a standard software to document summer camp healthcare practices that accounts for camp-specific needs. Improvement may be achieved if documentation software offers the networking capability, simplicity, pediatrics-specific features, and avoidance of

  4. Impact of electronic medical record on physician practice in office settings: a systematic review

    Directory of Open Access Journals (Sweden)

    Lau Francis

    2012-02-01

    Full Text Available Abstract Background Increased investments are being made for electronic medical records (EMRs in Canada. There is a need to learn from earlier EMR studies on their impact on physician practice in office settings. To address this need, we conducted a systematic review to examine the impact of EMRs in the physician office, factors that influenced their success, and the lessons learned. Results For this review we included publications cited in Medline and CINAHL between 2000 and 2009 on physician office EMRs. Studies were included if they evaluated the impact of EMR on physician practice in office settings. The Clinical Adoption Framework provided a conceptual scheme to make sense of the findings and allow for future comparison/alignment to other Canadian eHealth initiatives. In the final selection, we included 27 controlled and 16 descriptive studies. We examined six areas: prescribing support, disease management, clinical documentation, work practice, preventive care, and patient-physician interaction. Overall, 22/43 studies (51.2% and 50/109 individual measures (45.9% showed positive impacts, 18.6% studies and 18.3% measures had negative impacts, while the remaining had no effect. Forty-eight distinct factors were identified that influenced EMR success. Several lessons learned were repeated across studies: (a having robust EMR features that support clinical use; (b redesigning EMR-supported work practices for optimal fit; (c demonstrating value for money; (d having realistic expectations on implementation; and (e engaging patients in the process. Conclusions Currently there is limited positive EMR impact in the physician office. To improve EMR success one needs to draw on the lessons from previous studies such as those in this review.

  5. EFFECTIVE SUMMARY FOR MASSIVE DATA SET

    Directory of Open Access Journals (Sweden)

    A. Radhika

    2015-07-01

    Full Text Available The research efforts attempt to investigate size of the data increasing interest in designing the effective algorithm for space and time reduction. Providing high-dimensional technique over large data set is difficult. However, Randomized techniques are used for analyzing the data set where the performance of the data from part of storage in networks needs to be collected and analyzed continuously. Previously collaborative filtering approach is used for finding the similar patterns based on the user ranking but the outcomes are not observed yet. Linear approach requires high running time and more space. To overcome this sketching technique is used to represent massive data sets. Sketching allows short fingerprints of the item sets of users which allow approximately computing similarity between sets of different users. The concept of sketching is to generate minimum subset of record that executes all the original records. Sketching performs two techniques dimensionality reduction which reduces rows or columns and data reduction. It is proved that sketching can be performed using Principal Component Analysis for finding index value

  6. Quality and correlates of medical record documentation in the ambulatory care setting

    Directory of Open Access Journals (Sweden)

    Simon Steven R

    2002-12-01

    Full Text Available Abstract Background Documentation in the medical record facilitates the diagnosis and treatment of patients. Few studies have assessed the quality of outpatient medical record documentation, and to the authors' knowledge, none has conclusively determined the correlates of chart documentation. We therefore undertook the present study to measure the rates of documentation of quality of care measures in an outpatient primary care practice setting that utilizes an electronic medical record. Methods We reviewed electronic medical records from 834 patients receiving care from 167 physicians (117 internists and 50 pediatricians at 14 sites of a multi-specialty medical group in Massachusetts. We abstracted information for five measures of medical record documentation quality: smoking history, medications, drug allergies, compliance with screening guidelines, and immunizations. From other sources we determined physicians' specialty, gender, year of medical school graduation, and self-reported time spent teaching and in patient care. Results Among internists, unadjusted rates of documentation were 96.2% for immunizations, 91.6% for medications, 88% for compliance with screening guidelines, 61.6% for drug allergies, 37.8% for smoking history. Among pediatricians, rates were 100% for immunizations, 84.8% for medications, 90.8% for compliance with screening guidelines, 50.4% for drug allergies, and 20.4% for smoking history. While certain physician and patient characteristics correlated with some measures of documentation quality, documentation varied depending on the measure. For example, female internists were more likely than male internists to document smoking history (odds ratio [OR], 1.90; 95% confidence interval [CI], 1.27 – 2.83 but were less likely to document drug allergies (OR, 0.51; 95% CI, 0.35 – 0.75. Conclusions Medical record documentation varied depending on the measure, with room for improvement in most domains. A variety of

  7. Exploring the Relationships between the Electronic Health Record System Components and Patient Outcomes in an Acute Hospital Setting

    Science.gov (United States)

    Wiggley, Shirley L.

    2011-01-01

    Purpose: The purpose of this study was to examine the relationship between the electronic health record system components and patient outcomes in an acute hospital setting, given that the current presidential administration has earmarked nearly $50 billion to the implementation of the electronic health record. The relationship between the…

  8. Injectable loop recorder implantation in an ambulatory setting by advanced practice providers: Analysis of outcomes.

    Science.gov (United States)

    Kipp, Ryan; Young, Natasha; Barnett, Anne; Kopp, Douglas; Leal, Miguel A; Eckhardt, Lee L; Teelin, Thomas; Hoffmayer, Kurt S; Wright, Jennifer; Field, Michael

    2017-09-01

    Implantable loop recorder (ILR) insertion has historically been performed in a surgical environment such as the electrophysiology (EP) lab. The newest generation loop recorder (Medtronic Reveal LINQ™, Minneapolis, MN, USA) is injectable with potential for implantation in a non-EP lab setting by advanced practice providers (APPs) facilitating improved workflow and resource utilization. We report the safety and efficacy of injectable ILR placement in the ambulatory care setting by APPs. A retrospective review was performed including all patients referred for injectable ILR placement from March 2014 to November 2015. All device placement procedures were performed in an ambulatory care setting using the standard manufacturer deployment kit with sterile technique and local anesthetic following a single dose of intravenous antibiotics. Acute procedural success and complication rates following injectable ILR placement in the ambulatory setting were reviewed. During the study period, 125 injectable ILRs were implanted. Acute procedural success with adequate sensing (R-waves ≥ 0.2 mV) occurred in 100% of patients. There were no acute procedural complications. Subacute complications occurred in two patients (1.6% of implantations), including one possible infection treated with oral antibiotics and one device removal due to pain at the implant site. In this retrospective single-center study, implantation of injectable ILR in an ambulatory care setting by APPs following a single dose of intravenous antibiotics and standard manufacturer technique yielded a low complication rate with high acute procedural success. Use of this implantation strategy may improve EP lab workflow while providing a safe and effective technique for device placement. © 2017 Wiley Periodicals, Inc.

  9. Beneficial Effects of Two Types of Personal Health Record Services Connected With Electronic Medical Records Within the Hospital Setting.

    Science.gov (United States)

    Lee, Jisan; Kim, James G Boram; Jin, Meiling; Ahn, Kiwhan; Kim, Byungjun; Kim, Sukwha; Kim, Jeongeun

    2017-11-01

    Healthcare consumers must be able to make decisions based on accurate health information. To assist with this, we designed and developed an integrated system connected with electronic medical records in hospitals to ensure delivery of accurate health information. The system-called the Consumer-centered Open Personal Health Record platform-is composed of two services: a portal for users with any disease and a mobile application for users with cleft lip/palate. To assess the benefits of these services, we used a quasi-experimental, pretest-posttest design, assigning participants to the portal (n = 50) and application (n = 52) groups. Both groups showed significantly increased knowledge, both objective (actual knowledge of health information) and subjective (perceived knowledge of health information), after the intervention. Furthermore, while both groups showed higher information needs satisfaction after the intervention, the application group was significantly more satisfied. Knowledge changes were more affected by participant characteristics in the application group. Our results may be due to the application's provision of specific disease information and a personalized treatment plan based on the participant and other users' data. We recommend that services connected with electronic medical records target specific diseases to provide personalized health management to patients in a hospital setting.

  10. Determination of Minimum Data Set (MSD) in Echocardiography Reporting System to Exchange with Iran’s Electronic Health Record (EHR) System

    Science.gov (United States)

    Mahmoudvand, Zahra; Kamkar, Mehran; Shahmoradi, Leila; Nejad, Ahmadreza Farzaneh

    2016-01-01

    Background: Determination of minimum data set (MDS) in echocardiography reports is necessary for documentation and putting information in a standard way, and leads to the enhancement of electrocardiographic studies through having access to precise and perfect reports and also to the development of a standard database for electrocardiographic reports. Aim: to determine the minimum data set of echocardiography reporting system to exchange with Iran’s electronic health record (EHR) system. Methods: First, a list of minimum data set was prepared after reviewing texts and studying cardiac patients’ records. Then, to determine the content validity of the prepared MDS, the expert views of 10 cardiologists and 10 health information management (HIM) specialists were obtained; to estimate the reliability of the set, test-retest method was employed. Finally, the data were analyzed using SPSS software. Results: The highest degree of consensus was found for the following MDSs: patient’s name and family name (5), accepting doctor’s name and family name, familial death records due to cardiac disorders, the image identification code, mitral valve, aortic valve, tricuspid valve, pulmonary valve, left ventricle, hole, atrium valve, Doppler examination of ventricular and atrial movement models and diagnoses with an average of. Conclusions: To prepare a model of echocardiography reporting system to exchange with EHR system, creation a standard data set is the vital point. Therefore, based on the research findings, the minimum reporting system data to exchange with Iran’s electronic health record system include information on entity, management, medical record, carried-out acts, and the main content of the echocardiography report, which the planners of reporting system should consider. PMID:27147803

  11. NREL, CSEM Jointly Set New Efficiency Record with Dual-Junction Solar Cell

    Energy Technology Data Exchange (ETDEWEB)

    2016-01-01

    Scientists set a new world record for converting non-concentrated sunlight into electricity using a dual-junction III-V/Si solar cell. National Renewable Energy Laboratory (NREL) and Swiss Center for Electronics and Microtechnology (CSEM) scientists have collaborated to create a novel tandem solar cell that operates at 29.8% conversion efficiency under non-concentrator (1-sun) conditions. In comparison, the 1-sun efficiency of a silicon (Si) single-junction solar cell is probably still a few years away from converging on its practical limit of about 26%.

  12. Increased risk of default among previously treated tuberculosis cases in the Western Cape Province, South Africa.

    Science.gov (United States)

    Marx, F M; Dunbar, R; Hesseling, A C; Enarson, D A; Fielding, K; Beyers, N

    2012-08-01

    To investigate, in two urban communities with high tuberculosis (TB) incidence and high rates of TB recurrence, whether a history of previous TB treatment is associated with treatment default. Retrospective cohort study of TB cases with an episode of treatment recorded in the clinic-based treatment registers between 2002 and 2007. Probabilistic record linkage was used to ascertain treatment history of TB cases back to 1996. Based on the outcome of their most recent previous treatment episode, previously treated cases were compared to new cases regarding their risk of treatment default. Previous treatment success (adjusted odds ratio [aOR] 1.79; 95%CI 1.17-2.73), previous default (aOR 6.18, 95%CI 3.68-10.36) and previous failure (aOR 9.72, 95%CI 3.07-30.78) were each independently associated with treatment default (P default were male sex (P = 0.003) and age 19-39 years (P risk of treatment default, even after previous successful treatment. This finding is of particular importance in a setting where recurrent TB is very common. Adherence to treatment should be ensured in new and retreatment cases to increase cure rates and reduce transmission of TB in the community.

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

    Science.gov (United States)

    2010-01-01

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

  14. Gaspe hole sets depth record

    Energy Technology Data Exchange (ETDEWEB)

    1970-03-09

    The deepest diamond-cored hole in the Western Hemisphere, Gulf Sunnybank No. 1 on the Gaspe Peninsula of Quebec, has been completed at a depth of 11,600 ft. This is the deepest cored hole to be drilled anywhere in search of oil and gas production, and the deepest to be drilled using a wire-line core recovery technique. The well was completed in 183 days, and was cored continuously below the surface casing which was set and cemented at 1,004 ft. After underreaming a portion of the bottom of the hole, intermediate casing was set and cemented at 8,000 ft as a safety precaution against possible high oil or gas-fluid pressure. Actual coring time, after deducting time for underreaming and casing operations, was 152 days. Because of the cost of transporting a conventional oil-drilling rig to the E. location, the 89-ft mining rig was modified for the project. The contractor was Heath and Sherwood Drilling (Western) Ltd.

  15. 13 CFR 106.402 - What provisions must be set forth in a Non-Fee Based Record?

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What provisions must be set forth in a Non-Fee Based Record? 106.402 Section 106.402 Business Credit and Assistance SMALL BUSINESS... endorsement by SBA of the Donor, or the Donor's products or services. ...

  16. Deriving a Set of Privacy Specific Heuristics for the Assessment of PHRs (Personal Health Records).

    Science.gov (United States)

    Furano, Riccardo F; Kushniruk, Andre; Barnett, Jeff

    2017-01-01

    With the emergence of personal health record (PHR) platforms becoming more widely available, this research focused on the development of privacy heuristics to assess PHRs regarding privacy. Existing sets of heuristics are typically not application specific and do not address patient-centric privacy as a main concern prior to undergoing PHR procurement. A set of privacy specific heuristics were developed based on a scoping review of the literature. An internet-based commercially available, vendor specific PHR application was evaluated using the derived set of privacy specific heuristics. The proposed set of privacy specific derived heuristics is explored in detail in relation to ISO 29100. The assessment of the internet-based commercially available, vendor specific PHR application indicated numerous violations. These violations were noted within the study. It is argued that the new derived privacy heuristics should be used in addition to Nielsen's well-established set of heuristics. Privacy specific heuristics could be used to assess PHR portal system-level privacy mechanisms in the procurement process of a PHR application and may prove to be a beneficial form of assessment to prevent the selection of a PHR platform with a poor privacy specific interface design.

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

    Science.gov (United States)

    Arneitz, Patrick; Egli, Ramon; Leonhardt, Roman

    2017-03-01

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

  18. A review of electronic medical record keeping on mobile medical service trips in austere settings.

    Science.gov (United States)

    Dainton, Christopher; Chu, Charlene H

    2017-02-01

    Electronic medical records (EMRs) may address the need for decision and language support for Western clinicians on mobile medical service trips (MSTs) in low resource settings abroad, while providing improved access to records and data management. However, there has yet to be a review of this emerging technology used by MSTs in low-resource settings. The aim of this study is to describe EMR systems designed specifically for use by mobile MSTs in remote settings, and accordingly, determine new opportunities for this technology to improve quality of healthcare provided by MSTs. A MEDLINE, EMBASE, and Scopus/IEEE search and supplementary Google search were performed for EMR systems specific to mobile MSTs. Information was extracted regarding EMR name, organization, scope of use, platform, open source coding, commercial availability, data integration, and capacity for linguistic and decision support. Missing information was requested by email. After screening of 122 abstracts, two articles remained that discussed deployment of EMR systems in MST settings (iChart, SmartList To Go), and thirteen additional EMR systems were found through the Google search. Of these, three systems (Project Buendia, TEBOW, and University of Central Florida's internally developed EMR) are based on modified versions of Open MRS software, while three are smartphone apps (QuickChart EMR, iChart, NotesFirst). Most of the systems use a local network to manage data, while the remaining systems use opportunistic cloud synchronization. Three (TimmyCare, Basil, and Backpack EMR) contain multilingual user interfaces, and only one (QuickChart EMR) contained MST-specific clinical decision support. There have been limited attempts to tailor EMRs to mobile MSTs. Only Open MRS has a broad user base, and other EMR systems should consider interoperability and data sharing with larger systems as a priority. Several systems include tablet compatibility, or are specifically designed for smartphone, which may be

  19. Electronic health records and patient safety: co-occurrence of early EHR implementation with patient safety practices in primary care settings.

    Science.gov (United States)

    Tanner, C; Gans, D; White, J; Nath, R; Pohl, J

    2015-01-01

    The role of electronic health records (EHR) in enhancing patient safety, while substantiated in many studies, is still debated. This paper examines early EHR adopters in primary care to understand the extent to which EHR implementation is associated with the workflows, policies and practices that promote patient safety, as compared to practices with paper records. Early adoption is defined as those who were using EHR prior to implementation of the Meaningful Use program. We utilized the Physician Practice Patient Safety Assessment (PPPSA) to compare primary care practices with fully implemented EHR to those utilizing paper records. The PPPSA measures the extent of adoption of patient safety practices in the domains: medication management, handoffs and transition, personnel qualifications and competencies, practice management and culture, and patient communication. Data from 209 primary care practices responding between 2006-2010 were included in the analysis: 117 practices used paper medical records and 92 used an EHR. Results showed that, within all domains, EHR settings showed significantly higher rates of having workflows, policies and practices that promote patient safety than paper record settings. While these results were expected in the area of medication management, EHR use was also associated with adoption of patient safety practices in areas in which the researchers had no a priori expectations of association. Sociotechnical models of EHR use point to complex interactions between technology and other aspects of the environment related to human resources, workflow, policy, culture, among others. This study identifies that among primary care practices in the national PPPSA database, having an EHR was strongly empirically associated with the workflow, policy, communication and cultural practices recommended for safe patient care in ambulatory settings.

  20. Automated data extraction from general practice records in an Australian setting: trends in influenza-like illness in sentinel general practices and emergency departments.

    Science.gov (United States)

    Liljeqvist, Gösta T H; Staff, Michael; Puech, Michele; Blom, Hans; Torvaldsen, Siranda

    2011-06-06

    Influenza intelligence in New South Wales (NSW), Australia is derived mainly from emergency department (ED) presentations and hospital and intensive care admissions, which represent only a portion of influenza-like illness (ILI) in the population. A substantial amount of the remaining data lies hidden in general practice (GP) records. Previous attempts in Australia to gather ILI data from GPs have given them extra work. We explored the possibility of applying automated data extraction from GP records in sentinel surveillance in an Australian setting.The two research questions asked in designing the study were: Can syndromic ILI data be extracted automatically from routine GP data? How do ILI trends in sentinel general practice compare with ILI trends in EDs? We adapted a software program already capable of automated data extraction to identify records of patients with ILI in routine electronic GP records in two of the most commonly used commercial programs. This tool was applied in sentinel sites to gather retrospective data for May-October 2007-2009 and in real-time for the same interval in 2010. The data were compared with that provided by the Public Health Real-time Emergency Department Surveillance System (PHREDSS) and with ED data for the same periods. The GP surveillance tool identified seasonal trends in ILI both retrospectively and in near real-time. The curve of seasonal ILI was more responsive and less volatile than that of PHREDSS on a local area level. The number of weekly ILI presentations ranged from 8 to 128 at GP sites and from 0 to 18 in EDs in non-pandemic years. Automated data extraction from routine GP records offers a means to gather data without introducing any additional work for the practitioner. Adding this method to current surveillance programs will enhance their ability to monitor ILI and to detect early warning signals of new ILI events.

  1. Evaluating the utility of provider-recorded clinical status in the medical records of HIV-positive adults in a limited-resource setting

    Science.gov (United States)

    Stonbraker, Samantha; Befus, Montina; Nadal, Leonel Lerebours; Halpern, Mina; Larson, Elaine

    2016-01-01

    Provider-reported summaries of clinical status may assist with clinical management of HIV in resource poor settings if they reflect underlying biological processes associated with HIV disease progression. However, their ability to do so is rarely evaluated. Therefore, we aimed to assess the relationship between a provider-recorded summary of clinical status and indicators of HIV progression. Data were abstracted from 201 randomly selected medical records at a large HIV clinic in the Dominican Republic. Multivariable logistic regressions were used to examine the relationship between provider-assigned clinical status and demographic (gender, age, nationality, education) and clinical factors (reported medication adherence, CD4 cell count, viral load). The mean age of patients was 41.2 (SD = ±10.9) years and most were female (n = 115, 57%). None of the examined characteristics were significantly associated with provider-recorded clinical status. Higher CD4 cell counts were more likely for females (OR = 2.2 CI: 1.12–4.31) and less likely for those with higher viral loads (OR = 0.33 CI: 0.15–0.72). Poorer adherence and lower CD4 cell counts were significantly associated with higher viral loads (OR = 4.46 CI: 1.11–20.29 and 6.84 CI: 1.47–37.23, respectively). Clinics using provider-reported summaries of clinical status should evaluate the performance of these assessments to ensure they are associated with biologic indicators of disease progression. PMID:27495146

  2. A Comparison of Recent Organic and Inorganic Carbon Isotope Records: Why Do They Covary in Some Settings and Not In Others?

    Science.gov (United States)

    Oehlert, A. M.; Swart, P. K.

    2013-12-01

    Covariance between inorganic and organic δ13C records has been used to determine whether a deposit has been altered by diagenesis, how the dynamics of the global carbon cycle changed during the production of the sediments in the deposit, and also for chronostratigraphic correlations. Although covariant records are observed in the ancient geologic record in a variety of depositional environments, such comparisons are not widely applied to modern deposits where definitive data regarding sediment producers, sea level fluctuations, and changes in the global carbon cycle are available. This study uses paired δ13C records from cores collected by the Ocean Drilling Program from three modern periplatform settings (the Great Bahama Bank, the Great Australian Bight, and the Great Barrier Reef), and two pelagic settings (the Walvis Ridge, and the Madingley Rise). These sites were selected in order to assess the influence of several different environmental factors including; sediment and organic matter producers, sediment mineralogy, margin architecture, sea level oscillations, and sediment transport pathways. In the three periplatform settings, multiple cores arranged in a margin to basin transect were analyzed in order to provide insights into the effects of downslope sediment transport. The preliminary results of this study suggest that sea level oscillations and margin architecture may artificially generate a covarying relationship in periplatform sediments that is unrelated to changes in the global carbon cycle. Furthermore, preliminary results from the Walvis Ridge and the Madingley Rise sediments suggest that the relationship between inorganic and organic δ13C records may not always exhibit a positive covariance as is currently assumed for pelagic carbonates.

  3. Artificial Intelligence Controls Tape-Recording Sequence

    Science.gov (United States)

    Schwuttke, Ursula M.; Otamura, Roy M.; Zottarelli, Lawrence J.

    1989-01-01

    Developmental expert-system computer program intended to schedule recording of large amounts of data on limited amount of magnetic tape. Schedules recording using two sets of rules. First set incorporates knowledge of locations for recording of new data. Second set incorporates knowledge about issuing commands to recorder. Designed primarily for use on Voyager Spacecraft, also applicable to planning and sequencing in industry.

  4. Evaluating the effects of alternative forest management plans under various physiographic settings using historical records as a reference

    Science.gov (United States)

    Yangjian Zhang; Hong S. He; Stephen R. Shifley; Jian Yang; Brian J. Palik

    2011-01-01

    Using historical General Land Office record as a reference, this study employed a landscape-scale disturbance and succession model to estimate the future cumulative effects of six alternative management plans on the tree species composition for various physiographic settings for the Mark Twain National Forest in Missouri. The results indicate that over a 200-year...

  5. 78 FR 43258 - Privacy Act; System of Records: Human Resources Records, State-31

    Science.gov (United States)

    2013-07-19

    ... DEPARTMENT OF STATE [Public Notice 8384] Privacy Act; System of Records: Human Resources Records... system of records, Human Resources Records, State- 31, pursuant to the provisions of the Privacy Act of... State proposes that the current system will retain the name ``Human Resources Records'' (previously...

  6. LHC Report: Records are made to be broken

    CERN Document Server

    CERN Bulletin

    2011-01-01

    The LHC has spent the last couple of weeks delivering collisions to the four main experiments. At the same time the number of bunches in the beam has been steadily increased.   Since the scrubbing run the LHC has passed through 228, 336, 480 and 624 bunches per beam to reach the latest total of 768 . As can be seen, each step-up is 144 bunches, which represents two extra injections of 72 bunches from the SPS when filling the machine. A few days is spent delivering physics after each step-up to check the performance of the machine and make sure that no intensity-dependent effects are compromising machine protection. The rewards have been impressive. Each step-up, naturally enough, brings a new in-house record for peak luminosity. In addition, on 21April, with 480 bunches, the LHC set a new world record for luminosity at a hadron collider of around 4.4x1032 cm-2s-1. This exceeded the previous high of 4.024x1032 cm-2s-1 set by Fermilab’s Tevatron collider in 2010. The new record itself last...

  7. Open-Source Electronic Health Record Systems for Low-Resource Settings: Systematic Review.

    Science.gov (United States)

    Syzdykova, Assel; Malta, André; Zolfo, Maria; Diro, Ermias; Oliveira, José Luis

    2017-11-13

    Despite the great impact of information and communication technologies on clinical practice and on the quality of health services, this trend has been almost exclusive to developed countries, whereas countries with poor resources suffer from many economic and social issues that have hindered the real benefits of electronic health (eHealth) tools. As a component of eHealth systems, electronic health records (EHRs) play a fundamental role in patient management and effective medical care services. Thus, the adoption of EHRs in regions with a lack of infrastructure, untrained staff, and ill-equipped health care providers is an important task. However, the main barrier to adopting EHR software in low- and middle-income countries is the cost of its purchase and maintenance, which highlights the open-source approach as a good solution for these underserved areas. The aim of this study was to conduct a systematic review of open-source EHR systems based on the requirements and limitations of low-resource settings. First, we reviewed existing literature on the comparison of available open-source solutions. In close collaboration with the University of Gondar Hospital, Ethiopia, we identified common limitations in poor resource environments and also the main requirements that EHRs should support. Then, we extensively evaluated the current open-source EHR solutions, discussing their strengths and weaknesses, and their appropriateness to fulfill a predefined set of features relevant for low-resource settings. The evaluation methodology allowed assessment of several key aspects of available solutions that are as follows: (1) integrated applications, (2) configurable reports, (3) custom reports, (4) custom forms, (5) interoperability, (6) coding systems, (7) authentication methods, (8) patient portal, (9) access control model, (10) cryptographic features, (11) flexible data model, (12) offline support, (13) native client, (14) Web client,(15) other clients, (16) code

  8. Preoperative screening: value of previous tests.

    Science.gov (United States)

    Macpherson, D S; Snow, R; Lofgren, R P

    1990-12-15

    To determine the frequency of tests done in the year before elective surgery that might substitute for preoperative screening tests and to determine the frequency of test results that change from a normal value to a value likely to alter perioperative management. Retrospective cohort analysis of computerized laboratory data (complete blood count, sodium, potassium, and creatinine levels, prothrombin time, and partial thromboplastin time). Urban tertiary care Veterans Affairs Hospital. Consecutive sample of 1109 patients who had elective surgery in 1988. At admission, 7549 preoperative tests were done, 47% of which duplicated tests performed in the previous year. Of 3096 previous results that were normal as defined by hospital reference range and done closest to the time of but before admission (median interval, 2 months), 13 (0.4%; 95% CI, 0.2% to 0.7%), repeat values were outside a range considered acceptable for surgery. Most of the abnormalities were predictable from the patient's history, and most were not noted in the medical record. Of 461 previous tests that were abnormal, 78 (17%; CI, 13% to 20%) repeat values at admission were outside a range considered acceptable for surgery (P less than 0.001, frequency of clinically important abnormalities of patients with normal previous results with those with abnormal previous results). Physicians evaluating patients preoperatively could safely substitute the previous test results analyzed in this study for preoperative screening tests if the previous tests are normal and no obvious indication for retesting is present.

  9. Electronic Health Records: Overcoming Obstacles to Improve Acceptance and Utilization for Mental Health Clinicians

    Science.gov (United States)

    Odom, Stephen A.

    2017-01-01

    The dynamics and progress of the integration of the electronic health record (EHR) into health-care disciplines have been described and examined using theories related to technology adoption. Previous studies have examined health-care clinician resistance to the EHR in primary care, hospital, and urgent care medical settings, but few studies have…

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

    Science.gov (United States)

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

    2016-11-01

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

  11. Leveraging electronic health records for predictive modeling of post-surgical complications.

    Science.gov (United States)

    Weller, Grant B; Lovely, Jenna; Larson, David W; Earnshaw, Berton A; Huebner, Marianne

    2017-01-01

    Hospital-specific electronic health record systems are used to inform clinical practice about best practices and quality improvements. Many surgical centers have developed deterministic clinical decision rules to discover adverse events (e.g. postoperative complications) using electronic health record data. However, these data provide opportunities to use probabilistic methods for early prediction of adverse health events, which may be more informative than deterministic algorithms. Electronic health record data from a set of 9598 colorectal surgery cases from 2010 to 2014 were used to predict the occurrence of selected complications including surgical site infection, ileus, and bleeding. Consistent with previous studies, we find a high rate of missing values for both covariates and complication information (4-90%). Several machine learning classification methods are trained on an 80% random sample of cases and tested on a remaining holdout set. Predictive performance varies by complication, although an area under the receiver operating characteristic curve as high as 0.86 on testing data was achieved for bleeding complications, and accuracy for all complications compares favorably to existing clinical decision rules. Our results confirm that electronic health records provide opportunities for improved risk prediction of surgical complications; however, consideration of data quality and consistency standards is an important step in predictive modeling with such data.

  12. Success criteria for electronic medical record implementations in low-resource settings: a systematic review.

    Science.gov (United States)

    Fritz, Fleur; Tilahun, Binyam; Dugas, Martin

    2015-03-01

    Electronic medical record (EMR) systems have the potential of supporting clinical work by providing the right information at the right time to the right people and thus make efficient use of resources. This is especially important in low-resource settings where reliable data are also needed to support public health and local supporting organizations. In this systematic literature review, our objectives are to identify and collect literature about success criteria of EMR implementations in low-resource settings and to summarize them into recommendations. Our search strategy relied on PubMed queries and manual bibliography reviews. Studies were included if EMR implementations in low-resource settings were described. The extracted success criteria and measurements were summarized into 7 categories: ethical, financial, functionality, organizational, political, technical, and training. We collected 381 success criteria with 229 measurements from 47 articles out of 223 articles. Most papers were evaluations or lessons learned from African countries, published from 1999 to 2013. Almost half of the EMR systems served a specific disease area like human immunodeficiency virus (HIV). The majority of criteria that were reported dealt with the functionality, followed by organizational issues, and technical infrastructures. Sufficient training and skilled personnel were mentioned in roughly 10%. Political, ethical, and financial considerations did not play a predominant role. More evaluations based on reliable frameworks are needed. Highly reliable data handling methods, human resources and effective project management, as well as technical architecture and infrastructure are all key factors for successful EMR implementation. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Electronic health record training in undergraduate medical education: bridging theory to practice with curricula for empowering patient- and relationship-centered care in the computerized setting.

    Science.gov (United States)

    Wald, Hedy S; George, Paul; Reis, Shmuel P; Taylor, Julie Scott

    2014-03-01

    While electronic health record (EHR) use is becoming state-of-the-art, deliberate teaching of health care information technology (HCIT) competencies is not keeping pace with burgeoning use. Medical students require training to become skilled users of HCIT, but formal pedagogy within undergraduate medical education (UME) is sparse. How can medical educators best meet the needs of learners while integrating EHRs into medical education and practice? How can they help learners preserve and foster effective communication skills within the computerized setting? In general, how can UME curricula be devised for skilled use of EHRs to enhance rather than hinder provision of effective, humanistic health care?Within this Perspective, the authors build on recent publications that "set the stage" for next steps: EHR curricula innovation and implementation as concrete embodiments of theoretical underpinnings. They elaborate on previous calls for maximizing benefits and minimizing risks of EHR use with sufficient focus on physician-patient communication skills and for developing core competencies within medical education. The authors describe bridging theory into practice with systematic longitudinal curriculum development for EHR training in UME at their institution, informed by Kern and colleagues' curriculum development framework, narrative medicine, and reflective practice. They consider this innovation within a broader perspective-the overarching goal of empowering undergraduate medical students' patient- and relationship-centered skills while effectively demonstrating HCIT-related skills.

  14. Modeling antecedents of electronic medical record system implementation success in low-resource setting hospitals.

    Science.gov (United States)

    Tilahun, Binyam; Fritz, Fleur

    2015-08-01

    With the increasing implementation of Electronic Medical Record Systems (EMR) in developing countries, there is a growing need to identify antecedents of EMR success to measure and predict the level of adoption before costly implementation. However, less evidence is available about EMR success in the context of low-resource setting implementations. Therefore, this study aims to fill this gap by examining the constructs and relationships of the widely used DeLone and MacLean (D&M) information system success model to determine whether it can be applied to measure EMR success in those settings. A quantitative cross sectional study design using self-administered questionnaires was used to collect data from 384 health professionals working in five governmental hospitals in Ethiopia. The hospitals use a comprehensive EMR system since three years. Descriptive and structural equation modeling methods were applied to describe and validate the extent of relationship of constructs and mediating effects. The findings of the structural equation modeling shows that system quality has significant influence on EMR use (β = 0.32, P quality has significant influence on EMR use (β = 0.44, P service quality has strong significant influence on EMR use (β = 0.36, P effect of EMR use on user satisfaction was not significant. Both EMR use and user satisfaction have significant influence on perceived net-benefit (β = 0.31, P mediating factor in the relationship between service quality and EMR use (P effect on perceived net-benefit of health professionals. EMR implementers and managers in developing countries are in urgent need of implementation models to design proper implementation strategies. In this study, the constructs and relationships depicted in the updated D&M model were found to be applicable to assess the success of EMR in low resource settings. Additionally, computer literacy was found to be a mediating factor in EMR use and user satisfaction of

  15. Acoustic signature of thunder from seismic records

    Science.gov (United States)

    Kappus, Mary E.; Vernon, Frank L.

    1991-06-01

    Thunder, the sound wave through the air associated with lightning, transfers sufficient energy to the ground to trigger seismometers set to record regional earthquakes. The acoustic signature recorded on seismometers, in the form of ground velocity as a function of time, contains the same type features as pressure variations recorded with microphones in air. At a seismic station in Kislovodsk, USSR, a nearly direct lightning strike caused electronic failure of borehole instruments while leaving a brief impulsive acoustic signature on the surface instruments. The peak frequency of 25-55 Hz is consistent with previously published values for cloud-to-ground lightning strikes, but spectra from this station are contaminated by very strong wind noise in this band. A thunderstorm near a similar station in Karasu triggered more than a dozen records of individual lightning strikes during a 2-hour period. The spectra for these events are fairly broadband, with peaks at low frequencies, varying from 6 to 13 Hz. The spectra were all computed by multitaper analysis, which deals appropriately with the nonstationary thunder signal. These independent measurements of low-frequency peaks corroborate the occasional occurrences in traditional microphone records, but a theory concerning the physical mechanism to account for them is still in question. Examined separately, the individual claps in each record have similar frequency distributions, discounting a need for multiple mechanisms to explain different phases of the thunder sequence. Particle motion, determined from polarization analysis of the three-component records, is predominantly vertical downward, with smaller horizontal components indicative of the direction to the lightning bolt. In three of the records the azimuth to the lightning bolt changes with time, confirming a significant horizontal component to the lightning channel itself.

  16. Paired fuzzy sets

    DEFF Research Database (Denmark)

    Rodríguez, J. Tinguaro; Franco de los Ríos, Camilo; Gómez, Daniel

    2015-01-01

    In this paper we want to stress the relevance of paired fuzzy sets, as already proposed in previous works of the authors, as a family of fuzzy sets that offers a unifying view for different models based upon the opposition of two fuzzy sets, simply allowing the existence of different types...

  17. Methods for the quantitative comparison of molecular estimates of clade age and the fossil record.

    Science.gov (United States)

    Clarke, Julia A; Boyd, Clint A

    2015-01-01

    Approaches quantifying the relative congruence, or incongruence, of molecular divergence estimates and the fossil record have been limited. Previously proposed methods are largely node specific, assessing incongruence at particular nodes for which both fossil data and molecular divergence estimates are available. These existing metrics, and other methods that quantify incongruence across topologies including entirely extinct clades, have so far not taken into account uncertainty surrounding both the divergence estimates and the ages of fossils. They have also treated molecular divergence estimates younger than previously assessed fossil minimum estimates of clade age as if they were the same as cases in which they were older. However, these cases are not the same. Recovered divergence dates younger than compared oldest known occurrences require prior hypotheses regarding the phylogenetic position of the compared fossil record and standard assumptions about the relative timing of morphological and molecular change to be incorrect. Older molecular dates, by contrast, are consistent with an incomplete fossil record and do not require prior assessments of the fossil record to be unreliable in some way. Here, we compare previous approaches and introduce two new descriptive metrics. Both metrics explicitly incorporate information on uncertainty by utilizing the 95% confidence intervals on estimated divergence dates and data on stratigraphic uncertainty concerning the age of the compared fossils. Metric scores are maximized when these ranges are overlapping. MDI (minimum divergence incongruence) discriminates between situations where molecular estimates are younger or older than known fossils reporting both absolute fit values and a number score for incompatible nodes. DIG range (divergence implied gap range) allows quantification of the minimum increase in implied missing fossil record induced by enforcing a given set of molecular-based estimates. These metrics are used

  18. Hurricane in US, chaos in Iraq and even more price records

    International Nuclear Information System (INIS)

    Anon.

    2005-01-01

    A hurricane named Katrina devastated oil installations along the US Gulf Coast as well as the city of New Orleans, sending oil prices to new record levels. Nearly 1.4 mn bpd of offshore oil production was shut-in, along with 8.3 bn cfd of the Gulf's natural gas. More production was closed down onshore along with nearly 2.4 mn bpd of refining capacity. Crude and product prices shot up worldwide. The 30th August saw October WTI close at a record $69.81/bbl, having traded earlier in the day up to $70.85/bbl. On 31st August, Nymex gasoline closed at a new high of $2.6145/gall as the Gulf Coast's refineries remained off-line. Gulf spot prices rose above $3/gall. The following day, October heating oil set a new record by closing at $2.1985/gall. Records fell outside the US, with Tapis at $70.97 on 31st August. The previous day saw IPE October Brent settle at a record $67.57, whilst the November and December contracts both saw trades above $69.00/bbl. Natural gas prices also moved into record territory in the US, topping $12 per mn BTU on Nymex during the morning of 30th August. (author)

  19. Sharing electronic health records: the patient view

    Directory of Open Access Journals (Sweden)

    John Powell

    2006-03-01

    Full Text Available The introduction of a national electronic health record system to the National Health Service (NHS has raised concerns about issues of data accuracy, security and confidentiality. The primary aim of this project was to identify the extent to which primary care patients will allow their local electronic record data to be shared on a national database. The secondary aim was to identify the extent of inaccuracies in the existing primary care records, which will be used to populate the new national Spine. Fifty consecutive attenders to one general practitioner were given a paper printout of their full primary care electronic health record. Participants were asked to highlight information which they would not want to be shared on the national electronic database of records, and information which they considered to be incorrect. There was a 62% response rate (31/50. Five of the 31 patients (16% identified information that they would not want to be shared on the national record system. The items they identified related almost entirely to matters of pregnancy, contraception, sexual health and mental health. Ten respondents (32% identified incorrect information in their records (some of these turned out to be correct on further investigation. The findings in relation to data sharing fit with the commonly held assumption that matters related to sensitive or embarrassing issues, which may affect how the patient will be treated by other individuals or institutions, are most likely to be censored by patients. Previous work on this has tended to ask hypothetical questions concerning data sharing rather than examine a real situation. A larger study of representative samples of patients in both primary and secondary care settings is needed to further investigate issues of data sharing and consent.

  20. Conceptual aspects: analyses law, ethical, human, technical, social factors of development ICT, e-learning and intercultural development in different countries setting out the previous new theoretical model and preliminary findings

    NARCIS (Netherlands)

    Kommers, Petrus A.M.; Smyrnova-Trybulska, Eugenia; Morze, Natalia; Issa, Tomayess; Issa, Theodora

    2015-01-01

    This paper, prepared by an international team of authors focuses on the conceptual aspects: analyses law, ethical, human, technical, social factors of ICT development, e-learning and intercultural development in different countries, setting out the previous and new theoretical model and preliminary

  1. Practical recording techniques the step-by-step approach to professional audio recording

    CERN Document Server

    Bartlett, Bruce

    2013-01-01

    Hands-on practical guide covering all aspects of recording, ideal for beginning and intermediate recording engineers, producers, musicians and audio enthusiasts. Filled with tips and shortcuts, this book offers advice on equipping a home studio (both low-budget and advanced), suggestions for set-up, acoustics, choosing monitor speakers, and preventing hum. This best-selling guide also tells how to judge recordings and improve them to produce maximum results. New material covered in the 5th edition to include: * complete revision and update of dig

  2. Development and setting of a time-lapse video camera system for the Antarctic lake observation

    Directory of Open Access Journals (Sweden)

    Sakae Kudoh

    2010-11-01

    Full Text Available A submersible video camera system, which aimed to record the growth image of aquatic vegetation in Antarctic lakes for one year, was manufactured. The system consisted of a video camera, a programmable controller unit, a lens-cleaning wiper with a submersible motor, LED lights, and a lithium ion battery unit. Changes of video camera (High Vision System and modification of the lens-cleaning wiper allowed higher sensitivity and clearer recording images compared to the previous submersible video without increasing the power consumption. This system was set on the lake floor in Lake Naga Ike (a tentative name in Skarvsnes in Soya Coast, during the summer activity of the 51th Japanese Antarctic Research Expedition. Interval record of underwater visual image for one year have been started by our diving operation.

  3. Inferring climate variability from skewed proxy records

    Science.gov (United States)

    Emile-Geay, J.; Tingley, M.

    2013-12-01

    Many paleoclimate analyses assume a linear relationship between the proxy and the target climate variable, and that both the climate quantity and the errors follow normal distributions. An ever-increasing number of proxy records, however, are better modeled using distributions that are heavy-tailed, skewed, or otherwise non-normal, on account of the proxies reflecting non-normally distributed climate variables, or having non-linear relationships with a normally distributed climate variable. The analysis of such proxies requires a different set of tools, and this work serves as a cautionary tale on the danger of making conclusions about the underlying climate from applications of classic statistical procedures to heavily skewed proxy records. Inspired by runoff proxies, we consider an idealized proxy characterized by a nonlinear, thresholded relationship with climate, and describe three approaches to using such a record to infer past climate: (i) applying standard methods commonly used in the paleoclimate literature, without considering the non-linearities inherent to the proxy record; (ii) applying a power transform prior to using these standard methods; (iii) constructing a Bayesian model to invert the mechanistic relationship between the climate and the proxy. We find that neglecting the skewness in the proxy leads to erroneous conclusions and often exaggerates changes in climate variability between different time intervals. In contrast, an explicit treatment of the skewness, using either power transforms or a Bayesian inversion of the mechanistic model for the proxy, yields significantly better estimates of past climate variations. We apply these insights in two paleoclimate settings: (1) a classical sedimentary record from Laguna Pallcacocha, Ecuador (Moy et al., 2002). Our results agree with the qualitative aspects of previous analyses of this record, but quantitative departures are evident and hold implications for how such records are interpreted, and

  4. WIPP Project Records Management Handbook

    International Nuclear Information System (INIS)

    1991-01-01

    The Waste Isolation Pilot Plant (WIPP) Records Management Handbook provides the WIPP Project Records Management personnel with a tool to use to fulfill the requirements of the WIPP Records Program and direct their actions in the important area of records management. The handbook describes the various project areas involved in records management, and how they function. The handbook provides the requirements for Record Coordinators and Master Record Center (MRC) personnel to follow in the normal course of file management, records scheduling, records turnover, records disposition, and records retrieval. More importantly, the handbook provides a single reference which encompasses the procedures set fourth in DOE Order 1324.2A, ''Records Disposition'' ASME NQA-1, ''Quality Assurance Program Requirements for Nuclear Facilities'' and DOE-AL 5700.6B, ''General Operations Quality Assurance.'' These documents dictate how an efficient system of records management will be achieved on the WIPP Project

  5. Integrating the EMPD with an Alpine altitudinal training set to reconstruct climate variables in Holocene pollen records from high-altitude peat bogs

    Science.gov (United States)

    Furlanetto, Giulia; Badino, Federica; Brunetti, Michele; Champvillair, Elena; De Amicis, Mattia; Maggi, Valter; Pini, Roberta; Ravazzi, Cesare; Vallé, Francesca

    2016-04-01

    Temperatures and precipitation are the main environmental factors influencing vegetation and pollen production. Knowing the modern climate optima and tolerances of those plants represented in fossil assemblages and assuming that the relationships between plants and climate in the past are not dissimilar from the modern ones, fossil pollen records offer many descriptors to reconstruct past climate variables. The aim of our work is to investigate the potential of high-altitude pollen records from an Alpine peat bog (TBValter, close to the Ruitor Glacier, Western Italian Alps) for quantitative paleoclimate estimates. The idea behind is that high-altitude ecosystems are more sensitive to climate changes, especially to changes in July temperatures that severely affect the timberline ecotone. Meantime, we met with difficulties when considering the factors involved in pollen dispersal over a complex altitudinal mountain pattern, such as the Alps. We used the EMPD-European Modern Pollen Database (Davis et al., 2013) as modern training set to be compared with our high-altitude fossil site. The EMPD dataset is valuable in that it provides a large geographic coverage of main ecological and climate gradients (at sub-continental scale) but lacks in sampling of altitudinal gradients and high-altitude sites in the Alps. We therefore designed an independent altitudinal training set for the alpine valley hosting our fossil site. 27 sampling plots were selected along a 1700m-elevational transect. In a first step, each plot was provided with (i) 3 moss polsters collected following the guidelines provided by Cañellas-Boltà et al. (2009) and analyzed separately to account for differences in pollen deposition at small scale, (ii) morphometrical parameters obtained through a high-resolution DEM, and (iii) temperature and precipitation were estimated by means of weighted linear regression of the meteorological variable versus elevation, locally evaluated for each site (Brunetti et al

  6. GoPro HERO 4 Black recording of scleral buckle placement during retinal detachment repair.

    Science.gov (United States)

    Ho, Vincent Y; Shah, Vaishali G; Yates, David M; Shah, Gaurav K

    2017-08-01

    GoPro and Google Glass technology have previously been used to record procedures in ophthalmology and other medical fields. In this manuscript, GoPro's latest HERO 4 Black edition camera (GoPro Inc, San Mateo, Calif.) will be used to record the placement of a scleral buckle during retinal detachment surgery. GoPro HERO 4 Black edition camera, which records 4K-quality video with a resolution of 3840 (pixels) x 2160 (lines), was mounted on a head strap to record placement of a scleral buckle for a retinal detachment. Excellent video quality was achieved with the 4K SuperView setting. Bluetooth connection with an Apple iPad (Apple Inc, Cupertino, Calif.) provided live streaming and use of the GoPro App. Zoom, horizontal/vertical alignment, exposure, and contrast adjustments were made with postproduction editing on GoPro Studio software. Video recording with the GoPro HERO 4 Black edition camera is an excellent way to document extraocular procedures to improve medical education, self-training, or medicolegal documentation. Copyright © 2017 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

  7. Pseudo-set framing.

    Science.gov (United States)

    Barasz, Kate; John, Leslie K; Keenan, Elizabeth A; Norton, Michael I

    2017-10-01

    Pseudo-set framing-arbitrarily grouping items or tasks together as part of an apparent "set"-motivates people to reach perceived completion points. Pseudo-set framing changes gambling choices (Study 1), effort (Studies 2 and 3), giving behavior (Field Data and Study 4), and purchase decisions (Study 5). These effects persist in the absence of any reward, when a cost must be incurred, and after participants are explicitly informed of the arbitrariness of the set. Drawing on Gestalt psychology, we develop a conceptual account that predicts what will-and will not-act as a pseudo-set, and defines the psychological process through which these pseudo-sets affect behavior: over and above typical reference points, pseudo-set framing alters perceptions of (in)completeness, making intermediate progress seem less complete. In turn, these feelings of incompleteness motivate people to persist until the pseudo-set has been fulfilled. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  8. Iterated local search and record-to-record travel applied to the fixed charge transportation problem

    DEFF Research Database (Denmark)

    Andersen, Jeanne; Klose, Andreas

    The fixed charge transportation problem (FCTP) is a well-known and difficult optimization problem with lots of applications in logistics. It consists in finding a minimum cost network flow from a set of suppliers to a set of customers. Beside costs proportional to quantities transported......, transportation costs do, however, include a fixed charge. Iterated local search and record-to-record travel are both simple local search based meta-heuristics that, to our knowledge, not yet have been applied to the FCTP. In this paper, we apply both types of search strategies and combine them into a single...

  9. Black Hole Hunters Set New Distance Record

    Science.gov (United States)

    2010-01-01

    Astronomers using ESO's Very Large Telescope have detected, in another galaxy, a stellar-mass black hole much farther away than any other previously known. With a mass above fifteen times that of the Sun, this is also the second most massive stellar-mass black hole ever found. It is entwined with a star that will soon become a black hole itself. The stellar-mass black holes [1] found in the Milky Way weigh up to ten times the mass of the Sun and are certainly not be taken lightly, but, outside our own galaxy, they may just be minor-league players, since astronomers have found another black hole with a mass over fifteen times the mass of the Sun. This is one of only three such objects found so far. The newly announced black hole lies in a spiral galaxy called NGC 300, six million light-years from Earth. "This is the most distant stellar-mass black hole ever weighed, and it's the first one we've seen outside our own galactic neighbourhood, the Local Group," says Paul Crowther, Professor of Astrophysics at the University of Sheffield and lead author of the paper reporting the study. The black hole's curious partner is a Wolf-Rayet star, which also has a mass of about twenty times as much as the Sun. Wolf-Rayet stars are near the end of their lives and expel most of their outer layers into their surroundings before exploding as supernovae, with their cores imploding to form black holes. In 2007, an X-ray instrument aboard NASA's Swift observatory scrutinised the surroundings of the brightest X-ray source in NGC 300 discovered earlier with the European Space Agency's XMM-Newton X-ray observatory. "We recorded periodic, extremely intense X-ray emission, a clue that a black hole might be lurking in the area," explains team member Stefania Carpano from ESA. Thanks to new observations performed with the FORS2 instrument mounted on ESO's Very Large Telescope, astronomers have confirmed their earlier hunch. The new data show that the black hole and the Wolf-Rayet star dance

  10. 22 CFR 503.9 - Electronic records.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Electronic records. 503.9 Section 503.9 Foreign Relations BROADCASTING BOARD OF GOVERNORS FREEDOM OF INFORMATION ACT REGULATION § 503.9 Electronic records... electronic format. Documentation not previously subject to the FOIA when maintained in a non-electronic...

  11. Efficient sequential and parallel algorithms for record linkage.

    Science.gov (United States)

    Mamun, Abdullah-Al; Mi, Tian; Aseltine, Robert; Rajasekaran, Sanguthevar

    2014-01-01

    Integrating data from multiple sources is a crucial and challenging problem. Even though there exist numerous algorithms for record linkage or deduplication, they suffer from either large time needs or restrictions on the number of datasets that they can integrate. In this paper we report efficient sequential and parallel algorithms for record linkage which handle any number of datasets and outperform previous algorithms. Our algorithms employ hierarchical clustering algorithms as the basis. A key idea that we use is radix sorting on certain attributes to eliminate identical records before any further processing. Another novel idea is to form a graph that links similar records and find the connected components. Our sequential and parallel algorithms have been tested on a real dataset of 1,083,878 records and synthetic datasets ranging in size from 50,000 to 9,000,000 records. Our sequential algorithm runs at least two times faster, for any dataset, than the previous best-known algorithm, the two-phase algorithm using faster computation of the edit distance (TPA (FCED)). The speedups obtained by our parallel algorithm are almost linear. For example, we get a speedup of 7.5 with 8 cores (residing in a single node), 14.1 with 16 cores (residing in two nodes), and 26.4 with 32 cores (residing in four nodes). We have compared the performance of our sequential algorithm with TPA (FCED) and found that our algorithm outperforms the previous one. The accuracy is the same as that of this previous best-known algorithm.

  12. Management of financial records at the Marondera Municipality in ...

    African Journals Online (AJOL)

    Ngulup

    Previous research demonstrated that public sector records were of ... vi) Loans for capital works from central government through the National Housing Fund in .... a record: identification of records, intellectual control of them, provision of ...

  13. Response to health insurance by previously uninsured rural children.

    Science.gov (United States)

    Tilford, J M; Robbins, J M; Shema, S J; Farmer, F L

    1999-08-01

    To examine the healthcare utilization and costs of previously uninsured rural children. Four years of claims data from a school-based health insurance program located in the Mississippi Delta. All children who were not Medicaid-eligible or were uninsured, were eligible for limited benefits under the program. The 1987 National Medical Expenditure Survey (NMES) was used to compare utilization of services. The study represents a natural experiment in the provision of insurance benefits to a previously uninsured population. Premiums for the claims cost were set with little or no information on expected use of services. Claims from the insurer were used to form a panel data set. Mixed model logistic and linear regressions were estimated to determine the response to insurance for several categories of health services. The use of services increased over time and approached the level of utilization in the NMES. Conditional medical expenditures also increased over time. Actuarial estimates of claims cost greatly exceeded actual claims cost. The provision of a limited medical, dental, and optical benefit package cost approximately $20-$24 per member per month in claims paid. An important uncertainty in providing health insurance to previously uninsured populations is whether a pent-up demand exists for health services. Evidence of a pent-up demand for medical services was not supported in this study of rural school-age children. States considering partnerships with private insurers to implement the State Children's Health Insurance Program could lower premium costs by assembling basic data on previously uninsured children.

  14. Year-to-year correlation, record length, and overconfidence in wind resource assessment

    Directory of Open Access Journals (Sweden)

    N. Bodini

    2016-08-01

    Full Text Available Interannual variability of wind speeds presents a fundamental source of uncertainty in preconstruction energy estimates. Our analysis of one of the longest and geographically most widespread extant sets of instrumental wind-speed observations (62-year records from 60 stations in Canada shows that deviations from mean resource levels persist over many decades, substantially increasing uncertainty. As a result of this persistence, the performance of each site's last 20 years diverges more widely than expected from the P50 level estimated from its first 42 years: half the sites have either fewer than 5 or more than 15 years exceeding the P50 estimate. In contrast to this 10-year-wide interquartile range, a 4-year-wide range (2.5 times narrower was found for "control" records where statistical independence was enforced by randomly permuting each station's historical values. Similarly, for sites with capacity factor of 0.35 and interannual variability of 6  %, one would expect 9 years in 10 to fall in the range 0.32–0.38; we find the actual 90  % range to be 0.27–0.43, or three times wider. The previously un-quantified effect of serial correlations favors a shift in resource-assessment thinking from a climatology-focused approach to a persistence-focused approach: for this data set, no improvement in P50 error is gained by using records longer than 4–5 years, and use of records longer than 20 years actually degrades accuracy.

  15. Reanalysis of Korean War Anthropological Records to Support the Resolution of Cold Cases.

    Science.gov (United States)

    Wilson, Emily K

    2017-09-01

    Re-investigation of previously unidentified remains from the Korean War has yielded 55 new identifications, each with corresponding records of prior anthropological analyses. This study compares biological assessments for age at death, stature, and ancestry across (i) anthropological analyses from the 1950s, (ii) recent anthropological analyses of those same sets of remains, and (iii) the reported antemortem biological information for the identified individual. A comparison of long bone measurements from both the 1950s and during reanalysis is also presented. These comparisons demonstrate commonalities and continuing patterns of errors that are useful in refining both research on Korean War cold case records and forensic anthropological analyses performed using methods developed from the 1950s identifications. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

  16. Setting the records straight - a prospective audit of the quality of ...

    African Journals Online (AJOL)

    Background. A high standard of medical record keeping is important for safe patient care and provides information for research, audit and medicolegal purposes. Standards exist on what entries should contain, but as far as we are aware these standards are not regularly used in South Africa. We compared surgical case ...

  17. Design and evaluation of a wireless electronic health records system for field care in mass casualty settings.

    Science.gov (United States)

    Lenert, L A; Kirsh, D; Griswold, W G; Buono, C; Lyon, J; Rao, R; Chan, T C

    2011-01-01

    There is growing interest in the use of technology to enhance the tracking and quality of clinical information available for patients in disaster settings. This paper describes the design and evaluation of the Wireless Internet Information System for Medical Response in Disasters (WIISARD). WIISARD combined advanced networking technology with electronic triage tags that reported victims' position and recorded medical information, with wireless pulse-oximeters that monitored patient vital signs, and a wireless electronic medical record (EMR) for disaster care. The EMR system included WiFi handheld devices with barcode scanners (used by front-line responders) and computer tablets with role-tailored software (used by managers of the triage, treatment, transport and medical communications teams). An additional software system provided situational awareness for the incident commander. The WIISARD system was evaluated in a large-scale simulation exercise designed for training first responders. A randomized trial was overlaid on this exercise with 100 simulated victims, 50 in a control pathway (paper-based), and 50 in completely electronic WIISARD pathway. All patients in the electronic pathway were cared for within the WIISARD system without paper-based workarounds. WIISARD reduced the rate of the missing and/or duplicated patient identifiers (0% vs 47%, pwireless EMR systems for care of the victims of disasters would be complex to develop but potentially feasible to build and deploy, and likely to improve the quality of information available for the delivery of care during disasters.

  18. Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections

    Directory of Open Access Journals (Sweden)

    Josiane Hélou

    2013-01-01

    Full Text Available Background: Fractionated carbon dioxide (CO 2 lasers are a new treatment modality for skin resurfacing. The cosmetic rejuvenation market abounds with various injectable devices (poly-L-lactic acid, polymethyl-methacrylate, collagens, hyaluronic acids, silicone. The objective of this study is to examine the efficacy and safety of 10,600-nm CO 2 fractional laser on facial skin with previous volume injections. Materials and Methods: This is a retrospective study including 14 patients treated with fractional CO 2 laser and who have had previous facial volume restoration. The indication for the laser therapy, the age of the patients, previous facial volume restoration, and side effects were all recorded from their medical files. Objective assessments were made through clinical physician global assessment records and improvement scores records. Patients′ satisfaction rates were also recorded. Results: Review of medical records of the 14 patients show that five patients had polylactic acid injection prior to the laser session. Eight patients had hyaluronic acid injection prior to the laser session. Two patients had fat injection, two had silicone injection and one patient had facial thread lift. Side effects included pain during the laser treatment, post-treatment scaling, post-treatment erythema, hyperpigmentation which spontaneously resolved within a month. Concerning the previous facial volume restoration, no granulomatous reactions were noted, no facial shape deformation and no asymmetry were encountered whatever the facial volume product was. Conclusion: CO 2 fractional laser treatments do not seem to affect facial skin which had previous facial volume restoration with polylactic acid for more than 6 years, hyaluronic acid for more than 0.5 year, silicone for more than 6 years, or fat for more than 1.4 year. Prospective larger studies focusing on many other variables (skin phototype, injected device type are required to achieve better

  19. Home recording for musicians for dummies

    CERN Document Server

    Strong, Jeff

    2008-01-01

    Invaluable advice that will be music to your ears! Are you thinking of getting started in home recording? Do you want to know the latest home recording technologies? Home Recording For Musicians For Dummies will get you recording music at home in no time. It shows you how to set up a home studio, record and edit your music, master it, and even distribute your songs. With this guide, you?ll learn how to compare studio-in-a-box, computer-based, and stand-alone recording systems and choose what you need. You?ll gain the skills to manage your sound, take full advantage of MIDI, m

  20. [Cooperation with the electronic medical record and accounting system of an actual dose of drug given by a radiology information system].

    Science.gov (United States)

    Yamamoto, Hideo; Yoneda, Tarou; Satou, Shuji; Ishikawa, Toru; Hara, Misako

    2009-12-20

    By input of the actual dose of a drug given into a radiology information system, the system converting with an accounting system into a cost of the drug from the actual dose in the electronic medical record was built. In the drug master, the first unit was set as the cost of the drug, and we set the second unit as the actual dose. The second unit in the radiology information system was received by the accounting system through electronic medical record. In the accounting system, the actual dose was changed into the cost of the drug using the dose of conversion to the first unit. The actual dose was recorded on a radiology information system and electronic medical record. The actual dose was indicated on the accounting system, and the cost for the drug was calculated. About the actual dose of drug, cooperation of the information in a radiology information system and electronic medical record were completed. It was possible to decide the volume of drug from the correct dose of drug at the previous inspection. If it is necessary for the patient to have another treatment of medicine, it is important to know the actual dose of drug given. Moreover, authenticity of electronic medical record based on a statute has also improved.

  1. Records Management and Preservation in Government Ministries ...

    African Journals Online (AJOL)

    There is the erroneous notion among records managers in the public sector and the business setting that preservation of records is an activity reserved for the conservator late in the life of the document. In order to find out the care and handling of records in Government ministries and departments, 69 registries were ...

  2. Accurate blood pressure recording: is it difficult?

    Science.gov (United States)

    Bhalla, A; Singh, R; D'cruz, S; Lehl, S S; Sachdev, A

    2005-11-01

    Blood pressure (BP) measurement is a routine procedure but errors are frequently committed during BP recording. AIMS AND SETTINGS: The aim of the study was to look at the prevalent practices in the institute regarding BP recording. The study was conducted in the Medicine Department at Government Medical College, Chandigarh, a teaching institute for MBBS students. A prospective, observational study was performed amongst the 80 doctors in a tertiary care hospital. All of them were observed by a single observer during the act of BP recording. The observer was well versed with the guidelines issued by British Hypertension Society (BHS) and the deviations from the standard set of guidelines issued by BHS were noted. The errors were defined as deviations from these guidelines. The results were recorded as percentage of doctors committing these errors. In our study, 90% used mercury type sphygmomanometer. Zero error of the apparatus, hand dominance was not noted by any one. Every one used the standard BP cuff for recording BP. 70% of them did not let the patient rest before recording BP. 80% did not remove the clothing from the arm. None of them recorded BP in both arms. In out patient setting, 80% recorded blood pressure in sitting position and 14% in supine position. In all the patients where BP was recorded in sitting position BP apparatus was below the level of heart and 20% did not have their arm supported. 60% did not use palpatory method for noticing systolic BP and 70% did not raise pressure 30-40 mm Hg above the systolic level before checking the BP by auscultation. 80% lowered the BP at a rate of more than 2 mm/s and 60% rounded off the BP to nearest 5-10 mm Hg. 70% recorded BP only once and 90% of the rest re inflated the cuff without completely deflating and allowing rest before a second reading was obtained. The practice of recording BP in our hospital varies from the standard guidelines issued by the BHS.

  3. Recording voiceover the spoken word in media

    CERN Document Server

    Blakemore, Tom

    2015-01-01

    The only book on the market to specifically address its audience, Recording Voiceover is the comprehensive guide for engineers looking to understand the aspects of capturing the spoken word.Discussing all phases of the recording session, Recording Voiceover addresses everything from microphone recommendations for voice recording to pre-production considerations, including setting up the studio, working with and directing the voice talent, and strategies for reducing or eliminating distracting noise elements found in human speech.Recording Voiceover features in-depth, specific recommendations f

  4. Acceptability of a personally controlled health record in a community-based setting: implications for policy and design.

    Science.gov (United States)

    Weitzman, Elissa R; Kaci, Liljana; Mandl, Kenneth D

    2009-04-29

    Consumer-centered health information systems that address problems related to fragmented health records and disengaged and disempowered patients are needed, as are information systems that support public health monitoring and research. Personally controlled health records (PCHRs) represent one response to these needs. PCHRs are a special class of personal health records (PHRs) distinguished by the extent to which users control record access and contents. Recently launched PCHR platforms include Google Health, Microsoft's HealthVault, and the Dossia platform, based on Indivo. To understand the acceptability, early impacts, policy, and design requirements of PCHRs in a community-based setting. Observational and narrative data relating to acceptability, adoption, and use of a personally controlled health record were collected and analyzed within a formative evaluation of a PCHR demonstration. Subjects were affiliates of a managed care organization run by an urban university in the northeastern United States. Data were collected using focus groups, semi-structured individual interviews, and content review of email communications. Subjects included: n = 20 administrators, clinicians, and institutional stakeholders who participated in pre-deployment group or individual interviews; n = 52 community members who participated in usability testing and/or pre-deployment piloting; and n = 250 subjects who participated in the full demonstration of which n = 81 initiated email communications to troubleshoot problems or provide feedback. All data were formatted as narrative text and coded thematically by two independent analysts using a shared rubric of a priori defined major codes. Sub-themes were identified by analysts using an iterative inductive process. Themes were reviewed within and across research activities (ie, focus group, usability testing, email content review) and triangulated to identify patterns. Low levels of familiarity with PCHRs were found as were high

  5. Nuclear Electric's central dose record service

    International Nuclear Information System (INIS)

    Goldfinch, E.P.; Mullarkey, D.T.; McWhan, A.W.; Risk, G.; Vaughan, L.

    1991-01-01

    This paper describes the conception, development and operation of the Nuclear Electric Central Dose Record Service, including the initial philosophy considered necessary for a database for a large multi-site organisation, the setting up of the data and current routine operation. Lessons learned are briefly described. CDRS holds 35,000 records in a high security environment. The database includes records of radiation doses received by contractor's employees working at Nuclear Electric sites as well as dose records and dose histories for classified and non classified Nuclear Electric employees. (Author)

  6. Efficient Record Linkage Algorithms Using Complete Linkage Clustering.

    Science.gov (United States)

    Mamun, Abdullah-Al; Aseltine, Robert; Rajasekaran, Sanguthevar

    2016-01-01

    Data from different agencies share data of the same individuals. Linking these datasets to identify all the records belonging to the same individuals is a crucial and challenging problem, especially given the large volumes of data. A large number of available algorithms for record linkage are prone to either time inefficiency or low-accuracy in finding matches and non-matches among the records. In this paper we propose efficient as well as reliable sequential and parallel algorithms for the record linkage problem employing hierarchical clustering methods. We employ complete linkage hierarchical clustering algorithms to address this problem. In addition to hierarchical clustering, we also use two other techniques: elimination of duplicate records and blocking. Our algorithms use sorting as a sub-routine to identify identical copies of records. We have tested our algorithms on datasets with millions of synthetic records. Experimental results show that our algorithms achieve nearly 100% accuracy. Parallel implementations achieve almost linear speedups. Time complexities of these algorithms do not exceed those of previous best-known algorithms. Our proposed algorithms outperform previous best-known algorithms in terms of accuracy consuming reasonable run times.

  7. A Visual Guide to Sorting Electrophysiological Recordings Using 'SpikeSorter'.

    Science.gov (United States)

    Swindale, Nicholas V; Mitelut, Catalin; Murphy, Timothy H; Spacek, Martin A

    2017-02-10

    Few stand-alone software applications are available for sorting spikes from recordings made with multi-electrode arrays. Ideally, an application should be user friendly with a graphical user interface, able to read data files in a variety of formats, and provide users with a flexible set of tools giving them the ability to detect and sort extracellular voltage waveforms from different units with some degree of reliability. Previously published spike sorting methods are now available in a software program, SpikeSorter, intended to provide electrophysiologists with a complete set of tools for sorting, starting from raw recorded data file and ending with the export of sorted spikes times. Procedures are automated to the extent this is currently possible. The article explains and illustrates the use of the program. A representative data file is opened, extracellular traces are filtered, events are detected and then clustered. A number of problems that commonly occur during sorting are illustrated, including the artefactual over-splitting of units due to the tendency of some units to fire spikes in pairs where the second spike is significantly smaller than the first, and over-splitting caused by slow variation in spike height over time encountered in some units. The accuracy of SpikeSorter's performance has been tested with surrogate ground truth data and found to be comparable to that of other algorithms in current development.

  8. A comparison of morbidity associated with placenta previa with and without previous caesarean sections

    International Nuclear Information System (INIS)

    Baqai, S.; Siraj, A.; Noor, N.

    2018-01-01

    To compare the morbidity associated with placenta previa with and without previous caesarean sections. Study Design: Retrospective comparative study. Place and Duration of Study: From March 2014 till March 2016 in the department of Obstetrics and Gynaecology at PNS Shifa hospital Karachi. Material and Methods: After the approval from hospital ethical committee, antenatal patients with singleton pregnancy of gestational age >32 weeks, in the age group of 20-40 years diagnosed to have placenta previa included in the study. All patients with twin pregnancy less than 20 years and more than 40 years of age were excluded. The records of all patients fulfilling the inclusion criteria were reviewed. Data had been collected for demographic and maternal variables, placenta previa, history of previous lower segment caesarean section (LSCS), complications associated with placenta previa and techniques used to control blood loss were recorded. Results: During the study period, 6879 patients were delivered in PNS Shifa, out of these, 2060 (29.9%) had caesarean section out of these, 47.3% patients had previous history of LSCS. Thirty three (1.6%) patients were diagnosed to have placenta previa and frequency of placenta previa was significantly higher in patients with previous history of LSCS than previous normal delivery of LSCS i.e. 22 vs. 11 (p=0.023). It was observed that the frequency of morbidly adherent placenta (MAP) and Intensive care unit (ICU) stay were significantly higher in patients with previous history of LSCS than previous history of normal delivery. Conclusion: Frequency of placenta previa was significantly higher in patients with history of LSCS. Also placenta previa remains a major risk factor for various maternal complications. (author)

  9. Atmospheric carbon dioxide and the climate record

    International Nuclear Information System (INIS)

    Ellsaesser, H.W.

    1989-04-01

    This paper is an attempt to provide a summary review of conclusions from previous studies on this subject. Subject headings include: conceptualization of the greenhouse effect, the climatic effect of doubled CO 2 , interpretation of the climatic record, diagnosis of apparent and possible model deficiencies, and the palaeoclimatic record

  10. 15 CFR 14.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-01-01

    ... financial and program performance and the necessary standard reporting forms. They also set forth record... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Purpose of reports and records. 14.50... COMMERCIAL ORGANIZATIONS Post-Award Requirements Reports and Records § 14.50 Purpose of reports and records...

  11. Linking Health Records for Federated Query Processing

    Directory of Open Access Journals (Sweden)

    Dewri Rinku

    2016-07-01

    Full Text Available A federated query portal in an electronic health record infrastructure enables large epidemiology studies by combining data from geographically dispersed medical institutions. However, an individual’s health record has been found to be distributed across multiple carrier databases in local settings. Privacy regulations may prohibit a data source from revealing clear text identifiers, thereby making it non-trivial for a query aggregator to determine which records correspond to the same underlying individual. In this paper, we explore this problem of privately detecting and tracking the health records of an individual in a distributed infrastructure. We begin with a secure set intersection protocol based on commutative encryption, and show how to make it practical on comparison spaces as large as 1010 pairs. Using bigram matching, precomputed tables, and data parallelism, we successfully reduced the execution time to a matter of minutes, while retaining a high degree of accuracy even in records with data entry errors. We also propose techniques to prevent the inference of identifier information when knowledge of underlying data distributions is known to an adversary. Finally, we discuss how records can be tracked utilizing the detection results during query processing.

  12. Atmospheric carbon dioxide and the climate record

    Energy Technology Data Exchange (ETDEWEB)

    Ellsaesser, H.W.

    1989-04-01

    This paper is an attempt to provide a summary review of conclusions from previous studies on this subject. Subject headings include: conceptualization of the greenhouse effect, the climatic effect of doubled CO/sub 2/, interpretation of the climatic record, diagnosis of apparent and possible model deficiencies, and the palaeoclimatic record.

  13. Influence of Erroneous Patient Records on Population Pharmacokinetic Modeling and Individual Bayesian Estimation

    NARCIS (Netherlands)

    van der Meer, Aize Franciscus; Touw, Daniel J.; Marcus, Marco A. E.; Neef, Cornelis; Proost, Johannes H.

    2012-01-01

    Background: Observational data sets can be used for population pharmacokinetic (PK) modeling. However, these data sets are generally less precisely recorded than experimental data sets. This article aims to investigate the influence of erroneous records on population PK modeling and individual

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

    Science.gov (United States)

    Chernobilsky, Boris; Boruk, Marina

    2008-02-01

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

  15. Electronic health records for dummies

    CERN Document Server

    Williams, Trenor

    2010-01-01

    The straight scoop on choosing and implementing an electronic health records (EHR) system Doctors, nurses, and hospital and clinic administrators are interested in learning the best ways to implement and use an electronic health records system so that they can be shared across different health care settings via a network-connected information system. This helpful, plain-English guide provides need-to-know information on how to choose the right system, assure patients of the security of their records, and implement an EHR in such a way that it causes minimal disruption to the daily demands of a

  16. Considerations and Algorithms for Compression of Sets

    DEFF Research Database (Denmark)

    Larsson, Jesper

    We consider compression of unordered sets of distinct elements. After a discus- sion of the general problem, we focus on compressing sets of fixed-length bitstrings in the presence of statistical information. We survey techniques from previous work, suggesting some adjustments, and propose a novel...... compression algorithm that allows transparent incorporation of various estimates for probability distribution. Our experimental results allow the conclusion that set compression can benefit from incorporat- ing statistics, using our method or variants of previously known techniques....

  17. NRPB TLD and dose record keeping service - further progress

    International Nuclear Information System (INIS)

    Greenslade, E.

    1979-01-01

    Various aspects of the National Radiological Protection Board's service are described. An increasing number of UK employers are transferring from film monitors, and record keeping is now provided for both large and small groups of workers. Data entry directly from punched cards prepared by the larger employers has reduced initial costs and therefore carries a reduced registration fee for these users. Computerized dose record keeping allows automatic retrieval of cumulative dose information from any NRPB record of previous employment, thus safeguarding itinerant workers. Warning Dose Reports are issued automatically when cumulative dose totals reach or exceed 60% of a limit, or when a dose rate greater than 0.1 rem per 4 weeks is recorded. Flexibility in wearing period results in dosemeter economy and reduces laboratory work load. High recorded doses can be checked by UV stimulation of both disks to confirm the accuracy of the previous measurement. Employers are provided with a comprehensive and accurate monitoring package, fulfilling HSE requirements and exempting employers from their former responsibility to keep their own comprehensive records. (UK)

  18. A previous hamstring injury affects kicking mechanics in soccer players.

    Science.gov (United States)

    Navandar, Archit; Veiga, Santiago; Torres, Gonzalo; Chorro, David; Navarro, Enrique

    2018-01-10

    Although the kicking skill is influenced by limb dominance and sex, how a previous hamstring injury affects kicking has not been studied in detail. Thus, the objective of this study was to evaluate the effect of sex and limb dominance on kicking in limbs with and without a previous hamstring injury. 45 professional players (males: n=19, previously injured players=4, age=21.16 ± 2.00 years; females: n=19, previously injured players=10, age=22.15 ± 4.50 years) performed 5 kicks each with their preferred and non-preferred limb at a target 7m away, which were recorded with a three-dimensional motion capture system. Kinematic and kinetic variables were extracted for the backswing, leg cocking, leg acceleration and follow through phases. A shorter backswing (20.20 ± 3.49% vs 25.64 ± 4.57%), and differences in knee flexion angle (58 ± 10o vs 72 ± 14o) and hip flexion velocity (8 ± 0rad/s vs 10 ± 2rad/s) were observed in previously injured, non-preferred limb kicks for females. A lower peak hip linear velocity (3.50 ± 0.84m/s vs 4.10 ± 0.45m/s) was observed in previously injured, preferred limb kicks of females. These differences occurred in the backswing and leg-cocking phases where the hamstring muscles were the most active. A variation in the functioning of the hamstring muscles and that of the gluteus maximus and iliopsoas in the case of a previous injury could account for the differences observed in the kicking pattern. Therefore, the effects of a previous hamstring injury must be considered while designing rehabilitation programs to re-educate kicking movement.

  19. Early Childhood Numeracy in a Multiage Setting

    Science.gov (United States)

    Wood, Karen; Frid, Sandra

    2005-01-01

    This research is a case study examining numeracy teaching and learning practices in an early childhood multiage setting with Pre-Primary to Year 2 children. Data were collected via running records, researcher reflection notes, and video and audio recordings. Video and audio transcripts were analysed using a mathematical discourse and social…

  20. Reoperative sentinel lymph node biopsy after previous mastectomy.

    Science.gov (United States)

    Karam, Amer; Stempel, Michelle; Cody, Hiram S; Port, Elisa R

    2008-10-01

    Sentinel lymph node (SLN) biopsy is the standard of care for axillary staging in breast cancer, but many clinical scenarios questioning the validity of SLN biopsy remain. Here we describe our experience with reoperative-SLN (re-SLN) biopsy after previous mastectomy. Review of the SLN database from September 1996 to December 2007 yielded 20 procedures done in the setting of previous mastectomy. SLN biopsy was performed using radioisotope with or without blue dye injection superior to the mastectomy incision, in the skin flap in all patients. In 17 of 20 patients (85%), re-SLN biopsy was performed for local or regional recurrence after mastectomy. Re-SLN biopsy was successful in 13 of 20 patients (65%) after previous mastectomy. Of the 13 patients, 2 had positive re-SLN, and completion axillary dissection was performed, with 1 having additional positive nodes. In the 11 patients with negative re-SLN, 2 patients underwent completion axillary dissection demonstrating additional negative nodes. One patient with a negative re-SLN experienced chest wall recurrence combined with axillary recurrence 11 months after re-SLN biopsy. All others remained free of local or axillary recurrence. Re-SLN biopsy was unsuccessful in 7 of 20 patients (35%). In three of seven patients, axillary dissection was performed, yielding positive nodes in two of the three. The remaining four of seven patients all had previous modified radical mastectomy, so underwent no additional axillary surgery. In this small series, re-SLN was successful after previous mastectomy, and this procedure may play some role when axillary staging is warranted after mastectomy.

  1. Accuracy of predicting milk yield from alternative recording schemes

    NARCIS (Netherlands)

    Berry, D.P.; Olori, V.E.; Cromie, A.R.; Rath, M.; Veerkamp, R.F.; Dilon, P.

    2005-01-01

    The effect of reducing the frequency of official milk recording and the number of recorded samples per test-day on the accuracy of predicting daily yield and cumulative 305-day yield was investigated. A control data set consisting of 58 210 primiparous cows with milk test-day records every 4 weeks

  2. A Physical Activity Reference Data-Set Recorded from Older Adults Using Body-Worn Inertial Sensors and Video Technology—The ADAPT Study Data-Set

    Directory of Open Access Journals (Sweden)

    Alan Kevin Bourke

    2017-03-01

    Full Text Available Physical activity monitoring algorithms are often developed using conditions that do not represent real-life activities, not developed using the target population, or not labelled to a high enough resolution to capture the true detail of human movement. We have designed a semi-structured supervised laboratory-based activity protocol and an unsupervised free-living activity protocol and recorded 20 older adults performing both protocols while wearing up to 12 body-worn sensors. Subjects’ movements were recorded using synchronised cameras (≥25 fps, both deployed in a laboratory environment to capture the in-lab portion of the protocol and a body-worn camera for out-of-lab activities. Video labelling of the subjects’ movements was performed by five raters using 11 different category labels. The overall level of agreement was high (percentage of agreement >90.05%, and Cohen’s Kappa, corrected kappa, Krippendorff’s alpha and Fleiss’ kappa >0.86. A total of 43.92 h of activities were recorded, including 9.52 h of in-lab and 34.41 h of out-of-lab activities. A total of 88.37% and 152.01% of planned transitions were recorded during the in-lab and out-of-lab scenarios, respectively. This study has produced the most detailed dataset to date of inertial sensor data, synchronised with high frame-rate (≥25 fps video labelled data recorded in a free-living environment from older adults living independently. This dataset is suitable for validation of existing activity classification systems and development of new activity classification algorithms.

  3. 78 FR 14287 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2013-03-05

    ... by Defense Finance and Accounting Service (DFAS) and is covered by DFAS Systems of Records Notice T5500b, Integrated Garnishment System (IGS) (September 19, 2012, 77 FR 58106). Paper records previously...

  4. 49 CFR 19.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-10-01

    ... ORGANIZATIONS Post-Award Requirements Reports and Records § 19.50 Purpose of reports and records. Sections 19.51 through 19.53 set forth the procedures for monitoring and reporting on the recipient's financial and... 49 Transportation 1 2010-10-01 2010-10-01 false Purpose of reports and records. 19.50 Section 19...

  5. 22 CFR 518.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-04-01

    ... ORGANIZATIONS Post-Award Requirements Reports and Records § 518.50 Purpose of reports and records. Sections 518.51 through 518.53 set forth the procedures for monitoring and reporting on the recipient's financial... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Purpose of reports and records. 518.50 Section...

  6. 22 CFR 145.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-04-01

    ... Records § 145.50 Purpose of reports and records. Sections 145.51 through 145.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose of reports and records. 145.50 Section...

  7. 24 CFR 84.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-04-01

    ... Records § 84.50 Purpose of reports and records. Sections 84.51 through 84.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Purpose of reports and records. 84...

  8. Visual working memory supports the inhibition of previously processed information: evidence from preview search.

    Science.gov (United States)

    Al-Aidroos, Naseem; Emrich, Stephen M; Ferber, Susanne; Pratt, Jay

    2012-06-01

    In four experiments we assessed whether visual working memory (VWM) maintains a record of previously processed visual information, allowing old information to be inhibited, and new information to be prioritized. Specifically, we evaluated whether VWM contributes to the inhibition (i.e., visual marking) of previewed distractors in a preview search. We evaluated this proposal by testing three predictions. First, Experiments 1 and 2 demonstrate that preview inhibition is more effective when the number of previewed distractors is below VWM capacity than above; an effect that can only be observed at small preview set sizes (Experiment 2A) and when observers are allowed to move their eyes freely (Experiment 2B). Second, Experiment 3 shows that, when quantified as the number of inhibited distractors, the magnitude of the preview effect is stable across different search difficulties. Third, Experiment 4 demonstrates that individual differences in preview inhibition are correlated with individual differences in VWM capacity. These findings provide converging evidence that VWM supports the inhibition of previewed distractors. More generally, these findings demonstrate how VWM contributes to the efficiency of human visual information processing--VWM prioritizes new information by inhibiting old information from being reselected for attention.

  9. New Eocene Coleoid (Cephalopoda Diversity from Statolith Remains: Taxonomic Assignation, Fossil Record Analysis, and New Data for Calibrating Molecular Phylogenies.

    Directory of Open Access Journals (Sweden)

    Pascal Neige

    Full Text Available New coleoid cephalopods are described from statolith remains from the Middle Eocene (Middle Lutetian of the Paris Basin. Fifteen fossil statoliths are identified and assigned to the Sepiidae (Sepia boletzkyi sp. nov.,? Sepia pira sp. nov., Loliginidae (Loligo clarkei sp. nov., and Ommastrephidae (genus indet. families. The sediments containing these fossils indicate permanent aquatic settings in the infralittoral domain. These sediments range in age from 46 Mya to 43 Mya. Analysis of the fossil record of statoliths (from findings described here, together with a review of previously published data indicates marked biases in our knowledge. Fossil statoliths are known from as far back as the Early Jurassic (199.3 to 190.8 Mya but surprisingly, to the best of our knowledge, no record occurs in the Cretaceous. This is a "knowledge bias" and clearly calls for further studies. Finally, we attempt to compare findings described here with fossils previously used to constrain divergence and/or diversification ages of some coleoid subclades in molecular phylogenies. This comparison clearly indicates that the new records detailed here will challenge some estimated divergence times of coleoid cephalopod subclades.

  10. New Eocene Coleoid (Cephalopoda) Diversity from Statolith Remains: Taxonomic Assignation, Fossil Record Analysis, and New Data for Calibrating Molecular Phylogenies.

    Science.gov (United States)

    Neige, Pascal; Lapierre, Hervé; Merle, Didier

    2016-01-01

    New coleoid cephalopods are described from statolith remains from the Middle Eocene (Middle Lutetian) of the Paris Basin. Fifteen fossil statoliths are identified and assigned to the Sepiidae (Sepia boletzkyi sp. nov.,? Sepia pira sp. nov.), Loliginidae (Loligo clarkei sp. nov.), and Ommastrephidae (genus indet.) families. The sediments containing these fossils indicate permanent aquatic settings in the infralittoral domain. These sediments range in age from 46 Mya to 43 Mya. Analysis of the fossil record of statoliths (from findings described here, together with a review of previously published data) indicates marked biases in our knowledge. Fossil statoliths are known from as far back as the Early Jurassic (199.3 to 190.8 Mya) but surprisingly, to the best of our knowledge, no record occurs in the Cretaceous. This is a "knowledge bias" and clearly calls for further studies. Finally, we attempt to compare findings described here with fossils previously used to constrain divergence and/or diversification ages of some coleoid subclades in molecular phylogenies. This comparison clearly indicates that the new records detailed here will challenge some estimated divergence times of coleoid cephalopod subclades.

  11. Agreement between questionnaire and medical records on some health and socioeconomic problems among poisoning cases

    Directory of Open Access Journals (Sweden)

    Fathelrahman Ahmed I

    2009-09-01

    Full Text Available Abstract Background The main objective of the present study was to evaluate the agreement between questionnaire and medical records on some health and socioeconomic problems among poisoning cases. Methods Cross-sectional sample of 100 poisoning cases consecutively admitted to the Hospital Pulau Pinang, Malaysia during the period from September 2003 to February 2004 were studied. Data on health and socioeconomic problems were collected both by self-administered questionnaire and from medical records. Agreement between the two sets of data was assessed by calculating the concordance rate, Kappa (k and PABAK. McNemar statistic was used to test differences between categories. Results Data collected by questionnaire and medical records showed excellent agreement on the "marital status"; good agreements on "chronic illness", "psychiatric illness", and "previous history of poisoning"; and fair agreements on "at least one health problem", and "boy-girl friends problem". PABAK values suggest better agreements' measures. Conclusion There were excellent to good agreements between questionnaire and medical records on the marital status and most of the health problems and fair to poor agreements on the majority of socioeconomic problems. The implications of those findings were discussed.

  12. Comparison of participatively set and assigned goals in the reduction of alcohol use.

    Science.gov (United States)

    Lozano, Brian E; Stephens, Robert S

    2010-12-01

    The effects of setting goals on goal commitment, self-efficacy for goal achievement, and goal achievement in the context of an alcohol use intervention were examined using an experimental design in which participants were randomized to participatively set goals, assigned goals, and no goal conditions. One hundred and twenty-six heavy-drinking college students received a single cognitive-behavioral assessment/intervention session and completed measures of goal commitment, self-efficacy for goal achievement, and alcohol use. Results were consistent with, and expanded upon, previous research by demonstrating that having a goal for limiting alcohol consumption was predictive of lower quantity and frequency of alcohol use relative to not having a goal. Participation in goal setting yielded greater goal commitment and self-efficacy for goal achievement than assigned goals, but did not result in significantly greater reductions in alcohol use relative to assigned goals. Goal commitment and self-efficacy explained unique variance in the prediction of alcohol use at follow-up. Findings support the importance of goal setting in alcohol interventions and suggest areas for further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  13. 77 FR 56676 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2012-09-13

    ... of records to account for the previous omission of an accounting of disclosure when records may be.... Accounting of disclosure records: The date, nature, and purpose of each disclosure of a Privacy Act covered..., including FOIA and Privacy Act requests, and to comply with FOIA and Privacy Act disclosure accounting and...

  14. Medical record search engines, using pseudonymised patient identity: an alternative to centralised medical records.

    Science.gov (United States)

    Quantin, Catherine; Jaquet-Chiffelle, David-Olivier; Coatrieux, Gouenou; Benzenine, Eric; Allaert, François-André

    2011-02-01

    The purpose of our multidisciplinary study was to define a pragmatic and secure alternative to the creation of a national centralised medical record which could gather together the different parts of the medical record of a patient scattered in the different hospitals where he was hospitalised without any risk of breaching confidentiality. We first analyse the reasons for the failure and the dangers of centralisation (i.e. difficulty to define a European patients' identifier, to reach a common standard for the contents of the medical record, for data protection) and then propose an alternative that uses the existing available data on the basis that setting up a safe though imperfect system could be better than continuing a quest for a mythical perfect information system that we have still not found after a search that has lasted two decades. We describe the functioning of Medical Record Search Engines (MRSEs), using pseudonymisation of patients' identity. The MRSE will be able to retrieve and to provide upon an MD's request all the available information concerning a patient who has been hospitalised in different hospitals without ever having access to the patient's identity. The drawback of this system is that the medical practitioner then has to read all of the information and to create his own synthesis and eventually to reject extra data. Faced with the difficulties and the risks of setting up a centralised medical record system, a system that gathers all of the available information concerning a patient could be of great interest. This low-cost pragmatic alternative which could be developed quickly should be taken into consideration by health authorities. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  15. Tails from previous exposures: a general problem in setting reference levels for the assessment of internal contamination

    International Nuclear Information System (INIS)

    Breuer, F.; Frittelli, L.

    1988-01-01

    Reference levels for retention and excretion are evaluated for routine and special monitoring following the intake of a fraction of ICRP annual limits (ALIs) or of a unit activity. Methodologies are also suggested for taking into account the contribution by previous intakes to excretion or retention

  16. RECORD OF THE BINARY DATA ON SD CARD ARDUINO DUE

    Directory of Open Access Journals (Sweden)

    V. G. Mikhailov

    2016-01-01

    Full Text Available The short review of microcontrollers of family Arduino, their characteristics and application fields is given. Importance of record of parameters of researched object is marked to produce debugging of control systems on microcontrollers Arduino. Unique possibility of registration of parameters in family Arduino is record on SD a card in an alpha mode with usage of functions print (, write (. The problems connected to record of the binary data on SD a card on microcontroller Arduino Due are considered. The analysis of methods of record of the binary data on SD card Arduino Due, originating problems with neo-cleaning of memory from the previous program leading to possibility of duplication of the data on SD to a card, presence of the erratic point of view about restriction of volumes of data record and necessity of usage become outdated SD cards is carried out. Ways of elimination of the marked lacks are considered. The estimation of high-speed performance of various approaches of a data recording on SD a card is led. On the basis of the led researches the approach of multiplexing of the writeable information at the expense of conversion of the binary data is offered is byte-serial in a character array in code ASCI without magnification of their volume and record by units on 240 byte. It allows to use as much as possible standard function possibilities write ( Arduino and specificity of the organization of memory SD of cards and to increase high-speed performance more than in 1100 times in comparison with record in a character type on one byte.It is marked that usage of decisions of an exception of duplication of the data offered at forums does not provide completeness of their elimination. For Arduino Due for storage cleaning it is necessary usages of the special programmator or setting of the new program of loading.

  17. Improved ability of biological and previous caries multimarkers to predict caries disease as revealed by multivariate PLS modelling

    Directory of Open Access Journals (Sweden)

    Ericson Thorild

    2009-11-01

    Full Text Available Abstract Background Dental caries is a chronic disease with plaque bacteria, diet and saliva modifying disease activity. Here we have used the PLS method to evaluate a multiplicity of such biological variables (n = 88 for ability to predict caries in a cross-sectional (baseline caries and prospective (2-year caries development setting. Methods Multivariate PLS modelling was used to associate the many biological variables with caries recorded in thirty 14-year-old children by measuring the numbers of incipient and manifest caries lesions at all surfaces. Results A wide but shallow gliding scale of one fifth caries promoting or protecting, and four fifths non-influential, variables occurred. The influential markers behaved in the order of plaque bacteria > diet > saliva, with previously known plaque bacteria/diet markers and a set of new protective diet markers. A differential variable patterning appeared for new versus progressing lesions. The influential biological multimarkers (n = 18 predicted baseline caries better (ROC area 0.96 than five markers (0.92 and a single lactobacilli marker (0.7 with sensitivity/specificity of 1.87, 1.78 and 1.13 at 1/3 of the subjects diagnosed sick, respectively. Moreover, biological multimarkers (n = 18 explained 2-year caries increment slightly better than reported before but predicted it poorly (ROC area 0.76. By contrast, multimarkers based on previous caries predicted alone (ROC area 0.88, or together with biological multimarkers (0.94, increment well with a sensitivity/specificity of 1.74 at 1/3 of the subjects diagnosed sick. Conclusion Multimarkers behave better than single-to-five markers but future multimarker strategies will require systematic searches for improved saliva and plaque bacteria markers.

  18. 29 CFR 95.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-07-01

    ... Requirements Reports and Records § 95.50 Purpose of reports and records. Sections 95.51 through 95.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and... 29 Labor 1 2010-07-01 2010-07-01 true Purpose of reports and records. 95.50 Section 95.50 Labor...

  19. Olivia Records: The Production of a Movement.

    Science.gov (United States)

    Morris, Bonnie

    2015-01-01

    This article looks at the early years of Olivia Records, setting the context for the historic release of the album Where Would I Be Without You. From its origins as a Washington, D.C.-based activist collective in 1973, Olivia became a hugely successful recording company, marketing radical lesbian recordings and performances that soon defined the "women's music" movement. Both artistically and politically, Olivia's woman-identified albums became the soundtrack for a generation awakening to lesbian activism. Pat Parker and Judy Grahn's 1976 spoken-word recording is a unique demonstration of Olivia's radical production values and expanding catalog.

  20. Birth Settings and the Validation of Neonatal Seizures Recorded in Birth Certificates Compared to Medicaid Claims and Hospital Discharge Abstracts Among Live Births in South Carolina, 1996-2013.

    Science.gov (United States)

    Li, Qing; Jenkins, Dorothea D; Kinsman, Stephen L

    2017-05-01

    Objective Neonatal seizures in the first 28 days of life often reflect underlying brain injury or abnormalities, and measure the quality of perinatal care in out-of-hospital births. Using the 2003 revision of birth certificates only, three studies reported more neonatal seizures recorded among home births ​or planned out-of-hospital births compared to hospital births. However, the validity of recording neonatal seizures or serious neurologic dysfunction across birth settings in birth certificates has not been evaluated. We aimed to validate seizure recording in birth certificates across birth settings using multiple datasets. Methods We examined checkbox items "seizures" and "seizure or serious neurologic dysfunction" in the 1989 and 2003 revisions of birth certificates in South Carolina from 1996 to 2013. Gold standards were ICD-9-CM codes 779.0, 345.X, and 780.3 in either hospital discharge abstracts or Medicaid encounters jointly. Results Sensitivity, positive predictive value, false positive rate, and the kappa statistic of neonatal seizures recording were 7%, 66%, 34%, and 0.12 for the 2003 revision of birth certificates in 547,177 hospital births from 2004 to 2013 and 5%, 33%, 67%, and 0.09 for the 1998 revision in 396,776 hospital births from 1996 to 2003, and 0, 0, 100%, -0.002 among 660 intended home births from 2004 to 2013 and 920 home births from 1996 to 2003, respectively. Conclusions for Practice Despite slight improvement across revisions, South Carolina birth certificates under-reported or falsely reported seizures among hospital births and especially home births. Birth certificates alone should not be used to measure neonatal seizures or serious neurologic dysfunction.

  1. Differential GPS effectiveness in measuring area and perimeter in forested settings

    International Nuclear Information System (INIS)

    Frank, Jereme; Wing, Michael G

    2013-01-01

    This study quantifies area and perimeter measurement errors, traverse times, recording intervals, and overall time and cost effectiveness for using a mapping-grade differential Global Positioning System (GPS) receiver in forested settings. We compared two configurations including one that maximized data collection productivity (position dilution of precision (PDOP) 20, signal to noise ratio (SNR 33), and minimum elevation mask 5°) and a second that involved traditional receiver settings that was designed to improve accuracies (PDOP 6, SNR 39, and minimum elevation mask 15°). We determined that averaging 30 positions and using the settings that maximized productivity was the most time effective combination of recording interval and settings. This combination of recording interval and settings proved slightly more cost effective than other traditional surveying methods such as a laser with digital compass and string box. Average absolute per cent area errors when averaging 30 positions and using maximum settings were 2.6% and average absolute per cent perimeter errors were 2.0%. These results should help forest resource professionals more effectively evaluate GPS techniques and receiver configurations. (paper)

  2. Recording thoughts while memorizing music: a case study

    Science.gov (United States)

    Lisboa, Tania; Chaffin, Roger; Demos, Alexander P.

    2015-01-01

    Musicians generally believe that memory differs from one person to the next. As a result, memorizing strategies that could be useful to almost everyone are not widely taught. We describe how an 18-years old piano student (Grade 7, ABRSM), learned to memorize by recording her thoughts, a technique inspired by studies of how experienced soloists memorize. The student, who had previously ignored suggestions that she play from memory, decided to learn to memorize, selecting Schumann’s “Der Dichter Spricht” for this purpose. Rather than explicitly teaching the student how to memorize, the teacher taught her to record her thoughts while playing by marking them on copies of the score, adapting an approach used previously in research with experienced performers. Over a 6½ week period, the student recorded her thoughts during practice (five times) and while performing from memory for the teacher (three times). The student also video-recorded 3 weeks of practice, three performances, and the reconstruction of the piece from memory after a 9½-weeks break. The thoughts that the student reported were prepared during practice, stable over time, and functioned as memory retrieval cues during reconstruction. This suggests that the student memorized in the same way as the more experienced musicians who have been studied previously and that teaching student musicians to record their thoughts may be an effective way to help them memorize. The speed and durability of her memorization surprised the student, inspiring her to perform in public and to use the same technique for new pieces. PMID:25667574

  3. Recording thoughts while memorizing music: A case study

    Directory of Open Access Journals (Sweden)

    Tania eLisboa

    2015-01-01

    Full Text Available Musicians generally believe that memory differs from one person to the next. As a result, memorizing strategies that could be useful to almost everyone are not widely taught. We describe how an 18-year old piano student (Grade 7, ABRSM, learned to memorize by recording her thoughts, a technique inspired by studies of how experienced soloists memorize. The student, who had previously ignored suggestions that she play from memory, decided to learn to memorize, selecting Schumann’s Der Dichter Spricht for this purpose. Rather than explicitly teaching the student how to memorize, the teacher taught her to record her thoughts while playing by marking them on copies of the score, adapting an approach used previously in research with experienced performers. Over a 6½ week period, the student recorded her thoughts during practice (5 times and while performing from memory for the teacher (3 times. The student also video-recorded three weeks of practice, three performances, and the reconstruction of the piece from memory after a 9½-weeks break. The thoughts that the student reported were prepared during practice, stable over time, and functioned as memory retrieval cues during reconstruction. This suggests that the student memorized in the same way as the more experienced musicians who have been studied previously and that teaching student musicians to record their thoughts may be an effective way to help them memorize. The speed and durability of her memorization surprised the student, inspiring her to perform in public and to use the same technique for new pieces.

  4. Mentoring to develop research selfefficacy, with particular reference to previously disadvantaged individuals

    OpenAIRE

    S. Schulze

    2010-01-01

    The development of inexperienced researchers is crucial. In response to the lack of research self-efficacy of many previously disadvantaged individuals, the article examines how mentoring can enhance the research self-efficacy of mentees. The study is grounded in the self-efficacy theory (SET) – an aspect of the social cognitive theory (SCT). Insights were gained from an in-depth study of SCT, SET and mentoring, and from a completed mentoring project. This led to the formulation of three basi...

  5. Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from Cyprus.

    Science.gov (United States)

    Samoutis, George; Soteriades, Elpidoforos S; Kounalakis, Dimitris K; Zachariadou, Theodora; Philalithis, Anastasios; Lionis, Christos

    2007-01-01

    The computer-based electronic medical record (EMR) is an essential new technology in health care, contributing to high-quality patient care and efficient patient management. The majority of southern European countries, however, have not yet implemented universal EMR systems and many efforts are still ongoing. We describe the development of an EMR system and its pilot implementation and evaluation in two previously computer-naïve public primary care centres in Cyprus. One urban and one rural primary care centre along with their personnel (physicians and nurses) were selected to participate. Both qualitative and quantitative evaluation tools were used during the implementation phase. Qualitative data analysis was based on the framework approach, whereas quantitative assessment was based on a nine-item questionnaire and EMR usage parameters. Two public primary care centres participated, and a total often health professionals served as EMR system evaluators. Physicians and nurses rated EMR relatively highly, while patients were the most enthusiastic supporters for the new information system. Major implementation impediments were the physicians' perceptions that EMR usage negatively affected their workflow, physicians' legal concerns, lack of incentives, system breakdowns, software design problems, transition difficulties and lack of familiarity with electronic equipment. The importance of combining qualitative and quantitative evaluation tools is highlighted. More efforts are needed for the universal adoption and routine use of EMR in the primary care system of Cyprus as several barriers to adoption exist; however, none is insurmountable. Computerised systems could improve efficiency and quality of care in Cyprus, benefiting the entire population.

  6. Visual Working Memory Supports the Inhibition of Previously Processed Information: Evidence from Preview Search

    Science.gov (United States)

    Al-Aidroos, Naseem; Emrich, Stephen M.; Ferber, Susanne; Pratt, Jay

    2012-01-01

    In four experiments we assessed whether visual working memory (VWM) maintains a record of previously processed visual information, allowing old information to be inhibited, and new information to be prioritized. Specifically, we evaluated whether VWM contributes to the inhibition (i.e., visual marking) of previewed distractors in a preview search.…

  7. Making medical records professional(s).

    Science.gov (United States)

    Mason, A

    1987-07-01

    In 1986 a joint medical records project group was set up by the Institute of Health Services Management, the Association of Health Care Information and Medical Records Officers and the NHS Training Authority, with Mr Vic Peel as chairman. The group was supported by Arthur Andersen & Co, management consultants. The following is a shortened and edited version of an interim report drafted for the group by Dr Alastair Mason. It is intended for discussion and does not yet represent the definitive views of the sponsoring bodies.

  8. Mechanisms of masked evaluative priming: task sets modulate behavioral and electrophysiological priming for picture and words differentially.

    Science.gov (United States)

    Kiefer, Markus; Liegel, Nathalie; Zovko, Monika; Wentura, Dirk

    2017-04-01

    Research with the evaluative priming paradigm has shown that affective evaluation processes reliably influence cognition and behavior, even when triggered outside awareness. However, the precise mechanisms underlying such subliminal evaluative priming effects, response activation vs semantic processing, are matter of a debate. In this study, we determined the relative contribution of semantic processing and response activation to masked evaluative priming with pictures and words. To this end, we investigated the modulation of masked pictorial vs verbal priming by previously activated perceptual vs semantic task sets and assessed the electrophysiological correlates of priming using event-related potential (ERP) recordings. Behavioral and electrophysiological effects showed a differential modulation of pictorial and verbal subliminal priming by previously activated task sets: Pictorial priming was only observed during the perceptual but not during the semantic task set. Verbal priming, in contrast, was found when either task set was activated. Furthermore, only verbal priming was associated with a modulation of the N400 ERP component, an index of semantic processing, whereas a priming-related modulation of earlier ERPs, indexing visuo-motor S-R activation, was found for both picture and words. The results thus demonstrate that different neuro-cognitive processes contribute to unconscious evaluative priming depending on the stimulus format. © The Author (2016). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

  9. Expert analogy use in a naturalistic setting

    Science.gov (United States)

    Kretz, Donald R.; Krawczyk, Daniel C.

    2014-01-01

    The use of analogy is an important component of human cognition. The type of analogy we produce and communicate depends heavily on a number of factors, such as the setting, the level of domain expertise present, and the speaker's goal or intent. In this observational study, we recorded economics experts during scientific discussion and examined the categorical distance and structural depth of the analogies they produced. We also sought to characterize the purpose of the analogies that were generated. Our results supported previous conclusions about the infrequency of superficial similarity in subject-generated analogs, but also showed that distance and depth characteristics were more evenly balanced than in previous observational studies. This finding was likely due to the nature of the goals of the participants, as well as the broader nature of their expertise. An analysis of analogical purpose indicated that the generation of concrete source examples of more general target concepts was most prevalent. We also noted frequent instances of analogies intended to form visual images of source concepts. Other common purposes for analogies were the addition of colorful speech, inclusion (i.e., subsumption) of a target into a source concept, or differentiation between source and target concepts. We found no association between depth and either of the other two characteristics, but our findings suggest a relationship between purpose and distance; i.e., that visual imagery typically entailed an outside-domain source whereas exemplification was most frequently accomplished using within-domain analogies. Overall, we observed a rich and diverse set of spontaneously produced analogical comparisons. The high degree of expertise within the observed group along with the richly comparative nature of the economics discipline likely contributed to this analogical abundance. PMID:25505437

  10. Expert Analogy Use in a Naturalistic Setting

    Directory of Open Access Journals (Sweden)

    Donald R Kretz

    2014-11-01

    Full Text Available The use of analogy is an important component of human cognition. The type of analogy we produce and communicate depends heavily on a number of factors, such as the setting, the level of domain expertise present, and the speaker’s goal or intent. In this observational study, we recorded economics experts during scientific discussion and examined the categorical distance and structural depth of the analogies they produced. We also sought to characterize the purpose of the analogies that were generated. Our results supported previous conclusions about the infrequency of superficial similarity in subject-generated analogs, but also showed that distance and depth characteristics were more evenly balanced than in previous observational studies. This finding was likely due to the nature of the goals of the participants, as well as the broader nature of their expertise. An analysis of analogical purpose indicated that the generation of concrete source examples of more general target concepts was most prevalent. We also noted frequent instances of analogies intended to form visual images of source concepts. Other common purposes for analogies were the addition of colorful speech, inclusion (i.e., subsumption of a target into a source concept, or differentiation between source and target concepts. We found no association between depth and either of the other two characteristics, but our findings suggest a relationship between purpose and distance; i.e., that visual imagery typically entailed an outside-domain source whereas exemplification was most frequently accomplished using within-domain analogies. Overall, we observed a rich and diverse set of spontaneously produced analogical comparisons. The high degree of expertise within the observed group along with the richly comparative nature of the economics discipline likely contributed to this analogical abundance.

  11. VAGINAL BIRTH AFTER A PREVIOUS CAESAREAN SECTION: CURRENT TRENDS AND OUTLOOK IN GHANA.

    Science.gov (United States)

    Seffah, J D; Adu-Bonsaffoh, K

    2014-01-01

    The optimal mode of subsequent delivery of women with prior caesarean birth remains a subject of intense research and debate in contemporary obstetric practice especially in low resource settings like West Africa where there are obvious systemic and management-related challenges associated with trial of scar. However, there is evidence that vaginal birth after caesarean section (VBAC) is safe in appropriately selected women in addition to adequate intrapartum monitoring and ready access to theatre when emergency CS is indicated. The primary objective of the study was to determine the current trends and performance of VBAC in Ghana after decades of practice of trial of labour after caesarean section (TOLAC) in the mist of inherent challenges in deciding the optimal mode of childbirth for women with a previous caesarean birth. The secondary objective was to relate evidence based practice of TOLAC to obstetric practice in low resource settings like Ghana and provide recommendations for improving maternal and newborn health among women with prior caesarean birth. This was a retrospective study of the records of patients who had had a prior caesarean delivery and who then proceeded to deliver the next babies at the Korle Bu Teaching Hospital (KBTH) between Jan 2010 and Dec 2014. The data on demography, antenatal care, labour and delivery and outcomes were collected from the Labour and Recovery wards and the Biostatistics unit of the Maternity unit of the Hospital. Excluded were women with a previous CS who had multiple pregnancies and those with incomplete notes as well as those whose delivery plans were not predetermined antenatally.. The data were analyzed using SPSS version 20. There were 53,581 deliveries during the study period. Vaginal delivery was obtained in 31,870 (59.5%) pregnancies and 21,711(40.5%) had CS. Also, 6261 (11.7%) had had a prior CS and 2472 (39.5%) of these were selected for TOLAC while 2119 (33.8) were scheduled for planned repeat CS. There was

  12. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.

    Science.gov (United States)

    de Wet, C; Bowie, P

    2009-04-01

    A multi-method strategy has been proposed to understand and improve the safety of primary care. The trigger tool is a relatively new method that has shown promise in American and secondary healthcare settings. It involves the focused review of a random sample of patient records using a series of "triggers" that alert reviewers to potential errors and previously undetected adverse events. To develop and test a global trigger tool to detect errors and adverse events in primary-care records. Trigger tool development was informed by previous research and content validated by expert opinion. The tool was applied by trained reviewers who worked in pairs to conduct focused audits of 100 randomly selected electronic patient records in each of five urban general practices in central Scotland. Review of 500 records revealed 2251 consultations and 730 triggers. An adverse event was found in 47 records (9.4%), indicating that harm occurred at a rate of one event per 48 consultations. Of these, 27 were judged to be preventable (42%). A further 17 records (3.4%) contained evidence of a potential adverse event. Harm severity was low to moderate for most patients (82.9%). Error and harm rates were higher in those aged > or =60 years, and most were medication-related (59%). The trigger tool was successful in identifying undetected patient harm in primary-care records and may be the most reliable method for achieving this. However, the feasibility of its routine application is open to question. The tool may have greater utility as a research rather than an audit technique. Further testing in larger, representative study samples is required.

  13. Causal Set Generator and Action Computer

    OpenAIRE

    Cunningham, William; Krioukov, Dmitri

    2017-01-01

    The causal set approach to quantum gravity has gained traction over the past three decades, but numerical experiments involving causal sets have been limited to relatively small scales. The software suite presented here provides a new framework for the generation and study of causal sets. Its efficiency surpasses previous implementations by several orders of magnitude. We highlight several important features of the code, including the compact data structures, the $O(N^2)$ causal set generatio...

  14. Planning and implementing electronic records management a practical guide

    CERN Document Server

    Smith, Kelvin

    2007-01-01

    Many organizations are moving away from managing records and information in paper form to setting up electronic records management (ERM) systems. Whatever the whyfor in your organization, this book provides straightforward, practical guidance on how to prepare for and enable ERM.

  15. A proposed minimum data set for international primary care optometry: a modified Delphi study.

    Science.gov (United States)

    Davey, Christopher J; Slade, Sarah V; Shickle, Darren

    2017-07-01

    To identify a minimum list of metrics of international relevance to public health, research and service development which can be extracted from practice management systems and electronic patient records in primary optometric practice. A two stage modified Delphi technique was used. Stage 1 categorised metrics that may be recorded as being part of a primary eye examination by their importance to research using the results from a previous survey of 40 vision science and public health academics. Delphi stage 2 then gauged the opinion of a panel of seven vision science academics and achieved consensus on contentious metrics and methods of grading/classification. A consensus regarding inclusion and response categories was achieved for nearly all metrics. A recommendation was made of 53 metrics which would be appropriate in a minimum data set. This minimum data set should be easily integrated into clinical practice yet allow vital data to be collected internationally from primary care optometry. It should not be mistaken for a clinical guideline and should not add workload to the optometrist. A pilot study incorporating an additional Delphi stage prior to implementation is advisable to refine some response categories. © 2017 The Authors. Ophthalmic and Physiological Optics published by John Wiley & Sons Ltd on behalf of College of Optometrists.

  16. Recording A Sunrise: A Citizen Science Project to Enhance Sunrise/set Prediction Times

    Science.gov (United States)

    Wilson, Teresa; Chizek Frouard, Malynda; Bartlett, Jennifer L.

    2017-01-01

    Smartphones, with their ever increasing capabilities, are becoming quite instrumental for data acquisition in a number of fields. Understanding refraction and how it affects what we see on the horizon is no exception. Current algorithms that predict sunrise and sunset times have an error of one to four minutes at mid-latitudes (0° - 55° N/S) due to limitations in the atmospheric models they incorporate. At higher latitudes, slight changes in refraction can cause significant discrepancies, even including difficulties determining when the Sun appears to rise or set. A thorough investigation of the problem requires a substantial data set of observed rise/set times and corresponding meteorological data from around the world, which is currently lacking. We have developed a mobile application so that this data can be taken using smartphones as part of a citizen science project. The app allows the viewer to submit a video of sunrise/set and attaches geographic location along with meteorological data taken from a local weather station. The project will help increase scientific awareness in the public by allowing members of the community to participate in the data-taking process, and give them a greater awareness of the scientific significance of phenomenon they witness every day. The data from the observations will lead to more complete rise/set models that will provide more accurate times to the benefit of astronomers, navigators, and outdoorsmen. The app will be available on the Google Play Store.

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

    Directory of Open Access Journals (Sweden)

    Edén Bojórquez

    2013-01-01

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

  18. Perspectives on electronic medical records adoption: electronic medical records (EMR in outcomes research

    Directory of Open Access Journals (Sweden)

    Dan Belletti

    2010-04-01

    Full Text Available Dan Belletti1, Christopher Zacker1, C Daniel Mullins21Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 2University of Maryland School of Pharmacy, Baltimore, MD, USAAbstract: Health information technology (HIT is engineered to promote improved quality and efficiency of care, and reduce medical errors. Healthcare organizations have made significant investments in HIT tools and the electronic medical record (EMR is a major technological advance. The Department of Veterans Affairs was one of the first large healthcare systems to fully implement EMR. The Veterans Health Information System and Technology Architecture (VistA began by providing an interface to review and update a patient’s medical record with its computerized patient record system. However, since the implementation of the VistA system there has not been an overall substantial adoption of EMR in the ambulatory or inpatient setting. In fact, only 23.9% of physicians were using EMRs in their office-based practices in 2005. A sample from the American Medical Association revealed that EMRs were available in an office setting to 17% of physicians in late 2007 and early 2008. Of these, 17% of physicians with EMR, only 4% were considered to be fully functional EMR systems. With the exception of some large aggregate EMR databases the slow adoption of EMR has limited its use in outcomes research. This paper reviews the literature and presents the current status of and forces influencing the adoption of EMR in the office-based practice, and identifies the benefits, limitations, and overall value of EMR in the conduct of outcomes research in the US.Keywords: electronic medical records, health information technology, medical errors

  19. Refinement on geometry of Matuyama-Brunhes polarity transition from paleomagnetic records

    Science.gov (United States)

    Oda, H.; Fabian, K.; Leonhardt, R.

    2012-04-01

    The Bayesian model of the Matuyama/Brunhes (MB) geomagnetic polarity reversal was extended from the previous model IMMAB4 (Leonhardt and Fabian, 2007), which was based on one volcanic record and three sedimentary records from the Atlantic sector. The essential improvement on the model was achieved by incorporating a new volcanic record from Tahiti (Mochizuki et al., 2011). This record is unique in that it contains important absolute paleointensity data for the Pacific region, which provide new constraints for the global geomagnetic reversal scenario. The full vector development of transitional geomagnetic field in the central part of the Pacific significantly stabilized the solution in this important region, which was completely missing in the previous model IMMAB4. The sedimentary high-quality record of ODP Site 769 by Oda et al. (2000) previously was only used to check the reliability of the model IMMAB4 by comparing the VGP paths of the model and the data. An integrated sedimentary record of ODP Site 769 was developed from Oda et al. (2000) in combination with the relative paleointensity record provided by Schneider et al. (1992) and Kent&Schneider (1995). The record will also be included into the construction of the new model. Additionally, two records from the Antarctic region (Guyodo et al., 2001; Macri et al., 2010) were found, and might prove useful for further refining the model. To fulfill the aim, we have also revised the data structure, and developed a GUI based correlation software to simplify refinement of the model and further development of the scheme. In the presentation, we will show the revised morphological development of the Earth's magnetic field during Matuyama-Brunhes polarity transition.

  20. Technology Acceptance of Electronic Medical Records by Nurses

    Science.gov (United States)

    Stocker, Gary

    2010-01-01

    The purpose of this study was to evaluate the Technology Acceptance Model's (TAM) relevance of the intention of nurses to use electronic medical records in acute health care settings. The basic technology acceptance research of Davis (1989) was applied to the specific technology tool of electronic medical records (EMR) in a specific setting…

  1. Design and implementation of a low-cost multichannel seismic noise recorder for array measurements

    Science.gov (United States)

    Soler-Llorens, Juan Luis; Juan Giner-Caturla, Jose; Molina-Palacios, Sergio; Galiana-Merino, Juan Jose; Rosa-Herranz, Julio; Agea-Medina, Noelia

    2017-04-01

    Soil characterization is the starting point for seismic hazard studies. Currently, the methods based on ambient noise measurements are very used because they are non-invasive methods and relatively easy to implement in urban areas. Among these methods, the analysis of array measurements provides the dispersion curve and subsequently the shear-wave velocity profile associated to the site under study. In this case, we need several sensors recording simultaneously and a data acquisition system with one channel by sensor, what can become the complete equipment unaffordable for small research groups. In this work, we have designed and implemented a low-cost multichannel ambient noise recorder for array measurements. The complete system is based on Arduino, an open source electronic development platform, which allows recording 12 differential input channels simultaneously. Besides, it is complemented with a conditioning circuit that includes an anti-aliasing filter and a selectable gain between 0 and 40dB. The data acquisition is set up through a user-friendly graphical user interface. It is important to note that the electronic scheme as well as the programming code are open hardware and software, respectively, so it allows other researchers to suite the system to their particular requirements. The developed equipment has been tested at several sites around the province of Alicante (southeast of Spain), where the soil characteristics are well-known from previous studies. Array measurements have been taken and after that, the recorded data have been analysed using the frequency-wavenumber (f-k) and the extended spatial autocorrelation (ESAC) methods. The comparison of the obtained dispersion curves with the ones obtained in previous studies shows the suitability of the implemented low-cost system for array measurements.

  2. Late Holocene hydrographic settings of the northern Red Sea

    Directory of Open Access Journals (Sweden)

    Amani Badawi

    2016-03-01

    Full Text Available Temporal variability of the paleo-oceanographic setting of the northern Red Sea during the last 6 Ky was deduced from high-resolution faunal results and stable isotope records of planktonic foraminifera in three short cores sediment obtained by the German R/V Meteor vessel. In general, the investigated time interval is fundamentally comparable to the present day composition and distribution of planktonic foraminifera. However, interrupted short enhanced arid phase spanning the last 4–2 Ky appears to have existed in the northern Red Sea, and resulted in elevation of salinity and somehow productivity, as hypersaline, dense surface water favored vertical mixing of the water column resulting in an increase in productivity. This paleoclimatic reconstruction is revealed from the distinct gradient in the composition and distribution of planktonic foraminifera, as well as the significant distribution trend of Globigerinoides ruber versus Globigerinoides sacculifer correlated with the stable isotope records. Starting from the last 2 Ky to the present time, less strength arid conditions relative to the previous period prevailed, reflected from a gradual decrease in surface water salinity and productivity assuming that the present water conditions and consequently current climatic conditions began to develop from that time with minor fluctuations reaching the recent conditions.

  3. Moving electronic medical records upstream: incorporating social determinants of health.

    Science.gov (United States)

    Gottlieb, Laura M; Tirozzi, Karen J; Manchanda, Rishi; Burns, Abby R; Sandel, Megan T

    2015-02-01

    Knowledge of the biological pathways and mechanisms connecting social factors with health has increased exponentially over the past 25 years, yet in most clinical settings, screening and intervention around social determinants of health are not part of standard clinical care. Electronic medical records provide new opportunities for assessing and managing social needs in clinical settings, particularly those serving vulnerable populations. To illustrate the feasibility of capturing information and promoting interventions related to social determinants of health in electronic medical records. Three case studies were examined in which electronic medical records have been used to collect data and address social determinants of health in clinical settings. From these case studies, we identified multiple functions that electronic medical records can perform to facilitate the integration of social determinants of health into clinical systems, including screening, triaging, referring, tracking, and data sharing. If barriers related to incentives, training, and privacy can be overcome, electronic medical record systems can improve the integration of social determinants of health into healthcare delivery systems. More evidence is needed to evaluate the impact of such integration on health care outcomes before widespread adoption can be recommended. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  4. The Likelihood of Recent Record Warmth.

    Science.gov (United States)

    Mann, Michael E; Rahmstorf, Stefan; Steinman, Byron A; Tingley, Martin; Miller, Sonya K

    2016-01-25

    2014 was nominally the warmest year on record for both the globe and northern hemisphere based on historical records spanning the past one and a half centuries. It was the latest in a recent run of record temperatures spanning the past decade and a half. Press accounts reported odds as low as one-in-650 million that the observed run of global temperature records would be expected to occur in the absence of human-caused global warming. Press reports notwithstanding, the question of how likely observed temperature records may have have been both with and without human influence is interesting in its own right. Here we attempt to address that question using a semi-empirical approach that combines the latest (CMIP5) climate model simulations with observations of global and hemispheric mean temperature. We find that individual record years and the observed runs of record-setting temperatures were extremely unlikely to have occurred in the absence of human-caused climate change, though not nearly as unlikely as press reports have suggested. These same record temperatures were, by contrast, quite likely to have occurred in the presence of anthropogenic climate forcing.

  5. Utilizing Maximal Independent Sets as Dominating Sets in Scale-Free Networks

    Science.gov (United States)

    Derzsy, N.; Molnar, F., Jr.; Szymanski, B. K.; Korniss, G.

    Dominating sets provide key solution to various critical problems in networked systems, such as detecting, monitoring, or controlling the behavior of nodes. Motivated by graph theory literature [Erdos, Israel J. Math. 4, 233 (1966)], we studied maximal independent sets (MIS) as dominating sets in scale-free networks. We investigated the scaling behavior of the size of MIS in artificial scale-free networks with respect to multiple topological properties (size, average degree, power-law exponent, assortativity), evaluated its resilience to network damage resulting from random failure or targeted attack [Molnar et al., Sci. Rep. 5, 8321 (2015)], and compared its efficiency to previously proposed dominating set selection strategies. We showed that, despite its small set size, MIS provides very high resilience against network damage. Using extensive numerical analysis on both synthetic and real-world (social, biological, technological) network samples, we demonstrate that our method effectively satisfies four essential requirements of dominating sets for their practical applicability on large-scale real-world systems: 1.) small set size, 2.) minimal network information required for their construction scheme, 3.) fast and easy computational implementation, and 4.) resiliency to network damage. Supported by DARPA, DTRA, and NSF.

  6. Improving the quality of endodontic record keeping through clinical audit.

    Science.gov (United States)

    King, E; Shekaran, L; Muthukrishnan, A

    2017-03-10

    Introduction Record keeping is an essential part of day-to-day practice and plays an important role in treatment, audit and dento-legal procedures. Creating effective endodontic records is challenging due to the scope of information required for comprehensive notes. Two audits were performed to assess the standards of endodontic record keeping by dentists in a restorative dentistry department and students on an endodontic MSc course.Methods Fifty sets of departmental records and 10 sets of student records were retrospectively evaluated against the European Society of Endodontology 2006 guidelines. Results of the first cycle of both audits were presented to departmental staff and MSc students, alongside an educational session. Additionally, departmental guidelines, consent leaflets and endodontic record keeping forms were developed. Both audits were repeated using the same number of records, thus completing both audit cycles.Results The most commonly absent records included consent, anaesthetic details, rubber dam method, working length reference point, irrigation details and obturation technique. Almost all areas of record keeping improved following the second audit cycle, with some areas reaching 100% compliance when record keeping forms were used. Statistically significant improvements were seen in 24 of the 29 areas in the departmental audit and 14 of the 29 areas in the MSc audit (P = 0.05).Conclusions Significant improvements in endodontic record keeping can be achieved through the provision of education, departmental guidelines, consent leaflets and endodontic record keeping forms.

  7. Implementation of Electronic Health Records in US Nursing Homes.

    Science.gov (United States)

    Bjarnadottir, Ragnhildur I; Herzig, Carolyn T A; Travers, Jasmine L; Castle, Nicholas G; Stone, Patricia W

    2017-08-01

    While electronic health records have emerged as promising tools to help improve quality of care, nursing homes have lagged behind in implementation. This study assessed electronic health records implementation, associated facility characteristics, and potential impact on quality indicators in nursing homes. Using national Centers for Medicare & Medicaid Services and survey data for nursing homes, a cross-sectional analysis was conducted to identify variations between nursing homes that had and had not implemented electronic health records. A difference-in-differences analysis was used to estimate the longitudinal effect of electronic health records on commonly used quality indicators. Data from 927 nursing homes were examined, 49.1% of which had implemented electronic health records. Nursing homes with electronic health records were more likely to be nonprofit/government owned (P = .04) and had a lower percentage of Medicaid residents (P = .02) and higher certified nursing assistant and registered nurse staffing levels (P = .002 and .02, respectively). Difference-in-differences analysis showed greater quality improvements after implementation for five long-stay and two short-stay quality measures (P = .001 and .01, respectively) compared with those who did not implement electronic health records. Implementation rates in nursing homes are low compared with other settings, and better-resourced facilities are more likely to have implemented electronic health records. Consistent with other settings, electronic health records implementation improves quality in nursing homes, but further research is needed to better understand the mechanism for improvement and how it can best be supported.

  8. Teaching the Assessment of Normality Using Large Easily-Generated Real Data Sets

    Science.gov (United States)

    Kulp, Christopher W.; Sprechini, Gene D.

    2016-01-01

    A classroom activity is presented, which can be used in teaching students statistics with an easily generated, large, real world data set. The activity consists of analyzing a video recording of an object. The colour data of the recorded object can then be used as a data set to explore variation in the data using graphs including histograms,…

  9. 31 CFR 1.5 - Specific requests for other records.

    Science.gov (United States)

    2010-07-01

    ... balance due. (c) Requests for records not in control of bureau; referrals; consultations. (1) When a... to the requester. (2) This subpart applies only to records in the possession or control of the bureau... determination. (v) “Other” Requester. This refers to a requester who does not fall within any of the previously...

  10. Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy.

    Science.gov (United States)

    Stevens, Anita; Köke, Albère; van der Weijden, Trudy; Beurskens, Anna

    2017-08-31

    Patient participation and goal setting appear to be difficult in daily physiotherapy practice, and practical methods are lacking. An existing patient-specific instrument, Patient-Specific Complaints (PSC), was therefore optimized into a new Patient Specific Goal-setting method (PSG). The aims of this study were to examine the feasibility of the PSG in daily physiotherapy practice, and to explore the potential impact of the new method. We conducted a process evaluation within a non-controlled intervention study. Community-based physiotherapists were instructed on how to work with the PSG in three group training sessions. The PSG is a six-step method embedded across the physiotherapy process, in which patients are stimulated to participate in the goal-setting process by: identifying problematic activities, prioritizing them, scoring their abilities, setting goals, planning and evaluating. Quantitative and qualitative data were collected among patients and physiotherapists by recording consultations and assessing patient files, questionnaires and written reflection reports. Data were collected from 51 physiotherapists and 218 patients, and 38 recordings and 219 patient files were analysed. The PSG steps were performed as intended, but the 'setting goals' and 'planning treatment' steps were not performed in detail. The patients and physiotherapists were positive about the method, and the physiotherapists perceived increased patient participation. They became aware of the importance of engaging patients in a dialogue, instead of focusing on gathering information. The lack of integration in the electronic patient system was a major barrier for optimal use in practice. Although the self-reported actual use of the PSG, i.e. informing and involving patients, and client-centred competences had improved, this was not completely confirmed by the objectively observed behaviour. The PSG is a feasible method and tends to have impact on increasing patient participation in the goal-setting

  11. Modeling the effects of diagenesis on carbonate clumped-isotope values in deep- and shallow-water settings

    Science.gov (United States)

    Stolper, Daniel A.; Eiler, John M.; Higgins, John A.

    2018-04-01

    The measurement of multiply isotopically substituted ('clumped isotope') carbonate groups provides a way to reconstruct past mineral formation temperatures. However, dissolution-reprecipitation (i.e., recrystallization) reactions, which commonly occur during sedimentary burial, can alter a sample's clumped-isotope composition such that it partially or wholly reflects deeper burial temperatures. Here we derive a quantitative model of diagenesis to explore how diagenesis alters carbonate clumped-isotope values. We apply the model to a new dataset from deep-sea sediments taken from Ocean Drilling Project site 807 in the equatorial Pacific. This dataset is used to ground truth the model. We demonstrate that the use of the model with accompanying carbonate clumped-isotope and carbonate δ18O values provides new constraints on both the diagenetic history of deep-sea settings as well as past equatorial sea-surface temperatures. Specifically, the combination of the diagenetic model and data support previous work that indicates equatorial sea-surface temperatures were warmer in the Paleogene as compared to today. We then explore whether the model is applicable to shallow-water settings commonly preserved in the rock record. Using a previously published dataset from the Bahamas, we demonstrate that the model captures the main trends of the data as a function of burial depth and thus appears applicable to a range of depositional settings.

  12. 14 CFR 1260.150 - Purpose of reports and records.

    Science.gov (United States)

    2010-01-01

    ... Purpose of reports and records. Sections 1260.151 through 1260.153 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Purpose of reports and records. 1260.150...

  13. 45 CFR 2543.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-10-01

    ...'s financial and program performance and the necessary standard reporting forms. They also set forth... 45 Public Welfare 4 2010-10-01 2010-10-01 false Purpose of reports and records. 2543.50 Section...-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 2543.50 Purpose of reports and records...

  14. JUNO JUPITER MWR 2 EXPERIMENT DATA RECORDS V1.0

    Data.gov (United States)

    National Aeronautics and Space Administration — The Juno MWR EDR data sets will ultimately include all uncalibrated MWR science data records for the entire Juno mission. The set in this volume will contain only...

  15. Coralgal reef morphology records punctuated sea-level rise during the last deglaciation.

    Science.gov (United States)

    Khanna, Pankaj; Droxler, André W; Nittrouer, Jeffrey A; Tunnell, John W; Shirley, Thomas C

    2017-10-19

    Coralgal reefs preserve the signatures of sea-level fluctuations over Earth's history, in particular since the Last Glacial Maximum 20,000 years ago, and are used in this study to indicate that punctuated sea-level rise events are more common than previously observed during the last deglaciation. Recognizing the nature of past sea-level rises (i.e., gradual or stepwise) during deglaciation is critical for informing models that predict future vertical behavior of global oceans. Here we present high-resolution bathymetric and seismic sonar data sets of 10 morphologically similar drowned reefs that grew during the last deglaciation and spread 120 km apart along the south Texas shelf edge. Herein, six commonly observed terrace levels are interpreted to be generated by several punctuated sea-level rise events forcing the reefs to shrink and backstep through time. These systematic and common terraces are interpreted to record punctuated sea-level rise events over timescales of decades to centuries during the last deglaciation, previously recognized only during the late Holocene.

  16. 40 CFR 63.7752 - What records must I keep?

    Science.gov (United States)

    2010-07-01

    .... (3) Records of performance tests and performance evaluations as required by § 63.10(b)(2)(viii). (4... described in § 63.10(b)(2)(vi) through (xi). (2) Previous (i.e., superseded) versions of the performance... as required in § 63.8(f)(6)(i). (4) Records of the date and time that each deviation started and...

  17. 40 CFR 30.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-07-01

    ... Purpose of reports and records. Sections 30.51 through 30.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard reporting forms... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Purpose of reports and records. 30.50...

  18. 40 CFR 80.131 - Agreed upon procedures for GTAB, certain conventional gasoline imported by truck, previously...

    Science.gov (United States)

    2010-07-01

    ..., certain conventional gasoline imported by truck, previously certified gasoline used to produce gasoline... gasoline used to produce gasoline, and butane blenders. (a) Attest procedures for GTAB. The following are... conventional gasoline and of RFG produced. Agree the volumes from the tank activity records to the batch volume...

  19. First records of several bird species for Zacatecas, Mexico

    Directory of Open Access Journals (Sweden)

    Alejandro Pérez-Arteaga

    2017-10-01

    Full Text Available We report the first records of five species of birds for the state of Zacatecas, Mexico: Ortalis poliocephala (West Mexican Chachalaca, Progne sinaloae (Sinaloa Martin, Peucaea carpalis (Rufous-winged Sparrow, Melospiza melodia (Song Sparrow and Cyanocompsa parellina (Blue Bunting. Ortalis poliocephala is also a new record for the Western Sierra Madre biogeographic region. These records are ecologically relevant as they extend the known distribution ranges and suggest that the southern Zacatecas region might be more diverse than previously thought.

  20. Record Recommendations for the CERN Document Server

    CERN Document Server

    AUTHOR|(CDS)2096025; Marian, Ludmila

    CERN Document Server (CDS) is the institutional repository of the European Organization for Nuclear Research (CERN). It hosts all the research material produced at CERN, as well as multi- media and administrative documents. It currently has more than 1.5 million records grouped in more than 1000 collections. It’s underlying platform is Invenio, an open source digital library system created at CERN. As the size of CDS increases, discovering useful and interesting records becomes more challenging. Therefore, the goal of this work is to create a system that supports the user in the discovery of related interesting records. To achieve this, a set of recommended records are displayed on the record page. These recommended records are based on the analyzed behavior (page views and downloads) of other users. This work will describe the methods and algorithms used for creating, implementing, and the integration with the underlying software platform, Invenio. A very important decision factor when designing a recomme...

  1. SIS - Species and Stock Administrative Data Set

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Species and Stock Administrative data set within the Species Information System (SIS) defines entities within the database that serve as the basis for recording...

  2. 43 CFR 12.950 - Purpose of reports and records.

    Science.gov (United States)

    2010-10-01

    ... Requirements § 12.950 Purpose of reports and records. Sections 12.951 through 12.953 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Purpose of reports and records. 12.950...

  3. Nursing Student Experiences Regarding Safe Use of Electronic Health Records: A Pilot Study of the Safety and Assurance Factors for EHR Resilience Guides.

    Science.gov (United States)

    Whitt, Karen J; Eden, Lacey; Merrill, Katreena Collette; Hughes, Mckenna

    2017-01-01

    Previous research has linked improper electronic health record configuration and use with adverse patient events. In response to this problem, the US Office of the National Coordinator for Health Information Technology developed the Safety and Assurance Factors for EHR Resilience guides to evaluate electronic health records for optimal use and safety features. During the course of their education, nursing students are exposed to a variety of clinical practice settings and electronic health records. This descriptive study evaluated 108 undergraduate and 51 graduate nursing students' ratings of electronic health record features and safe practices, as well as what they learned from utilizing the computerized provider order entry and clinician communication Safety and Assurance Factors for EHR Resilience guide checklists. More than 80% of the undergraduate and 70% of the graduate students reported that they experienced user problems with electronic health records in the past. More than 50% of the students felt that electronic health records contribute to adverse patient outcomes. Students reported that many of the features assessed were not fully implemented in their electronic health record. These findings highlight areas where electronic health records can be improved to optimize patient safety. The majority of students reported that utilizing the Safety and Assurance Factors for EHR Resilience guides increased their understanding of electronic health record features.

  4. Tephrostratigraphy of the late Quaternary record from Lake Chalco, central México

    Science.gov (United States)

    Ortega-Guerrero, Beatriz; Caballero García, Lizeth; Linares-López, Carlos

    2018-01-01

    Lacustrine sequences in active volcanic settings preserve the record of fall-out products (tephras) from explosive volcanic activity from both proximal and distal sources. Sediments of Lake Chalco, located in the western part of the Trans Mexican Volcanic Belt, offer the opportunity to develop a detailed tephrostratigraphy of proximal and distal sources, and to provide stratigraphic marker horizons for the correlation of paleoclimate records. Here, we present major oxide glass and pumice data from 18 tephra layers interbedded in the lacustrine sediments of Chalco, from 11.5 to 31.3 cal ka BP. Tephra glass compositions range from basaltic trachyandesitic to rhyolitic. Two tephras were successfully correlated with the Tutti Frutti Plinian Eruption of Popocatépetl volcano; and two tephra layers from the Nevado de Toluca Plinian activity: the Upper Toluca Pumice and the Lower Toluca Pumice. Although the source of most of the tephras analyzed is unknown, their geochemical characterization, coupled with a robust chronology, contributes to establish a detailed tephrostratigraphy for the region. This tephra record also contributes to improving the estimated frequency of explosive volcanic activity for future hazards in the Basin of México and surrounding areas, where more than 29 million people live. Our findings estimate a recurrence interval of volcanic activity of ca. 1100 years in the interval between ca. 32 and 11.5 cal ka BP, shorter than previously estimated.

  5. Nurse practitioner organizational climate in primary care settings: implications for professional practice.

    Science.gov (United States)

    Poghosyan, Lusine; Nannini, Angela; Stone, Patricia W; Smaldone, Arlene

    2013-01-01

    The expansion of the nurse practitioner (NP) workforce in primary care is key to meeting the increased demand for care. Organizational climates in primary care settings affect NP professional practice and the quality of care. This study investigated organizational climate and its domains affecting NP professional practice in primary care settings. A qualitative descriptive design, with purposive sampling, was used to recruit 16 NPs practicing in primary care settings in Massachusetts. An interview guide was developed and pretested with two NPs and in 1 group interview with 7 NPs. Data collection took place in spring of 2011. Individual interviews lasted from 30-70 minutes, were audio recorded, and transcribed. Data were analyzed using Atlas.ti 6.0 software by 3 researchers. Content analysis was applied. Three previously identified themes, NP-physician relations, independent practice and autonomy, and professional visibility, as well as two new themes, organizational support and resources and NP-administration relations emerged from the analyses. NPs reported collegial relations with physicians, challenges in establishing independent practice, suboptimal relationships with administration, and lack of support. NP contributions to patient care were invisible. Favorable organizational climates should be promoted to support the expanding of NP workforce in primary care and to optimize recruitment and retention efforts. © 2013.

  6. Supplementing electronic health records through sample collection and patient diaries: A study set within a primary care research database.

    Science.gov (United States)

    Joseph, Rebecca M; Soames, Jamie; Wright, Mark; Sultana, Kirin; van Staa, Tjeerd P; Dixon, William G

    2018-02-01

    To describe a novel observational study that supplemented primary care electronic health record (EHR) data with sample collection and patient diaries. The study was set in primary care in England. A list of 3974 potentially eligible patients was compiled using data from the Clinical Practice Research Datalink. Interested general practices opted into the study then confirmed patient suitability and sent out postal invitations. Participants completed a drug-use diary and provided saliva samples to the research team to combine with EHR data. Of 252 practices contacted to participate, 66 (26%) mailed invitations to patients. Of the 3974 potentially eligible patients, 859 (22%) were at participating practices, and 526 (13%) were sent invitations. Of those invited, 117 (22%) consented to participate of whom 86 (74%) completed the study. We have confirmed the feasibility of supplementing EHR with data collected directly from patients. Although the present study successfully collected essential data from patients, it also underlined the requirement for improved engagement with both patients and general practitioners to support similar studies. © 2017 The Authors. Pharmacoepidemiology & Drug Safety published by John Wiley & Sons Ltd.

  7. 77 FR 47552 - Event Data Recorders

    Science.gov (United States)

    2012-08-09

    ... as percentages. We also believed the change would better address state-of-the-art active steering... are recorded. We believe that section 563.9(b) is clear that when a memory buffer is available, EDRs... memory buffers are full, manufacturers may either overwrite any previous data that does not involve...

  8. Hydro-Climatic Data Network (HCDN) Streamflow Data Set, 1874-1988

    Science.gov (United States)

    Slack, James Richard; Lumb, Alan M.; Landwehr, Jurate Maciunas

    1993-01-01

    The potential consequences of climate change to continental water resources are of great concern in the management of those resources. Critically important to society is what effect fluctuations in the prevailing climate may have on hydrologic conditions, such as the occurrence and magnitude of floods or droughts and the seasonal distribution of water supplies within a region. Records of streamflow that are unaffected by artificial diversions, storage, or other works of man in or on the natural stream channels or in the watershed can provide an account of hydrologic responses to fluctuations in climate. By examining such records given known past meteorologic conditions, we can better understand hydrologic responses to those conditions and anticipate the effects of postulated changes in current climate regimes. Furthermore, patterns in streamflow records can indicate when a change in the prevailing climate regime may have occurred in the past, even in the absence of concurrent meteorologic records. A streamflow data set, which is specifically suitable for the study of surface-water conditions throughout the United States under fluctuations in the prevailing climatic conditions, has been developed. This data set, called the Hydro-Climatic Data Network, or HCDN, consists of streamflow records for 1,659 sites throughout United States and its Territories. Records cumulatively span the period 1874 through 1988, inclusive, and represent a total of 73,231 water years of information. Development of the HCDN Data Set: Records for the HCDN were obtained through a comprehensive search of the extensive surface- water data holdings of the U.S. Geological Survey (USGS), which are contained in the USGS National Water Storage and Retrieval System (WATSTORE). All streamflow discharge records in WATSTORE through September 30, 1988, were examined for inclusion in the HCDN in accordance with strictly defined criteria of measurement accuracy and natural conditions. No reconstructed

  9. 19 CFR 24.72 - Claims; set-off.

    Science.gov (United States)

    2010-04-01

    ... CUSTOMS FINANCIAL AND ACCOUNTING PROCEDURE § 24.72 Claims; set-off. When an importer of record or other... indebted to the United States, either as principal or surety, for an amount which is legally fixed and...

  10. 75 FR 36642 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2010-06-28

    ... Defense. GNSA 11 System name: NSA/CSS Key Accountability Records System location: National Security Agency... system: NSA/CSS civilian employees, personnel under contract or appointment and military assignees... `Blanket Routine Uses' set forth at the beginning of the NSA/CSS' compilation of systems of records notices...

  11. Automatic estimation of aquifer parameters using long-term water supply pumping and injection records

    Science.gov (United States)

    Luo, Ning; Illman, Walter A.

    2016-09-01

    Analyses are presented of long-term hydrographs perturbed by variable pumping/injection events in a confined aquifer at a municipal water-supply well field in the Region of Waterloo, Ontario (Canada). Such records are typically not considered for aquifer test analysis. Here, the water-level variations are fingerprinted to pumping/injection rate changes using the Theis model implemented in the WELLS code coupled with PEST. Analyses of these records yield a set of transmissivity ( T) and storativity ( S) estimates between each monitoring and production borehole. These individual estimates are found to poorly predict water-level variations at nearby monitoring boreholes not used in the calibration effort. On the other hand, the geometric means of the individual T and S estimates are similar to those obtained from previous pumping tests conducted at the same site and adequately predict water-level variations in other boreholes. The analyses reveal that long-term municipal water-level records are amenable to analyses using a simple analytical solution to estimate aquifer parameters. However, uniform parameters estimated with analytical solutions should be considered as first rough estimates. More accurate hydraulic parameters should be obtained by calibrating a three-dimensional numerical model that rigorously captures the complexities of the site with these data.

  12. Pilot project of atomic energy technology record

    International Nuclear Information System (INIS)

    Song, K. C.; Kim, Y. I.; Kim, Y. G.

    2011-12-01

    Project of the Atomic Energy Technology Record is the project that summarizes and records in each category as a whole summary from the background to the performance at all fields of nuclear science technology which researched and developed at KAERI. This project includes Data and Document Management System(DDMS) that will be the system to collect, organize and preserve various records occurred in each research and development process. To achieve these goals, many problems should be solved to establish technology records process, such as issues about investigation status of technology records in KAERI, understanding and collection records, set-up project system and selection target field, definition standards and range of target records. This is a research report on the arrangement of research contents and results about pilot project which records whole nuclear technology researched and developed at KAERI in each category. Section 2 summarizes the overview of this pilot project and the current status of technology records in domestic and overseas, and from Section 3 to Section 6 summarize contents and results which performed in this project. Section 3 summarizes making TOC(Table of Content) and technology records, Section 4 summarizes sectoral templates, Section 5 summarizes writing detailed plan of technology records, and Section 6 summarizes Standard Document Numbering System(SDNS). Conclusions of this report are described in Section 7

  13. Probabilistic generation of quantum contextual sets

    International Nuclear Information System (INIS)

    Megill, Norman D.; Fresl, Kresimir; Waegell, Mordecai; Aravind, P.K.; Pavicic, Mladen

    2011-01-01

    We give a method for exhaustive generation of a huge number of Kochen-Specker contextual sets, based on the 600-cell, for possible experiments and quantum gates. The method is complementary to our previous parity proof generation of these sets, and it gives all sets while the parity proof method gives only sets with an odd number of edges in their hypergraph representation. Thus we obtain 35 new kinds of critical KS sets with an even number of edges. We also give a statistical estimate of the number of sets that might be obtained in an eventual exhaustive enumeration. -- Highlights: → We generate millions of new Kochen-Specker noncontextual set. → We find thousands of novel critical Kochen-Specker (KS) sets. → We give algorithms for generating KS sets from a new 4-dim class. → We represent KS sets by means of hypergraphs and their figures. → We give a new exact estimation method for random sampling of sets.

  14. Setting the record straight.

    Science.gov (United States)

    Moran, T

    1998-12-01

    This article examines the effect of the proposed limitation of funds for family planning direct services by the Texas Department of Health (TDH). A plan was unveiled by the TDH that called for cuts from Title V (Maternal and Child Health) to phase out family planning direct service delivery and increase population-based services. This proposal would mean that by 2000 at least 28,500 low-income women would have difficulty in receiving family planning services and obstetrical and gynecological services. During the 1998 Scripps Howard Texas poll, it was shown that majority of Texans support addition in public funding of family planning services for poor women, but it would result to a more expensive tax increase. Advocates of family planning were apprehensive on the effect of inaccessible family planning services among young and poor women. On the other hand, promoters of the Title V cuts claimed that family planning service is like any other clinical service that would be ineffective unless it takes into account the community and prevention dynamics.

  15. Required number of records for ASCE/SEI 7 ground-motion scaling procedure

    Science.gov (United States)

    Reyes, Juan C.; Kalkan, Erol

    2011-01-01

    The procedures and criteria in 2006 IBC (International Council of Building Officials, 2006) and 2007 CBC (International Council of Building Officials, 2007) for the selection and scaling ground-motions for use in nonlinear response history analysis (RHA) of structures are based on ASCE/SEI 7 provisions (ASCE, 2005, 2010). According to ASCE/SEI 7, earthquake records should be selected from events of magnitudes, fault distance, and source mechanisms that comply with the maximum considered earthquake, and then scaled so that the average value of the 5-percent-damped response spectra for the set of scaled records is not less than the design response spectrum over the period range from 0.2Tn to 1.5Tn sec (where Tn is the fundamental vibration period of the structure). If at least seven ground-motions are analyzed, the design values of engineering demand parameters (EDPs) are taken as the average of the EDPs determined from the analyses. If fewer than seven ground-motions are analyzed, the design values of EDPs are taken as the maximum values of the EDPs. ASCE/SEI 7 requires a minimum of three ground-motions. These limits on the number of records in the ASCE/SEI 7 procedure are based on engineering experience, rather than on a comprehensive evaluation. This study statistically examines the required number of records for the ASCE/SEI 7 procedure, such that the scaled records provide accurate, efficient, and consistent estimates of" true" structural responses. Based on elastic-perfectly-plastic and bilinear single-degree-of-freedom systems, the ASCE/SEI 7 scaling procedure is applied to 480 sets of ground-motions. The number of records in these sets varies from three to ten. The records in each set were selected either (i) randomly, (ii) considering their spectral shapes, or (iii) considering their spectral shapes and design spectral-acceleration value, A(Tn). As compared to benchmark (that is, "true") responses from unscaled records using a larger catalog of ground

  16. Evaluation of setting time and flow properties of self-synthesize alginate impressions

    Science.gov (United States)

    Halim, Calista; Cahyanto, Arief; Sriwidodo, Harsatiningsih, Zulia

    2018-02-01

    Alginate is an elastic hydrocolloid dental impression materials to obtain negative reproduction of oral mucosa such as to record soft-tissue and occlusal relationships. The aim of the present study was to synthesize alginate and to determine the setting time and flow properties. There were five groups of alginate consisted of fifty samples self-synthesize alginate and commercial alginate impression product. Fifty samples were divided according to two tests, each twenty-five samples for setting time and flow test. Setting time test was recorded in the s unit, meanwhile, flow test was recorded in the mm2 unit. The fastest setting time result was in the group three (148.8 s) and the latest was group fours). The highest flow test result was in the group three (69.70 mm2) and the lowest was group one (58.34 mm2). Results were analyzed statistically by one way ANOVA (α= 0.05), showed that there was a statistical significance of setting time while no statistical significance of flow properties between self-synthesize alginate and alginate impression product. In conclusion, the alginate impression was successfully self-synthesized and variation composition gives influence toward setting time and flow properties. The most resemble setting time of control group is group three. The most resemble flow of control group is group four.

  17. Applying the Seattle Heart Failure Model in the Office Setting in the Era of Electronic Medical Records.

    Science.gov (United States)

    Williams, Brent A; Agarwal, Shikhar

    2018-02-23

    Prediction models such as the Seattle Heart Failure Model (SHFM) can help guide management of heart failure (HF) patients, but the SHFM has not been validated in the office environment. This retrospective cohort study assessed the predictive performance of the SHFM among patients with new or pre-existing HF in the context of an office visit.Methods and Results:SHFM elements were ascertained through electronic medical records at an office visit. The primary outcome was all-cause mortality. A "warranty period" for the baseline SHFM risk estimate was sought by examining predictive performance over time through a series of landmark analyses. Discrimination and calibration were estimated according to the proposed warranty period. Low- and high-risk thresholds were proposed based on the distribution of SHFM estimates. Among 26,851 HF patients, 14,380 (54%) died over a mean 4.7-year follow-up period. The SHFM lost predictive performance over time, with C=0.69 and C<0.65 within 3 and beyond 12 months from baseline respectively. The diminishing predictive value was attributed to modifiable SHFM elements. Discrimination (C=0.66) and calibration for 12-month mortality were acceptable. A low-risk threshold of ∼5% mortality risk within 12 months reflects the 10% of HF patients in the office setting with the lowest risk. The SHFM has utility in the office environment.

  18. Seismic Record Processing Program (SRP), Version 1.03

    International Nuclear Information System (INIS)

    Karabalis, D.L.; Cokkinides, G.J.; Rizos, D.C.

    1992-04-01

    The Seismic Record Processing Program (SRP) is an interactive computer code developed for the calculation of artificial earthquake records that comply with the US Nuclear Regulatory Commission Standard Review Plan. The basic objective of SRP is the calculation of artificial seismic time histories that correspond to Design Response Spectra specified in the US Atomic Energy Commission Regulatory Guide 1.60 and/or the Power Spectral Density (PSD) requirements of the NRC Standard Review Plan. However, SRP is a general computer code and can accommodate any arbitrarily specified Target Response Spectra (TRS) or PSD requirements. In addition, among its other futures, SRP performs quadratic baseline correction and calculates correlations factors for a set of up to three earthquake records. This manual is prepared in two parts. The first part describes the methodologies and criteria used while the second is a user's manual. In section 1 of the first part, the techniques used for the adjustment of a given earthquake record to a required TRS family of curves for a set of specified damping ratios are presented. Similarly, in section 2 of the first part, the PSD of an earthquake record is compared to a target PSD and adjusted accordingly. Sections 3 and 4 of the first part deal with the subjects of baseline correction and correlation of earthquake records, respectively. The second part is the user's manual. The user's manual contains a list of the computer hardware requirements, instructions for the program installation, a description of the user generated input files, and a description of all the program menus and commands

  19. On Intuitionistic Fuzzy Sets Theory

    CERN Document Server

    Atanassov, Krassimir T

    2012-01-01

    This book aims to be a  comprehensive and accurate survey of state-of-art research on intuitionistic fuzzy sets theory and could be considered a continuation and extension of the author´s previous book on Intuitionistic Fuzzy Sets, published by Springer in 1999 (Atanassov, Krassimir T., Intuitionistic Fuzzy Sets, Studies in Fuzziness and soft computing, ISBN 978-3-7908-1228-2, 1999). Since the aforementioned  book has appeared, the research activity of the author within the area of intuitionistic fuzzy sets has been expanding into many directions. The results of the author´s most recent work covering the past 12 years as well as the newest general ideas and open problems in this field have been therefore collected in this new book.

  20. AVAILABILITY, ACCESSIBILITY, PRIVACY AND SAFETY ISSUES FACING ELECTRONIC MEDICAL RECORDS

    OpenAIRE

    Nisreen Innab

    2018-01-01

    Patient information recorded in electronic medical records is the most significant set of information of the healthcare system. It assists healthcare providers to introduce high quality care for patients. The aim of this study identifies the security threats associated with electronic medical records and gives recommendations to keep them more secured. The study applied the qualitative research method through a case study. The study conducted seven interviews with medical staff and informatio...

  1. Low-cost synchronization of high-speed audio and video recordings in bio-acoustic experiments.

    Science.gov (United States)

    Laurijssen, Dennis; Verreycken, Erik; Geipel, Inga; Daems, Walter; Peremans, Herbert; Steckel, Jan

    2018-02-27

    In this paper, we present a method for synchronizing high-speed audio and video recordings of bio-acoustic experiments. By embedding a random signal into the recorded video and audio data, robust synchronization of a diverse set of sensor streams can be performed without the need to keep detailed records. The synchronization can be performed using recording devices without dedicated synchronization inputs. We demonstrate the efficacy of the approach in two sets of experiments: behavioral experiments on different species of echolocating bats and the recordings of field crickets. We present the general operating principle of the synchronization method, discuss its synchronization strength and provide insights into how to construct such a device using off-the-shelf components. © 2018. Published by The Company of Biologists Ltd.

  2. Consistency in performance evaluation reports and medical records.

    Science.gov (United States)

    Lu, Mingshan; Ma, Ching-to Albert

    2002-12-01

    In the health care market managed care has become the latest innovation for the delivery of services. For efficient implementation, the managed care organization relies on accurate information. So clinicians are often asked to report on patients before referrals are approved, treatments authorized, or insurance claims processed. What are clinicians responses to solicitation for information by managed care organizations? The existing health literature has already pointed out the importance of provider gaming, sincere reporting, nudging, and dodging the rules. We assess the consistency of clinicians reports on clients across administrative data and clinical records. For about 1,000 alcohol abuse treatment episodes, we compare clinicians reports across two data sets. The first one, the Maine Addiction Treatment System (MATS), was an administrative data set; the state government used it for program performance monitoring and evaluation. The second was a set of medical record abstracts, taken directly from the clinical records of treatment episodes. A clinician s reporting practice exhibits an inconsistency if the information reported in MATS differs from the information reported in the medical record in a statistically significant way. We look for evidence of inconsistencies in five categories: admission alcohol use frequency, discharge alcohol use frequency, termination status, admission employment status, and discharge employment status. Chi-square tests, Kappa statistics, and sensitivity and specificity tests are used for hypothesis testing. Multiple imputation methods are employed to address the problem of missing values in the record abstract data set. For admission and discharge alcohol use frequency measures, we find, respectively, strong and supporting evidence for inconsistencies. We find equally strong evidence for consistency in reports of admission and discharge employment status, and mixed evidence on report consistency on termination status. Patterns of

  3. Micromagnetic recording model of writer geometry effects at skew

    Science.gov (United States)

    Plumer, M. L.; Bozeman, S.; van Ek, J.; Michel, R. P.

    2006-04-01

    The effects of the pole-tip geometry at the air-bearing surface on perpendicular recording at a skew angle are examined through modeling and spin-stand test data. Head fields generated by the finite element method were used to record transitions within our previously described micromagnetic recording model. Write-field contours for a variety of square, rectangular, and trapezoidal pole shapes were evaluated to determine the impact of geometry on field contours. Comparing results for recorded track width, transition width, and media signal to noise ratio at 0° and 15° skew demonstrate the benefits of trapezoidal and reduced aspect-ratio pole shapes. Consistency between these modeled results and test data is demonstrated.

  4. HMSRP Hawaiian Monk Seal Master Identification Records (annual)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains records of all individually identified Hawaiian monk seals since 1981. These seals were identified by PSD personnel and cooperating scientists...

  5. HMSRP Hawaiian Monk Seal Master Identification Records (seal)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains records of all individually identified Hawaiian monk seals since 1981. These seals were identified by PSD personnel and cooperating scientists...

  6. Radiation exposure records management

    International Nuclear Information System (INIS)

    Boiter, H.P.

    1975-12-01

    Management of individual radiation exposure records begins at employment with the accumulation of data pertinent to the individual and any previous occupational radiation exposure. Appropriate radiation monitorinng badges or devices are issued and accountability established. A computer master file is initiated to include the individual's name, payroll number, social security number, birth date, assigned department, and location. From this base, a radiation exposure history is accumulated to include external ionizing radiation exposure to skin and whole body, contributing neutron exposure, contributing tritium exposure, and extremity exposure. It is used also to schedule bioassay sampling and in-vivo counts and to provide other pertinent information. The file is used as a basis for providing periodic reports to management and monthly exposure summaries to departmental line supervision to assist in planning work so that individual annual exposures are kept as low as practical. Radiation exposure records management also includes documentation of radiation surveys performed by the health physicist to establish working rates and the individual estimating and recording his estimated exposure on a day-to-day basis. Exposure information is also available to contribute to Energy Research and Development Administration statistics and to the National Transuranium Registry

  7. Association between previous splenectomy and gastric dilatation-volvulus in dogs: 453 cases (2004-2009).

    Science.gov (United States)

    Sartor, Angela J; Bentley, Adrienne M; Brown, Dorothy C

    2013-05-15

    To evaluate the association between previous splenectomy and gastric dilatation-volvulus (GDV) in dogs. Multi-institutional retrospective case-control study. Animals-151 dogs treated surgically for GDV and 302 control dogs with no history of GDV. Computerized records of dogs evaluated via exploratory laparotomy or abdominal ultrasonography were searched, and dogs with GDV and dogs without GDV (control dogs) were identified. Two control dogs were matched with respect to age, body weight, sex, neuter status, and breed to each dog with GDV. Data were collected on the presence or absence of the spleen for both dogs with GDV and control dogs. Conditional logistic regression analysis was used to investigate the association of previous splenectomy with GDV. 6 (4%) dogs in the GDV group and 3 (1%) dogs in the control group had a history of previous splenectomy. The odds of GDV in dogs with a history of previous splenectomy in this population of dogs were 5.3 times those of dogs without a history of previous splenectomy (95% confidence interval, 1.1 to 26.8). For the patients in the present study, there was an increased odds of GDV in dogs with a history of splenectomy. Prophylactic gastropexy may be considered in dogs undergoing a splenectomy, particularly if other risk factors for GDV are present.

  8. Digital Communication and Records in Service Provision and Supervision: Regulation and Practice.

    Science.gov (United States)

    Cavalari, Rachel N S; Gillis, Jennifer M; Kruser, Nathan; Romanczyk, Raymond G

    2015-10-01

    While the use of computer-based communication, video recordings, and other "electronic" records is commonplace in clinical service settings and research, management of digital records can become a great burden from both practical and regulatory perspectives. Three types of challenges commonly present themselves: regulatory requirements; storage, transmission, and access; and analysis for clinical and research decision-making. Unfortunately, few practitioners and organizations are well enough informed to set necessary policies and procedures in an effective, comprehensive manner. The three challenges are addressed using a demonstrative example of policies and procedural guidelines from an applied perspective, maintaining the unique emphasis behavior analysts place upon quantitative analysis. Specifically, we provide a brief review of federal requirements relevant to the use of video and electronic records in the USA; non-jargon pragmatic solutions to managing and storing video and electronic records; and last, specific methodologies to facilitate extraction of quantitative information in a cost-effective manner.

  9. Improving Neural Recording Technology at the Nanoscale

    Science.gov (United States)

    Ferguson, John Eric

    Neural recording electrodes are widely used to study normal brain function (e.g., learning, memory, and sensation) and abnormal brain function (e.g., epilepsy, addiction, and depression) and to interface with the nervous system for neuroprosthetics. With a deep understanding of the electrode interface at the nanoscale and the use of novel nanofabrication processes, neural recording electrodes can be designed that surpass previous limits and enable new applications. In this thesis, I will discuss three projects. In the first project, we created an ultralow-impedance electrode coating by controlling the nanoscale texture of electrode surfaces. In the second project, we developed a novel nanowire electrode for long-term intracellular recordings. In the third project, we created a means of wirelessly communicating with ultra-miniature, implantable neural recording devices. The techniques developed for these projects offer significant improvements in the quality of neural recordings. They can also open the door to new types of experiments and medical devices, which can lead to a better understanding of the brain and can enable novel and improved tools for clinical applications.

  10. Outcome of trial of scar in patients with previous caesarean section

    International Nuclear Information System (INIS)

    Khan, B.; Bashir, R.; Khan, W.

    2016-01-01

    Medical evidence indicates that 60-80% of women can achieve vaginal delivery after a previous lower segment caesarean section. Proper selection of patients for trial of scar and vigilant monitoring during labour will achieve successful maternal and perinatal outcome. The objective of our study is to establish the fact that vaginal delivery after one caesarean section has a high success rate in patients with previous one caesarean section for non-recurrent cause. Methods: The study was conducted in Ayub Teaching Abbottabad, Gynae-B Unit. All labouring patients, during the study period of five years, with previous one caesarean section and between 37 weeks to 41 weeks of gestation for a non-recurrent cause were included in the study. Data was recorded on special proforma designed for the purpose. Patients who had previous classical caesarean section, more than one caesarean section, and previous caesarean section with severe wound infection, transverse lie and placenta previa in present pregnancy were excluded. Foetal macrosomia (wt>4 kg) and severe IUGR with compromised blood flow on Doppler in present pregnancy were also not considered suitable for the study. Patients who had any absolute contraindication for vaginal delivery were also excluded. Results: There were 12505 deliveries during the study period. Total vaginal deliveries were 8790 and total caesarean sections were 3715. Caesarean section rate was 29.7%. Out of these 8790 patients, 764 patients were given a trial of scar and 535 patients delivered successfully vaginally (70%). Women who presented with spontaneous onset of labour were more likely to deliver vaginally (74.8%) as compared to induction group (27.1%). Conclusion: Trial of vaginal birth after caesarean (VBAC) in selected cases has great importance in the present era of the rising rate of primary caesarean section. (author)

  11. Study of functional-performance deficits in athletes with previous ankle sprains

    Directory of Open Access Journals (Sweden)

    hamid Babaee

    2008-04-01

    Full Text Available Abstract Background: Despite the importance of functional-performance deficits in athletes with history of ankle sprain few, studies have been carried out in this area. The aim of this research was to study relationship between previous ankle sprains and functional-performance deficits in athletes. Materials and methods: The subjects were 40 professional athletes selected through random sampling among volunteer participants in soccer, basketball, volleyball and handball teams of Lorestan province. The subjects were divided into 2 groups: Injured group (athletes with previous ankle sprains and healthy group (athletes without previous ankle sprains. In this descriptive study we used Functional-performance tests (figure 8 hop test and side hop test to determine ankle deficits and limitations. They participated in figure 8 hop test including hopping in 8 shape course with the length of 5 meters and side hop test including 10 side hop repetitions in course with the length of 30 centimeters. Time were recorded via stopwatch. Results: After data gathering and assessing information distributions, Pearson correlation was used to assess relationships, and independent T test to assess differences between variables. Finally the results showed that there is a significant relationship between previous ankle sprains and functional-performance deficits in the athletes. Conclusion: The athletes who had previous ankle sprains indicated functional-performance deficits more than healthy athletes in completion of mentioned functional-performance tests. The functional-performance tests (figure 8 hop test and side hop test are sensitive and suitable to assess and detect functional-performance deficits in athletes. Therefore we can use the figure 8 hop and side hop tests for goals such as prevention, assessment and rehabilitation of ankle sprains without spending too much money and time.

  12. A 900-year pollen-inferred temperature and effective moisture record from varved Lake Mina, west-central Minnesota, USA

    Science.gov (United States)

    St. Jacques, Jeannine-Marie; Cumming, Brian F.; Smol, John P.

    2008-04-01

    Drought is endemic to the North American Great Plains, causing severe economic consequences. However, instrumental climate data only exist from ca AD 1890, and limited tree-ring, paleolimnological, archeological and eolian records document the last two millennia. To address this lack of monitoring and paleoclimatic data, the pollen preserved in the varved sediments of Lake Mina, Minnesota, on the northeastern border of the Great Plains, were analyzed. May and February mean monthly temperatures and "annual precipitation minus potential evapotranspiration" were reconstructed at a 4-year resolution using a pre-settlement pollen-climate calibration set. The period of the so-called Little Ice Age (LIA) (AD 1500-1870) was colder than the Medieval Climate Anomaly (MCA) (AD 1100-1500) in west-central Minnesota. Winter temperatures in the LIA declined more than summer ones. The pollen record suggests that the LIA occurred in three phases: an initial cold phase from AD 1505 to AD 1575, a warmer phase, and then a very cold phase from AD 1625 to AD 1775. There were severe droughts detected in the Lake Mina record from AD 1660 to AD 1710 and AD 1300 to AD 1400, suggesting that high-resolution pollen records can detect events previously defined from the tree-ring records. This latter century-scale drought is concurrent with the widely reported "AD 1250-1400 mega-drought", which exceeds the severity of 20th century droughts.

  13. 7 CFR 225.8 - Records and reports.

    Science.gov (United States)

    2010-01-01

    .... (a) Each State agency shall maintain complete and accurate current accounting records of its Program... must also notify the appropriate FNSRO within 5 working days after they approve each private nonprofit... estimated daily attendance that was previously provided; (ii) The hours and type(s) of approved meal service...

  14. Gyrodactylus aff. mugili Zhukov, 1970 (Monogenoidea: Gyrodactylidae) from the gills of mullets (Mugiliformes: Mugilidae) collected from the inland waters of southern Iraq, with an evalutation of previous records of Gyrodactylus spp. on mullets in Iraq.

    Science.gov (United States)

    Kritsky, Delane C; Ali, Atheer H; Khamees, Najim R

    2013-11-01

    Gyrodactylus aff. mugili Zhukov, 1970 (Monogenoidea: Gyrodactylidae) is recorded and described from the gill lamellae of 11 of 35 greenback mullet, Chelon subviridis (Valenciennes) (minimum prevalence 31%), from the brackish waters of the Shatt Al-Arab Estuary in southern Iraq. The gyrodactylid was also found on the gill lamellae of one of eight Speigler's mullet, Valamugil speigleri (Bleeker), from the brackish waters of the Shatt Al-Basrah Canal (minimum prevalence 13%). Fifteen Klunzinger's mullet, Liza klunzingeri (Day), and 13 keeled mullet, Liza carinata (Valenciennes), collected and examined from southern Iraqi waters, were apparently uninfected. The gyrodactylids from the greenback mullet and Speigler's mullet were considered to have affinity to G. mugili Zhukov, 1970, and along with G. mugili may represent members of a species complex occurring on mullets in the Indo-Pacific Region. A single damaged gyrodactylid from the external surfaces of the abu mullet, Liza abu (Heckel), was insufficient for species identification. Previously identified species of Gyrodactylus recorded on L. abu in Iraq by various authors were considered possible misidentifications or accidental infections.

  15. Should consultation recording use be a practice standard? A systematic review of the effectiveness and implementation of consultation recordings.

    Science.gov (United States)

    Rieger, Kendra L; Hack, Thomas F; Beaver, Kinta; Schofield, Penelope

    2018-04-01

    To conduct a systematic review of the effectiveness of consultation recordings and identify factors contributing to their successful implementation in health-care settings. A systematic review was conducted for quantitative studies examining the effectiveness of consultation recordings in health care. Two independent reviewers assessed the relevance and quality of retrieved quantitative studies by using standardized criteria. Study findings were examined to determine consultation recording effectiveness and to identify barriers and facilitators to implementation. A supplementary review of qualitative evidence was performed to further explicate implementation factors. Of the 3373 articles retrieved in the quantitative search, 26 satisfied the standardized inclusion criteria (12 randomized controlled trials, 1 quasi-experiment, and 13 cross-sectional studies). Most patients found consultation recordings beneficial. Statistically significant evidentiary support was found for the beneficial impact of consultation recordings on the following patient reported outcomes: knowledge, perception of being informed, information recall, decision-making factors, anxiety, and depression. Implementation barriers included strength of evidence concerns, patient distress, impact of the recording on consultation quality, clinic procedures, medico-legal issues, and resource costs. Facilitators included comfort with being recorded, clinical champions, legal strategies, efficient recording procedures, and a positive consultation recording experience. Consultation recordings are valuable to patients and positively associated with patient-reported outcomes. Successful integration of consultation recording use into clinical practice requires an administratively supported, systematic approach to addressing implementation factors. Copyright © 2017 John Wiley & Sons, Ltd.

  16. Patient engagement in the inpatient setting: a systematic review.

    Science.gov (United States)

    Prey, Jennifer E; Woollen, Janet; Wilcox, Lauren; Sackeim, Alexander D; Hripcsak, George; Bakken, Suzanne; Restaino, Susan; Feiner, Steven; Vawdrey, David K

    2014-01-01

    To systematically review existing literature regarding patient engagement technologies used in the inpatient setting. PubMed, Association for Computing Machinery (ACM) Digital Library, Institute of Electrical and Electronics Engineers (IEEE) Xplore, and Cochrane databases were searched for studies that discussed patient engagement ('self-efficacy', 'patient empowerment', 'patient activation', or 'patient engagement'), (2) involved health information technology ('technology', 'games', 'electronic health record', 'electronic medical record', or 'personal health record'), and (3) took place in the inpatient setting ('inpatient' or 'hospital'). Only English language studies were reviewed. 17 articles were identified describing the topic of inpatient patient engagement. A few articles identified design requirements for inpatient engagement technology. The remainder described interventions, which we grouped into five categories: entertainment, generic health information delivery, patient-specific information delivery, advanced communication tools, and personalized decision support. Examination of the current literature shows there are considerable gaps in knowledge regarding patient engagement in the hospital setting and inconsistent use of terminology regarding patient engagement overall. Research on inpatient engagement technologies has been limited, especially concerning the impact on health outcomes and cost-effectiveness. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  17. The personal health record paradox: health care professionals' perspectives and the information ecology of personal health record systems in organizational and clinical settings.

    Science.gov (United States)

    Nazi, Kim M

    2013-04-04

    Despite significant consumer interest and anticipated benefits, overall adoption of personal health records (PHRs) remains relatively low. Understanding the consumer perspective is necessary, but insufficient by itself. Consumer PHR use also has broad implications for health care professionals and organizational delivery systems; however, these have received less attention. An exclusive focus on the PHR as a tool for consumer empowerment does not adequately take into account the social and organizational context of health care delivery, and the reciprocal nature of patient engagement. The purpose of this study was to examine the experiences of physicians, nurses, and pharmacists at the Department of Veterans Affairs (VA) using an organizationally sponsored PHR to develop insights into the interaction of technology and processes of health care delivery. The conceptual framework for the study draws on an information ecology perspective, which recognizes that a vibrant dynamic exists among technologies, people, practices, and values, accounting for both the values and norms of the participants and the practices of the local setting. The study explores the experiences and perspectives of VA health care professionals related to patient use of the My HealtheVet PHR portal and secure messaging systems. In-depth interviews were conducted with 30 VA health care professionals engaged in providing direct patient care who self-reported that they had experiences with at least 1 of 4 PHR features. Interviews were transcribed, coded, and analyzed to identify inductive themes. Organizational documents and artifacts were reviewed and analyzed to trace the trajectory of secure messaging implementation as part of the VA Patient Aligned Care Team (PACT) model. Study findings revealed a variety of factors that have facilitated or inhibited PHR adoption, use, and endorsement of patient use by health care professionals. Health care professionals' accounts and analysis of organizational

  18. Electronic dental records: start taking the steps.

    Science.gov (United States)

    Bergoff, Jana

    2011-01-01

    Converting paper patient records charts into their electronic counterparts (EDRs) not only has many advantages, but also could become a legal requirement in the future. Several steps key to a successful transition includes assessing the needs of the dental team and what they require as a part of the implementation Existing software and hardware must be evaluated for continued use and expansion. Proper protocols for information transfer must be established to ensure complete records while maintaining HIPAA regulations regarding patient privacy. Reduce anxiety by setting realistic dead-lines and using trusted back-up methods.

  19. A set of genes previously implicated in the hypoxia response might be an important modulator in the rat ear tissue response to mechanical stretch

    Directory of Open Access Journals (Sweden)

    Orgill Dennis

    2007-11-01

    Full Text Available Abstract Background Wounds are increasingly important in our aging societies. Pathologies such as diabetes predispose patients to chronic wounds that can cause pain, infection, and amputation. The vacuum assisted closure device shows remarkable outcomes in wound healing. Its mechanism of action is unclear despite several hypotheses advanced. We previously hypothesized that micromechanical forces can heal wounds. To understand better the biological response of soft tissue to forces, rat ears in vivo were stretched and their gene expression patterns over time obtained. The absolute enrichment (AE algorithm that obtains a combined up and down regulated picture of the expression analysis was implemented. Results With the use of AE, the hypoxia gene set was the most important at a highly significant level. A co-expression network analysis showed that important co-regulated members of the hypoxia pathway include a glucose transporter (slc2a8, heme oxygenase, and nitric oxide synthase2 among others. Conclusion It appears that the hypoxia pathway may be an important modulator of response of soft tissue to forces. This finding gives us insights not only into the underlying biology, but also into clinical interventions that could be designed to mimic within wounded tissue the effects of forces without all the negative effects that forces themselves create.

  20. Records needed for orthodontic diagnosis and treatment planning: a systematic review.

    Directory of Open Access Journals (Sweden)

    Robine J Rischen

    Full Text Available BACKGROUND: Traditionally, dental models, facial and intra-oral photographs and a set of two-dimensional radiographs are used for orthodontic diagnosis and treatment planning. As evidence is lacking, the discussion is ongoing which specific records are needed for the process of making an orthodontic treatment plan. OBJECTIVE: To estimate the contribution and importance of different diagnostic records for making an orthodontic diagnosis and treatment plan. DATA SOURCES: An electronic search in PubMed (1948-July 2012, EMBASE Excerpta Medica (1980-July 2012, CINAHL (1982-July 2012, Web of Science (1945-July 2012, Scopus (1996-July 2012, and Cochrane Library (1993-July 2012 was performed. Additionally, a hand search of the reference lists of included studies was performed to identify potentially eligible studies. There was no language restriction. STUDY SELECTION: The patient, intervention, comparator, outcome (pico question formulated for this study was as follows: for patients who need orthodontic treatment (P, will the use of record set X (I compared with record set Y (C change the treatment plan (O? Only primary publications were included. DATA EXTRACTION: Independent extraction of data and quality assessment was performed by two observers. RESULTS: Of the 1041 publications retrieved, 17 met the inclusion criteria. Of these, 4 studies were of high quality. Because of the limited number of high quality studies and the differences in study designs, patient characteristics, and reference standard or index test, a meta-analysis was not possible. CONCLUSION: Cephalograms are not routinely needed for orthodontic treatment planning in Class II malocclusions, digital models can be used to replace plaster casts, and cone-beam computed tomography radiographs can be indicated for impacted canines. Based on the findings of this review, the minimum record set required for orthodontic diagnosis and treatment planning could not be defined. SYSTEMATIC REVIEW

  1. Electronic health records access during a disaster.

    Science.gov (United States)

    Morchel, Herman; Raheem, Murad; Stevens, Lee

    2014-01-01

    As has been demonstrated previously, medical care providers that employ an electronic health records (EHR) system provide more appropriate, cost effective care. Those providers are also better positioned than those who rely on paper records to recover if their facility is damaged as a result of severe storms, fires, or other events. The events surrounding Superstorm Sandy in 2012 made it apparent that, with relatively little additional effort and investment, health care providers with EHR systems may be able to use those systems for patient care purposes even during disasters that result in damage to buildings and facilities, widespread power outages, or both.

  2. A First Standardized Swiss Electronic Maternity Record.

    Science.gov (United States)

    Murbach, Michel; Martin, Sabine; Denecke, Kerstin; Nüssli, Stephan

    2017-01-01

    During the nine months of pregnancy, women have to regularly visit several physicians for continuous monitoring of the health and development of the fetus and mother. Comprehensive examination results of different types are generated in this process; documentation and data transmission standards are still unavailable or not in use. Relevant information is collected in a paper-based maternity record carried by the pregnant women. To improve availability and transmission of data, we aim at developing a first prototype for an electronic maternity record for Switzerland. By analyzing the documentation workflow during pregnancy, we determined a maternity record data set. Further, we collected requirements towards a digital maternity record. As data exchange format, the Swiss specific exchange format SMEEX (swiss medical data exchange) was exploited. Feedback from 27 potential users was collected to identify further improvements. The relevant data is extracted from the primary care information system as SMEEX file, stored in a database and made available in a web and a mobile application, developed as prototypes of an electronic maternity record. The user confirmed the usefulness of the system and provided multiple suggestions for an extension. An electronical maternity record as developed in this work could be in future linked to the electronic patient record.

  3. An electronic record system in nursing education: evaluation and utilization.

    Directory of Open Access Journals (Sweden)

    Víctor Manuel González-Chordá

    2014-09-01

    Full Text Available The main objective of the present work is to analyze the results of the utilization and evaluation of the LORETO Record System (LRS, providing improvement areas in the teaching-learning process and technology, in second year nursing students. A descriptive, prospective, cross sectional study using inferential statics has been carried out on all electronic records reported by 55 nursing students during clinical internships (April 1º-June 26º, 2013. Electronic record average rated 7.22 points (s=0.6; CV=0.083, with differences based on the clinical practice units (p<0,05. Three items assessed did not exceed the quality threshold set at 0.7 (p<0.05. Record Rate exceeds the quality threshold set at 80% for the overall sample, with differences based on the practice units.  Only two clinical practice units rated above the minimum threshold (p <0.05. Record of care provision every 3 days did not reach the estimated quality threshold (p <0.05. There is a dichotomy between qualitative and quantitative results of LRS. Improvement areas in theoretical education have been identified. The LRS seems an appropriate learning and assessment tool, although the development of a new APP version and the application of principles of gamification should be explored.

  4. Reporting, Recording, and Transferring Contingency Demand Data

    National Research Council Canada - National Science Library

    Smith, Bernard

    2000-01-01

    .... In this report, we develop a standard set of procedures for reporting and recording demand data at the contingency location and transferring contingency demand data to the home base - ensuring proper level allocation and valid worldwide peacetime operating stock (POS) and readiness spares package (RSP) requirements.

  5. Modified automatic R-peak detection algorithm for patients with epilepsy using a portable electrocardiogram recorder.

    Science.gov (United States)

    Jeppesen, J; Beniczky, S; Fuglsang Frederiksen, A; Sidenius, P; Johansen, P

    2017-07-01

    Earlier studies have shown that short term heart rate variability (HRV) analysis of ECG seems promising for detection of epileptic seizures. A precise and accurate automatic R-peak detection algorithm is a necessity in a real-time, continuous measurement of HRV, in a portable ECG device. We used the portable CE marked ePatch® heart monitor to record the ECG of 14 patients, who were enrolled in the videoEEG long term monitoring unit for clinical workup of epilepsy. Recordings of the first 7 patients were used as training set of data for the R-peak detection algorithm and the recordings of the last 7 patients (467.6 recording hours) were used to test the performance of the algorithm. We aimed to modify an existing QRS-detection algorithm to a more precise R-peak detection algorithm to avoid the possible jitter Qand S-peaks can create in the tachogram, which causes error in short-term HRVanalysis. The proposed R-peak detection algorithm showed a high sensitivity (Se = 99.979%) and positive predictive value (P+ = 99.976%), which was comparable with a previously published QRS-detection algorithm for the ePatch® ECG device, when testing the same dataset. The novel R-peak detection algorithm designed to avoid jitter has very high sensitivity and specificity and thus is a suitable tool for a robust, fast, real-time HRV-analysis in patients with epilepsy, creating the possibility for real-time seizure detection for these patients.

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

    Science.gov (United States)

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

    2013-12-01

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

  7. Thyroid abnormalities in patients previously treated with irradiation for acne vulgaris

    International Nuclear Information System (INIS)

    Thomson, D.B.; Grammes, C.F.; Starkey, R.H.; Monsaert, R.P.; Sunderlin, F.S.

    1984-01-01

    Of 1203 patients who received radiation treatment for acne vulgaris between 1940 and 1968, 302 were recalled and examined, 121 at Geisinger Medical Center and the remainder by their local physicians. Radiation records were reviewed on all patients. Lead-rubber and cones had been used as shielding. Mean age at the time of exposure was 21 years and mean total exposure was 692 R. Palpable nodular thyroid disease was found in eight patients (2.6%). Of these, thyroid carcinoma was detected in two patients (0.66%). Although the number of patients examined was small, the incidence of carcinomas was unexpectedly high. The authors conclude that follow-up examination is worthwhile for patients previously treated by irradiation for acne vulgaris

  8. A literature review of record linkage procedures focusing on infant health outcomes

    Directory of Open Access Journals (Sweden)

    Carla Jorge Machado

    Full Text Available Record linkage is a powerful tool in assembling information from different data sources and has been used by a number of public health researchers. In this review, we provide an overview of the record linkage methodologies, focusing particularly on probabilistic record linkage. We then stress the purposes and research applications of linking records by focusing on studies of infant health outcomes based on large data sets, and provide a critical review of the studies in Brazil.

  9. Corticospinal signals recorded with MEAs can predict the volitional forearm forces in rats.

    Science.gov (United States)

    Guo, Yi; Mesut, Sahin; Foulds, Richard A; Adamovich, Sergei V

    2013-01-01

    We set out to investigate if volitional components in the descending tracts of the spinal cord white matter can be accessed with multi-electrode array (MEA) recording technique. Rats were trained to press a lever connected to a haptic device with force feedback to receive sugar pellets. A flexible-substrate multi-electrode array was chronically implanted into the dorsal column of the cervical spinal cord. Field potentials and multi-unit activities were recorded from the descending axons of the corticospinal tract while the rat performed a lever pressing task. Forelimb forces, recorded with the sensor attached to the lever, were reconstructed using the hand position data and the neural signals through multiple trials over three weeks. The regression coefficients found from the trial set were cross-validated on the other trials recorded on same day. Approximately 30 trials of at least 2 seconds were required for accurate model estimation. The maximum correlation coefficient between the actual and predicted force was 0.7 in the test set. Positional information and its interaction with neural signals improved the correlation coefficient by 0.1 to 0.15. These results suggest that the volitional information contained in the corticospinal tract can be extracted with multi-channel neural recordings made with parenchymal electrodes.

  10. Price setting in turbulent times

    DEFF Research Database (Denmark)

    Ólafsson, Tjörvi; Pétursdóttir, Ásgerdur; Vignisdóttir, Karen Á.

    This price setting survey among Icelandic firms aims to make two contributions to the literature. First, it studies price setting in an advanced economy within a more turbulent macroeconomic environment than has previously been done. The results indicate that price adjustments are to a larger...... extent driven by exchange rate fluctuations than in most other advanced countries. The median Icelandic firm reviews its prices every four months and changes them every six months. The main sources of price rigidity and the most commonly used price setting methods are the same as in most other countries....... A second contribution to the literature is our analysis of the nexus between price setting and exchange rate movements, a topic that has attracted surprisingly limited attention in this survey-based literature. A novel aspect of our approach is to base our analysis on a categorisation of firms...

  11. Success factors for implementing and sustaining a mature electronic medical record in a low-resource setting: a case study of iSanté in Haiti.

    Science.gov (United States)

    deRiel, E; Puttkammer, N; Hyppolite, N; Diallo, J; Wagner, S; Honoré, J G; Balan, J G; Celestin, N; Vallès, J S; Duval, N; Thimothé, G; Boncy, J; Coq, N R L; Barnhart, S

    2018-03-01

    Electronic health information systems, including electronic medical records (EMRs), have the potential to improve access to information and quality of care, among other things. Success factors and challenges for novel EMR implementations in low-resource settings have increasingly been studied, although less is known about maturing systems and sustainability. One systematic review identified seven categories of implementation success factors: ethical, financial, functionality, organizational, political, technical and training. This case study applies this framework to iSanté, Haiti's national EMR in use in more than 100 sites and housing records for more than 750 000 patients. The author group, consisting of representatives of different agencies within the Haitian Ministry of Health (MSPP), funding partner the Centers for Disease Control and Prevention (CDC) Haiti, and implementing partner the International Training and Education Center for Health (I-TECH), identify successes and lessons learned according to the seven identified categories, and propose an additional cross-cutting category, sustainability. Factors important for long-term implementation success of complex information systems are balancing investments in hardware and software infrastructure upkeep, user capacity and data quality control; designing and building a system within the context of the greater eHealth ecosystem with a plan for interoperability and data exchange; establishing system governance and strong leadership to support local system ownership and planning for system financing to ensure sustainability. Lessons learned from 10 years of implementation of the iSanté EMR system are relevant to sustainability of a full range of increasingly interrelated information systems (e.g. for laboratory, supply chain, pharmacy and human resources) in the health sector in low-resource settings. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene

  12. The design and application of comprehensive interventional surgery record:evaluation of its usefulness

    International Nuclear Information System (INIS)

    Li Xue; Chen Jinhua; Li Jun

    2010-01-01

    Objective: To design a comprehensive interventional surgery record form in order to standardize and simplify interventional work process and to increase the operative safety. Methods: A comprehensive interventional surgery record form was designed by the authors, which was suitable for making necessary record of different kinds of interventional procedures, for counting operation time, X-ray exposure time and for recording the dose, velocity and injection pressure of the contrast agent used in interventional procedure. The record form made a close combination of the nursing notes with the technological information and focused on compiling the clinical key points. The record form included independent parts for taking the preoperative, in-operative and postoperative facts and evaluations. The corresponding items after employing this record form were compared with that before using this form. The usefulness of the form was evaluated. Results: The use of comprehensive interventional surgery record form overcame the limitations of previously used interventional record chart. The previous record chart paid attention only to the vital signs and operative process, while the newly designed form emphasized the scientific management, which would make the therapeutic procedure to be more standard and the control of X-ray dose and contrast media dosage to be more strict, providing powerful data for scientific administration. After using the comprehensive interventional surgery record form both the nurses' and technicians' comprehensive abilities were improved markedly. Conclusion: The specific and comprehensive interventional record form designed by the authors fully meets the requirements of various interventional procedures, reflecting the particular needs for medical record. The use of this record form can standardize the administration of clinical interventional work. (authors)

  13. How many records should be used in ASCE/SEI-7 ground motion scaling procedure?

    Science.gov (United States)

    Reyes, Juan C.; Kalkan, Erol

    2012-01-01

    U.S. national building codes refer to the ASCE/SEI-7 provisions for selecting and scaling ground motions for use in nonlinear response history analysis of structures. Because the limiting values for the number of records in the ASCE/SEI-7 are based on engineering experience, this study examines the required number of records statistically, such that the scaled records provide accurate, efficient, and consistent estimates of “true” structural responses. Based on elastic–perfectly plastic and bilinear single-degree-of-freedom systems, the ASCE/SEI-7 scaling procedure is applied to 480 sets of ground motions; the number of records in these sets varies from three to ten. As compared to benchmark responses, it is demonstrated that the ASCE/SEI-7 scaling procedure is conservative if fewer than seven ground motions are employed. Utilizing seven or more randomly selected records provides more accurate estimate of the responses. Selecting records based on their spectral shape and design spectral acceleration increases the accuracy and efficiency of the procedure.

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

    Science.gov (United States)

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

    2017-05-17

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

  15. Review by a local medical research ethics committee of the conduct of approved research projects, by examination of patients' case notes, consent forms, and research records and by interview.

    OpenAIRE

    Smith, T.; Moore, E. J.; Tunstall-Pedoe, H.

    1997-01-01

    OBJECTIVE: To monitor the conduct of medical research projects that have already been approved by the local medical research ethics committee. DESIGN: Follow up study of ethically approved studies (randomly selected from all the studies approved in the previous year) by examination of patients' case notes, consent forms, and research records and by interview of the researchers at their workplace. SETTING: Tayside, Scotland (mixed rural and urban population). SUBJECTS: 30 research projects app...

  16. Identification of Australian Aboriginal and Torres Strait Islander Cancer Patients in the Primary Health Care Setting

    Directory of Open Access Journals (Sweden)

    Audra de Witt

    2017-08-01

    Full Text Available BackgroundAboriginal and Torres Strait Islander Australians have poorer cancer outcomes and experience 30% higher mortality rates compared to non-Indigenous Australians. Primary health care (PHC services are increasingly being recognized as pivotal in improving Indigenous cancer patient outcomes. It is currently unknown whether patient information systems and practices in PHC settings accurately record Indigenous and cancer status. Being able to identify Indigenous cancer patients accessing services in PHC settings is the first step in improving outcomes.MethodsAboriginal Medical Centres, mainstream (non-Indigenous specific, and government-operated centers in Queensland were contacted and data were collected by telephone during the period from 2014 to 2016. Participants were asked to (i identify the number of patients diagnosed with cancer attending the service in the previous year; (ii identify the Indigenous status of these patients and if this information was available; and (iii advise how this information was obtained.ResultsTen primary health care centers (PHCCs across Queensland participated in this study. Four centers were located in regional areas, three in remote areas and three in major cities. All participating centers reported ability to identify Indigenous cancer patients attending their service and utilizing electronic Patient Care Information Systems (PCIS to manage their records; however, not all centers were able to identify Indigenous cancer patients in this way. Indigenous cancer patients were identified by PHCCs using PCIS (n = 8, searching paper records (n = 1, and combination of PCIS and staff recall (n = 1. Six different types of PCIS were being utilized by participating centers. There was no standardized way to identify Indigenous cancer patients across centers. Health service information systems, search functions and capacities of systems, and staff skill in extracting data using PCIS varied between centers

  17. Coenosia Meigen (Diptera: Muscidae) from Angola: new species and records.

    Science.gov (United States)

    Couri, Marcia S; Pont, Adrian C

    2016-04-18

    The study of unidentified material from Angola (Africa), deposited in the collection of the Natural History Museum, London, United Kingdom, has revealed three new Coenosia species: Coenosia lucens sp. nov., Coenosia flavohumeralis sp. nov. and Coenosia setosa sp. nov., and five new records: Coenosia macrochaeta (Emden, 1940), Coenosia nodosa Stein, 1913, Coenosia ochroprocta (Speiser, 1910), Coenosia planifrons Stein, 1913 and Coenosia translucida (Emden, 1940). Only one species of Coenosia had previously been recorded from Angola: Coenosia sanguenguei Zielke 1971. The new species are described with illustrations of the male terminalia, and diagnoses of the newly-recorded species with descriptions of the male terminalia are given. A list of all Muscidae species recorded from Angola is presented.

  18. Development and pilot study of an essential set of indicators for general surgery services.

    Science.gov (United States)

    Soria-Aledo, Victor; Angel-Garcia, Daniel; Martinez-Nicolas, Ismael; Rebasa Cladera, Pere; Cabezali Sanchez, Roger; Pereira García, Luis Francisco

    2016-11-01

    At present there is a lack of appropriate quality measures for benchmarking in general surgery units of Spanish National Health System. The aim of this study is to present the selection, development and pilot-testing of an initial set of surgical quality indicators for this purpose. A modified Delphi was performed with experts from the Spanish Surgeons Association in order to prioritize previously selected indicators. Then, a pilot study was carried out in a public hospital encompassing qualitative analysis of feasibility for prioritized indicators and an additional qualitative and quantitative three-rater reliability assessment for medical record-based indicators. Observed inter-rater agreement, prevalence adjusted and bias adjusted kappa and non-adjusted kappa were performed, using a systematic random sample (n=30) for each of these indicators. Twelve out of 13 proposed indicators were feasible: 5 medical record-based indicators and 7 indicators based on administrative databases. From medical record-based indicators, 3 were reliable (observed agreement >95%, adjusted kappa index >0.6 or non-adjusted kappa index >0.6 for composites and its components) and 2 needed further refinement. Currently, medical record-based indicators could be used for comparison purposes, whilst further research must be done for validation and risk-adjustment of outcome indicators from administrative databases. Compliance results in the adequacy of informed consent, diagnosis-to-treatment delay in colorectal cancer, and antibiotic prophylaxis show room for improvement in the pilot-tested hospital. Copyright © 2016 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  19. Linking mothers and infants within electronic health records: a comparison of deterministic and probabilistic algorithms.

    Science.gov (United States)

    Baldwin, Eric; Johnson, Karin; Berthoud, Heidi; Dublin, Sascha

    2015-01-01

    To compare probabilistic and deterministic algorithms for linking mothers and infants within electronic health records (EHRs) to support pregnancy outcomes research. The study population was women enrolled in Group Health (Washington State, USA) delivering a liveborn infant from 2001 through 2008 (N = 33,093 deliveries) and infant members born in these years. We linked women to infants by surname, address, and dates of birth and delivery using deterministic and probabilistic algorithms. In a subset previously linked using "gold standard" identifiers (N = 14,449), we assessed each approach's sensitivity and positive predictive value (PPV). For deliveries with no "gold standard" linkage (N = 18,644), we compared the algorithms' linkage proportions. We repeated our analyses in an independent test set of deliveries from 2009 through 2013. We reviewed medical records to validate a sample of pairs apparently linked by one algorithm but not the other (N = 51 or 1.4% of discordant pairs). In the 2001-2008 "gold standard" population, the probabilistic algorithm's sensitivity was 84.1% (95% CI, 83.5-84.7) and PPV 99.3% (99.1-99.4), while the deterministic algorithm had sensitivity 74.5% (73.8-75.2) and PPV 95.7% (95.4-96.0). In the test set, the probabilistic algorithm again had higher sensitivity and PPV. For deliveries in 2001-2008 with no "gold standard" linkage, the probabilistic algorithm found matched infants for 58.3% and the deterministic algorithm, 52.8%. On medical record review, 100% of linked pairs appeared valid. A probabilistic algorithm improved linkage proportion and accuracy compared to a deterministic algorithm. Better linkage methods can increase the value of EHRs for pregnancy outcomes research. Copyright © 2014 John Wiley & Sons, Ltd.

  20. Word length, set size, and lexical factors: Re-examining what causes the word length effect.

    Science.gov (United States)

    Guitard, Dominic; Gabel, Andrew J; Saint-Aubin, Jean; Surprenant, Aimée M; Neath, Ian

    2018-04-19

    The word length effect, better recall of lists of short (fewer syllables) than long (more syllables) words has been termed a benchmark effect of working memory. Despite this, experiments on the word length effect can yield quite different results depending on set size and stimulus properties. Seven experiments are reported that address these 2 issues. Experiment 1 replicated the finding of a preserved word length effect under concurrent articulation for large stimulus sets, which contrasts with the abolition of the word length effect by concurrent articulation for small stimulus sets. Experiment 2, however, demonstrated that when the short and long words are equated on more dimensions, concurrent articulation abolishes the word length effect for large stimulus sets. Experiment 3 shows a standard word length effect when output time is equated, but Experiments 4-6 show no word length effect when short and long words are equated on increasingly more dimensions that previous demonstrations have overlooked. Finally, Experiment 7 compared recall of a small and large neighborhood words that were equated on all the dimensions used in Experiment 6 (except for those directly related to neighborhood size) and a neighborhood size effect was still observed. We conclude that lexical factors, rather than word length per se, are better predictors of when the word length effect will occur. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

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

    DEFF Research Database (Denmark)

    Buus, N.; Hamilton, B. E.

    2016-01-01

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

  2. Radiation dose during mammography using various recording systems

    International Nuclear Information System (INIS)

    Heep, H.; Buelow-Johansen, T.; Klemencic, J.; Wegwitz, J.; Stadtkrankenhaus Offenbach

    1978-01-01

    Patient dose during mammography for various recording systems, such as film, film-screen combination and xeromammography was measured by thermoluminescent densitometers. In the first set of experiments we measured dose per exposure, in a second set total surface dose at five points on the breast, using the following combintions: a) Two industrial film exposures and one xeromammographic exposure. b) two film-screen exposures and one xeromammographic exposure. c) One industrial film and two xeromammographic exposures. (orig.) [de

  3. Kummer strikes back : new DH speed records

    NARCIS (Netherlands)

    Bernstein, D.J.; Chuengsatiansup, C.; Lange, T.; Schwabe, P.; Sarkar, P.; Iwata, T.

    2014-01-01

    This paper sets new speed records for high-security constant-time variable-base-point Diffie-Hellman software: 305395 Cortex-A8-slow cycles; 273349 Cortex-A8-fast cycles; 88916 Sandy Bridge cycles; 88448 Ivy Bridge cycles; 54389 Haswell cycles. There are no higher speeds in the literature for any of

  4. Genetic influence demonstrated for MEG-recorded somatosensory evoked responses

    NARCIS (Netherlands)

    van 't Ent, D.; van Soelen, I.L.C.; Stam, K.J.; de Geus, E.J.C.; Boomsma, D.I.

    2010-01-01

    We tested for a genetic influence on magnetoencephalogram (MEG)-recorded somatosensory evoked fields (SEFs) in 20 monozygotic (MZ) and 14 dizygotic (DZ) twin pairs. Previous electroencephalogram (EEG) studies that demonstrated a genetic contribution to evoked responses generally focused on

  5. Complement Set Reference after Implicitly Small Quantities: An Event-Related Potentials Study

    Science.gov (United States)

    Ingram, Joanne; Ferguson, Heather J.

    2018-01-01

    An anaphoric reference to the complement-set is a reference to the set that does not fulfil the predicate of the preceding sentence. Preferred reference to the complement-set has been found in eye movements when a character's implicit desire for a high amount has been denied using a negative emotion. We recorded event-related potentials to examine…

  6. A prototype of a computerized patient record.

    Science.gov (United States)

    Adelhard, K; Eckel, R; Hölzel, D; Tretter, W

    1995-01-01

    Computerized medical record systems (CPRS) should present user and problem oriented views of the patient file. Problem lists, clinical course, medication profiles and results of examinations have to be recorded in a computerized patient record. Patient review screens should give a synopsis of the patient data to inform whenever the patient record is opened. Several different types of data have to be stored in a patient record. Qualitative and quantitative measurements, narratives and images are such examples. Therefore, a CPR must also be able to handle these different data types. New methods and concepts appear frequently in medicine. Thus a CPRS must be flexible enough to cope with coming demands. We developed a prototype of a computer based patient record with a graphical user interface on a SUN workstation. The basis of the system are a dynamic data dictionary, an interpreter language and a large set of basic functions. This approach gives optimal flexibility to the system. A lot of different data types are already supported. Extensions are easily possible. There is also almost no limit concerning the number of medical concepts that can be handled by our prototype. Several applications were built on this platform. Some of them are presented to exemplify the patient and problem oriented handling of the CPR.

  7. Objective past of a quantum universe: Redundant records of consistent histories

    Science.gov (United States)

    Riedel, C. Jess; Zurek, Wojciech H.; Zwolak, Michael

    2016-03-01

    Motivated by the advances of quantum Darwinism and recognizing the role played by redundancy in identifying the small subset of quantum states with resilience characteristic of objective classical reality, we explore the implications of redundant records for consistent histories. The consistent histories formalism is a tool for describing sequences of events taking place in an evolving closed quantum system. A set of histories is consistent when one can reason about them using Boolean logic, i.e., when probabilities of sequences of events that define histories are additive. However, the vast majority of the sets of histories that are merely consistent are flagrantly nonclassical in other respects. This embarras de richesses (known as the set selection problem) suggests that one must go beyond consistency to identify how the classical past arises in our quantum universe. The key intuition we follow is that the records of events that define the familiar objective past are inscribed in many distinct systems, e.g., subsystems of the environment, and are accessible locally in space and time to observers. We identify histories that are not just consistent but redundantly consistent using the partial-trace condition introduced by Finkelstein as a bridge between histories and decoherence. The existence of redundant records is a sufficient condition for redundant consistency. It selects, from the multitude of the alternative sets of consistent histories, a small subset endowed with redundant records characteristic of the objective classical past. The information about an objective history of the past is then simultaneously within reach of many, who can independently reconstruct it and arrive at compatible conclusions in the present.

  8. Density Functional Theory and the Basis Set Truncation Problem with Correlation Consistent Basis Sets: Elephant in the Room or Mouse in the Closet?

    Science.gov (United States)

    Feller, David; Dixon, David A

    2018-03-08

    Two recent papers in this journal called into question the suitability of the correlation consistent basis sets for density functional theory (DFT) calculations, because the sets were designed for correlated methods such as configuration interaction, perturbation theory, and coupled cluster theory. These papers focused on the ability of the correlation consistent and other basis sets to reproduce total energies, atomization energies, and dipole moments obtained from "quasi-exact" multiwavelet results. Undesirably large errors were observed for the correlation consistent basis sets. One of the papers argued that basis sets specifically optimized for DFT methods were "essential" for obtaining high accuracy. In this work we re-examined the performance of the correlation consistent basis sets by resolving problems with the previous calculations and by making more appropriate basis set choices for the alkali and alkaline-earth metals and second-row elements. When this is done, the statistical errors with respect to the benchmark values and with respect to DFT optimized basis sets are greatly reduced, especially in light of the relatively large intrinsic error of the underlying DFT method. When judged with respect to high-quality Feller-Peterson-Dixon coupled cluster theory atomization energies, the PBE0 DFT method used in the previous studies exhibits a mean absolute deviation more than a factor of 50 larger than the quintuple zeta basis set truncation error.

  9. A comparison of computer- and hand-generated clinical dental notes with statutory regulations in record keeping.

    Science.gov (United States)

    McAndrew, R; Ban, J; Playle, R

    2012-02-01

    Dental patient records should be of high quality, contain information to allow for good continuity of care and clinical defence (should the need ever arise) and, ideally, facilitate clinical audit. Handwritten dental records have been assessed for their compliance to statutory regulations, but the same cannot be levelled at computer-generated notes. This study aimed to compare and analyse the compliance of both methods of data recording with statutory regulations. Fifty consecutive sets of handwritten notes and 50 sets of computer-generated notes were audited for compliance with a number of legal requirements and desirable characteristics for dental records and the results compared. The standard set for compliance with all characteristics was 100%. The computer-generated notes satisfied the set standard for 8 of the 11 legal requirements and three of six desirable characteristics. The handwritten notes satisfied the set standard for 1 of 11 legal requirements and none of the desirable characteristics. A statistical difference (using a 95% confidence interval) between the two methods was observed in 5 of 11 legal characteristics and three of six desirable characteristics, all of which were in favour of computer-generated notes. Within the limitations of this study, computer-generated notes achieved a much higher compliance rate with the set parameters, making defence in cases of litigation, continuity of care and clinical audit easier and more efficient. © 2011 John Wiley & Sons A/S.

  10. New distributional records of amphibians and reptiles from northern Oaxaca, México

    OpenAIRE

    González, Cynthia; Brenis, Ángel; Arrazola, Teresa

    2014-01-01

    During 2011 we performed a microregional inventory of amphibians and reptiles from the south-central region of the Papaloapan basin in northern Oaxaca. We recorded one amphibian species previously unknown in the state, and recorded range extensions for two additional amphibian and four reptile species. This increases the known herpetofauna of Oaxaca to 378 species.

  11. Evaluation of Electronic Health Record Implementation in Hospitals.

    Science.gov (United States)

    Tubaishat, Ahmad

    2017-07-01

    The effectiveness of electronic health records has not previously been widely evaluated. Thus, this national cross-sectional study was conducted to evaluate electronic health records, from the perspective of nurses, by examining how they use the records, their opinions on the quality of the systems, and their overall levels of satisfaction with electronic health records. The relationship between these constructs was measured, and its predictors were investigated. A random sample of Jordanian hospitals that used electronic health records was selected, and data were gathered using a self-administered questionnaire, based on the DeLone and McLean Information Systems Success model. In total, 1648 nurses from 17 different hospitals participated in the study. Results indicated that nurses were largely positive about the use and quality of the systems and were satisfied with electronic health records. Significant positive correlations were found between these constructs, and a number of demographical and situational factors were found to have an effect on nurses' perceptions. The study provides a systematic evaluation of different facets of electronic health records, which is fundamental for recognizing the motives and challenges for success and for further enhancing this success. The work proves that nurses favor the use of electronic health records and are satisfied with it and perceive its high quality, and the findings should therefore encourage their ongoing implementation.

  12. The Pleistocene Eastern Equatorial Pacific: Insights from a New Carnegie Platform Stratigraphic Record

    Science.gov (United States)

    Gwizd, S.; Lea, D. W.

    2016-12-01

    Renewed interest in a classic Eastern Equatorial Pacific paleoceanographic site at 3° 35.85' S, 83° 57.79' W, previous site of cores V19-29 and TR163-31, prompted a re-coring in 2009 using the recently developed CDH giant piston coring system on cruise KNR195-5. Giant piston core CDH-36 (3225 m depth, 42.61 m length) nearly triples the length of previous cores at this site. When spliced together with companion multicore MC-34A (0.36 m length), these two cores generate continuous stratigraphy throughout most of the middle Pleistocene, and include recognized stratigraphic tie points ash layer "L" (Ninkovich and Shackleton, 1975) and the extinction of pink G. ruber. A new age model utilizing Bayesian analysis of 17 N. dutertrei radiocarbon dates in MC-34A and the top 3.4 m of CDH-36, and alignment of a new CDH-36 δ18O record with the LR04 benthic stack (Lisiecki and Raymo, 2005), demonstrates that this new "Carnegie Platform" (CP) record extends from 0 to 720 ka (MIS 18), tripling the timescale of previous studies, with an average sedimentation rate of 7 cm/kyr. The CP C. wuellerstorfi δ18O and δ13C records reveal strong consistencies in timing and extent of glacial and interglacial episodes with previously studied regional records. Coarse fraction percentage (%CF) ([coarse fraction/bulk dry sample] * 100) is also evaluated throughout the CP core in order to qualitatively assess dissolution cycles. The CP %CF dataset primarily records Pleistocene dissolution cycles, yet exhibits variability representative of potential local bathymetric and hydrographic effects. The timing of %CF cyclicity is consistent with processes which affect basin-wide calcium carbonate dissolution cycles, including changes in terrestrial carbon input to the oceans and changes in water mass ventilation (Shackleton, 1977; Toggweiler et al., 2006; Sexton and Barker, 2012). Establishing the stratigraphy of the CP record provides the first step towards a more thorough and extended analysis of

  13. Thyroid abnormalities in patients previously treated with irradiation for acne vulgaris

    International Nuclear Information System (INIS)

    Thomson, D.B.; Grammes, C.F.; Starkey, R.H.; Monsaert, R.P.; Sunderlin, F.S.

    1984-01-01

    Of 1,203 patients who received radiation treatment for acne vulgaris between 1940 and 1968, 302 patients were recalled and examined, 121 at Geisinger Medical Center and the remainder by their local physicians. Radiation records were reviewed on all patients. Lead-rubber and cones had been used as shielding. Mean age at the time of exposure was 21 years and mean total exposure was 692 R. Palpable nodular thyroid disease was found in eight patients (2.6%). Of these, thyroid carcinoma was detected in two patients (0.66%). Although the number of patients examined was small, the incidence of carcinomas was unexpectedly high. We conclude that follow-up examination is worthwhile for patients previously treated by irradiation for acne vulgaris

  14. A New Data Layout For Set Intersection on GPUs

    DEFF Research Database (Denmark)

    Amossen, Rasmus Resen; Pagh, Rasmus

    2011-01-01

    . However, GPUs require highly regular control flow and memory access patterns, and for this reason previous GPU methods for intersecting sets have used a simple bitmap representation. This representation requires excessive space on sparse data sets. In this paper we present a novel data layout, BATMAP...

  15. Technology as friend or foe? Do electronic health records increase burnout?

    Science.gov (United States)

    Ehrenfeld, Jesse M; Wanderer, Jonathan P

    2018-06-01

    To summarize recent relevant studies regarding the use of electronic health records and physician burnout. Recently acquired knowledge regarding the relationship between electronic health record use, professional satisfaction, burnout, and desire to leave clinical practice are discussed. Adoption of electronic health records has increased across the United States and worldwide. Although electronic health records have many benefits, there is growing concern about the adverse consequences of their use on physician satisfaction and burnout. Poor usability, incongruent workflows, and the addition of clerical tasks to physician documentation requirements have been previously highlighted as ongoing concerns with electronic health record adoption. In multiple recent studies, electronic health records have been shown to decrease professional satisfaction, increase burnout, and the likelihood that a physician will reduce or leave clinical practice. One interventional study demonstrated a positive effect of a dedicated electronic health record entry clerk on physicians working in an outpatient practice.

  16. Setting up Schizosaccharomyces pombe crosses/matings

    DEFF Research Database (Denmark)

    Ekwall, Karl; Thon, Genevieve

    2017-01-01

    Here we provide methods for setting up standard crosses with Schizosaccharomyces pombe strains. All strain genotypes and pedigrees should be recorded in a laboratory strain book. Matings between two haploid strains of interest are induced on solid medium poor in nitrogen. Usually, sporulation agar...

  17. Quality assurance records and records' system

    International Nuclear Information System (INIS)

    Link, M.; Martinek, J.

    1980-01-01

    For nuclear power plants extensive proof of quality is required which has to be documented reliably by quality records. With respect to the paper volume it is the most comprehensive 'curriculum vitae' of the technique. Traditional methods of information and recording are unsatisfactory for meeting regulatory requirements for maintaining the QA-aspects of status reporting, completeness, traceability and retrieval. Therefore KWU has established a record (documentation) subsystem within the overall component qualification system. Examples of the general documentation requirements, the procedure and handling in accordance with this subsystem for mechanical equipment are to be described examplarily. Topics are: - National and international requirements - Definition of QA records - Modular and product orientated KWU-record subsystem - Criteria for developing records - Record control, distribution, collection, storage - New documentation techniques (microfilm, data processing) - Education and training of personnel. (orig./RW)

  18. Cosmic-ray exposure records and origins of meteorites

    International Nuclear Information System (INIS)

    Reedy, R.C.

    1985-01-01

    The cosmic-ray records of meteorites are used to infer much about their origins and recent histories. The methods used to interpret meteorites cosmic-ray records, especially identifying simple or complex exposure histories, often are inadequate. Spallogenic radionuclides, stable nuclides, and measurements of products that have location-sensitive production rates, such as the tracks of heavy cosmic-ray nuclei or neutron-capture nuclides, are very useful in accurately determining a meteorite's history. Samples from different, known locations of a meteorite help in studying the cosmic-ray record. Such extensive sets of meteorite measuremetns, plus theoretical modeling of complex histories, improves the ability to predict the production of cosmogenic nuclides in meteorites, to distinguish simple and complex exposure histories, and to better determine exposure ages

  19. First record of the vulnerable social parasite ant Plagiolepis grassei in Italy (Hymenoptera: Formicidae

    Directory of Open Access Journals (Sweden)

    Enrico Schifani

    2017-06-01

    Full Text Available The first Italian records of the rare parasitic ant species Plagiolepis grassei Le Masne, 1956 are here reported. This species is considered as “Vulnerable” by the IUCN’s Red List, and was previously recorded from France and Spain only.

  20. A volcanic event forecasting model for multiple tephra records, demonstrated on Mt. Taranaki, New Zealand

    Science.gov (United States)

    Damaschke, Magret; Cronin, Shane J.; Bebbington, Mark S.

    2018-01-01

    Robust time-varying volcanic hazard assessments are difficult to develop, because they depend upon having a complete and extensive eruptive activity record. Missing events in eruption records are endemic, due to poor preservation or erosion of tephra and other volcanic deposits. Even with many stratigraphic studies, underestimation or overestimation of eruption numbers is possible due to mis-matching tephras with similar chemical compositions or problematic age models. It is also common to have gaps in event coverage due to sedimentary records not being available in all directions from the volcano, especially downwind. Here, we examine the sensitivity of probabilistic hazard estimates using a suite of four new and two existing high-resolution tephra records located around Mt. Taranaki, New Zealand. Previous estimates were made using only single, or two correlated, tephra records. In this study, tephra data from six individual sites in lake and peat bogs covering an arc of 120° downwind of the volcano provided an excellent temporal high-resolution event record. The new data confirm a previously identified semi-regular pattern of variable eruption frequency at Mt. Taranaki. Eruption intervals exhibit a bimodal distribution, with eruptions being an average of 65 years apart, and in 2% of cases, centuries separate eruptions. The long intervals are less common than seen in earlier studies, but they have not disappeared with the inclusion of our comprehensive new dataset. Hence, the latest long interval of quiescence, since AD 1800, is unusual, but not out of character with the volcano. The new data also suggest that one of the tephra records (Lake Rotokare) used in earlier work had an old carbon effect on age determinations. This shifted ages of the affected tephras so that they were not correlated to other sites, leading to an artificially high eruption frequency in the previous combined record. New modelled time-varying frequency estimates suggest a 33

  1. New teratological examples in Neotropical Staphylinidae (Insecta: Coleoptera, with a compilation of previous teratological records Nuevos ejemplos teratológicos en Staphylinidae neotropicales (Insecta: Coleoptera, con una compilación de registros teratológicos previos

    Directory of Open Access Journals (Sweden)

    Julieta Asiain

    2009-04-01

    Full Text Available Teratology is the study of malformations that affect various organisms and may cause taxonomic confusion. The goal of this work is to compile the previously published information about malformations in species of Staphylinidae, to describe 10 teratological cases that have not been previously recorded in neotropical species of this family, and to point out the high frequency of these malformations in the studied specimens. The previously recorded cases were obtained from review of 13 papers, and the studied specimens were obtained on loan from several collections. In total, 43 teratological cases were compiled for Staphylinidae, belonging to 39 species from 8 subfamilies. Ten teratological cases are described for specimens from Belonuchus, Agrodes and Plochionocerus. One of them occurs in B. apiciventris, 2 in A. elegans, 3 in P. humeralis, 3 in P. fulgens and 1 in P. splendens. Most of the anomalies affect the antennae (7 cases, but teratologies that affect mandibles (1 case, midlegs (1 case and pronotum (1 case are also presented.Teratología es el estudio de las malformaciones que afectan a distintos organismos y que pueden causar confusiones taxonómicas. El objetivo del presente estudio es recopilar la información previamente publicada sobre teratologías en especies de Staphylinidae, dar a conocer 10 casos de anomalías presentes en especies neotropicales de esta familia que no han sido reportadas con anterioridad, así como resaltar la alta frecuencia de estas deformaciones en los organismos estudiados. Los casos previamente reportados se obtuvieron de la revisión de 13 trabajos, mientras que los ejemplares estudiados proceden del préstamo de organismos de distintas colecciones. Se recopiló un total de 43 casos teratológicos para Staphylinidae, pertenecientes a 39 especies de ocho subfamilias. Se describen 10 casos teratológicos en ejemplares de Agrodes, Plochionocerus y Belonuchus, 2 de ellos se presentaron en A. elegans, 1 en B

  2. The Cadmio XML healthcare record.

    Science.gov (United States)

    Barbera, Francesco; Ferri, Fernando; Ricci, Fabrizio L; Sottile, Pier Angelo

    2002-01-01

    The management of clinical data is a complex task. Patient related information reported in patient folders is a set of heterogeneous and structured data accessed by different users having different goals (in local or geographical networks). XML language provides a mechanism for describing, manipulating, and visualising structured data in web-based applications. XML ensures that the structured data is managed in a uniform and transparent manner independently from the applications and their providers guaranteeing some interoperability. Extracting data from the healthcare record and structuring them according to XML makes the data available through browsers. The MIC/MIE model (Medical Information Category/Medical Information Elements), which allows the definition and management of healthcare records and used in CADMIO, a HISA based project, is described in this paper, using XML for allowing the data to be visualised through web browsers.

  3. Winning in straight sets helps in Grand Slam tennis

    NARCIS (Netherlands)

    Goossens, Dries R.; Kempeneers, Jurgen; Koning, Ruud H.; Spieksma, Frits C. R.

    2015-01-01

    In this contribution, we study whether fatigue resulting from the previous match affects a player's chances of winning his (or her) next match in Grand Slum tennis. We measure relative fatigue levels of two opponents by looking at the difference in number of sets played in their previous match. We

  4. The study and development of magnetic recording heads. A thin film integrated magnetic head

    International Nuclear Information System (INIS)

    Lazzari, Jean-Pierre

    1970-01-01

    A new integrated magnetic head is described. The head was made by vacuum deposition using a mask. A magnetically coupled multilayer construction led to high performance. The results obtained indicate that the device functions equally well, for reading and writing. A set of calculations was developed which could simulate and optimize the behavior of the recording head. The results obtained with the writing were in good agreement with those obtained from experiments and quite different from results which have been several times previously published. In addition a new method was developed for measuring high fields in confined spaces; a 1000 A diameter probe was used in conjunction with a low angle diffraction procedure. The measurements give results which are very different from those obtained by current theories based on the magnetic potentials at the surface. (author) [fr

  5. A holographic color camera for recording artifacts

    International Nuclear Information System (INIS)

    Jith, Abhay

    2013-01-01

    Advent of 3D televisions has created a new wave of public interest in images with depth. Though these technologies create moving pictures with apparent depth, it lacks the visual appeal and a set of other positive aspects of color holographic images. The above new wave of interest in 3D will definitely help to fuel popularity of holograms. In view of this, a low cost and handy color holography camera is designed for recording color holograms of artifacts. It is believed that such cameras will help to record medium format color holograms outside conventional holography laboratories and to popularize color holography. The paper discusses the design and the results obtained.

  6. A record and verify system for radiotherapy treatment

    International Nuclear Information System (INIS)

    Koens, M.L.; Vroome, H. de

    1984-01-01

    The Record and Verify system developed for the radiotherapy department of the Leiden University Hospital is described. The system has been in use since 1980 and will now be installed in at least four of the Dutch University Hospitals. The system provides the radiographer with a powerful tool for checking the set-up of the linear accelerator preceeding the irradiation of a field. After the irradiation of a field the machine settings are registered in the computer system together with the newly calculated cumulative dose. These registrations are used by the system to produce a daily report which provides the management of the department with insight into the established differences between treatment and treatment planning. Buying a record and verify system from the manufacturer of the linear accelerator is not an optimal solution especially for a department with more than one accelerator from different manufacturers. Integration in a Hospital Information System (HIS) has important advantages over the development of a dedicated departmental system. (author)

  7. 40 CFR 86.440-78 - Maintenance of records.

    Science.gov (United States)

    2010-07-01

    ...) Individual records. (i) A brief history of each motocycle used for certification under this subpart including... time in the period covered by the history, not described by an entry under one of the previous headings... engine or emissions control system performance, giving the date and time of the test and the reason for...

  8. Postnatal Growth Rates of Hummingbirds : Review and New Records

    NARCIS (Netherlands)

    Freymann, Bernd P.; Schuchmann, Karl-Ludwig

    2008-01-01

    We review the published information on postnatal growth rates of hummingbirds (13 species), and report previously unpublished records for nine additional trochilid species. The allometric relationship based on the log(10)-transformed data of K (logistic growth rate constant) and body mass has a

  9. Video Recording With a GoPro in Hand and Upper Extremity Surgery.

    Science.gov (United States)

    Vara, Alexander D; Wu, John; Shin, Alexander Y; Sobol, Gregory; Wiater, Brett

    2016-10-01

    Video recordings of surgical procedures are an excellent tool for presentations, analyzing self-performance, illustrating publications, and educating surgeons and patients. Recording the surgeon's perspective with high-resolution video in the operating room or clinic has become readily available and advances in software improve the ease of editing these videos. A GoPro HERO 4 Silver or Black was mounted on a head strap and worn over the surgical scrub cap, above the loupes of the operating surgeon. Five live surgical cases were recorded with the camera. The videos were uploaded to a computer and subsequently edited with iMovie or the GoPro software. The optimal settings for both the Silver and Black editions, when operating room lights are used, were determined to be a narrow view, 1080p, 60 frames per second (fps), spot meter on, protune on with auto white balance, exposure compensation at -0.5, and without a polarizing lens. When the operating room lights were not used, it was determined that the standard settings for a GoPro camera were ideal for positioning and editing (4K, 15 frames per second, spot meter and protune off). The GoPro HERO 4 provides high-quality, the surgeon perspective, and a cost-effective video recording of upper extremity surgical procedures. Challenges include finding the optimal settings for each surgical procedure and the length of recording due to battery life limitations. Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  10. UMD-USHbases: a comprehensive set of databases to record and analyse pathogenic mutations and unclassified variants in seven Usher syndrome causing genes.

    Science.gov (United States)

    Baux, David; Faugère, Valérie; Larrieu, Lise; Le Guédard-Méreuze, Sandie; Hamroun, Dalil; Béroud, Christophe; Malcolm, Sue; Claustres, Mireille; Roux, Anne-Françoise

    2008-08-01

    Using the Universal Mutation Database (UMD) software, we have constructed "UMD-USHbases", a set of relational databases of nucleotide variations for seven genes involved in Usher syndrome (MYO7A, CDH23, PCDH15, USH1C, USH1G, USH3A and USH2A). Mutations in the Usher syndrome type I causing genes are also recorded in non-syndromic hearing loss cases and mutations in USH2A in non-syndromic retinitis pigmentosa. Usher syndrome provides a particular challenge for molecular diagnostics because of the clinical and molecular heterogeneity. As many mutations are missense changes, and all the genes also contain apparently non-pathogenic polymorphisms, well-curated databases are crucial for accurate interpretation of pathogenicity. Tools are provided to assess the pathogenicity of mutations, including conservation of amino acids and analysis of splice-sites. Reference amino acid alignments are provided. Apparently non-pathogenic variants in patients with Usher syndrome, at both the nucleotide and amino acid level, are included. The UMD-USHbases currently contain more than 2,830 entries including disease causing mutations, unclassified variants or non-pathogenic polymorphisms identified in over 938 patients. In addition to data collected from 89 publications, 15 novel mutations identified in our laboratory are recorded in MYO7A (6), CDH23 (8), or PCDH15 (1) genes. Information is given on the relative involvement of the seven genes, the number and distribution of variants in each gene. UMD-USHbases give access to a software package that provides specific routines and optimized multicriteria research and sorting tools. These databases should assist clinicians and geneticists seeking information about mutations responsible for Usher syndrome.

  11. Highly scalable parallel processing of extracellular recordings of Multielectrode Arrays.

    Science.gov (United States)

    Gehring, Tiago V; Vasilaki, Eleni; Giugliano, Michele

    2015-01-01

    Technological advances of Multielectrode Arrays (MEAs) used for multisite, parallel electrophysiological recordings, lead to an ever increasing amount of raw data being generated. Arrays with hundreds up to a few thousands of electrodes are slowly seeing widespread use and the expectation is that more sophisticated arrays will become available in the near future. In order to process the large data volumes resulting from MEA recordings there is a pressing need for new software tools able to process many data channels in parallel. Here we present a new tool for processing MEA data recordings that makes use of new programming paradigms and recent technology developments to unleash the power of modern highly parallel hardware, such as multi-core CPUs with vector instruction sets or GPGPUs. Our tool builds on and complements existing MEA data analysis packages. It shows high scalability and can be used to speed up some performance critical pre-processing steps such as data filtering and spike detection, helping to make the analysis of larger data sets tractable.

  12. 3D-Audio Matting, Postediting, and Rerendering from Field Recordings

    Directory of Open Access Journals (Sweden)

    Guillaume Lemaitre

    2007-01-01

    Full Text Available We present a novel approach to real-time spatial rendering of realistic auditory environments and sound sources recorded live, in the field. Using a set of standard microphones distributed throughout a real-world environment, we record the sound field simultaneously from several locations. After spatial calibration, we segment from this set of recordings a number of auditory components, together with their location. We compare existing time delay of arrival estimation techniques between pairs of widely spaced microphones and introduce a novel efficient hierarchical localization algorithm. Using the high-level representation thus obtained, we can edit and rerender the acquired auditory scene over a variety of listening setups. In particular, we can move or alter the different sound sources and arbitrarily choose the listening position. We can also composite elements of different scenes together in a spatially consistent way. Our approach provides efficient rendering of complex soundscapes which would be challenging to model using discrete point sources and traditional virtual acoustics techniques. We demonstrate a wide range of possible applications for games, virtual and augmented reality, and audio visual post production.

  13. New plant records for the Marathwada region of Maharashtra, India

    Directory of Open Access Journals (Sweden)

    S.P. Gaikwad

    2014-06-01

    Full Text Available Floristic investigation of Balaghat ranges, resulted in an addition of ten flowering plants not previously recorded from Marathwada region. A brief taxonomic description along with distribution, phenology and GPS data is provided for each taxon.

  14. Laparoscopy After Previous Laparotomy

    Directory of Open Access Journals (Sweden)

    Zulfo Godinjak

    2006-11-01

    Full Text Available Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previouslaparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.

  15. Anaphylaxis in an emergency care setting

    DEFF Research Database (Denmark)

    Ruiz Oropeza, Athamaica; Lassen, Annmarie; Halken, Susanne

    2017-01-01

    BACKGROUND: Current data on anaphylaxis is based on retrospective and register based studies. The objective of this study was to describe the epidemiology of anaphylaxis in a 1 year prospective study at the emergency care setting, Odense University Hospital, Denmark (2013-2014). METHODS: Prospect......BACKGROUND: Current data on anaphylaxis is based on retrospective and register based studies. The objective of this study was to describe the epidemiology of anaphylaxis in a 1 year prospective study at the emergency care setting, Odense University Hospital, Denmark (2013-2014). METHODS......: Prospective study at the emergency care setting, Odense University Hospital, Denmark (2013-2014). To identify anaphylaxis cases, records from all patients with clinical suspicion on anaphylaxis or a related diagnosis according to the International Classification of Diseases 10 and from patients treated...... at the emergency care setting or at prehospital level with adrenaline, antihistamines or glucocorticoids were reviewed daily. The identified cases were referred to the Allergy Center, where a standardized interview regarding the anaphylactic reaction was conducted. International guidelines were applied...

  16. New species and new records of bryozoans from shallow waters of Madeira Island.

    Science.gov (United States)

    Souto, Javier; Kaufmann, Manfred J; Canning-Clode, João

    2015-03-03

    Two new species of bryozoans encrusting subtidal rocks are described from the shallow waters of Madeira Island. We describe one cyclostome, Favosipora purpurea sp. nov., which represents the first record of this genus in the Atlantic Ocean, and one cheilostome, Rhynchozoon papuliferum sp. nov. In addition, one species, Beania maxilladentata, is recorded for the first time outside of Rio de Janeiro, Brazil. Six other species previously recorded in Madeira are redescribed to provide new data and SEM images.

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

    Science.gov (United States)

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

    2015-10-01

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

  18. Diallel analysis of fruit set in Hevea brasiliensis Muell. Arg.

    Directory of Open Access Journals (Sweden)

    Kenneth O. Omokhafe

    2007-03-01

    Full Text Available The clonal and inter-clonal combining ability of fruit set in a Hevea brasiliensis four-parent diallel mating was evaluated using a randomized complete block experimental design with three replicates. Twelve main and reciprocal crosses were hand pollinated and percentage fruit set was recorded. The raw data were subjected to an arc-sine transformation for analysis of variance, and general and specific combining ability. There was significant variation of each of fruit set for the various crosses, general combining ability and reciprocal effect. The breeding implications of these results are also discussed.

  19. Stratospheric Water and OzOne Satellite Homogenized (SWOOSH) data set

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Stratospheric Water and Ozone Satellite Homogenized (SWOOSH) data set is a merged record of stratospheric ozone and water vapor measurements taken by a number of...

  20. Upon Further Review: V. An Examination of Previous Lightcurve Analysis from the Palmer Divide Observatory

    Science.gov (United States)

    Warner, Brian D.

    2011-01-01

    Updated results are given for nine asteroids previously reported from the Palmer Divide Observatory (PDO). The original images were re-measured to obtain new data sets using the latest version of MPO Canopus photometry software, analysis tools, and revised techniques for linking multiple observing runs covering several days to several weeks. Results that were previously not reported or were moderately different were found for 1659 Punkajarju, 1719 Jens, 1987 Kaplan, 2105 Gudy, 2961 Katsurahama, 3285 Ruth Wolfe, 3447 Burckhalter, 7816 Hanoi, and (34817) 2000 SE116. This is one in a series of papers that will examine results obtained during the initial years of the asteroid lightcurve program at PDO.

  1. Do electronic health records affect the patient-psychiatrist relationship? A before & after study of psychiatric outpatients

    Directory of Open Access Journals (Sweden)

    Schuyler Mark

    2010-01-01

    Full Text Available Abstract Background A growing body of literature shows that patients accept the use of computers in clinical care. Nonetheless, studies have shown that computers unequivocally change both verbal and non-verbal communication style and increase patients' concerns about the privacy of their records. We found no studies which evaluated the use of Electronic Health Records (EHRs specifically on psychiatric patient satisfaction, nor any that took place exclusively in a psychiatric treatment setting. Due to the special reliance on communication for psychiatric diagnosis and evaluation, and the emphasis on confidentiality of psychiatric records, the results of previous studies may not apply equally to psychiatric patients. Method We examined the association between EHR use and changes to the patient-psychiatrist relationship. A patient satisfaction survey was administered to psychiatric patient volunteers prior to and following implementation of an EHR. All subjects were adult outpatients with chronic mental illness. Results Survey responses were grouped into categories of "Overall," "Technical," "Interpersonal," "Communication & Education,," "Time," "Confidentiality," "Anxiety," and "Computer Use." Multiple, unpaired, two-tailed t-tests comparing pre- and post-implementation groups showed no significant differences (at the 0.05 level to any questionnaire category for all subjects combined or when subjects were stratified by primary diagnosis category. Conclusions While many barriers to the adoption of electronic health records do exist, concerns about disruption to the patient-psychiatrist relationship need not be a prominent focus. Attention to communication style, interpersonal manner, and computer proficiency may help maintain the quality of the patient-psychiatrist relationship following EHR implementation.

  2. Expanded HIV Testing Strategy Leveraging the Electronic Medical Record Uncovers Undiagnosed Infection Among Hospitalized Patients.

    Science.gov (United States)

    Felsen, Uriel R; Cunningham, Chinazo O; Heo, Moonseong; Futterman, Donna C; Weiss, Jeffrey M; Zingman, Barry S

    2017-05-01

    Routine HIV testing of hospitalized patients is recommended, but few strategies to expand testing in the hospital setting have been described. We assessed the impact of an electronic medical record (EMR) prompt on HIV testing for hospitalized patients. We performed a pre-post study at 3 hospitals in the Bronx, NY. We compared the proportion of admissions of patients 21-64 years old with an HIV test performed, characteristics of patients tested, and rate of new HIV diagnoses made by screening while an EMR prompt recommending HIV testing was inactive vs. active. The prompt appeared for patients with no previous HIV test or a high-risk diagnosis after their last HIV test. Among 36,610 admissions while the prompt was inactive, 9.5% had an HIV test performed. Among 18,943 admissions while the prompt was active, 21.8% had an HIV test performed. Admission while the prompt was active was associated with increased HIV testing among total admissions [adjusted odds ratio (aOR) 2.78, 95% confidence interval (CI): 2.62 to 2.96], those without a previous HIV test (aOR 4.03, 95% CI: 3.70 to 4.40), and those with a previous negative test (aOR 1.52, 95% CI: 1.37 to 1.68) (P diversification of patients tested, and an increase in diagnoses made by screening.

  3. Priority setting of ICU resources in an influenza pandemic: a qualitative study of the Canadian public's perspectives.

    Science.gov (United States)

    Silva, Diego S; Gibson, Jennifer L; Robertson, Ann; Bensimon, Cécile M; Sahni, Sachin; Maunula, Laena; Smith, Maxwell J

    2012-03-26

    Pandemic influenza may exacerbate existing scarcity of life-saving medical resources. As a result, decision-makers may be faced with making tough choices about who will receive care and who will have to wait or go without. Although previous studies have explored ethical issues in priority setting from the perspective of clinicians and policymakers, there has been little investigation into how the public views priority setting during a pandemic influenza, in particular related to intensive care resources. To bridge this gap, we conducted three public town hall meetings across Canada to explore Canadian's perspectives on this ethical challenge. Town hall discussions group discussions were digitally recorded, transcribed, and analyzed using thematic analysis. Six interrelated themes emerged from the town hall discussions related to: ethical and empirical starting points for deliberation; criteria for setting priorities; pre-crisis planning; in-crisis decision-making; the need for public deliberation and input; and participants' deliberative struggle with the ethical issues. Our findings underscore the importance of public consultation in pandemic planning for sustaining public trust in a public health emergency. Participants appreciated the empirical and ethical uncertainty of decision-making in an influenza pandemic and demonstrated nuanced ethical reasoning about priority setting of intensive care resources in an influenza pandemic. Policymakers may benefit from a better understanding the public's empirical and ethical 'starting points' in developing effective pandemic plans.

  4. Principles of record keeping for decommissioning purposes

    International Nuclear Information System (INIS)

    Laraia, M.

    2003-01-01

    At the siting and conceptual design stage of a nuclear facility the first records pertaining to that facility are produced and stored. Subsequent phases in the facility's life cycle (detailed design, construction, commissioning, operation and shutdown) will include the production and retention of a large variety of records. Design, as-built drawings and operational records are essential for safe and efficient operation of any nuclear facility. This set of records is constantly updated and augmented during operation. Records from all phases of a nuclear facility are important for planning its decommissioning. Although not all of these records need to be included explicitly in the decommissioning plan itself, the process of initial, ongoing and final planning utilizes pertinent records for, and ultimately achieves, safe and cost effective decommissioning. When a nuclear facility is shutdown for decommissioning, current operating experience may be lost. Therefore, one important element of planning is to identify, secure and store appropriate operational records to support decommissioning. This process is preferably initiated during the design and construction phase and continues throughout operation including shutdown. Part of the records inventory from operation will become records for decommissioning and it is cost effective to identify these records before final facility shutdown. Experience shows that lack of attention to record keeping may result in an undue waste of time, other resources and additional costs. The newly established Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management recognizes the importance of keeping decommissioning-related records. In addition, the systematic management of records is an essential part of quality assurance and is often a licence condition. A good comprehensive decommissioning records management system (RMS) is one specific application of the broader concepts of 'Protection

  5. Speech enhancement on smartphone voice recording

    International Nuclear Information System (INIS)

    Atmaja, Bagus Tris; Farid, Mifta Nur; Arifianto, Dhany

    2016-01-01

    Speech enhancement is challenging task in audio signal processing to enhance the quality of targeted speech signal while suppress other noises. In the beginning, the speech enhancement algorithm growth rapidly from spectral subtraction, Wiener filtering, spectral amplitude MMSE estimator to Non-negative Matrix Factorization (NMF). Smartphone as revolutionary device now is being used in all aspect of life including journalism; personally and professionally. Although many smartphones have two microphones (main and rear) the only main microphone is widely used for voice recording. This is why the NMF algorithm widely used for this purpose of speech enhancement. This paper evaluate speech enhancement on smartphone voice recording by using some algorithms mentioned previously. We also extend the NMF algorithm to Kulback-Leibler NMF with supervised separation. The last algorithm shows improved result compared to others by spectrogram and PESQ score evaluation. (paper)

  6. Development of an optical character recognition pipeline for handwritten form fields from an electronic health record.

    Science.gov (United States)

    Rasmussen, Luke V; Peissig, Peggy L; McCarty, Catherine A; Starren, Justin

    2012-06-01

    Although the penetration of electronic health records is increasing rapidly, much of the historical medical record is only available in handwritten notes and forms, which require labor-intensive, human chart abstraction for some clinical research. The few previous studies on automated extraction of data from these handwritten notes have focused on monolithic, custom-developed recognition systems or third-party systems that require proprietary forms. We present an optical character recognition processing pipeline, which leverages the capabilities of existing third-party optical character recognition engines, and provides the flexibility offered by a modular custom-developed system. The system was configured and run on a selected set of form fields extracted from a corpus of handwritten ophthalmology forms. The processing pipeline allowed multiple configurations to be run, with the optimal configuration consisting of the Nuance and LEADTOOLS engines running in parallel with a positive predictive value of 94.6% and a sensitivity of 13.5%. While limitations exist, preliminary experience from this project yielded insights on the generalizability and applicability of integrating multiple, inexpensive general-purpose third-party optical character recognition engines in a modular pipeline.

  7. A functional model and simulation of spinal motor pools and intrafascicular recordings of motoneuron activity in peripheral nerve

    Directory of Open Access Journals (Sweden)

    Mohamed N. Abdelghani

    2014-11-01

    Full Text Available Decoding motor intent from recorded neural signals is essential for the development of effective neural-controlled prostheses. To facilitate the development of online decoding algorithms we have developed a software platform to simulate neural motor signals recorded with peripheral nerve electrodes, such as longitudinal intrafascicular electrodes (LIFEs. The simulator uses stored motor intent signals to drive a pool of simulated motoneurons with various spike shapes, recruitment characteristics, and firing frequencies. Each electrode records a weighted sum of a subset of simulated motoneuron activity patterns. As designed, the simulator facilitates development of a suite of test scenarios that would not be possible with actual data sets because, unlike with actual recordings, in the simulator the individual contributions to the simulated composite recordings are known and can be methodically varied across a set of simulation runs. In this manner, the simulation tool is suitable for iterative development of real-time decoding algorithms prior to definitive evaluation in amputee subjects with implanted electrodes. The simulation tool was used to produce data sets that demonstrate its ability to capture some features of neural recordings that pose challenges for decoding algorithms.

  8. The MPO API: A tool for recording scientific workflows

    Energy Technology Data Exchange (ETDEWEB)

    Wright, John C., E-mail: jcwright@mit.edu [MIT Plasma Science and Fusion Center, Cambridge, MA (United States); Greenwald, Martin; Stillerman, Joshua [MIT Plasma Science and Fusion Center, Cambridge, MA (United States); Abla, Gheni; Chanthavong, Bobby; Flanagan, Sean; Schissel, David; Lee, Xia [General Atomics, San Diego, CA (United States); Romosan, Alex; Shoshani, Arie [Lawrence Berkeley Laboratory, Berkeley, CA (United States)

    2014-05-15

    Highlights: • A description of a new framework and tool for recording scientific workflows, especially those resulting from simulation and analysis. • An explanation of the underlying technologies used to implement this web based tool. • Several examples of using the tool. - Abstract: Data from large-scale experiments and extreme-scale computing is expensive to produce and may be used for high-consequence applications. The Metadata, Provenance and Ontology (MPO) project builds on previous work [M. Greenwald, Fusion Eng. Des. 87 (2012) 2205–2208] and is focused on providing documentation of workflows, data provenance and the ability to data-mine large sets of results. While there are important design and development aspects to the data structures and user interfaces, we concern ourselves in this paper with the application programming interface (API) – the set of functions that interface with the data server. Our approach for the data server is to follow the Representational State Transfer (RESTful) software architecture style for client–server communication. At its core, the API uses the POST and GET methods of the HTTP protocol to transfer workflow information in message bodies to targets specified in the URL to and from the database via a web server. Higher level API calls are built upon this core API. This design facilitates implementation on different platforms and in different languages and is robust to changes in the underlying technologies used. The command line client implementation can communicate with the data server from any machine with HTTP access.

  9. The MPO API: A tool for recording scientific workflows

    International Nuclear Information System (INIS)

    Wright, John C.; Greenwald, Martin; Stillerman, Joshua; Abla, Gheni; Chanthavong, Bobby; Flanagan, Sean; Schissel, David; Lee, Xia; Romosan, Alex; Shoshani, Arie

    2014-01-01

    Highlights: • A description of a new framework and tool for recording scientific workflows, especially those resulting from simulation and analysis. • An explanation of the underlying technologies used to implement this web based tool. • Several examples of using the tool. - Abstract: Data from large-scale experiments and extreme-scale computing is expensive to produce and may be used for high-consequence applications. The Metadata, Provenance and Ontology (MPO) project builds on previous work [M. Greenwald, Fusion Eng. Des. 87 (2012) 2205–2208] and is focused on providing documentation of workflows, data provenance and the ability to data-mine large sets of results. While there are important design and development aspects to the data structures and user interfaces, we concern ourselves in this paper with the application programming interface (API) – the set of functions that interface with the data server. Our approach for the data server is to follow the Representational State Transfer (RESTful) software architecture style for client–server communication. At its core, the API uses the POST and GET methods of the HTTP protocol to transfer workflow information in message bodies to targets specified in the URL to and from the database via a web server. Higher level API calls are built upon this core API. This design facilitates implementation on different platforms and in different languages and is robust to changes in the underlying technologies used. The command line client implementation can communicate with the data server from any machine with HTTP access

  10. The effect of the electronic medical record on nurses' work.

    Science.gov (United States)

    Robles, Jane

    2009-01-01

    The electronic medical record (EMR) is a workplace reality for most nurses. Its advantages include a single consolidated record for each person; capacity for data interfaces and alerts; improved interdisciplinary communication; and evidence-based decision support. EMRs can add to work complexity, by forcing better documentation of previously unrecorded data and/or because of poor design. Well-designed and well-implemented computerized provider order entry (CPOE) systems can streamline nurses' work. Generational differences in acceptance of and facility with EMRs can be addressed through open, healthy communication.

  11. 10 CFR 600.150 - Purpose of reports and records.

    Science.gov (United States)

    2010-01-01

    ... recipient's financial and program performance and the necessary standard reporting forms. They also set... 10 Energy 4 2010-01-01 2010-01-01 false Purpose of reports and records. 600.150 Section 600.150 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS FINANCIAL ASSISTANCE RULES Uniform...

  12. New distribution records for the southern semiornate snake, Meizodon s. semiornatus (Peters, 1854, with a first record from the Kruger National Park and Transvaal

    Directory of Open Access Journals (Sweden)

    G.V. Haagner

    1990-09-01

    Full Text Available The southern semiornate snake, Meizodon s. semiornatus, has a fairly wide distribution in south-east Africa, but due to its secretive habits, it is seldom seen or collected. In South Africa, this species was previously known from only one specimen collected in Zululand during 1965. A second specimen was collected near Crocodile Bridge in the Kruger National Park on 8 November 1987 and constitutes the first record of the species in the Transvaal. Other distribution records for the species were obtained from museums and an updated distribution map was compiled.

  13. Validation of functional fetal autonomic brain age score fABAS in 5 min short recordings

    International Nuclear Information System (INIS)

    Hoyer, Dirk; Kowalski, Eva-Maria; Schmidt, Alexander; Witte, Otto W; Schneider, Uwe; Schleußner, Ekkehard; Hatzmann, Wolfgang; Grönemeyer, Dietrich HW; Van Leeuwen, Peter

    2015-01-01

    With the objective of evaluating the functional maturation age and developmental disturbances we have previously introduced the fetal autonomic brain age score (fABAS) using 30 min fetal magnetocardiographic recordings (fMCG, Jena). The score is based on heart rate pattern indices that are related to universal principles of developmental biology. The present work aims at the validation of the fABAS methodology on 5 min recordings from an independent database (fMCG, Bochum).We found high agreement of fABAS obtained from Jena normal fetuses (5 min subsets, n  =  364) and Bochum recordings (n  =  322, normal fetuses). fABAS of 48 recordings from fetuses with intra-uterine growth restriction (IUGR, Bochum) was reduced in most of the cases, a result consistent with IUGR fetuses from Jena previously reported. fABAS calculated from 5 min snapshots only partly covers the accuracy when compared to fABAS from 30 min recordings. More precise diagnosis requires longer recordings.fABAS obtained from fMCG recordings is a strong candidate for standardized assessment of functional maturation age and developmental disturbances. Even 5 min recordings seem to be valuable for screening for maturation problems. (paper)

  14. Exploring practical approaches to maximising data quality in electronic healthcare records in the primary care setting and associated benefits. Report of panel-led discussion held at SAPC in July 2014.

    Science.gov (United States)

    Dungey, Sheena; Glew, Simon; Heyes, Barbara; Macleod, John; Tate, A Rosemary

    2016-09-01

    Electronic healthcare records provide information about patient care over time which not only affords the opportunity to improve patient care directly through effective monitoring and identification of care requirements but also offers a unique platform for both clinical and service-model research essential to the longer-term development of the health service. The quality of the recorded data can, however, be variable and can compromise the validity of data use both for primary and secondary purposes. In order to explore the challenges and benefits of and approaches to recording high quality primary care electronic records, a Clinical Practice Research Datalink (CPRD) sponsored workshop was held at the Society of Academic Primary Care (SAPC) conference in 2014 with the aim of engaging GPs and other data users. The workshop was held as a structured discussion, led by an expert panel and focused around three questions: (1) What are the data quality priorities for clinicians and researchers? How do these priorities differ or overlap? (2) What challenges might GPs face in provision of good data quality both for treating their patients and for research? Do these aims conflict? (3) What tools (such as data metrics and visualisations or software components) could assist the GP in improving data quality and patient management and could this tie in with analytical processes occurring at the research stage? The discussion highlighted both overlap and differences in the perceived data quality priorities and challenges for different user groups. Five key areas of focus were agreed upon and recommendations determined for moving forward in improving quality. The importance of good high quality electronic healthcare records has been set forth along with the need for a practical user-considered and collaborative approach to its improvement.

  15. Electronic Health Records: PHR Opportunities for Public Health – Part 2

    Centers for Disease Control (CDC) Podcasts

    2009-09-10

    In this podcast, Dr. Ken Mandl discusses electronic health records and personally-controlled health records. Dr. Mandl leads the IndivoHealth personally-controlled health record project, the original reference model for the Microsoft, Google, and Dossia personal health records (PHRs or PCHRs). He has successfully used PHRs for immunization and influenza, leads efforts in real-time surveillance systems, and is currently adapting personal health records for longitudinal and genomic research. The lecture was given at CDC on June 19, 2009.  Created: 9/10/2009 by Coordinating Center for Health Information Service (CCHIS), Healthy Healthcare Settings Goal Team, Office of Strategy and Innovation.   Date Released: 6/3/2010.

  16. Electronic Health Records: PHR Opportunities for Public Health – Part 1

    Centers for Disease Control (CDC) Podcasts

    2009-09-10

    In this podcast, Dr. Ken Mandl discusses electronic health records and personally-controlled health records. Dr. Mandl leads the IndivoHealth personally-controlled health record project, the original reference model for the Microsoft, Google, and Dossia personal health records (PHRs or PCHRs). He has successfully used PHRs for immunization and influenza, leads efforts in real-time surveillance systems, and is currently adapting personal health records for longitudinal and genomic research. The lecture was given at CDC on June 19, 2009.  Created: 9/10/2009 by Coordinating Center for Health Information Service (CCHIS), Healthy Healthcare Settings Goal Team, Office of Strategy and Innovation.   Date Released: 6/3/2010.

  17. First Record of Psorophora albipes in Quintana Roo, Mexico.

    Science.gov (United States)

    Chan-Chable, Rahuel J; Ortega-Morales, Aldo I; Martínez-Arce, Arely

    2016-09-01

    In Mexico the Psorophora genus includes 24 species divided into 3 subgenera: Grabhamia, Janthinosoma, and Psorophora. Some species occur in the Nearctic region of the country (northern Mexico), whereas other species occur in the Neotropical region (southern Mexico), and a few species occur in both regions. In Quintana Roo, Mexico, 7 species have been previously recorded: Ps. confinnis s.s., Ps. champerico, Ps. cyanescens, Ps. ferox, Ps. lutzii, Ps. ciliata, and Ps. lineata. In October 2013, 24 females of Ps. albipes were collected using CDC light traps. This is the first record of this species in Quintana Roo.

  18. The contribution of audio recording using portable digital voice recorders to the development of reflective practice with trainee teachers in a Further Education setting

    OpenAIRE

    Knill, Marta; Samuels, Mary

    2011-01-01

    Developing reflective skills and habits during initial teacher education and progressing to deeper and more critical reflection are challenges for trainee teachers. This small-scale action research study investigates how two structured tasks using Digital Voice Recorders (DVRs) initiated, sustained and improved reflection and reflective practice. Trainee teachers reported benefits in increased understanding of reflection, development of reflective skills, deepening of reflection and improveme...

  19. First Plant Phenological Records in the Carpathians and their Possible Use

    Science.gov (United States)

    Tekusova, M.; Horecká, V.; Mikulová, K.

    2009-04-01

    Phenological observations have a long history. The long time series come from Korea and some other parts of Asia, while wine harvest dates form the oldest phenological data sets in Europe. One of them started as early as 1457 year in Vienna, i.e. on the border of the Carpathian region. However, the first systematic phenological observations started in the south Carpathians almost four hundred years later following the establishment of the phenological network in Austria and later in the Hungarian Kingdom. A medical doctor P. Wierbitzky did first phenological observations in the Carpathian region in the beginning of thirties of the nineteenth century in Orawicza. The first systematic observations and records of plant development in this region are connected with the establishment of Austrian Institute for Meteorology and Geomagnetism since 1851. Although the historical significance of these observations is high, the data recorded are of lower quality, frequently interrupted and fragmented. Further development of phenological observations came with the introduction of the methodology of the observations introduced by Karl Fritsch in the beginning of the sixties of the nineteenth century mainly with the establishment of Hungarian Meteorological Service in 1871. These historical data were recorded and published in the yearbooks and, despite of the fragmentary character of the records, they are usable for some evaluations. This article brings the description of the data sets of systematic phenological network in the Carpathian region and considers some possible phenological evaluations. The phenological observations were done in some cases at the same localities as the climatologic observations but the number of phenological stations was quite lower in several years. The historical plant phenological records were based in many cases on the observation of four phenological phases: leafing, flowering, ripening and fall of leaves. Both the volume and the quality of the

  20. Almost Free Modules Set-Theoretic Methods

    CERN Document Server

    Eklof, PC

    1990-01-01

    This is an extended treatment of the set-theoretic techniques which have transformed the study of abelian group and module theory over the last 15 years. Part of the book is new work which does not appear elsewhere in any form. In addition, a large body of material which has appeared previously (in scattered and sometimes inaccessible journal articles) has been extensively reworked and in many cases given new and improved proofs. The set theory required is carefully developed with algebraists in mind, and the independence results are derived from explicitly stated axioms. The book contains exe

  1. The biomechanics of running in athletes with previous hamstring injury: A case-control study.

    Science.gov (United States)

    Daly, C; Persson, U McCarthy; Twycross-Lewis, R; Woledge, R C; Morrissey, D

    2016-04-01

    Hamstring injury is prevalent with persistently high reinjury rates. We aim to inform hamstring rehabilitation by exploring the electromyographic and kinematic characteristics of running in athletes with previous hamstring injury. Nine elite male Gaelic games athletes who had returned to sport after hamstring injury and eight closely matched controls sprinted while lower limb kinematics and muscle activity of the previously injured biceps femoris, bilateral gluteus maximus, lumbar erector spinae, rectus femoris, and external oblique were recorded. Intergroup comparisons of muscle activation ratios and kinematics were performed. Previously injured athletes demonstrated significantly reduced biceps femoris muscle activation ratios with respect to ipsilateral gluteus maximus (maximum difference -12.5%, P = 0.03), ipsilateral erector spinae (maximum difference -12.5%, P = 0.01), ipsilateral external oblique (maximum difference -23%, P = 0.01), and contralateral rectus femoris (maximum difference -22%, P = 0.02) in the late swing phase. We also detected sagittal asymmetry in hip flexion (maximum 8°, P = 0.01), pelvic tilt (maximum 4°, P = 0.02), and medial rotation of the knee (maximum 6°, P = 0.03) effectively putting the hamstrings in a lengthened position just before heel strike. Previous hamstring injury is associated with altered biceps femoris associated muscle activity and potentially injurious kinematics. These deficits should be considered and addressed during rehabilitation. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  2. Clinical genomics in the world of the electronic health record.

    Science.gov (United States)

    Marsolo, Keith; Spooner, S Andrew

    2013-10-01

    The widespread adoption of electronic health records presents a number of benefits to the field of clinical genomics. They include the ability to return results to the practitioner, to use genetic findings in clinical decision support, and to have data collected in the electronic health record that serve as a source of phenotypic information for analysis purposes. Not all electronic health records are created equal, however. They differ in their features, capabilities, and ease of use. Therefore, to understand the potential of the electronic health record, it is first necessary to understand its capabilities and the impact that implementation strategy has on usability. Specifically, we focus on the following areas: (i) how the electronic health record is used to capture data in clinical practice settings; (ii) how the implementation and configuration of the electronic health record affect the quality and availability of data; (iii) the management of clinical genetic test results and the feasibility of electronic health record integration; and (iv) the challenges of implementing an electronic health record in a research-intensive environment. This is followed by a discussion of the minimum functional requirements that an electronic health record must meet to enable the satisfactory integration of genomic results as well as the open issues that remain.

  3. Detecting Inappropriate Access to Electronic Health Records Using Collaborative Filtering.

    Science.gov (United States)

    Menon, Aditya Krishna; Jiang, Xiaoqian; Kim, Jihoon; Vaidya, Jaideep; Ohno-Machado, Lucila

    2014-04-01

    Many healthcare facilities enforce security on their electronic health records (EHRs) through a corrective mechanism: some staff nominally have almost unrestricted access to the records, but there is a strict ex post facto audit process for inappropriate accesses, i.e., accesses that violate the facility's security and privacy policies. This process is inefficient, as each suspicious access has to be reviewed by a security expert, and is purely retrospective, as it occurs after damage may have been incurred. This motivates automated approaches based on machine learning using historical data. Previous attempts at such a system have successfully applied supervised learning models to this end, such as SVMs and logistic regression. While providing benefits over manual auditing, these approaches ignore the identity of the users and patients involved in a record access. Therefore, they cannot exploit the fact that a patient whose record was previously involved in a violation has an increased risk of being involved in a future violation. Motivated by this, in this paper, we propose a collaborative filtering inspired approach to predicting inappropriate accesses. Our solution integrates both explicit and latent features for staff and patients, the latter acting as a personalized "finger-print" based on historical access patterns. The proposed method, when applied to real EHR access data from two tertiary hospitals and a file-access dataset from Amazon, shows not only significantly improved performance compared to existing methods, but also provides insights as to what indicates an inappropriate access.

  4. Projection multiplex recording of computer-synthesised one-dimensional Fourier holograms for holographic memory systems: mathematical and experimental modelling

    Energy Technology Data Exchange (ETDEWEB)

    Betin, A Yu; Bobrinev, V I; Verenikina, N M; Donchenko, S S; Odinokov, S B [Research Institute ' Radiotronics and Laser Engineering' , Bauman Moscow State Technical University, Moscow (Russian Federation); Evtikhiev, N N; Zlokazov, E Yu; Starikov, S N; Starikov, R S [National Reseach Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow (Russian Federation)

    2015-08-31

    A multiplex method of recording computer-synthesised one-dimensional Fourier holograms intended for holographic memory devices is proposed. The method potentially allows increasing the recording density in the previously proposed holographic memory system based on the computer synthesis and projection recording of data page holograms. (holographic memory)

  5. Creation and Implementation of an Environmental Scan to Assess Cancer Genetics Services at Three Oncology Care Settings.

    Science.gov (United States)

    Bednar, Erica M; Walsh, Michael T; Baker, Ellen; Muse, Kimberly I; Oakley, Holly D; Krukenberg, Rebekah C; Dresbold, Cara S; Jenkinson, Sandra B; Eppolito, Amanda L; Teed, Kelly B; Klein, Molly H; Morman, Nichole A; Bowdish, Elizabeth C; Russ, Pauline; Wise, Emaline E; Cooper, Julia N; Method, Michael W; Henson, John W; Grainger, Andrew V; Arun, Banu K; Lu, Karen H

    2018-05-16

    An environmental scan (ES) is an efficient mixed-methods approach to collect and interpret relevant data for strategic planning and project design. To date, the ES has not been used nor evaluated in the clinical cancer genetics setting. We created and implemented an ES to inform the design of a quality improvement (QI) project to increase the rates of adherence to national guidelines for cancer genetic counseling and genetic testing at three unique oncology care settings (OCS). The ES collected qualitative and quantitative data from reviews of internal processes, past QI efforts, the literature, and each OCS. The ES used a data collection form and semi-structured interviews to aid in data collection. The ES was completed within 6 months, and sufficient data were captured to identify opportunities and threats to the QI project's success, as well as potential barriers to, and facilitators of guideline-based cancer genetics services at each OCS. Previously unreported barriers were identified, including inefficient genetic counseling appointment scheduling processes and the inability to track referrals, genetics appointments, and genetic test results within electronic medical record systems. The ES was a valuable process for QI project planning at three OCS and may be used to evaluate genetics services in other settings.

  6. Sexual Orientation and Gender Identity Data Collection in Clinical Settings and in Electronic Health Records: A Key to Ending LGBT Health Disparities.

    Science.gov (United States)

    Cahill, Sean; Makadon, Harvey

    2014-03-01

    The Institute of Medicine's (IOM's) 2011 report on the health of LGBT people pointed out that there are limited health data on these populations and that we need more research. It also described what we do know about LGBT health disparities, including lower rates of cervical cancer screening among lesbians, and mental health issues related to minority stress. Patient disclosure of LGBT identity enables provider-patient conversations about risk factors and can help us reduce and better understand disparities. It is essential to the success of Healthy People 2020's goal of eliminating LGBT health disparities. This is why the IOM's report recommended data collection in clinical settings and on electronic health records (EHRs). The Center for Medicare and Medicaid Services and the Office of the National Coordinator of Health Information Technology rejected including sexual orientation and gender identity (SOGI) questions in meaningful use guidelines for EHRs in 2012 but are considering this issue again in 2013. There is overwhelming community support for the routine collection of SOGI data in clinical settings, as evidenced by comments jointly submitted by 145 leading LGBT and HIV/AIDS organizations in January 2013. Gathering SOGI data in EHRs is supported by the 2011 IOM's report on LGBT health, Healthy People 2020, the Affordable Care Act, and the Joint Commission. Data collection has long been central to the quality assurance process. Preventive health care from providers knowledgeable of their patients' SOGI can lead to improved access, quality of care, and outcomes. Medical and nursing schools should expand their attention to LGBT health issues so that all clinicians can appropriately care for LGBT patients.

  7. New records of non-biting midges (Diptera: Chironomidae, Orthocladiinae from Mallorca, Spain

    Directory of Open Access Journals (Sweden)

    Viktor Baranov

    2016-09-01

    Full Text Available Ten species of non-biting midges belonging to the subfamily Orthocladiinae were found in samples from predominantly madicolous habitats in Mallorca, Spain. One species, Bryophaenocladius nidorum (Edwards, 1929, has not previously been recorded from Spain, while Smittia pratorum (Goetghebuer, 1927, Bryophaenocladius inconstans (Brundin, 1947, Orthocladius (O. maius Goetghebuer, 1942, Paracladius conversus (Walker, 1856 and Paraphaenocladius impensus (Walker, 1856 are recorded for the first time from the Balearic Islands.

  8. The descriptive set-theoretic complexity of the set of points of continuity of a multi-valued function (Extended Abstract

    Directory of Open Access Journals (Sweden)

    Vassilios Gregoriades

    2010-06-01

    Full Text Available In this article we treat a notion of continuity for a multi-valued function F and we compute the descriptive set-theoretic complexity of the set of all x for which F is continuous at x. We give conditions under which the latter set is either a G_delta set or the countable union of G_delta sets. Also we provide a counterexample which shows that the latter result is optimum under the same conditions. Moreover we prove that those conditions are necessary in order to obtain that the set of points of continuity of F is Borel i.e., we show that if we drop some of the previous conditions then there is a multi-valued function F whose graph is a Borel set and the set of points of continuity of F is not a Borel set. Finally we give some analogue results regarding a stronger notion of continuity for a multi-valued function. This article is motivated by a question of M. Ziegler in "Real Computation with Least Discrete Advice: A Complexity Theory of Nonuniform Computability with Applications to Linear Algebra", (submitted.

  9. Computer-assisted expert case definition in electronic health records.

    Science.gov (United States)

    Walker, Alexander M; Zhou, Xiaofeng; Ananthakrishnan, Ashwin N; Weiss, Lisa S; Shen, Rongjun; Sobel, Rachel E; Bate, Andrew; Reynolds, Robert F

    2016-02-01

    To describe how computer-assisted presentation of case data can lead experts to infer machine-implementable rules for case definition in electronic health records. As an illustration the technique has been applied to obtain a definition of acute liver dysfunction (ALD) in persons with inflammatory bowel disease (IBD). The technique consists of repeatedly sampling new batches of case candidates from an enriched pool of persons meeting presumed minimal inclusion criteria, classifying the candidates by a machine-implementable candidate rule and by a human expert, and then updating the rule so that it captures new distinctions introduced by the expert. Iteration continues until an update results in an acceptably small number of changes to form a final case definition. The technique was applied to structured data and terms derived by natural language processing from text records in 29,336 adults with IBD. Over three rounds the technique led to rules with increasing predictive value, as the experts identified exceptions, and increasing sensitivity, as the experts identified missing inclusion criteria. In the final rule inclusion and exclusion terms were often keyed to an ALD onset date. When compared against clinical review in an independent test round, the derived final case definition had a sensitivity of 92% and a positive predictive value of 79%. An iterative technique of machine-supported expert review can yield a case definition that accommodates available data, incorporates pre-existing medical knowledge, is transparent and is open to continuous improvement. The expert updates to rules may be informative in themselves. In this limited setting, the final case definition for ALD performed better than previous, published attempts using expert definitions. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Optimized Basis Sets for the Environment in the Domain-Specific Basis Set Approach of the Incremental Scheme.

    Science.gov (United States)

    Anacker, Tony; Hill, J Grant; Friedrich, Joachim

    2016-04-21

    Minimal basis sets, denoted DSBSenv, based on the segmented basis sets of Ahlrichs and co-workers have been developed for use as environmental basis sets for the domain-specific basis set (DSBS) incremental scheme with the aim of decreasing the CPU requirements of the incremental scheme. The use of these minimal basis sets within explicitly correlated (F12) methods has been enabled by the optimization of matching auxiliary basis sets for use in density fitting of two-electron integrals and resolution of the identity. The accuracy of these auxiliary sets has been validated by calculations on a test set containing small- to medium-sized molecules. The errors due to density fitting are about 2-4 orders of magnitude smaller than the basis set incompleteness error of the DSBSenv orbital basis sets. Additional reductions in computational cost have been tested with the reduced DSBSenv basis sets, in which the highest angular momentum functions of the DSBSenv auxiliary basis sets have been removed. The optimized and reduced basis sets are used in the framework of the domain-specific basis set of the incremental scheme to decrease the computation time without significant loss of accuracy. The computation times and accuracy of the previously used environmental basis and that optimized in this work have been validated with a test set of medium- to large-sized systems. The optimized and reduced DSBSenv basis sets decrease the CPU time by about 15.4% and 19.4% compared with the old environmental basis and retain the accuracy in the absolute energy with standard deviations of 0.99 and 1.06 kJ/mol, respectively.

  11. OECD-FIRE PR02. OECD-FIRE database record structure

    International Nuclear Information System (INIS)

    Kolar, L.

    2005-12-01

    In the coding guidelines, the scope, format, and details of any record required to input a real fire event at a nuclear reactor unit to the international OECD-FIRE database are described in detail. The database was set up in the OECD-FIRE-PR02 code

  12. MGN V RDRS 5 GLOBAL DATA RECORD TOPOGRAPHIC V1.0

    Data.gov (United States)

    National Aeronautics and Space Administration — This data set contains the Magellan Global Topographic Data Record (GTDR). The range to surface is derived by fitting altimeter echoes from the fan-beam altimetry...

  13. MGN V RDRS 5 GLOBAL DATA RECORD SLOPE V1.0

    Data.gov (United States)

    National Aeronautics and Space Administration — This data set contains the Magellan Global Slope Data Record (GSDR). The surface meter-scale slopes are derived by fitting altimeter echoes from the fan-beam...

  14. A method for the automated, reliable retrieval of publication-citation records.

    Directory of Open Access Journals (Sweden)

    Derek Ruths

    Full Text Available BACKGROUND: Publication records and citation indices often are used to evaluate academic performance. For this reason, obtaining or computing them accurately is important. This can be difficult, largely due to a lack of complete knowledge of an individual's publication list and/or lack of time available to manually obtain or construct the publication-citation record. While online publication search engines have somewhat addressed these problems, using raw search results can yield inaccurate estimates of publication-citation records and citation indices. METHODOLOGY: In this paper, we present a new, automated method that produces estimates of an individual's publication-citation record from an individual's name and a set of domain-specific vocabulary that may occur in the individual's publication titles. Because this vocabulary can be harvested directly from a research web page or online (partial publication list, our method delivers an easy way to obtain estimates of a publication-citation record and the relevant citation indices. Our method works by applying a series of stringent name and content filters to the raw publication search results returned by an online publication search engine. In this paper, our method is run using Google Scholar, but the underlying filters can be easily applied to any existing publication search engine. When compared against a manually constructed data set of individuals and their publication-citation records, our method provides significant improvements over raw search results. The estimated publication-citation records returned by our method have an average sensitivity of 98% and specificity of 72% (in contrast to raw search result specificity of less than 10%. When citation indices are computed using these records, the estimated indices are within of the true value 10%, compared to raw search results which have overestimates of, on average, 75%. CONCLUSIONS: These results confirm that our method provides

  15. Review of records and notes on King Penguin (Aptenodytes patagonicus) and Rockhopper Penguin (Eudyptes chrysocome) in Brazil

    OpenAIRE

    Barquete, Viviane; Bugoni, Leandro; Silva-Filho, Rodolfo P.; Adornes, Andréa C.

    2006-01-01

    A review of previous findings and new records of King Penguin (Aptenodytes patagonicus) and Rockhopper Penguin (Eudyptes chrysocome) on the Brazilian coast is presented. In total there are six records of the King Penguin and ten records of the Rockhopper Penguin. Juvenile and adults of both species were found stranded mostly on Rio Grande do Sul coast, southern Brazil. Records of King Penguins are restricted to the summer season, while records of Rockhopper Penguins are mostly during winter. ...

  16. Urinary tract infections in hospital pediatrics: many previous antibiotherapy and antibiotics resistance, including fluoroquinolones.

    Science.gov (United States)

    Garraffo, A; Marguet, C; Checoury, A; Boyer, S; Gardrat, A; Houivet, E; Caron, F

    2014-02-01

    We studied antibiotic resistance in pediatric UTIs and we evaluated the impact of antibiotic exposure in the previous 12 months, very little French data being available for this population. We conducted a multicenter prospective study including children consulting for, or admitted in 2 hospitals. Prior antibiotic exposure was documented from their health record. One hundred and ten patients (73 girls), 11 days to 12 years of age, were included in 10 months. Ninety-six percent presented with pyelonephritis, associated to uropathy for 25%. Escherichia coli was predominant (78%), followed by Proteus spp. and Enterococcus spp. The antibiotic resistance rate of E. coli was high and close to that reported for adults with complicated UTIs: amoxicillin 60%, amoxicillin-clavulanate 35%, cefotaxim 5%, trimethoprim-sulfametoxazole 26%, nalidixic acid 9%, ciprofloxacin 7%, gentamycin 1%, nitrofurantoin and fosfomycin 0%. The antibiotic exposure in the previous 12 months involved 62 children (56%) most frequently with β-lactams (89%) for a respiratory tract infection (56%). A clear relationship between exposure and resistance was observed for amoxicillin (71% vs. 46%), first generation (65% vs. 46%) and third generation (9% vs. 3%) cephalosporins, or trimethoprim-sulfamethoxazole (36% vs. 15%). However, antibiotic exposure could not account alone for the results, as suggested by the 7% of ciprofloxacin resistance, observed without any identified previous treatment. Bacterial species and antibiotic resistance level in children are similar to those reported for adults. Antibiotic exposure in the previous 12 months increases the risk of resistance but other factors are involved (previous antibiotic therapies and fecal-oral or mother-to-child transmission). Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  17. Highly Resolved Paleoclimatic Aerosol Records

    DEFF Research Database (Denmark)

    Kettner, Ernesto

    soluble aerosols can be analysed for concentration changes only, insoluble aeolian dust can reveal additional information on its atmospheric residence time via changes in the mean grain sizes. Volumes of particulate matter in ice cores are most reliably determined with Coulter counters, but since...... a Coulter counter performs measurements on discrete samples, it cannot be connected to a CFA system. Attenuation sensors, on the other hand, can be integrated into a CFA set-up, but are known to yield poor dust size records. The dilemma between high quality sizing and high depth resolution was found...

  18. Implementing a framework for goal setting in community based stroke rehabilitation: a process evaluation.

    Science.gov (United States)

    Scobbie, Lesley; McLean, Donald; Dixon, Diane; Duncan, Edward; Wyke, Sally

    2013-05-24

    Goal setting is considered 'best practice' in stroke rehabilitation; however, there is no consensus regarding the key components of goal setting interventions or how they should be optimally delivered in practice. We developed a theory-based goal setting and action planning framework (G-AP) to guide goal setting practice. G-AP has 4 stages: goal negotiation, goal setting, action planning & coping planning and appraisal & feedback. All stages are recorded in a patient-held record. In this study we examined the implementation, acceptability and perceived benefits of G-AP in one community rehabilitation team with people recovering from stroke. G-AP was implemented for 6 months with 23 stroke patients. In-depth interviews with 8 patients and 8 health professionals were analysed thematically to investigate views of its implementation, acceptability and perceived benefits. Case notes of interviewed patients were analysed descriptively to assess the fidelity of G-AP implementation. G-AP was mostly implemented according to protocol with deviations noted at the planning and appraisal and feedback stages. Each stage was felt to make a useful contribution to the overall process; however, in practice, goal negotiation and goal setting merged into one stage and the appraisal and feedback stage included an explicit decision making component. Only two issues were raised regarding G-APs acceptability: (i) health professionals were concerned about the impact of goal non-attainment on patient's well-being (patients did not share their concerns), and (ii) some patients and health professionals found the patient-held record unhelpful. G-AP was felt to have a positive impact on patient goal attainment and professional goal setting practice. Collaborative partnerships between health professionals and patients were apparent throughout the process. G-AP has been perceived as both beneficial and broadly acceptable in one community rehabilitation team; however, implementation of novel

  19. Implementing a framework for goal setting in community based stroke rehabilitation: a process evaluation

    Science.gov (United States)

    2013-01-01

    Background Goal setting is considered ‘best practice’ in stroke rehabilitation; however, there is no consensus regarding the key components of goal setting interventions or how they should be optimally delivered in practice. We developed a theory-based goal setting and action planning framework (G-AP) to guide goal setting practice. G-AP has 4 stages: goal negotiation, goal setting, action planning & coping planning and appraisal & feedback. All stages are recorded in a patient-held record. In this study we examined the implementation, acceptability and perceived benefits of G-AP in one community rehabilitation team with people recovering from stroke. Methods G-AP was implemented for 6 months with 23 stroke patients. In-depth interviews with 8 patients and 8 health professionals were analysed thematically to investigate views of its implementation, acceptability and perceived benefits. Case notes of interviewed patients were analysed descriptively to assess the fidelity of G-AP implementation. Results G-AP was mostly implemented according to protocol with deviations noted at the planning and appraisal and feedback stages. Each stage was felt to make a useful contribution to the overall process; however, in practice, goal negotiation and goal setting merged into one stage and the appraisal and feedback stage included an explicit decision making component. Only two issues were raised regarding G-APs acceptability: (i) health professionals were concerned about the impact of goal non-attainment on patient’s well-being (patients did not share their concerns), and (ii) some patients and health professionals found the patient-held record unhelpful. G-AP was felt to have a positive impact on patient goal attainment and professional goal setting practice. Collaborative partnerships between health professionals and patients were apparent throughout the process. Conclusions G-AP has been perceived as both beneficial and broadly acceptable in one community

  20. Tech-Assisted Language Learning Tasks in an EFL Setting: Use of Hand phone Recording Feature

    Directory of Open Access Journals (Sweden)

    Alireza Shakarami

    2014-09-01

    Full Text Available Technology with its speedy great leaps forward has undeniable impact on every aspect of our life in the new millennium. It has supplied us with different affordances almost daily or more precisely in a matter of hours. Technology and Computer seems to be a break through as for their roles in the Twenty-First century educational system. Examples are numerous, among which CALL, CMC, and Virtual learning spaces come to mind instantly. Amongst the newly developed gadgets of today are the sophisticated smart Hand phones which are far more ahead of a communication tool once designed for. Development of Hand phone as a wide-spread multi-tasking gadget has urged researchers to investigate its effect on every aspect of learning process including language learning. This study attempts to explore the effects of using cell phone audio recording feature, by Iranian EFL learners, on the development of their speaking skills. Thirty-five sophomore students were enrolled in a pre-posttest designed study. Data on their English speaking experience using audio–recording features of their Hand phones were collected. At the end of the semester, the performance of both groups, treatment and control, were observed, evaluated, and analyzed; thereafter procured qualitatively at the next phase. The quantitative outcome lent support to integrating Hand phones as part of the language learning curriculum. Keywords:

  1. New records of phlebotomine sand flies (Diptera: Psychodidae from Ecuador

    Directory of Open Access Journals (Sweden)

    J. Bruce Alexander

    1992-03-01

    Full Text Available The plebotomine sand fly fauna of Ecuador was surveyed in two 3-month collecting trips made in 1988 and 1990. A total of 12 provinces were visited, including three (Bolivar, Loja and Morona Santiago from wich no previous records to phlebotomines existed. Forty-six species were collected, 13 of wich, together with 1 subspecies and 1 genus (Warileya represented new records for the country. This survey increases the known number of species in Ecuador to 60. The distribuition of Ecuadorian sand flies is discussed in the light of these new findings.

  2. Double-differential recording and AGC using microcontrolled variable gain ASIC.

    Science.gov (United States)

    Rieger, Robert; Deng, Shin-Liang

    2013-01-01

    Low-power wearable recording of biopotentials requires acquisition front-ends with high common-mode rejection for interference suppression and adjustable gain to provide an optimum signal range to a cascading analogue-to-digital stage. A microcontroller operated double-differential (DD) recording setup and automatic gain control circuit (AGC) are discussed which reject common-mode interference and provide tunable gain, thus compensating for imbalance and variation in electrode interface impedance. Custom-designed variable gain amplifiers (ASIC) are used as part of the recording setup. The circuit gain and balance is set by the timing of microcontroller generated clock signals. Measured results are presented which confirm that improved common-mode rejection is achieved compared to a single differential amplifier in the presence of input network imbalance. Practical measured examples further validate gain control suitable for biopotential recording and power-line rejection for wearable ECG and EMG recording. The prototype front-end consumes 318 μW including amplifiers and microcontroller.

  3. A Near-Annual Record of Hurricane Activity From the Little Bahama Bank Over the Last 700 Years

    Science.gov (United States)

    Winkler, T. S.; van Hengstum, P. J.; Donnelly, J. P.; Sullivan, R.; Albury, N. A.

    2016-12-01

    Long-term and high-resolution records of hurricane activity that extend past the short observational record (8m vibracores collected with a Rossfelder P-3. The previous core analyzed (TPBH-C1, Continental Shelf Research, 2014) was likely obtained from the cave-area of the bluehole, and previous radiocarbon-dated bivalves deeper in the core were likely impacted by an old-carbon effect, casting doubt on the veracity of the previous age-model at this site. Recent overwash beds from Hurricane Jeanne (2004) and Hurricane Floyd (1999) are present at all coretops, and additional radiocarbon dating that includes terrestrial organic matter fragments indicates a near-annual sedimentation rate in the bluehole (>1cm yr-1), with the record spanning the last 700 years. Since 1866 CE, 12 hurricanes with wind speeds exceeding Category 2 on the Saffir-Simpson Scale (wind speeds 154-177 km hr-1) have passed within a 50 km radius of TPBH, many of which can be associated with coarse-grained overwash deposits in the top 200 cm of TPBH-C3. It appears from this high-resolution record that 1500-1650 CE and 1750-1800 CE were active intervals for hurricanes near Abaco, which were previously identified in a lower-resolution (multi-decadal) hurricane reconstruction from Abaco (Blackwood Sinkhole). Additionally, these active intervals coincide with evidence of regional storminess from multiple reconstructions based on historical archives (e.g.: Archivo General de Indias, newspapers, ships' logbooks, meteorological journals), and the 1500-1650 CE active interval falls within a previously identified 1400-1675 CE active interval of intense hurricane strikes on the Northeastern United States. Once the age-model is finalized, further comparison of this record to other regional oceanographic and high-resolution hurricane reconstructions may provide further insight into the drivers of hurricane activity during the last millennium.

  4. Advance Care Planning Documentation in Electronic Health Records: Current Challenges and Recommendations for Change.

    Science.gov (United States)

    Lamas, Daniela; Panariello, Natalie; Henrich, Natalie; Hammes, Bernard; Hanson, Laura C; Meier, Diane E; Guinn, Nancy; Corrigan, Janet; Hubber, Sean; Luetke-Stahlman, Hannah; Block, Susan

    2018-04-01

    To develop a set of clinically relevant recommendations to improve the state of advance care planning (ACP) documentation in the electronic health record (EHR). Advance care planning (ACP) is a key process that supports goal-concordant care. For preferences to be honored, clinicians must be able to reliably record, find, and use ACP documentation. However, there are no standards to guide ACP documentation in the electronic health record (EHR). We interviewed 21 key informants to understand the strengths and weaknesses of EHR documentation systems for ACP and identify best practices. We analyzed these interviews using a qualitative content analysis approach and subsequently developed a preliminary set of recommendations. These recommendations were vetted and refined in a second round of input from a national panel of content experts. Informants identified six themes regarding current inadequacies in documentation and accessibility of ACP information and opportunities for improvement. We offer a set of concise, clinically relevant recommendations, informed by expert opinion, to improve the state of ACP documentation in the EHR.

  5. Additional records and male description of Nordus stomachoponos Chatzimanolis (Coleoptera, Staphylinidae, Staphylininae

    Directory of Open Access Journals (Sweden)

    Maycon Roberto da Silva

    2015-03-01

    Full Text Available Nordus stomachoponos Chatzimanolis, 2004 is a Neotropical species previously known only by the female. The male of N. stomachoponos is described, and additional records on its distribution are provided.

  6. Preliminary analysis of strong-motion recordings from the 28 September 2004 Parkfield, California earthquake

    Science.gov (United States)

    Shakal, A.; Graizer, V.; Huang, M.; Borcherdt, R.; Haddadi, H.; Lin, K.-W.; Stephens, C.; Roffers, P.

    2005-01-01

    The Parkfield 2004 earthquake yielded the most extensive set of strong-motion data in the near-source region of a magnitude 6 earthquake yet obtained. The recordings of acceleration and volumetric strain provide an unprecedented document of the near-source seismic radiation for a moderate earthquake. The spatial density of the measurements alon g the fault zone and in the linear arrays perpendicular to the fault is expected to provide an exceptional opportunity to develop improved models of the rupture process. The closely spaced measurements should help infer the temporal and spatial distribution of the rupture process at much higher resolution than previously possible. Preliminary analyses of the peak a cceleration data presented herein shows that the motions vary significantly along the rupture zone, from 0.13 g to more than 2.5 g, with a map of the values showing that the larger values are concentrated in three areas. Particle motions at the near-fault stations are consistent with bilateral rupture. Fault-normal pulses similar to those observed in recent strike-slip earthquakes are apparent at several of the stations. The attenuation of peak ground acceleration with distance is more rapid than that indicated by some standard relationships but adequately fits others. Evidence for directivity in the peak acceleration data is not strong. Several stations very near, or over, the rupturing fault recorded relatively low accelerations. These recordings may provide a quantitative basis to understand observations of low near-fault shaking damage that has been reported in other large strike-slip earthquak.

  7. Physical principles of microwave assisted magnetic recording

    International Nuclear Information System (INIS)

    Rivkin, Kirill; Benakli, Mourad; Yin, Huaqing; Tabat, Ned

    2014-01-01

    While the basic physics of Microwave Assisted Magnetization Reversal (MAMR) phenomenon is well established both theoretically and experimentally, its application in a practical magnetic recording environment was so far studied primarily with the help of micromagnetic recording models. In this work, we instead attempt to use analytical formulation and simple numerical models to understand the main challenges as well as benefits that are associated with such a system. It appears that the main difference between the previously introduced theory [G. Bertotti et al., Phys. Rev. Lett. 86, 724 (2001); K. Rivkin et al., Appl. Phys. Lett. 92, 153104 (2008); S. Okamoto et al., J. Appl. Phys. 107, 123914 (2010).] and recording environment is that both the RF and DC magnetic fields are applied at a substantial angle to the anisotropy axis. While the associated symmetry breaking prevents one from describing the reversal process explicitly, it is possible to approximate the solutions well enough to satisfactorily match numerical models both in the case of wire and Spin Torque Oscillator generated RF fields. This approach allows for physical explanation of various effects associated with MAMR such as high gradient of writeable anisotropy and reduction of track width, and offers a clear guidance regarding future optimization of MAMR recording.

  8. Physical principles of microwave assisted magnetic recording

    Energy Technology Data Exchange (ETDEWEB)

    Rivkin, Kirill; Benakli, Mourad; Yin, Huaqing [Seagate Technology, Edina, Minnesota 55435 (United States); Tabat, Ned [Semaphore Scientific Inc., Chanhassen, Minnesota 55317 (United States)

    2014-06-07

    While the basic physics of Microwave Assisted Magnetization Reversal (MAMR) phenomenon is well established both theoretically and experimentally, its application in a practical magnetic recording environment was so far studied primarily with the help of micromagnetic recording models. In this work, we instead attempt to use analytical formulation and simple numerical models to understand the main challenges as well as benefits that are associated with such a system. It appears that the main difference between the previously introduced theory [G. Bertotti et al., Phys. Rev. Lett. 86, 724 (2001); K. Rivkin et al., Appl. Phys. Lett. 92, 153104 (2008); S. Okamoto et al., J. Appl. Phys. 107, 123914 (2010).] and recording environment is that both the RF and DC magnetic fields are applied at a substantial angle to the anisotropy axis. While the associated symmetry breaking prevents one from describing the reversal process explicitly, it is possible to approximate the solutions well enough to satisfactorily match numerical models both in the case of wire and Spin Torque Oscillator generated RF fields. This approach allows for physical explanation of various effects associated with MAMR such as high gradient of writeable anisotropy and reduction of track width, and offers a clear guidance regarding future optimization of MAMR recording.

  9. Guidelines for information about therapy experiments: a proposal on best practice for recording experimental data on cancer therapy.

    Science.gov (United States)

    González-Beltrán, Alejandra N; Yong, May Y; Dancey, Gairin; Begent, Richard

    2012-01-06

    Biology, biomedicine and healthcare have become data-driven enterprises, where scientists and clinicians need to generate, access, validate, interpret and integrate different kinds of experimental and patient-related data. Thus, recording and reporting of data in a systematic and unambiguous fashion is crucial to allow aggregation and re-use of data. This paper reviews the benefits of existing biomedical data standards and focuses on key elements to record experiments for therapy development. Specifically, we describe the experiments performed in molecular, cellular, animal and clinical models. We also provide an example set of elements for a therapy tested in a phase I clinical trial. We introduce the Guidelines for Information About Therapy Experiments (GIATE), a minimum information checklist creating a consistent framework to transparently report the purpose, methods and results of the therapeutic experiments. A discussion on the scope, design and structure of the guidelines is presented, together with a description of the intended audience. We also present complementary resources such as a classification scheme, and two alternative ways of creating GIATE information: an electronic lab notebook and a simple spreadsheet-based format. Finally, we use GIATE to record the details of the phase I clinical trial of CHT-25 for patients with refractory lymphomas. The benefits of using GIATE for this experiment are discussed. While data standards are being developed to facilitate data sharing and integration in various aspects of experimental medicine, such as genomics and clinical data, no previous work focused on therapy development. We propose a checklist for therapy experiments and demonstrate its use in the 131Iodine labeled CHT-25 chimeric antibody cancer therapy. As future work, we will expand the set of GIATE tools to continue to encourage its use by cancer researchers, and we will engineer an ontology to annotate GIATE elements and facilitate unambiguous

  10. Guidelines for information about therapy experiments: a proposal on best practice for recording experimental data on cancer therapy

    Directory of Open Access Journals (Sweden)

    González-Beltrán Alejandra N

    2012-01-01

    Full Text Available Abstract Background Biology, biomedicine and healthcare have become data-driven enterprises, where scientists and clinicians need to generate, access, validate, interpret and integrate different kinds of experimental and patient-related data. Thus, recording and reporting of data in a systematic and unambiguous fashion is crucial to allow aggregation and re-use of data. This paper reviews the benefits of existing biomedical data standards and focuses on key elements to record experiments for therapy development. Specifically, we describe the experiments performed in molecular, cellular, animal and clinical models. We also provide an example set of elements for a therapy tested in a phase I clinical trial. Findings We introduce the Guidelines for Information About Therapy Experiments (GIATE, a minimum information checklist creating a consistent framework to transparently report the purpose, methods and results of the therapeutic experiments. A discussion on the scope, design and structure of the guidelines is presented, together with a description of the intended audience. We also present complementary resources such as a classification scheme, and two alternative ways of creating GIATE information: an electronic lab notebook and a simple spreadsheet-based format. Finally, we use GIATE to record the details of the phase I clinical trial of CHT-25 for patients with refractory lymphomas. The benefits of using GIATE for this experiment are discussed. Conclusions While data standards are being developed to facilitate data sharing and integration in various aspects of experimental medicine, such as genomics and clinical data, no previous work focused on therapy development. We propose a checklist for therapy experiments and demonstrate its use in the 131Iodine labeled CHT-25 chimeric antibody cancer therapy. As future work, we will expand the set of GIATE tools to continue to encourage its use by cancer researchers, and we will engineer an ontology to

  11. Smog and Your Automobile. [Teacher's Manual, Filmstrip, Record].

    Science.gov (United States)

    California State Dept. of Public Health, Berkeley.

    A filmstrip, 33 1/3 RPM record, and teacher's manual are combined in this set to be used in driver education classes at the senior high school level. Their main purpose is to inform future drivers how they can minimize pollution from their automobiles through proper car maintenance and good driving habits. Content of the manual is divided into…

  12. Understanding drug-related mortality in released prisoners: a review of national coronial records

    Directory of Open Access Journals (Sweden)

    Andrews Jessica Y

    2012-04-01

    Full Text Available Abstract Background The prisoner population is characterised by a high burden of disease and social disadvantage, and ex-prisoners are at increased risk of death following release. Much of the excess mortality can be attributed to an increased risk of unnatural death, particularly from drug overdose; however, relatively few studies have investigated the circumstances surrounding drug-related deaths among released prisoners. This study aimed to explore and compare the circumstances of death for those who died from accidental drug-related causes to those who died from all other reportable causes. Methods A nationwide search of the Australian National Coroners Information System (NCIS was conducted to identify reportable deaths among ex-prisoners from 2000 to 2007. Using a structured coding form, NCIS records for these cases were interrogated to explore causes and circumstances of death. Results Coronial records for 388 deceased ex-prisoners were identified. Almost half of these deaths were a result of accidental drug-related causes (45%. The majority of accidental drug-related deaths occurred in a home environment, and poly-substance use at or around the time of death was common, recorded in 72% of drug-related deaths. Ex-prisoners who died of accidental drug-related causes were on average younger and less likely to be Indigenous, born in Australia, married, or living alone at or around the time of death, compared with those who died from all other reportable causes. Evidence of mental illness or self-harm was less common among accidental drug-related deaths, whereas evidence of previous drug overdose, injecting drug use, history of heroin use and history of drug withdrawal in the previous six months were more common. Conclusions Drug-related deaths are common among ex-prisoners and often occur in a home (vs. public setting. They are often associated with use of multiple substances at or around the time of death, risky drug-use patterns, and even

  13. Investigating the effect of paralogs on microarray gene-set analysis

    LENUS (Irish Health Repository)

    Faure, Andre J

    2011-01-24

    Abstract Background In order to interpret the results obtained from a microarray experiment, researchers often shift focus from analysis of individual differentially expressed genes to analyses of sets of genes. These gene-set analysis (GSA) methods use previously accumulated biological knowledge to group genes into sets and then aim to rank these gene sets in a way that reflects their relative importance in the experimental situation in question. We suspect that the presence of paralogs affects the ability of GSA methods to accurately identify the most important sets of genes for subsequent research. Results We show that paralogs, which typically have high sequence identity and similar molecular functions, also exhibit high correlation in their expression patterns. We investigate this correlation as a potential confounding factor common to current GSA methods using Indygene http:\\/\\/www.cbio.uct.ac.za\\/indygene, a web tool that reduces a supplied list of genes so that it includes no pairwise paralogy relationships above a specified sequence similarity threshold. We use the tool to reanalyse previously published microarray datasets and determine the potential utility of accounting for the presence of paralogs. Conclusions The Indygene tool efficiently removes paralogy relationships from a given dataset and we found that such a reduction, performed prior to GSA, has the ability to generate significantly different results that often represent novel and plausible biological hypotheses. This was demonstrated for three different GSA approaches when applied to the reanalysis of previously published microarray datasets and suggests that the redundancy and non-independence of paralogs is an important consideration when dealing with GSA methodologies.

  14. 1992 status report: U.S. sets new wind energy record as domestic market stagnates

    International Nuclear Information System (INIS)

    Gipe, Paul

    1993-01-01

    The current status of the USA wind turbine industry is reviewed both in terms of its domestic market and the global market. Although performance in the domestic market continues to improve and costs continue to drop, the growing European market resulting from their national policies to encourage renewable energies threaten the previous US dominance in this field. It is argued that US national energy policy should aid wind energy development. (UK)

  15. Recording Information on Architectural Heritage Should Meet the Requirements for Conservation Digital Recording Practices at the Summer Palace

    Science.gov (United States)

    Zhang, L.; Cong, Y.; Wu, C.; Bai, C.; Wu, C.

    2017-08-01

    , structural distortion analysis, display, statue restoration and thematic research. Three points will be highlighted in our discussion: 1. Understanding of the heritage is more important than the particular technology used: Architectural heritage information collection and recording are based on an understanding of the value and nature of the architectural heritage. Understanding is the purpose, whereas information collection and recording are the means. 2. Demand determines technology: Collecting and recording architectural heritage information is to serve the needs of heritage research, conservation, management and display. These different needs determine the different technologies that we use. 3. Set the level of accuracy appropriately: For information recording, high accuracy is not the key criterion; rather an appropriate level of accuracy is key. There is considerable deviation between the nominal accuracy of any instrument and the accuracy of any particular measurement.

  16. Deriving muscle fiber diameter from recorded single fiber potential.

    Science.gov (United States)

    Zalewska, Ewa

    2017-12-01

    The aim of the study was to estimate muscle fiber diameters through analysis of single muscle fiber potentials (SFPs) recorded in the frontalis muscle of a healthy subject. Our previously developed analytical and graphic method to derive fiber diameter from the analysis of the negative peak duration and the amplitude of SFP, was applied to a sample of ten SFPs recorded in vivo. Muscle fiber diameters derived from the simulation method for the sample of frontalis muscle SFPs are consistent with anatomical data for this muscle. The results confirm the utility of proposed simulation method. Outlying data could be considered as the result of a contribution of other fibers to the potential recorded using an SFEMG electrode. Our graphic tool provides a rapid estimation of muscle fiber diameter. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  17. Using Electronic Health Records to Examine Disease Risk in Small Populations: Obesity Among American Indian Children, Wisconsin, 2007-2012.

    Science.gov (United States)

    Tomayko, Emily J; Weinert, Bethany A; Godfrey, Liz; Adams, Alexandra K; Hanrahan, Lawrence P

    2016-02-25

    Tribe-based or reservation-based data consistently show disproportionately high obesity rates among American Indian children, but little is known about the approximately 75% of American Indian children living off-reservation. We examined obesity among American Indian children seeking care off-reservation by using a database of de-identified electronic health records linked to community-level census variables. Data from electronic health records from American Indian children and a reference sample of non-Hispanic white children collected from 2007 through 2012 were abstracted to determine obesity prevalence. Related community-level and individual-level risk factors (eg, economic hardship, demographics) were examined using logistic regression. The obesity rate for American Indian children (n = 1,482) was double the rate among non-Hispanic white children (n = 81,042) (20.0% vs 10.6%, P American Indian children were less likely to have had a well-child visit (55.9% vs 67.1%, P American Indian records (18.3% vs 14.6%, P obesity risk among American Indian children (odds ratio, 1.8; 95% confidence interval, 1.6-2.1) independent of age, sex, economic hardship, insurance status, and geographic designation. An electronic health record data set demonstrated high obesity rates for nonreservation-based American Indian children, rates that had not been previously assessed. This low-cost method may be used for assessing health risk for other understudied populations and to plan and evaluate targeted interventions.

  18. Age-of-Air, Tape Recorder, and Vertical Transport Schemes

    Science.gov (United States)

    Lin, S.-J.; Einaudi, Franco (Technical Monitor)

    2000-01-01

    A numerical-analytic investigation of the impacts of vertical transport schemes on the model simulated age-of-air and the so-called 'tape recorder' will be presented using an idealized 1-D column transport model as well as a more realistic 3-D dynamical model. By comparing to the 'exact' solutions of 'age-of-air' and the 'tape recorder' obtainable in the 1-D setting, useful insight is gained on the impacts of numerical diffusion and dispersion of numerical schemes used in global models. Advantages and disadvantages of Eulerian, semi-Lagrangian, and Lagrangian transport schemes will be discussed. Vertical resolution requirement for numerical schemes as well as observing systems for capturing the fine details of the 'tape recorder' or any upward propagating wave-like structures can potentially be derived from the 1-D analytic model.

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

    Science.gov (United States)

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

    2002-09-01

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

  20. Tachymenis chilensis Schegel, 1837 (Reptilia: Squamata: Dipsadidae. New record and geographic distribution map

    Directory of Open Access Journals (Sweden)

    Morando, Mariana

    2012-05-01

    Full Text Available We present the first vouchered record from Chubut provincein Futaleufú Department. Suburbs of Esquel city, along Ruta Nacional 259 to Trevelin on El Pinar, Roberts Farm. This is the southernmost record for the species; to our knowledge the previous southernmost registered specimen was based on collected specimens from Piltriquitrón Mountain in El Bolson, Los Lagos Department, Rio Negro Province.

  1. A Recording-Based Method for Auralization of Rotorcraft Flyover Noise

    Science.gov (United States)

    Pera, Nicholas M.; Rizzi, Stephen A.; Krishnamurthy, Siddhartha; Fuller, Christopher R.; Christian, Andrew

    2018-01-01

    Rotorcraft noise is an active field of study as the sound produced by these vehicles is often found to be annoying. A means to auralize rotorcraft flyover noise is sought to help understand the factors leading to annoyance. Previous work by the authors focused on auralization of rotorcraft fly-in noise, in which a simplification was made that enabled the source noise synthesis to be based on a single emission angle. Here, the goal is to auralize a complete flyover event, so the source noise synthesis must be capable of traversing a range of emission angles. The synthesis uses a source noise definition process that yields periodic and aperiodic (modulation) components at a set of discrete emission angles. In this work, only the periodic components are used for the source noise synthesis for the flyover; the inclusion of modulation components is the subject of ongoing research. Propagation of the synthesized source noise to a ground observer is performed using the NASA Auralization Framework. The method is demonstrated using ground recordings from a flight test of the AS350 helicopter for the source noise definition.

  2. 20 CFR 903.5 - Procedures for amendment of records regarding individual-format, agency review and appeal from...

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Procedures for amendment of records regarding... Employees' Benefits JOINT BOARD FOR THE ENROLLMENT OF ACTUARIES ACCESS TO RECORDS Records Pertaining to... also be advised of his right; (i) to file a concise “Statement of Disagreement” setting forth the...

  3. Noninvasive recording of electrocardiogram in conscious rat: A new device.

    Science.gov (United States)

    Kumar, Pradeep; Srivastava, Pooja; Gupta, Ankit; Bajpai, Manish

    2017-01-01

    Electrocardiogram (ECG) is an important tool for the study of cardiac electrophysiology both in human beings and experimental animals. Existing methods of ECG recording in small animals like rat have several limitations and ECG recordings of the anesthetized rat lack validity for heart rate (HR) variability analysis. The aim of the present study was to validate the ECG data from new device with ECG of anesthetized rat. The ECG was recorded on student's physiograph (BioDevice, Ambala) and suitable coupler and electrodes in six animals first by the newly developed device in conscious state and second in anesthetized state (stabilized technique). The data obtained were analyzed using unpaired t -test showed no significant difference ( P < 0.05) in QTc, QRS, and HR recorded by new device and established device in rats. No previous study describes a similar ECG recording in conscious state of rats. Thus, the present method may be a most physiological and inexpensive alternative to other methods. In this study, the animals were not restrained; they were just secured and represent a potential strength of the study.

  4. Personal Health Records: Design considerations for the South African context

    CSIR Research Space (South Africa)

    Mxoli, A

    2014-09-01

    Full Text Available A Personal Health Record (PHR) is a set of internet-based tools that allow individuals to create, store and coordinate their lifelong health information in one place making it available to relevant parties. It typically contains the individual’s...

  5. 75 FR 13575 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2010-03-22

    ..., proposes to modify the Accounting Systems for the Department of Justice, Justice/DOJ-001, to update the... the system description is set forth below. FOR FURTHER INFORMATION CONTACT: Robin Moss, Privacy... NAME: Accounting Systems for the Department of Justice (DOJ). * * * * * RECORD SOURCE CATEGORIES...

  6. Patterns of Tamarix water use during a record drought.

    Science.gov (United States)

    Nippert, Jesse B; Butler, James J; Kluitenberg, Gerard J; Whittemore, Donald O; Arnold, Dave; Spal, Scott E; Ward, Joy K

    2010-02-01

    During a record drought (2006) in southwest Kansas, USA, we assessed groundwater dynamics in a shallow, unconfined aquifer, along with plant water sources and physiological responses of the invasive riparian shrub Tamarix ramosissima. In early May, diel water table fluctuations indicated evapotranspirative consumption of groundwater by vegetation. During the summer drought, the water table elevation dropped past the lowest position previously recorded. Concurrent with this drop, water table fluctuations abruptly diminished at all wells at which they had previously been observed despite increasing evapotranspirative demand. Following reductions in groundwater fluctuations, volumetric water content declined corresponding to the well-specific depths of the capillary fringe in early May, suggesting a switch from primary dependence on groundwater to vadose-zone water. In at least one well, the fluctuations appear to re-intensify in August, suggesting increased groundwater uptake by Tamarix or other non-senesced species from a deeper water table later in the growing season. Our data suggest that Tamarix can rapidly shift water sources in response to declines in the water table. The use of multiple water sources by Tamarix minimized leaf-level water stress during drought periods. This study illustrates the importance of the previous hydrologic conditions experienced by site vegetation for controlling root establishment at depth and demonstrates the utility of data from high-frequency hydrologic monitoring in the interpretation of plant water sources using isotopic methods.

  7. 38 CFR 49.50 - Purpose of reports and records.

    Science.gov (United States)

    2010-07-01

    ... Purpose of reports and records. Sections 49.51 through 49.53 set forth the procedures for monitoring and reporting on the recipient's financial and program performance and the necessary standard reporting forms... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Purpose of reports and...

  8. Medical records and issues in negligence

    Directory of Open Access Journals (Sweden)

    Joseph Thomas

    2009-01-01

    Full Text Available It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a science of itself. This will be the only way for the doctor to prove that the treatment was carried out properly. Moreover, it will also be of immense help in the scientific evaluation and review of patient management issues. Medical records form an important part of the management of a patient. It is important for the doctors and medical establishments to properly maintain the records of patients for two important reasons. The first one is that it will help them in the scientific evaluation of their patient profile, helping in analyzing the treatment results, and to plan treatment protocols. It also helps in planning governmental strategies for future medical care. But of equal importance in the present setting is in the issue of alleged medical negligence. The legal system relies mainly on documentary evidence in a situation where medical negligence is alleged by the patient or the relatives. In an accusation of negligence, this is very often the most important evidence deciding on the sentencing or acquittal of the doctor. With the increasing use of medical insurance for treatment, the insurance companies also require proper record keeping to prove the patient′s demand for medical expenses. Improper record keeping can result in declining medical claims. It is disheartening to note that inspite of knowing the importance of proper record keeping it is still in a nascent stage in India. It is wise to remember that "Poor records mean poor defense, no records mean no defense". Medical records include a variety of documentation of patient′s history, clinical findings, diagnostic test results, preoperative care, operation notes, post operative care, and daily notes of a patient′s progress and medications. A properly obtained consent will go a long way in proving that the procedures were

  9. Quality Assessment of Family Planning Sterilization Services at Health Care Facilities: Case Record Audit.

    Science.gov (United States)

    Mathur, Medha; Goyal, Ram Chandra; Mathur, Navgeet

    2017-05-01

    Quality of sterilization services is a matter of concern in India because population control is a necessity. Family Planning Sterilization (FPS) services provided at public health care facilities need to be as per Standard Operating Procedures. To assess the quality of FPS services by audit of case records at selected health care facilities. This cross-sectional study was conducted for two and a half year duration at selected public health care facilities of central India by simple random sampling where FPS services were provided. As per the standards of Government of India, case records were audited and compliance was calculated to assess the quality of services. Results of record audit were satisfactory but important criteria like previous contraceptive history and postoperative counselling were found to be deviated from standards. At Primary Health Centres (PHCs) only 89.5% and at Community Health Centres (CHCs) 58.7% of records were having details of previous contraceptive history. Other criteria like mental illness (only 70% at CHCs) assessment were also inadequate. Although informed consent was found to be having 100% compliance in all records. Quality of care in FPS services is the matter of concern in present scenario for better quality of services. This study may enlighten the policy makers regarding improvements needed for providing quality care.

  10. NOAA/NSIDC Climate Data Record of Passive Microwave Sea Ice Concentration

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set provides a Climate Data Record (CDR) of sea ice concentration from passive microwave data. It provides a consistent, daily and monthly time series of...

  11. MESSENGER H XRS 5 REDUCED DATA RECORD (RDR) FOOTPRINTS V1.0

    Data.gov (United States)

    National Aeronautics and Space Administration — Abstract ======== This data set consists of the MESSENGER XRS reduced data record (RDR) footprints which are derived from the navigational meta-data for each...

  12. Executive Functioning and Visuospatial Abilities in Bulimia Nervosa with or without a Previous History of Anorexia Nervosa.

    Science.gov (United States)

    Degortes, Daniela; Tenconi, Elena; Santonastaso, Paolo; Favaro, Angela

    2016-03-01

    The aim of the present study was to investigate executive functioning and visuospatial abilities in patients with bulimia nervosa (BN), with a particular interest in exploring the impact of a previous diagnosis of anorexia nervosa (AN). Several neuropsychological tasks were administered to 89 BN patients (52 with a previous history of AN and 37 without previous AN) and 160 healthy women. A poorer performance on set-shifting measures (Wisconsin Card Sorting Test) was found only in BN patients with a previous history of AN. Decision-making abilities (Iowa Gambling Task) were significantly impaired in the whole sample of BN patients, but difficulties were more pronounced in the subgroup with previous AN. Finally, we did not find any differences in response inhibition and visuospatial abilities between the two samples of BN patients and healthy women. Our findings support the idea that cognitive abilities in patients with BN are more impaired in the presence of a prior history of AN. The clinical and treatment implications of our findings should be explored in future studies. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  13. Impact of Students’ Class Attendance on Recalling Previously Acquired Information

    Directory of Open Access Journals (Sweden)

    Camellia Hemyari

    2018-03-01

    Full Text Available Background: In recent years, availability of class material including typed lectures, the professor’s Power Point slides, sound recordings, and even videos made a group of students feel that it is unnecessary to attend the classes. These students usually read and memorize typed lectures within two or three days prior to the exams and usually pass the tests even with low attendance rate. Thus, the question is how effective is this learning system and how long the one-night memorized lessons may last.Methods: A group of medical students (62 out of 106 students, with their class attendance and educational achievements in the Medical Mycology and Parasitology course being recorded since two years ago, was selected and their knowledge about this course was tested by multiple choice questions (MCQ designed based on the previous lectures.Results: Although the mean re-exam score of the students at the end of the externship was lower than the corresponding final score, a significant association was found between the scores of the students in these two exams (r=0.48, P=0.01. Moreover, a significant negative association was predicted between the number of absences and re-exam scores (r=-0.26, P=0.037.Conclusion: As our findings show, the phenomenon of recalling the acquired lessons is preserved for a long period of time and it is associated with the students’ attendance. Many factors including generation effect (by taking notes and cued-recall (via slide picture might play a significant role in the better recalling of the learned information in students with good class attendance.Keywords: STUDENT, MEMORY, LONG-TERM, RECALL, ABSENTEEISM, LEARNING

  14. Record Litter Size for the Bull Shark, Carcharhinus leucas (Muller ...

    African Journals Online (AJOL)

    On the morning of 25 September 2013, a large female bull shark, Carcharhinus leucas, was landed in Port Victoria, Seychelles. It had been caught on an anchored long line set the previous evening, within 100 m of the main fishing quay. The female exhibited an unusually large girth for this heavy-set species. The shark ...

  15. 77 FR 26791 - Records Schedules; Availability and Request for Comments

    Science.gov (United States)

    2012-05-07

    ... form used by tax payers to acknowledge receipt and responsibility of their personal identification... information system used to maintain applications and registration records of professional tax preparers. 16... implementation of requirements set in the Coal Act of 1992. Includes administrative materials related to the...

  16. Priority setting of ICU resources in an influenza pandemic: a qualitative study of the Canadian public's perspectives

    Directory of Open Access Journals (Sweden)

    Silva Diego S

    2012-03-01

    Full Text Available Abstract Background Pandemic influenza may exacerbate existing scarcity of life-saving medical resources. As a result, decision-makers may be faced with making tough choices about who will receive care and who will have to wait or go without. Although previous studies have explored ethical issues in priority setting from the perspective of clinicians and policymakers, there has been little investigation into how the public views priority setting during a pandemic influenza, in particular related to intensive care resources. Methods To bridge this gap, we conducted three public town hall meetings across Canada to explore Canadian's perspectives on this ethical challenge. Town hall discussions group discussions were digitally recorded, transcribed, and analyzed using thematic analysis. Results Six interrelated themes emerged from the town hall discussions related to: ethical and empirical starting points for deliberation; criteria for setting priorities; pre-crisis planning; in-crisis decision-making; the need for public deliberation and input; and participants' deliberative struggle with the ethical issues. Conclusions Our findings underscore the importance of public consultation in pandemic planning for sustaining public trust in a public health emergency. Participants appreciated the empirical and ethical uncertainty of decision-making in an influenza pandemic and demonstrated nuanced ethical reasoning about priority setting of intensive care resources in an influenza pandemic. Policymakers may benefit from a better understanding the public's empirical and ethical 'starting points' in developing effective pandemic plans.

  17. Tele-transmission of EEG recordings.

    Science.gov (United States)

    Lemesle, M; Kubis, N; Sauleau, P; N'Guyen The Tich, S; Touzery-de Villepin, A

    2015-03-01

    EEG recordings can be sent for remote interpretation. This article aims to define the tele-EEG procedures and technical guidelines. Tele-EEG is a complete medical act that needs to be carried out with the same quality requirements as a local one in terms of indications, formulation of the medical request and medical interpretation. It adheres to the same quality requirements for its human resources and materials. It must be part of a medical organization (technical and medical network) and follow all rules and guidelines of good medical practices. The financial model of this organization must include costs related to performing the EEG recording, operating and maintenance of the tele-EEG network and medical fees of the physician interpreting the EEG recording. Implementing this organization must be detailed in a convention between all parties involved: physicians, management of the healthcare structure, and the company providing the tele-EEG service. This convention will set rules for network operation and finance, and also the continuous training of all staff members. The tele-EEG system must respect all rules for safety and confidentiality, and ensure the traceability and storing of all requests and reports. Under these conditions, tele-EEG can optimize the use of human resources and competencies in its zone of utilization and enhance the organization of care management. Copyright © 2015. Published by Elsevier SAS.

  18. Design and implementation of an affordable, public sector electronic medical record in rural Nepal

    Directory of Open Access Journals (Sweden)

    Anant Raut

    2017-06-01

    Over the course of 18 months, we were able to develop, deploy and iterate upon the electronic medical record, and then deploy the refined product at an additional facility within only four weeks. Our experience suggests the feasibility of an integrated electronic medical record for public sector care delivery even in settings of rural poverty.

  19. Electronic patient record and archive of records in Cardio.net system for telecardiology.

    Science.gov (United States)

    Sierdziński, Janusz; Karpiński, Grzegorz

    2003-01-01

    In modern medicine the well structured patient data set, fast access to it and reporting capability become an important question. With the dynamic development of information technology (IT) such question is solved via building electronic patient record (EPR) archives. We then obtain fast access to patient data, diagnostic and treatment protocols etc. It results in more efficient, better and cheaper treatment. The aim of the work was to design a uniform Electronic Patient Record, implemented in cardio.net system for telecardiology allowing the co-operation among regional hospitals and reference centers. It includes questionnaires for demographic data and questionnaires supporting doctor's work (initial diagnosis, final diagnosis, history and physical, ECG at the discharge, applied treatment, additional tests, drugs, daily and periodical reports). The browser is implemented in EPR archive to facilitate data retrieval. Several tools for creating EPR and EPR archive were used such as: XML, PHP, Java Script and MySQL. The separate question is the security of data on WWW server. The security is ensured via Security Socket Layer (SSL) protocols and other tools. EPR in Cardio.net system is a module enabling the co-work of many physicians and the communication among different medical centers.

  20. Counting SET-free sets

    OpenAIRE

    Harman, Nate

    2016-01-01

    We consider the following counting problem related to the card game SET: How many $k$-element SET-free sets are there in an $n$-dimensional SET deck? Through a series of algebraic reformulations and reinterpretations, we show the answer to this question satisfies two polynomiality conditions.

  1. The record of iceberg roll generated waves from sediments and seismics

    Science.gov (United States)

    Rosser, N. J.; Szczucinski, W.; Strzelecki, M.; Long, A. J.; Norman, E. C.; Dunning, S.; Drewniak, M.

    2013-12-01

    Iceberg-roll tsunamis in coastal settings have been observed to generate significant local waves, that hold potential to be recorded in coastal depositional records. Capturing the past magnitude and frequency of such events remains challenging, hindered by a lack of a good understanding of the nature, recurrence and scale of iceberg rolls, and more specifically those rolls that generate waves. Here we consider the sedimentary evidence for iceberg rolls in West Central Greenland, based upon survey of depositional environments in a range of open and confined coastal environments. We examine both an open 80 km fjord setting, and a series of confined ice-marginal beaches. We combine a detailed interpretation of sediment deposits from shore-normal transects with wider-scale high-resolution terrestrial laser scanning of sediments. Our sites - Vaigat, which separates Disko Island from the Nussuaq Peninsular, and the northern shore of Icefjord - both have a recent history of tsunamis, triggered variously by large rock avalanches, landslides and iceberg rolls. Icebergs in Vaigat and Icefjord are observed to undergo frequent failure and roll, generating - where circumstances permit - nearshore waves of meter-scale. To obtain a more detailed understanding of the likely recurrence of such iceberg roll waves and to consider their influence upon the preserved sedimentary record, we undertook an intensive 2-month monitoring campaign during sea-ice free conditions in summer 2013 to determine the patterns in the location, magnitude, frequency and timing of iceberg roll waves. Innovatively, using microseismic monitoring combined with time-lapse photography and weather monitoring, we derive a first-order model of the occurrence of iceberg roll waves. We then use this to inform our interpretation of deposits in these two environments, and consider the presence and absence of records of iceberg roll deposits in such settings. The study was funded by Polish National Science Centre grant

  2. Cosmic-ray exposure records and origins of meteorites

    International Nuclear Information System (INIS)

    Reedy, R.C.

    1985-01-01

    The cosmic-ray records of meteorites can be used to infer much about their origins and recent histories. Some meteorites had simple cosmic-ray exposure histories, while others had complex exposure histories with their cosmogenic products made both before and after a collision in space. The methods used to interpret meteorites' cosmic-ray records, especially identifying simple or complex exposure histories, often are inadequate. Besides spallogenic radionuclides and stable nuclides, measurements of products that have location-sensitive production rates, such as the tracks of heavy cosmic-ray nuclei or neutron-capture nuclides, are very useful in accurately determining a meteorite's history. Samples from different, known locations of a meteorite help in studying the cosmic-ray record. Such extensive sets of meteorite measurements, plus theoretical modeling of complex histories, will improve our ability to predict the production of cosmogenic nuclides in meteorites, to distinguish simple and complex exposure histories, and to better determine exposure ages

  3. Update of alien fauna and new records from Tunisian marine waters

    Directory of Open Access Journals (Sweden)

    K. OUNIFI- BEN AMOR

    2015-01-01

    Full Text Available An updated inventory of alien marine fauna in coastal and offshore Tunisian waters is presented. Records were compiled from scientific and ‘grey’ publications, presentations at scientific meetings, theses presented in fulfillment of requirements towards MSc and PhD degrees, websites and personal observations. 136 alien species were recorded in Tunisian waters, 60 records in northern coasts, West Mediterranean and 76 in central and southern coasts, Central Mediterranean. Nearly half of the first sightings in Tunisian waters took place in the Gulf of Gabès. The dominant taxa are Crustancean (24%, Molluscs (23%, Fishes (19% and Annelida (13%. Twenty one species previously reported as aliens, were upon consideration, reclassified as range-expanding Atlantic species. Amathia verticillata, previously considered native to the Mediterranean, is reclassified as pseudoindigenous. Twenty one alien species are newly recorded from Tunisia, including 5 fish species, 5 polychaetes, 4 crustaceans, 4 molluscs, and one each schyphozoan, bryozoan and tunicate. The findings of Gibberulus gibberulus albus, Morula aspera and Calcinus latens, three species new to the Mediterranean, and of Actaedoes tomentosus, reported for the second time in the basin, are described. Species were classified according to their establishment status and their origins. This contribution highlights the dual origin of biological invasion in Tunisian waters (Red Sea and Atlantic, with slightly more species of Red Sea and Indo-Pacific origin (61,76%.  The impact of the alien species in Tunisian waters was discussed.

  4. An updated global grid point surface air temperature anomaly data set: 1851--1990

    Energy Technology Data Exchange (ETDEWEB)

    Sepanski, R.J.; Boden, T.A.; Daniels, R.C.

    1991-10-01

    This document presents land-based monthly surface air temperature anomalies (departures from a 1951--1970 reference period mean) on a 5{degree} latitude by 10{degree} longitude global grid. Monthly surface air temperature anomalies (departures from a 1957--1975 reference period mean) for the Antarctic (grid points from 65{degree}S to 85{degree}S) are presented in a similar way as a separate data set. The data were derived primarily from the World Weather Records and the archives of the United Kingdom Meteorological Office. This long-term record of temperature anomalies may be used in studies addressing possible greenhouse-gas-induced climate changes. To date, the data have been employed in generating regional, hemispheric, and global time series for determining whether recent (i.e., post-1900) warming trends have taken place. This document also presents the monthly mean temperature records for the individual stations that were used to generate the set of gridded anomalies. The periods of record vary by station. Northern Hemisphere station data have been corrected for inhomogeneities, while Southern Hemisphere data are presented in uncorrected form. 14 refs., 11 figs., 10 tabs.

  5. An implantable CMOS signal conditioning system for recording nerve signals with cuff electrodes

    DEFF Research Database (Denmark)

    Papathanasiou, Konstantinos; Lehmann, Torsten

    2000-01-01

    We propose a system architecture for recording nerve signals with cuff electrodes and develop the key component in this system, the small-input, low-noise, low-power, high-gain amplifier. The amplifier is implemented using a mixture of weak- and strong-inversion transistors and a special off-set ......-set compensation technique; its performance is validated using Spice simulations....

  6. Head of the bed elevation angle recorder for intensive care unit

    Science.gov (United States)

    Krefft, Maciej; Zamaro-Michalska, Aleksandra; Zabołotny, Wojciech M.; Zaworski, Wojciech; Grzanka, Antoni; Łazowski, Tomasz; Tavola, Mario; Siewiera, Jacek; Mikaszewska-Sokolewicz, Małgorzata

    2013-10-01

    This paper presents a recording system optimized for long term measurement of bed headrest elevation angle in the Intensive Care Unit. The continuous monitoring of this parameter allows to find the correlation between the patient's position in bed and the risk of the Ventilator Associated Pneumonia (VAP), a very serious problem in therapy of critically ill patients. Recorder might be be an important tool to evaluate the "care bundles" - sets of preventive procedures recommended for treatment of patients in the ICU.

  7. Implications of the law on video recording in clinical practice.

    Science.gov (United States)

    Henken, Kirsten R; Jansen, Frank Willem; Klein, Jan; Stassen, Laurents P S; Dankelman, Jenny; van den Dobbelsteen, John J

    2012-10-01

    Technological developments allow for a variety of applications of video recording in health care, including endoscopic procedures. Although the value of video registration is recognized, medicolegal concerns regarding the privacy of patients and professionals are growing. A clear understanding of the legal framework is lacking. Therefore, this research aims to provide insight into the juridical position of patients and professionals regarding video recording in health care practice. Jurisprudence was searched to exemplify legislation on video recording in health care. In addition, legislation was translated for different applications of video in health care found in the literature. Three principles in Western law are relevant for video recording in health care practice: (1) regulations on privacy regarding personal data, which apply to the gathering and processing of video data in health care settings; (2) the patient record, in which video data can be stored; and (3) professional secrecy, which protects the privacy of patients including video data. Practical implementation of these principles in video recording in health care does not exist. Practical regulations on video recording in health care for different specifically defined purposes are needed. Innovations in video capture technology that enable video data to be made anonymous automatically can contribute to protection for the privacy of all the people involved.

  8. WITHDRAWN: Nursing record systems: effects on nursing practice and healthcare outcomes.

    Science.gov (United States)

    Urquhart, Christine; Currell, Rosemary; Grant, Maria J; Hardiker, Nicholas R

    2018-05-15

    A nursing record system is the record of care that was planned or given to individual patients and clients by qualified nurses or other caregivers under the direction of a qualified nurse. Nursing record systems may be an effective way of influencing nurse practice. To assess the effects of nursing record systems on nursing practice and patient outcomes. For the original version of this review in 2000, and updates in 2003 and 2008, we searched: the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register; MEDLINE, EMBASE, CINAHL, BNI, ISI Web of Knowledge, and ASLIB Index of Theses. We also handsearched: Computers, Informatics, Nursing (Computers in Nursing); Information Technology in Nursing; and the Journal of Nursing Administration. For this update, searches can be considered complete until the end of 2007. We checked reference lists of retrieved articles and other related reviews. Randomised controlled trials (RCTs), controlled before and after studies, and interrupted time series comparing one kind of nursing record system with another in hospital, community or primary care settings. The participants were qualified nurses, students or healthcare assistants working under the direction of a qualified nurse, and patients receiving care recorded or planned using nursing record systems. Two review authors (in two pairs) independently assessed trial quality and extracted data. We included nine trials (eight RCTs, one controlled before and after study) involving 1846 people. The studies that evaluated nursing record systems focusing on relatively discrete and focused problems, for example effective pain management in children, empowering pregnant women and parents, reducing loss of notes, reducing time spent on data entry of test results, reducing transcription errors, and reducing the number of pieces of paper in a record, all demonstrated some degree of success in achieving the desired results. Studies of nursing care planning

  9. Simulating Category Learning and Set Shifting Deficits in Patients Weight-Restored from Anorexia Nervosa

    Science.gov (United States)

    2014-01-01

    Neuropsychology, in press     Simulating Category Learning and Set Shifting Deficits in Patients Weight-Restored from Anorexia Nervosa J...University   Objective: To examine set shifting in a group of women previously diagnosed with anorexia nervosa (AN) who are now weight-restored (AN-WR...participant fails to switch to the new rule but rather persists with the previously correct rule. Adult patients with Anorexia Nervosa (AN) are often impaired

  10. Marketing and public programming in records and archives at the ...

    African Journals Online (AJOL)

    mpho ngoepe

    Archives belong to people's lives as they may contribute to their enjoyment and ... contribution that proper records and archive keeping can make to society. .... Africa (Gesellschaft fuer deutche Kolonisation) and his friends set out a .... influence attitudes and opinions, and to achieve a mutual understanding between the.

  11. READING, PREPROCESSING OF ACCELERATIONS AND CORNERS INCLINATION WITH MPU-6050 I RECORD THEM ON SD-CARD THE ARDUINO DUE

    Directory of Open Access Journals (Sweden)

    V. G. Mikhailov

    2016-01-01

    Full Text Available The short review of microcontrollers of family Arduino, their characteristics and application fields is given. Importance of record of parameters of researched object is marked to produce debugging of control systems on microcontrollers Arduino. Unique possibility of registration of parameters in family Arduino is record on SD a card in an alpha mode with usage of functions print (, write (. The problems connected to record of the binary data on SD a card on microcontroller Arduino Due are considered. The analysis of methods of record of the binary data on SD-card Arduino Due, originating problems with neocleaning of memory from the previous program leading to possibility of duplication of the data on SD to a card, presence of the erratic point of view about restriction of volumes of data record and necessity of usage become outdated SD-cards is carried out. Ways of elimination of the marked lacks are considered. The estimation of high-speed performance of various approaches of a data recording on SD a card is led. On the basis of the led researches the approach of multiplexing of the writeable information at the expense of conversion of the binary data is offered is byte-serial in a character array in code ASCI without magnification of their volume and record by units on 240 byte. It allows to use as much as possible standard function possibilities write ( Arduino and specificity of the organization of memory SD of cards and to increase high-speed performance more than in 1100 times in comparison with record in a character type on one byte.It is marked that usage of decisions of an exception of duplication of the data offered at forums does not provide completeness of their elimination. For Arduino Due for storage cleaning it is necessary usages of the special programmator or setting of the new program of loading.

  12. Smartphone attachment for stethoscope recording.

    Science.gov (United States)

    Thompson, Jeff

    2015-01-01

    With the ubiquity of smartphones and the rising technology of 3D printing, novel devices can be developed that leverage the "computer in your pocket" and rapid prototyping technologies toward scientific, medical, engineering, and creative purposes. This paper describes such a device: a simple 3D-printed extension for Apple's iPhone that allows the sound from an off-the-shelf acoustic stethoscope to be recorded using the phone's built-in microphone. The attachment's digital 3D files can be easily shared, modified for similar phones and devices capable of recording audio, and in combination with 3D printing technology allow for fabrication of a durable device without need for an entire factory of expensive and specialized machining tools. It is hoped that by releasing this device as an open source set of printable files that can be downloaded and reproduced cheaply, others can make use of these developments where access to cost-prohibitive, specialized medical instruments are not available. Coupled with specialized smartphone software ("apps"), more sophisticated and automated diagnostics may also be possible on-site.

  13. Health record systems that meet clinical needs

    Directory of Open Access Journals (Sweden)

    Gabriella Negrini

    2012-10-01

    Full Text Available Introduction Increased attention has recently been focused on health record systems as a result of accreditation programs, a growing emphasis on patient safety, and the increase in lawsuits involving allegations of malpractice. Health-care professionals frequently express dissatisfaction with the health record systems and complain that the data included are neither informative nor useful for clinical decision making. This article reviews the main objectives of a hospital health record system, with emphasis on its roles in communication and exchange among clinicians, patient safety, and continuity of care, and asks whether current systems have responded to the recent changes in the Italian health-care system.Discussion If health records are to meet the expectations of all health professionals, the overall information need must be carefully analyzed, a common data set must be created, and essential specialist contributions must be defined. Working with health-care professionals, the hospital management should define how clinical information is to be displayed and organized, identify a functionally optimal layout, define the characteristics of ongoing patient assessment in terms of who will be responsible for these activities and how often they will be performed. Internet technology can facilitate data retrieval and meet the general requirements of a paper-based health record system, but it must also ensure focus on clinical information, business continuity, integrity, security, and privacy.Conclusions The current health records system needs to be thoroughly revised to increase its accessibility, streamline the work of health-care professionals who consult it, and render it more useful for clinical decision making—a challenging task that will require the active involvement of the many professional classes involved.

  14. Evaluating the Risk of Re-identification of Patients from Hospital Prescription Records.

    Science.gov (United States)

    Emam, Khaled El; Dankar, Fida K; Vaillancourt, Régis; Roffey, Tyson; Lysyk, Mary

    2009-07-01

    Pharmacies often provide prescription records to private research firms, on the assumption that these records are de-identified (i.e., identifying information has been removed). However, concerns have been expressed about the potential that patients can be re-identified from such records. Recently, a large private research firm requested prescription records from the Children's Hospital of Eastern Ontario (CHEO), as part of a larger effort to develop a database of hospital prescription records across Canada. To evaluate the ability to re-identify patients from CHEO'S prescription records and to determine ways to appropriately de-identify the data if the risk was too high. The risk of re-identification was assessed for 18 months' worth of prescription data. De-identification algorithms were developed to reduce the risk to an acceptable level while maintaining the quality of the data. The probability of patients being re-identified from the original variables and data set requested by the private research firm was deemed quite high. A new de-identified record layout was developed, which had an acceptable level of re-identification risk. The new approach involved replacing the admission and discharge dates with the quarter and year of admission and the length of stay in days, reporting the patient's age in weeks, and including only the first character of the patient's postal code. Additional requirements were included in the data-sharing agreement with the private research firm (e.g., audit requirements and a protocol for notification of a breach of privacy). Without a formal analysis of the risk of re-identification, assurances of data anonymity may not be accurate. A formal risk analysis at one hospital produced a clinically relevant data set that also protects patient privacy and allows the hospital pharmacy to explicitly manage the risks of breach of patient privacy.

  15. RECORDS REACHING RECORDING DATA TECHNOLOGIES

    Directory of Open Access Journals (Sweden)

    G. W. L. Gresik

    2013-07-01

    Full Text Available The goal of RECORDS (Reaching Recording Data Technologies is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

  16. Records Reaching Recording Data Technologies

    Science.gov (United States)

    Gresik, G. W. L.; Siebe, S.; Drewello, R.

    2013-07-01

    The goal of RECORDS (Reaching Recording Data Technologies) is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

  17. Management of laboratory data and information exchange in the electronic health record.

    Science.gov (United States)

    Wilkerson, Myra L; Henricks, Walter H; Castellani, William J; Whitsitt, Mark S; Sinard, John H

    2015-03-01

    In the era of the electronic health record, the success of laboratories and pathologists will depend on effective presentation and management of laboratory information, including test orders and results, and effective exchange of data between the laboratory information system and the electronic health record. In this third paper of a series that explores empowerment of pathology in the era of the electronic health record, we review key elements of managing laboratory information within the electronic health record and examine functional issues pertinent to pathologists and laboratories in the exchange of laboratory information between electronic health records and both anatomic and clinical pathology laboratory information systems. Issues with electronic order-entry and results-reporting interfaces are described, and considerations for setting up these interfaces are detailed in tables. The role of the laboratory medical director as mandated by the Clinical Laboratory Improvement Amendments of 1988 and the impacts of discordance between laboratory results and their display in the electronic health record are also discussed.

  18. The value of structured data elements from electronic health records for identifying subjects for primary care clinical trials.

    Science.gov (United States)

    Ateya, Mohammad B; Delaney, Brendan C; Speedie, Stuart M

    2016-01-11

    An increasing number of clinical trials are conducted in primary care settings. Making better use of existing data in the electronic health records to identify eligible subjects can improve efficiency of such studies. Our study aims to quantify the proportion of eligibility criteria that can be addressed with data in electronic health records and to compare the content of eligibility criteria in primary care with previous work. Eligibility criteria were extracted from primary care studies downloaded from the UK Clinical Research Network Study Portfolio. Criteria were broken into elemental statements. Two expert independent raters classified each statement based on whether or not structured data items in the electronic health record can be used to determine if the statement was true for a specific patient. Disagreements in classification were discussed until 100 % agreement was reached. Statements were also classified based on content and the percentages of each category were compared to two similar studies reported in the literature. Eligibility criteria were retrieved from 228 studies and decomposed into 2619 criteria elemental statements. 74 % of the criteria elemental statements were considered likely associated with structured data in an electronic health record. 79 % of the studies had at least 60 % of their criteria statements addressable with structured data likely to be present in an electronic health record. Based on clinical content, most frequent categories were: "disease, symptom, and sign", "therapy or surgery", and "medication" (36 %, 13 %, and 10 % of total criteria statements respectively). We also identified new criteria categories related to provider and caregiver attributes (2.6 % and 1 % of total criteria statements respectively). Electronic health records readily contain much of the data needed to assess patients' eligibility for clinical trials enrollment. Eligibility criteria content categories identified by our study can be

  19. Peterjamesia circumscripta (Leight.) D. Hawksw. (Roccellaceae: Ascomycota): First record to continental South America

    OpenAIRE

    Gumboski, Emerson; Eliasaro, Sionara

    2012-01-01

    Peterjamesia circumscripta, previously known from Australia, Europe, North Africa, North and Central America, and Galapagos Islands was collected in southern Brazil. This is the first record of this species in continental South America.

  20. Accessing primary care Big Data: the development of a software algorithm to explore the rich content of consultation records.

    Science.gov (United States)

    MacRae, J; Darlow, B; McBain, L; Jones, O; Stubbe, M; Turner, N; Dowell, A

    2015-08-21

    To develop a natural language processing software inference algorithm to classify the content of primary care consultations using electronic health record Big Data and subsequently test the algorithm's ability to estimate the prevalence and burden of childhood respiratory illness in primary care. Algorithm development and validation study. To classify consultations, the algorithm is designed to interrogate clinical narrative entered as free text, diagnostic (Read) codes created and medications prescribed on the day of the consultation. Thirty-six consenting primary care practices from a mixed urban and semirural region of New Zealand. Three independent sets of 1200 child consultation records were randomly extracted from a data set of all general practitioner consultations in participating practices between 1 January 2008-31 December 2013 for children under 18 years of age (n=754,242). Each consultation record within these sets was independently classified by two expert clinicians as respiratory or non-respiratory, and subclassified according to respiratory diagnostic categories to create three 'gold standard' sets of classified records. These three gold standard record sets were used to train, test and validate the algorithm. Sensitivity, specificity, positive predictive value and F-measure were calculated to illustrate the algorithm's ability to replicate judgements of expert clinicians within the 1200 record gold standard validation set. The algorithm was able to identify respiratory consultations in the 1200 record validation set with a sensitivity of 0.72 (95% CI 0.67 to 0.78) and a specificity of 0.95 (95% CI 0.93 to 0.98). The positive predictive value of algorithm respiratory classification was 0.93 (95% CI 0.89 to 0.97). The positive predictive value of the algorithm classifying consultations as being related to specific respiratory diagnostic categories ranged from 0.68 (95% CI 0.40 to 1.00; other respiratory conditions) to 0.91 (95% CI 0.79 to 1

  1. Recording and automated analysis of naturalistic bioptic driving.

    Science.gov (United States)

    Luo, Gang; Peli, Eli

    2011-05-01

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

  2. A Danish open-set speech corpus for competing-speech studies

    DEFF Research Database (Denmark)

    Nielsen, Jens Bo; Dau, Torsten; Neher, Tobias

    2014-01-01

    Studies investigating speech-on-speech masking effects commonly use closed-set speech materials such as the coordinate response measure [Bolia et al. (2000). J. Acoust. Soc. Am. 107, 1065-1066]. However, these studies typically result in very low (i.e., negative) speech recognition thresholds (SRTs......) when the competing speech signals are spatially separated. To achieve higher SRTs that correspond more closely to natural communication situations, an open-set, low-context, multi-talker speech corpus was developed. Three sets of 268 unique Danish sentences were created, and each set was recorded...... with one of three professional female talkers. The intelligibility of each sentence in the presence of speech-shaped noise was measured. For each talker, 200 approximately equally intelligible sentences were then selected and systematically distributed into 10 test lists. Test list homogeneity was assessed...

  3. Validation of asthma recording in electronic health records: protocol for a systematic review.

    Science.gov (United States)

    Nissen, Francis; Quint, Jennifer K; Wilkinson, Samantha; Mullerova, Hana; Smeeth, Liam; Douglas, Ian J

    2017-05-29

    Asthma is a common, heterogeneous disease with significant morbidity and mortality worldwide. It can be difficult to define in epidemiological studies using electronic health records as the diagnosis is based on non-specific respiratory symptoms and spirometry, neither of which are routinely registered. Electronic health records can nonetheless be valuable to study the epidemiology, management, healthcare use and control of asthma. For health databases to be useful sources of information, asthma diagnoses should ideally be validated. The primary objectives are to provide an overview of the methods used to validate asthma diagnoses in electronic health records and summarise the results of the validation studies. EMBASE and MEDLINE will be systematically searched for appropriate search terms. The searches will cover all studies in these databases up to October 2016 with no start date and will yield studies that have validated algorithms or codes for the diagnosis of asthma in electronic health records. At least one test validation measure (sensitivity, specificity, positive predictive value, negative predictive value or other) is necessary for inclusion. In addition, we require the validated algorithms to be compared with an external golden standard, such as a manual review, a questionnaire or an independent second database. We will summarise key data including author, year of publication, country, time period, date, data source, population, case characteristics, clinical events, algorithms, gold standard and validation statistics in a uniform table. This study is a synthesis of previously published studies and, therefore, no ethical approval is required. The results will be submitted to a peer-reviewed journal for publication. Results from this systematic review can be used to study outcome research on asthma and can be used to identify case definitions for asthma. CRD42016041798. © Article author(s) (or their employer(s) unless otherwise stated in the text of the

  4. 21 CFR 225.102 - Master record file and production records.

    Science.gov (United States)

    2010-04-01

    ... or production run of medicated feed to which it pertains. The Master Record File or card shall... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Master record file and production records. 225.102....102 Master record file and production records. (a) The Master Record File provides the complete...

  5. ImSET: Impact of Sector Energy Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Roop, Joseph M.; Scott, Michael J.; Schultz, Robert W.

    2005-07-19

    This version of the Impact of Sector Energy Technologies (ImSET) model represents the ''next generation'' of the previously developed Visual Basic model (ImBUILD 2.0) that was developed in 2003 to estimate the macroeconomic impacts of energy-efficient technology in buildings. More specifically, a special-purpose version of the 1997 benchmark national Input-Output (I-O) model was designed specifically to estimate the national employment and income effects of the deployment of Office of Energy Efficiency and Renewable Energy (EERE) -developed energy-saving technologies. In comparison with the previous versions of the model, this version allows for more complete and automated analysis of the essential features of energy efficiency investments in buildings, industry, transportation, and the electric power sectors. This version also incorporates improvements in the treatment of operations and maintenance costs, and improves the treatment of financing of investment options. ImSET is also easier to use than extant macroeconomic simulation models and incorporates information developed by each of the EERE offices as part of the requirements of the Government Performance and Results Act.

  6. Socio-technical considerations in epilepsy electronic patient record implementation.

    LENUS (Irish Health Repository)

    Mc Quaid, Louise

    2010-05-01

    Examination of electronic patient record (EPR) implementation at the socio-technical interface. This study was based on the introduction of an anti-epileptic drug (AED) management module of an EPR in an epilepsy out-patient clinic. The objective was to introduce the module to a live clinical setting within strictly controlled conditions to evaluate its usability and usefulness.

  7. Corridor consultations and the medical microbiological record: is patient safety at risk?

    Science.gov (United States)

    Heard, S R; Roberts, C; Furrows, S J; Kelsey, M; Southgate, L

    2003-01-01

    The performance procedures of the General Medical Council are aimed at identifying seriously deficient performance in a doctor. The performance procedures require the medical record to be of a standard that enables the next doctor seeing the patient to give adequate care based on the available information. Setting standards for microbiological record keeping has proved difficult. Over one fifth of practising medical microbiologists (including virologists) in the UK (139 of 676) responded to a survey undertaken by the working group developing the performance procedures for microbiology, to identify current practice and to develop recommendations for agreement within the profession about the standards of the microbiological record. The cumulative frequency for the surveyed recording methods used indicated that at various times 65% (90 of 139) of respondents used a daybook, 62% (86 of 139) used the back of the clinical request card, 57% (79 of 139) used a computer record, and 22% (30 of 139) used an index card system to record microbiological advice, suggesting wide variability in relation to how medical microbiologists maintain clinical records. PMID:12499432

  8. Basis set effects on coupled cluster benchmarks of electronically excited states: CC3, CCSDR(3) and CC2

    DEFF Research Database (Denmark)

    Silva-Junior, Mario R.; Sauer, Stephan P. A.; Schreiber, Marko

    2010-01-01

    Vertical electronic excitation energies and one-electron properties of 28 medium-sized molecules from a previously proposed benchmark set are revisited using the augmented correlation-consistent triple-zeta aug-cc-pVTZ basis set in CC2, CCSDR(3), and CC3 calculations. The results are compared...... to those obtained previously with the smaller TZVP basis set. For each of the three coupled cluster methods, a correlation coefficient greater than 0.994 is found between the vertical excitation energies computed with the two basis sets. The deviations of the CC2 and CCSDR(3) results from the CC3 reference...... values are very similar for both basis sets, thus confirming previous conclusions on the intrinsic accuracy of CC2 and CCSDR(3). This similarity justifies the use of CC2- or CCSDR(3)-based corrections to account for basis set incompleteness in CC3 studies of vertical excitation energies. For oscillator...

  9. New tick records in Rondônia, Western Brazilian Amazon.

    Science.gov (United States)

    Labruna, Marcelo Bahia; Barbieri, Fábio Silva; Martins, Thiago Fernandes; Brito, Luciana Gatto; Ribeiro, Francisco Dimas Sales

    2010-01-01

    In the present study, we provide new tick records from Vilhena Municipality, in the Southeast of the State of Rondônia, Northern Brazil. Ticks collected from a capybara, Hydrochoerus hydrochaeris (Linnaeus), were identified as Amblyomma romitii Tonelli-Rondelli (1 female), and Amblyomma sp. (1 larva). Ticks collected from a harpy eagle, Harpia harpyja (Linnaeus), were identified as Amblyomma cajennense (Fabricius) (16 nymphs) and Haemaphysalis juxtakochi Cooley (1 nymph). Ticks collected from a yellow-footed tortoise, Chelonoidis denticulada (Linnaeus), were identified as Amblyomma rotundatum Koch (10 females, 2 nymphs), and Amblyomma sp. (2 larvae). The present record of A. romitii is the first in the State of Rondônia, and represents the southernmost record for this tick species, indicating that its distribution area is much larger than currently recognized. Although both A. cajennense and H. juxtakochi have been reported parasitizing various bird species, we provide the first tick records on a harpy eagle. A. rotundatum is widespread in the State of Rondônia, and has been previously reported on the yellow-footed tortoise. The present records increase the tick fauna of Rondônia to 26 species.

  10. 47 CFR 0.557 - Administrative review of an initial decision not to amend a record.

    Science.gov (United States)

    2010-10-01

    ... COMMISSION ORGANIZATION Privacy Act Regulations § 0.557 Administrative review of an initial decision not to... conduct an independent review of the record in controversy using the standards of review set out in § 0... expected to be completed. (c) If upon review of the record in controversy the Commission agrees with the...

  11. An analysis of electronic health record-related patient safety incidents.

    Science.gov (United States)

    Palojoki, Sari; Mäkelä, Matti; Lehtonen, Lasse; Saranto, Kaija

    2017-06-01

    The aim of this study was to analyse electronic health record-related patient safety incidents in the patient safety incident reporting database in fully digital hospitals in Finland. We compare Finnish data to similar international data and discuss their content with regard to the literature. We analysed the types of electronic health record-related patient safety incidents that occurred at 23 hospitals during a 2-year period. A procedure of taxonomy mapping served to allow comparisons. This study represents a rare examination of patient safety risks in a fully digital environment. The proportion of electronic health record-related incidents was markedly higher in our study than in previous studies with similar data. Human-computer interaction problems were the most frequently reported. The results show the possibility of error arising from the complex interaction between clinicians and computers.

  12. Association between Childhood Diarrhoeal Incidence and Climatic Factors in Urban and Rural Settings in the Health District of Mbour, Senegal

    Directory of Open Access Journals (Sweden)

    Sokhna Thiam

    2017-09-01

    Full Text Available We assessed the association between childhood diarrhoeal incidence and climatic factors in rural and urban settings in the health district of Mbour in western Senegal. We used monthly diarrhoeal case records among children under five years registered in 24 health facilities over a four-year period (2011–2014. Climatic data (i.e., daily temperature, night temperature and rainfall for the same four-year period were obtained. We performed a negative binomial regression model to establish the relationship between monthly diarrhoeal incidence and climatic factors of the same and the previous month. There were two annual peaks in diarrhoeal incidence: one during the cold dry season and one during the rainy season. We observed a positive association between diarrhoeal incidence and high average temperature of 36 °C and above and high cumulative monthly rainfall at 57 mm and above. The association between diarrhoeal incidence and temperature was stronger in rural compared to urban settings, while higher rainfall was associated with higher diarrhoeal incidence in the urban settings. Concluding, this study identified significant health–climate interactions and calls for effective preventive measures in the health district of Mbour. Particular attention should be paid to urban settings where diarrhoea was most common in order to reduce the high incidence in the context of climatic variability, which is expected to increase in urban areas in the face of global warming.

  13. Association between Childhood Diarrhoeal Incidence and Climatic Factors in Urban and Rural Settings in the Health District of Mbour, Senegal.

    Science.gov (United States)

    Thiam, Sokhna; Diène, Aminata N; Sy, Ibrahima; Winkler, Mirko S; Schindler, Christian; Ndione, Jacques A; Faye, Ousmane; Vounatsou, Penelope; Utzinger, Jürg; Cissé, Guéladio

    2017-09-12

    We assessed the association between childhood diarrhoeal incidence and climatic factors in rural and urban settings in the health district of Mbour in western Senegal. We used monthly diarrhoeal case records among children under five years registered in 24 health facilities over a four-year period (2011-2014). Climatic data (i.e., daily temperature, night temperature and rainfall) for the same four-year period were obtained. We performed a negative binomial regression model to establish the relationship between monthly diarrhoeal incidence and climatic factors of the same and the previous month. There were two annual peaks in diarrhoeal incidence: one during the cold dry season and one during the rainy season. We observed a positive association between diarrhoeal incidence and high average temperature of 36 °C and above and high cumulative monthly rainfall at 57 mm and above. The association between diarrhoeal incidence and temperature was stronger in rural compared to urban settings, while higher rainfall was associated with higher diarrhoeal incidence in the urban settings. Concluding, this study identified significant health-climate interactions and calls for effective preventive measures in the health district of Mbour. Particular attention should be paid to urban settings where diarrhoea was most common in order to reduce the high incidence in the context of climatic variability, which is expected to increase in urban areas in the face of global warming.

  14. Use of large electronic health record databases for environmental epidemiology studies.

    Science.gov (United States)

    Background: Electronic health records (EHRs) are a ubiquitous component of the United States healthcare system and capture nearly all data collected in a clinic or hospital setting. EHR databases are attractive for secondary data analysis as they may contain detailed clinical rec...

  15. Autocatalytic sets in a partitioned biochemical network.

    Science.gov (United States)

    Smith, Joshua I; Steel, Mike; Hordijk, Wim

    2014-01-01

    In previous work, RAF theory has been developed as a tool for making theoretical progress on the origin of life question, providing insight into the structure and occurrence of self-sustaining and collectively autocatalytic sets within catalytic polymer networks. We present here an extension in which there are two "independent" polymer sets, where catalysis occurs within and between the sets, but there are no reactions combining polymers from both sets. Such an extension reflects the interaction between nucleic acids and peptides observed in modern cells and proposed forms of early life. We present theoretical work and simulations which suggest that the occurrence of autocatalytic sets is robust to the partitioned structure of the network. We also show that autocatalytic sets remain likely even when the molecules in the system are not polymers, and a low level of inhibition is present. Finally, we present a kinetic extension which assigns a rate to each reaction in the system, and show that identifying autocatalytic sets within such a system is an NP-complete problem. Recent experimental work has challenged the necessity of an RNA world by suggesting that peptide-nucleic acid interactions occurred early in chemical evolution. The present work indicates that such a peptide-RNA world could support the spontaneous development of autocatalytic sets and is thus a feasible alternative worthy of investigation.

  16. Finding Trapped Miners by Using a Prototype Seismic Recording System Made from Music-Recording Hardware

    Science.gov (United States)

    Pratt, Thomas L.

    2009-01-01

    The goal of this project was to use off-the-shelf music recording equipment to build and test a prototype seismic system to listen for people trapped in underground chambers (mines, caves, collapsed buildings). Previous workers found that an array of geophones is effective in locating trapped miners; displaying the data graphically, as well as playing it back into an audio device (headphones) at high speeds, was found to be effective for locating underground tapping. The desired system should record the data digitally to allow for further analysis, be capable of displaying the data graphically, allow for rudimentary analysis (bandpass filter, deconvolution), and allow the user to listen to the data at varying speeds. Although existing seismic reflection systems are adequate to record, display and analyze the data, they are relatively expensive and difficult to use and do not have an audio playback option. This makes it difficult for individual mines to have a system waiting on the shelf for an emergency. In contrast, music recording systems, like the one I used to construct the prototype system, can be purchased for about 20 percent of the cost of a seismic reflection system and are designed to be much easier to use. The prototype system makes use of an ~$3,000, 16-channel music recording system made by Presonus, Inc., of Baton Rouge, Louisiana. Other manufacturers make competitive systems that would serve equally well. Connecting the geophones to the recording system required the only custom part of this system - a connector that takes the output from the geophone cable and breaks it into 16 microphone inputs to be connected to the music recording system. The connector took about 1 day of technician time to build, using about $300 in off-the-shelf parts. Comparisons of the music recording system and a standard seismic reflection system (A 24-channel 'Geode' system manufactured by Geometrics, Inc., of San Jose, California) were carried out at two locations. Initial

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

    International Nuclear Information System (INIS)

    AghaKouchak, Amir; Nakhjiri, Navid

    2012-01-01

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

  18. Record prices [crude oil

    International Nuclear Information System (INIS)

    Anon

    2006-01-01

    Crude oil prices climbed to new record levels on fears of a future loss of supplies from Iran as Washington stepped up its efforts to persuade Tehran to abandon its programme to produce nuclear fuel. IPE's December Brent contract set a new record for the exchange by trading at $75.80/bbl on 21st April. On the same day October WTI reached an all-time high of $77.30/bbl on Nymex. US product prices gained as refiners struggled to produce sufficient middle distillate. Alarmed by the rising retail price of gasoline, the US Senate debated a reduction in the already low US tax rate on motor spirit. The House of Representatives passed a measure to prohibit overcharging for petrol, diesel and heating oil, but Democrats rejected a Republican proposal to speed-up the process for approving new refineries. President George W Bush announced a temporary easing of new gasoline and diesel specifications (see 'Focus', March 2006) to allow more fuel to be produced. He also agreed to delay the repayment of some 2.1 mn bbl of crude oil lent to companies after last year's hurricanes from the Strategic Petroleum Reserve. California announced an inquiry into alleged overcharging for fuel by oil companies operating in the state. (author)

  19. Vaginal prostaglandin gel to induce labour in women with one previous caesarean section.

    LENUS (Irish Health Repository)

    Agnew, G

    2012-02-01

    This retrospective study reviewed the mode of delivery when vaginal prostaglandins were used to induce labour in women with a single previous lower segment caesarean section. Over a 4-year period, PGE 2 gel was used cautiously in low doses in 54 women. Induction with PGE 2 gel was associated with an overall vaginal birth after caesarean section (VBAC) rate of 74%, which compared favourably with the 74% VBAC rate in women who went into spontaneous labour (n = 1969). There were no adverse outcomes recorded after the prostaglandin inductions but the number reported are too small to draw any conclusions about the risks, such as uterine rupture. We report our results because they may be helpful in assessing the chances of a successful VBAC in the uncommon clinical circumstances where prostaglandin induction is being considered.

  20. First record of Taenia ovis krabbei muscle cysts in muskoxen from Greenland

    DEFF Research Database (Denmark)

    Raundrup, Katrine; Al-Sabi, Mohammad M; Kapel, Christian Moliin Outzen

    2012-01-01

    A first record of Taenia ovis krabbei muscle cysts in a muskoxen (Ovibos moschatus) from the Kangerlussuaq population in West Greenland suggests that introduced muskoxen now contributes to the transmission of this parasite in addition to previous observations from caribou (Rangtfer tarandus...

  1. Computer simulation of radiographic images sharpness in several system of image record

    International Nuclear Information System (INIS)

    Silva, Marcia Aparecida; Schiable, Homero; Frere, Annie France; Marques, Paulo M.A.; Oliveira, Henrique J.Q. de; Alves, Fatima F.R.; Medeiros, Regina B.

    1996-01-01

    A method to predict the influence of the record system on radiographic images sharpness by computer simulation is studied. The method intend to previously show the image to be obtained for each type of film or screen-film combination used during the exposure

  2. NEW AND NOTEWORTHY BIRD RECORDS FROM THE EAST SLOPE OF THE ANDES OF COLOMBIA

    Directory of Open Access Journals (Sweden)

    SALAMAN PAUL G.W.

    2002-06-01

    Full Text Available We present significant new information on the distribution and status of 138 speciesof birds from the Andean East Slope of Colombia, based upon fieldwork between1990 and 2000 at 28 sites from central Dpto. Boyacá south to the Ecuador border.The first Colombian specimens of two species (Campylopterus villaviscensio, NapoSabrewing; Myrmotherula spodionota, Foothill Antwren are reported. Three othertaxa (Ocreatus underwoodii addae, Piculus leucolaemus leucolaemus andMyiophobus p. phoenicomitra, the first two sometimes considered species distinctfrom known Colombian forms, represent first reports from Colombia based uponsightings or photographs; we add several more sightings of two species (Pipreolachlorolepidota, Iridisornis analis previously known from single sight records. Inall, we report 35 species from the Andean East Slope of Colombia for the first time,southward range extensions on this slope for 47 species, northward extensions for21, upward or downward altitudinal extensions for 19, filling in of major discontinuitiesin distribution for 22; for ten of the latter, known from very few reports, new informationindicates a continuous distribution and far greater abundance than previouslysupposed. Range extensions and previously undiscovered populations of severalrestricted-range, Vulnerable, Near-threatened and Threatened species help toemphasize the importance of implementing conservation measures in the face of the increasing colonization pressures and insecurity. Based on our observations, wepresent several recommendations for setting conservation priorities in this rich butstill relatively poorly known region.

  3. Application of smart phone and supporting set for fundus imaging in primary hospital of rural area

    Directory of Open Access Journals (Sweden)

    Yong-Feng Jing

    2018-01-01

    Full Text Available AIM: To describe the application of smart phone and supporting set for acquiring fundus images with slitlamp examination and non-contact lens in primary hospital of the rural area. METHODS: The supporting set for smart phone was purchased from taobao and securely connected to the ocular lens of slitlamp microscopy. The fundus photos were imaged with assistance of non-contact slitlamp lens from Volk. RESULTS: High quality images of various retinal diseases could be successfully taken with smart phone and supporting set by slitlamp examination. The fundus images were send to patients with Wechat as medical records or used for telconsultant. CONCLUSION: High resolution smart phones are wildly used nowadays and supporting sets are very accessible; thus high quality of images could be obtained with minimal cost in rural hospitals. The digital fundus images will be beneficial for medical record and rapid diagnosis with telconsultant.

  4. Electron holography of magnetic field generated by a magnetic recording head.

    Science.gov (United States)

    Goto, Takayuki; Jeong, Jong Seok; Xia, Weixing; Akase, Zentaro; Shindo, Daisuke; Hirata, Kei

    2013-06-01

    The magnetic field generated by a magnetic recording head is evaluated using electron holography. A magnetic recording head, which is connected to an electric current source, is set on the specimen holder of a transmission electron microscope. Reconstructed phase images of the region around the magnetic pole show the change in the magnetic field distribution corresponding to the electric current applied to the coil of the head. A simulation of the magnetic field, which is conducted using the finite element method, reveals good agreement with the experimental observations.

  5. Patient experiences with full electronic access to health records and clinical notes through the My HealtheVet Personal Health Record Pilot: qualitative study.

    Science.gov (United States)

    Woods, Susan S; Schwartz, Erin; Tuepker, Anais; Press, Nancy A; Nazi, Kim M; Turvey, Carolyn L; Nichol, W Paul

    2013-03-27

    Full sharing of the electronic health record with patients has been identified as an important opportunity to engage patients in their health and health care. The My HealtheVet Pilot, the initial personal health record of the US Department of Veterans Affairs, allowed patients and their delegates to view and download content in their electronic health record, including clinical notes, laboratory tests, and imaging reports. A qualitative study with purposeful sampling sought to examine patients' views and experiences with reading their health records, including their clinical notes, online. Five focus group sessions were conducted with patients and family members who enrolled in the My HealtheVet Pilot at the Portland Veterans Administration Medical Center, Oregon. A total of 30 patients enrolled in the My HealtheVet Pilot, and 6 family members who had accessed and viewed their electronic health records participated in the sessions. Four themes characterized patient experiences with reading the full complement of their health information. Patients felt that seeing their records positively affected communication with providers and the health system, enhanced knowledge of their health and improved self-care, and allowed for greater participation in the quality of their care such as follow-up of abnormal test results or decision-making on when to seek care. While some patients felt that seeing previously undisclosed information, derogatory language, or inconsistencies in their notes caused challenges, they overwhelmingly felt that having more, rather than less, of their health record information provided benefits. Patients and their delegates had predominantly positive experiences with health record transparency and the open sharing of notes and test results. Viewing their records appears to empower patients and enhance their contributions to care, calling into question common provider concerns about the effect of full record access on patient well-being. While shared

  6. Stage 1 of the meaningful use incentive program for electronic health records: a study of readiness for change in ambulatory practice settings in one integrated delivery system.

    Science.gov (United States)

    Shea, Christopher M; Reiter, Kristin L; Weaver, Mark A; McIntyre, Molly; Mose, Jason; Thornhill, Jonathan; Malone, Robb; Weiner, Bryan J

    2014-12-14

    Meaningful Use (MU) provides financial incentives for electronic health record (EHR) implementation. EHR implementation holds promise for improving healthcare delivery, but also requires substantial changes for providers and staff. Establishing readiness for these changes may be important for realizing potential EHR benefits. Our study assesses whether provider/staff perceptions about the appropriateness of MU and their departments' ability to support MU-related changes are associated with their reported readiness for MU-related changes. We surveyed providers and staff representing 47 ambulatory practices within an integrated delivery system. We assessed whether respondent's role and practice-setting type (primary versus specialty care) were associated with reported readiness for MU (i.e., willingness to change practice behavior and ability to document actions for MU) and hypothesized predictors of readiness (i.e., perceived appropriateness of MU and department support for MU). We then assessed associations between reported readiness and the hypothesized predictors of readiness. In total, 400 providers/staff responded (response rate approximately 25%). Individuals working in specialty settings were more likely to report that MU will divert attention from other patient-care priorities (12.6% vs. 4.4%, p = 0.019), as compared to those in primary-care settings. As compared to advanced-practice providers and nursing staff, physicians were less likely to have strong confidence in their department's ability to solve MU implementation problems (28.4% vs. 47.1% vs. 42.6%, p = 0.023) and to report strong willingness to change their work practices for MU (57.9% vs. 83.3% vs. 82.0%, p management support of MU-related change, as these perceptions might be related to subsequent implementation.

  7. Using the Electronic Health Record in Nursing Research: Challenges and Opportunities.

    Science.gov (United States)

    Samuels, Joanne G; McGrath, Robert J; Fetzer, Susan J; Mittal, Prashant; Bourgoine, Derek

    2015-10-01

    Changes in the patient record from the paper to the electronic health record format present challenges and opportunities for the nurse researcher. Current use of data from the electronic health record is in a state of flux. Novel data analytic techniques and massive data sets provide new opportunities for nursing science. Realization of a strong electronic data output future relies on meeting challenges of system use and operability, data presentation, and privacy. Nurse researchers need to rethink aspects of proposal development. Joining ongoing national efforts aimed at creating usable data output is encouraged as a means to affect system design. Working to address challenges and embrace opportunities will help grow the science in a way that answers important patient care questions. © The Author(s) 2015.

  8. 76 FR 33121 - Record Retention for Regulated Entities and Office of Finance

    Science.gov (United States)

    2011-06-08

    ...The Federal Housing Finance Agency is issuing a final regulation to set forth record retention requirements for the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Federal Home Loan Banks, and the Office of Finance.

  9. Improving regional climate and hydrological forecasting following the record setting flooding across the Lake Ontario - St. Lawrence River system

    Science.gov (United States)

    Gronewold, A.; Seglenieks, F.; Bruxer, J.; Fortin, V.; Noel, J.

    2017-12-01

    In the spring of 2017, water levels across Lake Ontario and the upper St. Lawrence River exceeded record high levels, leading to widespread flooding, damage to property, and controversy over regional dam operating protocols. Only a few years earlier, water levels on Lakes Superior, Michigan, and Huron (upstream of Lake Ontario) had dropped to record low levels leading to speculation that either anthropogenic controls or climate change were leading to chronic water loss from the Great Lakes. The contrast between low water level conditions across Earth's largest lake system from the late 1990s through 2013, and the rapid rise prior to the flooding in early 2017, underscores the challenges of quantifying and forecasting hydrologic impacts of rising regional air and water temperatures (and associated changes in lake evaporation) and persistent increases in long-term precipitation. Here, we assess the hydrologic conditions leading to the recent record flooding across the Lake Ontario - St. Lawrence River system, with a particular emphasis on understanding the extent to which those conditions were consistent with observed and anticipated changes in historical and future climate, and the extent to which those conditions could have been anticipated through improvements in seasonal climate outlooks and hydrological forecasts.

  10. Development of land data sets for studies of global climate change

    International Nuclear Information System (INIS)

    Sadowski, F.G.; Watkins, A.H.

    1991-01-01

    The U.S. Geological Survey has begun a major initiative to organize, produce, and distribute land data sets that will support the land data requirements of the global change science community. Satellite image data sets, produced from the National Oceanic and Atmospheric Administration's Advanced Very High Resolution Radiometer sensors, will be developed to provide repetitive, synoptic coverage of regional, continental, and global land areas. These data sets, integrated with related land data and supplemented by coregistered Landsat data sets, will enable scientists to quantify the fundamental land surface attributes that are needed to model land surface processes, to detect and monitor land surface change, and to map land cover. These well-structured, consistent land data sets will form the historical record of land observations prior to the era of the National Aeronautics and Space Administration's Earth Observing System sensors

  11. First-language raters’ opinions when validating word recordings for a newly developed speech reception threshold test

    Directory of Open Access Journals (Sweden)

    Seema Panday

    2018-03-01

    Full Text Available Background: The purpose of this study was to consider the value of adding first-language speaker ratings to the process of validating word recordings for use in a new speech reception threshold (SRT test in audiology. Previous studies had identified 28 word recordings as being suitable for use in a new SRT test. These word recordings had been shown to satisfy the linguistic criteria of familiarity, phonetic dissimilarity and tone, and the psychometric criterion of homogeneity of audibility.   Objectives: The aim of the study was to consider the value of adding first-language speakers’ ratings when validating word recordings for a new SRT test.   Method: A single observation, cross-sectional design was used to collect and analyse quantitative data in this study. Eleven first-language isiZulu speakers, purposively selected, were asked to rate each of the word recordings for pitch, clarity, naturalness, speech rate and quality on a 5-point Likert scale. The percent agreement and Friedman test were used for analysis.   Results: More than 20% of these 11 participants rated the three-word recordings below ‘strongly agree’ in the category of pitch or tone, and one-word recording below ‘strongly agree’ in the categories of pitch or tone, clarity or articulation and naturalness or dialect.   Conclusion: The first-language speaker ratings proved to be a valuable addition to the process of selecting word recordings for use in a new SRT test. In particular, these ratings identified potentially problematic word recordings in the new SRT test that had been missed by the previously and more commonly used linguistic and psychometric selection criteria.

  12. First-language raters' opinions when validating word recordings for a newly developed speech reception threshold test.

    Science.gov (United States)

    Panday, Seema; Kathard, Harsha; Pillay, Mershen; Wilson, Wayne

    2018-03-29

     The purpose of this study was to consider the value of adding first-language speaker ratings to the process of validating word recordings for use in a new speech reception threshold (SRT) test in audiology. Previous studies had identified 28 word recordings as being suitable for use in a new SRT test. These word recordings had been shown to satisfy the linguistic criteria of familiarity, phonetic dissimilarity and tone, and the psychometric criterion of homogeneity of audibility. Objectives: The aim of the study was to consider the value of adding first-language speakers' ratings when validating word recordings for a new SRT test. Method: A single observation, cross-sectional design was used to collect and analyse quantitative data in this study. Eleven first-language isiZulu speakers, purposively selected, were asked to rate each of the word recordings for pitch, clarity, naturalness, speech rate and quality on a 5-point Likert scale. The percent agreement and Friedman test were used for analysis. Results: More than 20% of these 11 participants rated the three-word recordings below 'strongly agree' in the category of pitch or tone, and one-word recording below 'strongly agree' in the categories of pitch or tone, clarity or articulation and naturalness or dialect. Conclusion: The first-language speaker ratings proved to be a valuable addition to the process of selecting word recordings for use in a new SRT test. In particular, these ratings identified potentially problematic word recordings in the new SRT test that had been missed by the previously and more commonly used linguistic and psychometric selection criteria.

  13. New long-range speed record with next-generation internet

    CERN Multimedia

    2003-01-01

    "Scientists at CERN and the California Institute of Technology have set a new Internet2 land speed record using the next-generation Internet protocol IPv6. The team sustained a single stream Transfer Control Protocol (TCP) rate of 983 megabits per second for more than one hour between CERN and Chicago, a distance of more than 7,000 kilometres" (1 page).

  14. A survey of the praying mantises of Rwanda, including new records (Insecta, Mantodea).

    Science.gov (United States)

    Tedrow, Riley; Nathan, Kabanguka; Richard, Nasasira; Svenson, Gavin J

    2015-10-01

    We report the results of two surveys targeting praying mantises in four localities in Rwanda, specifically Akagera National Park, Nyungwe National Park, Volcanoes National Park, and the Arboretum de Ruhande at the National University of Rwanda. Using an assortment of collecting techniques, including metal halide light traps, sweep netting vegetation and general searching, we obtained 387 adult and 352 juvenile specimens, representing 41 species. A total of 28 novel species records for Rwanda are added to the 18 previously recorded species for the country, in addition to 20 novel species records for the broader region, including neighbouring Uganda and Burundi. This study provides high resolution images of the dorsal habitus of both sexes of representative species, both pinned and living. Species distribution records are presented and discussed. With a 155% increase in species recorded from Rwanda, this survey illustrates the need for further taxonomic work in the region.

  15. New records of coral-associated crabs (Decapoda: Brachyura: Carpilioidea, Trapezoidea) from Easter Island.

    Science.gov (United States)

    Boyko, Christopher B; Mendoza, Jose C E; Castro, Peter

    2017-01-10

    A review is made of those brachyurans that are symbiotic or otherwise associated with scleractinian corals on Easter Island, southeastern Pacific Ocean. A total of seven species is reported, including three species from two families not previously known from the island. Earlier records of Trapezia are analyzed and, although as many as six species have been previously reported, we conclude that only three species are known to occur on the island with certainty.

  16. Giuseppe Antonino Biondo e la fondazione dell’International Recording

    Directory of Open Access Journals (Sweden)

    Paolo Biondo

    2015-08-01

    Full Text Available Giuseppe Antonino Biondo (1899-1988, a US citizen of Italian origins, was one of the most important entrepreneurs in the fields of discography and film sound post-production in Italy. A leading figure at American RCA, G.A. Biondo moved to Rome during the 1950s, where he founded RCA Italiana and, a few years later, International Recording, which became one of the main post-production companies in Italy until the 2000s. These operations deeply impacted on the technological and industrial setting of Italian cinema. In this essay we recall G.A. Biondo’s early years in the US and we deal with the chain of events that led to the birth of International Recording.

  17. High-Grade Leiomyosarcoma Arising in a Previously Replanted Limb

    Directory of Open Access Journals (Sweden)

    Tiffany J. Pan

    2015-01-01

    Full Text Available Sarcoma development has been associated with genetics, irradiation, viral infections, and immunodeficiency. Reports of sarcomas arising in the setting of prior trauma, as in burn scars or fracture sites, are rare. We report a case of a leiomyosarcoma arising in an arm that had previously been replanted at the level of the elbow joint following traumatic amputation when the patient was eight years old. He presented twenty-four years later with a 10.8 cm mass in the replanted arm located on the volar forearm. The tumor was completely resected and pathology examination showed a high-grade, subfascial spindle cell sarcoma diagnosed as a grade 3 leiomyosarcoma with stage pT2bNxMx. The patient underwent treatment with brachytherapy, reconstruction with a free flap, and subsequently chemotherapy. To the best of our knowledge, this is the first case report of leiomyosarcoma developing in a replanted extremity. Development of leiomyosarcoma in this case could be related to revascularization, scar formation, or chronic injury after replantation. The patient remains healthy without signs of recurrence at three-year follow-up.

  18. Adaptation, plant evolution, and the fossil record

    Science.gov (United States)

    Knoll, A. H.; Niklas, K. J.

    1987-01-01

    The importance of adaptation in determining patterns of evolution has become an important focus of debate in evolutionary biology. As it pertains to paleobotany, the issue is whether or not adaptive evolution mediated by natural selection is sufficient to explain the stratigraphic distributions of taxa and character states observed in the plant fossil record. One means of addressing this question is the functional evaluation of stratigraphic series of plant organs set in the context of paleoenvironmental change and temporal patterns of floral composition within environments. For certain organ systems, quantitative estimates of biophysical performance can be made on the basis of structures preserved in the fossil record. Performance estimates for plants separated in time or space can be compared directly. Implicit in different hypotheses of the forces that shape the evolutionary record (e.g. adaptation, mass extinction, rapid environmental change, chance) are predictions about stratigraphic and paleoenvironmental trends in the efficacy of functional performance. Existing data suggest that following the evolution of a significant structural innovation, adaptation for improved functional performance can be a major determinant of evolutionary changes in plants; however, there are structural and development limits to functional improvement, and once these are reached, the structure in question may no longer figure strongly in selection until and unless a new innovation evolves. The Silurian-Devonian paleobotanical record is consistent with the hypothesis that the succession of lowland floodplain dominants preserved in the fossil record of this interval was determined principally by the repeated evolution of new taxa that rose to ecological importance because of competitive advantages conferred by improved biophysical performance. This does not seem to be equally true for Carboniferous-Jurassic dominants of swamp and lowland floodplain environments. In these cases

  19. The Blockchain and Kudos: A Distributed System for Educational Record, Reputation and Reward

    OpenAIRE

    Sharples, Mike; Domingue, John

    2016-01-01

    The ‘blockchain’ is the core mechanism for the Bitcoin digital payment system. It embraces a set of inter-related technologies: the blockchain itself as a distributed record of digital events, the distributed consensus method to agree whether a new block is legitimate, automated smart contracts, and the data structure associated with each block. We propose a permanent distributed record of intellectual effort and associated reputational reward, based on the blockchain that instantiates and de...

  20. Calibrated, Enhanced-Resolution Brightness Temperature Earth System Data Record: A New Era for Gridded Passive Microwave Data

    Science.gov (United States)

    Hardman, M.; Brodzik, M. J.; Long, D. G.

    2017-12-01

    Since 1978, the satellite passive microwave data record has been a mainstay of remote sensing of the cryosphere, providing twice-daily, near-global spatial coverage for monitoring changes in hydrologic and cryospheric parameters that include precipitation, soil moisture, surface water, vegetation, snow water equivalent, sea ice concentration and sea ice motion. Up until recently, the available global gridded passive microwave data sets have not been produced consistently. Various projections (equal-area, polar stereographic), a number of different gridding techniques were used, along with various temporal sampling as well as a mix of Level 2 source data versions. In addition, not all data from all sensors have been processed completely and they have not been processed in any one consistent way. Furthermore, the original gridding techniques were relatively primitive and were produced on 25 km grids using the original EASE-Grid definition that is not easily accommodated in modern software packages. As part of NASA MEaSUREs, we have re-processed all data from SMMR, all SSM/I-SSMIS and AMSR-E instruments, using the most mature Level 2 data. The Calibrated, Enhanced-Resolution Brightness Temperature (CETB) Earth System Data Record (ESDR) gridded data are now available from the NSIDC DAAC. The data are distributed as netCDF files that comply with CF-1.6 and ACDD-1.3 conventions. The data have been produced on EASE 2.0 projections at smoothed, 25 kilometer resolution and spatially-enhanced resolutions, up to 3.125 km depending on channel frequency, using the radiometer version of the Scatterometer Image Reconstruction (rSIR) method. We expect this newly produced data set to enable scientists to better analyze trends in coastal regions, marginal ice zones and in mountainous terrain that were not possible with the previous gridded passive microwave data. The use of the EASE-Grid 2.0 definition and netCDF-CF formatting allows users to extract compliant geotiff images and

  1. Using the magmatic record to constrain the growth of continental crust-The Eoarchean zircon Hf record of Greenland

    Science.gov (United States)

    Fisher, Christopher M.; Vervoort, Jeffrey D.

    2018-04-01

    Southern West Greenland contains some of the best-studied and best-preserved magmatic Eoarchean rocks on Earth, and these provide an excellent vantage point from which to view long-standing questions regarding the growth of the earliest continental crust. In order to address the questions surrounding early crustal growth and complementary mantle depletion, we present Laser Ablation Split Stream (LASS) analyses of the U-Pb and Hf isotope compositions of zircon from eleven samples of the least-altered meta-igneous rocks from the Itsaq (Amîtsoq) Gneisses of the Isukasia and Nuuk regions of southern West Greenland. This analytical technique allows a less ambiguous approach to determining the age and Hf isotope composition of complicated zircon. Results corroborate previous findings that Eoarchean zircon from the Itsaq Gneiss (∼3.85 Ga to ∼3.63 Ga) were derived from a broadly chondritic source. In contrast to the Sm-Nd whole rock isotope record for southern West Greenland, the zircon Lu-Hf isotope record provides no evidence for early mantle depletion, nor does it suggest the presence of crust older than ∼3.85 Ga in Greenland. Utilizing LASS U-Pb and Hf data from the Greenland zircons studied here, we demonstrate the importance of focusing on the magmatic (rather than detrital) zircon record to more confidently understand early crustal growth and mantle depletion. We compare the Greenland Hf isotope data with other Eoarchean magmatic complexes such as the Acasta Gneiss Complex, Nuvvuagittuq greenstone belt, and the gneissic complexes of southern Africa, and all lack zircons with suprachondritic Hf isotope compositions. In total, these data suggest only a very modest volume of crust was produced during (or survived from) the Hadean and earliest Eoarchean. There remains no record of planet-scale early Earth mantle depletion in the Hf isotope record prior to 3.8 Ga.

  2. 3D Fourier synthesis of a new X-ray picture identical in projection to a previous picture

    International Nuclear Information System (INIS)

    Carlsson, P.E.

    1993-01-01

    A central problem in diagnostic radiology is to compare a new X-ray picture with a previous picture and from this comparison be able to decide if anatomical changes have occurred in the patient or not. It is of primary interest that these pictures are identical in projection. If not it is difficult to decide with confidence if differences between the pictures are due to anatomical changes or differences in their projection geometry. In this thesis we present a non invasive method that makes it possible to find the relative changes in the projection geometry between the exposure of a previous picture and a new picture. The method presented is based on the projection slice theorem (central section theorem). Instead of an elaborate search for a single new picture a pre-planned set of pictures are exposed from a circular orbit above the patient. By using 3D Fourier transform techniques we are able to synthesize a new X-ray picture from this set of pictures that is identical in projection to the previous one. The method has certain limits. Those are as follows: *The X-ray focus position must always be at a fixed distance from the image plane. *The object may only be translated parallel to the image plane and rotated around axes perpendicular to this plane. Under those restrictions, we may treat divergent projection pictures as if they are generated by a parallel projection of a scaled object. The unknown rotation and translation of the object in the previous case are both retrieved in two different procedures and compensated for. Experiments on synthetic data has proved that the method is working even in the presence of severe noise

  3. Reconciliation of the Devils Hole climate record with orbital forcing.

    Science.gov (United States)

    Moseley, Gina E; Edwards, R Lawrence; Wendt, Kathleen A; Cheng, Hai; Dublyansky, Yuri; Lu, Yanbin; Boch, Ronny; Spötl, Christoph

    2016-01-08

    The driving force behind Quaternary glacial-interglacial cycles and much associated climate change is widely considered to be orbital forcing. However, previous versions of the iconic Devils Hole (Nevada) subaqueous calcite record exhibit shifts to interglacial values ~10,000 years before orbitally forced ice age terminations, and interglacial durations ~10,000 years longer than other estimates. Our measurements from Devils Hole 2 replicate virtually all aspects of the past 204,000 years of earlier records, except for the timing during terminations, and they lower the age of the record near Termination II by ~8000 years, removing both ~10,000-year anomalies. The shift to interglacial values now broadly coincides with the rise in boreal summer insolation, the marine termination, and the rise in atmospheric CO2, which is consistent with mechanisms ultimately tied to orbital forcing. Copyright © 2016, American Association for the Advancement of Science.

  4. Counting convex polygons in planar point sets

    NARCIS (Netherlands)

    Mitchell, J.S.B.; Rote, G.; Sundaram, Gopalakrishnan; Woeginger, G.J.

    1995-01-01

    Given a set S of n points in the plane, we compute in time O(n3) the total number of convex polygons whose vertices are a subset of S. We give an O(m · n3) algorithm for computing the number of convex k-gons with vertices in S, for all values k = 3,…, m; previously known bounds were exponential

  5. Record high-average current from a high-brightness photoinjector

    Energy Technology Data Exchange (ETDEWEB)

    Dunham, Bruce; Barley, John; Bartnik, Adam; Bazarov, Ivan; Cultrera, Luca; Dobbins, John; Hoffstaetter, Georg; Johnson, Brent; Kaplan, Roger; Karkare, Siddharth; Kostroun, Vaclav; Li Yulin; Liepe, Matthias; Liu Xianghong; Loehl, Florian; Maxson, Jared; Quigley, Peter; Reilly, John; Rice, David; Sabol, Daniel [Cornell Laboratory for Accelerator-Based Sciences and Education, Cornell University, Ithaca, New York 14853 (United States); and others

    2013-01-21

    High-power, high-brightness electron beams are of interest for many applications, especially as drivers for free electron lasers and energy recovery linac light sources. For these particular applications, photoemission injectors are used in most cases, and the initial beam brightness from the injector sets a limit on the quality of the light generated at the end of the accelerator. At Cornell University, we have built such a high-power injector using a DC photoemission gun followed by a superconducting accelerating module. Recent results will be presented demonstrating record setting performance up to 65 mA average current with beam energies of 4-5 MeV.

  6. 17 CFR 242.303 - Record preservation requirements for alternative trading systems.

    Science.gov (United States)

    2010-04-01

    ... requirements for alternative trading systems. 242.303 Section 242.303 Commodity and Securities Exchanges... REQUIREMENTS FOR SECURITY FUTURES Regulation Ats-Alternative Trading Systems § 242.303 Record preservation requirements for alternative trading systems. (a) To comply with the condition set forth in paragraph (b)(9) of...

  7. Predicting mining collapse: Superjerks and the appearance of record-breaking events in coal as collapse precursors

    Science.gov (United States)

    Jiang, Xiang; Liu, Hanlong; Main, Ian G.; Salje, Ekhard K. H.

    2017-08-01

    The quest for predictive indicators for the collapse of coal mines has led to a robust criterion from scale-model tests in the laboratory. Mechanical collapse under uniaxial stress forms avalanches with a power-law probability distribution function of radiated energy P ˜E-ɛ , with exponent ɛ =1.5 . Impending major collapse is preceded by a reduction of the energy exponent to the mean-field value ɛ =1.32 . Concurrently, the crackling noise increases in intensity and the waiting time between avalanches is reduced when the major collapse is approaching. These latter criteria were so-far deemed too unreliable for safety assessments in coal mines. We report a reassessment of previously collected extensive collapse data sets using "record-breaking analysis," based on the statistical appearance of "superjerks" within a smaller spectrum of collapse events. Superjerks are defined as avalanche signals with energies that surpass those of all previous events. The final major collapse is one such superjerk but other "near collapse" events equally qualify. In this way a very large data set of events is reduced to a sparse sequence of superjerks (21 in our coal sample). The main collapse can be anticipated from the sequence of energies and waiting times of superjerks, ignoring all weaker events. Superjerks are excellent indicators for the temporal evolution, and reveal clear nonstationarity of the crackling noise at constant loading rate, as well as self-similarity in the energy distribution of superjerks as a function of the number of events so far in the sequence Es j˜nδ with δ =1.79 . They are less robust in identifying the precise time of the final collapse, however, than the shift of the energy exponents in the whole data set which occurs only over a short time interval just before the major event. Nevertheless, they provide additional diagnostics that may increase the reliability of such forecasts.

  8. Economic impact of feeding a phenylalanine-restricted diet to adults with previously untreated phenylketonuria.

    Science.gov (United States)

    Brown, M C; Guest, J F

    1999-02-01

    The aim of the present study was to estimate the direct healthcare cost of managing adults with previously untreated phenylketonuria (PKU) for one year before any dietary restrictions and for the first year after a phenylalanine- (PHE-) restricted diet was introduced. The resource use and corresponding costs were estimated from medical records and interviews with health care professionals experienced in caring for adults with previously untreated PKU. The mean annual cost of caring for a client being fed an unrestricted diet was estimated to be 83 996 pound silver. In the first year after introducing a PHE-restricted diet, the mean annual cost was reduced by 20 647 pound silver to 63 348 pound silver as a result of a reduction in nursing time, hospitalizations, outpatient clinic visits and medications. However, the economic benefit of the diet depended on whether the clients were previously high or low users of nursing care. Nursing time was the key cost-driver, accounting for 79% of the cost of managing high users and 31% of the management cost for low users. In contrast, the acquisition cost of a PHE-restricted diet accounted for up to 6% of the cost for managing high users and 15% of the management cost for low users. Sensitivity analyses showed that introducing a PHE-restricted diet reduces the annual cost of care, provided that annual nursing time was reduced by more than 8% or more than 5% of clients respond to the diet. The clients showed fewer negative behaviours when being fed a PHE-restricted diet, which may account for the observed reduction in nursing time needed to care for these clients. In conclusion, feeding a PHE-restricted diet to adults with previously untreated PKU leads to economic benefits to the UK's National Health Service and society in general.

  9. The relationship between emotional intelligence, previous caring experience and mindfulness in student nurses and midwives: a cross sectional analysis.

    Science.gov (United States)

    Snowden, Austyn; Stenhouse, Rosie; Young, Jenny; Carver, Hannah; Carver, Fiona; Brown, Norrie

    2015-01-01

    Emotional Intelligence (EI), previous caring experience and mindfulness training may have a positive impact on nurse education. More evidence is needed to support the use of these variables in nurse recruitment and retention. To explore the relationship between EI, gender, age, programme of study, previous caring experience and mindfulness training. Cross sectional element of longitudinal study. 938year one nursing, midwifery and computing students at two Scottish Higher Education Institutes (HEIs) who entered their programme in September 2013. Participants completed a measure of 'trait' EI: Trait Emotional Intelligence Questionnaire Short Form (TEIQue-SF); and 'ability' EI: Schutte's et al. (1998) Emotional Intelligence Scale (SEIS). Demographics, previous caring experience and previous training in mindfulness were recorded. Relationships between variables were tested using non-parametric tests. Emotional intelligence increased with age on both measures of EI [TEIQ-SF H(5)=15.157 p=0.001; SEIS H(5)=11.388, p=0.044]. Females (n=786) scored higher than males (n=149) on both measures [TEIQ-SF, U=44,931, z=-4.509, pemotional intelligence. Mindfulness training was associated with higher 'ability' emotional intelligence. Implications for recruitment, retention and further research are explored. Copyright © 2014. Published by Elsevier Ltd.

  10. A Standardized Reference Data Set for Vertebrate Taxon Name Resolution.

    Science.gov (United States)

    Zermoglio, Paula F; Guralnick, Robert P; Wieczorek, John R

    2016-01-01

    Taxonomic names associated with digitized biocollections labels have flooded into repositories such as GBIF, iDigBio and VertNet. The names on these labels are often misspelled, out of date, or present other problems, as they were often captured only once during accessioning of specimens, or have a history of label changes without clear provenance. Before records are reliably usable in research, it is critical that these issues be addressed. However, still missing is an assessment of the scope of the problem, the effort needed to solve it, and a way to improve effectiveness of tools developed to aid the process. We present a carefully human-vetted analysis of 1000 verbatim scientific names taken at random from those published via the data aggregator VertNet, providing the first rigorously reviewed, reference validation data set. In addition to characterizing formatting problems, human vetting focused on detecting misspelling, synonymy, and the incorrect use of Darwin Core. Our results reveal a sobering view of the challenge ahead, as less than 47% of name strings were found to be currently valid. More optimistically, nearly 97% of name combinations could be resolved to a currently valid name, suggesting that computer-aided approaches may provide feasible means to improve digitized content. Finally, we associated names back to biocollections records and fit logistic models to test potential drivers of issues. A set of candidate variables (geographic region, year collected, higher-level clade, and the institutional digitally accessible data volume) and their 2-way interactions all predict the probability of records having taxon name issues, based on model selection approaches. We strongly encourage further experiments to use this reference data set as a means to compare automated or computer-aided taxon name tools for their ability to resolve and improve the existing wealth of legacy data.

  11. A Standardized Reference Data Set for Vertebrate Taxon Name Resolution.

    Directory of Open Access Journals (Sweden)

    Paula F Zermoglio

    Full Text Available Taxonomic names associated with digitized biocollections labels have flooded into repositories such as GBIF, iDigBio and VertNet. The names on these labels are often misspelled, out of date, or present other problems, as they were often captured only once during accessioning of specimens, or have a history of label changes without clear provenance. Before records are reliably usable in research, it is critical that these issues be addressed. However, still missing is an assessment of the scope of the problem, the effort needed to solve it, and a way to improve effectiveness of tools developed to aid the process. We present a carefully human-vetted analysis of 1000 verbatim scientific names taken at random from those published via the data aggregator VertNet, providing the first rigorously reviewed, reference validation data set. In addition to characterizing formatting problems, human vetting focused on detecting misspelling, synonymy, and the incorrect use of Darwin Core. Our results reveal a sobering view of the challenge ahead, as less than 47% of name strings were found to be currently valid. More optimistically, nearly 97% of name combinations could be resolved to a currently valid name, suggesting that computer-aided approaches may provide feasible means to improve digitized content. Finally, we associated names back to biocollections records and fit logistic models to test potential drivers of issues. A set of candidate variables (geographic region, year collected, higher-level clade, and the institutional digitally accessible data volume and their 2-way interactions all predict the probability of records having taxon name issues, based on model selection approaches. We strongly encourage further experiments to use this reference data set as a means to compare automated or computer-aided taxon name tools for their ability to resolve and improve the existing wealth of legacy data.

  12. New record of a fossil haplotilapiine cichlid from Central Kenya

    Directory of Open Access Journals (Sweden)

    Stefanie B. R. Penk

    2015-11-01

    Full Text Available African freshwater cichlids (Cichlidae: Pseudocrenilabrinae are well known for their exceptionally great diversity and their capability of rapid speciation as well as diverse adaptations. The extant Pseudocrenilabrinae can be grouped into 27 tribes, with more than 2000 species harbored in the Great Lakes and surrounding water bodies of the East African Rift System. However, this unique diversity is not reflected in the fossil record because fossil cichlids were predominantly reported based on isolated teeth and bones. Moreover, the few articulated specimens that are known have not been analyzed sufficiently with regard to their systematic position due to lack of comparative material. Here we present a new extraordinarily well-preserved cichlid fish fossil from the Middle Miocene (c. 12.5 Ma Lagerstaette Kabchore, which was recovered during recent fieldwork in the Tugen Hills (Baringo County, Central Kenya Rift. Based on the evidence of tricuspid teeth, the Kabchore fossil can be assigned to the subclade of the Haplotilapiines within the Pseudocrenilabrinae. The multivariate analysis of a large meristic data set, derived from 1014 extant specimens (encompassing all main lineages of Haplotilapiines and usage of available osteological data suggest that this fossil is most likely related to one of the three haplotilapiine tribes Tilapiini, Haplochromini or Oreochromini. Moreover, the fossil specimen closely resembles the extinct cichlid Oreochromis martyni (Van Couvering, 1982, previously described as species of Sarotherodon from the Middle Miocene alkaline Kapkiamu Lake in the Tugen Hills. The analysis of the greatly preserved fossil fish specimen from Kabchore definitely supplements the fragmentary fossil record of Africa’s Cichlidae and will afford new insights into its evolutionary history. We also expect that this fossil will be useful as calibration point for new divergence-time estimates.

  13. Research into Practice: Listening Strategies in an Instructed Classroom Setting

    Science.gov (United States)

    Graham, Suzanne

    2017-01-01

    This paper considers research and practice relating to listening in instructed classroom settings, limiting itself to what might be called unidirectional listening (Macaro, Graham & Vanderplank 2007)--in other words, where learners listen to a recording, a TV or radio clip or lecture, but where there is no communication back to the speaker(s).…

  14. First records of Parazoanthidae and Microzoanthidae (Anthozoa: Hexacorallia: Zoantharia) from the Red Sea

    KAUST Repository

    Reimer, James Davis

    2014-01-01

    Here we report on the first records of the families Parazoanthidae and Microzoanthidae and by extension for the suborder Macrocnemina (Cnidaria: Anthozoa: Hexacorallia: Zoantharia) from the Red Sea. Despite a long history of zoantharian research in the region, previous records only reported species of the suborder Brachycnemina, from the genera Zoanthus and Palythoa. Both Parazoanthus sp. and Microzoanthus sp. specimens were first found from the same small coral cave at a reef at Jaz\\'air Sila, Saudi Arabia, and subsequently observed at another location in the northern Red Sea. Numerous Antipathozoanthus sp. colonies were observed at Marker 9 north of Yanbu, Saudi Arabia in association with antipatharians inside small caves. The Parazoanthus sp. was in association with numerous encrusting sponge species on the roof of the cave, similar to previously reported undescribed species in the Pacific Ocean. Microzoanthus sp. was found on hard rubble on the cave floor. These records represent large range extensions (e.g. thousands of kilometres) for each genus, demonstrating the overall lack of research on the order Zoantharia, especially within the Red Sea. © Marine Biological Association of the United Kingdom, 2014.

  15. First records of Parazoanthidae and Microzoanthidae (Anthozoa: Hexacorallia: Zoantharia) from the Red Sea

    KAUST Repository

    Reimer, James Davis; Uyeno, Daisuke; Berumen, Michael L.

    2014-01-01

    Here we report on the first records of the families Parazoanthidae and Microzoanthidae and by extension for the suborder Macrocnemina (Cnidaria: Anthozoa: Hexacorallia: Zoantharia) from the Red Sea. Despite a long history of zoantharian research in the region, previous records only reported species of the suborder Brachycnemina, from the genera Zoanthus and Palythoa. Both Parazoanthus sp. and Microzoanthus sp. specimens were first found from the same small coral cave at a reef at Jaz'air Sila, Saudi Arabia, and subsequently observed at another location in the northern Red Sea. Numerous Antipathozoanthus sp. colonies were observed at Marker 9 north of Yanbu, Saudi Arabia in association with antipatharians inside small caves. The Parazoanthus sp. was in association with numerous encrusting sponge species on the roof of the cave, similar to previously reported undescribed species in the Pacific Ocean. Microzoanthus sp. was found on hard rubble on the cave floor. These records represent large range extensions (e.g. thousands of kilometres) for each genus, demonstrating the overall lack of research on the order Zoantharia, especially within the Red Sea. © Marine Biological Association of the United Kingdom, 2014.

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

    Science.gov (United States)

    McGowan, Alistair

    2014-05-01

    guidebooks. The requirements for a web platform could be met by the use of the freely-available Indicia software developed by the UK Centre for Ecology and Hydrology for biodiversity recording. However, some trials with the software have found it would be suitable for recording fossil occurrences as well. The software allows users to plot collections on maps, upload and share photographs and make identifications of material. Within the UK, the British Geological Survey has made geological map data available via the iGeology smartphone app and the Geology of Britain website. Thus it is now possible for people with access to smartphones or the internet to know which geological units they are sampling from, which would previously have been difficult without access to paper copies of geological maps. Such a programme could make a significant contribution towards reviving palaeontology and geology as field-based natural history and create wider interest in basic geological and taxonomic skills and form the basis for work on geodiversity recording and exploring links between geodiversity and biodiversity.

  17. Security issues at the Department of Energy and records management

    International Nuclear Information System (INIS)

    NUSBAUM, ANNA W.

    2000-01-01

    In order to discuss the connection between security issues within the Department of Energy and records management, the author covers a bit of security history and talks about what she calls ''the Amazing Project''. Initiated in late May 1999, it was to be a tri-laboratory (Lawrence Livermore National Laboratory of Livermore, California, Los Alamos National Laboratory of Los Alamos, New Mexico, and Sandia National Laboratories of Albuquerque, New Mexico, and Livermore, California) project. The team that formed was tasked to develop the best set of security solutions that still enabled weapon mission work to get done and the security solutions were to be the same set for everyone. The amazing project was called ''The Integrated Security Management Project'', or ''ISecM' for short. She'll describe why she thinks this project was so amazing and what it accomplished. There's a bit of sad news about the project, but then she'll move onto discuss what was learned at Sandia as a result of the project and what they're currently doing in records management

  18. A New Similarity Measure between Intuitionistic Fuzzy Sets and Its Application to Pattern Recognition

    Directory of Open Access Journals (Sweden)

    Yafei Song

    2014-01-01

    Full Text Available As a generation of ordinary fuzzy set, the concept of intuitionistic fuzzy set (IFS, characterized both by a membership degree and by a nonmembership degree, is a more flexible way to cope with the uncertainty. Similarity measures of intuitionistic fuzzy sets are used to indicate the similarity degree between intuitionistic fuzzy sets. Although many similarity measures for intuitionistic fuzzy sets have been proposed in previous studies, some of those cannot satisfy the axioms of similarity or provide counterintuitive cases. In this paper, a new similarity measure and weighted similarity measure between IFSs are proposed. It proves that the proposed similarity measures satisfy the properties of the axiomatic definition for similarity measures. Comparison between the previous similarity measures and the proposed similarity measure indicates that the proposed similarity measure does not provide any counterintuitive cases. Moreover, it is demonstrated that the proposed similarity measure is capable of discriminating difference between patterns.

  19. Video-Recorded Validation of Wearable Step Counters under Free-living Conditions.

    Science.gov (United States)

    Toth, Lindsay P; Park, Susan; Springer, Cary M; Feyerabend, McKenzie D; Steeves, Jeremy A; Bassett, David R

    2018-06-01

    The purpose of this study was to determine the accuracy of 14-step counting methods under free-living conditions. Twelve adults (mean ± SD age, 35 ± 13 yr) wore a chest harness that held a GoPro camera pointed down at the feet during all waking hours for 1 d. The GoPro continuously recorded video of all steps taken throughout the day. Simultaneously, participants wore two StepWatch (SW) devices on each ankle (all programmed with different settings), one activPAL on each thigh, four devices at the waist (Fitbit Zip, Yamax Digi-Walker SW-200, New Lifestyles NL-2000, and ActiGraph GT9X (AG)), and two devices on the dominant and nondominant wrists (Fitbit Charge and AG). The GoPro videos were downloaded to a computer and researchers counted steps using a hand tally device, which served as the criterion method. The SW devices recorded between 95.3% and 102.8% of actual steps taken throughout the day (P > 0.05). Eleven step counting methods estimated less than 100% of actual steps; Fitbit Zip, Yamax Digi-Walker SW-200, and AG with the moving average vector magnitude algorithm on both wrists recorded 71% to 91% of steps (P > 0.05), whereas the activPAL, New Lifestyles NL-2000, and AG (without low-frequency extension (no-LFE), moving average vector magnitude) worn on the hip, and Fitbit Charge recorded 69% to 84% of steps (P 0.05), whereas the AG (LFE) on both wrists and the hip recorded 128% to 220% of steps (P < 0.05). Across all waking hours of 1 d, step counts differ between devices. The SW, regardless of settings, was the most accurate method of counting steps.

  20. Wildlife Mitigation Program. Record of Decision

    International Nuclear Information System (INIS)

    1997-06-01

    Bonneville Power Administration (BPA) has decided to adopt a set of Descriptions (goals, strategies, and procedural requirements) that apply to future BPA-funded wildlife mitigation projects. Various. sources-including Indian tribes, state agencies, property owners, private conservation groups, or other Federal agencies-propose wildlife mitigation projects to the Northwest Power Planning Council (Council) for BPA funding. Following independent scientific and public reviews, Council then selects projects to recommend for BPA funding. BPA adopts this set of prescriptions to standardize the planning and implementation of individual wildlife mitigation projects. This decision is based on consideration of potential environmental impacts evaluated in BPA's Wildlife Mitigation Program Final Environmental Impact Statement (DOE/EIS-0246) published March, 20, 1997, and filed with the Environmental Protection Agency (EPA) the week of March 24, 1997 (EPA Notice of Availability Published April 4, 1997, 62 FR 65, 16154). BPA will distribute this Record of Decision to all known interested and affected persons, groups, tribes, and agencies

  1. New Mediterranean Biodiversity Records (October 2015

    Directory of Open Access Journals (Sweden)

    F. CROCETTA

    2015-11-01

    Full Text Available The Collective Article “New Mediterranean Biodiversity Records” of the Mediterranean Marine Science journal offers the means to publish biodiversity records in the Mediterranean Sea. The current article is divided per countries, listed according to a Mediterranean west-east geographic position. New biodiversity data are reported for 7 different countries, although one species hereby reported from Malta is overall new for the entire Mediterranean basin, and is presumably present also in Israel and Lebanon (see below in Malta. Italy: the rare native fish Gobius kolombatovici is first reported from the Ionian Sea, whilst the alien jellyfish Rhopilema nomadica and the alien fish Oplegnathus fasciatus are first reported from the entire country. The presence of O. fasciatus from Trieste is concomitantly the first for the entire Adriatic Sea. Finally, the alien bivalve Arcuatula senhousia is hereby first reported from Campania (Tyrrhenian Sea. Tunisia: a bloom of the alien crab Portunus segnis is first reported from the Gulf of Gabes, from where it was considered as casual. Malta: the alien flatworm Maritigrella fuscopunctata is first recorded from the Mediterranean Sea on the basis of 25 specimens. At the same time, web researches held possible unpublished records from Israel and Lebanon. The alien crab P. segnis, already mentioned above, is first formally reported from Malta based on specimens collected in 1972. Concomitantly, the presence of Callinectes sapidus in Maltese waters is excluded since based on misidentifications. Greece: the Atlantic northern brown shrimp Penaeus atzecus, previously known from the Ionian Sea from sporadic records only, is now well established in Greek and international Ionian waters. The alien sea urchin Diadema setosum is reported from the second time from Greece, and its first record date from the country is backdated to 2010 in Rhodes Island. The alien lionfish Pterois miles is first reported from Greece and

  2. Combining Different Privacy-Preserving Record Linkage Methods for Hospital Admission Data.

    Science.gov (United States)

    Stausberg, Jürgen; Waldenburger, Andreas; Borgs, Christian; Schnell, Rainer

    2017-01-01

    Record linkage (RL) is the process of identifying pairs of records that correspond to the same entity, for example the same patient. The basic approach assigns to each pair of records a similarity weight, and then determines a certain threshold, above which the two records are considered to be a match. Three different RL methods were applied under privacy-preserving conditions on hospital admission data: deterministic RL (DRL), probabilistic RL (PRL), and Bloom filters. The patient characteristics like names were one-way encrypted (DRL, PRL) or transformed to a cryptographic longterm key (Bloom filters). Based on one year of hospital admissions, the data set was split randomly in 30 thousand new and 1,5 million known patients. With the combination of the three RL-methods, a positive predictive value of 83 % (95 %-confidence interval 65 %-94 %) was attained. Thus, the application of the presented combination of RL-methods seem to be suited for other applications of population-based research.

  3. From papyrus to the electronic tablet: a brief history of the clinical medical record with lessons for the digital age.

    Science.gov (United States)

    Gillum, Richard F

    2013-10-01

    A major transition is underway in documentation of patient-related data in clinical settings with rapidly accelerating adoption of the electronic health record and electronic medical record. This article examines the history of the development of medical records in the West in order to suggest lessons applicable to the current transition. The first documented major transition in the evolution of the clinical medical record occurred in antiquity, with the development of written case history reports for didactic purposes. Benefiting from Classical and Hellenistic models earlier than physicians in the West, medieval Islamic physicians continued the development of case histories for didactic use. A forerunner of modern medical records first appeared in Paris and Berlin by the early 19th century. Development of the clinical record in America was pioneered in the 19th century in major teaching hospitals. However, a clinical medical record useful for direct patient care in hospital and ambulatory settings was not developed until the 20th century. Several lessons are drawn from the 4000-year history of the medical record that may help physicians improve patient care in the digital age. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. Development of an Electronic Medical Record Based Alert for Risk of HIV Treatment Failure in a Low-Resource Setting

    Science.gov (United States)

    Puttkammer, Nancy; Zeliadt, Steven; Balan, Jean Gabriel; Baseman, Janet; Destiné, Rodney; Domerçant, Jean Wysler; France, Garilus; Hyppolite, Nathaelf; Pelletier, Valérie; Raphael, Nernst Atwood; Sherr, Kenneth; Yuhas, Krista; Barnhart, Scott

    2014-01-01

    Background The adoption of electronic medical record systems in resource-limited settings can help clinicians monitor patients' adherence to HIV antiretroviral therapy (ART) and identify patients at risk of future ART failure, allowing resources to be targeted to those most at risk. Methods Among adult patients enrolled on ART from 2005–2013 at two large, public-sector hospitals in Haiti, ART failure was assessed after 6–12 months on treatment, based on the World Health Organization's immunologic and clinical criteria. We identified models for predicting ART failure based on ART adherence measures and other patient characteristics. We assessed performance of candidate models using area under the receiver operating curve, and validated results using a randomly-split data sample. The selected prediction model was used to generate a risk score, and its ability to differentiate ART failure risk over a 42-month follow-up period was tested using stratified Kaplan Meier survival curves. Results Among 923 patients with CD4 results available during the period 6–12 months after ART initiation, 196 (21.2%) met ART failure criteria. The pharmacy-based proportion of days covered (PDC) measure performed best among five possible ART adherence measures at predicting ART failure. Average PDC during the first 6 months on ART was 79.0% among cases of ART failure and 88.6% among cases of non-failure (pART initiation were added to PDC, the risk score differentiated between those who did and did not meet failure criteria over 42 months following ART initiation. Conclusions Pharmacy data are most useful for new ART adherence alerts within iSanté. Such alerts offer potential to help clinicians identify patients at high risk of ART failure so that they can be targeted with adherence support interventions, before ART failure occurs. PMID:25390044

  5. Under-ascertainment of Aboriginality in records of cardiovascular disease in hospital morbidity and mortality data in Western Australia: a record linkage study

    Directory of Open Access Journals (Sweden)

    Katzenellenbogen Judy M

    2010-12-01

    Full Text Available Abstract Background Measuring the real burden of cardiovascular disease in Australian Aboriginals is complicated by under-identification of Aboriginality in administrative health data collections. Accurate data is essential to measure Australia's progress in its efforts to intervene to improve health outcomes of Australian Aboriginals. We estimated the under-ascertainment of Aboriginal status in linked morbidity and mortality databases in patients hospitalised with cardiovascular disease. Methods Persons with public hospital admissions for cardiovascular disease in Western Australia during 2000-2005 (and their 20-year admission history or who subsequently died were identified from linkage data. The Aboriginal status flag in all records for a given individual was variously used to determine their ethnicity (index positive, and in all records both majority positive or ever positive and stratified by region, age and gender. The index admission was the baseline comparator. Results Index cases comprised 62,692 individuals who shared a total of 778,714 hospital admissions over 20 years, of which 19,809 subsequently died. There were 3,060 (4.9% persons identified as Aboriginal on index admission. An additional 83 (2.7% Aboriginal cases were identified through death records, increasing to 3.7% when cases with a positive Aboriginal identifier in the majority (≥50% of previous hospital admissions over twenty years were added and by 20.8% when those with a positive flag in any record over 20 years were incorporated. These results equated to underestimating Aboriginal status in unlinked index admission by 2.6%, 3.5% and 17.2%, respectively. Deaths classified as Aboriginal in official records would underestimate total Aboriginal deaths by 26.8% (95% Confidence Interval 24.1 to 29.6%. Conclusions Combining Aboriginal determinations in morbidity and official death records increases ascertainment of unlinked cardiovascular morbidity in Western Australian

  6. New and additional records of Salmoneus Holthuis, 1955 (Decapoda, Caridea, Alpheidae from Brazil, with a key to the southern Atlantic species

    Directory of Open Access Journals (Sweden)

    Arthur Anker

    2013-01-01

    Full Text Available Two species of the alpheid shrimp genus Salmoneus Holthuis, 1955, are reported from shallow waters of São Sebastião (SP, southeastern Brazil. Salmoneus depressus Anker, 2011 is recorded for the first time in Brazil and the southwestern Atlantic; this species was previously known only from the Caribbean region. Salmoneus ortmanni (Rankin, 1898 is recorded for the first time in southern Brazil (23°S, being previously known in Brazilian waters from a single confirmed record from Atol das Rocas (03°S, with older records referring to Salmoneus carvachoi Anker, 2007. A hitherto unknown morphological variation in S. depressus is discussed and illustrated. Both species are shown in colour to facilitate their identification in the field. A key to the southern Atlantic species of Salmoneus is also provided.

  7. Improving probe set selection for microbial community analysis by leveraging taxonomic information of training sequences

    Directory of Open Access Journals (Sweden)

    Jiang Tao

    2011-10-01

    Full Text Available Abstract Background Population levels of microbial phylotypes can be examined using a hybridization-based method that utilizes a small set of computationally-designed DNA probes targeted to a gene common to all. Our previous algorithm attempts to select a set of probes such that each training sequence manifests a unique theoretical hybridization pattern (a binary fingerprint to a probe set. It does so without taking into account similarity between training gene sequences or their putative taxonomic classifications, however. We present an improved algorithm for probe set selection that utilizes the available taxonomic information of training gene sequences and attempts to choose probes such that the resultant binary fingerprints cluster into real taxonomic groups. Results Gene sequences manifesting identical fingerprints with probes chosen by the new algorithm are more likely to be from the same taxonomic group than probes chosen by the previous algorithm. In cases where they are from different taxonomic groups, underlying DNA sequences of identical fingerprints are more similar to each other in probe sets made with the new versus the previous algorithm. Complete removal of large taxonomic groups from training data does not greatly decrease the ability of probe sets to distinguish those groups. Conclusions Probe sets made from the new algorithm create fingerprints that more reliably cluster into biologically meaningful groups. The method can readily distinguish microbial phylotypes that were excluded from the training sequences, suggesting novel microbes can also be detected.

  8. Improving probe set selection for microbial community analysis by leveraging taxonomic information of training sequences.

    Science.gov (United States)

    Ruegger, Paul M; Della Vedova, Gianluca; Jiang, Tao; Borneman, James

    2011-10-10

    Population levels of microbial phylotypes can be examined using a hybridization-based method that utilizes a small set of computationally-designed DNA probes targeted to a gene common to all. Our previous algorithm attempts to select a set of probes such that each training sequence manifests a unique theoretical hybridization pattern (a binary fingerprint) to a probe set. It does so without taking into account similarity between training gene sequences or their putative taxonomic classifications, however. We present an improved algorithm for probe set selection that utilizes the available taxonomic information of training gene sequences and attempts to choose probes such that the resultant binary fingerprints cluster into real taxonomic groups. Gene sequences manifesting identical fingerprints with probes chosen by the new algorithm are more likely to be from the same taxonomic group than probes chosen by the previous algorithm. In cases where they are from different taxonomic groups, underlying DNA sequences of identical fingerprints are more similar to each other in probe sets made with the new versus the previous algorithm. Complete removal of large taxonomic groups from training data does not greatly decrease the ability of probe sets to distinguish those groups. Probe sets made from the new algorithm create fingerprints that more reliably cluster into biologically meaningful groups. The method can readily distinguish microbial phylotypes that were excluded from the training sequences, suggesting novel microbes can also be detected.

  9. A geographic distribution data set of biodiversity in Italian freshwaters

    Directory of Open Access Journals (Sweden)

    Angela Boggero

    2016-10-01

    Full Text Available We present a data set on the biodiversity of Italian freshwaters, including lakeshores and riverbanks of natural (N=379: springs, streams and lakes and artificial (N=11: fountains sites. The data set belongs partly to the Italian Long Term Ecological Research network (LTER-Italy and partly to LifeWatch, the European e-Science infrastructure for biodiversity and ecosystem research. The data included cover a time period corresponding to the last fifty years (1962-2014. They span a large number of taxa from prokaryotes and unicellular eukaryotes to vertebrates and plants, including taxa linked to the aquatic habitat in at least part of their life cycles (like immature stages of insects, amphibians, birds and vascular plants. The data set consists of 6463 occurrence data and distribution records for 1738 species. The complete data set is available in csv file format via the LifeWatch Service Centre.

  10. 49 CFR 173.23 - Previously authorized packaging.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Previously authorized packaging. 173.23 Section... REQUIREMENTS FOR SHIPMENTS AND PACKAGINGS Preparation of Hazardous Materials for Transportation § 173.23 Previously authorized packaging. (a) When the regulations specify a packaging with a specification marking...

  11. A Revised Set of Dendroclimatic Reconstructions of Summer Drought over the Conterminous U.S.

    Science.gov (United States)

    Zhang, Z.; Mann, M. E.; Cook, E. R.

    2002-12-01

    We describe a revised set of dendroclimatic reconstructions of drought patterns over the conterminous U.S back to 1700. These reconstructions are based on a set of 483 drought-sensitive tree ring chronologies available across the continental U.S. used previously by Cook et al [Cook, E.R., D.M. Meko, D.W. Stahle, and M.K. Cleaveland, Drought Reconstructions for the Continental United States, Journal of Climate, 12, 1145-1162, 1999]. In contrast with the "Point by Point" (PPR) local regression technique used by Cook et al (1999), the tree ring data were calibrated against the instrumental record of summer drought[June-August Palmer Drought Severity Index (PDSI)] based on application of the "Regularized Expectation Maximization" (RegEM) algorithm to relate proxy and instrumental data over a common (20th century) interval. This approach calibrates the proxy data set against the instrumental record by treating the reconstruction as initially missing data in the combined proxy/instrumental data matrix, and optimally estimating the mean and covariances of the combined data matrix through an iterative procedure which yields a reconstruction of the PDSI field with minimal error variance [Schneider, T., Analysis of Incomplete Climate Data: Estimation of Mean Values and Covariance Matrices and Imputation of Missing Values, Journal of Climate, 14, 853-871, 2001; Mann, M.E., Rutherford, S., Climate Reconstruction Using 'Pseudoproxies', Geophysical Research Letters, 29, 139-1-139-4, 2002; Rutherford, S., Mann, M.E., Delworth, T.L., Stouffer, R., The Performance of Covariance-Based Methods of Climate Field Reconstruction Under Stationary and Nonstationary Forcing, J. Climate, accepted, 2002]. As in Cook et al (1999), a screening procedure was first used to select an optimal subset of candidate tree-ring drought predictors, and the predictors (tree ring data) and predictand (instrumental PDSI) were pre-whitened prior to calibration (with serial correlation added back into the

  12. The agreement between self-reported cervical smear abnormalities and screening programme records.

    Science.gov (United States)

    Canfell, Karen; Beral, Valerie; Green, Jane; Cameron, Rebecca; Baker, Krys; Brown, Anna

    2006-01-01

    The Million Women Study is a cohort study of women aged 50-64 years in England and Scotland. As a component of the follow-up questionnaire, participants were asked to indicate if they had an abnormal cervical smear in the previous five years. This study compared self-reported cervical abnormalities with screening records obtained from the National Health Service Cervical Screening Programme. For 1944 randomly selected Million Women Study participants in Oxfordshire, screening records were assessed over a six-year period prior to the date of self-reporting. The six-year period was chosen to allow for errors in the recall of timing of abnormal smears. A total of 68 women (3.5%) had a record of at least one equivocal or abnormal smear within the last six years, whereas 49 women (2.5%) self-reported an abnormality. There was a strong trend for an increased probability of self-reporting a history of an abnormal smear as the severity of the recorded abnormality increased (P screening programme records show an abnormal smear, the proportion self-reporting an abnormality increases with the severity of the recorded lesion. Almost all women with a record of negative or inadequate smear(s) correctly interpret the result and do not self-report an abnormality.

  13. Intimate partner violence perpetrators in a forensic psychiatric outpatient setting: criminal history, psychopathology, and victimization.

    Science.gov (United States)

    Henrichs, Jens; Bogaerts, Stefan; Sijtsema, Jelle; Klerx-van Mierlo, Fanny

    2015-07-01

    This study investigated criminological, psychopathological, and victimological profiles of intimate partner violence (IPV) perpetrators in a sample of 119 Dutch female and male forensic psychiatric outpatients aged 18 to 58 years. In addition, differences in criminological, psychopathological, and victimological factors between IPV perpetrators (n = 61, 51.3%) and non-intimate violence (NIV) perpetrators (n = 58, 48.7%) were examined. All data, including information on demographics, criminal history, history of psychological, sexual, and physical victimization during childhood or adolescence, family history of psychopathology, history of psychopathology in childhood and adolescence, and mental disorders, were derived from archival electronic medical records. Mental disorders were measured using structured psychiatric interviews and final consensus diagnoses were established during weekly case consultations. Both IPV and NIV perpetrators displayed high rates of criminal history, psychopathology, and previous victimization, but the two groups did not differ in these factors with two exceptions. IPV perpetrators were significantly more likely to have higher rates of previous physical victimization and intermittent explosive disorder than NIV perpetrators. The current study suggests that a history of physical victimization and intermittent explosive disorder are specific characteristics of IPV perpetrators in a forensic psychiatric outpatient setting. Future research should focus on mechanisms explaining the association of childhood victimization and IPV and increase our understanding of the role of intermittent explosive disorder in IPV. © The Author(s) 2014.

  14. 22 CFR 40.91 - Certain aliens previously removed.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certain aliens previously removed. 40.91... IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Aliens Previously Removed § 40.91 Certain aliens previously removed. (a) 5-year bar. An alien who has been found inadmissible, whether as a result...

  15. Comparative response time and fault logging with a PLC and supervisory software and a standalone unit developed for recording

    International Nuclear Information System (INIS)

    Baldaconi, Ricardo H.; Costa, Fabio E. da

    2017-01-01

    The Cobalt-60 irradiator of IPEN / CNEN, a category IV facility, has a security system for inter locking doors or exposure of radioactive sources made simultaneously by a programmable logic controller (PLC) model S7-200 from Siemens and a relay logic. From a set of information, both systems work together opening doors or exposing the sources. All incoming and outgoing information are sent serially via EIA232 communication to a personal computer with Windows® platform for a supervisory program which provides the monitoring of the entire process by a synoptic table on the computer screen and is also intended to keep records of all events on the computer's hard drive. A deficiency was found for the process of sending events via serial communication (EIA232) from PLC to the supervisory program. When failure occurred in a very short time, the PLC always took the right decision, but the registration process that had to go through the Windows® timeshare lost the information. In the previous work developed a standalone electronics unit connected to the inputs and outputs of the security system, fully optocoupled to avoid any interference to the security system that records each event on a memory card. In this work, for checking the unit developed record time ability, transients incoming signals for simulating failures, were injected at security system inputs and the response time of security system, supervisory program and the autonomous unity were measured and compared. (author)

  16. Comparative response time and fault logging with a PLC and supervisory software and a standalone unit developed for recording

    Energy Technology Data Exchange (ETDEWEB)

    Baldaconi, Ricardo H., E-mail: ricardohovacker@hotmail.com [Escola Senai Roberto Simonsen, Educação e Tecnologia, Sao Paulo, SP (Brazil); Costa, Fabio E. da, E-mail: fecosta@ipen.br [Instituto de Pesquisas Energéticas e Nucleares (IPEN/CNEN-SP), São Paulo, SP (Brazil)

    2017-07-01

    The Cobalt-60 irradiator of IPEN / CNEN, a category IV facility, has a security system for inter locking doors or exposure of radioactive sources made simultaneously by a programmable logic controller (PLC) model S7-200 from Siemens and a relay logic. From a set of information, both systems work together opening doors or exposing the sources. All incoming and outgoing information are sent serially via EIA232 communication to a personal computer with Windows® platform for a supervisory program which provides the monitoring of the entire process by a synoptic table on the computer screen and is also intended to keep records of all events on the computer's hard drive. A deficiency was found for the process of sending events via serial communication (EIA232) from PLC to the supervisory program. When failure occurred in a very short time, the PLC always took the right decision, but the registration process that had to go through the Windows® timeshare lost the information. In the previous work developed a standalone electronics unit connected to the inputs and outputs of the security system, fully optocoupled to avoid any interference to the security system that records each event on a memory card. In this work, for checking the unit developed record time ability, transients incoming signals for simulating failures, were injected at security system inputs and the response time of security system, supervisory program and the autonomous unity were measured and compared. (author)

  17. FEATURES OF MULTIPLEXED HOLOGRAMS RECORDING IN PHOTO-THERMO-REFRACTIVE GLASS

    Directory of Open Access Journals (Sweden)

    S. A. Ivanov

    2016-05-01

    Full Text Available We have carried out calculations of recording conditions for multiplexed holograms in photo-thermo-refractive (PTR glass. The proposed calculation sets the link between such parameters as: the angle between recording beams and the angle of sample rotation, operating wavelength, the angle of incidence on the element, output angle. To study recording features of multiplexed holograms on PTR glass several elements was made. Six holograms in each element were recorded with various exposures. All samples were heat-treated at one temperature around glass transition temperature. It has been demonstrated that at the recording of several gratings with a total exposure exceeding an optimal value for a given material, the total value of the refractive index modulation amplitude (n1 reaches the maximum attainable magnitude that is equivalent to a value of a single hologram with optimal exposure. It has been found that refractive index dynamic range of the material distributes between the gratings in accordance with the ratio between exposure times if holograms exposures have significant differences. In the present paper six-channel multiplexer was recorded for a wavelength equal to 632.8 nm (He-Ne laser. The diffraction angles correspond to calculations mentioned above. The n1 value in each grating is equal to the value of the highest attainable value of the value of n1 divided by the total number of multiplexed holograms.

  18. Advancement of thyroid surgery video recording: A comparison between two full HD head mounted video cameras.

    Science.gov (United States)

    Ortensi, Andrea; Panunzi, Andrea; Trombetta, Silvia; Cattaneo, Alberto; Sorrenti, Salvatore; D'Orazi, Valerio

    2017-05-01

    The aim of this study was to test two different video cameras and recording systems used in thyroid surgery in our Department. This is meant to be an attempt to record the real point of view of the magnified vision of surgeon, so as to make the viewer aware of the difference with the naked eye vision. In this retrospective study, we recorded and compared twenty thyroidectomies performed using loupes magnification and microsurgical technique: ten were recorded with GoPro ® 4 Session action cam (commercially available) and ten with our new prototype of head mounted video camera. Settings were selected before surgery for both cameras. The recording time is about from 1 to 2 h for GoPro ® and from 3 to 5 h for our prototype. The average time of preparation to fit the camera on the surgeon's head and set the functionality is about 5 min for GoPro ® and 7-8 min for the prototype, mostly due to HDMI wiring cable. Videos recorded with the prototype require no further editing, which is mandatory for videos recorded with GoPro ® to highlight the surgical details. the present study showed that our prototype of video camera, compared with GoPro ® 4 Session, guarantees best results in terms of surgical video recording quality, provides to the viewer the exact perspective of the microsurgeon and shows accurately his magnified view through the loupes in thyroid surgery. These recordings are surgical aids for teaching and education and might be a method of self-analysis of surgical technique. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  19. Low-resolution Australasian palaeoclimate records of the last 2000 years

    Science.gov (United States)

    Dixon, Bronwyn C.; Tyler, Jonathan J.; Lorrey, Andrew M.; Goodwin, Ian D.; Gergis, Joëlle; Drysdale, Russell N.

    2017-10-01

    Non-annually resolved palaeoclimate records in the Australasian region were compiled to facilitate investigations of decadal to centennial climate variability over the past 2000 years. A total of 675 lake and wetland, geomorphic, marine, and speleothem records were identified. The majority of records are located near population centres in southeast Australia, in New Zealand, and across the maritime continent, and there are few records from the arid regions of central and western Australia. Each record was assessed against a set of a priori criteria based on temporal resolution, record length, dating methods, and confidence in the proxy-climate relationship over the Common Era. A subset of 22 records met the criteria and were endorsed for subsequent analyses. Chronological uncertainty was the primary reason why records did not meet the selection criteria. New chronologies based on Bayesian techniques were constructed for the high-quality subset to ensure a consistent approach to age modelling and quantification of age uncertainties. The primary reasons for differences between published and reconstructed age-depth models were the consideration of the non-singular distribution of ages in calibrated 14C dates and the use of estimated autocorrelation between sampled depths as a constraint for changes in accumulation rate. Existing proxies and reconstruction techniques that successfully capture climate variability in the region show potential to address spatial gaps and expand the range of climate variables covering the last 2000 years in the Australasian region. Future palaeoclimate research and records in Australasia could be greatly improved through three main actions: (i) greater data availability through the public archiving of published records; (ii) thorough characterisation of proxy-climate relationships through site monitoring and climate sensitivity tests; and (iii) improvement of chronologies through core-top dating, inclusion of tephra layers where possible

  20. Electronic Health Record Meets Digital Library

    Science.gov (United States)

    Humphreys, Betsy L.

    2000-01-01

    Linking the electronic health record to the digital library is a Web-era reformulation of the long-standing informatics goal of seamless integration of automated clinical data and relevant knowledge-based information to support informed decisions. The spread of the Internet, the development of the World Wide Web, and converging format standards for electronic health data and digital publications make effective linking increasingly feasible. Some existing systems link electronic health data and knowledge-based information in limited settings or limited ways. Yet many challenging informatics research problems remain to be solved before flexible and seamless linking becomes a reality and before systems become capable of delivering the specific piece of information needed at the time and place a decision must be made. Connecting the electronic health record to the digital library also requires positive resolution of important policy issues, including health data privacy, government envouragement of high-speed communications, electronic intellectual property rights, and standards for health data and for digital libraries. Both the research problems and the policy issues should be important priorities for the field of medical informatics. PMID:10984463

  1. LHC Report: Back to record performance

    CERN Multimedia

    Jan Uythoven for the LHC Team

    2012-01-01

    The technical issues that caused a rocky re-start after the technical stop and a relatively low performance of the machine have been tackled and resolved in the past days. The LHC is back to record collision rates and matching the 2011 data set now seems within reach for the summer conferences.   The technical stop at the end of April was followed by a period in which increased beam losses were observed before the beams were brought into collision, causing reduced peak luminosities. This issue was tackled by optimising the beams in the injector chain, making a fine adjustment of the orbit during the energy ramp-up and ensuring precise bunch collisions in ATLAS and CMS. These measures brought the peak luminosity at the beginning of a fill up to record levels of 6 x1033 cm-2s-1, but the fills were short as there were still sudden losses of some bunches that triggered the beam dump. The lost bunches were identified as bunches that only collide in LHCb. These bunches see fewer collisions, so the &am...

  2. Motor-Generator Set, PS Main Supply

    CERN Multimedia

    CERN PhotoLab

    1983-01-01

    This is the "new" motor-generator set. It replaced the previous, original, one which had served from the PS start-up in 1959. Ordered in 1965, installed in 1967, it was brought into operation at the beginning of 1968. Regularly serviced and fitted with modern regulation and controls, it still serves at the time of writing (2006) and promises to serve for several more years, as a very much alive museum-piece. See also 6803016 and 0201010.

  3. On the record: Talking about Day Zero and beyond: the impact of the ...

    African Journals Online (AJOL)

    On the record: Talking about Day Zero and beyond: the impact of the water crisis ... become part of daily life for those of us faced by the imminent (but previously ... points and in supermarkets have captured attention on social media, and city ...

  4. Automatic sets and Delone sets

    International Nuclear Information System (INIS)

    Barbe, A; Haeseler, F von

    2004-01-01

    Automatic sets D part of Z m are characterized by having a finite number of decimations. They are equivalently generated by fixed points of certain substitution systems, or by certain finite automata. As examples, two-dimensional versions of the Thue-Morse, Baum-Sweet, Rudin-Shapiro and paperfolding sequences are presented. We give a necessary and sufficient condition for an automatic set D part of Z m to be a Delone set in R m . The result is then extended to automatic sets that are defined as fixed points of certain substitutions. The morphology of automatic sets is discussed by means of examples

  5. Can Social Cognitive Theories Help Us Understand Nurses' Use of Electronic Health Records?

    Science.gov (United States)

    Strudwick, Gillian; Booth, Richard; Mistry, Kartini

    2016-04-01

    Electronic health record implementations have accelerated in clinical settings around the world in an effort to improve patient safety and enhance efficiencies related to care delivery. As the largest group of healthcare professionals globally, nurses play an important role in the use of these records and ensuring their benefits are realized. Social cognitive theories such as the Theory of Reasoned Action, Theory of Planned Behaviour, and the Technology Acceptance Model have been developed to explain behavior. Given that variation in nurses' electronic health record utilization may influence the degree to which benefits are realized, the aim of this article is to explore how the use of these social cognitive theories may assist organizations implementing electronic health records to facilitate deeper-level adoption of this type of clinical technology.

  6. New records of five sponge species (Porifera) for the Black Sea.

    Science.gov (United States)

    Evcen, Alper; Çinar, Melih Ertan; Zengin, Mustafa; Süer, Serdar; Rüzgar, Melih

    2016-04-13

    The present study deals with five sponge species [Chalinula renieroides, Haliclona (Halichoclona) fulva, H. (Rhizoniera) rosea, Hymedesmia (Hymedesmia) pansa and Ircinia variabilis] belonging to 3 families (Chalinidae, Hymedesmiidae, and Irciniidae) found at one locality (near the opening of Kızılırmak River) on the Black Sea coast of Turkey. All these species are new records for the Black Sea. Three species (Chalinula renieroides, H. (R.) rosea and H. (H.) pansa] are also new records for the marine fauna of Turkey. All these species were previously reported from Mediterranean Sea and the eastern Atlantic Ocean. The morphological and distributional features of these species are presented.

  7. The contribution of audio recording using portable digital voice recorders to the development of reflective practice with trainee teachers in a Further Education setting

    Directory of Open Access Journals (Sweden)

    Knill, Marta

    2011-06-01

    Full Text Available Developing reflective skills and habits during initial teacher education and progressing to deeper and more critical reflection are challenges for trainee teachers. This small-scale action research study investigates how two structured tasks using Digital Voice Recorders (DVRs initiated, sustained and improved reflection and reflective practice. Trainee teachers reported benefits in increased understanding of reflection, development of reflective skills, deepening of reflection and improvements in practice through joint reflection with Teacher Educators on specific aspects of teaching and learning. The structuring of the tasks with prompts and dialogue clearly contributed to the positive outcomes. The study suggests that use of the small, convenient and relatively low cost DVR technology has a place in learning to reflect.

  8. Eucharitidae (Hymenoptera, Chalcidoidea, a family new to the fauna of Saudi Arabia, with the description of the previously unknown male of Eucharis (Psilogastrellus affinis Bouček

    Directory of Open Access Journals (Sweden)

    Neveen S. Gadallah

    2014-12-01

    Full Text Available The family Eucharitidae (Hymenoptera: Chalcidoidea is recorded for the first time for the fauna of Saudi Arabia based on Hydrorhoa caffra (Westwood and Eucharis (Psilogastrellus affinis Bouček. The record of H. caffra suggests that Al-Baha and Asir provinces should be considered as part of the Afrotropical rather than the Palaearctic region. The previously unknown male of E. affinis Bouček is described and figured. Macrophotographs of the species are provided.

  9. Summary Record of the Sixth Meeting of Records, Knowledge and Memory (RK and M) Across Generations

    International Nuclear Information System (INIS)

    2014-01-01

    Preservation of Records, Knowledge and Memory (RK and M) across Generations is an initiative under the RWMC in the area of knowledge consolidation and transfer. Disposal in engineered facilities built in stable, deep geological formations is the reference means for permanently isolating long-lived radioactive waste from the biosphere. However, there is no intention to forgo, at any time, knowledge and awareness either of the repository or of the waste that it contains. The cultural dimension of preserving RK and M is an important subject. Overall, long-term preservation of RK and M is a multidisciplinary work area in which much learning is expected over the coming years. This is the task of the RWMC's RK and M initiative. A major outcome will be a menu-driven document that - the RK and M Wiki - that will allow people to identify the elements of a strategic action plan for RK and M preservation. This document is a summary record of the Sixth Meeting of Records, Knowledge and Memory (RK and M) Across Generations. The summary is made of 8 items: 1 - Introduction (C. Pescatore): Welcome and opening remarks, Review and adoption of the agenda, Aim of this meeting, Status report, Report from RepMet meeting; 2 - Finalising Phase-II: Updating the Set of Essential Records (SER) proposal (C. Mays), Updates to the Bibliography (A. Claudel), Additions to the Glossary (S. Hotzel); 3 - Internal Wiki Workshop: The RK and M Wiki (P. Maupai), Updating your own country, organisation and regulatory requirement page, General discussion on the wiki; 4 - Strategic Articles: Presentation on Tsunami Stones paper (R. Botez); 5 - Constructing Memory: Verdun 2014 Conference; 6 - Phase-II: Discussion and final approval of Phase-II Proposal (C. Pescatore), Proposal for RWMC collective statement - Flyer on guiding principles, Calendar; 7 - Additional aspects; 8 - Review of Decisions and Closure of the Meeting, Summary of Decision and actions

  10. Comparison of cardiopulmonary resuscitation techniques using video camera recordings.

    OpenAIRE

    Mann, C J; Heyworth, J

    1996-01-01

    OBJECTIVE--To use video recordings to compare the performance of resuscitation teams in relation to their previous training in cardiac resuscitation. METHODS--Over a 10 month period all cardiopulmonary resuscitations carried out in an accident and emergency (A&E) resuscitation room were videotaped. The following variables were monitored: (1) time to perform three defibrillatory shocks; (2) time to give intravenous adrenaline (centrally or peripherally); (3) the numbers and grade of medical an...

  11. 25 CFR 15.504 - Who may inspect records and records management practices?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Who may inspect records and records management practices... Records § 15.504 Who may inspect records and records management practices? (a) You may inspect the probate... Secretary and the Archivist of the United States may inspect records and records management practices and...

  12. Early childhood numeracy in a multiage setting

    Science.gov (United States)

    Wood, Karen; Frid, Sandra

    2005-10-01

    This research is a case study examining numeracy teaching and learning practices in an early childhood multiage setting with Pre-Primary to Year 2 children. Data were collected via running records, researcher reflection notes, and video and audio recordings. Video and audio transcripts were analysed using a mathematical discourse and social interactions coding system designed by MacMillan (1998), while the running records and reflection notes contributed to descriptions of the children's interactions with each other and with the teachers. Teachers used an `assisted performance' approach to instruction that supported problem solving and inquiry processes in mathematics activities, and this, combined with a child-centred pedagogy and specific values about community learning, created a learning environment designed to stimulate and foster learning. The mathematics discourse analysis showed a use of explanatory language in mathematics discourse, and this language supported scaffolding among children for new mathematics concepts. These and other interactions related to peer sharing, tutoring and regulation also emerged as key aspects of students' learning practices. However, the findings indicated that multiage grouping alone did not support learning. Rather, effective learning was dependent upon the teacher's capacities to develop productive discussion among children, as well as implement developmentally appropriate curricula that addressed the needs of the different children.

  13. Still more records, Iraqi violence and Caspian exports

    International Nuclear Information System (INIS)

    Anon

    2006-01-01

    Oil prices set further records at the start of May before falling back. December WTI hit an all-time high of $78.00/bbl on Nymex on 3rd May. IPE November Brent went up to a record $76.45/bbl. Both contracts eventually settled lower and prices in general weakened before staging a minor rally at the end of the month. Other price records were broken early in the month. In Asia, the Indonesian marker grade, Minas, was recorded at $74.04/bbl on 2nd May, whilst Malaysia's Tapis went above $76.70/bbl. Strong Asian demand also boosted the prices of West African crudes. The markets appeared to be reacting to growing tensions in Iraq, Iran and Nigeria. These considerations returned to haunt the markets later in the month. All crude oil loadings at Iraq's Persian Gulf marine terminal were suspended following a fire, though the main Gulf terminal at Basrah continued to operate. The Ceyhan terminal remained out of action. Tensions between the US and Iran over the latter's nuclear programme gave rise to fears of an embargo on Iranian oil exports. Several foreign oil workers were kidnapped following an armed attack on oil installations in Nigeria. OPEC ministers kept their production ceiling unchanged at 28 mn bpd at a meeting in Caracas. (author)

  14. Extreme Drought Events Revealed in Amazon Tree Ring Records

    Science.gov (United States)

    Jenkins, H. S.; Baker, P. A.; Guilderson, T. P.

    2010-12-01

    The Amazon basin is a center of deep atmospheric convection and thus acts as a major engine for global hydrologic circulation. Yet despite its significance, a full understanding of Amazon rainfall variability remains elusive due to a poor historical record of climate. Temperate tree rings have been used extensively to reconstruct climate over the last thousand years, however less attention has been given to the application of dendrochronology in tropical regions, in large part due to a lower frequency of tree species known to produce annual rings. Here we present a tree ring record of drought extremes from the Madre de Dios region of southeastern Peru over the last 190 years. We confirm that tree ring growth in species Cedrela odorata is annual and show it to be well correlated with wet season precipitation. This correlation is used to identify extreme dry (and wet) events that have occurred in the past. We focus on drought events identified in the record as drought frequency is expected to increase over the Amazon in a warming climate. The Cedrela chronology records historic Amazon droughts of the 20th century previously identified in the literature and extends the record of drought for this region to the year 1816. Our analysis shows that there has been an increase in the frequency of extreme drought (mean recurrence interval = 5-6 years) since the turn of the 20th century and both Atlantic and Pacific sea surface temperature (SST) forcing mechanisms are implicated.

  15. Evidence in the auroral record for secular solar variability

    International Nuclear Information System (INIS)

    Sicoe, G.L.

    1980-01-01

    The historial record of aurorae is continuous and usefully dense for at least the 2000 years. Revival of interest in the secular variability in solar activity motivates a review of the auroral record. The existence of secular variations in the auroral occurrence frequency has been known since the early 1700's, including the existence of a significant attenuation of auroral activity during the Maunder Minimum. Investigation of secular variations prior to the Maunder Minimum is now possible based on six auroral catalogs that have been published within the last 20 years. The catalogs cover the time period from the fifth century B.C. to the seventeenth century A.D. and combine both oriental and European obsertions. Features corresponding to the previously recognized Medieval Minimum, Medieval Maximum, and the Spoerer Minimum are clearly evident in both oriental and European records. The global synchronicity of anomalies in the auroral occurrence frequency is used to argue that they are caused by changes in the level or state of solar activity. The combined catalogs provide a sufficient number of events in the Middle Ages to resolve a quasi-80-year periodicity in the recorded auroral occurrence frequency. Also in the unusually rich intervals of the Middle Ages, clear quasi-10-year periodicities appear in the recorded occurrence frequency wave from. These are most reasonably interpreted as manifestations of the 11-year solar cycle and indicate that the solar cycle was then operative

  16. Expression of SET Protein in the Ovaries of Patients with Polycystic Ovary Syndrome

    OpenAIRE

    Xu Boqun; Dai Xiaonan; Cui YuGui; Gao Lingling; Dai Xue; Chao Gao; Diao Feiyang; Liu Jiayin; Li Gao; Mei Li; Yuan Zhang; Xiang Ma

    2013-01-01

    Background. We previously found that expression of SET gene was up-regulated in polycystic ovaries by using microarray. It suggested that SET may be an attractive candidate regulator involved in the pathophysiology of polycystic ovary syndrome (PCOS). In this study, expression and cellular localization of SET protein were investigated in human polycystic and normal ovaries. Method. Ovarian tissues, six normal ovaries and six polycystic ovaries, were collected during transsexual operation and ...

  17. Benefits of listening to a recording of euphoric joint music making in polydrug abusers

    Directory of Open Access Journals (Sweden)

    Thomas Hans Fritz

    2015-06-01

    Full Text Available Background and AimsListening to music can have powerful physiological and therapeutic effects. Some essential features of the mental mechanism underlying beneficial effects of music are probably strong physiological and emotional associations with music created during the act of music making. Here we tested this hypothesis in a clinical population of polydrug abusers in rehabilitation listening to a previously performed act of physiologically and emotionally intense music making.MethodsPsychological effects of listening to self-made music that was created in a previous musical feedback intervention were assessed. In this procedure, participants produced music with exercise machines which modulate musical sounds (Jymmin.ResultsThe data showed a positive effect of listening to the recording of joint music making on self-efficacy, mood, and a readiness to engage socially. Furthermore, the data showed the powerful influence of context on how the recording evoked psychological benefits. The effects of listening to the self-made music were only observable when participants listened to their own performance first; listening to a control music piece first caused effects to deteriorate. We observed a positive correlation between participants’ mood and their desire to engage in social activities with their former training partners after listening to the self-made music. This shows that the observed effects of listening to the recording of the single musical feedback intervention are influenced by participants recapitulating intense pleasant social interactions during the Jymmin intervention. ConclusionsListening to music that was the outcome of a previous musical feedback (Jymmin intervention has beneficial psychological and probably social effects in patients that had suffered from polydrug addiction, increasing self-efficacy, mood, and a readiness to engage socially. These intervention effects, however, depend on the context in which the music

  18. New records of Lobatolampea tetragona (Ctenophora: Lobata: Lobatolampeidae) from the Red Sea

    KAUST Repository

    Uyeno, Daisuke

    2015-03-18

    Lobatolampea tetragona Horita, 2000, a member of the monotypic family Lobatolampeidae (Lobata), is reported from the Red Sea based on seven specimens collected during marine biodiversity surveys conducted in the southern and central Red Sea. The ctenophore is characterized by the following characters: paired oral lobes lacking visible auricles and bearing auricular ctenes; subpharyngeal meridional canals bearing aboral blind ends; and c-shaped gonads. Previously, the species was recorded only from Japanese waters. This finding represents the first record of L. tetragona outside of the North Pacific and represents a substantial range expansion for this species.

  19. Detecting the Elusive P-Wave: A New ECG Lead to Improve the Recording of Atrial Activity.

    Science.gov (United States)

    Kennedy, Alan; Finlay, Dewar D; Guldenring, Daniel; Bond, Raymond R; McLaughlin, James

    2016-02-01

    In this study, we report on a lead selection method that was developed to detect the optimal bipolar electrode placement for recording of the P-wave. The study population consisted of 117 lead body surface potential maps recorded from 229 healthy subjects. The optimal bipolar lead was developed using the training set (172 subjects) then extracted from the testing dataset (57 subjects) and compared to other lead systems previously reported for improved recording of atrial activity. All leads were assessed in terms of P-wave, QRS, and STT root mean square (RMS). The P/QRST RMS ratio was also investigated to determine the atrioventricular RMS ratio. Finally, the effect of minor electrode misplacements on the P-lead was investigated. The P-lead discovered in this study outperformed all other investigated leads in terms of P-wave RMS. The P-lead showed a significant improvement in median P-wave RMS (93 versus 72 μV, p < 0.001) over the next best lead, Lead II. An improvement in QRS and STT RMS was also observed from the P-lead in comparison to lead II (668 versus 573 μV, p < 0.001) and (327 versus 196 μV, p < 0.001). Although P-wave RMS was reduced by incorrect electrode placement, significant improvement over Lead II was still evident. The P-lead improves P-wave RMS signal strength over all other investigated leads. Also the P-lead does not reduce QRS and STT RMS making it an appropriate choice for atrial arrhythmia monitoring. Given the improvement in signal-to-noise ratio, an improvement in algorithms that rely on P-wave analysis may be achieved.

  20. Adoption and Completeness of Documentation Using a Structured Delivery Record in Secondary Care, Subdistrict Government Hospitals of Karnataka State, India

    Directory of Open Access Journals (Sweden)

    Prem K. Mony

    2016-05-01

    Full Text Available Objective: Poor medical record documentation remains a pervasive problem in hospital delivery rooms, hampering efforts aimed at improving the quality of maternal and neonatal care in resource-limited settings. We evaluated the feasibility and completeness of labor room documentation within a quasi-experimental study aimed at improving emergency preparedness for obstetric and neonatal emergencies in 8 nonteaching, subdistrict, secondary care hospitals of Karnataka state, India. Methods: We redesigned the existing open-ended case sheet into a structured, delivery record cum job aide adhering to principles of local clinical relevance, parsimony, and computerizability. Skills and emergency drills training along with supportive supervision were introduced in 4 “intervention arm” hospitals while the new delivery records were used in eight intervention and control hospitals. Results: Introduction of the new delivery record was feasible over a “run-in” period of 4 months. About 92% (6103 of 6634 of women in intervention facilities and 80% (6205 of 7756 in control facilities had their delivery records filled in during the 1-year study period. Completeness of delivery record documentation fell into one of two subsets with one set of parameters being documented with minimal inputs (in both intervention and control sites and another set of parameters requiring more intensive training efforts (and seen more in intervention than in control sites; P < .05. Conclusion: Under the stewardship of the local government, it was possible to institute a robust, reliable, and valid medical record documentation system as part of efforts to improve intrapartum and postpartum maternal and newborn care in hospitals.

  1. Design and implementation of an affordable, public sector electronic medical record in rural Nepal.

    Science.gov (United States)

    Raut, Anant; Yarbrough, Chase; Singh, Vivek; Gauchan, Bikash; Citrin, David; Verma, Varun; Hawley, Jessica; Schwarz, Dan; Harsha Bangura, Alex; Shrestha, Biplav; Schwarz, Ryan; Adhikari, Mukesh; Maru, Duncan

    2017-06-23

    Globally, electronic medical records are central to the infrastructure of modern healthcare systems. Yet the vast majority of electronic medical records have been designed for resource-rich environments and are not feasible in settings of poverty. Here we describe the design and implementation of an electronic medical record at a public sector district hospital in rural Nepal, and its subsequent expansion to an additional public sector facility.DevelopmentThe electronic medical record was designed to solve for the following elements of public sector healthcare delivery: 1) integration of the systems across inpatient, surgical, outpatient, emergency, laboratory, radiology, and pharmacy sites of care; 2) effective data extraction for impact evaluation and government regulation; 3) optimization for longitudinal care provision and patient tracking; and 4) effectiveness for quality improvement initiatives. For these purposes, we adapted Bahmni, a product built with open-source components for patient tracking, clinical protocols, pharmacy, laboratory, imaging, financial management, and supply logistics. In close partnership with government officials, we deployed the system in February of 2015, added on additional functionality, and iteratively improved the system over the following year. This experience enabled us then to deploy the system at an additional district-level hospital in a different part of the country in under four weeks. We discuss the implementation challenges and the strategies we pursued to build an electronic medical record for the public sector in rural Nepal.DiscussionOver the course of 18 months, we were able to develop, deploy and iterate upon the electronic medical record, and then deploy the refined product at an additional facility within only four weeks. Our experience suggests the feasibility of an integrated electronic medical record for public sector care delivery even in settings of rural poverty.

  2. Multielectrode recordings from auditory neurons in the brain of a small grasshopper.

    Science.gov (United States)

    Bhavsar, Mit Balvantray; Heinrich, Ralf; Stumpner, Andreas

    2015-12-30

    Grasshoppers have been used as a model system to study the neuronal basis of insect acoustic behavior. Auditory neurons have been described from intracellular recordings. The growing interest to study population activity of neurons has been satisfied so far with artificially combining data from different individuals. We for the first time used multielectrode recordings from a small grasshopper brain. We used three 12μm tungsten wires (combined in a multielectrode) to record from local brain neurons and from a population of auditory neurons entering the brain from the thorax. Spikes of the recorded units were separated by sorting algorithms and spike collision analysis. The tungsten wires enabled stable recordings with high signal to noise ratio. Due to the tight temporal coupling of auditory activity to the stimulus spike collisions were frequent and collision analysis retrieved 10-15% of additional spikes. Marking the electrode position was possible using a fluorescent dye or electrocoagulation with high current. Physiological identification of units described from intracellular recordings was hard to achieve. 12μm tungsten wires gave a better signal to noise ratio than 15μm copper wires previously used in recordings from bees' brains. Recording the population activity of auditory neurons in one individual prevents interindividual and trial-to-trial variability which otherwise reduce the validity of the analysis. Double intracellular recordings have quite low success rate and therefore are rarely achieved and their stability is much lower than that of multielectrode recordings which allows sampling of data for 30min or more. Copyright © 2015 Elsevier B.V. All rights reserved.

  3. 22 CFR 171.34 - Request for an accounting of record disclosures.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Request for an accounting of record disclosures... disclosures. (a) How made. Except where accountings of disclosures are not required to be kept, as set forth... individual. This accounting shall contain the date, nature, and purpose of each disclosure as well as the...

  4. Reprocessing the Historical Satellite Passive Microwave Record at Enhanced Spatial Resolutions using Image Reconstruction

    Science.gov (United States)

    Hardman, M.; Brodzik, M. J.; Long, D. G.; Paget, A. C.; Armstrong, R. L.

    2015-12-01

    Beginning in 1978, the satellite passive microwave data record has been a mainstay of remote sensing of the cryosphere, providing twice-daily, near-global spatial coverage for monitoring changes in hydrologic and cryospheric parameters that include precipitation, soil moisture, surface water, vegetation, snow water equivalent, sea ice concentration and sea ice motion. Currently available global gridded passive microwave data sets serve a diverse community of hundreds of data users, but do not meet many requirements of modern Earth System Data Records (ESDRs) or Climate Data Records (CDRs), most notably in the areas of intersensor calibration, quality-control, provenance and consistent processing methods. The original gridding techniques were relatively primitive and were produced on 25 km grids using the original EASE-Grid definition that is not easily accommodated in modern software packages. Further, since the first Level 3 data sets were produced, the Level 2 passive microwave data on which they were based have been reprocessed as Fundamental CDRs (FCDRs) with improved calibration and documentation. We are funded by NASA MEaSUREs to reprocess the historical gridded data sets as EASE-Grid 2.0 ESDRs, using the most mature available Level 2 satellite passive microwave (SMMR, SSM/I-SSMIS, AMSR-E) records from 1978 to the present. We have produced prototype data from SSM/I and AMSR-E for the year 2003, for review and feedback from our Early Adopter user community. The prototype data set includes conventional, low-resolution ("drop-in-the-bucket" 25 km) grids and enhanced-resolution grids derived from the two candidate image reconstruction techniques we are evaluating: 1) Backus-Gilbert (BG) interpolation and 2) a radiometer version of Scatterometer Image Reconstruction (SIR). We summarize our temporal subsetting technique, algorithm tuning parameters and computational costs, and include sample SSM/I images at enhanced resolutions of up to 3 km. We are actively

  5. Laryngeal High-Speed Videoendoscopy: Sensitivity of Objective Parameters towards Recording Frame Rate

    Directory of Open Access Journals (Sweden)

    Anne Schützenberger

    2016-01-01

    Full Text Available The current use of laryngeal high-speed videoendoscopy in clinic settings involves subjective visual assessment of vocal fold vibratory characteristics. However, objective quantification of vocal fold vibrations for evidence-based diagnosis and therapy is desired, and objective parameters assessing laryngeal dynamics have therefore been suggested. This study investigated the sensitivity of the objective parameters and their dependence on recording frame rate. A total of 300 endoscopic high-speed videos with recording frame rates between 1000 and 15 000 fps were analyzed for a vocally healthy female subject during sustained phonation. Twenty parameters, representing laryngeal dynamics, were computed. Four different parameter characteristics were found: parameters showing no change with increasing frame rate; parameters changing up to a certain frame rate, but then remaining constant; parameters remaining constant within a particular range of recording frame rates; and parameters changing with nearly every frame rate. The results suggest that (1 parameter values are influenced by recording frame rates and different parameters have varying sensitivities to recording frame rate; (2 normative values should be determined based on recording frame rates; and (3 the typically used recording frame rate of 4000 fps seems to be too low to distinguish accurately certain characteristics of the human phonation process in detail.

  6. Mentoring to develop research selfefficacy, with particular reference to previously disadvantaged individuals

    Directory of Open Access Journals (Sweden)

    S. Schulze

    2010-07-01

    Full Text Available The development of inexperienced researchers is crucial. In response to the lack of research self-efficacy of many previously disadvantaged individuals, the article examines how mentoring can enhance the research self-efficacy of mentees. The study is grounded in the self-efficacy theory (SET – an aspect of the social cognitive theory (SCT. Insights were gained from an in-depth study of SCT, SET and mentoring, and from a completed mentoring project. This led to the formulation of three basic principles. Firstly, institutions need to provide supportive environmental conditions that facilitate research selfefficacy. This implies a supportive and efficient collective system. The possible effects of performance ratings and reward systems at the institution also need to be considered. Secondly, mentoring needs to create opportunities for young researchers to experience successful learning as a result of appropriate action. To this end, mentees need to be involved in actual research projects in small groups. At the same time the mentor needs to facilitate skills development by coaching and encouragement. Thirdly, mentors need to encourage mentees to believe in their ability to successfully complete research projects. This implies encouraging positive emotional states, stimulating self-reflection and self-comparison with others in the group, giving positive evaluative feedback and being an intentional role model.

  7. Desert wetlands in the geologic record

    Science.gov (United States)

    Pigati, Jeff S.; Rech, Jason A.; Quade, Jay; Bright, Jordon; Edwards, L.; Springer, A.

    2014-01-01

    Desert wetlands support flora and fauna in a variety of hydrologic settings, including seeps, springs, marshes, wet meadows, ponds, and spring pools. Over time, eolian, alluvial, and fluvial sediments become trapped in these settings by a combination of wet ground conditions and dense plant cover. The result is a unique combination of clastic sediments, chemical precipitates, and organic matter that is preserved in the geologic record as ground-water discharge (GWD) deposits. GWD deposits contain information on the timing and magnitude of past changes in water-table levels and, therefore, are a potential source of paleohydrologic and paleoclimatic information. In addition, they can be important archeological and paleontological archives because desert wetlands provide reliable sources of fresh water, and thus act as focal points for human and faunal activities, in some of the world's harshest and driest lands. Here, we review some of the physical, sedimentological, and geochemical characteristics common to GWD deposits, and provide a contextual framework that researchers can use to identify and interpret geologic deposits associated with desert wetlands. We discuss several lines of evidence used to differentiate GWD deposits from lake deposits (they are commonly confused), and examine how various types of microbiota and depositional facies aid in reconstructing past environmental and hydrologic conditions. We also review how late Quaternary GWD deposits are dated, as well as methods used to investigate desert wetlands deeper in geologic time. We end by evaluating the strengths and limitations of hydrologic and climatic records derived from GWD deposits, and suggest several avenues of potential future research to further develop and utilize these unique and complex systems.

  8. Higher-order risk preferences in social settings.

    Science.gov (United States)

    Heinrich, Timo; Mayrhofer, Thomas

    2018-01-01

    We study prudence and temperance (next to risk aversion) in social settings. Previous experimental studies have shown that these higher-order risk preferences affect the choices of individuals deciding privately on lotteries that only affect their own payoff. Yet, many risky and financially relevant decisions are made in the social settings of households or organizations. We elicit higher-order risk preferences of individuals and systematically vary how an individual's decision is made (alone or while communicating with a partner) and who is affected by the decision (only the individual or the partner as well). In doing so, we can isolate the effects of other-regarding concerns and communication on choices. Our results reveal that the majority of choices are risk averse, prudent, and temperate across social settings. We also observe that individuals are influenced significantly by the preferences of a partner when they are able to communicate and choices are payoff-relevant for both of them.

  9. Analyzing the reliability of volcanic and archeomagnetic data by comparison with historical records

    Science.gov (United States)

    Arneitz, Patrick; Egli, Ramon; Leonhardt, Roman

    2017-04-01

    Records of the past geomagnetic field are obtained from historical observations (direct records) on the one hand, and by the magnetization acquired by archeological artifacts, rocks and sediments (indirect records) on the other hand. Indirect records are generally less reliable than direct ones due to recording mechanisms that cannot be fully reproduced in the laboratory, age uncertainties and alteration problems. Therefore, geomagnetic field modeling approaches must deal with random and systematic errors of field values and age estimates that are hard to assess. Here, we present a new approach to investigate the reliability of volcanic and archeomagnetic data, which is based on comparisons with historical records. Temporal and spatial mismatches between data are handled by the implementation of weighting functions and error estimates derived from a stochastic model of secular variation. Furthermore, a new strategy is introduced for the statistical analysis of inhomogeneous and internally correlated data sets. Application of these new analysis tools to an extended database including direct and indirect records shows an overall good agreement between different record categories. Nevertheless, some biases exist between selected material categories, laboratory procedures, and quality checks/corrections (e.g., inclination shallowing of volcanic records). These findings can be used to obtain a better understanding of error sources affecting indirect records, thereby facilitating more reliable reconstructions of the geomagnetic past.

  10. How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings.

    Science.gov (United States)

    Lorenzi, Nancy M; Kouroubali, Angelina; Detmer, Don E; Bloomrosen, Meryl

    2009-02-23

    Adoption of EHRs by U.S. ambulatory practices has been slow despite the perceived benefits of their use. Most evaluations of EHR implementations in the literature apply to large practice settings. While there are similarities relating to EHR implementation in large and small practice settings, the authors argue that scale is an important differentiator. Focusing on small ambulatory practices, this paper outlines the benefits and barriers to EHR use in this setting, and provides a "field guide" for these practices to facilitate successful EHR implementation. The benefits of EHRs in ambulatory practices include improved patient care and office efficiency, and potential financial benefits. Barriers to EHRs include costs; lack of standardization of EHR products and the design of vendor systems for large practice environments; resistance to change; initial difficulty of system use leading to productivity reduction; and perceived accrual of benefits to society and payers rather than providers. The authors stress the need for developing a flexible change management strategy when introducing EHRs that is relevant to the small practice environment; the strategy should acknowledge the importance of relationship management and the role of individual staff members in helping the entire staff to manage change. Practice staff must create an actionable vision outlining realistic goals for the implementation, and all staff must buy into the project. The authors detail the process of implementing EHRs through several stages: decision, selection, pre-implementation, implementation, and post-implementation. They stress the importance of identifying a champion to serve as an advocate of the value of EHRs and provide direction and encouragement for the project. Other key activities include assessing and redesigning workflow; understanding financial issues; conducting training that is well-timed and meets the needs of practice staff; and evaluating the implementation process. The EHR

  11. How to successfully select and implement electronic health records (EHR in small ambulatory practice settings

    Directory of Open Access Journals (Sweden)

    Detmer Don E

    2009-02-01

    Full Text Available Abstract Background Adoption of EHRs by U.S. ambulatory practices has been slow despite the perceived benefits of their use. Most evaluations of EHR implementations in the literature apply to large practice settings. While there are similarities relating to EHR implementation in large and small practice settings, the authors argue that scale is an important differentiator. Focusing on small ambulatory practices, this paper outlines the benefits and barriers to EHR use in this setting, and provides a "field guide" for these practices to facilitate successful EHR implementation. Discussion The benefits of EHRs in ambulatory practices include improved patient care and office efficiency, and potential financial benefits. Barriers to EHRs include costs; lack of standardization of EHR products and the design of vendor systems for large practice environments; resistance to change; initial difficulty of system use leading to productivity reduction; and perceived accrual of benefits to society and payers rather than providers. The authors stress the need for developing a flexible change management strategy when introducing EHRs that is relevant to the small practice environment; the strategy should acknowledge the importance of relationship management and the role of individual staff members in helping the entire staff to manage change. Practice staff must create an actionable vision outlining realistic goals for the implementation, and all staff must buy into the project. The authors detail the process of implementing EHRs through several stages: decision, selection, pre-implementation, implementation, and post-implementation. They stress the importance of identifying a champion to serve as an advocate of the value of EHRs and provide direction and encouragement for the project. Other key activities include assessing and redesigning workflow; understanding financial issues; conducting training that is well-timed and meets the needs of practice staff

  12. First record of Puerulus mesodontus Chan, Ma & Chu, 2013 (Crustacea, Decapoda, Achelata, Palinuridae) from south of Java, Indonesia.

    Science.gov (United States)

    Wardiatno, Yusli; Hakim, Agus Alim; Mashar, Ali; Butet, Nurlisa Alias; Adrianto, Luky; Farajallah, Achmad

    2016-01-01

    Three specimens of Puerulus mesodontus Chan, Ma & Chu, 2013 (Crustacea, Decapoda, Achelata, Palinuridae) were collected from Palabuhanratu Bay, southern Java, Indonesia. There is no previous record on the presence of the species in Indonesia. This finding represents the first record of this species in Java, Indonesia, and confirms that the species is present in the Indian Ocean. The morphological characters of the species are described. This paper contains a new distribution record of a lobster species from Indonesian waters.

  13. The Business of DIY. Characteristics, motives and ideologies of micro-independent record labels.

    NARCIS (Netherlands)

    H.J.C.J. Hitters (Erik); R.P. den Drijver (Robin)

    2017-01-01

    markdownabstract_This paper examines micro-independent record companies, mostly set up by musicians according to the Do It Yourself (DIY) principle. They serve as distribution channels for counter-mainstream, often local, music. This paper discusses the characteristics of micro-(DIY) independents

  14. DRAGONDATA: A computerized system to record data on fuel for the Dragon reactor

    Energy Technology Data Exchange (ETDEWEB)

    Della Loggia, V. E.

    1974-10-15

    The paper describes the data handling computer code set-up to maintain the as-fabricated records of DRAGON fuel elements that could be used to check against specifications and to provide inputs to future heat transfer, physics and chemistry calculations.

  15. Patients' views on priority setting in neurosurgery: A qualitative study.

    Science.gov (United States)

    Gunaratnam, Caroline; Bernstein, Mark

    2016-01-01

    Accountability for Reasonableness is an ethical framework which has been implemented in various health care systems to improve and evaluate the fairness of priority setting. This framework is grounded on four mandatory conditions: relevance, publicity, appeals, and enforcement. There have been few studies which have evaluated the patient stakeholders' acceptance of this framework; certainly no studies have been done on patients' views on the prioritization system for allocating patients for operating time in a system with pressure on the resource of inpatient beds. The aim of this study is to examine neurosurgical patients' views on the prioritization of patients for operating theater (OT) time on a daily basis at a tertiary and quaternary referral neurosurgery center. Semi-structured face-to-face interviews were conducted with thirty-seven patients, recruited from the neurosurgery clinic at Toronto Western Hospital. Family members and friends who accompanied the patient to their clinic visit were encouraged to contribute to the discussion. Interviews were audio recorded, transcribed verbatim, and subjected to thematic analysis using open and axial coding. Overall, patients are supportive of the concept of a priority-setting system based on fairness, but felt that a few changes would help to improve the fairness of the current system. These changes include lowering the level of priority given to volume-funded cases and providing scheduled surgeries that were previously canceled a higher level of prioritization. Good communication, early notification, and rescheduling canceled surgeries as soon as possible were important factors that directly reflected the patients' confidence level in their doctor, the hospital, and the health care system. This study is the first clinical qualitative study of patients' perspective on a prioritization system used for allocating neurosurgical patients for OT time on a daily basis in a socialized not-for-profit health care system with

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

    Science.gov (United States)

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

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

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

    Science.gov (United States)

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

    2013-01-01

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

  18. Accessory mineral records of tectonic environments? (Invited)

    Science.gov (United States)

    Storey, C.; Marschall, H. R.; Enea, F.; Taylor, J.; Jennings, E. S.

    2010-12-01

    Accessory mineral research continues to gather momentum as we seek to unleash their full potential. It is now widely recognised that robust accessory minerals, such as zircon, rutile, titanite, allanite and monazite, are archives of important trace elements that can help deduce metamorphic reaction history in metapelites, metabasites and other rock types. Moreover, they are important carriers of certain trace elements and govern or influence the products of partial melting and of fluid-rock interaction (e.g. magmas and mineralisation) in settings like subduction zones and hydrothermal systems. Perhaps most importantly, they can often be dated using the U-Th-Pb system. More recently, radiogenic (Lu-Hf, Sm-Nd, Rb-Sr) and stable (O) isotope systems have been applied and have further pushed the utility of accessory mineral research. In this talk I will discuss some of these advances towards one particular aim: the use of detrital accessory minerals for fingerprinting tectonic environments. This is a particularly laudable aim in Precambrian rocks, for which the preservation potential of orogenic belts and fossil subduction zones and their diagnostic metamorphic rocks is low. The implication is that our understanding of plate tectonics, particularly in the Archaean, is biased by the preserved in-tact rock record. An analogy is that Jack Hills zircons record evidence of Earth’s crust some 400 Ma before the preserved rock record begins. I will focus on some recent advances and new data from rutile and also the mineral inclusion record within zircon, which shows great promise for petrologic interpretation.

  19. Setting up and Running a School Library. Information Collection and Exchange Publication No. ED204

    Science.gov (United States)

    Baird, Nicola

    2012-01-01

    This book explains how teachers can set up and run a successful school library. In it you will find advice and information on how to: (1) set up a small library and build bookshelves; (2) select books for your library; (3) make a written record of your school's books, pamphlets and other library stock such as newspapers, magazines, audio tapes and…

  20. Fit for purpose? Introducing a rational priority setting approach into a community care setting.

    Science.gov (United States)

    Cornelissen, Evelyn; Mitton, Craig; Davidson, Alan; Reid, Colin; Hole, Rachelle; Visockas, Anne-Marie; Smith, Neale

    2016-06-20

    Purpose - Program budgeting and marginal analysis (PBMA) is a priority setting approach that assists decision makers with allocating resources. Previous PBMA work establishes its efficacy and indicates that contextual factors complicate priority setting, which can hamper PBMA effectiveness. The purpose of this paper is to gain qualitative insight into PBMA effectiveness. Design/methodology/approach - A Canadian case study of PBMA implementation. Data consist of decision-maker interviews pre (n=20), post year-1 (n=12) and post year-2 (n=9) of PBMA to examine perceptions of baseline priority setting practice vis-à-vis desired practice, and perceptions of PBMA usability and acceptability. Findings - Fit emerged as a key theme in determining PBMA effectiveness. Fit herein refers to being of suitable quality and form to meet the intended purposes and needs of the end-users, and includes desirability, acceptability, and usability dimensions. Results confirm decision-maker desire for rational approaches like PBMA. However, most participants indicated that the timing of the exercise and the form in which PBMA was applied were not well-suited for this case study. Participant acceptance of and buy-in to PBMA changed during the study: a leadership change, limited organizational commitment, and concerns with organizational capacity were key barriers to PBMA adoption and thereby effectiveness. Practical implications - These findings suggest that a potential way-forward includes adding a contextual readiness/capacity assessment stage to PBMA, recognizing organizational complexity, and considering incremental adoption of PBMA's approach. Originality/value - These insights help us to better understand and work with priority setting conditions to advance evidence-informed decision making.

  1. Automated signal quality assessment of mobile phone-recorded heart sound signals.

    Science.gov (United States)

    Springer, David B; Brennan, Thomas; Ntusi, Ntobeko; Abdelrahman, Hassan Y; Zühlke, Liesl J; Mayosi, Bongani M; Tarassenko, Lionel; Clifford, Gari D

    Mobile phones, due to their audio processing capabilities, have the potential to facilitate the diagnosis of heart disease through automated auscultation. However, such a platform is likely to be used by non-experts, and hence, it is essential that such a device is able to automatically differentiate poor quality from diagnostically useful recordings since non-experts are more likely to make poor-quality recordings. This paper investigates the automated signal quality assessment of heart sound recordings performed using both mobile phone-based and commercial medical-grade electronic stethoscopes. The recordings, each 60 s long, were taken from 151 random adult individuals with varying diagnoses referred to a cardiac clinic and were professionally annotated by five experts. A mean voting procedure was used to compute a final quality label for each recording. Nine signal quality indices were defined and calculated for each recording. A logistic regression model for classifying binary quality was then trained and tested. The inter-rater agreement level for the stethoscope and mobile phone recordings was measured using Conger's kappa for multiclass sets and found to be 0.24 and 0.54, respectively. One-third of all the mobile phone-recorded phonocardiogram (PCG) signals were found to be of sufficient quality for analysis. The classifier was able to distinguish good- and poor-quality mobile phone recordings with 82.2% accuracy, and those made with the electronic stethoscope with an accuracy of 86.5%. We conclude that our classification approach provides a mechanism for substantially improving auscultation recordings by non-experts. This work is the first systematic evaluation of a PCG signal quality classification algorithm (using a separate test dataset) and assessment of the quality of PCG recordings captured by non-experts, using both a medical-grade digital stethoscope and a mobile phone.

  2. Algorithms for detecting and analysing autocatalytic sets.

    Science.gov (United States)

    Hordijk, Wim; Smith, Joshua I; Steel, Mike

    2015-01-01

    Autocatalytic sets are considered to be fundamental to the origin of life. Prior theoretical and computational work on the existence and properties of these sets has relied on a fast algorithm for detectingself-sustaining autocatalytic sets in chemical reaction systems. Here, we introduce and apply a modified version and several extensions of the basic algorithm: (i) a modification aimed at reducing the number of calls to the computationally most expensive part of the algorithm, (ii) the application of a previously introduced extension of the basic algorithm to sample the smallest possible autocatalytic sets within a reaction network, and the application of a statistical test which provides a probable lower bound on the number of such smallest sets, (iii) the introduction and application of another extension of the basic algorithm to detect autocatalytic sets in a reaction system where molecules can also inhibit (as well as catalyse) reactions, (iv) a further, more abstract, extension of the theory behind searching for autocatalytic sets. (i) The modified algorithm outperforms the original one in the number of calls to the computationally most expensive procedure, which, in some cases also leads to a significant improvement in overall running time, (ii) our statistical test provides strong support for the existence of very large numbers (even millions) of minimal autocatalytic sets in a well-studied polymer model, where these minimal sets share about half of their reactions on average, (iii) "uninhibited" autocatalytic sets can be found in reaction systems that allow inhibition, but their number and sizes depend on the level of inhibition relative to the level of catalysis. (i) Improvements in the overall running time when searching for autocatalytic sets can potentially be obtained by using a modified version of the algorithm, (ii) the existence of large numbers of minimal autocatalytic sets can have important consequences for the possible evolvability of

  3. Three-dimensional nanostructure determination from a large diffraction data set recorded using scanning electron nanodiffraction

    Directory of Open Access Journals (Sweden)

    Yifei Meng

    2016-09-01

    Full Text Available A diffraction-based technique is developed for the determination of three-dimensional nanostructures. The technique employs high-resolution and low-dose scanning electron nanodiffraction (SEND to acquire three-dimensional diffraction patterns, with the help of a special sample holder for large-angle rotation. Grains are identified in three-dimensional space based on crystal orientation and on reconstructed dark-field images from the recorded diffraction patterns. Application to a nanocrystalline TiN thin film shows that the three-dimensional morphology of columnar TiN grains of tens of nanometres in diameter can be reconstructed using an algebraic iterative algorithm under specified prior conditions, together with their crystallographic orientations. The principles can be extended to multiphase nanocrystalline materials as well. Thus, the tomographic SEND technique provides an effective and adaptive way of determining three-dimensional nanostructures.

  4. UpSet: Visualization of Intersecting Sets

    Science.gov (United States)

    Lex, Alexander; Gehlenborg, Nils; Strobelt, Hendrik; Vuillemot, Romain; Pfister, Hanspeter

    2016-01-01

    Understanding relationships between sets is an important analysis task that has received widespread attention in the visualization community. The major challenge in this context is the combinatorial explosion of the number of set intersections if the number of sets exceeds a trivial threshold. In this paper we introduce UpSet, a novel visualization technique for the quantitative analysis of sets, their intersections, and aggregates of intersections. UpSet is focused on creating task-driven aggregates, communicating the size and properties of aggregates and intersections, and a duality between the visualization of the elements in a dataset and their set membership. UpSet visualizes set intersections in a matrix layout and introduces aggregates based on groupings and queries. The matrix layout enables the effective representation of associated data, such as the number of elements in the aggregates and intersections, as well as additional summary statistics derived from subset or element attributes. Sorting according to various measures enables a task-driven analysis of relevant intersections and aggregates. The elements represented in the sets and their associated attributes are visualized in a separate view. Queries based on containment in specific intersections, aggregates or driven by attribute filters are propagated between both views. We also introduce several advanced visual encodings and interaction methods to overcome the problems of varying scales and to address scalability. UpSet is web-based and open source. We demonstrate its general utility in multiple use cases from various domains. PMID:26356912

  5. Characterization of previously unidentified lunar pyroclastic deposits using Lunar Reconnaissance Orbiter Camera (LROC) data

    Science.gov (United States)

    Gustafson, J. Olaf; Bell, James F.; Gaddis, Lisa R.R.; Hawke, B. Ray Ray; Giguere, Thomas A.

    2012-01-01

    We used a Lunar Reconnaissance Orbiter Camera (LROC) global monochrome Wide-angle Camera (WAC) mosaic to conduct a survey of the Moon to search for previously unidentified pyroclastic deposits. Promising locations were examined in detail using LROC multispectral WAC mosaics, high-resolution LROC Narrow Angle Camera (NAC) images, and Clementine multispectral (ultraviolet-visible or UVVIS) data. Out of 47 potential deposits chosen for closer examination, 12 were selected as probable newly identified pyroclastic deposits. Potential pyroclastic deposits were generally found in settings similar to previously identified deposits, including areas within or near mare deposits adjacent to highlands, within floor-fractured craters, and along fissures in mare deposits. However, a significant new finding is the discovery of localized pyroclastic deposits within floor-fractured craters Anderson E and F on the lunar farside, isolated from other known similar deposits. Our search confirms that most major regional and localized low-albedo pyroclastic deposits have been identified on the Moon down to ~100 m/pix resolution, and that additional newly identified deposits are likely to be either isolated small deposits or additional portions of discontinuous, patchy deposits.

  6. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  7. Comprehensive evaluation of electronic medical record system use and user satisfaction at five low-resource setting hospitals in ethiopia.

    Science.gov (United States)

    Tilahun, Binyam; Fritz, Fleur

    2015-05-25

    Electronic medical record (EMR) systems are increasingly being implemented in hospitals of developing countries to improve patient care and clinical service. However, only limited evaluation studies are available concerning the level of adoption and determinant factors of success in those settings. The objective of this study was to assess the usage pattern, user satisfaction level, and determinants of health professional's satisfaction towards a comprehensive EMR system implemented in Ethiopia where parallel documentation using the EMR and the paper-based medical records is in practice. A quantitative, cross-sectional study design was used to assess the usage pattern, user satisfaction level, and determinant factors of an EMR system implemented in Ethiopia based on the DeLone and McLean model of information system success. Descriptive statistical methods were applied to analyze the data and a binary logistic regression model was used to identify determinant factors. Health professionals (N=422) from five hospitals were approached and 406 responded to the survey (96.2% response rate). Out of the respondents, 76.1% (309/406) started to use the system immediately after implementation and user training, but only 31.7% (98/309) of the professionals reported using the EMR during the study (after 3 years of implementation). Of the 12 core EMR functions, 3 were never used by most respondents, and they were also unaware of 4 of the core EMR functions. It was found that 61.4% (190/309) of the health professionals reported over all dissatisfaction with the EMR (median=4, interquartile range (IQR)=1) on a 5-level Likert scale. Physicians were more dissatisfied (median=5, IQR=1) when compared to nurses (median=4, IQR=1) and the health management information system (HMIS) staff (median=2, IQR=1). Of all the participants, 64.4% (199/309) believed that the EMR had no positive impact on the quality of care. The participants indicated an agreement with the system and information

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

    Science.gov (United States)

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

    2017-12-01

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

  9. A Wireless Fully Passive Neural Recording Device for Unobtrusive Neuropotential Monitoring.

    Science.gov (United States)

    Kiourti, Asimina; Lee, Cedric W L; Chae, Junseok; Volakis, John L

    2016-01-01

    We propose a novel wireless fully passive neural recording device for unobtrusive neuropotential monitoring. Previous work demonstrated the feasibility of monitoring emulated brain signals in a wireless fully passive manner. In this paper, we propose a novel realistic recorder that is significantly smaller and much more sensitive. The proposed recorder utilizes a highly efficient microwave backscattering method and operates without any formal power supply or regulating elements. Also, no intracranial wires or cables are required. In-vitro testing is performed inside a four-layer head phantom (skin, bone, gray matter, and white matter). Compared to our former implementation, the neural recorder proposed in this study has the following improved features: 1) 59% smaller footprint, 2) up to 20-dB improvement in neuropotential detection sensitivity, and 3) encapsulation in biocompatible polymer. For the first time, temporal emulated neuropotentials as low as 63 μVpp can be detected in a wireless fully passive manner. Remarkably, the high-sensitivity achieved in this study implies reading of most neural signals generated by the human brain. The proposed recorder brings forward transformational possibilities in wireless fully passive neural detection for a very wide range of applications (e.g., epilepsy, Alzheimer's, mental disorders, etc.).

  10. NOAA Climate Data Record (CDR) of Passive Microwave Sea Ice Concentration, Version 1.0

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset version has been superseded by version 2. This data set provides a Climate Data Record (CDR) of passive microwave sea ice concentration based on the...

  11. Using Google Glass in Surgical Settings: Systematic Review.

    Science.gov (United States)

    Wei, Nancy J; Dougherty, Bryn; Myers, Aundria; Badawy, Sherif M

    2018-03-06

    In recent years, wearable devices have become increasingly attractive and the health care industry has been especially drawn to Google Glass because of its ability to serve as a head-mounted wearable device. The use of Google Glass in surgical settings is of particular interest due to the hands-free device potential to streamline workflow and maintain sterile conditions in an operating room environment. The aim is to conduct a systematic evaluation of the literature on the feasibility and acceptability of using Google Glass in surgical settings and to assess the potential benefits and limitations of its application. The literature was searched for articles published between January 2013 and May 2017. The search included the following databases: PubMed MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, PsycINFO (EBSCO), and IEEE Xplore. Two reviewers independently screened titles and abstracts and assessed full-text articles. Original research articles that evaluated the feasibility, usability, or acceptability of using Google Glass in surgical settings were included. This review was completed following the Preferred Reporting Results of Systematic Reviews and Meta-Analyses guidelines. Of the 520 records obtained, 31 met all predefined criteria and were included in this review. Google Glass was used in various surgical specialties. Most studies were in the United States (23/31, 74%) and all were conducted in hospital settings: 29 in adult hospitals (29/31, 94%) and two in children's hospitals (2/31, 7%). Sample sizes of participants who wore Google Glass ranged from 1 to 40. Of the 31 studies, 25 (81%) were conducted under real-time conditions or actual clinical care settings, whereas the other six (19%) were conducted under simulated environment. Twenty-six studies were pilot or feasibility studies (84%), three were case studies (10%), and two were randomized controlled trials (6%). The majority of studies examined the potential use of

  12. Detection of explosive cough events in audio recordings by internal sound analysis.

    Science.gov (United States)

    Rocha, B M; Mendes, L; Couceiro, R; Henriques, J; Carvalho, P; Paiva, R P

    2017-07-01

    We present a new method for the discrimination of explosive cough events, which is based on a combination of spectral content descriptors and pitch-related features. After the removal of near-silent segments, a vector of event boundaries is obtained and a proposed set of 9 features is extracted for each event. Two data sets, recorded using electronic stethoscopes and comprising a total of 46 healthy subjects and 13 patients, were employed to evaluate the method. The proposed feature set is compared to three other sets of descriptors: a baseline, a combination of both sets, and an automatic selection of the best 10 features from both sets. The combined feature set yields good results on the cross-validated database, attaining a sensitivity of 92.3±2.3% and a specificity of 84.7±3.3%. Besides, this feature set seems to generalize well when it is trained on a small data set of patients, with a variety of respiratory and cardiovascular diseases, and tested on a bigger data set of mostly healthy subjects: a sensitivity of 93.4% and a specificity of 83.4% are achieved in those conditions. These results demonstrate that complementing the proposed feature set with a baseline set is a promising approach.

  13. An analysis of fast critical experiments using JEF-1-based 50-group constant set

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jung Do; Gil, Choong Sup; Kim, Young Cheol [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1993-09-01

    JEF-1-based 50-group cross section set for fast reactor calculations was generated using NJOY system. The set was then examined by analyzing measured integral quantities such as criticality and central reaction rate ratios for 27 fast critical assemblies. The calculated results using the new set were also compared with those of ENDF/B-IV or -V based fast set. In general, the JEF-1-based set shows an improvement in predicting measured integral quantities in comparison with the previous set. With a few exceptions, JEF-1 results are compareble to those of ENDF/B-V.

  14. United States Geological Survey (USGS) FM cassette seismic-refraction recording system

    International Nuclear Information System (INIS)

    Murphy, J.M.

    1988-01-01

    In this two chapter report, instrumentation used to collect seismic data is described. This data acquisition system has two parts: (1) portable anolog seismic recorders and related ''hand-held-testers'' (HHT) and (2) portable digitizing units. During the anolog recording process, ground motion is sensed by a 2-Hz vertical-component seismometer. The voltage output from the seismometer is split without amplification and sent to three parallel amplifier circuit boards. Each circuit board amplifiers the seismic signal in three stages and then frequency modulates the signal. Amplification at the last two stages can be set by the user. An internal precision clock signal is also frequency modulated. The three data carrier frequencies, the clock carrier frequency, and a tape-speed compensation carrier frequency are summed and recorded on a recorded on a cassette tape. During the digitizing process, the cassette tapes are played back and the signals are demultiplexed and demodulated. An anolog-to-digital converter converts the signals to digital data which are stored on 8-inch floppy disks. 7 refs., 19 figs., 6 tabs

  15. Impact of previous vascular burden on in-hospital and long-term mortality in patients with ST-segment elevation myocardial infarction.

    Science.gov (United States)

    Consuegra-Sánchez, Luciano; Melgarejo-Moreno, Antonio; Galcerá-Tomás, José; Alonso-Fernández, Nuria; Díaz-Pastor, Angela; Escudero-García, Germán; Jaulent-Huertas, Leticia; Vicente-Gilabert, Marta

    2014-06-01

    Patients with a current acute coronary syndrome and previous ischemic heart disease, peripheral arterial disease, and/or cerebrovascular disease are reported to have a poorer outcome than those without these previous conditions. It is uncertain whether this association with outcome is observed at long-term follow-up. Prospective observational study, including 4247 patients with ST-segment elevation myocardial infarction. Detailed clinical data and information on previous ischemic heart disease, peripheral arterial disease, and cerebrovascular disease ("vascular burden") were recorded. Multivariate models were performed for in-hospital and long-term (median, 7.2 years) all-cause mortality. One vascular territory was affected in 1131 (26.6%) patients and ≥ 2 territories in 221 (5.2%). The total in-hospital mortality rate was 12.3% and the long-term incidence density was 3.5 deaths per 100 patient-years. A background of previous ischemic heart disease (odds ratio = 0.83; P = .35), peripheral arterial disease (odds ratio = 1.30; P = .34), or cerebrovascular disease (stroke) (odds ratio = 1.15; P = .59) was not independently predictive of in-hospital death. In an adjusted model, previous cerebrovascular disease and previous peripheral arterial disease were both predictors of mortality at long-term follow-up (hazard ratio = 1.57; P cerebrovascular disease and peripheral arterial disease were predictors of mortality at long-term after hospital discharge. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  16. Knee Osteoarthritis Is Associated With Previous Meniscus and Anterior Cruciate Ligament Surgery Among Elite College American Football Athletes.

    Science.gov (United States)

    Smith, Matthew V; Nepple, Jeffrey J; Wright, Rick W; Matava, Matthew J; Brophy, Robert H

    Football puts athletes at risk for knee injuries such meniscus and anterior cruciate ligament (ACL) tears, which are associated with the development of osteoarthritis (OA). Previous knee surgery, player position, and body mass index (BMI) may be associated with knee OA. In elite football players undergoing knee magnetic resonance imaging at the National Football League's Invitational Combine, the prevalence of knee OA is associated with previous knee surgery and BMI. Retrospective cohort. Level 4. A retrospective review was performed of all participants of the National Football League Combine from 2005 to 2009 who underwent magnetic resonance imaging of the knee because of prior knee injury, surgery, or knee-related symptoms or concerning examination findings. Imaging studies were reviewed for evidence of OA. History of previous knee surgery-including ACL reconstruction, meniscal procedures, and articular cartilage surgery-and position were recorded for each athlete. BMI was calculated based on height and weight. There was a higher prevalence of OA in knees with a history of previous knee surgery (23% vs 4.0%, P 30 kg/m 2 was also associated with a higher risk of OA ( P = 0.007) but player position was not associated with knee OA. Previous knee surgery, particularly ACL reconstruction and partial meniscectomy, and elevated BMI are associated with knee OA in elite football players. Future research should investigate ways to minimize the risk of OA after knee surgery in these athletes. Treatment of knee injuries in football athletes should consider chondroprotection, including meniscal preservation and cartilage repair, when possible.

  17. Long-term cyclicities in Phanerozoic sea-level sedimentary record and their potential drivers

    Science.gov (United States)

    Boulila, Slah; Laskar, Jacques; Haq, Bilal U.; Galbrun, Bruno; Hara, Nathan

    2018-06-01

    Cyclic sedimentation has varied at several timescales and this variability has been geologically well documented at Milankovitch timescales, controlled in part by climatically (insolation) driven sea-level changes. At the longer (tens of Myr) timescales connection between astronomical parameters and sedimentation via cyclic solar-system motions within the Milky Way has also been proposed, but this hypothesis remains controversial because of the lack of long geological records. In addition, the absence of a meaningful physical mechanism that could explain the connection between climate and astronomy at these longer timescales led to the more plausible explanation of plate motions as the main driver of climate and sedimentation through changes in ocean and continent mass distribution on Earth. Here we statistically show a prominent and persistent 36 Myr sedimentary cyclicity superimposed on two megacycles ( 250 Myr) in a relatively well-constrained sea-level (SL) record of the past 542 Myr (Phanerozoic eon). We also show two other significant 9.3 and 91 Myr periodicities, but with lower amplitudes. The 9.3 Myr cyclicity was previously attributed to long-period Milankovitch band based on the Cenozoic record. However, the 91 Myr cyclicity has never been observed before in the geologic record. The 250 Myr cyclicity was attributed to the Wilson tectonic (supercontinent) cycle. The 36 Myr periodicity, also detected for the first time in SL record, has previously been ascribed either to tectonics or to astronomical cyclicity. Given the possible link between amplitudes of the 36 and 250 Myr cyclicities in SL record and the potential that these periodicities fall into the frequency band of solar system motions, we suggest an astronomical origin, and model these periodicities as originating from the path of the solar system in the Milky Way as vertical and radial periods that modulate the flux of cosmic rays on Earth. Our finding of the 36 Myr SL cyclicity lends credibility

  18. [Essential data set's archetypes for nursing care of endometriosis patients].

    Science.gov (United States)

    Spigolon, Dandara Novakowski; Moro, Claudia Maria Cabral

    2012-12-01

    This study aimed to develop an Essential Data Set for Nursing Care of Patients with Endometriosis (CDEEPE), represented by archetypes. An exploratory applied research with specialists' participation that was carried out at Heath Informatics Laboratory of PUCPR, between February and November of 2010. It was divided in two stages: CDEEPE construction and evaluation including Nursing Process phases and Basic Human Needs, and archetypes development based on this data set. CDEEPE was evaluated by doctors and nurses with 95.9% of consensus and containing 51 data items. The archetype "Perception of Organs and Senses" was created to represents this data set. This study allowed identifying important information for nursing practices contributing to computerization and application of nursing process during care. The CDEEPE was the basis for archetype creation, that will make possible structured, organized, efficient, interoperable, and semantics records.

  19. The terrestrial record of Late Heavy Bombardment

    Science.gov (United States)

    Lowe, Donald R.; Byerly, Gary R.

    2018-04-01

    Until recently, the known impact record of the early Solar System lay exclusively on the surfaces of the Moon, Mars, and other bodies where it has not been erased by later weathering, erosion, impact gardening, and/or tectonism. Study of the cratered surfaces of these bodies led to the concept of the Late Heavy Bombardment (LHB), an interval from about 4.1 to 3.8 billion years ago (Ga) during which the surfaces of the planets and moons in the inner Solar System were subject to unusually high rates of bombardment followed by a decline to present low impact rates by about 3.5 Ga. Over the past 30 years, however, it has become apparent that there is a terrestrial record of large impacts from at least 3.47 to 3.22 Ga and from 2.63 to 2.49 Ga. The present paper explores the earlier of these impact records, providing details about the nature of the 8 known ejecta layers that constitute the evidence for large terrestrial impacts during the earlier of these intervals, the inferred size of the impactors, and the potential effects of these impacts on crustal development and life. The existence of this record implies that LHB did not end abruptly at 3.8-3.7 Ga but rather that high impact rates, either continuous or as impact clusters, persisted until at least the close of the Archean at 2.5 Ga. It implies that the shift from external, impact-related controls on the long-term development of the surface system on the Earth to more internal, geodynamic controls may have occurred much later in geologic history than has been supposed previously.

  20. Solving Quasi-Variational Inequalities for Image Restoration with Adaptive Constraint Sets

    KAUST Repository

    Lenzen, F.; Lellmann, J.; Becker, F.; Schnö rr, C.

    2014-01-01

    © 2014 Society for Industrial and Applied Mathematics. We consider a class of quasi-variational inequalities (QVIs) for adaptive image restoration, where the adaptivity is described via solution-dependent constraint sets. In previous work we studied