WorldWideScience

Sample records for radar cpr modis

  1. Intercomparison of Vertical Structure of Storms Revealed by Ground-Based (NMQ and Spaceborne Radars (CloudSat-CPR and TRMM-PR

    Directory of Open Access Journals (Sweden)

    Veronica M. Fall

    2013-01-01

    Full Text Available Spaceborne radars provide great opportunities to investigate the vertical structure of clouds and precipitation. Two typical spaceborne radars for such a study are the W-band Cloud Profiling Radar (CPR and Ku-band Precipitation Radar (PR, which are onboard NASA’s CloudSat and TRMM satellites, respectively. Compared to S-band ground-based radars, they have distinct scattering characteristics for different hydrometeors in clouds and precipitation. The combination of spaceborne and ground-based radar observations can help in the identification of hydrometeors and improve the radar-based quantitative precipitation estimation (QPE. This study analyzes the vertical structure of the 18 January, 2009 storm using data from the CloudSat CPR, TRMM PR, and a NEXRAD-based National Mosaic and Multisensor QPE (NMQ system. Microphysics above, within, and below the melting layer are studied through an intercomparison of multifrequency measurements. Hydrometeors’ type and their radar scattering characteristics are analyzed. Additionally, the study of the vertical profile of reflectivity (VPR reveals the brightband properties in the cold-season precipitation and its effect on the radar-based QPE. In all, the joint analysis of spaceborne and ground-based radar data increases the understanding of the vertical structure of storm systems and provides a good insight into the microphysical modeling for weather forecasts.

  2. Neural network cloud top pressure and height for MODIS

    Science.gov (United States)

    Håkansson, Nina; Adok, Claudia; Thoss, Anke; Scheirer, Ronald; Hörnquist, Sara

    2018-06-01

    Cloud top height retrieval from imager instruments is important for nowcasting and for satellite climate data records. A neural network approach for cloud top height retrieval from the imager instrument MODIS (Moderate Resolution Imaging Spectroradiometer) is presented. The neural networks are trained using cloud top layer pressure data from the CALIOP (Cloud-Aerosol Lidar with Orthogonal Polarization) dataset. Results are compared with two operational reference algorithms for cloud top height: the MODIS Collection 6 Level 2 height product and the cloud top temperature and height algorithm in the 2014 version of the NWC SAF (EUMETSAT (European Organization for the Exploitation of Meteorological Satellites) Satellite Application Facility on Support to Nowcasting and Very Short Range Forecasting) PPS (Polar Platform System). All three techniques are evaluated using both CALIOP and CPR (Cloud Profiling Radar for CloudSat (CLOUD SATellite)) height. Instruments like AVHRR (Advanced Very High Resolution Radiometer) and VIIRS (Visible Infrared Imaging Radiometer Suite) contain fewer channels useful for cloud top height retrievals than MODIS, therefore several different neural networks are investigated to test how infrared channel selection influences retrieval performance. Also a network with only channels available for the AVHRR1 instrument is trained and evaluated. To examine the contribution of different variables, networks with fewer variables are trained. It is shown that variables containing imager information for neighboring pixels are very important. The error distributions of the involved cloud top height algorithms are found to be non-Gaussian. Different descriptive statistic measures are presented and it is exemplified that bias and SD (standard deviation) can be misleading for non-Gaussian distributions. The median and mode are found to better describe the tendency of the error distributions and IQR (interquartile range) and MAE (mean absolute error) are found

  3. The Earthcare Cloud Profiling Radar, its PFM development status (Conference Presentation)

    Science.gov (United States)

    Nakatsuka, Hirotaka; Tomita, Eichi; Aida, Yoshihisa; Seki, Yoshihiro; Okada, Kazuyuki; Maruyama, Kenta; Ishii, Yasuyuki; Tomiyama, Nobuhiro; Ohno, Yuichi; Horie, Hiroaki; Sato, Kenji

    2016-10-01

    The Earth Clouds, Aerosols and Radiation Explorer (EarthCARE) mission is joint mission between Europe and Japan for the launch year of 2018. Mission objective is to improve scientific understanding of cloud-aerosol-radiation interactions that is one of the biggest uncertain factors for numerical climate and weather predictions. The EarthCARE spacecraft equips four instruments such as an ultra violet lidar (ATLID), a cloud profiling radar (CPR), a broadband radiometer (BBR), and a multi-spectral imager (MSI) and perform complete synergy observation to observe aerosols, clouds and their interactions simultaneously from the orbit. Japan Aerospace Exploration Agency (JAXA) is responsible for development of the CPR in this EarthCARE mission and the CPR will be the first space-borne W-band Doppler radar. The CPR is defined with minimum radar sensitivity of -35dBz (6dB better than current space-borne cloud radar, i.e. CloudSat, NASA), radiometric accuracy of 2.7 dB, and Doppler velocity measurement accuracy of less than 1.3 m/s. These specifications require highly accurate pointing technique in orbit and high power source with large antenna dish. JAXA and National Institute of Information and Communications Technology (NICT) have been jointly developed this CPR to meet these strict requirements so far and then achieved the development such as new CFRP flex-core structure, long life extended interaction klystron, low loss quasi optical feed technique, and so on. Through these development successes, CPR development phase has been progressed to critical design phase. In addition, new ground calibration technique is also being progressed for launch of EarthCARE/CPR. The unique feature of EarthCARE CPR is vertical Doppler velocity measurement capability. Vertical Doppler velocity measurement is very attractive function from the science point of view, because vertical motions of cloud particles are related with cloud microphysics and dynamics. However, from engineering point of

  4. Perception of CPR quality: Influence of CPR feedback, Just-in-Time CPR training and provider role.

    Science.gov (United States)

    Cheng, Adam; Overly, Frank; Kessler, David; Nadkarni, Vinay M; Lin, Yiqun; Doan, Quynh; Duff, Jonathan P; Tofil, Nancy M; Bhanji, Farhan; Adler, Mark; Charnovich, Alex; Hunt, Elizabeth A; Brown, Linda L

    2015-02-01

    Many healthcare providers rely on visual perception to guide cardiopulmonary resuscitation (CPR), but little is known about the accuracy of provider perceptions of CPR quality. We aimed to describe the difference between perceived versus measured CPR quality, and to determine the impact of provider role, real-time visual CPR feedback and Just-in-Time (JIT) CPR training on provider perceptions. We conducted secondary analyses of data collected from a prospective, multicenter, randomized trial of 324 healthcare providers who participated in a simulated cardiac arrest scenario between July 2012 and April 2014. Participants were randomized to one of four permutations of: JIT CPR training and real-time visual CPR feedback. We calculated the difference between perceived and measured quality of CPR and reported the proportion of subjects accurately estimating the quality of CPR within each study arm. Participants overestimated achieving adequate chest compression depth (mean difference range: 16.1-60.6%) and rate (range: 0.2-51%), and underestimated chest compression fraction (0.2-2.9%) across all arms. Compared to no intervention, the use of real-time feedback and JIT CPR training (alone or in combination) improved perception of depth (pCPR quality was poor for chest compression depth (0-13%), rate (5-46%) and chest compression fraction (60-63%). Perception of depth is more accurate in CPR providers versus team leaders (27.8% vs. 7.4%; p=0.043) when using real-time feedback. Healthcare providers' visual perception of CPR quality is poor. Perceptions of CPR depth are improved by using real-time visual feedback and with prior JIT CPR training. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  5. Does Non-Targeted Community CPR Training Increase Bystander CPR Frequency?

    Science.gov (United States)

    Uber, Amy; Sadler, Richard C; Chassee, Todd; Reynolds, Joshua C

    2018-05-01

    Only 37% of out-of-hospital cardiac arrests (OHCA) receive bystander Cardiopulmonary resuscitation (CPR) in Kent County, MI. In May 2014, prehospital providers offered one-time, point-of-contact compression-only CPR training to 2,253 passersby at 7 public locations in Grand Rapids, Michigan. To assess the impact of this intervention, we compared bystander CPR frequency and clinical outcomes in regions surrounding training sites before and after the intervention, adjusting for prehospital covariates. We aimed to assess the effect of this broad, non-targeted intervention on bystander CPR frequency, type of CPR utilized, and clinical outcomes. We also tested for differences in geospatial variation of bystander CPR and clinical outcomes clustered around training sites. Retrospective, observational, before-after study of adult, EMS-treated OHCA in Kent County from January 1, 2010 to December 31, 2015. We generated a 5-kilometer radius surrounding each training site to estimate any geospatial influence that training sites might have on bystander CPR frequency in nearby OHCA cases. Chi-squared, Fisher's exact, and t-tests assessed differences in subject features. Difference-in-differences analysis with generalized estimating equation (GEE) modeling assessed bystander CPR frequency, adjusting for training site, covariates (age, sex, witnessed, shockable rhythm, public location), and clustering around training sites. Similar modeling tested for changes in bystander CPR type, return of spontaneous circulation (ROSC), survival to hospital discharge, and cerebral performance category (CPC) of 1-2 at hospital discharge. We included 899 cases before and 587 cases post-intervention. Overall, we observed no increase in the frequency of bystander CPR or favorable clinical outcomes. We did observe an increase in compression-only CPR, but this was paradoxically restricted to OHCA cases falling outside radii around training sites. In adjusted modeling, the bystander CPR training

  6. Dispatcher instruction of chest compression-only CPR increases actual provision of bystander CPR.

    Science.gov (United States)

    Shimamoto, Tomonari; Iwami, Taku; Kitamura, Tetsuhisa; Nishiyama, Chika; Sakai, Tomohiko; Nishiuchi, Tatsuya; Hayashi, Yasuyuki; Kawamura, Takashi

    2015-11-01

    A preceding randomized controlled trial demonstrated that chest compression-only cardiopulmonary resuscitation (CPR) instruction by dispatcher was more effective to increase bystander CPR than conventional CPR instruction. However, the actual condition of implementation of each type of dispatcher instruction (chest compression-only CPR [CCCPR] or conventional CPR with rescue breathing) and provision of bystander CPR in real prehospital settings has not been sufficiently investigated. This registry prospectively enrolled patients aged =>18 years suffering an out-of-hospital cardiac arrest (OHCA) of non-traumatic causes before emergency-medical-service (EMS) arrival, who were considered as target subjects of dispatcher instruction, resuscitated by EMS personnel, and transported to medical institutions in Osaka, Japan from January 2005 through December 2012. The primary outcome measure was provision of CPR by a bystander. Multiple logistic regression analysis was used to assess factors that were potentially associated with provision of bystander CPR. Among 37,283 target subjects of dispatcher instruction, 5743 received CCCPR instruction and 13,926 received conventional CPR instruction. The proportion of CCCPR instruction increased from 5.7% in 2005 to 25.6% in 2012 (p for trend bystander CPR more frequently than conventional CPR instruction group (70.0% versus 62.1%, pbystander CPR compared with conventional CPR instruction (adjusted odds ratio 1.44, 95% CI 1.34-1.55). CCCPR dispatcher instruction among adult OHCA patients significantly increased the actual provision of bystander CPR. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  7. Compression-only CPR training in elementary schools and student attitude toward CPR.

    Science.gov (United States)

    Kitamura, Tetsuhisa; Nishiyama, Chika; Murakami, Yukiko; Yonezawa, Takahiro; Nakai, Shohei; Hamanishi, Masayoshi; Marukawa, Seishiro; Sakamoto, Tetsuya; Iwami, Taku

    2016-08-01

    Little is known about the effectiveness of systematic cardiopulmonary resuscitation (CPR) training for elementary school children. We introduced systematic training of chest compression-only CPR and automated external defibrillator (AED) use to elementary school students aged 10-12 years at 17 schools. The questionnaire compared student attitudes towards CPR and their knowledge about it before and after CPR training. We also evaluated parent and teacher views about CPR training in school education. The primary outcome was positive attitude, defined as "yes" and "maybe yes" on a 5 point Likert-type scale of student attitudes towards CPR.1 RESULTS: A total of 2047 elementary school students received CPR training. Of them, 1899 (92.8%) responded to the questionnaire regarding their attitude towards CPR before and after the training. Before training, 50.2% answered "yes" and 30.3% answered "maybe yes", to the question: "If someone suddenly collapses in front of you, can you do something such as check response or call emergency?" After training, their answers changed to 75.6% and 18.3% for "yes" and "maybe yes", respectively. Many of the students (72.3%, 271/370) who did not have a positive attitude before CPR training had a positive attitude after the training (P CPR (97.7%) and use an AED (98.5%). Parents (96.2%, 1173/1220) and teachers (98.3%, 56/57) answered that it was "good" and "maybe good" for children to receive the training at elementary schools. Systematic chest compression-only CPR training helped elementary school students to improve their attitude towards CPR. © 2015 Japan Pediatric Society.

  8. Reducing Surface Clutter in Cloud Profiling Radar Data

    Science.gov (United States)

    Tanelli, Simone; Pak, Kyung; Durden, Stephen; Im, Eastwood

    2008-01-01

    An algorithm has been devised to reduce ground clutter in the data products of the CloudSat Cloud Profiling Radar (CPR), which is a nadir-looking radar instrument, in orbit around the Earth, that measures power backscattered by clouds as a function of distance from the instrument. Ground clutter contaminates the CPR data in the lowest 1 km of the atmospheric profile, heretofore making it impossible to use CPR data to satisfy the scientific interest in studying clouds and light rainfall at low altitude. The algorithm is based partly on the fact that the CloudSat orbit is such that the geodetic altitude of the CPR varies continuously over a range of approximately 25 km. As the geodetic altitude changes, the radar timing parameters are changed at intervals defined by flight software in order to keep the troposphere inside a data-collection time window. However, within each interval, the surface of the Earth continuously "scans through" (that is, it moves across) a few range bins of the data time window. For each radar profile, only few samples [one for every range-bin increment ((Delta)r = 240 m)] of the surface-clutter signature are available around the range bin in which the peak of surface return is observed, but samples in consecutive radar profiles are offset slightly (by amounts much less than (Delta)r) with respect to each other according to the relative change in geodetic altitude. As a consequence, in a case in which the surface area under examination is homogenous (e.g., an ocean surface), a sequence of consecutive radar profiles of the surface in that area contains samples of the surface response with range resolution (Delta)p much finer than the range-bin increment ((Delta)p 10 dB and a reduction of the contaminated altitude over ocean from about 1 km to about 0.5 km (over the ocean). The algorithm has been embedded in CloudSat L1B processing as of Release 04 (July 2007), and the estimated flat surface clutter is removed in L2B-GEOPROF product from the

  9. Cloud occurrences and cloud radiative effects (CREs) from CERES-CALIPSO-CloudSat-MODIS (CCCM) and CloudSat radar-lidar (RL) products

    Science.gov (United States)

    Ham, Seung-Hee; Kato, Seiji; Rose, Fred G.; Winker, David; L'Ecuyer, Tristan; Mace, Gerald G.; Painemal, David; Sun-Mack, Sunny; Chen, Yan; Miller, Walter F.

    2017-08-01

    Two kinds of cloud products obtained from Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO), CloudSat, and Moderate Resolution Imaging Spectroradiometer (MODIS) are compared and analyzed in this study: Clouds and the Earth's Radiant Energy System (CERES)-CALIPSO-CloudSat-MODIS (CCCM) product and CloudSat radar-lidar products such as GEOPROF-LIDAR and FLXHR-LIDAR. Compared to GEOPROF-LIDAR, low-level (40°). The difference occurs when hydrometeors are detected by CALIPSO lidar but are undetected by CloudSat radar. In the comparison of cloud radiative effects (CREs), global mean differences between CCCM and FLXHR-LIDAR are mostly smaller than 5 W m-2, while noticeable regional differences are found. For example, CCCM shortwave (SW) and longwave (LW) CREs are larger than FXLHR-LIDAR along the west coasts of Africa and America because the GEOPROF-LIDAR algorithm misses shallow marine boundary layer clouds. In addition, FLXHR-LIDAR SW CREs are larger than the CCCM counterpart over tropical oceans away from the west coasts of America. Over midlatitude storm-track regions, CCCM SW and LW CREs are larger than the FLXHR-LIDAR counterpart.

  10. Improvements of top-of-atmosphere and surface irradiance computations with CALIPSO-, CloudSat-, and MODIS-derived cloud and aerosol properties

    Science.gov (United States)

    Kato, Seiji; Rose, Fred G.; Sun-Mack, Sunny; Miller, Walter F.; Chen, Yan; Rutan, David A.; Stephens, Graeme L.; Loeb, Norman G.; Minnis, Patrick; Wielicki, Bruce A.; Winker, David M.; Charlock, Thomas P.; Stackhouse, Paul W., Jr.; Xu, Kuan-Man; Collins, William D.

    2011-10-01

    One year of instantaneous top-of-atmosphere (TOA) and surface shortwave and longwave irradiances are computed using cloud and aerosol properties derived from instruments on the A-Train Constellation: the Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) on the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO) satellite, the CloudSat Cloud Profiling Radar (CPR), and the Aqua Moderate Resolution Imaging Spectrometer (MODIS). When modeled irradiances are compared with those computed with cloud properties derived from MODIS radiances by a Clouds and the Earth's Radiant Energy System (CERES) cloud algorithm, the global and annual mean of modeled instantaneous TOA irradiances decreases by 12.5 W m-2 (5.0%) for reflected shortwave and 2.5 W m-2 (1.1%) for longwave irradiances. As a result, the global annual mean of instantaneous TOA irradiances agrees better with CERES-derived irradiances to within 0.5W m-2 (out of 237.8 W m-2) for reflected shortwave and 2.6W m-2 (out of 240.1 W m-2) for longwave irradiances. In addition, the global annual mean of instantaneous surface downward longwave irradiances increases by 3.6 W m-2 (1.0%) when CALIOP- and CPR-derived cloud properties are used. The global annual mean of instantaneous surface downward shortwave irradiances also increases by 8.6 W m-2 (1.6%), indicating that the net surface irradiance increases when CALIOP- and CPR-derived cloud properties are used. Increasing the surface downward longwave irradiance is caused by larger cloud fractions (the global annual mean by 0.11, 0.04 excluding clouds with optical thickness less than 0.3) and lower cloud base heights (the global annual mean by 1.6 km). The increase of the surface downward longwave irradiance in the Arctic exceeds 10 W m-2 (˜4%) in winter because CALIOP and CPR detect more clouds in comparison with the cloud detection by the CERES cloud algorithm during polar night. The global annual mean surface downward longwave irradiance of

  11. Child CPR

    Medline Plus

    Full Text Available ... AID, CPR and AED LIFEGUARDING Refresher Child - CPR (1:11) QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store Contact Us Privacy Policy Terms and Conditions All rights reserved. 2011 American National Red Cross.

  12. Child CPR

    Medline Plus

    Full Text Available ... Home FIRST AID, CPR and AED LIFEGUARDING Refresher Child - CPR (1:11) QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store Contact Us Privacy Policy Terms and Conditions All rights reserved. 2011 American National Red Cross.

  13. CPR Education before Internship

    Directory of Open Access Journals (Sweden)

    Vahid Ashoorion

    2009-02-01

    Full Text Available Background and purpose: The importance of training basic and advanced life support for undergraduates and graduated physicians are now widely recognized. Graduates of medical schools in Iran immediately get license to practice medicine without any supervision. Therefore,Clarification of the best phases for training CPR and the optimum mastery level in each phase is very important. This study is an attempt to find out the ideas of stakeholders about training CPR beforeinternship, the experience needed at the beginning of internship, the best phase for training it and the assessment method.Methods: It is a survey study designed in Isfahan University of Medical Sciences to investigate the opinions of head-nurses, interns, residents and educational directors (in ten clinical departments/wards about training CPR before internship. Respondents completed self administered anonymous questionnaires. The questionnaires’ items covered opinions of respondents about CPR as interns’ duty, level of experience; best course for training and the assessment method. Meanwhile, views of participants were compared against educational directors’ idea by Fisher exact test.Results:32 head-nurse, 285 interns, 13 resident and15 educational directors participated in the study and all agreed with CPR as interns’ duty in all clinical wards. Although, directors had different idea about level of experience for CPR to be achieved by interns, residents suggested level 3 of experience. According to the results externship is the best phase for CPR training and combination of observation and OSCE suggested as the best assessment method.Conclusion: To prepare the graduates achieving full competency in CPR performance, it is needed to implement training programs before internship. Internship is the best phase for getting expertise in CPR. Based on the results CPR considered as interns’ responsibility and medical schools should feel confidence about the competency ofinterns

  14. Assessing CPR training: The willingness of teaching credential candidates to provide CPR in a school setting.

    Science.gov (United States)

    Winkelman, Jack L; Fischbach, Ronald; Spinello, Elio F

    2009-12-01

    The study explores the anticipated willingness of teacher credential candidates at one California public university in the U.S. to perform cardiopulmonary resuscitation (CPR) or foreign body airway obstruction (FBAO) skills in a school setting. Objectives included (1) identifying reasons that credential candidates would elect or decline to perform CPR, (2) assisting schools to remediate cardiac/respiratory emergency preparedness, and (3) assessing CPR training courses to determine how they may influence teachers' willingness to perform CPR. Participants included 582 teacher credential candidates, who were 95.2% of those surveyed after completion of a health science course and CPR certification. Participants described their attitudes regarding the importance of CPR, the CPR training course, and their willingness to perform CPR in a school environment. Based upon chi-square analysis, an association was found between the willingness to perform CPR and the presence of any one concern regarding training, with 68.6% of those expressing concerns willing to perform CPR compared to 81.9% of those expressing no concerns (pteachers (76.9% vs. 43.5%, pteachers' willingness to perform CPR. Recommendations based on these findings include pedagogical changes to CPR curricula, focusing on the importance of CPR as a teacher skill and additional time for hands-on practice. Future research should include U.S. and international participants from a broader geographic area and assessment of both learning and affective outcomes.

  15. CPR (For Parents)

    Science.gov (United States)

    ... brain, and other organs and restoring breathing until advanced life support can be given by health care providers. About CPR CPR (or cardiopulmonary resuscitation ) is a combination of chest compressions and rescue ...

  16. Regions With Low Rates of Bystander Cardiopulmonary Resuscitation (CPR) Have Lower Rates of CPR Training in Victoria, Australia.

    Science.gov (United States)

    Bray, Janet E; Straney, Lahn; Smith, Karen; Cartledge, Susie; Case, Rosalind; Bernard, Stephen; Finn, Judith

    2017-06-05

    Bystander cardiopulmonary resuscitation (CPR) more than doubles the chance of surviving an out-of-hospital cardiac arrest. Recent data have shown considerable regional variation in bystander CPR rates across the Australian state of Victoria. This study aims to determine whether there is associated regional variation in rates of CPR training and willingness to perform CPR in these communities. We categorized each Victorian postcode as either a low or high bystander CPR region using data on adult, bystander-witnessed, out-of-hospital cardiac arrests of presumed cardiac etiology (n=7175) from the Victorian Ambulance Cardiac Arrest Registry. We then surveyed adult Victorians (n=404) and compared CPR training data of the respondents from low and high bystander CPR regions. Of the 404 adults surveyed, 223 (55%) resided in regions with low bystander CPR. Compared with respondents from high bystander CPR regions, respondents residing in regions with low bystander CPR had lower rates of CPR training (62% versus 75%, P =0.009) and lower self-ratings for their overall knowledge of CPR (76% versus 84%, P =0.04). There were no differences between the regions in their reasons for not having undergone CPR training or in their willingness to perform CPR. Rates of survival for bystander-witnessed, out-of-hospital cardiac arrests were significantly lower in low bystander CPR regions (15.7% versus 17.0%, P CPR training and lower survival in regions with lower rates of bystander CPR in Victoria, Australia. Targeting these regions with CPR training programs may improve bystander CPR rates and out-of-hospital cardiac arrest outcomes. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

  17. Hands-Only CPR

    Science.gov (United States)

    ... In Schools Training Kits RQI AHA Blended Learning & eLearning Guide AHA Instructors ECC Educational Conferences Programs CPR ... In Schools Training Kits RQI AHA Blended Learning & eLearning Guide AHA Instructors ECC Educational Conferences Programs CPR ...

  18. Shock outcome prediction before and after CPR: a comparative study of manual and automated active compression-decompression CPR.

    Science.gov (United States)

    Box, M S; Watson, J N; Addison, P S; Clegg, G R; Robertson, C E

    2008-09-01

    We report on a study designed to compare the relative efficacy of manual CPR (M-CPR) and automated mechanical CPR (ACD-CPR) provided by an active compression-decompression (ACD) device. The ECG signals of out-of-hospital cardiac arrest patients of cardiac aetiology were analysed just prior to, and immediately after, cardiopulmonary resuscitation (CPR) to assess the likelihood of successful defibrillation at these time points. The cardioversion outcome prediction (COP) measure previously developed by our group was used to quantify the probability of return of spontaneous circulation (ROSC) after counter-shock and was used as a measure of the efficacy of CPR. An initial validation study using COP to predict shock outcome from the patient data set resulted in a performance of 60% specificity achieved at 100% sensitivity on a blind test of the data. This is comparable with previous studies and provided confidence in the robustness of the technique across hardware platforms. Significantly, the COP marker also displayed an ability to stratify according to outcomes: asystole, ventricular fibrillation (VF), pulseless electrical activity (PEA), normal sinus rhythm (NSR). We then used the validated COP marker to analyse the ECG data record just prior to and immediately after the chest compression segments. This was initially performed for 87 CPR segments where VF was both the pre- and post-CPR waveform. An increase in the mean COP values was found for both CPR types. A signed rank sum test found the increase due to manual CPR not to be significant (p>0.05) whereas the automated CPR was found to be significant (pCPR (1.26, p=0.024) than for the manual CPR (0.99, p=0.124). These results indicate that the application of CPR does indeed provide beneficial preparation of the heart prior to defibrillation therapy whether manual or automated CPR is applied. The COP marker shows promise as a definitive, quantitative determinant of the immediate positive effect of both types of CPR

  19. Interruptions in Chest Compressions by Surf Lifeguards: A Comparison of Face-mask Ventilation in Over-the-head CPR vs Standard CPR

    DEFF Research Database (Denmark)

    Nørkjær, Louise; Nielsen, Lars Henrik; Bomholt, Katrine Bjørnshave

    . The International Life Saving Federation recommends CPR using face-mask ventilation. It is currently unknown if OH-CPR using face-mask ventilation improves CPR quality. We hypothesized that OH-CPR is superior to standard CPR with face-mask ventilation among surf lifeguards. Methods: Surf lifeguards were trained......Introduction: Ventilation is a priority in drowning resuscitation. Over-the-head CPR (OH-CPR), i.e. with the rescuer located at the top of the victim’s head instead of alongside the victim’s torso, has been demonstrated to be superior when doing bag-valve-mask ventilation compared to standard CPR...... in OH-CPR and standard CPR with face-mask ventilation and randomized to a crossover comparison on a manikin. CPR quality data were obtained from the manikin and video recordings. Interruptions in chest compressions were used as a primary measure of CPR quality. A sample size of 14 participants...

  20. CPR Facts and Stats

    Science.gov (United States)

    ... In Schools Training Kits RQI AHA Blended Learning & eLearning Guide AHA Instructors ECC Educational Conferences Programs CPR ... In Schools Training Kits RQI AHA Blended Learning & eLearning Guide AHA Instructors ECC Educational Conferences Programs CPR ...

  1. Mechanical CPR: Who? When? How?

    Science.gov (United States)

    Poole, Kurtis; Couper, Keith; Smyth, Michael A; Yeung, Joyce; Perkins, Gavin D

    2018-05-29

    In cardiac arrest, high quality cardiopulmonary resuscitation (CPR) is a key determinant of patient survival. However, delivery of effective chest compressions is often inconsistent, subject to fatigue and practically challenging.Mechanical CPR devices provide an automated way to deliver high-quality CPR. However, large randomised controlled trials of the routine use of mechanical devices in the out-of-hospital setting have found no evidence of improved patient outcome in patients treated with mechanical CPR, compared with manual CPR. The limited data on use during in-hospital cardiac arrest provides preliminary data supporting use of mechanical devices, but this needs to be robustly tested in randomised controlled trials.In situations where high-quality manual chest compressions cannot be safely delivered, the use of a mechanical device may be a reasonable clinical approach. Examples of such situations include ambulance transportation, primary percutaneous coronary intervention, as a bridge to extracorporeal CPR and to facilitate uncontrolled organ donation after circulatory death.The precise time point during a cardiac arrest at which to deploy a mechanical device is uncertain, particularly in patients presenting in a shockable rhythm. The deployment process requires interruptions in chest compression, which may be harmful if the pause is prolonged. It is recommended that use of mechanical devices should occur only in systems where quality assurance mechanisms are in place to monitor and manage pauses associated with deployment.In summary, mechanical CPR devices may provide a useful adjunct to standard treatment in specific situations, but current evidence does not support their routine use.

  2. A randomized controlled trial comparing traditional training in cardiopulmonary resuscitation (CPR) to self-directed CPR learning in first year medical students: The two-person CPR study.

    Science.gov (United States)

    Roppolo, Lynn P; Heymann, Rahm; Pepe, Paul; Wagner, James; Commons, Bradford; Miller, Ronna; Allen, Emilie; Horne, Leyla; Wainscott, Michael P; Idris, Ahamed H

    2011-03-01

    The primary purpose of this study was to compare two, shorter, self-directed methods of cardiopulmonary resuscitation (CPR) education for healthcare professionals (HCP) to traditional training with a focus on the trainee's ability to perform two-person CPR. First-year medical students with either no prior CPR for HCP experience or prior training greater than 5 years were randomized to complete one of three courses: 1) HeartCode BLS System, 2) BLS Anytime, or 3) Traditional training. Only data from the adult CPR skills testing station was reviewed via video recording by certified CPR instructors and the Laerdal PC Skill Reporter software program (Laerdal Medical, Stavanger, Norway). There were 180 first-year medical students who met inclusion criteria: 68 were HeartCode BLS System, 53 BLS Anytime group, and 59 traditional group Regarding two-person CPR, 57 (84%) of Heartcode BLS students and 43 (81%) of BLS Anytime students were able to initiate the switch compared to 39 (66%) of traditional course students (p = 0.04). There were no significant differences in the quality of chest compressions or ventilations between the three groups. There was a trend for a much higher CPR skills testing pass rate for the traditional course students. However, failure to "clear to analyze or shock" while using the AED was the most common reason for failure in all groups. The self-directed learning groups not only had a high level of success in initiating the "switch" to two-person CPR, but were not significantly different from students who completed traditional training. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  3. PyCPR - a python-based implementation of the Conjugate Peak Refinement (CPR) algorithm for finding transition state structures.

    Science.gov (United States)

    Gisdon, Florian J; Culka, Martin; Ullmann, G Matthias

    2016-10-01

    Conjugate peak refinement (CPR) is a powerful and robust method to search transition states on a molecular potential energy surface. Nevertheless, the method was to the best of our knowledge so far only implemented in CHARMM. In this paper, we present PyCPR, a new Python-based implementation of the CPR algorithm within the pDynamo framework. We provide a detailed description of the theory underlying our implementation and discuss the different parts of the implementation. The method is applied to two different problems. First, we illustrate the method by analyzing the gauche to anti-periplanar transition of butane using a semiempirical QM method. Second, we reanalyze the mechanism of a glycyl-radical enzyme, namely of 4-hydroxyphenylacetate decarboxylase (HPD) using QM/MM calculations. In the end, we suggest a strategy how to use our implementation of the CPR algorithm. The integration of PyCPR into the framework pDynamo allows the combination of CPR with the large variety of methods implemented in pDynamo. PyCPR can be used in combination with quantum mechanical and molecular mechanical methods (and hybrid methods) implemented directly in pDynamo, but also in combination with external programs such as ORCA using pDynamo as interface. PyCPR is distributed as free, open source software and can be downloaded from http://www.bisb.uni-bayreuth.de/index.php?page=downloads . Graphical Abstract PyCPR is a search tool for finding saddle points on the potential energy landscape of a molecular system.

  4. A novel protocol for dispatcher assisted CPR improves CPR quality and motivation among rescuers-A randomized controlled simulation study.

    Science.gov (United States)

    Rasmussen, Stinne Eika; Nebsbjerg, Mette Amalie; Krogh, Lise Qvirin; Bjørnshave, Katrine; Krogh, Kristian; Povlsen, Jonas Agerlund; Riddervold, Ingunn Skogstad; Grøfte, Thorbjørn; Kirkegaard, Hans; Løfgren, Bo

    2017-01-01

    Emergency dispatchers use protocols to instruct bystanders in cardiopulmonary resuscitation (CPR). Studies changing one element in the dispatcher's protocol report improved CPR quality. Whether several changes interact is unknown and the effect of combining multiple changes previously reported to improve CPR quality into one protocol remains to be investigated. We hypothesize that a novel dispatch protocol, combining multiple beneficial elements improves CPR quality compared with a standard protocol. A novel dispatch protocol was designed including wording on chest compressions, using a metronome, regular encouragements and a 10-s rest each minute. In a simulated cardiac arrest scenario, laypersons were randomized to perform single-rescuer CPR guided with the novel or the standard protocol. a composite endpoint of time to first compression, hand position, compression depth and rate and hands-off time (maximum score: 22 points). Afterwards participants answered a questionnaire evaluating the dispatcher assistance. The novel protocol (n=61) improved CPR quality score compared with the standard protocol (n=64) (mean (SD): 18.6 (1.4)) points vs. 17.5 (1.7) points, pCPR. A novel bundle of care protocol improved CPR quality score and motivation among rescuers. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  5. Cardiopulmonary resuscitation (CPR)-related posterior rib fractures in neonates and infants following recommended changes in CPR techniques.

    Science.gov (United States)

    Franke, I; Pingen, A; Schiffmann, H; Vogel, M; Vlajnic, D; Ganschow, R; Born, M

    2014-07-01

    Posterior rib fractures are highly indicative of non-accidental trauma (NAT) in infants. Since 2000, the "two-thumbs" technique for cardiopulmonary resuscitation (CPR) of newborns and infants has been recommended by the American Heart Association (AHA). This technique is similar to the grip on an infant's thorax while shaking. Is it possible that posterior rib fractures in newborns and infants could be caused by the "two-thumbs" technique? Using computerized databases from three German children's hospitals, we identified all infants less than 12 months old who underwent professional CPR within a 10-year period. We included all infants with anterior-posterior chest radiographs taken after CPR. Exclusion criteria were sternotomy, osteopenia, various other bone diseases and NAT. The radiographs were independently reviewed by the Chief of Pediatric Radiology (MB) and a Senior Pediatrician, Head of the local Child Protection Team (IF). Eighty infants with 546 chest radiographs were identified, and 50 of those infants underwent CPR immediately after birth. Data concerning the length of CPR was available for 41 infants. The mean length of CPR was 11min (range: 1-180min, median: 3min). On average, there were seven radiographs per infant. A total of 39 infants had a follow-up radiograph after at least 10 days. No rib fracture was visible on any chest X-ray. The results of this study suggest rib fracture after the use of the "two-thumbs" CPR technique is uncommon. Thus, there should be careful consideration of abuse when these fractures are identified, regardless of whether CPR was performed and what technique used. The discovery of rib fractures in an infant who has undergone CPR without underlying bone disease or major trauma warrants a full child protection investigation. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Cardiopulmonary Resuscitation (CPR): First Aid

    Science.gov (United States)

    ... learn CPR properly, take an accredited first-aid training course, including CPR and how to use an automated external defibrillator ( ... and Research. © 1998-2018 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.

  7. Prevalence and hemodynamic effects of leaning during CPR

    Science.gov (United States)

    Niles, Dana E.; Sutton, Robert M.; Nadkarni, Vinay M.; Glatz, Andrew; Zuercher, Mathias; Maltese, Matthew R.; Eilevstjønn, Joar; Abella, Benjamin S.; Becker, Lance B.; Berg, Robert A.

    2013-01-01

    Background Cardiopulmonary resuscitation (CPR) guidelines recommend complete release between chest compressions (CC). Objective Evaluate the hemodynamic effects of leaning (incomplete chest wall release) during CPR and the prevalence of leaning during CPR. Results In piglet ventricular fibrillation cardiac arrests, 10% and 20% (1.8 kg and 3.6 kg, respectively), leaning during CPR increased right atrial pressures, decreased coronary perfusion pressures, and decreased cardiac index and left ventricular myocardial blood flow by nearly 50%. In contrast, residual leaning of a 260 g accelerometer/ force feedback device did not adversely affect cardiac index or myocardial blood flow. Among 108 adult in-hospital CPR events, leaning ≥2.5 kg was demonstrable in 91% of the events and 12% of the evaluated CC. For 12 children with in-hospital CPR, 28% of CC had residual leaning ≥2.5 kg and 89% had residual leaning ≥0.5 kg. Conclusions Leaning during CPR increases intrathoracic pressure, decreases coronary perfusion pressure, and decreases cardiac output and myocardial blood flow. Leaning is common during CPR. PMID:22208173

  8. The development of CPR.

    Science.gov (United States)

    McLennan, Stuart

    2008-10-17

    Cardiopulmonary resuscitation (CPR) is now the standard treatment for someone having a cardiac arrest. It is, however, a procedure that has emerged only relatively recently. For a number of scientific and religious reasons, it was long considered impossible, even blasphemous, to attempt to reverse 'death'. Because of these factors, the area of resuscitation failed to progress until the Enlightenment in the 18th Century. The main elements of resuscitation were then developed over the next 200 years, and eventually brought together to create CPR in the early 1960s. The increased demands that morality was seen to place on the medical profession to combat sudden cardiac death subsequent to this development may have been an important factor in why CPR has come to be used in the widespread manner it currently is.

  9. Medical students and physical education students as CPR instructors: an appropriate solution to the CPR-instructor shortage in secondary schools?

    OpenAIRE

    Cuijpers, P. J. P. M.; Bookelman, G.; Kicken, W.; de Vries, W.; Gorgels, A. P. M.

    2016-01-01

    Background Integrating cardiopulmonary resuscitation (CPR) training in secondary schools will increase the number of potential CPR providers. However, currently too few certified instructors are available for this purpose. Training medical students and physical education student teachers to become CPR instructors could decrease this shortage. Aim Examine whether medical students and physical education student teachers can provide CPR training for secondary school pupils as well as (i.?e., non...

  10. Mitigation Atmospheric Effects in Interferogram with Using Integrated Meris/modis Data and a Case Study Over Southern California

    Science.gov (United States)

    Wang, X.; Zhang, P.; Sun, Z.

    2018-04-01

    Interferometric synthetic aperture radar(InSAR), as a space geodetictechnology, had been testified a high potential means of earth observation providing a method fordigital elevation model (DEM) and surface deformation monitoring of high precision. However, the accuracy of the interferometric synthetic aperture radar is mainly limited by the effects of atmospheric water vapor. In order to effectively measure topography or surface deformations by synthetic aperture radar interferometry (InSAR), it is necessary to mitigate the effects of atmospheric water vapor on the interferometric signals. This paper analyzed the atmospheric effects on the interferogram quantitatively, and described a result of estimating Precipitable Water Vapor (PWV) from the the Medium Resolution Imaging Spectrometer (MERIS), Moderate Resolution Imaging Spectroradiometer (MODIS) and the ground-based GPS, compared the MERIS/MODIS PWV with the GPS PWV. Finally, a case study for mitigating atmospheric effects in interferogramusing with using the integration of MERIS and MODIS PWV overSouthern California is given. The result showed that such integration approach benefits removing or reducing the atmospheric phase contribution from the corresponding interferogram, the integrated Zenith Path Delay Difference Maps (ZPDDM) of MERIS and MODIS helps reduce the water vapor effects efficiently, the standard deviation (STD) of interferogram is improved by 23 % after the water vapor correction than the original interferogram.

  11. Intercomparison of spaceborne precipitation radars and its applications in examining precipitation-topography relationships in the Tibetan Plateau

    Science.gov (United States)

    Tang, G.; Gao, J.; Long, D.

    2017-12-01

    Precipitation is one of the most important components in the water and energy cycles. Spaceborne radars are considered the most direct technology for observing precipitation from space since 1998. This study compares and evaluates the only three existing spaceborne precipitation radars, i.e., the Ku-band precipitation radar (TRMM PR), the W-band Cloud Profiling Radar (CloudSat CPR), and the Ku/Ka-band Dual-frequency Precipitation Radar (GPM DPR). In addition, TRMM PR and GPM DPR are evaluated against hourly rain gauge data in Mainland China. The Tibetan Plateau (TP) is known as the Earth's third pole where precipitation is affected profoundly by topography. However, ground gauges are extremely sparse in the TP, and spaceborne radars can provide valuable data with relatively high accuracy. The relationships between precipitation and topography over the TP are investigated using 17-year TRMM PR data and 2-year GPM DPR data, in combination with rain gauge data. Results indicate that: (1) DPR and PR agree with each other and correlate very well with gauges in Mainland China. DPR improves light precipitation detectability significantly compared with PR. However, DPR high sensitivity scans (HS) deviates from DPR normal and matched scans (NS and MS) and PR in the comparison based on global coincident events and rain gauges in China; (2) CPR outperforms the other two radars in terms of light precipitation detection. In terms of global snowfall estimation, DPR and CPR show very different global snowfall distributions originating from different frequencies, retrieval algorithms, and sampling characteristics; and (3) Precipitation generally decreases exponentially with increasing elevation in the TP. The precipitation-topography relationships are regressed using exponential fitting in seventeen river basins in the TP with good coefficients of determination. Due to the short time span of GPM DPR, the relationships based on GPM DPR data are less robust than those derived from

  12. Improving cardiopulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): a randomized clinical trial.

    Science.gov (United States)

    Cheng, Adam; Brown, Linda L; Duff, Jonathan P; Davidson, Jennifer; Overly, Frank; Tofil, Nancy M; Peterson, Dawn T; White, Marjorie L; Bhanji, Farhan; Bank, Ilana; Gottesman, Ronald; Adler, Mark; Zhong, John; Grant, Vincent; Grant, David J; Sudikoff, Stephanie N; Marohn, Kimberly; Charnovich, Alex; Hunt, Elizabeth A; Kessler, David O; Wong, Hubert; Robertson, Nicola; Lin, Yiqun; Doan, Quynh; Duval-Arnould, Jordan M; Nadkarni, Vinay M

    2015-02-01

    The quality of cardiopulmonary resuscitation (CPR) affects hemodynamics, survival, and neurological outcomes following pediatric cardiopulmonary arrest (CPA). Most health care professionals fail to perform CPR within established American Heart Association guidelines. To determine whether "just-in-time" (JIT) CPR training with visual feedback (VisF) before CPA or real-time VisF during CPA improves the quality of chest compressions (CCs) during simulated CPA. Prospective, randomized, 2 × 2 factorial-design trial with explicit methods (July 1, 2012, to April 15, 2014) at 10 International Network for Simulation-Based Pediatric Innovation, Research, & Education (INSPIRE) institutions running a standardized simulated CPA scenario, including 324 CPR-certified health care professionals assigned to 3-person resuscitation teams (108 teams). Each team was randomized to 1 of 4 permutations, including JIT training vs no JIT training before CPA and real-time VisF vs no real-time VisF during simulated CPA. The proportion of CCs with depth exceeding 50 mm, the proportion of CPR time with a CC rate of 100 to 120 per minute, and CC fraction (percentage CPR time) during simulated CPA. The quality of CPR was poor in the control group, with 12.7% (95% CI, 5.2%-20.1%) mean depth compliance and 27.1% (95% CI, 14.2%-40.1%) mean rate compliance. JIT training compared with no JIT training improved depth compliance by 19.9% (95% CI, 11.1%-28.7%; P 89.0%) in all groups. Combining both interventions showed the highest compliance with American Heart Association guidelines but was not significantly better than either intervention in isolation. The quality of CPR provided by health care professionals is poor. Using novel and practical technology, JIT training before CPA or real-time VisF during CPA, alone or in combination, improves compliance with American Heart Association guidelines for CPR that are associated with better outcomes. clinicaltrials.gov Identifier: NCT02075450.

  13. CPR - adult

    Science.gov (United States)

    ... heartbeat has stopped. This may happen after an electric shock , drowning, or heart attack. CPR involves: Rescue ... to swim. Teach your child to watch for cars and ride bikes safely. Teach your child firearm ...

  14. Report on the Southern Ocean Continuous Plankton Recorder (SO-CPR Standards Workshop 2016: SCAR SO-CPR Database Expert Group

    Directory of Open Access Journals (Sweden)

    Kunio T. Takahashi

    2017-07-01

    Full Text Available The“Southern Ocean Continuous Plankton Recorder (SO-CPR Survey Standards Workshop”was held at the Australian Antarctic Division on 12−16December 2016. The purposes of the workshop were to confirm that consistent and high standards of species identification, methodology, and data quality were being maintained amongst the main analysts in the SO-CPR Survey, and to discuss future training methods, including a SO-CPR manual that will include a counting rule book, and a future road map for the SO-CPR program. During the workshop we discussed a range of topics including: taxonomic resolution issues (particularly for Foraminifera and euphausiid larval identification and staging; laboratory methods (preservation and storage, with emphasis on maintaining correct pH; shipboard techniques; training methods; data handling (metadata, database, data sharing; gap analysis (spatial, temporal, data, quantitative; and future workshops/conferences, including comprehensive training workshops for emerging SO-CPR survey partners (India. We agreed that there should be a larger workshop every two years to ensure that the high standards of the SO-CPR program are maintained.

  15. Comparison of Monthly Mean Cloud Fraction and Cloud Optical depth Determined from Surface Cloud Radar, TOVS, AVHRR, and MODIS over Barrow, Alaska

    Science.gov (United States)

    Uttal, Taneil; Frisch, Shelby; Wang, Xuan-Ji; Key, Jeff; Schweiger, Axel; Sun-Mack, Sunny; Minnis, Patrick

    2005-01-01

    A one year comparison is made of mean monthly values of cloud fraction and cloud optical depth over Barrow, Alaska (71 deg 19.378 min North, 156 deg 36.934 min West) between 35 GHz radar-based retrievals, the TOVS Pathfinder Path-P product, the AVHRR APP-X product, and a MODIS based cloud retrieval product from the CERES-Team. The data sets represent largely disparate spatial and temporal scales, however, in this paper, the focus is to provide a preliminary analysis of how the mean monthly values derived from these different data sets compare, and determine how they can best be used separately, and in combination to provide reliable estimates of long-term trends of changing cloud properties. The radar and satellite data sets described here incorporate Arctic specific modifications that account for cloud detection challenges specific to the Arctic environment. The year 2000 was chosen for this initial comparison because the cloud radar data was particularly continuous and reliable that year, and all of the satellite retrievals of interest were also available for the year 2000. Cloud fraction was chosen as a comparison variable as accurate detection of cloud is the primary product that is necessary for any other cloud property retrievals. Cloud optical depth was additionally selected as it is likely the single cloud property that is most closely correlated to cloud influences on surface radiation budgets.

  16. Learn CPR You Can Do It!

    Science.gov (United States)

    ... first aid training. Please try to attend a CPR training course in your community and help save a life. Francais Español ... Life Sciences Discovery Fund © 1998 - 2010 Learn CPR . All Rights Reserved. Replication of any of the ...

  17. CPR: A Real Lifesaver (For Kids)

    Science.gov (United States)

    ... First Aid & Safety Doctors & Hospitals Videos Recipes for Kids Kids site Sitio para niños How the Body Works ... English Español CPR: A Real Lifesaver KidsHealth / For Kids / CPR: A Real Lifesaver What's in this article? ...

  18. CPR: Adult

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Putting It All Together: CPR—Adult (2:03) Refresher videos only utilize this player QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store ...

  19. CPR: Infant

    Medline Plus

    Full Text Available Refresher Center Home FIRST AID, CPR and AED LIFEGUARDING Refresher Putting It All Together: CPR—Infant (1:52) Refresher videos only utilize this player QUICK LINKS Home RedCross.org Purchase Course Materials Shop Our Store ...

  20. Pharmacotherapy In Cardiopulmonary Resuscitation (CPR)

    OpenAIRE

    GÜNAYDIN, Berrin

    2014-01-01

    Cardiac arrest is defined as cessation of cardiac mechanical activity. Cardiopulmonary resuscitation (CPR) is an attempt to restore spontaneous circulation through several maneuvers and techniques. Although the two interventions, which are competent basic life support and prompt defibrillation, improve the survival rate, several adjuvant cardiac medication drugs are advocated to treat cardiac arrest during advanced cardiac life support. Since the introduction of modern CPR there have been man...

  1. Applying CPR to a gas utility

    International Nuclear Information System (INIS)

    Lowe, R.

    1995-01-01

    The latest management tool to hit the United States over the past five years is Core Process Re-engineering (CPR). Though not as radical a procedure as the well-known rescue method it shares an abbreviation with, it is viewed as the radical thinking of a business process. CPR has helped breathe new life into gas and electric utilities in recent years, which have been using it to find ways to increase customer satisfaction, decrease operating costs, reduce process time and/or increase quality. The first phase of a typical project identifies and reviews current processes and obtains information that can point out re-engineering opportunities. The second phase involves the actual redesign of the current process. In this phase new teams may be formed, since the skill requirements are different (creative thinking becomes very important, for instance). Once alternatives are finalized and approved, the actual change process begins. Implementing all the recommendations can take several years, primarily because of labor and regulatory implications; therefore, planning the implementation is the most important part of the project. First, develop an overall implementation strategy. This overall strategy should address four major questions: What to implement? Who will implement? When to implement? How to implement? CPR is not an automatic solution to a problem. Any company wanting to expedite a CPR effort should consider the following factors: Align the CPR objectives to the overall company objectives; Ensure that senior management is actively involved and supports the CPR activities; Select the right team of people and ensure they are committed to the project; Develop a case for change and instill a sense of urgency in all the stakeholders; Focus on business results and not on specific activities; and Communicate, communicate, communicate

  2. A-Train Observations of Deep Convective Storm Tops

    Science.gov (United States)

    Setvak, Martin; Bedka, Kristopher; Lindsey, Daniel T.; Sokol, Alois; Charvat, Zdenek; Stastka, Jindrich; Wang, Pao K.

    2013-01-01

    The paper highlights simultaneous observations of tops of deep convective clouds from several space-borne instruments including the Moderate Resolution Imaging Spectroradiometer (MODIS) of the Aqua satellite, Cloud Profiling Radar (CPR) of the CloudSat satellite, and Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) flown on the CALIPSO satellite. These satellites share very close orbits, thus together with several other satellites they are referred to as the "A-Train" constellation. Though the primary responsibility of these satellites and their instrumentation is much broader than observations of fine-scale processes atop convective storms, in this study we document how data from the A-Train can contribute to a better understanding and interpretation of various storm-top features, such as overshooting tops, cold-U/V and cold ring features with their coupled embedded warm areas, above anvil ice plumes and jumping cirrus. The relationships between MODIS multi-spectral brightness temperature difference (BTD) fields and cloud top signatures observed by the CPR and CALIOP are also examined in detail to highlight the variability in BTD signals across convective storm events.

  3. A mixed-methods study exploring student nurses’ understanding of futile CPR

    OpenAIRE

    Batty, Emma

    2014-01-01

    Abstract Background: Futile CPR has the potential to inflict significant, avoidable harms on dying patients. Futile CPR is widely debated in the literature, but there is little research into futile CPR in the context of nursing. There are no published studies exploring student nurses’ understanding of futile CPR. Aim: To explore student nurses’ understanding of futile CPR Methods: A mixed methods study, using questionnaires to establish background data and identify prominent issues. ...

  4. Barriers and Facilitators to Community CPR Education in San José, Costa Rica.

    Science.gov (United States)

    Schmid, Kristin M; Mould-Millman, Nee-Kofi; Hammes, Andrew; Kroehl, Miranda; García, Raquel Quiros; McDermott, Manrique Umaña; Lowenstein, Steven R

    2016-10-01

    Bystander cardiopulmonary resuscitation (CPR) improves survival after prehospital cardiac arrest. While community CPR training programs have been implemented across the US, little is known about their acceptability in non-US Latino populations. The purpose of this study was to identify barriers to enrolling in CPR training classes and performing CPR in San José, Costa Rica. After consulting 10 San José residents, a survey was created, pilot-tested, and distributed to a convenience sample of community members in public gathering places in San José. Questions included demographics, CPR knowledge and beliefs, prior CPR training, having a family member with heart disease, and prior witnessing of a cardiac arrest. Questions also addressed barriers to enrolling in CPR classes (cost/competing priorities). The analysis focused on two main outcomes: likelihood of registering for a CPR class and willingness to perform CPR on an adult stranger. Odds ratios and 95% CIs were calculated to test for associations between patient characteristics and these outcomes. Among 371 participants, most were male (60%) and education (OR: 1.9; 95% CI, 1.1-3.2). Believing that CPR does not work was associated with a higher likelihood of not attending a CPR class (OR: 2.4; 95% CI, 1.7-7.9). Fear of performing mouth-mouth, believing CPR is against God's will, and fear of legal risk were associated with a likelihood of not attending a CPR class and not performing CPR on a stranger (range of ORs: 2.4-3.9). Most San José residents are willing to take CPR classes and perform CPR on a stranger. To implement a community CPR program, barriers must be considered, including misgivings about CPR efficacy and legal risk. Hands-only CPR programs may alleviate hesitancy to perform mouth-to-mouth. Schmid KM , Mould-Millman NK , Hammes A , Kroehl M , Quiros García R , Umaña McDermott M , Lowenstein SR . Barriers and facilitators to community CPR education in San José, Costa Rica. Prehosp Disaster Med

  5. Bioinformatics analysis for structure and function of CPR of Plasmodium falciparum.

    Science.gov (United States)

    Fan, Zhigang; Zhang, Lingmin; Yan, Guogang; Wu, Qiang; Gan, Xiufeng; Zhong, Saifeng; Lin, Guifen

    2011-02-01

    To analyse the structure and function of NADPH-cytochrome p450 reductase (CYPOR or CPR) from Plasmodium falciparum (Pf), and to predict its' drug target and vaccine target. The structure, function, drug target and vaccine target of CPR from Plasmodium falciparum were analyzed and predicted by bioinformatics methods. PfCPR, which was older CPR, had close relationship with the CPR from other Plasmodium species, but it was distant from its hosts, such as Homo sapiens and Anopheles. PfCPR was located in the cellular nucleus of Plasmodium falciparum. 335aa-352aa and 591aa - 608aa were inserted the interior side of the nuclear membrane, while 151aa-265aa was located in the nucleolus organizer regions. PfCPR had 40 function sites and 44 protein-protein binding sites in amino acid sequence. The teriary structure of 1aa-700aa was forcep-shaped with wings. 15 segments of PfCPR had no homology with Homo sapien CPR and most were exposed on the surface of the protein. These segments had 25 protein-protein binding sites. While 13 other segments all possessed function sites. The evolution or genesis of Plasmodium falciparum is earlier than those of Homo sapiens. PfCPR is a possible resistance site of antimalarial drug and may involve immune evasion, which is associated with parasite of sporozoite in hepatocytes. PfCPR is unsuitable as vaccine target, but it has at least 13 ideal drug targets. Copyright © 2011 Hainan Medical College. Published by Elsevier B.V. All rights reserved.

  6. Timely bystander CPR improves outcomes despite longer EMS times.

    Science.gov (United States)

    Park, Gwan Jin; Song, Kyoung Jun; Shin, Sang Do; Lee, Kyung Won; Ahn, Ki Ok; Lee, Eui Jung; Hong, Ki Jeong; Ro, Young Sun

    2017-08-01

    This study aimed to determine the impact of bystander CPR on clinical outcomes in patients with increasing response time from collapse to EMS response. A population-based observational study was conducted in patients with witnessed out-of-hospital cardiac arrest (OHCA) of presumed cardiac etiology from 2012 to 2014. The time interval from collapse to CPR by EMS providers was categorized into quartile groups: fastest group (bystander CPR and the time interval from collapse to CPR by EMS providers. A total of 15,354 OHCAs were analyzed. Bystander CPR was performed in 8591 (56.0%). Survival to hospital discharge occurred in 1632 (10.6%) and favorable neurological outcome in 996 (6.5%). In an interaction model of bystander CPR, compared to the fastest group, adjusted odds ratios (AORs) (95% CIs) for survival to discharge were 0.89 (0.66-1.20) in the fast group, 0.76 (0.57-1.02) in the late group, and 0.52 (0.37-0.73) in the latest group. For favorable neurological outcome, AORs were 1.12 (0.77-1.62) in the fast group, 0.90 (0.62-1.30) in the late group, 0.59 (0.38-0.91) in the latest group. The survival from OHCA decreases as the ambulance response time increases. The increase in mortality and worsening neurologic outcomes appear to be mitigated in those patients who receive bystander CPR. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 1: Evidence analysis and consensus process: collaborative path toward small animal CPR guidelines.

    Science.gov (United States)

    Boller, Manuel; Fletcher, Daniel J

    2012-06-01

    To describe the methodology used by the Reassessment Campaign on Veterinary Resuscitation (RECOVER) to evaluate the scientific evidence relevant to small animal CPR and to compose consensus-based clinical CPR guidelines for dogs and cats. This report is part of a series of 7 articles on the RECOVER evidence and knowledge gap analysis and consensus-based small animal CPR guidelines. It describes the organizational structure of RECOVER, the evaluation process employed, consisting of standardized literature searches, the analysis of relevant articles according to study design, species and predefined quality markers, and the drafting of clinical CPR guidelines based on these data. Therefore, this article serves as the methodology section for the subsequent 6 RECOVER articles. Academia, referral practice. RECOVER is a collaborative initiative that systematically evaluated the evidence on 74 topics relevant to small animal CPR and generated 101 clinical CPR guidelines from this analysis. All primary contributors were veterinary specialists, approximately evenly split between academic institutions and private referral practices. The evidence evaluation and guideline drafting processes were conducted according to a predefined sequence of steps designed to reduce bias and increase the repeatability of the findings, including multiple levels of review, culminating in a consensus process. Many knowledge gaps were identified that will allow prioritization of research efforts in veterinary CPR. Collaborative systematic evidence review is organizationally challenging but feasible and effective in veterinary medicine. More experience is needed to refine the process. © Veterinary Emergency and Critical Care Society 2012.

  8. Effect of mobile application-based versus DVD-based CPR training on students’ practical CPR skills and willingness to act: a cluster randomised study

    Science.gov (United States)

    Nord, Anette; Svensson, Leif; Hult, Håkan; Kreitz-Sandberg, Susanne; Nilsson, Lennart

    2016-01-01

    Objectives The aim was to compare students’ practical cardiopulmonary resuscitation (CPR) skills and willingness to perform bystander CPR, after a 30 min mobile application (app)-based versus a 50 min DVD-based training. Settings Seventh grade students in two Swedish municipalities. Design A cluster randomised trial. The classes were randomised to receive app-based or DVD-based training. Willingness to act and practical CPR skills were assessed, directly after training and at 6 months, by using a questionnaire and a PC Skill Reporting System. Data on CPR skills were registered in a modified version of the Cardiff test, where scores were given in 12 different categories, adding up to a total score of 12–48 points. Training and measurements were performed from December 2013 to October 2014. Participants 63 classes or 1232 seventh grade students (13-year-old) were included in the study. Primary and secondary outcome measures Primary end point was the total score of the modified Cardiff test. The individual variables of the test and self-reported willingness to make a life-saving intervention were secondary end points. Results The DVD-based group was superior to the app-based group in CPR skills; a total score of 36 (33–38) vs 33 (30–36) directly after training (pCPR skill components. Both groups improved compression depth from baseline to follow-up. If a friend suffered cardiac arrest, 78% (DVD) versus 75% (app) would do compressions and ventilations, whereas only 31% (DVD) versus 32% (app) would perform standard CPR if the victim was a stranger. Conclusions At 6 months follow-up, the 50 min DVD-based group showed superior CPR skills compared with the 30 min app-based group. The groups did not differ in regard to willingness to make a life-saving effort. PMID:27130166

  9. Barriers and Facilitators to Learning and Performing Cardiopulmonary Resuscitation (CPR) in Neighborhoods with Low Bystander CPR Prevalence and High Rates of Cardiac Arrest in Columbus, Ohio

    Science.gov (United States)

    Sasson, Comilla; Haukoos, Jason S.; Bond, Cindy; Rabe, Marilyn; Colbert, Susan H.; King, Renee; Sayre, Michael; Heisler, Michele

    2013-01-01

    Background Residents who live in neighborhoods that are primarily African-American, Latino, or poor are more likely to have an out-of-hospital cardiac arrest (OHCA), less likely to receive cardiopulmonary resuscitation (CPR), and less likely to survive. No prior studies have been conducted to understand the contributing factors that may decrease the likelihood of residents learning and performing CPR in these neighborhoods. The goal of this study was to identify barriers and facilitators to learning and performing CPR in three low-income, “high-risk” predominantly African American, neighborhoods in Columbus, Ohio. Methods and Results Community-Based Participatory Research (CBPR) approaches were used to develop and conduct six focus groups in conjunction with community partners in three target high-risk neighborhoods in Columbus, Ohio in January-February 2011. Snowball and purposeful sampling, done by community liaisons, was used to recruit participants. Three reviewers analyzed the data in an iterative process to identify recurrent and unifying themes. Three major barriers to learning CPR were identified and included financial, informational, and motivational factors. Four major barriers were identified for performing CPR and included fear of legal consequences, emotional issues, knowledge, and situational concerns. Participants suggested that family/self-preservation, emotional, and economic factors may serve as potential facilitators in increasing the provision of bystander CPR. Conclusion The financial cost of CPR training, lack of information, and the fear of risking one's own life must be addressed when designing a community-based CPR educational program. Using data from the community can facilitate improved design and implementation of CPR programs. PMID:24021699

  10. Dissemination of CPR video self-instruction materials to secondary trainees: results from a hospital-based CPR education trial

    Science.gov (United States)

    Ikeda, Daniel J.; Buckler, David G.; Li, Jiaqi; Agarwal, Amit K.; Di Taranti, Laura J.; Kurtz, James; dos Reis, Ryan; Leary, Marion; Abella, Benjamin S.; Blewer, Audrey L.

    2016-01-01

    Background Cardiopulmonary resuscitation (CPR) video self-instruction (VSI) materials have been promoted as a scalable approach to increase the prevalence of CPR skills among the lay public, in part due to the opportunity for secondary training (i.e., sharing of training materials). However, the motivations for, and barriers to, disseminating VSI materials to secondary trainees is poorly understood. Methods This work represents an ancillary investigation of a prospective hospital-based CPR education trial in which family members of cardiac patients were trained using VSI. Mixed-methods surveys were administered to primary trainees six months after initial enrollment. Surveys were designed to capture motivations for, and barriers to, sharing VSI materials, the number of secondary trainees with whom materials were shared, and the settings, timing, and recipients of trainings. Results Between 07/2012–05/2015, 653 study participants completed a six-month follow-up interview. Of those, 345 reported sharing VSI materials with 1455 secondary trainees. Materials were shared most commonly with family members. In a logistic regression analysis, participants in the oldest quartile (age > 63 years) were less likely to share materials compared to those in the youngest quartile (age ≤ 44 years, OR 0.58, CI 0.37–0.90, p=0.02). Among the 308 participants who did not share their materials, time constraints was the most commonly cited barrier for not sharing. Conclusions VSI materials represent a strategy for secondary dissemination of CPR training, yet older individuals have a lower likelihood of sharing relative to younger individuals. Further work is warranted to remedy perceived barriers to CPR dissemination among the lay public using VSI approaches. PMID:26776900

  11. An analytical framework for common-pool resource–large technical system (CPR-LTS constellations

    Directory of Open Access Journals (Sweden)

    Pär Blomkvist

    2013-02-01

    Full Text Available This paper introduces an analytical framework for a special phenomenon: when a common-pool resource (CPR institution and a large technical system (LTS are connected and mutually interdependent. The CPR in this case is a node managed by its appropriators within a centrally planned and managed system; here named CPR-LTS constellations. Our framework is empirically derived from two historical investigations of CPR institutions within two LTSs, the agricultural-technical system and the road transport system of Sweden. By comparing similarities and differences it is possible to identify paths to successes and failures. To understand why one survived and the other disappeared we connect Elinor Ostrom’s theories about management of CPRs with Thomas P. Hughes’s theories about LTSs. We are proposing a framework that can bridge the gap between theories about management of CPRs and LTSs. By combining the two theories it should be possible to better understand how small-scale producers using bottom-up CPRs can be linked to top-down LTSs.We will argue that to fit within an LTS, a CPR needs alignment between different parts or components within the constellation/system and alignment with other systems and institutions in society. We propose three analytical levels to deal with the phenomenon of aligning a CPR project to an existing, large sociotechnical system:Local alignment (CPR: How are CPRs organized and managed at local sites?Sociotechnical alignment (CPR-LTS: How are CPRs connected to the sociotechnical system?Contextual alignment: How are CPR-LTS constellations aligned with neighboring institutions and systems in society?Our work indicates that for successful management of a CPR-LTS constellation it is important that the CPR be included in legislation and that government agencies support the CPR in alignment with the LTS. Legislators must recognize the CPR-part in the CPR-LTS constellation so that its institutional body is firmly established in

  12. AIRS-CloudSat cloud mask, radar reflectivities, and cloud classification matchups V3.2

    Data.gov (United States)

    National Aeronautics and Space Administration — This is AIRS-CloudSat collocated subset, in NetCDF 4 format. These data contain collocated: AIRS Level 1b radiances spectra, CloudSat radar reflectivities, and MODIS...

  13. The use of CPR data in fisheries research [review article

    Science.gov (United States)

    Corten, A.; Lindley, J. A.

    2003-08-01

    The Continuous Plankton Recorder (CPR) survey was initiated partly to contribute to our understanding of the variability of fish stocks and as a potential method for predicting fish distributions from the abundance and composition of the plankton. The latter objective has been superseded by technological developments in fish detection, but the former has been the subject of continuing, and in recent years expanding use of the CPR data. Examples are presented of application of the data to studies on North Sea herring, cod, mackerel, blue whiting and redfish as well as more general plankton studies relevant to fisheries research. Variations in the migration patterns of herring as well as recruitment have been related to abundances and species composition of the plankton in the CPR survey. Extensive use has been made of the CPR data in relation to cod, particularly in the development and testing of the ‘match-mismatch’ hypothesis. Advection of sufficient numbers of Calanus from the core oceanic areas of its distribution into the areas where the cod stocks occur may partly determine the success of those stocks. The analysis of the distribution and abundances of mackerel larvae in the CPR survey have shown contrasting variations between the North Sea and Celtic Sea. The expansion of the horse mackerel fishery in the north-eastern North Sea since 1987 has been related to physical events and a ‘regime shift’ in the plankton, described from CPR data. The oceanic spawning areas of the blue whiting and redfish were highlighted by the expansion of the CPR survey into the north-eastern and north-western Atlantic respectively. These results helped to focus the attention of fisheries scientists on stocks that have subsequently become the targets for commercial exploitation. The results of the CPR survey, particularly those on Calanusfinmarchicus, the phytoplankton standing stock as measured by the CPR colour index, the overall patterns of trends in plankton abundance and

  14. Daily MODIS Data Trends of Hurricane-Induced Forest Impact and Early Recovery

    Science.gov (United States)

    Ramsey, Elijah, III; Spruce, Joseph; Rangoonwala, Amina; Suzuoki, Yukihiro; Smoot, James; Gasser, Jerry; Bannister, Terri

    2011-01-01

    We studied the use of daily satellite data from the Moderate Resolution Imaging Spectroradiometer (MODIS) sensors to assess wetland forest damage and recovery from Hurricane Katrina (29 August 2005 landfall). Processed MODIS daily vegetation index (VI) trends were consistent with previously determined impact and recovery patterns provided by the "snapshot" 25 m Landsat Thematic Mapper optical and RADARSAT-1 synthetic aperture radar satellite data. Phenological trends showed high 2004 and 2005 pre-hurricane temporal correspondence within bottomland hardwood forest communities, except during spring green-up, and temporal dissimilarity between these hardwoods and nearby cypress-tupelo swamp forests (Taxodium distichum [baldcypress] and Nyssa aquatica [water tupelo]). MODIS VI trend analyses established that one year after impact, cypress-tupelo and lightly impacted hardwood forests had recovered to near prehurricane conditions. In contrast, canopy recovery lagged in the moderately and severely damaged hardwood forests, possibly reflecting regeneration of pre-hurricane species and stand-level replacement by invasive trees.

  15. Comparison of team-focused CPR vs standard CPR in resuscitation from out-of-hospital cardiac arrest: Results from a statewide quality improvement initiative.

    Science.gov (United States)

    Pearson, David A; Darrell Nelson, R; Monk, Lisa; Tyson, Clark; Jollis, James G; Granger, Christopher B; Corbett, Claire; Garvey, Lee; Runyon, Michael S

    2016-08-01

    Team-focused CPR (TFCPR) is a choreographed approach to cardiopulmonary resuscitation (CPR) with emphasis on minimally interrupted high-quality chest compressions, early defibrillation, discourages endotracheal intubation and encourages use of the bag-valve-mask (BVM) and/or blind-insertion airway device (BIAD) with a ventilation rate of 8-10 breaths/min to minimize hyperventilation. Widespread incorporation of TFCPR in North Carolina (NC) EMS agencies began in 2011, yet its impact on outcomes is unknown. To determine whether TFCPR improves survival with good neurological outcome in out-of-hospital cardiac arrest (OHCA) patients compared to standard CPR. This retrospective cohort analysis of NC EMS agencies reporting data to the Cardiac Arrest Registry for Enhanced Survival (CARES) database from January 2010 to June 2014 included adult, non-traumatic OHCA with presumed cardiac etiology where EMS performed CPR or patient received defibrillation. Exclusions were arrest terminated per EMS policy or DNR. EMS agencies self-reported the TFCPR implementation dates. Patients were categorized as receiving either TFCPR or standard CPR. The primary outcome was good neurologic outcome at time of hospital discharge defined as Pittsburgh Cerebral Performance Category (CPC) 1-2. Of 14,994 OHCAs, 14,129 patients were included for analysis with a mean age 65 (IQR 50-81) years, 61% male, 7.3% with good neurologic outcome, 24.3% with shockable initial rhythm, and 71.5% receiving TFCPR. Of the 3427 (24.3%) with an initial shockable rhythm, 739 (71.9%) had a good neurological outcome. Good neurologic outcome was higher with TFCPR [836 (8.3%, 95%CI 7.7-8.8%)] vs. standard CPR [193 (4.8%, 95%CI 4.2-5.5%)]. Logistic regression controlling for demographic and arrest characteristics revealed TFCPR (OR 1.5), witnessed arrest (OR 4.3), initial shockable rhythm (OR 7.1), and in-hospital hypothermia (OR 3.3) were associated with good neurologic outcome. Mechanical CPR device (OR 0.68), CPR

  16. CPR in the nursing home: fool's errand or looming dilemma?

    LENUS (Irish Health Repository)

    Lyons, D

    2011-09-01

    The indications for CPR (cardiopulmonary resuscitation) have expanded greatly since the technique was introduced and theoretically it can be attempted on all prior to death. Policy initiatives (such as the British Medical Association\\/Royal College of Nursing guidelines) have attempted to provide a clinical rationale for the withholding of inappropriate CPR. Traditionally a care home was felt to be an inappropriate environment to attempt CPR but increased use of advance directives may bring the issue to the fore in this setting.

  17. Animation-assisted CPRII program as a reminder tool in achieving effective one-person-CPR performance.

    Science.gov (United States)

    Choa, Minhong; Cho, Junho; Choi, Young Hwan; Kim, Seungho; Sung, Ji Min; Chung, Hyun Soo

    2009-06-01

    The objective of this study is to compare the skill retention of two groups of lay persons, six months after their last CPR training. The intervention group was provided with animation-assisted CPRII (AA-CPRII) instruction on their cellular phones, and the control group had nothing but what they learned from their previous training. This study was a single blind randomized controlled trial. The participants' last CPR trainings were held at least six months ago. We revised our CPR animation for on-site CPR instruction content emphasizing importance of chest compression. Participants were randomized into two groups, the AA-CPRII group (n=42) and the control group (n=38). Both groups performed three cycles of CPR and their performances were video recorded. These video clips were assessed by three evaluators using a checklist. The psychomotor skills were evaluated using the ResusciAnne SkillReporter. Using the 30-point scoring checklist, the AA-CPRII group had a significantly better score compared to the control group (pCPR could be used as a reminder tool in achieving effective one-person-CPR performance. By installing the CPR instruction on cellular phones and having taught them CPR with it during the training enabled participants to perform better CPR.

  18. CPR Instruction in U.S. High Schools: What Is the State in the Nation?

    Science.gov (United States)

    Brown, Lorrel E; Lynes, Carlos; Carroll, Travis; Halperin, Henry

    2017-11-28

    Cardiopulmonary resuscitation (CPR) training in high schools is required by law in the majority of U.S. states. However, laws differ from state to state, and it is unknown how this legislation is being enacted. The authors sent a cross-sectional, closed survey to educational superintendents in 32 states with CPR laws in June 2016. The authors subsequently performed direct examination and categorization of CPR legislation in 39 states (several states passed legislation as of September 2017). Survey results indicated differing practices with regard to CPR instruction in areas such as course content (63% perform automated external defibrillator training), instructor (47% used CPR-certified teachers/coaches, 30% used other CPR-certified instructors, 11% used noncertified teachers/coaches), and method (7% followed American Red Cross methods, 55% followed American Heart Association methods). CPR laws differ, although almost all (97%) require hands-on training. Although hands-on practice during CPR instruction in high school is required by law in the majority of U.S. states, there is currently no standardized method of implementation. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  19. Pay It Forward: High School Video-based Instruction Can Disseminate CPR Knowledge in Priority Neighborhoods

    Science.gov (United States)

    Han, Josiah; Cano, Alejandra; Ramirez, Victor; Morales, Gabriel; Campbell, Teri L.; Hoek, Terry Vanden

    2018-01-01

    Introduction The implementation of creative new strategies to increase layperson cardiopulmonary resuscitation (CPR) and defibrillation may improve resuscitation in priority populations. As more communities implement laws requiring CPR training in high schools, there is potential for a multiplier effect and reach into priority communities with low bystander-CPR rates. Methods We investigated the feasibility, knowledge acquisition, and dissemination of a high school-centered, CPR video self-instruction program with a “pay-it-forward” component in a low-income, urban, predominantly Black neighborhood in Chicago, Illinois with historically low bystander-CPR rates. Ninth and tenth graders followed a video self-instruction kit in a classroom setting to learn CPR. As homework, students were required to use the training kit to “pay it forward” and teach CPR to their friends and family. We administered pre- and post-intervention knowledge surveys to measure knowledge acquisition among classroom and “pay-it-forward” participants. Results Seventy-one classroom participants trained 347 of their friends and family, for an average of 4.9 additional persons trained per kit. Classroom CPR knowledge survey scores increased from 58% to 93% (p CPR educational intervention with a “pay-it-forward” component can disseminate CPR knowledge beyond the classroom. Because schools are centrally-organized settings to which all children and their families have access, school-based interventions allow for a broad reach that encompasses all segments of the population and have potential to decrease disparities in bystander CPR provision. PMID:29560076

  20. Development of Spaceborne Radar Simulator by NICT and JAXA using JMA Cloud-resolving Model

    Science.gov (United States)

    Kubota, T.; Eito, H.; Aonashi, K.; Hashimoto, A.; Iguchi, T.; Hanado, H.; Shimizu, S.; Yoshida, N.; Oki, R.

    2009-12-01

    We are developing synthetic spaceborne radar data toward a simulation of the Dual-frequency Precipitation Radar (DPR) aboard the Global Precipitation Measurement (GPM) core-satellite. Our purposes are a production of test-bed data for higher level DPR algorithm developers, in addition to a diagnosis of a cloud resolving model (CRM). To make the synthetic data, we utilize the CRM by the Japan Meteorological Agency (JMA-NHM) (Ikawa and Saito 1991, Saito et al. 2006, 2007), and the spaceborne radar simulation algorithm by the National Institute of Information and Communications Technology (NICT) and the Japan Aerospace Exploration Agency (JAXA) named as the Integrated Satellite Observation Simulator for Radar (ISOSIM-Radar). The ISOSIM-Radar simulates received power data in a field of view of the spaceborne radar with consideration to a scan angle of the radar (Oouchi et al. 2002, Kubota et al. 2009). The received power data are computed with gaseous and hydrometeor attenuations taken into account. The backscattering and extinction coefficients are calculated assuming the Mie approximation for all species. The dielectric constants for solid particles are computed by the Maxwell-Garnett model (Bohren and Battan 1982). Drop size distributions are treated in accordance with those of the JMA-NHM. We assume a spherical sea surface, a Gaussian antenna pattern, and 49 antenna beam directions for scan angles from -17 to 17 deg. in the PR. In this study, we report the diagnosis of the JMA-NHM with reference to the TRMM Precipitation Radar (PR) and CloudSat Cloud Profiling Radar (CPR) using the ISOSIM-Radar from the view of comparisons in cloud microphysics schemes of the JMA-NHM. We tested three kinds of explicit bulk microphysics schemes based on Lin et al. (1983), that is, three-ice 1-moment scheme, three-ice 2-moment scheme (Eito and Aonashi 2009), and newly developed four-ice full 2-moment scheme (Hashimoto 2008). The hydrometeor species considered here are rain, graupel

  1. Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: a randomised simulation study.

    Science.gov (United States)

    Zapletal, Bernhard; Greif, Robert; Stumpf, Dominik; Nierscher, Franz Josef; Frantal, Sophie; Haugk, Moritz; Ruetzler, Kurt; Schlimp, Christoph; Fischer, Henrik

    2014-04-01

    Efficiently performed basic life support (BLS) after cardiac arrest is proven to be effective. However, cardiopulmonary resuscitation (CPR) is strenuous and rescuers' performance declines rapidly over time. Audio-visual feedback devices reporting CPR quality may prevent this decline. We aimed to investigate the effect of various CPR feedback devices on CPR quality. In this open, prospective, randomised, controlled trial we compared three CPR feedback devices (PocketCPR, CPRmeter, iPhone app PocketCPR) with standard BLS without feedback in a simulated scenario. 240 trained medical students performed single rescuer BLS on a manikin for 8min. Effective compression (compressions with correct depth, pressure point and sufficient decompression) as well as compression rate, flow time fraction and ventilation parameters were compared between the four groups. Study participants using the PocketCPR performed 17±19% effective compressions compared to 32±28% with CPRmeter, 25±27% with the iPhone app PocketCPR, and 35±30% applying standard BLS (PocketCPR vs. CPRmeter p=0.007, PocketCPR vs. standard BLS p=0.001, others: ns). PocketCPR and CPRmeter prevented a decline in effective compression over time, but overall performance in the PocketCPR group was considerably inferior to standard BLS. Compression depth and rate were within the range recommended in the guidelines in all groups. While we found differences between the investigated CPR feedback devices, overall BLS quality was suboptimal in all groups. Surprisingly, effective compression was not improved by any CPR feedback device compared to standard BLS. All feedback devices caused substantial delay in starting CPR, which may worsen outcome. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  2. Keep pushing! Limiting interruptions to CPR; bag-valve mask versus ...

    African Journals Online (AJOL)

    This has led to first responders and paramedics performing single rescuer CPR using a bag-valve-mask (BVM) device as opposed to the historical practice of intubating and ventilating via an endotracheal tube. Bag-valve-mask ventilations, especially during single rescuer CPR, are however associated with complications ...

  3. Effects of diaspirin cross-linked hemoglobin (DCLHb) during and post-CPR in swine.

    Science.gov (United States)

    Chow, M S; Fan, C; Tran, H; Zhao, H; Zhou, L

    2001-04-01

    The purpose of the study was to test the hypothesis that diaspirin cross-linked hemoglobin (DCLHb) can produce improved resuscitation during cardiac arrest. DCLHb, a derivative of human hemoglobin, has previously been demonstrated to produce a vasopressor response that is associated with increased blood flow to vital organs. In addition, it is an oxygen carrier. These effects may be beneficial to extreme low flow states, such as that during cardiac arrest and cardiopulmonary resuscitation (CPR). Experimental cardiac arrest and CPR were carried out in 32 anesthetized immature pigs. In each animal, ventricular fibrillation was induced for 5 min, followed by 10 min of standard CPR with a pneumatic device and room air ventilation. High (15 ml/kg) and low (5 ml/kg) doses of DCLHb or equivalent volume of normal saline were infused at the beginning of CPR in a random and blind manner. Cardiac output, organ blood flow, aortic pressure, coronary perfusion pressure, blood gases, and lactate concentrations were obtained before and during CPR. Following the 10-min CPR, the animals were defibrillated and the return of spontaneous circulation (ROSC) determined. DCLHb treatment achieved 75% ROSC compared with 25% in the saline group (p CPR significantly improves ROSC. This is most likely related to its improvement in coronary perfusion and myocardial oxygen delivery.

  4. The Research on the Spectral Characteristics of Sea Fog Based on Caliop and Modis Data

    Science.gov (United States)

    Wan, J.; Su, J.; Liu, S.; Sheng, H.

    2018-04-01

    In view of that difficulty of distinguish between sea fog and low cloud by optical remote sensing mean, the research on spectral characteristics of sea fog is focused and carried out. The satellite laser radar CALIOP data and the high spectral MODIS data were obtained from May to December 2017, and the scattering coefficient and the vertical height information were extracted from the atmospheric attenuation of the lower star to extract the sea fog sample points, and the spectral response curve based on MODIS was formed to analyse the spectral response characteristics of the sea fog, thus providing a theoretical basis for the monitoring of sea fog with optical remote sensing image.

  5. THE RESEARCH ON THE SPECTRAL CHARACTERISTICS OF SEA FOG BASED ON CALIOP AND MODIS DATA

    Directory of Open Access Journals (Sweden)

    J. Wan

    2018-04-01

    Full Text Available In view of that difficulty of distinguish between sea fog and low cloud by optical remote sensing mean, the research on spectral characteristics of sea fog is focused and carried out。The satellite laser radar CALIOP data and the high spectral MODIS data were obtained from May to December 2017, and the scattering coefficient and the vertical height information were extracted from the atmospheric attenuation of the lower star to extract the sea fog sample points, and the spectral response curve based on MODIS was formed to analyse the spectral response characteristics of the sea fog, thus providing a theoretical basis for the monitoring of sea fog with optical remote sensing image.

  6. Pay It Forward: High School Video-based Instruction Can Disseminate CPR Knowledge in Priority Neighborhoods.

    Science.gov (United States)

    Del Rios, Marina; Han, Josiah; Cano, Alejandra; Ramirez, Victor; Morales, Gabriel; Campbell, Teri L; Hoek, Terry Vanden

    2018-03-01

    The implementation of creative new strategies to increase layperson cardiopulmonary resuscitation (CPR) and defibrillation may improve resuscitation in priority populations. As more communities implement laws requiring CPR training in high schools, there is potential for a multiplier effect and reach into priority communities with low bystander-CPR rates. We investigated the feasibility, knowledge acquisition, and dissemination of a high school-centered, CPR video self-instruction program with a "pay-it-forward" component in a low-income, urban, predominantly Black neighborhood in Chicago, Illinois with historically low bystander-CPR rates. Ninth and tenth graders followed a video self-instruction kit in a classroom setting to learn CPR. As homework, students were required to use the training kit to "pay it forward" and teach CPR to their friends and family. We administered pre- and post-intervention knowledge surveys to measure knowledge acquisition among classroom and "pay-it-forward" participants. Seventy-one classroom participants trained 347 of their friends and family, for an average of 4.9 additional persons trained per kit. Classroom CPR knowledge survey scores increased from 58% to 93% (p pay-it-forward cohort saw an increase from 58% to 82% (p pay-it-forward" component can disseminate CPR knowledge beyond the classroom. Because schools are centrally-organized settings to which all children and their families have access, school-based interventions allow for a broad reach that encompasses all segments of the population and have potential to decrease disparities in bystander CPR provision.

  7. Pay It Forward: High School Video-based Instruction Can Disseminate CPR Knowledge in Priority Neighborhoods

    Directory of Open Access Journals (Sweden)

    Josiah Han

    2018-02-01

    Full Text Available Introduction: The implementation of creative new strategies to increase layperson cardiopulmonary resuscitation (CPR and defibrillation may improve resuscitation in priority populations. As more communities implement laws requiring CPR training in high schools, there is potential for a multiplier effect and reach into priority communities with low bystander-CPR rates. Methods: We investigated the feasibility, knowledge acquisition, and dissemination of a high school-centered, CPR video self-instruction program with a “pay-it-forward” component in a low-income, urban, predominantly Black neighborhood in Chicago, Illinois with historically low bystander-CPR rates. Ninth and tenth graders followed a video self-instruction kit in a classroom setting to learn CPR. As homework, students were required to use the training kit to “pay it forward” and teach CPR to their friends and family. We administered pre- and post-intervention knowledge surveys to measure knowledge acquisition among classroom and “pay-it-forward” participants. Results: Seventy-one classroom participants trained 347 of their friends and family, for an average of 4.9 additional persons trained per kit. Classroom CPR knowledge survey scores increased from 58% to 93% (p < 0.0001. The pay-it-forward cohort saw an increase from 58% to 82% (p < 0.0001. Conclusion: A high school-centered, CPR educational intervention with a “pay-it-forward” component can disseminate CPR knowledge beyond the classroom. Because schools are centrally-organized settings to which all children and their families have access, school-based interventions allow for a broad reach that encompasses all segments of the population and have potential to decrease disparities in bystander CPR provision.

  8. Comparison of CPR1000 and AP1000 rod position indication systems

    International Nuclear Information System (INIS)

    Lei Qing

    2009-01-01

    This paper introduces the structure, the function, the digital detection principle of reactor control rod position and monitoring systems in CPR1000 and AP1000, comparing with the characteristics of the system design. The results show that the operation mode and function of AP1000 Rod position indication system are similar to that of CPR1000, but AP1000 rod position system provides higher reliability, and reduces the numbers of containment electrical penetrations and is with better characteristics than that of CPR1000, since it incorporated the redundancy design and data communication. (authors)

  9. Guidelines for CPR Training in Louisiana Schools. Bulletin No. 1638.

    Science.gov (United States)

    Louisiana State Dept. of Education, Baton Rouge.

    Completion of a course in cardiopulmonary resuscitation (CPR) is required for graduation from high school in Louisiana. This bulletin presents the guidelines for a course in CPR and was prepared with the cooperation of the American Red Cross (ARC) and the American Heart Association (AHA). At the conclusion of the course, students will be prepared…

  10. Characterization of beta cell and incretin function in patients with MODY1 (HNF4A MODY) and MODY3 (HNF1A MODY) in a Swedish patient collection.

    Science.gov (United States)

    Ekholm, E; Shaat, N; Holst, J J

    2012-10-01

    The aim of this study was to evaluate the beta cell and incretin function in patients with HNF4A and HNF1A MODY during a test meal. Clinical characteristics and biochemical data (glucose, proinsulin, insulin, C-peptide, GLP-1 and GIP) during a test meal were compared between MODY patients from eight different families. BMI-matched T2D and healthy subjects were used as two separate control groups. The early phase of insulin secretion was attenuated in HNF4A, HNF1A MODY and T2D (AUC0-30 controls: 558.2 ± 101.2, HNF4A MODY: 93.8 ± 57.0, HNF1A MODY: 170.2 ± 64.5, T2D: 211.2 ± 65.3, P MODY compared to T2D and that tended to be so also in HNF1A MODY (HNF4A MODY: 3.7 ± 1.2, HNF1A MODY: 8.3 ± 3.8 vs. T2D: 26.6 ± 14.3). Patients with HNF4A MODY had similar total GLP-1 and GIP responses as controls (GLP-1 AUC: (control: 823.9 ± 703.8, T2D: 556.4 ± 698.2, HNF4A MODY: 1,257.0 ± 999.3, HNF1A MODY: 697.1 ± 818.4) but with a different secretion pattern. The AUC insulin during the test meal was strongly correlated with the GIP secretion (Correlation coefficient 1.0, P MODY showed an attenuated early phase of insulin secretion similar to T2Ds. AUC insulin during the test meal was strongly correlated with GIP secretion, whereas no such correlation was seen for insulin and GLP-1. Thus, GIP may be a more important factor for insulin secretion than GLP-1 in MODY patients.

  11. Hurricane Rita Track Radar Image with Topographic Overlay

    Science.gov (United States)

    2005-01-01

    [figure removed for brevity, see original site] Animation About the animation: This simulated view of the potential effects of storm surge flooding on Galveston and portions of south Houston was generated with data from the Shuttle Radar Topography Mission. Although it is protected by a 17-foot sea wall against storm surges, flooding due to storm surges caused by major hurricanes remains a concern. The animation shows regions that, if unprotected, would be inundated with water. The animation depicts flooding in one-meter increments. About the image: The Gulf Coast from the Mississippi Delta through the Texas coast is shown in this satellite image from NASA's Moderate Resolution Imaging Spectroradiometer (MODIS) overlain with data from the Shuttle Radar Topography Mission (SRTM), and the predicted storm track for Hurricane Rita. The prediction from the National Weather Service was published Sept. 22 at 4 p.m. Central Time, and shows the expected track center in black with the lighter shaded area indicating the range of potential tracks the storm could take. Low-lying terrain along the coast has been highlighted using the SRTM elevation data, with areas within 15 feet of sea level shown in red, and within 30 feet in yellow. These areas are more at risk for flooding and the destructive effects of storm surge and high waves. Data used in this image were acquired by the Shuttle Radar Topography Mission aboard the Space Shuttle Endeavour, launched on Feb. 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM was designed to collect 3-D measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter (approximately 200-foot) mast, installed additional C-band and X-band antennas, and improved tracking and navigation devices. The mission is a cooperative project between NASA, the National Geospatial

  12. Characterization of beta cell and incretin function in patients with MODY1 (HNF4A MODY) and MODY3 (HNF1A MODY) in a Swedish patient collection

    DEFF Research Database (Denmark)

    Ekholm, E; Shaat, N; Holst, Jens Juul

    2012-01-01

    eight different families. BMI-matched T2D and healthy subjects were used as two separate control groups. The early phase of insulin secretion was attenuated in HNF4A, HNF1A MODY and T2D (AUC0-30 controls: 558.2 ± 101.2, HNF4A MODY: 93.8 ± 57.0, HNF1A MODY: 170.2 ± 64.5, T2D: 211.2 ± 65.3, P ....01). Markedly reduced levels of proinsulin were found in HNF4A MODY compared to T2D and that tended to be so also in HNF1A MODY (HNF4A MODY: 3.7 ± 1.2, HNF1A MODY: 8.3 ± 3.8 vs. T2D: 26.6 ± 14.3). Patients with HNF4A MODY had similar total GLP-1 and GIP responses as controls (GLP-1 AUC: (control: 823.9 ± 703.......8, T2D: 556.4 ± 698.2, HNF4A MODY: 1,257.0 ± 999.3, HNF1A MODY: 697.1 ± 818.4) but with a different secretion pattern. The AUC insulin during the test meal was strongly correlated with the GIP secretion (Correlation coefficient 1.0, P

  13. Arabidopsis CPR5 regulates ethylene signaling via molecular association with the ETR1 receptor.

    Science.gov (United States)

    Wang, Feifei; Wang, Lijuan; Qiao, Longfei; Chen, Jiacai; Pappa, Maria Belen; Pei, Haixia; Zhang, Tao; Chang, Caren; Dong, Chun-Hai

    2017-11-01

    The plant hormone ethylene plays various functions in plant growth, development and response to environmental stress. Ethylene is perceived by membrane-bound ethylene receptors, and among the homologous receptors in Arabidopsis, the ETR1 ethylene receptor plays a major role. The present study provides evidence demonstrating that Arabidopsis CPR5 functions as a novel ETR1 receptor-interacting protein in regulating ethylene response and signaling. Yeast split ubiquitin assays and bi-fluorescence complementation studies in plant cells indicated that CPR5 directly interacts with the ETR1 receptor. Genetic analyses indicated that mutant alleles of cpr5 can suppress ethylene insensitivity in both etr1-1 and etr1-2, but not in other dominant ethylene receptor mutants. Overexpression of Arabidopsis CPR5 either in transgenic Arabidopsis plants, or ectopically in tobacco, significantly enhanced ethylene sensitivity. These findings indicate that CPR5 plays a critical role in regulating ethylene signaling. CPR5 is localized to endomembrane structures and the nucleus, and is involved in various regulatory pathways, including pathogenesis, leaf senescence, and spontaneous cell death. This study provides evidence for a novel regulatory function played by CPR5 in the ethylene receptor signaling pathway in Arabidopsis. © 2017 Institute of Botany, Chinese Academy of Sciences.

  14. Assessment of in-vessel corium retention in CPR1000

    International Nuclear Information System (INIS)

    Chen Xing; Zhang Shishun; Lin Jiming

    2011-01-01

    The In-Vessel corium Retention (IVR) strategy of Chinese 1000 MW class commercial pressurized water reactor (CPR1000) is assessed by Risk-Oriented Accident Analysis Methodology (ROAAM). Four representative severe accident scenarios are selected for the IVR assessment in this paper. According to four representative severe accident scenarios consequence calculated by the deterministic code combined with engineering judgment, the input probability distribution of the assessment is determined. Success probability of IVR from the viewpoint of thermal failure is then predicted using MOPOL code. MOPOL is a code developed basing on the well known ROAAM frame and heat transfer model of corium. It is demonstrated that the success probability of IVR by Reactor Cavity Flooding in CPR1000 is potentially higher than 99%. Application of IVR strategy in CPR1000 is envisioned probable if a further more comprehensive risk-benefit evaluation conclusion is positive. (authors)

  15. Brief compression-only cardiopulmonary resuscitation training video and simulation with homemade mannequin improves CPR skills.

    Science.gov (United States)

    Wanner, Gregory K; Osborne, Arayel; Greene, Charlotte H

    2016-11-29

    Cardiopulmonary resuscitation (CPR) training has traditionally involved classroom-based courses or, more recently, home-based video self-instruction. These methods typically require preparation and purchase fee; which can dissuade many potential bystanders from receiving training. This study aimed to evaluate the effectiveness of teaching compression-only CPR to previously untrained individuals using our 6-min online CPR training video and skills practice on a homemade mannequin, reproduced by viewers with commonly available items (towel, toilet paper roll, t-shirt). Participants viewed the training video and practiced with the homemade mannequin. This was a parallel-design study with pre and post training evaluations of CPR skills (compression rate, depth, hand position, release), and hands-off time (time without compressions). CPR skills were evaluated using a sensor-equipped mannequin and two blinded CPR experts observed testing of participants. Twenty-four participants were included: 12 never-trained and 12 currently certified in CPR. Comparing pre and post training, the never-trained group had improvements in average compression rate per minute (64.3 to 103.9, p = 0.006), compressions with correct hand position in 1 min (8.3 to 54.3, p = 0.002), and correct compression release in 1 min (21.2 to 76.3, p 100/min), but an improved number of compressions with correct release (53.5 to 94.7, p 50 mm) remained problematic in both groups. Comparisons made between groups indicated significant improvements in compression depth, hand position, and hands-off time in never-trained compared to CPR-certified participants. Inter-rater agreement values were also calculated between the CPR experts and sensor-equipped mannequin. A brief internet-based video coupled with skill practice on a homemade mannequin improved compression-only CPR skills, especially in the previously untrained participants. This training method allows for widespread compression-only CPR

  16. Disparities in Survival with Bystander CPR following Cardiopulmonary Arrest Based on Neighborhood Characteristics

    Directory of Open Access Journals (Sweden)

    Nina Thakkar Rivera

    2016-01-01

    Full Text Available The American Heart Association reports the annual incidence of out-of-hospital cardiopulmonary arrests (OHCA is greater than 300,000 with a survival rate of 9.5%. Bystander cardiopulmonary resuscitation (CPR saves one life for every 30, with a 10% decrease in survival associated with every minute of delay in CPR initiation. Bystander CPR and training vary widely by region. We conducted a retrospective study of 320 persons who suffered OHCA in South Florida over 25 months. Increased survival, overall and with bystander CPR, was seen with increasing income (p=0.05, with a stronger disparity between low- and high-income neighborhoods (p=0.01 and p=0.03, resp.. Survival with bystander CPR was statistically greater in white- versus black-predominant neighborhoods (p=0.04. Increased survival, overall and with bystander CPR, was seen with high- versus low-education neighborhoods (p=0.03. Neighborhoods with more high school age persons displayed the lowest survival. We discovered a significant disparity in OHCA survival within neighborhoods of low-income, black-predominance, and low-education. Reduced survival was seen in neighborhoods with larger populations of high school students. This group is a potential target for training, and instruction can conceivably change survival outcomes in these neighborhoods, closing the gap, thus improving survival for all.

  17. Metronome improves compression and ventilation rates during CPR on a manikin in a randomized trial.

    Science.gov (United States)

    Kern, Karl B; Stickney, Ronald E; Gallison, Leanne; Smith, Robert E

    2010-02-01

    We hypothesized that a unique tock and voice metronome could prevent both suboptimal chest compression rates and hyperventilation. A prospective, randomized, parallel design study involving 34 pairs of paid firefighter/emergency medical technicians (EMTs) performing two-rescuer CPR using a Laerdal SkillReporter Resusci Anne manikin with and without metronome guidance was performed. Each CPR session consisted of 2 min of 30:2 CPR with an unsecured airway, then 4 min of CPR with a secured airway (continuous compressions at 100 min(-1) with 8-10 ventilations/min), repeated after the rescuers switched roles. The metronome provided "tock" prompts for compressions, transition prompts between compressions and ventilations, and a spoken "ventilate" prompt. During CPR with a bag/valve/mask the target compression rate of 90-110 min(-1) was achieved in 5/34 CPR sessions (15%) for the control group and 34/34 sessions (100%) for the metronome group (pmetronome or control group during CPR with a bag/valve/mask. During CPR with a bag/endotracheal tube, the target of both a compression rate of 90-110 min(-1) and a ventilation rate of 8-11 min(-1) was achieved in 3/34 CPR sessions (9%) for the control group and 33/34 sessions (97%) for the metronome group (pMetronome use with the secured airway scenario significantly decreased the incidence of over-ventilation (11/34 EMT pairs vs. 0/34 EMT pairs; pmetronome was effective at directing correct chest compression and ventilation rates both before and after intubation. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

  18. Comparison Between CCCM and CloudSat Radar-Lidar (RL) Cloud and Radiation Products

    Science.gov (United States)

    Ham, Seung-Hee; Kato, Seiji; Rose, Fred G.; Sun-Mack, Sunny

    2015-01-01

    To enhance cloud properties, LaRC and CIRA developed each combination algorithm for obtained properties from passive, active and imager in A-satellite constellation. When comparing global cloud fraction each other, LaRC-produced CERES-CALIPSO-CloudSat-MODIS (CCCM) products larger low-level cloud fraction over tropic ocean, while CIRA-produced Radar-Lidar (RL) shows larger mid-level cloud fraction for high latitude region. The reason for different low-level cloud fraction is due to different filtering method of lidar-detected cloud layers. Meanwhile difference in mid-level clouds is occurred due to different priority of cloud boundaries from lidar and radar.

  19. NAMMA MODIS/AQUA AND MODIS/TERRA DEEP BLUE PRODUCTS V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The NAMMA MODIS/AQUA and MODIS/TERRA Deep Blue Products dataset is a collection of images depicting the aerosol optical depth derived from the MODIS deep blue...

  20. CPR - child (1 to 8 years old)

    Science.gov (United States)

    Rescue breathing and chest compressions - child; Resuscitation - cardiopulmonary - child; Cardiopulmonary resuscitation - child ... take care of children should learn infant and child CPR if they have not already. See www. ...

  1. Human c-peptide immunoreactivity (CPR) in blood and urine - evaluation of a radioimmunoassay method and its clinical applications

    Energy Technology Data Exchange (ETDEWEB)

    Kuzuya, T; Matsuda, A; Saito, T; Yoshida, S

    1976-01-01

    A double-antibody radioimmunoassay method, using synthetic human connecting peptide as an immunizing antigen and standard, was evaluated for clinical assay of blood and urine samples. Normal fasting blood connecting peptide immunoreacivity (CPR) was 2.45 +- 0.96 ng/ml, increasing promptly after a 50 g oral glucose load, but somewhat slower than insulin. Molar concentration of CPR exceeded that of insulin. CPR responses to glucose were subnormal in diabetics, very low in juvenile-type cases, and often poor in patients on insulin treatment. Fasting CPR levels were elevated in patients on corticosteroid treatment and with uraemia. A patient with insulin 'auto-antibody' had high serum CPR. A considerable amount of CPR appeared in urine. Normal daily excretion of CPR was 1.52 +- 0.55 ..mu..g/kg or 55.1 +- 18.2 ng/mg creatinine. Urine CPR was very low in juvenile-type diabetics, and elevated in patients on corticosteroid treatment. The results confirm that blood and urine CPR are useful measures of the endocrine pancreatic function.

  2. Simple Air Temperature Estimation Method from MODIS Satellite Images on a Regional Scale Método Simple de Estimación de Temperatura del Aire a Escala Regional, a Partir de Imágenes Satelitales MODIS

    Directory of Open Access Journals (Sweden)

    Fabiola Flores P

    2010-09-01

    Full Text Available Agricultural studies on a regional scale about water balance and evapotranspiration estimation, among others, require estimating air temperature (Ta spatial variation since the generally low density of weather stations does not allow obtaining such data for a specific area. The aim of this study was to estimate air temperature through atmospheric profiles provided by the Moderate Resolution Imaging Spectroradiometer (MODIS sensor on a regional level. One of the present-day methodologies estimates Ta through vertical temperature profiles, which is why modifications to this methodology were proposed for zoning, surface elevation, and pressure/altitude ratios. By applying this new methodology, better Ta estimates were obtained by replacing the MODIS sensor surface elevation with those of the Shuttle Radar Topography Mission (SRTM. Finally, it was possible to estimate Ta spatial variation only from remotely sensed data in various geomorphological areas.Para estudios relacionados con la agricultura a escala regional, como balance hídrico y estimación de evapotranspiración entre otros, es importante estimar la variación espacial de la temperatura del aire (Ta, ya que la baja densidad de estaciones meteorológicas no permite obtener dichos datos para una zona determinada. El objetivo de este trabajo fue estimar Ta a partir de perfiles atmosféricos proporcionados por el sensor de imágenes espectroradiométricas de resolución moderada (MODIS a nivel regional. Una de las metodologías actuales estima la Ta a partir de perfiles verticales de temperatura, por lo que se plantearon modificaciones a dicha metodología en la zonificación, superficie de elevación y relación presión-altitud. Al aplicar esta nueva metodología, las mejores estimaciones de Ta se consiguieron al reemplazar la superficie de elevación del sensor MODIS por la misión topográfica de plataforma radar (SRTM. Finalmente, fue posible estimar la variación espacial de Ta

  3. Genetika MODY diabetu

    OpenAIRE

    Dušátková, Petra

    2012-01-01

    The most common form of monogenic diabetes is MODY (Maturity-Onset Diabetes of the Young). It ranks among genetic defects of the β cell. It is clinically heterogenous group of disorders characterised with non insulin-dependent diabetes mellitus with autosomal dominant inheritance and age at diagnosis up to 40 years. We specified the diagnosis of MODY in more than 240 Czech families using molecular-genetic approach. The most common subtype of MODY is GCK-MODY which was proved in 376 subjects f...

  4. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest.

    Science.gov (United States)

    Ringh, Mattias; Rosenqvist, Mårten; Hollenberg, Jacob; Jonsson, Martin; Fredman, David; Nordberg, Per; Järnbert-Pettersson, Hans; Hasselqvist-Ax, Ingela; Riva, Gabriel; Svensson, Leif

    2015-06-11

    Cardiopulmonary resuscitation (CPR) performed by bystanders is associated with increased survival rates among persons with out-of-hospital cardiac arrest. We investigated whether rates of bystander-initiated CPR could be increased with the use of a mobile-phone positioning system that could instantly locate mobile-phone users and dispatch lay volunteers who were trained in CPR to a patient nearby with out-of-hospital cardiac arrest. We conducted a blinded, randomized, controlled trial in Stockholm from April 2012 through December 2013. A mobile-phone positioning system that was activated when ambulance, fire, and police services were dispatched was used to locate trained volunteers who were within 500 m of patients with out-of-hospital cardiac arrest; volunteers were then dispatched to the patients (the intervention group) or not dispatched to them (the control group). The primary outcome was bystander-initiated CPR before the arrival of ambulance, fire, and police services. A total of 5989 lay volunteers who were trained in CPR were recruited initially, and overall 9828 were recruited during the study. The mobile-phone positioning system was activated in 667 out-of-hospital cardiac arrests: 46% (306 patients) in the intervention group and 54% (361 patients) in the control group. The rate of bystander-initiated CPR was 62% (188 of 305 patients) in the intervention group and 48% (172 of 360 patients) in the control group (absolute difference for intervention vs. control, 14 percentage points; 95% confidence interval, 6 to 21; PCPR was associated with significantly increased rates of bystander-initiated CPR among persons with out-of-hospital cardiac arrest. (Funded by the Swedish Heart-Lung Foundation and Stockholm County; ClinicalTrials.gov number, NCT01789554.).

  5. Simple CPR: A randomized, controlled trial of video self-instructional cardiopulmonary resuscitation training in an African American church congregation.

    Science.gov (United States)

    Todd, K H; Heron, S L; Thompson, M; Dennis, R; O'Connor, J; Kellermann, A L

    1999-12-01

    Despite the proven efficacy of cardiopulmonary resuscitation (CPR), only a small fraction of the population knows how to perform it. As a result, rates of bystander CPR and rates of survival from cardiac arrest are low. Bystander CPR is particularly uncommon in the African American community. Successful development of a simplified approach to CPR training could boost rates of bystander CPR and save lives. We conducted the following randomized, controlled study to determine whether video self-instruction (VSI) in CPR results in comparable or better performance than traditional CPR training. This randomized, controlled trial was conducted among congregational volunteers in an African American church in Atlanta, GA. Subjects were randomly assigned to receive either 34 minutes of VSI or the 4-hour American Heart Association "Heartsaver" CPR course. Two months after training, blinded observers used explicit criteria to assess CPR performance in a simulated cardiac arrest setting. A recording manikin was used to measure ventilation and chest compression characteristics. Participants also completed a written test of CPR-related knowledge and attitudes. VSI trainees displayed a comparable level of performance to that achieved by traditional trainees. Observers scored 40% of VSI trainees competent or better in performing CPR, compared with only 16% of traditional trainees (absolute difference 24%, 95% confidence interval 8% to 40%). Data from the recording manikin confirmed these observations. VSI trainees and traditional trainees achieved comparable scores on tests of CPR-related knowledge and attitudes. Thirty-four minutes of VSI can produce CPR of comparable quality to that achieved by traditional training methods. VSI provides a simple, quick, consistent, and inexpensive alternative to traditional CPR instruction, and may be used to extend CPR training to historically underserved populations.

  6. Prediction of Recovery from Coma After CPR

    Science.gov (United States)

    ... to pain. There is good evidence* that myoclonus status epilepticus within the first day after CPR accurately predicts poor recovery from coma. Myoclonus status epilepticus is a constant twitching of muscles, including the ...

  7. Analysis of Co-Located MODIS and CALIPSO Observations Near Clouds

    Science.gov (United States)

    Varnai, Tamas; Marshak, Alexander

    2011-01-01

    The purpose of this paper is to help researchers combine data from different satellites and thus gain new insights into two critical yet poorly understood aspects of anthropogenic climate change, aerosol-cloud interactions and aerosol radiative effects, For this, the paper explores whether cloud information from the Aqua satellite's MODIS instrument can help characterize systematic aerosol changes near clouds by refining earlier perceptions of these changes that were based on the CALIPSO satellite's CALIOP instrument. Similar to a radar but using visible and ncar-infrared light, CALIOP sends out laser pulses and provides aerosol and cloud information along a single line that tracks the satellite orbit by measuring the reflection of its pulses. In contrast, MODIS takes images of reflected sunlight and emitted infrared radiation at several wavelengths, and covers wide areas around the satellite track. This paper analyzes a year-long global dataset covering all ice-free oceans, and finds that MODIS can greatly help the interpretation of CALIOP observations, especially by detecting clouds that lie outside the line observed by CALlPSO. The paper also finds that complications such as differences in view direction or clouds drifting in the 72 seconds that elapse between MODIS and CALIOP observations have only a minor impact. The study also finds that MODIS data helps refine but does not qualitatively alter perceptions of the systematic aerosol changes that were detected in earlier studies using only CALIOP data. It then proposes a statistical approach to account for clouds lying outside the CALIOP track even when MODIS cannot as reliably detect low clouds, for example at night or over ice. Finally, the paper finds that, because of variations in cloud amount and type, the typical distance to clouds in maritime clear areas varies with season and location. The overall median distance to clouds in maritime clear areas around 4-5 km. The fact that half of all clear areas is

  8. Rescuer fatigue under the 2010 ERC guidelines, and its effect on cardiopulmonary resuscitation (CPR) performance.

    Science.gov (United States)

    McDonald, Catherine H; Heggie, James; Jones, Christopher M; Thorne, Christopher J; Hulme, Jonathan

    2013-08-01

    Updated life-support guidelines were published by the European Resuscitation Council (ERC) in 2010, increasing the required depth and rate of chest compression delivery. This study sought to determine the impact of these guidelines on rescuer fatigue and cardiopulmonary resuscitation (CPR) performance. 62 Health science students performed 5 min of conventional CPR in accordance with the 2010 ERC guidelines. A SkillReporter manikin was used to objectively assess temporal change in determinants of CPR quality. Participants subjectively reported their end-fatigue levels, using a visual analogue scale, and the point at which they believed fatigue was affecting CPR delivery. 49 (79%) participants reported that fatigue affected their CPR performance, at an average of 167 s. End fatigue averaged 49.5/100 (range 0-95). The proportion of chest compressions delivered correctly decreased from 52% in min 1 to 39% in min 5, approaching significance (p=0.071). A significant decline in chest compressions reaching the recommended depth occurred between the first (53%) and fifth (38%) min (p=0.012). Almost half this decline (6%) was between the first and second minutes of CPR. Neither chest compression rate, nor rescue breath volume, were affected by rescuer fatigue. Fatigue affects chest compression delivery within the second minute of CPR under the 2010 ERC guidelines, and is poorly judged by rescuers. Rescuers should, therefore, be encouraged to interchange after 2 min of CPR delivery. Team leaders should be advised to not rely on rescuers to self-report fatigue, and should, instead, monitor for its effects.

  9. Two-thumb technique is superior to two-finger technique during lone rescuer infant manikin CPR.

    Science.gov (United States)

    Udassi, Sharda; Udassi, Jai P; Lamb, Melissa A; Theriaque, Douglas W; Shuster, Jonathan J; Zaritsky, Arno L; Haque, Ikram U

    2010-06-01

    Infant CPR guidelines recommend two-finger chest compression with a lone rescuer and two-thumb with two rescuers. Two-thumb provides better chest compression but is perceived to be associated with increased ventilation hands-off time. We hypothesized that lone rescuer two-thumb CPR is associated with increased ventilation cycle time, decreased ventilation quality and fewer chest compressions compared to two-finger CPR in an infant manikin model. Crossover observational study randomizing 34 healthcare providers to perform 2 min CPR at a compression rate of 100 min(-1) using a 30:2 compression:ventilation ratio comparing two-thumb vs. two-finger techniques. A Laerdal Baby ALS Trainer manikin was modified to digitally record compression rate, compression depth and compression pressure and ventilation cycle time (two mouth-to-mouth breaths). Manikin chest rise with breaths was video recorded and later reviewed by two blinded CPR instructors for percent effective breaths. Data (mean+/-SD) were analyzed using a two-tailed paired t-test. Significance was defined qualitatively as pCPR, but there was no significant difference in percent effective breaths delivered between the two techniques. Two-thumb CPR had 4 fewer delivered compressions per minute, which may be offset by far more effective compression depth and compression pressure compared to two-finger technique. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

  10. Does the sex of a simulated patient affect CPR?

    Science.gov (United States)

    Kramer, Chelsea E; Wilkins, Matthew S; Davies, Jan M; Caird, Jeff K; Hallihan, Gregory M

    2015-01-01

    While males and females are equally at risk of sudden cardiac arrest (SCA), females are less likely to be resuscitated. Cardiopulmonary Resuscitation (CPR) may be inhibited by socio-cultural norms about exposing female victims' chests. Empirically confirming this hypothesis is limited by lack of patient simulators modeling realistic female physiques. A commercially-available patient simulator was transformed to evaluate how physical attributes of a patient's sex might influence lay participants who were asked to resuscitate a female versus a male during simulated cardiac arrest. Sixty-nine participants consented to be in the study. Participants were randomly assigned to provide CPR and defibrillation as instructed by a commercially-available automated external defibrillator on a patient simulator presented as either a male or female experiencing cardiac arrest. Rescuers removed significantly more clothing from the male than the female, with men removing less clothing from the female. More rescuers' initial hand placements for CPR were centered between the female's breasts compared to the male, on which placement was distributed across the chest towards the nipples. While rescuers had better hand placement for CPR on the female, both men and women rescuers were reluctant to remove the female's clothing, with men significantly more hesitant. Reticence to remove clothing was often articulated relative to social norms during structured interviews. We suggest that using only male simulators will not allow trainees to experience social differences associated with the care of a female simulated patient. Realistic female patient simulators are needed. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  11. Effect of bystander CPR initiation prior to the emergency call on ROSC and 30day survival-An evaluation of 548 emergency calls.

    Science.gov (United States)

    Viereck, Søren; Palsgaard Møller, Thea; Kjær Ersbøll, Annette; Folke, Fredrik; Lippert, Freddy

    2017-02-01

    This study aimed at evaluating if time for initiation of bystander cardiopulmonary resuscitation (CPR) - prior to the emergency call (CPR prior ) versus during the emergency call following dispatcher-assisted CPR (CPR during ) - was associated with return of spontaneous circulation (ROSC) and 30-day survival. The secondary aim was to identify predictors of CPR prior . This observational study evaluated out-of-hospital cardiac arrests (OHCA) occurring in the Capital Region of Denmark from 01.01.2013 to 31.12.2013. OHCAs were linked to emergency medical dispatch centre records and corresponding emergency calls were evaluated. Multivariable logistic regression analyses were applied to evaluate the association between time for initiation of bystander CPR, ROSC, and 30-day survival. Univariable logistic regression analyses were applied to identify predictors of CPR prior . The study included 548 emergency calls for OHCA patients receiving bystander CPR, 34.9% (n=191) in the CPR prior group and 65.1% (n=357) in the CPR during group. Multivariable analyses showed no difference in ROSC (OR=0.88, 95% CI: 0.56-1.38) or 30-day survival (OR=1.14, 95% CI: 0.68-1.92) between CPR prior and CPR during . Predictors positively associated with CPR prior included witnessed OHCA and healthcare professional bystanders. Predictors negatively associated with CPR prior included residential location, solitary bystanders, and bystanders related to the patient. The majority of bystander CPR (65%) was initiated during the emergency call, following dispatcher-assisted CPR instructions. Whether bystander CPR was initiated prior to emergency call versus during the emergency call following dispatcher-assisted CPR was not associated with ROSC or 30-day survival. Dispatcher-assisted CPR was especially beneficial for the initiation of bystander CPR in residential areas. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  12. Training hospital providers in basic CPR skills in Botswana: Acquisition, retention and impact of novel training techniques☆

    Science.gov (United States)

    Meaney, Peter A.; Sutton, Robert M.; Tsima, Billy; Steenhoff, Andrew P.; Shilkofski, Nicole; Boulet, John R.; Davis, Amanda; Kestler, Andrew M.; Church, Kasey K.; Niles, Dana E.; Irving, Sharon Y.; Mazhani, Loeto; Nadkarni, Vinay M.

    2013-01-01

    Objective Globally, one third of deaths each year are from cardiovascular diseases, yet no strong evidence supports any specific method of CPR instruction in a resource-limited setting. We hypothesized that both existing and novel CPR training programs significantly impact skills of hospital-based healthcare providers (HCP) in Botswana. Methods HCP were prospectively randomized to 3 training groups: instructor led, limited instructor with manikin feedback, or self-directed learning. Data was collected prior to training, immediately after and at 3 and 6 months. Excellent CPR was prospectively defined as having at least 4 of 5 characteristics: depth, rate, release, no flow fraction, and no excessive ventilation. GEE was performed to account for within subject correlation. Results Of 214 HCP trained, 40% resuscitate ≥1/month, 28% had previous formal CPR training, and 65% required additional skills remediation to pass using AHA criteria. Excellent CPR skill acquisition was significant (infant: 32% vs. 71%, p CPR skill retention was significant at 3 (39% vs. 70%, p CPR skills were retained to 3 months (34% vs. 51%, p = 0.02). On multivariable analysis, low cognitive score and need for skill remediation, but not instruction method, impacted CPR skill performance. Conclusions HCP in resource-limited settings resuscitate frequently, with little CPR training. Using existing training, HCP acquire and retain skills, yet often require remediation. Novel techniques with increased student: instructor ratio and feedback manikins were not different compared to traditional instruction. PMID:22561463

  13. Implementation of a mechanical CPR device in a physician staffed HEMS - a prospective observational study.

    Science.gov (United States)

    Rauch, Simon; Strapazzon, Giacomo; Brodmann, Monika; Fop, Ernst; Masoner, Christian; Rauch, Lydia; Forti, Alessandro; Pietsch, Urs; Mair, Peter; Brugger, Hermann

    2018-04-28

    In this prospective, observational study we describe the incidence and characteristics of out of hospital cardiac arrest (OHCA) cases who received mechanical CPR, after the implementation of a mechanical CPR device (LUCAS 2; Physio Control, Redmond, WA, USA) in a physician staffed helicopter emergency medical service (HEMS) in South Tyrol, Italy. During the study period (06/2013-04/2016), 525 OHCA cases were registered by the dispatch centre, 271 (51.6%) were assisted by HEMS. LUCAS 2 was applied in 18 (6.6%) of all HEMS-assisted OHCA patients; ten were treated with LUCAS 2 at the scene only, and eight were transported to hospital with ongoing CPR. Two (11.1%) of the 18 patients survived long term with full neurologic recovery. In seven of eight patients transferred to hospital with ongoing CPR, CPR was ceased in the emergency room without further intervention. Retrospectively, all HEMS-assisted OHCA cases were screened for proposed indication criteria for prolonged CPR. Thirteen patients fulfilled these criteria, but only two of them were transported to hospital. Based on these results, we propose a standard operating procedure for HEMS-assisted patients with refractory OHCA in a region without hospitals with ECLS capacity.

  14. It isn't like this on TV: Revisiting CPR survival rates depicted on popular TV shows.

    Science.gov (United States)

    Portanova, Jaclyn; Irvine, Krystle; Yi, Jae Yoon; Enguidanos, Susan

    2015-11-01

    Public perceptions of cardiopulmonary resuscitation (CPR) can be influenced by the media. Nearly two decades ago, a study found that the rates of survival following CPR were far higher in popular TV shows than actual rates. In recent years, major strides toward enhanced education and communication around life sustaining interventions have been made. This study aimed to reassess the accuracy of CPR portrayed by popular medical TV shows. Additionally, we sought to determine whether these shows depicted discussions of care preferences and referenced advance directives. Three trained research assistants independently coded two leading medical dramas airing between 2010 and 2011, Grey's Anatomy and House. Patient characteristics, CPR survival rates, and goals of care discussions were recorded. CPR was depicted 46 times in the 91 episodes, with a survival rate of 69.6%. Among those immediately surviving following CPR, the majority (71.9%) survived to hospital discharge and 15.6% died before discharge. Advance directive discussions only occurred for two patients, and preferences regarding code status (8.7%), intubation (6.5%) and feeding (4.3%) rarely occurred. Both popular TV shows portrayed CPR as more effective than actual rates. Overall, the shows portrayed an immediate survival rate nearly twice that of actual survival rates. Inaccurate TV portrayal of CPR survival rates may misinform viewers and influence care decisions made during serious illness and at end of life. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  15. Arabidopsis CPR5 independently regulates seed germination and postgermination arrest of development through LOX pathway and ABA signaling.

    Directory of Open Access Journals (Sweden)

    Guilan Gao

    Full Text Available The phytohormone abscisic acid (ABA and the lipoxygenases (LOXs pathway play important roles in seed germination and seedling growth and development. Here, we reported on the functional characterization of Arabidopsis CPR5 in the ABA signaling and LOX pathways. The cpr5 mutant was hypersensitive to ABA in the seed germination, cotyledon greening and root growth, whereas transgenic plants overexpressing CPR5 were insensitive. Genetic analysis demonstrated that CPR5 gene may be located downstream of the ABI1 in the ABA signaling pathway. However, the cpr5 mutant showed an ABA independent drought-resistant phenotype. It was also found that the cpr5 mutant was hypersensitive to NDGA and NDGA treatment aggravated the ABA-induced delay in the seed germination and cotyledon greening. Taken together, these results suggest that the CPR5 plays a regulatory role in the regulation of seed germination and early seedling growth through ABA and LOX pathways independently.

  16. Integrated cloud-aerosol-radiation product using CERES, MODIS, CALIPSO, and CloudSat data

    Science.gov (United States)

    Sun-Mack, Sunny; Minnis, Patrick; Chen, Yan; Gibson, Sharon; Yi, Yuhong; Trepte, Qing; Wielicki, Bruce; Kato, Seiji; Winker, Dave; Stephens, Graeme; Partain, Philip

    2007-10-01

    This paper documents the development of the first integrated data set of global vertical profiles of clouds, aerosols, and radiation using the combined NASA A-Train data from the Aqua Clouds and Earth's Radiant Energy System (CERES) and Moderate Resolution Imaging Spectroradiometer (MODIS), Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observations (CALIPSO), and CloudSat. As part of this effort, cloud data from the CALIPSO lidar and the CloudSat radar are merged with the integrated column cloud properties from the CERES-MODIS analyses. The active and passive datasets are compared to determine commonalities and differences in order to facilitate the development of a 3-dimensional cloud and aerosol dataset that will then be integrated into the CERES broadband radiance footprint. Preliminary results from the comparisons for April 2007 reveal that the CERES-MODIS global cloud amounts are, on average, 0.14 less and 0.15 greater than those from CALIPSO and CloudSat, respectively. These new data will provide unprecedented ability to test and improve global cloud and aerosol models, to investigate aerosol direct and indirect radiative forcing, and to validate the accuracy of global aerosol, cloud, and radiation data sets especially in polar regions and for multi-layered cloud conditions.

  17. Brief compression-only cardiopulmonary resuscitation training video and simulation with homemade mannequin improves CPR skills

    OpenAIRE

    Wanner, Gregory K.; Osborne, Arayel; Greene, Charlotte H.

    2016-01-01

    Background Cardiopulmonary resuscitation (CPR) training has traditionally involved classroom-based courses or, more recently, home-based video self-instruction. These methods typically require preparation and purchase fee; which can dissuade many potential bystanders from receiving training. This study aimed to evaluate the effectiveness of teaching compression-only CPR to previously untrained individuals using our 6-min online CPR training video and skills practice on a homemade mannequin, r...

  18. Using a serious game to complement CPR instruction in a nurse faculty.

    Science.gov (United States)

    Boada, Imma; Rodriguez-Benitez, Antonio; Garcia-Gonzalez, Juan Manuel; Olivet, Josep; Carreras, Vicenç; Sbert, Mateu

    2015-11-01

    Cardiopulmonary resuscitation (CPR) is a first aid key survival technique used to stimulate breathing and keep blood flowing to the heart. Its effective administration can significantly increase the chances of survival for victims of cardiac arrest. LISSA is a serious game designed to complement CPR teaching and also to refresh CPR skills in an enjoyable way. The game presents an emergency situation in a 3D virtual environment and the player has to save the victim applying the CPR actions. In this paper, we describe LISSA and its evaluation in a population composed of 109 nursing undergraduate students enrolled in the Nursing degree of our university. To evaluate LISSA we performed a randomized controlled trial that compares the classical teaching methodology, composed of self-directed learning for theory plus laboratory sessions with a mannequin for practice, with the one that uses LISSA after self-directed learning for theory and before laboratory sessions with a mannequin. From our evaluation we observed that students using LISSA (Group 2 and 3) gave significantly better learning acquisition scores than those following traditional classes (Group 1). To evaluate the differences between students of these groups we performed a paired samples t-test between Group 1 and 2 (μ1=35, 67, μ2=47, 50 and pevaluated student performance of main steps of CPR protocol. Students that use LISSA performed better than the ones that did not use it. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  19. A study of the 3D radiative transfer effect in cloudy atmospheres

    Science.gov (United States)

    Okata, M.; Teruyuki, N.; Suzuki, K.

    2015-12-01

    Evaluation of the effect of clouds in the atmosphere is a significant problem in the Earth's radiation budget study with their large uncertainties of microphysics and the optical properties. In this situation, we still need more investigations of 3D cloud radiative transer problems using not only models but also satellite observational data.For this purpose, we have developed a 3D-Monte-Carlo radiative transfer code that is implemented with various functions compatible with the OpenCLASTR R-Star radiation code for radiance and flux computation, i.e. forward and backward tracing routines, non-linear k-distribution parameterization (Sekiguchi and Nakajima, 2008) for broad band solar flux calculation, and DM-method for flux and TMS-method for upward radiance (Nakajima and Tnaka 1998). We also developed a Minimum cloud Information Deviation Profiling Method (MIDPM) as a method for a construction of 3D cloud field with MODIS/AQUA and CPR/CloudSat data. We then selected a best-matched radar reflectivity factor profile from the library for each of off-nadir pixels of MODIS where CPR profile is not available, by minimizing the deviation between library MODIS parameters and those at the pixel. In this study, we have used three cloud microphysical parameters as key parameters for the MIDPM, i.e. effective particle radius, cloud optical thickness and top of cloud temperature, and estimated 3D cloud radiation budget. We examined the discrepancies between satellite observed and mode-simulated radiances and three cloud microphysical parameter's pattern for studying the effects of cloud optical and microphysical properties on the radiation budget of the cloud-laden atmospheres.

  20. Schoolchildren as BLS instructors for relatives and friends: Impact on attitude towards bystander CPR.

    Science.gov (United States)

    Stroobants, Jan; Monsieurs, Koenraad; Devriendt, Bart; Dreezen, Christa; Vets, Philippe; Mols, Pierre

    2014-12-01

    We investigated the impact of Cardio-Pulmonary Resuscitation (CPR) instruction by children on the attitude of people to perform bystander CPR. In 2012, children from primary and secondary school (age span 11–13 years) received a free individual CPR training package containing an inexpensive manikin and a training video. After a CPR training session by their class teacher, they were invited to teach their relatives and friends. After the training, the trainees of the children were invited to participate in a web survey, containing a test and questions about prior CPR training and about their attitude towards bystander CPR (BCPR) before and after the training. We measured the impact on the attitude to perform BCPR and the theoretical knowledge transfer by the children. A total of 4012 training packages were distributed to 72 schools of which 55 class teachers subscribed their students (n = 822) for the training programme for relatives and friends. After a validation procedure, 874 trainees of 290 children were included in the study. In comparison to trainees of secondary schoolchildren, trainees of primary schoolchildren scored better for the test as well as for a positive change of attitude towards future BCPR (P attitude towards BCPR positively. Instructing schoolchildren to teach their relatives and friends in Basic Life Support (BLS) led to a more positive attitude towards BCPR. The results were more positive with trainees from primary schoolchildren than with trainees from secondary schoolchildren.

  1. How to provide around-the-clock CPR certification without losing any sleep.

    Science.gov (United States)

    Umlauf, M G

    1990-01-01

    Teaching and reviewing cardiopulmonary resuscitation (CPR) to employees is an important part of the role and responsibilities of hospital nurse educators. The new teaching technologies of computer-assisted instruction and interactive video have been merged into a teaching/learning system that was tested by a rural federal hospital. Over a 2-month period, more than one third of the hospital's staff members were certified in CPR by the standards of the American Heart Association with the learning system. Ease of operation, employee enthusiasm, and easy access to the equipment were identified as important factors that contributed to the successful implementation of this innovative CPR training/review program. Additional evaluation of the system confirmed that the system was efficient, cost effective, and time-saving.

  2. Analysis of bystander CPR quality during out-of-hospital cardiac arrest using data derived from automated external defibrillators.

    Science.gov (United States)

    Fernando, Shannon M; Vaillancourt, Christian; Morrow, Stanley; Stiell, Ian G

    2018-07-01

    Little is known regarding the quality of cardiopulmonary resuscitation (CPR) performed by bystanders in out-of-hospital cardiac arrest (OHCA). We sought to determine quality of bystander CPR provided during OHCA using CPR quality data stored by Automated External Defibrillators (AEDs). We used the Resuscitation Outcomes Consortium database to identify OHCA cases of presumed cardiac etiology where an AED was utilized. We then matched AED data to each case identified. AED data was analyzed using manufacturer software in order to determine overall measures of bystander CPR quality, changes in bystander CPR quality over time, and adherence to existing 2010 Resuscitation Quality Guidelines. 100 cases of OHCA of presumed cardiac etiology involving bystander CPR and with corresponding AED data. Mean age was 62.3 years, and 75% were male. Bystanders demonstrated high-quality CPR over all minutes of resuscitation, with a chest compression fraction of 76%, a compression depth of 5.3 cm, and a compression rate of 111.2 compressions/min. Mean perishock pause was 26.8 s. Adherence rates to 2010 Resuscitation Guidelines for compression rate and depth were found to be 66% and 55%, respectively. CPR quality was lowest in the first minute, resulting from increased delay to rhythm analysis (mean 40.7 s). In cases involving shock delivery, latency from initiation of AED to shock delivery was 59.2 s. We found that bystanders perform high-quality CPR, with strong adherence rates to existing Resuscitation Guidelines. High-quality CPR is maintained over the first five minutes of resuscitation, but was lowest in the first minute. Copyright © 2018 Elsevier B.V. All rights reserved.

  3. The Plant Immunity Regulating F-Box Protein CPR1 Supports Plastid Function in Absence of Pathogens

    Directory of Open Access Journals (Sweden)

    Christiane Hedtmann

    2017-09-01

    Full Text Available The redox imbalanced 6 mutant (rimb6 of Arabidopsis thaliana was isolated in a genetic screening approach for mutants with defects in chloroplast-to-nucleus redox signaling. It has an atypically low activation status of the 2-Cys peroxiredoxin-A promoter in the seedling stage. rimb6 shows wildtype-like germination, seedling development and greening, but slower growth and reduced biomass in the rosette stage. Mapping of the casual mutation revealed that rimb6 carries a single nucleotide polymorphism in the gene encoding CONSTITUTIVE EXPRESSER OF PATHOGENESIS RELATED (PR GENES 1, CPR1 (At4g12560, leading to a premature stop codon. CPR1 is known as a repressor of pathogen signaling and regulator of microtubule organization. Allelism of rimb6 and cpr1 revealed a function of CPR1 in chloroplast stress protection. Expression studies in pathogen signaling mutants demonstrated that CPR1-mediated activation of genes for photosynthesis and chloroplast antioxidant protection is, in contrast to activation of pathogen responses, regulated independently from PAD4-controlled salicylic acid (SA accumulation. We conclude that the support of plastid function is a basic, SA-independent function of CPR1.

  4. Metronome Use for Coordination of Breaths and Cardiac Compressions Delivered by Minimally-Trained Caregivers During Two-Person CPR

    Science.gov (United States)

    Hurst, Victor, IV; West, Sarah; Austin, Paul; Branson, Richard; Beck, George

    2005-01-01

    Astronaut crew medical officers (CMO) aboard the International Space Station (ISS) receive 40 hours of medical training over 18 months before each mission, including two-person cardiopulmonary resuscitation (2CPR) as recommended by the American Heart Association (AHA). Recent studies have concluded that the use of metronomic tones improves the coordination of 2CPR by trained clinicians. 2CPR performance data for minimally-trained caregivers has been limited. The goal of this study was to determine whether use of a metronome by minimally-trained caregivers (CMO analogues) would improve 2CPR performance. 20 pairs of minimally-trained caregivers certified in 2CPR via AHA guidelines performed 2CPR for 4 minutes on an instrumented manikin using 3 interventions: 1) Standard 2CPR without a metronome [NONE], 2) Standard 2CPR plus a metronome for coordinating compression rate only [MET], 3) Standard 2CPR plus a metronome for coordinating both the compression rate and ventilation rate [BOTH]. Caregivers were evaluated for their ability to meet the AHA guideline of 32 breaths-240 compressions in 4 minutes. All (100%) caregivers using the BOTH intervention provided the required number of ventilation breaths as compared with the NONE caregivers (10%) and MET caregivers (0%). For compressions, 97.5% of the BOTH caregivers were not successful in meeting the AHA compression guideline; however, an average of 238 compressions of the desired 240 were completed. None of the caregivers were successful in meeting the compression guideline using the NONE and MET interventions. This study demonstrates that use of metronomic tones by minimally-trained caregivers for coordinating both compressions and breaths improves 2CPR performance. Meeting the breath guideline is important to minimize air entering the stomach, thus decreasing the likelihood of gastric aspiration. These results suggest that manifesting a metronome for the ISS may augment the performance of 2CPR on orbit and thus may

  5. Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest.

    Science.gov (United States)

    Dunham, Gregor M; Perez-Girbes, Alexandre; Bolster, Ferdia; Sheehan, Kellie; Linnau, Ken F

    2017-11-09

    We have recently implemented a dedicated sudden cardiac arrest (SCA) - whole-body computed tomography (WBCT) protocol to evaluate SCA patients with return of spontaneous circulation (ROSC) following cardiopulmonary resuscitation (CPR). The aim of this study is to evaluate the number and pattern of CPR-related injuries in ROSC patients with SCA-WBCT. Single-centre retrospective review of 39 patients (13 female; 20 male, mean age 51.8 years) with non-traumatic, out-of-hospital SCA and ROSC and evaluation with dedicated SCA-WBCT over a 10-month period. In-hospital mortality was 54%. CPR-related injuries were detected in 85% (33/39). Chest injuries were most common on WBCT: 85% (33) subjects had rib fractures (mean of 8.5 fractures/subject); 31% (12) sternal fractures; 13% (5) mediastinal haematoma; 10% (4) pneumothorax; 8% (3) pneumomediastinum and 3% (1) haemothorax. Three subjects (8%) had abdominal injuries on WBCT, including one hepatic haematoma with active haemorrhage. CPR-related injuries on WBCT after ROSC are common, with serial rib fractures detected most commonly. An unexpectedly high rate of abdominal injuries was detected on SCA-WBCT. Radiologists need to be attuned to the spectrum of CPR-related injuries in WBCT, including abdominal injuries and subtle rib fractures. • CPR frequently causes injuries. • Radiologists should be aware of the spectrum of CPR related injuries. • Rib fractures are frequent and radiologic findings often subtle. • Clinically unexpected abdominal injuries may be present.

  6. 77 FR 74278 - Proposed Information Collection (Internet Student CPR Web Registration Application); Comment Request

    Science.gov (United States)

    2012-12-13

    ... (Internet Student CPR Web Registration Application); Comment Request AGENCY: Veterans Health Administration.... Title: Internet Student CPR Web Registration Application, VA Form 10-0468. OMB Control Number: 2900-0746... Minneapolis VA Medical Center Education Service. Students will be able to identify and register for a training...

  7. Use of impedance threshold device in conjunction with our novel adhesive glove device for ACD-CPR does not result in additional chest decompression.

    Science.gov (United States)

    Shih, Andre; Udassi, Sharda; Porvasnik, Stacy L; Lamb, Melissa A; Badugu, Srinivasarao; Venkata, Giridhar Kaliki; Lopez-Colon, Dalia; Haque, Ikram U; Zaritsky, Arno L; Udassi, Jai P

    2013-10-01

    To evaluate the hemodynamic effects of using an adhesive glove device (AGD) to perform active compression-decompression CPR (AGD-CPR) in conjunction with an impedance threshold device (ITD) in a pediatric cardiac arrest model. Controlled, randomized animal study. In this study, 18 piglets were anesthetized, ventilated, and continuously monitored. After 3min of untreated ventricular fibrillation, animals were randomized (6/group) to receive either standard CPR (S-CPR), active compression-decompression CPR via adhesive glove device (AGD-CPR) or AGD-CPR along with an ITD (AGD-CPR+ITD) for 2min at 100-120compressions/min. AGD is delivered using a fingerless leather glove with a Velcro patch on the palmer aspect and the counter Velcro patch adhered to the pig's chest. Data (mean±SD) were analyzed using one-way ANOVA with pair wise multiple comparisons to assess differences between groups. p-Value≤0.05 was considered significant. Both AGD-CPR and AGD-CPR+ITD groups produced lower intrathoracic pressure (IttP, mmHg) during decompression phase (-13.4±6.7, p=0.01 and -11.9±6.5, p=0.01, respectively) in comparison to S-CPR (-0.3±4.2). Carotid blood flow (CBF, % of baseline mL/min) was higher in AGD-CPR and AGD-CPR+ITD (respectively 64.3±47.3%, p=0.03 and 67.5±33.1%, p=0.04) as compared with S-CPR (29.1±12.5%). Coronary perfusion pressure (CPP, mmHg) was higher in AGD-CPR and AGD-CPR+ITD (respectively 19.7±4.6, p=0.04 and 25.6±12.1, p=0.02) when compared to S-CPR (9.6±9.1). There was no statistically significant difference between AGD-CPR and AGD-CPR+ITD groups with reference to intra-thoracic pressure, carotid blood flow and coronary perfusion pressure. Active compression decompression delivered by this simple and inexpensive adhesive glove device resulted in improved cerebral blood flow and coronary perfusion pressure. There was no statistically significant added effect of ITD use along with AGD-CPR on the decompression of the chest. Copyright © 2013 Elsevier

  8. Hospital implementation of resuscitation guidelines and review of CPR training programmes: a nationwide study.

    Science.gov (United States)

    Schmidt, Anders S; Lauridsen, Kasper G; Adelborg, Kasper; Løfgren, Bo

    2016-06-01

    This study aimed to investigate cardiopulmonary resuscitation (CPR) guideline implementation and CPR training in hospitals. This nationwide study included mandatory resuscitation protocols from each Danish hospital. Protocols were systematically reviewed for adherence to the European Resuscitation Council (ERC) 2010 guidelines and CPR training in each hospital. Data were included from 45 of 47 hospitals. Adherence to the ERC basic life support (BLS) algorithm was 49%, whereas 63 and 58% of hospitals adhered to the recommended chest compression depth and rate. Adherence to the ERC advanced life support (ALS) algorithm was 81%. Hospital BLS course duration was [median (interquartile range)] 2.3 (1.5-2.5) h, whereas ALS course duration was 4.0 (2.5-8.0) h. Implementation of ERC 2010 guidelines on BLS is limited in Danish hospitals 2 years after guideline publication, whereas the majority of hospitals adhere to the ALS algorithm. CPR training differs among hospitals.

  9. Production of a highly active, soluble form of the cytochrome P450 reductase (CPR A) from Candida tropicalis

    Science.gov (United States)

    Donnelly, Mark

    2006-08-01

    The present invention provides soluble cytochrome p450 reductase (CPR) proteins from Candida sp. having an altered N-terminal region which results in reduced hydrophobicity of the N-terminal region. Also provided are host cells comprising the subject soluble CPR proteins. In addition, the present invention provides nucleotide and corresponding amino acid sequences for soluble CPR proteins and vectors comprising the nucleotide sequences. Methods for producing a soluble CPR, for increasing production of a dicarboxylic acid, and for detecting a cytochrome P450 are also provided.

  10. The impact of CPR and AED training on healthcare professionals' self-perceived attitudes to performing resuscitation

    Directory of Open Access Journals (Sweden)

    Källestedt Marie-Louise

    2012-04-01

    Full Text Available Abstract Background Healthcare professionals have shown concern about performing mouth-to-mouth ventilation due to the risks to themselves with the procedure. However, little is known about healthcare professionals' fears and attitudes to start CPR and the impact of training. Objective To examine whether there were any changes in the attitudes among healthcare professionals to performing CPR from before to after training. Methods Healthcare professionals from two Swedish hospitals were asked to answer a questionnaire before and after training. The questions were relating to physical and mental discomfort and attitudes to CPR. Statistical analysis used was generalized McNemar's test. Results Overall, there was significant improvement in 10 of 11 items, reflecting various aspects of attitudes to CPR. All groups of health care professionals (physicians, nurses, assistant nurses, and "others" = physiotherapists, occupational therapists, social welfare officers, psychologists, biomedical analysts felt more secure in CPR knowledge after education. In other aspects, such as anxiety prior to a possible cardiac arrest, only nurses and assistant nurses improved. The concern about being infected, when performing mouth to mouth ventilation, was reduced with the most marked reduction in physicians (75%; P Conclusion In this hospital-based setting, we found a positive outcome of education and training in CPR concerning healthcare professionals' attitudes to perform CPR. They felt more secure in their knowledge of cardiopulmonary resuscitation. In some aspects of attitudes to resuscitation nurses and assistant nurses appeared to be the groups that were most markedly influenced. The concern of being infected by a disease was low.

  11. Quality of cardio-pulmonary resuscitation (CPR) during paediatric resuscitation training: time to stop the blind leading the blind.

    Science.gov (United States)

    Arshid, Muhammad; Lo, Tsz-Yan Milly; Reynolds, Fiona

    2009-05-01

    Recent evidence suggested that the quality of cardio-pulmonary resuscitation (CPR) during adult advanced life support training was suboptimal. This study aimed to assess the CPR quality of a paediatric resuscitation training programme, and to determine whether it was sufficiently addressed by the trainee team leaders during training. CPR quality of 20 consecutive resuscitation scenario training sessions was audited prospectively using a pre-designed proforma. A consultant intensivist and a senior nurse who were also Advanced Paediatric Life Support (APLS) instructors assessed the CPR quality which included ventilation frequency, chest compression rate and depth, and any unnecessary interruption in chest compressions. Team leaders' response to CPR quality and elective change of compression rescuer during training were also recorded. Airway patency was not assessed in 13 sessions while ventilation rate was too fast in 18 sessions. Target compression rate was not achieved in only 1 session. The median chest compression rate was 115 beats/min. Chest compressions were too shallow in 10 sessions and were interrupted unnecessarily in 13 sessions. More than 50% of training sessions did not have elective change of the compression rescuer. 19 team leaders failed to address CPR quality during training despite all team leaders being certified APLS providers. The quality of CPR performance was suboptimal during paediatric resuscitation training and team leaders-in-training had little awareness of this inadequacy. Detailed CPR quality assessment and feedback should be integrated into paediatric resuscitation training to ensure optimal performance in real life resuscitations.

  12. Decarbonylated cyclophilin A Cpr1 protein protects Saccharomyces cerevisiae KNU5377Y when exposed to stress induced by menadione.

    Science.gov (United States)

    Kim, Il-Sup; Jin, Ingnyol; Yoon, Ho-Sung

    2011-01-01

    Cyclophilins are conserved cis-trans peptidyl-prolyl isomerase that are implicated in protein folding and function as molecular chaperones. The accumulation of Cpr1 protein to menadione in Saccharomyces cerevisiae KNU5377Y suggests a possibility that this protein may participate in the mechanism of stress tolerance. Stress response of S. cerevisiae KNU5377Y cpr1Δ mutant strain was investigated in the presence of menadione (MD). The growth ability of the strain was confirmed in an oxidant-supplemented medium, and a relationship was established between diminishing levels of cell rescue enzymes and MD sensitivity. The results demonstrate the significant effect of CPR1 disruption in the cellular growth rate, cell viability and morphology, and redox state in the presence of MD and suggest the possible role of Cpr1p in acquiring sensitivity to MD and its physiological role in cellular stress tolerance. The in vivo importance of Cpr1p for antioxidant-mediated reactive oxygen species (ROS) neutralization and chaperone-mediated protein folding was confirmed by analyzing the expression changes of a variety of cell rescue proteins in a CPR1-disrupted strain. The cpr1Δ to the exogenous MD showed reduced expression level of antioxidant enzymes, molecular chaperones, and metabolic enzymes such as nicotinamide adenine dinucleotide phosphate (NADPH)- or adenosine triphosphate (ATP)-generating systems. More importantly, it was shown that cpr1Δ mutant caused imbalance in the cellular redox homeostasis and increased ROS levels in the cytosol as well as mitochondria and elevated iron concentrations. As a result of excess ROS production, the cpr1Δ mutant provoked an increase in oxidative damage and a reduction in antioxidant activity and free radical scavenger ability. However, there was no difference in the stress responses between the wild-type and the cpr1Δ mutant strains derived from S. cerevisiae BY4741 as a control strain under the same stress. Unlike BY4741, KNU5377Y Cpr1

  13. Functions of standard CPR training on performance qualities of medical volunteers for Mt. Taishan International Mounting Festival.

    Science.gov (United States)

    Fanshan, Meng; Lin, Zhao; Wenqing, Liu; Chunlei, Lu; Yongqiang, Liu; Naiyi, Li

    2013-01-01

    Cardiopulmonary resuscitation (CPR) is a sudden emergency procedure that requires a rapid and efficient response, and personnel training in lifesaving procedures. Regular practice and training are necessary to improve resuscitation skills and reduce anxiety among the staff. As one of the most important skills mastered by medical volunteers serving for Mt. Taishan International Mounting Festival, we randomly selected some of them to evaluate the quality of CPR operation and compared the result with that of the untrained doctors and nurses. In order to evaluate the functions of repeating standard CPR training on performance qualities of medical volunteers for Mt. Taishan International Mounting Festival, their performance qualities of CPR were compared with those of the untrained medical workers working in emergency departments of hospitals in Taian. The CPR performance qualities of 52 medical volunteers (Standard Training Group), who had continually taken part in standard CPR technical training for six months, were tested at random and were compared with those of 68 medical workers (Compared Group) working in emergency departments of hospitals in Taian who hadn't attended CPR training within a year. The QCPR 3535 monitor (provided by Philips Company) was used to measure the standard degree of single simulated CPR performance, including the chest compression depth, frequency, released pressure between compressions and performance time of compression and ventilation, the results of which were recorded in the table and the number of practical compression per minute was calculated. The data were analyzed by x2 Test and t Test. The factors which would influence CPR performance, including gender, age, placement, hand skill, posture of compression and frequency of training, were classified and given parameters, and were put to Logistic repression analysis. The CPR performance qualities of volunteers were much higher than those of the compared group. The overall pass rates

  14. The effect of step stool use and provider height on CPR quality during pediatric cardiac arrest: A simulation-based multicentre study.

    Science.gov (United States)

    Cheng, Adam; Lin, Yiqun; Nadkarni, Vinay; Wan, Brandi; Duff, Jonathan; Brown, Linda; Bhanji, Farhan; Kessler, David; Tofil, Nancy; Hecker, Kent; Hunt, Elizabeth A

    2018-01-01

    We aimed to explore whether a) step stool use is associated with improved cardiopulmonary resuscitation (CPR) quality; b) provider adjusted height is associated with improved CPR quality; and if associations exist, c) determine whether just-in-time (JIT) CPR training and/or CPR visual feedback attenuates the effect of height and/or step stool use on CPR quality. We analysed data from a trial of simulated cardiac arrests with three study arms: No intervention; CPR visual feedback; and JIT CPR training. Step stool use was voluntary. We explored the association between 1) step stool use and CPR quality, and 2) provider adjusted height and CPR quality. Adjusted height was defined as provider height + 23 cm (if step stool was used). Below-average height participants were ≤ gender-specific average height; the remainder were above average height. We assessed for interaction between study arm and both adjusted height and step stool use. One hundred twenty-four subjects participated; 1,230 30-second epochs of CPR were analysed. Step stool use was associated with improved compression depth in below-average (female, p=0.007; male, pstep stool use (pStep stool use is associated with improved compression depth regardless of height. Increased provider height is associated with improved compression depth, with visual feedback attenuating the effects of height and step stool use.

  15. Regions of High Out-Of-Hospital Cardiac Arrest Incidence and Low Bystander CPR Rates in Victoria, Australia.

    Science.gov (United States)

    Straney, Lahn D; Bray, Janet E; Beck, Ben; Finn, Judith; Bernard, Stephen; Dyson, Kylie; Lijovic, Marijana; Smith, Karen

    2015-01-01

    Out-of-hospital cardiac arrest (OHCA) remains a major public health issue and research has shown that large regional variation in outcomes exists. Of the interventions associated with survival, the provision of bystander CPR is one of the most important modifiable factors. The aim of this study is to identify census areas with high incidence of OHCA and low rates of bystander CPR in Victoria, Australia. We conducted an observational study using prospectively collected population-based OHCA data from the state of Victoria in Australia. Using ArcGIS (ArcMap 10.0), we linked the location of the arrest using the dispatch coordinates (longitude and latitude) to Victorian Local Government Areas (LGAs). We used Bayesian hierarchical models with random effects on each LGA to provide shrunken estimates of the rates of bystander CPR and the incidence rates. Over the study period there were 31,019 adult OHCA attended, of which 21,436 (69.1%) cases were of presumed cardiac etiology. Significant variation in the incidence of OHCA among LGAs was observed. There was a 3 fold difference in the incidence rate between the lowest and highest LGAs, ranging from 38.5 to 115.1 cases per 100,000 person-years. The overall rate of bystander CPR for bystander witnessed OHCAs was 62.4%, with the rate increasing from 56.4% in 2008-2010 to 68.6% in 2010-2013. There was a 25.1% absolute difference in bystander CPR rates between the highest and lowest LGAs. Significant regional variation in OHCA incidence and bystander CPR rates exists throughout Victoria. Regions with high incidence and low bystander CPR participation can be identified and would make suitable targets for interventions to improve CPR participation rates.

  16. Prevalence of Retinopathy in Adult Patients with GCK-MODY and HNF1A-MODY.

    Science.gov (United States)

    Szopa, M; Wolkow, J; Matejko, B; Skupien, J; Klupa, T; Wybrańska, I; Trznadel-Morawska, I; Kiec-Wilk, B; Borowiec, M; Malecki, M T

    2015-10-01

    We aimed to assess the prevalence of diabetic retinopathy (DR) in adult patients with GCK-MODY and HNF1A-MODY in Poland and to identify biochemical and clinical risk factors associated with its occurrence.We examined 74 GCK mutation carriers, 51 with diabetes and 23 with prediabetes, respectively, and 63 patients with HNF1A-MODY. Retinal photographs, 12 for each patient, were done by a fundus camera. Signs of DR were graded according to the DR disease severity scale. Statistical tests were performed to assess differences between the groups and logistic regression was done for the association with DR.The mean age at examination was 34.5±14.8 and 39.9±15.2 in the GCK-MODY and HNF1A-MODY groups, respectively. Mild nonproliferative DR (NPDR) was found in one patient with the GCK mutation and likely concomitant type 1 diabetes, whereas DR was diagnosed in 15 HNF1A-MODY patients: 9 with proliferative, 3 with moderate NPDR and 2 with mild NPDR. In univariate logistic regression analysis in the HNF1A-MODY group, significant results were found for diabetes duration, fasting glycemia, HbA1c, arterial hypertension, age at the examination, and eGFR. The strongest independent predictors of DR in HNF1A-MODY were markers of glucose control: HbA1c (OR: 2.05, CL%95: 1.2-3.83, p=0.01) and glucose (p=0.006, OR: 1.40, CL%95: 1.12-1.83) analyzed in 2 separated models. Additionally, arterial hypertension independently predicted DR (OR: 9.06, CL%95: 1.19-98.99, p=0.04) in the model with HbA1c as glycaemic control marker.In conclusion, DR of any degree was not present in our GCK-MODY group, while in spite of young age almost every fourth subject with HNF1A-MODY showed signs of this complication. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Automated cardiopulmonary resuscitation using a load-distributing band external cardiac support device for in-hospital cardiac arrest: a single centre experience of AutoPulse-CPR.

    Science.gov (United States)

    Spiro, J R; White, S; Quinn, N; Gubran, C J; Ludman, P F; Townend, J N; Doshi, S N

    2015-02-01

    Poor quality cardiopulmonary resuscitation (CPR) predicts adverse outcome. During invasive cardiac procedures automated-CPR (A-CPR) may help maintain effective resuscitation. The use of A-CPR following in-hospital cardiac arrest (IHCA) remains poorly described. Firstly, we aimed to assess the efficiency of healthcare staff using A-CPR in a cardiac arrest scenario at baseline, following re-training and over time (Scenario-based training). Secondly, we studied our clinical experience of A-CPR at our institution over a 2-year period, with particular emphasis on the details of invasive cardiac procedures performed, problems encountered, resuscitation rates and in-hospital outcome (AutoPulse-CPR Registry). Scenario-based training: Forty healthcare professionals were assessed. At baseline, time-to-position device was slow (mean 59 (±24) s (range 15-96s)), with the majority (57%) unable to mode-switch. Following re-training time-to-position reduced (28 (±9) s, pCPR Registry: 285 patients suffered IHCA, 25 received A-CPR. Survival to hospital discharge following conventional CPR was 28/260 (11%) and 7/25 (28%) following A-CPR. A-CPR supported invasive procedures in 9 patients, 2 of whom had A-CPR dependant circulation during transfer to the catheter lab. A-CPR may provide excellent haemodynamic support and facilitate simultaneous invasive cardiac procedures. A significant learning curve exists when integrating A-CPR into clinical practice. Further studies are required to better define the role and effectiveness of A-CPR following IHCA. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  18. The use of CPR data in fisheries research

    NARCIS (Netherlands)

    Corten, A.A.H.M.; Lindley, J.A.

    2003-01-01

    The Continuous Plankton Recorder (CPR) survey was initiated partly to contribute to our understanding of the variability of fish stocks and as a potential method for predicting fish distributions from the abundance and composition of the plankton. The latter objective has been superseded by

  19. Communication for Policy Research (CPR) South-South | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... of telecom researchers : measures and messages relevant to CPRsouth. Download PDF. Reports. CPRafrica 2010-2012 : a comparative analysis vis-í -vis TPRC, EuroCPR, and CPRsouth/africa. Download PDF. Reports. Communication for Policy Research Africa (CPRafrica) (South-South in contract) : final technical and ...

  20. eMODIS: A User-Friendly Data Source

    Science.gov (United States)

    Jenkerson, Calli B.; Maiersperger, Thomas; Schmidt, Gail

    2010-01-01

    The U.S. Geological Survey's (USGS) Earth Resources Observation and Science (EROS) Center is generating a suite of products called 'eMODIS' based on Moderate Resolution Imaging Spectroradiometer (MODIS) data acquired by the National Aeronautics and Space Administration's (NASA) Earth Observing System (EOS). With a more frequent repeat cycle than Landsat and higher spatial resolutions than the Advanced Very High Resolution Spectroradiometer (AVHRR), MODIS is well suited for vegetation studies. For operational monitoring, however, the benefits of MODIS are counteracted by usability issues with the standard map projection, file format, composite interval, high-latitude 'bow-tie' effects, and production latency. eMODIS responds to a community-specific need for alternatively packaged MODIS data, addressing each of these factors for real-time monitoring and historical trend analysis. eMODIS processes calibrated radiance data (level-1B) acquired by the MODIS sensors on the EOS Terra and Aqua satellites by combining MODIS Land Science Collection 5 Atmospherically Corrected Surface Reflectance production code and USGS EROS MODIS Direct Broadcast System (DBS) software to create surface reflectance and Normalized Difference Vegetation Index (NDVI) products. eMODIS is produced over the continental United States and over Alaska extending into Canada to cover the Yukon River Basin. The 250-meter (m), 500-m, and 1,000-m products are delivered in Geostationary Earth Orbit Tagged Image File Format (Geo- TIFF) and composited in 7-day intervals. eMODIS composites are projected to non-Sinusoidal mapping grids that best suit the geography in their areas of application (see eMODIS Product Description below). For eMODIS products generated over the continental United States (eMODIS CONUS), the Terra (from 2000) and Aqua (from 2002) records are available and continue through present time. eMODIS CONUS also is generated in an expedited process that delivers a 7-day rolling composite

  1. Evaluation of Cardiopulmonary Resuscitation (CPR) for Patient Outcomes and their Predictors

    Science.gov (United States)

    Singh, Swati; Grewal, Anju; Gautam, Parshotam L; Luthra, Neeru; Tanwar, Gayatri; Kaur, Amarpreet

    2016-01-01

    Introduction Cardiac arrest continues to be a common cause of in-hospital deaths. Even small improvements in survival can translate into thousands of lives saved every year. Aim The aim of our prospective observational study was to elicit the outcomes and predictors of in-hospital cardiopulmonary resuscitation among adult patients. Settings and Design All in-hospital adult patients (age >14) who suffered cardiac arrest & were attended by a Code Blue Team between 1st January 2012 & 30th April 2013 were part of the study. Materials and Methods The cardiopulmonary resuscitation (CPR) was assessed in terms of: Response time, Presenting initial rhythm, Time to first defibrillation, Duration of CPR and Outcome (Return of spontaneous circulation (ROSC), Glasgow outcome scale (GOS) at discharge). Statistical Analysis Age, GOS and mean response time were analysed using t-test and ANOVA. Logistic regression was applied to determine the significance of the various factors in determining mortality. Results ROSC was achieved in 44% of a total of 127 patients included in our study. Asystole/Pulseless electrical activity (PEA) was the most common presenting rhythm (87.5%). The survival to discharge was seen in 7.1% patients of whom only 3.9% patients had good neurological outcome. Regression and survival analysis depicted achievement of ROSC during CPR, absence of co-morbidities and shorter response time of code blue team as predictors of good outcome. Conclusion We found poor outcome of CPR after in-hospital cardiac arrest. This was mainly attributed to an initial presenting rhythm of Asystole/PEA in most cases and delayed response times. PMID:26894150

  2. Accident Analysis of Chinese CPR1000 in Response to Station Blackout

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Juyoul [FNC Technology Co., Yongin (Korea, Republic of); Cilliers, Anthonie [North-West University, Potchefstroom (South Africa)

    2016-10-15

    Stress tests required evaluation of the consequences of loss of safety functions from any initiating event (e.g., earthquake or flooding) causing loss of electrical power, including station blackout (SBO). The SBO scenario involves a loss of offsite power, failure of the redundant emergency diesel generators, failure of alternate current (AC) power restoration and the eventual degradation of the reactor coolant pump (RCP) seals resulting in a long term loss of coolant. Using PCTRAN/CPR1000, this study analyses the station blackout on a Chinese CPR1000 which is the most representative type reactor in terms of number of reactors, operating period, power capacity and geological distance from Korean Peninsula. Both the physical effects of the accidents as well as the releases of radioisotopes are calculated and discussed. Station blackout simulation was conducted in this study. The resulting effects seen are consistent with other stress test station blackout tests used utilizing licensed simulation codes. An exact comparison is however not possible as the plants on which the simulations was done vary greatly and the limitations of availability to Chinese FSAR. PCTRAN/CPR1000 is an extremely useful simulation package that provides engineers and scientists very accurate feedback to how a nuclear power plant would react as a whole under various plant conditions. It is able to do this extremely fast as well. As a training tool PCTRAN/CPR1000 provides hands-on experience with many of the primary plant operations and develops an intuitive understanding of the plant.

  3. Undiagnosed MODY: Time for Action

    Science.gov (United States)

    Kleinberger, Jeffrey W.; Pollin, Toni I.

    2016-01-01

    Maturity-Onset Diabetes of the Young (MODY) is a monogenic form of diabetes that accounts for at least 1% of all cases of diabetes mellitus. MODY classically presents as non-insulin requiring diabetes in lean individuals younger than 25 with evidence of autosomal dominant inheritance, but these criteria do not capture all cases and can also overlap with other diabetes types. Genetic diagnosis of MODY is important for selecting the right treatment, yet ~95% of MODY cases in the U.S. are misdiagnosed. MODY prevalence and characteristics have been well-studied in some populations, such as the UK and Norway, while other ethnicities, like African and Latino, need much more study. Emerging next-generation sequencing methods are making more widespread study and clinical diagnosis increasingly feasible. This review will cover the current epidemiological studies of MODY and barriers and opportunities for moving toward a goal of access to an appropriate diagnosis for all affected individuals. PMID:26458381

  4. Effects of bystander CPR following out-of-hospital cardiac arrest on hospital costs and long-term survival.

    Science.gov (United States)

    Geri, Guillaume; Fahrenbruch, Carol; Meischke, Hendrika; Painter, Ian; White, Lindsay; Rea, Thomas D; Weaver, Marcia R

    2017-06-01

    Bystander cardiopulmonary resuscitation (CPR) is associated with a greater likelihood of survival to hospital discharge after out-of-hospital cardiac arrest (OHCA). However the long-term survival benefits in relationship to cost have not been well-studied. We evaluated bystander CPR, hospital-based costs, and long-term survival following OHCA in order to assess the potential cost-effectiveness of bystander CPR. We conducted a retrospective cohort study of consecutive EMS-treated OHCA patients >=12years who arrested prior to EMS arrival and outside a nursing facility between 2001 and 2010 in greater King County, WA. Utstein-style information was obtained from the EMS registry, including 5-year survival. Costs from the OHCA hospitalization were obtained from the Washington State Comprehensive Hospital Abstract Reporting System. Cost effectiveness was based on hospital costs divided by quality-adjusted life years (QALYs) for a 5-year follow-up window. Of the 4448 eligible patients, 18.5% (n=824) were discharged alive from hospital and 12.1% (n=539) were alive at 5 years. Five-year survival was higher in patients who received bystander CPR (14.3% vs. 8.7%, pbystander CPR. The average (SD) total cost of the initial acute care hospitalization was USD 19,961 (40,498) for all admitted patients and USD 75,175 (52,276) for patients alive at year 5. The incremental cost-effectiveness ratio associated with bystander CPR was USD 48,044 per QALY. Based on this population-based investigation, bystander CPR was positively associated with long-term survival and appears cost-effective. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Effect of bystander CPR initiation prior to the emergency call on ROSC and 30day survival

    DEFF Research Database (Denmark)

    Viereck, Søren; Palsgaard Møller, Thea; Kjær Ersbøll, Annette

    2017-01-01

    BACKGROUND: This study aimed at evaluating if time for initiation of bystander cardiopulmonary resuscitation (CPR) - prior to the emergency call (CPRprior) versus during the emergency call following dispatcher-assisted CPR (CPRduring) - was associated with return of spontaneous circulation (ROSC...... and corresponding emergency calls were evaluated. Multivariable logistic regression analyses were applied to evaluate the association between time for initiation of bystander CPR, ROSC, and 30-day survival. Univariable logistic regression analyses were applied to identify predictors of CPRprior. RESULTS: The study...... included 548 emergency calls for OHCA patients receiving bystander CPR, 34.9% (n=191) in the CPRpriorgroup and 65.1% (n=357) in the CPRduringgroup. Multivariable analyses showed no difference in ROSC (OR=0.88, 95% CI: 0.56-1.38) or 30-day survival (OR=1.14, 95% CI: 0.68-1.92) between CPRpriorand CPRduring...

  6. Rationale, design, and implementation protocol of an electronic health record integrated clinical prediction rule (iCPR randomized trial in primary care

    Directory of Open Access Journals (Sweden)

    Wisnivesky Juan

    2011-09-01

    Full Text Available Abstract Background Clinical prediction rules (CPRs represent well-validated but underutilized evidence-based medicine tools at the point-of-care. To date, an inability to integrate these rules into an electronic health record (EHR has been a major limitation and we are not aware of a study demonstrating the use of CPR's in an ambulatory EHR setting. The integrated clinical prediction rule (iCPR trial integrates two CPR's in an EHR and assesses both the usability and the effect on evidence-based practice in the primary care setting. Methods A multi-disciplinary design team was assembled to develop a prototype iCPR for validated streptococcal pharyngitis and bacterial pneumonia CPRs. The iCPR tool was built as an active Clinical Decision Support (CDS tool that can be triggered by user action during typical workflow. Using the EHR CDS toolkit, the iCPR risk score calculator was linked to tailored ordered sets, documentation, and patient instructions. The team subsequently conducted two levels of 'real world' usability testing with eight providers per group. Usability data were used to refine and create a production tool. Participating primary care providers (n = 149 were randomized and intervention providers were trained in the use of the new iCPR tool. Rates of iCPR tool triggering in the intervention and control (simulated groups are monitored and subsequent use of the various components of the iCPR tool among intervention encounters is also tracked. The primary outcome is the difference in antibiotic prescribing rates (strep and pneumonia iCPR's encounters and chest x-rays (pneumonia iCPR only between intervention and control providers. Discussion Using iterative usability testing and development paired with provider training, the iCPR CDS tool leverages user-centered design principles to overcome pervasive underutilization of EBM and support evidence-based practice at the point-of-care. The ongoing trial will determine if this collaborative

  7. MODY diabetes - diagnostika a terapie

    OpenAIRE

    Verner, Miroslav

    2010-01-01

    This work summarized basic informations about different types of MODY diabetes. The keypoint is diagnostic, based on family history, followed by analysis of MODY diabetes types with suggestion of optimal therapy. In conclusion I suggest a possible solution of the underestimated diagnostic in MODY diabetes with an information poster in diabetological consulting rooms.

  8. Undiagnosed MODY: Time for Action.

    Science.gov (United States)

    Kleinberger, Jeffrey W; Pollin, Toni I

    2015-12-01

    Maturity-onset diabetes of the young (MODY) is a monogenic form of diabetes that accounts for at least 1 % of all cases of diabetes mellitus. MODY classically presents as non-insulin-requiring diabetes in lean individuals typically younger than 25 with evidence of autosomal dominant inheritance, but these criteria do not capture all cases and can also overlap with other diabetes types. Genetic diagnosis of MODY is important for selecting the right treatment, yet ~95 % of MODY cases in the USA are misdiagnosed. MODY prevalence and characteristics have been well-studied in some populations, such as the UK and Norway, while other ethnicities, like African and Latino, need much more study. Emerging next-generation sequencing methods are making more widespread study and clinical diagnosis increasingly feasible; at the same time, they are detecting other mutations in the same genes of unknown clinical significance. This review will cover the current epidemiological studies of MODY and barriers and opportunities for moving toward a goal of access to an appropriate diagnosis for all affected individuals.

  9. Earth-based radar and LRO Diviner constraints on the recent rate of lunar ejecta processing

    Science.gov (United States)

    Ghent, Rebecca R.; Hayne, Paul O.; Bandfield, Joshua L.; Campbell, Bruce A.; Carter, Lynn M.; Allen, Carlton

    2013-04-01

    Many large craters on the lunar nearside show radar circular polarization ratio (CPR) signatures consistent with the presence of blocky ejecta blankets, to distances of 0.5 to 1.5 crater radii. However, most of these surfaces show very low surface rock concentration values and only limited enhancements in regolith temperatures calculated from Diviner nighttime infrared observations. Because the radar signal is integrated over the radar penetration depth (up to several meters), but the Diviner signal is sensitive only to rocks within the upper meter of the surface, this indicates that ejecta blocks on the surface and in the shallow subsurface are quickly removed by continued bombardment. Deeper subsurface rocks, which are clearly evident in radar CPR maps but are covered by a sufficiently thick layer of thermally insulating regolith material to render them invisible to Diviner, persist for much longer. By matching the results of one-dimensional thermal models to Diviner nighttime temperatures, we can constrain the thermophysical properties of the upper 1 meter of regolith. We find that Diviner nighttime cooling curves are best fit by a density profile that varies exponentially with depth, consistent with a mixture of rocks and regolith fines, with increasing rock content with depth. Using this density profile together with the surface rock abundance, we can estimate the excess rock mass represented by rocks on the surface and within the upper meter of regolith for individual craters. We find that for craters of known age younger than ~1.7Ga, a robust correlation exists between ejecta mass and crater age, which yields the first observational estimate of the rate of lunar ejecta processing. Our results show that crater ejecta are initially removed very quickly (perhaps up to ~1cm / m.y.), with the rate slowing over a short period of time to less than 1 mm / m.y., as the number of blocks on the surface decreases and the volume of protective regolith material increases

  10. Radar-to-Radar Interference Suppression for Distributed Radar Sensor Networks

    Directory of Open Access Journals (Sweden)

    Wen-Qin Wang

    2014-01-01

    Full Text Available Radar sensor networks, including bi- and multi-static radars, provide several operational advantages, like reduced vulnerability, good system flexibility and an increased radar cross-section. However, radar-to-radar interference suppression is a major problem in distributed radar sensor networks. In this paper, we present a cross-matched filtering-based radar-to-radar interference suppression algorithm. This algorithm first uses an iterative filtering algorithm to suppress the radar-to-radar interferences and, then, separately matched filtering for each radar. Besides the detailed algorithm derivation, extensive numerical simulation examples are performed with the down-chirp and up-chirp waveforms, partially overlapped or inverse chirp rate linearly frequency modulation (LFM waveforms and orthogonal frequency division multiplexing (ODFM chirp diverse waveforms. The effectiveness of the algorithm is verified by the simulation results.

  11. Difference of reactor core nuclear instrument between AP1000 and CPR1000

    International Nuclear Information System (INIS)

    Zhang Shidong; Zhou Can; Deng Tian

    2014-01-01

    As a typical generation Ⅲ reactor technique, the AP1000 applies many advanced design concepts, simplifies the design, reduces equipment quantities, and thus enhances systematic reliability. The comparison of reactor core measurement instrument differences between AP1000 and CPR1000 from several aspects was involved in the paper. Through analysis and comparison of these differences, passive design concepts and characteristics of AP1000 are familiarized, and conveniences for staffs engaged in CPR1000 to learn and grasp AP1000 technique are provided. It is useful in reactor start up, operation and maintenance. (authors)

  12. Cardiopulmonary Re-Immonation (CPR: How Long Should A Person Insist On Performing The Maneuvers?

    Directory of Open Access Journals (Sweden)

    Henrique José Bandeira Formiga

    2017-04-01

    Full Text Available Objetive: The study had the aim to describe the exact moment of interrupting CPR maneuvers in patients in CRP situations. Method: This is an exploratory and descriptive research, with quantitative character and approach. It was performed with 67 (seventy-seven nurses from a Regional Hospital, who were informed about the objectives of the same. There were included those who act in direct patient care; of effective position and contracted in the service; And with more than one (1 year of training. The instrument used for data collection was a questionnaire, previously elaborated, containing objective, subjective and non-inductive questions, which allowed the informant to answer the data pertinent to the study. It was found that the majority of the interviewees were women, aged between 31 and 35 years, specialists, with more than 4 years of training and 3 years of service, medical / surgical clinic attendees, and without reports of training. Results: They demonstrated they know the exact timing of CPR maneuvers but reported that they would not apply CPR in situations in which the patient had cadaveric stiffness, decomposition, crushing of the skull and thorax, or a CPA report of more than 20 minutes. Faced with conditions in which the team could decide not to perform CPR, they reported not applying CPR in the vegetative state, in terminal or chronic patients. Conclusion: Therefore, they conclude that the said moment of interrupting the protocol is determined in a personal and ethical way, that is, by the individuality of each situation. Keywords: Nurses. Cardiovascular Stop. Cardiopulmonary resuscitation.

  13. Association between oxidative stress index and post-CPR early mortality in cardiac arrest patients: A prospective observational study.

    Science.gov (United States)

    Yücel, Hasan; Türkdoğan, Kenan Ahmet; Zorlu, Ali; Aydın, Hüseyin; Kurt, Recep; Yılmaz, Mehmet Birhan

    2015-09-01

    Cardiopulmonary resuscitation (CPR) is a series of lifesaving actions that improve the chance of survival following cardiac arrest (CA). Many clinical and laboratory parameters, such as the presence of asystole, out-of-hospital CPR, and duration of cardiac arrest, are associated with failed CPR in patients with CA. Asystole is a state of no cardiac electrical activity, along with the absence of contractions of the myocardium and absence of cardiac output. Oxidative stress index (OSI), which is the ratio of total oxidative status to total antioxidant status, increases by ischemia-reperfusion injury. We investigated whether OSI levels in patients with CA could predict early mortality after CPR. This study has a prospective observational cohort design. Five patients with a history of cancer, four patients who developed hemolysis in their blood, six patients who were transferred to our hospital from other hospitals, and six patients in whom blood samples for OSI could not be stored properly were excluded. Finally, a total of 90 in-hospital or out-of-hospital CA patients and 40 age- and sex-matched healthy volunteers as the control group were evaluated prospectively. The patients were classified according to the CPR response into a successful group (n=46) and a failed group (n=44). Comparisons between groups were performed using one-way ANOVA with post hoc analysis by Tukey's HSD or independent samples t-test and the Kruskal-Wallis tests or Mann- Whitney U test for normally and abnormally distributed data, respectively. Also, we used chi-square test, Spearman's correlation test, univariate and multible logistic regression analyses, and receiver operator characteristic curve analysis. OSI was 3.0±4.0, 5.6±4.3, and 8.7±3.8 in the control group, the successful CPR group, and the failed CPR group, respectively (pOSI on admission, ischemia-modified albumin, presence of asystole, mean duration of cardiac arrest, out-of-hospital CPR, pH, and potassium and sodium levels were

  14. Reactions and coping strategies in lay rescuers who have provided CPR to out-of-hospital cardiac arrest victims: a qualitative study.

    Science.gov (United States)

    Mathiesen, Wenche Torunn; Bjørshol, Conrad Arnfinn; Braut, Geir Sverre; Søreide, Eldar

    2016-05-25

    Cardiopulmonary resuscitation (CPR) provided by community citizens is of paramount importance for out-of-hospital cardiac arrest (OHCA) victims' survival. Fortunately, CPR rates by community citizens seem to be rising. However, the experience of providing CPR is rarely investigated. The aim of this study was to explore reactions and coping strategies in lay rescuers who have provided CPR to OHCA victims. This is a qualitative study of 20 lay rescuers who have provided CPR to 18 OHCA victims. We used a semistructured interview guide focusing on their experiences after providing CPR. The study was conducted in the Stavanger region of Norway, an area with very high bystander CPR rates. Three themes emerged from the interview analysis: concern, uncertainty and coping strategies. Providing CPR had been emotionally challenging for all lay rescuers and, for some, had consequences in terms of family and work life. Several lay rescuers experienced persistent mental recurrences of the OHCA incident and had concerns about the outcome for the cardiac arrest victim. Unknown or fatal outcomes often caused feelings of guilt and were particularly difficult to handle. Several reported the need to be acknowledged for their CPR attempts. Health-educated lay rescuers seemed to be less affected than others. A common coping strategy was confiding in close relations, preferably the health educated. However, some required professional help to cope with the OHCA incident. Lay rescuers experience emotional and social challenges, and some struggle to cope in life after providing CPR in OHCA incidents. Experiencing a positive patient outcome and being a health-educated lay rescuer seem to mitigate concerns. Common coping strategies are attempts to reduce uncertainty towards patient outcome and own CPR quality. Further studies are needed to determine whether an organised professional follow-up can mitigate the concerns and uncertainty of lay rescuers. Published by the BMJ Publishing Group

  15. Mossin, Mody

    DEFF Research Database (Denmark)

    2005-01-01

    Katalog til udstillingen på KA d. 12. - 30. oktober 2005. Kataloget til udstillingen Mossin: Mody, til udstillingens fotografier og til det arkitektoniske udviklingsarbejde, som fotografierne dokumenterer igennem deres formidling af et særligt og kritisk syn på by og bygning.......Katalog til udstillingen på KA d. 12. - 30. oktober 2005. Kataloget til udstillingen Mossin: Mody, til udstillingens fotografier og til det arkitektoniske udviklingsarbejde, som fotografierne dokumenterer igennem deres formidling af et særligt og kritisk syn på by og bygning....

  16. Application of Calibrated Peer Review (CPR) Writing Assignments to Enhance Experiments with an Environmental Chemistry Focus

    Science.gov (United States)

    Margerum, Lawrence D.; Gulsrud, Maren; Manlapez, Ronald; Rebong, Rachelle; Love, Austin

    2007-01-01

    The browser-based software program, Calibrated Peer Review (CPR) developed by the Molecular Science Project enables instructors to create structured writing assignments in which students learn by writing and reading for content. Though the CPR project covers only one experiment in general chemistry, it might provide lab instructors with a method…

  17. Corpuls cpr resuscitation device generates superior emulated flows and pressures than LUCAS II in a mechanical thorax model.

    Science.gov (United States)

    Eichhorn, S; Mendoza Garcia, A; Polski, M; Spindler, J; Stroh, A; Heller, M; Lange, R; Krane, M

    2017-06-01

    The provision of sufficient chest compression is among the most important factors influencing patient survival during cardiopulmonary resuscitation (CPR). One approach to optimize the quality of chest compressions is to use mechanical-resuscitation devices. The aim of this study was to compare a new device for chest compression (corpuls cpr) with an established device (LUCAS II). We used a mechanical thorax model consisting of a chest with variable stiffness and an integrated heart chamber which generated blood flow dependent on the compression depth and waveform. The method of blood-flow generation could be changed between direct cardiac-compression mode and thoracic-pump mode. Different chest-stiffness settings and compression modes were tested to generate various blood-flow profiles. Additionally, an endurance test at high stiffness was performed to measure overall performance and compression consistency. Both resuscitation machines were able to compress the model thorax with a frequency of 100/min and a depth of 5 cm, independent of the chosen chest stiffness. Both devices passed the endurance test without difficulty. The corpuls cpr device was able to generate about 10-40% more blood flow than the LUCAS II device, depending on the model settings. In most scenarios, the corpuls cpr device also generated a higher blood pressure than the LUCAS II. The peak compression forces during CPR were about 30% higher using the corpuls cpr device than with the LUCAS II. In this study, the corpuls cpr device had improved blood flow and pressure outcomes than the LUCAS II device. Further examination in an animal model is required to prove the findings of this preliminary study.

  18. CPR performance in the presence of audiovisual feedback or football shoulder pads.

    Science.gov (United States)

    Tanaka, Shota; Rodrigues, Wayne; Sotir, Susan; Sagisaka, Ryo; Tanaka, Hideharu

    2017-01-01

    The initiation of cardiopulmonary resuscitation (CPR) can be complicated by the use of protective equipment in contact sports, and the rate of success in resuscitating the patient depends on the time from incident to start of CPR. The aim of our study was to see if (1) previous training, (2) the presence of audiovisual feedback and (3) the presence of football shoulder pads (FSP) affected the quality of chest compressions. Six basic life support certified athletic training students (BLS-ATS), six basic life support certified emergency medical service personnel (BLS-EMS) and six advanced cardiac life support certified emergency medical service personnel (ACLS-EMS) participated in a crossover manikin study. A quasi-experimental repeated measures design was used to measure the chest compression depth (cm), rate (cpm), depth accuracy (%) and rate accuracy (%) on four different conditions by using feedback and/or FSP. Real CPR Help manufactured by ZOLL (Chelmsford, Massachusetts, USA) was used for the audiovisual feedback. Three participants from each group performed 2 min of chest compressions at baseline first, followed by compressions with FSP, with feedback and with both FSP and feedback (FSP+feedback). The other three participants from each group performed compressions at baseline first, followed by compressions with FSP+feedback, feedback and FSP. CPR performance did not differ between the groups at baseline (median (IQR), BLS-ATS: 5.0 (4.4-6.1) cm, 114(96-131) cpm; BLS-EMS: 5.4 (4.1-6.4) cm, 112(99-131) cpm; ACLS-EMS: 6.4 (5.7-6.7) cm, 138(113-140) cpm; depth p=0.10, rate p=0.37). A statistically significant difference in the percentage of depth accuracy was found with feedback (median (IQR), 13.8 (0.9-49.2)% vs 69.6 (32.3-85.8)%; p=0.0002). The rate accuracy was changed from 17.1 (0-80.7)% without feedback to 59.2 (17.3-74.3)% with feedback (p=0.50). The use of feedback was effective for depth accuracy, especially in the BLS-ATS group, regardless of the

  19. Introducing systematic dispatcher-assisted cardiopulmonary resuscitation (telephone-CPR) in a non-Advanced Medical Priority Dispatch System (AMPDS): implementation process and costs.

    Science.gov (United States)

    Dami, Fabrice; Fuchs, Vincent; Praz, Laurent; Vader, John-Paul

    2010-07-01

    In order to improve the quality of our Emergency Medical Services (EMS), to raise bystander cardiopulmonary resuscitation rates and thereby meet what is becoming a universal standard in terms of quality of emergency services, we decided to implement systematic dispatcher-assisted or telephone-CPR (T-CPR) in our medical dispatch center, a non-Advanced Medical Priority Dispatch System. The aim of this article is to describe the implementation process, costs and results following the introduction of this new "quality" procedure. This was a prospective study. Over an 8-week period, our EMS dispatchers were given new procedures to provide T-CPR. We then collected data on all non-traumatic cardiac arrests within our state (Vaud, Switzerland) for the following 12 months. For each event, the dispatchers had to record in writing the reason they either ruled out cardiac arrest (CA) or did not propose T-CPR in the event they did suspect CA. All emergency call recordings were reviewed by the medical director of the EMS. The analysis of the recordings and the dispatchers' written explanations were then compared. During the 12-month study period, a total of 497 patients (both adults and children) were identified as having a non-traumatic cardiac arrest. Out of this total, 203 cases were excluded and 294 cases were eligible for T-CPR. Out of these eligible cases, dispatchers proposed T-CPR on 202 occasions (or 69% of eligible cases). They also erroneously proposed T-CPR on 17 occasions when a CA was wrongly identified (false positive). This represents 7.8% of all T-CPR. No costs were incurred to implement our study protocol and procedures. This study demonstrates it is possible, using a brief campaign of sensitization but without any specific training, to implement systematic dispatcher-assisted cardiopulmonary resuscitation in a non-Advanced Medical Priority Dispatch System such as our EMS that had no prior experience with systematic T-CPR. The results in terms of T-CPR delivery

  20. Organ donation in cardiac arrest patients treated with extracorporeal CPR: A single centre observational study.

    Science.gov (United States)

    Casadio, Maria Chiara; Coppo, Anna; Vargiolu, Alessia; Villa, Jacopo; Rota, Matteo; Avalli, Leonello; Citerio, Giuseppe

    2017-09-01

    In a consecutive cohort of cardiac arrest (CA) treated with extracorporeal cardiopulmonary resuscitation (eCPR), we describe the incidence of brain death (BD), the eligibility for organ donation and the short-term follow-up of the transplanted organs. All refractory in- and out-of-hospital CA admitted to our Cardiac Intensive Care Unit between January 2011 and September 2016 treated with eCPR were enrolled in the study. 112 CA patients received eCPR. 82 (73.2%) died in hospital, 25 BD (22.3%) and 57 for other causes (50.9%). At the time of first neurological evaluation after rewarming, variables related to evolution to BD were a lower GCS (3 [3-3] vs. 8 [3-11], pdonation in BD patients was 56%, with 39 donated organs: 23 kidneys, 12 livers, and 4 lungs. 89.74% of the transplanted organs reached an early good functional recovery. In refractory CA patients treated with eCPR, the prevalence of BD is high. This population has a high potential for considering organ donation. Donated organs have a good outcome. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Edaravone improves survival and neurological outcomes after CPR in a ventricular fibrillation model of rats.

    Science.gov (United States)

    Qin, Tao; Lei, Ling-Yan; Li, Nuo; Shi, Fangying Ruan; Chen, Meng-Hua; Xie, Lu

    2016-10-01

    Overproduction of free radicals is a main factor contributing to cerebral injury after cardiac arrest (CA)/cardiopulmonary resuscitation (CPR). We sought to evaluate the impact of edaravone on the survival and neurological outcomes after CA/CPR in rats. Rats were subjected to CA following CPR. For survival study, the rats with restoration of spontaneous circulation (ROSC) were randomly allocated to one of the two groups (edaravone and saline group, n=20/each group) to received Edaravone (3 mg/kg) or normal saline. Another 10 rats without experiencing CA and CPR served as the sham group. Survival was observed for 72 hours and the neurological deficit score (NDS) was calculated at 12, 24, 48, and 72 hours after ROSC. For the neurological biochemical analysis study, rats were subjected to the same experimental procedures. Then, edaravone group (n=24), saline group (n=24) and sham group (n=16) were further divided into 4 subgroups according to the different time intervals (12, 24, 48, and 72 hours following ROSC). Brain tissues were harvested at relative time intervals for evaluation of oxidative stress, TUNEL staining and apoptotic gene expression. Edaravone improved postresuscitative survival time and neurological deficit, decreased brain malonylaldehyde level, increased superoxide dismutase activities, decreased proapoptotic gene expression of capase-8, capase-3, and Bax, and increased antiapoptotic Bcl-2 expression at 12, 24, 48, and 72 hours after ROSC. Edaravone improves survival and neurological outcomes following CPR via antioxidative and antiapoptotic effects in rats. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Bystander fatigue and CPR quality by older bystanders: a randomized crossover trial comparing continuous chest compressions and 30:2 compressions to ventilations.

    Science.gov (United States)

    Liu, Shawn; Vaillancourt, Christian; Kasaboski, Ann; Taljaard, Monica

    2016-11-01

    This study sought to measure bystander fatigue and cardiopulmonary resuscitation (CPR) quality after five minutes of CPR using the continuous chest compression (CCC) versus the 30:2 chest compression to ventilation method in older lay persons, a population most likely to perform CPR on cardiac arrest victims. This randomized crossover trial took place at three tertiary care hospitals and a seniors' center. Participants were aged ≥55 years without significant physical limitations (frailty score ≤3/7). They completed two 5-minute CPR sessions (using 30:2 and CCC) on manikins; sessions were separated by a rest period. We used concealed block randomization to determine CPR method order. Metronome feedback maintained a compression rate of 100/minute. We measured heart rate (HR), mean arterial pressure (MAP), and Borg Exertion Scale. CPR quality measures included total number of compressions and number of adequate compressions (depth ≥5 cm). Sixty-three participants were enrolled: mean age 70.8 years, female 66.7%, past CPR training 60.3%. Bystander fatigue was similar between CPR methods: mean difference in HR -0.59 (95% CI -3.51-2.33), MAP 1.64 (95% CI -0.23-3.50), and Borg 0.46 (95% CI 0.07-0.84). Compared to 30:2, participants using CCC performed more chest compressions (480.0 v. 376.3, mean difference 107.7; pCPR quality decreased significantly faster when performing CCC compared to 30:2. However, performing CCC produced more adequate compressions overall with a similar level of fatigue compared to the 30:2 method.

  3. Effect of a reminder video using a mobile phone on the retention of CPR and AED skills in lay responders.

    Science.gov (United States)

    Ahn, Ji Yun; Cho, Gyu Chong; Shon, You Dong; Park, Seung Min; Kang, Ku Hyun

    2011-12-01

    Skills related to cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use by lay responders decay rapidly after training, and efforts are required to maintain competence among trainees. We examined whether repeated viewing of a reminder video on a mobile phone would be an effective means of maintaining CPR and AED skills in lay responders. In a single-blind case-control study, 75 male students received training in CPR and AED use. They were allocated either to the control or to the video-reminded group, who received a memory card containing a video clip about CPR and AED use for their mobile phone, which they were repeatedly encouraged to watch by SMS text message. CPR and AED skills were assessed in scenario format by examiners immediately and 3 months after initial training. Three months after initial training, the video-reminded group showed more accurate airway opening (PCPR after defibrillation (PCPR confidence scores and increased willingness to perform bystander CPR in cardiac arrest than the controls at 3 months (PCPR and AED skills in lay responders. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  4. A browser-based 3D Visualization Tool designed for comparing CERES/CALIOP/CloudSAT level-2 data sets.

    Science.gov (United States)

    Chu, C.; Sun-Mack, S.; Chen, Y.; Heckert, E.; Doelling, D. R.

    2017-12-01

    In Langley NASA, Clouds and the Earth's Radiant Energy System (CERES) and Moderate Resolution Imaging Spectroradiometer (MODIS) are merged with Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) on the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO) and CloudSat Cloud Profiling Radar (CPR). The CERES merged product (C3M) matches up to three CALIPSO footprints with each MODIS pixel along its ground track. It then assigns the nearest CloudSat footprint to each of those MODIS pixels. The cloud properties from MODIS, retrieved using the CERES algorithms, are included in C3M with the matched CALIPSO and CloudSat products along with radiances from 18 MODIS channels. The dataset is used to validate the CERES retrieved MODIS cloud properties and the computed TOA and surface flux difference using MODIS or CALIOP/CloudSAT retrieved clouds. This information is then used to tune the computed fluxes to match the CERES observed TOA flux. A visualization tool will be invaluable to determine the cause of these large cloud and flux differences in order to improve the methodology. This effort is part of larger effort to allow users to order the CERES C3M product sub-setted by time and parameter as well as the previously mentioned visualization capabilities. This presentation will show a new graphical 3D-interface, 3D-CERESVis, that allows users to view both passive remote sensing satellites (MODIS and CERES) and active satellites (CALIPSO and CloudSat), such that the detailed vertical structures of cloud properties from CALIPSO and CloudSat are displayed side by side with horizontally retrieved cloud properties from MODIS and CERES. Similarly, the CERES computed profile fluxes whether using MODIS or CALIPSO and CloudSat clouds can also be compared. 3D-CERESVis is a browser-based visualization tool that makes uses of techniques such as multiple synchronized cursors, COLLADA format data and Cesium.

  5. Nurses' behaviour regarding CPR and the theories of reasoned action and planned behaviour.

    Science.gov (United States)

    Dwyer, Trudy; Mosel Williams, Leonie

    2002-01-01

    Cardiopulmonary resuscitation (CPR) has been used in hospitals for approximately 40 years. Nurses are generally the first responders to a cardiac arrest and initiate basic life support while waiting for the advanced cardiac life support team to arrive. Speed and competence of the first responder are factors contributing to the initial survival of a person following a cardiac arrest. Attitudes of individual nurses may influence the speed and level of involvement in true emergency situations. This paper uses the theories of reasoned action and planned behaviour to examine some behavioural issues with CPR involvement.

  6. A review of maturity onset diabetes of the young (MODY) and challenges in the management of glucokinase-MODY.

    Science.gov (United States)

    Bishay, Ramy H; Greenfield, Jerry R

    2016-11-21

    Maturity onset diabetes of the young (MODY), the most common monogenic form of diabetes, accounts for 1-2% of all diabetes diagnoses. Glucokinase (GCK)-MODY (also referred to as MODY2) constitutes 10-60% of all MODY cases and is inherited as an autosomal dominant heterozygous mutation, resulting in loss of function of the GCK gene. Patients with GCK-MODY generally have mild, fasting hyperglycaemia that is present from birth, are commonly leaner and diagnosed at a younger age than patients with type 2 diabetes, and rarely develop complications from diabetes. Hence, treatment is usually unnecessary and may be ceased. Therefore, genetic screening is recommended in all young patients (MODY, such as hepatocyte nuclear factor 1A mutations (MODY3) where hyperglycaemia is managed with low dose sulfonylurea rather than insulin. Patients with GCK-MODY, in line with trends in the general population, are becoming older and more overweight and obese, and are concomitantly developing features of insulin resistance and glucose intolerance. Therefore, controversy exists as to whether such "treatment-exempt" patients should be reassessed for treatment later in life. As testing becomes more accessible, clinicians and patients are likely to embrace genetic screening earlier in the course of diabetes, which may avert the consequences of delayed testing years after diagnosis and treatment initiation.

  7. BRDF Characterization and Calibration Inter-Comparison between Terra MODIS, Aqua MODIS, and S-NPP VIIRS

    Science.gov (United States)

    Chang, Tiejun; Xiong, Xiaoxiong (Jack); Angal, Amit; Wu, Aisheng

    2016-01-01

    The inter-comparison of reflective solar bands (RSB) between Terra MODIS, Aqua MODIS, and SNPP VIIRS is very important for assessment of each instrument's calibration and to identify calibration improvements. One of the limitations of using their ground observations for the assessment is a lack of the simultaneous nadir overpasses (SNOs) over selected pseudo-invariant targets. In addition, their measurements over a selected Earth view target have significant difference in solar and view angles, and these differences magnify the effects of Bidirectional Reflectance Distribution Function (BRDF). In this work, an inter-comparison technique using a semi-empirical BRDF model is developed for reflectance correction. BRDF characterization requires a broad coverage of solar and view angles in the measurements over selected pseudo-invariant targets. Reflectance measurements over Libya 1, 2, and 4 desert sites from both the Aqua and Terra MODIS are regressed to a BRDF model with an adjustable coefficient accounting for the calibration difference between the two instruments. The BRDF coefficients for three desert sites for MODIS bands 1 to 9 are derived and the wavelength dependencies are presented. The analysis and inter-comparison are for MODIS bands 1 to 9 and VIIRS moderate resolution radiometric bands (M bands) M1, M2, M4, M5, M7, M8, M10 and imaging bands (I bands) I1-I3. Results show that the ratios from different sites are in good agreement. The ratios between Terra and Aqua MODIS from year 2003 to 2014 are presented. The inter-comparison between MODIS and VIIRS are analyzed for year 2014.

  8. Computer-Based CPR Simulation Towards Validation of AHA/ERC Guidelines.

    Science.gov (United States)

    John, Alka Rachel; Manivannan, M; Ramakrishnan, T V

    2017-06-01

    As per the AHA 2015 and ERC 2015 guidelines for resuscitation, chest compression depth should be between 5 and 6 cm with a rate of 100-120 compressions per minute. Theoretical validation of these guidelines is still elusive. We developed a computer model of the cardiopulmonary resuscitation (CPR) system to validate these guidelines. A lumped element computer model of the cardiovascular system was developed to simulate cardiac arrest and CPR. Cardiac output was compared for a range of compression pressures and frequencies. It was observed from our investigation that there is an optimum compression pressure and rate. The maximum cardiac output occurred at 100 mmHg, which is approximately 5.7 cm, and in the range of 100 to 120 compressions per minute with an optimum value at 110 compressions per minute, validating the guidelines. Increasing the pressure or the depth of compression beyond the optimum, limits the blood flow by depleting the volume in the cardiac chambers and not allowing for an effective stroke volume. Similarly increasing the compression rate beyond the optimum degrades the ability of the chambers to pump blood. The results also bring out the importance of complete recoil of the chest after each compression with more than 400% increase in cardiac output from 90% recoil to 100% recoil. Our simulation predicts that the recommendation to compress harder and faster is not the best counsel as there is an optimum compression pressure and rate for high-quality CPR.

  9. Considering the CPR Decision Through the Lens of Prospect Theory in the Context of Advanced Chronic Illness.

    Science.gov (United States)

    Bern-Klug, Mercedes

    2017-02-01

    It is common for people with advanced chronic illness to have many health care providers and many health care-related visits. It is also common, during those visits, to be asked whether attempts at cardiopulmonary resuscitation (CPR) are desired, in the event of cardiac arrest. Although the question is common, the implications of a "yes" or a "no" may not be well understood. Although CPR can be a life-saving procedure, it is not always in the patient's best interest. This article discusses experiences with CPR of 2 older women (and their adult children) during their last years of life, and uses concepts from prospect theory to make suggestions for changes in the way health care providers and patients approach advance care planning including the CPR decision. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  10. Coupling Between Doppler Radar Signatures and Tornado Damage Tracks

    Science.gov (United States)

    Jedlovec, Gary J.; Molthan, Andrew L.; Carey, Lawrence; Carcione, Brian; Smith, Matthew; Schultz, Elise V.; Schultz, Christopher; Lafontaine, Frank

    2011-01-01

    On April 27, 2011, the southeastern United States was raked with several episodes of severe weather. Numerous tornadoes caused extensive damage, and tragically, the deaths of over 300 people. In Alabama alone, there were 61 confirmed tornados, 4 of them produced EF5 damage, and several were on the ground an hour or more with continuous damage tracks exceeding 80km. The use of Doppler radars covering the region provided reflectivity and velocity signatures that allowed forecasters to monitors the severe storms from beginning to end issuing hundreds of severe weather warnings throughout the day. Meteorologists from the the NWS performed extensive surveys to assess the intensity, duration, and ground track of tornadoes reported during the event. Survey activities included site visits to the affected locations, analysis of radar and satellite data, aerial surveys, and interviews with eyewitnesses. Satellite data from NASA's MODIS and ASTER instruments played a helpful role in determining the location of tornado damage paths and in the assessment. High resolution multispectral and temporal composites helped forecasters corroborate their damage assessments, determine starting and ending points for tornado touchdowns, and helped to provide forecasters with a better big-picture view of the damage region. The imagery also helped to separate damage from the April 27th tornados from severe weather that occurred earlier that month. In a post analysis of the outbreak, tornado damage path signatures observed in the NASA satellite data have been correlated to "debris ball" signatures in the NWS Doppler radars and a special ARMOR dual-polarization radar operated by the University of Alabama Huntsville during the event. The Doppler radar data indicates a circular enhanced reflectivity signal and rotational couplet in the radial velocity likely associated with the tornado that is spatially correlated with the damage tracks in the observed satellite data. An algorithm to detect and

  11. The effectiveness of CPR training during anesthesia internship rotation on improvement of interns, knowledge and clinical skills of Lorestan university of medical sciences

    Directory of Open Access Journals (Sweden)

    sepideh Vahabi

    2015-09-01

    Full Text Available Background : Since only the correct and effective Cardiopulmonary Resuscitation (CPR can increase the survival of patients with cardiopulmonary arrest, the aim of this study is to determine the effects of CPR training in the anesthetioligy ward to improve CPR knowledge and clinical skills of interns of Lorestan university of medical sciences. Materials and Methods : A 10-month Educational experimental study was done on 31 undergraduate medical students at Lorestan university of medical sciences in 2013. During a period of 15 days of anesthesiology internship course, all these students underwent CPR training including Basic Life Support ( BLS , Advanced Cardiac Life Support ( ACLS and practical skills. Data were collected via a questionnaire with 4 parts including demographic, pre and post knowledge and skills as standpoint of interns and ward,s professor. Results: After training the mean of score about knowledge of CPR and its practical skills significantly increased from 5.68 to 7.94 and 10.65 to 23.45 respectivly (PV=0.0001 . A significant relationship between preinternship exam score and knowledge of CPR before anesthesiology internship course was shown (PV=0.001, but there was no significant relationship with practical skills score pre and post CPR training in anesthesilogy ward.(PV=0.38 Conclusion: The CPR training course in anesthetiology ward leads to significant increase in CPR skills and Knowledge of medical interns. Adding this course to undergraduated medical students is essential

  12. Lipoprotein composition in HNF1A-MODY: differentiating between HNF1A-MODY and type 2 diabetes.

    Science.gov (United States)

    McDonald, Tim J; McEneny, Jane; Pearson, Ewan R; Thanabalasingham, Gaya; Szopa, Magdalena; Shields, Beverley M; Ellard, Sian; Owen, Katharine R; Malecki, Maciej T; Hattersley, Andrew T; Young, Ian S

    2012-05-18

    The young-onset diabetes seen in HNF1A-MODY is often misdiagnosed as Type 2 diabetes. Type 2 diabetes, unlike HNF1A-MODY, is associated with insulin resistance and a characteristic dyslipidaemia. We aimed to compare the lipid profiles in HNF1A-MODY, Type 2 diabetes and control subjects and to determine if lipids can be used to aid the differential diagnosis of diabetes sub-type. 1) 14 subjects in each group (HNF1A-MODY, Type 2 diabetes and controls) were matched for gender and BMI. Fasting lipid profiles and HDL lipid constituents were compared in the 3 groups. 2) HDL-cholesterol was assessed in a further 267 patients with HNF1A-MODY and 297 patients with a diagnosis of Type 2 diabetes to determine its discriminative value. 1) In HNF1A-MODY subjects, plasma-triglycerides were lower (1.36 vs. 1.93 mmol/l, p = 0.07) and plasma-HDL-cholesterol was higher than in subjects with Type 2 diabetes (1.47 vs. 1.15 mmol/l, p = 0.0008), but was similar to controls. Furthermore, in the isolated HDL; HDL-phospholipid and HDL-cholesterol ester content were higher in HNF1A-MODY, than in Type 2 diabetes (1.59 vs. 1.33 mmol/L, p = 0.04 and 1.10 vs. 0.83 mmol/L, p = 0.019, respectively), but were similar to controls (1.59 vs. 1.45 mmol/L, p = 0.35 and 1.10 vs. 1.21 mmol/L, p = 0.19, respectively). 2) A plasma-HDL-cholesterol > 1.12 mmol/L was 75% sensitive and 64% specific (ROC AUC = 0.76) at discriminating HNF1A-MODY from Type 2 diabetes. The plasma-lipid profiles of HNF1A-MODY and the lipid constituents of HDL are similar to non-diabetic controls. However, HDL-cholesterol was higher in HNF1A-MODY than in Type 2 diabetes and could be used as a biomarker to aid in the identification of patients with HNF1A-MODY. Copyright © 2012 Elsevier B.V. All rights reserved.

  13. [Humoral response markers in GCK MODY].

    Science.gov (United States)

    Skała-Zamorowska, Eliza; Deja, Grażyna; Borowiec, Maciej; Fendler, Wojciech; Małachowska, Beata; Kamińska, Halla; Wyka, Krystyna; Młynarski, Wojciech; Jarosz-Chobot, Przemysława

    2016-01-01

    The prevalence of antibodies to pancreatic islets in monogenic diabetes remains unknown and the incidence estimation is difficult as the occurrence of autoantibodies in patient is one of the well-known exclusion criteria for further genetic diagnostics. They has been found not only among patients with type 1 diabetes, but also in other types of diabetes: Type 2 diabetes, Latent Autoimmune Diabetes in Adults (LADA) (16) and monogenic diabetes (MD). Immunological characteristic of GCK MODY patients. The study group included families of 27 adolescent patients with GCK MODY (39 parents and 19 siblings) monitored in the Department of Pediatrics, Endocrinology and Diabetes and in the Diabetes Clinic of John Paul II Upper Silesian Child Health Centre in Katowice in the years 2007-2012. All patients and family members with GCK MODY underwent a blood sample drawing for immunological (classic humoral response markers: ICA, GAD, IA-2, IAA) and biochemical diagnostics. Pediatric, diabetes and family medical history was collected from the subjects and parents. Immunological diagnostics was performed in all patients except 1 (96.3%). Immunological diagnostics included 17 (89.5%) parents and 7 (87.5%) siblings with diagnosed GCK MODY. 8 (30.8%) adolescent patients with GCK MODY, 3 subjects (17.64%) among parents (with GCK MODY), as well as 2 subjects (28.57%) among siblings (with GCK MODY) showed a positive antibodies screen. The results of our study in children with GCK MODY and their family members suggest that the occurrence of classic antibodies directed against pancreatic islets antigens is fairly common in patients with GCK MODY. Despite various observations and many legitimate discussions, it is difficult to clarify the pathogenesis of the occurrence of autoantibodies in monogenic diabetes. © Polish Society for Pediatric Endocrinology and Diabetology.

  14. The combined use of mechanical CPR and a carry sheet to maintain quality resuscitation in out-of-hospital cardiac arrest patients during extrication and transport.

    Science.gov (United States)

    Lyon, Richard M; Crawford, Anna; Crookston, Colin; Short, Steven; Clegg, Gareth R

    2015-08-01

    Quality of manual cardiopulmonary resuscitation (CPR) during extrication and transport of out-of-hospital cardiac arrest victims is known to be poor. Performing manual CPR during ambulance transport poses significant risk to the attending emergency medical services crew. We sought to use pre-hospital video recording to objectively analyse the impact of introducing mechanical CPR with an extrication sheet (Autopulse, Zoll) to an advanced, second-tier cardiac arrest response team. The study was conducted prospectively using defibrillator downloads and analysis of pre-hospital video recording to measure the quality of CPR during extrication from scene and ambulance transport of the OHCA patient. Adult patients with non-traumatic OHCA were included. The interruption to manual CPR to during extrication and to deploy the mechanical CPR device was analysed. In the manual CPR group, 53 OHCA cases were analysed for quality of CPR during extrication. The median time that chest compression was interrupted to allow the patient to be carried from scene to the ambulance was 270 s (IQR 201-387 s). 119 mechanical CPR cases were analysed. The median time interruption from last manual compression to first Autopulse compression was 39 s (IQR 29-47 s). The range from last manual compression to first Autopulse compression was 14-118 s. Mechanical CPR used in combination with an extrication sheet can be effectively used to improve the quality of resuscitation during extrication and ambulance transport of the refractory OHCA patient. The time interval to deploy the mechanical CPR device can be shortened with regular simulation training. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  15. Crystal structure of conjugated polyketone reductase (CPR-C1) from Candida parapsilosis IFO 0708 complexed with NADPH.

    Science.gov (United States)

    Qin, Hui-Min; Yamamura, Akihiro; Miyakawa, Takuya; Kataoka, Michihiko; Maruoka, Shintaro; Ohtsuka, Jun; Nagata, Koji; Shimizu, Sakayu; Tanokura, Masaru

    2013-11-01

    Conjugated polyketone reductase (CPR-C1) from Candida parapsilosis IFO 0708 is a member of the aldo-keto reductase (AKR) superfamily and reduces ketopantoyl lactone to d-pantoyl lactone in a NADPH-dependent and stereospecific manner. We determined the crystal structure of CPR-C1.NADPH complex at 2.20 Å resolution. CPR-C1 adopted a triose-phosphate isomerase (TIM) barrel fold at the core of the structure in which Thr25 and Lys26 of the GXGTX motif bind uniquely to the adenosine 2'-phosphate group of NADPH. This finding provides a novel structural basis for NADPH binding of the AKR superfamily. Copyright © 2013 Wiley Periodicals, Inc.

  16. Effects of head-up vs. supine CPR on cerebral oxygenation and cerebral metabolism - a prospective, randomized porcine study.

    Science.gov (United States)

    Putzer, Gabriel; Braun, Patrick; Martini, Judith; Niederstätter, Ines; Abram, Julia; Lindner, Andrea Katharina; Neururer, Sabrina; Mulino, Miriam; Glodny, Bernhard; Helbok, Raimund; Mair, Peter

    2018-05-01

    Recent studies have shown that during cardiopulmonary resuscitation (CPR) head-up position (HUP) as compared to standard supine position (SUP) decreases intracranial pressure (ICP) and increases cerebral perfusion pressure (CPP). The impact of this manoeuvre on brain oxygenation and metabolism is not clear. We therefore investigated HUP as compared to SUP during basic life support (BLS) CPR for their effect on brain oxygenation and metabolism. Twenty pigs were anaesthetized and instrumented. After 8 min of cardiac arrest (CA) pigs were randomized to either HUP or SUP and resuscitated mechanically for 20 min. Mean arterial pressure (MAP), ICP, CPP, cerebral regional oxygen saturation (rSO 2 ) and brain tissue oxygen tension (P bt O 2 ) were measured at baseline, after CA and every 5 min during CPR. Cerebral venous oxygen saturation (S cv O 2 ) was measured at baseline, after CA and after 20 min of CPR. Cerebral microdialysis parameters, e.g. lactate/pyruvate ratio (L/P ratio) were taken at baseline and the end of the experiment. ICP was significantly lower in HUP compared to SUP animals after 5 min (18.0 ± 4.5 vs. 24.1 ± 5.2 mmHg; p = 0.033) and 20 min (12.0 ± 3.4 vs. 17.8 ± 4.3 mmHg; p = 0.023) of CPR. Accordingly, CPP was significantly higher in the HUP group after 5 min (11.2 ± 9.5 vs. 1.0 ± 9.2 mmHg; p = 0.045) and 20 min (3.4 ± 6.4 vs. -3.8 ± 2.8 mmHg; p = 0.023) of CPR. However, no difference was found in rSO 2 , P bt O 2 , S cv O 2 and L/P ratio between groups after 20 min of CPR. In this animal model of BLS CPR, HUP as compared to SUP did not improve cerebral oxygenation or metabolism. Copyright © 2018. Published by Elsevier B.V.

  17. Development of a smart backboard system for real-time feedback during CPR chest compression on a soft back support surface.

    Science.gov (United States)

    Gohier, Francis; Dellimore, Kiran; Scheffer, Cornie

    2013-01-01

    The quality of cardiopulmonary resuscitation (CPR) is often inconsistent and frequently fails to meet recommended guidelines. One promising approach to address this problem is for clinicians to use an active feedback device during CPR. However, one major deficiency of existing feedback systems is that they fail to account for the displacement of the back support surface during chest compression (CC), which can be important when CPR is performed on a soft surface. In this study we present the development of a real-time CPR feedback system based on an algorithm which uses force and dual-accelerometer measurements to provide accurate estimation of the CC depth on a soft surface, without assuming full chest decompression. Based on adult CPR manikin tests it was found that the accuracy of the estimated CC depth for a dual accelerometer feedback system is significantly better (7.3% vs. 24.4%) than for a single accelerometer system on soft back support surfaces, in the absence or presence of a backboard. In conclusion, the algorithm used was found to be suitable for a real-time, dual accelerometer CPR feedback application since it yielded reasonable accuracy in terms of CC depth estimation, even when used on a soft back support surface.

  18. [MODY type diabetes: overview and recent findings].

    Science.gov (United States)

    Ben Khelifa, Souhaïra; Barboura, Ilhem; Dandana, Azza; Ferchichi, Selima; Miled, Abdelhedi

    2011-01-01

    We present an update of knowledge on diabetes MODY (maturity onset diabetes of the young), including the recent molecular discoveries, and new diagnostic strategies. Considerable progress has been made in understanding the different molecular abnormalities that cause MODY and the phenotypic consequences resulting therefrom. MODY diabetes is very heterogeneous and is the most common form of monogenic diabetes. Its distribution is worldwide. MODY is an autosomal dominant diabetes mellitus, nonketotic and occurs at an early age (usually before 25 years). To date, at least seven genes are associated with MODY, with frequencies that differ from one population to another. Both 2 and 3 subtypes predominate, while other subtypes (1, 4, 5, 6 and 7) concern only a few families. Since its discovery in the sixties, studies have succeeded to fully clarify the epidemiological, molecular and clinical diagnosis of each subtype, to provide better care for patients. However, the subject of MODY has not yet revealed all its secrets. Indeed, it remains to identify other genes that are associated with MODY X.

  19. [Diagnosis of MODY - brief overview for clinical practice].

    Science.gov (United States)

    Urbanová, Jana; Brunerová, Ludmila; Brož, Jan

    2018-01-01

    Maturity Onset Diabetes of the Young (MODY) comprises inherited forms of diabetes mellitus caused by the mutations in the genes involved in the development, differentiation and function of beta-cells. The majority of patients with MODY remains misdiagnosed and erroneously classified as type 1 or type 2 diabetic patients. Correct MODY diagnosis is, however, essential since it enables individualization of treatment, assessment of the prognosis and identification of diabetes among patient´s relatives. Clinical presentation of MODY is highly variable and it could resemble other types of diabetes, thus identification of MODY patients might be difficult. In this review, we describe typical clinical presentation of the most common MODY subtypes, we summarize current diagnostic guidelines in confirmation of MODY and we raise the question of possible need for extension of current clinical criteria indicating a patient for molecular-genetic testing.Key words: clinical course - diagnosis - differential diagnosis - glucokinase - hepatocyte nuclear factors - MODY.

  20. Design of the RINSE Trial: The Rapid Infusion of cold Normal Saline by paramedics during CPR

    Directory of Open Access Journals (Sweden)

    Jacobs Ian

    2011-10-01

    Full Text Available Abstract Background The International Liaison Committee on Resuscitation (ILCOR now recommends therapeutic hypothermia (TH (33°C for 12-24 hours as soon as possible for patients who remain comatose after resuscitation from shockable rhythm in out-of-hospital cardiac arrest and that it be considered for non shockable rhythms. The optimal timing of TH is still uncertain. Laboratory data have suggested that there is significantly decreased neurological injury if cooling is initiated during CPR. In addition, peri-arrest cooling may increase the rate of successful defibrillation. This study aims to determine whether paramedic cooling during CPR improves outcome compared standard treatment in patients who are being resuscitated from out-of-hospital cardiac arrest. Methods/Design This paper describes the methodology for a definitive multi-centre, randomised, controlled trial of paramedic cooling during CPR compared with standard treatment. Paramedic cooling during CPR will be achieved using a rapid infusion of large volume (20-40 mL/kg to a maximum of 2 litres ice-cold (4°C normal saline. The primary outcome measure is survival at hospital discharge. Secondary outcome measures are rates of return of spontaneous circulation, rate of survival to hospital admission, temperature on arrival at hospital, and 12 month quality of life of survivors. Discussion This trial will test the effect of the administration of ice cold saline during CPR on survival outcomes. If this simple treatment is found to improve outcomes, it will have generalisability to prehospital services globally. Trial Registration ClinicalTrials.gov: NCT01172678

  1. CPR in medical schools: learning by teaching BLS to sudden cardiac death survivors – a promising strategy for medical students?

    Directory of Open Access Journals (Sweden)

    Herkner Harald

    2006-04-01

    Full Text Available Abstract Background Cardiopulmonary resuscitation (CPR training is gaining more importance for medical students. There were many attempts to improve the basic life support (BLS skills in medical students, some being rather successful, some less. We developed a new problem based learning curriculum, where students had to teach CPR to cardiac arrest survivors in order to improve the knowledge about life support skills of trainers and trainees. Methods Medical students who enrolled in our curriculum had to pass a 2 semester problem based learning session about the principles of cardiac arrest, CPR, BLS and defibrillation (CPR-D. Then the students taught cardiac arrest survivors who were randomly chosen out of a cardiac arrest database of our emergency department. Both, the student and the Sudden Cardiac Death (SCD survivor were asked about their skills and knowledge via questionnaires immediately after the course. The questionnaires were then used to evaluate if this new teaching strategy is useful for learning CPR via a problem-based-learning course. The survey was grouped into three categories, namely "Use of AED", "CPR-D" and "Training". In addition, there was space for free answers where the participants could state their opinion in their own words, which provided some useful hints for upcoming programs. Results This new learning-by-teaching strategy was highly accepted by all participants, the students and the SCD survivors. Most SCD survivors would use their skills in case one of their relatives goes into cardiac arrest (96%. Furthermore, 86% of the trainees were able to deal with failures and/or disturbances by themselves. On the trainer's side, 96% of the students felt to be well prepared for the course and were considered to be competent by 96% of their trainees. Conclusion We could prove that learning by teaching CPR is possible and is highly accepted by the students. By offering a compelling appreciation of what CPR can achieve in using

  2. An appropriate compression pace is important for securing the quality of hands-only CPR--a manikin study.

    Science.gov (United States)

    Shimizu, Yoshitaka; Tanigawa, Koichi; Ishikawa, Masami; Ouhara, Kazuhisa; Oue, Kana; Yoshinaka, Taiga; Kurihara, Hidemi; Irifune, Masahiro

    2014-09-01

    It is important to implement good quality chest compressions for cardiopulmonary resuscitation (CPR). This manikin study examined the effects of different compression rates on chest compression depth variables using a metronome sound guide. Fifty sixth-year dentistry students participated in the study. Each participant performed CPR at 3 different compression rates, 110, 100, and 90 compressions per min (pace-110-g, pace-100-g, and pace-90-g) for 2 consecutive one-minute sets with a ten-second break between the sets. The percentage of compressions deeper than 5 cm at pace-110-g decreased significantly from 22.1 ± 4.7% in the first set to 16.7 ± 4.4%* in the second set (*p CPR.

  3. Analysis of small break loss of coolant accident for Chinese CPR1000

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ju Youl [FNC Technology Co., Yongin (Korea, Republic of); Cilier, Anthonie [North-West University, Mahikeng (South Africa); Poc, Li-chi Cliff [Micro-Simulation Technology, Montville (United States)

    2016-05-15

    This research analyses the small break loss of coolant accident (LOCA) on a Chinese CPR1000 type reactor. LOCA accident is used as benchmark for the PCTRAN/CPR1000 code by comparing the effects and results to the Manshaan FSAR accident analysis. LOCA is a design basis accident in which a guillotine break is postulated to occur in one of the cold legs of a pressurized water reactor (PWR). Consequently, the primary system pressure would drop and almost all the reactor coolant would be discharged into the reactor containment. The drop in pressure would activate the reactor protection system and the reactor would trip. The simulation of a 3-inch small break loss of coolant accident using the PCTRAN/CPR1000 has revealed this code's effectiveness as well as weaknesses in specific simulation applications. The code has the ability to run at 16 times real time and produce very accurate results. The results are consistently producing the same trends as licensed codes used in Safety Assessment Reports. It is however able to produce these results in a fraction of the time and also provides a whole plant simulation coupling the various thermal, hydraulic, chemical and neutronic systems together with a plant specific control system.

  4. Stormwater Runoff Plumes in Southern California Detected with Satellite SAR and MODIS Imagery - Areas of Increased Contamination Risk

    Science.gov (United States)

    Trinh, R. C.; Holt, B.; Gierach, M.

    2016-12-01

    Coastal pollution poses both a major health and environmental hazard, not only for beachgoers and coastal communities, but for marine organisms as well. Stormwater runoff is the largest source of pollution in the coastal waters of the Southern California Bight (SCB). The SCB is the final destination of four major urban watersheds and associated rivers, Ballona Creek, the Los Angeles River, the San Gabriel River, and the Santa Ana River, which act as channels for runoff and pollution during and after episodic rainstorms. Previous studies of SCB water quality have made use of both fine resolution Synthetic Aperture Radar (SAR) imagery and wide-swath medium resolution optical "ocean color" imagery from SeaWiFS and MODIS. In this study, we expand on previous SAR efforts, compiling a more extensive collection of multi-sensor SAR data, spanning from 1992 to 2014, analyzing the surface slick component of stormwater plumes. We demonstrate the use of SAR data in early detection of coastal stormwater plumes, relating plume extent to cumulative river discharge, and shoreline fecal bacteria loads. Intensity maps of the primary extent and direction of plumes were created, identifying coastal areas that may be subject to the greatest risk of environmental contamination. Additionally, we illustrate the differences in the detection of SAR surface plumes with the sediment-related discharge plumes derived from MODIS ocean color imagery. Finally, we provide a concept for satellite monitoring of stormwater plumes, combining both optical and radar sensors, to be used to guide the collection of in situ water quality data and enhance the assessment of related beach closures.

  5. Progress Towards a Global Understanding of Plankton Dynamics: The Global Alliance of CPR Surveys (GACS)

    Science.gov (United States)

    Batten, S.; Richardson, A.; Melrose, C.; Muxagata, E.; Hosie, G.; Verheye, H.; Hall, J.; Edwards, M.; Koubbi, P.; Abu-Alhaija, R.; Chiba, S.; Wilson, W.; Nagappa, R.; Takahashi, K.

    2016-02-01

    The Continuous Plankton Recorder (CPR) was first used in 1931 to routinely sample plankton and its continued deployment now sustains the longest-running, and spatially most extensive marine biological sampling programme in the world. Towed behind, for the most part commercial, ships it collects plankton samples from the surface waters that are subsequently analysed to provide taxonomically-resolved abundance data on a broad range of planktonic organisms from the size of coccolithophores to euphausiids. Plankton appear to integrate changes in the physical environment and by underpinning most marine food-webs, pass on this variability to higher trophic levels which have societal value. CPRs are deployed increasingly around the globe in discrete regional surveys that until recently interacted in an informal way. In 2011 the Global Alliance of CPR Surveys (GACS) was launched to bring these surveys together to collaborate more productively and address issues such as: methodological standardization, data integration, capacity building, and data analysis. Early products include a combined global database and regularly-released global marine ecological status reports. There are, of course, limitations to the exploitation of CPR data as well as the current geographic coverage. A current focus of GACS is integration of the data with models to meaningfully extrapolate across time and space. In this way the output could be used to provide more robust synoptic representations of key plankton variables. Recent years have also seen the CPR used as a platform in itself with the inclusion of additional sensors and water samplers that can sample the microplankton. The archive of samples has already been used for some molecular investigations and curation of samples is maintained for future studies. Thus the CPR is a key element of any regional to global ocean observing system of biodiversity.

  6. Radar equations for modern radar

    CERN Document Server

    Barton, David K

    2012-01-01

    Based on the classic Radar Range-Performance Analysis from 1980, this practical volume extends that work to ensure applicability of radar equations to the design and analysis of modern radars. This unique book helps you identify what information on the radar and its environment is needed to predict detection range. Moreover, it provides equations and data to improve the accuracy of range calculations. You find detailed information on propagation effects, methods of range calculation in environments that include clutter, jamming and thermal noise, as well as loss factors that reduce radar perfo

  7. Presentation of the CPR ISMIR (Insulators: IRradiation Modelling); Presentation du CPR ISMIR (ISolants: modelisation de l'IRradiation)

    Energy Technology Data Exchange (ETDEWEB)

    Lozes, G. [CEA Saclay, Dir. de l' Energie Nucleaire (DEN/DSOE), 91 - Gif sur Yvette (France)

    2007-07-01

    The CPR ISMIR is a CEA-CNRS program on the behaviour of materials submitted to irradiation; it has been begun to support the applied current research programs on the aging of nuclear fuels, the storage and incineration matrices and the future reactors. Its aim is to contribute to scientifically set up the methods for anticipating the behaviour of ceramic materials under irradiation in using the important development of calculation means. Thus have been developed the basic knowledge and the interactions physics and calculation models at pertinent scales have been elaborated. (O.M.)

  8. MODIS/Aqua Atmosphere Aeronet Subsetting Product

    Data.gov (United States)

    National Aeronautics and Space Administration — The MODIS/Aqua Atmosphere Aeronet Subsetting Product (MYDARNSS) consists of MODIS Atmosphere and Ancillary Products subsets that are generated over a number of...

  9. Does real-time objective feedback and competition improve performance and quality in manikin CPR training--a prospective observational study from several European EMS.

    Science.gov (United States)

    Smart, J R; Kranz, K; Carmona, F; Lindner, T W; Newton, A

    2015-10-15

    Previous studies have reported that the quality of cardiopulmonary resuscitation (CPR) is important for patient survival. Real time objective feedback during manikin training has been shown to improve CPR performance. Objective measurement could facilitate competition and help motivate participants to improve their CPR performance. The aims of this study were to investigate whether real time objective feedback on manikins helps improve CPR performance and whether competition between separate European Emergency Medical Services (EMS) and between participants at each EMS helps motivation to train. Ten European EMS took part in the study and was carried out in two stages. At Stage 1, each EMS provided 20 pre-hospital professionals. A questionnaire was completed and standardised assessment scenarios were performed for adult and infant out of hospital cardiac arrest (OHCA). CPR performance was objectively measured and recorded but no feedback given. Between Stage 1 and 2, each EMS was given access to manikins for 6 months and instructed on how to use with objective real-time CPR feedback available. Stage 2 was undertaken and was a repeat of Stage 1 with a questionnaire with additional questions relating to usefulness of feedback and the competition nature of the study (using a 10 point Likert score). The EMS that improved the most from Stage 1 to Stage 2 was declared the winner. An independent samples Student t-test was used to analyse the objective CPR metrics with the significance level taken as p Competition between EMS organisations recorded a mean score of 5.8 and competition between participants recorded a mean score of 6.0. The results suggest that the use of real time objective feedback can significantly help improve CPR performance. Competition, especially between participants, appeared to encourage staff to practice and this study suggests that competition might have a useful role to help motivate staff to perform CPR training.

  10. Cloud Statistics and Discrimination in the Polar Regions

    Science.gov (United States)

    Chan, M.; Comiso, J. C.

    2012-12-01

    Despite their important role in the climate system, cloud cover and their statistics are poorly known, especially in the polar regions, where clouds are difficult to discriminate from snow covered surfaces. The advent of the A-train, which included Aqua/MODIS, CALIPSO/CALIOP and CloudSat/CPR sensors has provided an opportunity to improve our ability to accurately characterize the cloud cover. MODIS provides global coverage at a relatively good temporal and spatial resolution while CALIOP and CPR provide limited nadir sampling but accurate characterization of the vertical structure and phase of the cloud cover. Over the polar regions, cloud detection from a passive sensors like MODIS is challenging because of the presence of cold and highly reflective surfaces such as snow, sea-ice, glaciers, and ice-sheet, which have surface signatures similar to those of clouds. On the other hand, active sensors such as CALIOP and CPR are not only very sensitive to the presence of clouds but can also provide information about its microphysical characteristics. However, these nadir-looking sensors have sparse spatial coverage and their global data can have data spatial gaps of up to 100 km. We developed a polar cloud detection system for MODIS that is trained using collocated data from CALIOP and CPR. In particular, we employ a machine learning system that reads the radiative profile observed by MODIS and determine whether the field of view is cloudy or clear. Results have shown that the improved cloud detection scheme performs better than typical cloud mask algorithms using a validation data set not used for training. A one-year data set was generated and results indicate that daytime cloud detection accuracies improved from 80.1% to 92.6% (over sea-ice) and 71.2% to 87.4% (over ice-sheet) with CALIOP data used as the baseline. Significant improvements are also observed during nighttime, where cloud detection accuracies increase by 19.8% (over sea-ice) and 11.6% (over ice

  11. MODIS Hotspot Validation over Thailand

    Directory of Open Access Journals (Sweden)

    Veerachai Tanpipat

    2009-11-01

    Full Text Available To ensure remote sensing MODIS hotspot (also known as active fire products or hotspots quality and precision in forest fire control and management in Thailand, an increased level of confidence is needed. Accuracy assessment of MODIS hotspots utilizing field survey data validation is described. A quantitative evaluation of MODIS hotspot products has been carried out since the 2007 forest fire season. The carefully chosen hotspots were scattered throughout the country and within the protected areas of the National Parks and Wildlife Sanctuaries. Three areas were selected as test sites for validation guidelines. Both ground and aerial field surveys were also conducted in this study by the Forest Fire Control Division, National Park, Wildlife and Plant Conversation Department, Ministry of Natural Resources and Environment, Thailand. High accuracy of 91.84 %, 95.60% and 97.53% for the 2007, 2008 and 2009 fire seasons were observed, resulting in increased confidence in the use of MODIS hotspots for forest fire control and management in Thailand.

  12. A study assessing the impact of different teaching modalities for pharmacy students in a Cardio-Pulmonary Resuscitation (CPR) course.

    Science.gov (United States)

    Khan, Tahir Mehmood; Hassali, Mohamed Azmi; Rasool, Sahibzada Tasleem

    2013-10-01

    The current study aims to assess the effectiveness of different teaching methods adopted for the practical session of Cardio-Pulmonary Resuscitation (CPR). CPR training is one of the compulsory modules of the Public Health Pharmacy (PHP) course at Universiti Sains Malaysia. CPR training comprises of 10% of total marks of the PHP course. To test the effectiveness of the different teaching strategies, three groups were defined using a two-stage cohort distribution-i.e. based on grade point average (GPA) and different teaching modalities. Group One was instructed using images and PowerPoint lecture slides. Group Two was instructed using videos and PowerPoint lecture slides. Group Three was instructed using PowerPoint slides with white boards and videos. Students in Group Three were not provided with a hard/soft copy of the PowerPoint slides and were encouraged to write down all the information on their personal notebooks. A 20-item questionnaire was used to assess the students' understanding toward the CPR session. Data were analyzed using the Statistical Package for Social Science Students, SPSS version 13®. Based on the response attained, the comparison of the final score among the groups was undertaken using one way ANOVA. Twenty-seven students have participated in this study. Final evaluation using the questionnaire revealed that student's in Group Three had a better understanding of CPR (18.1 ± 1.5, p lecture and use of traditional chalkboard teaching were found significant to improve the students' understanding and learning in the CPR session.

  13. Flood mapping with multitemporal MODIS data

    Science.gov (United States)

    Son, Nguyen-Thanh; Chen, Chi-Farn; Chen, Cheng-Ru

    2014-05-01

    Flood is one of the most devastating and frequent disasters resulting in loss of human life and serve damage to infrastructure and agricultural production. Flood is phenomenal in the Mekong River Delta (MRD), Vietnam. It annually lasts from July to November. Information on spatiotemporal flood dynamics is thus important for planners to devise successful strategies for flood monitoring and mitigation of its negative effects. The main objective of this study is to develop an approach for weekly mapping flood dynamics with the Moderate Resolution Imaging Spectroradiometer data in MRD using the water fraction model (WFM). The data processed for 2009 comprises three main steps: (1) data pre-processing to construct smooth time series of the difference in the values (DVLE) between land surface water index (LSWI) and enhanced vegetation index (EVI) using the empirical mode decomposition (EMD), (2) flood derivation using WFM, and (3) accuracy assessment. The mapping results were compared with the ground reference data, which were constructed from Envisat Advanced Synthetic Aperture Radar (ASAR) data. As several error sources, including mixed-pixel problems and low-resolution bias between the mapping results and ground reference data, could lower the level of classification accuracy, the comparisons indicated satisfactory results with the overall accuracy of 80.5% and Kappa coefficient of 0.61, respectively. These results were reaffirmed by a close correlation between the MODIS-derived flood area and that of the ground reference map at the provincial level, with the correlation coefficients (R2) of 0.93. Considering the importance of remote sensing for monitoring floods and mitigating the damage caused by floods to crops and infrastructure, this study eventually leads to the realization of the value of using time-series MODIS DVLE data for weekly flood monitoring in MRD with the aid of EMD and WFM. Such an approach that could provide quantitative information on

  14. When is it MODY? Challenges in the Interpretation of Sequence Variants in MODY Genes

    Science.gov (United States)

    Althari, Sara; Gloyn, Anna L.

    2015-01-01

    The genomics revolution has raised more questions than it has provided answers. Big data from large population-scale resequencing studies are increasingly deconstructing classic notions of Mendelian disease genetics, which support a simplistic correlation between mutational severity and phenotypic outcome. The boundaries are being blurred as the body of evidence showing monogenic disease-causing alleles in healthy genomes, and in the genomes of individu-als with increased common complex disease risk, continues to grow. In this review, we focus on the newly emerging challenges which pertain to the interpretation of sequence variants in genes implicated in the pathogenesis of maturity-onset diabetes of the young (MODY), a presumed mono-genic form of diabetes characterized by Mendelian inheritance. These challenges highlight the complexities surrounding the assignments of pathogenicity, in particular to rare protein-alerting variants, and bring to the forefront some profound clinical diagnostic implications. As MODY is both genetically and clinically heterogeneous, an accurate molecular diagnosis and cautious extrapolation of sequence data are critical to effective disease management and treatment. The biological and translational value of sequence information can only be attained by adopting a multitude of confirmatory analyses, which interrogate variant implication in disease from every possible angle. Indeed, studies which have effectively detected rare damaging variants in known MODY genes in normoglycemic individuals question the existence of a sin-gle gene mutation scenario: does monogenic diabetes exist when the genetic culprits of MODY have been systematical-ly identified in individuals without MODY? PMID:27111119

  15. Modeling GPP in the Nordic forest landscape with MODIS time series data—Comparison with the MODIS GPP product

    DEFF Research Database (Denmark)

    Schubert, Per; Lagergren, Fredrik; Aurela, Mika

    2012-01-01

    . The main objective of this study was to investigate if MODIS 500m reflectance data can be used to drive empirical models for regional estimations of GPP in Nordic forests. The performance of the proposed models was compared with the MODIS 1km GPP product. Linear regression analyses were made on 8-day...... averages of eddy covariance GPP from three deciduous and ten coniferous sites in relation to MODIS 8-day composite data and 8-day averages of modeled incoming PPFD (photosynthetic photon flux density). Time series of EVI2 (two-band enhanced vegetation index) were calculated from MODIS 500m reflectance data...... and smoothed by a curve fitting procedure. For most sites, GPP was fairly strongly to strongly related to the product of EVI2 and PPFD (Deciduous: R2=0.45–0.86, Coniferous: R2=0.49–0.90). Similar strengths were found between GPP and the product of EVI2 and MODIS 1km daytime LST (land surface temperature) (R2...

  16. Simulation of advanced accumulator and its application in CPR1000 LBLOCA analysis

    International Nuclear Information System (INIS)

    Hu, Hongwei; Shan, Jianqiang; Gou, Junli; Cao, Jianhua; Shen, Yonggang; Fu, Xiangang

    2014-01-01

    Highlights: • The analysis model was developed for advanced accumulator. • The sensitivity analysis of each key parameter was performed. • The LBLOCA was analyzed for the CPR1000 with advanced accumulator. • The analysis shows that advanced accumulator can improve CPR1000 safety performance. - Abstract: The advanced accumulator is designed to improve the safety and reliability of CPR1000 by providing a small injection flow to keep the reactor core in flooded condition. Thus, the core still stays in a cooling state without the intervention of low pressure safety injection and the startup grace time of the low pressure safety injection pump can be greatly extended. A new model for the advanced accumulator, which is based on the basic conservation equations, is developed and incorporated into RELAP5/MOD 3.3. The simulation of the advanced accumulator can be carried out and results show that the behavior of the advanced accumulator satisfied its primary design target. There is a large flow in the advanced accumulator at the initial stage. When the accumulator water level is lower than the stand pipe, a vortex appears in the damper, which results in a large pressure drop and a small flow. And then the sensitivity analysis is performed and the major factors which affected the flow rate of the advanced accumulator were obtained, including the damper diameter, the initial volume ratio of the water and the nitrogen and the diameter ratio of the standpipe and the small pipe. Additionally, the primary coolant loop cold leg double-ended guillotine break LBLOCA in CPR1000 with advanced accumulator is analyzed. The results show that the criterion for maximum cladding temperature limit (1477 K) (NRC, 1992) can be met ever with 200 s after the startup of the low pressure safety injection. From this point of view, passive advanced accumulator can strive a longer grace time for LPSI. Thus the reliability, safety and economy of the reactor system can be improved

  17. An evaluation of designed passive Core Makeup Tank (CMT) for China pressurized reactor (CPR1000)

    International Nuclear Information System (INIS)

    Wang, Mingjun; Tian, Wenxi; Qiu, Suizheng; Su, Guanghui; Zhang, Yapei

    2013-01-01

    Highlights: ► Only PRHRS is not sufficient to maintain reactor safety in case of SGTR accident. ► The Core Makeup Tank (CMT) is designed for CPR1000. ► Joint operation of PRHRS and CMT can keep reactor safety during the SGTR transient. ► CMT is a vital supplement for CPR1000 passive safety system design. - Abstract: Emergency Passive Safety System (EPSS) is an innovative design to improve reliability of nuclear power plants. In this work, the EPSS consists of secondary passive residual heat removal system (PRHRS) and the reactor Core Makeup Tank (CMT) system. The PRHRS, which has been studied in our previous paper, can effectively remove the core residual heat and passively improve the inherent safety by passive methods. The designed CMT, representing the safety improvement for CPR1000, is used to inject cool boron-containing water into the primary system during the loss of coolant accident. In this study, the behaviors of EPSS and transient characteristics of the primary loop system during the Steam Generator Tube Rupture (SGTR) accident are investigated using the nuclear reactor thermal hydraulic code RELAP5/MOD3.4. The results show that the designed CMT can protect the reactor primary loop from boiling and maintain primary loop coolant in single phase state. Both PRHRS and CMT operation ensures reactor safety during the SGTR accident. Results reported in this paper show that the designed CMT is a further safety improvement for CPR1000

  18. CPR in the Schools: Training Students to Save Heart Attack Victims.

    Science.gov (United States)

    Britton, Royce J.

    1978-01-01

    A community cardiac emergency medical plan should include training of family and co-workers of high risk patients, including teenage students. The American Heart Association lists ways to introduce cardiopulmonary resuscitation (CPR) into school curricula and describes the plan implemented in Pennsylvania. (MF)

  19. The silkworm Bombyx mori cuticular protein CPR55 gene is regulated by the transcription factor βFTZ-F1

    Directory of Open Access Journals (Sweden)

    Md. Saheb Ali

    2016-01-01

    Full Text Available The insect cuticle is composed of various proteins and formed during the moult under a complex biological process that depends on the cross talk between hormone levels and gene expression. In the present study, we aimed to clarify the ecdysone-dependent temporal regulation mechanisms of cuticular proteins expression and the underlying control of Bombyx mori metamorphosis. The expression of CPR55 was observed from the W3 early stage and peaked at pupation when the ecdysteroid titre declined. CPR55 was induced by the ecdysone pulse, and their expression peaked at 24 h after transfer to a hormone free medium. Transcripts of CPR55 were neither observed after the 20E pulse treatment in the presence of cycloheximide nor after the addition of 20E in V4 wing discs. We analysed the upstream region of the CPR55 gene using a transient reporter assay with a gene gun system which identified only one βFTZ-F1 binding site important for cis-acting elements for the transcription activation of the luciferase reporter gene by an ecdysone pulse. Site-directed mutagenesis of this element in the context of the 589-bp promoter fragment drastically decreased the reporter activity. The nuclear protein bound to βFTZ-F1 sites was identified by an electrophoretic mobility shift assay suggesting that CPR55 expression was regulated by βFTZ-F1 through the ecdysone pulse. The results confirmed that transcription factor, BmβFTZ-F1, binds to the cis-regulatory elements in the promoter of the gene coding for cuticle protein, CPR55, and regulates its expression during B. mori metamorphosis.

  20. Circulating ghrelin level is higher in HNF1A-MODY and GCK-MODY than in polygenic forms of diabetes mellitus.

    Science.gov (United States)

    Nowak, Natalia; Hohendorff, Jerzy; Solecka, Iwona; Szopa, Magdalena; Skupien, Jan; Kiec-Wilk, Beata; Mlynarski, Wojciech; Malecki, Maciej T

    2015-12-01

    Ghrelin is a hormone that regulates appetite. It is likely to be involved in the pathophysiology of varying forms of diabetes. In animal studies, the ghrelin expression was regulated by the hepatocyte nuclear factor 1 alpha (HNF1A). Mutations of the HNF1A gene cause maturity onset diabetes of the young (MODY). We aimed to assess the circulating ghrelin levels in HNF1A-MODY and in other types of diabetes and to evaluate its association with HNF1A mutation status. Our cohort included 46 diabetic HNF1A gene mutation carriers, 55 type 2 diabetes (T2DM) subjects, 42 type 1 diabetes (T1DM) patients, and 31 glucokinase (GCK) gene mutation carriers with diabetes as well as 51 healthy controls. Plasma ghrelin concentration was measured using the immunoenzymatic assay with polyclonal antibody against the C-terminal fragment of its acylated and desacylated forms. Ghrelin concentrations were 0.75 ± 0.32, 0.70 ± 0.21, 0.50 ± 0.20, and 0.40 ± 0.16 ng/ml in patients with HNF1A-MODY, GCK-MODY, T1DM, and T2DM, respectively. The ghrelin levels were higher in HNF1A-MODY and GCK-MODY than in T1DM and T2DM (p MODY groups and common diabetes types remained significant. Analysis by a HNF1A mutation type indicated that ghrelin concentration is similar in patients with different types of sequence differences. Plasma ghrelin level is higher in HNF1A-MODY and GCK-MODY than in the common polygenic forms of diabetes.

  1. Phased-array radar design application of radar fundamentals

    CERN Document Server

    Jeffrey, Thomas

    2009-01-01

    Phased-Array Radar Design is a text-reference designed for electrical engineering graduate students in colleges and universities as well as for corporate in-house training programs for radar design engineers, especially systems engineers and analysts who would like to gain hands-on, practical knowledge and skills in radar design fundamentals, advanced radar concepts, trade-offs for radar design and radar performance analysis.

  2. A survey of attitudes and factors associated with successful cardiopulmonary resuscitation (CPR knowledge transfer in an older population most likely to witness cardiac arrest: design and methodology

    Directory of Open Access Journals (Sweden)

    Brehaut Jamie C

    2008-11-01

    Full Text Available Abstract Background Overall survival rates for out-of-hospital cardiac arrest rarely exceed 5%. While bystander cardiopulmonary resuscitation (CPR can increase survival for cardiac arrest victims by up to four times, bystander CPR rates remain low in Canada (15%. Most cardiac arrest victims are men in their sixties, they usually collapse in their own home (85% and the event is witnessed 50% of the time. These statistics would appear to support a strategy of targeted CPR training for an older population that is most likely to witness a cardiac arrest event. However, interest in CPR training appears to decrease with advancing age. Behaviour surrounding CPR training and performance has never been studied using well validated behavioural theories. Methods/Design The overall goal of this study is to conduct a survey to better understand the behavioural factors influencing CPR training and performance in men and women 55 years of age and older. The study will proceed in three phases. In phase one, semi-structured qualitative interviews will be conducted and recorded to identify common categories and themes regarding seeking CPR training and providing CPR to a cardiac arrest victim. The themes identified in the first phase will be used in phase two to develop, pilot-test, and refine a survey instrument based upon the Theory of Planned Behaviour. In the third phase of the project, the final survey will be administered to a sample of the study population over the telephone. Analyses will include measures of sampling bias, reliability of the measures, construct validity, as well as multiple regression analyses to identify constructs and beliefs most salient to seniors' decisions about whether to attend CPR classes or perform CPR on a cardiac arrest victim. Discussion The results of this survey will provide valuable insight into factors influencing the interest in CPR training and performance among a targeted group of individuals most susceptible to

  3. Maturity-onset diabetes of the young (MODY): an update.

    Science.gov (United States)

    Anık, Ahmet; Çatlı, Gönül; Abacı, Ayhan; Böber, Ece

    2015-03-01

    Maturity-onset diabetes of the young (MODY) is a group of monogenic disorders characterized by autosomal dominantly inherited non-insulin dependent form of diabetes classically presenting in adolescence or young adults before the age of 25 years. MODY is a rare cause of diabetes (1% of all cases) and is frequently misdiagnosed as Type 1 diabetes (T1DM) or Type 2 diabetes (T2DM). A precise molecular diagnosis is essential because it leads to optimal treatment of the patients and allows early diagnosis for their asymptomatic family members. Mutations in the glucokinase (GCK) (MODY 2) and hepatocyte nuclear factor (HNF)1A/4A (MODY 3 and MODY 1) genes are the most common causes of MODY. GCK mutations cause a mild, asymptomatic, and stable fasting hyperglycemia usually requiring no specific treatment. However, mutations in the HNF1A and HNF4A cause a progressive pancreatic β-cell dysfunction and hyperglycemia that can result in microvascular complications. Sulfonylureas are effective in these patients by acting on adenosine triphosphate (ATP)-sensitive potassium channels, although insulin therapy may be required later in life. Mutations in the HNF1B (MODY 5) is associated with pancreatic agenesis, renal abnormalities, genital tract malformations, and liver dysfunction. Compared to MODY 1, 2, 3, and 5, the remaining subtypes of MODY have a much lower prevalence. In this review, we summarize the main clinical and laboratory characteristics of the common and rarer causes of MODY.

  4. Identification of HNF1A-MODY and HNF4A-MODY in Irish families: phenotypic characteristics and therapeutic implications.

    Science.gov (United States)

    Kyithar, M P; Bacon, S; Pannu, K K; Rizvi, S R; Colclough, K; Ellard, S; Byrne, M M

    2011-12-01

    The prevalence of hepatocyte nuclear factor (HNF)-1A and HNF4A mutations, and the clinical implications following the genetic diagnosis of maturity-onset diabetes of the young (MODY) in the Irish population, remain unknown. The aim of this study was to establish the occurrence of HNF1A and HNF4A mutations in subjects classified clinically as MODY to identify novel mutations, and to determine the phenotypic features and response to therapy. A total of 36 unrelated index cases with a clinical diagnosis of MODY were analyzed for HNF1A/HNF4A mutations. OGTT was performed to determine the degree of glucose tolerance and insulin secretory response. Also, 38 relatives underwent OGTT and were tested for the relevant known mutations. HNF1A-/HNF4A-MODY subjects were compared with nine HNF1A mutation-negative relatives and 20 type 2 diabetic (T2DM) patients. Seven different HNF1A mutations were identified in 11/36 (30.5%) index cases, two of which were novel (S352fsdelG and F426X), as well as two novel HNF4A mutations (M1? and R290C; 6%). Family screening revealed 20 subjects with HNF1A and seven with HNF4A mutations. Only 51.6% of HNF1A mutation carriers were diagnosed with diabetes by age 25 years; 11 of the mutation carriers were overweight and four were obese. Insulin secretory response to glucose was significantly lower in HNF1A-MODY subjects than in T2DM patients and HNF1A mutation-negative relatives (P=0.01). Therapeutic changes occurred in 48% of mutation carriers following genetic diagnosis. There was an HNF1A-MODY pick-up rate of 30.5% and an HNF4A-MODY pick-up rate of 6% in Irish MODY families. Genetically confirmed MODY has significant therapeutic implications. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  5. The effect of formal training of cardiopulmonary resuscitation (CPR skills on medical students perceived self-sufficiency

    Directory of Open Access Journals (Sweden)

    Shaghaghi A

    2004-07-01

    Full Text Available Background: Experience of cardiopulmonary resuscitation (CPR in real clinical setting is not easily possible for all medical students. Purpose: To assess medical student perceived self-sufficiency on three procedural skill on internship courses after they had taken a training course in clerkship period. Methods: Forty three medical students who had attended a workshop on CPR, tracheal intubations and venopuncture answered the questionnaires on their perceived self-sufficiency in performing these procedures after serving a few months as interns. Results: The mean score for perceived self-sufficiency (PSS was 75.84 (±18.63.Thre were a high correlation between the score given for the applicability of training in real life situation and the stress reduction scores on first time performing the procedure. Conclusion: The high degree of correlation between PSS scores and applicability scores, may warrant the consideration of new methods in procedural skills. Keywords: SKILL TRAINING, CPR TRAINING, PERCEIVED SELF-SUFFICIENCY

  6. The Two-Component System CprRS Senses Cationic Peptides and Triggers Adaptive Resistance in Pseudomonas aeruginosa Independently of ParRS

    DEFF Research Database (Denmark)

    Fernandez, Luca; Jenssen, Håvard; Bains, Manjeet

    2012-01-01

    dependency on the CprRS and ParRS systems in a concentration-dependent manner. It was further demonstrated that, following exposure to inducing antimicrobial peptides, cprRS mutants did not become adaptively resistant to polymyxins as was observed for wild-type cells. Our microarray studies demonstrated...

  7. Protocol of a Multicenter International Randomized Controlled Manikin Study on Different Protocols of Cardiopulmonary Resuscitation for laypeople (MANI-CPR).

    Science.gov (United States)

    Baldi, Enrico; Contri, Enrico; Burkart, Roman; Borrelli, Paola; Ferraro, Ottavia Eleonora; Tonani, Michela; Cutuli, Amedeo; Bertaia, Daniele; Iozzo, Pasquale; Tinguely, Caroline; Lopez, Daniel; Boldarin, Susi; Deiuri, Claudio; Dénéréaz, Sandrine; Dénéréaz, Yves; Terrapon, Michael; Tami, Christian; Cereda, Cinzia; Somaschini, Alberto; Cornara, Stefano; Cortegiani, Andrea

    2018-04-19

    Out-of-hospital cardiac arrest is one of the leading causes of death in industrialised countries. Survival depends on prompt identification of cardiac arrest and on the quality and timing of cardiopulmonary resuscitation (CPR) and defibrillation. For laypeople, there has been a growing interest on hands-only CPR, meaning continuous chest compression without interruption to perform ventilations. It has been demonstrated that intentional interruptions in hands-only CPR can increase its quality. The aim of this randomised trial is to compare three CPR protocols performed with different intentional interruptions with hands-only CPR. This is a prospective randomised trial performed in eight training centres. Laypeople who passed a basic life support course will be randomised to one of the four CPR protocols in an 8 min simulated cardiac arrest scenario on a manikin: (1) 30 compressions and 2 s pause; (2) 50 compressions and 5 s pause; (3) 100 compressions and 10 s pause; (4) hands-only. The calculated sample size is 552 people. The primary outcome is the percentage of chest compression performed with correct depth evaluated by a computerised feedback system (Laerdal QCPR). ETHICS AND DISSEMINATION: . Due to the nature of the study, we obtained a waiver from the Ethics Committee (IRCCS Policlinico San Matteo, Pavia, Italy). All participants will sign an informed consent form before randomisation. The results of this study will be published in peer-reviewed journal. The data collected will also be made available in a public data repository. NCT02632500. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  8. Effects of pre-training using serious game technology on CPR performance – an exploratory quasi-experimental transfer study

    Directory of Open Access Journals (Sweden)

    Creutzfeldt Johan

    2012-12-01

    Full Text Available Abstract Background Multiplayer virtual world (MVW technology creates opportunities to practice medical procedures and team interactions using serious game software. This study aims to explore medical students’ retention of knowledge and skills as well as their proficiency gain after pre-training using a MVW with avatars for cardio-pulmonary resuscitation (CPR team training. Methods Three groups of pre-clinical medical students, n = 30, were assessed and further trained using a high fidelity full-scale medical simulator: Two groups were pre-trained 6 and 18 months before assessment. A reference control group consisting of matched peers had no MVW pre-training. The groups consisted of 8, 12 and 10 subjects, respectively. The session started and ended with assessment scenarios, with 3 training scenarios in between. All scenarios were video-recorded for analysis of CPR performance. Results The 6 months group displayed greater CPR-related knowledge than the control group, 93 (±11% compared to 65 (±28% (p  At start the pre-trained groups adhered better to guidelines than the control group; mean violations 0.2 (±0.5, 1.5 (±1.0 and 4.5 (±1.0 for the 6 months, 18 months and control group respectively. Likewise, in the 6 months group no chest compression cycles were delivered at incorrect frequencies whereas 54 (±44% in the control group (p  Conclusions This study supports the beneficial effects of MVW-CPR team training with avatars as a method for pre-training, or repetitive training, on CPR-skills among medical students.

  9. How well does the Continuous Plankton Recorder (CPR) sample zooplankton? A comparison with the Longhurst Hardy Plankton Recorder (LHPR) in the northeast Atlantic

    Science.gov (United States)

    Richardson, Anthony J.; John, Eurgain H.; Irigoien, Xabier; Harris, Roger P.; Hays, Graeme C.

    2004-09-01

    The Continuous Plankton Recorder (CPR) survey has collected data on basin-scale zooplankton abundance in the North Atlantic since the 1930s. These data have been used in many studies to elucidate seasonal patterns and long-term change in plankton populations, as well as more recently to validate ecosystem models. There has, however, been relatively little comparison of the data from the CPR with that from other samplers. In this study we compare zooplankton abundance estimated from the CPR in the northeast Atlantic with near-surface samples collected by a Longhurst-Hardy Plankton Recorder (LHPR) at Ocean Weather Station India (59°N, 19°W) between 1971 and 1975. Comparisons were made for six common copepods in the region: Acartia clausi, Calanus finmarchicus, Euchaeta norvegica, Metridia lucens, Oithona sp., and Pleuromamma robusta. Seasonal cycles based on CPR data were similar to those recorded by the LHPR. Differences in absolute abundances were apparent, however, with the CPR underestimating abundances by a factor of between 5 and 40, with the exception of A. clausi. Active avoidance by zooplankton is thought to be responsible. This avoidance is species specific, so that care must be taken describing communities, as the CPR emphasises those species that are preferentially caught, a problem common to many plankton samplers.

  10. MODY in Ukraine: genes, clinical phenotypes and treatment.

    Science.gov (United States)

    Globa, Evgenia; Zelinska, Nataliya; Elblova, Lenka; Dusatkova, Petra; Cinek, Ondrej; Lebl, Jan; Colclough, Kevin; Ellard, Sian; Pruhova, Stepanka

    2017-10-26

    Maturity-onset diabetes of the young (MODY) has not been previously studied in Ukraine. We investigated the genetic etiology in a selected cohort of patients with diabetes diagnosed before 18 years of age, and in their family members. Genetic testing of the most prevalent MODY genes (GCK, HNF1A, HNF4A, HNF1B and INS) was undertaken for 36 families (39 affected individuals) by Sanger or targeted next generation sequencing. A genetic diagnosis of MODY was made in 15/39 affected individuals from 12/36 families (33%). HNF1A and HNF4A MODY were the most common subtypes, accounting for 9/15 of MODY cases. Eight patients with HNF1A or HNF4A MODY and inadequate glycemic control were successfully transferred to sulfonylureas. Median HbA1c decreased from 67 mmol/mol (range 58-69) to 47 mmol/mol (range 43-50) (8.3% [7.5-8.5] to 6.4% [6.1-6.7]) 3 months after transfer (p=0.006). Genetic testing identified pathogenic HNF1A and HNF4A variants as the most common cause of MODY in Ukraine. Transfer to sulfonylureas substantially improved the glycemic control of these patients.

  11. Aerosol Indirect Effect on Warm Clouds over Eastern China Using Combined CALIOP and MODIS Observations

    Science.gov (United States)

    Guo, Jianping; Wang, Fu; Huang, Jingfeng; Li, Xiaowen

    2015-04-01

    Aerosol, one of key components of the climate system, is highly variable, both temporally and spatially. It often exerts great influences on the cloud-precipitation chain processes by serving as CCN/IN, altering cloud microphysics and its life cycle. Yet, the aerosol indirect effect on clouds remains largely unknown, because the initial changes in clouds due to aerosols may be enhanced or dampened by such feedback processes as modified cloud dynamics, or evaporation of the smaller droplets due to the competition for water vapor. In this study, we attempted to quantify the aerosol effects on warm cloud over eastern China, based on near-simultaneous retrievals from MODIS/AQUA, CALIOP/CALIPSO and CPR/CLOUDSAT during the period 2006 to 2010. The seasonality of aerosol from ground-based PM10 is quite different from that estimated from MODIS AOD. This result is corroborated by lower level profile of aerosol occurrence frequency from CALIOP, indicating the significant role CALIOP could play in aerosol-cloud interaction. The combined use of CALIOP and CPR facilitate the process to exactly determine the (vertical) position of warm cloud relative to aerosol, out of six scenarios in terms of aerosol-cloud mixing status in terms of aerosol-cloud mixing status, which shows as follows: AO (Aerosol only), CO (Cloud only), SASC (Single aerosol-single cloud), SADC (single aerosol-double cloud), DASC (double aerosol-single cloud), and others. Results shows that about 54% of all the cases belong to mixed status, among all the collocated aerosol-cloud cases. Under mixed condition, a boomerang shape is observed, i.e., reduced cloud droplet radius (CDR) is associated with increasing aerosol at moderate aerosol pollution (AODcases. We categorize dataset into warm-season and cold-season subsets to figure out how the boomerang shape varies with season. For moderate aerosol loading (AODMixed" cases is greater during cold season (denoted by a large slope), as compared with that during warm

  12. Validation of MODIS snow cover images over Austria

    Directory of Open Access Journals (Sweden)

    J. Parajka

    2006-01-01

    Full Text Available This study evaluates the Moderate Resolution Imaging Spectroradiometer (MODIS snow cover product over the territory of Austria. The aims are (a to analyse the spatial and temporal variability of the MODIS snow product classes, (b to examine the accuracy of the MODIS snow product against in situ snow depth data, and (c to identify the main factors that may influence the MODIS classification accuracy. We use daily MODIS grid maps (version 4 and daily snow depth measurements at 754 climate stations in the period from February 2000 to December 2005. The results indicate that, on average, clouds obscured 63% of Austria, which may significantly restrict the applicability of the MODIS snow cover images to hydrological modelling. On cloud-free days, however, the classification accuracy is very good with an average of 95%. There is no consistent relationship between the classification errors and dominant land cover type and local topographical variability but there are clear seasonal patterns to the errors. In December and January the errors are around 15% while in summer they are less than 1%. This seasonal pattern is related to the overall percentage of snow cover in Austria, although in spring, when there is a well developed snow pack, errors tend to be smaller than they are in early winter for the same overall percent snow cover. Overestimation and underestimation errors balance during most of the year which indicates little bias. In November and December, however, there appears to exist a tendency for overestimation. Part of the errors may be related to the temporal shift between the in situ snow depth measurements (07:00 a.m. and the MODIS acquisition time (early afternoon. The comparison of daily air temperature maps with MODIS snow cover images indicates that almost all MODIS overestimation errors are caused by the misclassification of cirrus clouds as snow.

  13. An Appropriate Compression Pace is Important for Securing the Quality of Hands-only CPR : A manikin study

    OpenAIRE

    Shimizu, Yoshitaka; Tanigawa, Koichi; Ishikawa, Masami; Ouhara, Kazuhisa; Oue, Kana; Yoshinaka, Taiga; Kurihara, Hidemi; Irifune, Masahiro

    2014-01-01

    It is important to implement good quality chest compressions for cardiopulmonary resuscitation (CPR). This manikin study examined the effects of different compression rates on chest compression depth variables using a metronome sound guide. Fifty sixth-year dentistry students participated in the study. Each participant performed CPR at 3 different compression rates, 110, 100, and 90 compressions per min (pace-110-g, pace-100-g, and pace-90-g) for 2 consecutive one-minute sets with a ten-secon...

  14. Abstract 20854: A Tale of Self-Fulfilling Prophecies in Out-of-Hospital Cardiac Arrest: Emergency Medical Technicians Deliberately Perform Substandard CPR When Anticipating Poor Prognosis

    DEFF Research Database (Denmark)

    Bødtker, Henrik; Klausen, Troels M; Lauridsen, Kasper G

    2017-01-01

    ) if they believe resuscitation to be futile. Furthermore, to investigate if different patient and resuscitation attempt characteristics result in EMTs deliberately performing substandard CPR.Methods: This was a cross-sectional questionnaire survey study conducted in 2016 through 2017 including EMTs from a Danish...... and compressions). Overall, 22% and 51% would perform substandard CPR if the patient were 80 or 90 years old respectively, 46% if the patient was living in a nursing home and up to 31% due to comorbidity such as cancer. EMTs (51%) would deliberately perform substandard CPR in case of on-going bystander CPR >20...... minutes. EMTs (72%) felt competent to terminate resuscitation, but only 9% knew international termination guidelines.Conclusion: EMTs delay start of resuscitation if they anticipate resuscitation to be futile. Furthermore, they deliberately perform substandard CPR based on controversial patient...

  15. Prevention of oral bacterial flora transmission by using mouth-to-mask ventilation during CPR.

    Science.gov (United States)

    Cydulka, R K; Connor, P J; Myers, T F; Pavza, G; Parker, M

    1991-01-01

    The Emergency Cardiac Care Committee of the American Heart Association has recently recommended utilizing protective barrier precautions during CPR (1,2). We assessed 17 mask and faceshield resuscitation devices for adequacy of barrier protection. Eight of the devices were faceshields (CPR Microshield, Hygenic, MedCare Mask, Resusci, Samaritan, Sealeasy, Portex); 8 were mask devices (Laerdal, Dyna Med, MTM Emergency Lung Ventilator, MTM Emergency Resuscitator, Res-Q-Flo, Rightway Mouth-to-Mask Resuscitation, Trufit), and one of the devices did not meet the criteria for either faceshield or mask (Lifesaver). All masks were disinfected, applied to the investigator's face as directed by the manufacturers' instructions, and then cultured for oral aerobic bacterial flora on the rescuer side. No mask devices cultured positive for oral aerobic bacterial flora, while 6 of 8 faceshield devices cultured positive for oral aerobic bacterial flora (P less than 0.007). The CPR Microshield and the Portex faceshield were the only devices that did not develop a positive culture. We conclude that all ventilation devices with a one-way valve, except the Sealeasy device, provide adequate barrier type protection from oral aerobic bacterial flora when simulating mouth-to-barrier type protection when performing mouth-to-mouth ventilation.

  16. Maturity-onset diabetes of the young--MODY. Molekylaergenetiske, patofysiologiske og kliniske karakteristika

    DEFF Research Database (Denmark)

    Hansen, Torben; Urhammer, Søren A; Pedersen, Oluf Borbye

    2002-01-01

    Maturity-onset diabetes of the young (MODY) is a genetically and clinically heterogeneous subtype of type 2 diabetes characterised by an early onset, an autosomal dominant inheritance, and a primary defect in insulin secretion. MODY comprises 2-5% of cases of type 2 diabetes. So far, six MODY genes...... have been identified (MODY1-6): hepatocyte nuclear factor (HNF-4 alpha), glucokinase, HNF-1 alpha, HNF-1 beta, insulin promoter factor 1(IPF-1), and neurogenic differentiation factor 1 (NEUROD1). MODY2 and MODY3 are the most common forms of MODY. Mutations in glucokinase/MODY2 result in a mild form...... of diabetes. In contrast, MODY3 and some of the other MODY forms are characterised by major insulin secretory defects and severe hyperglycaemia associated with microvascular complications. About 25% of known MODY is caused by mutations in yet unknown genes and present results suggest that other monogenic...

  17. MODIS/Terra Land Water Mask Derived from MODIS and SRTM L3 Global 250m SIN Grid V005

    Data.gov (United States)

    National Aeronautics and Space Administration — The MODIS 250 m land-water mask (Short Name: MOD44W) is an improvement over the existing MODIS Nadir Bidirectional Reflectance Distribution Function (BRDF)-Adjusted...

  18. HDL cholesterol as a diagnostic tool for clinical differentiation of GCK-MODY from HNF1A-MODY and type 1 diabetes in children and young adults.

    Science.gov (United States)

    Fendler, Wojciech; Borowiec, Maciej; Antosik, Karolina; Szadkowska, Agnieszka; Deja, Grazyna; Jarosz-Chobot, Przemyslawa; Mysliwiec, Malgorzata; Wyka, Krystyna; Pietrzak, Iwona; Skupien, Jan; Malecki, Maciej T; Mlynarski, Wojciech

    2011-09-01

    Confirmation of monogenic diabetes caused by glucokinase mutations (GCK-MODY) allows pharmacogenetic intervention in the form of insulin discontinuation. This is especially important among paediatric and young adult populations where GCK-MODY is most prevalent. The study evaluated the utility of lipid parameters in screening for patients with GCK-MODY. Eighty-nine children with type 1 diabetes and 68 with GCK-MODY were screened for triglyceride (TG), total and HDL cholesterol levels. Standardization against a control group of 171 healthy children was applied to eliminate the effect of development. Clinical applicability and cut-off value were evaluated in all available patients with GCK-MODY (n = 148), hepatocyte nuclear factor 1-alpha-MODY (HNF1A MODY) (n = 37) or type 1 diabetes (n = 221). Lower lipid parameter values were observed in GCK-MODY than in patients with type 1 diabetes. Standard deviation scores were -0·22 ± 2·24 vs 1·31 ± 2·17 for HDL cholesterol (P MODY selection [sensitivity 87%, specificity 54%, negative predictive value (NPV) 86%, positive PV 56%]. A threshold HDL concentration of 1·56 mm offered significantly better diagnostic efficiency than total cholesterol (cut-off value 4·51 mm; NPV 80%; PPV 38%; P MODY and differentiation from T1DM and HNF1A-MODY, regardless of treatment or metabolic control. © 2011 Blackwell Publishing Ltd.

  19. Accuracy assessment of Terra-MODIS aerosol optical depth retrievals

    International Nuclear Information System (INIS)

    Safarpour, Sahabeh; Abdullah, Khiruddin; Lim, Hwee San; Dadras, Mohsen

    2014-01-01

    Moderate Resolution Imaging Spectroradiometer (MODIS) aerosol products have been widely used to address environment and climate change subjects with daily global coverage. Aerosol optical depth (AOD) is retrieved by different algorithms based on the pixel surface, determining between land and ocean. MODIS-Terra and Global Aerosol Robotic Network (AERONET) products can be obtained from the Multi-sensor Aerosol Products Sampling System (MAPSS) for coastal regions during 2000-2010. Using data collected from 83 coastal stations worldwide from AERONET from 2000-2010, accuracy assessments are made for coastal aerosol optical depth (AOD) retrieved from MODIS aboard the Terra satellite. AOD retrieved from MODIS at 0.55μm wavelength has been compared With the AERONET derived AOD, because it is reliable with the major wavelength used by many chemistry transport and climate models as well as previous MODIS validation studies. After removing retrievals with quality flags below1 for Ocean algorithm and below 3 for Land algorithm, The accuracy of AOD retrieved from MODIS Dark Target Ocean algorithms (correlation coefficient R 2 is 0.844 and a regression equation of τ M = 0.91·τ A + 0.02 (where subscripts M and A represent MODIS and AERONET respectively), is the greater than the MODIS Dark Target Land algorithms (correlation coefficient R 2 is 0.764 and τ M = 0.95·τ A + 0.03) and the Deep Blue algorithm (correlation coefficient R 2 is 0.652 and τ M = 0.81·τ A + 0.04). The reasons of the retrieval error in AOD are found to be the various underlying surface reflectance. Therefore, the aerosol models and underlying surface reflectance are the dominant factors which influence the accuracy of MODIS retrieval performance. Generally the MODIS Land algorithm implements better than the Ocean algorithm for coastal sites

  20. Keep pushing! Limiting interruptions to CPR; bag-valve mask versus i-gel® airway ventilation

    Directory of Open Access Journals (Sweden)

    Craig Vincent-Lambert

    2016-10-01

    Objectives: This pilot study evaluated how interruptions to chest compressions or hands-off time (HOT are affected by the placement of an i-gel® airway vs. simple BVM ventilation during single rescuer CPR. Method: 16 participants performed two, ten-minute single rescuer CPR simulations, firstly using the BVM and later the i-gel® airway for ventilation. Data pertaining to ventilations and HOT in each scenario was statistically analysed and compared. Results: The i-gel® airway demonstrated a superior ease of ventilation compared to BVM alone and resulted in a reduction of time spent on ventilations overall. The i-gel® however took a mean of 29 s, ± 10 s, to secure which contributes considerably to HOT. Conclusion: The use of the i-gel® airway resulted in a considerable decrease in the amount of time spent on ventilations and in more compressions being performed. The overall reduction in HOT was, however, offset by the time it took to secure the device. Further investigation into the use and securing of the i-gel® airway in single rescuer CPR is recommended.

  1. MODY in Siberia – molecular genetics and clinical characteristics

    Directory of Open Access Journals (Sweden)

    Alla Konstantinovna Ovsyannikova

    2017-05-01

    Full Text Available The diagnosis of maturity onset diabetes of the young (MODY has high clinical significance in young patients (no absolute need for exogenous insulin; normoglycaemia in most patients achieved by dieting or taking oral hypoglycaemic agents and their relatives (high probability of first-degree relatives being carriers of mutations, which requires a thorough collection of family history and determination of the parameters of carbohydrate metabolism. Aim. This study aimed was to determine the clinical characteristics of different subtypes of MODY in a Siberian region. Materials and Methods. We performed an examination, biochemical and hormonal blood tests, ultrasound and molecular genetic testing of 20 patients with a clinical diagnosis of MODY. Results. Four subtypes of MODY were verified: MODY2 in 11 patients, MODY3 in two, MODY8 in one and MODY12 in two. Eleven patients (69% exhibited no clinical manifestations of carbohydrate metabolism disorders, and one patient showed weight loss during early stage of the disease. Comorbidities included dyslipidemia, thyroid gland disorders and arterial hypertension. One patient (6% exhibited diabetic nephropathy; two (13%, diabetic retinopathy and three (19%, peripheral neuropathy of lower legs. All patients achieved the target carbohydrate metabolism; the level of C-peptide was within the reference range. Conclusion. Four different subtypes of MODY (2, 3, 8, 12 were diagnosed in the present study, which differed in their clinical characteristics, presence of complications and treatment strategies. Our knowledge of monogenic forms of diabetes is expanding with the development in molecular genetics, but several aspects related to them require further study.

  2. The impact of ultra-brief chest compression-only CPR video training on responsiveness, compression rate, and hands-off time interval among bystanders in a shopping mall.

    Science.gov (United States)

    Panchal, Ashish R; Meziab, Omar; Stolz, Uwe; Anderson, Wes; Bartlett, Mitchell; Spaite, Daniel W; Bobrow, Bentley J; Kern, Karl B

    2014-09-01

    Recent studies have demonstrated higher-quality chest compressions (CCs) following a 60 s ultra-brief video (UBV) on compression-only CPR (CO-CPR). However, the effectiveness of UBVs as a CPR-teaching tool for lay bystanders in public venues remains unknown. Determine whether an UBV is effective in teaching laypersons CO-CPR in a public setting and if viewing leads to superior responsiveness and CPR skills. Adult lay bystanders were enrolled in a public shopping mall and randomized to: (1) Control (CTR): sat idle for 60 s; (2) UBV: watched a 60 s UBV on CO-CPR. Subjects were read a scenario detailing a sudden collapse in the mall and asked to do what they "thought was best" on a mannequin. Performance measures were recorded for 2 min: responsiveness (time to call 911 and first CCs) and CPR quality [CC depth, rate, hands-off interval (time without CC after first CC)]. One hundred subjects were enrolled. Demographics were similar between groups. UBV subjects called 911 more frequently (percent difference: 31%) and initiated CCs sooner in the arrest scenario (median difference (MD): 5 s). UBV cohort had increased CC rate (MD: 19 cpm) and decreased hands-off interval (MD: 27 s). There was no difference in CC depth. Bystanders with UBV training in a shopping mall had significantly improved responsiveness, CC rate, and decreased hands-off interval. Given the short length of training, UBV may have potential as a ubiquitous intervention for public venues to help improve bystander reaction to arrest and CO-CPR performance. Published by Elsevier Ireland Ltd.

  3. Clinical differences between patients with MODY-3, MODY-2 and type 2 diabetes mellitus with I27L polymorphism in the HNF1alpha gene.

    Science.gov (United States)

    Pinés Corrales, Pedro José; López Garrido, María P; Aznar Rodríguez, Silvia; Louhibi Rubio, Lynda; López Jiménez, Luz M; Lamas Oliveira, Cristina; Alfaro Martínez, Jose J; Lozano García, Jose J; Hernández López, Antonio; Requejo Castillo, Ramón; Escribano Martínez, Julio; Botella Romero, Francisco

    2010-01-01

    The aim of our study was to describe and evaluate the clinical and metabolic characteristics of patients with MODY-3, MODY-2 or type 2 diabetes who presented I27L polymorphism in the HNF1alpha gene. The study included 31 previously diagnosed subjects under follow-up for MODY-3 (10 subjects from 5 families), MODY-2 (15 subjects from 9 families), or type 2 diabetes (6 subjects) with I27L polymorphism in the HNF1alpha gene. The demographic, clinical, metabolic, and genetic characteristics of all patients were analyzed. No differences were observed in distribution according to sex, age of onset, or form of diagnosis. All patients with MODY-2 or MODY-3 had a family history of diabetes. In contrast, 33.3% of patients with type 2 diabetes mellitus and I27L polymorphism in the HNF1alpha gene had no family history of diabetes (p MODY-3 patients, but not required by 100% of MODY-2 patients or 16.7% of patients with type 2 diabetes mellitus and I27L polymorphism in the HNF1alpha gene (p MODY-2, MODY-3 or type 2 diabetes of atypical characteristics, in this case patients who present I27L polymorphism in the HNF1alpha gene. Copyright 2010 Sociedad Española de Endocrinología y Nutrición. Published by Elsevier Espana. All rights reserved.

  4. Quantum radar

    CERN Document Server

    Lanzagorta, Marco

    2011-01-01

    This book offers a concise review of quantum radar theory. Our approach is pedagogical, making emphasis on the physics behind the operation of a hypothetical quantum radar. We concentrate our discussion on the two major models proposed to date: interferometric quantum radar and quantum illumination. In addition, this book offers some new results, including an analytical study of quantum interferometry in the X-band radar region with a variety of atmospheric conditions, a derivation of a quantum radar equation, and a discussion of quantum radar jamming.This book assumes the reader is familiar w

  5. Towards a systematic nationwide screening strategy for MODY.

    Science.gov (United States)

    Shields, Beverley; Colclough, Kevin

    2017-04-01

    MODY is an early-onset monogenic form of diabetes. Correctly identifying MODY is of considerable importance as diagnosing the specific genetic subtype can inform the optimal treatment, with many patients being able to discontinue unnecessary insulin treatment. Diagnostic molecular genetic testing to confirm MODY is expensive, so screening strategies are required to identify the most appropriate patients for testing. In this issue of Diabetologia, Johansson and colleagues (DOI 10.1007/s00125-016-4167-1 ) describe a nationwide systematic screening approach to identify individuals with MODY in the paediatric age range. They focused testing on patients negative for both GAD and islet antigen 2 (IA-2) islet autoantibodies, thereby ruling out those with markers of type 1 diabetes, the most common form of diabetes in this age group. This commentary discusses the advantages and limitations of the approach, and the caution required when interpreting variants of uncertain pathogenicity identified from testing whole populations rather than targeting only patients with a strong MODY phenotype.

  6. [Maturity onset diabetes of the young (MODY) - screening, diagnostic and therapy].

    Science.gov (United States)

    Kaser, Susanne; Resl, Michael

    2016-04-01

    Maturity onset diabetes of the young (MODY) is a group of monogenetic diabetes types affecting up to 2% all known diabetics. Transcription factor MODY (HNF1α, HNF4α), the most frequent forms of MODY, allow treatment with sulfonylureas, mutations of glucokinase (GCK-MODY) usually do not require any therapy. Especially in younger patients correct diagnosis of MODY often results in discontinuation of insulin therapy and initiation of a sulfonylurea. Accordingly, in patients with diabetes onset below age of 25 years, with a positive family history for diabetes and negative autoantibodies screening for MODY is recommended.

  7. MODIS Collection 6 Land Product Subsets Web Service

    Data.gov (United States)

    National Aeronautics and Space Administration — The MODIS Web Service provides data access capabilities for Moderate Resolution Imaging Spectroradiometer (MODIS) Collection 6 land products. The web service...

  8. MODIS GPP/NPP for complex land use area: a case study of comparison between MODIS GPP/NPP and ground-based measurements over Korea

    Science.gov (United States)

    Shim, C.

    2013-12-01

    The Moderate Resolution Imaging Radiometer (MODIS) Gross Primary Productivity (GPP)/Net Primary Productivity (NPP) has been widely used for the study on global terrestrial ecosystem and carbon cycle. The current MODIS product with ~ 1 km spatial resolution, however, has limitation on the information on local scale environment (fairly comparable values of the MODIS here however, cannot assure the quality of the MOD17 over the complex vegetation area of Korea since the ground measurements except the eddy covariance tower flux measurements are highly inconsistent. Therefore, the comprehensive experiments to represents GPP/NPP over diverse vegetation types for a comparable scale of MODIS with a consistent measurement technique are necessary in order to evaluate the MODIS vegetation productivity data over Korea, which contains a large portion of highly heterogeneous vegetation area.

  9. The Effects of Visual Feedback on CPR Skill Retention in Graduate Student Athletic Trainers

    Directory of Open Access Journals (Sweden)

    Michael G. Miller

    2015-09-01

    Full Text Available Context: Studies examining the effectiveness of cardiopulmonary resuscitation (CPR chest compressions have found compression depth and rate to be less than optimal and recoil to full release to be incomplete. Objective: To determine if visual feedback affects the rate and depth of chest compressions and chest recoil values during CPR training of athletic trainers and to determine retention of proficiency over time. Design: Pre-test, post-test. Setting: Medical simulation laboratory. Participants: Eleven females and one male (23.08+.51 years old, from an Athletic Training Graduate Program. All participants were Certified Athletic Trainers (1.12+.46 years of experience and certified in CPR for the Professional Rescuer. Interventions: Participants completed a pre-test, practice sessions, and a post-test on a SimMan® (Laerdal Medical manikin with visual feedback of skills in real time. After the pre-test, participants received feedback by the investigators. Participants completed practice sessions as needed (range=1-4 sessions, until they reached 100% skill proficiency. After achieving proficiency, participants returned 8 weeks later to perform the CPR skills. Main Outcome Measures: The average of all compression outcome measures (rate, depth, recoil was captured every 10 seconds (6x per min. All participants performed 5 cycles of 30 compressions. A two-tailed paired samples t-test (pre to post was used to compare rate of chest compressions, depth of chest compressions, and recoil of the chest. Significance was set a priori at pResults: There was a significant difference between pre and post-test compression depth average, p=.002. The pre-depth average was 41mm + 9.83mm compared to the post-depth average of 52.26mm + 5mm. There were no significant differences between pre and post-test chest compression rates and recoil. Conclusions: The use of a simulated manikin with visual feedback facilitated participants to reach the recommended compression

  10. Design and transient analyses of emergency passive residual heat removal system of CPR1000

    International Nuclear Information System (INIS)

    Zhang, Y.P.; Qiu, S.Z.; Su, G.H.; Tian, W.X.

    2012-01-01

    Highlights: ► Designing an EPRHRs for CPR1000. ► Developing a RELAP model of the EPRHRs. ► The EPRHRs could take away the decay heat effectively. - Abstract: The steam generator secondary emergency passive residual heat removal system (EPRHRs) is a new design for traditional generation II + reactor CPR1000. The EPRHRs is designed to improve the safety and reliability of CPR1000 by completely or partially replacing traditional emergency water cooling system in the event of the station blackout or loss of heat sink accident. The EPRHRs consists of steam generator (SG), heat exchanger (HX), emergency makeup tank (EMT), cooling water tank (CWT), and corresponding pipes and valves. In order to improve the safety and reliability of CPR1000, the model of the primary loop and the EPRHRs was developed to investigate residual heat removal capability of the EPRHRs and the transient characteristics of the primary loop affected by the EPRHRs using RELAP5/MOD3.4. The transient characteristics of the primary loop and the EPRHRs were calculated in the event of station blackout accident. Sensitivity studies of the EPRHRs were also conducted to investigate the response of the primary loop and the EPRHRs on the main parameters of the EPRHRs. The EPRHRs could supply water to the SG shell side from the EMT successfully. The calculation results showed that the EPRHRs could take away the decay heat from the primary loop effectively, and that the single-phase and two-phase natural circulations were established in the primary loop and EPRHRs loop, respectively. The results also indicated that the effect of isolation valve open time on the transient characteristics of the primary loop was little. However, the effect of isolation valve open time on the EPRHRs condensate flow was relatively greater. The isolation valves should not be opened too rapidly during the isolation valve opening process, and the isolation valve opening time should be greater than 10 s, which could avoid the

  11. Software Radar Technology

    Directory of Open Access Journals (Sweden)

    Tang Jun

    2015-08-01

    Full Text Available In this paper, the definition and the key features of Software Radar, which is a new concept, are proposed and discussed. We consider the development of modern radar system technology to be divided into three stages: Digital Radar, Software radar and Intelligent Radar, and the second stage is just commencing now. A Software Radar system should be a combination of various modern digital modular components conformed to certain software and hardware standards. Moreover, a software radar system with an open system architecture supporting to decouple application software and low level hardware would be easy to adopt "user requirements-oriented" developing methodology instead of traditional "specific function-oriented" developing methodology. Compared with traditional Digital Radar, Software Radar system can be easily reconfigured and scaled up or down to adapt to the changes of requirements and technologies. A demonstration Software Radar signal processing system, RadarLab 2.0, which has been developed by Tsinghua University, is introduced in this paper and the suggestions for the future development of Software Radar in China are also given in the conclusion.

  12. Large-sized seaweed monitoring based on MODIS

    Science.gov (United States)

    Ma, Long; Li, Ying; Lan, Guo-xin; Li, Chuan-long

    2009-10-01

    In recent years, large-sized seaweed, such as ulva lactuca, blooms frequently in coastal water in China, which threatens marine eco-environment. In order to take effective measures, it is important to make operational surveillance. A case of large-sized seaweed blooming (i.e. enteromorpha), occurred in June, 2008, in the sea near Qingdao city, is studied. Seaweed blooming is dynamically monitored using Moderate Resolution Imaging Spectroradiometer (MODIS). After analyzing imaging spectral characteristics of enteromorpha, MODIS band 1 and 2 are used to create a band ratio algorithm for detecting and mapping large-sized seaweed blooming. In addition, chlorophyll-α concentration is inversed based on an empirical model developed using MODIS. Chlorophyll-α concentration maps are derived using multitemporal MODIS data, and chlorophyll-α concentration change is analyzed. Results show that the presented methods are useful to get the dynamic distribution and the growth of large-sized seaweed, and can support contingency planning.

  13. A third-order gas-kinetic CPR method for the Euler and Navier-Stokes equations on triangular meshes

    Science.gov (United States)

    Zhang, Chao; Li, Qibing; Fu, Song; Wang, Z. J.

    2018-06-01

    A third-order accurate gas-kinetic scheme based on the correction procedure via reconstruction (CPR) framework is developed for the Euler and Navier-Stokes equations on triangular meshes. The scheme combines the accuracy and efficiency of the CPR formulation with the multidimensional characteristics and robustness of the gas-kinetic flux solver. Comparing with high-order finite volume gas-kinetic methods, the current scheme is more compact and efficient by avoiding wide stencils on unstructured meshes. Unlike the traditional CPR method where the inviscid and viscous terms are treated differently, the inviscid and viscous fluxes in the current scheme are coupled and computed uniformly through the kinetic evolution model. In addition, the present scheme adopts a fully coupled spatial and temporal gas distribution function for the flux evaluation, achieving high-order accuracy in both space and time within a single step. Numerical tests with a wide range of flow problems, from nearly incompressible to supersonic flows with strong shocks, for both inviscid and viscous problems, demonstrate the high accuracy and efficiency of the present scheme.

  14. Cystatin C is not a good candidate biomarker for HNF1A-MODY.

    Science.gov (United States)

    Nowak, Natalia; Szopa, Magdalena; Thanabalasingham, Gaya; McDonald, Tim J; Colclough, Kevin; Skupien, Jan; James, Timothy J; Kiec-Wilk, Beata; Kozek, Elzbieta; Mlynarski, Wojciech; Hattersley, Andrew T; Owen, Katharine R; Malecki, Maciej T

    2013-10-01

    Cystatin C is a marker of glomerular filtration rate (GFR). Its level is influenced, among the others, by CRP whose concentration is decreased in HNF1A-MODY. We hypothesized that cystatin C level might be altered in HNF1A-MODY. We aimed to evaluate cystatin C in HNF1A-MODY both as a diagnostic marker and as a method of assessing GFR. We initially examined 51 HNF1A-MODY patients, 56 subjects with type 1 diabetes (T1DM), 39 with type 2 diabetes (T2DM) and 43 non-diabetic individuals (ND) from Poland. Subjects from two UK centres were used as replication panels: including 215 HNF1A-MODY, 203 T2DM, 39 HNF4A-MODY, 170 GCK-MODY, 17 HNF1B-MODY and 58 T1DM patients. The data were analysed with additive models, adjusting for gender, age, BMI and estimated GFR (creatinine). In the Polish subjects, adjusted cystatin C level in HNF1A-MODY was lower compared with T1DM, T2DM and ND (p MODY, while the two GFR estimates were similar or cystatin C-based lower in the other groups. In the UK subjects, there were no differences in cystatin C between HNF1A-MODY and the other diabetic subgroups, except HNF1B-MODY. In UK HNF1A-MODY, cystatin C-based GFR estimate was higher than the creatinine-based one (p MODY. In HNF1A-MODY, the cystatin C-based GFR estimate is higher than the creatinine-based one.

  15. Radar Fundamentals, Presentation

    OpenAIRE

    Jenn, David

    2008-01-01

    Topics include: introduction, radar functions, antennas basics, radar range equation, system parameters, electromagnetic waves, scattering mechanisms, radar cross section and stealth, and sample radar systems.

  16. Role of dominant versus non-dominant hand position during uninterrupted chest compression CPR by novice rescuers: a randomized double-blind crossover study.

    Science.gov (United States)

    Nikandish, Reza; Shahbazi, Sharbanoo; Golabi, Sedigheh; Beygi, Najimeh

    2008-02-01

    Previous research has suggested improved quality of chest compressions when the dominant hand was in contact with the sternum. However, the study was in health care professionals and during conventional chest compression-ventilation CPR. The aim of this study was to test the hypothesis, in null form, that the quality of external chest compressions (ECC) in novice rescuers during 5min of uninterrupted chest compression CPR (UCC-CPR) is independent of the hand in contact with the sternum. Confirmation of the hypothesis would allow the use of either hand by the novice rescuers during UCC-CPR. Fifty-nine first year public heath students participated in this randomised double-blind crossover study. After completion of a standard adult BLS course, they performed single rescuer adult UCC-CPR for 5 min on a recording Resusci Anne. One week later they changed the hand of contact with the sternum while performing ECC. The quality of ECC was recorded by the skill meter for the dominant and non-dominant hand during 5 min ECC. The total number of correct chest compressions in the dominant hand group (DH), mean 183+/-152, was not statistically different from the non-dominant hand group (NH), mean 152+/-135 (P=0.09). The number of ECC with inadequate depth in the DH group, mean 197+/-174 and NH group, mean 196+/-173 were comparable (P=0.1). The incidence of ECC exceeding the recommended depth in the DH group, mean 51+/-110 and NH group, mean 32+/-75 were comparable (P=0.1). Although there is a trend to increased incidence of correct chest compressions with positioning the dominant hand in contact with the sternum, it does not reach statistical significance during UCC-CPR by the novice rescuers for 5 min.

  17. Remote Sensing of Ecosystem Light Use Efficiency Using MODIS

    Science.gov (United States)

    Huemmrich, K. F.; Middleton, E.; Landis, D.; Black, T. A.; Barr, A. G.; McCaughey, J. H.; Hall, F.

    2009-12-01

    Understanding the dynamics of the global carbon cycle requires an accurate determination of the spatial and temporal distribution of photosynthetic CO2 uptake by terrestrial vegetation. Optimal photosynthetic function is negatively affected by stress factors that cause down-regulation (i.e., reduced rate of photosynthesis). Present modeling approaches to determine ecosystem carbon exchange rely on meteorological data as inputs to models that predict the relative photosynthetic function in response to environmental conditions inducing stress (e.g., drought, high/low temperatures). This study examines the determination of ecosystem photosynthetic light use efficiency (LUE) from remote sensing, through measurement of vegetation spectral reflectance changes associated with physiologic stress responses exhibited by photosynthetic pigments. This approach uses the Moderate-Resolution Spectroradiometer (MODIS) on Aqua and Terra to provide frequent, narrow-band measurements. The reflective ocean MODIS bands were used to calculate the Photochemical Reflectance Index (PRI), an index that is sensitive to reflectance changes near 531nm associated with vegetation stress responses exhibited by photosynthetic pigments in the xanthophyll cycle. MODIS PRI values were compared with LUE calculated from CO2 flux measured at four Canadian forest sites: A mature Douglas fir site in British Columbia, mature aspen and black spruce sites in Saskatchewan, and a mixed forest site in Ontario, all part of the Canadian Carbon Program network. The relationships between LUE and MODIS PRI were different among forest types, with clear differences in the slopes of the relationships for conifer and deciduous forests. The MODIS based LUE measurements provide a more accurate estimation of observed LUE than the values calculated in the MODIS GPP model. This suggests the possibility of a GPP model that uses MODIS LUE instead of modeled LUE. This type of model may provide a useful contrast to existing

  18. A new method to detect cerebral blood flow waveform in synchrony with chest compression by near-infrared spectroscopy during CPR.

    Science.gov (United States)

    Koyama, Yasuaki; Wada, Takafumi; Lohman, Brandon D; Takamatsu, Yuka; Matsumoto, Junichi; Fujitani, Shigeki; Taira, Yasuhiko

    2013-10-01

    The objective of the study is to demonstrate the utility of near-infrared spectroscopy (NIRS) in evaluating chest compression (CC) quality in cardiac arrest (CA) patients as well as determine its prognosis predictive value. We present a nonconsecutive case series of adult patients with CA whose cardiopulmonary resuscitation (CPR) was monitored with NIRS and collected the total hemoglobin concentration change (ΔcHb), the tissue oxygen index (TOI), and the ΔTOI to assess CC quality in a noninvasive fashion. During CPR, ΔcHb displayed waveforms monitor, which we regarded as a surrogate for CC quality. Total hemoglobin concentration change waveforms responded accurately to variations or cessations of CCs. In addition, a TOI greater than 40% measured upon admission appears to be significant in predicting patient's outcome. Of 15 patients, 6 had a TOI greater than 40% measured upon admission, and 67% of the latter were in return of spontaneous circulation after CPR and were found to be significantly different between return of spontaneous circulation and death (P = .047; P < .05). Near-infrared spectroscopy reliably assesses the quality of CCs in patients with CA demonstrated by synchronous waveforms during CPR and possible prognostic predictive value, although further investigation is warranted. © 2013 Elsevier Inc. All rights reserved.

  19. Importance of basic CPR techniques. A study in the Region of Murcia

    Directory of Open Access Journals (Sweden)

    J. Arturo Abraldes Valeiras

    2011-01-01

    Full Text Available Annually in Spain many people die from diseases related to heart. Heart attack is the main cause of such deaths. Know and control the basic techniques of basic Cardiopulmonary resuscitation (CPR are essential to help a person away from these features. This study examined 1 the importance of knowing these techniques in the general population, and 2 the perception of the difficulty of understanding and application of techniques. We used a questionnaire designed "ad hoc" as a tool for collecting information. The instrument was subjected to validation and reliability for the study. The questionnaire was completed by 235 volunteers aged between 10 and 65. We performed a descriptive analysis, based on gender and the variables importance of knowledge and learning / apply techniques. Among the most relevant results, we emphasize an interest of society to improve training in this type of knowledge. Training would be ideal in most age groups of people (teens to seniors. Likewise, CPR techniques are easy to understand and execute a lesser extent, relevant perception among people who acknowledge and application these techniques

  20. Circulating CD36 is reduced in HNF1A-MODY carriers.

    Science.gov (United States)

    Bacon, Siobhan; Kyithar, Ma P; Schmid, Jasmin; Costa Pozza, Andre; Handberg, Aase; Byrne, Maria M

    2013-01-01

    Premature atherosclerosis is a significant cause of morbidity and mortality in type 2 diabetes mellitus. Maturity onset diabetes of the young (MODY) accounts for approximately 2% of all diabetes, with mutations in the transcription factor; hepatocyte nuclear factor 1 alpha (HNF1A) accounting for the majority of MODY cases. There is somewhat limited data available on the prevalence of macrovascular disease in HNF1A-MODY carriers with diabetes. Marked insulin resistance and the associated dyslipidaemia are not clinical features of HNF1A-MODY carriers. The scavenger protein CD36 has been shown to play a substantial role in the pathogenesis of atherosclerosis, largely through its interaction with oxidised LDL. Higher levels of monocyte CD36 and plasma CD36(sCD36) are seen to cluster with insulin resistance and diabetes. The aim of this study was to determine levels of sCD36 in participants with HNF1A-MODY diabetes and to compare them with unaffected normoglycaemic family members and participants with type 2 diabetes mellitus. We recruited 37 participants with HNF1A-MODY diabetes and compared levels of sCD36 with BMI-matched participants with type 2 diabetes mellitus and normoglycaemic HNF1A-MODY negative family controls. Levels of sCD36 were correlated with phenotypic and biochemical parameters. HNF1A-MODY participants were lean, normotensive, with higher HDL and lower triglyceride levels when compared to controls and participants with type 2 diabetes mellitus. sCD36 was also significantly lower in HNF1A-MODY participants when compared to both the normoglycaemic family controls and to lean participants with type 2 diabetes mellitus. In conclusion, sCD36 is significantly lower in lean participants with HNF1A-MODY diabetes when compared to weight-matched normoglycaemic familial HNF1A-MODY negative controls and to lean participants with type 2 diabetes mellitus. Lower levels of this pro-atherogenic marker may result from the higher HDL component in the lipid profile of

  1. Weather Radar Stations

    Data.gov (United States)

    Department of Homeland Security — These data represent Next-Generation Radar (NEXRAD) and Terminal Doppler Weather Radar (TDWR) weather radar stations within the US. The NEXRAD radar stations are...

  2. Operationalizing a Research Sensor: MODIS to VIIRS

    Science.gov (United States)

    Grant, K. D.; Miller, S. W.; Puschell, J.

    2012-12-01

    The National Oceanic and Atmospheric Administration (NOAA) and NASA are jointly acquiring the next-generation civilian environmental satellite system: the Joint Polar Satellite System (JPSS). JPSS will replace the afternoon orbit component and ground processing system of the current Polar-orbiting Operational Environmental Satellites (POES) managed by NOAA. The JPSS satellite will carry a suite of sensors designed to collect meteorological, oceanographic, climatological, and solar-geophysical observations of the earth, atmosphere, and space. The primary sensor for the JPSS mission is the Visible/Infrared Imager Radiometer Suite (VIIRS) developed by Raytheon Space and Airborne Systems (SAS). The ground processing system for the JPSS mission is known as the Common Ground System (JPSS CGS), and consists of a Command, Control, and Communications Segment (C3S) and the Interface Data Processing Segment (IDPS) which are both developed by Raytheon Intelligence and Information Systems (IIS). The Moderate Resolution Imaging Spectroradiometer (MODIS) was developed by Raytheon SAS for the NASA Earth Observing System (EOS) as a research instrument to capture data in 36 spectral bands, ranging in wavelength from 0.4 μm to 14.4 μm and at varying spatial resolutions (2 bands at 250 m, 5 bands at 500 m and 29 bands at 1 km). MODIS data provides unprecedented insight into large-scale Earth system science questions related to cloud and aerosol characteristics, surface emissivity and processes occurring in the oceans, on land, and in the lower atmosphere. MODIS has flown on the EOS Terra satellite since 1999 and on the EOS Aqua satellite since 2002 and provided excellent data for scientific research and operational use for more than a decade. The value of MODIS-derived products for operational environmental monitoring motivated led to the development of an operational counterpart to MODIS for the next-generation polar-orbiting environmental satellites, the Visible/Infrared Imager

  3. Analysis of Extracting Prior BRDF from MODIS BRDF Data

    OpenAIRE

    Hu Zhang; Ziti Jiao; Yadong Dong; Peng Du; Yang Li; Yi Lian; Tiejun Cui

    2016-01-01

    Many previous studies have attempted to extract prior reflectance anisotropy knowledge from the historical MODIS Bidirectional Reflectance Distribution Function (BRDF) product based on land cover or Normalized Difference Vegetation Index (NDVI) data. In this study, the feasibility of the method is discussed based on MODIS data and archetypal BRDFs. The BRDF is simplified into six archetypal BRDFs that represent different reflectance anisotropies. Five-year time series of MODIS BRDF data over ...

  4. USAID Expands eMODIS Coverage for Famine Early Warning

    Science.gov (United States)

    Jenkerson, C.; Meyer, D. J.; Evenson, K.; Merritt, M.

    2011-12-01

    Food security in countries at risk is monitored by U.S. Agency for International Development (USAID) through its Famine Early Warning Systems Network (FEWS NET) using many methods including Moderate Resolution Imaging Spectroradiometer (MODIS) data processed by U.S. Geological Survey (USGS) into eMODIS Normalized Difference Vegetation Index (NDVI) products. Near-real time production is used comparatively with trends derived from the eMODIS archive to operationally monitor vegetation anomalies indicating threatened cropland and rangeland conditions. eMODIS production over Central America and the Caribbean (CAMCAR) began in 2009, and processes 10-day NDVI composites every 5 days from surface reflectance inputs produced using predicted spacecraft and climatology information at Land and Atmosphere Near real time Capability for Earth Observing Systems (EOS) (LANCE). These expedited eMODIS composites are backed by a parallel archive of precision-based NDVI calculated from surface reflectance data ordered through Level 1 and Atmosphere Archive and Distribution System (LAADS). Success in the CAMCAR region led to the recent expansion of eMODIS production to include Africa in 2010, and Central Asia in 2011. Near-real time 250-meter products are available for each region on the last day of an acquisition interval (generally before midnight) from an anonymous file transfer protocol (FTP) distribution site (ftp://emodisftp.cr.usgs.gov/eMODIS). The FTP site concurrently hosts the regional historical collections (2000 to present) which are also searchable using the USGS Earth Explorer (http://edcsns17.cr.usgs.gov/NewEarthExplorer). As eMODIS coverage continues to grow, these geographically gridded, georeferenced tagged image file format (GeoTIFF) NDVI composites increase their utility as effective tools for operational monitoring of near-real time vegetation data against historical trends.

  5. Progress towards NASA MODIS and Suomi NPP Cloud Property Data Record Continuity

    Science.gov (United States)

    Platnick, S.; Meyer, K.; Holz, R.; Ackerman, S. A.; Heidinger, A.; Wind, G.; Platnick, S. E.; Wang, C.; Marchant, B.; Frey, R.

    2017-12-01

    The Suomi NPP VIIRS imager provides an opportunity to extend the 17+ year EOS MODIS climate data record into the next generation operational era. Similar to MODIS, VIIRS provides visible through IR observations at moderate spatial resolution with a 1330 LT equatorial crossing consistent with the MODIS on the Aqua platform. However, unlike MODIS, VIIRS lacks key water vapor and CO2 absorbing channels used for high cloud detection and cloud-top property retrievals. In addition, there is a significant mismatch in the spectral location of the 2.2 μm shortwave-infrared channels used for cloud optical/microphysical retrievals and cloud thermodynamic phase. Given these instrument differences between MODIS EOS and VIIRS S-NPP/JPSS, a merged MODIS-VIIRS cloud record to serve the science community in the coming decades requires different algorithm approaches than those used for MODIS alone. This new approach includes two parallel efforts: (1) Imager-only algorithms with only spectral channels common to VIIRS and MODIS (i.e., eliminate use of MODIS CO2 and NIR/IR water vapor channels). Since the algorithms are run with similar spectral observations, they provide a basis for establishing a continuous cloud data record across the two imagers. (2) Merged imager and sounder measurements (i.e.., MODIS-AIRS, VIIRS-CrIS) in lieu of higher-spatial resolution MODIS absorption channels absent on VIIRS. The MODIS-VIIRS continuity algorithm for cloud optical property retrievals leverages heritage algorithms that produce the existing MODIS cloud mask (MOD35), optical and microphysical properties product (MOD06), and the NOAA AWG Cloud Height Algorithm (ACHA). We discuss our progress towards merging the MODIS observational record with VIIRS in order to generate cloud optical property climate data record continuity across the observing systems. In addition, we summarize efforts to reconcile apparent radiometric biases between analogous imager channels, a critical consideration for

  6. Heterozygous ABCC8 mutations are a cause of MODY.

    Science.gov (United States)

    Bowman, P; Flanagan, S E; Edghill, E L; Damhuis, A; Shepherd, M H; Paisey, R; Hattersley, A T; Ellard, S

    2012-01-01

    The ABCC8 gene encodes the sulfonylurea receptor 1 (SUR1) subunit of the pancreatic beta cell ATP-sensitive potassium (K(ATP)) channel. Inactivating mutations cause congenital hyperinsulinism (CHI) and activating mutations cause transient neonatal diabetes (TNDM) or permanent neonatal diabetes (PNDM) that can usually be treated with sulfonylureas. Sulfonylurea sensitivity is also a feature of HNF1A and HNF4A MODY, but patients referred for genetic testing with clinical features of these types of diabetes do not always have mutations in the HNF1A/4A genes. Our aim was to establish whether mutations in the ABCC8 gene cause MODY that is responsive to sulfonylurea therapy. We sequenced the ABCC8 gene in 85 patients with a BMI MODY criteria, with two diagnosed after 25 years and one patient, who had no family history of diabetes, as a result of a proven de novo mutation. ABCC8 mutations can cause MODY in patients whose clinical features are similar to those with HNF1A/4A MODY. Therefore, sequencing of ABCC8 in addition to the known MODY genes should be considered if such features are present, to facilitate optimal clinical management of these patients.

  7. Identification of circulating microRNAs in HNF1A-MODY carriers.

    Science.gov (United States)

    Bonner, C; Nyhan, K C; Bacon, S; Kyithar, M P; Schmid, J; Concannon, C G; Bray, I M; Stallings, R L; Prehn, J H M; Byrne, M M

    2013-08-01

    HNF1A-MODY is a monogenic form of diabetes caused by mutations in the HNF1A gene. Here we identify, for the first time, HNF1A-MODY-associated microRNAs (miRNAs) that can be detected in the serum of HNF1A-MODY carriers. An miRNA array was carried out in rat INS-1 insulinoma cells inducibly expressing the common human Pro291fsinsC-HNF1A frame shift mutation. Differentially expressed miRNAs were validated by quantitative real-time PCR. Expression of miRNAs in the serum of HNF1A-MODY carriers (n = 31), MODY-negative family members (n = 10) and individuals with type 2 diabetes mellitus (n = 17) was quantified by absolute real-time PCR analysis. Inducible expression of Pro291fsinsC-HNF1A in INS-1 cells caused a significant upregulation of three miRNAs (miR-103, miR-224, miR-292-3p). The differential expression of two miRNAs (miR-103 and miR-224) was validated in vitro. Strongly elevated levels of miR-103 and miR-224 could be detected in the serum of HNF1A-MODY carriers compared with MODY-negative family controls. Serum levels of miR-103 distinguished HNF1A-MODY carriers from HbA1c-matched individuals with type 2 diabetes mellitus. Our study demonstrates that the pathophysiology of HNF1A-MODY is associated with the overexpression of miR-103 and miR-224. Furthermore, our study demonstrates that these miRNAs can be readily detected in the serum of HNF1A-MODY carriers.

  8. Terra MODIS Band 27 Electronic Crosstalk Effect and Its Removal

    Science.gov (United States)

    Sun, Junqiang; Xiong, Xiaoxiong; Madhavan, Sriharsha; Wenny, Brian

    2012-01-01

    The MODerate-resolution Imaging Spectroradiometer (MODIS) is one of the primary instruments in the NASA Earth Observing System (EOS). The first MODIS instrument was launched in December, 1999 on-board the Terra spacecraft. MODIS has 36 bands, covering a wavelength range from 0.4 micron to 14.4 micron. MODIS band 27 (6.72 micron) is a water vapor band, which is designed to be insensitive to Earth surface features. In recent Earth View (EV) images of Terra band 27, surface feature contamination is clearly seen and striping has become very pronounced. In this paper, it is shown that band 27 is impacted by electronic crosstalk from bands 28-30. An algorithm using a linear approximation is developed to correct the crosstalk effect. The crosstalk coefficients are derived from Terra MODIS lunar observations. They show that the crosstalk is strongly detector dependent and the crosstalk pattern has changed dramatically since launch. The crosstalk contributions are positive to the instrument response of band 27 early in the mission but became negative and much larger in magnitude at later stages of the mission for most detectors of the band. The algorithm is applied to both Black Body (BB) calibration and MODIS L1B products. With the crosstalk effect removed, the calibration coefficients of Terra MODIS band 27 derived from the BB show that the detector differences become smaller. With the algorithm applied to MODIS L1B products, the Earth surface features are significantly removed and the striping is substantially reduced in the images of the band. The approach developed in this report for removal of the electronic crosstalk effect can be applied to other MODIS bands if similar crosstalk behaviors occur.

  9. Comparasion of Cloud Cover restituted by POLDER and MODIS

    Science.gov (United States)

    Zeng, S.; Parol, F.; Riedi, J.; Cornet, C.; Thieuxleux, F.

    2009-04-01

    PARASOL and AQUA are two sun-synchronous orbit satellites in the queue of A-Train satellites that observe our earth within a few minutes apart from each other. Aboard these two platforms, POLDER and MODIS provide coincident observations of the cloud cover with very different characteristics. These give us a good opportunity to study the clouds system and evaluate strengths and weaknesses of each dataset in order to provide an accurate representation of global cloud cover properties. This description is indeed of outermost importance to quantify and understand the effect of clouds on global radiation budget of the earth-atmosphere system and their influence on the climate changes. We have developed a joint dataset containing both POLDER and MODIS level 2 cloud products collocated and reprojected on a common sinusoidal grid in order to make the data comparison feasible and veracious. Our foremost work focuses on the comparison of both spatial distribution and temporal variation of the global cloud cover. This simple yet critical cloud parameter need to be clearly understood to allow further comparison of the other cloud parameters. From our study, we demonstrate that on average these two sensors both detect the clouds fairly well. They provide similar spatial distributions and temporal variations:both sensors see high values of cloud amount associated with deep convection in ITCZ, over Indonesia, and in west-central Pacific Ocean warm pool region; they also provide similar high cloud cover associated to mid-latitude storm tracks, to Indian monsoon or to the stratocumulus along the west coast of continents; on the other hand small cloud amounts that typically present over subtropical oceans and deserts in subsidence aeras are well identified by both POLDER and MODIS. Each sensor has its advantages and inconveniences for the detection of a particular cloud types. With higher spatial resolution, MODIS can better detect the fractional clouds thus explaining as one part

  10. Improving Weather Radar Precipitation Estimates by Combining two Types of Radars

    DEFF Research Database (Denmark)

    Nielsen, Jesper Ellerbæk; Thorndahl, Søren Liedtke; Rasmussen, Michael R.

    2014-01-01

    This paper presents a demonstration of how Local Area Weather Radar (LAWR) X-band measurements can be combined with meteorological C–band measurements into a single radar product. For this purpose, a blending method has been developed which combines the strengths of the two radar systems. Combining...... the two radar types achieves a radar product with both long range and high temporal resolution. It is validated that the blended radar product performs better than the individual radars based on ground observations from laser disdrometers. However, the data combination is challenged by lower performance...... of the LAWR. Although both radars benefits from the data combination, it is also found that advection based temporal interpolation is a more favourable method for increasing the temporal resolution of meteorological C–band measurements....

  11. Circulating CD36 is reduced in HNF1A-MODY carriers.

    Directory of Open Access Journals (Sweden)

    Siobhan Bacon

    Full Text Available INTRODUCTION: Premature atherosclerosis is a significant cause of morbidity and mortality in type 2 diabetes mellitus. Maturity onset diabetes of the young (MODY accounts for approximately 2% of all diabetes, with mutations in the transcription factor; hepatocyte nuclear factor 1 alpha (HNF1A accounting for the majority of MODY cases. There is somewhat limited data available on the prevalence of macrovascular disease in HNF1A-MODY carriers with diabetes. Marked insulin resistance and the associated dyslipidaemia are not clinical features of HNF1A-MODY carriers. The scavenger protein CD36 has been shown to play a substantial role in the pathogenesis of atherosclerosis, largely through its interaction with oxidised LDL. Higher levels of monocyte CD36 and plasma CD36(sCD36 are seen to cluster with insulin resistance and diabetes. The aim of this study was to determine levels of sCD36 in participants with HNF1A-MODY diabetes and to compare them with unaffected normoglycaemic family members and participants with type 2 diabetes mellitus. METHODS: We recruited 37 participants with HNF1A-MODY diabetes and compared levels of sCD36 with BMI-matched participants with type 2 diabetes mellitus and normoglycaemic HNF1A-MODY negative family controls. Levels of sCD36 were correlated with phenotypic and biochemical parameters. RESULTS: HNF1A-MODY participants were lean, normotensive, with higher HDL and lower triglyceride levels when compared to controls and participants with type 2 diabetes mellitus. sCD36 was also significantly lower in HNF1A-MODY participants when compared to both the normoglycaemic family controls and to lean participants with type 2 diabetes mellitus. CONCLUSION: In conclusion, sCD36 is significantly lower in lean participants with HNF1A-MODY diabetes when compared to weight-matched normoglycaemic familial HNF1A-MODY negative controls and to lean participants with type 2 diabetes mellitus. Lower levels of this pro-atherogenic marker may

  12. MODIS on-orbit thermal emissive bands lifetime performance

    Science.gov (United States)

    Madhavan, Sriharsha; Wu, Aisheng; Chen, Na; Xiong, Xiaoxiong

    2016-05-01

    MODerate resolution Imaging Spectroradiometer (MODIS), a leading heritage sensor in the fleet of Earth Observing System for the National Aeronautics and Space Administration (NASA) is in space orbit on two spacecrafts. They are the Terra (T) and Aqua (A) platforms. Both instruments have successfully continued to operate beyond the 6 year design life time, with the T-MODIS currently functional beyond 15 years and the A-MODIS operating beyond 13 years respectively. The MODIS sensor characteristics include a spectral coverage from 0.41 μm - 14.4 μm, of which wavelengths ranging from 3.7 μm - 14. 4 μm cover the thermal infrared region also referred to as the Thermal Emissive Bands (TEBs). The TEBs is calibrated using a v-grooved BlackBody (BB) whose temperature measurements are traceable to the National Institute of Standards and Technology temperature scales. The TEBs calibration based on the onboard BB is extremely important for its high radiometric fidelity. In this paper, we provide a complete characterization of the lifetime instrument performance of both MODIS instruments in terms of the sensor gain, the Noise Equivalent difference Temperature, key instrument telemetry such as the BB lifetime trends, the instrument temperature trends, the Cold Focal Plane telemetry and finally, the total assessed calibration uncertainty of the TEBs.

  13. Monogenic diabetes associated with PAX4 gene mutations (MODY9: first description in Russia

    Directory of Open Access Journals (Sweden)

    Natalya A. Zubkova

    2017-12-01

    Full Text Available Maturity-onset diabetes of the young (MODY is a heterogeneous group of disorders characterised by autosomal dominant type of inheritance and caused by genetic defects leading to dysfunction of pancreatic beta-cells. To date, at least 13 subtypes of MODY have been described in the literature, the most frequent of which are MODY types 1–3. MODY2 and MODY3 are the most prevalent subtypes, and were previously described in our country, Russia. Several cases of rare MODY subtypes were subsequently described in the Russian literature. The current report is the first in the Russian literature to present clinical and molecular genetic characteristics of two cases of another rare MODY subtype—MODY9. This type of MODY is associated with mutations in the PAX4 gene, which encodes transcription factor PAX4, one of the factors essential for pancreatic beta-cell differentiation. Molecular genetic analysis was performed using next-generation sequencing, a new method recently applied to verify monogenic diseases and, in particular, MODY. This study reports a novel mutation in the PAX4 gene in MODY patients.

  14. Remote Sensing of Fires and Smoke from the Earth Observing System MODIS Instrument

    Science.gov (United States)

    Kaufman, Y. J.; Hao, W. M.; Justice, C.; Giglio, L.; Herring, D.; Einaudi, Franco (Technical Monitor)

    2001-01-01

    The talk will include review of the MODIS (Moderate Resolution Imaging Spectrometer) algorithms and performance e.g. the MODIS algorithm and the changes in the algorithm since launch. Comparison of MODIS and ASTER fire observations. Summary of the fall activity with the Forest Service in use of MODIS data for the fires in the North-West. Validation on the ground of the MODIS fire product.

  15. "Utstein style" spreadsheet and database programs based on Microsoft Excel and Microsoft Access software for CPR data management of in-hospital resuscitation.

    Science.gov (United States)

    Adams, Bruce D; Whitlock, Warren L

    2004-04-01

    In 1997, The American Heart Association in association with representatives of the International Committee on Resuscitation (ILCOR) published recommended guidelines for reviewing, reporting and conducting in-hospital cardiopulmonary resuscitation (CPR) outcomes using the "Utstein style". Using these guidelines, we developed two Microsoft Office based database management programs that may be useful to the resuscitation community. We developed a user-friendly spreadsheet based on MS Office Excel. The user enters patient variables such as name, age, and diagnosis. Then, event resuscitation variables such as time of collapse and CPR team arrival are entered from a "code flow sheet". Finally, outcome variables such as patient condition at different time points are recorded. The program then makes automatic calculations of average response times, survival rates and other important outcome measurements. Also using the Utstein style, we developed a database program based on MS Office Access. To promote free public access to these programs, we established at a website. These programs will help hospitals track, analyze, and present their CPR outcomes data. Clinical CPR researchers might also find the programs useful because they are easily modified and have statistical functions.

  16. Prognostic factors for death and survival with or without complications in cardiac arrest patients receiving CPR within 24 hours of anesthesia for emergency surgery

    Directory of Open Access Journals (Sweden)

    Siriphuwanun V

    2014-10-01

    Full Text Available Visith Siriphuwanun,1 Yodying Punjasawadwong,1 Worawut Lapisatepun,1 Somrat Charuluxananan,2 Ketchada Uerpairojkit2 1Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 2Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand Purpose: To determine prognostic factors for death and survival with or without complications in cardiac arrest patients who received cardiopulmonary resuscitation (CPR within 24 hours of receiving anesthesia for emergency surgery. Patients and methods: A retrospective cohort study approved by the Maharaj Nakorn Chiang Mai University Hospital Ethical Committee. Data used were taken from records of 751 cardiac arrest patients who received their first CPR within 24 hours of anesthesia for emergency surgery between January 1, 2003 and October 31, 2011. The reviewed data included patient characteristics, surgical procedures, American Society of Anesthesiologist (ASA physical status classification, anesthesia information, the timing of cardiac arrest, CPR details, and outcomes at 24 hours after CPR. Univariate and polytomous logistic regression analyses were used to determine prognostic factors associated with the outcome variable. P-values of less than 0.05 were considered statistically significant. Results: The outcomes at 24 hours were death (638/751, 85.0%, survival with complications (73/751, 9.7%, and survival without complications (40/751, 5.3%. The prognostic factors associated with death were: age between 13–34 years (OR =3.08, 95% CI =1.03–9.19; ASA physical status three and higher (OR =6.60, 95% CI =2.17–20.13; precardiopulmonary comorbidity (OR =3.28, 95% CI =1.09–9.90; the condition of patients who were on mechanical ventilation prior to receiving anesthesia (OR =4.11, 95% CI =1.17–14.38; surgery in the upper abdominal site (OR =14.64, 95% CI =2.83–75.82; shock prior to cardiac arrest (OR =6.24, 95% CI =2.53–15

  17. MODIS multi-temporal data retrieval and processing toolbox

    NARCIS (Netherlands)

    Mattiuzzi, M.; Verbesselt, J.; Klisch, A.

    2012-01-01

    The package functionalities are focused for the download and processing of multi-temporal datasets from MODIS sensors. All standard MODIS grid data can be accessed and processed by the package routines. The package is still in alpha development and not all the functionalities are available for now.

  18. Application-Ready Expedited MODIS Data for Operational Land Surface Monitoring of Vegetation Condition

    Directory of Open Access Journals (Sweden)

    Jesslyn F. Brown

    2015-12-01

    Full Text Available Monitoring systems benefit from high temporal frequency image data collected from the Moderate Resolution Imaging Spectroradiometer (MODIS system. Because of near-daily global coverage, MODIS data are beneficial to applications that require timely information about vegetation condition related to drought, flooding, or fire danger. Rapid satellite data streams in operational applications have clear benefits for monitoring vegetation, especially when information can be delivered as fast as changing surface conditions. An “expedited” processing system called “eMODIS” operated by the U.S. Geological Survey provides rapid MODIS surface reflectance data to operational applications in less than 24 h offering tailored, consistently-processed information products that complement standard MODIS products. We assessed eMODIS quality and consistency by comparing to standard MODIS data. Only land data with known high quality were analyzed in a central U.S. study area. When compared to standard MODIS (MOD/MYD09Q1, the eMODIS Normalized Difference Vegetation Index (NDVI maintained a strong, significant relationship to standard MODIS NDVI, whether from morning (Terra or afternoon (Aqua orbits. The Aqua eMODIS data were more prone to noise than the Terra data, likely due to differences in the internal cloud mask used in MOD/MYD09Q1 or compositing rules. Post-processing temporal smoothing decreased noise in eMODIS data.

  19. A Multi-Scale Flood Monitoring System Based on Fully Automatic MODIS and TerraSAR-X Processing Chains

    Directory of Open Access Journals (Sweden)

    Enrico Stein

    2013-10-01

    Full Text Available A two-component fully automated flood monitoring system is described and evaluated. This is a result of combining two individual flood services that are currently under development at DLR’s (German Aerospace Center Center for Satellite based Crisis Information (ZKI to rapidly support disaster management activities. A first-phase monitoring component of the system systematically detects potential flood events on a continental scale using daily-acquired medium spatial resolution optical data from the Moderate Resolution Imaging Spectroradiometer (MODIS. A threshold set controls the activation of the second-phase crisis component of the system, which derives flood information at higher spatial detail using a Synthetic Aperture Radar (SAR based satellite mission (TerraSAR-X. The proposed activation procedure finds use in the identification of flood situations in different spatial resolutions and in the time-critical and on demand programming of SAR satellite acquisitions at an early stage of an evolving flood situation. The automated processing chains of the MODIS (MFS and the TerraSAR-X Flood Service (TFS include data pre-processing, the computation and adaptation of global auxiliary data, thematic classification, and the subsequent dissemination of flood maps using an interactive web-client. The system is operationally demonstrated and evaluated via the monitoring two recent flood events in Russia 2013 and Albania/Montenegro 2013.

  20. To test, or not to test: time for a MODY calculator?

    Science.gov (United States)

    Njølstad, P R; Molven, A

    2012-05-01

    To test, or not to test, that is often the question in diabetes genetics. This is why the paper of Shields et al in the current issue of Diabetologia is so warmly welcomed. MODY is the most common form of monogenic diabetes. Nevertheless, the optimal way of identifying MODY families still poses a challenge both for researchers and clinicians. Hattersley's group in Exeter, UK, have developed an easy-to-use MODY prediction model that can help to identify cases appropriate for genetic testing. By answering eight simple questions on the internet ( www.diabetesgenes.org/content/mody-probability-calculator ), the doctor receives a positive predictive value in return: the probability that the patient has MODY. Thus, the classical binary (yes/no) assessment provided by clinical diagnostic criteria has been substituted by a more rational, quantitative estimate. The model appears to discriminate well between MODY and type 1 and type 2 diabetes when diabetes is diagnosed before the age of 35 years. However, the performance of the MODY probability calculator should now be validated in other settings than where it was developed-and, as always, there is room for some improvements and modifications.

  1. Toward Unified Satellite Climatology of Aerosol Properties. 3. MODIS Versus MISR Versus AERONET

    Science.gov (United States)

    Mishchenko, Michael I.; Liu, Li; Geogdzhayev, Igor V.; Travis, Larry D.; Cairns, Brian; Lacis, Andrew A.

    2010-01-01

    We use the full duration of collocated pixel-level MODIS-Terra and MISR aerosol optical thickness (AOT) retrievals and level 2 cloud-screened quality-assured AERONET measurements to evaluate the likely individual MODIS and MISR retrieval accuracies globally over oceans and land. We show that the use of quality-assured MODIS AOTs as opposed to the use of all MODIS AOTs has little effect on the resulting accuracy. The MODIS and MISR relative standard deviations (RSTDs) with respect to AERONET are remarkably stable over the entire measurement record and reveal nearly identical overall AOT performances of MODIS and MISR over the entire suite of AERONET sites. This result is used to evaluate the likely pixel-level MODIS and MISR performances on the global basis with respect to the (unknown) actual AOTs. For this purpose, we use only fully compatible MISR and MODIS aerosol pixels. We conclude that the likely RSTDs for this subset of MODIS and MISR AOTs are 73% over land and 30% over oceans. The average RSTDs for the combined [AOT(MODIS)+AOT(MISR)]/2 pixel-level product are close to 66% and 27%, respectively, which allows us to recommend this simple blend as a better alternative to the original MODIS and MISR data. These accuracy estimates still do not represent the totality of MISR and quality-assured MODIS pixel-level AOTs since an unaccounted for and potentially significant source of errors is imperfect cloud screening. Furthermore, many collocated pixels for which one of the datasets reports a retrieval, whereas the other one does not may also be problematic.

  2. Bench evaluation: three face-shield CPR barrier devices.

    Science.gov (United States)

    Simmons, M; Deao, D; Moon, L; Peters, K; Cavanaugh, S

    1995-06-01

    Due to the fear of disease transmission, the practice of mouth-to-mouth (M-M) rescue breathing is rarely performed; to address this concern, many types of CPR barrier devices have been developed. These include bag-valve-mask devices, mouth-to-mask devices, and face shields (FS). The purpose of this study was to measure the volumes delivered during mouth-to-face shield (M-FS) breathing, to measure the back pressure and calculate the resistance to flow through their 1-way valves, and to test for backward leak of gas through the valves. Three FS brands were evaluated: Kiss of Life (KOL), MicroSHIELD (Micro) and Res-Cue Key (RCK). Volume delivered during M-M and M-FS breathing was evaluated by 10 rescuers who used the devices while performing rescue breathing on a CPR mannequin. Back pressure was measured and resistance calculated by directing airflow through the 1-way valves. Backward leak was evaluated by measuring the O2 concentration at the rescuer side of the valve while 100% O2 was directed toward the patient side of the valve. Differences among the brands were evaluated using analysis of variance. The mean (SD) values for volumes in L were: M-M 1.00 (0.25), Micro 0.77 (0.20), RCK 0.64 (0.10), and KOL 0.24 (0.11). Mean values for back pressure in cm H2O at 50 L/min were Micro 16.7 (1.29), KOL 7.22 (0.13), and RCK 2.15 (0.16). Significant backward leak only occurred with RCK. Not one of the FSs tested met all of the requirements suggested by the American Heart Association and by the International Standards Organization.

  3. Resolution Enhancement of MODIS-Derived Water Indices for Studying Persistent Flooding

    Science.gov (United States)

    Underwood, L. W.; Kalcic, Maria; Fletcher, Rose

    2012-01-01

    Monitoring coastal marshes for persistent flooding and salinity stress is a high priority issue in Louisiana. Remote sensing can identify environmental variables that can be indicators of marsh habitat conditions, and offer timely and relatively accurate information for aiding wetland vegetation management. Monitoring activity accuracy is often limited by mixed pixels which occur when areas represented by the pixel encompasses more than one cover type. Mixtures of marsh grasses and open water in 250m Moderate Resolution Imaging Spectroradiometer (MODIS) data can impede flood area estimation. Flood mapping of such mixtures requires finer spatial resolution data to better represent the cover type composition within 250m MODIS pixel. Fusion of MODIS and Landsat can improve both spectral and temporal resolution of time series products to resolve rapid changes from forcing mechanisms like hurricane winds and storm surge. For this study, using a method for estimating sub-pixel values from a MODIS time series of a Normalized Difference Water Index (NDWI), using temporal weighting, was implemented to map persistent flooding in Louisiana coastal marshes. Ordinarily NDWI computed from daily 250m MODIS pixels represents a mixture of fragmented marshes and water. Here, sub-pixel NDWI values were derived for MODIS data using Landsat 30-m data. Each MODIS pixel was disaggregated into a mixture of the eight cover types according to the classified image pixels falling inside the MODIS pixel. The Landsat pixel means for each cover type inside a MODIS pixel were computed for the Landsat data preceding the MODIS image in time and for the Landsat data succeeding the MODIS image. The Landsat data were then weighted exponentially according to closeness in date to the MODIS data. The reconstructed MODIS data were produced by summing the product of fractional cover type with estimated NDWI values within each cover type. A new daily time series was produced using both the reconstructed 250

  4. High-sensitivity CRP discriminates HNF1A-MODY from other subtypes of diabetes.

    Science.gov (United States)

    McDonald, Tim J; Shields, Beverley M; Lawry, Jane; Owen, Katharine R; Gloyn, Anna L; Ellard, Sian; Hattersley, Andrew T

    2011-08-01

    Maturity-onset diabetes of the young (MODY) as a result of mutations in hepatocyte nuclear factor 1-α (HNF1A) is often misdiagnosed as type 1 diabetes or type 2 diabetes. Recent work has shown that high-sensitivity C-reactive protein (hs-CRP) levels are lower in HNF1A-MODY than type 1 diabetes, type 2 diabetes, or glucokinase (GCK)-MODY. We aim to replicate these findings in larger numbers and other MODY subtypes. hs-CRP levels were assessed in 750 patients (220 HNF1A, 245 GCK, 54 HNF4-α [HNF4A], 21 HNF1-β (HNF1B), 53 type 1 diabetes, and 157 type 2 diabetes). hs-CRP was lower in HNF1A-MODY (median [IQR] 0.3 [0.1-0.6] mg/L) than type 2 diabetes (1.40 [0.60-3.45] mg/L; P MODY (1.45 [0.46-2.88] mg/L; P MODY (0.60 [0.30-1.80] mg/L; P MODY (0.60 [0.10-2.8] mg/L; P = 0.07). hs-CRP discriminated HNF1A-MODY from type 2 diabetes with hs-CRP MODY than other forms of diabetes and may be used as a biomarker to select patients for diagnostic HNF1A genetic testing.

  5. An Enhanced TIMESAT Algorithm for Estimating Vegetation Phenology Metrics from MODIS Data

    Science.gov (United States)

    Tan, Bin; Morisette, Jeffrey T.; Wolfe, Robert E.; Gao, Feng; Ederer, Gregory A.; Nightingale, Joanne; Pedelty, Jeffrey A.

    2012-01-01

    An enhanced TIMESAT algorithm was developed for retrieving vegetation phenology metrics from 250 m and 500 m spatial resolution Moderate Resolution Imaging Spectroradiometer (MODIS) vegetation indexes (VI) over North America. MODIS VI data were pre-processed using snow-cover and land surface temperature data, and temporally smoothed with the enhanced TIMESAT algorithm. An objective third derivative test was applied to define key phenology dates and retrieve a set of phenology metrics. This algorithm has been applied to two MODIS VIs: Normalized Difference Vegetation Index (NDVI) and Enhanced Vegetation Index (EVI). In this paper, we describe the algorithm and use EVI as an example to compare three sets of TIMESAT algorithm/MODIS VI combinations: a) original TIMESAT algorithm with original MODIS VI, b) original TIMESAT algorithm with pre-processed MODIS VI, and c) enhanced TIMESAT and pre-processed MODIS VI. All retrievals were compared with ground phenology observations, some made available through the National Phenology Network. Our results show that for MODIS data in middle to high latitude regions, snow and land surface temperature information is critical in retrieving phenology metrics from satellite observations. The results also show that the enhanced TIMESAT algorithm can better accommodate growing season start and end dates that vary significantly from year to year. The TIMESAT algorithm improvements contribute to more spatial coverage and more accurate retrievals of the phenology metrics. Among three sets of TIMESAT/MODIS VI combinations, the start of the growing season metric predicted by the enhanced TIMESAT algorithm using pre-processed MODIS VIs has the best associations with ground observed vegetation greenup dates.

  6. Expression, purification, crystallization and preliminary X-ray analysis of conjugated polyketone reductase C2 (CPR-C2) from Candida parapsilosis IFO 0708.

    Science.gov (United States)

    Yamamura, Akihiro; Maruoka, Shintaro; Ohtsuka, Jun; Miyakawa, Takuya; Nagata, Koji; Kataoka, Michihiko; Kitamura, Nahoko; Shimizu, Sakayu; Tanokura, Masaru

    2009-11-01

    Conjugated polyketone reductase C2 (CPR-C2) from Candida parapsilosis IFO 0708 is a member of the NADPH-dependent aldo-keto reductase (AKR) superfamily and catalyzes the stereospecific reduction of ketopantoyl lactone to d-pantoyl lactone. A diffraction-quality crystal of recombinant CPR-C2 was obtained by the sitting-drop vapour-diffusion method using PEG 3350 as the precipitant. The crystal diffracted X-rays to 1.7 angstrom resolution on beamline NW12A of the Photon Factory-Advanced Ring (Tsukuba, Japan). The crystal belonged to space group P2(1)2(1)2(1), with unit-cell parameters a = 55.02, b = 68.30, c = 68.93 angstrom. The Matthews coefficient (V(M) = 1.76 angstrom(3) Da(-1)) indicated that the crystal contained one CPR-C2 molecule per asymmetric unit.

  7. Validation and empirical correction of MODIS AOT and AE over ocean

    Directory of Open Access Journals (Sweden)

    N. A. J. Schutgens

    2013-09-01

    Full Text Available We present a validation study of Collection 5 MODIS level 2 Aqua and Terra AOT (aerosol optical thickness and AE (Ångström exponent over ocean by comparison to coastal and island AERONET (AErosol RObotic NETwork sites for the years 2003–2009. We show that MODIS (MODerate-resolution Imaging Spectroradiometer AOT exhibits significant biases due to wind speed and cloudiness of the observed scene, while MODIS AE, although overall unbiased, exhibits less spatial contrast on global scales than the AERONET observations. The same behaviour can be seen when MODIS AOT is compared against Maritime Aerosol Network (MAN data, suggesting that the spatial coverage of our datasets does not preclude global conclusions. Thus, we develop empirical correction formulae for MODIS AOT and AE that significantly improve agreement of MODIS and AERONET observations. We show these correction formulae to be robust. Finally, we study random errors in the corrected MODIS AOT and AE and show that they mainly depend on AOT itself, although small contributions are present due to wind speed and cloud fraction in AOT random errors and due to AE and cloud fraction in AE random errors. Our analysis yields significantly higher random AOT errors than the official MODIS error estimate (0.03 + 0.05 τ, while random AE errors are smaller than might be expected. This new dataset of bias-corrected MODIS AOT and AE over ocean is intended for aerosol model validation and assimilation studies, but also has consequences as a stand-alone observational product. For instance, the corrected dataset suggests that much less fine mode aerosol is transported across the Pacific and Atlantic oceans.

  8. Evaluation of the MODIS Aerosol Retrievals over Ocean and Land during CLAMS.

    Science.gov (United States)

    Levy, R. C.; Remer, L. A.; Martins, J. V.; Kaufman, Y. J.; Plana-Fattori, A.; Redemann, J.; Wenny, B.

    2005-04-01

    The Chesapeake Lighthouse Aircraft Measurements for Satellites (CLAMS) experiment took place from 10 July to 2 August 2001 in a combined ocean-land region that included the Chesapeake Lighthouse [Clouds and the Earth's Radiant Energy System (CERES) Ocean Validation Experiment (COVE)] and the Wallops Flight Facility (WFF), both along coastal Virginia. This experiment was designed mainly for validating instruments and algorithms aboard the Terra satellite platform, including the Moderate Resolution Imaging Spectroradiometer (MODIS). Over the ocean, MODIS retrieved aerosol optical depths (AODs) at seven wavelengths and an estimate of the aerosol size distribution. Over the land, MODIS retrieved AOD at three wavelengths plus qualitative estimates of the aerosol size. Temporally coincident measurements of aerosol properties were made with a variety of sun photometers from ground sites and airborne sites just above the surface. The set of sun photometers provided unprecedented spectral coverage from visible (VIS) to the solar near-infrared (NIR) and infrared (IR) wavelengths. In this study, AOD and aerosol size retrieved from MODIS is compared with similar measurements from the sun photometers. Over the nearby ocean, the MODIS AOD in the VIS and NIR correlated well with sun-photometer measurements, nearly fitting a one-to-one line on a scatterplot. As one moves from ocean to land, there is a pronounced discontinuity of the MODIS AOD, where MODIS compares poorly to the sun-photometer measurements. Especially in the blue wavelength, MODIS AOD is too high in clean aerosol conditions and too low under larger aerosol loadings. Using the Second Simulation of the Satellite Signal in the Solar Spectrum (6S) radiative code to perform atmospheric correction, the authors find inconsistency in the surface albedo assumptions used by the MODIS lookup tables. It is demonstrated how the high bias at low aerosol loadings can be corrected. By using updated urban/industrial aerosol

  9. Comparison of CERES-MODIS stratus cloud properties with ground-based measurements at the DOE ARM Southern Great Plains site

    Science.gov (United States)

    Dong, Xiquan; Minnis, Patrick; Xi, Baike; Sun-Mack, Sunny; Chen, Yan

    2008-02-01

    Overcast stratus cloud properties derived for the Clouds and the Earth's Radiant Energy System (CERES) project using Terra and Aqua Moderate Resolution Imaging Spectroradiometer (MODIS) data are compared with observations taken at the Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) Southern Great Plains site from March 2000 through December 2004. Retrievals from ARM surface-based data were averaged over a 1-h interval centered at the time of each satellite overpass, and the CERES-MODIS cloud properties were averaged within a 30 km × 30 km box centered on the ARM SGP site. Two data sets were analyzed: all of the data (ALL), which include multilayered, single-layered, and slightly broken stratus decks and a subset, single-layered unbroken decks (SL). The CERES-MODIS effective cloud heights were determined from effective cloud temperature using a lapse rate method with the surface temperature specified as the 24-h mean surface air temperature. For SL stratus, they are, on average, within the ARM radar-lidar estimated cloud boundaries and are 0.534 ± 0.542 km and 0.108 ± 0.480 km lower than the cloud physical tops and centers, respectively, and are comparable for day and night observations. The mean differences and standard deviations are slightly larger for ALL data, but not statistically different to those of SL data. The MODIS-derived effective cloud temperatures are 2.7 ± 2.4 K less than the surface-observed SL cloud center temperatures with very high correlations (0.86-0.97). Variations in the height differences are mainly caused by uncertainties in the surface air temperatures, lapse rates, and cloud top height variability. The biases are mainly the result of the differences between effective and physical cloud top, which are governed by cloud liquid water content and viewing zenith angle, and the selected lapse rate, -7.1 K km-1. On the basis of a total of 43 samples, the means and standard deviations of the differences between the daytime

  10. Improvement in the Characterization of MODIS Subframe Difference

    Science.gov (United States)

    Li, Yonghong; Angal, Amit; Chen, Na; Geng, Xu; Link, Daniel; Wang, Zhipeng; Wu, Aisheng; Xiong, Xiaoxiong

    2016-01-01

    MODIS is a key instrument of NASA's Earth Observing System. It has successfully operated for 16+ years on the Terra satellite and 14+ years on the Aqua satellite, respectively. MODIS has 36 spectral bands at three different nadir spatial resolutions, 250m (bands 1-2), 500m (bands 3-7), and 1km (bands 8-36). MODIS subframe measurement is designed for bands 1-7 to match their spatial resolution in the scan direction to that of the track direction. Within each 1 km frame, the MODIS 250 m resolution bands sample four subframes and the 500 m resolution bands sample two subframes. The detector gains are calibrated at a subframe level. Due to calibration differences between subframes, noticeable subframe striping is observed in the Level 1B (L1B) products, which exhibit a predominant radiance-level dependence. This paper presents results of subframe differences from various onboard and earth-view data sources (e.g. solar diffuser, electronic calibration, spectro-radiometric calibration assembly, Earth view, etc.). A subframe bias correction algorithm is proposed to minimize the subframe striping in MODIS L1B image. The algorithm has been tested using sample L1B images and the vertical striping at lower radiance value is mitigated after applying the corrections. The subframe bias correction approach will be considered for implementation in future versions of the calibration algorithm.

  11. Impact of Sensor Degradation on the MODIS NDVI Time Series

    Science.gov (United States)

    Wang, Dongdong; Morton, Douglas Christopher; Masek, Jeffrey; Wu, Aisheng; Nagol, Jyoteshwar; Xiong, Xiaoxiong; Levy, Robert; Vermote, Eric; Wolfe, Robert

    2012-01-01

    Time series of satellite data provide unparalleled information on the response of vegetation to climate variability. Detecting subtle changes in vegetation over time requires consistent satellite-based measurements. Here, the impact of sensor degradation on trend detection was evaluated using Collection 5 data from the Moderate Resolution Imaging Spectroradiometer (MODIS) sensors on the Terra and Aqua platforms. For Terra MODIS, the impact of blue band (Band 3, 470 nm) degradation on simulated surface reflectance was most pronounced at near-nadir view angles, leading to a 0.001-0.004 yr-1 decline in Normalized Difference Vegetation Index (NDVI) under a range of simulated aerosol conditions and surface types. Observed trends in MODIS NDVI over North America were consistentwith simulated results,with nearly a threefold difference in negative NDVI trends derived from Terra (17.4%) and Aqua (6.7%) MODIS sensors during 2002-2010. Planned adjustments to Terra MODIS calibration for Collection 6 data reprocessing will largely eliminate this negative bias in detection of NDVI trends.

  12. Corpuls CPR Generates Higher Mean Arterial Pressure Than LUCAS II in a Pig Model of Cardiac Arrest

    Directory of Open Access Journals (Sweden)

    S. Eichhorn

    2017-01-01

    Full Text Available According to the European Resuscitation Council guidelines, the use of mechanical chest compression devices is a reasonable alternative in situations where manual chest compression is impractical or compromises provider safety. The aim of this study is to compare the performance of a recently developed chest compression device (Corpuls CPR with an established system (LUCAS II in a pig model. Methods. Pigs (n = 5/group in provoked ventricular fibrillation were left untreated for 5 minutes, after which 15 min of cardiopulmonary resuscitation was performed with chest compressions. After 15 min, defibrillation was performed every 2 min if necessary, and up to 3 doses of adrenaline were given. If there was no return of spontaneous circulation after 25 min, the experiment was terminated. Coronary perfusion pressure, carotid blood flow, end-expiratory CO2, regional oxygen saturation by near infrared spectroscopy, blood gas, and local organ perfusion with fluorescent labelled microspheres were measured at baseline and during resuscitation. Results. Animals treated with Corpuls CPR had significantly higher mean arterial pressures during resuscitation, along with a detectable trend of greater carotid blood flow and organ perfusion. Conclusion. Chest compressions with the Corpuls CPR device generated significantly higher mean arterial pressures than compressions performed with the LUCAS II device.

  13. Simulation of a weather radar display for over-water airborne radar approaches

    Science.gov (United States)

    Clary, G. R.

    1983-01-01

    Airborne radar approach (ARA) concepts are being investigated as a part of NASA's Rotorcraft All-Weather Operations Research Program on advanced guidance and navigation methods. This research is being conducted using both piloted simulations and flight test evaluations. For the piloted simulations, a mathematical model of the airborne radar was developed for over-water ARAs to offshore platforms. This simulated flight scenario requires radar simulation of point targets, such as oil rigs and ships, distributed sea clutter, and transponder beacon replies. Radar theory, weather radar characteristics, and empirical data derived from in-flight radar photographs are combined to model a civil weather/mapping radar typical of those used in offshore rotorcraft operations. The resulting radar simulation is realistic and provides the needed simulation capability for ongoing ARA research.

  14. Planetary Radar

    Science.gov (United States)

    Neish, Catherine D.; Carter, Lynn M.

    2015-01-01

    This chapter describes the principles of planetary radar, and the primary scientific discoveries that have been made using this technique. The chapter starts by describing the different types of radar systems and how they are used to acquire images and accurate topography of planetary surfaces and probe their subsurface structure. It then explains how these products can be used to understand the properties of the target being investigated. Several examples of discoveries made with planetary radar are then summarized, covering solar system objects from Mercury to Saturn. Finally, opportunities for future discoveries in planetary radar are outlined and discussed.

  15. Synergetic use of Aerosol Robotic Network (AERONET) and Moderate Image Spectrometer (MODIS)

    Science.gov (United States)

    Kaufman, Y.

    2004-01-01

    I shall describe several distinct modes in which AERONET data are used in conjunction with MODIS data to evaluate the global aerosol system and its impact on climate. These includes: 1) Evaluation of the aerosol diurnal cycle not available from MODIS, and the relationship between the aerosol properties derived from MODIS and the daily average of these properties; 2) Climatology of the aerosol size distribution and single scattering albedo. The climatology is used to formulate the assumptions used in the MODIS look up tables used in the inversion of MODIS data; 3) Measurement of the aerosol effect on irradiation of the surface, this is used in conjunction with the MODIS evaluation of the aerosol effect at the TOA; and 4) Assessment of the aerosol baseline on top off which the satellite data are used to find the amount of dust or anthropogenic aerosol.

  16. Evaluation of a Brief Intervention Designed to Increase CPR Training among Pregnant Pool Owners

    Science.gov (United States)

    Girasek, Deborah C.

    2011-01-01

    This study evaluated whether a brief videotape could motivate pregnant pool owners to be trained in infant/child cardiopulmonary resuscitation (CPR). Women were recruited from prenatal classes in South Florida. Eligible volunteers were randomized to view a video or receive standard treatment, after completing a questionnaire. The video explained…

  17. Can MODIS detect trends in aerosol optical depth over land?

    Science.gov (United States)

    Fan, Xuehua; Xia, Xiang'ao; Chen, Hongbin

    2018-02-01

    The Moderate Resolution Imaging Spectroradiometer (MODIS) sensor onboard NASA's Aqua satellite has been collecting valuable data about the Earth system for more than 14 years, and one of the benefits of this is that it has made it possible to detect the long-term variation in aerosol loading across the globe. However, the long-term aerosol optical depth (AOD) trends derived from MODIS need careful validation and assessment, especially over land. Using AOD products with at least 70 months' worth of measurements collected during 2002-15 at 53 Aerosol Robotic Network (AERONET) sites over land, Mann-Kendall (MK) trends in AOD were derived and taken as the ground truth data for evaluating the corresponding results from MODIS onboard Aqua. The results showed that the AERONET AOD trends over all sites in Europe and North America, as well as most sites in Africa and Asia, can be reproduced by MODIS/Aqua. However, disagreement in AOD trends between MODIS and AERONET was found at a few sites in Australia and South America. The AOD trends calculated from AERONET instantaneous data at the MODIS overpass times were consistent with those from AERONET daily data, which suggests that the AOD trends derived from satellite measurements of 1-2 overpasses may be representative of those from daily measurements.

  18. Glucokinase gene mutations (MODY 2) in Asian Indians.

    Science.gov (United States)

    Kanthimathi, Sekar; Jahnavi, Suresh; Balamurugan, Kandasamy; Ranjani, Harish; Sonya, Jagadesan; Goswami, Soumik; Chowdhury, Subhankar; Mohan, Viswanathan; Radha, Venkatesan

    2014-03-01

    Heterozygous inactivating mutations in the glucokinase (GCK) gene cause a hyperglycemic condition termed maturity-onset diabetes of the young (MODY) 2 or GCK-MODY. This is characterized by mild, stable, usually asymptomatic, fasting hyperglycemia that rarely requires pharmacological intervention. The aim of the present study was to screen for GCK gene mutations in Asian Indian subjects with mild hyperglycemia. Of the 1,517 children and adolescents of the population-based ORANGE study in Chennai, India, 49 were found to have hyperglycemia. These children along with the six patients referred to our center with mild hyperglycemia were screened for MODY 2 mutations. The GCK gene was bidirectionally sequenced using BigDye(®) Terminator v3.1 (Applied Biosystems, Foster City, CA) chemistry. In silico predictions of the pathogenicity were carried out using the online tools SIFT, Polyphen-2, and I-Mutant 2.0 software programs. Direct sequencing of the GCK gene in the patients referred to our Centre revealed one novel mutation, Thr206Ala (c.616A>G), in exon 6 and one previously described mutation, Met251Thr (c.752T>C), in exon 7. In silico analysis predicted the novel mutation to be pathogenic. The highly conserved nature and critical location of the residue Thr206 along with the clinical course suggests that the Thr206Ala is a MODY 2 mutation. However, we did not find any MODY 2 mutations in the 49 children selected from the population-based study. Hence prevalence of GCK mutations in Chennai is MODY 2 mutations from India and confirms the importance of considering GCK gene mutation screening in patients with mild early-onset hyperglycemia who are negative for β-cell antibodies.

  19. Understanding radar systems

    CERN Document Server

    Kingsley, Simon

    1999-01-01

    What is radar? What systems are currently in use? How do they work? This book provides engineers and scientists with answers to these critical questions, focusing on actual radar systems in use today. It is a perfect resource for those just entering the field, or as a quick refresher for experienced practitioners. The book leads readers through the specialized language and calculations that comprise the complex world of radar engineering as seen in dozens of state-of-the-art radar systems. An easy to read, wide ranging guide to the world of modern radar systems.

  20. Pulse Doppler radar

    CERN Document Server

    Alabaster, Clive

    2012-01-01

    This book is a practitioner's guide to all aspects of pulse Doppler radar. It concentrates on airborne military radar systems since they are the most used, most complex, and most interesting of the pulse Doppler radars; however, ground-based and non-military systems are also included. It covers the fundamental science, signal processing, hardware issues, systems design and case studies of typical systems. It will be a useful resource for engineers of all types (hardware, software and systems), academics, post-graduate students, scientists in radar and radar electronic warfare sectors and milit

  1. [Clinical parameters for molecular testing of Maturity Onset Diabetes of the Young (MODY)].

    Science.gov (United States)

    Datz, N; Nestoris, C; von Schütz, W; Danne, T; Driesel, A J; Maringa, M; Kordonouri, O

    2011-05-01

    Monogenic forms of diabetes are often diagnosed by chance, due to the variety of clinical presentation and limited experience of the diabetologists with this kind of diabetes. Aim of this study was to evaluate clinical parameters for an efficient screening. Clinical parameters were: negative diabetes-specific antibodies at onset of diabetes, positive family history of diabetes, and low to moderate insulin requirements after one year of diabetes treatment. Molecular testing was performed through sequencing of the programming regions of HNF-4alpha (MODY 1), glucokinase (MODY 2) and HNF-1alpha/TCF1 (MODY 3) and in one patient the HNF-1beta/TCF2 region (MODY 5). 39 of 292 patients treated with insulin were negative for GADA and IA2A, and 8 (20.5%) patients fulfilled both other criteria. Positive molecular results were found in five (63%) patients (two with MODY 2, two with MODY 3, one with MODY 5). At diabetes onset, the mean age of the 5 patients with MODY was 10.6 ± 5.3 yrs (range 2.6-15 yrs), HbA(1c) was 8.4 ± 3.1 % (6.5-13.9%), mean diabetes duration until diagnosis of MODY was 3.3 ± 3.6 yrs (0.8-9.6 yrs) with insulin requirements of 0.44 ± 0.17 U/kg/d (0.2-0.6 U/kg/d). Patients with MODY 3 were changed from insulin to repaglinide, those with MODY 2 were recommended discontinuing insulin treatment. In patients with negative diabetes-specific antibodies at onset of diabetes, with a positive family history, and low to moderate insulin needs a genetic screening for MODY is indicated. Watchful consideration of these clinical parameters may lead to an early genetic testing, and to an adequate treatment. © Georg Thieme Verlag KG Stuttgart · New York.

  2. Radar orthogonality and radar length in Finsler and metric spacetime geometry

    Science.gov (United States)

    Pfeifer, Christian

    2014-09-01

    The radar experiment connects the geometry of spacetime with an observers measurement of spatial length. We investigate the radar experiment on Finsler spacetimes which leads to a general definition of radar orthogonality and radar length. The directions radar orthogonal to an observer form the spatial equal time surface an observer experiences and the radar length is the physical length the observer associates to spatial objects. We demonstrate these concepts on a forth order polynomial Finsler spacetime geometry which may emerge from area metric or premetric linear electrodynamics or in quantum gravity phenomenology. In an explicit generalization of Minkowski spacetime geometry we derive the deviation from the Euclidean spatial length measure in an observers rest frame explicitly.

  3. Maturity-onset diabetes of the young (MODY): how many cases are we missing?

    Science.gov (United States)

    Shields, B M; Hicks, S; Shepherd, M H; Colclough, K; Hattersley, A T; Ellard, S

    2010-12-01

    Maturity-onset diabetes of the young is frequently misdiagnosed as type 1 or type 2 diabetes. A correct diagnosis of MODY is important for determining treatment, but can only be confirmed by molecular genetic testing. We aimed to compare the regional distribution of confirmed MODY cases in the UK and to estimate the minimum prevalence. UK referrals for genetic testing in 2,072 probands and 1,280 relatives between 1996 and 2009 were examined by region, country and test result. Referral rate and prevalence were calculated using UK Census 2001 figures. MODY was confirmed in 1,177 (35%) patients, with HNF1A (52%) and GCK mutations (32%) being most frequent in probands confirmed with MODY. There was considerable regional variation in proband referral rates (from 50 per million for South West England and Scotland) and patients diagnosed with MODY (5.3 per million in Northern Ireland, 48.9 per million in South West England). Referral rates and confirmed cases were highly correlated (r = 0.96, p MODY was estimated to be 108 cases per million. Assuming this minimal prevalence throughout the UK then >80% of MODY is not diagnosed by molecular testing. The marked regional variation in the prevalence of confirmed MODY directly results from differences in referral rates. This could reflect variation in awareness of MODY or unequal access to genetic testing. Increased referral for diagnostic testing is required if the majority of MODY patients are to have the genetic diagnosis necessary for optimal treatment.

  4. Time Series of Tropical-Forest Structure from TanDEM-X, Transformed to Time Series of Biomass by MODIS

    Science.gov (United States)

    Treuhaft, R. N.; Baccini, A.; Goncalves, F. G.; Lei, Y.; Keller, M.; Walker, W. S.

    2017-12-01

    Tropical forests account for about 50% of the world's forested biomass, and play a critical role in the control of atmospheric carbon dioxide. Large-scale (1000's of km) changes in forest structure and biomass bear on global carbon source-sink dynamics, while small-scale (phase-height observation, we show forest phase-height time series from the TanDEM-X radar interferometer at X-band (3 cm), taken with monthly and sub-hectare temporal and spatial resolution, respectively. The measurements were taken with more than 30 TanDEM-X passes over Tapajós National Forest in the Brazilian Amazon between 2011 and 2014. The transformation of phase-height rates into aboveground biomass (AGB) rates is based on the idea that the change in AGB due to a change in phase-height depends on the plot's AGB. Plots with higher AGB will produce more AGB for a given increase in height or phase-height. Postulating a power-law dependence of plot-level mass density on physical height, we previously found that the best conversion factors for transforming phase-height rate to AGB rate were indeed dependent on AGB. For 78 plots, we demonstrated AGB rates from InSAR phase-height rates using AGB from field measurements. For regional modeling of the Amazon Basin, field measurements of AGB, to specify the conversion factors, is impractical. Conversion factors from InSAR phase-height rate to AGB rate in this talk will be based on AGB derived from the Moderate Resolution Imaging Spectroradiometer (MODIS). AGB measurement from MODIS is based on the spectral reflectance of 7 bands from the visible to short wave infrared, and auxiliary metrics describing the variance in reflectance. The mapping of MODIS reflectance to AGB is enabled by training a machine learning algorithm with lidar-derived AGB data, which are in turn trained by field measurements for small areas. The performance of TanDEM-X AGB rate from MODIS-derived conversion factors will be compared to that derived from field-based conversion

  5. Training and Confidence Level of Junior Anaesthetists in CPR- Experience in A Developing Country

    Directory of Open Access Journals (Sweden)

    Desalu Ibironke

    2008-01-01

    There is low confidence among junior anaesthetists in Nigeria in performance of CPR, poor knowledge of ECG interpretation of cardiac arrest rhythm and little practice in defibrillation. The establishment of a Resuscitation council would ensure adequate and frequent training which would improve knowledge, boost confidence and result in better patient care.

  6. Comparison of MODIS and VIIRS On-board Blackbody Performance

    Science.gov (United States)

    Xiong, Jack; Butler, Jim; Wu, Aisheng; Chiang, Vincent; McIntire, Jeff; Oudari, Hassan

    2012-01-01

    MODIS has 16 thermal emissive bands (TEBs), covering wavelengths from 3.7 to 14.4 microns. MODIS TEBs are calibrated on-orbit by a v-grooved blackbody (BB) on a scan-by-scan basis. The BB temperatures are measured by a set of 12 thennistors. As expected, the BB temperature uncertainty and stability have direct impact on the quality of TEB calibration and, therefore, the quality of the science products derived from TEB observations. Since launch, Terra and Aqua MODIS have successfully operated for more than 12 and 10 years, respectively. Their on-board BB performance has been satisfactory in meeting the TEB calibration requirements. The first VIIRS, launched on-board the Suomi NPP spacecraft on October 28, 2011, has successfully completed its initial Intensive Calibration and Validation (ICV) phase. VIIRS has 7 thermal emissive bands (TEBs), covering wavelengths from 3.7 to 12.4 microns. Designed with strong MODIS heritage, VIIRS uses a similar BB for its TEB calibration. Like MODIS, VIIRS BB is nominally controlled at a pre-determined temperature (set point). Periodically, a BB Warm-Up and Cool-Down (WUCD) operation is performed, during which the BB temperatures vary from instrument ambient (temperature) to 315K. This paper examines NPP VIIRS BB on-orbit performance. It focuses on its BB temperature scan-to-scan variations at nominally controlled temperature as well as during its WUCD operation and their impact on TEB calibration uncertainty. Comparisons of VIIRS (NPP) and MODIS (Terra and Aqua) BB on-orbit performance and lessons learned for future improvements are also presented in this paper.

  7. When to Stop CPR and When to Perform Rhythm Analysis: Potential Confusion Among ACLS Providers.

    Science.gov (United States)

    Giberson, Brandon; Uber, Amy; F Gaieski, David; Miller, Joseph B; Wira, Charles; Berg, Katherine; Giberson, Tyler; Cocchi, Michael N; S Abella, Benjamin; Donnino, Michael W

    2016-09-01

    Health care providers nationwide are routinely trained in Advanced Cardiac Life Support (ACLS), an American Heart Association program that teaches cardiac arrest management. Recent changes in the ACLS approach have de-emphasized routine pulse checks in an effort to promote uninterrupted chest compressions. We hypothesized that this new ACLS algorithm may lead to uncertainty regarding the appropriate action following detection of a pulse during a cardiac arrest. We conducted an observational study in which a Web-based survey was sent to ACLS-trained medical providers at 4 major urban tertiary care centers in the United States. The survey consisted of 5 multiple-choice, scenario-based ACLS questions, including our question of interest. Adult staff members with a valid ACLS certification were included. A total of 347 surveys were analyzed. The response rate was 28.1%. The majority (53.6%) of responders were between 18 and 32 years old, and 59.9% were female. The majority (54.2%) of responders incorrectly stated that they would continue CPR and possibly administer additional therapies when a team member detects a pulse immediately following defibrillation. Secondarily, only 51.9% of respondents correctly chose to perform a rhythm check following 2 minutes of CPR. The other 3 survey questions were correctly answered an average of 89.1% of the time. Confusion exists regarding whether or not CPR and cardiac medications should be continued in the presence of a pulse. Education may be warranted to emphasize avoiding compressions and medications when a palpable pulse is detected. © The Author(s) 2014.

  8. Advances in bistatic radar

    CERN Document Server

    Willis, Nick

    2007-01-01

    Advances in Bistatic Radar updates and extends bistatic and multistatic radar developments since publication of Willis' Bistatic Radar in 1991. New and recently declassified military applications are documented. Civil applications are detailed including commercial and scientific systems. Leading radar engineers provide expertise to each of these applications. Advances in Bistatic Radar consists of two major sections: Bistatic/Multistatic Radar Systems and Bistatic Clutter and Signal Processing. Starting with a history update, the first section documents the early and now declassified military

  9. Recommendation on Transition from Primary/Secondary Radar to Secondary- Only Radar Capability

    Science.gov (United States)

    1994-10-01

    Radar Beacon Performance Monitor RCIU Remote Control Interface Unit RCL Remote Communications Link R E&D Research, Engineering and Development RML Radar...rate. 3.1.2.5 Maintenance The current LRRs have limited remote maintenance monitoring (RMM) capabilities via the Remote Control Interface Unit ( RCIU ...1, -2 and FPS-20 radars required an upgrade of some of the radar subsystems, namely the RCIU to respond as an RMS and the CD to interface with radar

  10. Comparison of Marine Boundary Layer Cloud Properties from CERES-MODIS Edition 4 and DOE ARM AMF Measurements at the Azores

    Science.gov (United States)

    Xi, Baike; Dong, Xiquan; Minnis, Patrick; Sun-Mack, Sunny

    2014-01-01

    Marine boundary layer (MBL) cloud properties derived from the NASA Clouds and the Earth's Radiant Energy System (CERES) project using Terra and Aqua Moderate Resolution Imaging Spectroradiometer (MODIS) data are compared with observations taken at the Department of Energy Atmospheric Radiation Measurement (ARM) Mobile Facility at the Azores (AMF-Azores) site from June 2009 through December 2010. Cloud properties derived from ARM ground-based observations were averaged over a 1 h interval centered at the satellite overpass time, while the CERES-MODIS (CM) results were averaged within a 30 km×30 km grid box centered over the Azores site. A total of 63 daytime and 92 nighttime single-layered overcast MBL cloud cases were selected from 19 months of ARM radar-lidar and satellite observations. The CM cloud top/base heights (Htop/Hbase) were determined from cloud top/base temperatures (Ttop/Tbase) using a regional boundary layer lapse rate method. For daytime comparisons, the CM-derived Htop (Hbase), on average, is 0.063 km (0.068 km) higher (lower) than its ARM radar-lidar-observed counterpart, and the CM-derived Ttop and Tbase are 0.9 K less and 2.5 K greater than the surface values with high correlations (R(sup 2) = 0.82 and 0.84, respectively). In general, the cloud top comparisons agree better than the cloud base comparisons, because the CM cloud base temperatures and heights are secondary products determined from cloud top temperatures and heights. No significant day-night difference was found in the analyses. The comparisons of MBL cloud microphysical properties reveal that when averaged over a 30 km× 30 km area, the CM-retrieved cloud droplet effective radius (re) at 3.7 micrometers is 1.3 micrometers larger than that from the ARM retrievals (12.8 micrometers), while the CM-retrieved cloud liquid water path (LWP) is 13.5 gm( exp -2) less than its ARM counterpart (114.2 gm( exp-2) due to its small optical depth (9.6 versus 13.7). The differences are reduced by 50

  11. Mapping paddy rice planting area in wheat-rice double-cropped areas through integration of Landsat-8 OLI, MODIS, and PALSAR images.

    Science.gov (United States)

    Wang, Jie; Xiao, Xiangming; Qin, Yuanwei; Dong, Jinwei; Zhang, Geli; Kou, Weili; Jin, Cui; Zhou, Yuting; Zhang, Yao

    2015-05-12

    As farmland systems vary over space and time (season and year), accurate and updated maps of paddy rice are needed for studies of food security and environmental problems. We selected a wheat-rice double-cropped area from fragmented landscapes along the rural-urban complex (Jiangsu Province, China) and explored the potential utility of integrating time series optical images (Landsat-8, MODIS) and radar images (PALSAR) in mapping paddy rice planting areas. We first identified several main types of non-cropland land cover and then identified paddy rice fields by selecting pixels that were inundated only during paddy rice flooding periods. These key temporal windows were determined based on MODIS Land Surface Temperature and vegetation indices. The resultant paddy rice map was evaluated using regions of interest (ROIs) drawn from multiple high-resolution images, Google Earth, and in-situ cropland photos. The estimated overall accuracy and Kappa coefficient were 89.8% and 0.79, respectively. In comparison with the National Land Cover Data (China) from 2010, the resultant map better detected changes in the paddy rice fields and revealed more details about their distribution. These results demonstrate the efficacy of using images from multiple sources to generate paddy rice maps for two-crop rotation systems.

  12. A Unified Electronic Tool for CPR and Emergency Treatment Escalation Plans Improves Communication and Early Collaborative Decision Making for Acute Hospital Admissions.

    Science.gov (United States)

    Johnson, Mae; Whyte, Martin; Loveridge, Robert; Yorke, Richard; Naleem, Shairana

    2017-01-01

    The National Confidential Enquiry into Patient Outcomes and Death (NCEPOD) report 'Time to Intervene' (2012) stated that in a substantial number of cases, resuscitation is attempted when it was thought a 'do not attempt cardiopulmonary resuscitation' (DNACPR) decision should have been in place. Early decisions about CPR status and advance planning about limits of care now form part of national recommendations by the UK Resuscitation Council (2016). Treatment escalation plans (TEP) document what level of treatment intervention would be appropriate if a patient were to become acutely unwell and were not previously formally in place at King's College Hospital. A unifying paper based form was successfully piloted in the Acute Medical Unit, introducing the TEP and bringing together decision making around both treatment escalation and CPR status. Subsequently an electronic order-set for CPR status and treatment escalation was launched in April 2015 which led to a highly visible CPR and escalation status banner on the main screen at the top of the patient's electronic record. Ultimately due to further iterations in the electronic process by December 2016, all escalation decisions for acutely admitted patients now have high quality supporting, explanatory documentation with 100% having TEPs in place. There is now widespread multidisciplinary engagement in the process of defining limits of care for acutely admitted medical patients within the first 14 hours of admission and a strategy for rolling this process out across all the divisions of the hospital through our Deteriorating Patient Group (DPG). The collaborative design with acute medical, palliative and intensive care teams and the high visibility provided by the electronic process in the Electronic Patient Record (EPR) has enhanced communication with these teams, patients, nursing staff and the multidisciplinary team by ensuring clarity through a universally understood process about escalation and CPR. Clarity and

  13. Assessment of MODIS-EVI, MODIS-NDVI and VEGETATION-NDVI composite data using agricultural measurements: an example at corn fields in western Mexico.

    Science.gov (United States)

    Chen, Pei-Yu; Fedosejevs, Gunar; Tiscareño-López, Mario; Arnold, Jeffrey G

    2006-08-01

    Although several types of satellite data provide temporal information of the land use at no cost, digital satellite data applications for agricultural studies are limited compared to applications for forest management. This study assessed the suitability of vegetation indices derived from the TERRA-Moderate Resolution Imaging Spectroradiometer (MODIS) sensor and SPOT-VEGETATION (VGT) sensor for identifying corn growth in western Mexico. Overall, the Normalized Difference Vegetation Index (NDVI) composites from the VGT sensor based on bi-directional compositing method produced vegetation information most closely resembling actual crop conditions. The NDVI composites from the MODIS sensor exhibited saturated signals starting 30 days after planting, but corresponded to green leaf senescence in April. The temporal NDVI composites from the VGT sensor based on the maximum value method had a maximum plateau for 80 days, which masked the important crop transformation from vegetative stage to reproductive stage. The Enhanced Vegetation Index (EVI) composites from the MODIS sensor reached a maximum plateau 40 days earlier than the occurrence of maximum leaf area index (LAI) and maximum intercepted fraction of photosynthetic active radiation (fPAR) derived from in-situ measurements. The results of this study showed that the 250-m resolution MODIS data did not provide more accurate vegetation information for corn growth description than the 500-m and 1000-m resolution MODIS data.

  14. Adaptive radar resource management

    CERN Document Server

    Moo, Peter

    2015-01-01

    Radar Resource Management (RRM) is vital for optimizing the performance of modern phased array radars, which are the primary sensor for aircraft, ships, and land platforms. Adaptive Radar Resource Management gives an introduction to radar resource management (RRM), presenting a clear overview of different approaches and techniques, making it very suitable for radar practitioners and researchers in industry and universities. Coverage includes: RRM's role in optimizing the performance of modern phased array radars The advantages of adaptivity in implementing RRMThe role that modelling and

  15. Radar and ARPA manual

    CERN Document Server

    Bole, A G

    2013-01-01

    Radar and ARPA Manual focuses on the theoretical and practical aspects of electronic navigation. The manual first discusses basic radar principles, including principles of range and bearing measurements and picture orientation and presentation. The text then looks at the operational principles of radar systems. Function of units; aerial, receiver, and display principles; transmitter principles; and sitting of units on board ships are discussed. The book also describes target detection, Automatic Radar Plotting Aids (ARPA), and operational controls of radar systems, and then discusses radar plo

  16. Social Radar

    Science.gov (United States)

    2012-01-01

    RTA HFM-201/RSM PAPER 3 - 1 © 2012 The MITRE Corporation. All Rights Reserved. Social Radar Barry Costa and John Boiney MITRE Corporation...defenders require an integrated set of capabilities that we refer to as a “ social radar.” Such a system would support strategic- to operational-level...situation awareness, alerting, course of action analysis, and measures of effectiveness for each action undertaken. Success of a social radar

  17. Aspectos más recientes en relación con la diabetes mellitus tipo MODY Most recent aspects about type MODY diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Ana Ibis Conesa González

    2012-08-01

    Full Text Available Antecedentes: la mejor comprensión fisiopatológica de la diabetes mellitus permite identificar diferentes tipos, entre ellos una variante monogénica denominada por sus siglas en inglés MODY (Maturity-Onset Diabetes of the Young. Objetivos: describir los aspectos fisiopatológicos, clínicos, diagnósticos y terapéuticos de los diferentes subtipos MODY. Desarrollo: los pacientes con diabetes tipo MODY presentan un comportamiento similar a la diabetes mellitus del adulto. Se caracteriza por una alteración genética autosómica dominante inherente y primaria a un defecto en la secreción de insulina. Hasta el momento actual se aceptan 9 subtipos de MODY. Los subtipos 1, 3, 4, 5 y 6 afectan a genes que codifican a factores nucleares de trascripción, y el subtipo 2 al gen que codifica a la enzima glucoquinasa. Se caracterizan clínicamente por cuadros que oscilan entre hiperglucemias permanentes, leves o moderadas, con buen pronóstico clínico, y pocas complicaciones, hasta cuadros de hiperglucemias mantenidas acompañadas de complicaciones crónicas precoces y graves. Conclusiones: las personas que padecen diabetes tipo MODY no son tan infrecuentes como se piensa. La correcta y temprana identificación de la enfermedad permitirá una acción terapéutica más racional y adecuada para brindar la posibilidad de mejor calidad de vida de estas personas.Background: a better physiopathological understanding of diabetes mellitus allows identifying its different types such as a monogenic variant called MODY (maturity-onset diabetes of the young. Objectives: to describe the physiopathological, clinical, diagnostic and therapeutic aspects of the different subtypes in MODY diabetes. Development: the patients with MODY diabetes behave similarly to those suffering diabetes mellitus in adults. It is characterized by inherited dominant autosomal genetic alteration which is primary to a defect in insulin secretion. Up to the present, 9 subtypes are accepted

  18. Novel radar techniques and applications

    CERN Document Server

    Klemm, Richard; Lombardo, Pierfrancesco; Nickel, Ulrich

    2017-01-01

    Novel Radar Techniques and Applications presents the state-of-the-art in advanced radar, with emphasis on ongoing novel research and development and contributions from an international team of leading radar experts. This volume covers: Real aperture array radar; Imaging radar and Passive and multistatic radar.

  19. Apps4CPR: A review study of mobile applications for cardiopulmonary resuscitation training and support

    NARCIS (Netherlands)

    Kalz, Marco

    2013-01-01

    Kalz, M. (2013, 23 September). Apps4CPR: A review study of mobile applications for cardiopulmonary resuscitation training and support. Presentation given during the 6th World Congress on Social Media, Mobile Apps and Internet/Web 2.0 in Medicine, Health, and Biomedical Research, London, UK.

  20. MISR Aerosol Product Attributes and Statistical Comparisons with MODIS

    Science.gov (United States)

    Kahn, Ralph A.; Nelson, David L.; Garay, Michael J.; Levy, Robert C.; Bull, Michael A.; Diner, David J.; Martonchik, John V.; Paradise, Susan R.; Hansen, Earl G.; Remer, Lorraine A.

    2009-01-01

    In this paper, Multi-angle Imaging SpectroRadiometer (MISR) aerosol product attributes are described, including geometry and algorithm performance flags. Actual retrieval coverage is mapped and explained in detail using representative global monthly data. Statistical comparisons are made with coincident aerosol optical depth (AOD) and Angstrom exponent (ANG) retrieval results from the Moderate Resolution Imaging Spectroradiometer (MODIS) instrument. The relationship between these results and the ones previously obtained for MISR and MODIS individually, based on comparisons with coincident ground-truth observations, is established. For the data examined, MISR and MODIS each obtain successful aerosol retrievals about 15% of the time, and coincident MISR-MODIS aerosol retrievals are obtained for about 6%-7% of the total overlap region. Cloud avoidance, glint and oblique-Sun exclusions, and other algorithm physical limitations account for these results. For both MISR and MODIS, successful retrievals are obtained for over 75% of locations where attempts are made. Where coincident AOD retrievals are obtained over ocean, the MISR-MODIS correlation coefficient is about 0.9; over land, the correlation coefficient is about 0.7. Differences are traced to specific known algorithm issues or conditions. Over-ocean ANG comparisons yield a correlation of 0.67, showing consistency in distinguishing aerosol air masses dominated by coarse-mode versus fine-mode particles. Sampling considerations imply that care must be taken when assessing monthly global aerosol direct radiative forcing and AOD trends with these products, but they can be used directly for many other applications, such as regional AOD gradient and aerosol air mass type mapping and aerosol transport model validation. Users are urged to take seriously the published product data-quality statements.

  1. Out-of-hospital cardiac arrest: the prospect of E-CPR in the Maastricht region.

    Science.gov (United States)

    Sharma, A S; Pijls, R W M; Weerwind, P W; Delnoij, T S R; de Jong, W C; Gorgels, A P M; Maessen, J G

    2016-02-01

    The current outcome of out-of-hospital cardiac arrest (OHCA) patients in the Maastricht region was analysed with the prospect of implementing extracorporeal cardiopulmonary resuscitation (E-CPR). A retrospective analysis of adult patients who were resuscitated for OHCA during a 24-month period was performed. 195 patients (age 66 [57-75] years, 82 % male) were resuscitated for OHCA by the emergency medical services and survived to admission at the emergency department. Survival to hospital discharge was 46.2 %. Notable differences between non-survivors and survivors were observed and included: age (70 [58-79] years) vs. (63 [55-72] years, p = 0.01), chronic heart failure (18 vs. 7 %, p = 0.02), shockable rhythm (67 vs. 99 %, p < 0.01), and return of spontaneous circulation (ROSC) at departure from the site of the arrest (46 vs. 99 %, p < 0.01) and on arrival to the emergency department (43 vs. 98 %, p < 0.01), respectively. Acute coronary syndrome was diagnosed in 32 % of non-survivors vs. 59 % among survivors, p < 0.01. Therapeutic hypothermia was provided in non-survivors (20 %) vs. survivors (43 %), p < 0.01. Percutaneous coronary intervention (PCI) was performed in 14 % of non-survivors while 52 % of survivors received PCI (p < 0.01). No statistical significance was observed in terms of gender, witnessed arrest, bystander CPR, or automated external defibrillator deployed among the cohort. At hospital discharge, moderately severe neurological disability was present in six survivors. These observations are compatible with the notion that a shockable rhythm, ROSC, and post-arrest care improve survival outcome. Potentially, initiating E-CPR in the resuscitation phase in patients with a shockable rhythm and no ROSC might serve as a bridge to definite treatment and improve survival outcome.

  2. Snow Cover Monitoring Using MODIS Data in Liaoning Province, Northeastern China

    Directory of Open Access Journals (Sweden)

    Yu Lu

    2010-03-01

    Full Text Available This paper presents the results of snow cover monitoring studies in Liaoning Province, northeastern China, using MODIS data. Snow cover plays an important role in both the regional water balance and soil moisture properties during the early spring in northeastern China. In addition, heavy snowfalls commonly trigger hazards such as flooding, caused by rapid snow melt, or crop failure, resulting from fluctuations in soil temperature associated with changes in the snow cover. The latter is a function of both regional, or global, climatic changes, as well as fluctuations in the albedo resulting from variations in the Snow Covered Area (SCA. These impacts are crucial to human activities, especially to those living in middle-latitude areas such as Liaoning Province. Thus, SCA monitoring is currently an important tool in studies of global climate change, particularly because satellite remote sensing data provide timely and efficient snow cover information for large areas. In this study, MODIS L1B data, MODIS Daily Snow Products (MOD10A1 and MODIS 8-day Snow Products (MOD10A2 were used to monitor the SCA of Liaoning Province over the winter months of November–April, 2006–2008. The effects of cloud masking and forest masking on the snow monitoring results were also assessed. The results show that the SCA percentage derived from MODIS L1B data is relatively consistent, but slightly higher than that obtained from MODIS Snow Products. In situ data from 25 snow stations were used to assess the accuracy of snow cover monitoring from the SCA compared to the results from MODIS Snow Products. The studies found that the SCA results were more reliable than MODIS Snow Products in the study area.

  3. Minimum redundancy MIMO radars

    OpenAIRE

    Chen, Chun-Yang; Vaidyanathan, P. P.

    2008-01-01

    The multiple-input multiple-output (MIMO) radar concept has drawn considerable attention recently. In the traditional single-input multiple-output (SIMO) radar system, the transmitter emits scaled versions of a single waveform. However, in the MIMO radar system, the transmitter transmits independent waveforms. It has been shown that the MIMO radar can be used to improve system performance. Most of the MIMO radar research so far has focused on the uniform array. However, i...

  4. Augmented survival of out-of-hospital cardiac arrest victims with the use of mobile phones for emergency communication under the DA-CPR protocol getting information from callers beside the victim.

    Science.gov (United States)

    Maeda, Tetsuo; Yamashita, Akira; Myojo, Yasuhiro; Wato, Yukihiro; Inaba, Hideo

    2016-10-01

    To investigate the impacts of emergency calls made using mobile phones on the quality of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) and survival from out-of-hospital cardiac arrests (OHCAs) that were not witnessed by emergency medical service (EMS). In this prospective study, we collected data for 2530 DA-CPR-attempted medical emergency cases (517 using mobile phones and 2013 using landline phones) and 2980 non-EMS-witnessed OHCAs (600 using mobile phones and 2380 using landline phones). Time factors and quality of DA-CPR, backgrounds of callers and outcomes of OHCAs were compared between mobile and landline phone groups. Emergency calls are much more frequently placed beside the arrest victim in mobile phone group (52.7% vs. 17.2%). The positive predictive value and acceptance rate of DA-CPR in mobile phone group (84.7% and 80.6%, respectively) were significantly higher than those in landline group (79.2% and 70.9%). The proportion of good-quality bystander CPR in mobile phone group was significantly higher than that in landline group (53.5% vs. 45.0%). When analysed for all non-EMS-witnessed OHCAs, rates of 1-month survival and 1-year neurologically favourable survival in mobile phone group (7.8% and 3.5%, respectively) were higher than those in landline phone group (4.6% and 1.9%; pmobile phone calls were associated with increased 1-month survival in the subgroup of OHCAs receiving bystander CPR (adjusted odds ratio, 1.84; 95% CI, 1.15-2.92). Emergency calls made using mobile phones are likely to augment the survival from OHCAs by improving DA-CPR. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  5. Principles of modern radar systems

    CERN Document Server

    Carpentier, Michel H

    1988-01-01

    Introduction to random functions ; signal and noise : the ideal receiver ; performance of radar systems equipped with ideal receivers ; analysis of the operating principles of some types of radar ; behavior of real targets, fluctuation of targets ; angle measurement using radar ; data processing of radar information, radar coverage ; applications to electronic scanning antennas to radar ; introduction to Hilbert spaces.

  6. Comparison of Marine Boundary Layer Cloud Properties From CERES-MODIS Edition 4 and DOE ARM AMF Measurements at the Azores

    Science.gov (United States)

    Dong, X.; Xi, B.; Minnis, P.; Sun-Mack, S.

    2014-12-01

    Marine Boundary Layer (MBL) cloud properties derived for the NASA CERES Project using Terra and Aqua MODIS data are compared with observations taken at DOE ARM Mobile Facility at the Azores site from Jun. 2009 to Dec. 2010. Cloud properties derived from ARM ground-based observations were averaged over a 1-hour interval centered at the satellite overpass time, while the CERES-MODIS (CM) results were averaged within a 30×30 km2 grid box centered over the Azores site. A total of 63 daytime and 92 nighttime single-layered overcast MBL cloud cases were selected from 19 months of ARM radar-lidar and satellite observations. The CM cloud-top/base heights (Htop/Hbase) were determined from cloud-top/base temperatures (Ttop/Tbase) using a regional boundary-layer lapse rate method. For daytime comparisons, the CM-derived Htop (Hbase), on average, is 0.063 km (0.068 km) higher (lower) than its ARM radar-lidar observed counterpart, and the CM-derived Ttop and Tbase are 0.9 K less and 2.5 K greater than the surface values with high correlations (R2=0.82 and 0.84, respectively). In general, the cloud-top comparisons agree better than cloud-base comparisons because the CM Tbase and Hbase are secondary product determined from Ttop and Htop. No significant day-night difference was found in the analyses. The comparisons of microphysical properties reveal that, when averaged over a 30x30 km2 area, the CM-retrieved cloud-droplet effective radius (re) is 1.3 µm larger than that from the ARM retrievals (12.8 µm). While the CM-retrieved cloud liquid water path (LWP) is 13.5 gm-2 less than its ARM counterpart (114.2 gm-2) due to its small optical depth (τ, 9.6 vs. 13.7). The differences are reduced by 50% when the CM averages are computed only using the MODIS pixel nearest the AMF site. Using effective radius retrieved at 2.1-µm channel to calculate LWP can reduce the difference between the CM and ARM from -13.7 to 2.1 gm-2. The 10% differences between the ARM and CM LWP and re

  7. Cost-effectiveness of MODY genetic testing: translating genomic advances into practical health applications.

    Science.gov (United States)

    Naylor, Rochelle N; John, Priya M; Winn, Aaron N; Carmody, David; Greeley, Siri Atma W; Philipson, Louis H; Bell, Graeme I; Huang, Elbert S

    2014-01-01

    OBJECTIVE To evaluate the cost-effectiveness of a genetic testing policy for HNF1A-, HNF4A-, and GCK-MODY in a hypothetical cohort of type 2 diabetic patients 25-40 years old with a MODY prevalence of 2%. RESEARCH DESIGN AND METHODS We used a simulation model of type 2 diabetes complications based on UK Prospective Diabetes Study data, modified to account for the natural history of disease by genetic subtype to compare a policy of genetic testing at diabetes diagnosis versus a policy of no testing. Under the screening policy, successful sulfonylurea treatment of HNF1A-MODY and HNF4A-MODY was modeled to produce a glycosylated hemoglobin reduction of -1.5% compared with usual care. GCK-MODY received no therapy. Main outcome measures were costs and quality-adjusted life years (QALYs) based on lifetime risk of complications and treatments, expressed as the incremental cost-effectiveness ratio (ICER) (USD/QALY). RESULTS The testing policy yielded an average gain of 0.012 QALYs and resulted in an ICER of 205,000 USD. Sensitivity analysis showed that if the MODY prevalence was 6%, the ICER would be ~50,000 USD. If MODY prevalence was >30%, the testing policy was cost saving. Reducing genetic testing costs to 700 USD also resulted in an ICER of ~50,000 USD. CONCLUSIONS Our simulated model suggests that a policy of testing for MODY in selected populations is cost-effective for the U.S. based on contemporary ICER thresholds. Higher prevalence of MODY in the tested population or decreased testing costs would enhance cost-effectiveness. Our results make a compelling argument for routine coverage of genetic testing in patients with high clinical suspicion of MODY.

  8. Estimating Global Cropland Extent with Multi-year MODIS Data

    Directory of Open Access Journals (Sweden)

    Christopher O. Justice

    2010-07-01

    Full Text Available This study examines the suitability of 250 m MODIS (MODerate Resolution Imaging Spectroradiometer data for mapping global cropland extent. A set of 39 multi-year MODIS metrics incorporating four MODIS land bands, NDVI (Normalized Difference Vegetation Index and thermal data was employed to depict cropland phenology over the study period. Sub-pixel training datasets were used to generate a set of global classification tree models using a bagging methodology, resulting in a global per-pixel cropland probability layer. This product was subsequently thresholded to create a discrete cropland/non-cropland indicator map using data from the USDA-FAS (Foreign Agricultural Service Production, Supply and Distribution (PSD database describing per-country acreage of production field crops. Five global land cover products, four of which attempted to map croplands in the context of multiclass land cover classifications, were subsequently used to perform regional evaluations of the global MODIS cropland extent map. The global probability layer was further examined with reference to four principle global food crops: corn, soybeans, wheat and rice. Overall results indicate that the MODIS layer best depicts regions of intensive broadleaf crop production (corn and soybean, both in correspondence with existing maps and in associated high probability matching thresholds. Probability thresholds for wheat-growing regions were lower, while areas of rice production had the lowest associated confidence. Regions absent of agricultural intensification, such as Africa, are poorly characterized regardless of crop type. The results reflect the value of MODIS as a generic global cropland indicator for intensive agriculture production regions, but with little sensitivity in areas of low agricultural intensification. Variability in mapping accuracies between areas dominated by different crop types also points to the desirability of a crop-specific approach rather than attempting

  9. Emergency nurses' current practices and understanding of family presence during CPR.

    LENUS (Irish Health Repository)

    Madden, Eilis

    2012-02-03

    PURPOSE: To examine emergency nurses\\' current practices and understanding of family presence during CPR in the emergency department, Cork University Hospital, Republic of Ireland. METHOD: A quantitative descriptive design was used in the study. A questionnaire developed by ENA was distributed to emergency nurses working in a level I trauma emergency department at Cork University Hospital. The total sample number was 90, including all emergency nurses with at least 6 months\\' emergency nursing experience. RESULTS: Emergency nurses often took families to the bedside during resuscitation efforts (58.9%) or would do so if the opportunity arose (17.8%). A high percentage (74.4%) of respondents would prefer a written policy allowing the option of family presence during CPR. The most significant barrier to family witnessed resuscitation (FWR) was conflicts occurring within the emergency team. The most significant facilitator to FWR was a greater understanding of health care professionals on the benefits of FWR to patients and families, indicating the need for educational development. CONCLUSION: The findings of the study and previously published studies indicate the need for development of written polices and guidelines on the practice to meet the needs of patients, families, and staff by providing consistent, safe, and caring practices for all involved in the resuscitation process. Recommendations of the study include the development of a written policy and an educational programme on the safe implementation and practices of FWR.

  10. Preliminary assessment of a combined passive safety system for typical 3-loop PWR CPR1000

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Zijiang; Shan, Jianqiang, E-mail: jqshan@mail.xjtu.edu.cn; Gou, Junli

    2017-03-15

    Highlights: • A combined passive safety system was placed on a typical 3-loop PWR CPR1000. • Three accident analyses show the three different accident mitigation methods of the passive safety system. • The three mitigation methods were proved to be useful. - Abstract: As the development of the nuclear industry, passive technology turns out to be a remarkable characteristic of advanced nuclear power plants. Since the 20th century, much effort has been given to the passive technology, and a number of evolutionary passive systems have developed. Thoughts have been given to upgrade the existing reactors with passive systems to meet stricter safety demands. In this paper, the CPR1000 plant, which is one kind of mature pressurized water reactor plants in China, is improved with some passive systems to enhance safety. The passive systems selected are as follows: (1) the reactor makeup tank (RMT); (2) the advanced accumulator (A-ACC); (3) the in-containment refueling water storage tank (IRWST); (4) the passive emergency feed water system (PEFS), which is installed on the secondary side of SGs; (5) the passive depressurization system (PDS). Although these passive components is based on the passive technology of some advanced reactors, their structural and trip designs are adjusted specifically so that it could be able to mitigate accidents of the CPR1000. Utilizing the RELAP5/MOD3.3 code, accident analyses (small break loss of coolant accident, large break loss of coolant accident, main feed water line break accident) of this improved CPR1000 plant were presented to demonstrate three different accident mitigation methods of the safety system and to test whether the passive safety system preformed its function well. In the SBLOCA, all components of the passive safety system were put into work sequentially, which prevented the core uncover. The LBLOCA analysis illustrates the contribution of the A-ACCs whose small-flow-rate injection can control the maximum cladding

  11. Searching for Maturity-Onset Diabetes of the Young (MODY): When and What for?

    Science.gov (United States)

    Timsit, José; Saint-Martin, Cécile; Dubois-Laforgue, Danièle; Bellanné-Chantelot, Christine

    2016-10-01

    Maturity-onset diabetes of the young (MODY) is a group of monogenic diseases that results in primary defects in insulin secretion and dominantly inherited forms of nonautoimmune diabetes. Although many genes may be associated with monogenic diabetes, heterozygous mutations in 6 of them are responsible for the majority of cases of MODY. Glucokinase (GCK)-MODY is due to mutations in the glucokinase gene, 3 MODY subtypes are associated with mutations in the hepatocyte nuclear factor (HNF) transcription factors, and 2 others with mutations in ABCC8 and KCNJ11, which encode the subunits of the ATP-dependent potassium channel in pancreatic beta cells. GCK-MODY and HNF1A-MODY are the most common subtypes. The clinical presentation of MODY subtypes has been reported to differ according to the gene involved, and the diagnosis of MODY may be considered in various clinical circumstances. However, except in patients with GCK-MODY whose phenotype is very homogeneous, in most cases the penetrance and expressivity of a given molecular abnormality vary greatly among patients and, conversely, alterations in various genes may lead to similar phenotypes. Moreover, differential diagnosis among more common forms of diabetes may be difficult, particularly with type 2 diabetes. Thus, careful assessment of the personal and family histories of patients with diabetes is mandatory to select those in whom genetic screening is worthwhile. The diagnosis of monogenic diabetes has many consequences in terms of prognosis, therapeutics and family screening. Copyright © 2015 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  12. Classroom versus Computer-Based CPR Training: A Comparison of the Effectiveness of Two Instructional Methods

    Science.gov (United States)

    Rehberg, Robb S.; Gazzillo Diaz, Linda; Middlemas, David A.

    2009-01-01

    Objective: The objective of this study was to determine whether computer-based CPR training is comparable to traditional classroom training. Design and Setting: This study was quantitative in design. Data was gathered from a standardized examination and skill performance evaluation which yielded numerical scores. Subjects: The subjects were 64…

  13. Radar Chart

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Radar Chart collection is an archived product of summarized radar data. The geographic coverage is the 48 contiguous states of the United States. These hourly...

  14. Long-term retrospective analysis of mackerel spawning in the North Sea: a new time series and modeling approach to CPR data.

    Science.gov (United States)

    Jansen, Teunis; Kristensen, Kasper; Payne, Mark; Edwards, Martin; Schrum, Corinna; Pitois, Sophie

    2012-01-01

    We present a unique view of mackerel (Scomber scombrus) in the North Sea based on a new time series of larvae caught by the Continuous Plankton Recorder (CPR) survey from 1948-2005, covering the period both before and after the collapse of the North Sea stock. Hydrographic backtrack modelling suggested that the effect of advection is very limited between spawning and larvae capture in the CPR survey. Using a statistical technique not previously applied to CPR data, we then generated a larval index that accounts for both catchability as well as spatial and temporal autocorrelation. The resulting time series documents the significant decrease of spawning from before 1970 to recent depleted levels. Spatial distributions of the larvae, and thus the spawning area, showed a shift from early to recent decades, suggesting that the central North Sea is no longer as important as the areas further west and south. These results provide a consistent and unique perspective on the dynamics of mackerel in this region and can potentially resolve many of the unresolved questions about this stock.

  15. Long-term retrospective analysis of mackerel spawning in the North Sea: a new time series and modeling approach to CPR data.

    Directory of Open Access Journals (Sweden)

    Teunis Jansen

    Full Text Available We present a unique view of mackerel (Scomber scombrus in the North Sea based on a new time series of larvae caught by the Continuous Plankton Recorder (CPR survey from 1948-2005, covering the period both before and after the collapse of the North Sea stock. Hydrographic backtrack modelling suggested that the effect of advection is very limited between spawning and larvae capture in the CPR survey. Using a statistical technique not previously applied to CPR data, we then generated a larval index that accounts for both catchability as well as spatial and temporal autocorrelation. The resulting time series documents the significant decrease of spawning from before 1970 to recent depleted levels. Spatial distributions of the larvae, and thus the spawning area, showed a shift from early to recent decades, suggesting that the central North Sea is no longer as important as the areas further west and south. These results provide a consistent and unique perspective on the dynamics of mackerel in this region and can potentially resolve many of the unresolved questions about this stock.

  16. NLCD - MODIS land cover- albedo dataset for the continental United States

    Data.gov (United States)

    U.S. Environmental Protection Agency — The NLCD-MODIS land cover-albedo database integrates high-quality MODIS albedo observations with areas of homogeneous land cover from NLCD. The spatial resolution...

  17. Apolipoprotein M can discriminate HNF1A-MODY from Type 1 diabetes.

    Science.gov (United States)

    Mughal, S A; Park, R; Nowak, N; Gloyn, A L; Karpe, F; Matile, H; Malecki, M T; McCarthy, M I; Stoffel, M; Owen, K R

    2013-02-01

    Missed diagnosis of maturity-onset diabetes of the young (MODY) has led to an interest in biomarkers that enable efficient prioritization of patients for definitive molecular testing. Apolipoprotein M (apoM) was suggested as a biomarker for hepatocyte nuclear factor 1 alpha (HNF1A)-MODY because of its reduced expression in Hnf1a(-/-) mice. However, subsequent human studies examining apoM as a biomarker have yielded conflicting results. We aimed to evaluate apoM as a biomarker for HNF1A-MODY using a highly specific and sensitive ELISA. ApoM concentration was measured in subjects with HNF1A-MODY (n = 69), Type 1 diabetes (n = 50), Type 2 diabetes (n = 120) and healthy control subjects (n = 100). The discriminative accuracy of apoM and of the apoM/HDL ratio for diabetes aetiology was evaluated. Mean (standard deviation) serum apoM concentration (μmol/l) was significantly lower for subjects with HNF1A-MODY [0.86 (0.29)], than for those with Type 1 diabetes [1.37 (0.26), P = 3.1 × 10(-18) ) and control subjects [1.34 (0.22), P = 7.2 × 10(-19) ). There was no significant difference in apoM concentration between subjects with HNF1A-MODY and Type 2 diabetes [0.89 (0.28), P = 0.13]. The C-statistic measure of discriminative accuracy for apoM was 0.91 for HNF1A-MODY vs. Type 1 diabetes, indicating high discriminative accuracy. The apoM/HDL ratio was significantly lower in HNF1A-MODY than other study groups. However, this ratio did not perform well in discriminating HNF1A-MODY from either Type 1 diabetes (C-statistic = 0.79) or Type 2 diabetes (C-statistic = 0.68). We confirm an earlier report that serum apoM levels are lower in HNF1A-MODY than in controls. Serum apoM provides good discrimination between HNF1A-MODY and Type 1 diabetes and warrants further investigation for clinical utility in diabetes diagnostics. © 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.

  18. Time-Dependent Response Versus Scan Angle for MODIS Reflective Solar Bands

    Science.gov (United States)

    Sun, Junqiang; Xiong, Xiaoxiong; Angal, Amit; Chen, Hongda; Wu, Aisheng; Geng, Xu

    2014-01-01

    The Moderate Resolution Imaging Spectroradiometer (MODIS) instruments currently operate onboard the National Aeronautics and Space Administration (NASA's) Terra and Aqua spacecraft, launched on December 18, 1999 and May 4, 2002, respectively. MODIS has 36 spectral bands, among which 20 are reflective solar bands (RSBs) covering a spectral range from 0.412 to 2.13 µm. The RSBs are calibrated on orbit using a solar diffuser (SD) and an SD stability monitor and with additional measurements from lunar observations via a space view (SV) port. Selected pseudo-invariant desert sites are also used to track the RSB on-orbit gain change, particularly for short-wavelength bands. MODIS views the Earth surface, SV, and the onboard calibrators using a two-sided scan mirror. The response versus scan angle (RVS) of the scan mirror was characterized prior to launch, and its changes are tracked using observations made at different angles of incidence from onboard SD, lunar, and Earth view (EV) measurements. These observations show that the optical properties of the scan mirror have experienced large wavelength-dependent degradation in both the visible and near infrared spectral regions. Algorithms have been developed to track the on-orbit RVS change using the calibrators and the selected desert sites. These algorithms have been applied to both Terra and Aqua MODIS Level 1B (L1B) to improve the EV data accuracy since L1B Collection 4, refined in Collection 5, and further improved in the latest Collection 6 (C6). In C6, two approaches have been used to derive the time-dependent RVS for MODIS RSB. The first approach relies on data collected from sensor onboard calibrators and mirror side ratios from EV observations. The second approach uses onboard calibrators and EV response trending from selected desert sites. This approach is mainly used for the bands with much larger changes in their time-dependent RVS, such as the Terra MODIS bands 1-4, 8, and 9 and the Aqua MODIS bands 8- and 9

  19. Circulating CD36 Is Reduced in HNF1A-MODY Carriers.

    LENUS (Irish Health Repository)

    Bacon, Siobhan

    2013-01-01

    Premature atherosclerosis is a significant cause of morbidity and mortality in type 2 diabetes mellitus. Maturity onset diabetes of the young (MODY) accounts for approximately 2% of all diabetes, with mutations in the transcription factor; hepatocyte nuclear factor 1 alpha (HNF1A) accounting for the majority of MODY cases. There is somewhat limited data available on the prevalence of macrovascular disease in HNF1A-MODY carriers with diabetes. Marked insulin resistance and the associated dyslipidaemia are not clinical features of HNF1A-MODY carriers. The scavenger protein CD36 has been shown to play a substantial role in the pathogenesis of atherosclerosis, largely through its interaction with oxidised LDL. Higher levels of monocyte CD36 and plasma CD36(sCD36) are seen to cluster with insulin resistance and diabetes. The aim of this study was to determine levels of sCD36 in participants with HNF1A-MODY diabetes and to compare them with unaffected normoglycaemic family members and participants with type 2 diabetes mellitus.

  20. Can the cerebroplacental ratio (CPR) predict intrapartum fetal compromise? : a prospective observational study

    OpenAIRE

    Page, Ann-Sophie; Page, Geert; Dehaene, Isabelle; Roets, Ellen; Roelens, Kristien

    2017-01-01

    Objective: To investigate the potential clinical use of serial fetal CPR measurements during the last month of pregnancy for the prediction of adverse perinatal outcome in unselected low-risk pregnancies. Methods: A multicenter prospective observational cohort study in 315 consecutively recruited low-risk pregnancies. All eligible pregnancies underwent serial sonographic evaluation of fetal weight and Doppler indices at two week intervals, from 36 weeks gestation until delivery. Data were ...

  1. Heterozygous RFX6 protein truncating variants are associated with MODY with reduced penetrance.

    Science.gov (United States)

    Patel, Kashyap A; Kettunen, Jarno; Laakso, Markku; Stančáková, Alena; Laver, Thomas W; Colclough, Kevin; Johnson, Matthew B; Abramowicz, Marc; Groop, Leif; Miettinen, Päivi J; Shepherd, Maggie H; Flanagan, Sarah E; Ellard, Sian; Inagaki, Nobuya; Hattersley, Andrew T; Tuomi, Tiinamaija; Cnop, Miriam; Weedon, Michael N

    2017-10-12

    Finding new causes of monogenic diabetes helps understand glycaemic regulation in humans. To find novel genetic causes of maturity-onset diabetes of the young (MODY), we sequenced MODY cases with unknown aetiology and compared variant frequencies to large public databases. From 36 European patients, we identify two probands with novel RFX6 heterozygous nonsense variants. RFX6 protein truncating variants are enriched in the MODY discovery cohort compared to the European control population within ExAC (odds ratio = 131, P = 1 × 10 -4 ). We find similar results in non-Finnish European (n = 348, odds ratio = 43, P = 5 × 10 -5 ) and Finnish (n = 80, odds ratio = 22, P = 1 × 10 -6 ) replication cohorts. RFX6 heterozygotes have reduced penetrance of diabetes compared to common HNF1A and HNF4A-MODY mutations (27, 70 and 55% at 25 years of age, respectively). The hyperglycaemia results from beta-cell dysfunction and is associated with lower fasting and stimulated gastric inhibitory polypeptide (GIP) levels. Our study demonstrates that heterozygous RFX6 protein truncating variants are associated with MODY with reduced penetrance.Maturity-onset diabetes of the young (MODY) is the most common subtype of familial diabetes. Here, Patel et al. use targeted DNA sequencing of MODY patients and large-scale publically available data to show that RFX6 heterozygous protein truncating variants cause reduced penetrance MODY.

  2. Combined radar and telemetry system

    Energy Technology Data Exchange (ETDEWEB)

    Rodenbeck, Christopher T.; Young, Derek; Chou, Tina; Hsieh, Lung-Hwa; Conover, Kurt; Heintzleman, Richard

    2017-08-01

    A combined radar and telemetry system is described. The combined radar and telemetry system includes a processing unit that executes instructions, where the instructions define a radar waveform and a telemetry waveform. The processor outputs a digital baseband signal based upon the instructions, where the digital baseband signal is based upon the radar waveform and the telemetry waveform. A radar and telemetry circuit transmits, simultaneously, a radar signal and telemetry signal based upon the digital baseband signal.

  3. Applications of Near Real-Time Image and Fire Products from MODIS

    Science.gov (United States)

    Schmaltz, J. E.; Ilavajhala, S.; Teague, M.; Ye, G.; Masuoka, E.; Davies, D.; Murphy, K. J.; Michael, K.

    2010-12-01

    NASA’s MODIS Rapid Response Project (http://rapidfire.sci.gsfc.nasa.gov/) has been providing MODIS fire detections and imagery in near real-time since 2001. The Rapid Response system is part of the Land and Atmospheres Near-real time Capability for EOS (LANCE-MODIS) system. Current capabilities include providing MODIS imagery in true color and false color band combinations, a vegetation index, and temperature - in both uncorrected swath format and geographically corrected subset regions. The geographically-corrected subsets images cover the world's land areas and adjoining waters, as well as the entire Arctic and Antarctic. These data are available within a few hours of data acquisition. The images are accessed by large number of user communities to obtain a rapid, 250 meter-resolution overview of ground conditions for fire management, crop and famine monitoring and forecasting, disaster response (fires, oil spills, floods, storms), dust and aerosol monitoring, aviation (tracking volcanic ash), monitoring sea ice conditions, environmental monitoring, and more. In addition, the scientific community uses imagery to locate phenomena of interest prior to ordering and processing data and to support the day-to-day planning of field campaigns. The MODIS Rapid Response project has also been providing a near real-time data feed on fire locations and MODIS imagery subsets to the Fire Information for Resource Management System (FIRMS) project (http://maps.geog.umd.edu/firms). FIRMS provides timely availability of fire location information, which is essential in preventing and fighting large forest/wild fires. Products are available through a WebGIS for visualizing MODIS hotspots and MCD45 Burned Area images, an email alerting tool to deliver fire data on daily/weekly/near real-time basis, active data downloads in formats such as shape, KML, CSV, WMS, etc., along with MODIS imagery subsets. FIRMS’ user base covers more than 100 countries and territories. A recent user

  4. Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 5. CPR, Oxygen Therapy. Revised.

    Science.gov (United States)

    Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

    This student manual, the fifth in a set of 14 modules, is designed to train emergency medical technicians (EMTs) in Ohio. The module contains two sections covering the following course content; cardiopulmonary resuscitation (CPR) (including artificial ventilation, foreign body obstructions, adjunctive equipment and special techniques, artificial…

  5. Determination of radar MTF

    Energy Technology Data Exchange (ETDEWEB)

    Chambers, D. [Lawrence Livermore National Lab., CA (United States)

    1994-11-15

    The ultimate goal of the Current Meter Array (CMA) is to be able to compare the current patterns detected with the array with radar images of the water surface. The internal wave current patterns modulate the waves on the water surface giving a detectable modulation of the radar cross-section (RCS). The function relating the RCS modulations to the current patterns is the Modulation Transfer Function (MTF). By comparing radar images directly with co-located CMA measurements the MTF can be determined. In this talk radar images and CMA measurements from a recent experiment at Loch Linnhe, Scotland, will be used to make the first direct determination of MTF for an X and S band radar at low grazing angles. The technical problems associated with comparing radar images to CMA data will be explained and the solution method discussed. The results suggest the both current and strain rate contribute equally to the radar modulation for X band. For S band, the strain rate contributes more than the current. The magnitude of the MTF and the RCS modulations are consistent with previous estimates when the wind is blowing perpendicular to the radar look direction.

  6. Quality Assessment of Landsat Surface Reflectance Products Using MODIS Data

    Science.gov (United States)

    Feng, Min; Huang, Chengquan; Channan, Saurabh; Vermote, Eric; Masek, Jeffrey G.; Townshend, John R.

    2012-01-01

    Surface reflectance adjusted for atmospheric effects is a primary input for land cover change detection and for developing many higher level surface geophysical parameters. With the development of automated atmospheric correction algorithms, it is now feasible to produce large quantities of surface reflectance products using Landsat images. Validation of these products requires in situ measurements, which either do not exist or are difficult to obtain for most Landsat images. The surface reflectance products derived using data acquired by the Moderate Resolution Imaging Spectroradiometer (MODIS), however, have been validated more comprehensively. Because the MODIS on the Terra platform and the Landsat 7 are only half an hour apart following the same orbit, and each of the 6 Landsat spectral bands overlaps with a MODIS band, good agreements between MODIS and Landsat surface reflectance values can be considered indicators of the reliability of the Landsat products, while disagreements may suggest potential quality problems that need to be further investigated. Here we develop a system called Landsat-MODIS Consistency Checking System (LMCCS). This system automatically matches Landsat data with MODIS observations acquired on the same date over the same locations and uses them to calculate a set of agreement metrics. To maximize its portability, Java and open-source libraries were used in developing this system, and object-oriented programming (OOP) principles were followed to make it more flexible for future expansion. As a highly automated system designed to run as a stand-alone package or as a component of other Landsat data processing systems, this system can be used to assess the quality of essentially every Landsat surface reflectance image where spatially and temporally matching MODIS data are available. The effectiveness of this system was demonstrated using it to assess preliminary surface reflectance products derived using the Global Land Survey (GLS) Landsat

  7. N-MODY: A Code for Collisionless N-body Simulations in Modified Newtonian Dynamics

    Science.gov (United States)

    Londrillo, Pasquale; Nipoti, Carlo

    2011-02-01

    N-MODY is a parallel particle-mesh code for collisionless N-body simulations in modified Newtonian dynamics (MOND). N-MODY is based on a numerical potential solver in spherical coordinates that solves the non-linear MOND field equation, and is ideally suited to simulate isolated stellar systems. N-MODY can be used also to compute the MOND potential of arbitrary static density distributions. A few applications of N-MODY indicate that some astrophysically relevant dynamical processes are profoundly different in MOND and in Newtonian gravity with dark matter.

  8. Deriving Snow Cover Metrics for Alaska from MODIS

    Directory of Open Access Journals (Sweden)

    Chuck Lindsay

    2015-09-01

    Full Text Available Moderate Resolution Imaging Spectroradiometer (MODIS daily snow cover products provide an opportunity for determining snow onset and melt dates across broad geographic regions; however, cloud cover and polar darkness are limiting factors at higher latitudes. This study presents snow onset and melt dates for Alaska, portions of western Canada and the Russian Far East derived from Terra MODIS snow cover daily 500 m grid data (MOD10A1 and evaluates our method for filling data gaps caused by clouds or polar darkness. Pixels classified as cloud or no data were reclassified by: spatial filtering using neighboring pixel values; temporal filtering using pixel values for days before/after cloud cover; and snow-cycle filtering based on a time series assessment of a pixel’s position within snow accumulation, cover or melt periods. During the 2012 snow year, these gap-filling methods reduced cloud pixels from 27.7% to 3.1%. A total of 12 metrics (e.g., date of first and last snow, date of persistent snow cover and periods of intermittence for each pixel were calculated by snow year. A comparison of MODIS-derived snow onset and melt dates with in situ observations from 244 weather stations generally showed an early bias in MODIS-derived dates and an effect of increasing cloudiness exacerbating bias. Our results show that mean regional duration of seasonal snow cover is 179–311 days/year and that snow cover is often intermittent, with 41% of the area experiencing ≥2 snow-covered periods during a snow season. Other regional-scale patterns in the timing of snow onset and melt are evident in the yearly 500 m gridded products publically available at http://static.gina.alaska.edu/NPS_products/MODIS_snow/.

  9. Evaluation of BRDF Archetypes for Representing Surface Reflectance Anisotropy Using MODIS BRDF Data

    Directory of Open Access Journals (Sweden)

    Hu Zhang

    2015-06-01

    Full Text Available Bidirectional reflectance distribution function (BRDF archetypes extracted from the Moderate Resolution Imaging Spectroradiometer (MODIS BRDF/Albedo product over the global Earth Observing System Land Validation Core Sites can be used to simplify BRDF models. The present study attempts to evaluate the representativeness of BRDF archetypes for surface reflectance anisotropy. Five-year forward-modeled MODIS multi-angular reflectance (MCD-ref and aditional actual MODIS multi-angular observations (MCD-obs in four growing periods in 2008 over three tiles were taken as validation data. First, BRDF archetypes in the principal plane were qualitatively compared with the time-series MODIS BRDF product of randomly sampled pixels. Secondly, BRDF archetypes were used to fit MCD-ref, and the average root-mean-squared errors (RMSEs over each tile were examined for these five years. Finally, both BRDF archetypes and the MODIS BRDF were used to fit MCD-obs, and the histograms of the fit-RMSEs were compared. The consistency of the directional reflectance between the BRDF archetypes and MODIS BRDFs in nadir-view, hotspot and entire viewing hemisphere at 30° and 50° solar geometries were also examined. The results confirm that BRDF archetypes are representative of surface reflectance anisotropy for available snow-free MODIS data.

  10. Comparing Stream Discharge, Dissolved Organic Carbon, and Selected MODIS Indices in Freshwater Basins

    Science.gov (United States)

    Shaver, W. T.; Wollheim, W. M.

    2009-12-01

    In a preliminary study of the Ipswich Basin in Massachusetts, a good correlation was found to exist between the MODIS (Moderate Resolution Imaging Spectroradiometer) Enhanced Vegetation Index and stream dissolved organic carbon (DOC). Further study was warranted to determine the utility of MODIS indices in predicting temporal stream DOC. Stream discharge rates and DOC data were obtained from the USGS National Water Quality Assessment Program (NAWQA) database. Twelve NAWQA monitoring sites were selected for evaluation based on the criteria of having drainage basin sizes less than 600 km2 with relatively continuous, long-term DOC and discharge data. MODIS indices were selected based on their connections with terrestrial DOC and were obtained for each site's catchment area. These included the Normalized Vegetation Index (NDVI), the Enhanced Vegetation Index (EVI), the Daily Photosynthesis (PSN) and the Leaf Area Index (LAI). Regression analysis was used to evaluate the relationships between DOC, discharge and MODIS products. Data analysis revealed several important trends. Sites with strong positive correlation coefficients (r values ranging from 0.462 to 0.831) between DOC and discharge displayed weak correlations with all of the MODIS indices (r values ranging from 0 to 0.322). For sites where the DOC/discharge correlation was weak or negative, MODIS indices were moderately correlated, with r values ranging from 0.35 to 0.647, all of which were significant at less than 1 percent. Some sites that had weak positive correlations with MODIS indices displayed a lag time, that is, the MODIS index rose and fell shortly before the DOC concentration rose and fell. Shifting the MODIS data forward in time by roughly one month significantly increased the DOC/MODIS r values by about 10%. NDVI and EVI displayed the strongest correlations with temporal DOC variability (r values ranging from 0.471 to 0.647), and therefore these indices are the most promising for being incorporated

  11. Creating a Regional MODIS Satellite-Driven Net Primary Production Dataset for European Forests

    Directory of Open Access Journals (Sweden)

    Mathias Neumann

    2016-06-01

    Full Text Available Net primary production (NPP is an important ecological metric for studying forest ecosystems and their carbon sequestration, for assessing the potential supply of food or timber and quantifying the impacts of climate change on ecosystems. The global MODIS NPP dataset using the MOD17 algorithm provides valuable information for monitoring NPP at 1-km resolution. Since coarse-resolution global climate data are used, the global dataset may contain uncertainties for Europe. We used a 1-km daily gridded European climate data set with the MOD17 algorithm to create the regional NPP dataset MODIS EURO. For evaluation of this new dataset, we compare MODIS EURO with terrestrial driven NPP from analyzing and harmonizing forest inventory data (NFI from 196,434 plots in 12 European countries as well as the global MODIS NPP dataset for the years 2000 to 2012. Comparing these three NPP datasets, we found that the global MODIS NPP dataset differs from NFI NPP by 26%, while MODIS EURO only differs by 7%. MODIS EURO also agrees with NFI NPP across scales (from continental, regional to country and gradients (elevation, location, tree age, dominant species, etc.. The agreement is particularly good for elevation, dominant species or tree height. This suggests that using improved climate data allows the MOD17 algorithm to provide realistic NPP estimates for Europe. Local discrepancies between MODIS EURO and NFI NPP can be related to differences in stand density due to forest management and the national carbon estimation methods. With this study, we provide a consistent, temporally continuous and spatially explicit productivity dataset for the years 2000 to 2012 on a 1-km resolution, which can be used to assess climate change impacts on ecosystems or the potential biomass supply of the European forests for an increasing bio-based economy. MODIS EURO data are made freely available at ftp://palantir.boku.ac.at/Public/MODIS_EURO.

  12. RADAR PPI Scope Overlay

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — RADAR PPI Scope Overlays are used to position a RADAR image over a station at the correct resolution. The archive maintains several different RADAR resolution types,...

  13. Impact of MODIS SWIR Band Calibration Improvements on Level-3 Atmospheric Products

    Science.gov (United States)

    Wald, Andrew; Levy, Robert; Angal, Amit; Geng, Xu; Xiong, Jack; Hoffman, Kurt

    2016-01-01

    The spectral reflectance measured by the MODIS reflective solar bands (RSB) is used for retrieving many atmospheric science products. The accuracy of these products depends on the accuracy of the calibration of the RSB. To this end, the RSB of the MODIS instruments are primarily calibrated on-orbit using regular solar diffuser (SD) observations. For lambda 0.94 microns, the MODIS Characterization Support Team (MCST) developed, in MODIS Collection 6 (C6), a time-dependent correction using observations from pseudo-invariant earth-scene targets. This correction has been implemented in C6 for the Terra MODIS 1.24 micron band over the entire mission, and for the 1.375 micron band in the forward processing. As the instruments continue to operate beyond their design lifetime of six years, a similar correction is planned for other short-wave infrared (SWIR) bands as well. MODIS SWIR bands are used in deriving atmosphere products, including aerosol optical thickness, atmospheric total column water vapor, cloud fraction and cloud optical depth. The SD degradation correction in Terra bands 5 and 26 impact the spectral radiance and therefore the retrieval of these atmosphere products. Here, we describe the corrections to Bands 5 (1.24 microns) and 26 (1.375 microns), and produce three sets (B5, B26 correction on/on, on/off, and off/off) of Terra-MODIS Level 1B (calibrated radiance product) data. By comparing products derived from these corrected and uncorrected Terra MODIS Level 1B (L1B) calibrations, dozens of L3 atmosphere products are surveyed for changes caused by the corrections, and representative results are presented. Aerosol and water vapor products show only small local changes, while some cloud products can change locally by > 10%, which is a large change.

  14. Clear-sky narrowband albedos derived from VIRS and MODIS

    Science.gov (United States)

    Sun-Mack, Sunny; Minnis, Patrick; Chen, Yan; Arduini, Robert F.

    2004-02-01

    The Clouds and Earth"s Radiant Energy System (CERES) project is using multispectral imagers, the Visible Infrared Scanner (VIRS) on the tropical Rainfall Measuring Mission (TRMM) satellite and the Moderate Resolution Imaging Spectroradiometer (MODIS) on Terra, operating since spring 2000, and Aqua, operating since summer 2002, to provide cloud and clear-sky properties at various wavelengths. This paper presents the preliminary results of an analysis of the CERES clear-sky reflectances to derive a set top-of-atmosphere clear sky albedo for 0.65, 0.86, 1.6, 2.13 μm, for all major surface types using the combined MODIS and VIRS datasets. The variability of snow albedo with surface type is examined using MODIS data. Snow albedo was found to depend on the vertical structure of the vegetation. At visible wavelengths, it is least for forested areas and greatest for smooth desert and tundra surfaces. At 1.6 and 2.1-μm, the snow albedos are relatively insensitive to the underlying surface because snow decreases the reflectance. Additional analyses using all of the MODIS results will provide albedo models that should be valuable for many remote sensing, simulation and radiation budget studies.

  15. Scientific Impact of MODIS C5 Calibration Degradation and C6+ Improvements

    Science.gov (United States)

    Lyapustin, A.; Wang, Y.; Xiong, X.; Meister, G.; Platnick, S.; Levy, R.; Franz, B.; Korkin, S.; Hilker, T.; Tucker, J.; hide

    2014-01-01

    The Collection 6 (C6) MODIS (Moderate Resolution Imaging Spectroradiometer) land and atmosphere data sets are scheduled for release in 2014. C6 contains significant revisions of the calibration approach to account for sensor aging. This analysis documents the presence of systematic temporal trends in the visible and near-infrared (500 m) bands of the Collection 5 (C5) MODIS Terra and, to lesser extent, in MODIS Aqua geophysical data sets. Sensor degradation is largest in the blue band (B3) of the MODIS sensor on Terra and decreases with wavelength. Calibration degradation causes negative global trends in multiple MODIS C5 products including the dark target algorithm's aerosol optical depth over land and Ångstrom exponent over the ocean, global liquid water and ice cloud optical thickness, as well as surface reflectance and vegetation indices, including the normalized difference vegetation index (NDVI) and enhanced vegetation index (EVI). As the C5 production will be maintained for another year in parallel with C6, one objective of this paper is to raise awareness of the calibration-related trends for the broad MODIS user community. The new C6 calibration approach removes major calibrations trends in the Level 1B (L1B) data. This paper also introduces an enhanced C6C calibration of the MODIS data set which includes an additional polarization correction (PC) to compensate for the increased polarization sensitivity of MODIS Terra since about 2007, as well as detrending and Terra- Aqua cross-calibration over quasi-stable desert calibration sites. The PC algorithm, developed by the MODIS ocean biology processing group (OBPG), removes residual scan angle, mirror side and seasonal biases from aerosol and surface reflectance (SR) records along with spectral distortions of SR. Using the multiangle implementation of atmospheric correction (MAIAC) algorithm over deserts, we have also developed a detrending and cross-calibration method which removes residual decadal trends on

  16. Terra and Aqua MODIS Design, Radiometry, and Geometry in Support of Land Remote Sensing

    Science.gov (United States)

    Xiong, Xiaoxiong; Wolfe, Robert; Barnes, William; Guenther, Bruce; Vermote, Eric; Saleous, Nazmi; Salomonson, Vincent

    2011-01-01

    The NASA Earth Observing System (EOS) mission includes the construction and launch of two nearly identical Moderate Resolution Imaging Spectroradiometer (MODIS) instruments. The MODIS proto-flight model (PFM) is onboard the EOS Terra satellite (formerly EOS AM-1) launched on December 18, 1999 and hereafter referred to as Terra MODIS. Flight model-1 (FM1) is onboard the EOS Aqua satellite (formerly EOS PM-1) launched on May 04, 2002 and referred to as Aqua MODIS. MODIS was developed based on the science community s desire to collect multiyear continuous datasets for monitoring changes in the Earth s land, oceans and atmosphere, and the human contributions to these changes. It was designed to measure discrete spectral bands, which includes many used by a number of heritage sensors, and thus extends the heritage datasets to better understand both long- and short-term changes in the global environment (Barnes and Salomonson 1993; Salomonson et al. 2002; Barnes et al. 2002). The MODIS development, launch, and operation were managed by NASA/Goddard Space Flight Center (GSFC), Greenbelt, Maryland. The sensors were designed, built, and tested by Raytheon/ Santa Barbara Remote Sensing (SBRS), Goleta, California. Each MODIS instrument offers 36 spectral bands, which span the spectral region from the visible (0.41 m) to long-wave infrared (14.4 m). MODIS collects data at three different nadir spatial resolutions: 0.25, 0.5, and 1 km. Key design specifications, such as spectral bandwidths, typical scene radiances, required signal-to-noise ratios (SNR) or noise equivalent temperature differences (NEDT), and primary applications of each MODIS spectral band are summarized in Table 7.1. These parameters were the basis for the MODIS design. More details on the evolution of the NASA EOS and development of the MODIS instruments are provided in Chap. 1. This chapter focuses on the MODIS sensor design, radiometry, and geometry as they apply to land remote sensing. With near

  17. Systems and Methods for Radar Data Communication

    Science.gov (United States)

    Bunch, Brian (Inventor); Szeto, Roland (Inventor); Miller, Brad (Inventor)

    2013-01-01

    A radar information processing system is operable to process high bandwidth radar information received from a radar system into low bandwidth radar information that may be communicated to a low bandwidth connection coupled to an electronic flight bag (EFB). An exemplary embodiment receives radar information from a radar system, the radar information communicated from the radar system at a first bandwidth; processes the received radar information into processed radar information, the processed radar information configured for communication over a connection operable at a second bandwidth, the second bandwidth lower than the first bandwidth; and communicates the radar information from a radar system, the radar information communicated from the radar system at a first bandwidth.

  18. Two cases of diabetic ketoacidosis in HNF1A-MODY linked to severe dehydration: is it time to change the diagnostic criteria for MODY?

    Science.gov (United States)

    Pruhova, Stepanka; Dusatkova, Petra; Neumann, David; Hollay, Erik; Cinek, Ondrej; Lebl, Jan; Sumnik, Zdenek

    2013-09-01

    Hepatocyte nuclear factor-1A maturity-onset diabetes of the young (HNF1A-MODY) is a monogenic form of diabetes caused by heterozygous mutations in HNF1A. Currently, a history of diabetic ketoacidosis (DKA) is an exclusion criterion for genetic testing for MODY. In this article, we describe two unrelated patients aged 17 and 24 years with severe DKA developed several years after the diagnosis of HNF1A-MODY. Both patients were treated with insulin, but their metabolic control was poor (HbA1c 15%, 140 mmol/mol and 13%, 119 mmol/mol, respectively) due to noncompliance and missed insulin injections. In both patients, DKA followed a course of recurrent vomiting with dehydration and prerenal acute kidney injury. Their glycemia, blood pH, and base excess at admission were 97 mmol/L [1,748 mg/dL], 6.80, and -33 mmol/L (patient 1) and 34 mmol/L [613 mg/dL], 7.03, and -14 mmol/L (patient 2). This anecdotal observation supports the notion that a history of DKA does not exclude MODY.

  19. Expression, purification, crystallization and preliminary X-ray analysis of conjugated polyketone reductase C2 (CPR-C2) from Candida parapsilosis IFO 0708

    International Nuclear Information System (INIS)

    Yamamura, Akihiro; Maruoka, Shintaro; Ohtsuka, Jun; Miyakawa, Takuya; Nagata, Koji; Kataoka, Michihiko; Kitamura, Nahoko; Shimizu, Sakayu; Tanokura, Masaru

    2009-01-01

    Conjugated polyketone reductase C2 from C. parapsilosis IFO 0708 was expressed, purified and crystallized by the sitting-drop vapour-diffusion method. The crystal belonged to space group P2 1 2 1 2 1 and diffracted X-rays to 1.7 Å resolution. Conjugated polyketone reductase C2 (CPR-C2) from Candida parapsilosis IFO 0708 is a member of the NADPH-dependent aldo-keto reductase (AKR) superfamily and catalyzes the stereospecific reduction of ketopantoyl lactone to d-pantoyl lactone. A diffraction-quality crystal of recombinant CPR-C2 was obtained by the sitting-drop vapour-diffusion method using PEG 3350 as the precipitant. The crystal diffracted X-rays to 1.7 Å resolution on beamline NW12A of the Photon Factory-Advanced Ring (Tsukuba, Japan). The crystal belonged to space group P2 1 2 1 2 1 , with unit-cell parameters a = 55.02, b = 68.30, c = 68.93 Å. The Matthews coefficient (V M = 1.76 Å 3 Da −1 ) indicated that the crystal contained one CPR-C2 molecule per asymmetric unit

  20. No novel, high penetrant gene might remain to be found in Japanese patients with unknown MODY.

    Science.gov (United States)

    Horikawa, Yukio; Hosomichi, Kazuyoshi; Enya, Mayumi; Ishiura, Hiroyuki; Suzuki, Yutaka; Tsuji, Shoji; Sugano, Sumio; Inoue, Ituro; Takeda, Jun

    2018-07-01

    MODY 5 and 6 have been shown to be low-penetrant MODYs. As the genetic background of unknown MODY is assumed to be similar, a new analytical strategy is applied here to elucidate genetic predispositions to unknown MODY. We examined to find whether there are major MODY gene loci remaining to be identified using SNP linkage analysis in Japanese. Whole-exome sequencing was performed with seven families with typical MODY. Candidates for novel MODY genes were examined combined with in silico network analysis. Some peaks were found only in either parametric or non-parametric analysis; however, none of these peaks showed a LOD score greater than 3.7, which is approved to be the significance threshold of evidence for linkage. Exome sequencing revealed that three mutated genes were common among 3 families and 42 mutated genes were common in two families. Only one of these genes, MYO5A, having rare amino acid mutations p.R849Q and p.V1601G, was involved in the biological network of known MODY genes through the intermediary of the INS. Although only one promising candidate gene, MYO5A, was identified, no novel, high penetrant MODY genes might remain to be found in Japanese MODY.

  1. Intima-media thickness and endothelial dysfunction in GCK and HNF1A-MODY patients.

    Science.gov (United States)

    Szopa, Magdalena; Osmenda, Grzegorz; Wilk, Grzegorz; Matejko, Bartłomiej; Skupien, Jan; Zapala, Barbara; Młynarski, Wojciech; Guzik, Tomasz; Malecki, Maciej T

    2015-03-01

    Mutations in the glucokinase (GCK) gene, along with hepatocyte nuclear factor 1A (HNF1A) gene mutations, are the most frequent cause of maturity-onset diabetes of the young (MODY). GCK-MODY patients are typically characterized by a moderate fasting hyperglycemia; however, little is known about atherosclerosis and intermediate-related phenotypes in these subjects. To examine carotid artery intima-media thickness (IMT) and endothelial function assessed by brachial artery flow-mediated dilatation (FMD) in GCK gene mutations carriers and HNF1A-MODY. A total of 64 subjects with GCK gene mutations, and 52 HNF1A gene mutation carriers as well as 53 nondiabetic controls were examined. IMT and FMD were assessed by ultrasonography. Appropriate statistical tests were performed to assess differences between the groups, and multivariate linear regression was done for the association with IMT and FMD. The clinical characteristics of all groups were similar with the mean age at examination of 35.1, 41.1, and 39.5 years for GCK, HNF1A and the control group respectively. The highest mean IMT value was in the HNF1A-MODY group: 7.0±1.4 mm, whereas it reached 6.3±1.4 mm in GCK mutation carriers and 6.3±1.3 mm in controls (P=0.008). After adjustment for possible clinical and biochemical cofounders, IMT remained higher in HNF1A-MODY patients as compared with GCK-MODY patients (P=0.02) and controls (P=0.0003). FMD was significantly lower in HNF1A (9.9±4.6%) and GCK-MODY (11.1±4.6%) patients in comparison with controls (13.9±4.7%; P=0.0001). After adjustment, FMD remained lower in HNF1A-MODY (P=0.0005) and GCK-MODY patients (P=0.01) as compared with controls. Both examined MODY groups demonstrated evidence of endothelial dysfunction. In addition, HNF1-MODY patients seem to be more prone to an early atherosclerotic phenotype. © 2015 European Society of Endocrinology.

  2. [11C]PR04.MZ, a promising DAT ligand for low concentration imaging: synthesis, efficient 11C-O-methylation and initial small animal PET studies

    International Nuclear Information System (INIS)

    Riss, P.J.; Hooker, J.; Alexoff, D.; Kim, Sung-Won; Fowler, J.S.; Roesch, F.

    2009-01-01

    PR04.MZ was designed as a highly selective dopamine transporter inhibitor, derived from natural cocaine. Its binding profile indicates that [ 11 C]PR04.MZ may be suited as a PET radioligand for the non-invasive exploration of striatal and extrastriatal DAT populations. As a key feature, its structural design facilitates both, labelling with fluorine-18 at its terminally fluorinated butynyl moiety and carbon-11 at its methyl ester function. The present report concerns the efficient [ 11 C]MeI mediated synthesis of [ 11 C]PR04.MZ from an O-desmethyl precursor trifluoroacetic acid salt with Rb 2 CO 3 in DMF in up to 95 ± 5% labelling yield. A preliminary μPET-experiment demonstrates the reversible, highly specific binding of [ 11 C]PR04.MZ in the brain of a male Sprague-Dawley rat.

  3. Java Radar Analysis Tool

    Science.gov (United States)

    Zaczek, Mariusz P.

    2005-01-01

    Java Radar Analysis Tool (JRAT) is a computer program for analyzing two-dimensional (2D) scatter plots derived from radar returns showing pieces of the disintegrating Space Shuttle Columbia. JRAT can also be applied to similar plots representing radar returns showing aviation accidents, and to scatter plots in general. The 2D scatter plots include overhead map views and side altitude views. The superposition of points in these views makes searching difficult. JRAT enables three-dimensional (3D) viewing: by use of a mouse and keyboard, the user can rotate to any desired viewing angle. The 3D view can include overlaid trajectories and search footprints to enhance situational awareness in searching for pieces. JRAT also enables playback: time-tagged radar-return data can be displayed in time order and an animated 3D model can be moved through the scene to show the locations of the Columbia (or other vehicle) at the times of the corresponding radar events. The combination of overlays and playback enables the user to correlate a radar return with a position of the vehicle to determine whether the return is valid. JRAT can optionally filter single radar returns, enabling the user to selectively hide or highlight a desired radar return.

  4. Exploring the Genomic Roadmap and Molecular Phylogenetics Associated with MODY Cascades Using Computational Biology.

    Science.gov (United States)

    Chakraborty, Chiranjib; Bandyopadhyay, Sanghamitra; Doss, C George Priya; Agoramoorthy, Govindasamy

    2015-04-01

    Maturity onset diabetes of the young (MODY) is a metabolic and genetic disorder. It is different from type 1 and type 2 diabetes with low occurrence level (1-2%) among all diabetes. This disorder is a consequence of β-cell dysfunction. Till date, 11 subtypes of MODY have been identified, and all of them can cause gene mutations. However, very little is known about the gene mapping, molecular phylogenetics, and co-expression among MODY genes and networking between cascades. This study has used latest servers and software such as VarioWatch, ClustalW, MUSCLE, G Blocks, Phylogeny.fr, iTOL, WebLogo, STRING, and KEGG PATHWAY to perform comprehensive analyses of gene mapping, multiple sequences alignment, molecular phylogenetics, protein-protein network design, co-expression analysis of MODY genes, and pathway development. The MODY genes are located in chromosomes-2, 7, 8, 9, 11, 12, 13, 17, and 20. Highly aligned block shows Pro, Gly, Leu, Arg, and Pro residues are highly aligned in the positions of 296, 386, 437, 455, 456 and 598, respectively. Alignment scores inform us that HNF1A and HNF1B proteins have shown high sequence similarity among MODY proteins. Protein-protein network design shows that HNF1A, HNF1B, HNF4A, NEUROD1, PDX1, PAX4, INS, and GCK are strongly connected, and the co-expression analyses between MODY genes also show distinct association between HNF1A and HNF4A genes. This study has used latest tools of bioinformatics to develop a rapid method to assess the evolutionary relationship, the network development, and the associations among eleven MODY genes and cascades. The prediction of sequence conservation, molecular phylogenetics, protein-protein network and the association between the MODY cascades enhances opportunities to get more insights into the less-known MODY disease.

  5. Evaluation of VIIRS and MODIS Thermal Emissive Band Calibration Stability Using Ground Target

    Directory of Open Access Journals (Sweden)

    Sriharsha Madhavan

    2016-02-01

    Full Text Available The S-NPP Visible Infrared Imaging Radiometer Suite (VIIRS instrument, a polar orbiting Earth remote sensing instrument built using a strong MODIS background, employs a similarly designed on-board calibrating source—a V-grooved blackbody for the Thermal Emissive Bands (TEB. The central wavelengths of most VIIRS TEBs are very close to those of MODIS with the exception of the 10.7 µm channel. To ensure the long term continuity of climate data records derived using VIIRS and MODIS TEB, it is necessary to assess any systematic differences between the two instruments, including scenes with temperatures significantly lower than blackbody operating temperatures at approximately 290 K. Previous work performed by the MODIS Characterization Support Team (MCST at NASA/GSFC used the frequent observations of the Dome Concordia site located in Antarctica to evaluate the calibration stability and consistency of Terra and Aqua MODIS over the mission lifetime. The near-surface temperature measurements from an automatic weather station (AWS provide a direct reference useful for tracking the stability and determining the relative bias between the two MODIS instruments. In this study, the same technique is applied to the VIIRS TEB and the results are compared with those from the matched MODIS TEB. The results of this study show a small negative bias when comparing the matching VIIRS and Aqua MODIS TEB, implying a higher brightness temperature for S-VIIRS at the cold end. Statistically no significant drift is observed for VIIRS TEB performance over the first 3.5 years of the mission.

  6. Comprehensive genomic analysis identifies pathogenic variants in maturity-onset diabetes of the young (MODY) patients in South India.

    Science.gov (United States)

    Mohan, Viswanathan; Radha, Venkatesan; Nguyen, Thong T; Stawiski, Eric W; Pahuja, Kanika Bajaj; Goldstein, Leonard D; Tom, Jennifer; Anjana, Ranjit Mohan; Kong-Beltran, Monica; Bhangale, Tushar; Jahnavi, Suresh; Chandni, Radhakrishnan; Gayathri, Vijay; George, Paul; Zhang, Na; Murugan, Sakthivel; Phalke, Sameer; Chaudhuri, Subhra; Gupta, Ravi; Zhang, Jingli; Santhosh, Sam; Stinson, Jeremy; Modrusan, Zora; Ramprasad, V L; Seshagiri, Somasekar; Peterson, Andrew S

    2018-02-13

    Maturity-onset diabetes of the young (MODY) is an early-onset, autosomal dominant form of non-insulin dependent diabetes. Genetic diagnosis of MODY can transform patient management. Earlier data on the genetic predisposition to MODY have come primarily from familial studies in populations of European origin. In this study, we carried out a comprehensive genomic analysis of 289 individuals from India that included 152 clinically diagnosed MODY cases to identify variants in known MODY genes. Further, we have analyzed exome data to identify putative MODY relevant variants in genes previously not implicated in MODY. Functional validation of MODY relevant variants was also performed. We found MODY 3 (HNF1A; 7.2%) to be most frequently mutated followed by MODY 12 (ABCC8; 3.3%). They together account for ~ 11% of the cases. In addition to known MODY genes, we report the identification of variants in RFX6, WFS1, AKT2, NKX6-1 that may contribute to development of MODY. Functional assessment of the NKX6-1 variants showed that they are functionally impaired. Our findings showed HNF1A and ABCC8 to be the most frequently mutated MODY genes in south India. Further we provide evidence for additional MODY relevant genes, such as NKX6-1, and these require further validation.

  7. Synthetic impulse and aperture radar (SIAR) a novel multi-frequency MIMO radar

    CERN Document Server

    Chen, Baixiao

    2014-01-01

    Analyzes and discusses the operating principle, signal processing method, and experimental results of this advanced radar technology This book systematically discusses the operating principle, signal processing method, target measurement technology, and experimental results of a new kind of radar called synthetic impulse and aperture radar (SIAR). The purpose is to help readers acquire an insight into the concept and principle of the SIAR, to know its operation mode, signal processing method, the difference between the traditional radar and itself, the designing ideals, and the developing me

  8. Derivation of Aerosol Columnar Mass from MODIS Optical Depth

    Science.gov (United States)

    Gasso, Santiago; Hegg, Dean A.

    2003-01-01

    In order to verify performance, aerosol transport models (ATM) compare aerosol columnar mass (ACM) with those derived from satellite measurements. The comparison is inherently indirect since satellites derive optical depths and they use a proportionality constant to derive the ACM. Analogously, ATMs output a four dimensional ACM distribution and the optical depth is linearly derived. In both cases, the proportionality constant requires a direct intervention of the user by prescribing the aerosol composition and size distribution. This study introduces a method that minimizes the direct user intervention by making use of the new aerosol products of MODIS. A parameterization is introduced for the derivation of columnar aerosol mass (AMC) and CCN concentration (CCNC) and comparisons between sunphotometer, MODIS Airborne Simulator (MAS) and in-measurements are shown. The method still relies on the scaling between AMC and optical depth but the proportionality constant is dependent on the MODIS derived r$_{eff}$,\\eta (contribution of the accumulation mode radiance to the total radiance), ambient RH and an assumed constant aerosol composition. The CCNC is derived fkom a recent parameterization of CCNC as a function of the retrieved aerosol volume. By comparing with in-situ data (ACE-2 and TARFOX campaigns), it is shown that retrievals in dry ambient conditions (dust) are improved when using a proportionality constant dependent on r$ {eff}$ and \\eta derived in the same pixel. In high humidity environments, the improvement inthe new method is inconclusive because of the difficulty in accounting for the uneven vertical distribution of relative humidity. Additionally, two detailed comparisons of AMC and CCNC retrieved by the MAS algorithm and the new method are shown. The new method and MAS retrievals of AMC are within the same order of magnitude with respect to the in-situ measurements of aerosol mass. However, the proposed method is closer to the in-situ measurements than

  9. 21-Year-Old Pregnant Woman with MODY-5 Diabetes

    Directory of Open Access Journals (Sweden)

    Anastasia Mikuscheva

    2017-01-01

    Full Text Available The term “Maturity-Onset Diabetes of the Young” (MODY was first described in 1976 and is currently referred to as monogenic diabetes. There are 14 known entities accounting for 1-2% of diabetes and they are frequently misdiagnosed as either type 1 or type 2 diabetes. MODY-5 is an entity of monogenic diabetes that is associated with genitourinary malformations and should be considered by obstetricians in pregnant women with a screen positive for diabetes, genitourinary malformations, and fetal renal anomalies. Correct diagnosis of monogenic diabetes has implications on managing patients and their families. We are reporting a case of a 21-year-old pregnant woman with a bicornuate uterus, fetal renal anomalies, and a family history of diabetes that were suggestive of a MODY-5 diabetes.

  10. A comparison between the two methods of chest compression in infant and neonatal resuscitation. A review according to 2010 CPR guidelines.

    Science.gov (United States)

    Douvanas, Alexandros; Koulouglioti, Christina; Kalafati, Maria

    2018-03-01

    The quality of chest compression (CC) delivered during neonatal and infant cardiopulmonary resuscitation (CPR) is identified as the most important factor to achieve the increase of survival rate without major neurological deficit to the patients. The objective of the study was to systematically review all the available studies that have compared the two different techniques of hand placement on infants and neonatal resuscitation, from 2010 to 2015 and to highlight which method is more effective. A review of the literature using a variety of medical databases, including Cochrane, MEDLINE, and SCOPUS electronic databases. The following MeSH terms were used in the search: infant, neonatal, CPR, CC, two-thumb (TT) technique/method, two-finger (TF) technique/method, rescuer fatigue, thumb/finger position/placement, as well as combinations of these. Ten studies met the inclusion criteria; nine observational studies and a randomized controlled trial. All providers performed either continuous TF or TT technique CCs and the majority of CPR performance was taken place in infant trainer manikin. The majority of the studies suggest the TT method as the more useful for infants and neonatal resuscitation than the TF.

  11. Maturity-Onset Diabetes of the Young (MODY): Making the Right Diagnosis to Optimize Treatment.

    Science.gov (United States)

    Amed, Shazhan; Oram, Richard

    2016-10-01

    Maturity onset diabetes of the young (MODY) is a rare but increasingly recognized cause of diabetes in young people. It is a monogenic disorder that typically presents at MODY are caused by mutations in glucokinase and hepatic nuclear factor 1 alpha or 4 alpha genes and account for almost 80% of cases of MODY. MODY is commonly misdiagnosed as type 1 or type 2 diabetes and, as a result, patients are often inappropriately managed with insulin when they can be more effectively managed with oral sulfonylureas. Therefore, making the right diagnosis is critical for effective treatment as well as for genetic counselling and, more important, for patients' quality of life. In this review, we aim to raise awareness about MODY among diabetes clinicians by describing key clinical and laboratory features of the most common forms of MODY, outlining features that might help to differentiate MODY from type 1 and type 2 diabetes and providing information about clinical tests and tools that might assist in identifying patients who are most likely to benefit from molecular genetic testing. Copyright © 2016 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  12. Comparing MODIS Net Primary Production Estimates with Terrestrial National Forest Inventory Data in Austria

    Directory of Open Access Journals (Sweden)

    Mathias Neumann

    2015-04-01

    Full Text Available The mission of this study is to compare Net Primary Productivity (NPP estimates using (i forest inventory data and (ii spatio-temporally continuous MODIS (MODerate resolution Imaging Spectroradiometer remote sensing data for Austria. While forest inventories assess the change in forest growth based on repeated individual tree measurements (DBH, height etc., the MODIS NPP estimates are based on ecophysiological processes such as photosynthesis, respiration and carbon allocation. We obtained repeated national forest inventory data from Austria, calculated a “ground-based” NPP estimate and compared the results with “space-based” MODIS NPP estimates using different daily climate data. The MODIS NPP estimates using local Austrian climate data exhibited better compliance with the forest inventory driven NPP estimates than the MODIS NPP predictions using global climate data sets. Stand density plays a key role in addressing the differences between MODIS driven NPP estimates versus terrestrial driven inventory NPP estimates. After addressing stand density, both results are comparable across different scales. As forest management changes stand density, these findings suggest that management issues are important in understanding the observed discrepancies between MODIS and terrestrial NPP.

  13. History and Future for the Happy Marriage between the MODIS Land team and Fluxnet

    Science.gov (United States)

    Running, S. W.

    2015-12-01

    When I wrote the proposal to NASA in 1988 for daily global evapotranspiration and gross primary production algorithms for the MODIS sensor, I had no validation plan. Fluxnet probably saved my MODIS career by developing a global network of rigorously calibrated towers measuring water and carbon fluxes over a wide variety of ecosystems that I could not even envision at the time that first proposal was written. However my enthusiasm for Fluxnet was not reciprocated by the Fluxnet community until we began providing 7 x 7 pixel MODIS Land datasets exactly over each of their towers every 8 days, without them having to crawl thru the global datasets and make individual orders. This system, known informally as the MODIS ASCII cutouts, began in 2002 and operates at the Oak Ridge DAAC to this day, cementing a mutually beneficial data interchange between the Fluxnet and remote sensing communities. This talk will briefly discuss the history of MODIS validation with flux towers, and flux spatial scaling with MODIS data. More importantly I will detail the future continuity of global biophysical datasets in the post-MODIS era, and what next generation sensors will provide.

  14. Array-Based Ultrawideband through-Wall Radar: Prediction and Assessment of Real Radar Abilities

    Directory of Open Access Journals (Sweden)

    Nadia Maaref

    2013-01-01

    Full Text Available This paper deals with a new through-the-wall (TTW radar demonstrator for the detection and the localisation of people in a room (in a noncooperative way with the radar situated outside but in the vicinity of the first wall. After modelling the propagation through various walls and quantifying the backscattering by the human body, an analysis of the technical considerations which aims at defining the radar design is presented. Finally, an ultrawideband (UWB frequency modulated continuous wave (FMCW radar is proposed, designed, and implemented. Some representative trials show that this radar is able to localise and track moving people behind a wall in real time.

  15. Mutation of a cuticular protein, BmorCPR2, alters larval body shape and adaptability in silkworm, Bombyx mori.

    Science.gov (United States)

    Qiao, Liang; Xiong, Gao; Wang, Ri-xin; He, Song-zhen; Chen, Jie; Tong, Xiao-ling; Hu, Hai; Li, Chun-lin; Gai, Ting-ting; Xin, Ya-qun; Liu, Xiao-fan; Chen, Bin; Xiang, Zhong-huai; Lu, Cheng; Dai, Fang-yin

    2014-04-01

    Cuticular proteins (CPs) are crucial components of the insect cuticle. Although numerous genes encoding cuticular proteins have been identified in known insect genomes to date, their functions in maintaining insect body shape and adaptability remain largely unknown. In the current study, positional cloning led to the identification of a gene encoding an RR1-type cuticular protein, BmorCPR2, highly expressed in larval chitin-rich tissues and at the mulberry leaf-eating stages, which is responsible for the silkworm stony mutant. In the Dazao-stony strain, the BmorCPR2 allele is a deletion mutation with significantly lower expression, compared to the wild-type Dazao strain. Dysfunctional BmorCPR2 in the stony mutant lost chitin binding ability, leading to reduced chitin content in larval cuticle, limitation of cuticle extension, abatement of cuticle tensile properties, and aberrant ratio between internodes and intersegmental folds. These variations induce a significant decrease in cuticle capacity to hold the growing internal organs in the larval development process, resulting in whole-body stiffness, tightness, and hardness, bulging intersegmental folds, and serious defects in larval adaptability. To our knowledge, this is the first study to report the corresponding phenotype of stony in insects caused by mutation of RR1-type cuticular protein. Our findings collectively shed light on the specific role of cuticular proteins in maintaining normal larval body shape and will aid in the development of pest control strategies for the management of Lepidoptera.

  16. MODIS Retrieval of Aerosol Optical Depth over Turbid Coastal Water

    Directory of Open Access Journals (Sweden)

    Yi Wang

    2017-06-01

    Full Text Available We present a new approach to retrieve Aerosol Optical Depth (AOD using the Moderate Resolution Imaging Spectroradiometer (MODIS over the turbid coastal water. This approach supplements the operational Dark Target (DT aerosol retrieval algorithm that currently does not conduct AOD retrieval in shallow waters that have visible sediments or sea-floor (i.e., Class 2 waters. Over the global coastal water regions in cloud-free conditions, coastal screening leads to ~20% unavailability of AOD retrievals. Here, we refine the MODIS DT algorithm by considering that water-leaving radiance at 2.1 μm to be negligible regardless of water turbidity, and therefore the 2.1 μm reflectance at the top of the atmosphere is sensitive to both change of fine-mode and coarse-mode AODs. By assuming that the aerosol single scattering properties over coastal turbid water are similar to those over the adjacent open-ocean pixels, the new algorithm can derive AOD over these shallow waters. The test algorithm yields ~18% more MODIS-AERONET collocated pairs for six AERONET stations in the coastal water regions. Furthermore, comparison of the new retrieval with these AERONET observations show that the new AOD retrievals have equivalent or better accuracy than those retrieved by the MODIS operational algorithm’s over coastal land and non-turbid coastal water product. Combining the new retrievals with the existing MODIS operational retrievals yields an overall improvement of AOD over those coastal water regions. Most importantly, this refinement extends the spatial and temporal coverage of MODIS AOD retrievals over the coastal regions where 60% of human population resides. This expanded coverage is crucial for better understanding of impact of anthropogenic aerosol particles on coastal air quality and climate.

  17. Validation of MODIS Data for localized spatio-temporal evapotranspiration mapping

    International Nuclear Information System (INIS)

    Nadzri, M I; Hashim, M

    2014-01-01

    Advancement in satellite remote sensing sensors allows evapo-transpiration (ET) from land surfaces to be derived from selected reflectance and emmitance in visible and thermal infrared wavelengths, such as using Moderate Solution Imaging Spectrometer (MODIS). In this paper, we report the validation of recent MODIS-generated higher-order global terrestrial ET product 16A2. The main focus of this paper is to devise the follow-up calibration for the localised region covering the entire Malaysia peninsular. The validation is carried out locally by dividing the study area into 3 distinct climatological regions based on the influence to monsoons, and using multi-temporal MODIS data acquired in 2000-2009. The results, evidently show the local effects still inherit in the MODIS 16A2 products; with varying R2 within the 3 local climatological regions established (Northwest = 0.49 South = 0.47, and Southwest = 0.52; all with P < 0.001). The accuracy of each region validated is within + RMSE 43mm for monthly ET. With P value in acceptable range, the correction is useable for further usage

  18. Terrestrial remote sensing science and algorithms planned for EOS/MODIS

    Science.gov (United States)

    Running, S. W.; Justice, C.O.; Salomonson, V.V.; Hall, D.; Barker, J.; Kaufmann, Y. J.; Strahler, Alan H.; Huete, A.R.; Muller, Jan-Peter; Vanderbilt, V.; Wan, Z.; Teillet, P.; Carneggie, David M. Geological Survey (U.S.) Ohlen

    1994-01-01

    The Moderate Resolution Imaging Spectroradiometer (MODIS) will be the primary daily global monitoring sensor on the NASA Earth Observing System (EOS) satellites, scheduled for launch on the EOS-AM platform in June 1998 and the EOS-PM platform in December 2000. MODIS is a 36 channel radiometer covering 0·415-14·235 μm wavelengths, with spatial resolution from 250 m to 1 km at nadir. MODIS will be the primary EOS sensor for providing data on terrestrial biospheric dynamics and process activity. This paper presents the suite of global land products currently planned for EOSDIS implementation, to be developed by the authors of this paper, the MODIS land team (MODLAND). These include spectral albedo, land cover, spectral vegetation indices, snow and ice cover, surface temperature and fire, and a number of biophysical variables that will allow computation of global carbon cycles, hydrologic balances and biogeochemistry of critical greenhouse gases. Additionally, the regular global coverage of these variables will allow accurate surface change detection, a fundamental determinant of global change.

  19. Novel radar techniques and applications

    CERN Document Server

    Klemm, Richard; Koch, Wolfgang

    2017-01-01

    Novel Radar Techniques and Applications presents the state-of-the-art in advanced radar, with emphasis on ongoing novel research and development and contributions from an international team of leading radar experts. This volume covers: Waveform diversity and cognitive radar and Target tracking and data fusion.

  20. A Hybrid Color Mapping Approach to Fusing MODIS and Landsat Images for Forward Prediction

    OpenAIRE

    Chiman Kwan; Bence Budavari; Feng Gao; Xiaolin Zhu

    2018-01-01

    We present a new, simple, and efficient approach to fusing MODIS and Landsat images. It is well known that MODIS images have high temporal resolution and low spatial resolution, whereas Landsat images are just the opposite. Similar to earlier approaches, our goal is to fuse MODIS and Landsat images to yield high spatial and high temporal resolution images. Our approach consists of two steps. First, a mapping is established between two MODIS images, where one is at an earlier time, t1, and the...

  1. Genetic basis of early-onset, MODY-like diabetes in Japan and features of patients without mutations in the major MODY genes: dominance of maternal inheritance.

    Science.gov (United States)

    Yorifuji, Tohru; Higuchi, Shinji; Kawakita, Rie; Hosokawa, Yuki; Aoyama, Takane; Murakami, Akiko; Kawae, Yoshiko; Hatake, Kazue; Nagasaka, Hironori; Tamagawa, Nobuyoshi

    2018-06-21

    Causative mutations cannot be identified in the majority of Asian patients with suspected maturity-onset diabetes of the young (MODY). To elucidate the genetic basis of Japanese patients with MODY-like diabetes and gain insight into the etiology of patients without mutations in the major MODY genes. 263 Japanese patients with early-onset, nonobese, MODY-like diabetes mellitus referred to Osaka City General Hospital for diagnosis. Mutational analysis of the four major MODY genes (GCK, HNF1A, HNF4A, HNF1B) by Sanger sequencing. Mutation-positive and mutation-negative patients were further analyzed for clinical features. Mutations were identified in 103 (39.2%) patients; 57 mutations in GCK; 29, HNF1A; 7, HNF4A; and 10, HNF1B. Contrary to conventional diagnostic criteria, 18.4% of mutation-positive patients did not have affected parents and 8.2% were in the overweight range (BMI >85 th percentile). HOMA-IR at diagnosis was elevated (>2) in 15 of 66 (22.7%) mutation-positive patients. Compared with mutation-positive patients, mutation-negative patients were significantly older (p = 0.003), and had higher BMI percentile at diagnosis (p = 0.0006). Interestingly, maternal inheritance of diabetes was significantly more common in mutation-negative patients (p = 0.0332) and these patients had significantly higher BMI percentile as compared with mutation-negative patients with paternal inheritance (p = 0.0106). Contrary to the conventional diagnostic criteria, de novo diabetes, overweight, and insulin-resistance are common in Japanese patients with mutation-positive MODY. A significant fraction of mutation-negative patients had features of early-onset type 2 diabetes common in Japanese, and non-Mendelian inheritance needs to be considered for these patients. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  2. Lake Chad Total Surface Water Area as Derived from Land Surface Temperature and Radar Remote Sensing Data

    Directory of Open Access Journals (Sweden)

    Frederick Policelli

    2018-02-01

    Full Text Available Lake Chad, located in the middle of the African Sahel belt, underwent dramatic decreases in the 1970s and 1980s leaving less than ten percent of its 1960s surface water extent as open water. In this paper, we present an extended record (dry seasons 1988–2016 of the total surface water area of the lake (including both open water and flooded vegetation derived using Land Surface Temperature (LST data (dry seasons 2000–2016 from the NASA Terra MODIS sensor and EUMETSAT Meteosat-based LST measurements (dry seasons 1988–2001 from an earlier study. We also examine the total surface water area for Lake Chad using radar data (dry seasons 2015–2016 from the ESA Sentinel-1a mission. For the limited number of radar data sets available to us (18 data sets, we find on average a close match between the estimates from these data and the corresponding estimates from LST, though we find spatial differences in the estimates using the two types of data. We use these spatial differences to adjust the record (dry seasons 2000–2016 from MODIS LST. Then we use the adjusted record to remove the bias of the existing LST record (dry seasons 1988–2001 derived from Meteosat measurements and combine the two records. From this composite, extended record, we plot the total surface water area of the lake for the dry seasons of 1988–1989 through 2016–2017. We find for the dry seasons of 1988–1989 to 2016–2017 that the maximum total surface water area of the lake was approximately 16,800 sq. km (February and May, 2000, the minimum total surface water area of the lake was approximately 6400 sq. km (November, 1990, and the average was approximately 12,700 sq. km. Further, we find the total surface water area of the lake to be highly variable during this period, with an average rate of increase of approximately 143 km2 per year.

  3. Training and Confidence Level of Junior Anaesthetists in CPR- Experience in A Developing Country

    OpenAIRE

    Desalu Ibironke; O Oyedepo Olanrewaju; J Olatosi Olutola

    2008-01-01

    Training in resuscitation is done worldwide by a dedicated council who is responsible for training and frequent recertification. Nigeria has no Resuscitation council and training is the responsibility of individual health institutions. There is no mandatory law on resuscitation training or recertification. This study sought to investigate how much training in CPR occurs, how effective this training is and how confident our anaesthetic trainees are in implementing present guidelines. A deta...

  4. Evaluation of BRDF Archetypes for Representing Surface Reflectance Anisotropy Using MODIS BRDF Data

    OpenAIRE

    Zhang, Hu; Jiao, Ziti; Dong, Yadong; Li, Xiaowen

    2015-01-01

    Bidirectional reflectance distribution function (BRDF) archetypes extracted from the Moderate Resolution Imaging Spectroradiometer (MODIS) BRDF/Albedo product over the global Earth Observing System Land Validation Core Sites can be used to simplify BRDF models. The present study attempts to evaluate the representativeness of BRDF archetypes for surface reflectance anisotropy. Five-year forward-modeled MODIS multi-angular reflectance (MCD-ref) and aditional actual MODIS multi-angular observat...

  5. Substantial proportion of MODY among multiplex families participating in a Type 1 diabetes prediction programme.

    Science.gov (United States)

    Petruzelkova, L; Dusatkova, P; Cinek, O; Sumnik, Z; Pruhova, S; Hradsky, O; Vcelakova, J; Lebl, J; Kolouskova, S

    2016-12-01

    Patients with maturity-onset diabetes of the young (MODY) might be over-represented in families with histories of Type 1 diabetes. Our aim was to re-evaluate families participating in the Czech T1D Prediction Programme (PREDIA.CZ) with at least two members affected with diabetes to assess the proportion of MODY among these families and determine its most significant clinical predictors. Of the 557 families followed up by the PREDIA.CZ, 53 (9.5%) had two or more family members with diabetes. One proband with diabetes from these families was chosen for direct sequencing of the GCK, HNF1A, HNF4A and INS genes. Non-parametric tests and a linear logistic regression model were used to evaluate differences between MODY and non-MODY families. MODY was genetically diagnosed in 24 of the 53 families with multiple occurrences of diabetes (45%). Mutations were detected most frequently in GCK (58%), followed by HNF1A (38%) and INS (4%). MODY families were more likely to have a parent with diabetes and had a higher proportion of females with diabetes than non-MODY families. Higher age (P MODY families already presenting with diabetes. A prediction programme for Type 1 diabetes would provide a useful new source of patients with MODY most likely to benefit from an accurate diagnosis. This identification has implications for patient treatment and disease prognosis. © 2015 Diabetes UK.

  6. A Comparison of Internet-Based Learning and Traditional Classroom Lecture to Learn CPR for Continuing Medical Education

    Science.gov (United States)

    Hemmati, Nima; Omrani, Soghra; Hemmati, Naser

    2013-01-01

    The purpose of this study was to compare the satisfaction and effectiveness of Internet-based learning (IBL) and traditional classroom lecture (TCL) for continuing medical education (CME) programs by comparing final resuscitation exam results of physicians who received the newest cardiopulmonary resuscitation (CPR) curriculum guidelines training…

  7. Radar remote sensing in biology

    Science.gov (United States)

    Moore, Richard K.; Simonett, David S.

    1967-01-01

    The present status of research on discrimination of natural and cultivated vegetation using radar imaging systems is sketched. The value of multiple polarization radar in improved discrimination of vegetation types over monoscopic radars is also documented. Possible future use of multi-frequency, multi-polarization radar systems for all weather agricultural survey is noted.

  8. Signal processing in noise waveform radar

    CERN Document Server

    Kulpa, Krzysztof

    2013-01-01

    This book is devoted to the emerging technology of noise waveform radar and its signal processing aspects. It is a new kind of radar, which use noise-like waveform to illuminate the target. The book includes an introduction to basic radar theory, starting from classical pulse radar, signal compression, and wave radar. The book then discusses the properties, difficulties and potential of noise radar systems, primarily for low-power and short-range civil applications. The contribution of modern signal processing techniques to making noise radar practical are emphasized, and application examples

  9. Clinical features and treatment of maturity onset diabetes of the young (MODY

    Directory of Open Access Journals (Sweden)

    Gardner DS,Tai ES

    2012-05-01

    Full Text Available Daphne SL Gardner1, E Shyong Tai21Department of Endocrinology, Singapore General Hospital, 2Department of Endocrinology, National University Hospital, SingaporeAbstract: Maturity onset diabetes of the young (MODY is a heterogeneous group of disorders that result in ß-cell dysfunction. It is rare, accounting for just 1%–2% of all diabetes. It is often misdiagnosed as type 1 or type 2 diabetes, as it is often difficult to distinguish MODY from these two forms. However, diagnosis allows appropriate individualized care, depending on the genetic etiology, and allows prognostication in family members. In this review, we discuss features of the common causes of MODY, as well as the treatment and diagnosis of MODY.Keywords: type 1 diabetes, type 2 diabetes, HNF1A, HNF4A, HNF1B, GCK

  10. Radar Weather Observation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Radar Weather Observation is a set of archived historical manuscripts stored on microfiche. The primary source of these radar weather observations manuscript records...

  11. Validation of MODIS aerosol optical depth over the Mediterranean Coast

    Science.gov (United States)

    Díaz-Martínez, J. Vicente; Segura, Sara; Estellés, Víctor; Utrillas, M. Pilar; Martínez-Lozano, J. Antonio

    2013-04-01

    Atmospheric aerosols, due to their high spatial and temporal variability, are considered one of the largest sources of uncertainty in different processes affecting visibility, air quality, human health, and climate. Among their effects on climate, they play an important role in the energy balance of the Earth. On one hand they have a direct effect by scattering and absorbing solar radiation; on the other, they also have an impact in precipitation, modifying clouds, or affecting air quality. The application of remote sensing techniques to investigate aerosol effects on climate has advanced significatively over last years. In this work, the products employed have been obtained from the Moderate Resolution Imaging Spectroradiometer (MODIS). MODIS is a sensor located onboard both Earth Observing Systems (EOS) Terra and Aqua satellites, which provide almost complete global coverage every day. These satellites have been acquiring data since early 2000 (Terra) and mid 2002 (Aqua) and offer different products for land, ocean and atmosphere. Atmospheric aerosol products are presented as level 2 products with a pixel size of 10 x 10 km2 in nadir. MODIS aerosol optical depth (AOD) is retrieved by different algorithms depending on the pixel surface, distinguishing between land and ocean. For its validation, ground based sunphotometer data from AERONET (Aerosol Robotic Network) has been employed. AERONET is an international operative network of Cimel CE318 sky-sunphotometers that provides the most extensive aerosol data base globally available of ground-based measurements. The ground sunphotometric technique is considered the most accurate for the retrieval of radiative properties of aerosols in the atmospheric column. In this study we present a validation of MODIS C051 AOD employing AERONET measurements over different Mediterranean coastal sites centered over an area of 50 x 50 km2, which includes both pixels over land and ocean. The validation is done comparing spatial

  12. A review of array radars

    Science.gov (United States)

    Brookner, E.

    1981-10-01

    Achievements in the area of array radars are illustrated by such activities as the operational deployment of the large high-power, high-range-resolution Cobra Dane; the operational deployment of two all-solid-state high-power, large UHF Pave Paws radars; and the development of the SAM multifunction Patriot radar. This paper reviews the following topics: array radars steered in azimuth and elevation by phase shifting (phase-phase steered arrays); arrays steered + or - 60 deg, limited scan arrays, hemispherical coverage, and omnidirectional coverage arrays; array radars steering electronically in only one dimension, either by frequency or by phase steering; and array radar antennas which use no electronic scanning but instead use array antennas for achieving low antenna sidelobes.

  13. Doppler radar physiological sensing

    CERN Document Server

    Lubecke, Victor M; Droitcour, Amy D; Park, Byung-Kwon; Singh, Aditya

    2016-01-01

    Presents a comprehensive description of the theory and practical implementation of Doppler radar-based physiological monitoring. This book includes an overview of current physiological monitoring techniques and explains the fundamental technology used in remote non-contact monitoring methods. Basic radio wave propagation and radar principles are introduced along with the fundamentals of physiological motion and measurement. Specific design and implementation considerations for physiological monitoring radar systems are then discussed in detail. The authors address current research and commercial development of Doppler radar based physiological monitoring for healthcare and other applications.

  14. Development of Radar Control system for Multi-mode Active Phased Array Radar for atmospheric probing

    Science.gov (United States)

    Yasodha, Polisetti; Jayaraman, Achuthan; Thriveni, A.

    2016-07-01

    Modern multi-mode active phased array radars require highly efficient radar control system for hassle free real time radar operation. The requirement comes due to the distributed architecture of the active phased array radar, where each antenna element in the array is connected to a dedicated Transmit-Receive (TR) module. Controlling the TR modules, which are generally few hundreds in number, and functioning them in synchronisation, is a huge task during real time radar operation and should be handled with utmost care. Indian MST Radar, located at NARL, Gadanki, which is established during early 90's, as an outcome of the middle atmospheric program, is a remote sensing instrument for probing the atmosphere. This radar has a semi-active array, consisting of 1024 antenna elements, with limited beam steering, possible only along the principle planes. To overcome the limitations and difficulties, the radar is being augmented into fully active phased array, to accomplish beam agility and multi-mode operations. Each antenna element is excited with a dedicated 1 kW TR module, located in the field and enables to position the radar beam within 20° conical volume. A multi-channel receiver makes the radar to operate in various modes like Doppler Beam Swinging (DBS), Spaced Antenna (SA), Frequency Domain Interferometry (FDI) etc. Present work describes the real-time radar control (RC) system for the above described active phased array radar. The radar control system consists of a Spartan 6 FPGA based Timing and Control Signal Generator (TCSG), and a computer containing the software for controlling all the subsystems of the radar during real-time radar operation and also for calibrating the radar. The main function of the TCSG is to generate the control and timing waveforms required for various subsystems of the radar. Important components of the RC system software are (i) TR module configuring software which does programming, controlling and health parameter monitoring of the

  15. Frost Damage Detection in Sugarcane Crop Using Modis Images and Srtm Data

    Science.gov (United States)

    Rudorff, B.; Alves de Aguiar, D.; Adami, M.

    2011-12-01

    potential to detect the impact of climatic effects, such as frost, on crop growth, which is relevant information to evaluate the negative impact on sugarcane production. Thus, the objective of the present study is to detect the impact of the frost occurred on 28 June 2011 in the sugarcane production region of São Paulo state, using MODIS images acquired on board of Terra and Aqua satellites before and after the frost event. Also, Landsat type images were used to map the harvested sugarcane fields up to the frost event based on a sugarcane crop map for year 2011. The remaining sugarcane fields available for harvest in 2011 were monitored with the MODIS images acquired on 17, 19, 27, 28 June and 8 and 9 July, to detect frost damage. Field work was conducted shortly after frost occurrence to identify sugarcane fields with frost damage for training and validation purposes. MODIS images transformed to vegetation indices and morphometric variables extracted from SRTM (Shuttle Radar Topography Mission) data are being analyzed to detect and quantify the damage of the frost from 28 July 2011 on sugarcane crop.

  16. Radar Remote Sensing

    Science.gov (United States)

    Rosen, Paul A.

    2012-01-01

    This lecture was just a taste of radar remote sensing techniques and applications. Other important areas include Stereo radar grammetry. PolInSAR for volumetric structure mapping. Agricultural monitoring, soil moisture, ice-mapping, etc. The broad range of sensor types, frequencies of observation and availability of sensors have enabled radar sensors to make significant contributions in a wide area of earth and planetary remote sensing sciences. The range of applications, both qualitative and quantitative, continue to expand with each new generation of sensors.

  17. Characterising fire hazard from temporal sequences of thermal infrared modis measurements

    NARCIS (Netherlands)

    Maffei, C.; Alfieri, S.M.; Menenti, M.

    2012-01-01

    The objective of the present research was the characterisation of fire hazard using temporal sequences of land surface temperature (LST) derived from Terra-MODIS measurements. The investigation was based on a complete sequence of MODIS LST data from 2000 to 2006 on Campania (Italy) and on a dataset

  18. Whole-exome sequencing and high throughput genotyping identified KCNJ11 as the thirteenth MODY gene.

    Science.gov (United States)

    Bonnefond, Amélie; Philippe, Julien; Durand, Emmanuelle; Dechaume, Aurélie; Huyvaert, Marlène; Montagne, Louise; Marre, Michel; Balkau, Beverley; Fajardy, Isabelle; Vambergue, Anne; Vatin, Vincent; Delplanque, Jérôme; Le Guilcher, David; De Graeve, Franck; Lecoeur, Cécile; Sand, Olivier; Vaxillaire, Martine; Froguel, Philippe

    2012-01-01

    Maturity-onset of the young (MODY) is a clinically heterogeneous form of diabetes characterized by an autosomal-dominant mode of inheritance, an onset before the age of 25 years, and a primary defect in the pancreatic beta-cell function. Approximately 30% of MODY families remain genetically unexplained (MODY-X). Here, we aimed to use whole-exome sequencing (WES) in a four-generation MODY-X family to identify a new susceptibility gene for MODY. WES (Agilent-SureSelect capture/Illumina-GAIIx sequencing) was performed in three affected and one non-affected relatives in the MODY-X family. We then performed a high-throughput multiplex genotyping (Illumina-GoldenGate assay) of the putative causal mutations in the whole family and in 406 controls. A linkage analysis was also carried out. By focusing on variants of interest (i.e. gains of stop codon, frameshift, non-synonymous and splice-site variants not reported in dbSNP130) present in the three affected relatives and not present in the control, we found 69 mutations. However, as WES was not uniform between samples, a total of 324 mutations had to be assessed in the whole family and in controls. Only one mutation (p.Glu227Lys in KCNJ11) co-segregated with diabetes in the family (with a LOD-score of 3.68). No KCNJ11 mutation was found in 25 other MODY-X unrelated subjects. Beyond neonatal diabetes mellitus (NDM), KCNJ11 is also a MODY gene ('MODY13'), confirming the wide spectrum of diabetes related phenotypes due to mutations in NDM genes (i.e. KCNJ11, ABCC8 and INS). Therefore, the molecular diagnosis of MODY should include KCNJ11 as affected carriers can be ideally treated with oral sulfonylureas.

  19. Whole-exome sequencing and high throughput genotyping identified KCNJ11 as the thirteenth MODY gene.

    Directory of Open Access Journals (Sweden)

    Amélie Bonnefond

    Full Text Available BACKGROUND: Maturity-onset of the young (MODY is a clinically heterogeneous form of diabetes characterized by an autosomal-dominant mode of inheritance, an onset before the age of 25 years, and a primary defect in the pancreatic beta-cell function. Approximately 30% of MODY families remain genetically unexplained (MODY-X. Here, we aimed to use whole-exome sequencing (WES in a four-generation MODY-X family to identify a new susceptibility gene for MODY. METHODOLOGY: WES (Agilent-SureSelect capture/Illumina-GAIIx sequencing was performed in three affected and one non-affected relatives in the MODY-X family. We then performed a high-throughput multiplex genotyping (Illumina-GoldenGate assay of the putative causal mutations in the whole family and in 406 controls. A linkage analysis was also carried out. PRINCIPAL FINDINGS: By focusing on variants of interest (i.e. gains of stop codon, frameshift, non-synonymous and splice-site variants not reported in dbSNP130 present in the three affected relatives and not present in the control, we found 69 mutations. However, as WES was not uniform between samples, a total of 324 mutations had to be assessed in the whole family and in controls. Only one mutation (p.Glu227Lys in KCNJ11 co-segregated with diabetes in the family (with a LOD-score of 3.68. No KCNJ11 mutation was found in 25 other MODY-X unrelated subjects. CONCLUSIONS/SIGNIFICANCE: Beyond neonatal diabetes mellitus (NDM, KCNJ11 is also a MODY gene ('MODY13', confirming the wide spectrum of diabetes related phenotypes due to mutations in NDM genes (i.e. KCNJ11, ABCC8 and INS. Therefore, the molecular diagnosis of MODY should include KCNJ11 as affected carriers can be ideally treated with oral sulfonylureas.

  20. Inferences of all-sky solar irradiance using Terra and Aqua MODIS satellite data

    DEFF Research Database (Denmark)

    Houborg, Rasmus Møller; Søgaard, Henrik; Emmerich, W.

    2007-01-01

    -sky solar irradiance components, which links a physically based clear-sky model with a neural network version of a rigorous radiative transfer model. The scheme exploits the improved cloud characterization and retrieval capabilities of the MODerate resolution Imaging Spectroradiometer (MODIS) onboard...... contrasting climates and cloud environments. Information on the atmospheric state was provided by MODIS data products and verifications against AErosol RObotic NETwork (AERONET) data demonstrated usefulness of MODIS aerosol optical depth and total precipitable water vapour retrievals for the delineation...... and become unusable above approximately 60° latitude. However, in principle, the scheme can be applied anywhere on the globe, and a synergistic use of MODIS and geostationary satellite datasets may be envisaged for some applications....

  1. Noise Characterization and Performance of MODIS Thermal Emissive Bands

    Science.gov (United States)

    Madhavan, Sriharsha; Xiong, Xiaoxiong; Wu, Aisheng; Wenny, Brian; Chiang, Kwofu; Chen, Na; Wang, Zhipeng; Li, Yonghong

    2016-01-01

    The MODerate-resolution Imaging Spectroradiometer (MODIS) is a premier Earth-observing sensor of the early 21st century, flying onboard the Terra (T) and Aqua (A) spacecraft. Both instruments far exceeded their six-year design life and continue to operate satisfactorily for more than 15 and 13 years, respectively. The MODIS instrument is designed to make observations at nearly a 100% duty cycle covering the entire Earth in less than two days. The MODIS sensor characteristics include a spectral coverage from 0.41micrometers to 14.4 micrometers, of which those wavelengths ranging from 3.7 micrometers to 14.4 micrometers cover the thermal infrared region which is interspaced in 16 thermal emissive bands (TEBs). Each of the TEB contains ten detectors which record samples at a spatial resolution of 1 km. In order to ensure a high level of accuracy for the TEB-measured top-of-atmosphere radiances, an onboard blackbody (BB) is used as the calibration source. This paper reports the noise characterization and performance of the TEB on various counts. First, the stability of the onboard BB is evaluated to understand the effectiveness of the calibration source. Next, key noise metrics such as the noise equivalent temperature difference and the noise equivalent dn difference (NEdN) for the various TEBs are determined from multiple temperature sources. These sources include the nominally controlled BB temperature of 290 K for T-MODIS and 285 K for A-MODIS, as well as a BB warm up-cool down cycle that is performed over a temperature range from roughly 270 to 315 K. The space-view port that measures the background signal serves as a viable cold temperature source for measuring noise. In addition, a well characterized Earth-view target, the Dome Concordia site located in the Antarctic plateau, is used for characterizing the stability of the sensor, indirectly providing a measure of the NEdN. Based on this rigorous characterization, a list of the noisy and inoperable detectors for

  2. Quality Assessment of Collection 6 MODIS Atmospheric Science Products

    Science.gov (United States)

    Manoharan, V. S.; Ridgway, B.; Platnick, S. E.; Devadiga, S.; Mauoka, E.

    2015-12-01

    Since the launch of the NASA Terra and Aqua satellites in December 1999 and May 2002, respectively, atmosphere and land data acquired by the MODIS (Moderate Resolution Imaging Spectroradiometer) sensor on-board these satellites have been reprocessed five times at the MODAPS (MODIS Adaptive Processing System) located at NASA GSFC. The global land and atmosphere products use science algorithms developed by the NASA MODIS science team investigators. MODAPS completed Collection 6 reprocessing of MODIS Atmosphere science data products in April 2015 and is currently generating the Collection 6 products using the latest version of the science algorithms. This reprocessing has generated one of the longest time series of consistent data records for understanding cloud, aerosol, and other constituents in the earth's atmosphere. It is important to carefully evaluate and assess the quality of this data and remove any artifacts to maintain a useful climate data record. Quality Assessment (QA) is an integral part of the processing chain at MODAPS. This presentation will describe the QA approaches and tools adopted by the MODIS Land/Atmosphere Operational Product Evaluation (LDOPE) team to assess the quality of MODIS operational Atmospheric products produced at MODAPS. Some of the tools include global high resolution images, time series analysis and statistical QA metrics. The new high resolution global browse images with pan and zoom have provided the ability to perform QA of products in real time through synoptic QA on the web. This global browse generation has been useful in identifying production error, data loss, and data quality issues from calibration error, geolocation error and algorithm performance. A time series analysis for various science datasets in the Level-3 monthly product was recently developed for assessing any long term drifts in the data arising from instrument errors or other artifacts. This presentation will describe and discuss some test cases from the

  3. Principles of modern radar radar applications

    CERN Document Server

    Scheer, James A

    2013-01-01

    Principles of Modern Radar: Radar Applications is the third of the three-volume seriesof what was originally designed to be accomplished in one volume. As the final volumeof the set, it finishes the original vision of a complete yet bounded reference for radartechnology. This volume describes fifteen different system applications or class ofapplications in more detail than can be found in Volumes I or II.As different as the applications described, there is a difference in how these topicsare treated by the authors. Whereas in Volumes I and II there is strict adherence tochapter format and leve

  4. ATLID: atmospheric lidar for clouds and aerosol observation combined with radar sounding

    Science.gov (United States)

    Pain, Th.; Martimort, Ph.; Tanguy, Ph.; Leibrandt, W.; Heliere, A.

    2017-11-01

    The atmospheric lidar ATLID is part of the payload of the joint collaborative satellite mission Earth Cloud and Aerosol Explorer (EarthCARE) conducted by the European Space Agency (ESA) and the National Space Development Agency of Japan (JAXA). In December 2002, ESA granted Alcatel Space with a phase A study of the EarthCARE mission in which Alcatel Space is also in charge to define ATLID. The primary objective of ATLID at the horizon 2011 is to provide global observation of clouds in synergy with a cloud profiling radar (CPR) mounted on the same platform. The planned spaceborne mission also embarks an imager and a radiometer and shall fly for 3 years. The lidar design is based on a novel concept that maximises the scientific return and fosters a cost-effective approach. This improved capability results from a better understanding of the way optical characteristics of aerosol and clouds affect the performance budget. For that purpose, an end to end performance model has been developed utilising a versatile data retrieval method suitable for new and more conventional approaches. A synthesis of the achievable performance will be presented to illustrate the potential of the system together with a description of the design.

  5. AMF3 CloudSat Overpasses Field Campaign Report

    Energy Technology Data Exchange (ETDEWEB)

    Matrosov, Sergey [University of Colorado, Boulder; National Oceanic and Atmospheric Administration (NOAA), Boulder, CO (United States). Earth System Research Lab.; Hardin, Joseph [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); De Boer, Gijs [University of Colorado, Boulder; National Oceanic and Atmospheric Administration (NOAA), Boulder, CO (United States). Earth System Research Lab.; Shupe, Matthew [University of Colorado, Boulder; National Oceanic and Atmospheric Administration (NOAA), Boulder, CO (United States). Earth System Research Lab.; Maahn, Maximillian [National Oceanic and Atmospheric Administration (NOAA), Boulder, CO (United States). Earth System Research Lab.; Williams, Christopher [University of Colorado, Boulder; National Oceanic and Atmospheric Administration (NOAA), Boulder, CO (United States). Earth System Research Lab.

    2017-10-15

    Synergy between ground-based and satellite radar observations of clouds and precipitation is important for refining the algorithms to retrieve hydrometeor microphysical parameters, improvements in the retrieval accuracy, and better understanding the advantages and limitations of different retrieval approaches. The new dual-frequency (Ka- and W-band, 35 GHz and 94 GHz) fully polarimetric scanning U.S. Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) Research Facility cloud radars (SACRs-2) are advanced sensors aimed to significantly enhance remote sensing capabilities (Kollias et al. 2016). One of these radars was deployed as part of the third ARM Mobile Facility (AMF3) at Oliktok Point, Alaska (70.495o N, 149.886oW). The National Aeronautics and Space Administration (NASA) CloudSat satellite, which is part of the polar-orbiting A-train satellite constellation, passes over the vicinity of the AMF3 location (typically within 0-7 km depending on a particular overpass) on a descending orbit every 16 days at approximately 13:21 UTC. The nadir pointing W-band CloudSat cloud profiling radar (CPR) provides vertical profiles of reflectivity that are then used for retrievals of hydrometeor parameters (Tanelli et al. 2008). The main objective of the AMF3 CloudSat overpasses intensive operating period (IOP) campaign was to collect approximately collocated in space and time radar data from the SACR-2 and the CloudSat CPR measurements for subsequent joint analysis of radar variables and microphysical retrievals of cloud and precipitation parameters. Providing the reference for the SACR-2 absolute calibration from the well-calibrated CloudSat CPR was another objective of this IOP. The IOP objectives were achieved by conducting seven special SACR-2 scans during the 10.5-min period centered at the exact time of the CloudSat overpass over the AMF3 (~1321 UTC) on six dates of the CloudSat overpasses during the three-month period allocated to this IOP. These six days

  6. Evaluation of the MODIS C6 Aerosol Optical Depth Products over Chongqing, China

    Directory of Open Access Journals (Sweden)

    Guangming Shi

    2017-11-01

    Full Text Available The Moderate Resolution Imaging Spectroradiometer (MODIS Collection 6 (C6 aerosol optical depth (AOD products from the 10/3 km Dark Target (DT and Deep Blue (DB algorithms are firstly evaluated using ground observed AODs by the sun photometer in Chongqing, a mountainous mega-city in southwest China. The validation results show that MODIS AODs from 10/3 km DT algorithm are comparable with those of the sun photometer, although there are slight overestimations. However, the DB algorithm substantially underestimates MODIS AODs when comparing with those of the sun photometer. Error analyses imply that the bias of surface reflectance estimation is the main error source for both algorithms. The cloud screening scheme of the DT algorithm is more effective than the DB algorithm. The cloud vicinity effect should be considered in the quality control processes for both of the algorithms. A sensitivity test suggests that in complex terrain area, like Chongqing, the collocation method in the validation of satellite products should be carefully selected according to local circumstances. When comparing the monthly mean AODs of MODIS products with sun photometer observations, it shows that the Terra MODIS AOD products are valid to represent the mean statuses in summer and autumn, but the monthly mean of Aqua MODIS AODs are limited in Chongqing.

  7. Estimating Coastal Turbidity using MODIS 250 m Band Observations

    Science.gov (United States)

    Davies, James E.; Moeller, Christopher C.; Gunshor, Mathew M.; Menzel, W. Paul; Walker, Nan D.

    2004-01-01

    Terra MODIS 250 m observations are being applied to a Suspended Sediment Concentration (SSC) algorithm that is under development for coastal case 2 waters where reflectance is dominated by sediment entrained in major fluvial outflows. An atmospheric correction based on MODIS observations in the 500 m resolution 1.6 and 2.1 micron bands is used to isolate the remote sensing reflectance in the MODIS 25Om resolution 650 and 865 nanometer bands. SSC estimates from remote sensing reflectance are based on accepted inherent optical properties of sediment types known to be prevalent in the U.S. Gulf of Mexico coastal zone. We present our findings for the Atchafalaya Bay region of the Louisiana Coast, in the form of processed imagery over the annual cycle. We also apply our algorithm to selected sites worldwide with a goal of extending the utility of our approach to the global direct broadcast community.

  8. Calculations of Aerosol Radiative Forcing in the SAFARI Region from MODIS Data

    Science.gov (United States)

    Remer, L. A.; Ichoku, C.; Kaufman, Y. J.; Chu, D. A.

    2003-01-01

    SAFARI 2000 provided the opportunity to validate MODIS aerosol retrievals and to correct any assumptions in the retrieval process. By comparing MODIS retrievals with ground-based sunphotometer data, we quantified the degree to which the MODIS algorithm underestimated the aerosol optical thickness. This discrepancy was attributed to underestimating the degree of light absorption by the southern African smoke aerosol. Correcting for this underestimation of absorption, produces more realistic aerosol retrievals that allow various applications of the MODIS aerosol products. One such application is the calculation of the aerosol radiative forcing at the top and bottom of the atmosphere. The combination of MODIS accuracy, coverage, resolution and the ability to separate fine and coarse mode make this calculation substantially advanced over previous attempts with other satellites. We focus on the oceans adjacent to southern Africa and use a solar radiative transfer model to perform the flux calculations. The forcing at the top of atmosphere is calculated to be 10 W/sq m, while the forcing at the surface is -26 W/sq m. These results resemble those calculated from INDOEX data, and are most sensitive to assumptions of aerosol absorption, the same parameter that initially interfered with our retrievals.

  9. Survey of Ultra-wideband Radar

    Science.gov (United States)

    Mokole, Eric L.; Hansen, Pete

    The development of UWB radar over the last four decades is very briefly summarized. A discussion of the meaning of UWB is followed by a short history of UWB radar developments and discussions of key supporting technologies and current UWB radars. Selected UWB radars and the associated applications are highlighted. Applications include detecting and imaging buried mines, detecting and mapping underground utilities, detecting and imaging objects obscured by foliage, through-wall detection in urban areas, short-range detection of suicide bombs, and the characterization of the impulse responses of various artificial and naturally occurring scattering objects. In particular, the Naval Research Laboratory's experimental, low-power, dual-polarized, short-pulse, ultra-high resolution radar is used to discuss applications and issues of UWB radar. Some crucial issues that are problematic to UWB radar are spectral availability, electromagnetic interference and compatibility, difficulties with waveform control/shaping, hardware limitations in the transmission chain, and the unreliability of high-power sources for sustained use above 2 GHz.

  10. Keep pushing! Limiting interruptions to CPR; bag-valve mask versus i-gel® airway ventilation

    Directory of Open Access Journals (Sweden)

    Craig Vincent-Lambert

    2016-12-01

    Conclusion: The use of the i-gel® airway resulted in a considerable decrease in the amount of time spent on ventilations and in more compressions being performed. The overall reduction in HOT was, however, offset by the time it took to secure the device. Further investigation into the use and securing of the i-gel® airway in single rescuer CPR is recommended.

  11. Fuel type characterization based on coarse resolution MODIS satellite data

    Directory of Open Access Journals (Sweden)

    Lanorte A

    2007-01-01

    Full Text Available Fuel types is one of the most important factors that should be taken into consideration for computing spatial fire hazard and risk and simulating fire growth and intensity across a landscape. In the present study, forest fuel mapping is considered from a remote sensing perspective. The purpose is to delineate forest types by exploring the use of coarse resolution satellite remote sensing MODIS imagery. In order to ascertain how well MODIS data can provide an exhaustive classification of fuel properties a sample area characterized by mixed vegetation covers and complex topography was analysed. The study area is located in the South of Italy. Fieldwork fuel type recognitions, performed before, after and during the acquisition of remote sensing MODIS data, were used as ground-truth dataset to assess the obtained results. The method comprised the following three steps: (I adaptation of Prometheus fuel types for obtaining a standardization system useful for remotely sensed classification of fuel types and properties in the considered Mediterranean ecosystems; (II model construction for the spectral characterization and mapping of fuel types based on two different approach, maximum likelihood (ML classification algorithm and spectral Mixture Analysis (MTMF; (III accuracy assessment for the performance evaluation based on the comparison of MODIS-based results with ground-truth. Results from our analyses showed that the use of remotely sensed MODIS data provided a valuable characterization and mapping of fuel types being that the achieved classification accuracy was higher than 73% for ML classifier and higher than 83% for MTMF.

  12. German Radar Observation Shuttle Experiment (ROSE)

    Science.gov (United States)

    Sleber, A. J.; Hartl, P.; Haydn, R.; Hildebrandt, G.; Konecny, G.; Muehlfeld, R.

    1984-01-01

    The success of radar sensors in several different application areas of interest depends on the knowledge of the backscatter of radar waves from the targets of interest, the variance of these interaction mechanisms with respect to changing measurement parameters, and the determination of the influence of he measuring systems on the results. The incidence-angle dependency of the radar cross section of different natural targets is derived. Problems involved by the combination of data gained with different sensors, e.g., MSS-, TM-, SPOTand SAR-images are analyzed. Radar cross-section values gained with ground-based radar spectrometers and spaceborne radar imaging, and non-imaging scatterometers and spaceborne radar images from the same areal target are correlated. The penetration of L-band radar waves into vegetated and nonvegetated surfaces is analyzed.

  13. Meteor detection on ST (MST) radars

    International Nuclear Information System (INIS)

    Avery, S.K.

    1987-01-01

    The ability to detect radar echoes from backscatter due to turbulent irregularities of the radio refractive index in the clear atmosphere has lead to an increasing number of established mesosphere - stratosphere - troposphere (MST or ST) radars. Humidity and temperature variations are responsible for the echo in the troposphere and stratosphere and turbulence acting on electron density gradients provides the echo in the mesosphere. The MST radar and its smaller version, the ST radar, are pulsed Doppler radars operating in the VHF - UHF frequency range. These echoes can be used to determine upper atmosphere winds at little extra cost to the ST radar configuration. In addition, the meteor echoes can supplement mesospheric data from an MST radar. The detection techniques required on the ST radar for delineating meteor echo returns are described

  14. Evaluating MODIS Collection 6 Dark Target Over Water Aerosol Products for Multi-sensor Data Fusion

    Science.gov (United States)

    Shi, Y.; Zhang, J.; Reid, J. S.; Hyer, E. J.; McHardy, T. M.; Lee, L.

    2014-12-01

    The Moderate Resolution Imaging Spectroradiometer (MODIS) aerosol products have been widely used in aerosol related climate, visibility, and air quality studies for more than a decade. Recently, the MODIS collection 6 (c6) aerosol products from MODIS-Aqua have been released. The reported changes between Collection 5 and Collection 6 include updates in the retrieving algorithms and a new cloud filtering process for the over-ocean products. Thus it is necessary to fully evaluate the collection 6 products for applications that require high quality MODIS aerosol optical depth data, such as operational aerosol data assimilation. The uncertainties in the MODIS c6 DT over ocean products are studied through both inter-comparing with the Multi-angle Imaging Spectroradiometer (MISR) aerosol products and by evaluation against ground truth. Special attention is given to the low bias in MODIS DT products due to the misclassifications of heavy aerosol plumes as clouds. Finally, a quality assured data assimilation grade aerosol optical product is constructed for aerosol data assimilation related applications.

  15. CAMEX-4 TOGA RADAR V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The TOGA radar dataset consists of browse and radar data collected from the TOGA radar during the CAMEX-4 experiment. TOGA is a C-band linear polarized doppler radar...

  16. Radar Plan Position Indicator Scope

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Radar Plan Position Indicator Scope is the collection of weather radar imagery for the period prior to the beginning of the Next Generation Radar (NEXRAD) system...

  17. Quantitative Evaluation of Serum Proteins Uncovers a Protein Signature Related to Maturity-Onset Diabetes of the Young (MODY).

    Science.gov (United States)

    Tuerxunyiming, Muhadasi; Xian, Feng; Zi, Jin; Yimamu, Yilihamujiang; Abuduwayite, Reshalaiti; Ren, Yan; Li, Qidan; Abudula, Abulizi; Liu, SiQi; Mohemaiti, Patamu

    2018-01-05

    Maturity-onset diabetes of the young (MODY) is an inherited monogenic type of diabetes. Genetic mutations in MODY often cause nonsynonymous changes that directly lead to the functional distortion of proteins and the pathological consequences. Herein, we proposed that the inherited mutations found in a MODY family could cause a disturbance of protein abundance, specifically in serum. The serum samples were collected from a Uyghur MODY family through three generations, and the serum proteins after depletion treatment were examined by quantitative proteomics to characterize the MODY-related serum proteins followed by verification using target quantification of proteomics. A total of 32 serum proteins were preliminarily identified as the MODY-related. Further verification test toward the individual samples demonstrated the 12 candidates with the significantly different abundance in the MODY patients. A comparison of the 12 proteins among the sera of type 1 diabetes, type 2 diabetes, MODY, and healthy subjects was conducted and revealed a protein signature related with MODY composed of the serum proteins such as SERPINA7, APOC4, LPA, C6, and F5.

  18. Airborne Radar Observations of Severe Hailstorms: Implications for Future Spaceborne Radar

    Science.gov (United States)

    Heymsfield, Gerald M.; Tian, Lin; Li, Lihua; McLinden, Matthew; Cervantes, Jaime I.

    2013-01-01

    A new dual-frequency (Ku and Ka band) nadir-pointing Doppler radar on the high-altitude NASA ER-2 aircraft, called the High-Altitude Imaging Wind and Rain Airborne Profiler (HIWRAP), has collected data over severe thunderstorms in Oklahoma and Kansas during the Midlatitude Continental Convective Clouds Experiment (MC3E). The overarching motivation for this study is to understand the behavior of the dualwavelength airborne radar measurements in a global variety of thunderstorms and how these may relate to future spaceborne-radar measurements. HIWRAP is operated at frequencies that are similar to those of the precipitation radar on the Tropical Rainfall Measuring Mission (Ku band) and the upcoming Global Precipitation Measurement mission satellite's dual-frequency (Ku and Ka bands) precipitation radar. The aircraft measurements of strong hailstorms have been combined with ground-based polarimetric measurements to obtain a better understanding of the response of the Ku- and Ka-band radar to the vertical distribution of the hydrometeors, including hail. Data from two flight lines on 24 May 2011 are presented. Doppler velocities were approx. 39m/s2at 10.7-km altitude from the first flight line early on 24 May, and the lower value of approx. 25m/s on a second flight line later in the day. Vertical motions estimated using a fall speed estimate for large graupel and hail suggested that the first storm had an updraft that possibly exceeded 60m/s for the more intense part of the storm. This large updraft speed along with reports of 5-cm hail at the surface, reflectivities reaching 70 dBZ at S band in the storm cores, and hail signals from polarimetric data provide a highly challenging situation for spaceborne-radar measurements in intense convective systems. The Ku- and Ka-band reflectivities rarely exceed approx. 47 and approx. 37 dBZ, respectively, in these storms.

  19. MODIS/Aqua Raw Radiances in Counts 5-Min L1A Swath - NRT

    Data.gov (United States)

    National Aeronautics and Space Administration — This is MODIS Level-1A Near Real Time (NRT) product containing reformatted and packaged raw instrument data. MODIS instrument data, in packetized form, is reversibly...

  20. MODIS/Terra Aerosol 5-Min L2 Swath 10km V5.1

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS was launched aboard the Terra satellite on December 18, 1999 (10:30 am equator crossing time) as part of NASA's Earth Observing System (EOS) mission. MODIS...

  1. The use of radar for bathymetry assessment

    OpenAIRE

    Aardoom, J.H.; Greidanus, H.S.F.

    1998-01-01

    The bottom topography in shallow seas can be observed by air- and spaceborne imaging radar. Bathymetric information derived from radar data is limited in accuracy, but radar has a good spatial coverage. The accuracy can be increased by assimilating the radar imagery into existing or insitu gathered bathymetric data. The paper reviews the concepts of bathymetry assessment by radar, the radar imaging mechanism, and the possibilities and limitations of the use of radar data in rapid assessment.

  2. A dizygotic twin pregnancy in a MODY 3-affected woman.

    Science.gov (United States)

    Bitterman, O; Iafusco, D; Torcia, F; Tinto, N; Napoli, A

    2016-10-01

    MODY diabetes includes rare familiar forms due to genetic mutations resulting in β-cell dysfunction. MODY 3 is due to mutations in the gene transcription factor HNF-1α, with diabetes diagnosis in adolescence or early adult life. Few data are available about MODY 3 in pregnancy. A 36-year-old Italian woman came to our unit at the 5th week of pregnancy. She was diagnosed with diabetes at 18 years, with negative autoimmunity and a strong familiarity for diabetes. She was treated with gliclazide and metformin. She had a previous pregnancy in which she was treated with insulin, giving birth at 38 weeks to a 3.210 kg baby girl, who showed neonatal hypoglycemia. We switched her to insulin treatment according to guidelines. We asked for genetic molecular testing, resulting in a HNF-1α gene mutation. A US examination at 7 weeks revealed a twin, bicorial, biamniotic pregnancy. At 37 weeks of gestation, she gave birth to two normal-weight baby girls; only one showed neonatal hypoglycemia and a genetic test revealed that she was affected by HNF-1α gene mutation. Subsequently, entire family of the woman was tested, showing that the father, the sister and the first daughter had the same HNF-1α mutation. A MODY 3 foetus needs a near-normal maternal glycemic control, because the exposure to intrauterine hyperglycemia can lead to an earlier age of diabetes onset. Neonatal hypoglycemia is generally observed in MODY 1 infants, but it is possible to hypothesize that some HNF-1α mutations could lead to a functionally impaired protein that might dysregulate HNF-4α expression determining hypoglycemia.

  3. Analysis of co-located MODIS and CALIPSO observations near clouds

    Directory of Open Access Journals (Sweden)

    T. Várnai

    2012-02-01

    Full Text Available This paper aims at helping synergistic studies in combining data from different satellites for gaining new insights into two critical yet poorly understood aspects of anthropogenic climate change, aerosol-cloud interactions and aerosol radiative effects. In particular, the paper examines the way cloud information from the MODIS (MODerate resolution Imaging Spectroradiometer imager can refine our perceptions based on CALIOP (Cloud-Aerosol Lidar with Orthogonal Polarization lidar measurements about the systematic aerosol changes that occur near clouds.

    The statistical analysis of a yearlong dataset of co-located global maritime observations from the Aqua and CALIPSO (Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation satellites reveals that MODIS's multispectral imaging ability can greatly help the interpretation of CALIOP observations. The results show that imagers on Aqua and CALIPSO yield very similar pictures, and that the discrepancies – due mainly to wind drift and differences in view angle – do not significantly hinder aerosol measurements near clouds. By detecting clouds outside the CALIOP track, MODIS reveals that clouds are usually closer to clear areas than CALIOP data alone would suggest. The paper finds statistical relationships between the distances to clouds in MODIS and CALIOP data, and proposes a rescaling approach to statistically account for the impact of clouds outside the CALIOP track even when MODIS cannot reliably detect low clouds, for example at night or over sea ice. Finally, the results show that the typical distance to clouds depends on both cloud coverage and cloud type, and accordingly varies with location and season. In maritime areas perceived cloud free, the global median distance to clouds below 3 km altitude is in the 4–5 km range.

  4. Design and transient analyses of passive emergency feedwater system of CPR1000. Part 1. Air cooling condition

    International Nuclear Information System (INIS)

    Zhang Yapei; Qiu Suizheng; Su Guanghui; Tian Wenxi; Cao Jianhua; Lu Donghua; Fu Xiangang

    2011-01-01

    The steam generator secondary passive emergency feedwater system is a new design for traditional generation Ⅱ + reactor CPR1000. The passive emergency feedwater system is designed to supply water to the SG shell side and improve the safety and reliability of CPR1000 by completely or partially replacing traditional emergency water cooling system in the event of the feed line break (FLB) or loss of heat sink accident. The passive emergency feedwater system consists of steam generator (SG), heat exchanger (HX), air cooling tower, emergency makeup tank (EMT), and corresponding pipes and valves for air cooling condition. In order to improve the safety and reliability of CPR1000, the model of the primary loop system and the passive emergency feedwater system was developed to investigate residual heat removal capability of the passive emergency feedwater system and the transient characteristics of the primary loop system affected by the passive emergency feedwater system using RELAP5/MOD3.4. The transient characteristics of the primary loop system and the passive emergency feedwater system were calculated in the event of feed line break accident. Sensitivity studies of the passive emergency feedwater system were also conducted to investigate the response of the primary loop and the passive emergency feedwater system on the main parameters of the passive emergency feedwater system. The passive emergency feedwater system could supply water to the SG shell side from the EMT successfully. The calculation results showed that the passive emergency feedwater system could take away the decay heat from the primary loop effectively for air cooling condition, and that the single-phase and two-phase natural circulations were established in the primary loop and passive emergency feedwater system loop, respectively. (author)

  5. MODIS/Aqua Aerosol 5-Min L2 Swath 10km V5.1

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS was launched aboard the Aqua satellite on May 04, 2002 (1:30 pm equator crossing time) as part of NASA's Earth Observing System (EOS) mission. MODIS with its...

  6. Multitemporal cross-calibration of the Terra MODIS and Landsat 7 ETM+ reflective solar bands

    Science.gov (United States)

    Angal, Amit; Xiong, Xiaoxiong; Wu, Aisheng; Chander, Gyanesh; Choi, Taeyoung

    2013-01-01

    In recent years, there has been a significant increase in the use of remotely sensed data to address global issues. With the open data policy, the data from the Moderate Resolution Imaging Spectroradiometer (MODIS) and Enhanced Thematic Mapper Plus (ETM+) sensors have become a critical component of numerous applications. These two sensors have been operational for more than a decade, providing a rich archive of multispectral imagery for analysis of mutitemporal remote sensing data. This paper focuses on evaluating the radiometric calibration agreement between MODIS and ETM+ using the near-simultaneous and cloud-free image pairs over an African pseudo-invariant calibration site, Libya 4. To account for the combined uncertainties in the top-of-atmosphere (TOA) reflectance due to surface and atmospheric bidirectional reflectance distribution function (BRDF), a semiempirical BRDF model was adopted to normalize the TOA reflectance to the same illumination and viewing geometry. In addition, the spectra from the Earth Observing-1 (EO-1) Hyperion were used to compute spectral corrections between the corresponding MODIS and ETM+ spectral bands. As EO-1 Hyperion scenes were not available for all MODIS and ETM+ data pairs, MODerate resolution atmospheric TRANsmission (MODTRAN) 5.0 simulations were also used to adjust for differences due to the presence or lack of absorption features in some of the bands. A MODIS split-window algorithm provides the atmospheric water vapor column abundance during the overpasses for the MODTRAN simulations. Additionally, the column atmospheric water vapor content during the overpass was retrieved using the MODIS precipitable water vapor product. After performing these adjustments, the radiometric cross-calibration of the two sensors was consistent to within 7%. Some drifts in the response of the bands are evident, with MODIS band 3 being the largest of about 6% over 10 years, a change that will be corrected in Collection 6 MODIS processing.

  7. The addition of voice prompts to audiovisual feedback and debriefing does not modify CPR quality or outcomes in out of hospital cardiac arrest--a prospective, randomized trial.

    Science.gov (United States)

    Bohn, Andreas; Weber, Thomas P; Wecker, Sascha; Harding, Ulf; Osada, Nani; Van Aken, Hugo; Lukas, Roman P

    2011-03-01

    Chest compression quality is a determinant of survival from out-of-hospital cardiac arrest (OHCA). ERC 2005 guidelines recommend the use of technical devices to support rescuers giving compressions. This prospective randomized study reviewed influence of different feedback configurations on survival and compression quality. 312 patients suffering an OHCA were randomly allocated to two different feedback configurations. In the limited feedback group a metronome and visual feedback was used. In the extended feedback group voice prompts were added. A training program was completed prior to implementation, performance debriefing was conducted throughout the study. Survival did not differ between the extended and limited feedback groups (47.8% vs 43.9%, p = 0.49). Average compression depth (mean ± SD: 4.74 ± 0.86 cm vs 4.84 ± 0.93 cm, p = 0.31) was similar in both groups. There were no differences in compression rate (103 ± 7 vs 102 ± 5 min(-1), p=0.74) or hands-off fraction (16.16% ± 0.07 to 17.04% ± 0.07, p = 0.38). Bystander CPR, public arrest location, presenting rhythm and chest compression depth were predictors of short term survival (ROSC to ED). Even limited CPR-feedback combined with training and ongoing debriefing leads to high chest compression quality. Bystander CPR, location, rhythm and chest compression depth are determinants of survival from out of hospital cardiac arrest. Addition of voice prompts does neither modify CPR quality nor outcome in OHCA. CC depth significantly influences survival and therefore more focus should be put on correct delivery. Further studies are needed to examine the best configuration of feedback to improve CPR quality and survival. ClinicalTrials.gov (NCT00449969), http://www.clinicalTrials.gov. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  8. Reconstruction of MODIS Spectral Reflectance under Cloudy-Sky Condition

    Directory of Open Access Journals (Sweden)

    Bo Gao

    2016-09-01

    Full Text Available Clouds usually cause invalid observations for sensors aboard satellites, which corrupts the spatio-temporal continuity of land surface parameters retrieved from remote sensing data (e.g., MODerate Resolution Imaging Spectroradiometer (MODIS data and prevents the fusing of multi-source remote sensing data in the field of quantitative remote sensing. Based on the requirements of spatio-temporal continuity and the necessity of methods to restore bad pixels, primarily resulting from image processing, this study developed a novel method to derive the spectral reflectance for MODIS band of cloudy pixels in the visual–near infrared (VIS–NIR spectral channel based on the Bidirectional Reflectance Distribution Function (BRDF and multi-spatio-temporal observations. The proposed method first constructs the spatial distribution of land surface reflectance based on the corresponding BRDF and the solar-viewing geometry; then, a geographically weighted regression (GWR is introduced to individually derive the spectral surface reflectance for MODIS band of cloudy pixels. A validation of the proposed method shows that a total root-mean-square error (RMSE of less than 6% and a total R2 of more than 90% are detected, which indicates considerably better precision than those exhibited by other existing methods. Further validation of the retrieved white-sky albedo based on the spectral reflectance for MODIS band of cloudy pixels confirms an RMSE of 3.6% and a bias of 2.2%, demonstrating very high accuracy of the proposed method.

  9. Mobile phone technology identifies and recruits trained citizens to perform CPR on out-of-hospital cardiac arrest victims prior to ambulance arrival.

    Science.gov (United States)

    Ringh, Mattias; Fredman, David; Nordberg, Per; Stark, Tomas; Hollenberg, Jacob

    2011-12-01

    In a two-parted study, evaluate a new concept were mobile phone technology is used to dispatch lay responders to nearby out-of-hospital cardiac arrests (OHCAs). Mobile phone positioning systems (MPS) can geographically locate selected mobile phone users at any given moment. A mobile phone service using MPS was developed and named Mobile Life Saver (MLS). Simulation study: 25 volunteers named mobile responders (MRs) were connected to MLS. Ambulance time intervals from 22 consecutive OHCAs in 2005 were used as controls. The MRs randomly moved in Stockholm city centre and were dispatched to simulated OHCAs (identical to controls) if they were within a 350 m distance. Real life study: during 25 weeks 1271-1801 MRs trained in CPR were connected to MLS. MLS was activated at the dispatch centre in parallel with ambulance dispatch when an OHCA was suspected. The MRs were dispatched if they were within 500 m from the suspected OHCA. Simulation study: mean response time for the MRs compared to historical ambulance time intervals was reduced by 2 min 20s (44%), pMobile phone technology can be used to identify and recruit nearby CPR-trained citizens to OHCAs for bystander CPR prior to ambulance arrival. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  10. Blending satellite data and RADAR tool for rapid flood damage assessment in Agriculture: A case study in Sri Lanka

    Science.gov (United States)

    Amarnath, Giriraj; Inada, Yoshiaki; Inoue, Ryosuke; Alahacoon, Niranga; Smakhtin, Vladimir

    2014-05-01

    During the catastrophic flooding it is critically important to estimate losses as it is essential for facilitating good decision making at the district, province and national levels of government and to appraise aid agencies for necessary assistance. Flood loss estimates can also be used to evaluate the cost effectiveness of alternative approaches to strengthening flood control measures. In the case of Sri Lanka there were limited knowledge and application system exist for carrying out rapid damage assessment for Agriculture in Sri Lanka. FAO has developed the tool "Rapid Agricultural Disaster Assessment Routine" (RADAR) based on theoretical approach that uses simple tools for assessing the impact on agriculture of a disastrous event. There are two knowledge bases that contain information needed for calculation of the value loss or damage. The procedure of rapid impact assessment implies the use of knowledge-bases, database and GIS. In this study, the user friendly application of RADAR system has been developed. Three components were considered including agriculture, livestock and farmers asset to estimate the losses. The application will allow estimating flood damage at various scales and this being tested at district level and specific example for the 2011 floods in Sri Lanka. In order to understand flood inundation cycle, time-series optical MODIS satellite data (2000-2011) and microwave ALOS PALSAR (2006-2011) were used to derive annual flood extent, flood duration and recurrent areas to identify flood risk and impact of seasonal flooding on agriculture. This study demonstrates how RADAR & satellite-based flood products can be effectively used for rapid damage assessment and managing the floods.

  11. Influence of composite period and date of observation on phenological metrics extracted from MODIS data

    CSIR Research Space (South Africa)

    Wessels, Konrad J

    2009-05-01

    Full Text Available ) The 8-day, 500m MODIS data (MOD09) for the Skukuza EOS site were downloaded from the MODIS ASCII Subsets website (http://daac.ornl.gov/cgi-bin/MODIS/GR_1/button.slim.pl). The data comprised 14 x 14 pixels of data covering a 7x7 km area for the period...

  12. Crosstalk effect and its mitigation in Aqua MODIS middle wave infrared bands

    Science.gov (United States)

    Sun, Junqiang; Madhavan, Sriharsha; Wang, Menghua

    2017-09-01

    The MODerate-resolution Imaging Spectroradiometer (MODIS) is one of the primary instruments in the National Aeronautics and Space Administration (NASA) Earth Observing System (EOS). The first MODIS instrument was launched in December 1999 on-board the Terra spacecraft. A follow on MODIS was launched on an afternoon orbit in 2002 and is aboard the Aqua spacecraft. Both MODIS instruments are very akin, has 36 bands, among which bands 20 to 25 are Middle Wave Infrared (MWIR) bands covering a wavelength range from approximately 3.750 μm to 4.515 μm. It was found that there was severe contamination in these bands early in mission but the effect has not been characterized and mitigated at the time. The crosstalk effect induces strong striping in the Earth View (EV) images and causes significant retrieval errors in the EV Brightness Temperature (BT) in these bands. An algorithm using a linear approximation derived from on-orbit lunar observations has been developed to correct the crosstalk effect and successfully applied to mitigate the effect in both Terra and Aqua MODIS Long Wave Infrared (LWIR) Photovoltaic (PV) bands. In this paper, the crosstalk effect in the Aqua MWIR bands is investigated and characterized by deriving the crosstalk coefficients using the scheduled Aqua MODIS lunar observations for the MWIR bands. It is shown that there are strong crosstalk contaminations among the five MWIR bands and they also have significant crosstalk contaminations from Short Wave Infrared (SWIR) bands. The crosstalk correction algorithm previously developed is applied to correct the crosstalk effect in these bands. It is demonstrated that the crosstalk correction successfully reduces the striping in the EV images and improves the accuracy of the EV BT in the five bands as was done similarly for LWIR PV bands. The crosstalk correction algorithm should thus be applied to improve both the image quality and radiometric accuracy of the Aqua MODIS MWIR bands Level 1B (L1B) products.

  13. Interception of LPI radar signals

    Science.gov (United States)

    Lee, Jim P.

    1991-11-01

    Most current radars are designed to transmit short duration pulses with relatively high peak power. These radars can be detected easily by the use of relatively modest EW intercept receivers. Three radar functions (search, anti-ship missile (ASM) seeker, and navigation) are examined to evaluate the effectiveness of potential low probability of intercept (LPI) techniques, such as waveform coding, antenna profile control, and power management that a radar may employ against current Electronic Warfare (EW) receivers. The general conclusion is that it is possible to design a LPI radar which is effective against current intercept EW receivers. LPI operation is most easily achieved at close ranges and against a target with a large radar cross section. The general system sensitivity requirement for the detection of current and projected LPI radars is found to be on the order of -100 dBmi which cannot be met by current EW receivers. Finally, three potential LPI receiver architectures, using channelized, superhet, and acousto-optic receivers with narrow RF and video bandwidths are discussed. They have shown some potential in terms of providing the sensitivity and capability in an environment where both conventional and LPI signals are present.

  14. Air and spaceborne radar systems an introduction

    CERN Document Server

    Lacomme, Philippe; Hardange, Jean-Philippe; Normant, Eric

    2001-01-01

    A practical tool on radar systems that will be of major help to technicians, student engineers and engineers working in industry and in radar research and development. The many users of radar as well as systems engineers and designers will also find it highly useful. Also of interest to pilots and flight engineers and military command personnel and military contractors. """"This introduction to the field of radar is intended for actual users of radar. It focuses on the history, main principles, functions, modes, properties and specific nature of modern airborne radar. The book examines radar's

  15. Human walking estimation with radar

    NARCIS (Netherlands)

    Dorp, Ph. van; Groen, F.C.A.

    2003-01-01

    Radar can be used to observe humans that are obscured by objects such as walls. These humans cannot be visually observed. The radar measurements are used to animate an obscured human in virtual reality. This requires detailed information about the motion. The radar measurements give detailed

  16. Identification of Candidate Gene Variants in Korean MODY Families by Whole-Exome Sequencing.

    Science.gov (United States)

    Shim, Ye Jee; Kim, Jung Eun; Hwang, Su-Kyeong; Choi, Bong Seok; Choi, Byung Ho; Cho, Eun-Mi; Jang, Kyoung Mi; Ko, Cheol Woo

    2015-01-01

    To date, 13 genes causing maturity-onset diabetes of the young (MODY) have been identified. However, there is a big discrepancy in the genetic locus between Asian and Caucasian patients with MODY. Thus, we conducted whole-exome sequencing in Korean MODY families to identify causative gene variants. Six MODY probands and their family members were included. Variants in the dbSNP135 and TIARA databases for Koreans and the variants with minor allele frequencies >0.5% of the 1000 Genomes database were excluded. We selected only the functional variants (gain of stop codon, frameshifts and nonsynonymous single-nucleotide variants) and conducted a case-control comparison in the family members. The selected variants were scanned for the previously introduced gene set implicated in glucose metabolism. Three variants c.620C>T:p.Thr207Ile in PTPRD, c.559C>G:p.Gln187Glu in SYT9, and c.1526T>G:p.Val509Gly in WFS1 were respectively identified in 3 families. We could not find any disease-causative alleles of known MODY 1-13 genes. Based on the predictive program, Thr207Ile in PTPRD was considered pathogenic. Whole-exome sequencing is a valuable method for the genetic diagnosis of MODY. Further evaluation is necessary about the role of PTPRD, SYT9 and WFS1 in normal insulin release from pancreatic beta cells. © 2015 S. Karger AG, Basel.

  17. FMWC Radar for Breath Detection

    DEFF Research Database (Denmark)

    Suhr, Lau Frejstrup; Tafur Monroy, Idelfonso; Vegas Olmos, Juan José

    We report on the experimental demonstration of an FMCW radar operating in the 25.7 - 26.6 GHz range with a repetition rate of 500 sweeps per second. The radar is able to track the breathing rate of an adult human from a distance of 1 meter. The experiments have utilized a 50 second recording window...... to accurately track the breathing rate. The radar utilizes a saw tooth modulation format and a low latency receiver. A breath tracking radar is useful both in medical scenarios, diagnosing disorders such as sleep apnea, and for home use where the user can monitor its health. Breathing is a central part of every...... radar chip which, through the use of a simple modulation scheme, is able to measure the breathing rate of an adult human from a distance. A high frequency output makes sure that the radar cannot penetrate solid obstacles which is a wanted feature in private homes where people therefore cannot measure...

  18. Pipeline oil fire detection with MODIS active fire products

    Science.gov (United States)

    Ogungbuyi, M. G.; Martinez, P.; Eckardt, F. D.

    2017-12-01

    We investigate 85 129 MODIS satellite active fire events from 2007 to 2015 in the Niger Delta of Nigeria. The region is the oil base for Nigerian economy and the hub of oil exploration where oil facilities (i.e. flowlines, flow stations, trunklines, oil wells and oil fields) are domiciled, and from where crude oil and refined products are transported to different Nigerian locations through a network of pipeline systems. Pipeline and other oil facilities are consistently susceptible to oil leaks due to operational or maintenance error, and by acts of deliberate sabotage of the pipeline equipment which often result in explosions and fire outbreaks. We used ground oil spill reports obtained from the National Oil Spill Detection and Response Agency (NOSDRA) database (see www.oilspillmonitor.ng) to validate MODIS satellite data. NOSDRA database shows an estimate of 10 000 spill events from 2007 - 2015. The spill events were filtered to include largest spills by volume and events occurring only in the Niger Delta (i.e. 386 spills). By projecting both MODIS fire and spill as `input vector' layers with `Points' geometry, and the Nigerian pipeline networks as `from vector' layers with `LineString' geometry in a geographical information system, we extracted the nearest MODIS events (i.e. 2192) closed to the pipelines by 1000m distance in spatial vector analysis. The extraction process that defined the nearest distance to the pipelines is based on the global practices of the Right of Way (ROW) in pipeline management that earmarked 30m strip of land to the pipeline. The KML files of the extracted fires in a Google map validated their source origin to be from oil facilities. Land cover mapping confirmed fire anomalies. The aim of the study is to propose a near-real-time monitoring of spill events along pipeline routes using 250 m spatial resolution of MODIS active fire detection sensor when such spills are accompanied by fire events in the study location.

  19. Radar meteor rates and solar activity

    International Nuclear Information System (INIS)

    Prikryl, P.

    1983-01-01

    The short-term variation of diurnal radar meteor rates with solar activity represented by solar microwave flux Fsub(10.7), and sunspots relative number Rsub(z), is investigated. Applying the superposed-epoch analysis to the observational material of radar meteor rates from Christchurch (1960-61 and 1963-65), a decrease in the recorded radar rates is found during days of enhanced solar activity. No effect of geomagnetic activity similar to the one reported for the Swedish and Canadian radar meteor data was found by the author in the Christchurch data. A possible explanation of the absence of the geomagnetic effect on radar meteor rates from New Zealand due to a lower echo ceiling height of the Christchurch radar is suggested. The variation of the atmospheric parameters as a possible cause of the observed variation in radar meteor rates is also discussed. (author)

  20. Genetic counseling in monogenic diabetes GCK MODY.

    Science.gov (United States)

    Skała-Zamorowska, Eliza; Deja, Grażyna; Borowiec, Maciej; Fendler, Wojciech; Małachowska, Beata; Kamińska, Halla; Młynarski, Wojciech; Jarosz-Chobot, Przemysława

    2016-01-01

    Genetic testing in families with monogenic GCK MODY has predictive, diagnostic, and preventive utility. Predictive tests relate to people who have no features of the disorder themselves at the time of testing. Diagnostic tests relate to family members who have been previously diagnosed with diabetes mellitus or glucose metabolism disturbances. The preventive value of genetic testing for families is to raise awareness of the circumstances leading to glucose metabolism disorders. The detection of mutation carriers among family members of patients with GCK MODY and the determination of the clinical significance of the genetic test result. The study group included 27 families of adolescent patients with GCK MODY (39 (75%) of parents and 19 (73.08%) of siblings) monitored in the Department of Pediatrics, Endocrinology and Diabetes and in the Diabetes Clinic of John Paul II Upper Silesian Child Health Centre in Katowice in the years 2007-2012. Subjects underwent a blood sample drawing for genetic and biochemical testing. Through the genetic diagnostics we diagnosed GCK MODY in 14 (63.64%) mothers, 6 (35.29%) fathers and in 7 (36,84%) siblings. Genetic testing has contributed to the detection of 7 (26.92%) asymptomatic carriers of GCK gene mutation among parents and 3 (15,79%) asymptomatic carriers among siblings declaring no carbohydrate metabolism disturbances (before genetic testing there were no indications suggesting carbohydrate metabolism disturbances; OGTT were performed after positive genetic testing). Each case of mutation detection, which is the cause of monogenic diabetes in a patient, justifies the genetic testing in other members of his/her family. Awareness of the genetic status may allow sick family member to confirm the diagnosis, while asymptomatic mutation carriers could benefit from an early clinical observation. Consequently, in each case it gives an opportunity to take diagnostic and therapeutic measures in accordance with the current state of

  1. pHis 317 Pro Mutasyonu Saptanmış Bir Mody Tip 2 Olgusu

    OpenAIRE

    BİNİCİ, Doğan Nasır; TİMUR, Özge; TURHAN, Aykut; ŞENYİĞİT2, Abdülhalim; FİLİZ, Murat; KİPER, Tuğba

    2017-01-01

    Genç yaşta ortaya çıkan erişkin tip diyabet [Maturity- onset Diabetes of the Young (MODY)], otozomal dominant kalıtılan nadir bir diyabet türüdür. Tüm diyabet olgularının %1-2’sini oluşturur. MODY tip diyabet olgularının çoğunluğu yanlışlıkla tip 1 veya tip 2 diyabet tanısı almaktadır. Birçok tipi tanımlanmasına rağmen glukokinaz mutasyonu ile meydana gelen MODY tip 2 daha sık görülmektedir. Bu vaka sunumunda daha önce rastlanmamış bir mutasyon, pHis 317 Pro mutasyonu saptanmış MODY tip 2 olg...

  2. Radar cross section

    CERN Document Server

    Knott, Gene; Tuley, Michael

    2004-01-01

    This is the second edition of the first and foremost book on this subject for self-study, training, and course work. Radar cross section (RCS) is a comparison of two radar signal strengths. One is the strength of the radar beam sweeping over a target, the other is the strength of the reflected echo sensed by the receiver. This book shows how the RCS ?gauge? can be predicted for theoretical objects and how it can be measured for real targets. Predicting RCS is not easy, even for simple objects like spheres or cylinders, but this book explains the two ?exact? forms of theory so well that even a

  3. Classification and correction of the radar bright band with polarimetric radar

    Science.gov (United States)

    Hall, Will; Rico-Ramirez, Miguel; Kramer, Stefan

    2015-04-01

    The annular region of enhanced radar reflectivity, known as the Bright Band (BB), occurs when the radar beam intersects a layer of melting hydrometeors. Radar reflectivity is related to rainfall through a power law equation and so this enhanced region can lead to overestimations of rainfall by a factor of up to 5, so it is important to correct for this. The BB region can be identified by using several techniques including hydrometeor classification and freezing level forecasts from mesoscale meteorological models. Advances in dual-polarisation radar measurements and continued research in the field has led to increased accuracy in the ability to identify the melting snow region. A method proposed by Kitchen et al (1994), a form of which is currently used operationally in the UK, utilises idealised Vertical Profiles of Reflectivity (VPR) to correct for the BB enhancement. A simpler and more computationally efficient method involves the formation of an average VPR from multiple elevations for correction that can still cause a significant decrease in error (Vignal 2000). The purpose of this research is to evaluate a method that relies only on analysis of measurements from an operational C-band polarimetric radar without the need for computationally expensive models. Initial results show that LDR is a strong classifier of melting snow with a high Critical Success Index of 97% when compared to the other variables. An algorithm based on idealised VPRs resulted in the largest decrease in error when BB corrected scans are compared to rain gauges and to lower level scans with a reduction in RMSE of 61% for rain-rate measurements. References Kitchen, M., R. Brown, and A. G. Davies, 1994: Real-time correction of weather radar data for the effects of bright band, range and orographic growth in widespread precipitation. Q.J.R. Meteorol. Soc., 120, 1231-1254. Vignal, B. et al, 2000: Three methods to determine profiles of reflectivity from volumetric radar data to correct

  4. Updated teaching techniques improve CPR performance measures: a cluster randomized, controlled trial.

    Science.gov (United States)

    Ettl, Florian; Testori, Christoph; Weiser, Christoph; Fleischhackl, Sabine; Mayer-Stickler, Monika; Herkner, Harald; Schreiber, Wolfgang; Fleischhackl, Roman

    2011-06-01

    The first-aid training necessary for obtaining a drivers license in Austria has a regulated and predefined curriculum but has been targeted for the implementation of a new course structure with less theoretical input, repetitive training in cardiopulmonary resuscitation (CPR) and structured presentations using innovative media. The standard and a new course design were compared with a prospective, participant- and observer-blinded, cluster-randomized controlled study. Six months after the initial training, we evaluated the confidence of the 66 participants in their skills, CPR effectiveness parameters and correctness of their actions. The median self-confidence was significantly higher in the interventional group [IG, visual analogue scale (VAS:"0" not-confident at all,"100" highly confident):57] than in the control group (CG, VAS:41). The mean chest compression rate in the IG (98/min) was closer to the recommended 100 bpm than in the CG (110/min). The time to the first chest compression (IG:25s, CG:36s) and time to first defibrillator shock (IG:86s, CG:92s) were significantly shorter in the IG. Furthermore, the IG participants were safer in their handling of the defibrillator and started with countermeasures against developing shock more often. The management of an unconscious person and of heavy bleeding did not show a difference between the two groups even after shortening the lecture time. Motivation and self-confidence as well as skill retention after six months were shown to be dependent on the teaching methods and the time for practical training. Courses may be reorganized and content rescheduled, even within predefined curricula, to improve course outcomes. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  5. MODIS-based global terrestrial estimates of gross primary productivity and evapotranspiration

    Science.gov (United States)

    Ryu, Y.; Baldocchi, D. D.; Kobayashi, H.; Li, J.; van Ingen, C.; Agarwal, D.; Jackson, K.; Humphrey, M.

    2010-12-01

    We propose a novel approach to quantify gross primary productivity (GPP) and evapotranspiration (ET) at global scale (5 km resolution with 8-day interval). The MODIS-based, process-oriented approach couples photosynthesis, evaporation, two-leaf energy balance and nitrogen, which are different from the previous satellite-based approaches. We couple information from MODIS with flux towers to assess the drivers and parameters of GPP and ET. Incoming shortwave radiation components (direct and diffuse PAR, NIR) under all sky condition are modeled using a Monte-Carlo based atmospheric radiative transfer model. The MODIS Level 2 Atmospheric products are gridded and overlaid with MODIS Land products to produce spatially compatible forcing variables. GPP is modeled using a two-leaf model (sunlit and shaded leaf) and the maximum carboxylation rate is estimated using albedo-Nitrogen-leaf trait relations. The GPP is used to calculate canopy conductance via Ball-Berry model. Then, we apply Penman-Monteith equation to calculate evapotranspiration. The process-oriented approach allows us to investigate the main drivers of GPP and ET at global scale. Finally we explore the spatial and temporal variability of GPP and ET at global scale.

  6. 46 CFR 184.404 - Radars.

    Science.gov (United States)

    2010-10-01

    ... within one mile of land must be fitted with a FCC Type Accepted general marine radar system for surface... Federal Communications Commission (FCC) type accepted general marine radar system for surface navigation... 46 Shipping 7 2010-10-01 2010-10-01 false Radars. 184.404 Section 184.404 Shipping COAST GUARD...

  7. Evaluation and Windspeed Dependence of MODIS Aerosol Retrievals Over Open Ocean

    Science.gov (United States)

    Kleidman, Richard G.; Smirnov, Alexander; Levy, Robert C.; Mattoo, Shana; Tanre, Didier

    2011-01-01

    The Maritime Aerosol Network (MAN) data set provides high quality ground-truth to validate the MODIS aerosol product over open ocean. Prior validation of the ocean aerosol product has been limited to coastal and island sites. Comparing MODIS Collection 5 ocean aerosol retrieval products with collocated MAN measurements from ships shows that MODIS is meeting the pre-launch uncertainty estimates for aerosol optical depth (AOD) with 64% and 67% of retrievals at 550 nm, and 74% and 78% of retrievals at 870 nm, falling within expected uncertainty for Terra and Aqua, respectively. Angstrom Exponent comparisons show a high correlation between MODIS retrievals and shipboard measurements (R= 0.85 Terra, 0.83 Aqua), although the MODIS aerosol algorithm tends to underestimate particle size for large particles and overestimate size for small particles, as seen in earlier Collections. Prior analysis noted an offset between Terra and Aqua ocean AOD, without concluding which sensor was more accurate. The simple linear regression reported here, is consistent with other anecdotal evidence that Aqua agreement with AERONET is marginally better. However we cannot claim based on the current study that the better Aqua comparison is statistically significant. Systematic increase of error as a function of wind speed is noted in both Terra and Aqua retrievals. This wind speed dependency enters the retrieval when winds deviate from the 6 m/s value assumed in the rough ocean surface and white cap parameterizations. Wind speed dependency in the results can be mitigated by using auxiliary NCEP wind speed information in the retrieval process.

  8. The Performances of MODIS-GPP and -ET Products in China and Their Sensitivity to Input Data (FPAR/LAI

    Directory of Open Access Journals (Sweden)

    Zhengjia Liu

    2014-12-01

    Full Text Available The aims are to validate and assess the performances of MODIS gross primary production (MODIS-GPP and evapotranspiration (MODIS-ET products in China’s different land cover types and their sensitivity to remote sensing input data. In this study, MODIS-GPP and -ET are evaluated using flux derived/measured data from eight sites of ChinaFLUX. Results show that MODIS-GPP generally underestimates GPP (R2 is 0.58, bias is −6.7 gC/m2/8-day and RMSE is 19.4 gC/m2/8-day at all sites and MODIS-ET overestimates ET (R2 is 0.36, bias is 6 mm/8-day and RMSE is 11 mm/8-day when comparing with derived GPP and measured ET, respectively. For evergreen forests, MODIS-GPP gives a poor performance with R2 varying from 0.03 to 0.44; in contrast, MODIS-ET provides more reliable results. In croplands, MODIS-GPP can explain 80% of GPP variance, but it overestimates flux derived GPP in non-growing season and underestimates flux derived GPP in growing season; similar overestimations also presented in MODIS-ET. For grasslands and mixed forests, MODIS-GPP and -ET perform good estimating accuracy. By designing four experimental groups and taking GPP simulation as an example, we suggest that the maximum light use efficiency of croplands should be optimized, and the differences of meteorological data have little impact on GPP estimation, whereas remote sensing leaf area index/fraction of photo-synthetically active radiation (LAI/FPAR can greatly affect GPP/ET estimations for all land cover types. Thus, accurate remote sensing parameters are important for achieving reliable estimations.

  9. MODIS/Aqua Thermal Anomalies/Fire 5-Min L2 Swath 1km V005

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS Thermal Anomalies/Fire products are primarily derived from MODIS 4- and 11-micrometer radiances. The fire detection strategy is based on absolute detection of...

  10. MODIS/Terra Thermal Anomalies/Fire 5-Min L2 Swath 1km V005

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS Thermal Anomalies/Fire products are primarily derived from MODIS 4- and 11-micrometer radiances. The fire detection strategy is based on absolute detection of...

  11. Radar network communication through sensing of frequency hopping

    Science.gov (United States)

    Dowla, Farid; Nekoogar, Faranak

    2013-05-28

    In one embodiment, a radar communication system includes a plurality of radars having a communication range and being capable of operating at a sensing frequency and a reporting frequency, wherein the reporting frequency is different than the sensing frequency, each radar is adapted for operating at the sensing frequency until an event is detected, each radar in the plurality of radars has an identification/location frequency for reporting information different from the sensing frequency, a first radar of the radars which senses the event sends a reporting frequency corresponding to its identification/location frequency when the event is detected, and all other radars in the plurality of radars switch their reporting frequencies to match the reporting frequency of the first radar upon detecting the reporting frequency switch of a radar within the communication range. In another embodiment, a method is presented for communicating information in a radar system.

  12. Sensor management in RADAR/IRST track fusion

    Science.gov (United States)

    Hu, Shi-qiang; Jing, Zhong-liang

    2004-07-01

    In this paper, a novel radar management strategy technique suitable for RADAR/IRST track fusion, which is based on Fisher Information Matrix (FIM) and fuzzy stochastic decision approach, is put forward. Firstly, optimal radar measurements' scheduling is obtained by the method of maximizing determinant of the Fisher information matrix of radar and IRST measurements, which is managed by the expert system. Then, suggested a "pseudo sensor" to predict the possible target position using the polynomial method based on the radar and IRST measurements, using "pseudo sensor" model to estimate the target position even if the radar is turned off. At last, based on the tracking performance and the state of target maneuver, fuzzy stochastic decision is used to adjust the optimal radar scheduling and retrieve the module parameter of "pseudo sensor". The experiment result indicates that the algorithm can not only limit Radar activity effectively but also keep the tracking accuracy of active/passive system well. And this algorithm eliminates the drawback of traditional Radar management methods that the Radar activity is fixed and not easy to control and protect.

  13. ISTEF Laser Radar Program

    National Research Council Canada - National Science Library

    Stryjewski, John

    1998-01-01

    The BMDO Innovative Science and Technology Experimentation Facility (BMDO/ISTEF) laser radar program is engaged in an ongoing program to develop and demonstrate advanced laser radar concepts for Ballistic Missile Defense (BMD...

  14. Radar and electronic navigation

    CERN Document Server

    Sonnenberg, G J

    2013-01-01

    Radar and Electronic Navigation, Sixth Edition discusses radar in marine navigation, underwater navigational aids, direction finding, the Decca navigator system, and the Omega system. The book also describes the Loran system for position fixing, the navy navigation satellite system, and the global positioning system (GPS). It reviews the principles, operation, presentations, specifications, and uses of radar. It also describes GPS, a real time position-fixing system in three dimensions (longitude, latitude, altitude), plus velocity information with Universal Time Coordinated (UTC). It is accur

  15. Assessment of MODIS On-Orbit Calibration Using a Deep Convective Cloud Technique

    Science.gov (United States)

    Mu, Qiaozhen; Wu, Aisheng; Chang, Tiejun; Angal, Amit; Link, Daniel; Xiong, Xiaoxiong; Doelling, David R.; Bhatt, Rajendra

    2016-01-01

    The MODerate Resolution Imaging Spectroradiometer (MODIS) sensors onboard Terra and Aqua satellites are calibrated on-orbit with a solar diffuser (SD) for the reflective solar bands (RSB). The MODIS sensors are operating beyond their designed lifetime and hence present a major challenge to maintain the calibration accuracy. The degradation of the onboard SD is tracked by a solar diffuser stability monitor (SDSM) over a wavelength range from 0.41 to 0.94 micrometers. Therefore, any degradation of the SD beyond 0.94 micrometers cannot be captured by the SDSM. The uncharacterized degradation at wavelengths beyond this limit could adversely affect the Level 1B (L1B) product. To reduce the calibration uncertainties caused by the SD degradation, invariant Earth-scene targets are used to monitor and calibrate the MODIS L1B product. The use of deep convective clouds (DCCs) is one such method and particularly significant for the short-wave infrared (SWIR) bands in assessing their long-term calibration stability. In this study, we use the DCC technique to assess the performance of the Terra and Aqua MODIS Collection-6 L1B for RSB 1 3- 7, and 26, with spectral coverage from 0.47 to 2.13 micrometers. Results show relatively stable trends in Terra and Aqua MODIS reflectance for most bands. Careful attention needs to be paid to Aqua band 1, Terra bands 3 and 26 as their trends are larger than 1% during the study time period. We check the feasibility of using the DCC technique to assess the stability in MODIS bands 17-19. The assessment test on response versus scan angle (RVS) calibration shows substantial trend difference for Aqua band 1between different angles of incidence (AOIs). The DCC technique can be used to improve the RVS calibration in the future.

  16. Weather Radar Impact Zones

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These data represent an inventory of the national impacts of wind turbine interference with NEXRAD radar stations. This inventory was developed by the NOAA Radar...

  17. Remote sensing of aerosols by synergy of caliop and modis

    OpenAIRE

    Kudo Rei; Nishizawa Tomoaki; Higurashi Akiko; Oikawa Eiji

    2018-01-01

    For the monitoring of the global 3-D distribution of aerosol components, we developed the method to retrieve the vertical profiles of water-soluble, light absorbing carbonaceous, dust, and sea salt particles by the synergy of CALIOP and MODIS data. The aerosol product from the synergistic method is expected to be better than the individual products of CALIOP and MODIS. We applied the method to the biomass-burning event in Africa and the dust event in West Asia. The reasonable results were obt...

  18. MODIS/Aqua Raw Radiances in Counts 5-Min L1A Swath V006

    Data.gov (United States)

    National Aeronautics and Space Administration — The MODIS/Aqua Raw Radiances in Counts 5-Min L1A Swath (MYD01) product contains reformatted and packaged raw instrument data. MODIS instrument data, in packetized...

  19. MODY3 in the child with type 2 diabetes mellitus phenotype: case report

    Directory of Open Access Journals (Sweden)

    Tamara Leonidovna Kuraeva

    2013-06-01

    Full Text Available MODY is a heterogeneous group of diseases that stem from certain genetic mutations and are characterized by beta-cell dysfunction, early clinical onset (before the age of 25 and autosomal dominant inheritance. Nowadays many studies address atypical variants of diabetes mellitus (DM and consequential problems in differential diagnosis. Though generally patients with MODY have normal body weight, the ongoing spread of obesity will probably produce comorbid forms and thus alter clinical picture. We present a case of DM in a 13-year-old patient that characterizes development of MODY3 in type 2 DM-like phenotype.

  20. Pocket radar guide key facts, equations, and data

    CERN Document Server

    Curry, G Richard

    2010-01-01

    ThePocket Radar Guideis a concise collection of key radar facts and important radar data that provides you with necessary radar information when you are away from your office or references. It includes statements and comments on radar design, operation, and performance; equations describing the characteristics and performance of radar systems and their components; and tables with data on radar characteristics and key performance issues.It is intended to supplement other radar information sources by providing a pocket companion to refresh memory and provide details whenever you need them such a

  1. Design optimization on structure of blowdown in CPR1000 steam generator

    International Nuclear Information System (INIS)

    Wang Guoxian; Ren Hongbing; Zuo Chaoping; Zhu Yong; Mo Shaojia

    2014-01-01

    The structure of blowdown in CPR1000 steam generator has been optimized by eliminating the blowdown pipe and tube lane blocking, drilling holes in the peripheral tube lane, which can improve the accessibility of the central tube lane and facilitate inspecting and lancing. This paper detailed compares and analyzes the thermal hydraulic characteristic before and after optimization using GENEPI code which a special software for SG thermal hydraulic analysis. The results showed that the thermal hydraulic characteristic of steam generator meets the design requirements compared with the original design. Structure optimization can improve lancing effects, although the change of flow field distribution above the tubesheet leads to increase the number of tube subjected to sludge deposit. The analysis results proved the feasibility of the optimization. (authors)

  2. Inventory of Agricultural Land Area of Egypt Using Modis Data

    International Nuclear Information System (INIS)

    Hereher, M.E.

    2009-01-01

    A new generation of satellite data has been emerged since the launch of the Moderate Resolution Imaging Spectro radiometer (MODIS), in 1999, for monitoring land resources and terrestrial environments. Agricultural land area of Egypt in 2005 was estimated using MODIS data. Four scenes were utilized to extract the total country area. MODIS vegetation Indices product (MOD 13 QI) was the most suitable to extract the total gross cultivated land area of Egypt. An unsupervised classification algorithm was applied to estimate the cultivated land area, which approached 8.2 million feddans in 2005. The Nile Delta contains the majority of agricultural lands (63.2%). The Nile Valley and EI-Fayoum Depression possess 33.9% and the remaining little percent (∼3%) represents the scattered agricultural land along the Suez Canal, Sinai and the Western Desert. The classification accuracy of agricultural land reached 84%, revealing higher confidence of assessment. The present study asserts on the importance of using remote sensing in monitoring agricultural land resources

  3. Synthetic aperture radar capabilities in development

    Energy Technology Data Exchange (ETDEWEB)

    Miller, M. [Lawrence Livermore National Lab., CA (United States)

    1994-11-15

    The Imaging and Detection Program (IDP) within the Laser Program is currently developing an X-band Synthetic Aperture Radar (SAR) to support the Joint US/UK Radar Ocean Imaging Program. The radar system will be mounted in the program`s Airborne Experimental Test-Bed (AETB), where the initial mission is to image ocean surfaces and better understand the physics of low grazing angle backscatter. The Synthetic Aperture Radar presentation will discuss its overall functionality and a brief discussion on the AETB`s capabilities. Vital subsystems including radar, computer, navigation, antenna stabilization, and SAR focusing algorithms will be examined in more detail.

  4. Extended Target Recognition in Cognitive Radar Networks

    Directory of Open Access Journals (Sweden)

    Xiqin Wang

    2010-11-01

    Full Text Available We address the problem of adaptive waveform design for extended target recognition in cognitive radar networks. A closed-loop active target recognition radar system is extended to the case of a centralized cognitive radar network, in which a generalized likelihood ratio (GLR based sequential hypothesis testing (SHT framework is employed. Using Doppler velocities measured by multiple radars, the target aspect angle for each radar is calculated. The joint probability of each target hypothesis is then updated using observations from different radar line of sights (LOS. Based on these probabilities, a minimum correlation algorithm is proposed to adaptively design the transmit waveform for each radar in an amplitude fluctuation situation. Simulation results demonstrate performance improvements due to the cognitive radar network and adaptive waveform design. Our minimum correlation algorithm outperforms the eigen-waveform solution and other non-cognitive waveform design approaches.

  5. Cross-Calibration of the Oceansat-2 Ocean Colour Monitor (OCM) with Terra and Aqua MODIS

    Science.gov (United States)

    Angal, Amit; Brinkmann, Jake; Kumar, A. Senthil; Xiong, Xiaoxiong

    2016-01-01

    The Ocean Colour Monitor (OCM) sensor on-board the Oceansat-2 spacecraft has been operational since its launch in September, 2009. The Oceansat 2 OCM primary design goal is to provide continuity to Oceansat-1 OCM to obtain information regarding various ocean-colour variables. OCM acquires Earth scene measurements in eight multi-spectral bands in the range from 402 to 885 nm. The MODIS sensor on the Terra and Aqua spacecraft has been successfully operating for over a decade collecting measurements of the earth's land, ocean surface and atmosphere. The MODIS spectral bands, designed for land and ocean applications, cover the spectral range from 412 to 869 nm. This study focuses on comparing the radiometric calibration stability of OCM using near-simultaneous TOA measurements with Terra and Aqua MODIS acquired over the Libya 4 target. Same-day scene-pairs from all three sensors (OCM, Terra and Aqua MODIS) between August, 2014 and September, 2015 were chosen for this analysis. On a given day, the OCM overpass is approximately an hour after the Terra overpass and an hour before the Aqua overpass. Due to the orbital differences between Terra and Aqua, MODIS images the Libya 4 site at different scan-angles on a given day. Some of the high-gain ocean bands for MODIS tend to saturate while viewing the bright Libya 4 target, but bands 8-10 (412 nm - 486 nm) provide an unsaturated response and are used for comparison with the spectrally similar OCM bands. All the standard corrections such as bidirectional reflectance factor (BRDF), relative spectral response mismatch, and impact for atmospheric water-vapor are applied to obtain the reflectance differences between OCM and the two MODIS instruments. Furthermore, OCM is used as a transfer radiometer to obtain the calibration differences between Terra and Aqua MODIS reflective solar bands.

  6. Arabidopsis CPR5 is a senescence-regulatory gene with pleiotropic functions as predicted by the evolutionary theory of senescence

    NARCIS (Netherlands)

    Jing, Hai-Chun; Anderson, Lisa; Sturre, Marcel J. G.; Hille, Jacques; Dijkwel, Paul P.

    2007-01-01

    Arabidopsis CPR5 is a senescence-regulatory gene with pleiotropic functions as predicted by the evolutionary theory of senescence Hai-Chun Jing1,2, Lisa Anderson3, Marcel J.G. Sturre1, Jacques Hille1 and Paul P. Dijkwel1,* 1Molecular Biology of Plants, Groningen Biomolecular Sciences and

  7. Detection of Weather Radar Clutter

    DEFF Research Database (Denmark)

    Bøvith, Thomas

    2008-01-01

    classification and use a range of different techniques and input data. The first method uses external information from multispectral satellite images to detect clutter. The information in the visual, near-infrared, and infrared parts of the spectrum can be used to distinguish between cloud and cloud-free areas......Weather radars provide valuable information on precipitation in the atmosphere but due to the way radars work, not only precipitation is observed by the weather radar. Weather radar clutter, echoes from non-precipitating targets, occur frequently in the data, resulting in lowered data quality....... Especially in the application of weather radar data in quantitative precipitation estimation and forecasting a high data quality is important. Clutter detection is one of the key components in achieving this goal. This thesis presents three methods for detection of clutter. The methods use supervised...

  8. Penn State Radar Systems: Implementation and Observations

    Science.gov (United States)

    Urbina, J. V.; Seal, R.; Sorbello, R.; Kuyeng, K.; Dyrud, L. P.

    2014-12-01

    Software Defined Radio/Radar (SDR) platforms have become increasingly popular as researchers, hobbyists, and military seek more efficient and cost-effective means for radar construction and operation. SDR platforms, by definition, utilize a software-based interface for configuration in contrast to traditional, hard-wired platforms. In an effort to provide new and improved radar sensing capabilities, Penn State has been developing advanced instruments and technologies for future radars, with primary objectives of making such instruments more capable, portable, and more cost effective. This paper will describe the design and implementation of two low-cost radar systems and their deployment in ionospheric research at both low and mid-latitudes. One radar has been installed near Penn State campus, University Park, Pennsylvania (77.97°W, 40.70°N), to make continuous meteor observations and mid-latitude plasma irregularities. The second radar is being installed in Huancayo (12.05°S, -75.33°E), Peru, which is capable of detecting E and F region plasma irregularities as well as meteor reflections. In this paper, we examine and compare the diurnal and seasonal variability of specular, non- specular, and head-echoes collected with these two new radar systems and discuss sampling biases of each meteor observation technique. We report our current efforts to validate and calibrate these radar systems with other VHF radars such as Jicamarca and SOUSY. We also present the general characteristics of continuous measurements of E-region and F-region coherent echoes using these modern radar systems and compare them with coherent radar events observed at other geographic mid-latitude radar stations.

  9. Multilayer Cloud Detection with the MODIS Near-Infrared Water Vapor Absorption Band

    Science.gov (United States)

    Wind, Galina; Platnick, Steven; King, Michael D.; Hubanks, Paul A,; Pavolonis, Michael J.; Heidinger, Andrew K.; Yang, Ping; Baum, Bryan A.

    2009-01-01

    Data Collection 5 processing for the Moderate Resolution Imaging Spectroradiometer (MODIS) onboard the NASA Earth Observing System EOS Terra and Aqua spacecraft includes an algorithm for detecting multilayered clouds in daytime. The main objective of this algorithm is to detect multilayered cloud scenes, specifically optically thin ice cloud overlying a lower-level water cloud, that presents difficulties for retrieving cloud effective radius using single layer plane-parallel cloud models. The algorithm uses the MODIS 0.94 micron water vapor band along with CO2 bands to obtain two above-cloud precipitable water retrievals, the difference of which, in conjunction with additional tests, provides a map of where multilayered clouds might potentially exist. The presence of a multilayered cloud results in a large difference in retrievals of above-cloud properties between the CO2 and the 0.94 micron methods. In this paper the MODIS multilayered cloud algorithm is described, results of using the algorithm over example scenes are shown, and global statistics for multilayered clouds as observed by MODIS are discussed. A theoretical study of the algorithm behavior for simulated multilayered clouds is also given. Results are compared to two other comparable passive imager methods. A set of standard cloudy atmospheric profiles developed during the course of this investigation is also presented. The results lead to the conclusion that the MODIS multilayer cloud detection algorithm has some skill in identifying multilayered clouds with different thermodynamic phases

  10. SMAP RADAR Calibration and Validation

    Science.gov (United States)

    West, R. D.; Jaruwatanadilok, S.; Chaubel, M. J.; Spencer, M.; Chan, S. F.; Chen, C. W.; Fore, A.

    2015-12-01

    The Soil Moisture Active Passive (SMAP) mission launched on Jan 31, 2015. The mission employs L-band radar and radiometer measurements to estimate soil moisture with 4% volumetric accuracy at a resolution of 10 km, and freeze-thaw state at a resolution of 1-3 km. Immediately following launch, there was a three month instrument checkout period, followed by six months of level 1 (L1) calibration and validation. In this presentation, we will discuss the calibration and validation activities and results for the L1 radar data. Early SMAP radar data were used to check commanded timing parameters, and to work out issues in the low- and high-resolution radar processors. From April 3-13 the radar collected receive only mode data to conduct a survey of RFI sources. Analysis of the RFI environment led to a preferred operating frequency. The RFI survey data were also used to validate noise subtraction and scaling operations in the radar processors. Normal radar operations resumed on April 13. All radar data were examined closely for image quality and calibration issues which led to improvements in the radar data products for the beta release at the end of July. Radar data were used to determine and correct for small biases in the reported spacecraft attitude. Geo-location was validated against coastline positions and the known positions of corner reflectors. Residual errors at the time of the beta release are about 350 m. Intra-swath biases in the high-resolution backscatter images are reduced to less than 0.3 dB for all polarizations. Radiometric cross-calibration with Aquarius was performed using areas of the Amazon rain forest. Cross-calibration was also examined using ocean data from the low-resolution processor and comparing with the Aquarius wind model function. Using all a-priori calibration constants provided good results with co-polarized measurements matching to better than 1 dB, and cross-polarized measurements matching to about 1 dB in the beta release. During the

  11. The performance of DC restoration function for MODIS thermal emissive bands

    Science.gov (United States)

    Wang, Zhipeng; Xiong, Xiaoxiong Jack; Shrestha, Ashish

    2017-09-01

    The DC restore (DCR) process of MODIS instrument maintains the output of a detector at focal plane assembly (FPA) within the dynamic range of subsequent analog-to-digital converter, by adding a specific offset voltage to the output. The DCR offset value is adjusted per scan, based on the comparison of the detector response in digital number (DN) collected from the blackbody (BB) view with target DN saved as an on-board look-up table. In this work, the MODIS DCR mechanism is revisited, with the trends of DCR offset being provided for thermal emissive bands (TEB). Noticeable changes have been occasionally found which coincide with significant detector gain change due to various instrumental events such as safe-mode anomaly or FPA temperature fluctuation. In general, MODIS DCR functionality has been effective and the change of DCR offset has no impact to the quality of MODIS data. One exception is the Earth view (EV) data saturation of Aqua MODIS LWIR bands 33, 35 ad 36 during BB warm-up cool-down (WUCD) cycle which has been observed since 2008. The BB view of their detectors saturate when the BB temperature is above certain threshold so the DCR cannot work as designed. Therefore, the dark signal DN fluctuates with the cold FPA (CFPA) temperature and saturate for a few hours per WUCD cycle, which also saturate the EV data sector within the scan. The CFPA temperature fluctuation peaked in 2012 and has been reduced in recent years and the saturation phenomenon has been easing accordingly. This study demonstrates the importance of DCR to data generation.

  12. Phenotype Heterogeneity in Glucokinase-Maturity-Onset Diabetes of the Young (GCK-MODY) Patients.

    Science.gov (United States)

    Wędrychowicz, Anna; Tobór, Ewa; Wilk, Magdalena; Ziółkowska-Ledwith, Ewa; Rams, Anna; Wzorek, Katarzyna; Sabal, Barbara; Stelmach, Małgorzata; Starzyk, Jerzy B

    2017-09-01

    The aim of the study was to evaluate the clinical phenotypes of glucokinase-maturity-onset diabetes of the young (GCK-MODY) pediatric patients from Southwest Poland and to search for phenotype-genotype correlations. We conducted a retrospective analysis of data on 37 CGK-MODY patients consisting of 21 girls and 16 boys of ages 1.9-20.1 (mean 12.5±5.2) years, treated in our centre in the time period between 2002 and 2013. GCK-MODY carriers were found in a frequency of 3% among 1043 diabetes mellitus (DM) patients and constituted the second most numerous group of DM patients, following type 1 DM, in our centre. The mean age of GCK-MODY diagnosis was 10.4±4.5 years. The findings leading to the diagnosis were impaired fasting glucose (IFG) (15/37), symptoms of hyperglycemia (4/37), and a GCK-MODY family history (18/37). Mean fasting blood glucose level was 6.67±1.64 mmol/L. In the sample, there were patients with normal values (4/37), those with DM (10/37), and IFG (23/37). In OGTT, 120 min glucose level was normal in 8, diabetic in 2, and characteristic for glucose intolerance in 27 of the 37 cases. Twelve of the 37 cases (32%) were identified as GCK-MODY carriers. In the total group, mean C-peptide level was 2.13±0.65 ng/mL and HbA1c was 6.26±0.45% (44.9±-18 mmol/mol). Thirty-two patients had a family history of DM. DM autoantibodies were detected in two patients. The most common mutations were p.Gly318Arg (11/37) and p.Val302Leu (8/37). There was no correlation between type of mutations and plasma glucose levels. The phenotype of GCK-MODY patients may vary from those characteristic for other DM types to an asymptomatic state with normal FG with no correlation with genotype.

  13. Developing MODIS-based cloud climatologies to aid species distribution modeling and conservation activities

    Directory of Open Access Journals (Sweden)

    Michael William Douglas

    2016-10-01

    Full Text Available WorldClim (Hijmans et al. 2005 has been the de-facto source of basic climatological analyses for most species distribution modeling research and conservation science applications because of its global coverage and fine (<1 km spatial resolution.  However, it has been recognized since its development that there are limitations in data-poor regions, especially with regard to the precipitation analyses.  Here we describe procedures to develop a satellite-based daytime cloudiness climatology that better reflects the variations in vegetation cover in many regions of the globe than do the WorldClim precipitation products.  Moderate Resolution Imaging Spectroradiometer (MODIS imagery from the National Aeronautics and Space Administration (NASA Terra and Aqua sun-synchronous satellites have recently been used to develop multi-year climatologies of cloudiness.  Several procedures exist for developing such climatologies.  We first discuss a simple procedure that uses brightness thresholds to identify clouds.  We compare these results with those from a more complex procedure: the MODIS Cloud Mask product, recently averaged into climatological products by Wilson and Jetz (2016.  We discuss advantages and limitations of both approaches.  We also speculate on further work that will be needed to improve the usefulness of these MODIS-based climatologies of cloudiness. Despite limitations of current MODIS-based climatology products, they have the potential to greatly improve our understanding of the distribution of biota across the globe.  We show examples from oceanic islands and arid coastlines in the subtropics and tropics where the MODIS products should be of special value in predicting the observed vegetation cover.  Some important applications of reliable climatologies based on MODIS imagery products will include 1 helping to restore long-degraded cloud-impacted environments; 2 improving estimations of the spatial distribution of cloud

  14. Dual-Polarimetric Radar-Based Tornado Debris Paths Associated with EF-4 and EF-5 Tornadoes over Northern Alabama During the Historic Outbreak of 27 April 2011

    Science.gov (United States)

    Carey, Lawrence D.; Schultz, Chrstopher J.; Schultz, Elise V.; Petersen, Walter A.; Gatlin, Patrick N.; Knupp, Kevin R.; Molthan, Andrew L.; Jedlovec, Gary J.; Darden, Christopher B.

    2012-01-01

    An historic tornado and severe weather outbreak devastated much of the southeastern United States between 25 and 28 April 2011. On 27 April 2011, northern Alabama was particularly hard hit by a large number of tornadoes, including several that reached EF-4 and EF-5 on the Enhanced Fujita damage scale. In northern Alabama alone, there were approximately 100 fatalities and hundreds of more people who were injured or lost their homes during the havoc caused by these violent tornadic storms. Two long-track and violent (EF-4 and EF-5) tornadoes occurred within range of the University of Alabama in Huntsville (UAHuntsville) Advanced Radar for Meteorological and Operational Research (ARMOR, C-band dual-polarimetric). A unique capability of dual-polarimetric radar is the near-real time identification of lofted debris associated with ongoing tornadoes on the ground. The focus of this paper is to analyze the dual-polarimetric radar-inferred tornado debris signatures and identify the associated debris paths of the long-track EF-4 and EF-5 tornadoes near ARMOR. The relative locations of the debris and damage paths for each tornado will be ascertained by careful comparison of the ARMOR analysis with NASA MODIS (Moderate Resolution Imaging Spectroradiometer) and ASTER (Advanced Spaceborne Thermal Emission and Reflection Radiometer) satellite imagery of the tornado damage scenes and the National Weather Service tornado damage surveys. With the ongoing upgrade of the WSR-88D (Weather Surveillance Radar 1988 Doppler) operational network to dual-polarimetry and a similar process having already taken place or ongoing for many private sector radars, dual-polarimetric radar signatures of tornado debris promise the potential to assist in the situational awareness of government and private sector forecasters and emergency managers during tornadic events. As such, a companion abstract (Schultz et al.) also submitted to this conference explores The use of dual-polarimetric tornadic debris

  15. Solid-state radar switchboard

    Science.gov (United States)

    Thiebaud, P.; Cross, D. C.

    1980-07-01

    A new solid-state radar switchboard equipped with 16 input ports which will output data to 16 displays is presented. Each of the ports will handle a single two-dimensional radar input, or three ports will accommodate a three-dimensional radar input. A video switch card of the switchboard is used to switch all signals, with the exception of the IFF-mode-control lines. Each card accepts inputs from up to 16 sources and can pass a signal with bandwidth greater than 20 MHz to the display assigned to that card. The synchro amplifier of current systems has been eliminated and in the new design each PPI receives radar data via a single coaxial cable. This significant reduction in cabling is achieved by adding a serial-to-parallel interface and a digital-to-synchro converter located at the PPI.

  16. The Use of MODIS NDVI Data for Characterizing Cropland Across the Great Lakes Basin

    Science.gov (United States)

    The Moderate Resolution Imaging Spectroradiometer (MODIS) provides new opportunities for characterizing land-cover (LC) to support monitoring and assessment studies at watershed, regional and global scales. This research evaluated the potential for using the MODIS Normalized Diff...

  17. HNF1 alpha gene coding regions mutations screening, in a Caucasian population clinically characterized as MODY from Argentina.

    Science.gov (United States)

    Lopez, Ariel Pablo; Foscaldi, Sabrina Andrea; Perez, Maria Silvia; Rodriguez, Martín; Traversa, Mercedes; Puchulu, Félix Miguel; Bergada, Ignacio; Frechtel, Gustavo Daniel

    2011-02-01

    There are at least six subtypes of Maturity Onset Diabetes of the Young (MODY) with distinctive genetic causes. MODY 3 is caused by mutations in HNF1A gene, an insulin transcription factor, so mutations in this gene are associated with impaired insulin secretion. MODY 3 prevalence differs according to the population analyzed, but it is one of the most frequent subtypes. Therefore, our aims in this work were to find mutations present in the HNF1A gene and provide information on their prevalence. Mutations screening was done in a group of 80 unrelated patients (average age 17.1 years) selected by clinical characterization of MODY, by SSCP electrophoresis followed by sequenciation. We found eight mutations, of which six were novel and four sequence variants, which were all novel. Therefore the prevalence of MODY 3 in this group was 10%. Compared clinical data between the non-MODY 3 patients and the MODY 3 diagnosed patients did not show any significant difference. Eight patients were diagnosed as MODY 3 and new data about the prevalence of that subtype is provided. Our results contribute to reveal novel mutations, providing new data about the prevalence of that subtype. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  18. Strain measurement in and analysis for hydraulic test of CPR1000 reactor pressure vessel

    International Nuclear Information System (INIS)

    Zhou Dan; Zhuang Dongzhen

    2013-01-01

    The strain measurement in hydraulic test of CPR1000 reactor pressure vessel performed in Dongfang Heavy Machinery Co., Ltd. is introduced. The detail test scheme and method was introduced and the measurement results of strain and stress was given. Meanwhile the finite element analysis was performed for the pressure vessel, which was generally matched with the measurement results. The reliability of strain measurement was verified and the high strength margin of vessel was shown, which would give a good reference value for the follow-up hydraulic tests and strength analysis of reactor pressure vessel. (authors)

  19. Land cover mapping of Greater Mesoamerica using MODIS data

    Science.gov (United States)

    Giri, Chandra; Jenkins, Clinton N.

    2005-01-01

    A new land cover database of Greater Mesoamerica has been prepared using moderate resolution imaging spectroradiometer (MODIS, 500 m resolution) satellite data. Daily surface reflectance MODIS data and a suite of ancillary data were used in preparing the database by employing a decision tree classification approach. The new land cover data are an improvement over traditional advanced very high resolution radiometer (AVHRR) based land cover data in terms of both spatial and thematic details. The dominant land cover type in Greater Mesoamerica is forest (39%), followed by shrubland (30%) and cropland (22%). Country analysis shows forest as the dominant land cover type in Belize (62%), Cost Rica (52%), Guatemala (53%), Honduras (56%), Nicaragua (53%), and Panama (48%), cropland as the dominant land cover type in El Salvador (60.5%), and shrubland as the dominant land cover type in Mexico (37%). A three-step approach was used to assess the quality of the classified land cover data: (i) qualitative assessment provided good insight in identifying and correcting gross errors; (ii) correlation analysis of MODIS- and Landsat-derived land cover data revealed strong positive association for forest (r2 = 0.88), shrubland (r2 = 0.75), and cropland (r2 = 0.97) but weak positive association for grassland (r2 = 0.26); and (iii) an error matrix generated using unseen training data provided an overall accuracy of 77.3% with a Kappa coefficient of 0.73608. Overall, MODIS 500 m data and the methodology used were found to be quite useful for broad-scale land cover mapping of Greater Mesoamerica.

  20. The use of radar for bathymetry assessment

    NARCIS (Netherlands)

    Aardoom, J.H.; Greidanus, H.S.F.

    1998-01-01

    The bottom topography in shallow seas can be observed by air- and spaceborne imaging radar. Bathymetric information derived from radar data is limited in accuracy, but radar has a good spatial coverage. The accuracy can be increased by assimilating the radar imagery into existing or insitu gathered

  1. AfSIS MODIS Collection: Vegetation Indices, April 2014

    Data.gov (United States)

    Center for International Earth Science Information Network, Columbia University — The Africa Soil Information Service (AfSIS) Moderate Resolution Imaging Spectroradiometer (MODIS) Collection's Vegetation Indices data set contains rasters with the...

  2. A decade of molecular genetic testing for MODY: a retrospective study of utilization in The Netherlands.

    Science.gov (United States)

    Weinreich, Stephanie S; Bosma, Astrid; Henneman, Lidewij; Rigter, Tessel; Spruijt, Carla M J; Grimbergen, Anneliese J E M A; Breuning, Martijn H; de Koning, Eelco J P; Losekoot, Monique; Cornel, Martina C

    2015-01-01

    Genetic testing for maturity-onset diabetes of the young (MODY) may be relevant for treatment and prognosis in patients with usually early-onset, non-ketotic, insulin-sensitive diabetes and for monitoring strategies in non-diabetic mutation carriers. This study describes the first 10 years of genetic testing for MODY in The Netherlands in terms of volume and test positive rate, medical setting, purpose of the test and age of patients tested. Some analyses focus on the most prevalent subtype, HNF1A MODY. Data were retrospectively extracted from a laboratory database. In total, 502 individuals were identified with a pathogenic mutation in HNF4A, GCK or HNF1A between 2001 and 2010. Although mutation scanning for MODY was used at an increasing rate, cascade testing was only used for one relative, on average, per positive index patient. Testing for HNF1A MODY was mostly requested by internists and paediatricians, often from regional hospitals. Primary care physicians and clinical geneticists rarely requested genetic testing for HNF1A MODY. Clinical geneticists requested cascade testing relatively more often than other health professionals. A substantial proportion (currently 29%) of HNF1A MODY probands was at least 40 years old at the time of testing. In conclusion, the number of individuals genetically tested for MODY so far in The Netherlands is low compared with previously predicted numbers of patients. Doctors' valuation of the test and patients' and family members' response to (an offer of) genetic testing on the other hand need to be investigated. Efforts may be needed to develop and implement translational guidelines.

  3. Bistatic radar

    CERN Document Server

    Willis, Nick

    2004-01-01

    Annotation his book is a major extension of a chapter on bistatic radar written by the author for the Radar Handbook, 2nd edition, edited by Merrill Skolnik. It provides a history of bistatic systems that points out to potential designers the applications that have worked and the dead-ends not worth pursuing. The text reviews the basic concepts and definitions, and explains the mathematical development of relationships, such as geometry, Ovals of Cassini, dynamic range, isorange and isodoppler contours, target doppler, and clutter doppler spread.Key Features * All development and analysis are

  4. The MODIS Vegetation Canopy Water Content product

    Science.gov (United States)

    Ustin, S. L.; Riano, D.; Trombetti, M.

    2008-12-01

    Vegetation water stress drives wildfire behavior and risk, having important implications for biogeochemical cycling in natural ecosystems, agriculture, and forestry. Water stress limits plant transpiration and carbon gain. The regulation of photosynthesis creates close linkages between the carbon, water, and energy cycles and through metabolism to the nitrogen cycle. We generated systematic weekly CWC estimated for the USA from 2000-2006. MODIS measures the sunlit reflectance of the vegetation in the visible, near-infrared, and shortwave infrared. Radiative transfer models, such as PROSPECT-SAILH, determine how sunlight interacts with plant and soil materials. These models can be applied over a range of scales and ecosystem types. Artificial Neural Networks (ANN) were used to optimize the inversion of these models to determine vegetation water content. We carried out multi-scale validation of the product using field data, airborne and satellite cross-calibration. An Algorithm Theoretical Basis Document (ATBD) of the product is under evaluation by NASA. The CWC product inputs are 1) The MODIS Terra/Aqua surface reflectance product (MOD09A1/MYD09A1) 2) The MODIS land cover map product (MOD12Q1) reclassified to grassland, shrub-land and forest canopies; 3) An ANN trained with PROSPECT-SAILH; 4) A calibration file for each land cover type. The output is an ENVI file with the CWC values. The code is written in Matlab environment and is being adapted to read not only the 8 day MODIS composites, but also daily surface reflectance data. We plan to incorporate the cloud and snow mask and generate as output a geotiff file. Vegetation water content estimates will help predicting linkages between biogeochemical cycles, which will enable further understanding of feedbacks to atmospheric concentrations of greenhouse gases. It will also serve to estimate primary productivity of the biosphere; monitor/assess natural vegetation health related to drought, pollution or diseases

  5. Assessment of MODIS sun-sensor geometry variations effect on observed NDVI using MSG SEVIRI geostationary data

    DEFF Research Database (Denmark)

    Fensholt, R.; Sandholt, I.; Proud, Simon Richard

    2010-01-01

    The quality of Earth observation (EO) based vegetation monitoring has improved during recent years, which can be attributed to the enhanced sensor design of new satellites such as MODIS (Moderate Resolution Imaging Spectroradiometer) on Terra and Aqua. It is however expected that sun-sensor geome......The quality of Earth observation (EO) based vegetation monitoring has improved during recent years, which can be attributed to the enhanced sensor design of new satellites such as MODIS (Moderate Resolution Imaging Spectroradiometer) on Terra and Aqua. It is however expected that sun......-sensor geometry variations will have a more visible impact on the Normalized Difference Vegetation Index (NDVI) from MODIS compared to earlier data sources, since noise related to atmosphere and sensor calibration is substantially reduced in the MODIS data stream. For this reason, the effect of varying MODIS......, including a red and NIR band, and the high temporal resolution (15 min) of data, enabling MSG data to be used as a reference for estimating MODIS surface reflectance and NDVI variations caused by varying sun-sensor geometry. The study was performed on data covering West Africa for periods of lowest possible...

  6. How Often and Why MODIS Cloud Property Retrievals Fail for Liquid-Phase Clouds over Ocean? a Comprehensive Analysis Based on a-Train Observations

    Science.gov (United States)

    Zhang, Z.; Cho, H. M.; Platnick, S. E.; Meyer, K.; Lebsock, M. D.

    2014-12-01

    The cloud optical thickness (τ) and droplet effective radius (re) are two key cloud parameters retrieved by MODIS (Moderate Resolution Imaging Spectroradiometer). These MODIS cloud products are widely used in a broad range of earth system science applications. In this paper, we present a comprehensive analysis of the failed cloud τ and/or re retrievals for liquid-phase clouds over ocean in the Collection 6 MODIS cloud product. The main findings from this study are summarized as follows: MODIS retrieval failure rates for marine boundary layer (MBL) clouds have a strong dependence on the spectral combination used for retrieval (e.g., 0.86 + 2.1 µm vs. 0.8 + 3.7 µm) and the cloud morphology (i.e., "good" pixels vs. partly cloudy (PCL) pixels). Combining all clear-sky-restoral (CSR) categories (CSR=0,1 and 3), the 0.86 + 2.1 µm and 0.86 + 3.7 µm spectral combinations have an overall failure rate of about 20% and 12%, respectively (See figure below). The PCL pixels (CSR=1 & 3) have significantly higher failure rates and contribute more to the total failure population than the "good" (CSR=0) pixels. The majority of the failed retrievals are caused by the re too large failure, which explains about 85% and 70% of the failed 0.86 + 2.1 µm and 0.86 + 3.7 µm retrievals, respectively. The remaining failures are either due to the re too small failure or τ retrieval failure. The geographical distribution of failure rates has a significant dependence on cloud regime, lower over the coastal stratocumulus cloud regime and higher over the broken trade-wind cumulus cloud regime over open oceans. Enhanced retrieval failure rates are found when MBL clouds have high sub-pixel inhomogeneity , or are located at special Sun-satellite viewing geometries, such as sunglint, large viewing or solar zenith angle, or cloudbow and glory angles, or subject to cloud masking, cloud overlapping and/or cloud phase retrieval issues. About 80% of the failure retrievals can be attributed to at

  7. Radar spectrum opportunities for cognitive communications transmission

    OpenAIRE

    Wang, L; McGeehan, JP; Williams, C; Doufexi, A

    2008-01-01

    In relation to opportunistic access to radar spectrum, the impact of the radar on a communication system is investigated in this paper. This paper illustrates that by exploring the spatial and temporal opportunities in the radar spectrum and therefore improving the tolerance level to radar interference, a substantial increase on the throughput of a communication system is possible. Results are presented regarding the impact of swept radars on a WiMAX system. The results show the impact of SIR...

  8. MODIS/Aqua Thermal Anomalies/Fire Daily L3 Global 1km SIN Grid V005

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS Thermal Anomalies/Fire products are primarily derived from MODIS 4- and 11-micrometer radiances. The fire detection strategy is based on absolute detection of...

  9. MODIS/Aqua Coarse Thermal Anomalies/Fire 5-Min L2 Swath 5km V005

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS Thermal Anomalies/Fire products are primarily derived from MODIS 4- and 11-micrometer radiances. The fire detection strategy is based on absolute detection of...

  10. MODIS/Terra Coarse Thermal Anomalies/Fire 5-Min L2 Swath 5km V005

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS Thermal Anomalies/Fire products are primarily derived from MODIS 4- and 11-micrometer radiances. The fire detection strategy is based on absolute detection of...

  11. MODIS/Terra Thermal Anomalies/Fire Daily L3 Global 1km SIN Grid V005

    Data.gov (United States)

    National Aeronautics and Space Administration — MODIS Thermal Anomalies/Fire products are primarily derived from MODIS 4- and 11-micrometer radiances. The fire detection strategy is based on absolute detection of...

  12. Successful maintenance on sulphonylurea therapy and low diabetes complication rates in a HNF1A-MODY cohort.

    Science.gov (United States)

    Bacon, S; Kyithar, M P; Rizvi, S R; Donnelly, E; McCarthy, A; Burke, M; Colclough, K; Ellard, S; Byrne, M M

    2016-07-01

    HNF1A gene mutations are the most common cause of maturity-onset diabetes of the young (MODY) in the UK. Persons with HNF1A-MODY display sensitivity to sulphonylurea therapy; however, the long-term efficacy is not established. There is limited literature as to the prevalence of micro- and macrovascular complications in this unique cohort. The aim of this study was to determine the natural progression and clinical management of HNF1A-MODY diabetes in a dedicated MODY clinic. Sixty patients with HNF1A-MODY and a cohort of 60 BMI-, age-, ethnicity- and diabetes duration-matched patients with Type 1 diabetes mellitus participated in the study. All patients were phenotyped in detail. Clinical follow-up of the HNF1A-MODY cohort occurred on a bi-annual basis. Following a genetic diagnosis of MODY, the majority of the cohort treated with sulphonylurea therapy remained insulin independent at 84-month follow-up (80%). The HbA1c in the HNF1A-MODY group treated with sulphonylurea therapy alone improved significantly over the study period [from 49 (44-63) mmol/mol, 6.6 (6.2-7.9)% to 41 (31-50) mmol/mol, 5.9 (5-6.7)%; P = 0.003]. The rate of retinopathy was significantly lower than that noted in the Type 1 diabetes mellitus group (13.6 vs. 50%; P = 0.0001).There was also a lower rate of microalbuminuria and cardiovascular disease in the HNF1A-MODY group compared with the Type 1 diabetes mellitus group. This study demonstrates that the majority of patients with HNF1A-MODY can be maintained successfully on sulphonylurea therapy with good glycaemic control. We note a significantly lower rate of micro- and macrovascular complications than reported previously. The use of appropriate therapy at early stages of the disorder may decrease the incidence of complications. © 2015 Diabetes UK.

  13. MODIS NDVI Response Following Fires in Siberia

    Science.gov (United States)

    Ranson, K. Jon; Sun, G.; Kovacs, K.; Kharuk, V. I.

    2003-01-01

    The Siberian boreal forest is considered a carbon sink but may become an important source of carbon dioxide if climatic warming predictions are correct. The forest is continually changing through various disturbance mechanisms such as insects, logging, mineral exploitation, and especially fires. Patterns of disturbance and forest recovery processes are important factors regulating carbon flux in this area. NASA's Terra MODIS provides useful information for assessing location of fires and post fire changes in forests. MODIS fire (MOD14), and NDVI (MOD13) products were used to examine fire occurrence and post fire variability in vegetation cover as indicated by NDVI. Results were interpreted for various post fire outcomes, such as decreased NDVI after fire, no change in NDVI after fire and positive NDVI change after fire. The fire frequency data were also evaluated in terms of proximity to population centers, and transportation networks.

  14. Land surface temperature retrieval from MODIS and VIRR data in northwest China

    International Nuclear Information System (INIS)

    Wang, L J; Zuo, H C; Ren, P C; Qiang, B

    2014-01-01

    By using the Gulang Heterogeneous Underlying Surface Layer Experiment (GHUSLE) data, the accuracy of land surface temperature (LST) in Northwest China retrieved by the Moderate-Resolution Imaging Spectroradiometer(MODIS) and Visible and InfraRed Radiometer(VIRR) data is verified. Furthermore, a new LST algorithm for heterogeneous underlying surface is developed and the LST retrieved by the two remote sensing data using three algorithms are compared with the observed data. Results suggest that the new algorithm is the best one in the case of heterogeneous underlying surface, Kerr algorithm accuracy is not satisfying and Becker algorithm is ranked just ahead Kerr algorithm. Especially, the differences in retrieval accuracy among them are more obvious when using the VIRR data. Compared with the observed LST, the root mean square errors of the LST retrieved by MODIS and VIRR data are the least when using the new algorithm, the specific values are 2.55 K and 3.78 K, respectively. The LST retrieved by MODIS data are closer to observed values and higher than its counterpart retrieved by VIRR data. When the new LST retrieval algorithm used, the LST retrieved by MODIS and VIRR data are the closest

  15. Downscaling of MODIS One Kilometer Evapotranspiration Using Landsat-8 Data and Machine Learning Approaches

    Directory of Open Access Journals (Sweden)

    Yinghai Ke

    2016-03-01

    Full Text Available This study presented a MODIS 8-day 1 km evapotranspiration (ET downscaling method based on Landsat 8 data (30 m and machine learning approaches. Eleven indicators including albedo, land surface temperature (LST, and vegetation indices (VIs derived from Landsat 8 data were first upscaled to 1 km resolution. Machine learning algorithms including Support Vector Regression (SVR, Cubist, and Random Forest (RF were used to model the relationship between the Landsat indicators and MODIS 8-day 1 km ET. The models were then used to predict 30 m ET based on Landsat 8 indicators. A total of thirty-two pairs of Landsat 8 images/MODIS ET data were evaluated at four study sites including two in United States and two in South Korea. Among the three models, RF produced the lowest error, with relative Root Mean Square Error (rRMSE less than 20%. Vegetation greenness related indicators such as Normalized Difference Vegetation Index (NDVI, Enhanced Vegetation Index (EVI, Soil Adjusted Vegetation Index (SAVI, and vegetation moisture related indicators such as Normalized Difference Infrared Index—Landsat 8 OLI band 7 (NDIIb7 and Normalized Difference Water Index (NDWI were the five most important features used in RF model. Temperature-based indicators were less important than vegetation greenness and moisture-related indicators because LST could have considerable variation during each 8-day period. The predicted Landsat downscaled ET had good overall agreement with MODIS ET (average rRMSE = 22% and showed a similar temporal trend as MODIS ET. Compared to the MODIS ET product, the downscaled product demonstrated more spatial details, and had better agreement with in situ ET observations (R2 = 0.56. However, we found that the accuracy of MODIS ET was the main control factor of the accuracy of the downscaled product. Improved coarse-resolution ET estimation would result in better finer-resolution estimation. This study proved the potential of using machine learning

  16. Typhoon 9707 observations with the MU radar and L-band boundary layer radar

    Directory of Open Access Journals (Sweden)

    M. Teshiba

    2001-08-01

    Full Text Available Typhoon 9707 (Opal was observed with the VHF-band Middle and Upper atmosphere (MU radar, an L-band boundary layer radar (BLR, and a vertical-pointing C-band meteorological radar at the Shigaraki MU Observatory in Shiga prefecture, Japan on 20 June 1997. The typhoon center passed about 80 km southeast from the radar site. Mesoscale precipitating clouds developed due to warm-moist airmass transport from the typhoon, and passed over the MU radar site with easterly or southeasterly winds. We primarily present the wind behaviour including the vertical component which a conventional meteorological Doppler radar cannot directly observe, and discuss the relationship between the wind behaviour of the typhoon and the precipitating system. To investigate the dynamic structure of the typhoon, the observed wind was divided into radial and tangential wind components under the assumption that the typhoon had an axi-symmetric structure. Altitude range of outflow ascended from 1–3 km to 2–10 km with increasing distance (within 80–260 km range from the typhoon center, and in-flow was observed above and below the outflow. Outflow and inflow were associated with updraft and downdraft, respectively. In the tangential wind, the maximum speed of counterclockwise winds was confirmed at 1–2 km altitudes. Based on the vertical velocity and the reflectivity obtained with the MU radar and the C-band meteorological radar, respectively, precipitating clouds, accompanied by the wind behaviour of the typhoon, were classified into stratiform and convective precipitating clouds. In the stratiform precipitating clouds, a vertical shear of radial wind and the maximum speed of counterclockwise wind were observed. There was a strong reflectivity layer called a ‘bright band’ around the 4.2 km altitude. We confirmed strong updrafts and down-drafts below and above it, respectively, and the existence of a relatively dry layer around the bright band level from radiosonde

  17. Typhoon 9707 observations with the MU radar and L-band boundary layer radar

    Directory of Open Access Journals (Sweden)

    M. Teshiba

    Full Text Available Typhoon 9707 (Opal was observed with the VHF-band Middle and Upper atmosphere (MU radar, an L-band boundary layer radar (BLR, and a vertical-pointing C-band meteorological radar at the Shigaraki MU Observatory in Shiga prefecture, Japan on 20 June 1997. The typhoon center passed about 80 km southeast from the radar site. Mesoscale precipitating clouds developed due to warm-moist airmass transport from the typhoon, and passed over the MU radar site with easterly or southeasterly winds. We primarily present the wind behaviour including the vertical component which a conventional meteorological Doppler radar cannot directly observe, and discuss the relationship between the wind behaviour of the typhoon and the precipitating system. To investigate the dynamic structure of the typhoon, the observed wind was divided into radial and tangential wind components under the assumption that the typhoon had an axi-symmetric structure. Altitude range of outflow ascended from 1–3 km to 2–10 km with increasing distance (within 80–260 km range from the typhoon center, and in-flow was observed above and below the outflow. Outflow and inflow were associated with updraft and downdraft, respectively. In the tangential wind, the maximum speed of counterclockwise winds was confirmed at 1–2 km altitudes. Based on the vertical velocity and the reflectivity obtained with the MU radar and the C-band meteorological radar, respectively, precipitating clouds, accompanied by the wind behaviour of the typhoon, were classified into stratiform and convective precipitating clouds. In the stratiform precipitating clouds, a vertical shear of radial wind and the maximum speed of counterclockwise wind were observed. There was a strong reflectivity layer called a ‘bright band’ around the 4.2 km altitude. We confirmed strong updrafts and down-drafts below and above it, respectively, and the existence of a relatively dry layer around the bright band level from radiosonde

  18. Radar observations of Mercury

    International Nuclear Information System (INIS)

    Harmon, J.K.; Campbell, D.B.

    1988-01-01

    Some of the radar altimetry profiles of Mercury obtained on the basis of data from the Arecibo Observatory are presented. In these measurements, the delay-Doppler method was used to measure altitudes along the Doppler equator, rather than to map radar reflectivity. The profiles, derived from observations made over a 6-yr period, provide extensive coverage over a restricted equatorial band and permit the identification of radar signatures for features as small as 50-km diameter craters and 1-km-high arcuate scarps. The data allowed identification of large-scale topographic features such as smooth plains subsidence zones and major highland regions

  19. Experiment for buried pipes by stepped FM-CW radar; Step shiki FM-CW radar ni yoru maisetsukan tansa jikken

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, K.; Ito, M. [Kawasaki Geological Engineering, Co. Ltd., Tokyo (Japan); Tanabe, K. [Central Research Institute of Electric Power Industry, Tokyo (Japan)

    1997-05-27

    The underground radar exploration is adopted to surveys of cavity under the road and buried pipes since the result of high resolution is obtained. However, the explorative depth of the radar is shallow, 2-3m in soil basement, and its applicable field has been limited. The continuous wave radar (FM-CW radar) was devised to get deeper explorative depth, but has been used for the geological structure survey such as the fault survey since it is lower in resolution as compared with the pulse radar. Therefore, to make use of characteristics of the continuous wave radar and enhance resolution in the shallow part, an experiment on buried pipes was conducted for the purpose of assessing and improving the FM-CW radar. In this processing, the wave form treatment used in the reflection method seismic survey was adopted for the radar survey. There are some problems, but it is effective to adopt the same algorithm to that used in the seismic survey to the radar exploration. The explorative depth was discussed from the damping rate of electromagnetic waves and dynamic range of facilities of the experimental site, and 7m was obtained. 5 figs., 1 tab.

  20. GCK-MODY diabetes associated with protein misfolding, cellular self-association and degradation.

    Science.gov (United States)

    Negahdar, Maria; Aukrust, Ingvild; Johansson, Bente B; Molnes, Janne; Molven, Anders; Matschinsky, Franz M; Søvik, Oddmund; Kulkarni, Rohit N; Flatmark, Torgeir; Njølstad, Pål Rasmus; Bjørkhaug, Lise

    2012-11-01

    GCK-MODY, dominantly inherited mild fasting hyperglycemia, has been associated with >600 different mutations in the glucokinase (GK)-encoding gene (GCK). When expressed as recombinant pancreatic proteins, some mutations result in enzymes with normal/near-normal catalytic properties. The molecular mechanism(s) of GCK-MODY due to these mutations has remained elusive. Here, we aimed to explore the molecular mechanisms for two such catalytically 'normal' GCK mutations (S263P and G264S) in the F260-L270 loop of GK. When stably overexpressed in HEK293 cells and MIN6 β-cells, the S263P- and G264S-encoded mutations generated misfolded proteins with an increased rate of degradation (S263P>G264S) by the protein quality control machinery, and a propensity to self-associate (G264S>S263P) and form dimers (SDS resistant) and aggregates (partly Triton X-100 insoluble), as determined by pulse-chase experiments and subcellular fractionation. Thus, the GCK-MODY mutations S263P and G264S lead to protein misfolding causing destabilization, cellular dimerization/aggregation and enhanced rate of degradation. In silico predicted conformational changes of the F260-L270 loop structure are considered to mediate the dimerization of both mutant proteins by a domain swapping mechanism. Thus, similar properties may represent the molecular mechanisms for additional unexplained GCK-MODY mutations, and may also contribute to the disease mechanism in other previously characterized GCK-MODY inactivating mutations. Copyright © 2012 Elsevier B.V. All rights reserved.

  1. [Winter wheat area estimation with MODIS-NDVI time series based on parcel].

    Science.gov (United States)

    Li, Le; Zhang, Jin-shui; Zhu, Wen-quan; Hu, Tan-gao; Hou, Dong

    2011-05-01

    Several attributes of MODIS (moderate resolution imaging spectrometer) data, especially the short temporal intervals and the global coverage, provide an extremely efficient way to map cropland and monitor its seasonal change. However, the reliability of their measurement results is challenged because of the limited spatial resolution. The parcel data has clear geo-location and obvious boundary information of cropland. Also, the spectral differences and the complexity of mixed pixels are weak in parcels. All of these make that area estimation based on parcels presents more advantage than on pixels. In the present study, winter wheat area estimation based on MODIS-NDVI time series has been performed with the support of cultivated land parcel in Tongzhou, Beijing. In order to extract the regional winter wheat acreage, multiple regression methods were used to simulate the stable regression relationship between MODIS-NDVI time series data and TM samples in parcels. Through this way, the consistency of the extraction results from MODIS and TM can stably reach up to 96% when the amount of samples accounts for 15% of the whole area. The results shows that the use of parcel data can effectively improve the error in recognition results in MODIS-NDVI based multi-series data caused by the low spatial resolution. Therefore, with combination of moderate and low resolution data, the winter wheat area estimation became available in large-scale region which lacks completed medium resolution images or has images covered with clouds. Meanwhile, it carried out the preliminary experiments for other crop area estimation.

  2. Biomass Burning Aerosol Absorption Measurements with MODIS Using the Critical Reflectance Method

    Science.gov (United States)

    Zhu, Li; Martins, Vanderlei J.; Remer, Lorraine A.

    2010-01-01

    This research uses the critical reflectance technique, a space-based remote sensing method, to measure the spatial distribution of aerosol absorption properties over land. Choosing two regions dominated by biomass burning aerosols, a series of sensitivity studies were undertaken to analyze the potential limitations of this method for the type of aerosol to be encountered in the selected study areas, and to show that the retrieved results are relatively insensitive to uncertainties in the assumptions used in the retrieval of smoke aerosol. The critical reflectance technique is then applied to Moderate Resolution Imaging Spectrometer (MODIS) data to retrieve the spectral aerosol single scattering albedo (SSA) in South African and South American 35 biomass burning events. The retrieved results were validated with collocated Aerosol Robotic Network (AERONET) retrievals. One standard deviation of mean MODIS retrievals match AERONET products to within 0.03, the magnitude of the AERONET uncertainty. The overlap of the two retrievals increases to 88%, allowing for measurement variance in the MODIS retrievals as well. The ensemble average of MODIS-derived SSA for the Amazon forest station is 0.92 at 670 nm, and 0.84-0.89 for the southern African savanna stations. The critical reflectance technique allows evaluation of the spatial variability of SSA, and shows that SSA in South America exhibits higher spatial variation than in South Africa. The accuracy of the retrieved aerosol SSA from MODIS data indicates that this product can help to better understand 44 how aerosols affect the regional and global climate.

  3. Radar reflection off extensive air showers

    CERN Document Server

    Stasielak, J; Bertaina, M; Blümer, J; Chiavassa, A; Engel, R; Haungs, A; Huege, T; Kampert, K -H; Klages, H; Kleifges, M; Krömer, O; Ludwig, M; Mathys, S; Neunteufel, P; Pekala, J; Rautenberg, J; Riegel, M; Roth, M; Salamida, F; Schieler, H; Šmída, R; Unger, M; Weber, M; Werner, F; Wilczyński, H; Wochele, J

    2012-01-01

    We investigate the possibility of detecting extensive air showers by the radar technique. Considering a bistatic radar system and different shower geometries, we simulate reflection of radio waves off the static plasma produced by the shower in the air. Using the Thomson cross-section for radio wave reflection, we obtain the time evolution of the signal received by the antennas. The frequency upshift of the radar echo and the power received are studied to verify the feasibility of the radar detection technique.

  4. Implementation of electronic crosstalk correction for terra MODIS PV LWIR bands

    Science.gov (United States)

    Geng, Xu; Madhavan, Sriharsha; Chen, Na; Xiong, Xiaoxiong

    2015-09-01

    The MODerate-resolution Imaging Spectroradiometer (MODIS) is one of the primary instruments in the fleet of NASA's Earth Observing Systems (EOS) in space. Terra MODIS has completed 15 years of operation far exceeding its design lifetime of 6 years. The MODIS Level 1B (L1B) processing is the first in the process chain for deriving various higher level science products. These products are used mainly in understanding the geophysical changes occurring in the Earth's land, ocean, and atmosphere. The L1B code is designed to carefully calibrate the responses of all the detectors of the 36 spectral bands of MODIS and provide accurate L1B radiances (also reflectances in the case of Reflective Solar Bands). To fulfill this purpose, Look Up Tables (LUTs), that contain calibration coefficients derived from both on-board calibrators and Earth-view characterized responses, are used in the L1B processing. In this paper, we present the implementation mechanism of the electronic crosstalk correction in the Photo Voltaic (PV) Long Wave InfraRed (LWIR) bands (Bands 27-30). The crosstalk correction involves two vital components. First, a crosstalk correction modular is implemented in the L1B code to correct the on-board Blackbody and Earth-View (EV) digital number (dn) responses using a linear correction model. Second, the correction coefficients, derived from the EV observations, are supplied in the form of LUTs. Further, the LUTs contain time stamps reflecting to the change in the coefficients assessed using the Noise Equivalent difference Temperature (NEdT) trending. With the algorithms applied in the MODIS L1B processing it is demonstrated that these corrections indeed restore the radiometric balance for each of the affected bands and substantially reduce the striping noise in the processed images.

  5. Investigations on the sensitivity of a stepped-frequency radar utilizing a vector network analyzer for Ground Penetrating Radar

    Science.gov (United States)

    Seyfried, Daniel; Schubert, Karsten; Schoebel, Joerg

    2014-12-01

    Employing a continuous-wave radar system, with the stepped-frequency radar being one type of this class, all reflections from the environment are present continuously and simultaneously at the receiver. Utilizing such a radar system for Ground Penetrating Radar purposes, antenna cross-talk and ground bounce reflection form an overall dominant signal contribution while reflections from objects buried in the ground are of quite weak amplitude due to attenuation in the ground. This requires a large dynamic range of the receiver which in turn requires high sensitivity of the radar system. In this paper we analyze the sensitivity of our vector network analyzer utilized as stepped-frequency radar system for GPR pipe detection. We furthermore investigate the performance of increasing the sensitivity of the radar by means of appropriate averaging and low-noise pre-amplification of the received signal. It turns out that the improvement in sensitivity actually achievable may differ significantly from theoretical expectations. In addition, we give a descriptive explanation why our appropriate experiments demonstrate that the sensitivity of the receiver is independent of the distance between the target object and the source of dominant signal contribution. Finally, our investigations presented in this paper lead to a preferred setting of operation for our vector network analyzer in order to achieve best detection capability for weak reflection amplitudes, hence making the radar system applicable for Ground Penetrating Radar purposes.

  6. Validation of MODIS integrated water vapor product against reference GPS data at the Iberian Peninsula

    Science.gov (United States)

    Vaquero-Martínez, Javier; Antón, Manuel; Ortiz de Galisteo, José Pablo; Cachorro, Victoria E.; Costa, Maria João; Román, Roberto; Bennouna, Yasmine S.

    2017-12-01

    In this work, the water vapor product from MODIS (MODerate-resolution Imaging Spectroradiometer) instrument, on-board Aqua and Terra satellites, is compared against GPS water vapor data from 21 stations in the Iberian Peninsula as reference. GPS water vapor data is obtained from ground-based receiver stations which measure the delay caused by water vapor in the GPS microwave signals. The study period extends from 2007 until 2012. Regression analysis in every GPS station show that MODIS overestimates low integrated water vapor (IWV) data and tends to underestimate high IWV data. R2 shows a fair agreement, between 0.38 and 0.71. Inter-quartile range (IQR) in every station is around 30-45%. The dependence on several parameters was also analyzed. IWV dependence showed that low IWV are highly overestimated by MODIS, with high IQR (low precision), sharply decreasing as IWV increases. Regarding dependence on solar zenith angle (SZA), performance of MODIS IWV data decreases between 50° and 90°, while night-time MODIS data (infrared) are quite stable. The seasonal cycles of IWV and SZA cause a seasonal dependence on MODIS performance. In summer and winter, MODIS IWV tends to overestimate the reference IWV value, while in spring and autumn the tendency is to underestimate. Low IWV from coastal stations is highly overestimated (∼60%) and quite imprecise (IQR around 60%). On the contrary, high IWV data show very little dependence along seasons. Cloud-fraction (CF) dependence was also studied, showing that clouds display a negligible impact on IWV over/underestimation. However, IQR increases with CF, except in night-time satellite values, which are quite stable.

  7. Detecting and classifying low probability of intercept radar

    CERN Document Server

    Pace, Philip E

    2008-01-01

    This revised and expanded second edition brings you to the cutting edge with new chapters on LPI radar design, including over-the-horizon radar, random noise radar, and netted LPI radar. You also discover critical LPI detection techniques, parameter extraction signal processing techniques, and anti-radiation missile design strategies to counter LPI radar.

  8. Radar probing of the auroral plasma

    International Nuclear Information System (INIS)

    Brekke, A.

    1977-01-01

    The European Incoherent Scatter Radar in the Auroral Zone (EISCAT) is an intereuropean organization planning to install an incoherent scatter radar system in Northern Scandinavia. It is supported by Finland, France, Norway, Great Britain, Sweden and West Germany, and its headquarters is in Kiruna, Sweden. The radar is planned to be operating in 1979. In order to introduce students and young scientists to the incoherent scatter radar technique, a summer school was held in Tromsoe, from 5th to 13th June 1975. In these proceedings an introduction to the basic theory of fluctuations in a plasma is given. Some of the present incoherent scatter radars now in use are presented and special considerations with respect to the planned EISACT facility are discussed. Reviews of some recent results and scientific problems relevant to EISCAT are also presented and finally a presentation of some observational techniques complementary to incoherent scatter radars is included. (Ed.)

  9. CHARACTERISING VEGETATED SURFACES USING MODIS MULTIANGULAR SATELLITE DATA

    Directory of Open Access Journals (Sweden)

    G. McCamley

    2012-07-01

    Full Text Available Bidirectional Reflectance Distribution Functions (BRDF seek to represent variations in surface reflectance resulting from changes in a satellite's view and solar illumination angles. BRDF representations have been widely used to assist in the characterisation of vegetation. However BRDF effects are often noisy, difficult to interpret and are the spatial integral of all the individual surface features present in a pixel. This paper describes the results of an approach to understanding how BRDF effects can be used to characterise vegetation. The implementation of the Ross Thick Li Sparse BRDF model using MODIS is a stable, mature data product with a 10 year history and is a ready data source. Using this dataset, a geometric optical model is proposed that seeks to interpret the BRDF effects in terms of Normalised Difference Vegetation Index (NDVI and a height-to-width ratio of the vegetation components. The height-to-width ratio derived from this model seeks to represent the dependence of NDVI to changes in view zenith angle as a single numeric value. The model proposed within this paper has been applied to MODIS pixels in central Australia for areas in excess of 18,000 km2. The study area is predominantly arid and sparsely vegetated which provides a level of temporal and spatial homogeneity. The selected study area also minimises the effects associated with mutual obscuration of vegetation which is not considered by the model. The results are represented as a map and compared to NDVI derived from MODIS and NDVI derived from Landsat mosaics developed for Australia's National Carbon Accounting System (NCAS. The model reveals additional information not obvious in reflectance data. For example, the height-to-width ratio is able to reveal vegetation features in arid areas that do not have an accompanying significant increase in NDVI derived from MODIS, i.e. the height-to-width ratio reveals vegetation which is otherwise only apparent in NDVI derived

  10. Susceptibility of glucokinase-MODY mutants to inactivation by oxidative stress in pancreatic β-cells.

    Science.gov (United States)

    Cullen, Kirsty S; Matschinsky, Franz M; Agius, Loranne; Arden, Catherine

    2011-12-01

    The posttranslational regulation of glucokinase (GK) differs in hepatocytes and pancreatic β-cells. We tested the hypothesis that GK mutants that cause maturity-onset diabetes of the young (GK-MODY) show compromised activity and posttranslational regulation in β-cells. Activity and protein expression of GK-MODY and persistent hyperinsulinemic hypoglycemia of infancy (PHHI) mutants were studied in β-cell (MIN6) and non-β-cell (H4IIE) models. Binding of GK to phosphofructo-2-kinase, fructose-2,6-bisphosphatase (PFK2/FBPase2) was studied by bimolecular fluorescence complementation in cell-based models. Nine of 11 GK-MODY mutants that have minimal effect on enzyme kinetics in vitro showed decreased specific activity relative to wild type when expressed in β-cells. A subset of these were stable in non-β-cells but showed increased inactivation in conditions of oxidative stress and partial reversal of inactivation by dithiothreitol. Unlike the GK-MODY mutants, four of five GK-PHHI mutants had similar specific activity to wild type and Y214C had higher activity than wild type. The GK-binding protein PFK2/FBPase2 protected wild-type GK from oxidative inactivation and the decreased stability of GK-MODY mutants correlated with decreased interaction with PFK2/FBPase2. Several GK-MODY mutants show posttranslational defects in β-cells characterized by increased susceptibility to oxidative stress and/or protein instability. Regulation of GK activity through modulation of thiol status may be a physiological regulatory mechanism for the control of GK activity in β-cells.

  11. Seasonal nitrate algorithms for nitrate retrieval using OCEANSAT-2 and MODIS-AQUA satellite data.

    Science.gov (United States)

    Durairaj, Poornima; Sarangi, Ranjit Kumar; Ramalingam, Shanthi; Thirunavukarassu, Thangaradjou; Chauhan, Prakash

    2015-04-01

    In situ datasets of nitrate, sea surface temperature (SST), and chlorophyll a (chl a) collected during the monthly coastal samplings and organized cruises along the Tamilnadu and Andhra Pradesh coast between 2009 and 2013 were used to develop seasonal nitrate algorithms. The nitrate algorithms have been built up based on the three-dimensional regressions between SST, chl a, and nitrate in situ data using linear, Gaussian, Lorentzian, and paraboloid function fittings. Among these four functions, paraboloid was found to be better with the highest co-efficient of determination (postmonsoon: R2=0.711, n=357; summer: R2=0.635, n=302; premonsoon: R2=0.829, n=249; and monsoon: R2=0.692, n=272) for all seasons. Based on these fittings, seasonal nitrate images were generated using the concurrent satellite data of SST from Moderate Resolution Imaging Spectroradiometer (MODIS) and chlorophyll (chl) from Ocean Color Monitor (OCM-2) and MODIS. The best retrieval of modeled nitrate (R2=0.527, root mean square error (RMSE)=3.72, and mean normalized bias (MNB)=0.821) was observed for the postmonsoon season due to the better retrieval of both SST MODIS (28 February 2012, R2=0.651, RMSE=2.037, and MNB=0.068) and chl OCM-2 (R2=0.534, RMSE=0.317, and MNB=0.27). Present results confirm that the chl OCM-2 and SST MODIS retrieve nitrate well than the MODIS-derived chl and SST largely due to the better retrieval of chl by OCM-2 than MODIS.

  12. Method for radar detection of persons wearing wires

    OpenAIRE

    Fox, William P.

    2014-01-01

    8,730,098 B1 Methods are described for radar detection of persons wearing wires using radar spectra data including the vertical polarization (VV) radar cross section and the horizontal polarization (HH) radar cross section for a person. In one embodiment, the ratio of the vertical polarization (VV) radar cross section to the horizontal polarization (HH) radar cross section for a person is compared to a detection threshold to determine whether the person is wearing wire...

  13. MODIS and GIMMS Inferred Northern Hemisphere Spring Greenup in Responses to Preseason Climate

    Science.gov (United States)

    Xu, X.; Riley, W. J.; Koven, C.; Jia, G.

    2017-12-01

    We compare the discrepancies in Normalized Difference Vegetation Index (NDVI) inferred spring greenup (SG) between Terra Moderate Resolution Imaging Spectroradiometer (MODIS) and Advanced Very High Resolution Radiometer (AVHRR) instruments carried by the Global Inventory Monitoring and Modeling Studies (GIMMS) in North Hemisphere. The interannual variation of SG inferred by MODIS and GIMMS NDVI is well correlated in the mid to high latitudes. However, the presence of NDVI discrepancies leads to discrepancies in SG with remarkable latitudinal characteristics. MODIS NDVI inferred later SG in the high latitude while earlier SG in the mid to low latitudes, in comparison to GIMMS NDVI inferred SG. MODIS NDVI inferred SG is better correlated to preseason climate. Interannual variation of SG is only sensitive to preseason temperature. The GIMMS SG to temperature sensitivity over two periods implied that the inter-biome SG to temperature sensitivity is relatively stable, but SG to temperature sensitivity decreased over time. Over the same period, MODIS SG to temperature sensitivity is much higher than GIMMS. This decreased sensitivity demonstrated the findings from previous studies with continuous GIMMS NDVI analysis that vegetation growth (indicated by growing season NDVI) to temperature sensitivity is reduced over time and SG advance trend ceased after 2000s. Our results also explained the contradictive findings that SG advance accelerated after 2000s according to the merged GIMMS and MODIS NDVI time series. Despite the found discrepancies, without ground data support, the quality of NDVI and its inferred SG cannot be effectively evaluated. The discrepancies and uncertainties in different NDVI products and its inferred SG may bias the scientific significance of climate-vegetation relationship. The different NDVI products when used together should be first evaluated and harmonized.

  14. Phased-array radars

    Science.gov (United States)

    Brookner, E.

    1985-02-01

    The operating principles, technology, and applications of phased-array radars are reviewed and illustrated with diagrams and photographs. Consideration is given to the antenna elements, circuitry for time delays, phase shifters, pulse coding and compression, and hybrid radars combining phased arrays with lenses to alter the beam characteristics. The capabilities and typical hardware of phased arrays are shown using the US military systems COBRA DANE and PAVE PAWS as examples.

  15. Downhole pulse radar

    Science.gov (United States)

    Chang, Hsi-Tien

    1987-09-28

    A borehole logging tool generates a fast rise-time, short duration, high peak-power radar pulse having broad energy distribution between 30 MHz and 300 MHz through a directional transmitting and receiving antennas having barium titanate in the electromagnetically active region to reduce the wavelength to within an order of magnitude of the diameter of the antenna. Radar returns from geological discontinuities are sampled for transmission uphole. 7 figs.

  16. Evaluating MODIS snow products for modelling snowmelt runoff: Case study of the Rio Grande headwaters

    Science.gov (United States)

    Steele, Caitriana; Dialesandro, John; James, Darren; Elias, Emile; Rango, Albert; Bleiweiss, Max

    2017-12-01

    Snow-covered area (SCA) is a key variable in the Snowmelt-Runoff Model (SRM) and in other models for simulating discharge from snowmelt. Landsat Thematic Mapper (TM), Enhanced Thematic Mapper (ETM +) or Operational Land Imager (OLI) provide remotely sensed data at an appropriate spatial resolution for mapping SCA in small headwater basins, but the temporal resolution of the data is low and may not always provide sufficient cloud-free dates. The coarser spatial resolution Moderate Resolution Imaging Spectroradiometer (MODIS) offers better temporal resolution and in cloudy years, MODIS data offer the best alternative for mapping snow cover when finer spatial resolution data are unavailable. However, MODIS' coarse spatial resolution (500 m) can obscure fine spatial patterning in snow cover and some MODIS products are not sensitive to end-of-season snow cover. In this study, we aimed to test MODIS snow products for use in simulating snowmelt runoff from smaller headwater basins by a) comparing maps of TM and MODIS-based SCA and b) determining how SRM streamflow simulations are changed by the different estimates of seasonal snow depletion. We compared gridded MODIS snow products (Collection 5 MOD10A1 fractional and binary SCA; SCA derived from Collection 6 MOD10A1 Normalised Difference Snow Index (NDSI) Snow Cover), and the MODIS Snow Covered-Area and Grain size retrieval (MODSCAG) canopy-corrected fractional SCA (SCAMG), with reference SCA maps (SCAREF) generated from binary classification of TM imagery. SCAMG showed strong agreement with SCAREF; excluding true negatives (where both methods agreed no snow was present) the median percent difference between SCAREF and SCAMG ranged between -2.4% and 4.7%. We simulated runoff for each of the four study years using SRM populated with and calibrated for snow depletion curves derived from SCAREF. We then substituted in each of the MODIS-derived depletion curves. With efficiency coefficients ranging between 0.73 and 0.93, SRM

  17. Evaluation of the MODIS Albedo Product over a Heterogeneous Agricultural Area

    Science.gov (United States)

    Sobrino, Jose Antonio; Franch, B.; Oltra-Carrio, R.; Vermote, E. F.; Fedele, E.

    2013-01-01

    In this article, the Moderate Resolution Imaging Spectroradiometer (MODIS) Bidirectional Reflectance Distribution Function (BRDF)/Albedo product (MCD43) is evaluated over a heterogeneous agricultural area in the framework of the Earth Observation: Optical Data Calibration and Information Extraction (EODIX) project campaign, which was developed in Barrax (Spain) in June 2011. In this method, two models, the RossThick-LiSparse-Reciprocal (RTLSR) (which corresponds to the MODIS BRDF algorithm) and the RossThick-Maignan-LiSparse-Reciprocal (RTLSR-HS), were tested over airborne data by processing high-resolution images acquired with the Airborne Hyperspectral Scanner (AHS) sensor. During the campaign, airborne images were retrieved with different view zenith angles along the principal and orthogonal planes. Comparing the results of applying the models to the airborne data with ground measurements, we obtained a root mean square error (RMSE) of 0.018 with both RTLSR and RTLSR-HS models. The evaluation of the MODIS BRDF/Albedo product (MCD43) was performed by comparing satellite images with AHS estimations. The results reported an RMSE of 0.04 with both models. Additionally, taking advantage of a homogeneous barley pixel, we compared in situ albedo data to satellite albedo data. In this case, the MODIS albedo estimation was (0.210 +/- 0.003), while the in situ measurement was (0.204 +/- 0.003). This result shows good agreement in regard to a homogeneous pixel.

  18. MODIS Snow Cover Mapping Decision Tree Technique: Snow and Cloud Discrimination

    Science.gov (United States)

    Riggs, George A.; Hall, Dorothy K.

    2010-01-01

    Accurate mapping of snow cover continues to challenge cryospheric scientists and modelers. The Moderate-Resolution Imaging Spectroradiometer (MODIS) snow data products have been used since 2000 by many investigators to map and monitor snow cover extent for various applications. Users have reported on the utility of the products and also on problems encountered. Three problems or hindrances in the use of the MODIS snow data products that have been reported in the literature are: cloud obscuration, snow/cloud confusion, and snow omission errors in thin or sparse snow cover conditions. Implementation of the MODIS snow algorithm in a decision tree technique using surface reflectance input to mitigate those problems is being investigated. The objective of this work is to use a decision tree structure for the snow algorithm. This should alleviate snow/cloud confusion and omission errors and provide a snow map with classes that convey information on how snow was detected, e.g. snow under clear sky, snow tinder cloud, to enable users' flexibility in interpreting and deriving a snow map. Results of a snow cover decision tree algorithm are compared to the standard MODIS snow map and found to exhibit improved ability to alleviate snow/cloud confusion in some situations allowing up to about 5% increase in mapped snow cover extent, thus accuracy, in some scenes.

  19. Assessment of biases in MODIS surface reflectance due to Lambertian approximation

    Energy Technology Data Exchange (ETDEWEB)

    Cook, Robert B [ORNL; SanthanaVannan, Suresh K [ORNL

    2010-08-01

    Using MODIS data and the AERONET-based Surface Reflectance Validation Network (ASRVN), this work studies errors of MODIS atmospheric correction caused by the Lambertian approximation. On one hand, this approximation greatly simplifies the radiative transfer model, reduces the size of the look-up tables, and makes operational algorithm faster. On the other hand, uncompensated atmospheric scattering caused by Lambertian model systematically biases the results. For example, for a typical bowl-shaped bidirectional reflectance distribution function (BRDF), the derived reflectance is underestimated at high solar or view zenith angles, where BRDF is high, and is overestimated at low zenith angles where BRDF is low. The magnitude of biases grows with the amount of scattering in the atmosphere, i.e., at shorter wavelengths and at higher aerosol concentration. The slope of regression of Lambertian surface reflectance vs. ASRVN bidirectional reflectance factor (BRF) is about 0.85 in the red and 0.6 in the green bands. This error propagates into the MODIS BRDF/albedo algorithm, slightly reducing the magnitude of overall reflectance and anisotropy of BRDF. This results in a small negative bias of spectral surface albedo. An assessment for the GSFC (Greenbelt, USA) validation site shows the albedo reduction by 0.004 in the near infrared, 0.005 in the red, and 0.008 in the green MODIS bands.

  20. Simulation of tsunami effects on sea surface salinity using MODIS satellite data

    International Nuclear Information System (INIS)

    Ramlan, N E F; Genderen, J van; Hashim, M; Marghany, M

    2014-01-01

    Remote sensing technology has been recognized as powerful tool for environmental disaster studies. Ocean surface salinity is considered as a major element in the marine environment. In this study, we simulate the 2004 tsunami's impact on a physical ocean parameter using the least square algorithm to retrieve sea surface salinity (SSS) from MODIS satellite data. The accuracy of this work has been examined using the root mean of sea surface salinity retrieved from MODIS satellite data. The study shows a comprehensive relationship between the in situ measurements and least square algorithm with high r 2 of 0.95, and RMS of bias value of ±0.9 psu. In conclusion, the least square algorithm can be used to retrieve SSS from MODIS satellite data during a tsunami event

  1. Radar reflection off extensive air showers

    Directory of Open Access Journals (Sweden)

    Werner F.

    2013-06-01

    Full Text Available We investigate the possibility of detecting extensive air showers by the radar technique. Considering a bistatic radar system and different shower geometries, we simulate reflection of radio waves off the static plasma produced by the shower in the air. Using the Thomson cross-section for radio wave reflection, we obtain the time evolution of the signal received by the antennas. The frequency upshift of the radar echo and the power received are studied to verify the feasibility of the radar detection technique.

  2. Near real time detection of deforestation in the Brazilian Amazon using MODIS imagery

    Directory of Open Access Journals (Sweden)

    Egídio Arai

    2007-06-01

    Full Text Available The objective of this paper is to provide near real time information about deforestation detection (DETER in the entire Brazilian Amazon using MODIS high temporal resolution images. It is part of the operational deforestation monitoring project to estimate the annual deforestation rate in the Brazilian Amazon (PRODES. A rapid deforestation detection method was designed to support land use policies in this region. In order to evaluate the proposed method a test site was selected covering a Landsat ETM+ scene (227/68 located in Mato Grosso State. For this purpose a multitemporal series of MODIS surface reflectance images (MOD09 and the corresponding ETM+ images from June to October 2002 were analyzed. It was found that small deforested areas (lower than 15 ha were detected by MODIS images with lower accuracy when compared with ETM+ images. As the deforested areas increase MODIS and ETM+ results tend to converge. This procedure showed to be adequate to operationally detect and monitor deforested areas and has been used since 2004 as part of a government plan to control the Amazon deforestation.

  3. Vegetation monitoring for Guatemala: a comparison between simulated VIIRS and MODIS satellite data

    Science.gov (United States)

    Boken, Vijendra K.; Easson, Gregory L.; Rowland, James

    2010-01-01

    The advanced very high resolution radiometer (AVHRR) and moderate resolution imaging spectroradiometer (MODIS) data are being widely used for vegetation monitoring across the globe. However, sensors will discontinue collecting these data in the near future. National Aeronautics and Space Administration is planning to launch a new sensor, visible infrared imaging radiometer suite (VIIRS), to continue to provide satellite data for vegetation monitoring. This article presents a case study of Guatemala and compares the simulated VIIRS-Normalized Difference Vegetation Index (NDVI) with MODIS-NDVI for four different dates each in 2003 and 2005. The dissimilarity between VIIRS-NDVI and MODIS-NDVI was examined on the basis of the percent difference, the two-tailed student's t-test, and the coefficient of determination, R 2. The per cent difference was found to be within 3%, the p-value ranged between 0.52 and 0.99, and R 2 exceeded 0.88 for all major types of vegetation (basic grains, rubber, sugarcane, coffee and forests) found in Guatemala. It was therefore concluded that VIIRS will be almost equally capable of vegetation monitoring as MODIS.

  4. Millimeter wave radars raise weapon IQ

    Science.gov (United States)

    Lerner, E. J.

    1985-02-01

    The problems encountered by laser and IR homing devices for guided munitions may be tractable with warhead-mounted mm-wave radars. Operating at about 100 GHz and having several kilometers range, mm-wave radars see through darkness, fog, rain and smoke. The radar must be coupled with an analyzer that discerns moving and stationary targets and higher priority targets. The target lock-on can include shut-off of the transmitter and reception of naturally-generated mm-waves bouncing off the target when in the terminal phase of the flight. Monopulse transmitters have simplified the radar design, although mass production of finline small radar units has yet to be accomplished, particularly in combining GaAs, ferrites and other materials on one monolithic chip.

  5. MODIS Science Algorithms and Data Systems Lessons Learned

    Science.gov (United States)

    Wolfe, Robert E.; Ridgway, Bill L.; Patt, Fred S.; Masuoka, Edward J.

    2009-01-01

    For almost 10 years, standard global products from NASA's Earth Observing System s (EOS) two Moderate Resolution Imaging Spectroradiometer (MODIS) sensors are being used world-wide for earth science research and applications. This paper discusses the lessons learned in developing the science algorithms and the data systems needed to produce these high quality data products for the earth sciences community. Strong science team leadership and communication, an evolvable and scalable data system, and central coordination of QA and validation activities enabled the data system to grow by two orders of magnitude from the initial at-launch system to the current system able to reprocess data from both the Terra and Aqua missions in less than a year. Many of the lessons learned from MODIS are already being applied to follow-on missions.

  6. Comparisons of Brightness Temperatures of Landsat-7/ETM+ and Terra/MODIS around Hotien Oasis in the Taklimakan Desert

    International Nuclear Information System (INIS)

    Oguro, Y; Ito, S; Tsuchiya, K

    2011-01-01

    The brightness temperature (BT) of Taklimakan Desert retrieved from the data of Landsat-7/ETM+ band 6 and Terra/MODIS band 31 and 32 indicates the following features: (1) good linear relationship between the BT of ETM+ and that of MODIS, (2) the observation time adjusted BT of ETM+ is almost equal to that of MODIS, (3) the BT of Terra/MODIS band 31 is slightly higher than that of band 32 over a reservoir while opposite feature is recognized over desert area, (4) the statistical analysis of 225 sample data of ETM+ in one pixel of MODIS for different land covers indicates that the standard deviation and range of BT of ETM+ corresponding to one pixel of MODIS are 0.45 degree C, 2.25 degree C for a flat area of desert, while respective values of the oasis farmland and shading side of rocky hill amount to 2.88 degree C, 14.04 degree C, and 2.80 degree C, 16.04 degree C.

  7. HF Radar Sea-echo from Shallow Water

    Directory of Open Access Journals (Sweden)

    Josh Kohut

    2008-08-01

    Full Text Available HF radar systems are widely and routinely used for the measurement of ocean surface currents and waves. Analysis methods presently in use are based on the assumption of infinite water depth, and may therefore be inadequate close to shore where the radar echo is strongest. In this paper, we treat the situation when the radar echo is returned from ocean waves that interact with the ocean floor. Simulations are described which demonstrate the effect of shallow water on radar sea-echo. These are used to investigate limits on the existing theory and to define water depths at which shallow-water effects become significant. The second-order spectral energy increases relative to the first-order as the water depth decreases, resulting in spectral saturation when the waveheight exceeds a limit defined by the radar transmit frequency. This effect is particularly marked for lower radar transmit frequencies. The saturation limit on waveheight is less for shallow water. Shallow water affects second-order spectra (which gives wave information far more than first-order (which gives information on current velocities, the latter being significantly affected only for the lowest radar transmit frequencies for extremely shallow water. We describe analysis of radar echo from shallow water measured by a Rutgers University HF radar system to give ocean wave spectral estimates. Radar-derived wave height, period and direction are compared with simultaneous shallow-water in-situ measurements.

  8. Calibration Improvements in the Detector-to-Detector Differences for the MODIS Ocean Color Bands

    Science.gov (United States)

    Li, Yonghong; Angal, Amit; Wu, Aisheng; Geng, Xu; Link, Daniel; Xiong, Xiaoxiong

    2016-01-01

    The Moderate Resolution Imaging Spectroradiometer (MODIS), a major instrument within NASAs Earth Observation System missions, has operated for over 16 and 14 years onboard the Terra and Aqua satellites, respectively. Its reflective solar bands (RSB) covering a spectral range from 0.4 to 2.1 micrometers are primarily calibrated using the on-board solar diffuser(SD), with its on-orbit degradation monitored using the Solar Diffuser Stability Monitor. RSB calibrations are supplemented by near-monthly lunar measurements acquired from the instruments space-view port. Nine bands (bands 8-16) in the visible to near infrared spectral range from 0.412 to 0.866 micrometers are primarily used for ocean color observations.During a recent reprocessing of ocean color products, performed by the NASA Ocean Biology Processing Group, detector-to-detector differences of up to 1.5% were observed in bands 13-16 of Terra MODIS. This paper provides an overview of the current approach to characterize the MODIS detector-to-detector differences. An alternative methodology was developed to mitigate the observed impacts for bands 13-16. The results indicated an improvement in the detector residuals and in turn are expected to improve the MODIS ocean color products. This paper also discusses the limitations,subsequent enhancements, and the improvements planned for future MODIS calibration collections.

  9. Maturity onset diabetes of the young (MODY)--history, first case reports and recent advances.

    Science.gov (United States)

    Siddiqui, Khalid; Musambil, Mohthash; Nazir, Nyla

    2015-01-15

    The world is seemingly facing a global increase in people suffering from diabetes especially in developing countries. The worldwide occurrence of diabetes for all age groups in year 2000 was estimated to be 2.8% and this number is most certainly expected to rise to 4.4% by 2030. Maturity-onset of diabetes of the young, or MODY, is a form of monogenic diabetes that is caused by mutations occurring in a number of different genes. Mutations in different genes tend to cause a slightly different variant of diabetes. MODY is typically diagnosed during late childhood, adolescence, or early adulthood and is usually observed to develop in adults during their late 50's. One of the main drawbacks in its diagnosis is that many people with MODY are misdiagnosed as having type 1 or type 2 diabetes. However, a molecular and genetic diagnosis can result in a better treatment and could also help in identifying other family members with MODY. This article explores the historical prospect and the genetic background of MODY, a brief summary of the first case reported and the significant factors that differentiate it from type 1 and type 2 diabetes. Copyright © 2014 Elsevier B.V. All rights reserved.

  10. Scaling estimates of vegetation structure in Amazonian tropical forests using multi-angle MODIS observations

    Science.gov (United States)

    de Moura, Yhasmin Mendes; Hilker, Thomas; Goncalves, Fabio Guimarães; Galvão, Lênio Soares; dos Santos, João Roberto; Lyapustin, Alexei; Maeda, Eduardo Eiji; de Jesus Silva, Camila Valéria

    2018-01-01

    Detailed knowledge of vegetation structure is required for accurate modelling of terrestrial ecosystems, but direct measurements of the three dimensional distribution of canopy elements, for instance from LiDAR, are not widely available. We investigate the potential for modelling vegetation roughness, a key parameter for climatological models, from directional scattering of visible and near-infrared (NIR) reflectance acquired from NASA’s Moderate Resolution Imaging Spectroradiometer (MODIS). We compare our estimates across different tropical forest types to independent measures obtained from: (1) airborne laser scanning (ALS), (2) spaceborne Geoscience Laser Altimeter System (GLAS)/ICESat, and (3) the spaceborne SeaWinds/QSCAT. Our results showed linear correlation between MODIS-derived anisotropy to ALS-derived entropy (r2= 0.54, RMSE=0.11), even in high biomass regions. Significant relationships were also obtained between MODIS-derived anisotropy and GLAS-derived entropy (0.52≤ r2≤ 0.61; pMODIS-derived anisotropy and backscattering measurements (σ0) from SeaWinds/QuikSCAT presented an r2 of 0.59 and a RMSE of 0.11. We conclude that multi-angular MODIS observations are suitable to extrapolate measures of canopy entropy across different forest types, providing additional estimates of vegetation structure in the Amazon. PMID:29618964

  11. The process and risk of the CPR1000 cold function test in the cold area

    International Nuclear Information System (INIS)

    Liu Tinghao; Zhang Jian; Ji Dapeng; Shi Quanjian; Tian Kuo

    2014-01-01

    Hong yanhe nuclear power station is the first CPR1000 reactor which is under construction in the cold area of north China. It is also the first time to carry out the cold functional test (CFT) in the winter of north China. The preparation and process of CFT are described in the paper. According to the experience feedback of CFT of Unit 1, the risk and solution which are significance for the CFT of the other NPS in the cold area are analysed. (authors)

  12. Assessment of MODIS RSB Detector Uniformity Using Deep Convective Clouds

    Science.gov (United States)

    Chang, Tiejun; Xiong, Xiaoxiong (Jack); Angal, Amit; Mu, Qiaozhen

    2016-01-01

    For satellite sensor, the striping observed in images is typically associated with the relative multiple detector gain difference derived from the calibration. A method using deep convective cloud (DCC) measurements to assess the difference among detectors after calibration is proposed and demonstrated for select reflective solar bands (RSBs) of the Moderate Resolution Imaging Spectroradiometer (MODIS). Each detector of MODIS RSB is calibrated independently using a solar diffuser (SD). Although the SD is expected to accurately characterize detector response, the uncertainties associated with the SD degradation and characterization result in inadequacies in the estimation of each detector's gain. This work takes advantage of the DCC technique to assess detector uniformity and scan mirror side difference for RSB. The detector differences for Terra MODIS Collection 6 are less than 1% for bands 1, 3-5, and 18 and up to 2% for bands 6, 19, and 26. The largest difference is up to 4% for band 7. Most Aqua bands have detector differences less than 0.5% except bands 19 and 26 with up to 1.5%. Normally, large differences occur for edge detectors. The long-term trending shows seasonal oscillations in detector differences for some bands, which are correlated with the instrument temperature. The detector uniformities were evaluated for both unaggregated and aggregated detectors for MODIS band 1 and bands 3-7, and their consistencies are verified. The assessment results were validated by applying a direct correction to reflectance images. These assessments can lead to improvements to the calibration algorithm and therefore a reduction in striping observed in the calibrated imagery.

  13. A Comparison Of Internet-Based Learning And Traditional Classroom Lecture To Learn Cpr For Continuing Medical Education

    OpenAIRE

    HEMMATI, Nima; OMRANI, Soghra; HEMMATI, Naser

    2013-01-01

    The purpose of this study was to compare the satisfaction and effectiveness of Internet-based learning (IBL) and traditional classroom lecture (TCL) for continuing medical education (CME) programs by comparing final resuscitation exam results of physicians who received the newest cardiopulmonary resuscitation (CPR) curriculum guidelines training either by traditional or by an Internet-based CME. A randomized two-group pretest-posttest quasi-experimental design was used. Postgraduate general ...

  14. Marine X-band Weather Radar Data Calibration

    DEFF Research Database (Denmark)

    Thorndahl, Søren Liedtke; Rasmussen, Michael R.

    2012-01-01

    estimates. This paper presents some of the challenges in small marine X-band radar calibration by comparing three calibration procedures for assessing the relationship between radar and rain gauge data. Validation shows similar results for precipitation volumes but more diverse results on peak rain......Application of weather radar data in urban hydrology is evolving and radar data is now applied for both modelling, analysis, and real time control purposes. In these contexts, it is allimportant that the radar data is well calibrated and adjusted in order to obtain valid quantitative precipitation...

  15. Raindrop size distribution and radar reflectivity-rain rate relationships for radar hydrology

    NARCIS (Netherlands)

    Uijlenhoet, R.

    2001-01-01

    The conversion of the radar reflectivity factor Z (mm6m-3) to rain rate R (mm h-1) is a crucial step in the hydrological application of weather radar measurements. It has been common practice for over 50 years now to take for this conversion a simple power law relationship between Z and R. It is the

  16. 5 year radar-based rainfall statistics: disturbances analysis and development of a post-correction scheme for the German radar composite

    Science.gov (United States)

    Wagner, A.; Seltmann, J.; Kunstmann, H.

    2015-02-01

    A radar-based rainfall statistic demands high quality data that provide realistic precipitation amounts in space and time. Instead of correcting single radar images, we developed a post-correction scheme for long-term composite radar data that corrects corrupted areas, but preserves the original precipitation patterns. The post-correction scheme is based on a 5 year statistical analysis of radar composite data and its constituents. The accumulation of radar images reveals artificial effects that are not visible in the individual radar images. Some of them are already inherent to single radar data such as the effect of increasing beam height, beam blockage or clutter remnants. More artificial effects are introduced in the process of compositing such as sharp gradients at the boundaries of overlapping areas due to different beam heights and resolution. The cause of these disturbances, their behaviour with respect to reflectivity level, season or altitude is analysed based on time-series of two radar products: the single radar reflectivity product PX for each of the 16 radar systems of the German Meteorological Service (DWD) for the time span 2000 to 2006 and the radar composite product RX of DWD from 2005 through to 2009. These statistics result in additional quality information on radar data that is not available elsewhere. The resulting robust characteristics of disturbances, e.g. the dependency of the frequencies of occurrence of radar reflectivities on beam height, are then used as a basis for the post-correction algorithm. The scheme comprises corrections for shading effects and speckles, such as clutter remnants or overfiltering, as well as for systematic differences in frequencies of occurrence of radar reflectivities between the near and the far ranges of individual radar sites. An adjustment to rain gauges is also included. Applying this correction, the Root-Mean-Square-Error for the comparison of radar derived annual rain amounts with rain gauge data

  17. Low-Cost Mini Radar: Design Prototyping and Tests

    Directory of Open Access Journals (Sweden)

    Dario Tarchi

    2017-01-01

    Full Text Available Radar systems are largely employed for surveillance of wide and remote areas; the recent advent of drones gives the opportunity to exploit radar sensors on board of unmanned aerial platforms. Nevertheless, whereas drone radars are currently available for military applications, their employment in the civilian domain is still limited. The present research focuses on design, prototyping, and testing of an agile, low-cost, mini radar system, to be carried on board of Remotely Piloted Aircraft (RPAs or tethered aerostats. In particular, the paper faces the challenge to integrate the in-house developed radar sensor with a low-cost navigation board, which is used to estimate attitude and positioning data. In fact, a suitable synchronization between radar and navigation data is essential to properly reconstruct the radar picture whenever the platform is moving or the radar is scanning different azimuthal sectors. Preliminary results, relative to tests conducted in preoperational conditions, are provided and exploited to assert the suitable consistency of the obtained radar pictures. From the results, there is a high consistency between the radar images and the picture of the current environment emerges; finally, the comparison of radar images obtained in different scans shows the stability of the platform.

  18. Radar signal analysis and processing using Matlab

    CERN Document Server

    Mahafza, Bassem R

    2008-01-01

    Offering radar-related software for the analysis and design of radar waveform and signal processing, this book provides comprehensive coverage of radar signals and signal processing techniques and algorithms. It contains numerous graphical plots, common radar-related functions, table format outputs, and end-of-chapter problems. The complete set of MATLAB[registered] functions and routines are available for download online.

  19. Radar efficiency and the calculation of decade-long PMSE backscatter cross-section for the Resolute Bay VHF radar

    Directory of Open Access Journals (Sweden)

    N. Swarnalingam

    2009-04-01

    Full Text Available The Resolute Bay VHF radar, located in Nunavut, Canada (75.0° N, 95.0° W and operating at 51.5 MHz, has been used to investigate Polar Mesosphere Summer Echoes (PMSE since 1997. PMSE are a unique form of strong coherent radar echoes, and their understanding has been a challenge to the scientific community since their discovery more than three decades ago. While other high latitude radars have recorded strong levels of PMSE activities, the Resolute Bay radar has observed relatively lower levels of PMSE strengths. In order to derive absolute measurements of PMSE strength at this site, a technique is developed to determine the radar efficiency using cosmic (sky noise variations along with the help of a calibrated noise source. VHF radars are only rarely calibrated, but determination of efficiency is even less common. Here we emphasize the importance of efficiency for determination of cross-section measurements. The significant advantage of this method is that it can be directly applied to any MST radar system anywhere in the world as long as the sky noise variations are known. The radar efficiencies for two on-site radars at Resolute Bay are determined. PMSE backscatter cross-section is estimated, and decade-long PMSE strength variations at this location are investigated. It was noticed that the median of the backscatter cross-section distribution remains relatively unchanged, but over the years a great level of variability occurs in the high power tail of the distribution.

  20. Investigation of Cloud Properties and Atmospheric Profiles with MODIS

    Science.gov (United States)

    Menzel, Paul; Ackerman, Steve; Moeller, Chris; Gumley, Liam; Strabala, Kathy; Frey, Richard; Prins, Elaine; LaPorte, Dan; Wolf, Walter

    1997-01-01

    The WINter Cloud Experiment (WINCE) was directed and supported by personnel from the University of Wisconsin in January and February. Data sets of good quality were collected by the MODIS Airborne Simulator (MAS) and other instruments on the NASA ER2; they will be used to develop and validate cloud detection and cloud property retrievals over winter scenes (especially over snow). Software development focused on utilities needed for all of the UW product executables; preparations for Version 2 software deliveries were almost completed. A significant effort was made, in cooperation with SBRS and MCST, in characterizing and understanding MODIS PFM thermal infrared performance; crosstalk in the longwave infrared channels continues to get considerable attention.