WorldWideScience

Sample records for recording real case

  1. Recording real case data of earth faults in distribution lines

    Energy Technology Data Exchange (ETDEWEB)

    Haenninen, S. [VTT Energy, Espoo (Finland)

    1996-12-31

    The most common fault type in the electrical distribution networks is the single phase to earth fault. According to the earlier studies, for instance in Nordic countries, about 80 % of all faults are of this type. To develop the protection and fault location systems, it is important to obtain real case data of disturbances and faults which occur in the networks. For example, the earth fault initial transients can be used for earth fault location. The aim of this project was to collect and analyze real case data of the earth fault disturbances in the medium voltage distribution networks (20 kV). Therefore, data of fault occurrences were recorded at two substations, of which one has an unearthed and the other a compensated neutral, measured as follows: (a) the phase currents and neutral current for each line in the case of low fault resistance (b) the phase voltages and neutral voltage from the voltage measuring bay in the case of low fault resistance (c) the neutral voltage and the components of 50 Hz at the substation in the case of high fault resistance. In addition, the basic data of the fault occurrences were collected (data of the line, fault location, cause and so on). The data will be used in the development work of fault location and earth fault protection systems

  2. Recording real case data of earth faults in distribution lines

    Energy Technology Data Exchange (ETDEWEB)

    Haenninen, S [VTT Energy, Espoo (Finland)

    1997-12-31

    The most common fault type in the electrical distribution networks is the single phase to earth fault. According to the earlier studies, for instance in Nordic countries, about 80 % of all faults are of this type. To develop the protection and fault location systems, it is important to obtain real case data of disturbances and faults which occur in the networks. For example, the earth fault initial transients can be used for earth fault location. The aim of this project was to collect and analyze real case data of the earth fault disturbances in the medium voltage distribution networks (20 kV). Therefore, data of fault occurrences were recorded at two substations, of which one has an unearthed and the other a compensated neutral, measured as follows: (a) the phase currents and neutral current for each line in the case of low fault resistance (b) the phase voltages and neutral voltage from the voltage measuring bay in the case of low fault resistance (c) the neutral voltage and the components of 50 Hz at the substation in the case of high fault resistance. In addition, the basic data of the fault occurrences were collected (data of the line, fault location, cause and so on). The data will be used in the development work of fault location and earth fault protection systems

  3. Using electronic medical records analysis to investigate the effectiveness of lifestyle programs in real-world primary care is challenging: a case study in diabetes mellitus.

    Science.gov (United States)

    Linmans, Joris J; Viechtbauer, Wolfgang; Koppenaal, Tjarco; Spigt, Mark; Knottnerus, J André

    2012-07-01

    The increasing prevalence of diabetes suggests a gap between real world and controlled trial effectiveness of lifestyle interventions, but real-world investigations are rare. Electronic medical registration facilitates research on real-world effectiveness, although such investigations may require specific methodology and statistics. We investigated the effects of real-world primary care for patients with type 2 diabetes mellitus (T2DM). We used medical records of patients (n=2,549) with T2DM from 10 primary health care centers. A mixed-effects regression model for repeated measurements was used to evaluate the changes in weight and Hemoglobin A1c (HbA1c) over time. There was no statistically significant change in weight (+0.07 kg, P=0.832) and HbA1c (+0.03%, P=0.657) during the observation period of 972 days. Most patients maintained their physical activity level (70%), and 54 % had an insufficient activity level. The variability in the course of weight and HbA1c was because of differences between patients and not between health care providers. Despite effective lifestyle interventions in controlled trial settings, we found that real-world primary care is only able to stabilize weight and HbA1c in patients with T2DM over time. Medical registration can be used to monitor the actual effectiveness of interventions in primary care. Copyright © 2012 Elsevier Inc. All rights reserved.

  4. Near Real-Time Call Detail Record ETL Flows

    Science.gov (United States)

    Cochinwala, Munir; Panagos, Euthimios

    Telecommunication companies face significant business challenges as they strive to reduce subscriber churn and increase average revenue per user (ARPU) by offering new services and incorporating new functionality into existing services. The increased number of service offerings and available functionality result in an ever growing volume of call detail records (CDRs). For many services (e.g., pre-paid), CDRs need to be processed and analyzed in near real-time for several reasons, including charging, on-line subscriber access to their accounts, and analytics for predicting subscriber usage and preventing fraudulent activity. In this paper, we describe the challenges associated with near real-time extract, transform, and load (ETL) of CDR data warehouse flows for supporting both the operational and business intelligence needs of telecommunication services, and we present our approach to addressing these challenges.

  5. Privacy-preserving record linkage on large real world datasets.

    Science.gov (United States)

    Randall, Sean M; Ferrante, Anna M; Boyd, James H; Bauer, Jacqueline K; Semmens, James B

    2014-08-01

    Record linkage typically involves the use of dedicated linkage units who are supplied with personally identifying information to determine individuals from within and across datasets. The personally identifying information supplied to linkage units is separated from clinical information prior to release by data custodians. While this substantially reduces the risk of disclosure of sensitive information, some residual risks still exist and remain a concern for some custodians. In this paper we trial a method of record linkage which reduces privacy risk still further on large real world administrative data. The method uses encrypted personal identifying information (bloom filters) in a probability-based linkage framework. The privacy preserving linkage method was tested on ten years of New South Wales (NSW) and Western Australian (WA) hospital admissions data, comprising in total over 26 million records. No difference in linkage quality was found when the results were compared to traditional probabilistic methods using full unencrypted personal identifiers. This presents as a possible means of reducing privacy risks related to record linkage in population level research studies. It is hoped that through adaptations of this method or similar privacy preserving methods, risks related to information disclosure can be reduced so that the benefits of linked research taking place can be fully realised. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. 26 CFR 1.857-8 - Records to be kept by a real estate investment trust.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Records to be kept by a real estate investment... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Real Estate Investment Trusts § 1.857-8 Records to be kept by a real estate investment trust. (a) In general. Under section 857(a)(2) a real estate investment...

  7. Bridging the gap between the randomised clinical trial world and the real world by combination of population-based registry and electronic health record data: A case study in haemato-oncology.

    Science.gov (United States)

    Kibbelaar, R E; Oortgiesen, B E; van der Wal-Oost, A M; Boslooper, K; Coebergh, J W; Veeger, N J G M; Joosten, P; Storm, H; van Roon, E N; Hoogendoorn, M

    2017-11-01

    Randomised clinical trials (RCTs) are considered the basis of evidence-based medicine. It is recognised more and more that application of RCT results in daily practice of clinical decision-making is limited because the RCT world does not correspond with the clinical real world. Recent strategies aiming at substitution of RCT databases by improved population-based registries (PBRs) or by improved electronic health record (EHR) systems to provide significant data for clinical science are discussed. A novel approach exemplified by the HemoBase haemato-oncology project is presented. In this approach, a PBR is combined with an advanced EHR, providing high-quality data for observational studies and support of best practice development. This PBR + EHR approach opens a perspective on randomised registry trials. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Numerical analysis of rapid drawdown: Applications in real cases

    Directory of Open Access Journals (Sweden)

    Eduardo E. Alonso

    2016-07-01

    Full Text Available In this study, rapid drawdown scenarios were analyzed by means of numerical examples as well as modeling of real cases with in situ measurements. The aim of the study was to evaluate different approaches available for calculating pore water pressure distributions during and after a drawdown. To do that, a single slope subjected to a drawdown was first analyzed under different calculation alternatives, and numerical results were discussed. Simple methods, such as undrained analysis and pure flow analysis, implicitly assuming a rigid soil skeleton, lead to significant errors in pore water pressure distributions when compared with coupled flow-deformation analysis. A similar analysis was performed for the upstream slope of the Glen Shira Dam, Scotland, and numerical results were compared with field measurements during a controlled drawdown. Field records indicate that classical undrained calculations are conservative but unrealistic. Then, a recent case of a major landslide triggered by a rapid drawdown in a reservoir was interpreted. A key aspect of the case was the correct characterization of permeability of a representative soil profile. This was achieved by combining laboratory test results and a back analysis of pore water pressure time records during a period of reservoir water level fluctuations. The results highlight the difficulty of predicting whether the pore water pressure is overestimated or underestimated when using simplified approaches, and it is concluded that predicting the pore water pressure distribution in a slope after a rapid drawdown requires a coupled flow-deformation analysis in saturated and unsaturated porous media.

  9. Continuous data recording on fast real-time systems

    Energy Technology Data Exchange (ETDEWEB)

    Zabeo, L., E-mail: lzabeo@jet.u [Euratom-CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Sartori, F. [Euratom-CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Neto, A. [Associacao Euratom-IST, Instituto de Plasmas e Fusao Nuclear, Av. Rovisco Pais, 1049-001 Lisboa (Portugal); Piccolo, F. [Euratom-CCFE, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Alves, D. [Associacao Euratom-IST, Instituto de Plasmas e Fusao Nuclear, Av. Rovisco Pais, 1049-001 Lisboa (Portugal); Vitelli, R. [Dipartimento di Informatica, Sistemi e Produzione, Universita di Roma, Tor Vergata, Via del Politecnico, 1-00133 Roma (Italy); Barbalace, A. [Euratom-ENEA Association, Consorzio RFX, 35127 Padova (Italy); De Tommasi, G. [Associazione EURATOM/ENEA/CREATE, Universita di Napoli Federico II, Napoli (Italy)

    2010-07-15

    The PCU-Project launched for the enhancement of the vertical stabilisation system at JET required the design of a new real-time control system with the challenging specifications of 2Gops and a cycle time of 50 {mu}s. The RTAI based architecture running on an x86 multi-core processor technology demonstrated to be the best platform for meeting the high requirements. Moreover, on this architecture thanks to the smart allocation of the interrupts it was possible to demonstrate simultaneous data streaming at 50 MBs on Ethernet while handling a real-time 100 kHz interrupt source with a maximum jitter of just 3 {mu}s. Because of the memory limitation imposed by 32 bit version Linux running in kernel mode, the RTAI-based new controller allows a maximum practical data storage of 800 MB per pulse. While this amount of data can be accepted for JET normal operation it posed some limitations in the debugging and commissioning of the system. In order to increase the capability of the data acquisition of the system we have designed a mechanism that allows continuous full bandwidth (56 MB/s) data streaming from the real-time task (running in kernel mode) to either a data collector (running in user mode) or an external data acquisition server. The exploited architecture involves a peer to peer mechanisms where the sender running in RTAI kernel mode broadcasts large chunks of data using UDP packets, implemented using the 'fcomm' RTAI extension , to a receiver that will store the data. The paper will present the results of the initial RTAI operating system tests, the design of the streaming architecture and the first experimental results.

  10. Bridging the gap between the randomised clinical trial world and the real world by combination of population-based registry and electronic health record data : A case study in haemato-oncology

    NARCIS (Netherlands)

    Kibbelaar, R E; Oortgiesen, B E; van der Wal-Oost, A M; Boslooper, K; Coebergh, J W; Veeger, N J G M; Joosten, P; Storm, H; van Roon, E N; Hoogendoorn, M

    2017-01-01

    Randomised clinical trials (RCTs) are considered the basis of evidence-based medicine. It is recognised more and more that application of RCT results in daily practice of clinical decision-making is limited because the RCT world does not correspond with the clinical real world. Recent strategies

  11. Records management audit: The case of Gaborone city council ...

    African Journals Online (AJOL)

    records, the existence or non-existence of records management policies and procedures, as well as records security measures at GCC. A case study methodology was used and questionnaires were distributed to 35 officers selected from senior members of staff and records/ administrative personnel. Personal observations ...

  12. Case study: Managing potentially contaminated records

    International Nuclear Information System (INIS)

    Sprouse, B.S.

    1993-06-01

    For the past 10 or more years, Analytical Laboratory data cards have been generated and stored in the 222-S Laboratory at the Hanford Site in Richland, Washington. These cards are classified as record material and require retention for a minimum of 75 years in an approved storage facility in accordance with Westinghouse Hanford Company procedures. The cards are maintained in records boxes in the attic of the 222-S Laboratory and are subject to potential risk and loss. The most significant potential risks are radiological hazards. Various options are available for removal, cataloging, transmittal, and storage of these long-term records. Because the records are currently stored in a radiation protection zone, they surveyed before being released from the facility. This survey can be arduous and time consuming. Resolutions to the problem of removal and proper storage of the records from the facility need to be addressed. The records were reviewed and inventoried to determine the quantity of information. A study of the various options available was conducted, and based on the information collected, it was determined that the most feasible and cost-effective approach is to microfilm the cards inside the laboratory. This option complies with all applicable company requirements and decreases the estimated radiological survey time from approximately 3.5 years to under 40 hours. This activity will result in a potential savings of $350,000 over the life of the activity

  13. Case for real-time systems development - Quo vadis?

    Science.gov (United States)

    Erb, Dona M.

    1991-01-01

    The paper focuses on the distinctive issues of computer-aided software engineering (CASE) products for the development of real-time systems. CASE technologies and associated standardization efforts are evolving from sets of conflicting interests. The majority of case products are intended for use in the development of management information systems. CASE products to support the development of large, complex real-time systems must provide additional capabilities. Generic concerns include the quality of the implementation of the required method for the phase of the system's development and whether the vendor is stable and committed to evolving the products in parallel with nonproprietary standards. The CASE market is undergoing considerable consolidation. The paper describes the major forces, cooperating entities, and remaining uncertainties that need to be weighed in near-term CASE procurements to limit risk of loss of investment in project time, trianing, and money.

  14. Real time monitoring of superparamagnetic nanoparticle self-assembly on surfaces of magnetic recording media

    International Nuclear Information System (INIS)

    Ye, L.; Pearson, T.; Crawford, T. M.; Qi, B.; Cordeau, Y.; Mefford, O. T.

    2014-01-01

    Nanoparticle self-assembly dynamics are monitored in real-time by detecting optical diffraction from an all-nanoparticle grating as it self-assembles on a grating pattern recorded on a magnetic medium. The diffraction efficiency strongly depends on concentration, pH, and colloidal stability of nanoparticle suspensions, demonstrating the nanoparticle self-assembly process is highly tunable. This metrology could provide an alternative for detecting nanoparticle properties such as colloidal stability

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

    International Nuclear Information System (INIS)

    AghaKouchak, Amir; Nakhjiri, Navid

    2012-01-01

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

  16. Real cases study through computer applications for futures Agricultural Engineers

    Science.gov (United States)

    Moratiel, R.; Durán, J. M.; Tarquis, A. M.

    2010-05-01

    One of the huge concerns on the higher engineer education is the lag of real cases study that the future professionals need in the work and corporation market. This concern was reflected in Bologna higher education system including recommendations in this respect. The knowhow as why this or other methodology is one of the keys to resolve this problem. In the last courses given in Department of Crop Production, at the Agronomy Engineer School of Madrid (Escuela Técnica Superior de Ingenieros Agrónomos, UPM) we have developed more than one hundred applications in Microsoft Excel®. Our aim was to show different real scenarios which the future Agronomic Engineers can be found in their professional life and with items related to crop production field. In order to achieve our target, each application in Excel presents a file text in which is explained the theoretical concepts and the objectives, as well as some resources used from Excel syntax. In this way, the student can understand and use of such application, even they can modify and customize it for a real case presented in their context and/or master project. This electronic monograph gives an answer to the need to manage data in several real scenarios showed in lectures, calculus resolution, information analysis and manage worksheets in a professional and student level.

  17. Competitiveness based on logistic management: a real case study

    OpenAIRE

    García Márquez, Fausto Pedro; Peña García Pardo, Isidro; Ramos M. Nieto, Marta

    2014-01-01

    An efficient and effective logistic system is a strategic objective in any produc- tive business. This paper presents a real case study of a routing problem in a food industry firm. This problem is solved as a Vehicle Routing Problem (VRP) using the Neural Net- work (NN) and Tabu Search (TS) algorithms. A customer selection based on a profitability analysis was carried out. The aforementioned algorithms were then applied, leading to a considerable reduction in the total logistic costs. This r...

  18. REAL AND SIMULATED WAVEFORM RECORDING LIDAR DATA IN BOREAL JUVENILE FOREST VEGETATION

    Directory of Open Access Journals (Sweden)

    A. Hovi

    2013-05-01

    Full Text Available Airborne small-footprint LiDAR is replacing field measurements in regional-level forest inventories, but auxiliary field work is still required for the optimal management of young stands. Waveform (WF recording sensors can provide a more detailed description of the vegetation compared to discrete return (DR systems. Furthermore, knowing the shape of the signal facilitates comparisons between real data and those obtained with simulation tools. We performed a quantitative validation of a Monte Carlo ray tracing (MCRT -based LiDAR simulator against real data and used simulations and empirical data to study the WF recording LiDAR for the classification of boreal juvenile forest vegetation. Geometric-optical models of three common species were used as input for the MCRT model. Simulated radiometric and geometric WF features were in good agreement with the real data, and interspecies differences were preserved. We used the simulator to study the effects of sensor parameters on species classification performance. An increase in footprint size improved the classification accuracy up to a certain footprint size, while the emitted pulse width and the WF sampling rate had minor effects. Analyses on empirical data showed small improvement in performance compared to existing studies, when classifying seedling stand vegetation to four operational classes. The results on simulator validation serve as a basis for the future use of simulation models e.g. in LiDAR survey planning or in the simulation of synthetic training data, while the empirical findings clarify the potential of WF LiDAR data in the inventory chain for the operational forest management planning in Finland.

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

    Directory of Open Access Journals (Sweden)

    Andrey Zhdanov

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

  20. Building the evidence on simulation validity: comparison of anesthesiologists' communication patterns in real and simulated cases.

    Science.gov (United States)

    Weller, Jennifer; Henderson, Robert; Webster, Craig S; Shulruf, Boaz; Torrie, Jane; Davies, Elaine; Henderson, Kaylene; Frampton, Chris; Merry, Alan F

    2014-01-01

    Effective teamwork is important for patient safety, and verbal communication underpins many dimensions of teamwork. The validity of the simulated environment would be supported if it elicited similar verbal communications to the real setting. The authors hypothesized that anesthesiologists would exhibit similar verbal communication patterns in routine operating room (OR) cases and routine simulated cases. The authors further hypothesized that anesthesiologists would exhibit different communication patterns in routine cases (real or simulated) and simulated cases involving a crisis. Key communications relevant to teamwork were coded from video recordings of anesthesiologists in the OR, routine simulation and crisis simulation and percentages were compared. The authors recorded comparable videos of 20 anesthesiologists in the two simulations, and 17 of these anesthesiologists in the OR, generating 400 coded events in the OR, 683 in the routine simulation, and 1,419 in the crisis simulation. The authors found no significant differences in communication patterns in the OR and the routine simulations. The authors did find significant differences in communication patterns between the crisis simulation and both the OR and the routine simulations. Participants rated team communication as realistic and considered their communications occurred with a similar frequency in the simulations as in comparable cases in the OR. The similarity of teamwork-related communications elicited from anesthesiologists in simulated cases and the real setting lends support for the ecological validity of the simulation environment and its value in teamwork training. Different communication patterns and frequencies under the challenge of a crisis support the use of simulation to assess crisis management skills.

  1. A real case study on transportation scenario comparison

    Directory of Open Access Journals (Sweden)

    Tsoukiás A.

    2002-01-01

    Full Text Available This paper presents a real case study dealing with the comparison of transport scenarios. The study is conducted within a larger project concerning the establishment of the maritime traffic policy in Greece. The paper presents the problem situation and an appropriate problem formulation. Moreover a detailed version of the evaluation model is presented in the paper. The model consists of a complex hierarchy of evaluation models enabling us to take into account the multiple dimensions and points of view of the actors involved in the evaluations.

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

    Science.gov (United States)

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

    2016-02-01

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

  3. 29 CFR 1904.10 - Recording criteria for cases involving occupational hearing loss.

    Science.gov (United States)

    2010-07-01

    ... Hz) in the same ear(s) as the STS, you must record the case on the OSHA 300 Log. (b) Implementation... record the hearing loss case on the OSHA 300 Log. If the retest confirms the recordable STS, you must... or to record the case on the OSHA 300 Log. (7) How do I complete the 300 Log for a hearing loss case...

  4. Process mining routinely collected electronic health records to define real-life clinical pathways during chemotherapy.

    Science.gov (United States)

    Baker, Karl; Dunwoodie, Elaine; Jones, Richard G; Newsham, Alex; Johnson, Owen; Price, Christopher P; Wolstenholme, Jane; Leal, Jose; McGinley, Patrick; Twelves, Chris; Hall, Geoff

    2017-07-01

    There is growing interest in the use of routinely collected electronic health records to enhance service delivery and facilitate clinical research. It should be possible to detect and measure patterns of care and use the data to monitor improvements but there are methodological and data quality challenges. Driven by the desire to model the impact of a patient self-test blood count monitoring service in patients on chemotherapy, we aimed to (i) establish reproducible methods of process-mining electronic health records, (ii) use the outputs derived to define and quantify patient pathways during chemotherapy, and (iii) to gather robust data which is structured to be able to inform a cost-effectiveness decision model of home monitoring of neutropenic status during chemotherapy. Electronic Health Records at a UK oncology centre were included if they had (i) a diagnosis of metastatic breast cancer and received adjuvant epirubicin and cyclosphosphamide chemotherapy or (ii) colorectal cancer and received palliative oxaliplatin and infusional 5-fluorouracil chemotherapy, and (iii) were first diagnosed with cancer between January 2004 and February 2013. Software and a Markov model were developed, producing a schematic of patient pathways during chemotherapy. Significant variance from the assumed care pathway was evident from the data. Of the 535 patients with breast cancer and 420 with colorectal cancer there were 474 and 329 pathway variants respectively. Only 27 (5%) and 26 (6%) completed the planned six cycles of chemotherapy without having unplanned hospital contact. Over the six cycles, 169 (31.6%) patients with breast cancer and 190 (45.2%) patients with colorectal cancer were admitted to hospital. The pathways of patients on chemotherapy are complex. An iterative approach to addressing semantic and data quality issues enabled the effective use of routinely collected patient records to produce accurate models of the real-life experiences of chemotherapy patients and

  5. Real-time recording and classification of eye movements in an immersive virtual environment.

    Science.gov (United States)

    Diaz, Gabriel; Cooper, Joseph; Kit, Dmitry; Hayhoe, Mary

    2013-10-10

    Despite the growing popularity of virtual reality environments, few laboratories are equipped to investigate eye movements within these environments. This primer is intended to reduce the time and effort required to incorporate eye-tracking equipment into a virtual reality environment. We discuss issues related to the initial startup and provide algorithms necessary for basic analysis. Algorithms are provided for the calculation of gaze angle within a virtual world using a monocular eye-tracker in a three-dimensional environment. In addition, we provide algorithms for the calculation of the angular distance between the gaze and a relevant virtual object and for the identification of fixations, saccades, and pursuit eye movements. Finally, we provide tools that temporally synchronize gaze data and the visual stimulus and enable real-time assembly of a video-based record of the experiment using the Quicktime MOV format, available at http://sourceforge.net/p/utdvrlibraries/. This record contains the visual stimulus, the gaze cursor, and associated numerical data and can be used for data exportation, visual inspection, and validation of calculated gaze movements.

  6. Monitoring, Tracking, and Recording Pancreas-Related Health Issues in Real Time

    Science.gov (United States)

    Chrysikos, Theofilos; Zisi, Iliana; Katsini, Christina; Raptis, George E.; Kotsopoulos, Stavros

    2017-11-01

    The monitoring of pancreas-related health issues in real-time and outside the medical room is a challenge in the wide e-health domain. This paper introduces WHEAMO, a novel e-health platform which employs medical implants (biosensors), which function as antennas, planted in the pancreas. WHEAMO uses wireless in-body propagation to track, monitor, and record critical parameters, such as glucose. The signal reaches the skin and then it is propagated in an indoor environment (e.g., medical room) over to a terminal equipped with adaptive, user-configurable, and intelligent mechanisms which provide personalized recommendations to varying WHEAMO users (e.g., medical personnel, health care workers, patients). The personalized nature of the provided recommendations is based on patients unique characteristics via a sophisticated knowledge-base. The fundamentals of in-body and on-body wireless propagation and channel characterization have been studied in a series of published works. Researchers have tested both electric-field (dipole) and magnetic-field (patch, loop) antennas. Another important aspect concerns the frequency band in which the signal propagation will occur. Among the frequencies that have gathered scientific and academic interest are the Medical Implant Communication Service (MICS) band at 402-405 MHz, the 900 MHz channel and the industrial, scientific and medical (ISM) radio band at 2.45 GHz.

  7. Data science and complex networks real case studies with Python

    CERN Document Server

    Caldarelli, Guido

    2016-01-01

    This book provides a comprehensive yet short description of the basic concepts of complex network theory and the code to implement this theory. Differently from other books, we present these concepts starting from real cases of study. The application topics span from food webs, to the Internet, the World Wide Web, and social networks, passing through the international trade web and financial time series. The final part is devoted to definition and implementation of the most important network models. We provide information on the structure of the data and on the quality of available datasets. Furthermore, we provide a series of codes to implement instantly what is described theoretically in the book. People knowing the basis of network theory could learn the art of coding in Python by checking our codes and using the online material. In particular, the interactive Python notebook format is used so that the reader can immediately experiment by themselves with the codes present in the manuscript. To this purpose...

  8. The Fernald wet records recovery project: A case history

    Energy Technology Data Exchange (ETDEWEB)

    Sterling, H.J.; Devir, B.R.; Hawley, R.A. [Fernald Environmental Restoration Management Corp., Cincinnati, OH (United States); Freesmeyer, M.T. [USDOE Ohio Field Office (United States)

    1995-06-22

    This paper discusses a project performed to recover wet records discovered in January 1995 at the Fernald Environmental Management Project (FEMP). This paper discusses the emergency and record recovery phases of the project, the technical options considered for records recovery, and special measures which were required due to radiological contamination of the records. Also, the root causes and lessons learned from the incident, and path forward for future records management operations at Fernald, are discussed.

  9. The Fernald wet records recovery project: A case history

    International Nuclear Information System (INIS)

    Sterling, H.J.; Devir, B.R.; Hawley, R.A.; Freesmeyer, M.T.

    1995-01-01

    This paper discusses a project performed to recover wet records discovered in January 1995 at the Fernald Environmental Management Project (FEMP). This paper discusses the emergency and record recovery phases of the project, the technical options considered for records recovery, and special measures which were required due to radiological contamination of the records. Also, the root causes and lessons learned from the incident, and path forward for future records management operations at Fernald, are discussed

  10. PROTECTION FROM INFLATION BY INVESTING IN REAL ESTATES, ALBANIAN CASE

    Directory of Open Access Journals (Sweden)

    Dorina KRIPA

    2015-10-01

    Full Text Available Nowadays investing in Real Estates is one of the main investing alternatives. It has spread fast in all the international markets, and has evolved in other indirect tools of investing, based on the investors’ demands and a country’s economic situation. Investing in Real Estates has become an attractive alternative because it offers protection from Inflation and also diversification. Therefore, the increase in these assets’ prices, and the increase in Inflation at the same time, provides the investor with high rate of returns from his portfolio. Even the periodic income from the rent, reflects the changes in Inflation. As a result, reviewing the literature, we conclude that Real Estates are protective in inflationist periods. The income from Real Estates tends to increase faster in inflationist environments, allowing the investor to keep real rates of returns. Real Estates have always behaved different from bonds, options and stocks. Real Estates have their particular life cycle, which is distinguished by the boom and bust periods, in particular The Commercial Real Estate in the 80’ and The Residential Real Estate in the 2008 crisis. Usually Real Estates have a low correlation with other classes of assets. This makes investors invest more in Real Estates, and now it is normal for an investor with passive or active strategy to own more than one Real Estate for profit intentions. This topic has been chosen in order to understand in details the relationship between Real Estates and Inflation in Albania. To explain this relationship, it has been used the model of a linear regression. It has been identified The House Price Index (a representative of Real Estates in Albania as a dependent variable and Inflation as an independent variable. From this model, we conclude that there is a positive and linear relationship between The Price Index and Inflation. In conclusion, if the economy has Inflation and the GDP Deflator increases by 1 %, then The

  11. A Real-Time Recording Model of Key Indicators for Energy Consumption and Carbon Emissions of Sustainable Buildings

    Directory of Open Access Journals (Sweden)

    Weiwei Wu

    2014-05-01

    Full Text Available Buildings’ sustainability is one of the crucial parts for achieving urban sustainability. Applied to buildings, life-cycle assessment encompasses the analysis and assessment of the environmental effects of building materials, components and assemblies throughout the entire life of the building construction, use and demolition. Estimate of carbon emissions is essential and crucial for an accurate and reasonable life-cycle assessment. Addressing the need for more research into integrating analysis of real-time and automatic recording of key indicators for a more accurate calculation and comparison, this paper aims to design a real-time recording model of these crucial indicators concerning the calculation and estimation of energy use and carbon emissions of buildings based on a Radio Frequency Identification (RFID-based system. The architecture of the RFID-based carbon emission recording/tracking system, which contains four functional layers including data record layer, data collection/update layer, data aggregation layer and data sharing/backup layer, is presented. Each of these layers is formed by RFID or network devices and sub-systems that operate at a specific level. In the end, a proof-of-concept system is developed to illustrate the implementation of the proposed architecture and demonstrate the feasibility of the design. This study would provide the technical solution for real-time recording system of building carbon emissions and thus is of great significance and importance to improve urban sustainability.

  12. A Real-Time Recording Model of Key Indicators for Energy Consumption and Carbon Emissions of Sustainable Buildings

    Science.gov (United States)

    Wu, Weiwei; Yang, Huanjia; Chew, David; Hou, Yanhong; Li, Qiming

    2014-01-01

    Buildings' sustainability is one of the crucial parts for achieving urban sustainability. Applied to buildings, life-cycle assessment encompasses the analysis and assessment of the environmental effects of building materials, components and assemblies throughout the entire life of the building construction, use and demolition. Estimate of carbon emissions is essential and crucial for an accurate and reasonable life-cycle assessment. Addressing the need for more research into integrating analysis of real-time and automatic recording of key indicators for a more accurate calculation and comparison, this paper aims to design a real-time recording model of these crucial indicators concerning the calculation and estimation of energy use and carbon emissions of buildings based on a Radio Frequency Identification (RFID)-based system. The architecture of the RFID-based carbon emission recording/tracking system, which contains four functional layers including data record layer, data collection/update layer, data aggregation layer and data sharing/backup layer, is presented. Each of these layers is formed by RFID or network devices and sub-systems that operate at a specific level. In the end, a proof-of-concept system is developed to illustrate the implementation of the proposed architecture and demonstrate the feasibility of the design. This study would provide the technical solution for real-time recording system of building carbon emissions and thus is of great significance and importance to improve urban sustainability. PMID:24831109

  13. Software for real-time localization of baleen whale calls using directional sonobuoys: A case study on Antarctic blue whales.

    Science.gov (United States)

    Miller, Brian S; Calderan, Susannah; Gillespie, Douglas; Weatherup, Graham; Leaper, Russell; Collins, Kym; Double, Michael C

    2016-03-01

    Directional frequency analysis and recording (DIFAR) sonobuoys can allow real-time acoustic localization of baleen whales for underwater tracking and remote sensing, but limited availability of hardware and software has prevented wider usage. These software limitations were addressed by developing a module in the open-source software PAMGuard. A case study is presented demonstrating that this software provides greater efficiency and accessibility than previous methods for detecting, localizing, and tracking Antarctic blue whales in real time. Additionally, this software can easily be extended to track other low and mid frequency sounds including those from other cetaceans, pinnipeds, icebergs, shipping, and seismic airguns.

  14. Records management and service delivery: the case of Department ...

    African Journals Online (AJOL)

    Ngulup

    The principal records management unit within the Department of Corporate Services ... ies services (15), Finance and Accounting (3); however, only 59 participated in it. Data col- ...... records and public-sector financial management.

  15. Real Estate Financing and Interest Rate Hedging : A quantitative real estate investment case study

    OpenAIRE

    van de Wiel, Wimjan; Kristopher Bock, Felix

    2017-01-01

    Background: The expansive monetary policy of the European Central Bank has been leading to all-time-low interest rates and to a strong move into real estate investment. Low interest rates can work in favor of the investor (due to low interest rate expenditures), but increasing interest rates can jeopardize real estate investments. Since changes in interest rates are unpredictable, an investor needs to deal with this volatility. The capital market offers several financial instruments (so-calle...

  16. The Case For Prediction-based Best-effort Real-time Systems.

    Science.gov (United States)

    1999-01-01

    Real - time Systems Peter A. Dinda Loukas Kallivokas January...DISTRIBUTION STATEMENT A Approved for Public Release Distribution Unlimited DTIG QUALBR DISSECTED X The Case For Prediction-based Best-effort Real - time Systems Peter...Mellon University Pittsburgh, PA 15213 A version of this paper appeared in the Seventh Workshop on Parallel and Distributed Real - Time Systems

  17. Records management and service delivery: the case of Department ...

    African Journals Online (AJOL)

    This article explores the role of records management in the delivery of public service in ... to the Corporate Services Division at the Ministry of Health headquarters. ... delays in access and use of records; lack of a elaborate electronic records ...

  18. Public Participation: Lessons from the Case Study Record

    Energy Technology Data Exchange (ETDEWEB)

    Beierle, Thomas C.; Cayford, Jerry [Resources for the Future, Washington, DC (United States)

    2001-07-01

    Public participation has received increasing attention in environmental policy making world wide. Yet research has been inadequate to answer fundamental questions about how successful past programs have been, what factors lead to success, and where efforts to improve public involvement should focus. To address these questions, we examine the case study record of public participation efforts in the United States over the last 30 years. We evaluate the success of numerous examples of public participation in environmental decision making and identify the factors that lead to success. The paper deals with a number of themes, including: The extent to which participation can incorporate public values into decision making, improve the substantive quality of decisions, reduce conflict, increase trust in institutions, and educate and inform the public; What can be expected from different approaches to public participation, such as public meetings, advisory committees, and mediation; The relative importance of the participatory process vs. the context in which participation takes place; Procedural features of particular importance; and The relationship between participation and implementation. The paper provides general results that can be used to guide the improvement of public participation programs, support assessment of innovative methods, and advance the theoretical understanding of public participation.

  19. Public Participation: Lessons from the Case Study Record

    International Nuclear Information System (INIS)

    Beierle, Thomas C.; Cayford, Jerry

    2001-01-01

    Public participation has received increasing attention in environmental policy making world wide. Yet research has been inadequate to answer fundamental questions about how successful past programs have been, what factors lead to success, and where efforts to improve public involvement should focus. To address these questions, we examine the case study record of public participation efforts in the United States over the last 30 years. We evaluate the success of numerous examples of public participation in environmental decision making and identify the factors that lead to success. The paper deals with a number of themes, including: The extent to which participation can incorporate public values into decision making, improve the substantive quality of decisions, reduce conflict, increase trust in institutions, and educate and inform the public; What can be expected from different approaches to public participation, such as public meetings, advisory committees, and mediation; The relative importance of the participatory process vs. the context in which participation takes place; Procedural features of particular importance; and The relationship between participation and implementation. The paper provides general results that can be used to guide the improvement of public participation programs, support assessment of innovative methods, and advance the theoretical understanding of public participation

  20. Reduced computational cost in the calculation of worst case response time for real time systems

    OpenAIRE

    Urriza, José M.; Schorb, Lucas; Orozco, Javier D.; Cayssials, Ricardo

    2009-01-01

    Modern Real Time Operating Systems require reducing computational costs even though the microprocessors become more powerful each day. It is usual that Real Time Operating Systems for embedded systems have advance features to administrate the resources of the applications that they support. In order to guarantee either the schedulability of the system or the schedulability of a new task in a dynamic Real Time System, it is necessary to know the Worst Case Response Time of the Real Time tasks ...

  1. The Geometric Construction Abilities Of Gifted Students In Solving Real - World Problems: A Case From Turkey

    Directory of Open Access Journals (Sweden)

    Avni YILDIZ

    2016-10-01

    Full Text Available Geometric constructions have already been of interest to mathematicians. However, studies on geometric construction are not adequate in the relevant literature. Moreover, these studies generally focus on how secondary school gifted students solve non-routine mathematical problems. The present study aims to examine the geometric construction abilities of ninth-grade (15 years old gifted students in solving real-world geometry problems; thus a case study was conducted. Six gifted students participated in the study. The data consisted of voice records, solutions, and models made by the students on the GeoGebra screen. Results indicate that gifted students use their previous knowledge effectively during the process of geometric construction. They modeled the situations available in the problems through using mathematical concepts and the software in coordination. Therefore, it is evident that gifted students think more creatively while solving problems using GeoGebra.

  2. A Real-Life Case Study of Audit Interactions--Resolving Messy, Complex Problems

    Science.gov (United States)

    Beattie, Vivien; Fearnley, Stella; Hines, Tony

    2012-01-01

    Real-life accounting and auditing problems are often complex and messy, requiring the synthesis of technical knowledge in addition to the application of generic skills. To help students acquire the necessary skills to deal with these problems effectively, educators have called for the use of case-based methods. Cases based on real situations (such…

  3. 29 CFR 1904.11 - Recording criteria for work-related tuberculosis cases.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 5 2010-07-01 2010-07-01 false Recording criteria for work-related tuberculosis cases... Forms and Recording Criteria § 1904.11 Recording criteria for work-related tuberculosis cases. (a) Basic... tuberculosis (TB), and that employee subsequently develops a tuberculosis infection, as evidenced by a positive...

  4. A low-cost single-board solution for real-time, unsupervised waveform classification of multineuron recordings.

    Science.gov (United States)

    Kreiter, A K; Aertsen, A M; Gerstein, G L

    1989-10-01

    We describe a low-cost single-board system for unsupervised, real-time spike sorting of recordings from a number of neurons on a single microelectrode. The maximum number of spike classes depends on the quality of the recording; it will typically be between 2 and 5. The spike sorter communicates with a conventional microcomputer through a standard serial port (RS232). For typical firing rates as measured in the mammalian central nervous system, this set-up will accommodate up to some 10 parallel spike sorters for as many separate microelectrodes.

  5. Estimation of real-time runway surface contamination using flight data recorder parameters

    Science.gov (United States)

    Curry, Donovan

    Within this research effort, the development of an analytic process for friction coefficient estimation is presented. Under static equilibrium, the sum of forces and moments acting on the aircraft, in the aircraft body coordinate system, while on the ground at any instant is equal to zero. Under this premise the longitudinal, lateral and normal forces due to landing are calculated along with the individual deceleration components existent when an aircraft comes to a rest during ground roll. In order to validate this hypothesis a six degree of freedom aircraft model had to be created and landing tests had to be simulated on different surfaces. The simulated aircraft model includes a high fidelity aerodynamic model, thrust model, landing gear model, friction model and antiskid model. Three main surfaces were defined in the friction model; dry, wet and snow/ice. Only the parameters recorded by an FDR are used directly from the aircraft model all others are estimated or known a priori. The estimation of unknown parameters is also presented in the research effort. With all needed parameters a comparison and validation with simulated and estimated data, under different runway conditions, is performed. Finally, this report presents results of a sensitivity analysis in order to provide a measure of reliability of the analytic estimation process. Linear and non-linear sensitivity analysis has been performed in order to quantify the level of uncertainty implicit in modeling estimated parameters and how they can affect the calculation of the instantaneous coefficient of friction. Using the approach of force and moment equilibrium about the CG at landing to reconstruct the instantaneous coefficient of friction appears to be a reasonably accurate estimate when compared to the simulated friction coefficient. This is also true when the FDR and estimated parameters are introduced to white noise and when crosswind is introduced to the simulation. After the linear analysis the

  6. The study of key issues about integration of GNSS and strong-motion records for real-time earthquake monitoring

    Science.gov (United States)

    Tu, Rui; Zhang, Pengfei; Zhang, Rui; Liu, Jinhai

    2016-08-01

    This paper has studied the key issues about integration of GNSS and strong-motion records for real-time earthquake monitoring. The validations show that the consistence of the coordinate system must be considered firstly to exclude the system bias between GNSS and strong-motion. The GNSS sampling rate is suggested about 1-5 Hz, and we should give the strong-motion's baseline shift with a larger dynamic noise as its variation is very swift. The initialization time of solving the baseline shift is less than one minute, and ambiguity resolution strategy is not greatly improved the solution. The data quality is very important for the solution, we advised to use multi-frequency and multi-system observations. These ideas give an important guide for real-time earthquake monitoring and early warning by the tight integration of GNSS and strong-motion records.

  7. Pressure transmitter surveillance: the dominant real pole case

    International Nuclear Information System (INIS)

    Blazquez, J.; Ballestrin, J.

    1995-01-01

    There are about 500 pressure transmitters in a nuclear power plant. Due to Safety requirements, some of them must be specially surveilled. Sensor response time to a pressure ramp is the usual quantity to be measured. Response time, τ r , reflects the dynamics of the sensor and the sensing line. A real pole is due to the inner sensor structure, but the complex pole stands for the sensing line too. The real pole usually is the dominant in most sensors. On line monitoring noise analysis regards simultaneously both, the sensor and the sensing line, but the noise signal contains not only the sensor poles, but many others coming from the plant, so must be conditioned previously and the determination of τ r is not free of systematic errors. That is the price to be paid for non disturbing the plant. When the real pole is dominant, the sensing line contribution is negligible, so the on line noise monitoring methods are supported by the laboratory experiments and the real pole border in the PSD is properly identified. The mean square frequency results proportional to τ r -1 , so manual techniques are designed for response time surveillance made by non noise plant's maintenance technicians. (author)

  8. Real-time data collection in Linux: a case study.

    Science.gov (United States)

    Finney, S A

    2001-05-01

    Multiuser UNIX-like operating systems such as Linux are often considered unsuitable for real-time data collection because of the potential for indeterminate timing latencies resulting from preemptive scheduling. In this paper, Linux is shown to be fully adequate for precisely controlled programming with millisecond resolution or better. The Linux system calls that subserve such timing control are described and tested and then utilized in a MIDI-based program for tapping and music performance experiments. The timing of this program, including data input and output, is shown to be accurate at the millisecond level. This demonstrates that Linux, with proper programming, is suitable for real-time experiment software. In addition, the detailed description and test of both the operating system facilities and the application program itself may serve as a model for publicly documenting programming methods and software performance on other operating systems.

  9. Real and metaphorical hunger: the case of The Divergent Trilogy

    OpenAIRE

    Paravano, Cristina

    2015-01-01

    The present contribution investigates how the issue of hunger becomes a means of expressing and communicating personal and social identity in Veronica Roth’s best seller trilogy Divergent (2011-13). Roth portrays a dystopian future developing a multifaceted concept of hunger, both real and figurative, and using food as a cultural metaphor. The trilogy is set in a post-apocalyptic Chicago, whose population is divided into five allegorical factions, according to a number of personal and social ...

  10. 29 CFR 1904.9 - Recording criteria for cases involving medical removal under OSHA standards.

    Science.gov (United States)

    2010-07-01

    ... surveillance requirements of an OSHA standard, you must record the case on the OSHA 300 Log. (b) Implementation—(1) How do I classify medical removal cases on the OSHA 300 Log? You must enter each medical removal case on the OSHA 300 Log as either a case involving days away from work or a case involving restricted...

  11. Real Time Locations Systems or Outsourcing: A Case Study

    Science.gov (United States)

    Lawrence, Cameron; Firth, David; Khumalo, Floyd

    2013-01-01

    Information Technology has transformed almost all aspects of modern healthcare and is playing a vital role in the administration of hospitals around the world. This case study examines one hospital's struggle to solve crucial operational problems related to the efficient management of medical equipment inventory. This case study is the result of…

  12. Time-Optimal Real-Time Test Case Generation using UPPAAL

    DEFF Research Database (Denmark)

    Hessel, Anders; Larsen, Kim Guldstrand; Nielsen, Brian

    2004-01-01

    Testing is the primary software validation technique used by industry today, but remains ad hoc, error prone, and very expensive. A promising improvement is to automatically generate test cases from formal models of the system under test. We demonstrate how to automatically generate real...... test purposes or generated automatically from various coverage criteria of the model.......-time conformance test cases from timed automata specifications. Specifically we demonstrate how to fficiently generate real-time test cases with optimal execution time i.e test cases that are the fastest possible to execute. Our technique allows time optimal test cases to be generated using manually formulated...

  13. Simulation Optimization for Transportation System: A Real Case Application

    Directory of Open Access Journals (Sweden)

    Muhammet Enes Akpınar

    2017-02-01

    Full Text Available Simulation applications help decision makers to give right decisions to eliminate some problems such as: create a new firm, need some changes inside a factory; improve the process of a hospital etc. In this engineering simulation study, there are two points which are used by students to arrive at the University. Initial point is the train station and the final point is the arrival point. Students’ transportation is provided with buses. The main problem is to decide the number of buses by taking number of student into consideration. To be able to solve this real-life application PROMODEL pack software is used.

  14. Correlation Analysis between Nominal and Real Convergence. The Romanian Case

    Directory of Open Access Journals (Sweden)

    Marius-Corneliu Marinas

    2006-05-01

    Full Text Available This study aims to analyze the sources of the correlation between the nominal and real convergence, as well as the impact of the macroeconomic politics on it. The perspective of Euro adoption will impose stricter management of monetary and budgetary politics, which will affect negatively the catching up process of the economic delays given the lack of higher economic flexibility. This enables a more rapid adjustment of the economy to some persistent shocks as a result of applying growth aggregate supply politics.

  15. Correlation Analysis between Nominal and Real Convergence. The Romanian Case

    Directory of Open Access Journals (Sweden)

    Marius-Corneliu Marinas

    2006-03-01

    Full Text Available This study aims to analyze the sources of the correlation between the nominal and real convergence, as well as the impact of the macroeconomic politics on it. The perspective of Euro adoption will impose stricter management of monetary and budgetary politics, which will affect negatively the catching up process of the economic delays given the lack of higher economic flexibility. This enables a more rapid adjustment of the economy to some persistent shocks as a result of applying growth aggregate supply politics.

  16. Generating OER by Recording Lectures: A Case Study

    Science.gov (United States)

    Llamas-Nistal, Martín; Mikic-Fonte, Fernando A.

    2014-01-01

    The University of Vigo, Vigo, Spain, has the objective of making all the teaching material generated by its teachers freely available. To attain this objective, it encourages the development of Open Educational Resources, especially videos. This paper presents an experience of recording lectures and generating the corresponding videos as a step…

  17. Recording thoughts while memorizing music: A case study

    Directory of Open Access Journals (Sweden)

    Tania eLisboa

    2015-01-01

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

  18. Recording thoughts while memorizing music: a case study

    Science.gov (United States)

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

    2015-01-01

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

  19. Real-World Evidence In Support Of Precision Medicine: Clinico-Genomic Cancer Data As A Case Study.

    Science.gov (United States)

    Agarwala, Vineeta; Khozin, Sean; Singal, Gaurav; O'Connell, Claire; Kuk, Deborah; Li, Gerald; Gossai, Anala; Miller, Vincent; Abernethy, Amy P

    2018-05-01

    The majority of US adult cancer patients today are diagnosed and treated outside the context of any clinical trial (that is, in the real world). Although these patients are not part of a research study, their clinical data are still recorded. Indeed, data captured in electronic health records form an ever-growing, rich digital repository of longitudinal patient experiences, treatments, and outcomes. Likewise, genomic data from tumor molecular profiling are increasingly guiding oncology care. Linking real-world clinical and genomic data, as well as information from other co-occurring data sets, could create study populations that provide generalizable evidence for precision medicine interventions. However, the infrastructure required to link, ensure quality, and rapidly learn from such composite data is complex. We outline the challenges and describe a novel approach to building a real-world clinico-genomic database of patients with cancer. This work represents a case study in how data collected during routine patient care can inform precision medicine efforts for the population at large. We suggest that health policies can promote innovation by defining appropriate uses of real-world evidence, establishing data standards, and incentivizing data sharing.

  20. Real and metaphorical hunger: the case of The Divergent Trilogy

    Directory of Open Access Journals (Sweden)

    Cristina Paravano

    2015-05-01

    Full Text Available The present contribution investigates how the issue of hunger becomes a means of expressing and communicating personal and social identity in Veronica Roth’s best seller trilogy Divergent (2011-13. Roth portrays a dystopian future developing a multifaceted concept of hunger, both real and figurative, and using food as a cultural metaphor. The trilogy is set in a post-apocalyptic Chicago, whose population is divided into five allegorical factions, according to a number of personal and social characteristics. The life of each faction seems to be based on a form of metaphorical hunger: those who pursue selflessness and altruism belong to Abnegation, peace and harmony to Amity, honesty and truth to Candor, danger and adventure to Dauntless, and knowledge and power to Erudite. Those people who are excluded become factionless: they are outcasts who live their life in extreme poverty and experience real physical hunger. On the other hand, I will show how the numerous references to food and eating pervading the novels help to map the characters’ personalities and identities as single individuals and as groups.

  1. Optimized Real-Time Control of Combined Sewerage Systems: Two Case Studies (Proceedings Paper)

    Science.gov (United States)

    The paper presents results of two case studies of Real-Time Control (RTC) alternatives evaluations that were conducted on portions of sewerage systems near Paris, France and in Quebec City, Canada, respectively. The studies were performed at real-scale demonstration sites. RTC al...

  2. OPTIMIZED REAL-TIME CONTROL OF COMBINED SEWERAGE SYSTEMS: TWO CASE STUDIES

    Science.gov (United States)

    The paper presents results of two case studies of Real-Time Control (RTC) alternatives evaluations that were conducted on portions of sewerage systems near Paris, France and in Quebec City, Canada, respectively. The studies were performed at real-scale demonstration sites. RTC ...

  3. The Oldest Recorded Case of Acromegaly and Gigantism in Iran.

    Science.gov (United States)

    Najjari, Mohsen

    2015-10-01

    Here we commemorate the character and academic authority of Prof. Zabiholah Gorban (1903-2006), the founder of Shiraz medical school. No doubt, in the scope of history of contemporary medicine, he has been efficient and effective. With respect to this fact, his article on a rare case described in Acta anatomica published in Iran in 1966, entitled (Observations on a giant skeleton) is browsed and reviewed. A case named Siah Khan with combined acromegaly and gigantism that appears to have letters to say still after nearly half a century.

  4. Are Green Jobs Real Jobs? The Case of Italy

    OpenAIRE

    Lavecchia, Luciano; Stagnaro, Carlo

    2010-01-01

    The European Union is strongly promoting the adoption of renewable energy sources (RES). This policy relies mostly on environmental reasons, but its promoters also claim that RES subsidies will result into the creation of a significant number of jobs. This papers takes into examination the case of Italian policies with regard to solar panels and wind turbines. The number of RES-related jobs is estimated and it is compared with the number of jobs that are displaced by higher energy prices, due...

  5. Real-time seismic monitoring of the integrated cape girardeau bridge array and recorded earthquake response

    Science.gov (United States)

    Celebi, M.

    2006-01-01

    This paper introduces the state of the art, real-time and broad-band seismic monitoring network implemented for the 1206 m [3956 ft] long, cable-stayed Bill Emerson Memorial Bridge in Cape Girardeau (MO), a new Mississippi River crossing, approximately 80 km from the epicentral region of the 1811-1812 New Madrid earthquakes. The bridge was designed for a strong earthquake (magnitude 7.5 or greater) during the design life of the bridge. The monitoring network comprises a total of 84 channels of accelerometers deployed on the superstructure, pier foundations and at surface and downhole free-field arrays of the bridge. The paper also presents the high quality response data obtained from the network. Such data is aimed to be used by the owner, researchers and engineers to assess the performance of the bridge, to check design parameters, including the comparison of dynamic characteristics with actual response, and to better design future similar bridges. Preliminary analyses of ambient and low amplitude small earthquake data reveal specific response characteristics of the bridge and the free-field. There is evidence of coherent tower, cable, deck interaction that sometimes results in amplified ambient motions. Motions at the lowest tri-axial downhole accelerometers on both MO and IL sides are practically free from any feedback from the bridge. Motions at the mid-level and surface downhole accelerometers are influenced significantly by feedback due to amplified ambient motions of the bridge. Copyright ASCE 2006.

  6. Signal from Cyg X-3, as recorded in some underground experiments, real?

    International Nuclear Information System (INIS)

    Chudakov, A.E.

    1986-01-01

    Most of the excitement concerning the underground detection of signals from Cyg X-3 comes not from astrophysical grounds, but from the contradiction with surface experimental data. Believing in the Cyg X-3 signal underground and also that the main processes of muon production are well knownm the conclusion was drawn that the signal in EAS Cherenkov or counter experiments could be remarkably high, which is not the case. Possible solutions to this discrepancy are discussed

  7. Restructuring companies under crisis. A real case study

    Directory of Open Access Journals (Sweden)

    Hezi Aviram SHAYB

    2017-09-01

    Full Text Available Nobody is planning to fail, but many companies are failing because of lack of planning.Real business experience showed during the years that crisis can be prevented, avoided or limited. If detected in time, the risks associated with the crisis can be mitigated and the effects can be diminished, with the condition that the actions required are done fast, in a sharp and accurate manner.             When it comes, a crisis brings intense level of pressure and under these conditions there is no time or room for mistakes. Delays, losing focus and lack of planning will bring a company one step away from failure.             The right way to deal with crisis, if required measures are not done in time, is to minimize the losses and reposition in the best way possible.             Analyzing the success stories of some of the biggest and strongest companies in the world, led to an important conclusion: the majority of these companies were in the situation to face huge crises that threatened their ability to survive in certain moments on their way to success.             With the right planning and by setting a proper organizational structure, the negative aspects of the crisis can be turned into benefits and opportunities for the company.             The most critical challenge for management is to assess the level of exposure to risk of the company and identify the key points to focus on in order to overcome the crisis and create value.              In order to set up a strong plan in dealing with crisis, a business organization needs reliable, efficient and effective tools and this is what this article is all about.

  8. Reflective memory recorder upgrade: an opportunity to benchmark PowerPC and Intel architectures for real time

    Science.gov (United States)

    Abuter, Roberto; Tischer, Helmut; Frahm, Robert

    2014-07-01

    Several high frequency loops are required to run the VLTI (Very Large Telescope Interferometer) 2, e.g. for fringe tracking11, 5, angle tracking, vibration cancellation, data capture. All these loops rely on low latency real time computers based on the VME bus, Motorola PowerPC14 hardware architecture. In this context, one highly demanding application in terms of cycle time, latency and data transfer volume is the VLTI centralized recording facility, so called, RMN recorder1 (Reflective Memory Recorder). This application captures and transfers data flowing through the distributed memory of the system in real time. Some of the VLTI data producers are running with frequencies up to 8 KHz. With the evolution from first generation instruments like MIDI3, PRIMA5, and AMBER4 which use one or two baselines, to second generation instruments like MATISSE10 and GRAVITY9 which will use all six baselines simultaneously, the quantity of signals has increased by, at least, a factor of six. This has led to a significant overload of the RMN recorder1 which has reached the natural limits imposed by the underlying hardware. At the same time, new, more powerful computers, based on the Intel multicore families of CPUs and PCI buses have become available. With the purpose of improving the performance of the RMN recorder1 application and in order to make it capable of coping with the demands of the new generation instruments, a slightly modified implementation has been developed and integrated into an Intel based multicore computer15 running the VxWorks17 real time operating system. The core of the application is based on the standard VLT software framework for instruments13. The real time task reads from the reflective memory using the onboard DMA access12 and captured data is transferred to the outside world via a TCP socket on a dedicated Ethernet connection. The diversity of the software and hardware that are involved makes this application suitable as a benchmarking platform. A

  9. Real-time Recording of Cytosolic Calcium Levels in Arabidopsis thaliana Cell Cultures during Parabolic Flights

    Science.gov (United States)

    Neef, Maren; Ecke, Margret; Hampp, Rüdiger

    2015-07-01

    In plants, like in other organisms, calcium (Ca2+) is an important second messenger which participates in the conversion of environmental signals into molecular responses. There is increasing evidence, that sensing of changes in gravitation or reorientation of tissues is an example for such signaling cascades in which Ca2+ is involved. In order to determine g-dependent changes in the cytosolic calcium (Ca^{2+}_{ {cyt}}) concentration of plant cells, semisolid transgenic callus cell cultures of Arabidopsis thaliana (A.t.), expressing the calcium sensor YC3.6 (cameleon), were exposed to g-forces between 1.8 g and μ g during parabolic flights. Using such cells, intracellular calcium transients can be monitored by FRET in vivo and in real-time. Interestingly we observed a slight decrease of the Ca^{2+}_{ {cyt}} level during the hypergravity phases of a parabola but a significant increase of the Ca^{2+}_{ {cyt}} concentration during microgravity. Application of known Ca2+ inhibitors and antagonists yielded the following effects: nifedipine (Ca2+ channel blocker) showed no effect, whereas LaCl3, GdCl3 (both inhibitors of uptake at the plasma membrane), DPI (inhibitor of NADP oxidase), and DMSO (solvent) diminished the gravity-alteration-related Ca^{2+}_{ {cyt}} response. EGTA (binding of Ca2+) and eosin yellow (inhibitor of a plasma membrane-located Ca2+ pump) suppressed the respective Ca^{2+}_{ {cyt}} changes entirely. We thus conclude that the significant increase in Ca^{2+}_{ {cyt}} under microgravity is largely due to extracellular Ca2+ sources.

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

    Directory of Open Access Journals (Sweden)

    Bodo Ahrens

    2013-09-01

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

  11. Real time recording system of radioisotopes by local area network (LAN) computer system and user input processing

    International Nuclear Information System (INIS)

    Shinohara, Kunio; Ito, Atsushi; Kawaguchi, Hajime; Yanase, Makoto; Uno, Kiyoshi.

    1991-01-01

    A computer-assisted real time recording system was developed for management of radioisotopes. The system composed of two personal computers forming LAN, identification-card (ID-card) reader, and electricity-operating door-lock. One computer is operated by radiation safety staffs and stores the records of radioisotopes. The users of radioisotopes are registered in this computer. Another computer is installed in front of the storage room for radioisotopes. This computer is ready for operation by a registered ID-card and is input data by the user. After the completion of data input, the door to the storage room is unlocked. The present system enables us the following merits: Radiation safety staffs can easily keep up with the present states of radioisotopes in the storage room and save much labor. Radioactivity is always corrected. The upper limit of radioactivities in use per day is automatically checked and users are regulated when they input the amounts to be used. Users can obtain storage records of radioisotopes any time. In addition, the system is applicable to facilities which have more than two storage rooms. (author)

  12. Sanitary landfill energetic potential analysis: a real case study

    International Nuclear Information System (INIS)

    Desideri, Umberto; Di Maria, Francesco; Leonardi, Daniela; Proietti, Stefania

    2003-01-01

    Waste disposal represents an important problem in developed countries. Many different techniques are available to reduce the amount of waste production and its environmental impact. In most cases, sanitary landfills have been and continue to be one of the most common ways to dispose of urban and industrial wastes. It is well known how landfilling produces an important environmental drawback due to gaseous, liquid and solid emissions that are dangerous for the environment. Landfill biogas emissions contain mainly carbon dioxide and methane. In particular, the methane concentration can be higher than 50% by volume. This means that the calorific value of sanitary landfill biogas can be higher than 18,000 kJ/N m 3 . The utilization of such gas as fuel for electrical and thermal energy production can be an important way to reduce the landfill impact on the environment and represent an easy way to use a renewable energy source. In the following, the amount and composition of the biogas produced in a sanitary landfill situated in central Italy have been analysed. Experimental results have been discussed, and an energetic potential evaluation has been performed

  13. Sanitary landfill energetic potential analysis: a real case study

    Energy Technology Data Exchange (ETDEWEB)

    Desideri, Umberto E-mail: umberto.desideri@unipg.it; Di Maria, Francesco E-mail: fdm@unipg.it; Leonardi, Daniela; Proietti, Stefania

    2003-07-01

    Waste disposal represents an important problem in developed countries. Many different techniques are available to reduce the amount of waste production and its environmental impact. In most cases, sanitary landfills have been and continue to be one of the most common ways to dispose of urban and industrial wastes. It is well known how landfilling produces an important environmental drawback due to gaseous, liquid and solid emissions that are dangerous for the environment. Landfill biogas emissions contain mainly carbon dioxide and methane. In particular, the methane concentration can be higher than 50% by volume. This means that the calorific value of sanitary landfill biogas can be higher than 18,000 kJ/N m{sup 3}. The utilization of such gas as fuel for electrical and thermal energy production can be an important way to reduce the landfill impact on the environment and represent an easy way to use a renewable energy source. In the following, the amount and composition of the biogas produced in a sanitary landfill situated in central Italy have been analysed. Experimental results have been discussed, and an energetic potential evaluation has been performed.

  14. The recording industry and ‘regional’ culture in Indonesia : the case of Minangkabau

    NARCIS (Netherlands)

    Suryadi,

    2014-01-01

    This book explores chronologically, for the first time, the representation and redefinition of Indonesia’s regional cultures through recording media, from the introduction of the gramophone record through the current video compact disc (VCD) era, taking as case study the Minangkabau ethnic group.

  15. Almost commuting self-adjoint matrices: The real and self-dual cases

    Science.gov (United States)

    Loring, Terry A.; Sørensen, Adam P. W.

    2016-08-01

    We show that a pair of almost commuting self-adjoint, symmetric matrices is close to a pair of commuting self-adjoint, symmetric matrices (in a uniform way). Moreover, we prove that the same holds with self-dual in place of symmetric and also for paths of self-adjoint matrices. Since a symmetric, self-adjoint matrix is real, we get a real version of Huaxin Lin’s famous theorem on almost commuting matrices. Similarly, the self-dual case gives a version for matrices over the quaternions. To prove these results, we develop a theory of semiprojectivity for real C*-algebras and also examine various definitions of low-rank for real C*-algebras.

  16. Static Profiling of the Worst-Case in Real-Time Programs

    DEFF Research Database (Denmark)

    Brandner, Florian; Hepp, Stefan; Jordan, Alexander

    2012-01-01

    With the increasing performance demand in real-time systems it becomes more and more relevant to provide feedback to engineers and programmers, but also software development tools, on the performance-relevant code parts of a real-time program. So far, the information provided to programmers through...... other code parts. To give an accurate view covering the entire code base, tools in the spirit of standard program profiling tools are required. This work proposes an efficient approach to compute worst-case timing information for all code parts of a program using a complementary metric, called...... criticality. Every statement of a real-time program is assigned a criticality value, expressing how critical the respective code is with respect to the global WCET. This gives an accurate view to programmers how close the worst execution path passing through a specific part of a real-time program...

  17. A real-world Case Study in Information Technology for Undergraduate Students

    NARCIS (Netherlands)

    Sikkel, Nicolaas; Spil, Antonius A.M.; van de Weg, R.L.W.

    1999-01-01

    Real-world case studies are important to complement the academic skills and knowledge acquired by computer science students. In this paper we relate our experiences with a course specifically designed to address this issue. The problem to be addressed is the replacement of a Hospital Information

  18. Replacing a Hospital Information System: an example of a real-world case study

    NARCIS (Netherlands)

    Sikkel, Nicolaas; Spil, Antonius A.M.; van de Weg, R.L.W.

    Real-world case studies are important to complement the academic skills and knowledge acquired by computer science students. In this paper we relate our experiences with a course specifically designed to address this issue. The objectives of the course are threefold: to train management and

  19. New cities between sustainability and real estate investment: A case study of New Cairo city

    Directory of Open Access Journals (Sweden)

    Reham M. Hafez

    2017-04-01

    This research reviews the basis of development of the new cities. The influence of the real estate investment in some Arab countries, then it handles the case study – “New Cairo city”. Discussing all the investing factors made the city in its current status. Then comes the recommendations in a trial to get an alternative structure to achieve sustainability in light of the current determinants and growth stages.

  20. Cell Phone Video Recording Feature as a Language Learning Tool: A Case Study

    Science.gov (United States)

    Gromik, Nicolas A.

    2012-01-01

    This paper reports on a case study conducted at a Japanese national university. Nine participants used the video recording feature on their cell phones to produce weekly video productions. The task required that participants produce one 30-second video on a teacher-selected topic. Observations revealed the process of video creation with a cell…

  1. Accessibility of Real Estate by Transportation as a Determinant of the Development of Suburban Real Estate Markets – Case Study

    Directory of Open Access Journals (Sweden)

    Wolny Ada

    2016-03-01

    Full Text Available The aim of this article is to show the accessibility of real estate by transportation as a factor that significantly determines the decision to acquire it. Direct access to a public road, or access to an internal road that provides communication with the public road, are a factor affecting the value of real estate. In addition, this factor is taken into account in the process of changing the function of the area, especially in determining zoning and land use. The decision of purchasing real estate often depends on transportation accessibility, because it has an impact on developing the selected plot.

  2. Record High US Measles Cases: Patient Vaccination, Clinical Assessment and Management

    Centers for Disease Control (CDC) Podcasts

    This podcast is an overview of the Clinician Outreach and Communication Activity (COCA) Call: Record High US Measles Cases: Patient Vaccination, Clinical Assessment and Management. In May 2014, the United States recorded the largest number of reported measles cases since 1994 and the number continues to rise. Most cases reported have been acquired in the U.S. and are associated with importations from countries where measles is still common. This highly contagious, acute viral illness spreads quickly in unvaccinated populations once reaching the U.S. The recent measles outbreaks highlight the importance of maintaining high vaccination coverage in the U.S. and ensuring age-appropriate vaccination for international travelers. During this COCA call, clinicians will learn the status of measles in the U.S. and CDC vaccination recommendations and guidelines for patient assessment and management.

  3. Contact tracing with a real-time location system: A case study of increasing relative effectiveness in an emergency department.

    Science.gov (United States)

    Hellmich, Thomas R; Clements, Casey M; El-Sherif, Nibras; Pasupathy, Kalyan S; Nestler, David M; Boggust, Andy; Ernste, Vickie K; Marisamy, Gomathi; Koenig, Kyle R; Hallbeck, M Susan

    2017-12-01

    Contact tracing is the systematic method of identifying individuals potentially exposed to infectious diseases. Electronic medical record (EMR) use for contact tracing is time-consuming and may miss exposed individuals. Real-time location systems (RTLSs) may improve contact identification. Therefore, the relative effectiveness of these 2 contact tracing methodologies were evaluated. During a pertussis outbreak in the United States, a retrospective case study was conducted between June 14 and August 31, 2016, to identify the contacts of confirmed pertussis cases, using EMR and RTLS data in the emergency department of a tertiary care medical center. Descriptive statistics and a paired t test (α = 0.05) were performed to compare contacts identified by EMR versus RTLS, as was correlation between pertussis patient length of stay and the number of potential contacts. Nine cases of pertussis presented to the emergency department during the identified time period. RTLS doubled the potential exposure list (P < .01). Length of stay had significant positive correlation with contacts identified by RTLS (ρ = 0.79; P = .01) but not with EMR (ρ = 0.43; P = .25). RTLS doubled the potential pertussis exposures beyond EMR-based contact identification. Thus, RTLS may be a valuable addition to the practice of contact tracing and infectious disease monitoring. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

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

    Science.gov (United States)

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

    2017-05-01

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

  5. Towards an Understanding of the Impacts of Localized Real Case Studies

    Directory of Open Access Journals (Sweden)

    Mathews Nkhoma

    2014-02-01

    Full Text Available This research aims to understand the mediating roles of learning engagement, learning process and learning experience in influencing students' outcomes through case study pedagogy. It gathered students' responses to localised real case studies discussed in Information Systems classes. Case knowledge and perception were used to measure students' learning outcomes in order to determine the degree to which students induced course concepts and how they felt the cases impacted their understanding of the course. Revised student engagement questionnaire was used to measure various forms of engagement such as skills, emotion, participation, and performance while revised study process questionnaire served to assess the extent to which students used deep or surface approach to learning. Additionally, seven roles of feedback were used to analyse students' learning experience. Finally, group performance and individual's positive perceptions of group learning were tested to measure students' learning outcomes. Structural equation modelling was used to test the causal model. Analysis revealed that case knowledge and case perception had positive influence on students' skill engagement and emotional engagement but only case knowledge had a positive impact on the functions of feedback.

  6. Comparison of victims' reports and court records of intimate partner violence perpetrators' criminal case outcomes.

    Science.gov (United States)

    Bell, Margret E; Larsen, Sadie E; Goodman, Lisa A; Dutton, Mary Ann

    2013-09-01

    Intimate partner violence (IPV) victims often report feeling confused and uninformed about court proceedings, including even about the final disposition of the case against their partner. This is problematic because victims' decisions in responding to subsequent abuse may be significantly influenced by their beliefs about the outcomes of prior court experiences. Also, researchers often rely on victim report of court case outcomes; discrepancies between women's reports and official records may account for some of the conflicting findings in the empirical literature. In the current study, we compared the reports of case outcome given by 81 women recruited immediately after the final hearing of an IPV-related criminal case against their perpetrator with court records of case outcome. Findings revealed a fair level of agreement between women's reports and court files that was significantly different from the level of agreement expected by chance, but far from perfect. Level of agreement increased substantially when cases involving suspended sentences were removed. In reviewing these findings, we discuss the extent to which results can or cannot be interpreted as reflecting the accuracy of women's knowledge and review their implications for IPV researchers and court systems.

  7. Real-time exception handling—Use cases and response requirements

    International Nuclear Information System (INIS)

    Raupp, G.; Mertens, V.; Neu, G.; Treutterer, W.; Zasche, D.; Zehetbauer, Th.

    2012-01-01

    Adequate real-time event detection and exception handling for machine protection and plasma optimization are important for safe and efficient operation of fusion devices. Within the scope of a layered protection hierarchy, the exception handling goals of the real-time control system are to optimize control performance, switch to alternate investigations, terminate the discharge in a controlled way, or alarm the interlock system when control is lost. Analysis of these goals shows that they can be implemented with two methods: the modification of the reference values to respond to degradation of sensors, actuators or controllers, and the replacement of schedules to perform other investigations, which includes controlled termination and interlock alarm cases. In support of these methods the sensor and evaluated data quality and the time-varying actuator characteristics and capacity must be communicated to users of those information to avoid failure propagation.

  8. Real-Time Extended Interface Automata for Software Testing Cases Generation

    Directory of Open Access Journals (Sweden)

    Shunkun Yang

    2014-01-01

    Full Text Available Testing and verification of the interface between software components are particularly important due to the large number of complex interactions, which requires the traditional modeling languages to overcome the existing shortcomings in the aspects of temporal information description and software testing input controlling. This paper presents the real-time extended interface automata (RTEIA which adds clearer and more detailed temporal information description by the application of time words. We also establish the input interface automaton for every input in order to solve the problems of input controlling and interface covering nimbly when applied in the software testing field. Detailed definitions of the RTEIA and the testing cases generation algorithm are provided in this paper. The feasibility and efficiency of this method have been verified in the testing of one real aircraft braking system.

  9. Real-Time Extended Interface Automata for Software Testing Cases Generation

    Science.gov (United States)

    Yang, Shunkun; Xu, Jiaqi; Man, Tianlong; Liu, Bin

    2014-01-01

    Testing and verification of the interface between software components are particularly important due to the large number of complex interactions, which requires the traditional modeling languages to overcome the existing shortcomings in the aspects of temporal information description and software testing input controlling. This paper presents the real-time extended interface automata (RTEIA) which adds clearer and more detailed temporal information description by the application of time words. We also establish the input interface automaton for every input in order to solve the problems of input controlling and interface covering nimbly when applied in the software testing field. Detailed definitions of the RTEIA and the testing cases generation algorithm are provided in this paper. The feasibility and efficiency of this method have been verified in the testing of one real aircraft braking system. PMID:24892080

  10. Ref Tek Ultra-low Power Seismic Recorder With Low-cost High Speed Internet Telemetry U An Advanced Real-time Seismological Data Acquisition System

    Science.gov (United States)

    Passmore, P.; Zimakov, L.; Rozhkov, M.

    The 3rd Generation Seismic Recorder, Model 130-01, has been designed to be easier to use - more compact, lighter in weight, lower power, and requires less maintenance than other recorders. Not only is the hardware optimized for field deployments, soft- ware tools as well have been specially developed to support both field and base station operation. The 130's case is a clamshell design, inherently waterproof, with easy access to all user features on the top of the unit. The 130 has 6 input/output connectors, an LCD display, and a removable lid on top of the case. There are two Channel input connectors on a 6-channel unit (only one on a 3-channel unit), a Terminal connector for setup and control, a Net connector combining Ethernet and Serial PPP for network access, a 12 VDC Power connector, and a GPS receiver connector. The LCD display allows the user to monitor the status of various sub systems within the 130 without having a terminal device attached. For storing large amounts of data the IBM MicrodriveTM is offered. User setup, control and status monitoring is done either with a Personal Digital Assistant (PDA) (Palm OS compatible) using our Palm Field Controller (PFC) software or from a PC/workstation using our REF TEK Network Controller (RNC) GUI interface. StarBand VSAT is the premier two-way, always-on, high-speed satellite Internet ser- vice. StarBand means high-speed Internet without the constraints and congestion of land-based cable or telephone networks. StarBand uses a single satellite dish antenna for receiving and for sending dataUno telephone connection is needed. The hardware ° cost is much less than standard VSAT equipment with double or single hop transmis- sion. REF TEK protocol (RTP) provides end-to-end error-correcting data transmission and command/control. StarBandSs low cost VSAT provides two-way, always-on, high speed satellite Internet data availability. REF TEK and StarBand create the most ad- vanced real-time seismological data acquisition

  11. Defining disease phenotypes using national linked electronic health records: a case study of atrial fibrillation.

    Directory of Open Access Journals (Sweden)

    Katherine I Morley

    Full Text Available National electronic health records (EHR are increasingly used for research but identifying disease cases is challenging due to differences in information captured between sources (e.g. primary and secondary care. Our objective was to provide a transparent, reproducible model for integrating these data using atrial fibrillation (AF, a chronic condition diagnosed and managed in multiple ways in different healthcare settings, as a case study.Potentially relevant codes for AF screening, diagnosis, and management were identified in four coding systems: Read (primary care diagnoses and procedures, British National Formulary (BNF; primary care prescriptions, ICD-10 (secondary care diagnoses and OPCS-4 (secondary care procedures. From these we developed a phenotype algorithm via expert review and analysis of linked EHR data from 1998 to 2010 for a cohort of 2.14 million UK patients aged ≥ 30 years. The cohort was also used to evaluate the phenotype by examining associations between incident AF and known risk factors.The phenotype algorithm incorporated 286 codes: 201 Read, 63 BNF, 18 ICD-10, and four OPCS-4. Incident AF diagnoses were recorded for 72,793 patients, but only 39.6% (N = 28,795 were recorded in primary care and secondary care. An additional 7,468 potential cases were inferred from data on treatment and pre-existing conditions. The proportion of cases identified from each source differed by diagnosis age; inferred diagnoses contributed a greater proportion of younger cases (≤ 60 years, while older patients (≥ 80 years were mainly diagnosed in SC. Associations of risk factors (hypertension, myocardial infarction, heart failure with incident AF defined using different EHR sources were comparable in magnitude to those from traditional consented cohorts.A single EHR source is not sufficient to identify all patients, nor will it provide a representative sample. Combining multiple data sources and integrating information on treatment and

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

    Directory of Open Access Journals (Sweden)

    Fathelrahman Ahmed I

    2009-09-01

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

  13. Completeness and consistency in recording information in the tuberculosis case register, Cambodia, China and Viet Nam.

    Science.gov (United States)

    Hoa, N B; Wei, C; Sokun, C; Lauritsen, J M; Rieder, H L

    2010-10-01

    Tuberculosis (TB) case registers in Cambodia, two provinces in China and in Viet Nam. To determine completeness and consistency of information for quarterly reports on case finding and treatment outcome. A representative sample of TB case registers was selected in Cambodia, in two provinces in China and in Viet Nam. Quarterly reports were reproduced from double-entered, validated data to determine completeness and consistency. The dataset comprised 37,635 patient records in 2 calendar years. Only 0.2%, 3.6% and 1.1% of cases, respectively, in Cambodia, the two China provinces, and Viet Nam did not allow classification for the quarterly report on case finding. If the treatment outcome was reported as cured, it was correct in 99.9%, 85.7%, and 98.5% of the respective three jurisdictions: errors were mostly due to misclassification of completion as cure. Under-reporting of failures was more frequent than over-reporting in Cambodia and Viet Nam, while in the two provinces in China 84% of reported failures did not actually meet the bacteriological criterion. This evaluation demonstrates that recording essential information is exemplary in all three countries. It will be essential to carefully supervise the ability of staff to correctly define TB treatment outcome results in all three countries.

  14. Exploring the business case for ambulatory electronic health record system adoption.

    Science.gov (United States)

    Song, Paula H; McAlearney, Ann Scheck; Robbins, Julie; McCullough, Jeffrey S

    2011-01-01

    Widespread implementation and use of electronic health record (EHR) systems has been recognized by healthcare leaders as a cornerstone strategy for systematically reducing medical errors and improving clinical quality. However, EHR adoption requires a significant capital investment for healthcare providers, and cost is often cited as a barrier. Despite the capital requirements, a true business case for EHR system adoption and implementation has not been made. This is of concern, as the lack of a business case can influence decision making about EHR investments. The purpose of this study was to examine the role of business case analysis in healthcare organizations' decisions to invest in ambulatory EHR systems, and to identify what factors organizations considered when justifying an ambulatory EHR. Using a qualitative case study approach, we explored how five organizations that are considered to have best practices in ambulatory EHR system implementation had evaluated the business case for EHR adoption. We found that although the rigor of formal business case analysis was highly variable, informants across these organizations consistently reported perceiving that a positive business case for EHR system adoption existed, especially when they considered both financial and non-financial benefits. While many consider EHR system adoption inevitable in healthcare, this viewpoint should not deter managers from conducting a business case analysis. Results of such an analysis can inform healthcare organizations' understanding about resource allocation needs, help clarify expectations about financial and clinical performance metrics to be monitored through EHR systems, and form the basis for ongoing organizational support to ensure successful system implementation.

  15. Android arcade game app a real world project : case study approach

    CERN Document Server

    DiMarzio, Jerome

    2012-01-01

    Apress, the leading Android books publisher, continues to provide you with very hands-on, practical books for teaching and showing app developers how to build and design apps, including game apps, that can be built and deployed in the various Android app stores out there. Android Arcade Game App:  A Real World Project - Case Study Approach is no different in that it walks you through creating an arcade style Prison Break game app-top to bottom-for an Android smartphone or tablet.  This book teaches you the unique characteristics and challenges of creating an Arcade style game And it provides y

  16. Assessing facade value - how clients make business cases in changing real estate markets

    Directory of Open Access Journals (Sweden)

    Alexandra den Heijer

    2013-12-01

    Full Text Available Relevance: The value of any intervention in the built environment is most relevant for the stakeholders that are investing in it. For them all costs need to be balanced with benefits - not necessarily directly financial, but adding value to the performance of the accommodated organization. Business cases contain performance criteria like competitive advantage (branding the organization, productivity (optimally supporting users of the building, profitability (on organizational level and sustainable development (monitoring the ecological footprint. In the changing real estate markets – from supply-driven to demand-driven and with increasingly higher vacancy rates – priorities in decisions about buildings have been shifting.Purpose: This paper elaborates on how (a the trends in real estate markets and (b changing priorities in decision making affect the quality demand for buildings and their facades.Design/methodology/approach: This paper is based on research of the Real Estate Management chair in general (market analysis, transformation trends, conceptual frameworks and more specifically on decisions about university campuses in the past 10 years (14 campuses and 57 buildings assessed.Findings: This paper provides both conceptual frameworks to assess the (added value of interventions in the built environment for the client and their (changing priorities in the brief for buildings and their facades.

  17. Assessing facade value - how clients make business cases in changing real estate markets

    Directory of Open Access Journals (Sweden)

    Alexandra Den Heijer

    2013-12-01

    Full Text Available Corresponding author: Dr. ir. Alexandra den Heijer, Delft University of Technology (TU Delft, Faculty of Architecture and the Built Environment, Department of Real Estate & Housing, Julianalaan 134, 2628 BL Delft, The Netherlands. Tel.: +31 15 278 4159; E-mail: a.c.denheijer@tudelft.nl RELEVANCE: The value of any intervention in the built environment is most relevant for the stakeholders that are investing in it. For them all costs need to be balanced with benefits - not necessarily directly financial, but adding value to the performance of the accommodated organization. Business cases contain performance criteria like competitive advantage (branding the organization, productivity (optimally supporting users of the building, profitability (on organizational level and sustainable development (monitoring the ecological footprint. In the changing real estate markets – from supply-driven to demand-driven and with increasingly higher vacancy rates – priorities in decisions about buildings have been shifting. PURPOSE: This paper elaborates on how (a the trends in real estate markets and (b changing priorities in decision making affect the quality demand for buildings and their facades. DESIGN/METHODOLOGY/APPROACH: This paper is based on research of the Real Estate Management chair in general (market analysis, transformation trends, conceptual frameworks and more specifically on decisions about university campuses in the past 10 years (14 campuses and 57 buildings assessed. FINDINGS: This paper provides both conceptual frameworks to assess the (added value of interventions in the built environment for the client and their (changing priorities in the brief for buildings and their facades

  18. Real-time Monitoring and Simulating of Urban Flood, a Case Study in Guangzhou

    Science.gov (United States)

    Huang, H.; Wang, X.; Zhang, S.; Liu, Y.

    2014-12-01

    In recent years urban flood frequently occurred and seriously impacted city's normal operation, particular on transportation. The increase of urban flood could be attributed to many factors, such as the increase of impervious land surface and extreme precipitation, the decrease of surface storage capacity, poor maintenance of drainage utilities, and so on. In order to provide accurate and leading prediction on urban flooding, this study acquires precise urban topographic data via air-borne Lidar system, collects detailed underground drainage pipes, and installs in-situ monitoring networks on precipitation, water level, video record and traffic speed in the downtown area of Panyu District, Guangzhou, China. Based on the above data acquired, a urban flood model with EPA SWMM5 is established to simulate the flooding and inundation processes in the study area of 20 km2. The model is driven by the real-time precipitation data and calibrated by the water level data, which are converted to flooding volume with precise topographic data. After calibration, the model could be employed to conduct sensitivity analysis for investigating primary factors of urban flooding, and to simulate the flooding processes in different scenarios, which are beneficial to assessment of flooding risk and drainage capacity. This model is expected to provide real-time forecasting in emergency management.

  19. Evaluation of pseudoephedrine pharmacy sales before and after mandatory recording requirements in Western Australia: a case study.

    Science.gov (United States)

    Hattingh, Hendrika Laetitia; Varsani, Janki; Kachouei, Leila Ataei; Parsons, Richard

    2016-08-30

    A community pharmacy real-time electronic recording program, ProjectSTOP, enables Australian community pharmacists to verify pseudoephedrine requests. In Western Australia the program was available for voluntary use from April 2007 and became mandatory November 2010. This case study explores the effectiveness of the program by reviewing the total requests for pseudoephedrine products, and the proportion of requests which were classified as 'denied sales' before and after mandatory implementation. Seasonal and annual trends in these measures are also evaluated. ProjectSTOP data recordings for Western Australia pharmacies between 1 December 2007 and 28 February 2014 were analysed. Data included a de-identified pharmacy number and date of each pseudoephedrine product request. The total number of requests and sale classification (allowed, denied, safety, or not recorded) were calculated for each month/pharmacy. The potential influence of mandatory reporting using ProjectSTOP was investigated using a Regression Discontinuity Design. Correlations between sales from the same pharmacy were taken into account by classifying the pharmacy number as a random effect. The main effects of year (continuous variable), and season (categorical variable) were also included in the model. There was a small but steady decline in the total requests for pseudoephedrine per month per 100,000 population (per pharmacy) from the time of mandatory reporting. The number of denied sales showed a steady increase up until mandatory reporting, after which it showed a significant decline over time. Total sales were heavily influenced by season, as expected (highest in winter, least in summer). The seasonal pattern was less pronounced for denied sales, which were highest in winter and similar across other seasons. The pattern over time for safety sales was similar to that for denied sales, with a clear change occurring around the time of mandatory reporting. Results indicate a decrease in

  20. 30 CFR 250.523 - How long do I keep records of casing pressure and diagnostic tests?

    Science.gov (United States)

    2010-07-01

    ... and diagnostic tests? 250.523 Section 250.523 Mineral Resources MINERALS MANAGEMENT SERVICE... casing pressure and diagnostic tests? Records of casing pressure and diagnostic tests must be kept at the field office nearest the well for a minimum of 2 years. The last casing diagnostic test for each casing...

  1. Medical records documentation of constipation preceding Parkinson disease: A case-control study.

    Science.gov (United States)

    Savica, R; Carlin, J M; Grossardt, B R; Bower, J H; Ahlskog, J E; Maraganore, D M; Bharucha, A E; Rocca, W A

    2009-11-24

    Parkinson disease (PD) may affect the autonomic nervous system and may cause constipation; however, few studies have explored constipation preceding the motor onset of PD. We investigated constipation preceding PD using a case-control study design in a population-based sample. Using the medical records-linkage system of the Rochester Epidemiology Project, we identified 196 subjects who developed PD in Olmsted County, MN, from 1976 through 1995. Each incident case was matched by age (+/-1 year) and sex to a general population control. We reviewed the complete medical records of cases and controls in the medical records-linkage system to ascertain the occurrence of constipation preceding the onset of PD (or index year). Constipation preceding PD or the index year was more common in cases than in controls (odds ratio [OR] 2.48; 95% confidence interval [CI] 1.49 to 4.11; p = 0.0005). This association remained significant after adjusting for smoking and coffee consumption (ever vs never), and after excluding constipation possibly induced by drugs. In addition, the association remained significant in analyses restricted to constipation documented 20 or more years before the onset of motor symptoms of PD. Although the association was stronger in women than in men and in patients with PD with rest tremor compared with patients with PD without rest tremor, these differences were not significant. Our findings suggest that constipation occurring as early as 20 or more years before the onset of motor symptoms is associated with an increased risk of Parkinson disease.

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

    Science.gov (United States)

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

    2016-08-01

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

  3. Identifying patients with hypertension: a case for auditing electronic health record data.

    Science.gov (United States)

    Baus, Adam; Hendryx, Michael; Pollard, Cecil

    2012-01-01

    Problems in the structure, consistency, and completeness of electronic health record data are barriers to outcomes research, quality improvement, and practice redesign. This nonexperimental retrospective study examines the utility of importing de-identified electronic health record data into an external system to identify patients with and at risk for essential hypertension. We find a statistically significant increase in cases based on combined use of diagnostic and free-text coding (mean = 1,256.1, 95% CI 1,232.3-1,279.7) compared to diagnostic coding alone (mean = 1,174.5, 95% CI 1,150.5-1,198.3). While it is not surprising that significantly more patients are identified when broadening search criteria, the implications are critical for quality of care, the movement toward the National Committee for Quality Assurance's Patient-Centered Medical Home program, and meaningful use of electronic health records. Further, we find a statistically significant increase in potential cases based on the last two or more blood pressure readings greater than or equal to 140/90 mm Hg (mean = 1,353.9, 95% CI 1,329.9-1,377.9).

  4. Structuring and coding in health care records: a qualitative analysis using diabetes as a case study

    Directory of Open Access Journals (Sweden)

    Ann R R Robertson

    2015-03-01

    Full Text Available Background   Globally, diabetes mellitus presents a substantial burden to individuals and healthcare systems. Structuring and/or coding of medical records underpin attempts to improve information sharing and searching, potentially bringing clinical and secondary uses benefits.Aims and objectives   We investigated if, how and why records for adults with diabetes were structured and/or coded, and explored stakeholders’ perceptions of current practice.Methods   We carried out a qualitative, theoretically-informed case study of documenting healthcare information for diabetes patients in family practice and hospital settings, using semi-structured interviews, observations, systems demonstrations and documentary data.Results   We conducted 22 interviews and four on-site observations, and reviewed 25 documents. For secondary uses – research, audit, public health and service planning – the benefits of highly structured and coded diabetes data were clearly articulated. Reported clinical benefits in terms of managing and monitoring diabetes, and perhaps encouraging patient self-management, were modest. We observed marked differences in levels of record structuring and/or coding between settings, and found little evidence that these data were being exploited to improve information sharing between them.Conclusions   Using high levels of data structuring and coding in medical records for diabetes patients has potential to be exploited more fully, and lessons might be learned from successful developments elsewhere in the UK.

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

    Science.gov (United States)

    Wilson, Emily K

    2017-09-01

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

  6. Record High US Measles Cases: Patient Vaccination, Clinical Assessment and Management

    Centers for Disease Control (CDC) Podcasts

    2014-06-30

    This podcast is an overview of the Clinician Outreach and Communication Activity (COCA) Call: Record High US Measles Cases: Patient Vaccination, Clinical Assessment and Management. In May 2014, the United States recorded the largest number of reported measles cases since 1994 and the number continues to rise. Most cases reported have been acquired in the U.S. and are associated with importations from countries where measles is still common. This highly contagious, acute viral illness spreads quickly in unvaccinated populations once reaching the U.S. The recent measles outbreaks highlight the importance of maintaining high vaccination coverage in the U.S. and ensuring age-appropriate vaccination for international travelers. During this COCA call, clinicians will learn the status of measles in the U.S. and CDC vaccination recommendations and guidelines for patient assessment and management.  Created: 6/30/2014 by : National Center for Immunization and Respiratory Diseases; Division of Viral Diseases; Healthcare Preparedness Activity (HPA); Office of Public Health Preparedness and Response (OPHPR).   Date Released: 6/30/2014.

  7. First records of Synthesiomyia nudiseta (Diptera: Muscidae) from forensic cases in Italy.

    Science.gov (United States)

    Lo Pinto, Sara; Giordani, Giorgia; Tuccia, Fabiola; Ventura, Francesco; Vanin, Stefano

    2017-07-01

    The knowledge of the fauna associated with carrions and cadavers for a specific region plays a fundamental role in the estimation of the time since death in forensic cases. In the last years global warming and globalization have affected the insect species distribution. This phenomenon is affecting also the species of forensic interest associated with the cadaver decomposition. The species distribution shift, in the forensic context, has been mainly observed in Diptera of different family: Calliphoridae, Stratiomyidae and Phoridae. In the last decade the presence of the carrion feeding species, Synthesiomyia nudiseta (Diptera: Muscidae), was reported from forensic cases in Spain and in the last year from Italy where the species was collected from 5 bodies in different decomposition stages in the Genoa district. All the records concern indoor cases with the presence of other species belonging to the first colonization waves (e.g. Calliphoridae, Sarcophagidae). Different hypothesis about the presence of the species in Italy can be suggested, but the molecular analysis and the importation records support the introduction trough commercial exchanges with Asian countries instead of a variation in the species distribution area from the Iberian Peninsula. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Structuring and coding in health care records: a qualitative analysis using diabetes as a case study.

    Science.gov (United States)

    Robertson, Ann R R; Fernando, Bernard; Morrison, Zoe; Kalra, Dipak; Sheikh, Aziz

    2015-03-27

    Globally, diabetes mellitus presents a substantial and increasing burden to individuals, health care systems and society. Structuring and coding of information in the electronic health record underpin attempts to improve sharing and searching for information. Digital records for those with long-term conditions are expected to bring direct and secondary uses benefits, and potentially to support patient self-management. We sought to investigate if how and why records for adults with diabetes were structured and coded and to explore a range of UK stakeholders' perceptions of current practice in the National Health Service. We carried out a qualitative, theoretically informed case study of documenting health care information for diabetes in family practice and hospital settings in England, using semi-structured interviews, observations, systems demonstrations and documentary data. We conducted 22 interviews and four on-site observations. With respect to secondary uses - research, audit, public health and service planning - interviewees clearly articulated the benefits of highly structured and coded diabetes data and it was believed that benefits would expand through linkage to other datasets. Direct, more marginal, clinical benefits in terms of managing and monitoring diabetes and perhaps encouraging patient self-management were also reported. We observed marked differences in levels of record structuring and/or coding between family practices, where it was high, and the hospital. We found little evidence that structured and coded data were being exploited to improve information sharing between care settings. Using high levels of data structuring and coding in records for diabetes patients has the potential to be exploited more fully, and lessons might be learned from successful developments elsewhere in the UK. A first step would be for hospitals to attain levels of health information technology infrastructure and systems use commensurate with family practices.

  9. Radiology Reporting System Data Exchange With the Electronic Health Record System: A Case Study in Iran.

    Science.gov (United States)

    Ahmadi, Maryam; Ghazisaeidi, Marjan; Bashiri, Azadeh

    2015-03-18

    In order to better designing of electronic health record system in Iran, integration of health information systems based on a common language must be done to interpret and exchange this information with this system is required. This study provides a conceptual model of radiology reporting system using unified modeling language. The proposed model can solve the problem of integration this information system with the electronic health record system. By using this model and design its service based, easily connect to electronic health record in Iran and facilitate transfer radiology report data. This is a cross-sectional study that was conducted in 2013. The study population was 22 experts that working at the Imaging Center in Imam Khomeini Hospital in Tehran and the sample was accorded with the community. Research tool was a questionnaire that prepared by the researcher to determine the information requirements. Content validity and test-retest method was used to measure validity and reliability of questioner respectively. Data analyzed with average index, using SPSS. Also Visual Paradigm software was used to design a conceptual model. Based on the requirements assessment of experts and related texts, administrative, demographic and clinical data and radiological examination results and if the anesthesia procedure performed, anesthesia data suggested as minimum data set for radiology report and based it class diagram designed. Also by identifying radiology reporting system process, use case was drawn. According to the application of radiology reports in electronic health record system for diagnosing and managing of clinical problem of the patient, with providing the conceptual Model for radiology reporting system; in order to systematically design it, the problem of data sharing between these systems and electronic health records system would eliminate.

  10. A Canadian case study : the value of real time electricity monitoring : a real-time cost utility management solution

    International Nuclear Information System (INIS)

    Rouse, S.; Dittburner, D.

    2006-01-01

    Energy prices can vary significantly over the course of a single day in response to changing levels in energy demand and availability of supply. The impacts of varying energy prices on business and industry means that hourly electricity costs can fluctuate widely over the course of a day even though energy use remains stable. This presentation gave details of an energy efficiency initiative at Unilever's Rexdale site which has resulted in $4 million saved through reductions in energy consumption and equipment retrofits. The Rexdale plant won an energy efficiency award in 2005, and the success of the initiative was attributed to the use of Utility 3 + , an energy management software tool. A turn key system with integrated software and hardware, Utility 3 + is capable of measuring how much energy is being used and can provide details of costs using a combination of historical and forecast prices. The tool is equipped with alarms with pre-set thresholds to match real-time rises in energy prices. Real-time prices are relayed from the Internet along with a 2 way data communication system. It was concluded that use of the tool has resulted in improved cash flow management and greater control of energy costs. A system description of the tool was provided, as well as details of various equipment retrofits. refs.., tabs., figs

  11. A Canadian case study : the value of real time electricity monitoring : a real-time cost utility management solution

    Energy Technology Data Exchange (ETDEWEB)

    Rouse, S. [Energy at Work, Toronto, ON (Canada); Dittburner, D. [Unilever Canada, Toronto, ON (Canada)

    2006-07-01

    Energy prices can vary significantly over the course of a single day in response to changing levels in energy demand and availability of supply. The impacts of varying energy prices on business and industry means that hourly electricity costs can fluctuate widely over the course of a day even though energy use remains stable. This presentation gave details of an energy efficiency initiative at Unilever's Rexdale site which has resulted in $4 million saved through reductions in energy consumption and equipment retrofits. The Rexdale plant won an energy efficiency award in 2005, and the success of the initiative was attributed to the use of Utility 3{sup +}, an energy management software tool. A turn key system with integrated software and hardware, Utility 3{sup +} is capable of measuring how much energy is being used and can provide details of costs using a combination of historical and forecast prices. The tool is equipped with alarms with pre-set thresholds to match real-time rises in energy prices. Real-time prices are relayed from the Internet along with a 2 way data communication system. It was concluded that use of the tool has resulted in improved cash flow management and greater control of energy costs. A system description of the tool was provided, as well as details of various equipment retrofits. refs.., tabs., figs.

  12. Case study : a real-time collaborative workflow for geosteering a horizontal well offshore eastern Canada

    Energy Technology Data Exchange (ETDEWEB)

    Cutler, M.; Pineda, G. [Halliburton Energy Services, Bakersfield, CA (United States)

    2002-06-01

    A horizontal well can be geologically steered using a forward modelling geosteering software that helps determine the stratigraphic position of the drillstring and interpret the well in the reservoir. The software shows reservoir engineers how to maximize the pay zone, optimize the well path, characterize reservoir properties and avoid entering undesired beds or fluid contacts. The best way to maximize the pay zone is to use an integrated arrangement of formation evaluation tools, software and reservoir engineering expertise. This paper presents a series of measurements while drilling and logging. Drilling (MWD/LWD) tools obtain real-time data and forward modelling while drilling software. When interpreted by a trained specialist, these tools help in decision making processes regarding reservoir depletion. The paper presents a case study from offshore eastern Canada in which a well was drilled horizontally from a semi-submersible mobile drilling unit. StrataSteer {sup TM}, a software tool developed by Halliburton Energy Services, was used to interpret the LWD data. The software is compatible with other downhole tools and the INSITE information system which provides real-time data. The objective of the study is to demonstrate the capabilities of the forward modelling tool while drilling the well. A computer was set up at the client's office and at the offshore rig site. The geological model which was constructed using the acquired data was then used to make real-time collaborative decisions to land the well correctly in the reservoir, maximize the productive interval, optimize the well path, and analyze the reservoir properties. However, it was noted that due to geological uncertainty, the objectives in this well were not achieved. 6 figs.

  13. THE LEGAL PROTECTION FOR REAL LAND RIGHT HOLDER IN CASE OF FORGED RINCIK

    Directory of Open Access Journals (Sweden)

    Nirwana Nirwana

    2017-12-01

    Full Text Available The legal Protection For Real Land Right Holder in Case of Forged Rincik. The research aimed to investigate (1 the legal protection for the land owner whose possession was based on rincik evidence, and (2 the legal protection on the good-will buyer based on the forged rincik document used in the land sale transaction. This was the normative legal research, also called the library research or documentary study because the research was only conducted on the written regulations or other legal materials or secondary data consisting of the primary and secondary legal materials. The interview was performed to strengthen the theories and opinions in the research. The research also used the Secondary data. the data were analysed and presented using the qualitative descriptive method. The research result indicate that: (1 the real land owner with rincik possession issued after the year 1960 based on the decision of Indonesian Supreme Court No. 560K / PID / 2008 has not been fully protected due to the fact that the seller is funished for forging the rincik., returning the right to the land owner can not be carried out due to the decision of Indonesian Supreme Court Number. 482 / PK / Pdt / 2014 which make the buyer win, while the real land owner is the directed to sue the land seller to give the compensation: and (2 the legal protection on the good faith buyer based on forget rincik in the land sale transaction has been fully protected and has the ringt to possess the land based on the decision of Indonesian Supreme Court Number. 482/PK/Pdt/2014 because the buyer has bought the land in the presence of Temporary Land Title Registar.

  14. Implementing an Open Source Electronic Health Record System in Kenyan Health Care Facilities: Case Study.

    Science.gov (United States)

    Muinga, Naomi; Magare, Steve; Monda, Jonathan; Kamau, Onesmus; Houston, Stuart; Fraser, Hamish; Powell, John; English, Mike; Paton, Chris

    2018-04-18

    The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country. Following these projects, a modified version of the Open Medical Record System electronic health record was specified and developed to fulfill the clinical and administrative requirements of health care facilities operated by devolved counties in Kenya and to automate the process of collating health care indicators and entering them into the District Health Information Software Version 2 system. We aimed to present a descriptive case study of the implementation of an open source electronic health record system in public health care facilities in Kenya. We conducted a landscape review of existing literature concerning eHealth policies and electronic health record development in Kenya. Following initial discussions with the Ministry of Health, the World Health Organization, and implementing partners, we conducted a series of visits to implementing sites to conduct semistructured individual interviews and group discussions with stakeholders to produce a historical case study of the implementation. This case study describes how consultants based in Kenya, working with developers in India and project stakeholders, implemented the new system into several public hospitals in a county in rural Kenya. The implementation process included upgrading the hospital information technology infrastructure, training users, and attempting to garner administrative and clinical buy-in for adoption of the system. The initial deployment was ultimately scaled back due to a

  15. Investigation on the real-time prediction of ground motions using seismic records observed in deep boreholes

    Science.gov (United States)

    Miyakoshi, H.; Tsuno, S.

    2013-12-01

    The present method of the EEW system installed in the railway field of Japan predicts seismic ground motions based on the estimated earthquake information about epicentral distances and magnitudes using initial P-waves observed on the surface. In the case of local earthquakes beneath the Tokyo Metropolitan Area, however, a method to directly predict seismic ground motions using P-waves observed in deep boreholes could issue EEWs more simply and surely. Besides, a method to predict seismic ground motions, using S-waves observed in deep boreholes and S-wave velocity structures beneath seismic stations, could show planar distributions of ground motions for train operation control areas in the aftermath of earthquakes. This information is available to decide areas in which the emergency inspection of railway structures should be performed. To develop those two methods, we investigated relationships between peak amplitudes on the surface and those in deep boreholes, using seismic records of KiK-net stations in the Kanto Basin. In this study, we used earthquake accelerograms observed in boreholes whose depths are deeper than the top face of Pre-Neogene basement and those on the surface at 12 seismic stations of KiK-net. We selected 243 local earthquakes whose epicenters are located around the Kanto Region. Those JMA magnitudes are in the range from 4.5 to 7.0. We picked the on-set of P-waves and S-waves using a vertical component and two horizontal components, respectively. Peak amplitudes of P-waves and S-waves were obtained using vertical components and vector sums of two horizontal components, respectively. We estimated parameters which represent site amplification factors beneath seismic stations, using peak amplitudes of S-waves observed in the deep borehole and those on the surface, to minimize the residuals between calculations by the theoretical equation and observations. Correlation coefficients between calculations and observations are high values in the range

  16. Real-time porphyrin detection in plaque and caries: a case study

    Science.gov (United States)

    Timoshchuk, Mari-Alina I.; Ridge, Jeremy S.; Rugg, Amanda L.; Nelson, Leonard Y.; Kim, Amy S.; Seibel, Eric J.

    2015-02-01

    An ultrathin scanning fiber endoscope, originally developed for cancer diagnosis, was used in a case study to locate plaque and caries. The imaging system incorporated software mitigation of background auto-fluorescence (AF). In conventional fluorescence imaging, varying AF across a tooth surface can mask low-level porphyrin signals. Laser-induced auto-fluorescence signals of dental tissue excited using a 405-nm laser typically produce fluorescence over a wavelength range extending from 440-nm to 750-nm. Anaerobic bacterial metabolism produces various porphyrin species (eg. protoporphyrin IX) that are located in carious enamel, dentin, gingivitis sites, and plaque. In our case study, these porphyrin deposits remained as long as one day after prophylaxis. Imaging the tooth surface using 405-nm excitation and subtracting the natural AF enhances the image contrast of low-level porphyrin deposits, which would otherwise be masked by the high background AF. In a case study, healthy tissues as well as sites of early and advanced caries formations were scanned for visual and quantitative signs of red fluorescence associated with porphyrin species using a background mitigation algorithm. Initial findings show increasing amplitudes of red fluorescence as caries severity increases from early to late stages. Sites of plaque accumulation also displayed red fluorescence similar to that found in carious dental tissue. The use of real-time background mitigation of natural dental AF can enhance the detection of low porphyrin concentrations that are indicators of early stage caries formation.

  17. Visual agnosia for line drawings and silhouettes without apparent impairment of real-object recognition: a case report.

    Science.gov (United States)

    Hiraoka, Kotaro; Suzuki, Kyoko; Hirayama, Kazumi; Mori, Etsuro

    2009-01-01

    We report on a patient with visual agnosia for line drawings and silhouette pictures following cerebral infarction in the region of the right posterior cerebral artery. The patient retained the ability to recognize real objects and their photographs, and could precisely copy line drawings of objects that she could not name. This case report highlights the importance of clinicians and researchers paying special attention to avoid overlooking agnosia in such cases. The factors that lead to problems in the identification of stimuli other than real objects in agnosic cases are discussed.

  18. Visual Agnosia for Line Drawings and Silhouettes without Apparent Impairment of Real-Object Recognition: A Case Report

    Directory of Open Access Journals (Sweden)

    Kotaro Hiraoka

    2009-01-01

    Full Text Available We report on a patient with visual agnosia for line drawings and silhouette pictures following cerebral infarction in the region of the right posterior cerebral artery. The patient retained the ability to recognize real objects and their photographs, and could precisely copy line drawings of objects that she could not name. This case report highlights the importance of clinicians and researchers paying special attention to avoid overlooking agnosia in such cases. The factors that lead to problems in the identification of stimuli other than real objects in agnosic cases are discussed.

  19. Performance of different synchronization measures in real data: A case study on electroencephalographic signals

    Science.gov (United States)

    Quian Quiroga, R.; Kraskov, A.; Kreuz, T.; Grassberger, P.

    2002-04-01

    We study the synchronization between left and right hemisphere rat electroencephalographic (EEG) channels by using various synchronization measures, namely nonlinear interdependences, phase synchronizations, mutual information, cross correlation, and the coherence function. In passing we show a close relation between two recently proposed phase synchronization measures and we extend the definition of one of them. In three typical examples we observe that except mutual information, all these measures give a useful quantification that is hard to be guessed beforehand from the raw data. Despite their differences, results are qualitatively the same. Therefore, we claim that the applied measures are valuable for the study of synchronization in real data. Moreover, in the particular case of EEG signals their use as complementary variables could be of clinical relevance.

  20. Real Exchange Rate Variability: An Empirical Analysis of the Developing Countries Case

    OpenAIRE

    Sebastian Edwards

    1986-01-01

    The purpose of this paper is to investigate the potential role of monetary and real factors in explaining real exchange rate variability in developing countries. For this purpose two indexes of real effective exchange rate variability that measure short-term and long-term variability were constructed for 30 countries. The results obtained, using a generalized least squares procedures on cross section data, indicate that real exchange rate variability has been affected both by real and monetar...

  1. As good as the real thing? Performance differences for live versus recorded stimuli in an everyday listening task

    DEFF Research Database (Denmark)

    Kirkwood, Brent Christopher

    2005-01-01

    an acoustic head and torso simulator, and 3) diotic presentation of monaurally recorded stimuli. Live presentation of stimuli has already been used by C. Carello, et al. [Psychological Science 9, 211-214 (1998)] to demonstrate that humans can hear reasonably well the length of wooden dowels dropped onto hard...

  2. A real options-based CCS investment evaluation model: Case study of China's power generation sector

    International Nuclear Information System (INIS)

    Zhu, Lei; Fan, Ying

    2011-01-01

    Highlights: → This paper establishes a carbon captures and storage (CCS) investment evaluation model. → The model is based on real options theory and solved by the Least Squares Monte Carlo (LSM) method. → China is taken as a case study to evaluate the effects of regulations on CCS investment. → The findings show that the current investment risk of CCS is high, climate policy having the greatest impact on CCS development. -- Abstract: This paper establishes a carbon capture and storage (CCS) investment evaluation model based on real options theory considering uncertainties from the existing thermal power generating cost, carbon price, thermal power with CCS generating cost, and investment in CCS technology deployment. The model aims to evaluate the value of the cost saving effect and amount of CO 2 emission reduction through investing in newly-built thermal power with CCS technology to replace existing thermal power in a given period from the perspective of power generation enterprises. The model is solved by the Least Squares Monte Carlo (LSM) method. Since the model could be used as a policy analysis tool, China is taken as a case study to evaluate the effects of regulations on CCS investment through scenario analysis. The findings show that the current investment risk of CCS is high, climate policy having the greatest impact on CCS development. Thus, there is an important trade off for policy makers between reducing greenhouse gas emissions and protecting the interests of power generation enterprises. The research presented would be useful for CCS technology evaluation and related policy-making.

  3. Overcoming barriers to implementing patient-reported outcomes in an electronic health record: a case report.

    Science.gov (United States)

    Harle, Christopher A; Listhaus, Alyson; Covarrubias, Constanza M; Schmidt, Siegfried Of; Mackey, Sean; Carek, Peter J; Fillingim, Roger B; Hurley, Robert W

    2016-01-01

    In this case report, the authors describe the implementation of a system for collecting patient-reported outcomes and integrating results in an electronic health record. The objective was to identify lessons learned in overcoming barriers to collecting and integrating patient-reported outcomes in an electronic health record. The authors analyzed qualitative data in 42 documents collected from system development meetings, written feedback from users, and clinical observations with practice staff, providers, and patients. Guided by the Unified Theory on the Adoption and Use of Information Technology, 5 emergent themes were identified. Two barriers emerged: (i) uncertain clinical benefit and (ii) time, work flow, and effort constraints. Three facilitators emerged: (iii) process automation, (iv) usable system interfaces, and (v) collecting patient-reported outcomes for the right patient at the right time. For electronic health record-integrated patient-reported outcomes to succeed as useful clinical tools, system designers must ensure the clinical relevance of the information being collected while minimizing provider, staff, and patient burden. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  4. Passive monitoring using traffic noise recordings - case study on the Steinachtal Bridge

    Science.gov (United States)

    Salvermoser, Johannes; Stähler, Simon; Hadziioannou, Céline

    2015-04-01

    Civil structures age continuously. The early recognition of potentially critical damages is an important economical issue, but also one of public safety. Continuous tracking of small changes in the medium by using passive methods would offer an extension to established active non-destructive testing procedures at relatively low cost. Here we present a case study of structural monitoring using continuous recordings of traffic noise on a 200 meter long reinforced concrete highway bridge in Germany. Over two months of continuos geophone records are used in the frequency range of 2-8 Hz. Using passive image interferometry, evaluation of hourly cross-correlations between recordings at pairs of receivers yield velocity variations in the range of -1.5% to +2.1%. We were able to correlate our outcomes with temperature measurements of the same two month period. The measured velocity changes scale with the temperature variations with on average a dv/v of 0.064% per degree Celsius. This value is in accordance with other studies of concrete response to temperature, confirming that we are able to observe subtle changes with physical origin. It is shown that traffic noise is temporally homogenenous enough to fulfill the requirements of passive image interferometry.

  5. Online Marketing Issues of Real Estate Companies: a Case of Latvia

    OpenAIRE

    Dumpe, M

    2015-01-01

    Today online marketing has become an integral part of marketing mix. Potential real estate customers prefer to make online research themselves. Therefore, real estate companies should be ready that search engines, corporate web pages, profiles on social media sites should strengthen the image of real estate companies and ensure better communication with customers. The aim of this paper is to explore results of qualitative research regarding real estate online marketing activities. It has been...

  6. Is real depreciation and expansionary fiscal policy effective? The case of Serbia

    Directory of Open Access Journals (Sweden)

    Yu Hsing

    2017-12-01

    Full Text Available Applying the IS-MP-IA model to study the impacts of exchange rate movements, expansionary fiscal policy and other relevant variables in Serbia, we find that real appreciation of the dinar, a higher government deficit-to-GDP ratio, a lower real lending rate in the euro area, a lower lagged real oil price, a higher Germany’s real GDP and a lower expected inflation rate would promote economic growth.

  7. A 30+ Year AVHRR LAI and FAPAR Climate Data Record: Algorithm Description, Validation, and Case Study

    Science.gov (United States)

    Claverie, Martin; Matthews, Jessica L.; Vermote, Eric F.; Justice, Christopher O.

    2016-01-01

    In- land surface models, which are used to evaluate the role of vegetation in the context ofglobal climate change and variability, LAI and FAPAR play a key role, specifically with respect to thecarbon and water cycles. The AVHRR-based LAIFAPAR dataset offers daily temporal resolution,an improvement over previous products. This climate data record is based on a carefully calibratedand corrected land surface reflectance dataset to provide a high-quality, consistent time-series suitablefor climate studies. It spans from mid-1981 to the present. Further, this operational dataset is availablein near real-time allowing use for monitoring purposes. The algorithm relies on artificial neuralnetworks calibrated using the MODIS LAI/FAPAR dataset. Evaluation based on cross-comparisonwith MODIS products and in situ data show the dataset is consistent and reliable with overalluncertainties of 1.03 and 0.15 for LAI and FAPAR, respectively. However, a clear saturation effect isobserved in the broadleaf forest biomes with high LAI (greater than 4.5) and FAPAR (greater than 0.8) values.

  8. When PV modules are becoming real building elements: White solar module, a revolution for BIPV (Presentation Recording)

    Science.gov (United States)

    Perret-Aebi, Laure-Emmanuelle; Escarré, Jordi; Li, Heng-Yu; Sansonnens, Laurent; Galliano, Federico; Cattaneo, Gianluca; Heinstein, Patrick; Nicolay, Sylvain; Bailat, Julien; Eberhard, Sébastien; Ballif, Christophe

    2015-09-01

    The use of photovoltaic (PV) is not anymore an option but a real need in the construction of nearly zero energy buildings. To date, the lack of PV products specifically designed for building integration, considering aesthetics and architectural aspects, is one important limiting factor allowing a massive deployment of PV in the built environment. Architects are continuously asking for new solutions to customize the colour of PV elements to better integrate them into the building skin. Among these colours, white is especially attractive as it is widely used in architecture for its elegance, versatility and fresh look. Until now, white solar modules were not considered to be an option and even never been though to be a technological possibility. Nonetheless, CSEM recently developed a new technology to make white solar modules a reality. Furthermore, the new Swiss company called Solaxess is now working on the industrialisation of this very innovative technology and the first products are expecting to be on the market at the end of 2015. The technology is based on the combination of two different elements: a solar cell able to convert solar infrared light into electricity and a selective filter which reflects and diffuse the whole visible spectrum. Any PV technology based on crystalline silicon can be used as they have a good response in the infrared. Approximately 55% of the current generated under standard test conditions comes from the infrared leading to conversion efficiencies above 11%. We will demonstrate, that thanks to this very innovative technology PV modules can become attractive and real active building elements and therefore meets the requirements of any future energy management through advanced building skins.

  9. 77 FR 70385 - Notice of Roundtable on Proposed Requirements for Recordation of Real-Party-in-Interest...

    Science.gov (United States)

    2012-11-26

    ... Trademark Office, Mail Stop External Affairs, P.O. Box 1450, Alexandria, VA 22313-1450. Although written... or distributors prior to production and marketing. In such cases, the clearance of intellectual... better understand the competitive environment in which they are operating, allowing them to better...

  10. Mental illness in Sweden (1896-1905) reflected through case records from a local general hospital.

    Science.gov (United States)

    Appelquist, Malin; Brådvik, Louise; Åsberg, Marie

    2018-02-01

    Mental illness in a hospital in a medium-sized town in Sweden was studied. Consecutive case records from 1896 to 1905, and also from 2011, were selected. In the historical sample, neurasthenia was the most common diagnosis, followed by affective disorders and alcohol abuse. ICD-10 diagnoses corresponded well with the historical diagnoses. Melancholia resembled modern criteria for depression. Mania, insania simplex and paranoia indicated more severe illness. Abuse was more common among men and hysteria among women. Those with a medical certificate for mental hospital care were very ill and showed no gender difference. There were no diagnoses for abuse, but 17% had a high level of alcohol consumption. The pattern of signs and symptoms displayed by patients does not appear to change with time.

  11. Introduction of shared electronic records: multi-site case study using diffusion of innovation theory.

    Science.gov (United States)

    Greenhalgh, Trisha; Stramer, Katja; Bratan, Tanja; Byrne, Emma; Mohammad, Yara; Russell, Jill

    2008-10-23

    To explore the introduction of a centrally stored, shared electronic patient record (the summary care record (SCR)) in England and draw wider lessons about the implementation of large scale information technology projects in health care. Multi-site, mixed method case study applying utilisation focused evaluation. Four early adopter sites for the SCR in England-three in urban areas of relative socioeconomic deprivation and the fourth in a relatively affluent rural area. Data sources and analysis Data included 250 staff interviews, 1500 hours of ethnographic observation, interviews and focus groups with 170 patients and carers, 2500 pages of correspondence and documentary evidence, and incorporation of relevant surveys and statistics produced by others. These were analysed by using a thematic approach drawing on (and extending) a theoretical model of complex change developed in a previous systematic review. Main findings The mixed fortunes of the SCR programme in its first year were largely explained by eight interacting influences. The first was the SCR's material properties (especially technical immaturity and lack of interoperability) and attributes (especially the extent to which potential adopters believed the benefits outweighed the risks). The second was adopters' concerns (especially about workload and the ethicality of sharing "confidential" information on an implied consent model). The third influence was interpersonal influence (for example, opinion leaders, champions, facilitators), and the fourth was organisational antecedents for innovation (for example past experience with information technology projects, leadership and management capacity, effective data capture systems, slack resources). The fifth was organisational readiness for the SCR (for example, innovation-system fit, tension for change, power balances between supporters and opponents, baseline data quality). The sixth was the implementation process (including the nature of the change model and

  12. Performance of grid-tied PV facilities: A case study based on real data

    International Nuclear Information System (INIS)

    Díez-Mediavilla, M.; Dieste-Velasco, M.I.; Rodríguez-Amigo, M.C.; García-Calderón, T.; Alonso-Tristán, C.

    2013-01-01

    Highlights: • A new procedure to analyse the performance of PV facilities is presented. • It only requires limited amounts of data that are easily sourced. • Data sets on production were collected over two complete years. • The transformerless inverter outperforms the isolated inverter. - Abstract: A new procedure is presented to analyse the performance of grid-tied PV facilities. It needs limited amounts of data that are easily sourced and is based on knowledge of the analysed system and its mode of operation. The procedure is applied, in a case study, to compare real PV production at two 100 kW p grid-connected PV installations. Located in the same geographical region, the installation of these two facilities followed the same construction criteria – PV panels, panel support system and wiring – and the facilities were exposed to the same atmospheric temperature and solar radiation. They differ with regard to their inverter technology: one facility uses an inverter with an integrated transformer system and the other uses a transformerless inverter. The results show that the transformerless inverter system performed better than the isolated system by a factor of 1.2%, which, in economic terms, represents more than 2000 €/year

  13. Let's Make a Movie: Investigating Pre-Service Teachers' Reflections on Using Video Recorded Role Playing Cases in Turkey

    Science.gov (United States)

    Koc, Mustafa

    2011-01-01

    This study examined the potential consequences of using student-filmed video cases in the study of classroom management in teacher education. Pre-service teachers in groups were engaged in video-recorded role playing to simulate classroom memoirs. Each group shared their video cases and interpretations in a class presentation. Qualitative data…

  14. Asset Allocation and Diversification by Real Estate Sector Within a Portfolio: Two Australian Case Studies

    OpenAIRE

    Mike Wallace

    1992-01-01

    The research results presented in this paper are a subset of a more extensive investigation of asset allocation and investment diversification in a pooled or mixed asset portfolio including bonds, equities and real estate in real property form, and listed and unlisted property trusts as they are termed in Australia. Australian property trusts are analogous to Real Estate Investment Trusts (REITs) in the United States. This empirical research study is exploratory in nature, and concentrates sp...

  15. Creating real estate maps by using GIS: A case study of Atakum-Samsun/Turkey

    Directory of Open Access Journals (Sweden)

    Faik Ahmet Sesli

    2015-12-01

    Full Text Available Determining the real estate evaluations and reflecting them on taxations are among the most important economic resources of the developed countries. In Turkey, the system is not able to ground the real estate evaluations on scientific criteria yet, which causes various problems in applications regarding real estate evaluations (such as estate tax, expropriation, court surveillances and an important economic loss.Thus, it is required to generate tax-base real estate evaluation maps within the scope of the legal legislation in Turkey. This study aimed to generate a fast, up-to-date and dynamic evaluation map that would form a base for the real estate taxation. The closeness of real estates to the technical infrastructure and social equipment areas and their variety affect the real estate evaluations either positively or negatively and form the local benefit for real estates. This study determined the areas (such as main roads, green spaces, trading areas and urban attraction centers affecting the evaluations of real estates depending on their positions. In order to make position-based decisions about the data being stored in the Geographical Information System, the geographical data were questioned and monitored with analyses. The acquired data were exposed to necessary analyses in the relevant modules of the GIS programs, which enabled us to grade the factors affecting the evaluation for each parcel and try to generate real estate evaluation maps depending on the evaluation-effect factors to be selected as dynamics. Parcel-based real estate evaluations were determined by imposing vector-based cadastral maps on these maps being generated. In this study, a raster real estate evaluation map was generated in unstructured parcels of a sample neighborhood via the scoring method and with the help of the Multi-Criteria Decision-Making Analysis and both environmental and social factors. This system could enable us to question and analyze the features of

  16. Is Real Depreciation or More Government Deficit Expansionary? The Case of Slovenia

    Directory of Open Access Journals (Sweden)

    Hsing Yu

    2017-04-01

    Full Text Available The purpose of this paper is to examine the impacts of the real exchange rate, the government deficit and other relevant variables on aggregate output in Slovenia. Few of the previous studies have applied the AD/AS model to examine the impacts of major macroeconomic variables on aggregate output. This paper makes contributions to the literature by applying a rigorous model to examine how real GDP is affected by the real exchange rate, fiscal policy and other related variables. The exponential GARCH model is applied in empirical work. The paper finds that real depreciation of the Euro may affect Slovenia’s aggregate output positively or negatively and that more central government deficit as a percent of GDP does not affect aggregate output. In addition, Slovenia’s aggregate output is positively associated with the real stock price, the real oil price and real total labor cost or wage and is negatively influenced by the real lending rate and the expected inflation rate. Recent real depreciation of the Euro would help Slovenia’s aggregate output whereas expansionary fiscal policy would not be effective in stimulating the economy.

  17. Evaluation of Stream Mining Classifiers for Real-Time Clinical Decision Support System: A Case Study of Blood Glucose Prediction in Diabetes Therapy

    Directory of Open Access Journals (Sweden)

    Simon Fong

    2013-01-01

    Full Text Available Earlier on, a conceptual design on the real-time clinical decision support system (rt-CDSS with data stream mining was proposed and published. The new system is introduced that can analyze medical data streams and can make real-time prediction. This system is based on a stream mining algorithm called VFDT. The VFDT is extended with the capability of using pointers to allow the decision tree to remember the mapping relationship between leaf nodes and the history records. In this paper, which is a sequel to the rt-CDSS design, several popular machine learning algorithms are investigated for their suitability to be a candidate in the implementation of classifier at the rt-CDSS. A classifier essentially needs to accurately map the events inputted to the system into one of the several predefined classes of assessments, such that the rt-CDSS can follow up with the prescribed remedies being recommended to the clinicians. For a real-time system like rt-CDSS, the major technological challenges lie in the capability of the classifier to process, analyze and classify the dynamic input data, quickly and upmost reliably. An experimental comparison is conducted. This paper contributes to the insight of choosing and embedding a stream mining classifier into rt-CDSS with a case study of diabetes therapy.

  18. Real Estate in an ALM Framework - The Case of Fair Value Accounting

    NARCIS (Netherlands)

    D. Brounen (Dirk); M. Porras Prado (Melissa); M.J.C.M. Verbeek (Marno)

    2007-01-01

    textabstractThis study examines the liability hedging characteristic of both direct and indirect real estate, in the advent of fair value accounting obligations for pension funds. We explicitly model pension obligations as being subject to interest and inflation risk to analyze the ability of real

  19. A real options approach to biotechnology investment policy-the case of developing a Campylobacter vaccine to poultry.

    Science.gov (United States)

    Lund, Mogens; Jensen, Jørgen Dejgård

    2016-06-01

    The aim of the article is to identify and analyse public-private incentives for the development and marketing of new animal vaccines within a real options methodological framework, and to investigate how real options methodology can be utilized to support economic incentives for vaccine development in a cost-effective way. The development of a vaccine against Campylobacter jejuni in poultry is applied as a case study. Employing the real options methodology, the net present value of the vaccine R&D project becomes larger than a purely probabilistic expected present value throughout the different stages of the project - and the net present value becomes larger, when more types of real options are taken into consideration. The insight from the real options analysis reveals opportunities for new policies to promote the development of animal vaccines. One such approach might be to develop schemes combining stage-by-stage optimized subsidies in the individual development stages, with proper account taken of investors'/developers' economic incentives to proceed, sell or cancel the project in the respective stages. Another way of using the real options approach to support the development of desirable animal vaccines could be to issue put options for the vaccine candidate, enabling vaccine developers to hedge against the economic risk from market volatility. Copyright © 2016 Elsevier B.V. All rights reserved.

  20. Charge Splitting In Situ Recorder (CSIR) for Real-Time Examination of Plasma Charging Effect in FinFET BEOL Processes

    Science.gov (United States)

    Tsai, Yi-Pei; Hsieh, Ting-Huan; Lin, Chrong Jung; King, Ya-Chin

    2017-09-01

    A novel device for monitoring plasma-induced damage in the back-end-of-line (BEOL) process with charge splitting capability is first-time proposed and demonstrated. This novel charge splitting in situ recorder (CSIR) can independently trace the amount and polarity of plasma charging effects during the manufacturing process of advanced fin field-effect transistor (FinFET) circuits. Not only does it reveal the real-time and in situ plasma charging levels on the antennas, but it also separates positive and negative charging effect and provides two independent readings. As CMOS technologies push for finer metal lines in the future, the new charge separation scheme provides a powerful tool for BEOL process optimization and further device reliability improvements.

  1. Design of the real time systems using temporal logic specifications: a case study

    Directory of Open Access Journals (Sweden)

    A. Ursu

    1996-07-01

    Full Text Available An implementation method for real time systems is proposed in this article. The implementation starts with the design of the functional specifications of the systems behaviour. The functional specifications are introduced as a set of rules describing the partial time ordering of the actions performed by the system. These rules are then written in terms of temporal logic formulae. The temporal logic formulae are checked using Z.Manna-P.Wolper satisfiability analysis procedure [1]. It is known that this procedure generates a state-graph which can be regarded as a state- based automaton of the system. The sate-based automaton is used then to generate the dual (inverted automaton of the system. The dual automaton is called action-based automaton and can be created using the procedure proposed by authors in [4,5]. Using the action-based automaton of the system the design method introduced in [5,6] is applied to implement the system driver in a systematic manner which can be computerised. The method proposed in this paper is an efficient complementation and generalisation of the results [4,5,6] mentioned above. The method is used for a case study. An elevator control system is designed using the proposed method. The design is carried out in a systematic manner which includes: a design of functional specifications, b design of temporal logic specifications, c satisfiability analysis of temporal logic specifications, d design of the state-based automaton of the specifications, e design of the action-based automaton of the system, f design of the transition activation conditions, g design of the action activation conditions, h design of the functional model of the elevator control system, i implementation of the elevator's actions, j design of the elevator control system driver.

  2. Gravity wave generation from jets and fronts: idealized and real-case simulations

    Science.gov (United States)

    Plougonven, Riwal; Arsac, Antonin; Hertzog, Albert; Guez, Lionel; Vial, François

    2010-05-01

    model for nearly two months. The realism of the simulated gravity waves is established based on systematic comparison with the observations and on case studies. The simulations are then used to quantify the importance and characteristics of gravity waves emitted from jets and fronts above the Southern Ocean. In particular, application of results from the idealized simulations to real cases, with a check provided by observations, will be discussed.

  3. Using the Electronic Health Record Data in Real Time and Predictive Analytics to Prevent Hospital-Acquired Postoperative/Surgical Site Infections.

    Science.gov (United States)

    Falen, Thomas; Noblin, Alice M; Russell, O Lucia; Santiago, Nonica

    Of critical concern to hospitals today is the prevention of postoperative (surgical site) infections that often result in increased lengths of stays for patients, increased resource demands and costs, loss of public trust and lawsuits, and needless pain and suffering for patients and their families. While all surgical patients have the potential to develop a postoperative infection, the main challenge is to identify key risk factors (both patient centered and operational) through an electronic early-warning system to reduce the likelihood of a postoperative infection from occurring. Currently, most postoperative infection risk prevention practices encompass limited use of informatics technologies or do not maximize the potential benefits. In addition, from a research perspective, there has been more focus on extrapolating electronically housed data (eg, from progress notes, operative notes, laboratory, pharmacy, radiology) retrospectively to describe poor patient outcomes for benchmarking purposes (revealing poor results and opportunities for improvement) rather than using similar sources of real-time data to prevent poor patient outcomes from occurring. This article proposes that standardized indicators, both patient centered and operational, linked to the patient's electronic health record could allow for implementation of 24/7, "real-time" monitoring/surveillance to implement well-timed preventive interventions scaled to each patient and facility to assist caregivers in reducing the numbers of postoperative infections and improve the overall quality and costs of patient care.

  4. Closed-Loop Real-Time Imaging Enables Fully Automated Cell-Targeted Patch-Clamp Neural Recording In Vivo.

    Science.gov (United States)

    Suk, Ho-Jun; van Welie, Ingrid; Kodandaramaiah, Suhasa B; Allen, Brian; Forest, Craig R; Boyden, Edward S

    2017-08-30

    Targeted patch-clamp recording is a powerful method for characterizing visually identified cells in intact neural circuits, but it requires skill to perform. We previously developed an algorithm that automates "blind" patching in vivo, but full automation of visually guided, targeted in vivo patching has not been demonstrated, with currently available approaches requiring human intervention to compensate for cell movement as a patch pipette approaches a targeted neuron. Here we present a closed-loop real-time imaging strategy that automatically compensates for cell movement by tracking cell position and adjusting pipette motion while approaching a target. We demonstrate our system's ability to adaptively patch, under continuous two-photon imaging and real-time analysis, fluorophore-expressing neurons of multiple types in the living mouse cortex, without human intervention, with yields comparable to skilled human experimenters. Our "imagepatching" robot is easy to implement and will help enable scalable characterization of identified cell types in intact neural circuits. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Testing the Molecular Clock Using the Best Fossil Record: Case Studies from the Planktic Foraminifera

    Science.gov (United States)

    Steel, B. A.; Kucera, M.; Darling, K.

    2004-12-01

    Criticism of molecular clock studies often centres on inadequate calibration and a perceived lack of correlation between reproductive isolation and recognisable morphological evolution. Since many major groups (e.g. birds, mammals, reptiles) have a poor fossil record, it is often difficult to test and refute these limitations. Planktic foraminifera represent an exception to this rule. Deep-sea sediments are super-abundant in foraminifera, and large numbers of specimens and occurrences are easily garnered from Ocean Drilling Programme cores. Planktic foraminifera therefore represent an ideal model group with which to test and refine molecular clock studies. Since the 1990AƒAøAøâ_sA¬Aøâ_zAøs, genetic sequences (principally 18S r-RNA) have been extracted from living planktic foraminifera, and a large genetic library has developed. Our study attempts to contextualise and test molecular data, particularly AƒAøAøâ_sA¬Agenetic studies have suggested that these two AƒAøAøâ_sA¬A<Å"super-speciesAƒAøAøâ_sA¬Aøâ_zAø in fact consist of a number of isolated forms, with contrasting ecologies and longevities, which in Recent and sub-Recent sediments can be distinguished either on the basis of pore ultrastructure (Gl. siphonifera) or test colouration (Gs. ruber). In both cases, molecular clock estimates are indicative of ancient (7-11 Ma) intra-species cryptic divergences, which seem to be considerably older than fossil dates. In particular, the calculated molecular split between the two forms of Gs. ruber (AƒAøAøâ_sA¬A<Å"whiteAƒAøAøâ_sA¬Aøâ_zAø and AƒAøAøâ_sA¬A<Å"pinkAƒAøAøâ_sA¬Aøâ_zAø) of around 11 Ma is considerably discordant with the fossil date of around 0.7 Ma. At first glance, this may appear to be a classic case of molecular over-estimation, often a feature of clock models, especially where, as in the foraminifera, substitution rates may vary widely. However, there is good reason to suspect that fossil range of the

  6. New record of Kinosternon scorpioides in Brazil increases its geo distribution - Case report

    Directory of Open Access Journals (Sweden)

    Diego Carvalho Viana

    2015-12-01

    Full Text Available ABSTRACT. Viana D.C., Santos A.C. & Antunes R.L.S. New record of Kinosternon scorpioides in Brazil increases its geo distribution - Case report. [Novo registro de Kinosternon scorpioides no Brasil aumenta sua geodistribuição - Relato de caso.] Revista Brasileira de Medicina Veterinária, 37(4:386-388, 2015. Department of Anatomy of Domestic and Wild Animals, Faculty of Veterinary Medicine, University of São Paulo, Av. Dr. Orlando Marques de Paiva 87, São Paulo SP, 05508-270. Brazil. E-mail: diego_carvalho_@hotmail.com/ diegoviana@usp.br Kinosternon scorpioides scorpioides is the only sub-species of K. scorpioides with a distribution in South America. The register shows another new site for K. s. scorpioides, in the municipality of Imperatriz MA Brazil and the first report in the meso-region of Western Maranhão, River Tocantins. The municipality lies in the south-western region of the state and is known as the gate to the Amazon region, corroborating the importance of K. s. scorpioides inventories.

  7. Using death certificates and medical examiner records for adolescent occupational fatality surveillance and research: a case study.

    Science.gov (United States)

    Rauscher, Kimberly J; Runyan, Carol W; Radisch, Deborah

    2012-01-01

    Death certificates and medical examiner records have been useful yet imperfect data sources for work-related fatality research and surveillance among adult workers. It is unclear whether this holds for work-related fatalities among adolescent workers who suffer unique detection challenges in part because they are not often thought of as workers. This study investigated the utility of using these data sources for surveillance and research pertaining to adolescent work-related fatalities. Using the state of North Carolina as a case study, we analyzed data from the death certificates and medical examiner records of all work-related fatalities data among 11- to 17-year-olds between 1990-2008 (N = 31). We compared data sources on case identification, of completeness, and consistency information. Variables examined included those on the injury (e.g., means), occurrence (e.g., place), demographics, and employment (e.g., occupation). Medical examiner records (90%) were more likely than death certificates (71%) to identify adolescent work-related fatalities. Data completeness was generally high yet varied between sources. The most marked difference being that in medical examiner records, type of business/industry and occupation were complete in 72 and 67% of cases, respectively, while on the death certificates these fields were complete in 90 and 97% of cases, respectively. Taking the two sources together, each field was complete in upward of 94% of cases. Although completeness was high, data were not always of good quality and sometimes conflicted across sources. In many cases, the decedent's occupation was misclassified as "student" and their employer as "school" on the death certificate. Even though each source has its weaknesses, medical examiner records and death certificates, especially when used together, can be useful for conducting surveillance and research on adolescent work-related fatalities. However, extra care is needed by data recorders to ensure that

  8. Nonlinear Heart Rate Variability features for real-life stress detection. Case study: students under stress due to university examination.

    Science.gov (United States)

    Melillo, Paolo; Bracale, Marcello; Pecchia, Leandro

    2011-11-07

    This study investigates the variations of Heart Rate Variability (HRV) due to a real-life stressor and proposes a classifier based on nonlinear features of HRV for automatic stress detection. 42 students volunteered to participate to the study about HRV and stress. For each student, two recordings were performed: one during an on-going university examination, assumed as a real-life stressor, and one after holidays. Nonlinear analysis of HRV was performed by using Poincaré Plot, Approximate Entropy, Correlation dimension, Detrended Fluctuation Analysis, Recurrence Plot. For statistical comparison, we adopted the Wilcoxon Signed Rank test and for development of a classifier we adopted the Linear Discriminant Analysis (LDA). Almost all HRV features measuring heart rate complexity were significantly decreased in the stress session. LDA generated a simple classifier based on the two Poincaré Plot parameters and Approximate Entropy, which enables stress detection with a total classification accuracy, a sensitivity and a specificity rate of 90%, 86%, and 95% respectively. The results of the current study suggest that nonlinear HRV analysis using short term ECG recording could be effective in automatically detecting real-life stress condition, such as a university examination.

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

    Directory of Open Access Journals (Sweden)

    L. Bressan

    2011-05-01

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

  10. Real-time security extensions for EPCglobal networks case study for the pharmaceutical industry

    CERN Document Server

    Schapranow, Matthieu-P

    2014-01-01

    This book reviews the design of real-time security extensions for EPCglobal networks based on in-memory technology, presents authentication protocols for devices with low computational resources and outlines steps for implementing history-based access control.

  11. Bus-stop Based Real Time Passenger Information System - Case Study Maribor

    Science.gov (United States)

    Čelan, Marko; Klemenčič, Mitja; Mrgole, Anamarija L.; Lep, Marjan

    2017-10-01

    Real time passenger information system is one of the key element of promoting public transport. For the successful implementation of real time passenger information systems, various components should be considered, such as: passenger needs and requirements, stakeholder involvement, technological solution for tracking, data transfer, etc. This article carrying out designing and evaluation of real time passenger information (RTPI) in the city of Maribor. The design phase included development of methodology for selection of appropriate macro and micro location of the real-time panel, development of a real-time passenger algorithm, definition of a technical specification, financial issues and time frame. The evaluation shows that different people have different requirements; therefore, the system should be adaptable to be used by various types of people, according to the age, the purpose of journey, experience of using public transport, etc. The average difference between perceived waiting time for a bus is 35% higher than the actual waiting time and grow with the headway increase. Experiences from Maribor have shown that the reliability of real time passenger system (from technical point of view) must be close to 100%, otherwise the system may have negative impact on passengers and may discourage the use of public transport. Among considered events of arrivals during the test period, 92% of all prediction were accurate. The cost benefit analysis has focused only on potential benefits from reduced perceived users waiting time and foreseen costs of real time information system in Maribor for 10 years’ period. Analysis shows that the optimal number for implementing real time passenger information system at the bus stops in Maribor is set on 83 bus stops (approx. 20 %) with the highest number of passenger. If we consider all entries at the chosen bus stops, the total perceived waiting time on yearly level could be decreased by about 60,000 hours.

  12. Validation of verbal autopsy methods using hospital medical records: a case study in Vietnam.

    Science.gov (United States)

    Tran, Hong Thi; Nguyen, Hoa Phuong; Walker, Sue M; Hill, Peter S; Rao, Chalapati

    2018-05-18

    Information on causes of death (COD) is crucial for measuring the health outcomes of populations and progress towards the Sustainable Development Goals. In many countries such as Vietnam where the civil registration and vital statistics (CRVS) system is dysfunctional, information on vital events will continue to rely on verbal autopsy (VA) methods. This study assesses the validity of VA methods used in Vietnam, and provides recommendations on methods for implementing VA validation studies in Vietnam. This validation study was conducted on a sample of 670 deaths from a recent VA study in Quang Ninh province. The study covered 116 cases from this sample, which met three inclusion criteria: a) the death occurred within 30 days of discharge after last hospitalisation, and b) medical records (MRs) for the deceased were available from respective hospitals, and c) the medical record mentioned that the patient was terminally ill at discharge. For each death, the underlying cause of death (UCOD) identified from MRs was compared to the UCOD from VA. The validity of VA diagnoses for major causes of death was measured using sensitivity, specificity and positive predictive value (PPV). The sensitivity of VA was at least 75% in identifying some leading CODs such as stroke, road traffic accidents and several site-specific cancers. However, sensitivity was less than 50% for other important causes including ischemic heart disease, chronic obstructive pulmonary diseases, and diabetes. Overall, there was 57% agreement between UCOD from VA and MR, which increased to 76% when multiple causes from VA were compared to UCOD from MR. Our findings suggest that VA is a valid method to ascertain UCOD in contexts such as Vietnam. Furthermore, within cultural contexts in which patients prefer to die at home instead of a healthcare facility, using the available MRs as the gold standard may be meaningful to the extent that recall bias from the interval between last hospital discharge and death

  13. Concordance Between Self-Reported Childhood Maltreatment Versus Case Record Reviews for Child Welfare-Affiliated Adolescents.

    Science.gov (United States)

    Negriff, Sonya; Schneiderman, Janet U; Trickett, Penelope K

    2017-02-01

    The present study used data from an ongoing longitudinal study of the effects of maltreatment on adolescent development to (1) describe rates of maltreatment experiences obtained from retrospective self-report versus case record review for adolescents with child welfare-documented maltreatment histories, (2) examine self-reported versus child welfare-identified maltreatment in relation to mental health and risk behavior outcomes by maltreatment type, and (3) examine the association between the number of different types of maltreatment and mental health and risk behavior outcomes. Maltreatment was coded from case records using the Maltreatment Case Record Abstraction Instrument (MCRAI) and participants were asked at mean age = 18.49 about childhood maltreatment experiences using the Comprehensive Trauma Interview (CTI). Results showed that an average of 48% of maltreatment found by the MCRAI for each type of maltreatment were unique cases not captured by the CTI, whereas an average of 40% self-reported maltreatment (CTI) was not indicated by the MCRAI. Analyses with outcomes showed generally, self-reported maltreatment, regardless of concordance with MCRAI, was related to the poorest outcomes. The difference in associations with the outcomes indicates both self-report and case record review data may have utility depending on the outcomes being assessed.

  14. Optimization of active distribution networks: Design and analysis of significative case studies for enabling control actions of real infrastructure

    Science.gov (United States)

    Moneta, Diana; Mora, Paolo; Viganò, Giacomo; Alimonti, Gianluca

    2014-12-01

    The diffusion of Distributed Generation (DG) based on Renewable Energy Sources (RES) requires new strategies to ensure reliable and economic operation of the distribution networks and to support the diffusion of DG itself. An advanced algorithm (DISCoVER - DIStribution Company VoltagE Regulator) is being developed to optimize the operation of active network by means of an advanced voltage control based on several regulations. Starting from forecasted load and generation, real on-field measurements, technical constraints and costs for each resource, the algorithm generates for each time period a set of commands for controllable resources that guarantees achievement of technical goals minimizing the overall cost. Before integrating the controller into the telecontrol system of the real networks, and in order to validate the proper behaviour of the algorithm and to identify possible critical conditions, a complete simulation phase has started. The first step is concerning the definition of a wide range of "case studies", that are the combination of network topology, technical constraints and targets, load and generation profiles and "costs" of resources that define a valid context to test the algorithm, with particular focus on battery and RES management. First results achieved from simulation activity on test networks (based on real MV grids) and actual battery characteristics are given, together with prospective performance on real case applications.

  15. Optimization of active distribution networks: Design and analysis of significative case studies for enabling control actions of real infrastructure

    Directory of Open Access Journals (Sweden)

    Moneta Diana

    2014-01-01

    Full Text Available The diffusion of Distributed Generation (DG based on Renewable Energy Sources (RES requires new strategies to ensure reliable and economic operation of the distribution networks and to support the diffusion of DG itself. An advanced algorithm (DISCoVER – DIStribution Company VoltagE Regulator is being developed to optimize the operation of active network by means of an advanced voltage control based on several regulations. Starting from forecasted load and generation, real on-field measurements, technical constraints and costs for each resource, the algorithm generates for each time period a set of commands for controllable resources that guarantees achievement of technical goals minimizing the overall cost. Before integrating the controller into the telecontrol system of the real networks, and in order to validate the proper behaviour of the algorithm and to identify possible critical conditions, a complete simulation phase has started. The first step is concerning the definition of a wide range of “case studies”, that are the combination of network topology, technical constraints and targets, load and generation profiles and “costs” of resources that define a valid context to test the algorithm, with particular focus on battery and RES management. First results achieved from simulation activity on test networks (based on real MV grids and actual battery characteristics are given, together with prospective performance on real case applications.

  16. Real wage rigidity and the new Phillips curve: the Brazilian case

    Directory of Open Access Journals (Sweden)

    Antonio Alberto Mazali

    2010-09-01

    Full Text Available The new Keynesian Phillips curve has been criticized for not explaining the short-run inflation-output gap trade-off. Blanchard and Galí (2007 introduced real wage rigidity and derived a trade-off between stabilizing inflation and the gap between actual and efficient output. This paper estimates the new Phillips curve for the Brazilian economy, computes short-run trade-off, analyzes real wage rigidity, and tests theoretical restrictions imposed by the model. The GMM estimations fit the data very well and all theoretical restrictions are satisfied. There is strong real wage rigidity and a high output-gap cost to stabilize inflation in the short run.A curva de Phillips novo-keynesiana tem sido criticada por não explicar o trade-off de curto prazo entre inflação-hiato do produto. Blanchard e Galí (2007 introduziram a rigidez do salário real e derivaram um trade-off entre estabilizar inflação ou estabilizar hiato entre produto real e eficiente. Neste artigo estima-se essa nova curva para a economia brasileira, calcula-se o trade-off, analisa-se a rigidez do salário real e testa-se restrições teóricas do modelo. Estimações GMM adequam-se bem aos dados e todas as restrições teóricas são satisfeitas. Há forte rigidez do salário real e alto custo de hiato do produto para estabilizar inflação no curto prazo.

  17. A case study on better iconographic design in electronic medical records' user interface.

    Science.gov (United States)

    Tasa, Umut Burcu; Ozcan, Oguzhan; Yantac, Asim Evren; Unluer, Ayca

    2008-06-01

    It is a known fact that there is a conflict between what users expect and what user interface designers create in the field of medical informatics along with other fields of interface design. The objective of the study is to suggest, from the 'design art' perspective, a method for improving the usability of an electronic medical record (EMR) interface. The suggestion is based on the hypothesis that the user interface of an EMR should be iconographic. The proposed three-step method consists of a questionnaire survey on how hospital users perceive concepts/terms that are going to be used in the EMR user interface. Then icons associated with the terms are designed by a designer, following a guideline which is prepared according to the results of the first questionnaire. Finally the icons are asked back to the target group for proof. A case study was conducted with 64 medical staff and 30 professional designers for the first questionnaire, and with 30 medical staff for the second. In the second questionnaire 7.53 icons out of 10 were matched correctly with a standard deviation of 0.98. Also, all icons except three were matched correctly in at least 83.3% of the forms. The proposed new method differs from the majority of previous studies which are based on user requirements by leaning on user experiments instead. The study demonstrated that the user interface of EMRs should be designed according to a guideline that results from a survey on users' experiences on metaphoric perception of the terms.

  18. Soil charcoal analysis as a climato-stratigraphical tool: The key case of Cordillera Real, northern Andes

    Energy Technology Data Exchange (ETDEWEB)

    Di Pasquale, G. [Dipartimento di Arboricoltura Botanica e Patologia Vegetale, Universita di Napoli Federico II, Via Universita 100, 80055 Portici (Italy); Impagliazzo, S., E-mail: stefania.impagliazzo@unina.i [Dipartimento di Arboricoltura Botanica e Patologia Vegetale, Universita di Napoli Federico II, Via Universita 100, 80055 Portici (Italy); Lubritto, C. [CIRCE, Dipartimento di Scienze Ambientali, II Universita di Napoli, and INNOVA, via Vivaldi, 43, 81100 Caserta (Italy); Marziano, M. [Dipartimento di Arboricoltura Botanica e Patologia Vegetale, Universita di Napoli Federico II, Via Universita 100, 80055 Portici (Italy); Passariello, I. [CIRCE, Dipartimento di Scienze Ambientali, II Universita di Napoli, and INNOVA, via Vivaldi, 43, 81100 Caserta (Italy); Ermolli, E. Russo [Dipartimento di Arboricoltura Botanica e Patologia Vegetale, Universita di Napoli Federico II, Via Universita 100, 80055 Portici (Italy)

    2010-04-15

    The present study represents the first attempt of reconstructing fire history through soil charcoal dating. The investigated area is located in the Guandera Biological Reserve (western Cordillera Real, northern Ecuador). Six AMS radiocarbon dating, performed at the base of five soil profiles allowed a fire phase to be identified during the Pleistocene-Holocene transition. A strong correspondence was highlighted between the age of the Guandera fires and the El Abra stadial, which is considered the Younger Dryas equivalent in South America. This local evidence of fires contributes to define the geographic area in which the El Abra stadial was recorded and suggests a wider use of the soil charcoal analysis.

  19. Soil charcoal analysis as a climato-stratigraphical tool: The key case of Cordillera Real, northern Andes

    International Nuclear Information System (INIS)

    Di Pasquale, G.; Impagliazzo, S.; Lubritto, C.; Marziano, M.; Passariello, I.; Ermolli, E. Russo

    2010-01-01

    The present study represents the first attempt of reconstructing fire history through soil charcoal dating. The investigated area is located in the Guandera Biological Reserve (western Cordillera Real, northern Ecuador). Six AMS radiocarbon dating, performed at the base of five soil profiles allowed a fire phase to be identified during the Pleistocene-Holocene transition. A strong correspondence was highlighted between the age of the Guandera fires and the El Abra stadial, which is considered the Younger Dryas equivalent in South America. This local evidence of fires contributes to define the geographic area in which the El Abra stadial was recorded and suggests a wider use of the soil charcoal analysis.

  20. Enhancing the power of genetic association studies through the use of silver standard cases derived from electronic medical records.

    Directory of Open Access Journals (Sweden)

    Andrew McDavid

    Full Text Available The feasibility of using imperfectly phenotyped "silver standard" samples identified from electronic medical record diagnoses is considered in genetic association studies when these samples might be combined with an existing set of samples phenotyped with a gold standard technique. An analytic expression is derived for the power of a chi-square test of independence using either research-quality case/control samples alone, or augmented with silver standard data. The subset of the parameter space where inclusion of silver standard samples increases statistical power is identified. A case study of dementia subjects identified from electronic medical records from the Electronic Medical Records and Genomics (eMERGE network, combined with subjects from two studies specifically targeting dementia, verifies these results.

  1. Experiments to Enhance Public Real Estate in Italy: the Case of the FIP Fund

    Directory of Open Access Journals (Sweden)

    Andrea Ciaramella

    2012-04-01

    Full Text Available The Italian State’s real estate is involved in a boundary definition process which is still in progress. The experiments in process and the comparison between Public Administration and private operators often focus the debate on issues which relate to the financial instruments or the company vehicles which may be adopted. However, no enhancement is possible in the absence of an approach aimed at a precise knowledge of the characteristics of every individual building. The article summarizes the experiment of the most important public contribution investment fund achieved in Italy (Public Real Estate Investment Fund and demonstrates the complex technical and managerial activity necessary to regularise the real estate and which is indispensable for making the management company’s objectives feasible.

  2. Ubiquitous health monitoring and real-time cardiac arrhythmias detection: a case study.

    Science.gov (United States)

    Li, Jian; Zhou, Haiying; Zuo, Decheng; Hou, Kun-Mean; De Vaulx, Christophe

    2014-01-01

    As the symptoms and signs of heart diseases that cause sudden cardiac death, cardiac arrhythmia has attracted great attention. Due to limitations in time and space, traditional approaches to cardiac arrhythmias detection fail to provide a real-time continuous monitoring and testing service applicable in different environmental conditions. Integrated with the latest technologies in ECG (electrocardiograph) analysis and medical care, the pervasive computing technology makes possible the ubiquitous cardiac care services, and thus brings about new technical challenges, especially in the formation of cardiac care architecture and realization of the real-time automatic ECG detection algorithm dedicated to care devices. In this paper, a ubiquitous cardiac care prototype system is presented with its architecture framework well elaborated. This prototype system has been tested and evaluated in all the clinical-/home-/outdoor-care modes with a satisfactory performance in providing real-time continuous cardiac arrhythmias monitoring service unlimitedly adaptable in time and space.

  3. Are Housing Markets Decoupled? A Case Study of Residential Real Estate Affordability in Austria

    Directory of Open Access Journals (Sweden)

    Florian PHILIPP

    2015-09-01

    Full Text Available Real estate arguably forms the most important asset to most households and the basis for their wealth. Around this context a model has been set up testing the relative affordability of real estate for the median household in Austria and the consequences of lower borrowing costs between 2004 and 2013 by vintage year. In this paper the hypothesis that the significant decline in base interest rates is not sufficient to offset the relative affordability loss caused by declining net household incomes and the simultaneous increase of real estate prices. To test this hypothesis a model has been set up comparing two different Housing Affordability Indices – one including and one excluding financing effects, having been compared via a multi factor model. Based on this calculation the author finds decreased base interest rates to offset relative affordability losses by only approximately 50%, verifying the hypothesis. The paper therefore argues for a potential decoupling of the residential housing market in Austria.

  4. Combining loop unrolling strategies and code predication to reduce the worst-case execution time of real-time software

    Directory of Open Access Journals (Sweden)

    Andreu Carminati

    2017-07-01

    Full Text Available Worst-case execution time (WCET is a parameter necessary to guarantee timing constraints on real-time systems. The higher the worst-case execution time of tasks, the higher will be the resource demand for the associated system. The goal of this paper is to propose a different way to perform loop unrolling on data-dependent loops using code predication targeting WCET reduction, because existing techniques only consider loops with fixed execution counts. We also combine our technique with existing unrolling approaches. Results showed that this combination can produce aggressive WCET reductions when compared with the original code.

  5. How is adult patient adherence recorded in orthodontists’ clinical notes? A mixed-method case-note study

    Directory of Open Access Journals (Sweden)

    Al Shammary N

    2017-10-01

    Full Text Available Nawaf Al Shammary,1 Koula Asimakopoulou,1 Fraser McDonald,2 Jonathon T Newton,1 Sasha Scambler1 1Division of Population and Patient Health, 2Craniofacial Development and Stem Cell Biology Department, King’s College London Dental Institute, London, UKBackground: Patient adherence in orthodontic treatment is extremely important as it is linked with better treatment outcomes. Despite its importance, however, there is no shared definition of the concept. This makes the recording of adherence-related behaviors in patient notes difficult. The current study explored how, and to what extent adherence is recorded in adult patients’ medical records by orthodontists working in a large National Health Service (NHS London hospital.Materials and methods: A mixed-methods approach was used. A total of 17 clinicians with a mean age of 31 years (SD =4.87 provided N=20 case notes spanning N=324 appointments with patients they judged to be non-adherent. The notes were inspected for evidence of recording of patient adherence using adherence indicators identified in the literature.Results: The term “adherence” did not feature in any notes. The quantitative analysis showed that the three most frequent adherence-related behaviors recorded in notes were “oral hygiene,” “appointment attendance” and “breakages of appliances.” Qualitative analysis not only confirmed these factors but also showed that 1 the clinical aspects of treatment, 2 clinician–patient interaction factors and 3 patient attitudes also featured. This part of the analysis also highlighted inconsistencies across case notes in terms of the amount of information being recorded.Conclusion: Adherence as a term does not feature in the clinical case notes of clinician-identified non-adherent adult patients, while predictors of adherence are recorded with varying degrees of consistency. Keywords: adherence, adults, orthodontic treatment

  6. 110 kV NETWORK TECHNICAL LOSSES ASSESSMENT. REAL DISTRIBUTION SYSTEM CASE STUDY

    Directory of Open Access Journals (Sweden)

    BARBULESCU C.

    2015-06-01

    Full Text Available The paper is focusing on evaluating the technical losses within a real distribution network. The study was conducted for a distribution system operator within the Romanian Power System. The analysed area is represented by a real part of the Romanian Power System. It is modelled in a computer aided power system analysis tool. Several power system operating conditions are analysed. Power system optimization measures are provided having as a goal to reduce the technical losses' value. Values obtained based on the field measurement are compared to the ones provided by computer simulations. These conclusions are very useful for the distribution network operator.

  7. TIAA's Commercial Mortgage and Real Estate Investments: The Case for Financial Disclosure.

    Science.gov (United States)

    Garrigan, Richard T.; Jones, Thomas W.

    1992-01-01

    The Teachers Insurance and Annuities Association (TIAA) is criticized for inadequate financial disclosure of its mortgage and real estate investments, especially in the current market. A TIAA vice president responds that the company has not been remiss in reporting changes to its constituents and outlines its present financial status. (MSE)

  8. The case for a Supersite for real-time GNSS hazard monitoring on a global scale

    Science.gov (United States)

    Bar-Sever, Y. E.

    2017-12-01

    Real-time measurements from many hundreds of GNSS tracking sites around the world are publicly available today, and the amount of streaming data is steadily increasing as national agencies densify their local and global infrastructure for natural hazard monitoring and a variety of geodetic, cadastral, and other civil applications. Thousands of such sites can soon be expected on a global scale. It is a challenge to manage and make optimal use of this massive amount of real-time data. We advocate the creation of Supersite(s), in the parlance of the U.N. Global Earth Observation System of Systems (https://www.earthobservations.org/geoss.php), to generate high level real-time data products from the raw GNSS measurements from all available sources (many thousands of sites). These products include: • High rate, real-time positioning time series for assessing rapid crustal motion due to Earthquakes, volcanic activities, land slides, etc. • Co-seismic displacement to help resolve earthquake mechanism and moment magnitude • Real-time total electron content (TEC) fluctuations to augment Dart buoy in detecting and tracking tsunamis • Aggregation of the many disparate raw data dispensation servers (Casters)Recognizing that natural hazards transcend national boundaries in terms of direct and indirect (e.g., economical, security) impact, the benefits from centralized, authoritative processing of GNSS measurements is manifold: • Offers a one-stop shop to less developed nations and institutions for raw and high-level products, in support of research and applications • Promotes the installation of tracking sites and the contribution of data from nations without the ability to process the data • Reduce dependency on local responsible agencies impacted by a natural disaster • Reliable 24/7 operations, independent of voluntary, best effort contributions from good-willing scientific organizationsThe JPL GNSS Real-Time Earthquake and Tsunami (GREAT) Alert has been

  9. The Role of Real Estate in Sustainable Development in Developing Countries: The Case of the Kingdom of Bahrain

    Directory of Open Access Journals (Sweden)

    Yusra Mouzughi

    2014-04-01

    Full Text Available The construction of real estate has the potential to advance sustainability in terms of meeting economic and social criteria—the Business Case and the Societal Case. This is a crucial aspect in the stated visions and plans in many developing countries. Hence, it is important to understand how real estate can best contribute. Semi-structured interviews with a number of decision-makers involved in the real estate sector in the Kingdom of Bahrain were undertaken to explore perceptions of how the sector could best contribute to sustainable development. The decision-makers came from government bodies, investment banks, real estate developers, investors, constructors, project consultants and auditors. The interviews highlight the importance of having a stated vision and strategy which is highly visible and shared by all stakeholders. In the case of Bahrain this is Vision 2030 and the National Economic Strategy. It is important to ensure that any plans that are put in place to achieve the vision/strategy are adaptable to reflect changes in the external environment. The decision-makers identified three areas of focus in terms of the content of policy in order to meet the economic and social-related sustainability criteria as set out in Vision 2030 and the National Economic Strategy. These are: infrastructure, affordable housing and tourism/leisure. Within these three areas, that of infrastructure is also the key enabler for developments in the other two areas to be realized. In terms of a method of governance, the use of public-private-partnerships (PPPs was identified as being highly appropriate. Such partnerships are not only useful to leverage private sector investment into specific development projects but also to ensure that such development harnesses innovative and efficient methods.

  10. making a case for the development of a university records and ...

    African Journals Online (AJOL)

    Walter

    university records and archives management programme at the. National ... memory, and foster accountability and good governance. .... In the words of Uwaifo (2004:85) ... personnel make information available and accessible for such.

  11. Citizens and personal health records - the case of Nelson Mandela Bay.

    Science.gov (United States)

    Pottas, Dalenca; Mostert-Phipps, Nicky

    2013-01-01

    This paper explores citizen attitudes towards personal health records. The study was conducted in the Eastern Cape Province of South Africa. A cross-sectional design was used and structured questionnaires administered by data collectors. Most respondents (90%) believed it to be important to extremely important for their healthcare provider to have their complete medical records. Less than half of them (42%), however, believed that the healthcare provider did have their complete medical record available to them. Nevertheless, 69% do not keep a medical record as a way to address this concern. Most of them (84%) were not aware of the existence of electronic tools to capture a personal health record prior to participating in the survey. Concerns relating to the use of online PHRs were identified as privacy (58%), lack of time (27%) and a disinterest in computers (22%). It was found that the existence of a medical chronic condition is a strong predictor of keeping a medical record (albeit mostly in paper-based format).

  12. A Paradox of Town Spatial Development: The Growing Real Estate and Shrinking Town - a Case Study of Hsinchu County, Taiwan

    Science.gov (United States)

    Hung, Chi-Tung; Chuang, Mo-Hsiung; Lin, Wen-Yen

    2017-04-01

    The key factors of many discussions on shrinking towns are focusing at decreasing population and declining industries. Our study, using Hsinchu County as an example, has found that part of the county (Guanxi township) is following a typical and traditional town development pattern, while somewhere else of this county (Zhubei township) shows rapid growth in real estate but with a high vacancy rate. Even though the distance between Guanxi and Zhubei is less than 20 kilometers, the spatial development phenomenon of the two townships are both "shrinking" in the same county but very different in their developing paths. This study used GIS to overlay the maps from field survey and archive data, such as real estate prices of different years, environmental hazards and disaster records, local area power consumptions, and vulnerable population data, to clarify the causes and systems behind the shrinking phenomena of the two townships and to construct a theory of "shrinking town" in Taiwan. The contribution of this study is the findings of the tangling relations of the vulnerability from land-enclosure policy, the system design of local industrial development and urban planning, and structural factors of environmental hazards. Note: This study is part of the results from the Ministry of Science and Technology funding project (MOST 105-2621-M-120-002) KEYWORDS: shrinking town, environmental hazards, urban planning, spatial disasters, real estate development

  13. Reactive case detection for malaria elimination: real-life experience from an ongoing program in Swaziland.

    Science.gov (United States)

    Sturrock, Hugh J W; Novotny, Joe M; Kunene, Simon; Dlamini, Sabelo; Zulu, Zulisile; Cohen, Justin M; Hsiang, Michelle S; Greenhouse, Bryan; Gosling, Roly D

    2013-01-01

    As countries move towards malaria elimination, methods to identify infections among populations who do not seek treatment are required. Reactive case detection, whereby individuals living in close proximity to passively detected cases are screened and treated, is one approach being used by a number of countries including Swaziland. An outstanding issue is establishing the epidemiologically and operationally optimal screening radius around each passively detected index case. Using data collected between December 2009 and June 2012 from reactive case detection (RACD) activities in Swaziland, we evaluated the effect of screening radius and other risk factors on the probability of detecting cases by reactive case detection. Using satellite imagery, we also evaluated the household coverage achieved during reactive case detection. Over the study period, 250 cases triggered RACD, which identified a further 74 cases, showing the value of RACD over passive surveillance alone. Results suggest that the odds of detecting a case within the household of the index case were significantly higher than in neighbouring households (odds ratio (OR) 13, 95% CI 3.1-54.4). Furthermore, cases were more likely to be detected when RACD was conducted within a week of the index presenting at a health facility (OR 8.7, 95% CI 1.1-66.4) and if the index household had not been sprayed with insecticide (OR sprayed vs not sprayed 0.11, 95% CI 0.03-0.46). The large number of households missed during RACD indicates that a 1 km screening radius may be impractical in such resource limited settings such as Swaziland. Future RACD in Swaziland could be made more effective by achieving high coverage amongst individuals located near to index cases and in areas where spraying has not been conducted. As well as allowing the programme to implement RACD more rapidly, this would help to more precisely define the optimal screening radius.

  14. A real option analysis of investments in hydropower-The case of Norway

    International Nuclear Information System (INIS)

    Kjaerland, Frode

    2007-01-01

    This paper presents a valuation study of hydropower investment opportunities in the Norwegian context. According to NVE (Norwegian Water Resources and Energy Directorate, the regulator), there is a potential of 39 TWh not yet developed (generation in a normal year is approximately 120 TWh). By using the conceptual real option framework of Dixit and Pindyck [1994. Investment Under Uncertainty. Princeton University Press, Princeton, NJ] one can estimate the value of investment opportunities to NOK 11 million/GWh (EUR 1.4 million/GWh). Furthermore, the optimal trigger price for initiating an investment based on electricity forward prices is calculated to NOK 0.32/kWh (EUR 0.04/kWh). The analysis shows consistency between real option theory and aggregate investment behaviour in Norwegian hydropower

  15. Why live recording sounds better: A case study of Schumann’s Träumerei

    Directory of Open Access Journals (Sweden)

    Haruka eShoda

    2015-01-01

    Full Text Available We explore the concept that artists perform best in front of an audience. The negative effects of performance anxiety are much better known than their related cousin on the other shoulder: the positive effects of social facilitation. The present study, however, reveals a listener's preference for performances recorded in front of an audience. In Study 1, we prepared two types of recordings of Träumerei performed by 13 pianists: recordings in front of an audience and those with no audience. According to the evaluation by 153 listeners, the recordings performed in front of an audience sounded better, suggesting that the presence of an audience enhanced or facilitated the performance. In Study 2, we analyzed pianists' durational and dynamic expressions. According to the functional principal components analyses, we found that the expression of Träumerei consisted of three components: the overall quantity, the cross-sectional contrast between the final and the remaining sections, and the control of the expressive variability. Pianists' expressions were targeted more to the average of the cross-sectional variation in the audience-present than in the audience-absent recordings. In Study 3, we explored a model that explained listeners' responses induced by pianists' acoustical expressions, using path analyses. The final model indicated that the cross-sectional variation of the duration and that of the dynamics determined listeners' evaluations of the quality and the emotionally moving experience, respectively. In line with human's preferences for commonality, the more average the durational expressions were in live recording, the better the listeners' evaluations were regardless of their musical experiences. Only the well-experienced listeners (at least 16 years of musical training were moved more by the deviated dynamic expressions in live recording, suggesting a link between the experienced listener's emotional experience and the unique dynamics in

  16. Real-time web-based assessment of total population risk of future emergency department utilization: statewide prospective active case finding study.

    Science.gov (United States)

    Hu, Zhongkai; Jin, Bo; Shin, Andrew Y; Zhu, Chunqing; Zhao, Yifan; Hao, Shiying; Zheng, Le; Fu, Changlin; Wen, Qiaojun; Ji, Jun; Li, Zhen; Wang, Yong; Zheng, Xiaolin; Dai, Dorothy; Culver, Devore S; Alfreds, Shaun T; Rogow, Todd; Stearns, Frank; Sylvester, Karl G; Widen, Eric; Ling, Xuefeng B

    2015-01-13

    An easily accessible real-time Web-based utility to assess patient risks of future emergency department (ED) visits can help the health care provider guide the allocation of resources to better manage higher-risk patient populations and thereby reduce unnecessary use of EDs. Our main objective was to develop a Health Information Exchange-based, next 6-month ED risk surveillance system in the state of Maine. Data on electronic medical record (EMR) encounters integrated by HealthInfoNet (HIN), Maine's Health Information Exchange, were used to develop the Web-based surveillance system for a population ED future 6-month risk prediction. To model, a retrospective cohort of 829,641 patients with comprehensive clinical histories from January 1 to December 31, 2012 was used for training and then tested with a prospective cohort of 875,979 patients from July 1, 2012, to June 30, 2013. The multivariate statistical analysis identified 101 variables predictive of future defined 6-month risk of ED visit: 4 age groups, history of 8 different encounter types, history of 17 primary and 8 secondary diagnoses, 8 specific chronic diseases, 28 laboratory test results, history of 3 radiographic tests, and history of 25 outpatient prescription medications. The c-statistics for the retrospective and prospective cohorts were 0.739 and 0.732 respectively. Integration of our method into the HIN secure statewide data system in real time prospectively validated its performance. Cluster analysis in both the retrospective and prospective analyses revealed discrete subpopulations of high-risk patients, grouped around multiple "anchoring" demographics and chronic conditions. With the Web-based population risk-monitoring enterprise dashboards, the effectiveness of the active case finding algorithm has been validated by clinicians and caregivers in Maine. The active case finding model and associated real-time Web-based app were designed to track the evolving nature of total population risk, in a

  17. Worked Examples Leads to Better Performance in Analyzing and Solving Real-Life Decision Cases

    Science.gov (United States)

    Cevik, Yasemin Demiraslan; Andre, Thomas

    2012-01-01

    This study compared the impact of three types of case-based methods (worked example, faded worked example, and case-based reasoning) on preservice teachers' (n=71) decision making and reasoning related to realistic classroom management situations. Participants in this study received a short-term implementation of one of these three major…

  18. Full-signature real-time corrosion detection of underground casing pipes

    NARCIS (Netherlands)

    Yin, Jiming; Lu, Mi; Pineda de Gyvez, J.

    2000-01-01

    Corrosion monitoring and early detection of pits and wall thinning for casing pipes are considerably important to gas and petroleum industries since the frequently occurring corrosion at the internal or external parts of those steel casing pipes used in underground gas storage or oil fields causes

  19. Variability in prescription drug expenditures explained by adjusted clinical groups (ACG case-mix: A cross-sectional study of patient electronic records in primary care

    Directory of Open Access Journals (Sweden)

    Serrat Josep

    2008-03-01

    pharmacy cost in adults compared to physician and center. In children there is greater variability among physicians and centers not related to case-mix. In our sites, ACG is useful to profile physicians and centers using electronic records in real practical conditions. Physicians with lower pharmaceutical expenditure have higher scores for a prescription quality index.

  20. Real options and a large producer: the case of electricity markets

    International Nuclear Information System (INIS)

    Keppo, J.

    2003-01-01

    In this paper we extend the real option theory to consider the situation of a large producer and we employ the model to electricity markets. This is important because many producers in these markets affect the market supply and, therefore, also the electricity price. This production price effect influences not only on the assets that the energy company owns but also on its investment opportunities. We show that this production's price effect has to be considered in the investment analysis if the company is not able to hedge the price effect in the financial markets and if there is no competition on the investment opportunity. (author)

  1. Notation of Depression in Case Records of Older Adults in Community Long-Term Care

    Science.gov (United States)

    Proctor, Enola K.

    2008-01-01

    Although significant numbers of social service clients experience mental health problems, virtually no research has examined the responsiveness of social service agencies to mental disorder. This article examines the extent to which client depression is reflected in records of a public social service agency, community long-term care (CLTC).…

  2. "Teaching Case": ComprehensiveCare and the Failed Implementation of an Electronic Health Records System

    Science.gov (United States)

    Gomillion, David L.

    2017-01-01

    Administrator Jennifer Stanton attempts to adopt an Electronic Health Records system at ComprehensiveCare, a multispecialty healthcare practice. Consultants from the vendor provide guidance to the organization, but do not provide that guidance in a way that the non-technical administrator understands. The project experiences escalation of…

  3. Project Management Series Case Study: The Office of Registration and Records

    Science.gov (United States)

    Burgher, Karl E.; Snyder, Michael

    2012-01-01

    This is the third in a series of eight articles on project management (PM) in the academy. In this article, the authors describe the step-by-step implementation of a structural change to Indiana State University's (ISU's) Office of Registration and Records (ORR). The process described may vary as it is implemented elsewhere, but the authors…

  4. Digitizing and Preserving Law School Recordings: A Duke Law Case Study

    Science.gov (United States)

    White, Hollie; Bordo, Miguel; Chen, Sean

    2015-01-01

    Written as a case study, this article outlines Duke Law School Information Services' video digitization, preservation, and access initiative. This article begins with a discussion of the case study environment and the cross-departmental evaluation of in-house video production and processing workflows. The in-house preservation reformatting process…

  5. Project selection problem under uncertainty: An application of utility theory and chance constrained programming to a real case

    Directory of Open Access Journals (Sweden)

    Reza Hosnavi Atashgah

    2013-06-01

    Full Text Available Selecting from a pool of interdependent projects under certainty, when faced with resource constraints, has been studied well in the literature of project selection problem. After briefly reviewing and discussing popular modeling approaches for dealing with uncertainty, this paper proposes an approach based on chance constrained programming and utility theory for a certain range of problems and under some practical assumptions. Expected Utility Programming, as the proposed modeling approach, will be compared with other well-known methods and its meaningfulness and usefulness will be illustrated via two numerical examples and one real case.

  6. Techno-economic feasibility study of the integration of a commercial small-scale ORC in a real case study

    International Nuclear Information System (INIS)

    Cavazzini, G.; Dal Toso, P.

    2015-01-01

    Highlights: • The integration of a small-scale commercial ORC in a real case study was analyzed. • The possibility of recovering the waste heat produced by an ICE was considered. • A semi-empirical steady-state model of the commercial small scale ORC was created. • Both direct and indirect costs was considered in the business model. • The ORC integration was not economically feasible due to increased indirect costs. - Abstract: The ORC certainly represents a promising solution for recovering low-grade waste heat in industries. However, the efficiency of commercial small-scale ORC solutions is still too low in comparison with the high initial costs of the machine and the lack of simulation models specifically developed for commercial ORC systems prevents industries from defining an accurate business model to correctly evaluate the ORC integration in real industrial processes. This paper presents a techno-economic feasibility analysis of the integration of a small-scale commercial ORC in a real case study, represented by a highly-efficient industrial distillery. The integration is aimed at maximizing the electricity auto-production by exploiting the heat produced by an internal combustion engine, already partially recovered in internal thermal processes. To analyze the influence of the ORC integration on the industrial processes, a semi-empirical steady-state model of the commercial small scale ORC was created. The model made it possible to simulate the performance of the commercial ORC within a hypothetical scenario involving the use of the heat from the cooling water and from the exhaust gases of the internal combustion engine. A detailed thermo-dynamic analysis has been carried out to study the effects of the ORC integration on the plant’s energy system with particular focus on the two processes directly affected by ORC integration, namely vapor production and the drying process of the grape marc. The analysis highlighted the great importance in the

  7. Renewable energy policy evaluation using real option model. The case of Taiwan

    International Nuclear Information System (INIS)

    Lee, Shun-Chung; Shih, Li-Hsing

    2010-01-01

    This study presents a policy benefit evaluation model that integrates cost efficiency curve information on renewable power generation technologies into real options analysis (ROA) methods. The proposed model evaluates quantitatively the policy value provided by developing renewable energy (RE) in the face of uncertain fossil fuel prices and RE policy-related factors. The economic intuition underlying the policy-making process is elucidated, while empirical analysis illustrates the option value embedded in the current development policy in Taiwan for wind power. In addition to revealing the benefits that RE development provides when considering real options, analytical results indicate that ROA is a highly effective means of quantifying how policy planning uncertainty including managerial flexibility influences RE development. In addition to assessing the policy value of current RE development policy, this study also compares policy values in terms of internalized external costs and varying feed-in tariff (FIT). Simulation results demonstrate that the RE development policy with internalized CO 2 emission costs is appropriate policy planning from sustainability point of view. Furthermore, relationship between varying FIT and policy values can be shown quantitatively and appropriate FIT level could be determined accordingly. (author)

  8. Real-time flood inundation forecasting and mapping for key railway infrastructure: a UK case study

    Directory of Open Access Journals (Sweden)

    Murphy Alexandra T.

    2016-01-01

    Full Text Available Flooding events that impede railway infrastructure can cause severe travel delays for the general public and large fines in delayed minutes for the rail industry. Early warnings of flood inundation can give more time to implement mitigation measures which help reduce cancellations, delays and fines. Initial work is reported on the development of a real-time flood inundation forecasting and mapping system for the Cowley Bridge track area near Exeter, UK. This location is on one of the main access routes to South West England and has suffered major floods in the past resulting in significant transport impacts. Flood forecasting systems in the UK mainly forecast river level/flow rather than extent and depth of flood inundation. Here, the development of a chain of coupled models is discussed that link rainfall to river flow, river level and flood extent for the rail track area relating to Cowley Bridge. Historical events are identified to test model performance in predicting inundation of railway infrastructure. The modelling system will operate alongside a series of in-situ sensors chosen to enhance the flood mapping forecasting system. Sensor data will support offline model calibration/verification and real-time data assimilation as well as monitoring flood conditions to inform track closure decisions.

  9. Therapeutically interchangeable? A study of real-world outcomes associated with switching basal insulin analogues among US patients with type 2 diabetes mellitus using electronic medical records data.

    Science.gov (United States)

    Levin, P; Wei, W; Miao, R; Ye, F; Xie, L; Baser, O; Gill, J

    2015-03-01

    To evaluate real-world clinical outcomes for switching basal insulin analogues [insulin glargine (GLA) and insulin detemir (DET)] among US patients with type 2 diabetes mellitus (T2DM). Using the GE Centricity Electronic Medical Records database, this retrospective study examined two cohorts: cohort 1, comprising patients previously on GLA and then either switching to DET (DET-S) or continuing with GLA (GLA-C); and cohort 2, comprising patients previously on DET and then either switching to GLA (GLA-S) or continuing with DET (DET-C). Within each cohort, treatment groups were propensity-score-matched on baseline characteristics. At 1-year follow-up, insulin treatment patterns, glycated haemoglobin (HbA1c) levels, hypoglycaemic events, weight and body mass index (BMI) were evaluated. The analysis included 13 942 patients: cohort 1: n = 10 657 (DET-S, n = 1797 matched to GLA-C, n = 8860) and cohort 2: n = 3285 (GLA-S, n = 858 matched to DET-C, n = 2427). Baseline characteristics were similar between the treatment groups in each cohort. At 1-year follow-up, in cohort 1, patients in the DET-S subgroup were significantly less persistent with treatment, more likely to use a rapid-acting insulin analogue, had higher HbA1c values, lower HbA1c reductions and lower proportions of patients achieving HbA1c Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd.

  10. The Role of Smart Meters in Enabling Real-Time Energy Services for Households: The Italian Case

    Directory of Open Access Journals (Sweden)

    Alessandro Pitì

    2017-02-01

    Full Text Available The Smart Meter (SM is an essential tool for successful balancing the demand-offer energy curve. It allows the linking of the consumption and production measurements with the time information and the customer’s identity, enabling the substitution of flat-price billing with smarter solutions, such as Time-of-Use or Real-Time Pricing. In addition to sending data to the energy operators for billing and monitoring purposes, Smart Meters must be able to send the same data to customer devices in near-real-time conditions, enabling new services such as instant energy awareness and home automation. In this article, we review the ongoing situation in Europe regarding real-time services for the final customers. Then, we review the architectural and technological options that have been considered for the roll-out phase of the Italian second generation of Smart Meters. Finally, we identify a collection of use cases, along with their functional and performance requirements, and discuss what architectures and communications technologies can meet these requirements.

  11. The first case record of a female patient with bubonic lymphogranuloma venereum (LGV), serovariant L2b.

    Science.gov (United States)

    Verweij, Stephan P; Ouburg, Sander; de Vries, Harry; Morré, Servaas A; van Ginkel, Cees J W; Bos, Hanna; Sebens, Fré W

    2012-08-01

    Since 2003, a lymphogranuloma venereum epidemic has been reported in The Netherlands and other European countries. This epidemic is caused by Chlamydia trachomatis serovariant L2b and has only been seen in men having sex with men. The authors investigated a woman presenting with a bubo in her right groin. The authors showed by real-time PCR that the woman was infected with C trachomatis, serovariant L2b. This is the first reported case study of a female patient with bubonic lymphogranuloma venereum caused by serovariant L2b, which was probably contracted via her bisexual male partner.

  12. Development of a clinical information tool for the electronic medical record: a case study.

    Science.gov (United States)

    Epstein, Barbara A; Tannery, Nancy H; Wessel, Charles B; Yarger, Frances; LaDue, John; Fiorillo, Anthony B

    2010-07-01

    What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center? The development took place at the University of Pittsburgh Health Sciences Library System. The clinical information tool developed is a search box with subject tabs to provide quick access to designated full-text information resources. Each subject tab offers a federated search of a different pool of resources. Search results are organized "on the fly" into meaningful categories using clustering technology and are directly accessible from the results page. After more than a year of discussion and planning, a clinical information tool was embedded in the academic medical center's electronic health record. The library successfully developed a clinical information tool, called Clinical-e, for use at the point of care. Future development will refine the tool and evaluate its impact and effectiveness.

  13. Real time forest fire warning and forest fire risk zoning: a Vietnamese case study

    Science.gov (United States)

    Chu, T.; Pham, D.; Phung, T.; Ha, A.; Paschke, M.

    2016-12-01

    Forest fire occurs seriously in Vietnam and has been considered as one of the major causes of forest lost and degradation. Several studies of forest fire risk warning were conducted using Modified Nesterov Index (MNI) but remaining shortcomings and inaccurate predictions that needs to be urgently improved. In our study, several important topographic and social factors such as aspect, slope, elevation, distance to residential areas and road system were considered as "permanent" factors while meteorological data were updated hourly using near-real-time (NRT) remotely sensed data (i.e. MODIS Terra/Aqua and TRMM) for the prediction and warning of fire. Due to the limited number of weather stations in Vietnam, data from all active stations (i.e. 178) were used with the satellite data to calibrate and upscale meteorological variables. These data with finer resolution were then used to generate MNI. The only significant "permanent" factors were selected as input variables based on the correlation coefficients that computed from multi-variable regression among true fire-burning (collected from 1/2007) and its spatial characteristics. These coefficients also used to suggest appropriate weight for computing forest fire risk (FR) model. Forest fire risk model was calculated from the MNI and the selected factors using fuzzy regression models (FRMs) and GIS based multi-criteria analysis. By this approach, the FR was slightly modified from MNI by the integrated use of various factors in our fire warning and prediction model. Multifactor-based maps of forest fire risk zone were generated from classifying FR into three potential danger levels. Fire risk maps were displayed using webgis technology that is easy for managing data and extracting reports. Reported fire-burnings thereafter have been used as true values for validating the forest fire risk. Fire probability has strong relationship with potential danger levels (varied from 5.3% to 53.8%) indicating that the higher

  14. Exploiting Academic Records for Predicting Student Drop Out: a case study in Brazilian higher education

    OpenAIRE

    Sales, Allan; Balby, Leandro; Cajueiro, Adalberto

    2017-01-01

    Students’ dropout is a major concern of the Brazilian higher education institutions as it may cause waste of resources and decrease graduation rates. The early detection of students with high probability of dropping out, as well as understanding the underlying causes, are crucial for defining more effective actions toward preventing this problem. In this paper, we cast the dropout detection problem as a classification problem. We use a large sample of academic records of students across 76 co...

  15. Overvoltage Protection of Large Power Transformers - A Real-Life Study Case

    DEFF Research Database (Denmark)

    Bak, Claus Leth; Einarsdottir, K. E.; Andresson, E.

    2008-01-01

    This paper demonstrates the results from a detailed study of the overvoltage protection of a particular 400/150-kV 400-MVA power transformer. The work presented here is based on a real-life power system substation design and data and initiated by Danish TSO Energinet.dk as a consequence of serious...... transformer overvoltage damage. A simulation model for the entire system consisting of overhead line, transformer, surge arrester, and earth grid has been created in PSCAD/EMTDC. The main focus has been put on the earth grid, which has been submodeled in detail in MATLAB using an electromagnetic transient...... exceeded. It is clearly illustrated that the transient performance of the earth grid plays an important role in the overall overvoltage protection system design....

  16. Human-scale interaction for virtual model displays: a clear case for real tools

    Science.gov (United States)

    Williams, George C.; McDowall, Ian E.; Bolas, Mark T.

    1998-04-01

    We describe a hand-held user interface for interacting with virtual environments displayed on a Virtual Model Display. The tool, constructed entirely of transparent materials, is see-through. We render a graphical counterpart of the tool on the display and map it one-to-one with the real tool. This feature, combined with a capability for touch- sensitive, discrete input, results in a useful spatial input device that is visually versatile. We discuss the tool's design and interaction techniques it supports. Briefly, we look at the human factors issues and engineering challenges presented by this tool and, in general, by the class of hand-held user interfaces that are see-through.

  17. T-lineage blast crisis of chronic myelogenous leukemia: simple record of 4 cases

    Directory of Open Access Journals (Sweden)

    Kartika W. Taroeno-Hariadi

    2005-09-01

    Full Text Available Blast crisis (BC transformation in chronic myelogenous leukemia (CML can involve each differentiation lineage of the hematopoietic system, i.e. granulocyte, monocyte, erythrocyte, megakaryocyte, and lymphocyte lineage. The lymphoid blast crisis (BC leukemia cells usually belong to B-lineage, commonly having the phenotype of Pre-B stage of the B-lineage, in which cell-surface immunoglobulin (sIg is not yet expressed. In contrast, T-lineage BC of CML is extremely rare. The objective of this study is to describe the fenotype, fusion transcript of bcr-abl, TdT, and cytoplasmic CD3 in T-lineage BC CML cases. Case report study. This report shows a simple summary of 4 cases of T-lineage BC of CML which have been collected in the phenotypic and genotypic analysis study for 17 years (1987-2004. In all cases, the chromosomal analysis revealed the presence of t(9;22(q34;q11 at presentation. Cell surface analysis were done at diagnosis. Cases’ mononuclear cells stored as 10% DMSO were retrieved to be performed reverse transcription (RT PCR BCR-ABL multiplex to demonstrate the presence of the fusion transcript of bcr-abl. RT-PCR was also performed for detecting the expression of cytoplasmic CD3ε and terminal deoxynucleotydil transferase (TdT. The results of cell surface antigen (CSA at presentation showed that 1 case was CD7+, CD5-, and CD2-; 1 case CD7+, CD5+, and CD2-; and 2 cases CD7+, CD5+ and CD2+ indicating that all these T-lineage BC of CML cells show the phenotype of pre-(pro- thymic stage phenotype. In the present study, two cases showed b2a2, one e1a2, and one negative bcr-abl transcript. The RT-PCR revealed the presence of CD3ε mRNA in all cases, and TdT mRNA in only one case. These results can constitute a basis for the future analysis of T-lineage BC of CML from now on. (Med J Indones 2005; 14: 184-9Keywords: chronic myelogenous leukemia (CML, blastic crisis (BC, T-lineage, bcr-abl fusion gene, CDε, TdT

  18. 3D Projection on Physical Objects: Design Insights from Five Real Life Cases

    DEFF Research Database (Denmark)

    Dalsgaard, Peter; Halskov, Kim

    2011-01-01

    3D projection on physical objects is a particular kind of Augmented Reality that augments a physical object by projecting digital content directly onto it, rather than by using a mediating device, such as a mobile phone or a head- mounted display. In this paper, we present five cases in which we...

  19. Police Officer Schema of Sexual Assault Reports: Real Rape, Ambiguous Cases, and False Reports.

    Science.gov (United States)

    Venema, Rachel M

    2016-03-01

    While extensive research has studied sexual assault reporting behaviors and described negative experiences with the criminal justice system among victim-survivors, fewer studies have explored police officer attitudes, knowledge, and thought processes that may affect victims' perceptions of negative interactions and unsatisfactory outcomes within reported sexual assault cases. This study explores police officer understanding of the definition of sexual assault and characteristics that influence their perceptions and response. Ten police officers were interviewed within one police department in a midsized city in the Great Lakes region. The study uses a modified grounded theory approach. Findings suggest that officers employ distinct schema of reported sexual assaults. Case characteristics, perceived credibility of the victim, and types of evidence formed categorizations of false reports, ambiguous cases, and legitimate sexual assaults. Police officers describe the ways in which perceptions of the case may or may not influence the response and point to areas for improvement within police procedure. The study findings provide insight into recommendations for improved police interviewing and response to reported sexual assaults. © The Author(s) 2014.

  20. Real norms, virtual cases: a rationalist, casuistic account of virtual rape

    NARCIS (Netherlands)

    Soraker, Johnny; Hinman, L.; Brey, Philip A.E.

    2007-01-01

    The purpose of this paper is to propose and consider a rationalist account of the effects of virtual experiences, such as engaging in simulated acts of violence in video games. This descriptive account will be based on sound principles for case-based reasoning, or what I will refer to as

  1. Shiitake dermatitis recorded by French Poison Control Centers - new case series with clinical observations.

    Science.gov (United States)

    Boels, D; Landreau, A; Bruneau, C; Garnier, R; Pulce, C; Labadie, M; de Haro, L; Harry, P

    2014-07-01

    Shiitake (Lentinula edodes) is an edible mushroom which was initially grown in Japan and China and is now sold on the European market. Flagellate erythema may arise following shiitake consumption and was first described in Japan in 1974. This paper reports a French shiitake dermatitis case series. The findings of retrospective study of shiitake dermatitis cases, reported to French Poison Control Centres (PCC) from January 2000 to December 2013, are reported. Among 32 exposed patients, 15 presented flagellate urticarial lesions after raw shiitake consumption. The first case of this series was reported in 2006 and the last nine cases were reported as of 2012. After shared meals, no symptoms were reported among guests, who preferred cooked shiitake to the raw mushroom. In this series, rashes appeared 12 h to 5 days (median: 24 h) after raw shiitake ingestion. Linear and itchy urticarial lesions formed on the trunk, arms, and legs within a few hours and persisted for 3-21 days. In four cases, rash and pruritus were either triggered or worsened by sun exposure. Eleven patients received corticosteroids, antihistamines, or both. All patients completely recovered. Due to the rapidly increasing consumption of exotic food in Western countries, it is no surprise that cases of shiitake dermatitis are now appearing in Europe. The mechanism of shiitake dermatitis is thought to be toxic and due to lentinan, a polysaccharide component of the mushroom. There is no specific validated treatment for shiitake dermatitis. Health professionals and the general population should be aware of both the risk associated with raw shiitake consumption and of the good prognosis of this very spectacular and uncomfortable toxic dermatitis.

  2. Mental Procedures in Real-Life Tasks: A Case of Electronic Trouble Shooting

    DEFF Research Database (Denmark)

    Rasmussen, Jens; Jensen, A.

    1974-01-01

    be broken down into a sequence of recurrent search routines. Basically different typos of such routines are found with great differences in respect to the number of observations needed and the complexity of the mental data processing involved. They also differ greatly with respect to the depth of knowledge......The mental procedures used by skilled electronics repair men in their normal working environment have been studied by analysis of verbal protocols. The procedures found are organized as a search through a system which is viewed as a hierarchy of subunits. The general structure of the search can...... less of whether observations are informationally redundant or not. Seen from the viewpoint of information economy, the procedures are inefficient, but if the men are supposed to minimize the time spent ill the task and the mental load involved, the procedures are very rational. The records indicate...

  3. Performance of automated and manual coding systems for occupational data: a case study of historical records.

    Science.gov (United States)

    Patel, Mehul D; Rose, Kathryn M; Owens, Cindy R; Bang, Heejung; Kaufman, Jay S

    2012-03-01

    Occupational data are a common source of workplace exposure and socioeconomic information in epidemiologic research. We compared the performance of two occupation coding methods, an automated software and a manual coder, using occupation and industry titles from U.S. historical records. We collected parental occupational data from 1920-40s birth certificates, Census records, and city directories on 3,135 deceased individuals in the Atherosclerosis Risk in Communities (ARIC) study. Unique occupation-industry narratives were assigned codes by a manual coder and the Standardized Occupation and Industry Coding software program. We calculated agreement between coding methods of classification into major Census occupational groups. Automated coding software assigned codes to 71% of occupations and 76% of industries. Of this subset coded by software, 73% of occupation codes and 69% of industry codes matched between automated and manual coding. For major occupational groups, agreement improved to 89% (kappa = 0.86). Automated occupational coding is a cost-efficient alternative to manual coding. However, some manual coding is required to code incomplete information. We found substantial variability between coders in the assignment of occupations although not as large for major groups.

  4. Trust in government and support for governmental regulation: the case of electronic health records.

    Science.gov (United States)

    Herian, Mitchel N; Shank, Nancy C; Abdel-Monem, Tarik L

    2014-12-01

    This paper presents results from a public engagement effort in Nebraska, USA, which measured public opinions about governmental involvement in encouraging the use of electronic health records (EHRs). We examine the role of trust in government in contributing to public support for government involvement in the development of EHR technologies. We hypothesize that trust in government will lead to support for federal and state governmental encouragement of the use of EHRs among doctors and insurance companies. Further, because individual experiences with health-care professionals will reduce perceptions of risk, we expect that support for governmental involvement will be tempered by greater personal experience with the health-care industry. Examining a small survey of individuals on the issue, we find general support for both of our hypotheses. The findings suggest that trust in government does have a positive relationship with support for government involvement in the policy domain, but that the frequency of personal experiences with health-care providers reduces the extent to which the public supports governmental involvement in the development of EHR technology. This inquiry contributes to our understanding of public attitudes towards government involvement in EHRs in the United States specifically and contributes to social science examining links between trust in government and support for governmental activity in the emerging policy domain regarding electronic health records systems. © 2012 John Wiley & Sons Ltd.

  5. Case studies in food safety and authenticity: Lessons from real-life situations

    DEFF Research Database (Denmark)

    . The contents are divided into six parts, covering outbreak investigations, source tracing, crisis management, farm-level interventions, safe food production and food adulteration and authenticity. Each chapter is organized as an independent story/case study that has evolved over a certain period of time...... the learning process. Some are supported by illustrations, graphs, photos or maps. The case studies examine among other food products: bakery products, fresh produce, sprouted seeds, drinking water, chicken products, cattle, milk and raw milk, fresh herbs, meat, street foods, dairy foods, animal feed, rice......The identification and control of food contaminants rely on careful investigation and implementation of appropriate management strategies. Using a wide range of worldwide examples, this book provides a vital insight into the practical application of strategies for control and prevention...

  6. Comment on ``Performance of different synchronization measures in real data: A case study on electroencephalographic signals''

    Science.gov (United States)

    Nicolaou, N.; Nasuto, S. J.

    2005-12-01

    We agree with Duckrow and Albano [Phys. Rev. E 67, 063901 (2003)] and Quian Quiroga [Phys. Rev. E 67, 063902 (2003)] that mutual information (MI) is a useful measure of dependence for electroencephalogram (EEG) data, but we show that the improvement seen in the performance of MI on extracting dependence trends from EEG is more dependent on the type of MI estimator rather than any embedding technique used. In an independent study we conducted in search for an optimal MI estimator, and in particular for EEG applications, we examined the performance of a number of MI estimators on the data set used by Quian Quiroga in their original study, where the performance of different dependence measures on real data was investigated [Phys. Rev. E 65, 041903 (2002)]. We show that for EEG applications the best performance among the investigated estimators is achieved by k -nearest neighbors, which supports the conjecture by Quian Quiroga in Phys. Rev. E 67, 063902 (2003) that the nearest neighbor estimator is the most precise method for estimating MI.

  7. Measuring the performance of electronic health records: a case study in residential aged care in Australia.

    Science.gov (United States)

    Yu, Ping; Qian, Siyu; Yu, Hui; Lei, Jianbo

    2013-01-01

    Measuring the performance of electronic health records (EHR) is an important, yet un-resolved challenge. Various measurements have addressed different aspects of EHR success, yet a holistic, comprehensive measurement tool needs to be developed to capture the potential EHR success variables completely. A self-administered questionnaire survey instrument was developed based on the theoretical framework of the DeLone and McLean Information Systems Success Model. It measures nigh variables of EHR success: system quality, information quality, service quality, training, self efficacy, intention to use, use, user satisfaction and net benefits. The instrument was used to measure the performance of aged care EHR systems in three aged care organizations. The results suggest that the instrument was reliable.

  8. [Personal health records: the case of the Personal Health Folder of Catalonia (Spain)].

    Science.gov (United States)

    Saigí, Francesc; Cerdá Calafat, Ismael; Guanyabens Calvet, Joan; Carrau Vidal, Elisenda

    2012-01-01

    The aims of this study were to explore the possibilities of the Personal Health Folder and to identify the gap between the potential applications of this tool and what it offers through the Internet. The Personal Health Folder is presented, a project linked to the Shared Medical Record of Catalonia (Spain), which provides citizens with an access point to information about their health insurance, customized and supported by information and communication technologies. The project was carried out by the Ministry of Health of the Government of Catalonia (Generalitat de Catalunya) and data were gathered through an anonymous survey. The results were critical to obtain information on the suitability of the published data and on the expectations of a tool aimed at the general population. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  9. Implementing GIS in real estate price prediction and mass valuation: the case study of Nicosia District

    Science.gov (United States)

    Yiorkas, Charalambos; Dimopoulos, Thomas

    2017-09-01

    When the European Commission, International Monetary Fund and European Central Bank arrived in Cyprus to assist for a sustainable solution on the crisis on the banking sector, one of the first things they ordered was a New General Valuation (a mass appraisal that would revalue all properties in Cyprus as on 1st of January 2013), that it would be used for taxation purposes. The above indicates the importance of property mass appraising tools. This task was successfully conducted by the Department of Lands and Surveys. Authors aim to move a step further and implement the use of GIS and GWR techniques to improve the results of the New General Valuation. On a sample of comparative evidences for flats in Nicosia District, GIS was used to measure the impact of spatial attributes on real estate prices and to construct a prediction model in terms of spatially estimating apartment values. In addition to the structural property characteristics, some spatial attributes (landmarks) were also analysed to assess their contribution on the prices of the apartments, including the Central Business District (CBD), schools and universities, as well as the major city roads and the restricted zone that divides the country into two parts; the occupied by Turkish area and the Greek area. The values of the spatial attributes, or locational characteristics, were determined by employing GIS, considering an established model of multicriteria analysis. The price prediction model was analysed using the OLS method and calibrated based on the GWR method. The results of the statistic process indicate an accuracy of 81.34%, showing better performance than the mass valuation system applied by the Department of Land and Surveys in Cyprus with accuracy of 66.76%. This approach suggests that GIS systems are fundamentally important in mass valuation procedures in order to identify the spatial pattern of the attributes, provided that the database is comprised by a sufficient number of comparable

  10. The real water consumption behind drinking water: the case of Italy.

    Science.gov (United States)

    Niccolucci, V; Botto, S; Rugani, B; Nicolardi, V; Bastianoni, S; Gaggi, C

    2011-10-01

    The real amount of drinking water available per capita is a topic of great interest for human health and the economic and political management of resources. The global market of bottled drinking water, for instance, has shown exponential growth in the last twenty years, mainly due to reductions in production costs and investment in promotion. This paper aims to evaluate how much freshwater is actually consumed when water is drunk in Italy, which can be considered a mature bottled-water market. A Water Footprint (WF) calculation was used to compare the alternatives: bottled and tap water. Six Italian brands of water sold in PET bottles were inventoried, analysed and compared with the public tap water of the city of Siena, as representative of the Italian context. Results showed that more than 3 L of water were needed to provide consumers with 1.50 L of drinking water. In particular, a volume of 1.50 L of PET-bottled water required an extra virtual volume of 1.93 L of water while an extra 2.13 L was necessary to supply the same volume of tap water. These values had very different composition and origin. The WF of tap water was mainly due to losses of water during pipeline distribution and usage, while WF of bottled water was greatly influenced by the production of plastic materials. When the contribution of cooling water was added to the calculation, the WF of bottled water rose from 3.43 to 6.92 L. Different strategies to reduce total water footprint are discussed. Copyright © 2011 Elsevier Ltd. All rights reserved.

  11. Case Mix Management Systems: An Opportunity to Integrate Medical Records and Financial Management System Data Bases

    Science.gov (United States)

    Rusnak, James E.

    1987-01-01

    Due to previous systems selections, many hospitals (health care facilities) are faced with the problem of fragmented data bases containing clinical, demographic and financial information. Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. The hospital must insure the CMMS project provides a means to implement an integrated on-line hospital information data base for use by departments in operating under a DRG-based Prospective Payment System. This paper presents guidelines for use in selecting a Case Mix Mangement System to meet the hospital's financial and operations planning, budgeting, marketing, and other management needs, while considering the data base implications of the implementation.

  12. Case Mix Management Systems: An Opportunity to Integrate Medical Records and Financial Management System Data Bases

    OpenAIRE

    Rusnak, James E.

    1987-01-01

    Due to previous systems selections, many hospitals (health care facilities) are faced with the problem of fragmented data bases containing clinical, demographic and financial information. Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. The h...

  13. istSOS, a new sensor observation management system: software architecture and a real-case application for flood protection

    Directory of Open Access Journals (Sweden)

    M. Cannata

    2015-11-01

    Full Text Available istSOS (Istituto scienze della Terra Sensor Observation Service is an implementation of the Sensor Observation Service (SOS standard from the Open Geospatial Consortium. The development of istSOS started in 2009 in order to provide a simple implementation of the SOS for the management, provision and integration of hydro-meteorological data collected in Canton Ticino (Southern Switzerland. istSOS is an Open Source, entirely written in Python and based on reliable software like PostgreSQL/PostGIS and Apache/mod_wsgi. This paper illustrates the latest software enhancements, including a RESTful Web service and a Web-based graphical user interface, which enable a better and simplified interaction with measurements and SOS service settings. The robustness of the implemented solution has been validated in a real-case application: the Verbano Lake Early Warning System. In this application, near real-time data have to be exchanged by inter-regional partners and used in a hydrological model for lake level forecasting and flooding hazard assessment. This system is linked with a dedicated geoportal used by the civil protection for the management, alert and protection of the population and the assets of the Locarno area. Practical considerations, technical issues and foreseen improvements are presented and discussed.

  14. A two-domain real-time algorithm for optimal data reduction: A case study on accelerator magnet measurements

    CERN Document Server

    Arpaia, P; Inglese, V

    2010-01-01

    A real-time algorithm of data reduction, based on the combination a two lossy techniques specifically optimized for high-rate magnetic measurements in two domains (e.g. time and space), is proposed. The first technique exploits an adaptive sampling rule based on the power estimation of the flux increments in order to optimize the information to be gathered for magnetic field analysis in real time. The tracking condition is defined by the target noise level in the Nyquist band required by post-processing procedure of magnetic analysis. The second technique uses a data reduction algorithm in order to improve the compression ratio while preserving the consistency of the measured signal. The allowed loss is set equal to the random noise level in the signal in order to force the loss and the noise to cancel rather than to add, by improving the signal-to-noise ratio. Numerical analysis and experimental results of on-field performance characterization and validation for two case studies of magnetic measurement syste...

  15. A two-domain real-time algorithm for optimal data reduction: a case study on accelerator magnet measurements

    International Nuclear Information System (INIS)

    Arpaia, Pasquale; Buzio, Marco; Inglese, Vitaliano

    2010-01-01

    A real-time algorithm of data reduction, based on the combination of two lossy techniques specifically optimized for high-rate magnetic measurements in two domains (e.g. time and space), is proposed. The first technique exploits an adaptive sampling rule based on the power estimation of the flux increments in order to optimize the information to be gathered for magnetic field analysis in real time. The tracking condition is defined by the target noise level in the Nyquist band required by the post-processing procedure of magnetic analysis. The second technique uses a data reduction algorithm in order to improve the compression ratio while preserving the consistency of the measured signal. The allowed loss is set equal to the random noise level in the signal in order to force the loss and the noise to cancel rather than to add, by improving the signal-to-noise ratio. Numerical analysis and experimental results of on-field performance characterization and validation for two case studies of magnetic measurement systems for testing magnets of the Large Hadron Collider at the European Organization for Nuclear Research (CERN) are reported

  16. The evolution of property rights: The strange case of Iceland’s health records

    Directory of Open Access Journals (Sweden)

    Thráinn Eggertsson

    2011-02-01

    Full Text Available In her path-breaking work, Elinor Ostrom provides theoretical and empirical evidence suggesting that individuals often overcome the problem of collective action and arrange privately for the provision and allocation of public goods, including informal property rights. Ostrom has also found that local experimentation and self-governance often produce more effective results than rulemaking by the state. In his Coase Theorem, Ronald Coase arrives at a somewhat similar conclusion. Ostrom and Coase both recognize that high transaction costs can block private rule making. The new literature on institutions, however, has jettisoned the model of a benevolent welfare maximizing state: The state does not as a rule assign the license to create property rights to those who are most likely to provide efficient solutions. Still, private individuals often find various opportunities to supply their own informal rules and governance systems. In this paper, I examine recent evolution of property rights in Iceland’s national health records. My findings a support the hypothesis that the demand for exclusive and well-defined property rights depends directly on the value of the assets in question; b show that de facto rights, which are the effective economic property rights, can deviate from the corresponding de jure rights; c demonstrate the relevance of the Coase-Ostrom insight concerning the role of private ordering; and d provide evidence that competition between mental models can have a major role in the evolution of property rights.

  17. Electronic health record case studies to advance environmental public health tracking.

    Science.gov (United States)

    Namulanda, Gonza; Qualters, Judith; Vaidyanathan, Ambarish; Roberts, Eric; Richardson, Max; Fraser, Alicia; McVeigh, Katharine H; Patterson, Scott

    2018-03-01

    Data from traditional public health surveillance systems can have some limitations, e.g., timeliness, geographic level, and amount of data accessible. Electronic health records (EHRs) could present an opportunity to supplement current sources of routinely collected surveillance data. The National Environmental Public Health Tracking Program (Tracking Program) sought to explore the use of EHRs for advancing environmental public health surveillance practices. The Tracking Program funded four state/local health departments to obtain and pilot the use of EHR data to address several issues including the challenges and technical requirements for accessing EHR data, and the core data elements required to integrate EHR data within their departments' Tracking Programs. The results of these pilot projects highlighted the potential of EHR data for public health surveillance of rare diseases that may lack comprehensive registries, and surveillance of prevalent health conditions or risk factors for health outcomes at a finer geographic level. EHRs therefore, may have potential to supplement traditional sources of public health surveillance data. Published by Elsevier Inc.

  18. Real Time Control strategies to reduce expansion of urban drainage systems. Case study: Lyngby-Taarbæk

    DEFF Research Database (Denmark)

    Meneses Ortega, Elbys Jose; Gaussens, Marion; Jakobsen, Carsten

    2014-01-01

    This article illustrates how real time control (RTCs) strategies can contribute to reduce the expansion of urban drainage infrastructures while maintaining the desired level of service. The Lyngby-Taarbæk catchment is used as case study: based on a static design, a storage expansion of 24,200m3 has...... to the simulation results, RTC succeeded in providing similar performance of the drainage system by maximizing use of the available storage. A storage reduction of 5,220 m3 is accomplished (corresponding to 21% of the proposed basin expansion). The reduced system operated dynamically generates lower combined sewer...... overflow (CSO) discharges for small to medium rain events; while the desired performance of the system is achieved for big events. The rule-based strategy reduces significantly CSO, however DORA provides generally better results by using forecasting and riskbased approach. These results show...

  19. New methods for solving a vertex p-center problem with uncertain demand-weighted distance: A real case study

    Directory of Open Access Journals (Sweden)

    Javad Nematian

    2015-04-01

    Full Text Available Vertex and p-center problems are two well-known types of the center problem. In this paper, a p-center problem with uncertain demand-weighted distance will be introduced in which the demands are considered as fuzzy random variables (FRVs and the objective of the problem is to minimize the maximum distance between a node and its nearest facility. Then, by introducing new methods, the proposed problem is converted to deterministic integer programming (IP problems where these methods will be obtained through the implementation of the possibility theory and fuzzy random chance-constrained programming (FRCCP. Finally, the proposed methods are applied for locating bicycle stations in the city of Tabriz in Iran as a real case study. The computational results of our study show that these methods can be implemented for the center problem with uncertain frameworks.

  20. Real-Time Prediction of Gamers Behavior Using Variable Order Markov and Big Data Technology: A Case of Study

    Directory of Open Access Journals (Sweden)

    Alejandro Baldominos Gómez

    2016-03-01

    Full Text Available This paper presents the results and conclusions found when predicting the behavior of gamers in commercial videogames datasets. In particular, it uses Variable-Order Markov (VOM to build a probabilistic model that is able to use the historic behavior of gamers and to infer what will be their next actions. Being able to predict with accuracy the next user’s actions can be of special interest to learn from the behavior of gamers, to make them more engaged and to reduce churn rate. In order to support a big volume and velocity of data, the system is built on top of the Hadoop ecosystem, using HBase for real-time processing; and the prediction tool is provided as a service (SaaS and accessible through a RESTful API. The prediction system is evaluated using a case of study with two commercial videogames, attaining promising results with high prediction accuracies.

  1. Joint inversion of hydrogeophysical data for porous media characterization. A real case

    Science.gov (United States)

    De Biase, Michele; Chidichimo, Francesco; Rizzo, Enzo; Masi, Salvatore; Straface, Salvatore

    2014-05-01

    We present a multi-physical approach developed for the hydrodynamic characterization of real porous media using hydrogeophysical information. Several pumping tests have been performed in the Hydrogeosite, a controlled site designed and constructed at the CNR-IMAA laboratory, in Marsico Nuovo (Basilicata Region, Southern Italy). The facility consists of a pool (10×7×3 m3) completely covered with a steel shed, used to study water infiltration processes, to simulate the space and time dynamics of subsurface contamination phenomena, to improve and to find new relationship between geophysical and hydrogeological parameters, to test and to calibrate new geophysical techniques and instruments. The pool, because of its dimensions, is made by reinforced concrete, representing an intermediate stage between laboratory experiments and field survey. Therefore, the Hydrogeosite has the advantage to carry out controlled experiments, like in a flow-cell or sand-box, but at field comparable scale. The data collected during the experiments have been used to validate the following joint inversion model. Water flow in a variably saturated porous medium can be represented by the modified Richards equation (Richards, 1931; Panday et al., 1993): downtriangle ·[K (θ)downtriangleh ] = (S S + C (θ)) δh w s δt (1) where K is the hydraulic conductivity, h is the hydraulic head [m], θ is the water content[·], Sw is the reduced water content [·], Ss is the specific storage coefficient [m-1], and C(θ) is a function called 'specific moisture capacity' [m-1], defined as C(θ) = δθ/δψ, and could be determined for different soil types using curve fitting and laboratory experiments measuring the rate of infiltration of water into soil column. The Poisson equation provides a relationship between the self potential ϕ [V], which naturally occurs among points of the soil surface owing to the presence of an electric field produced by the motion of underground electrolytic fluids through

  2. ISTSOS, SENSOR OBSERVATION MANAGEMENT SYSTEM: A REAL CASE APPLICATION OF HYDRO-METEOROLOGICAL DATA FOR FLOOD PROTECTION

    Directory of Open Access Journals (Sweden)

    M. Cannata

    2014-01-01

    Full Text Available istSOS (Istituto scienze della Terra Sensor Observation Service is an implementation of the Sensor Observation Service standard from Open Geospatial Consortium (OGC. The development of istSOS started in 2009 in order to provide a simple implementation of the Sensor Observation Service (SOS standard for the management, provision and integration of hydro-meteorological data collected in Canton Ticino (Southern Switzerland. istSOS is entirely written in Python and is based on reliable open source software like PostgreSQL/PostGIS and Apache/mod_wsgi. The authors during this presentation want to illustrate the latest software enhancements together with a real case in a production environment. Latest software enhancement includes the development of a RESTful service and of a Web-based graphical user interface that allows hydrologists a better interaction with measurements. This includes the ability of new services creation, addition of new sensors and relative metadata, visualization and manipulation of stored observations, registration of new measures and setting of system properties like observable properties and data quality codes. The study will show a real case application of the system for the provision of data to interregional partners and to a hydrological model for lake level forecasting and flooding hazard assessment. The hydrological model uses a combination of WPS (Web Processing Service and SOS for the generation of model input data. This system is linked with a dedicated geo-portal used by the civil protection for the management, alert and protection of population and assets of the Locarno area (Verbano Lake flooding. Practical considerations and technical issues will be presented and discussed.

  3. A Predictive Model to Classify Undifferentiated Fever Cases Based on Twenty-Four-Hour Continuous Tympanic Temperature Recording

    Directory of Open Access Journals (Sweden)

    Pradeepa H. Dakappa

    2017-01-01

    Full Text Available Diagnosis of undifferentiated fever is a major challenging task to the physician which often remains undiagnosed and delays the treatment. The aim of the study was to record and analyze a 24-hour continuous tympanic temperature and evaluate its utility in the diagnosis of undifferentiated fevers. This was an observational study conducted in the Kasturba Medical College and Hospitals, Mangaluru, India. A total of ninety-six (n=96 patients were presented with undifferentiated fever. Their tympanic temperature was recorded continuously for 24 hours. Temperature data were preprocessed and various signal characteristic features were extracted and trained in classification machine learning algorithms using MATLAB software. The quadratic support vector machine algorithm yielded an overall accuracy of 71.9% in differentiating the fevers into four major categories, namely, tuberculosis, intracellular bacterial infections, dengue fever, and noninfectious diseases. The area under ROC curve for tuberculosis, intracellular bacterial infections, dengue fever, and noninfectious diseases was found to be 0.961, 0.801, 0.815, and 0.818, respectively. Good agreement was observed [kappa = 0.618 (p<0.001, 95% CI (0.498–0.737] between the actual diagnosis of cases and the quadratic support vector machine learning algorithm. The 24-hour continuous tympanic temperature recording with supervised machine learning algorithm appears to be a promising noninvasive and reliable diagnostic tool.

  4. Bayesian estimation of test characteristics of real-time PCR, bacteriological culture and California mastitis test for diagnosis of intramammary infections with Staphylococcus aureus in dairy cattle at routine milk recordings

    DEFF Research Database (Denmark)

    Mahmmod, Yasser; Toft, Nils; Katholm, Jørgen

    2013-01-01

    Danish farmers can order a real-time PCR mastitis diagnostic test on routinely takencow-level samples from milk recordings. Validation of its performance in comparison toconventional mastitis diagnostics under field conditions is essential for efficient control ofintramammary infections (IMI......) with Staphylococcus aureus (S. aureus). Therefore, the objec-tive of this study was to estimate the sensitivity (Se) and specificity (Sp) of real-time PCR,bacterial culture (BC) and California mastitis test (CMT) for the diagnosis of the naturallyoccurring IMI with S. aureus in routinely collected milk samples using...... latent class anal-ysis (LCA) to avoid the assumption of a perfect reference test. Using systematic randomsampling, a total of 609 lactating dairy cows were selected from 6 dairy herds with bulktank milk PCR cycle threshold (Ct) value ≤39 for S. aureus. At routine milk recordings, auto-matically obtained...

  5. Strong motion recordings of the 2008/12/23 earthquake in Northern Italy: another case of very weak motion?

    Science.gov (United States)

    Sabetta, F.; Zambonelli, E.

    2009-04-01

    On December 23 2008 an earthquake of magnitude ML=5.1 (INGV) Mw=5.4 (INGV-Harvard Global CMT) occurred in northern Italy close to the cities of Parma and Reggio Emilia. The earthquake, with a macroseismic intensity of VI MCS, caused a very slight damage (some tens of unusable buildings and some hundreds of damaged buildings), substantially lower than the damage estimated by the loss simulation scenario currently used by the Italian Civil Protection. Due to the recent upgrading of the Italian strong motion network (RAN), the event has been recorded by a great number of accelerometers (the largest ever obtained in Italy for a single shock): 21 digital and 8 analog instruments with epicentral distances ranging from 16 to 140 km. The comparison of recorded PGA, PGV, Arias intensity, and spectral values with several widely used Ground Motion Prediction Equations (GMPEs) showed much lower ground motion values respect to the empirical predictions (a factor ranging from 4 to 2). A first explanation of the strong differences, in damage and ground motion, between actual data and predictions could be, at a first sight, attributed to the rather high focal depth of 27 km. However, even the adoption of GMPEs accounting for depth of the source and using hypocentral distance (Berge et al 2003, Pousse et al 2005), does not predict large differences in motions, especially at distances larger than 30 km where most of the data are concentrated and where the effect of depth on source-to-site distance is small. At the same time the adoption of the most recent GMPEs (Ambraseys et al 2005, Akkar & bommer 2007) taking into account the different magnitude scaling and the faster attenuation of small magnitudes through magnitude-dependent attenuation, does not show a better agreement with the recorded data. The real reasons of the above mentioned discrepancies need to be further investigated, however a possible explanation could be a low source rupture velocity, likewise the 2002 Molise

  6. Preictal dynamics of EEG complexity in intracranially recorded epileptic seizure: a case report.

    Science.gov (United States)

    Bob, Petr; Roman, Robert; Svetlak, Miroslav; Kukleta, Miloslav; Chladek, Jan; Brazdil, Milan

    2014-11-01

    Recent findings suggest that neural complexity reflecting a number of independent processes in the brain may characterize typical changes during epileptic seizures and may enable to describe preictal dynamics. With respect to previously reported findings suggesting specific changes in neural complexity during preictal period, we have used measure of pointwise correlation dimension (PD2) as a sensitive indicator of nonstationary changes in complexity of the electroencephalogram (EEG) signal. Although this measure of complexity in epileptic patients was previously reported by Feucht et al (Applications of correlation dimension and pointwise dimension for non-linear topographical analysis of focal onset seizures. Med Biol Comput. 1999;37:208-217), it was not used to study changes in preictal dynamics. With this aim to study preictal changes of EEG complexity, we have examined signals from 11 multicontact depth (intracerebral) EEG electrodes located in 108 cortical and subcortical brain sites, and from 3 scalp EEG electrodes in a patient with intractable epilepsy, who underwent preoperative evaluation before epilepsy surgery. From those 108 EEG contacts, records related to 44 electrode contacts implanted into lesional structures and white matter were not included into the experimental analysis.The results show that in comparison to interictal period (at about 8-6 minutes before seizure onset), there was a statistically significant decrease in PD2 complexity in the preictal period at about 2 minutes before seizure onset in all 64 intracranial channels localized in various brain sites that were included into the analysis and in 3 scalp EEG channels as well. Presented results suggest that using PD2 in EEG analysis may have significant implications for research of preictal dynamics and prediction of epileptic seizures.

  7. Coroners' records of rural and non-rural cases of youth suicide in New South Wales.

    Science.gov (United States)

    Dudley, M; Kelk, N; Florio, T; Waters, B; Howard, J; Taylor, D

    1998-04-01

    The aim of this study is to compare the frequency of certain putative risk factors for youth suicide in New South Wales (especially use of alcohol, social class, unemployment, and internal migration) in metropolitan and rural settings. A review of 137 files for 10-19-year-old subjects judged by the Coroner to have committed suicide in 1988-1990 was carried out. One hundred and fifteen males and 21 females were identified (one subjects sex was unavailable). The male-female ratio was higher in rural (13.0) areas than non-rural (4.9 chi 2 = 12.14, p Australia, most migrated in a rural direction, and most to rural shires. Unemployment was somewhat more common among rural (38.5%) than non-rural (28.9%) subjects (chi 2 = 0.75, p = 0.39). Eleven of 50 non-rural parents of the deceased, but none of the 11 rural parents, were ranked as being in social classes 2 or 3. Alcohol consumption appeared more common in rural shires (44%) than metropolitan areas (32.9%), but this was not statistically significant. Medical services were less utilised prior to death in rural (15%) than non-rural (25%) areas (chi 2 = 1.69, p = 0.19), and a psychiatric diagnosis was recorded more commonly in non-rural areas. Incomplete coronial file data and relatively small numbers limit this study's conclusions. Male suicides, principally by firearms, predominated in rural areas. Youth firearm access remains highly relevant to rural communities. Possible trends among rural subjects toward rural migration, higher unemployment, lower social class and lower medical attendance may point to resource deprivation among this group; these matters require further investigation.

  8. Hyperthyroidism association with SLE, lessons from real-life data--A case-control study.

    Science.gov (United States)

    Watad, Abdulla; Cohen, Arnon D; Comaneshter, Doron; Tekes-Manova, Dorit; Amital, Howard

    2016-01-01

    Despite the frequently encountered association between thyroid disease and systemic lupus erythematosus (SLE) is well known, it is of surprise that only several reports compromised of small population size support this observation. To investigate the association of comorbid SLE and hyperthyroidism. Using the database of the largest health maintenance organization (HMO) in Israel, the Clalit Health Services, we searched for the co-existence of SLE and hyperthyroidism. Patients with SLE were compared with age- and sex-matched controls regarding the prevalence of hyperthyroidism in a case-control study. Chi-square and t-tests were used for univariate analysis and a logistic regression model was used for multivariate analysis. The study included 5018 patients with SLE and 25,090 age- and sex- matched controls. The prevalence of hyperthyroidism in patients with SLE was increased compared with the prevalence in controls (2.59% and 0.91%, respectively, p hyperthyroidism (odds ratio 2.52, 95% confidence interval 2.028-3.137). Patients with SLE have a greater prevalence of hyperthyroidism than matched controls. Therefore, physicians treating patients with SLE should be aware of this possibility of this thyroid dysfunction.

  9. [Paraneoplastic Cushing's syndrome, a real diagnostic and therapeutic challenge: A case report and literature review].

    Science.gov (United States)

    Meftah, A; Moumen, A; Massine El Hammoumi, M; Hajhouji, S; El Jadi, H; Anas Guerboub, A; Elmoussaoui, S; Mayaudon, H; Hassane Kabiri, E; Hakkou, K; Belmejdoub, G

    2015-12-01

    Paraneoplastic Cushing's syndrome is a rare cause of endogenous hypercortisolism attributable to ectopic ACTH secretion by non-pituitary tumors. Imaging and biochemical results are often inconclusive and differential diagnosis with Cushing's disease can then be challenging. Moreover, these tumors may be occult and difficult to find and thus the need of new imaging tools such as (18)FDG-PET scan and (18)DOPA-PET scan. We report a 50-year-old man who presented with very aggressive clinical features related to Cushing's syndrome. Biological work-up confirmed the hypercortisolism and was consistent with an ectopic ACTH secretion. Conventional localization techniques failed to show any tumor and bilateral adrenalectomy was performed because of life-threatening complications. Two years later, thoracic computed tomography reveals an 11 mm mass in the left lower pulmonary lobe, (18)FDG-PET scan found a non-specific mild hypermetabolism of the lung nodule, and the (18)DOPA-PET scan confirmed the high uptake of this nodule suggesting an endocrine carcinoma. Histology confirmed a typical carcinoid tumor. The tumor cells stained positive for ACTH, CD56, chromogranin and synaptophysin. This case illustrates the dilemma between the need for morphological diagnosis of the ectopic ACTH source and control of the life-threatening hypercortisolism. (18)FDG-PET scan and (18)DOPA-PET scan should be considered early as a secondary diagnostic tool when conventional imagery fails to show any tumor. Copyright © 2015 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  10. Meteorological and hydrological extremes derived from taxation records: case study for south-western Moravia (Czech Republic)

    Science.gov (United States)

    Chromá, Kateřina; Brázdil, Rudolf; Valášek, Hubert; Zahradníček, Pavel

    2013-04-01

    Meteorological and hydrological extremes (MHEs) cause great material damage or even loss of human lives in the present time, similarly as it was in the past. In the Czech Lands (recently the Czech Republic), systematic meteorological and hydrological observations started generally in the latter half of the 19th century. Therefore, in order to create long-term series of such extremes, it is necessary to search for other sources of information. Different types of documentary evidence are used in historical climatology and hydrology to find such information. Some of them are related to records connected with taxation system. The taxation system in Moravia allowed farmers to request tax relief if their crops have been damaged by MHEs. The corresponding documents contain information about the type of extreme event and the date of its occurrence; often also impacts on crops or land may be derived. The nature of events leading to damage include particularly hailstorms, torrential rain, flash floods, floods (in regions along larger rivers), less frequently windstorms, late frosts and in some cases also information about droughts or extreme snow depths. However, the results obtained are influenced by uncertainties related to taxation records - their temporal and spatial incompleteness, limitation of the MHEs occurrence in the period of main agricultural work (May-August) and the purpose for which they were originally collected (primarily tax alleviation, i.e. information about MHEs was of secondary importance). All these aspects related to the study of MHEs from taxation records are demonstrated for five estates (Bítov, Budkov, Jemnice with Staré Hobzí, Nové Syrovice and Uherčice) in the south-western part of Moravia for the 18th-19th centuries. The analysis shows importance of taxation records for the study of past MHEs as well as great potential for their use.

  11. The Value of Electronic Medical Record Implementation in Mental Health Care: A Case Study.

    Science.gov (United States)

    Riahi, Sanaz; Fischler, Ilan; Stuckey, Melanie I; Klassen, Philip E; Chen, John

    2017-01-05

    Electronic medical records (EMR) have been implemented in many organizations to improve the quality of care. Evidence supporting the value added to a recovery-oriented mental health facility is lacking. The goal of this project was to implement and customize a fully integrated EMR system in a specialized, recovery-oriented mental health care facility. This evaluation examined the outcomes of quality improvement initiatives driven by the EMR to determine the value that the EMR brought to the organization. The setting was a tertiary-level mental health facility in Ontario, Canada. Clinical informatics and decision support worked closely with point-of-care staff to develop workflows and documentation tools in the EMR. The primary initiatives were implementation of modules for closed loop medication administration, collaborative plan of care, clinical practice guidelines for schizophrenia, restraint minimization, the infection prevention and control surveillance status board, drug of abuse screening, and business intelligence. Medication and patient scan rates have been greater than 95% since April 2014, mitigating the adverse effects of medication errors. Specifically, between April 2014 and March 2015, only 1 moderately severe and 0 severe adverse drug events occurred. The number of restraint incidents decreased 19.7%, which resulted in cost savings of more than Can $1.4 million (US $1.0 million) over 2 years. Implementation of clinical practice guidelines for schizophrenia increased adherence to evidence-based practices, standardizing care across the facility. Improved infection prevention and control surveillance reduced the number of outbreak days from 47 in the year preceding implementation of the status board to 7 days in the year following. Decision support to encourage preferential use of the cost-effective drug of abuse screen when clinically indicated resulted in organizational cost savings. EMR implementation allowed Ontario Shores Centre for Mental Health

  12. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety.

    Science.gov (United States)

    Caron, Alexandre; Chazard, Emmanuel; Muller, Joris; Perichon, Renaud; Ferret, Laurie; Koutkias, Vassilis; Beuscart, Régis; Beuscart, Jean-Baptiste; Ficheur, Grégoire

    2017-03-01

    The significant risk of adverse events following medical procedures supports a clinical epidemiological approach based on the analyses of collections of electronic medical records. Data analytical tools might help clinical epidemiologists develop more appropriate case-crossover designs for monitoring patient safety. To develop and assess the methodological quality of an interactive tool for use by clinical epidemiologists to systematically design case-crossover analyses of large electronic medical records databases. We developed IT-CARES, an analytical tool implementing case-crossover design, to explore the association between exposures and outcomes. The exposures and outcomes are defined by clinical epidemiologists via lists of codes entered via a user interface screen. We tested IT-CARES on data from the French national inpatient stay database, which documents diagnoses and medical procedures for 170 million inpatient stays between 2007 and 2013. We compared the results of our analysis with reference data from the literature on thromboembolic risk after delivery and bleeding risk after total hip replacement. IT-CARES provides a user interface with 3 columns: (i) the outcome criteria in the left-hand column, (ii) the exposure criteria in the right-hand column, and (iii) the estimated risk (odds ratios, presented in both graphical and tabular formats) in the middle column. The estimated odds ratios were consistent with the reference literature data. IT-CARES may enhance patient safety by facilitating clinical epidemiological studies of adverse events following medical procedures. The tool's usability must be evaluated and improved in further research. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association.

  13. Using electronic health records for clinical research: the case of the EHR4CR project.

    Science.gov (United States)

    De Moor, Georges; Sundgren, Mats; Kalra, Dipak; Schmidt, Andreas; Dugas, Martin; Claerhout, Brecht; Karakoyun, Töresin; Ohmann, Christian; Lastic, Pierre-Yves; Ammour, Nadir; Kush, Rebecca; Dupont, Danielle; Cuggia, Marc; Daniel, Christel; Thienpont, Geert; Coorevits, Pascal

    2015-02-01

    To describe the IMI EHR4CR project which is designing and developing, and aims to demonstrate, a scalable, widely acceptable and efficient approach to interoperability between EHR systems and clinical research systems. The IMI EHR4CR project is combining and extending several previously isolated state-of-the-art technical components through a new approach to develop a platform for reusing EHR data to support medical research. This will be achieved through multiple but unified initiatives across different major disease areas (e.g. cardiovascular, cancer) and clinical research use cases (protocol feasibility, patient identification and recruitment, clinical trial execution and serious adverse event reporting), with various local and national stakeholders across several countries and therefore under various legal frameworks. An initial instance of the platform has been built, providing communication, security and terminology services to the eleven participating hospitals and ten pharmaceutical companies located in seven European countries. Proof-of-concept demonstrators have been built and evaluated for the protocol feasibility and patient recruitment scenarios. The specifications of the clinical trial execution and the adverse event reporting scenarios have been documented and reviewed. Through a combination of a consortium that brings collectively many years of experience from previous relevant EU projects and of the global conduct of clinical trials, of an approach to ethics that engages many important stakeholders across Europe to ensure acceptability, of a robust iterative design methodology for the platform services that is anchored on requirements of an underlying Service Oriented Architecture that has been designed to be scalable and adaptable, EHR4CR could be well placed to deliver a sound, useful and well accepted pan-European solution for the reuse of hospital EHR data to support clinical research studies. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Environmental Monitoring in the Small Business: A Case Study on this Process in a Company of the Real Estate Sector

    Directory of Open Access Journals (Sweden)

    Mariana Bassi Sutter

    2013-12-01

    Full Text Available It is observed a gap in the literature regard to studies related to strategic planning in small businesses, specifically related to environmental monitoring. As a result of this gap, this study aimed to understand how a small real estate company monitors the environment in which it operates. To develop the study, we opted for a descriptive and qualitative approach, based on the method of a single case study. The conceptual foundations used for structuring the field research took into account a secondary data survey on strategic planning, environmental analysis in strategic planning, conceptualization of small and medium sized business (SMB and environment monitoring in SMB’s The study also has shown that although the respondents assert they perform environmental monitoring consistently, the process as described in the literature is not formal and systematic in the company studied. It has been observed efforts of the partners in this direction, but such activities are still restricted to the owners of the company. Given the proposed objective of this research, the case study did outline the main characteristics of the monitoring process of a small company in the construction sector. The study therefore contributes to broaden the knowledge about the structure of environmental monitoring in small businesses, enriching the theme that is still underdeveloped. In the business context, this study contributes pointing out factors that could be better developed by company managers and may serve as an example for other small businesses that are in the early stages of its environmental monitoring system development.

  15. New operator's console recorder

    International Nuclear Information System (INIS)

    Anon.

    2009-01-01

    This article described a software module that automatically records images being shown on multiple HMI or SCADA operator's displays. Videos used for monitoring activities at industrial plants can be combined with the operator console videos and data from a process historian. This enables engineers, analysts or investigators to see what is occurring in the plant, what the operator is seeing on the HMI screen, and all relevant real-time data from an event. In the case of a leak at a pumping station, investigators could watch plant video taken at a remote site showing fuel oil creeping across the floor, real-time data being acquired from pumps, valves and the receiving tank while the leak is occurring. The video shows the operator's HMI screen as well as the alarm screen that signifies the leak detection. The Longwatch Operator's Console Recorder and Video Historian are used together to acquire data about actual plant plant management because they show everything that happens during an event. The Console Recorder automatically retrieves and replays operator displays by clicking on a time-based alarm or system message. Play back of video feed is a valuable tool for training and analysis purposes, and can help mitigate insurance and regulatory issues by eliminating uncertainty and conjecture. 1 fig.

  16. Case Study: A Real-Time Flood Forecasting System with Predictive Uncertainty Estimation for the Godavari River, India

    Directory of Open Access Journals (Sweden)

    Silvia Barbetta

    2016-10-01

    Full Text Available This work presents the application of the multi-temporal approach of the Model Conditional Processor (MCP-MT for predictive uncertainty (PU estimation in the Godavari River basin, India. MCP-MT is developed for making probabilistic Bayesian decision. It is the most appropriate approach if the uncertainty of future outcomes is to be considered. It yields the best predictive density of future events and allows determining the probability that a critical warning threshold may be exceeded within a given forecast time. In Bayesian decision-making, the predictive density represents the best available knowledge on a future event to address a rational decision-making process. MCP-MT has already been tested for case studies selected in Italian river basins, showing evidence of improvement of the effectiveness of operative real-time flood forecasting systems. The application of MCP-MT for two river reaches selected in the Godavari River basin, India, is here presented and discussed by considering the stage forecasts provided by a deterministic model, STAFOM-RCM, and hourly dataset based on seven monsoon seasons in the period 2001–2010. The results show that the PU estimate is useful for finding the exceedance probability for a given hydrometric threshold as function of the forecast time up to 24 h, demonstrating the potential usefulness for supporting real-time decision-making. Moreover, the expected value provided by MCP-MT yields better results than the deterministic model predictions, with higher Nash–Sutcliffe coefficients and lower error on stage forecasts, both in term of mean error and standard deviation and root mean square error.

  17. An antimicrobial stewardship program's real-world experience with fidaxomicin for treatment of Clostridium difficile infection: a case series.

    Science.gov (United States)

    Vargo, Craig A; Bauer, Karri A; Mangino, Julie E; Johnston, Jessica E W; Goff, Debra A

    2014-09-01

    To evaluate real-world clinical and economic outcomes in patients with Clostridium difficile infection (CDI) treated with fidaxomicin. Retrospective case series. Academic medical center. A total of 61 patients with CDI who were treated with fidaxomicin monotherapy or combination therapy from September 2011 to December 2012. Data on demographics, infection characteristics, and clinical and economic outcomes were evaluated. Clinical cure was defined as resolution of diarrhea (less than or equal to three unformed stools for at least 2 consecutive days) maintained for the duration of therapy with no further requirement for CDI therapy and was achieved in 44 (72.1%) patients. Clinical cure was significantly higher for patients receiving fidaxomicin monotherapy compared with fidaxomicin combination therapy (25/29 [86.2%] patients vs 19/32 [59.4%] patients, p=0.04). Clinical cure was similar in patients with a first or prior CDI episode (65.5% vs 78.1%, p=0.27) and in patients with severe versus nonsevere disease (68.4% vs 73.8%, p=0.66). Recurrence occurred in 6 (13.6%) of the 44 patients who achieved clinical cure. Mortality attributable to CDI was 11.5%, and 30-day readmission rate was 4.9%. Median cost accrued during CDI was $19,483/patient. Our real-world experience with fidaxomicin significantly differs from the findings of phase III clinical trials. Fidaxomicin is also associated with substantial costs. Multicenter studies are needed to determine the optimal role of fidaxomicin in the treatment of CDI. © 2014 Pharmacotherapy Publications, Inc.

  18. First case of detection of Plasmodium knowlesi in Spain by Real Time PCR in a traveller from Southeast Asia

    Directory of Open Access Journals (Sweden)

    Arroyo Eduardo

    2010-07-01

    Full Text Available Abstract Previously, Plasmodium knowlesi was not considered as a species of Plasmodium that could cause malaria in human beings, as it is parasite of long-tailed (Macaca fascicularis and pig-tailed (Macaca nemestrina macaques found in Southeast Asia. A case of infection by P. knowlesi is described in a Spanish traveller, who came back to Spain with daily fever after his last overseas travel, which was a six-month holiday in forested areas of Southeast Asia between 2008 and 2009. His P. knowlesi infection was detected by multiplex Real time quantitative PCR and confirmed by sequencing the amplified fragment. Using nested multiplex malaria PCR (reference method in Spain and a rapid diagnostic test, the P. knowlesi infection was negative. This patient was discharged and asymptomatic when the positive result to P. knowlesi was reported. Prior to this case, there have been two more reports of European travellers with malaria caused by P. knowlesi, a Finnish man who travelled to Peninsular Malaysia during four weeks in March 2007, and a Swedish man who did a short visit to Malaysian Borneo in October 2006. Taken together with this report of P. knowlesi infection in a Spanish traveller returning from Southeast Asia, this is the third case of P. knowlesi infection in Europe, indicating that this simian parasite can infect visitors to endemic areas in Southeast Asia. This last European case is quite surprising, given that it is an untreated-symptomatic P. knowlesi in human, in contrast to what is currently known about P. knowlesi infection. Most previous reports of human P. knowlesi malaria infections were in adults, often with symptoms and relatively high parasite densities, up to the recent report in Ninh Thuan province, located in the southern part of central Vietnam, inhabited mainly by the Ra-glai ethnic minority, in which all P. knowlesi infections were asymptomatic, co-infected with P. malariae, with low parasite densities and two of the three

  19. First case of detection of Plasmodium knowlesi in Spain by Real Time PCR in a traveller from Southeast Asia.

    Science.gov (United States)

    Ta, Tang Thuy-Huong; Salas, Ana; Ali-Tammam, Marwa; Martínez, María Del Carmen; Lanza, Marta; Arroyo, Eduardo; Rubio, Jose Miguel

    2010-07-27

    Previously, Plasmodium knowlesi was not considered as a species of Plasmodium that could cause malaria in human beings, as it is parasite of long-tailed (Macaca fascicularis) and pig-tailed (Macaca nemestrina) macaques found in Southeast Asia. A case of infection by P. knowlesi is described in a Spanish traveller, who came back to Spain with daily fever after his last overseas travel, which was a six-month holiday in forested areas of Southeast Asia between 2008 and 2009. His P. knowlesi infection was detected by multiplex Real time quantitative PCR and confirmed by sequencing the amplified fragment. Using nested multiplex malaria PCR (reference method in Spain) and a rapid diagnostic test, the P. knowlesi infection was negative. This patient was discharged and asymptomatic when the positive result to P. knowlesi was reported. Prior to this case, there have been two more reports of European travellers with malaria caused by P. knowlesi, a Finnish man who travelled to Peninsular Malaysia during four weeks in March 2007, and a Swedish man who did a short visit to Malaysian Borneo in October 2006. Taken together with this report of P. knowlesi infection in a Spanish traveller returning from Southeast Asia, this is the third case of P. knowlesi infection in Europe, indicating that this simian parasite can infect visitors to endemic areas in Southeast Asia. This last European case is quite surprising, given that it is an untreated-symptomatic P. knowlesi in human, in contrast to what is currently known about P. knowlesi infection. Most previous reports of human P. knowlesi malaria infections were in adults, often with symptoms and relatively high parasite densities, up to the recent report in Ninh Thuan province, located in the southern part of central Vietnam, inhabited mainly by the Ra-glai ethnic minority, in which all P. knowlesi infections were asymptomatic, co-infected with P. malariae, with low parasite densities and two of the three identified cases were very

  20. How the provenance of electronic health record data matters for research: a case example using system mapping.

    Science.gov (United States)

    Johnson, Karin E; Kamineni, Aruna; Fuller, Sharon; Olmstead, Danielle; Wernli, Karen J

    2014-01-01

    The use of electronic health records (EHRs) for research is proceeding rapidly, driven by computational power, analytical techniques, and policy. However, EHR-based research is limited by the complexity of EHR data and a lack of understanding about data provenance, meaning the context under which the data were collected. This paper presents system flow mapping as a method to help researchers more fully understand the provenance of their EHR data as it relates to local workflow. We provide two specific examples of how this method can improve data identification, documentation, and processing. EHRs store clinical and administrative data, often in unstructured fields. Each clinical system has a unique and dynamic workflow, as well as an EHR customized for local use. The EHR customization may be influenced by a broader context such as documentation required for billing. We present a case study with two examples of using system flow mapping to characterize EHR data for a local colorectal cancer screening process. System flow mapping demonstrated that information entered into the EHR during clinical practice required interpretation and transformation before it could be accurately applied to research. We illustrate how system flow mapping shaped our knowledge of the quality and completeness of data in two examples: (1) determining colonoscopy indication as recorded in the EHR, and (2) discovering a specific EHR form that captured family history. Researchers who do not consider data provenance risk compiling data that are systematically incomplete or incorrect. For example, researchers who are not familiar with the clinical workflow under which data were entered might miss or misunderstand patient information or procedure and diagnostic codes. Data provenance is a fundamental characteristic of research data from EHRs. Given the diversity of EHR platforms and system workflows, researchers need tools for evaluating and reporting data availability, quality, and

  1. Using CASE-tools based on formal methods in real-life system development of distributed systems

    International Nuclear Information System (INIS)

    Stoelen, Ketil; Karlsen, Tore Willy; Mohn, Peter; Sandmark, Haaakon

    1998-03-01

    Within the OECD Halden Reactor Project (HRP) the development and application of formal methods to enhance system quality have been prioritised tasks for the last three years per periods. The three year programme 1997-1999 identifies the need to gain experience from applying formal methods in larger real-life system developments. This motivated the initiation of the HRP research activity Integration of Formal Specification in the Development of HAMMLAB 2000 (INT-FS). The principal objective of INT-FS is to experiment with formal methods in system developments connected to HAMMLAB 2000 and thereby gain a better understanding of their suitability to support practical software engineering. In particular, INT-FS will try to measure the effect of formal methods and gain experience in combining formal methods with traditional development techniques. INT-FS was started up in January 1997. This report describes the status of INT-FS by February 1998. The report identifies objectives and plans; it motivates the choice of formal methods, CASE-tool and software process; it motivates and defines metrics for measuring achievement and the effect of formalization. The report also provides preliminary results from an experimental development of a communication manager; it describes the component to be developed and the background of the participants; it offers some provisional statistics and summarises the experiences with methods and tools. The development of the communication manager is the first attempt ever to exploit state-of-the-art CASE-tools for formal methods in practical software engineering at the HRP. (author)

  2. Clinical usefulness of augmented reality using infrared camera based real-time feedback on gait function in cerebral palsy: a case study.

    Science.gov (United States)

    Lee, Byoung-Hee

    2016-04-01

    [Purpose] This study investigated the effects of real-time feedback using infrared camera recognition technology-based augmented reality in gait training for children with cerebral palsy. [Subjects] Two subjects with cerebral palsy were recruited. [Methods] In this study, augmented reality based real-time feedback training was conducted for the subjects in two 30-minute sessions per week for four weeks. Spatiotemporal gait parameters were used to measure the effect of augmented reality-based real-time feedback training. [Results] Velocity, cadence, bilateral step and stride length, and functional ambulation improved after the intervention in both cases. [Conclusion] Although additional follow-up studies of the augmented reality based real-time feedback training are required, the results of this study demonstrate that it improved the gait ability of two children with cerebral palsy. These findings suggest a variety of applications of conservative therapeutic methods which require future clinical trials.

  3. Early life risk factors for testicular cancer: a case-cohort study based on the Copenhagen School Health Records Register.

    Science.gov (United States)

    Piltoft, Johanne Spanggaard; Larsen, Signe Benzon; Dalton, Susanne Oksbjerg; Johansen, Christoffer; Baker, Jennifer L; Cederkvist, Luise; Andersen, Ingelise

    2017-02-01

    One established risk factors for testicular cancer is cryptorchidism. However, it remains unclear whether cryptorchidism is a risk factor in itself or whether the two conditions share common causes in early life (estrogen hypothesis), such as birth weight and birth order. The objective of this study is to utilize data from the Copenhagen School Health Records Register (CSHRR) to evaluate cryptorchidism, birth weight and birth order as risk factors for testicular cancer. The study population consisted of 408 cases of testicular cancer identified by a government issued identification number linkage of the entire CSHRR with the Danish Cancer Registry and a random subsample of 4819 males from the CSHRR. The study design was case-cohort and the period of follow-up between 2 April 1968 and 31 December 2003. Cryptorchidism was significantly associated with testicular cancer in crude analyses [hazard ratio (HR) = 3.60, 95% CI 2.79-4.65]. Birth weight was inversely associated with testicular cancer and no clear association with birth order was observed. The positive association between cryptorchidism and testicular cancer was only slightly attenuated controlling for birth weight and birth order and stratified on birth cohort (HR = 3.46, 95% CI 2.67-4.48). This study confirmed the robustness of the association between cryptorchidism and testicular cancer even after adjustment for birth weight and birth order. Furthermore, the study showed an inverse association between birth weight and testicular cancer.

  4. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  5. Integrating a health-related-quality-of-life module within electronic health records: a comparative case study assessing value added

    Directory of Open Access Journals (Sweden)

    Shea Christopher M

    2012-03-01

    Full Text Available Abstract Background Health information technology (HIT applications that incorporate point-of-care use of health-related quality of life (HRQL assessments are believed to promote patient-centered interactions between seriously ill patients and physicians. However, it is unclear how willing primary care providers are to use such HRQL HIT applications. The specific aim of this study was to explore factors that providers consider when assessing the value added of an HRQL application for their geriatric patients. Methods Three case studies were developed using the following data sources: baseline surveys with providers and staff, observations of staff and patients, audio recordings of patient-provider interactions, and semi-structured interviews with providers and staff. Results The primary factors providers considered when assessing value added were whether the HRQL information from the module was (1 duplicative of information gathered via other means during the encounter; (2 specific enough to be useful and/or acted upon, and; (3 useful for enough patients to warrant time spent reviewing it for all geriatric patients. Secondary considerations included level of integration of the HRQL and EHR, impact on nursing workflow, and patient reluctance to provide HRQL information. Conclusions Health-related quality of life modules within electronic health record systems offer the potential benefit of improving patient centeredness and quality of care. However, the modules must provide benefits that are substantial and prominent in order for physicians to decide that they are worthwhile and sustainable. Implications of this study for future research include the identification of perceived "costs" as well as a foundation for operationalizing the concept of "usefulness" in the context of such modules. Finally, developers of these modules may need to make their products customizable for practices to account for variation in EHR capabilities and practice

  6. Timeliness of recording in the Clinical Practice Research Datalink (CPRD – an initial step in the implementation of near real-time vaccine safety surveillance

    Directory of Open Access Journals (Sweden)

    Andreia Leite

    2017-04-01

    This work shows that most diagnoses examined were recorded with a delay of ≤30 days, making NRTVSS possible. The distribution of the delays was condition-specific and the weekly delay distribution could be used to adjust for delays in the NRTVSS analysis. CPRD can be a viable data source to use in this kind of analysis; next steps will include trial implementation of the system using these data.

  7. Real-Time Amperometric Recording of Extracellular H2O2 in the Brain of Immunocompromised Mice: An In Vitro, Ex Vivo and In Vivo Characterisation Study

    Science.gov (United States)

    Reid, Caroline H.; Finnerty, Niall J.

    2017-01-01

    We detail an extensive characterisation study on a previously described dual amperometric H2O2 biosensor consisting of H2O2 detection (blank) and degradation (catalase) electrodes. In vitro investigations demonstrated excellent H2O2 sensitivity and selectivity against the interferent, ascorbic acid. Ex vivo studies were performed to mimic physiological conditions prior to in vivo deployment. Exposure to brain tissue homogenate identified reliable sensitivity and selectivity recordings up to seven days for both blank and catalase electrodes. Furthermore, there was no compromise in pre- and post-implanted catalase electrode sensitivity in ex vivo mouse brain. In vivo investigations performed in anaesthetised mice confirmed the ability of the H2O2 biosensor to detect increases in amperometric current following locally perfused/infused H2O2 and antioxidant inhibitors mercaptosuccinic acid and sodium azide. Subsequent recordings in freely moving mice identified negligible effects of control saline and sodium ascorbate interference injections on amperometric H2O2 current. Furthermore, the stability of the amperometric current was confirmed over a five-day period and analysis of 24-h signal recordings identified the absence of diurnal variations in amperometric current. Collectively, these findings confirm the biosensor current responds in vivo to increasing exogenous and endogenous H2O2 and tentatively supports measurement of H2O2 dynamics in freely moving NOD SCID mice. PMID:28698470

  8. Interoperability of clinical decision-support systems and electronic health records using archetypes: a case study in clinical trial eligibility.

    Science.gov (United States)

    Marcos, Mar; Maldonado, Jose A; Martínez-Salvador, Begoña; Boscá, Diego; Robles, Montserrat

    2013-08-01

    Clinical decision-support systems (CDSSs) comprise systems as diverse as sophisticated platforms to store and manage clinical data, tools to alert clinicians of problematic situations, or decision-making tools to assist clinicians. Irrespective of the kind of decision-support task CDSSs should be smoothly integrated within the clinical information system, interacting with other components, in particular with the electronic health record (EHR). However, despite decades of developments, most CDSSs lack interoperability features. We deal with the interoperability problem of CDSSs and EHRs by exploiting the dual-model methodology. This methodology distinguishes a reference model and archetypes. A reference model is represented by a stable and small object-oriented model that describes the generic properties of health record information. For their part, archetypes are reusable and domain-specific definitions of clinical concepts in the form of structured and constrained combinations of the entities of the reference model. We rely on archetypes to make the CDSS compatible with EHRs from different institutions. Concretely, we use archetypes for modelling the clinical concepts that the CDSS requires, in conjunction with a series of knowledge-intensive mappings relating the archetypes to the data sources (EHR and/or other archetypes) they depend on. We introduce a comprehensive approach, including a set of tools as well as methodological guidelines, to deal with the interoperability of CDSSs and EHRs based on archetypes. Archetypes are used to build a conceptual layer of the kind of a virtual health record (VHR) over the EHR whose contents need to be integrated and used in the CDSS, associating them with structural and terminology-based semantics. Subsequently, the archetypes are mapped to the EHR by means of an expressive mapping language and specific-purpose tools. We also describe a case study where the tools and methodology have been employed in a CDSS to support

  9. Designing and Using Projects with Real World Application in a MBA Managerial Accounting Class: The Case of The Balanced Scorecard

    Science.gov (United States)

    Houke, Charlotte

    2017-01-01

    This paper explores the purpose of designing and using projects with real world application in a M.B.A. managerial accounting class. Included is a discussion of how and why the Balanced Scorecard (BSC) Project has been used in classes to link theory with practice by providing real world application of the BSC framework. M.B.A. students represent a…

  10. A real options approach to biotechnology Investment policy - the case of developing a Campylobacter vaccine to poultry

    DEFF Research Database (Denmark)

    Lund, Mogens; Jensen, Jørgen Dejgård

    2016-01-01

    The aim of the article is to identify and analyse public-private incentives for the development and marketing of new animal vaccines within a real options methodological framework, and to investigate how real options methodology can be utilized to support economic incentives for vaccine developme...

  11. SNPs and real-time quantitative PCR method for constitutional allelic copy number determination, the VPREB1 marker case

    Directory of Open Access Journals (Sweden)

    Costa Elena

    2011-05-01

    Full Text Available Abstract Background 22q11.2 microdeletion is responsible for the DiGeorge Syndrome, characterized by heart defects, psychiatric disorders, endocrine and immune alterations and a 1 in 4000 live birth prevalence. Real-time quantitative PCR (qPCR approaches for allelic copy number determination have recently been investigated in 22q11.2 microdeletions detection. The qPCR method was performed for 22q11.2 microdeletions detection as a first-level screening approach in a genetically unknown series of patients with congenital heart defects. A technical issue related to the VPREB1 qPCR marker was pointed out. Methods A set of 100 unrelated Italian patients with congenital heart defects were tested for 22q11.2 microdeletions by a qPCR method using six different markers. Fluorescence In Situ Hybridization technique (FISH was used for confirmation. Results qPCR identified six patients harbouring the 22q11.2 microdeletion, confirmed by FISH. The VPREB1 gene marker presented with a pattern consistent with hemideletion in one 3 Mb deleted patient, suggestive for a long distal deletion, and in additional five non-deleted patients. The long distal 22q11.2 deletion was not confirmed by Comparative Genomic Hybridization. Indeed, the VPREB1 gene marker generated false positive results in association with the rs1320 G/A SNP, a polymorphism localized within the VPREB1 marker reverse primer sequence. Patients heterozygous for rs1320 SNP, showed a qPCR profile consistent with the presence of a hemideletion. Conclusions Though the qPCR technique showed advantages as a screening approach in terms of cost and time, the VPREB1 marker case revealed that single nucleotide polymorphisms can interfere with qPCR data generating erroneous allelic copy number interpretations.

  12. REAL NECESSITIES OF A CONTRACEPTION ALGORITHM IN CASES OF WOMEN SUFFERING FROM SCHIZOPHRENIA. SPECIAL NEEDS FOR FAMILY PLANNING

    Directory of Open Access Journals (Sweden)

    Madalina Ciuhodaru

    2010-09-01

    Full Text Available Schizophrenia has a devastating effect on patient lives all together with their families, changing dramatically the day by day life, affecting thinking, feelings, knowledge and modifying the patient’s ability to adapt to society – establishing “boundaries” and “stigma” cause of desasperation, confusion or other symptoms. Objectives: This study wanted to the established an algorithm that concerns contraceptive methods specifically made for schizophrenic female patients according to their needs and to reality in which they live. Material and method: the study included 6200 patients at reproductive age that had been hospitalized in Socola Psychiatric unit during 2005 - 2010 and have been investigated by inquiry about age, provenience, marital status, education, number of children, knowledge and attitudes towards methods of contraception failure. Results The majority of the ones that knew about the contraception were from the urban area, age 30-35 having medium education, in a relationship or married. Unfortunately the help providers tend to neglect this “delicate subject” the fertility of schizophrenic patients being a real problem not only for the health care specialist but also costing highly the social assistance, their families, and their own children. Conclusions. While the Royal College of Obstetricians from Great Britain affirms that as a criteria for medical eligibility in using contraception in female schizophrenic patients it can be used any method as there are no longer contraindications for each specific case and under a correct counseling the best way is to solve ethical problems offering those patients the right access to family planning

  13. Using aggregated, de-identified electronic health record data for multivariate pharmacosurveillance: a case study of azathioprine.

    Science.gov (United States)

    Patel, Vishal N; Kaelber, David C

    2014-12-01

    To demonstrate the use of aggregated and de-identified electronic health record (EHR) data for multivariate post-marketing pharmacosurveillance in a case study of azathioprine (AZA). Using aggregated, standardized, normalized, and de-identified, population-level data from the Explore platform (Explorys, Inc.) we searched over 10 million individuals, of which 14,580 were prescribed AZA based on RxNorm drug orders. Based on logical observation identifiers names and codes (LOINC) and vital sign data, we examined the following side effects: anemia, cell lysis, fever, hepatotoxicity, hypertension, nephrotoxicity, neutropenia, and neutrophilia. Patients prescribed AZA were compared to patients prescribed one of 11 other anti-rheumatologic drugs to determine the relative risk of side effect pairs. Compared to AZA case report trends, hepatotoxicity (marked by elevated transaminases or elevated bilirubin) did not occur as an isolated event more frequently in patients prescribed AZA than other anti-rheumatic agents. While neutropenia occurred in 24% of patients (RR 1.15, 95% CI 1.07-1.23), neutrophilia was also frequent (45%) and increased in patients prescribed AZA (RR 1.28, 95% CI 1.22-1.34). After constructing a pairwise side effect network, neutropenia had no dependencies. A reduced risk of neutropenia was found in patients with co-existing elevations in total bilirubin or liver transaminases, supporting classic clinical knowledge that agranulocytosis is a largely unpredictable phenomenon. Rounding errors propagated in the statistically de-identified datasets for cohorts as small as 40 patients only contributed marginally to the calculated risk. Our work demonstrates that aggregated, standardized, normalized and de-identified population level EHR data can provide both sufficient insight and statistical power to detect potential patterns of medication side effect associations, serving as a multivariate and generalizable approach to post-marketing drug surveillance

  14. Teamwork and Electronic Health Record Implementation: A Case Study of Preserving Effective Communication and Mutual Trust in a Changing Environment.

    Science.gov (United States)

    Gross, Anne H; Leib, Ryan K; Tonachel, Anne; Tonachel, Richard; Bowers, Danielle M; Burnard, Rachel A; Rhinehart, Catherine A; Valentim, Rahila; Bunnell, Craig A

    2016-11-01

    This article describes how trust among team members and in the technology supporting them was eroded during implementation of an electronic health record (EHR) in an adult outpatient oncology practice at a comprehensive cancer center. Delays in care of a 38-year-old woman with high-risk breast cancer occurred because of ineffective team communication and are illustrated in a case study. The case explores how the patient's trust and mutual trust between team members were disrupted because of inaccurate assumptions about the functionality of the EHR's communication tool, resultant miscommunications between team members and the patient, and the eventual recognition that care was not being effectively coordinated, as it had been previously. Despite a well-established, team-based culture and significant preparation for the EHR implementation, the challenges that occurred point to underlying human and system failures from which other organizations going through a similar process may learn. Through an analysis and evaluation of events that transpired before and during the EHR rollout, suggested interventions for preventing this experience are offered, which include: a thorough crosswalk between old and new communication mechanisms before implementation; understanding and mitigation of gaps in the communication tool's functionality; more robust training for staff, clinicians, and patients; greater consideration given to the pace of change expected of individuals; and development of models of collaboration between EHR users and vendors in developing products that support high-quality, team-based care in the oncology setting. These interventions are transferable to any organizational or system change that threatens mutual trust and effective communication.

  15. Focused Ethnography as Research Method: A Case Study of Techno Music Producers in Home-Recording Studios

    Directory of Open Access Journals (Sweden)

    Jan Michael Kühn

    2013-05-01

    Full Text Available Translator's Introduction: Jan-Michael Kühn's essay introduces the reader to Hubert Knoblauch's focused ethnography [fokussierte Ethnographie] as an ethnographic fieldwork method. More than a decade after Knoblauch's first publications on this method, there are precious few guides to focused ethnography in the English language, save one (Knoblauch 2005. At any rate, there are certainly no introductions to this methodology that also use EDM scenes as a case study. Kühn's article was originally published in German in Soziologie Magazin, a student-run journal published from Martin Luther University in Halle (Saale but operated by an editorial network that spans Germany. As a result, Kühn orients his writing towards an audience of junior researchers, post-docs and graduate students, highlighting the ways in which focused ethnography suits the circumstances of early research careers, where one may have difficulty securing long-term research stays for fieldwork of broader scope. In particular, he notes that Knoblauch's methods require a very narrow scope for the project (i.e., a "field sector" rather than the whole field, a reliance on the researcher's previous knowledge of the field, and short bursts of intense ethnographic activity in order to create work that is tightly focused but still rigorous and generative of fresh knowledge and new concepts.KEYWORDS: qualitative methods; cultural production; music production; home-recording; technoculture

  16. Simultaneous recording of brain extracellular glucose, spike and local field potential in real time using an implantable microelectrode array with nano-materials

    Science.gov (United States)

    Wei, Wenjing; Song, Yilin; Fan, Xinyi; Zhang, Song; Wang, Li; Xu, Shengwei; Wang, Mixia; Cai, Xinxia

    2016-03-01

    Glucose is the main substrate for neurons in the central nervous system. In order to efficiently characterize the brain glucose mechanism, it is desirable to determine the extracellular glucose dynamics as well as the corresponding neuroelectrical activity in vivo. In the present study, we fabricated an implantable microelectrode array (MEA) probe composed of platinum electrochemical and electrophysiology microelectrodes by standard micro electromechanical system (MEMS) processes. The MEA probe was modified with nano-materials and implanted in a urethane-anesthetized rat for simultaneous recording of striatal extracellular glucose, local field potential (LFP) and spike on the same spatiotemporal scale when the rat was in normoglycemia, hypoglycemia and hyperglycemia. During these dual-mode recordings, we observed that increase of extracellular glucose enhanced the LFP power and spike firing rate, while decrease of glucose had an opposite effect. This dual mode MEA probe is capable of examining specific spatiotemporal relationships between electrical and chemical signaling in the brain, which will contribute significantly to improve our understanding of the neuron physiology.

  17. Simultaneous recording of brain extracellular glucose, spike and local field potential in real time using an implantable microelectrode array with nano-materials

    International Nuclear Information System (INIS)

    Wei, Wenjing; Song, Yilin; Fan, Xinyi; Zhang, Song; Wang, Li; Xu, Shengwei; Wang, Mixia; Cai, Xinxia

    2016-01-01

    Glucose is the main substrate for neurons in the central nervous system. In order to efficiently characterize the brain glucose mechanism, it is desirable to determine the extracellular glucose dynamics as well as the corresponding neuroelectrical activity in vivo. In the present study, we fabricated an implantable microelectrode array (MEA) probe composed of platinum electrochemical and electrophysiology microelectrodes by standard micro electromechanical system (MEMS) processes. The MEA probe was modified with nano-materials and implanted in a urethane-anesthetized rat for simultaneous recording of striatal extracellular glucose, local field potential (LFP) and spike on the same spatiotemporal scale when the rat was in normoglycemia, hypoglycemia and hyperglycemia. During these dual-mode recordings, we observed that increase of extracellular glucose enhanced the LFP power and spike firing rate, while decrease of glucose had an opposite effect. This dual mode MEA probe is capable of examining specific spatiotemporal relationships between electrical and chemical signaling in the brain, which will contribute significantly to improve our understanding of the neuron physiology. (paper)

  18. Bayesian estimation of test characteristics of real-time PCR, bacteriological culture and California mastitis test for diagnosis of intramammary infections with Staphylococcus aureus in dairy cattle at routine milk recordings.

    Science.gov (United States)

    Mahmmod, Yasser S; Toft, Nils; Katholm, Jørgen; Grønbæk, Carsten; Klaas, Ilka C

    2013-11-01

    Danish farmers can order a real-time PCR mastitis diagnostic test on routinely taken cow-level samples from milk recordings. Validation of its performance in comparison to conventional mastitis diagnostics under field conditions is essential for efficient control of intramammary infections (IMI) with Staphylococcus aureus (S. aureus). Therefore, the objective of this study was to estimate the sensitivity (Se) and specificity (Sp) of real-time PCR, bacterial culture (BC) and California mastitis test (CMT) for the diagnosis of the naturally occurring IMI with S. aureus in routinely collected milk samples using latent class analysis (LCA) to avoid the assumption of a perfect reference test. Using systematic random sampling, a total of 609 lactating dairy cows were selected from 6 dairy herds with bulk tank milk PCR cycle threshold (Ct) value ≤39 for S. aureus. At routine milk recordings, automatically obtained cow-level (composite) milk samples were analyzed by PCR and at the same milking, 2436 quarter milk samples were collected aseptically for BC and CMT. Results showed that 140 cows (23%) were positive for S. aureus IMI by BC while 170 cows (28%) were positive by PCR. Estimates of Se and Sp for PCR were higher than test estimates of BC and CMT. SeCMT was higher than SeBC however, SpBC was higher than SpCMT. SePCR was 91%, while SeBC was 53%, and SeCMT was 61%. SpPCR was 99%, while SpBC was 89%, and SpCMT was 65%. In conclusion, PCR has a higher performance than the conventional diagnostic tests (BC and CMT) suggesting its usefulness as a routine test for accurate diagnosis of S. aureus IMI from dairy cows at routine milk recordings. The use of LCA provided estimates of the test characteristics for two currently diagnostic tests (BC, CMT) and a novel technique (real-time PCR) for diagnosing S. aureus IMI under field conditions at routine milk recordings in Denmark. Copyright © 2013 Elsevier B.V. All rights reserved.

  19. Concordance Between Self-Reported Childhood Maltreatment Versus Case Record Reviews for Child Welfare–Affiliated Adolescents: Prevalence Rates and Associations With Outcomes

    Science.gov (United States)

    Negriff, Sonya; Schneiderman, Janet U.; Trickett, Penelope K.

    2017-01-01

    The present study used data from an ongoing longitudinal study of the effects of maltreatment on adolescent development to (1) describe rates of maltreatment experiences obtained from retrospective self-report versus case record review for adolescents with child welfare–documented maltreatment histories, (2) examine self-reported versus child welfare–identified maltreatment in relation to mental health and risk behavior outcomes by maltreatment type, and (3) examine the association between the number of different types of maltreatment and mental health and risk behavior outcomes. Maltreatment was coded from case records using the Maltreatment Case Record Abstraction Instrument (MCRAI) and participants were asked at mean age = 18.49 about childhood maltreatment experiences using the Comprehensive Trauma Interview (CTI). Results showed that an average of 48% of maltreatment found by the MCRAI for each type of maltreatment were unique cases not captured by the CTI, whereas an average of 40% self-reported maltreatment (CTI) was not indicated by the MCRAI. Analyses with outcomes showed generally, self-reported maltreatment, regardless of concordance with MCRAI, was related to the poorest outcomes. The difference in associations with the outcomes indicates both self-report and case record review data may have utility depending on the outcomes being assessed. PMID:27777329

  20. Development and evaluation of SOA-based AAL services in real-life environments: a case study and lessons learned.

    Science.gov (United States)

    Stav, Erlend; Walderhaug, Ståle; Mikalsen, Marius; Hanke, Sten; Benc, Ivan

    2013-11-01

    The proper use of ICT services can support seniors in living independently longer. While such services are starting to emerge, current proprietary solutions are often expensive, covering only isolated parts of seniors' needs, and lack support for sharing information between services and between users. For developers, the challenge is that it is complex and time consuming to develop high quality, interoperable services, and new techniques are needed to simplify the development and reduce the development costs. This paper provides the complete view of the experiences gained in the MPOWER project with respect to using model-driven development (MDD) techniques for Service Oriented Architecture (SOA) system development in the Ambient Assisted Living (AAL) domain. To address this challenge, the approach of the European research project MPOWER (2006-2009) was to investigate and record the user needs, define a set of reusable software services based on these needs, and then implement pilot systems using these services. Further, a model-driven toolchain covering key development phases was developed to support software developers through this process. Evaluations were conducted both on the technical artefacts (methodology and tools), and on end user experience from using the pilot systems in trial sites. The outcome of the work on the user needs is a knowledge base recorded as a Unified Modeling Language (UML) model. This comprehensive model describes actors, use cases, and features derived from these. The model further includes the design of a set of software services, including full trace information back to the features and use cases motivating their design. Based on the model, the services were implemented for use in Service Oriented Architecture (SOA) systems, and are publicly available as open source software. The services were successfully used in the realization of two pilot applications. There is therefore a direct and traceable link from the user needs of the

  1. Acoustic ambient noise recorder

    Digital Repository Service at National Institute of Oceanography (India)

    Saran, A.K.; Navelkar, G.S.; Almeida, A.M.; More, S.R.; Chodankar, P.V.; Murty, C.S.

    with a robust outfit that can withstand high pressures and chemically corrosion resistant materials. Keeping these considerations in view, a CMOS micro-controller-based marine acoustic ambient noise recorder has been developed with a real time clock...

  2. Expert system based on cases for a diagnosis system in real time; Sistema experto basado en casos para un sistema de diagnostico en tiempo real

    Energy Technology Data Exchange (ETDEWEB)

    Espinosa R, Alfredo; Quintero R, Agustin; Zambrano D, S Venecia [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2006-07-01

    This article presents the development of an Expert System based in the Reasoning Based on Cases methodology. Such system was performed with the purpose of creating an information system in charge of supervising and diagnosing the status of the main equipment of fossil fuel power plants for electricity generation. Here is presented the reasons why this methodology was used for the expert system and why Induce-It -the specialized tool that implements it- was also chosen, as well as the analysis made for the disposition of the operative architecture of the Expert System, the very development of this software architecture and, finally, the validation of the correct operation of this system by means of a simulator that simultaneously puts to the test the error handling of the Expert System. [Spanish] Este articulo presenta el procedimiento que siguio el desarrollo de un Sistema Experto asentado en la metodologia de Razonamiento Basado en Casos; realizado con el fin de crear un sistema de informacion encargado de supervisar y diagnosticar el estado de los equipos principales de centrales de generacion termoelectrica. Se expone justificadamente la seleccion de la metodologia del sistema experto y de la herramienta especializada que lo implementa (Induce-It), asi como el analisis realizado para la disposicion de la arquitectura operativa del Sistema Experto, el desarrollo mismo de esta arquitectura del software y, finalmente, la validacion del correcto funcionamiento de este sistema mediante un simulador que a la vez pone a prueba el manejo de errores del Sistema Experto.

  3. A NoSQL–SQL Hybrid Organization and Management Approach for Real-Time Geospatial Data: A Case Study of Public Security Video Surveillance

    Directory of Open Access Journals (Sweden)

    Chen Wu

    2017-01-01

    Full Text Available With the widespread deployment of ground, air and space sensor sources (internet of things or IoT, social networks, sensor networks, the integrated applications of real-time geospatial data from ubiquitous sensors, especially in public security and smart city domains, are becoming challenging issues. The traditional geographic information system (GIS mostly manages time-discretized geospatial data by means of the Structured Query Language (SQL database management system (DBMS and emphasizes query and retrieval of massive historical geospatial data on disk. This limits its capability for on-the-fly access of real-time geospatial data for online analysis in real time. This paper proposes a hybrid database organization and management approach with SQL relational databases (RDB and not only SQL (NoSQL databases (including the main memory database, MMDB, and distributed files system, DFS. This hybrid approach makes full use of the advantages of NoSQL and SQL DBMS for the real-time access of input data and structured on-the-fly analysis results which can meet the requirements of increased spatio-temporal big data linking analysis. The MMDB facilitates real-time access of the latest input data such as the sensor web and IoT, and supports the real-time query for online geospatial analysis. The RDB stores change information such as multi-modal features and abnormal events extracted from real-time input data. The DFS on disk manages the massive geospatial data, and the extensible storage architecture and distributed scheduling of a NoSQL database satisfy the performance requirements of incremental storage and multi-user concurrent access. A case study of geographic video (GeoVideo surveillance of public security is presented to prove the feasibility of this hybrid organization and management approach.

  4. An investigation on the effect of street morphology to ambient air quality using six real-world cases

    Science.gov (United States)

    Shen, Jialei; Gao, Zhi; Ding, Wowo; Yu, Ying

    2017-09-01

    Street canyons are vulnerable to air pollution mainly caused by vehicle emissions, which are therefore closely related to pedestrians' health. Previous studies have showed that air quality in street canyons is associated with street morphology, though the majority of them have focused on idealized street models. This paper attempts to investigate the relationship of street morphology to air quality for 6 irregular real-world cases selected from America, Europe, and China, i.e. Manhattan, Paris, Barcelona, Berlin, London and Nanjing. Each street is analyzed as a set of slices to propose a couple of morphology indices for quantitatively assessing the actual street morphology. Pollutant transport rate of mean flows and turbulent diffusion, net escape velocity and age of air are obtained from computational fluid dynamics (CFD) simulations to assess the ventilations and pollutant dispersion within street canyons with a parallel approaching wind. The results show that the street morphology characteristics, including the street width, lateral openings and intersections, are closely related to the air flows in street canyons. The air quality improves with a decreasing aspect ratio of central street owing to a larger vertical exchange through the street roof, which suggests an open central street is of better air quality. The lateral openings and intersections of streets have important effects on the air flows in street canyons, and the effects are particularly pronounced when the street widths are similar. The street continuity ratio indicates street continuity. It relates to the openings and the symmetry of a street and impacts on the air flows and pollutant dispersion through the lateral openings of the central street. The street spatial closure ratio is determined by the street continuity ratio and the aspect ratio of the central street. When the aspect ratio of central street is not excessively high, higher values of street continuity ratio and spatial closure ratio

  5. Consistency of GPS and strong-motion records: case study of the Mw9.0 Tohoku-Oki 2011 earthquake

    Science.gov (United States)

    Psimoulis, Panos; Houlié, Nicolas; Michel, Clotaire; Meindl, Michael; Rothacher, Markus

    2014-05-01

    High-rate GPS data are today commonly used to supplement seismic data for the Earth surface motions focusing on earthquake characterisation and rupture modelling. Processing of GPS records using Precise Point Positioning (PPP) can provide real-time information of seismic wave propagation, tsunami early-warning and seismic rupture. Most studies have shown differences between the GPS and seismic systems at very long periods (e.g. >100sec) and static displacements. The aim of this study is the assessment of the consistency of GPS and strong-motion records by comparing their respective displacement waveforms for several frequency bands. For this purpose, the records of the GPS (GEONET) and the strong-motion (KiK-net and K-NET) networks corresponding to the Mw9.0 Tohoku 2011 earthquake were analysed. The comparison of the displacement waveforms of collocated (distance<100m) GPS and strong-motion sites show that the consistency between the two datasets depends on the frequency of the excitation. Differences are mainly due to the GPS noise at relatively short-periods (<3-4 s) and the saturation of the strong-motion sensors for relatively long-periods (40-80 s). Furthermore the agreement between the GPS and strong-motion records also depends on the direction of the excitation signal and the distance from the epicentre. In conclusion, velocities and displacements recovered from GPS and strong-motion records are consistent for long-periods (3-100 s), proving that GPS networks can contribute to the real-time estimation of the long-period ground motion map of an earthquake.

  6. Exposure of children with developmental delay to social determinants of poor health: cross-sectional case record review study.

    Science.gov (United States)

    Emerson, E; Brigham, P

    2015-03-01

    Research on child development in general has highlighted the importance that the family environment plays in mediating the pathway between exposure to low socio-economic position (SEP) and child well-being. While child developmental models in intellectual disability have highlighted the interplay between social context, family environment and child development, little empirical work has attempted to formally evaluate the evidence in support of specific mediating pathways between low SEP and child outcomes. Secondary analysis of cross-sectional confidentialized needs analysis data collected in three Primary Care Trusts in England covering a total population of 1.25 million people. Case record reviews were undertaken for 46 023 households, 2236 (4.9%) of which contained a child in the target age range with developmental delay. Children with developmental delay, when compared with their non-disabled peers, were at significantly increased risk of poorer health outcomes and of being exposed to a wide range of social determinants of poor health. Controlling for between-group differences in exposure to social determinants of poor health reduced the risk of developmental delay being associated with poorer health outcomes by 45% for behaviour problems and 89% for risk of significant harm. For children with developmental delay, parenting difficulties appears to play a particularly significant role in partially mediating the effects of low SEP. The findings of the present study point to the potential effectiveness of family-focused early intervention to prevent the emergence and escalation of behavioural difficulties and health problems in children with developmental delay. © 2014 John Wiley & Sons Ltd.

  7. The social construction of real estate market risk. The case of a financial investments cluster in Mexico City

    Directory of Open Access Journals (Sweden)

    Louise David

    2012-11-01

    Full Text Available This article contributes to the study of the geographical concentration of financial investments in real estate markets. It demonstrates the social construction process at work in the evolution of real estate market risks. The objective is to highlight the conditions that allow or impede the implementation of ‘opportunistic’ and ‘conservative’ risk strategies. By analyzing the market entry of financial investors in the Cuautitlan industrial real estate market - an ‘emerging’ real estate market in Mexico City - this paper demonstrates that, due to the joint action of land developers, non-financial as well as financial real estate investors, this market moved from being ‘too risky’ to becoming an opportunistic market, and then a conservative one. There were two important phases in the transformation process. First, the contribution of land developers was fundamental to the transformation of the market from being too risky to being opportunistic from the perspective of financial investors. Two different types of land developers are evident: some are not willing to help financial investors’ entry in the market while others developed a business plan designed to facilitate financial investments. In the second phase of the market’s risks transformation, opportunistic financial investors enabled the conditions for the arrival of conservative financial investors, thanks to their presence in emerging markets and the diffusion of information.

  8. Multiple Linear Regression Analysis of Factors Affecting Real Property Price Index From Case Study Research In Istanbul/Turkey

    Science.gov (United States)

    Denli, H. H.; Koc, Z.

    2015-12-01

    Estimation of real properties depending on standards is difficult to apply in time and location. Regression analysis construct mathematical models which describe or explain relationships that may exist between variables. The problem of identifying price differences of properties to obtain a price index can be converted into a regression problem, and standard techniques of regression analysis can be used to estimate the index. Considering regression analysis for real estate valuation, which are presented in real marketing process with its current characteristics and quantifiers, the method will help us to find the effective factors or variables in the formation of the value. In this study, prices of housing for sale in Zeytinburnu, a district in Istanbul, are associated with its characteristics to find a price index, based on information received from a real estate web page. The associated variables used for the analysis are age, size in m2, number of floors having the house, floor number of the estate and number of rooms. The price of the estate represents the dependent variable, whereas the rest are independent variables. Prices from 60 real estates have been used for the analysis. Same price valued locations have been found and plotted on the map and equivalence curves have been drawn identifying the same valued zones as lines.

  9. Is Metabolic Syndrome On the Radar? Improving Real-Time Detection of Metabolic Syndrome and Physician Response by Computerized Scan of the Electronic Medical Record

    Science.gov (United States)

    Lui, Kingwai; Randhawa, Gagandeep; Totten, Vicken; Smith, Adam E.; Raese, Joachim

    2016-01-01

    Objective: Metabolic syndrome is a common underdiagnosed condition among psychiatric patients exacerbated by second-generation antipsychotics, with the exception of aripiprazole and ziprasidone. This study evaluated the prescribing and treating behavior with regard to antipsychotics and metabolic syndrome of psychiatrists before and after implementation of a mandatory admission order set and electronic notification of results. Method: Baseline data from 9,100 consecutive psychiatric admissions to a mental health hospital (July 2013–July 2014) were compared to postintervention data (July 2014–January 2015), which included 1,499 consecutive patient records. The intervention initiated standardized admission testing with electronic notification to psychiatrists when patients met metabolic syndrome criteria (according to Axis III of the DSM-IV). Charts were examined for inclusion of this diagnosis at discharge and for treatment changes. Results: At baseline, only 2.4% of patients (n = 214) were evaluated for metabolic syndrome. Of these, 34.5% (0.8% of the total sample) met metabolic syndrome criteria. Only 15 patients (0.16%) were comprehensively treated. No chart listed metabolic syndrome under Axis III of the DSM-IV. After the intervention, the diagnosis of patients meeting the criteria for metabolic syndrome increased from 0% to 29.3%. Less than 3% of patients were switched to drugs with a more benign metabolic profile. All patients who continued on second-generation antipsychotics had metabolic retesting. Thirty-eight experienced a significant and rapid increase in triglyceride levels after only 3 to 17 days. Conclusions: Mandatory intake testing increases the number of patients evaluated for metabolic syndrome. Electronic alerts increase the inclusion of metabolic syndrome among discharge diagnoses but rarely affect prescribing practices. PMID:27247842

  10. A novel method to value real options in health care: the case of a multicohort human papillomavirus vaccination strategy.

    Science.gov (United States)

    Favato, Giampiero; Baio, Gianluca; Capone, Alessandro; Marcellusi, Andrea; Saverio Mennini, Francesco

    2013-07-01

    A large number of economic evaluations have already confirmed the cost-effectiveness of different human papillomavirus (HPV) vaccination strategies. Standard analyses might not capture the full economic value of novel vaccination programs because the cost-effectiveness paradigm fails to take into account the value of active management. Management decisions can be seen as real options, a term used to refer to the application of option pricing theory to the valuation of investments in nonfinancial assets in which much of the value is attributable to flexibility and learning over time. The aim of this article was to discuss the potential advantages shown by using the payoff method in the valuation of the cost-effectiveness of competing HPV immunization programs. This was the first study, to the best of our knowledge, to use the payoff method to determine the real option values of 4 different HPV vaccination strategies targeting female subjects aged 12, 15, 18, and 25 years. The payoff method derives the real option value from the triangular payoff distribution of the project's net present value, which is treated as a triangular fuzzy number. To inform the real option model, cost-effectiveness data were derived from an empirically calibrated Bayesian model designed to assess the cost-effectiveness of a multicohort HPV vaccination strategy in the context of the current cervical cancer screening program in Italy. A net health benefit approach was used to calculate the expected fuzzy net present value for each of the 4 vaccination strategies evaluated. Costs per quality-adjusted life-year gained seemed to be related to the number of cohorts targeted: a single cohort of girls aged 12 years (€10,955 [95% CI, -1,021 to 28,212]) revealed the lowest cost among the 4 alternative strategies evaluated. The real option valuation challenged the cost-effectiveness dominance of a single cohort of 12-year-old girls. The simultaneous vaccination of 2 cohorts of girls aged 12 and 15

  11. Asymptotic behaviour of solutions of real two-dimensional differential system with nonconstant delay in an unstable case

    Directory of Open Access Journals (Sweden)

    J. Kalas

    2012-01-01

    Full Text Available The asymptotic behaviour for the solutions of a real two-dimensional system with a bounded nonconstant delay is studied under the assumption of instability. Our results improve and complement previous results by J. Kalas, where the sufficient conditions assuring the existence of bounded solutions or solutions tending to origin for $t$ approaching infinity are given. The method of investigation is based on the transformation of the considered real system to one equation with complex-valued coefficients. Asymptotic properties of this equation are studied by means of a suitable Lyapunov-Krasovskii functional and by virtue of the Wazewski topological principle.

  12. Use of real-time three-dimensional transesophageal echocardiography in type A aortic dissections: Advantages of 3D TEE illustrated in three cases

    Directory of Open Access Journals (Sweden)

    Cindy J Wang

    2015-01-01

    Full Text Available Stanford type A aortic dissections often present to the hospital requiring emergent surgical intervention. Initial diagnosis is usually made by computed tomography; however transesophageal echocardiography (TEE can further characterize aortic dissections with specific advantages: It may be performed on an unstable patient, it can be used intra-operatively, and it has the ability to provide continuous real-time information. Three-dimensional (3D TEE has become more accessible over recent years allowing it to serve as an additional tool in the operating room. We present a case series of three patients presenting with type A aortic dissections and the advantages of intra-operative 3D TEE to diagnose the extent of dissection in each case. Prior case reports have demonstrated the use of 3D TEE in type A aortic dissections to characterize the extent of dissection and involvement of neighboring structures. In our three cases described, 3D TEE provided additional understanding of spatial relationships between the dissection flap and neighboring structures such as the aortic valve and coronary orifices that were not fully appreciated with two-dimensional TEE, which affected surgical decisions in the operating room. This case series demonstrates the utility and benefit of real-time 3D TEE during intra-operative management of a type A aortic dissection.

  13. Mycoplasma detection by triplex real-time PCR in bronchoalveolar lavage fluid from bovine respiratory disease complex cases

    NARCIS (Netherlands)

    Cornelissen, Jan B.W.J.; Bree, de Freddy M.; Wal, van der Fimme J.; Kooij, Engbert A.; Koene, Miriam G.J.; Bossers, Alex; Smid, Bregtje; Antonis, Adriaan F.; Wisselink, Henk J.

    2017-01-01

    Background: In this study we evaluated the RespoCheck Mycoplasma triplex real-time PCR for the detection in bronchoalveolar lavage fluid (BALF) of Mycoplasma (M.) dispar, M. bovis and M. bovirhinis, all three associated with bovine respiratory disease (BRD). Primers and probes of the RespoCheck

  14. Dependence of accuracy of ESPRIT estimates on signal eigenvalues: the case of a noisy sum of two real exponentials.

    Science.gov (United States)

    Alexandrov, Theodore; Golyandina, Nina; Timofeyev, Alexey

    2009-02-26

    This paper is devoted to estimation of parameters for a noisy sum of two real exponential functions. Singular Spectrum Analysis is used to extract the signal subspace and then the ESPRIT method exploiting signal subspace features is applied to obtain estimates of the desired exponential rates. Dependence of estimation quality on signal eigenvalues is investigated. The special design to test this relation is elaborated.

  15. Compactness of the automorphism group of a topological parallelism on real projective 3-space: The disconnected case

    OpenAIRE

    Rainer, Löwen

    2017-01-01

    We prove that the automorphism group of a topological parallelism on real projective 3-space is compact. In a preceding article it was proved that at least the connected component of the identity is compact. The present proof does not depend on that earlier result.

  16. REIT Performance and Option of Financing Real Estate Project in Developing Countries - (A Case of M-REIT and NREIT

    Directory of Open Access Journals (Sweden)

    Olaopin Olanrele Olusegun

    2014-01-01

    Full Text Available Performance of REITs have been largely measured using benchmark from the stock market indices (S&P500, Sharpe ratio, KLCI, etc or correlation studies. The real world of REIT shows that both economic and environmental factors exert influence on REIT performance on a simultaneous nature. Adopting quantitative method, where secondary data were statistically analysed. We proposed the use of multivariate regression where REIT performance (Y is the independent variable to be predicted by predictor variables of internal and external factors (X1–Xn. We equally proposed a possibility of REIT financing real estate project, against the existing regulations which prohibit such, using average return method of portfolio analysis on assumed numerical data. The study finds that economic factors jointly have a significant effect on REIT performance at P =0.044 while none of the factors has significant contribution individually. A benchmark REIT return of 5.3% is predicted. The study recommends a linear regression model analysis for REITs benchmark based on past performance for return measurement. REIT can only finance real estate project in the countries where there is acute shortage of fund and property stock. We suggest a modification of REIT laws to accommodate real estate financing by REITs.

  17. The role of short-term memory impairment in nonword repetition, real word repetition, and nonword decoding: A case study.

    Science.gov (United States)

    Peter, Beate

    2018-01-01

    In a companion study, adults with dyslexia and adults with a probable history of childhood apraxia of speech showed evidence of difficulty with processing sequential information during nonword repetition, multisyllabic real word repetition and nonword decoding. Results suggested that some errors arose in visual encoding during nonword reading, all levels of processing but especially short-term memory storage/retrieval during nonword repetition, and motor planning and programming during complex real word repetition. To further investigate the role of short-term memory, a participant with short-term memory impairment (MI) was recruited. MI was confirmed with poor performance during a sentence repetition and three nonword repetition tasks, all of which have a high short-term memory load, whereas typical performance was observed during tests of reading, spelling, and static verbal knowledge, all with low short-term memory loads. Experimental results show error-free performance during multisyllabic real word repetition but high counts of sequence errors, especially migrations and assimilations, during nonword repetition, supporting short-term memory as a locus of sequential processing deficit during nonword repetition. Results are also consistent with the hypothesis that during complex real word repetition, short-term memory is bypassed as the word is recognized and retrieved from long-term memory prior to producing the word.

  18. Real-world health outcomes in adults with moderate-to-severe psoriasis in the United States: a population study using electronic health records to examine patient-perceived treatment effectiveness, medication use, and healthcare resource utilization.

    Science.gov (United States)

    Armstrong, April W; Foster, Shonda A; Comer, Brian S; Lin, Chen-Yen; Malatestinic, William; Burge, Russel; Goldblum, Orin

    2018-06-28

    Little is known regarding real-world health outcomes data among US psoriasis patients, but electronic health records (EHR) that collect structured data at point-of-care may provide opportunities to investigate real-world health outcomes among psoriasis patients. Our objective was to investigate patient-perceived treatment effectiveness, patterns of medication use (duration, switching, and/or discontinuation), healthcare resource utilization, and medication costs using real-world data from psoriasis patients. Data for adults (≥18-years) with a dermatology provider-given diagnosis of psoriasis from 9/2014-9/2015 were obtained from dermatology practices using a widely used US dermatology-specific EHR containing over 500,000 psoriasis patients. Disease severity was captured by static physician's global assessment and body surface area. Patient-perceived treatment effectiveness was assessed by a pre-defined question. Treatment switching and duration were documented. Reasons for discontinuations were assessed using pre-defined selections. Healthcare resource utilization was defined by visit frequency and complexity. From 82,621 patients with psoriasis during the study period, patient-perceived treatment effectiveness was investigated in 2200 patients. The proportion of patients reporting "strongly agree" when asked if their treatment was effective was highest for biologics (73%) and those reporting treatment adherence (55%). In 16,000 patients who received oral systemics and 21,087 patients who received biologics, median treatment duration was longer for those who received biologics (160 vs. 113 days, respectively). Treatment switching was less frequent among patients on systemic monotherapies compared to those on combination therapies. The most common reason for discontinuing biologics was loss of efficacy; the most common reason for discontinuing orals was side effects. In 28,754 patients, higher disease severity was associated with increased healthcare resource

  19. Two-epoch cross-sectional case record review protocol comparing quality of care of hospital emergency admissions at weekends versus weekdays.

    Science.gov (United States)

    Bion, Julian; Aldridge, Cassie P; Girling, Alan; Rudge, Gavin; Beet, Chris; Evans, Tim; Temple, R Mark; Roseveare, Chris; Clancy, Mike; Boyal, Amunpreet; Tarrant, Carolyn; Sutton, Elizabeth; Sun, Jianxia; Rees, Peter; Mannion, Russell; Chen, Yen-Fu; Watson, Samuel Ian; Lilford, Richard

    2017-12-22

    The mortality associated with weekend admission to hospital (the 'weekend effect') has for many years been attributed to deficiencies in quality of hospital care, often assumed to be due to suboptimal senior medical staffing at weekends. This protocol describes a case note review to determine whether there are differences in care quality for emergency admissions (EAs) to hospital at weekends compared with weekdays, and whether the difference has reduced over time as health policies have changed to promote 7-day services. Cross-sectional two-epoch case record review of 20 acute hospital Trusts in England. Anonymised case records of 4000 EAs to hospital, 2000 at weekends and 2000 on weekdays, covering two epochs (financial years 2012-2013 and 2016-2017). Admissions will be randomly selected across the whole of each epoch from Trust electronic patient records. Following training, structured implicit case reviews will be conducted by consultants or senior registrars (senior residents) in acute medical specialities (60 case records per reviewer), and limited to the first 7 days following hospital admission. The co-primary outcomes are the weekend:weekday admission ratio of errors per case record, and a global assessment of care quality on a Likert scale. Error rates will be analysed using mixed effects logistic regression models, and care quality using ordinal regression methods. Secondary outcomes include error typology, error-related adverse events and any correlation between error rates and staffing. The data will also be used to inform a parallel health economics analysis. The project has received ethics approval from the South West Wales Research Ethics Committee (REC): reference 13/WA/0372. Informed consent is not required for accessing anonymised patient case records from which patient identifiers had been removed. The findings will be disseminated through peer-reviewed publications in high-quality journals and through local High-intensity Specialist-Led Acute

  20. Real-Time Motion Capture Toolbox (RTMocap): an open-source code for recording 3-D motion kinematics to study action-effect anticipations during motor and social interactions.

    Science.gov (United States)

    Lewkowicz, Daniel; Delevoye-Turrell, Yvonne

    2016-03-01

    We present here a toolbox for the real-time motion capture of biological movements that runs in the cross-platform MATLAB environment (The MathWorks, Inc., Natick, MA). It provides instantaneous processing of the 3-D movement coordinates of up to 20 markers at a single instant. Available functions include (1) the setting of reference positions, areas, and trajectories of interest; (2) recording of the 3-D coordinates for each marker over the trial duration; and (3) the detection of events to use as triggers for external reinforcers (e.g., lights, sounds, or odors). Through fast online communication between the hardware controller and RTMocap, automatic trial selection is possible by means of either a preset or an adaptive criterion. Rapid preprocessing of signals is also provided, which includes artifact rejection, filtering, spline interpolation, and averaging. A key example is detailed, and three typical variations are developed (1) to provide a clear understanding of the importance of real-time control for 3-D motion in cognitive sciences and (2) to present users with simple lines of code that can be used as starting points for customizing experiments using the simple MATLAB syntax. RTMocap is freely available (http://sites.google.com/site/RTMocap/) under the GNU public license for noncommercial use and open-source development, together with sample data and extensive documentation.

  1. A granular t abu search algorithm for a real case study of a vehicle routing problem with a heterogeneous fleet and time windows

    Energy Technology Data Exchange (ETDEWEB)

    Bernal, Jose; Escobar, John Willmer; Linfati, Rodrigo

    2017-07-01

    We consider a real case study of a vehicle routing problem with a heterogeneous fleet and time windows (HFVRPTW) for a franchise company bottling Coca-Cola products in Colombia. This study aims to determine the routes to be performed to fulfill the demand of the customers by using a heterogeneous fleet and considering soft time windows. The objective is to minimize the distance traveled by the performed routes. Design/methodology/approach: We propose a two-phase heuristic algorithm. In the proposed approach, after an initial phase (first phase), a granular tabu search is applied during the improvement phase (second phase). Two additional procedures are considered to help that the algorithm could escape from local optimum, given that during a given number of iterations there has been no improvement. Findings: Computational experiments on real instances show that the proposed algorithm is able to obtain high-quality solutions within a short computing time compared to the results found by the software that the company currently uses to plan the daily routes. Originality/value: We propose a novel metaheuristic algorithm for solving a real routing problem by considering heterogeneous fleet and time windows. The efficiency of the proposed approach has been tested on real instances, and the computational experiments shown its applicability and performance for solving NP-Hard Problems related with routing problems with similar characteristics. The proposed algorithm was able to improve some of the current solutions applied by the company by reducing the route length and the number of vehicles.

  2. A granular t abu search algorithm for a real case study of a vehicle routing problem with a heterogeneous fleet and time windows

    International Nuclear Information System (INIS)

    Bernal, Jose; Escobar, John Willmer; Linfati, Rodrigo

    2017-01-01

    We consider a real case study of a vehicle routing problem with a heterogeneous fleet and time windows (HFVRPTW) for a franchise company bottling Coca-Cola products in Colombia. This study aims to determine the routes to be performed to fulfill the demand of the customers by using a heterogeneous fleet and considering soft time windows. The objective is to minimize the distance traveled by the performed routes. Design/methodology/approach: We propose a two-phase heuristic algorithm. In the proposed approach, after an initial phase (first phase), a granular tabu search is applied during the improvement phase (second phase). Two additional procedures are considered to help that the algorithm could escape from local optimum, given that during a given number of iterations there has been no improvement. Findings: Computational experiments on real instances show that the proposed algorithm is able to obtain high-quality solutions within a short computing time compared to the results found by the software that the company currently uses to plan the daily routes. Originality/value: We propose a novel metaheuristic algorithm for solving a real routing problem by considering heterogeneous fleet and time windows. The efficiency of the proposed approach has been tested on real instances, and the computational experiments shown its applicability and performance for solving NP-Hard Problems related with routing problems with similar characteristics. The proposed algorithm was able to improve some of the current solutions applied by the company by reducing the route length and the number of vehicles.

  3. A true real-time success story: the case of collecting beauty-ful data at the LHCb experiment arXiv

    CERN Document Server

    Alessio, Federico

    The LHCb experiment at CERN is currently completing its first big data taking campaign at the LHC started in 2009. It has been collecting data at more than 2.5 times its nominal design luminosity value and with a global efficiency of ~92%. Even more striking, the efficiency between online and offline recorded luminosity, obtained by comparing the data quality output, is close to 99%, which highlights how well the detector, its data acquisition system and its control system have been performing despite much harsher and more variable conditions than initially foreseen. In this paper, the excellent performance of the LHCb experiment will be described, by transversally tying together the timing and data acquisition system, the software trigger, the real-time calibration and the shifters interaction with the control system. Particular attention will be given to their real-time aspects, which allow performing an online reconstruction that is at the same performance level as the offline one through a real-time calib...

  4. Real-time numerical forecast of global epidemic spreading: case study of 2009 A/H1N1pdm

    Directory of Open Access Journals (Sweden)

    Tizzoni Michele

    2012-12-01

    Full Text Available Abstract Background Mathematical and computational models for infectious diseases are increasingly used to support public-health decisions; however, their reliability is currently under debate. Real-time forecasts of epidemic spread using data-driven models have been hindered by the technical challenges posed by parameter estimation and validation. Data gathered for the 2009 H1N1 influenza crisis represent an unprecedented opportunity to validate real-time model predictions and define the main success criteria for different approaches. Methods We used the Global Epidemic and Mobility Model to generate stochastic simulations of epidemic spread worldwide, yielding (among other measures the incidence and seeding events at a daily resolution for 3,362 subpopulations in 220 countries. Using a Monte Carlo Maximum Likelihood analysis, the model provided an estimate of the seasonal transmission potential during the early phase of the H1N1 pandemic and generated ensemble forecasts for the activity peaks in the northern hemisphere in the fall/winter wave. These results were validated against the real-life surveillance data collected in 48 countries, and their robustness assessed by focusing on 1 the peak timing of the pandemic; 2 the level of spatial resolution allowed by the model; and 3 the clinical attack rate and the effectiveness of the vaccine. In addition, we studied the effect of data incompleteness on the prediction reliability. Results Real-time predictions of the peak timing are found to be in good agreement with the empirical data, showing strong robustness to data that may not be accessible in real time (such as pre-exposure immunity and adherence to vaccination campaigns, but that affect the predictions for the attack rates. The timing and spatial unfolding of the pandemic are critically sensitive to the level of mobility data integrated into the model. Conclusions Our results show that large-scale models can be used to provide valuable real

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

    Directory of Open Access Journals (Sweden)

    Olson Joanne

    2008-12-01

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

  6. Four-dimensional real-time sonographically guided cauterization of the umbilical cord in a case of twin-twin transfusion syndrome.

    Science.gov (United States)

    Timor-Tritsch, Ilan E; Rebarber, Andrei; MacKenzie, Andrew; Caglione, Christopher F; Young, Bruce K

    2003-07-01

    In the past decade, three-dimensional (3D) sonographic technology has matured from a static imaging modality to near-real-time imaging. One of the more notable improvements in this technology has been the speed with which the imaged volume is acquired and displayed. This has enabled the birth of the near-real-time or four-dimensional (4D) sonographic concept. Using the 4D feature of the current 3D sonography machines allows us to follow moving structures, such as fetal motion, in almost real time. Shortly after the emergence of 3D and 4D technology as a clinical imaging tool, its use in guiding needles into structures was explored by other investigators. We present a case in which we used the 4D feature of our sonographic equipment to follow the course and motion of an instrument inserted into the uterus to occlude the umbilical cord of a fetus in a case of twin-twin transfusion syndrome.

  7. Real-time forecasting of an epidemic using a discrete time stochastic model: a case study of pandemic influenza (H1N1-2009

    Directory of Open Access Journals (Sweden)

    Nishiura Hiroshi

    2011-02-01

    Full Text Available Abstract Background Real-time forecasting of epidemics, especially those based on a likelihood-based approach, is understudied. This study aimed to develop a simple method that can be used for the real-time epidemic forecasting. Methods A discrete time stochastic model, accounting for demographic stochasticity and conditional measurement, was developed and applied as a case study to the weekly incidence of pandemic influenza (H1N1-2009 in Japan. By imposing a branching process approximation and by assuming the linear growth of cases within each reporting interval, the epidemic curve is predicted using only two parameters. The uncertainty bounds of the forecasts are computed using chains of conditional offspring distributions. Results The quality of the forecasts made before the epidemic peak appears largely to depend on obtaining valid parameter estimates. The forecasts of both weekly incidence and final epidemic size greatly improved at and after the epidemic peak with all the observed data points falling within the uncertainty bounds. Conclusions Real-time forecasting using the discrete time stochastic model with its simple computation of the uncertainty bounds was successful. Because of the simplistic model structure, the proposed model has the potential to additionally account for various types of heterogeneity, time-dependent transmission dynamics and epidemiological details. The impact of such complexities on forecasting should be explored when the data become available as part of the disease surveillance.

  8. Using informatics and the electronic medical record to describe antimicrobial use in the clinical management of diarrhea cases at 12 companion animal practices.

    Directory of Open Access Journals (Sweden)

    R Michele Anholt

    Full Text Available Antimicrobial drugs may be used to treat diarrheal illness in companion animals. It is important to monitor antimicrobial use to better understand trends and patterns in antimicrobial resistance. There is no monitoring of antimicrobial use in companion animals in Canada. To explore how the use of electronic medical records could contribute to the ongoing, systematic collection of antimicrobial use data in companion animals, anonymized electronic medical records were extracted from 12 participating companion animal practices and warehoused at the University of Calgary. We used the pre-diagnostic, clinical features of diarrhea as the case definition in this study. Using text-mining technologies, cases of diarrhea were described by each of the following variables: diagnostic laboratory tests performed, the etiological diagnosis and antimicrobial therapies. The ability of the text miner to accurately describe the cases for each of the variables was evaluated. It could not reliably classify cases in terms of diagnostic tests or etiological diagnosis; a manual review of a random sample of 500 diarrhea cases determined that 88/500 (17.6% of the target cases underwent diagnostic testing of which 36/88 (40.9% had an etiological diagnosis. Text mining, compared to a human reviewer, could accurately identify cases that had been treated with antimicrobials with high sensitivity (92%, 95% confidence interval, 88.1%-95.4% and specificity (85%, 95% confidence interval, 80.2%-89.1%. Overall, 7400/15,928 (46.5% of pets presenting with diarrhea were treated with antimicrobials. Some temporal trends and patterns of the antimicrobial use are described. The results from this study suggest that informatics and the electronic medical records could be useful for monitoring trends in antimicrobial use.

  9. Reply to ``Comment on `Performance of different synchronization measures in real data: A case study on electroencephalographic signals' ''

    Science.gov (United States)

    Quian Quiroga, R.; Kraskov, A.; Kreuz, T.; Grassberger, P.

    2003-06-01

    We agree with the Comment by Duckrow and Albano [Phys. Rev. E 67, 063901 (2003)] that mutual information, estimated with an optimized algorithm, can be a useful tool for studying synchronization in real data. However, we point out that the improvement they found is mainly due to an interesting but nonstandard embedding technique used, and not so much due to the algorithm used for the estimation of mutual information itself. We also address the issue of stationarity of electroencephalographic (EEG) data.

  10. Purchasing behaviour on aesthetic items in online video games with real currency : The case of Counter Strike: Global Offensive

    OpenAIRE

    Rodríguez, Bruno

    2017-01-01

    Over the last decade, buying in-game content with real money has become a more common practice among players in order to unlock exclusive content in video games. Prior research has mainly focused on those functional digital items that provide an advantage to the buyer. This thesis aims to determine the underlying factors that influence video game players to purchase purely aesthetic virtual items.Prior studies on the field of video games, gaming business models and purchasing behaviour were r...

  11. Real-Time Transportation Mode Identification Using Artificial Neural Networks Enhanced with Mode Availability Layers: A Case Study in Dubai

    Directory of Open Access Journals (Sweden)

    Young-Ji Byon

    2017-09-01

    Full Text Available Traditionally, departments of transportation (DOTs have dispatched probe vehicles with dedicated vehicles and drivers for monitoring traffic conditions. Emerging assisted GPS (AGPS and accelerometer-equipped smartphones offer new sources of raw data that arise from voluntarily-traveling smartphone users provided that their modes of transportation can correctly be identified. By introducing additional raster map layers that indicate the availability of each mode, it is possible to enhance the accuracy of mode detection results. Even in its simplest form, an artificial neural network (ANN excels at pattern recognition with a relatively short processing timeframe once it is properly trained, which is suitable for real-time mode identification purposes. Dubai is one of the major cities in the Middle East and offers unique environments, such as a high density of extremely high-rise buildings that may introduce multi-path errors with GPS signals. This paper develops real-time mode identification ANNs enhanced with proposed mode availability geographic information system (GIS layers, firstly for a universal mode detection and, secondly for an auto mode detection for the particular intelligent transportation system (ITS application of traffic monitoring, and compares the results with existing approaches. It is found that ANN-based real-time mode identification, enhanced by mode availability GIS layers, significantly outperforms the existing methods.

  12. Organizational learning in the implementation and adoption of national electronic health records: case studies of two hospitals participating in the National Programme for Information Technology in England.

    Science.gov (United States)

    Takian, Amirhossein; Sheikh, Aziz; Barber, Nicholas

    2014-09-01

    To explore the role of organizational learning in enabling implementation and supporting adoption of electronic health record systems into two English hospitals. In the course of conducting our prospective and sociotechnical evaluation of the implementation and adoption of electronic health record into 12 "early adopter" hospitals across England, we identified two hospitals implementing virtually identical versions of the same "off-the-shelf" software (Millennium) within a comparable timeframe. We undertook a longitudinal qualitative case study-based analysis of these two hospitals (referred to hereafter as Alpha and Omega) and their implementation experiences. Data included the following: 63 in-depth interviews with various groups of internal and external stakeholders; 41-h on-site observation; and content analysis of 218 documents of various types. Analysis was both inductive and deductive, the latter being informed by the "sociotechnical changing" theoretical perspective. Although Alpha and Omega shared a number of contextual similarities, our evaluation revealed fundamental differences in visions of electronic health record and the implementation strategy between the hospitals, which resulted in distinct local consequences of electronic health record implementation and impacted adoption. Both hospitals did not, during our evaluation, see the hoped-for benefits to the organization as a result of the introduction of electronic health record, such as speeding-up tasks. Nonetheless, the Millennium software worked out to be easier to use at Omega. Interorganizational learning was at the heart of this difference. Despite the turbulent overall national "roll out" of electronic health record systems into the English hospitals, considerable opportunities for organizational learning were offered by sequential delivery of the electronic health record software into "early adopter" hospitals. We argue that understanding the process of organizational learning and its

  13. A stochastic model for stationary dynamics of prices in real estate markets. A case of random intensity for Poisson moments of prices changes

    Science.gov (United States)

    Rusakov, Oleg; Laskin, Michael

    2017-06-01

    We consider a stochastic model of changes of prices in real estate markets. We suppose that in a book of prices the changes happen in points of jumps of a Poisson process with a random intensity, i.e. moments of changes sequently follow to a random process of the Cox process type. We calculate cumulative mathematical expectations and variances for the random intensity of this point process. In the case that the process of random intensity is a martingale the cumulative variance has a linear grows. We statistically process a number of observations of real estate prices and accept hypotheses of a linear grows for estimations as well for cumulative average, as for cumulative variance both for input and output prises that are writing in the book of prises.

  14. Updating long-range transport model predictions using real-time monitoring data in case of nuclear accidents with release to the atmosphere

    International Nuclear Information System (INIS)

    Raes, Frank; Tassone, Caterina; Grippa, Gianni; Zarimpas, Nicolas; Graziani, Giovanni

    1991-01-01

    A procedure is developed to reduce the uncertainties of long-range transport model predictions, in case of a large scale nuclear accident. It is based on the availability in 'real time' of the concentrations of airborne radioactive aerosols from automatic on-line monitors, which are presently being installed throughout Europe. Essentially, the procedure consists of: (1) constructing new (area) source terms from the measured field data as they become available; and (2) restart the prediction with these sources, rather than with the original (point) source. The procedure is applied to the Chernobyl accident. It is shown that the procedure is feasible and might result in an improvement of the prediction of the location of the cloud by several hundreds of kilometers and the actual levels with an order of magnitude. The weak point is the treatment of the vertical structure and transport of the cloud, which can only be solved when 'real-time' upper air observations are also available. (author)

  15. Towards best-case response times of real-time tasks under fixed-priority scheduling with deferred preemption

    NARCIS (Netherlands)

    Bril, R.J.; Verhaegh, W.F.J.; Puaut, I.

    2005-01-01

    In this paper, we present lower bounds for best-case response times of periodic tasks under fixed-priority scheduling with deferred preemption (FPDS) and arbitrary phasing. Our analysis is based on a dedicated conjecture for a ¿-optimal instant, and uses the notion of best-case occupied time. We

  16. Record linkage between hospital discharges and mortality registries for motor neuron disease case ascertainment for the Spanish National Rare Diseases Registry.

    Science.gov (United States)

    Ruiz, Elena; Ramalle-Gómara, Enrique; Quiñones, Carmen

    2014-06-01

    Our objective was to analyse the coverage of hospital discharge data and the mortality registry (MR) of La Rioja to ascertain motor neuron disease (MND) cases to be included in the Spanish National Rare Diseases Registry. MND cases that occurred in La Rioja during the period 1996-2011 were selected from hospital discharge data and the MR by means of the International Classification of Diseases. Review of the medical histories was carried out to confirm the causes of death reported. Characteristics of the population with MND were analysed. A total of 133 patients with MND were detected in La Rioja during the period 1996-2011; 30.1% were only recorded in the hospital discharges data, 12.0% only in the MR, and 57.9% were recorded by both databases. Medical records revealed a miscoding of patients who had been diagnosed with progressive supranuclear palsy but were recorded in the MR with an MND code. In conclusion, the hospital discharges data and the MR appear to be complementary and are valuable databases for the Spanish National Rare Diseases Registry when MNDs are properly codified. Nevertheless, it would be advisable to corroborate the validity of the MR as data source since the miscoding of progressive supranuclear palsy has been corrected.

  17. 77 FR 67348 - Privacy Act of 1974; System of Records-Alternative Dispute Resolution (ADR) Center Case Tracking...

    Science.gov (United States)

    2012-11-09

    ....S.C. 791 et seq.; the Equal Pay Act, 29 U.S.C. 206(d); the Genetic Information Nondiscrimination Act... DEPARTMENT OF EDUCATION Privacy Act of 1974; System of Records--Alternative Dispute Resolution... with the Privacy Act of 1974, as amended, 5 U.S.C. 552a (Privacy Act), the Department of Education...

  18. "Teaching Case": ComprehensiveCare and the Stalled Adoption of an Electronic Health Records System: IT Governance and Employee Succession

    Science.gov (United States)

    Gomillion, David L.

    2017-01-01

    ComprehensiveCare, a multi-specialty healthcare organization, struggles to implement Electronic Health Records. The first adoption failed outright because the customizations made the system unusable. The second attempted adoption has not officially failed yet, but the system fails to live up to the expectations. It lingers on the edge of…

  19. Concordance Between Self-Reported Childhood Maltreatment Versus Case Record Reviews for Child Welfare?Affiliated Adolescents: Prevalence Rates and Associations With Outcomes

    OpenAIRE

    Negriff, Sonya; Schneiderman, Janet U.; Trickett, Penelope K.

    2016-01-01

    The present study used data from an ongoing longitudinal study of the effects of maltreatment on adolescent development to (1) describe rates of maltreatment experiences obtained from retrospective self-report versus case record review for adolescents with child welfare?documented maltreatment histories, (2) examine self-reported versus child welfare?identified maltreatment in relation to mental health and risk behavior outcomes by maltreatment type, and (3) examine the association between th...

  20. National Technology Programmes as a Tool to Increase R&D activity in Real Estate Management and Services Case Rembrand

    OpenAIRE

    Tiina Tanninen-Ahonen

    2001-01-01

    The real-estate industry is running the risk of lagging behind in the global competition. The productivity increase in the sector has not been able to match the development of most other industries. The explanation put forward for this underperformance has been the lack of adequate allocation of resources to R&D that has led to suboptimal levels of innovation. Explanatory factors for the low levels of R&D spending has been sought in the fragmentation of the industry and a long tradition of re...

  1. Vinyl Record

    DEFF Research Database (Denmark)

    Bartmanski, Dominik; Woodward, Ian

    2018-01-01

    . This relational process means that both the material affordances and entanglements of vinyl allow us to feel, handle, experience, project, and share its iconicity. The materially mediated meanings of vinyl enabled it to retain currency in independent and collector’s markets and thus resist the planned......In this paper, we use the case of the vinyl record to show that iconic objects become meaningful via a dual process. First, they offer immersive engagements which structure user interpretations through various material experiences of handling, use, and extension. Second, they always work via...

  2. Prevalence of bloodstream pathogens is higher in neonatal encephalopathy cases vs. controls using a novel panel of real-time PCR assays.

    Science.gov (United States)

    Tann, Cally J; Nkurunziza, Peter; Nakakeeto, Margaret; Oweka, James; Kurinczuk, Jennifer J; Were, Jackson; Nyombi, Natasha; Hughes, Peter; Willey, Barbara A; Elliott, Alison M; Robertson, Nicola J; Klein, Nigel; Harris, Kathryn A

    2014-01-01

    In neonatal encephalopathy (NE), infectious co-morbidity is difficult to diagnose accurately, but may increase the vulnerability of the developing brain to hypoxia-ischemia. We developed a novel panel of species-specific real-time PCR assays to identify bloodstream pathogens amongst newborns with and without NE in Uganda. Multiplex real-time PCR assays for important neonatal bloodstream pathogens (gram positive and gram negative bacteria, cytomegalovirus (CMV), herpes simplex virus(HSV) and P. falciparum) were performed on whole blood taken from 202 encephalopathic and 101 control infants. Automated blood culture (BACTEC) was performed for all cases and unwell controls. Prevalence of pathogenic bacterial species amongst infants with NE was 3.6%, 6.9% and 8.9%, with culture, PCR and both tests in combination, respectively. More encephalopathic infants than controls had pathogenic bacterial species detected (8.9%vs2.0%, p = 0.028) using culture and PCR in combination. PCR detected bacteremia in 11 culture negative encephalopathic infants (3 Group B Streptococcus, 1 Group A Streptococcus, 1 Staphylococcus aureus and 6 Enterobacteriacae). Coagulase negative staphylococcus, frequently detected by PCR amongst case and control infants, was considered a contaminant. Prevalence of CMV, HSV and malaria amongst cases was low (1.5%, 0.5% and 0.5%, respectively). This real-time PCR panel detected more bacteremia than culture alone and provides a novel tool for detection of neonatal bloodstream pathogens that may be applied across a range of clinical situations and settings. Significantly more encephalopathic infants than controls had pathogenic bacterial species detected suggesting that infection may be an important risk factor for NE in this setting.

  3. Prevalence of bloodstream pathogens is higher in neonatal encephalopathy cases vs. controls using a novel panel of real-time PCR assays.

    Directory of Open Access Journals (Sweden)

    Cally J Tann

    Full Text Available In neonatal encephalopathy (NE, infectious co-morbidity is difficult to diagnose accurately, but may increase the vulnerability of the developing brain to hypoxia-ischemia. We developed a novel panel of species-specific real-time PCR assays to identify bloodstream pathogens amongst newborns with and without NE in Uganda.Multiplex real-time PCR assays for important neonatal bloodstream pathogens (gram positive and gram negative bacteria, cytomegalovirus (CMV, herpes simplex virus(HSV and P. falciparum were performed on whole blood taken from 202 encephalopathic and 101 control infants. Automated blood culture (BACTEC was performed for all cases and unwell controls.Prevalence of pathogenic bacterial species amongst infants with NE was 3.6%, 6.9% and 8.9%, with culture, PCR and both tests in combination, respectively. More encephalopathic infants than controls had pathogenic bacterial species detected (8.9%vs2.0%, p = 0.028 using culture and PCR in combination. PCR detected bacteremia in 11 culture negative encephalopathic infants (3 Group B Streptococcus, 1 Group A Streptococcus, 1 Staphylococcus aureus and 6 Enterobacteriacae. Coagulase negative staphylococcus, frequently detected by PCR amongst case and control infants, was considered a contaminant. Prevalence of CMV, HSV and malaria amongst cases was low (1.5%, 0.5% and 0.5%, respectively.This real-time PCR panel detected more bacteremia than culture alone and provides a novel tool for detection of neonatal bloodstream pathogens that may be applied across a range of clinical situations and settings. Significantly more encephalopathic infants than controls had pathogenic bacterial species detected suggesting that infection may be an important risk factor for NE in this setting.

  4. A real time biofeedback using Kinect and Wii to improve gait for post-total knee replacement rehabilitation: a case study report.

    Science.gov (United States)

    Levinger, Pazit; Zeina, Daniel; Teshome, Assefa K; Skinner, Elizabeth; Begg, Rezaul; Abbott, John Haxby

    2016-01-01

    This study aimed to develop a low-cost real-time biofeedback system to assist with rehabilitation for patients following total knee replacement (TKR) and to assess its feasibility of use in a post-TKR patient case study design with a comparison group. The biofeedback system consisted of Microsoft Kinect(TM) and Nintendo Wii balance board with a dedicated software. A six-week inpatient rehabilitation program was augmented by biofeedback and tested in a single patient following TKR. Three patients underwent a six weeks standard rehabilitation with no biofeedback and served as a control group. Gait, function and pain were assessed and compared before and after the rehabilitation. The biofeedback software incorporated real time visual feedback to correct limb alignment, movement pattern and weight distribution. Improvements in pain, function and quality of life were observed in both groups. The strong improvement in the knee moment pattern demonstrated in the case study indicates feasibility of the biofeedback-augmented intervention. This novel biofeedback software has used simple commercially accessible equipment that can be feasibly incorporated to augment a post-TKR rehabilitation program. Our preliminary results indicate the potential of this biofeedback-assisted rehabilitation to improve knee function during gait. Research is required to test this hypothesis. Implications for Rehabilitation The real-time biofeedback system developed integrated custom-made software and simple low-cost commercially accessible equipment such as Kinect and Wii board to provide augmented information during rehabilitation following TKR. The software incorporated key rehabilitation principles and visual feedback to correct alignment of the lower legs, pelvic and trunk as well as providing feedback on limbs weight distribution. The case study patient demonstrated greater improvement in their knee function where a more normal biphasic knee moment was achieved following the six

  5. Optimising case detection within UK electronic health records : use of multiple linked databases for detecting liver injury

    NARCIS (Netherlands)

    Wing, Kevin; Bhaskaran, Krishnan; Smeeth, Liam; van Staa, Tjeerd P|info:eu-repo/dai/nl/304827762; Klungel, Olaf H|info:eu-repo/dai/nl/181447649; Reynolds, Robert F; Douglas, Ian

    2016-01-01

    OBJECTIVES: We aimed to create a 'multidatabase' algorithm for identification of cholestatic liver injury using multiple linked UK databases, before (1) assessing the improvement in case ascertainment compared to using a single database and (2) developing a new single-database case-definition

  6. Real analysis and applications

    CERN Document Server

    Botelho, Fabio Silva

    2018-01-01

    This textbook introduces readers to real analysis in one and n dimensions. It is divided into two parts: Part I explores real analysis in one variable, starting with key concepts such as the construction of the real number system, metric spaces, and real sequences and series. In turn, Part II addresses the multi-variable aspects of real analysis. Further, the book presents detailed, rigorous proofs of the implicit theorem for the vectorial case by applying the Banach fixed-point theorem and the differential forms concept to surfaces in Rn. It also provides a brief introduction to Riemannian geometry. With its rigorous, elegant proofs, this self-contained work is easy to read, making it suitable for undergraduate and beginning graduate students seeking a deeper understanding of real analysis and applications, and for all those looking for a well-founded, detailed approach to real analysis.

  7. Economic assessment of R and D with real options in the field of fast reactors taking into account uncertainty on their competitiveness: the case of France

    International Nuclear Information System (INIS)

    Taverdet-Popiolek, Nathalie; Shoai Tehrani, Bianka

    2013-01-01

    In a context of potential worldwide nuclear development, this paper aims at assessing the economic value of pursuing research in Generation IV fast reactors today, given that it would allow industrial deployment around 2040 in case of high uranium prices. Two key variables shall be considered as inputs for the assessment: the price of uranium and the over-cost of Generation IV reactors compared to the previous generation. Our model based on real options theory demonstrates that this value is positive and outweighs the risks associated with the competitiveness of Generation IV. (authors)

  8. Deployment and use of mobile phone technology for real-time reporting of fever cases and malaria treatment failure in areas of declining malaria transmission in Muheza district north-eastern Tanzania.

    Science.gov (United States)

    Francis, Filbert; Ishengoma, Deus S; Mmbando, Bruno P; Rutta, Acleus S M; Malecela, Mwelecele N; Mayala, Benjamin; Lemnge, Martha M; Michael, Edwin

    2017-08-01

    Early detection of febrile illnesses at community level is essential for improved malaria case management and control. Currently, mobile phone-based technology has been commonly used to collect and transfer health information and services in different settings. This study assessed the applicability of mobile phone-based technology in real-time reporting of fever cases and management of malaria by village health workers (VHWs) in north-eastern Tanzania. The community mobile phone-based disease surveillance and treatment for malaria (ComDSTM) platform, combined with mobile phones and web applications, was developed and implemented in three villages and one dispensary in Muheza district from November 2013 to October 2014. A baseline census was conducted in May 2013. The data were uploaded on a web-based database and updated during follow-up home visits by VHWs. Active and passive case detection (ACD, PCD) of febrile cases were done by VHWs and cases found positive by malaria rapid diagnostic test (RDT) were given the first dose of artemether-lumefantrine (AL) at the dispensary. Each patient was visited at home by VHWs daily for the first 3 days to supervise intake of anti-malarial and on day 7 to monitor the recovery process. The data were captured and transmitted to the database using mobile phones. The baseline population in the three villages was 2934 in 678 households. A total of 1907 febrile cases were recorded by VHWs and 1828 (95.9%) were captured using mobile phones. At the dispensary, 1778 (93.2%) febrile cases were registered and of these, 84.2% were captured through PCD. Positivity rates were 48.2 and 45.8% by RDT and microscopy, respectively. Nine cases had treatment failure reported on day 7 post-treatment and adherence to treatment was 98%. One patient with severe febrile illness was referred to Muheza district hospital. The study showed that mobile phone-based technology can be successfully used by VHWs in surveillance and timely reporting of fever

  9. A real-time approach toward the chemical quality control of rock material (Case study: Gravel mines in Semnan, Iran

    Directory of Open Access Journals (Sweden)

    Behzad Tokhmechi

    2016-06-01

    Full Text Available The quality of concrete is highly dependent on the characteristics of its aggregate, such as the size, minerals, and their chemical properties. Even a small amount of impurities, such as hydrated sulfates, chlorine (salt, and acidic pH of the rock material, can adversely affect the quality of the concrete. Thus, many national codes and standards are developed for testing, selecting, and employing the rock materials in concrete. For instance, Iranian standards 446, 449, 1702, 4978, 4984, 7174, and 86721 are currently serving this purpose. In the present research, a new real-time system was developed in order to replace the customary chemical analysis and size distribution tests. 20 samples were taken from two mines, selected by the Building Material Committee of Semnan Province, in order to determine the dissolved chlorine and sulfate, pH, density as well as size distribution. The new system is constituted of hydraulic jacks and a reservoir, designed to take samples from the conveyer in given time intervals. The samples were washed with distilled water and real-time analyses of dissolved chlorine and pH were performed. The results showed 85% agreement with the results from laboratory analyses. The correct classification rate (CCR was 92% for 13 samples.

  10. Power requirements and environmental impact of a pedelec. A case study based on real-life applications

    Energy Technology Data Exchange (ETDEWEB)

    Abagnale, Carmelina, E-mail: c.abagnale@unina.it; Cardone, Massimo, E-mail: massimo.cardone@unina.it; Iodice, Paolo, E-mail: paolo.iodice@unina.it; Strano, Salvatore, E-mail: salvatore.strano@unina.it; Terzo, Mario, E-mail: m.terzo@unina.it; Vorraro, Giovanni, E-mail: giovanni.vorraro@unina.it

    2015-07-15

    This paper describes the methodologies to appraise the power requests and environmental analysis of an electrically assisted bicycle under real driving conditions, also containing regulations and technical-science-related aspects. For this purpose, in this study, the on-road test program of an electrically assisted bicycle was executed in the urban area of Naples on different test tracks, so a general assessment about its driving behavior under several driving conditions was performed. The power requirements in different typical riding situations were estimated by a procedure based on the experimental kinematic parameters that characterize the driving dynamics collected during the real-life applications. An environmental analysis was also performed, with a methodology that takes into account the environmental assessment of a moped by measuring the experimental moped exhaust emissions of the regulated pollutants. Starting from the results acquired during the different test samples, besides, an assessment of the electric traction offered by this pedelec on the driving comfort was evaluated for different riding situations. - Highlights: • The power requirements of a pedelec in typical riding conditions were identified. • The estimated electricity consumption for battery recharging was defined. • An environmental valuation of the tested pedelec and of a moped was performed. • Emissions that could be saved utilizing a pedelec instead of a moped were derived.

  11. Power requirements and environmental impact of a pedelec. A case study based on real-life applications

    International Nuclear Information System (INIS)

    Abagnale, Carmelina; Cardone, Massimo; Iodice, Paolo; Strano, Salvatore; Terzo, Mario; Vorraro, Giovanni

    2015-01-01

    This paper describes the methodologies to appraise the power requests and environmental analysis of an electrically assisted bicycle under real driving conditions, also containing regulations and technical-science-related aspects. For this purpose, in this study, the on-road test program of an electrically assisted bicycle was executed in the urban area of Naples on different test tracks, so a general assessment about its driving behavior under several driving conditions was performed. The power requirements in different typical riding situations were estimated by a procedure based on the experimental kinematic parameters that characterize the driving dynamics collected during the real-life applications. An environmental analysis was also performed, with a methodology that takes into account the environmental assessment of a moped by measuring the experimental moped exhaust emissions of the regulated pollutants. Starting from the results acquired during the different test samples, besides, an assessment of the electric traction offered by this pedelec on the driving comfort was evaluated for different riding situations. - Highlights: • The power requirements of a pedelec in typical riding conditions were identified. • The estimated electricity consumption for battery recharging was defined. • An environmental valuation of the tested pedelec and of a moped was performed. • Emissions that could be saved utilizing a pedelec instead of a moped were derived

  12. Real-world use of the risk-need-responsivity model and the level of service/case management inventory with community-supervised offenders.

    Science.gov (United States)

    Dyck, Heather L; Campbell, Mary Ann; Wershler, Julie L

    2018-06-01

    The risk-need-responsivity model (RNR; Bonta & Andrews, 2017) has become a leading approach for effective offender case management, but field tests of this model are still required. The present study first assessed the predictive validity of the RNR-informed Level of Service/Case Management Inventory (LS/CMI; Andrews, Bonta, & Wormith, 2004) with a sample of Atlantic Canadian male and female community-supervised provincial offenders (N = 136). Next, the case management plans prepared from these LS/CMI results were analyzed for adherence to the principles of risk, need, and responsivity. As expected, the LS/CMI was a strong predictor of general recidivism for both males (area under the curve = .75, 95% confidence interval [.66, .85]), and especially females (area under the curve = .94, 95% confidence interval [.84, 1.00]), over an average 3.42-year follow-up period. The LS/CMI was predictive of time to recidivism, with lower risk cases taking longer to reoffend than higher risk cases. Despite the robust predictive validity of the LS/CMI, case management plans developed by probation officers generally reflected poor adherence to the RNR principles. These findings highlight the need for better training on how to transfer risk appraisal information from valid risk tools to case plans to better meet the best-practice principles of risk, need, and responsivity for criminal behavior risk reduction. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  13. Making the Case for Anonymity in E-Participation - An Evaluation of Real Name Policy in Gütersloh’s Second Participatory Budget

    Directory of Open Access Journals (Sweden)

    Michelle Anna Ruesch

    2012-12-01

    Full Text Available The paper relates the debate about real name policy on social networking platforms and online forums to online moderated consultation processes in the area of e-participation. It analyses the case of the second participatory budget of the German city of Gütersloh. Three major rationales for real name policy in e-participatory projects are identified: the possibility to restrict access, prevention of offensive communication, and the strengthening of a transparent democracy. The five major objections identified are: distraction from issue-related dialogue, violation of privacy rights, administrative problems causing high expenditure of time and costs, negative media and public attention, and usability problems that may result in a low rate of participation. The evidence found indicates that the negative consequences of real name policy outweigh the positive ones. Important directions of further research are pointed out. The paper is an extended version of a paper presented at the Conference for E-Democracy and Open Government in 2012.

  14. A Record Book of Open Heart Surgical Cases between 1959 and 1982, Hand-Written by a Cardiac Surgeon.

    Science.gov (United States)

    Kim, Won-Gon

    2016-08-01

    A book of brief records of open heart surgery underwent between 1959 and 1982 at Seoul National University Hospital was recently found. The book was hand-written by the late professor and cardiac surgeon Yung Kyoon Lee (1921-1994). This book contains valuable information about cardiac patients and surgery at the early stages of the establishment of open heart surgery in Korea, and at Seoul National University Hospital. This report is intended to analyze the content of the book.

  15. A case for understanding user experience challenges confronting indigenous knowledge recorders in rural communities in South Africa

    CSIR Research Space (South Africa)

    Khalala, G

    2013-05-01

    Full Text Available . The South African government adopted a policy in 2004; to develop the Indigenous Knowledge Systems (IKS). The policy provided a platform for the recognition, affirmation, development, promotion and protection of IKS in South Africa. The NRS initiative... that have attempted to implement IKS are highlighted below: 3.1 Biozulua database The Biozulua database initiative from Venezuela was established to record IK in order to encourage innovation using traditional knowledge and to facilitate the sharing...

  16. Thorny Tenure Case at Case Western Leads to Sex-Bias Charges: A Scientist with a Strong Publication Record Was Twice Denied Tenure, and Her Data Were Seized.

    Science.gov (United States)

    Smallwood, Scott

    2001-01-01

    Describes the case of a woman biology teacher who was denied tenure at Case Western Reserve University. Critics see her as a researcher who couldn't get along with students and who is blaming her problems on others. Supporters of the gender discrimination suit she is expected to file say that the Biology Department has a pattern of discrimination…

  17. The Persuasive Effect of Social Network Feedback on Mediated Communication: A Case Study in a Real Organization.

    Science.gov (United States)

    Varotto, Alessandra; Gamberini, Luciano; Spagnolli, Anna; Martino, Francesco; Giovannardi, Isabella

    2016-03-01

    This study focuses on social feedback, namely on information on the outcome of users' online activity indirectly generated by other users, and investigates in a real setting whether it can affect subsequent activity and, if so, whether participants are aware of that. SkyPas, an application that calculates, transmits, and displays social feedback, was embedded in a common instant messaging service (Skype(™)) and used during a 7-week trial by 24 office workers at a large business organization. The trial followed an ABA scheme in which the B phase was the feedback provision phase. Results show that social feedback affects users' communication activity (participation, inward communication, outward communication, and reciprocity), sometimes even after the feedback provision phase. At the same time, users were poorly aware of this effect, showing a discrepancy between self-reported and observational measures. These results are then discussed in terms of design transparency and task compatibility.

  18. A granular tabu search algorithm for a real case study of a vehicle routing problem with a heterogeneous fleet and time windows

    Directory of Open Access Journals (Sweden)

    Jose Bernal

    2017-10-01

    Full Text Available Purpose: We consider a real case study of a vehicle routing problem with a heterogeneous fleet and time windows (HFVRPTW for a franchise company bottling Coca-Cola products in Colombia. This study aims to determine the routes to be performed to fulfill the demand of the customers by using a heterogeneous fleet and considering soft time windows. The objective is to minimize the distance traveled by the performed routes. Design/methodology/approach: We propose a two-phase heuristic algorithm. In the proposed approach, after an initial phase (first phase, a granular tabu search is applied during the improvement phase (second phase. Two additional procedures are considered to help that the algorithm could escape from local optimum, given that during a given number of iterations there has been no improvement. Findings: Computational experiments on real instances show that the proposed algorithm is able to obtain high-quality solutions within a short computing time compared to the results found by the software that the company currently uses to plan the daily routes. Originality/value: We propose a novel metaheuristic algorithm for solving a real routing problem by considering heterogeneous fleet and time windows. The efficiency of the proposed approach has been tested on real instances, and the computational experiments shown its applicability and performance for solving NP-Hard Problems related with routing problems with similar characteristics. The proposed algorithm was able to improve some of the current solutions applied by the company by reducing the route length and the number of vehicles.

  19. Real or Illusory? Case Studies on the Public Perception of Environmental Health Risks in the North West of England

    Science.gov (United States)

    Stewart, Alex G; Luria, Paolo; Reid, John; Lyons, Mary; Jarvis, Richard

    2010-01-01

    Applied research in a public health setting seeks to provide professionals with insights and knowledge into complex environmental issues to guide actions that reduce inequalities and improve health. We describe ten environmental case studies that explore the public perception of health risk. We employed logical analysis of components of each case study and comparative information to generate new evidence. The findings highlight how concerns about environmental issues measurably affect people’s wellbeing and led to the development of new understanding about the benefits of taking an earlier and more inclusive approach to risk communication that can now be tested further. PMID:20617024

  20. Decision support using anesthesia information management system records and accreditation council for graduate medical education case logs for resident operating room assignments.

    Science.gov (United States)

    Wanderer, Jonathan P; Charnin, Jonathan; Driscoll, William D; Bailin, Michael T; Baker, Keith

    2013-08-01

    Our goal in this study was to develop decision support systems for resident operating room (OR) assignments using anesthesia information management system (AIMS) records and Accreditation Council for Graduate Medical Education (ACGME) case logs and evaluate the implementations. We developed 2 Web-based systems: an ACGME case-log visualization tool, and Residents Helping in Navigating OR Scheduling (Rhinos), an interactive system that solicits OR assignment requests from residents and creates resident profiles. Resident profiles are snapshots of the cases and procedures each resident has done and were derived from AIMS records and ACGME case logs. A Rhinos pilot was performed for 6 weeks on 2 clinical services. One hundred sixty-five requests were entered and used in OR assignment decisions by a single attending anesthesiologist. Each request consisted of a rank ordered list of up to 3 ORs. Residents had access to detailed information about these cases including surgeon and patient name, age, procedure type, and admission status. Success rates at matching resident requests were determined by comparing requests with AIMS records. Of the 165 requests, 87 first-choice matches (52.7%), 27 second-choice matches (16.4%), and 8 third-choice matches (4.8%) were made. Forty-three requests were unmatched (26.1%). Thirty-nine first-choice requests overlapped (23.6%). Full implementation followed on 8 clinical services for 8 weeks. Seven hundred fifty-four requests were reviewed by 15 attending anesthesiologists, with 339 first-choice matches (45.0%), 122 second-choice matches (16.2%), 55 third-choice matches (7.3%), and 238 unmatched (31.5%). There were 279 overlapping first-choice requests (37.0%). The overall combined match success rate was 69.4%. Separately, we developed an ACGME case-log visualization tool that allows individual resident experiences to be compared against case minimums as well as resident peer groups. We conclude that it is feasible to use ACGME case

  1. You Can Have Your Cake and Eat It Too: A Successful Case of Theory Applied to the Real World.

    Science.gov (United States)

    Rojas, Alicia M.; Mulkey, Jamie

    1990-01-01

    Describes methods used by instructional designers to help subject matter experts (SMEs) create effective courseware, balanced between theory and practical application, that meets organizational objectives. A case study is presented that explains how to develop student performance objectives (SPOs) through needs assessment, the design of job aids,…

  2. Gelastic seizures and the anteromesial frontal lobe: a case report and review of intracranial EEG recording and electrocortical stimulation case studies.

    Science.gov (United States)

    Unnwongse, Kanjana; Wehner, Tim; Bingaman, William; Foldvary-Schaefer, Nancy

    2010-10-01

    Symptomatogenic areas for ictal laughter have been described in the frontal and temporal lobes. Within the frontal lobe, gelastic seizures have been recorded from the cingulate gyrus. Electrocortical stimulation of the cingulate gyrus as well as the superior frontal gyrus induced laughter. We describe a patient whose gelastic seizures were associated with electrographic ictal activity in the mesial aspect of the right anterior frontal gyrus. The symptomatogenic area for ictal laughter in the frontal lobe may reside in the superior frontal gyrus.

  3. Soft real-time EPICS extensions for fast control: A case study applied to a TCV equilibrium algorithm

    International Nuclear Information System (INIS)

    Castro, R.; Romero, J.A.; Vega, J.; Nieto, J.; Ruiz, M.; Sanz, D.; Barrera, E.; De Arcas, G.

    2014-01-01

    Highlights: • Implementation of a soft real-time control system based on EPICS technology. • High data throughput system control implementation. • GPU technology applied to fast control. • EPICS fast control based solution. • Fast control and data acquisition in Linux. - Abstract: For new control systems development, ITER distributes CODAC Core System that is a software package based on Linux RedHat, and includes EPICS (Experimental Physics and Industrial Control System) as software control system solution. EPICS technology is being widely used for implementing control systems in research experiments and it is a very well tested technology, but presents important lacks to meet fast control requirements. To manage and process massive amounts of acquired data, EPICS requires additional functions such as: data block oriented transmissions, links with speed-optimized data buffers and synchronization mechanisms not based on system interruptions. This EPICS limitation turned out clearly during the development of the Fast Plant System Controller Prototype for ITER based on PXIe platform. In this work, we present a solution that, on the one hand, is completely compatible and based on EPCIS technology, and on the other hand, extends EPICS technology for implementing high performance fast control systems with soft-real time characteristics. This development includes components such as: data acquisition, processing, monitoring, data archiving, and data streaming (via network and shared memory). Additionally, it is important to remark that this system is compatible with multiple Graphics Processing Units (GPUs) and is able to integrate MatLab code through MatLab engine connections. It preserves EPICS modularity, enabling system modification or extension with a simple change of configuration, and finally it enables parallelization based on data distribution to different processing components. With the objective of illustrating the presented solution in an actual

  4. Use of and attitudes to a hospital information system by medical secretaries, nurses and physicians deprived of the paper-based medical record: a case report

    Directory of Open Access Journals (Sweden)

    Karlsen Tom H

    2004-10-01

    Full Text Available Abstract Background Most hospitals keep and update their paper-based medical records after introducing an electronic medical record or a hospital information system (HIS. This case report describes a HIS in a hospital where the paper-based medical records are scanned and eliminated. To evaluate the HIS comprehensively, the perspectives of medical secretaries and nurses are described as well as that of physicians. Methods We have used questionnaires and interviews to assess and compare frequency of use of the HIS for essential tasks, task performance and user satisfaction among medical secretaries, nurses and physicians. Results The medical secretaries use the HIS much more than the nurses and the physicians, and they consider that the electronic HIS greatly has simplified their work. The work of nurses and physicians has also become simplified, but they find less satisfaction with the system, particularly with the use of scanned document images. Conclusions Although the basis for reference is limited, the results support the assertion that replacing the paper-based medical record primarily benefits the medical secretaries, and to a lesser degree the nurses and the physicians. The varying results in the different employee groups emphasize the need for a multidisciplinary approach when evaluating a HIS.

  5. Variation in family physicians' recording of auscultation abnormalities in patients with acute cough is not explained by case mix. A study from 12 European networks.

    Science.gov (United States)

    Francis, Nick A; Melbye, Hasse; Kelly, Mark J; Cals, Jochen W L; Hopstaken, Rogier M; Coenen, Samuel; Butler, Christopher C

    2013-06-01

    Conflicting data on the diagnostic and prognostic value of auscultation abnormalities may be partly explained by inconsistent use of terminology. To describe general practitioners use of chest auscultation abnormality terms for patients presenting with acute cough across Europe, and to explore the influence of geographic location and case mix on use of these terms. Clinicians recorded whether 'diminished vesicular breathing', 'wheezes', 'crackles' and 'rhonchi' were present in an observational study of adults with acute cough in 13 networks in 12 European countries. We describe the use of these terms overall and by network, and used multilevel logistic regression to explore variation by network, controlling for patients' gender, age, comorbidities, smoking status and symptoms. 2345 patients were included. Wheeze was the auscultation abnormality most frequently recorded (20.6% overall) with wide variation by network (range: 8.3-30.8%). There was similar variation for other auscultation abnormalities. After controlling for patient characteristics, network was a significant predictor of auscultation abnormalities with odds ratios for location effects ranging from 0.37 to 4.46 for any recorded auscultation abnormality, and from 0.25 to 3.14 for rhonchi. There is important variation in recording chest auscultation abnormalities by general practitioners across Europe, which cannot be explained by differences in patient characteristics. There is a need and opportunity for standardization in the detection and classification of lung sounds.

  6. La memoria y el registro de la Real Hacienda de Indias en la Casa de la Contratación (The memory and the record of the Royal Treasury in Indies in the Casa de la Contratación

    Directory of Open Access Journals (Sweden)

    Francisco Fernández López

    2015-03-01

    Full Text Available Resumen: Este artículo presenta, desde una perspectiva metodológica diplomática, la descripción y análisis de los libros de contabilidad que se llevaron en la Casa de la Contratación para el control administrativo y contable de la Real Hacienda. A estos efectos, mi objetivo es establecer el origen, naturaleza, formas y evolución, así como una clasificación de estos libros. Para el registro de las operaciones contables en esta institución se utilizaron, desde el momento de su creación en 1503, los libros de cargo y data. A mediados del siglo XVI aparecieron, además, los libros de arcas y los diarios y mayores de la partida doble.Abstract: This paper present, from a diplomatic methodological perspective, a description and analysis the accounting books of the Casa de la Contratación to the administrative and accounting control of the Royal Treasury in Indies. To this purpose, it is possible to demonstrate the origin, nature, formals requirements and evolution, together with a classification of these books. Transactions were recorded in the charge and discharge books, since 1503, and since the mid-sixteenth century in the books about arks and in the journals and the ledgers for double-entry bookkeeping.

  7. The Effect of Theme Preference on Academic Word List Use: A Case for Smartphone Video Recording Feature

    Science.gov (United States)

    Gromik, Nicolas A.

    2017-01-01

    Sixty-seven Japanese English as a Second Language undergraduate learners completed one smartphone video production per week for 12 weeks, based on a teacher-selected theme. Designed as a case study for this specific context, data from students' oral performances was analyzed on a weekly basis for their use of the Academic Word List (AWL). A…

  8. Green Routing Fuel Saving Opportunity Assessment: A Case Study on California Large-Scale Real-World Travel Data

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Lei [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Holden, Jacob [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Gonder, Jeffrey D [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Wood, Eric W [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-07-31

    New technologies, such as connected and automated vehicles, have attracted more and more researchers for improving the energy efficiency and environmental impact of current transportation systems. The green routing strategy instructs a vehicle to select the most fuel-efficient route before the vehicle departs. It benefits the current transportation system with fuel saving opportunity through identifying the greenest route. This paper introduces an evaluation framework for estimating benefits of green routing based on large-scale, real-world travel data. The framework has the capability to quantify fuel savings by estimating the fuel consumption of actual routes and comparing to routes procured by navigation systems. A route-based fuel consumption estimation model, considering road traffic conditions, functional class, and road grade is proposed and used in the framework. An experiment using a large-scale data set from the California Household Travel Survey global positioning system trajectory data base indicates that 31% of actual routes have fuel savings potential with a cumulative estimated fuel savings of 12%.

  9. The Impact of Bottom-Up Parking Information Provision in a Real-Life Context: The Case of Antwerp

    Directory of Open Access Journals (Sweden)

    Geert Tasseron

    2017-01-01

    Full Text Available A number of studies have analyzed the possible impacts of bottom-up parking information or parking reservation systems on parking dynamics in abstract simulation environments. In this paper, we take these efforts one step further by investigating the impacts of these systems in a real-life context: the center of the city of Antwerp, Belgium. In our simulation, we assume that all on-street and off-street parking places are equipped with technology able to transmit their occupancy status to so-called smart cars, which can receive information and reserve a parking place. We employ PARKAGENT, an agent-based simulation model, to simulate the behavior of smart and regular cars. We obtain detailed data on parking demand from FEATHERS, an activity-based transport model. The simulation results show that parking information and reservation hardly impact search time but do reduce walking distance for smart cars, leading to a reduction in total parking time, that is, the sum of search time and walking time. Reductions in search time occur only in zones with high occupancy rates, while a drop in walking distance is especially observed in low occupancy areas. Societal benefits of parking information and reservation are limited, because of the low impact on search time and the possible negative health effects of reduced walking distance.

  10. Iridium oxide pH sensor for biomedical applications. Case urea-urease in real urine samples.

    Science.gov (United States)

    Prats-Alfonso, Elisabet; Abad, Llibertat; Casañ-Pastor, Nieves; Gonzalo-Ruiz, Javier; Baldrich, Eva

    2013-01-15

    This work demonstrates the implementation of iridium oxide films (IROF) grown on silicon-based thin-film platinum microelectrodes, their utilization as a pH sensor, and their successful formatting into a urea pH sensor. In this context, Pt electrodes were fabricated on Silicon by using standard photolithography and lift-off procedures and IROF thin films were growth by a dynamic oxidation electrodeposition method (AEIROF). The AEIROF pH sensor reported showed a super-Nerstian (72.9±0.9mV/pH) response between pH 3 and 11, with residual standard deviation of both repeatability and reproducibility below 5%, and resolution of 0.03 pH units. For their application as urea pH sensors, AEIROF electrodes were reversibly modified with urease-coated magnetic microparticles (MP) using a magnet. The urea pH sensor provided fast detection of urea between 78μM and 20mM in saline solution, in sample volumes of just 50μL. The applicability to urea determination in real urine samples is discussed. Copyright © 2012 Elsevier B.V. All rights reserved.

  11. Green Routing Fuel Saving Opportunity Assessment: A Case Study on California Large-Scale Real-World Travel Data: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Lei; Holden, Jacob; Gonder, Jeff; Wood, Eric

    2017-07-13

    New technologies, such as connected and automated vehicles, have attracted more and more researchers for improving the energy efficiency and environmental impact of current transportation systems. The green routing strategy instructs a vehicle to select the most fuel-efficient route before the vehicle departs. It benefits the current transportation system with fuel saving opportunity through identifying the greenest route. This paper introduces an evaluation framework for estimating benefits of green routing based on large-scale, real-world travel data. The framework has the capability to quantify fuel savings by estimating the fuel consumption of actual routes and comparing to routes procured by navigation systems. A route-based fuel consumption estimation model, considering road traffic conditions, functional class, and road grade is proposed and used in the framework. An experiment using a large-scale data set from the California Household Travel Survey global positioning system trajectory data base indicates that 31% of actual routes have fuel savings potential with a cumulative estimated fuel savings of 12%.

  12. Prediction of shallow landslide occurrence: Validation of a physically-based approach through a real case study.

    Science.gov (United States)

    Schilirò, Luca; Montrasio, Lorella; Scarascia Mugnozza, Gabriele

    2016-11-01

    In recent years, physically-based numerical models have frequently been used in the framework of early-warning systems devoted to rainfall-induced landslide hazard monitoring and mitigation. For this reason, in this work we describe the potential of SLIP (Shallow Landslides Instability Prediction), a simplified physically-based model for the analysis of shallow landslide occurrence. In order to test the reliability of this model, a back analysis of recent landslide events occurred in the study area (located SW of Messina, northeastern Sicily, Italy) on October 1st, 2009 was performed. The simulation results have been compared with those obtained for the same event by using TRIGRS, another well-established model for shallow landslide prediction. Afterwards, a simulation over a 2-year span period has been performed for the same area, with the aim of evaluating the performance of SLIP as early warning tool. The results confirm the good predictive capability of the model, both in terms of spatial and temporal prediction of the instability phenomena. For this reason, we recommend an operating procedure for the real-time definition of shallow landslide triggering scenarios at the catchment scale, which is based on the use of SLIP calibrated through a specific multi-methodological approach. Copyright © 2016 Elsevier B.V. All rights reserved.

  13. Postmortem diagnosis of cytomegalovirus and accompanying other infection agents by real-time PCR in cases of sudden unexpected death in infancy (SUDI).

    Science.gov (United States)

    Yagmur, Gulhan; Ziyade, Nihan; Elgormus, Neval; Das, Taner; Sahin, M Feyzi; Yildirim, Muzaffer; Ozgun, Ayse; Akcay, Arzu; Karayel, Ferah; Koc, Sermet

    2016-02-01

    As an opportunistic pathogen with high mortality rates, Cytomegalovirus (CMV) may lead to fatal disseminated CMV infection of the premature and newborn; thus necessitating the demonstration of CMV-DNA with clinical history and/or histopathological findings of CMV infection and defining other bacterial and viral infection agents with real-time polymerase chain reaction (RT-PCR) in udden unexpected death in infancy (SUDI) cases as we aimed in this study. 314 (144 female, 170 male) SUDI cases were prospectively investigated from January 2013 to January 2015 in Istanbul Forensic Medicine Institution. The study includes 87 tissue samples of 39 cases for post-mortem histopathological examination of interstitial pneumonia, myocarditis, meningitis, encephalitis, hepatitis, colitis or tubulointerstitial nephritis and/or accompanying chronic sialadenitis. CMV-DNA was found positive in 35 (40.2%) salivary gland, 19 (21.8%) lung, 1 (1.1%) tonsil, and 1 (1.1%) brain tissues. CMV sialadenitis and/or CMV pneumonia associated with other viral and/or bacterial agents were detected in 23 (60%) of 39 infant cases. The demonstration of CMV-DNA would significantly clarify the cause of death and collection of epidemiological data in SUDI cases with clinical history and histopathological findings of CMV infection accompanying chronic CMV sialadenitis. Furthermore, CMV suppresses the immune system, and may predispose to other bacterial and/or viral infections in these cases. Post-mortem molecular investigations are useful in explaining cause of death in SUDI with a suspicion of infection in forensic autopsies. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  14. Complex life histories of fishes revealed through natural information storage devices: case studies of diadromous events as recorded by otoliths

    International Nuclear Information System (INIS)

    Elfman, M.; Limburg, K.E.; Kristiansson, P.; Svedaeng, H.; Westin, L.; Wickstroem, H.; Malmqvist, K.; Pallon, J.

    2000-01-01

    Diadromous fishes - species that move across salinity gradients as part of their life repertoire - form a major part of coastal and inland fisheries. Conventional mark-recapture techniques have long been used to track their movements, but give incomplete information at best. On the other hand, otoliths (ear-stones) of fishes can provide a complete record of major life history events, as reflected both in their microstructure and elemental composition. Strontium, which substitutes for calcium in the aragonite matrix of otoliths, is a powerful tracer of salinity histories in many migratory fishes. We measured Sr and Ca with a nuclear microprobe (PIXE) and show examples (eel, Anguilla anguilla; brown trout, Salmo trutta; American shad, Alosa sapidissima) of how the technique has solved several mysteries within fisheries biology

  15. Encefalitis herpética confirmada por reacción en cadena de la polimerasa en tiempo real: reporte de caso Herpetic encephalitis confirmed by real time polymerase chain reaction: case report

    Directory of Open Access Journals (Sweden)

    Beatriz H. Aristizábal

    2006-04-01

    , migraine and alteration in the conscience level. Due to the commitment of the temporary lobe, the clinical manifestations can also include hallucinations, aphasia and changes of personality. The sequels in the treated patients are significant. Objective: to show the importance of early molecular diagnosis in patients with suspected herpetic encephalitis infection. Methods: the diagnosis of the herpetic encephalitis has changed in the last years thanks to the coming of the real time polymerase chain reaction for herpes simplex virus in cerebrospinal fluid, a fast strategy with high sensitivity and specificity that has allowed to replace the suspect diagnoses made by tomography axial computerized or electroencephalogram, or the low yields of the viral isolation in the cerebrospinal fluid. Results: A clinical case report of a patient attended in our hospital with image and neuropsychological studies compatible for herpetic encephalitis, and confirmed diagnosis by real time polymerase chain reaction is described. Conclusions: the results of laboratory and the early diagnosis are critical for the precocious treatment and the evolution of the patient.

  16. Development of a prototype continuity of care record with context-specific links to meet the information needs of case managers for persons living with HIV.

    Science.gov (United States)

    Schnall, Rebecca; Cimino, James J; Bakken, Suzanne

    2012-08-01

    (1) To develop a prototype Continuity of Care Record (CCR) with context-specific links to electronic HIV information resources; and (2) to assess case managers' perceptions regarding the usability of the prototype. We integrated context-specific links to HIV case management information resources into a prototype CCR using the Infobutton Manager and Librarian Infobutton Tailoring Environment (LITE). Case managers (N=9) completed a think-aloud protocol and the Computer System Usability Questionnaire (CSUQ) to evaluate the usability of the prototype. Verbalizations from the think-aloud protocol were summarized using thematic analysis. CSUQ data were analyzed with descriptive statistics. Although participants expressed positive comments regarding the usability of the prototype, the think-aloud protocol also identified the need for improvement in resource labels and for additional resources. On a scale ranging from 1 (strongly agree) to 7 (strongly disagree), the average CSUQ overall satisfaction was 2.25 indicating that users (n=9) were generally satisfied with the system. Mean CSUQ factor scores were: System Usefulness (M=2.13), Information Quality (M=2.46), and Interface Quality (M=2.26). Our novel application of the Infobutton Manager and LITE in the context of case management for persons living with HIV in community-based settings resulted in a prototype CCR with infobuttons that met the majority of case managers' information needs and received relatively positive usability ratings. Findings from this study inform future integration of context-specific links into CCRs and electronic health records and support their use for meeting end-users information needs. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

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

    Science.gov (United States)

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

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

  18. Do heavy metals existing in abandoned mining sites represent a real health risk? A study case in the SE Spain.

    Science.gov (United States)

    Martinez-Sanchez, Maria Jose; Perez-Sirvent, Carmen; García-Lorenzo, Mari Luz; Martínez-López, Salvadora; Perez-Espinosa, Victor; Hernández-Cordoba, Manuel; Bech, Jaime

    2013-04-01

    Mining activities have been carried out for centuries in Sierra Minera (SE Spain) giving rise to a large number of sites distributed throughout the zone in which residues are accumulated. This communication reports studies as regards metal mobilization and analysis of the health risk that could be posed by inhalation, dermic contact or occasional ingestion of this type of sediments. Lead was used as the metal for the studies due to its particular abundance in the zone. A large number of samples were taken and general analytical determinations (pH, particle size, organic matter, equivalent calcium carbonate content and mineralogical composition) were carried out in order its characterization. An in vitro method for obtaining formation on Pb bioaccessibility in these mine waste materials was also carried out. Our results prove that mineral associations, different alteration states and sorption/desorption processes play an important role in the bioavailability of lead. In addition, it is noteworthy that the metal fraction dissolved by the proposed in vitro methodology is lower than 100%, both in the stomach and intestinal phases. Finally an assessment of the risk posed by lead is achieved. To this respect it should be noted that the IRIS database provide cancer slope factor and reference dose, as a way to assess the risk caused by arsenic, cadmium and copper but no for lead, probably due to the wide variety of real situations, and the discrepancy of the sources. The way here suggested is a novelty in this sense, and the results could be extrapolated to other similar zones and be incorporated to the general protocol of risk assessment applied to contaminated sites.

  19. Performance of an electronic health record-based phenotype algorithm to identify community associated methicillin-resistant Staphylococcus aureus cases and controls for genetic association studies

    Directory of Open Access Journals (Sweden)

    Kathryn L. Jackson

    2016-11-01

    Full Text Available Abstract Background Community associated methicillin-resistant Staphylococcus aureus (CA-MRSA is one of the most common causes of skin and soft tissue infections in the United States, and a variety of genetic host factors are suspected to be risk factors for recurrent infection. Based on the CDC definition, we have developed and validated an electronic health record (EHR based CA-MRSA phenotype algorithm utilizing both structured and unstructured data. Methods The algorithm was validated at three eMERGE consortium sites, and positive predictive value, negative predictive value and sensitivity, were calculated. The algorithm was then run and data collected across seven total sites. The resulting data was used in GWAS analysis. Results Across seven sites, the CA-MRSA phenotype algorithm identified a total of 349 cases and 7761 controls among the genotyped European and African American biobank populations. PPV ranged from 68 to 100% for cases and 96 to 100% for controls; sensitivity ranged from 94 to 100% for cases and 75 to 100% for controls. Frequency of cases in the populations varied widely by site. There were no plausible GWAS-significant (p < 5 E −8 findings. Conclusions Differences in EHR data representation and screening patterns across sites may have affected identification of cases and controls and accounted for varying frequencies across sites. Future work identifying these patterns is necessary.

  20. Implementing the ESC/ERS pulmonary hypertension guidelines: real-life cases from a national referral centre

    Directory of Open Access Journals (Sweden)

    D. Montani

    2009-12-01

    Full Text Available Pulmonary hypertension (PH comprises a heterogeneous group of disorders characterised by increased pulmonary vascular resistance that results in progressive right ventricular failure. In order to translate current evidence into routine clinical practice, the European Society of Cardiology (ESC and the European Respiratory Society (ERS have recently jointly proposed evidence-based guidelines for the optimal management of different PH patient groups. This article describes a series of clinical cases of PH due to various aetiologies that were referred to a large national PH expert referral centre. In each case, the assessment and therapeutic approach undertaken is described in the context of the new ECS/ERS guidelines. The routine diagnostic work-up of suspected idiopathic pulmonary arterial hypertension (PAH and recommended treatments for patients with functional class II, III and IV disease is emphasised. Familial screening and management of heritable PAH is discussed. Appropriate investigation and therapeutic strategies for patients with chronic thromboembolic disease and PH that is associated with congenital heart disease, pulmonary veno-occlusive disease and systemic sclerosis are also highlighted.

  1. Real Language Meets Real Business

    Science.gov (United States)

    Muirhead, Muirhead; Schechter, Sarah

    2016-01-01

    The Real Business Language Challenge was a collaborative pilot project between Coca-Cola Enterprises (CCE) and Routes into Languages East for Year 9 and 10 pupils. It was based on CCE's award-winning Real Business Challenge, part of its highly acclaimed education programme. The Real Business Language Challenge transformed the project into a…

  2. Real Time Pricing as a Default or Optional Service for C&ICustomers: A Comparative Analysis of Eight Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Barbose, Galen; Goldman, Charles; Bharvirkar, Ranjit; Hopper,Nicole; Ting, Michael; Neenan, Bernie

    2005-08-01

    Demand response (DR) has been broadly recognized to be an integral component of well-functioning electricity markets, although currently underdeveloped in most regions. Among the various initiatives undertaken to remedy this deficiency, public utility commissions (PUC) and utilities have considered implementing dynamic pricing tariffs, such as real-time pricing (RTP), and other retail pricing mechanisms that communicate an incentive for electricity consumers to reduce their usage during periods of high generation supply costs or system reliability contingencies. Efforts to introduce DR into retail electricity markets confront a range of basic policy issues. First, a fundamental issue in any market context is how to organize the process for developing and implementing DR mechanisms in a manner that facilitates productive participation by affected stakeholder groups. Second, in regions with retail choice, policymakers and stakeholders face the threshold question of whether it is appropriate for utilities to offer a range of dynamic pricing tariffs and DR programs, or just ''plain vanilla'' default service. Although positions on this issue may be based primarily on principle, two empirical questions may have some bearing--namely, what level of price response can be expected through the competitive retail market, and whether establishing RTP as the default service is likely to result in an appreciable level of DR? Third, if utilities are to have a direct role in developing DR, what types of retail pricing mechanisms are most appropriate and likely to have the desired policy impact (e.g., RTP, other dynamic pricing options, DR programs, or some combination)? Given a decision to develop utility RTP tariffs, three basic implementation issues require attention. First, should it be a default or optional tariff, and for which customer classes? Second, what types of tariff design is most appropriate, given prevailing policy objectives, wholesale market

  3. Hosting mega sport events in a small country: The (real impact on the development - cases of Croatia and Serbia

    Directory of Open Access Journals (Sweden)

    Šimić-Banović Ružica

    2017-01-01

    Full Text Available Majority of studies on the impact of the sports events on country's development are produced before the events take place and as such are in favour of the bidding process. When comparing these ex ante analyses to the ex post evidence, it has been in most cases obvious that they have been overly optimistic. This paper analyses the ex ante analysis provided by the Croatian bidding committee for the European Football Championship 2012. In addition to that, the ex ante study for the World Handball Championship 2009 in Croatia and (insufficient data for the handball championships that took place in Serbia were analysed as well. This paper contributes both to the debate on the realistic approach of several failed and won bids, and the debate on the future bids for the other sport events.

  4. As in Real Estate, Location Is What Matters: A Case Report of Transplant Ureteral Obstruction Due to an Inguinal Hernia.

    Science.gov (United States)

    Bugeja, Ann; Clark, Edward G; Sood, Manish M; Ali, Sohrab N

    2018-01-01

    Kidney allograft dysfunction is common and often reversible but can lead to allograft loss if not promptly evaluated. Transplant ureteral obstruction in an inguinal hernia is a rare cause of allograft dysfunction, but early recognition may prevent allograft loss. We present a case of a man with acute kidney allograft dysfunction who received a deceased donor kidney transplant 6 years earlier for end-stage kidney disease secondary to polycystic kidney disease. Abdominal ultrasounds revealed hydronephrosis without full visualization of the transplant ureter. Abdominal computed tomography revealed moderate hydronephrosis of the transplant kidney due to obstructed herniation of the transplant ureter in a right inguinal hernia. A stent was inserted into the transplant ureter to prevent further allograft dysfunction and facilitate hernia repair. Transplant ureteral obstruction is a rare cause of acute kidney allograft dysfunction, and its detection can be challenging. The recognition of transplant ureteral obstruction is vital to timely management for preventing allograft loss.

  5. Implementation of IMRT in a real case of breast cancer radiotherapy in the 'Hospital Hermanos Ameijeiras' Service

    International Nuclear Information System (INIS)

    Rodriguez Zayas, Michael; Correa Pablos, Tamara; Perez Guevara, Adrian; Gonzalez Perez, Yelina; Sola Rodriguez, Yeline; Reyes Gonzalez, Tommy; Caballero, Roberto; Del Castillo Carrillo, Concepcion; Mena Huerta, Yailen

    2009-01-01

    Patients with left breast cancer suggest a clinical challenge because it radiates significantly heart, lung and contralateral breast with tangential beam techniques. We performed a study to: (1) design a plan using intensity modulated radiation therapy (IMRT), (2) compare IMRT plan with a plan of 3DCRT beam shear, (3) quantify the benefits of a treatment modality over another. A case diagnosed with breast cancer and treated with IMRT planned. The planning is done with the TPS Precise Plan version 2.16, with the inverse method based on openings, the treatment is carried out by way of step and shoot in the Elekta Precise Linac model with nominal energy of photons 6mV (TPR20, 10 = 0.681). (Author)

  6. Real-Time Flood Control by Tree-Based Model Predictive Control Including Forecast Uncertainty: A Case Study Reservoir in Turkey

    Directory of Open Access Journals (Sweden)

    Gökçen Uysal

    2018-03-01

    Full Text Available Optimal control of reservoirs is a challenging task due to conflicting objectives, complex system structure, and uncertainties in the system. Real time control decisions suffer from streamflow forecast uncertainty. This study aims to use Probabilistic Streamflow Forecasts (PSFs having a lead-time up to 48 h as input for the recurrent reservoir operation problem. A related technique for decision making is multi-stage stochastic optimization using scenario trees, referred to as Tree-based Model Predictive Control (TB-MPC. Deterministic Streamflow Forecasts (DSFs are provided by applying random perturbations on perfect data. PSFs are synthetically generated from DSFs by a new approach which explicitly presents dynamic uncertainty evolution. We assessed different variables in the generation of stochasticity and compared the results using different scenarios. The developed real-time hourly flood control was applied to a test case which had limited reservoir storage and restricted downstream condition. According to hindcasting closed-loop experiment results, TB-MPC outperforms the deterministic counterpart in terms of decreased downstream flood risk according to different independent forecast scenarios. TB-MPC was also tested considering different number of tree branches, forecast horizons, and different inflow conditions. We conclude that using synthetic PSFs in TB-MPC can provide more robust solutions against forecast uncertainty by resolution of uncertainty in trees.

  7. Analysis the Appropriate using Standard Costing Applying in Land Cost Component of Real Estate Development Activities: A Case Study of PT Subur Agung

    Directory of Open Access Journals (Sweden)

    Elfrida Yanti

    2011-05-01

    Full Text Available Standard cost is generally used by manufacturing business, which direct material, labor, and factory overhead are cleared allocated. On real estate business in this case PT Subur Agung use standard cost based on three costs, raw land, land improvement and interest expense categories instead of direct material, direct labor and overhead. Developer use these cost to predict the project cost and estimate the pre-selling price, in accordance with the cost estimation classification matrix, the variance range is in the expected accuracy rate by testing the variance percentage between standard cost and actual cost. The additional similar projects in PT Subur Agung also follow the same scope. All these evidences have proved the appropriate using standard costing in land cost component of real estate development activities but how it applies this article will analyze in this particular project with using descriptive and exploratory method. The analysis started by knowing the conceptual situation of PT Subur Agung and the data was presented in tables and calculation with detail explanation. 

  8. Testing the Technology Acceptance Model: HIV case managers' intention to use a continuity of care record with context-specific links.

    Science.gov (United States)

    Schnall, Rebecca; Bakken, Suzanne

    2011-09-01

    To assess the applicability of the Technology Acceptance Model (TAM) constructs in explaining HIV case managers' behavioural intention to use a continuity of care record (CCR) with context-specific links designed to meet their information needs. Data were collected from 94 case managers who provide care to persons living with HIV (PLWH) using an online survey comprising three components: (1) demographic information: age, gender, ethnicity, race, Internet usage and computer experience; (2) mock-up of CCR with context-specific links; and items related to TAM constructs. Data analysis included: principal components factor analysis (PCA), assessment of internal consistency reliability and univariate and multivariate analysis. PCA extracted three factors (Perceived Ease of Use, Perceived Usefulness and Perceived Barriers to Use), explained variance = 84.9%, Cronbach's ά = 0.69-0.91. In a linear regression model, Perceived Ease of Use, Perceived Usefulness and Perceived Barriers to Use explained 43.6% (p Technology assessed.

  9. Electronic medical record in central polyclinic of isfahan oil industry: a case study based on technology acceptance model.

    Science.gov (United States)

    Tavakoli, Nahid; Jahanbakhsh, Maryam; Shahin, Arash; Mokhtari, Habibollah; Rafiei, Maryam

    2013-03-01

    Today, health information technologies are base of health services and Electronic Medical Record is one of them. The purpose of this paper is to investigate the Technology Acceptance Model (TAM) on EMR at Central Polyclinic Oil Industry that is a pioneer in implementation of EMR in Isfahan. This study was an applied and analytical survey that it was done at the Central Polyclinic Oil Industry. Because statistical population were limited, sampling bas been done by conducting the census and the sample was according to the population. The data was collected by a researcher-made questionnaire that it was validated by experts and its reliability was confirmed by test retest. The questionnaire was developed in 5 scopes including external factors (data quality and user interface), perceived usefulness, perceived ease of usefulness, attitude toward using, and behavioral intention to use. The Results analyzed by SPSS. There was a significant relationship between data quality with PU(r=/295, p/005). The survey of the scopes in the polyclinic showed that there is relationship among user interface, perceived usefulness, perceived ease of usefulness, attitude toward using, and behavioral intention to use, but data quality has no relationship with attitude. It seems the system designers didn't consider to data quality characteristics. It is proposed that they consult with health information management professionals for improvement the existing system.

  10. Towards real-time metabolic profiling of a biopsy specimen during a surgical operation by 1H high resolution magic angle spinning nuclear magnetic resonance: a case report

    Directory of Open Access Journals (Sweden)

    Piotto Martial

    2012-01-01

    Full Text Available Abstract Introduction Providing information on cancerous tissue samples during a surgical operation can help surgeons delineate the limits of a tumoral invasion more reliably. Here, we describe the use of metabolic profiling of a colon biopsy specimen by high resolution magic angle spinning nuclear magnetic resonance spectroscopy to evaluate tumoral invasion during a simulated surgical operation. Case presentation Biopsy specimens (n = 9 originating from the excised right colon of a 66-year-old Caucasian women with an adenocarcinoma were automatically analyzed using a previously built statistical model. Conclusions Metabolic profiling results were in full agreement with those of a histopathological analysis. The time-response of the technique is sufficiently fast for it to be used effectively during a real operation (17 min/sample. Metabolic profiling has the potential to become a method to rapidly characterize cancerous biopsies in the operation theater.

  11. An FPGA-Based WASN for Remote Real-Time Monitoring of Endangered Species: A Case Study on the Birdsong Recognition of Botaurus stellaris.

    Science.gov (United States)

    Hervás, Marcos; Alsina-Pagès, Rosa Ma; Alías, Francesc; Salvador, Martí

    2017-06-08

    Fast environmental variations due to climate change can cause mass decline or even extinctions of species, having a dramatic impact on the future of biodiversity. During the last decade, different approaches have been proposed to track and monitor endangered species, generally based on costly semi-automatic systems that require human supervision adding limitations in coverage and time. However, the recent emergence of Wireless Acoustic Sensor Networks (WASN) has allowed non-intrusive remote monitoring of endangered species in real time through the automatic identification of the sound they emit. In this work, an FPGA-based WASN centralized architecture is proposed and validated on a simulated operation environment. The feasibility of the architecture is evaluated in a case study designed to detect the threatened Botaurus stellaris among other 19 cohabiting birds species in The Parc Natural dels Aiguamolls de l'Empord.

  12. The Effects of Capital Outflows from Neighboring Countries on a Home Country’s Terms of Trade and Real Exchange Rate: The Case of East Asia

    Directory of Open Access Journals (Sweden)

    Sammo Kang

    2005-06-01

    Full Text Available While there is an extensive body of empirical analyses showing that currency crises tend to be regionally concentrated to specific areas and contagious to countries with high levels of trade, there has been insufficient research on the mechanisms underlying such tendencies. Using a two¡ⓒcountry model, we investigate the possibility of deterioration in the terms of trade and a rise in the real exchange rate of a home country in the case of capital outflows from its trade partner. In addition, an empirical analysis of East Asian countries conclusively shows that some countries conform to the model. Generally, neighboring countries trade extensively with one another for reasons like low logistics costs. This paper finds that such patterns of trade can be one reason for a currency crisis being regional.

  13. Biometrics, e-identity, and the balance between security and privacy: case study of the passenger name record (PNR) system.

    Science.gov (United States)

    Nouskalis, G

    2011-03-01

    The implementation of biometrics entails either the establishment of an identity or tracing a person's identity. Biometric passport data (e.g., irises, fingers, faces) can be used in order to verify a passenger's identity. The proposed Passenger Name Record (PNR) system contains all the information necessary to enable reservations to be processed and controlled by the booking and participating air carriers for each journey booked by or on behalf of any person. PNR data are related to travel movements, usually flights, and include passport data, name, address, telephone numbers, travel agent, credit card number, history of changes in the flight schedule, seat preferences, and other information. In the aftermath of the September 11 attacks, a new emergency political-law status of society was established: the continuous state of "war" against the so-called unlawful combatants of the "enemy". Officially, the enemy is the terrorists, but the victims of the privacy invasions caused by the above new form of data processing are the civilians. The data processing based on biometrics is covered both by Directive 95/46 EC and Article 8 of the Convention on the Protection of Human Rights and Fundamental Freedoms (now the European Convention on Human Rights, "ECHR"). According to Article 2, Paragraph a of the above Directive, personal data shall mean any information relating to an identified or identifiable natural person; an identifiable person is one who can be identified, directly or indirectly, in particular by reference to an identification number or to one or more factors specific to his/her physical, physiological, mental, economic, cultural, or social identity.

  14. Biometrics, e-Identity, and the Balance between Security and Privacy: Case Study of the Passenger Name Record (PNR System

    Directory of Open Access Journals (Sweden)

    G. Nouskalis

    2011-01-01

    Full Text Available The implementation of biometrics entails either the establishment of an identity or tracing a person's identity. Biometric passport data (e.g., irises, fingers, faces can be used in order to verify a passenger's identity. The proposed Passenger Name Record (PNR system contains all the information necessary to enable reservations to be processed and controlled by the booking and participating air carriers for each journey booked by or on behalf of any person. PNR data are related to travel movements, usually flights, and include passport data, name, address, telephone numbers, travel agent, credit card number, history of changes in the flight schedule, seat preferences, and other information. In the aftermath of the September 11 attacks, a new emergency political-law status of society was established: the continuous state of “war” against the so-called unlawful combatants of the “enemy”. Officially, the enemy is the terrorists, but the victims of the privacy invasions caused by the above new form of data processing are the civilians. The data processing based on biometrics is covered both by Directive 95/46 EC and Article 8 of the Convention on the Protection of Human Rights and Fundamental Freedoms (now the European Convention on Human Rights, “ECHR”. According to Article 2, Paragraph a of the above Directive, personal data shall mean any information relating to an identified or identifiable natural person; an identifiable person is one who can be identified, directly or indirectly, in particular by reference to an identification number or to one or more factors specific to his/her physical, physiological, mental, economic, cultural, or social identity.

  15. Case Record of a Teaching Hospital in Karaj; A 35-Year Old Man With Taenia saginata Infection Treated With Niclosamide

    Directory of Open Access Journals (Sweden)

    Aliehsan Heidari

    2016-11-01

    Full Text Available Taeniasaginata can cause severe health and economic problems particularly in endemic areas. The disease cause by this cestode is related to poor sanitary conditions, inadequate hygiene, open defecation, inadequately cooked beef and poverty. A 35 years man found yellowish white tapeworm proglottids moving in his feces and consulted to the Department of Emergency, ShahidRajaei hospital, Karaj, Iran. He complained of lower abdominal discomfort, anal itching and moving something in the stomach. He was given wrong prescription. The patients had the history of eating undercooked beef. We report one case of T. saginata infection based on adult tapeworm recovery from the patients. The specific identification of the worm was based on based on standard procedures. Three months after expelling the tapeworm, the man felt better and returned to his normal life.

  16. Validation of Case Finding Algorithms for Hepatocellular Cancer From Administrative Data and Electronic Health Records Using Natural Language Processing.

    Science.gov (United States)

    Sada, Yvonne; Hou, Jason; Richardson, Peter; El-Serag, Hashem; Davila, Jessica

    2016-02-01

    Accurate identification of hepatocellular cancer (HCC) cases from automated data is needed for efficient and valid quality improvement initiatives and research. We validated HCC International Classification of Diseases, 9th Revision (ICD-9) codes, and evaluated whether natural language processing by the Automated Retrieval Console (ARC) for document classification improves HCC identification. We identified a cohort of patients with ICD-9 codes for HCC during 2005-2010 from Veterans Affairs administrative data. Pathology and radiology reports were reviewed to confirm HCC. The positive predictive value (PPV), sensitivity, and specificity of ICD-9 codes were calculated. A split validation study of pathology and radiology reports was performed to develop and validate ARC algorithms. Reports were manually classified as diagnostic of HCC or not. ARC generated document classification algorithms using the Clinical Text Analysis and Knowledge Extraction System. ARC performance was compared with manual classification. PPV, sensitivity, and specificity of ARC were calculated. A total of 1138 patients with HCC were identified by ICD-9 codes. On the basis of manual review, 773 had HCC. The HCC ICD-9 code algorithm had a PPV of 0.67, sensitivity of 0.95, and specificity of 0.93. For a random subset of 619 patients, we identified 471 pathology reports for 323 patients and 943 radiology reports for 557 patients. The pathology ARC algorithm had PPV of 0.96, sensitivity of 0.96, and specificity of 0.97. The radiology ARC algorithm had PPV of 0.75, sensitivity of 0.94, and specificity of 0.68. A combined approach of ICD-9 codes and natural language processing of pathology and radiology reports improves HCC case identification in automated data.

  17. Environmental Kuznets curves-real progress or passing the buck? A case for consumption-based approaches

    International Nuclear Information System (INIS)

    Rothman, Dale S.

    1998-01-01

    Recent research has examined the hypothesis of an environmental Kuznets curve (EKC): the notion that environmental impact increases in the early stages of development followed by declines in the later stages. These studies have focused on the relationship between per capita income and a variety of environmental indicators. Results imply that EKCs may exist for a number of cases. However, the measures of environmental impact used generally focus on production processes and reflect environmental impacts that are local in nature and for which abatement is relatively inexpensive in terms of monetary costs and/or lifestyle changes. Significantly, more consumption-based measures, such as CO 2 emissions and municipal waste, for which impacts are relatively easy to externalize or costly to control, show no tendency to decline with increasing per capita income. By considering consumption and trade patterns, the author re-examines the concept of the EKC and propose the use of alternative, consumption-based measures of environmental impact. The author speculates that what appear to be improvements in environmental quality may in reality be indicators of increased ability of consumers in wealthy nations to distance themselves from the environmental degradation associated with their consumption

  18. Exploring the Rate and Causes of Inpatient Records Deductions Covered by Iran Health Insurance: The Case of a Public Hospital in Tabriz

    Directory of Open Access Journals (Sweden)

    Yalda Mousa Zadeh

    2017-10-01

    Full Text Available Background and Objectives: Today, a major part of health system resources are allocated to hospitals. So, the control of these resources and correct and efficient use of them are the important tasks of management. This study was conducted to determine the deductions of Iran health insurance in the first half of 2014 in a public hospital in Tabriz. Material and Methods: This was a cross sectional study. The study population included records of patients hospitalized in the first half of 2014.  All cases with deduction were selected as sample. Data collection was performed using a researcher-made checklist. Checklist information was collected through records of patients and interview. Then, data were analyzed using Excel software. Results: Most deductions were related to physician visits (61116000 Rials, laboratory (46881797 Rials and surgery commission (26114487 Rials, respectively. Most of the deductions were in October (70613244 Rials and lowest deductions were in February (6838945 Rials. The most important factor of deductions was related to additional request.   Conclusion: According to deduction cases and the most important factor related to it (additional request, It can be concluded that greatest amount of deductions are due to employees' mistakes. In this regard, emphasis on clinical guidelines and physicians’ training is necessary. Negotiations and clarifying the amount of liability of insurance organizations can prevent deductions.

  19. Microbial-caddisfly bioherm association from the Lower Cretaceous Shinekhudag Formation, Mongolia: Earliest record of plant armoring in fossil caddisfly cases.

    Directory of Open Access Journals (Sweden)

    Tsolmon Adiya

    Full Text Available Caddisfly larvae construct underwater protective cases using surrounding materials, thus providing information on environmental conditions in both modern and ancient systems. Microbial bioherms associated with caddisfly cases are found in the Berriassian-Hauterivian (~140-130 Ma Shinekhudag Formation of Mongolia, and yield new insights into aspects of lacustrine paleoecosystems and paleoenvironments. This formation contains the earliest record of plant-armored caddisfly cases and a rare occurrence of microbial-caddisfly association from the Mesozoic. The bioherms are investigated within the context of stratigraphic correlations, depositional environment interpretations, and basin-evolution models of the sedimentary fill. The bioherms form 0.5-2.0 m diameter mound-shaped bodies and are concentrated within a single, oil shale-bound stratigraphic interval. Each bioherm is composed of up to 40% caddisfly cases along with stromatolites of millimeter-scale, micritic laminations. Petrographic analyses reveal these bioherms are composed of non-systematic associations of columnar and oncoidal microbialites, constructed around colonies of caddisfly cases. The cases are straight to curved, slightly tapered, and tube-shaped, with a progressively increasing length and width trend (7-21 mm by 1.5-2.5 mm. Despite these variations, the case architectures reveal similar construction materials; the particles used for cases are dominated by plant fragments, ostracod valves, carbonate rocks, and rare mica and feldspar grains. Allochems within the bioherms include ooids, ostracods, plant fragments, rare gastropods, feldspar grains bound in micritic matrices, and are consolidated by carbonate dominated cements. The combination of microbial-caddisfly association, plant fragment case particles, and ooids/oncoids are indicative of a shallow, littoral lake setting. Stratigraphic juxtaposition of nearshore bioherms and the bounding distal oil-shale facies suggests that

  20. Present epidemiology of chronic subdural hematoma in Japan: analysis of 63,358 cases recorded in a national administrative database.

    Science.gov (United States)

    Toi, Hiroyuki; Kinoshita, Keita; Hirai, Satoshi; Takai, Hiroki; Hara, Keijiro; Matsushita, Nobuhisa; Matsubara, Shunji; Otani, Makoto; Muramatsu, Keiji; Matsuda, Shinya; Fushimi, Kiyohide; Uno, Masaaki

    2018-01-01

    OBJECTIVE Aging of the population may lead to epidemiological changes with respect to chronic subdural hematoma (CSDH). The objectives of this study were to elucidate the current epidemiology and changing trends of CSDH in Japan. The authors analyzed patient information based on reports using a Japanese administrative database associated with the diagnosis procedure combination (DPC) system. METHODS This study included patients with newly diagnosed CSDH who were treated in hospitals participating in the DPC system. The authors collected data from the administrative database on the following clinical and demographic characteristics: patient age, sex, and level of consciousness on admission; treatment procedure; and outcome at discharge. RESULTS A total of 63,358 patients with newly diagnosed CSDH and treated in 1750 DPC participation hospitals were included in this study. Analysis according to patient age showed that the most common age range for these patients was the 9th decade of life (in their 80s). More than half of patients 70 years old or older presented with some kind of disturbance of consciousness. Functional outcomes at discharge were good in 71.6% (modified Rankin Scale [mRS] score 0-2) of cases and poor in 28.4% (mRS score 3-6). The percentage of poor outcomes tended to be higher in elderly patients. Approximately 40% of patients 90 years old or older could not be discharged to home. The overall recurrence rate for CSDH was 13.1%. CONCLUSIONS This study shows a chronological change in the age distribution of CSDH among Japanese patients, which may be affecting the prognosis of this condition. In the aging population of contemporary Japan, patients in their 80s were affected more often than patients in other age categories, and approximately 30% of patients with CSDH required some help at discharge. CSDH thus may no longer have as good a prognosis as had been thought.

  1. THE CASE APPROACH TO PREPARING FOR TEACHING.

    Science.gov (United States)

    AMIDON, EDMUND; HUNTER, ELIZABETH

    TO HELP PROSPECTIVE TEACHERS DEVELOP TEACHING SKILLS, PAIRS OF CASES (RECORDS OF REAL TEACHING SITUATIONS) WHICH DEPICT SIGNIFICANTLY DIFFERENT APPROACHES TAKEN BY TEACHERS WITH A SIMILAR CLASSROOM PROBLEM ARE VERBALLY DESCRIBED. EACH PAIR OF CASES IS ANALYZED USING THE CATEGORIES OF THE VERBAL INTERACTION CATEGORY SYSTEM (VICS) WHICH MEASURES…

  2. Continental basalts record the crust-mantle interaction in oceanic subduction channel: A geochemical case study from eastern China

    Science.gov (United States)

    Xu, Zheng; Zheng, Yong-Fei

    2017-09-01

    the crustal metasomatism through melt-peridotite reaction at the slab-mantle interface in oceanic subduction channels. Continental basalts of Mesozoic to Cenozoic ages from eastern China are used as a case example to illustrate the above petrogenetic mechanism. Subduction of the paleo-Pacific oceanic slab beneath the eastern edge of Eurasian continent in the Early Mesozoic would have transferred the crustal signatures into the mantle sources of these basalts. This process would be associated with rollback of the subducting slab at that time, whereas the partial melting of metasomatites takes place mainly in the Late Mesozoic to Cenozoic to produce the continental basalts. Therefore, OIB-like continental basalts are also the product of subduction-zone magmatism though they occur in intraplate settings.

  3. Identifying patterns in signs and symptoms preceding the clinical diagnosis of Alzheimer's disease: Retrospective medical record review study and a nested case -control design.

    Science.gov (United States)

    Bature, Fidelia; Pang, Dong; Robinson, Anthea; Polson, Norma; Pappas, Yannis; Guinn, Barbara

    2018-04-04

    Evidence suggests that individuals with Alzheimer's disease (AD) are often diagnosed in the later stages of their disease with a poor prognosis. This study aimed to identify patterns in signs and symptoms preceding the clinical diagnosis of AD to suggest a predictive model for earlier diagnosis of the disease in the primary care. A retrospective medical record review; nested case control design. Participants included one hundred and nine patients from three general practice (GP) surgeries in Milton Keynes and Luton Clinical Commissioning groups (CCG) (37 cases with AD and 72 controls without AD). A retrospective analysis using the logistic regression of the presence of signs and symptoms before the diagnosis of AD was attained. Identification of the timing and sequence of appearance of these presentations as first reported before the clinical diagnosis was measured. Episodic memory with an odds ratio of 1.85 was the most frequent presentation, documented in 1.38% of the controls and 75.6% in cases. Auditory disturbance with an odds ratio of 3.03, which has not previously been noted except in the form of auditory hallucination, could have a diagnostic value. Auditory disturbance, which occurred mostly in the Caucasian females, could discriminate individuals with AD from those without. The symptom, which presented up to 14.5 (mean time) years prior to clinical diagnosis, was identified in Caucasians and mixed race individuals only. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  4. Privacy and Library Records

    Science.gov (United States)

    Bowers, Stacey L.

    2006-01-01

    This paper summarizes the history of privacy as it relates to library records. It commences with a discussion of how the concept of privacy first originated through case law and follows the concept of privacy as it has affected library records through current day and the "USA PATRIOT Act."

  5. The FAST-T approach for operational, real time, short term hydrological forecasting: Results from the Betania Hydropower Reservoir case study

    Science.gov (United States)

    Domínguez, Efraín; Angarita, Hector; Rosmann, Thomas; Mendez, Zulma; Angulo, Gustavo

    2013-04-01

    A viable quantitative hydrological forecasting service is a combination of technological elements, personnel and knowledge, working together to establish a stable operational cycle of forecasts emission, dissemination and assimilation; hence, the process for establishing such system usually requires significant resources and time to reach an adequate development and integration in order to produce forecasts with acceptable levels of performance. Here are presented the results of this process for the recently implemented Operational Forecast Service for the Betania's Hydropower Reservoir - or SPHEB, located at the Upper-Magdalena River Basin (Colombia). The current scope of the SPHEB includes forecasting of water levels and discharge for the three main streams affluent to the reservoir, for lead times between +1 to +57 hours, and +1 to +10 days. The core of the SPHEB is the Flexible, Adaptive, Simple and Transient Time forecasting approach, namely FAST-T. This comprises of a set of data structures, mathematical kernel, distributed computing and network infrastructure designed to provide seamless real-time operational forecast and automatic model adjustment in case of failures in data transmission or assimilation. Among FAST-T main features are: an autonomous evaluation and detection of the most relevant information for the later configuration of forecasting models; an adaptively linearized mathematical kernel, the optimal adaptive linear combination or OALC, which provides a computationally simple and efficient algorithm for real-time applications; and finally, a meta-model catalog, containing prioritized forecast models at given stream conditions. The SPHEB is at present feed by the fraction of hydrological monitoring network installed at the basin that has telemetric capabilities via NOAA-GOES satellites (8 stages, approximately 47%) with data availability of about a 90% at one hour intervals. However, there is a dense network of 'conventional' hydro

  6. Real Forestry for Real Estate

    Science.gov (United States)

    Gagnon, Jennifer; Fisher, Jason

    2013-01-01

    Virginia is poised to see an unprecedented change in forest land ownership. To provide new landowners with information on sustainable forest management, we developed a two-part program, Real Forestry for Real Estate. First, we assembled New Landowner Packets, which contain a variety of sustainable forest management resources. Second, two…

  7. Detecting relationships between the interannual variability in climate records and ecological time series using a multivariate statistical approach - four case studies for the North Sea region

    Energy Technology Data Exchange (ETDEWEB)

    Heyen, H. [GKSS-Forschungszentrum Geesthacht GmbH (Germany). Inst. fuer Gewaesserphysik

    1998-12-31

    A multivariate statistical approach is presented that allows a systematic search for relationships between the interannual variability in climate records and ecological time series. Statistical models are built between climatological predictor fields and the variables of interest. Relationships are sought on different temporal scales and for different seasons and time lags. The possibilities and limitations of this approach are discussed in four case studies dealing with salinity in the German Bight, abundance of zooplankton at Helgoland Roads, macrofauna communities off Norderney and the arrival of migratory birds on Helgoland. (orig.) [Deutsch] Ein statistisches, multivariates Modell wird vorgestellt, das eine systematische Suche nach potentiellen Zusammenhaengen zwischen Variabilitaet in Klima- und oekologischen Zeitserien erlaubt. Anhand von vier Anwendungsbeispielen wird der Klimaeinfluss auf den Salzgehalt in der Deutschen Bucht, Zooplankton vor Helgoland, Makrofauna vor Norderney, und die Ankunft von Zugvoegeln auf Helgoland untersucht. (orig.)

  8. High dose phenobarbitone coma in pediatric refractory status epilepticus; a retrospective case record analysis, a proposed protocol and review of literature.

    Science.gov (United States)

    Gulati, Sheffali; Sondhi, Vishal; Chakrabarty, Biswaroop; Jauhari, Prashant; Lodha, Rakesh; Sankar, Jhuma

    2018-04-01

    Ongoing refractory status epilepticus is associated with significant morbidity and mortality. Therapeutic coma induction with midazolam, thiopentone, phenobarbitone or propofol is indicated when conventional antiepileptics fail to abort seizure. Of these, the most extensively studied is midazolam. Amongst the remaining three, phenobarbitone has the most favourable pharmacological profile, but has not been studied adequately, more so in the pediatric age group. The current retrospective case records analysis is an attempt to describe use of phenobarbitone coma in pediatric refractory status epilepticus. Case records of patients, admitted with status epilepticus to the pediatric inpatient services of a tertiary care teaching hospital of North India between January 2014 and December 2016 were reviewed. Those with refractory status epilepticus who failed to respond to midaolam infusion and phenobarbitone coma was used were included for analysis. Overall, 108 children presented in status, of which 34 developed refractory status epilepticus. Of these 34, 21 responded to midazolam infusion and in 13 high dose phenobarbitone coma following a standardised protocol was used. Amongst these 13 (8 males and 5 females, median age 6 years, IQR: 2.5-9.5), 12 responded and 1 succumbed. The median time to clinical seizure resolution and desired electroencephalographic changes post phenobarbitone initiation were 16 (IQR: 12-25) and 72 h (IQR: 48-120) respectively. High dose phenobarbitone appears to be an effective therapeutic modality in pediatric refractory status epilepticus. The current study provides a protocol for its use which can be validated in future studies with larger sample size. Copyright © 2018 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  9. Real analysis

    CERN Document Server

    McShane, Edward James

    2013-01-01

    This text surveys practical elements of real function theory, general topology, and functional analysis. Discusses the maximality principle, the notion of convergence, the Lebesgue-Stieltjes integral, function spaces and harmonic analysis. Includes exercises. 1959 edition.

  10. Maps From Mud—Using the Multiple Scenario Approach to Reconstruct Land Cover Dynamics From Pollen Records: A Case Study of Two Neolithic Landscapes

    Directory of Open Access Journals (Sweden)

    M. Jane Bunting

    2018-04-01

    Full Text Available Pollen records contain a wide range of information about past land cover, but translation from the pollen diagram to other formats remains a challenge. In this paper, we present LandPolFlow, a software package enabling Multiple Scenario Approach (MSA based land cover reconstruction from pollen records for specific landscapes. It has two components: a basic Geographic Information System which takes grids of landscape constraints (e.g., topography, geology and generates possible “scenarios” of past land cover using a combination of probabilistic and deterministic placement rules to distribute defined plant communities within the landscape, and a pollen dispersal and deposition model which simulates pollen loading at specified points within each scenario and compares that statistically with actual pollen assemblages from the same location. Goodness of fit statistics from multiple pollen site locations are used to identify which scenarios are likely reconstructions of past land cover. We apply this approach to two case studies of Neolithisation in Britain, the first from the Somerset Levels and Moors and the second from Mainland, Orkney. Both landscapes contain significant evidence of Neolithic activity, but present contrasting contexts. In Somerset, wet-preserved Neolithic remains such as trackways are abundant, but little dry land settlement archaeology is known, and the pre-Neolithic landscape was extensively wooded. In Orkney, the Neolithic archaeology includes domestic and monumental stone-built structures forming a UNESCO World Heritage Site, and the pre-Neolithic landscape was largely treeless. Existing pollen records were collated from both landscapes and correlated within new chronological frameworks (presented elsewhere. This allowed pollen data to be grouped into 200 year periods, or “timeslices,” for reconstruction of land cover through time using the MSA. Reconstruction suggests that subtle but clear and persistent impacts of

  11. Evaluation of how a real time pre-registration health care curricula was managed through the application of a newly designed Change Management Model: A qualitative case study.

    Science.gov (United States)

    Chowthi-Williams, Annette

    2018-02-01

    Curricula change in nurse education is of international importance. The pace of such change has been continuous and has triggered criticisms of inadequate preparation of practitioners. There are no change formulae for managing curricula change and despite a raft of change methods, globally change success remains low. A lack of a unified voice, undue focus on cognition, and arguably no existing models for academia and a literature gap contribute to change challenge. A new Change Management Model designed from research with emotion as its underpinning philosophy is evaluated. Evaluation of a newly designed Change Management Model through a real time pre-registration health care curricula change. A qualitative case study was adopted. The single case study was the new pre-registration health care curricula. This study took place in a Faculty of Health and Social care in one HEI in the UK. Four senior academics and fifteen academics across professions and specialisms involved in the curricula change took part in the study. The findings suggested that leadership operated differently throughout the organisation. Distributive and collective leadership created a critical mass of people to help deliver the new curricula but academics felt excluded at the strategic level. Emotion at the strategic level inhibited innovation but boosted engagement, emotional relationships and creativity at the operational level. Face to face communication was favoured for its emotional connection. A top down approach created an emotional disconnect and impacted inclusiveness, engagement, empowerment, vision and readiness for change. Testing the new model widely not only in organisations, practice and team changes but personal change in improving health and wellbeing could be beneficial. The continuing gap in knowledge on the link between emotion and curricula change, practice and organisational change and therapeutic value of the model also warrants further research. Crown Copyright © 2017

  12. A novel screening method for 64 new psychoactive substances and 5 amphetamines in blood by LC-MS/MS and application to real cases.

    Science.gov (United States)

    Vaiano, Fabio; Busardò, Francesco P; Palumbo, Diego; Kyriakou, Chrystalla; Fioravanti, Alessia; Catalani, Valeria; Mari, Francesco; Bertol, Elisabetta

    2016-09-10

    Identification and quantification of new psychoactive substances (NPS), both in biological and non-biological samples, represent a hard challenge for forensic toxicologists. NPS are increasingly emerging on illegal drug market. Many cases of co-consumption of NPS and other substances have also been reported. Hence, the development of analytical methods aiming at the detection of a broad-spectrum of compounds (NPS and "traditional" drugs) could be helpful. In this paper, a fully validated screening method in blood for the simultaneous detection of 69 substances, including 64 NPS (28 synthetic cannabinoids, 19 synthetic cathinones, 5 phenethylamines, 3 indanes, 2 piperazines, 2 tryptamines, 2 phencyclidine, methoxetamine, ketamine and its metabolite) and 5 amphetamines (amphetamine, methamphetamine, MDMA, MDA, 3,4-methylenedioxy-N-ethylamphetamine - MDEA-) by a dynamic multiple reaction monitoring analysis through liquid chromatography - tandem mass spectrometry (LC-MS/MS) is described. This method is very fast, easy to perform and cheap as it only requires the deproteinization of 200μL of blood sample with acetonitrile. The chromatographic separation is achieved with a C18 column. The analysis is very sensitive, with limits of quantification ranging from 0.1 to 0.5ng/mL. The method is linear from 1 to 100ng/mL and the coefficient of determination (R(2)) was always above 0.9900. Precision and accuracy were acceptable at any quality control level and recovery efficiency range was 72-110%. Matrix effects did not negatively affect the analytical sensitivity. This method was successfully applied to three real cases, allowing identification and quantification of: mephedrone and methamphetamine (post-mortem); ketamine, MDMA and MDA (post-mortem); AB-FUBINACA (ante-mortem). Copyright © 2016 Elsevier B.V. All rights reserved.

  13. Hospitalization records as a tool for evaluating performance of food- and water-borne disease surveillance systems: a Massachusetts case study.

    Science.gov (United States)

    Mor, Siobhan M; DeMaria, Alfred; Naumova, Elena N

    2014-01-01

    We outline a framework for evaluating food- and water-borne surveillance systems using hospitalization records, and demonstrate the approach using data on salmonellosis, campylobacteriosis and giardiasis in persons aged ≥65 years in Massachusetts. For each infection, and for each reporting jurisdiction, we generated smoothed standardized morbidity ratios (SMR) and surveillance to hospitalization ratios (SHR) by comparing observed surveillance counts with expected values or the number of hospitalized cases, respectively. We examined the spatial distribution of SHR and related this to the mean for the entire state. Through this approach municipalities that deviated from the typical experience were identified and suspected of under-reporting. Regression analysis revealed that SHR was a significant predictor of SMR, after adjusting for population age-structure. This confirms that the spatial "signal" depicted by surveillance is in part influenced by inconsistent testing and reporting practices since municipalities that reported fewer cases relative to the number of hospitalizations had a lower relative risk (as estimated by SMR). Periodic assessment of SHR has potential in assessing the performance of surveillance systems.

  14. Hospitalization records as a tool for evaluating performance of food- and water-borne disease surveillance systems: a Massachusetts case study.

    Directory of Open Access Journals (Sweden)

    Siobhan M Mor

    Full Text Available We outline a framework for evaluating food- and water-borne surveillance systems using hospitalization records, and demonstrate the approach using data on salmonellosis, campylobacteriosis and giardiasis in persons aged ≥65 years in Massachusetts. For each infection, and for each reporting jurisdiction, we generated smoothed standardized morbidity ratios (SMR and surveillance to hospitalization ratios (SHR by comparing observed surveillance counts with expected values or the number of hospitalized cases, respectively. We examined the spatial distribution of SHR and related this to the mean for the entire state. Through this approach municipalities that deviated from the typical experience were identified and suspected of under-reporting. Regression analysis revealed that SHR was a significant predictor of SMR, after adjusting for population age-structure. This confirms that the spatial "signal" depicted by surveillance is in part influenced by inconsistent testing and reporting practices since municipalities that reported fewer cases relative to the number of hospitalizations had a lower relative risk (as estimated by SMR. Periodic assessment of SHR has potential in assessing the performance of surveillance systems.

  15. A behavioral characterization of the positive real and bounded real characteristic values in balancing

    NARCIS (Netherlands)

    Trentelman, H.L.

    In passivity preserving and bounded realness preserving model reduction by balanced truncation, an important role is played by the so-called positive real (PR) and bounded real (BR) characteristic values. Both for the positive real as well as the bounded real case, these values are defined in terms

  16. Development of PDRESS (Patient Specific Dose Real Evaluation Systems) using a TENOMAG Gel and Optical CT (VISTA) in Clinical IMRT Prostate Case

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Suk; Shim, Jang Bo; Chang, Kyung Hwan; Cao, Yuanjie; Yi, Jaeyoun; Park, Jinwoo; Cho, Sam Ju; Lee, Sang Hoon; Huh, HyunDo; Cho, Kwang Hwan; Min, Chul Kee; Yang, Dae Sik; Park, Young Je; Yoon, Won Seob; Kim, Chul Yong, E-mail: sukmp@korea.ac.k

    2010-11-01

    The aims of this study, we present the preliminary results of 3 dimensional dose evaluation software ({sup P}DRESS, patient specific dose real evaluation systems). In this work, we compared planned 3D dose distribution with measured 3D dose distribution using a novel normoxic polymer gel dosimeter (TENOMAG) and a commercial cone-beam optical CT scanner (VISTA{sup TM}, Modus Medical Devices, Inc., London, ON, Canada) to verify the 3D dose distribution in intensity-modulated radiation therapy (IMRT) prostate case. And we developed {sup P}DRESS using the Xelis Flatform which is developed by INFINITT Corporation is used to display the 3D dose distribution by loading the DICOM RT Data which is exported from RTP and optical-CT reconstructed VFF file. Data analysis is achieved by comparing the RTP data with the VFF data using profile, gamma map, and DTA. The profiles showed good agreement between RTP data, gel dosimeter, and gamma distribution and the precision of the dose distribution is within {+-} 5%. The results from this study show that there are no significantly discrepancies between the calculated dose distribution from treatment plan and the measured dose distribution from a TENOMAG gel scanned with an optical CT scanner. The 3D dose evaluation software ({sup P}DRESS) which is developed in this study evaluates the accuracy of the three dimensional dose distributions.

  17. Development of a novel real-time RT-PCR assay to detect Seneca Valley virus-1 associated with emerging cases of vesicular disease in pigs.

    Science.gov (United States)

    Fowler, Veronica L; Ransburgh, Russell H; Poulsen, Elizabeth G; Wadsworth, Jemma; King, Donald P; Mioulet, Valerie; Knowles, Nick J; Williamson, Susanna; Liu, Xuming; Anderson, Gary A; Fang, Ying; Bai, Jianfa

    2017-01-01

    Seneca Valley virus 1 (SVV-1) can cause vesicular disease that is clinically indistinguishable from foot-and-mouth disease, vesicular stomatitis and swine vesicular disease. SVV-1-associated disease has been identified in pigs in several countries, namely USA, Canada, Brazil and China. Diagnostic tests are required to reliably detect this emerging virus, and this report describes the development and evaluation of a novel real-time (r) reverse-transcription (RT) PCR assay (rRT-PCR), targeting the viral polymerase gene (3D) of SVV-1. This new assay detected all historical and contemporary SVV-1 isolates examined (n=8), while no cross-reactivity was observed with nucleic acid templates prepared from other vesicular disease viruses or common swine pathogens. The analytical sensitivity of the rRT-PCR was 0.79 TCID 50 /ml and the limit of detection was equivalent using two different rRT-PCR master-mixes. The performance of the test was further evaluated using pig nasal (n=25) and rectal swab samples (n=25), where concordant results compared to virus sequencing were generated for 43/50 samples. The availability of this assay, will enable laboratories to rapidly detect SVV-1 in cases of vesicular disease in pigs, negated for notifiable diseases, and could enable existing knowledge gaps to be investigated surrounding the natural epidemiology of SVV-1. Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Real-Time Agent-Based Modeling Simulation with in-situ Visualization of Complex Biological Systems: A Case Study on Vocal Fold Inflammation and Healing.

    Science.gov (United States)

    Seekhao, Nuttiiya; Shung, Caroline; JaJa, Joseph; Mongeau, Luc; Li-Jessen, Nicole Y K

    2016-05-01

    We present an efficient and scalable scheme for implementing agent-based modeling (ABM) simulation with In Situ visualization of large complex systems on heterogeneous computing platforms. The scheme is designed to make optimal use of the resources available on a heterogeneous platform consisting of a multicore CPU and a GPU, resulting in minimal to no resource idle time. Furthermore, the scheme was implemented under a client-server paradigm that enables remote users to visualize and analyze simulation data as it is being generated at each time step of the model. Performance of a simulation case study of vocal fold inflammation and wound healing with 3.8 million agents shows 35× and 7× speedup in execution time over single-core and multi-core CPU respectively. Each iteration of the model took less than 200 ms to simulate, visualize and send the results to the client. This enables users to monitor the simulation in real-time and modify its course as needed.

  19. The utility of the Philips SRI-100 real time portal imaging device in a case of postoperative irradiation for prevention of heterotopic bone formation following total hip replacement

    International Nuclear Information System (INIS)

    Kiffer, J.D.; Quong, G.; Lawlor, M.; Schumer, W.; Aitken, L.; Wallace, A.

    1994-01-01

    The new Radiation Oncology Department at the Heidelberg Repatriation Hospital in Melbourne, Australia commenced operation in June 1992. As part of quality control the Philips SL-15 linear accelerator was fitted with the Philips SRI-100 Real Time Portal Imaging Device (RTPID), the first such apparatus in Australia. One of its major advantages over older systems is its ability to provide a permanent hard copy of the image of the field treated. The computer image can be immediately manipulated and enhanced on the screen (with respect to such qualities as brightness and contrast) prior to the printing of the hard copy. This is a significant improvement over the more cumbersome older port films that required developing time, without any pre-assessment of the image quality. The utility of the Philips SRI-100 RTPID is demonstrated in the case of a patient irradiated soon after total hip replacement, as prophylaxis against heterotopic bone formation (HBF). The rapidity and quality of image production is a major advantage in these patients where post operative pain may result in positional change between film exposure and image production. Extremely accurate shielding block position is essential to shield the prosthesis(and allow bone ingrowth for fixation) whilst avoiding inadvertent shielding of the areas at risk for HBF. A review of the literature on this topic is provided. 14 refs., 4 figs

  20. Mercury species accumulation and trophic transfer in biological systems using the Almadén mining district (Ciudad Real, Spain) as a case of study.

    Science.gov (United States)

    Patiño Ropero, M J; Rodríguez Fariñas, N; Mateo, R; Berzas Nevado, J J; Rodríguez Martín-Doimeadios, R C

    2016-04-01

    The impact of mercury (Hg) pollution in the terrestrial environments and the terrestrial food chains including the impact on human food consumption is still greatly under-investigated. In particular, studies including Hg speciation and detoxification strategies in terrestrial animals are almost non-existing, but these are key information with important implications for human beings. Therefore, in this work, we report on Hg species (inorganic mercury, iHg, and monomethylmercury, MeHg) distribution among terrestrial animal tissues obtained from a real-world Hg exposure scenario (Almadén mining district, Spain). Thus, we studied Hg species (iHg and MeHg) and total selenium (Se) content in liver and kidney of red deer (Cervus elaphus; n = 41) and wild boar (Sus scrofa; n = 16). Similar mercury species distribution was found for both red deer and wild boar. Major differences were found between tissues; thus, in kidney, iHg was clearly the predominant species (more than 81%), while in liver, the species distribution was less homogeneous with a percentage of MeHg up to 46% in some cases. Therefore, Hg accumulation and MeHg transfer were evident in terrestrial ecosystems. The interaction between total Se and Hg species has been evaluated by tissue and by animal species. Similar relationships were found in kidney for both Hg species in red deer and wild boar. However, in liver, there were differences between animals. The possible underlying mechanisms are discussed.

  1. Real-time radiography

    International Nuclear Information System (INIS)

    Bossi, R.H.; Oien, C.T.

    1981-01-01

    Real-time radiography is used for imaging both dynamic events and static objects. Fluorescent screens play an important role in converting radiation to light, which is then observed directly or intensified and detected. The radiographic parameters for real-time radiography are similar to conventional film radiography with special emphasis on statistics and magnification. Direct-viewing fluoroscopy uses the human eye as a detector of fluorescent screen light or the light from an intensifier. Remote-viewing systems replace the human observer with a television camera. The remote-viewing systems have many advantages over the direct-viewing conditions such as safety, image enhancement, and the capability to produce permanent records. This report reviews real-time imaging system parameters and components

  2. Getting real with real options

    OpenAIRE

    M. R Grasselli

    2006-01-01

    We apply a utility-based method to obtain the value of a finite-time investment opportunity when the underlying real asset is not perfectly correlated to a traded financial asset. Using a discrete-time algorithm to calculate the indifference price for this type of real option, we present numerical examples for the corresponding investment thresholds, in particular highlighting their dependence with respect to correlation and risk aversion.

  3. User-composable Electronic Health Record Improves Efficiency of Clinician Data Viewing for Patient Case Appraisal: A Mixed-Methods Study.

    Science.gov (United States)

    Senathirajah, Yalini; Kaufman, David; Bakken, Suzanne

    2016-01-01

    Challenges in the design of electronic health records (EHRs) include designing usable systems that must meet the complex, rapidly changing, and high-stakes information needs of clinicians. The ability to move and assemble elements together on the same page has significant human-computer interaction (HCI) and efficiency advantages, and can mitigate the problems of negotiating multiple fixed screens and the associated cognitive burdens. We compare MedWISE-a novel EHR that supports user-composable displays-with a conventional EHR in terms of the number of repeat views of data elements for patient case appraisal. The study used mixed-methods for examination of clinical data viewing in four patient cases. The study compared use of an experimental user-composable EHR with use of a conventional EHR, for case appraisal. Eleven clinicians used a user-composable EHR in a case appraisal task in the laboratory setting. This was compared with log file analysis of the same patient cases in the conventional EHR. We investigated the number of repeat views of the same clinical information during a session and across these two contexts, and compared them using Fisher's exact test. There was a significant difference (puser-composable EHR (14.6 percent) and conventional EHR (72.6 percent). Users of conventional EHRs repeatedly viewed the same information elements in the same session, as revealed by log files. Our findings are consistent with the hypothesis that conventional systems require that the user view many screens and remember information between screens, causing the user to forget information and to have to access the information a second time. Other mechanisms (such as reduction in navigation over a population of users due to interface sharing, and information selection) may also contribute to increased efficiency in the experimental system. Systems that allow a composable approach that enables the user to gather together on the same screen any desired information elements

  4. Calcium Channel Blockers in Secondary Cardiovascular Prevention and Risk of Acute Events: Real-World Evidence from Nested Case-Control Studies on Italian Hypertensive Elderly.

    Science.gov (United States)

    Bettiol, Alessandra; Lucenteforte, Ersilia; Vannacci, Alfredo; Lombardi, Niccolò; Onder, Graziano; Agabiti, Nera; Vitale, Cristiana; Trifirò, Gianluca; Corrao, Giovanni; Roberto, Giuseppe; Mugelli, Alessandro; Chinellato, Alessandro

    2017-12-01

    Antihypertensive treatment with calcium channel blockers (CCBs) is consolidated in clinical practice; however, different studies observed increased risks of acute events for short-acting CCBs. This study aimed to provide real-world evidence on risks of acute cardiovascular (CV) events, hospitalizations and mortality among users of different CCB classes in secondary CV prevention. Three case-control studies were nested in a cohort of Italian elderly hypertensive CV-compromised CCBs users. Cases were subjects with CV events (n = 25,204), all-cause hospitalizations (n = 19,237), or all-cause mortality (n = 17,996) during the follow-up. Up to four controls were matched for each case. Current or past exposition to CCBs at index date was defined based on molecule, formulation and daily doses of the last CCB delivery. The odds ratio (OR) and 95% confidence intervals (CI) were estimated using conditional logistic regression models. Compared to past users, current CCB users had significant reductions in risks of CV events [OR 0.88 (95% CI: 0.84-0.91)], hospitalization [0.90 (0.88-0.93)] and mortality [0.48 (0.47-0.49)]. Current users of long-acting dihydropyridines (DHPs) had the lowest risk [OR 0.87 (0.84-0.90), 0.86 (0.83-0.90), 0.55 (0.54-0.56) for acute CV events, hospitalizations and mortality], whereas current users of short-acting CCBs had an increased risk of acute CV events [OR 1.77 (1.13-2.78) for short-acting DHPs; 1.19 (1.07-1.31) for short-acting non-DHPs] and hospitalizations [OR 1.84 (0.96-3.51) and 1.23 (1.08-1.42)]. The already-existing warning on short-acting CCBs should be potentiated, addressing clinicians towards the choice of long-acting formulations.

  5. Real-world antidiabetic drug use and fracture risk in 12,277 patients with type 2 diabetes mellitus: a nested case-control study.

    Science.gov (United States)

    Losada, E; Soldevila, B; Ali, M S; Martínez-Laguna, D; Nogués, X; Puig-Domingo, M; Díez-Pérez, A; Mauricio, D; Prieto-Alhambra, D

    2018-06-02

    We conducted a nested case-control study to study the association between antidiabetic treatments (alone or in combination) use and fracture risk among incident type 2 Diabetes mellitus patients. We found an increased risk of bone fracture with insulin therapy compared to metformin monotherapy. Patients with type 2 diabetes mellitus (T2DM) have an increased risk of fragility fractures, to which antidiabetic therapies may contribute. We aimed to characterize the risk of fracture associated with different antidiabetic treatments as usually prescribed to T2DM patients in actual practice conditions. A case-control study was nested within a cohort of incident T2DM patients registered in 2006-2012 in the Information System for Research Development in Primary Care (Catalan acronym, SIDIAP), a database which includes records for > 5.5 million patients in Catalonia (Spain). Each case (incident major osteoporotic fracture) was risk-set matched with up to five same-sex controls by calendar year of T2DM diagnosis and year of birth (± 10 years). Study exposure included previous use of all antidiabetic medications (alone or in combination), as dispensed in the 6 months before the index date, with metformin (MTF) monotherapy, the most commonly used drug, as a reference group (active comparator). Data on 12,277 T2DM patients (2049 cases and 10,228 controls) were analyzed. Insulin use was associated with increased fracture risk (adjusted OR 1.63 (95% CI 1.30-2.04)), as was the combination of MTF and sulfonylurea (SU) (adjusted OR 1.29 (1.07-1.56)), compared with MTF monotherapy. Sensitivity analyses suggest possible causality for insulin therapy but not for the MTF + SU combination association. No significant association was found with any other antidiabetic medications. Insulin monotherapy was associated with an increased fracture risk compared to MTF monotherapy in T2DM patients. Fracture risk should be taken into account when starting a glucose-lowering drug as part

  6. Real analysis

    CERN Document Server

    Loeb, Peter A

    2016-01-01

    This textbook is designed for a year-long course in real analysis taken by beginning graduate and advanced undergraduate students in mathematics and other areas such as statistics, engineering, and economics. Written by one of the leading scholars in the field, it elegantly explores the core concepts in real analysis and introduces new, accessible methods for both students and instructors. The first half of the book develops both Lebesgue measure and, with essentially no additional work for the student, general Borel measures for the real line. Notation indicates when a result holds only for Lebesgue measure. Differentiation and absolute continuity are presented using a local maximal function, resulting in an exposition that is both simpler and more general than the traditional approach. The second half deals with general measures and functional analysis, including Hilbert spaces, Fourier series, and the Riesz representation theorem for positive linear functionals on continuous functions with compact support....

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

    Science.gov (United States)

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

    2018-03-01

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

  8. Characteristics of maxillofacial injuries resulting from road traffic accidents – a 5 year review of the case records from Department of Maxillofacial Surgery in Katowice, Poland

    Directory of Open Access Journals (Sweden)

    Drugacz Jan

    2006-08-01

    Full Text Available Abstract Background In spite of employing numerous devices improving the safety in motor vehicles, traffic accidents are still among the main reasons of maxillofacial injuries. The maxillofacial injuries remain the serious clinical problem because of the specificity of this anatomical region. The knowledge of etiologic factors and mechanisms of injuries can be helpful in a satisfactory trauma prevention. The aim of this study was to find out the incidence and the pattern of maxillofacial injuries resulting from traffic accidents in the patients treated in the Department of Maxillofacial Surgery (Silesian Medical Academy in Katowice, Poland from January 2001 to December 2005. Methods The material consisted of 1024 case records of patients with maxillofacial injuries treated in the Maxillofacial Surgery Department of Silesian Medical Academy. The detailed analysis was carried out on the case records of 198 patients in the age of 3 to 68 with maxillofacial injuries resulting from traffic accidents. On the basis of data from a history, examination on admission, consultations and radiological examinations, patients' age and gender, we obtained the information on a pattern of injury and detailed description of an accident (the date and the time of an accident, the role of the patient in an accident. Results The traffic accidents were the cause of 19,93% maxillofacial injuries in the analyzed period of time. Most of the patients had injuries to the soft tissues of the face (22,21%, followed by tooth and alveolar process injuries (20,71% and mandibular fractures (18,69%. All the types of injuries were more common in men than in women. The majority of the patients were car drivers followed by car passengers, pedestrians, cyclists and motor cyclists. The peak age of the patients was between 18 to 25 years. The prevalent number of accidents resulting in injuries to this region took place in spring, especially between noon and 4 PM. Conclusion Our results

  9. Real Heroes.

    Science.gov (United States)

    Denenberg, Dennis

    2001-01-01

    Presents stories taken from the book, "50 American Heroes Every Kid Should Meet," explaining that children need to learn about the value of real-life human accomplishments (versus those of athletes, television personalities, and rock stars). The heroes include Elizabeth Blackwell, first American woman doctor; George C. Marshall,…

  10. How to Improve Fault Tolerance in Disaster Predictions: A Case Study about Flash Floods Using IoT, ML and Real Data.

    Science.gov (United States)

    Furquim, Gustavo; Filho, Geraldo P R; Jalali, Roozbeh; Pessin, Gustavo; Pazzi, Richard W; Ueyama, Jó

    2018-03-19

    The rise in the number and intensity of natural disasters is a serious problem that affects the whole world. The consequences of these disasters are significantly worse when they occur in urban districts because of the casualties and extent of the damage to goods and property that is caused. Until now feasible methods of dealing with this have included the use of wireless sensor networks (WSNs) for data collection and machine-learning (ML) techniques for forecasting natural disasters. However, there have recently been some promising new innovations in technology which have supplemented the task of monitoring the environment and carrying out the forecasting. One of these schemes involves adopting IP-based (Internet Protocol) sensor networks, by using emerging patterns for IoT. In light of this, in this study, an attempt has been made to set out and describe the results achieved by SENDI (System for dEtecting and forecasting Natural Disasters based on IoT). SENDI is a fault-tolerant system based on IoT, ML and WSN for the detection and forecasting of natural disasters and the issuing of alerts. The system was modeled by means of ns-3 and data collected by a real-world WSN installed in the town of São Carlos - Brazil, which carries out the data collection from rivers in the region. The fault-tolerance is embedded in the system by anticipating the risk of communication breakdowns and the destruction of the nodes during disasters. It operates by adding intelligence to the nodes to carry out the data distribution and forecasting, even in extreme situations. A case study is also included for flash flood forecasting and this makes use of the ns-3 SENDI model and data collected by WSN.

  11. How to Improve Fault Tolerance in Disaster Predictions: A Case Study about Flash Floods Using IoT, ML and Real Data

    Science.gov (United States)

    Furquim, Gustavo; Filho, Geraldo P. R.; Pessin, Gustavo; Pazzi, Richard W.

    2018-01-01

    The rise in the number and intensity of natural disasters is a serious problem that affects the whole world. The consequences of these disasters are significantly worse when they occur in urban districts because of the casualties and extent of the damage to goods and property that is caused. Until now feasible methods of dealing with this have included the use of wireless sensor networks (WSNs) for data collection and machine-learning (ML) techniques for forecasting natural disasters. However, there have recently been some promising new innovations in technology which have supplemented the task of monitoring the environment and carrying out the forecasting. One of these schemes involves adopting IP-based (Internet Protocol) sensor networks, by using emerging patterns for IoT. In light of this, in this study, an attempt has been made to set out and describe the results achieved by SENDI (System for dEtecting and forecasting Natural Disasters based on IoT). SENDI is a fault-tolerant system based on IoT, ML and WSN for the detection and forecasting of natural disasters and the issuing of alerts. The system was modeled by means of ns-3 and data collected by a real-world WSN installed in the town of São Carlos - Brazil, which carries out the data collection from rivers in the region. The fault-tolerance is embedded in the system by anticipating the risk of communication breakdowns and the destruction of the nodes during disasters. It operates by adding intelligence to the nodes to carry out the data distribution and forecasting, even in extreme situations. A case study is also included for flash flood forecasting and this makes use of the ns-3 SENDI model and data collected by WSN. PMID:29562657

  12. How to Improve Fault Tolerance in Disaster Predictions: A Case Study about Flash Floods Using IoT, ML and Real Data

    Directory of Open Access Journals (Sweden)

    Gustavo Furquim

    2018-03-01

    Full Text Available The rise in the number and intensity of natural disasters is a serious problem that affects the whole world. The consequences of these disasters are significantly worse when they occur in urban districts because of the casualties and extent of the damage to goods and property that is caused. Until now feasible methods of dealing with this have included the use of wireless sensor networks (WSNs for data collection and machine-learning (ML techniques for forecasting natural disasters. However, there have recently been some promising new innovations in technology which have supplemented the task of monitoring the environment and carrying out the forecasting. One of these schemes involves adopting IP-based (Internet Protocol sensor networks, by using emerging patterns for IoT. In light of this, in this study, an attempt has been made to set out and describe the results achieved by SENDI (System for dEtecting and forecasting Natural Disasters based on IoT. SENDI is a fault-tolerant system based on IoT, ML and WSN for the detection and forecasting of natural disasters and the issuing of alerts. The system was modeled by means of ns-3 and data collected by a real-world WSN installed in the town of São Carlos - Brazil, which carries out the data collection from rivers in the region. The fault-tolerance is embedded in the system by anticipating the risk of communication breakdowns and the destruction of the nodes during disasters. It operates by adding intelligence to the nodes to carry out the data distribution and forecasting, even in extreme situations. A case study is also included for flash flood forecasting and this makes use of the ns-3 SENDI model and data collected by WSN.

  13. Detection and quantification of 12 anabolic steroids and analogs in human whole blood and 20 in hair using LC-HRMS/MS: application to real cases.

    Science.gov (United States)

    Fabresse, Nicolas; Grassin-Delyle, Stanislas; Etting, Isabelle; Alvarez, Jean-Claude

    2017-07-01

    We developed and validated a method to detect and quantify 12 anabolic steroids in blood (androstenedione, dihydrotestosterone, boldenone, epitestosterone, mesterolone, methandienone, nandrolone, stanozolol, norandrostenedione, tamoxifene, testosterone, trenbolone) and eight more in hair samples (nandrolone phenylpropionate, nandrolone decanoate, testosterone propionate, testosterone benzoate, testosterone cypionate, testosterone decanoate, testosterone phenylpropionate, testosterone undecanoate) using liquid chromatography coupled to high-resolution mass spectrometry. This method used a benchtop Orbitrap mass spectrometer operating with an APCI probe under positive ionization mode. Analysis was realized in full scan experiment with a nominal resolving power of 140,000. After addition of the internal standard (testosterone-D3) and incubation in phosphate buffer pH = 5 for hair, 200 μL of blood and 30 mg of hair samples were extracted with heptane. LOQ and LOD were determined at 5 and 1 ng mL -1 in whole blood and 10 to 100 pg mg -1 and 2 to 20 pg mg -1 in hair according to the compounds, respectively. The method was linear in the 5-1000 ng mL -1 range in whole blood and between 10 or 100 pg mg -1 and 1000 pg mg -1 in hair with correlation coefficients >0.99, and intra- and inter-day accuracy and precision were <14.8% for all compounds except for some esters in hairs (<19.9%) probably due to an important matrix effect for these compounds. This sensitive and specific method to detect anabolic steroids has been successfully applied to two real cases, for which various anabolic steroids in whole blood, urine, and hair were identified and quantified.

  14. Application of the Price-Volume Approach in Cases of Innovative Drugs Where Value-Based Pricing is Inadequate: Description of Real Experiences in Italy.

    Science.gov (United States)

    Messori, Andrea

    2016-08-01

    Several cases of expensive drugs designed for large patient populations (e.g. sofosbuvir) have raised a complex question in terms of drug pricing. Even assuming value-based pricing, the treatment with these drugs of all eligible patients would have an immense budgetary impact, which is unsustainable also for the richest countries. This raises the need to reduce the prices of these agents in comparison with those suggested by the value-based approach and to devise new pricing methods that can achieve this goal. The present study discusses in detail the following two methods: (i) The approach based on setting nation-wide budget thresholds for individual innovative agents in which a fixed proportion of the historical pharmaceutical expenditure represents the maximum budget attributable to an innovative treatment; (ii) The approach based on nation-wide price-volume agreements in which drug prices are progressively reduced as more patients receive the treatment. The first approach has been developed in the USA by the Institute for Clinical and Economic Review and has been applied to PCSK9 inhibitors (alirocumab and evolocumab). The second approach has been designed for the Italian market and has found a systematic application to manage the price of ranibizumab, sofosbuvir, and PCSK9 inhibitors. While, in the past, price-volume agreements have been applied only on an empirical basis (i.e. in the absence of any quantitative theoretical rule), more recently some explicit mathematical models have been described. The performance of these models is now being evaluated on the basis of the real-world experiences conducted in some European countries, especially Italy.

  15. Analysis of transaction records of live freshwater finfish in China: A case study of customers’ claims of fish mortality using cross-classified modeling

    Directory of Open Access Journals (Sweden)

    Beibei Jia

    2016-11-01

    Full Text Available Customers of finfish in China place a high priority on healthy fish at the point of sale but factors that increase the risk of morbidity and mortality during transportation have had limited study. We designed a case study to investigate variation of mortalities claimed by customers receiving fish at markets with above-normal mortalities. We used daily transaction records of the 3 species transported from a company located in Guangdong province to its destination markets in Beijing between April and July 2013: largemouth bass (Micropterus salmoides, Chinese perch (Siniperca chuatsi, and longsnout catfish (Leiocassis longirostris. We quantified magnitudes and patterns of weekly mortalities of transported fish, and used cross-classified random-effect modeling to explore variation and clustering of fish mortality claims at wholesale destinations. Random effects for customer and market-week were interpreted by variance partition coefficients (VPC and intraclass correlation coefficients (ICC. A significant fixed effect of market was found in the model of mortality claims for longsnout catfish (p < 0.05, and changing patterns of VPC and ICC suggested that customers ordering longsnout catfish had more variation in claims than those ordering the other 2 species. Our findings indicate a need for better customer communication for live fish transportation and a need for detailed measurements during the process including physiological factors and transportation conditions, to better understand their role in reported mortalities.

  16. Number of addictive substances used related to increased risk of unnatural death: A combined medico-legal and case-record study

    Directory of Open Access Journals (Sweden)

    Lindgren Anna

    2009-08-01

    Full Text Available Abstract Background Substance use disorders have repeatedly been found to lead to premature death, i.e. drug-related death by disease, fatal intoxications, or trauma (accidents, suicide, undetermined suicide, and homicide. The present study examined the relationship between multi-drug substance use and natural and unnatural death. Methods All consecutive, autopsied patients who had been in contact with the Addiction Centre in Malmö University Hospital from 1993 to 1997 inclusive were investigated. Drug abuse was investigated blindly in the case records and related to the cause of death in 387 subjects. Results Every substance apart from alcohol used previously in life added to the risk of unnatural death in a linear way. There were independent increased risks of fatal heroin overdoses or undetermined suicide. Death by suicide and violent death were unrelated to additional abuse. Conclusion The number of drugs used was related to an increased risk of unnatural death by undetermined suicide (mainly fatal intoxications and heroin overdose.

  17. Phenological Records

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Phenology is the scientific study of periodic biological phenomena, such as flowering, breeding, and migration, in relation to climatic conditions. The few records...

  18. Real analysis

    CERN Document Server

    DiBenedetto, Emmanuele

    2016-01-01

    The second edition of this classic textbook presents a rigorous and self-contained introduction to real analysis with the goal of providing a solid foundation for future coursework and research in applied mathematics. Written in a clear and concise style, it covers all of the necessary subjects as well as those often absent from standard introductory texts. Each chapter features a “Problems and Complements” section that includes additional material that briefly expands on certain topics within the chapter and numerous exercises for practicing the key concepts. The first eight chapters explore all of the basic topics for training in real analysis, beginning with a review of countable sets before moving on to detailed discussions of measure theory, Lebesgue integration, Banach spaces, functional analysis, and weakly differentiable functions. More topical applications are discussed in the remaining chapters, such as maximal functions, functions of bounded mean oscillation, rearrangements, potential theory, a...

  19. End-user support for a primary care electronic medical record: a qualitative case study of a vendor’s perspective

    Directory of Open Access Journals (Sweden)

    Aviv Shachak

    2013-05-01

    Full Text Available Background In primary care settings, users often rely on vendors to provide support for health information technology (HIT. Yet, little is known about the vendors’ perspectives on the support they provide, how support personnel perceive their roles, the challenges they face and the ways they deal with them.Objective To provide in-depth insight into an electronic-medical record (EMR vendor’s perspective on end-user support.Methods As part of a larger case study research, we conducted nine semi-structured interviews with help desk staff, trainers and service managers of an EMR vendor, and observed two training sessions of a new client.Results With a growing client base, the vendor faced challenges of support staff shortage and high variance in users’ technical knowledge. Additionally, users sometimes needed assistance with infrastructure, and not just software problems. These challenges sometimes hindered the provision of timely support and required supporters to possess good interpersonal skills and adapt to diverse client population.Conclusion This study highlights the complexity of providing end-user support for HIT. With increased adoption, other vendors are likely to face similar challenges. To deal with these issues, supporters need not only strong technical knowledge of the systems, but also good interpersonal communication skills. Some responsibilities may be delegated to super-users. Users may find it useful to hire local IT staff, at least on an on-call basis, to provide assistance with infrastructure problems, which are not supported by the software vendor. Vendors may consider expanding their service packages to cover these elements.

  20. Audio Recording of Children with Dyslalia

    Directory of Open Access Journals (Sweden)

    Stefan Gheorghe Pentiuc

    2008-01-01

    Full Text Available In this paper we present our researches regarding automat parsing of audio recordings. These recordings are obtained from children with dyslalia and are necessary for an accurate identification of speech problems. We develop a software application that helps parsing audio, real time, recordings.

  1. Audio Recording of Children with Dyslalia

    OpenAIRE

    Stefan Gheorghe Pentiuc; Maria D. Schipor; Ovidiu A. Schipor

    2008-01-01

    In this paper we present our researches regarding automat parsing of audio recordings. These recordings are obtained from children with dyslalia and are necessary for an accurate identification of speech problems. We develop a software application that helps parsing audio, real time, recordings.

  2. The Role of Land Records in Support of Post-Conflict Land Administration within overall State Building – the Case of Rwanda

    NARCIS (Netherlands)

    Todorovski, D.; Manirakiza, Jean Guillaume; Zevenbergen, J.A.; Boerboom, L.G.J.

    2018-01-01

    An essential component of every land administration system are the land records. These records contain information about ownership, value and use of land. Conflict and post-conflict contexts, both in literature and in practice, have shown that land administration systems are mostly affected by the

  3. RECORDS REACHING RECORDING DATA TECHNOLOGIES

    Directory of Open Access Journals (Sweden)

    G. W. L. Gresik

    2013-07-01

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

  4. Records Reaching Recording Data Technologies

    Science.gov (United States)

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

    2013-07-01

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

  5. 1993 Department of Energy Records Management Conference

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-12-31

    This document consists of viewgraphs from the presentations at the conference. Topics included are: DOE records management overview, NIRMA and ARMA resources, NARA records management training, potential quality assurance records, filing systems, organizing and indexing technical records, DOE-HQ initiatives, IRM reviews, status of epidemiologic inventory, disposition of records and personal papers, inactive records storage, establishing administrative records, managing records at Hanford, electronic mail -- legal and records issues, NARA-GAO reports status, consultive selling, automated indexing, decentralized approach to scheduling at a DOE office, developing specific records management programs, storage and retrieval at Savannah River Plant, an optical disk case study, and special interest group reports.

  6. Museo reale e museo digitale: il caso del Museo Archeologico Regionale “A. Salinas” un anno dopo la riapertura / Real and digital museum: the case of the Museo Archeologico Regionale “A. Salinas” one year after its reopening

    Directory of Open Access Journals (Sweden)

    Serena D'Orazio

    2017-12-01

    Full Text Available La riapertura del Museo Salinas, rimasto per anni inaccessibile a causa di un lungo restauro architettonico, ha rappresentato per la comunità e per l'istituzione stessa un momento di importante condivisione sociale. Accanto ai risultati raggiunti a museo "chiuso" in seguito all'adozione di una strategia di comunicazione capace di integrare l'attività sui canali social, l'adesione a campagne bottom-up per la valorizzazione digitale del patrimonio e la promozione di un ricco calendario di mostre ed eventi all’interno ed all’esterno dalla sede museale si affiancano ora grandi aspettative nei confronti di questa nuova realtà in cui i due sistemi - museo reale e museo digitale - hanno l'opportunità di interagire e comunicare. Questo contributo intende quindi analizzare, nell'ottica del miglioramento continuo, i risultati raggiunti dal museo a distanza di un anno dalla propria riapertura indagando sulle strategie adottate, sulla qualità dei servizi offerti e sulle opportunità ancora da sfruttare, dedicando particolare attenzione al tema dell'uso delle tecnologie digitali per la fruizione e la valorizzazione del patrimonio conservato. The reopening of the Museo Salinas, closed off for years due to a long architectural restoration, has represented a crucial moment of social sharing for both the community and the institution. Together with the results achieved as "closed" museum, thanks to the planning of a communication strategy aimed at introducing social channel activities, the adoption of a bottom-up campaign for cultural heritage digital evaluation and the promotion of a rich schedule of exhibitions and meetings outside of the museum, high expectations are present now for this new reality: two systems - the real museum and the digital museum - have the opportunity to interact and to communicate. The purpose of this paperwork is to analyze, for a continuous improvement, the achievements of the museum one year later the reopening by

  7. Using Constructive Alignment to Improve Student Research and Writing Skills: A Case Study of a Master's Program in Real Estate Management

    Science.gov (United States)

    Azasu, Samuel; Berggren, Björn

    2015-01-01

    The purpose of the paper is to describe and analyse efforts to integrate research into teaching in a postgraduate degree program in real estate management. The long term goals of the changes were to increase graduation rates as well as the quality of dissertations. In order to validate our findings, the data for this paper emanate from a three…

  8. Obtaining isochrones from pollution signals in a fluvial sediment record: A case study in a uranium-polluted floodplain of the Ploučnice River, Czech Republic

    International Nuclear Information System (INIS)

    Matys Grygar, T.; Elznicová, J.; Bábek, O.; Hošek, M.; Engel, Z.; Kiss, T.

    2014-01-01

    Highlights: • Integrated approach to assess pollutant distribution in floodplain. • Natural background concentration is a function and not a value. • Concept of local enrichment factors based on local background functions. • Secondary pollution from transient fluvial deposits. - Abstract: Uranium mining and processing in the watershed of the Ploučnice River in the Czech Republic during a well-defined time interval (1969–1989) allowed for a study of pollutant fates in sediments of a meandering river that is otherwise in a nearly natural state. A considerable part of the primary pollution is present in hotspots in the floodplain 10–15 km downstream from the mining district. One of the hotspots was characterised using geoinformatic, geophysical and geochemical means. The floodplain geomorphology and architecture and river channel dynamics were studied to develop an understanding of the formation of the hotspot and evaluate further movement of pollutants in the river system. Local background functions (with Rb or Ti as a predictor) and local enrichment factors (LEFs) were obtained for Ba, Ni, Pb, U and Zn concentrations in unpolluted sediments from the deeper strata of the active floodplain, an abandoned floodplain and an ancient terrace. The most recent (2013) overbank fines in the study area are still considerably enriched in Ni, U and Zn (LEF 3, 6 and 8, respectively), and thus pollution by heavy metals several km downstream of the hotspots continuously increases even though the primary source of pollution was terminated more than 20 years ago. The onset of the primary pollution (the base of the polluted strata) is hence clearly identified in the distal floodplain sediments as persistent and a potentially isochronous pollution signal in the fluvial record, whereas a secondary pollution signal overwrites the expected “primary pollution climax” and “pollution improvement” signals. That inertia of the fluvial system can also be expected in other

  9. A Primary Study on the Recording Method of Interior Decoration in Qing Dynasty - A Case Study of Interior Decoration of Jingfu Palace

    Science.gov (United States)

    Rong, X.; He, B.; Zhuang, L.

    2017-08-01

    The existing interior decoration of Qing Dynasty is the master of that of each dynasty, with its diversified forms and complicated functions. As early as 1920s, the Rehabilitation Committee of Qing court recorded the interior furnishing in the Forbidden City by using Chinese traditional documentary method. Today, along with the constantly updated techniques, the recording method for the current situation of interior decoration has gradually developed from two-dimensional drawings into digital and comprehensive record. However, the current research results are mostly limited to a single field. This paper takes the digital record and reproduction about the current situation of interior decoration in Jingfu Palace in the Forbidden City as an example. Through the use of photogrammetry, 3D laser scanning, virtual display and other technology and equipment at the forefront of architectural field, it makes qualitative and quantitative record about the interior decoration inside Jingfu Palace. By combing with the interpretation of historical documents, it restores the original design ideas hidden behind the current situation of interior decoration, so as to summarize the best recording and reproducing method of interior decoration of Qing Dynasty.

  10. A Primary Study on the Recording Method of Interior Decoration in Qing Dynasty – A Case Study of Interior Decoration of Jingfu Palace

    Directory of Open Access Journals (Sweden)

    X. Rong

    2017-08-01

    Full Text Available The existing interior decoration of Qing Dynasty is the master of that of each dynasty, with its diversified forms and complicated functions. As early as 1920s, the Rehabilitation Committee of Qing court recorded the interior furnishing in the Forbidden City by using Chinese traditional documentary method. Today, along with the constantly updated techniques, the recording method for the current situation of interior decoration has gradually developed from two-dimensional drawings into digital and comprehensive record. However, the current research results are mostly limited to a single field. This paper takes the digital record and reproduction about the current situation of interior decoration in Jingfu Palace in the Forbidden City as an example. Through the use of photogrammetry, 3D laser scanning, virtual display and other technology and equipment at the forefront of architectural field, it makes qualitative and quantitative record about the interior decoration inside Jingfu Palace. By combing with the interpretation of historical documents, it restores the original design ideas hidden behind the current situation of interior decoration, so as to summarize the best recording and reproducing method of interior decoration of Qing Dynasty.

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

    Directory of Open Access Journals (Sweden)

    E. V. Tsviashchenko

    2015-01-01

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

  12. Identification of some factors affecting pharmaceutical active compounds (PhACs) removal in real wastewater. Case study of fungal treatment of reverse osmosis concentrate.

    Science.gov (United States)

    Badia-Fabregat, Marina; Lucas, Daniel; Gros, Meritxell; Rodríguez-Mozaz, Sara; Barceló, Damià; Caminal, Glòria; Vicent, Teresa

    2015-01-01

    Many technologies are being developed for the efficient removal of micropollutants from wastewater and, among them, fungal degradation is one of the possible alternative biological treatments. In this article, some factors that might affect pharmaceutically active compounds (PhACs) removal in a fungal treatment of real wastewater were identified in batch bioreactor treating reverse osmosis concentrate (ROC) from urban wastewater treatment plant (WWTP). We found that degradation of PhACs by Trametes versicolor was enhanced by addition of external nutrients (global removal of 44%). Moreover, our results point out that high aeration might be involved in the increase in the concentration of some PhACs. In fact, conjugation and deconjugation processes (among others) affect the removal assessment of emerging contaminants when working with real concentrations in comparison to experiments with spiked samples. Moreover, factors that could affect the quantification of micropollutants at lab-scale experiments were studied. Copyright © 2014 Elsevier B.V. All rights reserved.

  13. Identification of approximately duplicate material records in ERP systems

    Science.gov (United States)

    Zong, Wei; Wu, Feng; Chu, Lap-Keung; Sculli, Domenic

    2017-03-01

    The quality of master data is crucial for the accurate functioning of the various modules of an enterprise resource planning (ERP) system. This study addresses specific data problems arising from the generation of approximately duplicate material records in ERP databases. Such problems are mainly due to the firm's lack of unique and global identifiers for the material records, and to the arbitrary assignment of alternative names for the same material by various users. Traditional duplicate detection methods are ineffective in identifying such approximately duplicate material records because these methods typically rely on string comparisons of each field. To address this problem, a machine learning-based framework is developed to recognise semantic similarity between strings and to further identify and reunify approximately duplicate material records - a process referred to as de-duplication in this article. First, the keywords of the material records are extracted to form vectors of discriminating words. Second, a machine learning method using a probabilistic neural network is applied to determine the semantic similarity between these material records. The approach was evaluated using data from a real case study. The test results indicate that the proposed method outperforms traditional algorithms in identifying approximately duplicate material records.

  14. Market access and community size influence pastoral management of native and exotic livestock species : a case study in communities of the Cordillera Real in Bolivia's high Andean wetlands

    OpenAIRE

    Struelens, Quentin; Pomar, K. G.; Herrera, S. L.; Huanca, G. N.; Dangles, Olivier; Rebaudo, François

    2017-01-01

    Grazing areas management is of utmost importance in the Andean region. In the valleys of the Bolivian Cordillera Real near La Paz, pastoralism constitutes the traditional way for people to insure food security and economical sustainability. In these harsh mountains, unique and productive wetlands sustained by glacial water streams are of utmost importance for feeding cattle herds during the dry season. After the colonization by the Spanish, a shift in livestock species has been observed, with...

  15. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club November  Selections Just in time for the holiday season, we have added a number of new CDs and DVDs into the Club. You will find the full lists at http://cern.ch/record.club; select the "Discs of the Month" button on the left side on the left panel of the web page and then Nov 2011. New films include the all 5 episodes of Fast and Furious, many of the most famous films starring Jean-Paul Belmondo and those of Louis de Funes and some more recent films such as The Lincoln Lawyer and, according to some critics, Woody Allen’s best film for years – Midnight in Paris. For the younger generation there is Cars 2 and Kung Fu Panda 2. New CDs include the latest releases by Adele, Coldplay and the Red Hot Chili Peppers. We have also added the new Duets II CD featuring Tony Bennett singing with some of today’s pop stars including Lady Gaga, Amy Winehouse and Willy Nelson. The Club is now open every Monday, Wednesday and Friday ...

  16. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club June Selections We have put a significant number of new CDs and DVDs into the Club You will find the full lists at http://cern.ch/record.club and select the «Discs of the Month» button on the left side on the left panel of the web page and then June 2011. New films include the latest Action, Suspense and Science Fiction film hits, general drama movies including the Oscar-winning The King’s Speech, comedies including both chapter of Bridget Jones’s Diary, seven films for children and a musical. Other highlights include the latest Harry Potter release and some movies from the past you may have missed including the first in the Terminator series. New CDs include the latest releases by Michel Sardou, Mylene Farmer, Jennifer Lopez, Zucchero and Britney Spears. There is also a hits collection from NRJ. Don’t forget that the Club is now open every Monday, Wednesday and Friday lunchtimes from 12h30 to 13h00 in Restaurant 2, Building 504. (C...

  17. Record club

    CERN Document Server

    Record club

    2010-01-01

      Bonjour a tous, Voici les 24 nouveaux DVD de Juillet disponibles depuis quelques jours, sans oublier les 5 CD Pop musique. Découvrez la saga du terroriste Carlos, la vie de Gainsbourg et les aventures de Lucky Luke; angoissez avec Paranormal Activity et évadez vous sur Pandora dans la peau d’Avatar. Toutes les nouveautés sont à découvrir directement au club. Pour en connaître la liste complète ainsi que le reste de la collection du Record Club, nous vous invitons sur notre site web: http://cern.ch/crc. Toutes les dernières nouveautés sont dans la rubrique « Discs of the Month ». Rappel : le club est ouvert les Lundis, Mercredis, Vendredis de 12h30 à 13h00 au restaurant n°2, bâtiment 504. A bientôt chers Record Clubbers.  

  18. Record Club

    CERN Multimedia

    Record Club

    2011-01-01

    http://cern.ch/Record.Club Nouveautés été 2011 Le club de location de CDs et de DVDs vient d’ajouter un grand nombre de disques pour l’été 2011. Parmi eux, Le Discours d’un Roi, oscar 2011 du meilleur film et Harry Potter les reliques de la mort (1re partie). Ce n’est pas moins de 48 DVDs et 10 CDs nouveaux qui vous sont proposés à la location. Il y en a pour tous les genres. Alors n’hésitez pas à consulter notre site http://cern.ch/record.club, voir Disc Catalogue, Discs of the month pour avoir la liste complète. Le club est ouvert tous les Lundi, Mercredi, Vendredi de 12h30 à 13h dans le bâtiment du restaurent N°2 (Cf. URL: http://www.cern.ch/map/building?bno=504) A très bientôt.  

  19. Aerodynamic Modeling of NREL 5-MW Wind Turbine for Nonlinear Control System Design: A Case Study Based on Real-Time Nonlinear Receding Horizon Control

    Directory of Open Access Journals (Sweden)

    Pedro A. Galvani

    2016-08-01

    Full Text Available The work presented in this paper has two major aspects: (i investigation of a simple, yet efficient model of the NREL (National Renewable Energy Laboratory 5-MW reference wind turbine; (ii nonlinear control system development through a real-time nonlinear receding horizon control methodology with application to wind turbine control dynamics. In this paper, the results of our simple wind turbine model and a real-time nonlinear control system implementation are shown in comparison with conventional control methods. For this purpose, the wind turbine control problem is converted into an optimization problem and is directly solved by the nonlinear backwards sweep Riccati method to generate the control protocol, which results in a non-iterative algorithm. One main contribution of this paper is that we provide evidence through simulations, that such an advanced control strategy can be used for real-time control of wind turbine dynamics. Examples are provided to validate and demonstrate the effectiveness of the presented scheme.

  20. Use of a Nationwide Personally Controlled Electronic Health Record by Healthcare Professionals and Patients: A Case Study with the French DMP.

    Science.gov (United States)

    Seroussi, Brigitte; Bouaud, Jacques

    2017-01-01

    If the wide adoption of electronic health records (EHRs) is necessary to address health information sharing and care coordination issues, it is not sufficient. In order to address health information sharing, some countries, among which, France, have implemented a centralized framework with "new" nationwide care records. The French DMP is a centralized, nationally shared, electronic medical record, created according to the opt-in model. More than five years after the launching of the DMP project, DMPs have been created for 1.5% of the target population, which demonstrates the poor adoption of the tool by healthcare professionals. Among the 583,997 existing DMPs in June 2016, 41% were empty, and 24% of non-empty DMPs were actually accessed. If these "active" DMPs were equally accessed by both healthcare professionals and patients, patients accessed DMP documents four times more than healthcare professionals.

  1. Real topological string amplitudes

    Energy Technology Data Exchange (ETDEWEB)

    Narain, K.S. [The Abdus Salam International Centre for Theoretical Physics (ICTP),Strada Costiera 11, Trieste, 34151 (Italy); Piazzalunga, N. [Simons Center for Geometry and Physics, State University of New York,Stony Brook, NY, 11794-3636 (United States); International School for Advanced Studies (SISSA) and INFN, Sez. di Trieste,via Bonomea 265, Trieste, 34136 (Italy); Tanzini, A. [International School for Advanced Studies (SISSA) and INFN, Sez. di Trieste,via Bonomea 265, Trieste, 34136 (Italy)

    2017-03-15

    We discuss the physical superstring correlation functions in type I theory (or equivalently type II with orientifold) that compute real topological string amplitudes. We consider the correlator corresponding to holomorphic derivative of the real topological amplitude G{sub χ}, at fixed worldsheet Euler characteristic χ. This corresponds in the low-energy effective action to N=2 Weyl multiplet, appropriately reduced to the orientifold invariant part, and raised to the power g{sup ′}=−χ+1. We show that the physical string correlator gives precisely the holomorphic derivative of topological amplitude. Finally, we apply this method to the standard closed oriented case as well, and prove a similar statement for the topological amplitude F{sub g}.

  2. Positive real balancing for nonlinear systems

    NARCIS (Netherlands)

    Ionescu, Tudor C.; Scherpen, Jacquelien M.A.; Ciuprina, G; Ioan, D

    2007-01-01

    We extend the positive real balancing procedure for passive linear systems to the nonlinear systems case. We show that, just like in the linear case, model reduction based on this technique preserves passivity.

  3. Real-time systems

    OpenAIRE

    Badr, Salah M.; Bruztman, Donald P.; Nelson, Michael L.; Byrnes, Ronald Benton

    1992-01-01

    This paper presents an introduction to the basic issues involved in real-time systems. Both real-time operating sys and real-time programming languages are explored. Concurrent programming and process synchronization and communication are also discussed. The real-time requirements of the Naval Postgraduate School Autonomous Under Vehicle (AUV) are then examined. Autonomous underwater vehicle (AUV), hard real-time system, real-time operating system, real-time programming language, real-time sy...

  4. Modelling in Action. Examining How Students Approach Modelling Real Life Situations. Three Case Studies. Model of the Movement of an Elevator

    Science.gov (United States)

    Rivas, Eugenia Marmolejo

    2015-01-01

    By means of three case studies, we will present two mathematical modelling activities that are suitable for students enrolled in senior high school and the first year of mathematics at university level. The activities have been designed to enrich the learning process and promote the formation of vital modelling skills. In case studies one and two,…

  5. RECORD CLUB

    CERN Multimedia

    Record Club

    2010-01-01

    DVD James Bond – Series Complete To all Record Club Members, to start the new year, we have taken advantage of a special offer to add copies of all the James Bond movies to date, from the very first - Dr. No - to the latest - Quantum of Solace. No matter which of the successive 007s you prefer (Sean Connery, George Lazenby, Roger Moore, Timothy Dalton, Pierce Brosnan or Daniel Craig), they are all there. Or perhaps you have a favourite Bond Girl, or even perhaps a favourite villain. Take your pick. You can find the full selection listed on the club web site http://cern.ch/crc; use the panel on the left of the page “Discs of the Month” and select Jan 2010. We remind you that we are open on Mondays, Wednesdays and Fridays from 12:30 to 13:00 in Restaurant 2 (Bldg 504).

  6. Record dynamics

    DEFF Research Database (Denmark)

    Robe, Dominic M.; Boettcher, Stefan; Sibani, Paolo

    2016-01-01

    When quenched rapidly beyond their glass transition, colloidal suspensions fall out of equilibrium. The pace of their dynamics then slows down with the system age, i.e., with the time elapsed after the quench. This breaking of time translational invariance is associated with dynamical observables...... which depend on two time-arguments. The phenomenology is shared by a broad class of aging systems and calls for an equally broad theoretical description. The key idea is that, independent of microscopic details, aging systems progress through rare intermittent structural relaxations that are de......-facto irreversible and become increasingly harder to achieve. Thus, a progression of record-sized dynamical barriers are traversed in the approach to equilibration. Accordingly, the statistics of the events is closely described by a log-Poisson process. Originally developed for relaxation in spin glasses...

  7. Record breakers

    CERN Multimedia

    Antonella Del Rosso

    2012-01-01

    In the sixties, CERN’s Fellows were but a handful of about 50 young experimentalists present on site to complete their training. Today, their number has increased to a record-breaking 500. They come from many different fields and are spread across CERN’s different activity areas.   “Diversifying the Fellowship programme has been the key theme in recent years,” comments James Purvis, Head of the Recruitment, Programmes and Monitoring group in the HR Department. “In particular, the 2005 five-yearly review introduced the notion of ‘senior’ and ‘junior’ Fellowships, broadening the target audience to include those with Bachelor-level qualifications.” Diversification made CERN’s Fellowship programme attractive to a wider audience but the number of Fellows on site could not have increased so much without the support of EU-funded projects, which were instrumental in the growth of the programme. ...

  8. French registry of acute leukemia and myelodysplastic syndromes. Age distribution and hemogram analysis of the 4496 cases recorded during 1982-1983 and classified according to FAB criteria. Groupe Francais de Morphologie Hematologique

    International Nuclear Information System (INIS)

    Anon.

    1987-01-01

    During 1982 and 1983, 4496 new cases were recorded in the French Registry of acute leukemia and myelodysplastic syndromes by the French Group of Hematologic Morphology. This cooperative group associated members of 37 university centers spread throughout France; these centers handle the overwhelming majority of acute leukemias diagnoses. The cases were all classified according to FAB guidelines. Two thousand four hundred ninety-nine cases of acute myeloid leukemia were recorded, with similar total recruitment and distribution by cytologic subclass for both years. Hemogram data analysis revealed significant differences between different classes for certain parameters, particularly leukocytosis. A greater proportion of the acute myelogenous leukemias (AMLs) secondary to chemotherapy and/or radiotherapy (n = 145) were unclassifiable according to the French-American-British (FAB) system than the de novo AMLs (n = 1954). Eight hundred twenty cases of myelodysplastic syndromes were analyzed. Their frequency was underestimated due to optional reporting during the first year and the less favorable position of the university centers for recruiting these syndromes. The characteristics of the hemograms were established for acquired idiopathic sideroblastic anemia (n = 107), refractory anemia with excess blasts (RAEB) (n = 329), chronic myelomonocytic leukemia (n = 129) and RAEB in transformation (n = 65). Analysis of the 1177 acute lymphoblastic leukemias (ALLs) recorded showed good stability from one year to the next in terms of numbers of cases and distribution in the subclasses L1, L2, and L3. The distribution among these three subclasses by age also was determined. For L1 and L2 the hemogram data were examined separately for adults and children. The study of 74 cases of type L3 ALL enabled us to detail the hematologic presentation of this rare form of leukemia

  9. Variation between Hospitals with Regard to Diagnostic Practice, Coding Accuracy, and Case-Mix. A Retrospective Validation Study of Administrative Data versus Medical Records for Estimating 30-Day Mortality after Hip Fracture.

    Directory of Open Access Journals (Sweden)

    Jon Helgeland

    Full Text Available The purpose of this study was to assess the validity of patient administrative data (PAS for calculating 30-day mortality after hip fracture as a quality indicator, by a retrospective study of medical records.We used PAS data from all Norwegian hospitals (2005-2009, merged with vital status from the National Registry, to calculate 30-day case-mix adjusted mortality for each hospital (n = 51. We used stratified sampling to establish a representative sample of both hospitals and cases. The hospitals were stratified according to high, low and medium mortality of which 4, 3, and 5 hospitals were sampled, respectively. Within hospitals, cases were sampled stratified according to year of admission, age, length of stay, and vital 30-day status (alive/dead. The final study sample included 1043 cases from 11 hospitals. Clinical information was abstracted from the medical records. Diagnostic and clinical information from the medical records and PAS were used to define definite and probable hip fracture. We used logistic regression analysis in order to estimate systematic between-hospital variation in unmeasured confounding. Finally, to study the consequences of unmeasured confounding for identifying mortality outlier hospitals, a sensitivity analysis was performed.The estimated overall positive predictive value was 95.9% for definite and 99.7% for definite or probable hip fracture, with no statistically significant differences between hospitals. The standard deviation of the additional, systematic hospital bias in mortality estimates was 0.044 on the logistic scale. The effect of unmeasured confounding on outlier detection was small to moderate, noticeable only for large hospital volumes.This study showed that PAS data are adequate for identifying cases of hip fracture, and the effect of unmeasured case mix variation was small. In conclusion, PAS data are adequate for calculating 30-day mortality after hip-fracture as a quality indicator in Norway.

  10. Variation between Hospitals with Regard to Diagnostic Practice, Coding Accuracy, and Case-Mix. A Retrospective Validation Study of Administrative Data versus Medical Records for Estimating 30-Day Mortality after Hip Fracture.

    Science.gov (United States)

    Helgeland, Jon; Kristoffersen, Doris Tove; Skyrud, Katrine Damgaard; Lindman, Anja Schou

    2016-01-01

    The purpose of this study was to assess the validity of patient administrative data (PAS) for calculating 30-day mortality after hip fracture as a quality indicator, by a retrospective study of medical records. We used PAS data from all Norwegian hospitals (2005-2009), merged with vital status from the National Registry, to calculate 30-day case-mix adjusted mortality for each hospital (n = 51). We used stratified sampling to establish a representative sample of both hospitals and cases. The hospitals were stratified according to high, low and medium mortality of which 4, 3, and 5 hospitals were sampled, respectively. Within hospitals, cases were sampled stratified according to year of admission, age, length of stay, and vital 30-day status (alive/dead). The final study sample included 1043 cases from 11 hospitals. Clinical information was abstracted from the medical records. Diagnostic and clinical information from the medical records and PAS were used to define definite and probable hip fracture. We used logistic regression analysis in order to estimate systematic between-hospital variation in unmeasured confounding. Finally, to study the consequences of unmeasured confounding for identifying mortality outlier hospitals, a sensitivity analysis was performed. The estimated overall positive predictive value was 95.9% for definite and 99.7% for definite or probable hip fracture, with no statistically significant differences between hospitals. The standard deviation of the additional, systematic hospital bias in mortality estimates was 0.044 on the logistic scale. The effect of unmeasured confounding on outlier detection was small to moderate, noticeable only for large hospital volumes. This study showed that PAS data are adequate for identifying cases of hip fracture, and the effect of unmeasured case mix variation was small. In conclusion, PAS data are adequate for calculating 30-day mortality after hip-fracture as a quality indicator in Norway.

  11. Recent recordings

    CERN Multimedia

    Steven Goldfarb

    The University of Michigan ATLAS Collaboratory Project is happy to announce the publication of a number of recent web lectures, including the full Plenary Session from the ATLAS Overview Week, held at CERN in October. Archives from that event are located here and directly on the Indico agenda. Click on the pictures below to access more information. Latest NewsAs announced in the Collaborative Tool Workshop, held on Tuesday of the Overview Week, future events in the Michigan Archives will be available for viewing with a Flash Player plug-in (right image above), as well as the usual Real Player plug-in. This additional option, made possible by our usage of the Lecture Object and standard formats for storing all media and metadata, allows the viewer to choose her/his preferred environment. As always, viewing of the lectures is supported on all major platforms and browsers and there is also the option to download lectures for remote viewing with limited or no network bandwidth.ATLAS 2007 ArchivesAdditional...

  12. Record Club

    CERN Multimedia

    Record Club

    2012-01-01

      Les nouveautés du mois de mars sont à présent disponible au club. Nous avons acheté 42 DVD et 10 CD. Dans les DVD, vous trouverez l’intégrale des dessins animés de Tintin ainsi que le film réalisé par Steven Spielberg et Peter Jackson ; des comédies avec les 2 films de « la nouvelle guerre des boutons » et aussi Johnny English 2, Bad Teacher et Very Bad Trip 2 (disponible en DVD et en Blu-Ray) ; de la science-fiction avec Captain America, Real Steel, la planète des singes et quelques classiques comme les dents de la mer de Spielberg et les affranchis de Scorsese. Coté CD, l’album de Lana Del Rey, le nouvel album de Paul McCartney et celui de Amy Winehouse. Toutes les nouveautés sont à découvrir directement au club. Pour en connaître la liste complète ainsi que le reste de la collec...

  13. Recent recordings

    CERN Multimedia

    Steve Goldfarb

    The University of Michigan ATLAS Collaboratory Project would like to announce the publication of a number of recent web lectures concerning ATLAS and the LHC. Most recently, we produced a series of presentations made at the First ATLAS Physics Workshop of the Americas, held at SLAC in August. The complete set of lectures can be found here.There is a lot of outstanding material there, relevant to all of ATLAS, including detector summaries, trigger and physics talks, software and computing presentations, and an overview of operations. Viewing requires a standard web browser with RealPlayer plug-in (included in most browsers automatically) and works on any major platform. Lectures can be viewed directly over the web or downloaded locally.Additional ATLAS material, including plenary lectures, workshops and tutorials, can be found via our portal athttp://www.wlap.org/atlasincluding: First ATLAS Physics Workshop of the Americas (Aug 2007) Glasgow Overview Week Plenary Sessions (Jul 2007) CTEQ Workshop: "Physics at ...

  14. Recognition of anxiety disorders by family physicians after rigorous medical record case extraction Results of the Netherlands Study of Depression and Anxiety

    NARCIS (Netherlands)

    Janssen, Evelien H. C.; van de Ven, Peter M.; Terluin, Berend; Verhaak, Peter F. M.; van Marwijk, Harm W. J.; Smolders, Mirrian; van der Meer, Klaas; Penninx, Brenda W. J. H.; van Hout, Hein P. J.

    2012-01-01

    Objective: Previous studies reported low and inconsistent rates of recognition of anxiety disorders by family physicians (FPs). Our objectives were to examine (a) which combination of indications within medical records most accurately reflects recognition of anxiety disorders and (b) whether patient

  15. Establishing Petroglyphs and Pictographs as a Record of Artistic Activity: The Case for the Inclusion of Rock Art in Art History and Art Education.

    Science.gov (United States)

    Labadie, John Antoine

    The study of Native American rock art should be more fully incorporated into art education and art history curricula, especially at the precollege level. Rock art is a sensitive reflection of the culture from which it sprang, it provides one of the most direct links with ancient lifeways and ideas recorded by early ancestors, and as a form of…

  16. Recognition of anxiety disorders by family physicians after rigorous medical record case extraction: results of the Netherlands Study of Depression and Anxiety.

    NARCIS (Netherlands)

    Janssen, E.H.C.; Ven, P.M. van de; Terluin, B.; Verhaak, P.F.M.; Marwijk, H.W.J. van; Smolders, M.; Meer, K. van der; Penninx, B.W.J.H.; Hout, H.P.J. van

    2012-01-01

    Objective: Previous studies reported low and inconsistent rates of recognition of anxiety disorders by family physicians (FPs). Our objectives were to examine (a) which combination of indications within medical records most accurately reflects recognition of anxiety disorders and (b) whether patient

  17. "Teaching Case": ComprehensiveCare and the Re-Adoption of an Electronic Health Records System: Preparing for a Successful Adoption after a Failed Attempt

    Science.gov (United States)

    Gomillion, David L.

    2017-01-01

    After a prior failed adoption, ComprehensiveCare plans for a second attempt in adopting Electronic Health Records. The owner-physicians on the board of directors have replaced the administrator due in part to the missteps of the prior adoption. William Shoemaker, the new administrator, must grapple with several important decisions to provide the…

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

    OpenAIRE

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

    1997-01-01

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

  19. Estimating spillover benefits of large R and D projects: Application of real options modelling approach to the case of thermonuclear fusion R and D programme

    International Nuclear Information System (INIS)

    Bednyagin, Denis; Gnansounou, Edgard

    2012-01-01

    This paper is focused on the analysis of spillover benefits of the ongoing R and D programme on thermonuclear fusion technology. The spillover effects are understood here as positive externalities of publicly funded R and D, demonstration and deployment (RDDD) activities that may be revealed at the companies' level in the form of newly created knowledge stock; development of innovative products/processes with broader market applications; strengthening of R and D, manufacturing and marketing capabilities; etc. An integrated compound real options model is proposed that allows to estimate the strategic net social present value of fusion RDDD programme taking into account the different types of spillover benefits along with the hidden real options value arising due to uncertainty and managerial flexibility. It was found that the value of spillover effects, modelled as “expansion option”, could represent a significant proportion of the overall socio-economic value of fusion RDDD programme (nearly 20%). This paper clearly demonstrates that, besides a high-level mission to assure sustainable energy supply, fusion RDDD programme may yield substantial net socio-economic benefits that may be at least two times higher compared to the expected RD and D costs, and hence the pursuit of even more ambitious programme is economically justified. - Highlights: ► Evaluate the strategic net social present value of fusion RDDD programme. ► Consider different types of spillover effects. ► Economic value of spillovers is estimated with a compound real options model. ► Spillover benefits could represent up to 20% of the value of fusion RDDD programme.

  20. Real-Time PCR Detection and QUantification of Soilborne Fungal Pathogens : the Case of Rosellinia necatrix, Phytophthora nicotianae, P. citrophthora and Verticillium dahliae

    Directory of Open Access Journals (Sweden)

    L. Schena

    2004-08-01

    Full Text Available Conventional and Scorpion primers were designed from the ITS regions to identify Rosellinia necatrix, Phytophthora nicotianae, and P. citrophthora and from the IGS regions to identify Verticillium dahliae and V. alboatrum. Specificity of primers and probes was assessed using genomic DNA from a large number of fungi from several hosts and by means of BLAST analyses, to exclude the presence of similar sequences in other micro-organisms among available DNA databases (GenBank. Simple and rapid procedures for DNA extraction from naturally infected matrices (soils, roots, bark, and/or woody tissues were utilised to yield DNA of a purity and quality suitable for PCR assays. Combining these protocols with a double amplification (nested Scorpion-PCR, the real-time detection of these pathogens was possible from naturally infested soils and from infected citrus roots (P. nicotianae and P. citrophthora, from the roots and bark of stone fruits and olive (R. necatrix and from olive branches (V. dahliae. For target pathogens, the limit of detection was 1 pg µl-1 in Scorpion-PCR and 1 fg µl-1 in nested Scorpion-PCR. High and significant correlations between pathogen propagule concentrations and real-time PCR cycle thresholds (Ct were obtained. Moreover, specific tests with R. necatrix seem to indicate that its DNA is quite rapidly degraded in the soil, excluding the risk of false positives due to the presence of dead cells.

  1. Internet as a Source of Long-Term and Real-Time Professional, Psychological, and Nutritional Treatment: A Qualitative Case Study Among Former Israeli Soviet Union Immigrants.

    Science.gov (United States)

    Gesser-Edelsburg, Anat; Shalayeva, Svetlana

    2017-02-03

    The Internet is considered to be an effective source of health information and consultation for immigrants. Nutritional interventions for immigrants have become increasingly common over the past few decades. However, each population of immigrants has specific needs. Understanding the factors influencing the success of nutrition programs among immigrants requires an examination of their attitudes and perceptions, as well as their cultural values. The purpose of this study was to examine perceptions of the Internet as a tool for long-term and "real-time" professional, psychological, and nutritional treatment for immigrants from the former Soviet Union who immigrated to Israel (IIFSU) from 1990 to 2012. A sample of nutrition forum users (n=18) was interviewed and comments of 80 users were analyzed qualitatively in accordance with the grounded theory principles. The results show that IIFSU perceive the Internet as a platform for long-term and "real-time" dietary treatment and not just as an informative tool. IIFSU report benefits of online psychological support with professional dietary treatment. They attribute importance to cultural customization, which helps reduce barriers to intervention. In light of the results, when formulating nutritional programs, it is essential to have a specific understanding of immigrants' cultural characteristics and their patterns of Internet use concerning dietary care. ©Anat Gesser-Edelsburg, Svetlana Shalayeva. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 03.02.2017.

  2. Market access and community size influence pastoral management of native and exotic livestock species: A case study in communities of the Cordillera Real in Bolivia's high Andean wetlands.

    Directory of Open Access Journals (Sweden)

    Quentin Struelens

    Full Text Available Grazing areas management is of utmost importance in the Andean region. In the valleys of the Bolivian Cordillera Real near La Paz, pastoralism constitutes the traditional way for people to insure food security and economical sustainability. In these harsh mountains, unique and productive wetlands sustained by glacial water streams are of utmost importance for feeding cattle herds during the dry season. After the colonization by the Spanish, a shift in livestock species has been observed, with the introduction of exotic species such as cows and sheep, resulting in a different impact on pastures compared to native camelid species-llamas and alpacas. Here we explored some of the social-economical and environmental drivers that motivate Bolivian pastoralists to prefer exotic over native livestock species, based on 36 household surveys in the Cordillera Real. We constructed a Partial Least Squares Structural Equation Model in order to assess the relationships between these drivers. Our results suggest that the access to market influenced pastoralists to reshape their herd composition, by increasing the number of sheep. They also suggest that community size increased daily grazing time in pastures, therefore intensifying the grazing pressure. At a broader scale, this study highlights the effects of some social-economical and environmental drivers on mountain herding systems.

  3. Market access and community size influence pastoral management of native and exotic livestock species: A case study in communities of the Cordillera Real in Bolivia's high Andean wetlands.

    Science.gov (United States)

    Struelens, Quentin; Gonzales Pomar, Karina; Loza Herrera, Susi; Nina Huanca, Gaby; Dangles, Olivier; Rebaudo, François

    2017-01-01

    Grazing areas management is of utmost importance in the Andean region. In the valleys of the Bolivian Cordillera Real near La Paz, pastoralism constitutes the traditional way for people to insure food security and economical sustainability. In these harsh mountains, unique and productive wetlands sustained by glacial water streams are of utmost importance for feeding cattle herds during the dry season. After the colonization by the Spanish, a shift in livestock species has been observed, with the introduction of exotic species such as cows and sheep, resulting in a different impact on pastures compared to native camelid species-llamas and alpacas. Here we explored some of the social-economical and environmental drivers that motivate Bolivian pastoralists to prefer exotic over native livestock species, based on 36 household surveys in the Cordillera Real. We constructed a Partial Least Squares Structural Equation Model in order to assess the relationships between these drivers. Our results suggest that the access to market influenced pastoralists to reshape their herd composition, by increasing the number of sheep. They also suggest that community size increased daily grazing time in pastures, therefore intensifying the grazing pressure. At a broader scale, this study highlights the effects of some social-economical and environmental drivers on mountain herding systems.

  4. The Cartographic Method of Research in Exploring the Real Estate Market - A Case of Using Maps for the Introductory Analyses of the Lublin Suburban Commune of Konopnica

    Directory of Open Access Journals (Sweden)

    Nieścioruk Kamil

    2015-06-01

    Full Text Available The paper deals with the introductory analysis of the real estate market of a suburban commune located near a big (voivodeship capital city. The analysis is based mainly of the cartographic method of research. Besides data mining and preparation, maps play an important role here, presenting values acquired directly from the register of notarial deeds of estate sales and purchases, as well as values resulting from statistic computation, for example mean values of area or price, absolute numbers of transactions or real estate type. The spatial factor is also taken into consideration when it comes to more complex or specific analyses. The influence of distance understood as a metric and time factor, as well as regression analysis results are also visualized on maps. Such presentation is a good step towards advanced analyses providing maps are prepared according to the rules of cartography. The paper stresses that a map can be a great tool in aiding every stage of research, but may also cause misinterpretations and false conclusions when at least basic rules are not complied with.

  5. Record Club

    CERN Document Server

    Record Club

    2012-01-01

      March  Selections By the time this appears, we will have added a number of new CDs and DVDs into the Club. You will find the full lists at http://cern.ch/record.club; select the "Discs of the Month" button on the left panel of the web page and then Mar 2012. New films include recent releases such as Johnny English 2, Bad Teacher, Cowboys vs Aliens, and Super 8. We are also starting to acquire some of the classic films we missed when we initiated the DVD section of the club, such as appeared in a recent Best 100 Films published by a leading UK magazine; this month we have added Spielberg’s Jaws and Scorsese’s Goodfellas. If you have your own ideas on what we are missing, let us know. For children we have no less than 8 Tin-Tin DVDs. And if you like fast moving pop music, try the Beyonce concert DVD. New CDs include the latest releases from Paul McCartney, Rihanna and Amy Winehouse. There is a best of Mylene Farmer, a compilation from the NRJ 201...

  6. Pressure surges generated by the polling out of pumping equipment in conduction by pressure. Application of a real case; Transitorios hidraulicos generados por arranque de equipos de bombeo en conducciones a presion. Aplicacion a un caso real

    Energy Technology Data Exchange (ETDEWEB)

    Carmona-Perales, L. G.; Carmona-Perales, R. B. [Universidad Nacional Autonoma de Mexico, Mexico, D.F. (Mexico)

    2000-12-01

    Water closed conduits are commonly designed with special attention paid to pressure surges due to pumping failures. In some particular cases, such at the Rio Yaque-Guaymas water pipeline system, pressure surges due to pumping start up are as high and dangerous as those produced by pumping failures. New subroutines were thus developed and included in the Closed Conduit Flow Transient Model developed by the Instituto de Ingenieria of the Universidad Nacional Autonoma de Mexico. This paper presents the mathematical model and its numerical solution using the Method of Characteristics and the Newton-Raphson Method. With the new modelling system it is possible to evaluate the pressure fluctuation time series due to start up at any pumping system. Using this new system a reliable explanation of bursts at the Rio Yaqui-Guaymas pipeline system could be set forth. [Spanish] Al disenar conducciones a presion, es comun que se presente especial atencion a los transitorios hidraulicos generados por paros de emergencia de los equipos de bombeo. En el acueducto rio Yaqui-Guaymas, Sonora, Mexico, los transitorios generados al poner en marcha los equipos de bombeo son tan importantes como los productos por disparo de bombas. En el Instituto de Ingenieria de la UNAM, se desarrollo e implanto en un programa de simulacion de transitorios hidraulicos en tuberias a presion una subrutina para simular el arranque de equipos de bombeo. El modelo matematico esta formado por el conjunto de ecuaciones dinamica y de continuidad, asi como la condicion de frontera que describe el arranque de las bombas. Se rescriben las ecuaciones dinamicas y de continuidad, con el metodo de las caracteristicas y se plantea un sistema de ecuaciones no lineales, el cual se resuelve con el metodo de Newton-Raphson. La simulacion del arranque de las bombas del acueducto en estudio, arroja valores de las cargas piezom ricas maximas y minimas mayores que la resistencia de la tuberia y menores que la topografia del

  7. Pressure surge generated by start up of pumping equipment in pipes to pressure. Application to a real case; Transitorios hidraulicos generados por arranque de equipo de bombeo en conducciones a presion. Aplicacion a un caso real

    Energy Technology Data Exchange (ETDEWEB)

    Carmona Paredes, L.G.; Carmona Paredes, R.B. [Instituto de Ingenieria, UNAM, Mexico, D.F. (Mexico)

    2000-12-01

    Water closed conduits are commonly designed with special attention paid to pressure surges due to pumping failures. In some particular cases, such at the Rio Yaqui-Guaymas water pipeline system, pressure surges due to pumping start ups are as high and dangerous as those produced by pumping failures. New subroutines were thus developed and included in the Closed Conduit Flow Transient Model developed by the Instituto de Ingenieria of the Universidad Nacional Autonoma de Mexico. This paper presents the mathematical model and its numerical solution using the Method of Characteristics and the Newton-Raphson Method. With the new modeling system it is possible to evaluate the pressure fluctuation time series due to start up at any pumping system. Using this new system a reliable explanation of bursts at the Rio Yaqui-Guaymas system could be set forth. [Spanish] Al disenar conducciones a presion, es comun que se preste especial atencion a los transitorios hidraulicos generados por paros de emergencia de los equipos de bombeo. En el acueducto rio Yaqui-Guaymas, Sonora, Mexico, los transitorios generados al poner en marcha los equipos de bombeo son tan importantes como los producidos por disparo de bombas. En el Instituto de Ingenieria de la UNAM, se desarrollo e implanto en su programa de simulacion de transitorios hidraulicos en tuberias a presion una subrutina para simular el arranque de equipos de bombeo. El modelo matematico esta formado por el conjunto de ecuaciones dinamica y de continuidad, asi como la condicion de frontera que describe el arranque de las bombas. Se reescriben las ecuaciones dinamica y de continuidad, con el metodo de las caracteristicas y se plantea un sistema de ecuaciones no lineales, el cual se resuelve con el metodo de las caracteristicas y se plantea un sistema de ecuaciones no lineales, el cual se resuelve con el metodo de newton-raphson. La simulacion del arranque de las bombas del acueducto en estudio, arroja valores de las cargas

  8. RANA, a real-time multi-agent system simulator

    DEFF Research Database (Denmark)

    Jørgensen, Søren Vissing; Demazeau, Yves; Hallam, John

    2016-01-01

    for individualisation and abstraction while retaining efficiency. Events are managed by the C++ simulator core. Full run state can be recorded for post-processed visualisation or analysis. The new tool is demonstrated in three different cases: a mining robot simulation, which is purely action based; an agent......-based setup that is verifies the high precision exhibited by RANAs simulation core; and a state-based firefly-like agent simulation that models real-time responses to fellow agents' signals, in which event propagation and reception affect the result of the simulation....

  9. Trombosis de válvulas cardiacas biológicas. Presentación de dos casos evaluados con ecocardiografía 3D en tiempo real Thrombosis of biological valves. Report of two cases evaluated by 3D echocardiography in real time

    Directory of Open Access Journals (Sweden)

    Jairo A Rendón

    2011-10-01

    Full Text Available La trombosis de las válvulas protésicas biológicas es una complicación infrecuente, que se asocia con mortalidad elevada. En este artículo se reporta el caso de un paciente de género masculino, de 72 años de edad, con prótesis valvular biológica en posición aórtica y trombosis asociada a degeneración valvular, así como el de una paciente de género femenino de 64 años de edad, con prótesis biológica en posición mitral y trombosis de la misma en el contexto de una infección sistémica. Ambos casos se evaluaron mediante ecocardiografía transesofágica tridimensional en tiempo real.Thrombosis of biological prosthetic valves is a rare complication, associated with high mortality. We report the case of a 72 years old male patient with biological valve prosthesis in the aortic position and thrombosis associated with valvular degeneration, as well as that of a 64 years old female patient with bioprosthesis in the mitral position and thrombosis of it in the context of a systemic infection. Both cases were evaluated by three-dimensional transesophageal echocardiography in real time.

  10. Designing a capacitated multi-configuration logistics network under disturbances and parameter uncertainty: a real-world case of a drug supply chain

    Science.gov (United States)

    Shishebori, Davood; Babadi, Abolghasem Yousefi

    2018-03-01

    This study investigates the reliable multi-configuration capacitated logistics network design problem (RMCLNDP) under system disturbances, which relates to locating facilities, establishing transportation links, and also allocating their limited capacities to the customers conducive to provide their demand on the minimum expected total cost (including locating costs, link constructing costs, and also expected costs in normal and disturbance conditions). In addition, two types of risks are considered; (I) uncertain environment, (II) system disturbances. A two-level mathematical model is proposed for formulating of the mentioned problem. Also, because of the uncertain parameters of the model, an efficacious possibilistic robust optimization approach is utilized. To evaluate the model, a drug supply chain design (SCN) is studied. Finally, an extensive sensitivity analysis was done on the critical parameters. The obtained results show that the efficiency of the proposed approach is suitable and is worthwhile for analyzing the real practical problems.

  11. Thermal plumes and micro-contaminants release from power plants in water bodies. Development of innovative software tools to support plant management and real case applications

    International Nuclear Information System (INIS)

    Guandalini, R.

    2007-01-01

    Environmental issues are a fundamental aspect of energy generation by thermal power plants. Numerical modeling can be used to develop innovative software tools to support plant management and to analyze critical scenarios also considering meteorology forecasts. Compliance with regulatory obligations of thermal/contaminant plumes and prediction of water body physical properties at the intake/discharge location can be performed by real time systems, in order to optimize plant operations and to evaluate the amount of energy that will be generated. A procedure coupling hydrodynamic and water quality modeling for the prediction of possible areas of accumulation of micro-contaminants in a short, medium and long period is also presented. Finally, applications of thermal/pollutant prediction systems and numerical modeling of particular environmental aspects of energy production and transport are shown (e.g. chlorine diffusion from a HVDC marine anode, impact on aquatic ecosystems in coastal regions). (author)

  12. Application of real-time global media monitoring and 'derived questions' for enhancing communication by regulatory bodies: the case of human papillomavirus vaccines.

    Science.gov (United States)

    Bahri, Priya; Fogd, Julianna; Morales, Daniel; Kurz, Xavier

    2017-05-02

    The benefit-risk balance of vaccines is regularly debated by the public, but the utility of media monitoring for regulatory bodies is unclear. A media monitoring study was conducted at the European Medicines Agency (EMA) concerning human papillomavirus (HPV) vaccines during a European Union (EU) referral procedure assessing the potential causality of complex regional pain syndrome (CRPS) and postural orthostatic tachycardia syndrome (POTS) reported to the authorities as suspected adverse reactions. To evaluate the utility of media monitoring in real life, prospective real-time monitoring of worldwide online news was conducted from September to December 2015 with inductive content analysis, generating 'derived questions'. The evaluation was performed through the validation of the predictive capacity of these questions against journalists' queries, review of the EMA's public statement and feedback from EU regulators. A total of 4230 news items were identified, containing personal stories, scientific and policy/process-related topics. Explicit and implicit concerns were identified, including those raised due to lack of knowledge or anticipated once more information would be published. Fifty derived questions were generated and categorised into 12 themes. The evaluation demonstrated that providing the media monitoring findings to assessors and communicators resulted in (1) confirming that public concerns regarding CRPS and POTS would be covered by the assessment; (2) meeting specific information needs proactively in the public statement; (3) predicting all queries from journalists; and (4) altering the tone of the public statement with respectful acknowledgement of the health status of patients with CRSP or POTS. The study demonstrated the potential utility of media monitoring for regulatory bodies to support communication proactivity and preparedness, intended to support trusted safe and effective vaccine use. Derived questions seem to be a familiar and effective

  13. Real-time continuous visual biofeedback in the treatment of speech breathing disorders following childhood traumatic brain injury: report of one case.

    Science.gov (United States)

    Murdoch, B E; Pitt, G; Theodoros, D G; Ward, E C

    1999-01-01

    The efficacy of traditional and physiological biofeedback methods for modifying abnormal speech breathing patterns was investigated in a child with persistent dysarthria following severe traumatic brain injury (TBI). An A-B-A-B single-subject experimental research design was utilized to provide the subject with two exclusive periods of therapy for speech breathing, based on traditional therapy techniques and physiological biofeedback methods, respectively. Traditional therapy techniques included establishing optimal posture for speech breathing, explanation of the movement of the respiratory muscles, and a hierarchy of non-speech and speech tasks focusing on establishing an appropriate level of sub-glottal air pressure, and improving the subject's control of inhalation and exhalation. The biofeedback phase of therapy utilized variable inductance plethysmography (or Respitrace) to provide real-time, continuous visual biofeedback of ribcage circumference during breathing. As in traditional therapy, a hierarchy of non-speech and speech tasks were devised to improve the subject's control of his respiratory pattern. Throughout the project, the subject's respiratory support for speech was assessed both instrumentally and perceptually. Instrumental assessment included kinematic and spirometric measures, and perceptual assessment included the Frenchay Dysarthria Assessment, Assessment of Intelligibility of Dysarthric Speech, and analysis of a speech sample. The results of the study demonstrated that real-time continuous visual biofeedback techniques for modifying speech breathing patterns were not only effective, but superior to the traditional therapy techniques for modifying abnormal speech breathing patterns in a child with persistent dysarthria following severe TBI. These results show that physiological biofeedback techniques are potentially useful clinical tools for the remediation of speech breathing impairment in the paediatric dysarthric population.

  14. Environmental recordkeeping: The administrative record

    International Nuclear Information System (INIS)

    Sprouse, B.S.

    1991-08-01

    This document provides information on an environmental records management system. It includes information on environmental recordkeeping; environmental regulations with emphasis on the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA); and the administrative record including a case study of the Hanford Site's administrative record system. This paper will focus on the following objectives: (1) Identify resources that can be used as reference tools; (2) understand the reasons for developing and maintaining an administrative record; and, (3) evaluate an existing system and identify means of complying with the regulations. 15 refs., 2 figs

  15. Environmental recordkeeping: The administrative record

    Energy Technology Data Exchange (ETDEWEB)

    Sprouse, B.S.

    1991-08-01

    This document provides information on an environmental records management system. It includes information on environmental recordkeeping; environmental regulations with emphasis on the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA); and the administrative record including a case study of the Hanford Site's administrative record system. This paper will focus on the following objectives: (1) Identify resources that can be used as reference tools; (2) understand the reasons for developing and maintaining an administrative record; and, (3) evaluate an existing system and identify means of complying with the regulations. 15 refs., 2 figs.

  16. 29 CFR 1904.4 - Recording criteria.

    Science.gov (United States)

    2010-07-01

    ... criteria. (Needlestick and sharps injury cases, tuberculosis cases, hearing loss cases, medical removal... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR RECORDING AND REPORTING OCCUPATIONAL INJURIES AND ILLNESSES Recordkeeping Forms and Recording Criteria § 1904.4...

  17. Environmental evolution records reflected by radionuclides in the sediment of coastal wetlands: A case study in the Yellow River Estuary wetland.

    Science.gov (United States)

    Wang, Qidong; Song, Jinming; Li, Xuegang; Yuan, Huamao; Li, Ning; Cao, Lei

    2016-10-01

    Vertical profiles of environmental radionuclides ( 210 Pb, 137 Cs, 238 U, 232 Th, 226 Ra and 4 0 K) in a sediment core (Y1) of the Yellow River Estuary wetland were investigated to assess whether environmental evolutions in the coastal wetland could be recorded by the distributions of radionuclides. Based on 210 Pb and 137 Cs dating, the average sedimentation rate of core Y1 was estimated to be 1.0 cm y -1 . Vertical distributions of natural radionuclides ( 238 U, 232 Th, 226 Ra and 40 K) changed dramatically, reflecting great changes in sediment input. Concentrations of 238 U, 232 Th, 226 Ra and 40 K all had significant positive relationships with organic matter and clay content, but their distributions were determined by different factors. Factor analysis showed that 238 U was determined by the river sediment input while 226 Ra was mainly affected by the seawater erosion. Environmental changes such as river channel migrations and sediment discharge variations could always cause changes in the concentrations of radionuclides. High concentrations of 238 U and 226 Ra were consistent with high accretion rate. Frequent seawater intrusion decreased the concentration of 226 Ra significantly. The value of 238 U/ 226 Ra tended to be higher when the sedimentation rate was low and tide intrusion was frequent. In summary, environmental evolutions in the estuary coastal wetland could be recorded by the vertical profiles of natural radionuclides. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Eliciting end-user expectations to guide the implementation process of a new electronic health record: A case study using concept mapping.

    Science.gov (United States)

    Joukes, Erik; Cornet, Ronald; de Bruijne, Martine C; de Keizer, Nicolette F

    2016-03-01

    To evaluate the usability of concept mapping to elicit the expectations of healthcare professionals regarding the implementation of a new electronic health record (EHR). These expectations need to be taken into account during the implementation process to maximize the chance of success of the EHR. Two university hospitals in Amsterdam, The Netherlands, in the preparation phase of jointly implementing a new EHR. During this study the hospitals had different methods of documenting patient information (legacy EHR vs. paper-based records). Concept mapping was used to determine and classify the expectations of healthcare professionals regarding the implementation of a new EHR. A multidisciplinary group of 46 healthcare professionals from both university hospitals participated in this study. Expectations were elicited in focus groups, their relevance and feasibility were assessed through a web-questionnaire. Nonmetric multidimensional scaling and clustering methods were used to identify clusters of expectations. We found nine clusters of expectations, each covering an important topic to enable the healthcare professionals to work properly with the new EHR once implemented: usability, data use and reuse, facility conditions, data registration, support, training, internal communication, patients, and collaboration. Average importance and feasibility of each of the clusters was high. Concept mapping is an effective method to find topics that, according to healthcare professionals, are important to consider during the implementation of a new EHR. The method helps to combine the input of a large group of stakeholders at limited efforts. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. Real-time holographic endoscopy

    Science.gov (United States)

    Smigielski, Paul; Albe, Felix; Dischli, Bernard

    1992-08-01

    Some new experiments concerning holographic endoscopy are presented. The quantitative measurements of deformations of objects are obtained by the double-exposure and double- reference beam method, using either a cw-laser or a pulsed laser. Qualitative experiments using an argon laser with time-average holographic endoscopy are also presented. A video film on real-time endoscopic holographic interferometry was recorded with the help of a frequency-doubled YAG-laser working at 25 Hz for the first time.

  20. Documenting of Geologic Field Activities in Real-Time in Four Dimensions: Apollo 17 as a Case Study for Terrestrial Analogues and Future Exploration

    Science.gov (United States)

    Feist, B.; Bleacher, J. E.; Petro, N. E.; Niles, P. B.

    2018-01-01

    During the Apollo exploration of the lunar surface, thousands of still images, 16 mm videos, TV footage, samples, and surface experiments were captured and collected. In addition, observations and descriptions of what was observed was radioed to Mission Control as part of standard communications and subsequently transcribed. The archive of this material represents perhaps the best recorded set of geologic field campaigns and will serve as the example of how to conduct field work on other planetary bodies for decades to come. However, that archive of material exists in disparate locations and formats with varying levels of completeness, making it not easily cross-referenceable. While video and audio exist for the missions, it is not time synchronized, and images taken during the missions are not time or location tagged. Sample data, while robust, is not easily available in a context of where the samples were collected, their descriptions by the astronauts are not connected to them, or the video footage of their collection (if available). A more than five year undertaking to reconstruct and reconcile the Apollo 17 mission archive, from launch through splashdown, has generated an integrated record of the entire mission, resulting in searchable, synchronized image, voice, and video data, with geologic context provided at the time each sample was collected. Through www.apollo17.org the documentation of the field investigation conducted by the Apollo 17 crew is presented in chronologic sequence, with additional context provided by high-resolution Lunar Reconnaissance Orbiter Camera (LROC) Narrow Angle Camera (NAC) images and a corresponding digital terrain model (DTM) of the Taurus-Littrow Valley.

  1. Moving Real Exergaming Engines on the Web: The webFitForAll Case Study in an Active and Healthy Ageing Living Lab Environment.

    Science.gov (United States)

    Konstantinidis, Evdokimos I; Bamparopoulos, Giorgos; Bamidis, Panagiotis D

    2017-05-01

    Exergames have been the subject of research and technology innovations for a number of years. Different devices and technologies have been utilized to train the body and the mind of senior people or different patient groups. In the past, we presented FitForAll, the protocol efficacy of which was proven through widely taken (controlled) pilots with more than 116 seniors for a period of two months. The current piece of work expands this and presents the first truly web exergaming platform, which is solely based on HTML5 and JavaScript without any browser plugin requirements. The adopted architecture (controller application communication framework) combines a unified solution for input devices such as MS Kinect and Wii Balance Βoard which may seamlessly be exploited through standard physical exercise protocols (American College of Sports Medicine guidelines) and accommodate high detail logging; this allows for proper pilot testing and usability evaluations in ecologically valid Living Lab environments. The latter type of setups is also used herein for evaluating the web application with more than a dozen of real elderly users following quantitative approaches.

  2. Preliminary Development of Real Time Usage-Phase Monitoring System for CNC Machine Tools with a Case Study on CNC Machine VMC 250

    Science.gov (United States)

    Budi Harja, Herman; Prakosa, Tri; Raharno, Sri; Yuwana Martawirya, Yatna; Nurhadi, Indra; Setyo Nogroho, Alamsyah

    2018-03-01

    The production characteristic of job-shop industry at which products have wide variety but small amounts causes every machine tool will be shared to conduct production process with dynamic load. Its dynamic condition operation directly affects machine tools component reliability. Hence, determination of maintenance schedule for every component should be calculated based on actual usage of machine tools component. This paper describes study on development of monitoring system to obtaining information about each CNC machine tool component usage in real time approached by component grouping based on its operation phase. A special device has been developed for monitoring machine tool component usage by utilizing usage phase activity data taken from certain electronics components within CNC machine. The components are adaptor, servo driver and spindle driver, as well as some additional components such as microcontroller and relays. The obtained data are utilized for detecting machine utilization phases such as power on state, machine ready state or spindle running state. Experimental result have shown that the developed CNC machine tool monitoring system is capable of obtaining phase information of machine tool usage as well as its duration and displays the information at the user interface application.

  3. Is opium a real risk factor for esophageal cancer or just a methodological artifact? Hospital and neighborhood controls in case-control studies.

    Science.gov (United States)

    Shakeri, Ramin; Kamangar, Farin; Nasrollahzadeh, Dariush; Nouraie, Mehdi; Khademi, Hooman; Etemadi, Arash; Islami, Farhad; Marjani, Hajiamin; Fahimi, Saman; Sepehr, Alireza; Rahmati, Atieh; Abnet, Christian C; Dawsey, Sanford M; Brennan, Paul; Boffetta, Paolo; Malekzadeh, Reza; Majdzadeh, Reza

    2012-01-01

    Control selection is a major challenge in epidemiologic case-control studies. The aim of our study was to evaluate using hospital versus neighborhood control groups in studying risk factors of esophageal squamous cell carcinoma (ESCC). We compared the results of two different case-control studies of ESCC conducted in the same region by a single research group. Case definition and enrollment were the same in the two studies, but control selection differed. In the first study, we selected two age- and sex-matched controls from inpatient subjects in hospitals, while for the second we selected two age- and sex-matched controls from each subject's neighborhood of residence. We used the test of heterogeneity to compare the results of the two studies. We found no significant differences in exposure data for tobacco-related variables such as cigarette smoking, chewing Nass (a tobacco product) and hookah (water pipe) usage, but the frequency of opium usage was significantly different between hospital and neighborhood controls. Consequently, the inference drawn for the association between ESCC and tobacco use did not differ between the studies, but it did for opium use. In the study using neighborhood controls, opium use was associated with a significantly increased risk of ESCC (adjusted OR 1.77, 95% CI 1.17-2.68), while in the study using hospital controls, this was not the case (OR 1.09, 95% CI 0.63-1.87). Comparing the prevalence of opium consumption in the two control groups and a cohort enrolled from the same geographic area suggested that the neighborhood controls were more representative of the study base population for this exposure. Hospital and neighborhood controls did not lead us to the same conclusion for a major hypothesized risk factor for ESCC in this population. Our results show that control group selection is critical in drawing appropriate conclusions in observational studies.

  4. Automatic Processing and Interpretation of Long Records of Endogenous Micro-Seismicity: the Case of the Super-Sauze Soft-Rock Landslide.

    Science.gov (United States)

    Provost, F.; Malet, J. P.; Hibert, C.; Doubre, C.

    2017-12-01

    The Super-Sauze landslide is a clay-rich landslide located the Southern French Alps. The landslide exhibits a complex pattern of deformation: a large number of rockfalls are observed in the 100 m height main scarp while the deformation of the upper part of the accumulated material is mainly affected by material shearing along stable in-situ crests. Several fissures are locally observed. The shallowest layer of the accumulated material tends to behave in a brittle manner but may undergo fluidization and/or rapid acceleration. Previous studies have demonstrated the presence of a rich endogenous micro-seismicity associated to the deformation of the landslide. However, the lack of long-term seismic records and suitable processing chains prevented a full interpretation of the links between the external forcings, the deformation and the recorded seismic signals. Since 2013, two permanent seismic arrays are installed in the upper part of the landslide. We here present the methodology adopted to process this dataset. The processing chain consists of a set of automated methods for automatic and robust detection, classification and location of the recorded seismicity. Thousands of events are detected and further automatically classified. The classification method is based on the description of the signal through attributes (e.g. waveform, spectral content properties). These attributes are used as inputs to classify the signal using a Random Forest machine-learning algorithm in four classes: endogenous micro-quakes, rockfalls, regional earthquakes and natural/anthropogenic noises. The endogenous landslide sources (i.e. micro-quake and rockfall) are further located. The location method is adapted to the type of event. The micro-quakes are located with a 3D velocity model derived from a seismic tomography campaign and an optimization of the first arrival picking with the inter-trace correlation of the P-wave arrivals. The rockfalls are located by optimizing the inter

  5. Equations for formally real meadows

    NARCIS (Netherlands)

    Bergstra, J.A.; Bethke, I.; Ponse, A.

    2015-01-01

    We consider the signatures Σm = (0,1,−,+,⋅,−1)  of meadows and (Σm,s)  of signed meadows. We give two complete axiomatizations of the equational theories of the real numbers with respect to these signatures. In the first case, we extend the axiomatization of zero-totalized fields by a single axiom

  6. A Database Design and Development Case: Smile Land Academy

    Science.gov (United States)

    Harris, Ranida; Harris, Ken; Eplion, David

    2013-01-01

    This case describes the situation of Smile Land Academy (SLA), a real-world based childcare center. SLA has grown from a very small company to a fairly large-sized organization (30 employees with 150 children). Unfortunately, its system for record-keeping, summarization of data, and reporting has not kept pace. The hard copies and spreadsheet…

  7. Using n-alkane records to constrain carbon cycle - hydrological cycle coupling: Case study from the Northern Hemisphere mid-latitudes during the PETM

    Science.gov (United States)

    Krishnan, S.; Pagani, M.; Tipple, B. J.

    2010-12-01

    The early Eocene was a warmer world compared to the present and is characterized by rising temperatures interspersed with rapid hyperthermal events. During the largest of these rapid warming events; the Paleocene-Eocene Thermal Maximum (PETM), proxy records suggest that sea surface temperatures (SST) rose by 3-5 deg. C in the tropics (Zachos et al., 2003, Tripati and Elderfield, 2004), >5 deg. C in the Arctic (Sluijs et al., 2006) and perhaps has high as 9 deg. C in some sub-Antarctic regions (Kennett and Stott, 1991; Thomas et al., 1999). This warming is believed to be the result of massive input of 13C-depleted carbon into the ocean-atmosphere system, evidenced by the large negative carbon isotope excursion (CIE) and carbonate dissolution associated with the event. However, there are several questions regarding the exact mechanism of warming and feedbacks between the carbon cycle and climate. Did climate shift prior to the main event that led to the release of isotopically light carbon? Do we observe consistent leads or lags between changes in carbon isotopes and hydrological conditions during warm intervals? This study aims to reconstruct hydrological changes in the in the Northern Hemisphere mid-latitudes during the PETM using terrestrial biomarkers. Terrestrial biomarkers, such leaf-wax lipids stored in sediments, have the unique advantage of recording carbon and hydrogen isotopic compositions of atmospheric CO2 (modified by plant fractionation) and precipitation (modified by plant fractionation and evapotranspiration), allowing evaluation of the relative timing of carbon and hydrogen isotopic (i.e., climate) shifts. In this study, we compile and present three mid-latitude PETM records from the Northern Hemisphere, i.e. Alamedilla (Spain), Cicogna and Forada (Italy). The Cicogna and Forada sections are located in the Belluno basin (~12 km apart). Preliminary results do not indicate any significant pre-excursion hydrogen isotope changes at Cicogna, while at

  8. Crisis del lóbulo temporal registrada mediante magnetoencefalografía: caso clínico Temporal lobe seizure recorded by magnetoencephalography: case report

    Directory of Open Access Journals (Sweden)

    Carlos Amo

    2004-09-01

    Full Text Available La localización del inicio de las crisis es un factor importante para la evaluación prequirúrgica de la epilepsia. En este trabajo se describe la localización del inicio de una crisis registrada mediante magnetoencefalografía (MEG en un niño de 12 años que presenta crisis parciales complejas farmacorresistentes. La RM muestra una lesión de 20mm de diámetro en el hipocampo izquierdo. EEG de superficie con ondas theta temporales izquierdas. Registro MEG interictal con punta-onda aislada posterior e inferior a la lesión de la RM. Registro MEG ictal con punta-onda (2 Hz. La localización de los dipolos indica el inicio de la crisis en la circunvolución temporal inferior en la misma localización que la actividad interictal MEG. Esta actividad ictal se propaga bilateralmente a áreas frontales. El registro corticográfico intraquirúrgico confirma los resultados de la localización interictal mediante MEG.Ictal onset localization is a important factor in presurgical evaluation of epilepsy. This paper describes the localization of a seizure onset recorded by magnetoencephalography (MEG from a 12-year-old male patient who suffered from complex partial drug-resistant seizures. MRI revealed a 20mm diameter lesion located in left hippocampus. Scalp EEG showed left temporal theta waves. Interictal MEG registrations detected isolated spike-wave activity posterior and inferior to the MRI lesion. Ictal MEG showed continuous spike-wave activity (2 Hz. Dipole localization sited seizure onset in the inferior left temporal gyrus, the same localization of the interictal MEG activity. This ictal activity spreads bilaterally to frontal areas. Intrasurgical electrocorticography recording confirmed interictal MEG results.

  9. Real significance of skin contamination is

    International Nuclear Information System (INIS)

    Sudmann, R.H.

    1983-01-01

    For five decades, health physicists have discussed the thickness, area, significance of radioactive contamination and the exposures to various portions of the skin. Concern about instances of skin contamination extend beyond the resultant organ dose simply because it is a recognizable and quantifiable event. As such, there is a tendency for management and regulatory agencies to use it as a trend indicator. The final result is a score card similar to the list of OSHA reportable accidents. In fact, the skin contamination incidence rate has a somewhat different meaning to the health physicist, to the manager, and to the regulator. The question must then be asked, What is the true significance of skin contamination, Is it the resultant skin dose, Is it an indicator of loss of control, Is it both or neither. In order to answer these questions, Rockwell Hanford Operations began analysis of the previous five years records of skin contamination cases. Since by policy each incidence of skin contamination is documented, a large percentage of the 425 records analyzed were of low level activity (less than 100 dpm/cm 2 ) on the extremeties, primarily hands and fingers. Most of these cases were readily decontaminated with soap and water. Individual elements studied included: detection/monitoring methods and limits; impact of type of operation on the incidence rate; causes of and methods for reduction of the incidence rate; reporting and documentation; and dose assessment. Results of the study indicate that skin contamination rarely presents a beta dose problem because it is normally highly localized on the extremeties. Only in unusual cases does it represent a potential for internal deposition. Thus, the real importance of skin contamination incidence is as an indicator of deteriorating conditions and should be reviewed by health physicists, managers and regulators as such

  10. A case study of real-time monitoring of solid-state phase transformations in acoustically levitated particles using near infrared and Raman spectroscopy.

    Science.gov (United States)

    Rehder, Sönke; Wu, Jian X; Laackmann, Julian; Moritz, Hans-Ulrich; Rantanen, Jukka; Rades, Thomas; Leopold, Claudia S

    2013-01-23

    The objective of this study was to monitor the amorphous-to-crystalline solid-state phase transformation kinetics of the model drug ibuprofen with spectroscopic methods during acoustic levitation. Chemical and physical information was obtained by real-time near infrared (NIRS) and Raman spectroscopy measurements. The recrystallisation kinetic parameters (overall recrystallisation rate constant β and the time needed to reach 50% of the equilibrated level t(50)), were determined using a multivariate curve resolution approach. The acoustic levitation device coupled with non-invasive spectroscopy enabled monitoring of the recrystallisation process of the difficult-to-handle (adhesive) amorphous sample. The application of multivariate curve resolution enabled isolation of the underlying pure spectra, which corresponded well with the reference spectra of amorphous and crystalline ibuprofen. The recrystallisation kinetic parameters were estimated from the recrystallisation profiles. While the empirical recrystallisation rate constant determined by NIR and Raman spectroscopy were comparable, the lag time for recrystallisation was significantly lower with Raman spectroscopy as compared to NIRS. This observation was explained by the high energy density of the Raman laser beam, which might have led to local heating effects of the sample and thus reduced the recrystallisation onset time. It was concluded that acoustic levitation with NIR and Raman spectroscopy combined with multivariate curve resolution allowed direct determination of the recrystallisation kinetics of amorphous drugs and thus is a promising technique for monitoring solid-state phase transformations of adhesive small-sized samples during the early phase of drug development. Copyright © 2012 Elsevier B.V. All rights reserved.

  11. Effectiveness of acute geriatric units in the real world: the case of short-term mortality among seniors hospitalized for pneumonia.

    Science.gov (United States)

    Ding, Yew Yoong; Abisheganaden, John; Chong, Wai Fung; Heng, Bee Hoon; Lim, Tow Keang

    2013-01-01

    We sought to compare the effectiveness of acute geriatric units with usual medical care in reducing short-term mortality among seniors hospitalized for pneumonia in the real world. In a retrospective cohort study, we merged chart and administrative data of seniors aged 65 years and older admitted to acute geriatric units and other medical units for pneumonia at three hospitals over 1 year. The outcome was 30-day mortality. Hierarchical logistic regression modeling was carried out to estimate the treatment effect of acute geriatric units for all seniors, those aged 80 years and older, and those with premorbid ambulation impairment, after adjusting for demographic and clinical characteristics, and accounting for clustering around hospitals. Among 2721 seniors, 30-day mortality was 25.5%. For those admitted to acute geriatric and other medical units, this was 24.2% and 25.8%, respectively. Using hierarchical logistic regression modeling, treatment in acute geriatric units was not associated with significant mortality reduction among all seniors (OR 0.72, 95% CI 0.52-1.00). However, significant mortality reduction was observed in the subgroups of those aged 80 years and older (OR 0.73, 95% CI 0.54-0.99), and with premorbid ambulation impairment (OR 0.65, 95% CI 0.46-0.93). Acute geriatric units reduced short-term mortality among seniors hospitalized for pneumonia who were aged 80 years and older or had premorbid ambulation impairment. Further research is required to determine if this beneficial effect extends to seniors hospitalized for other acute medical disorders. © 2012 Japan Geriatrics Society.

  12. When the library is located in prime real estate: a case study on the loss of space from the Duke University Medical Center Library and Archives.

    Science.gov (United States)

    Thibodeau, Patricia L

    2010-01-01

    The Duke University Medical Center Library and Archives is located in the heart of the Duke Medicine campus, surrounded by Duke Hospital, ambulatory clinics, and numerous research facilities. Its location is considered prime real estate, given its adjacency to patient care, research, and educational activities. In 2005, the Duke University Library Space Planning Committee had recommended creating a learning center in the library that would support a variety of educational activities. However, the health system needed to convert the library's top floor into office space to make way for expansion of the hospital and cancer center. The library had only five months to plan the storage and consolidation of its journal and book collections, while working with the facilities design office and architect on the replacement of key user spaces on the top floor. Library staff worked together to develop plans for storing, weeding, and consolidating the collections and provided input into renovation plans for users spaces on its mezzanine level. The library lost 15,238 square feet (29%) of its net assignable square footage and a total of 16,897 (30%) gross square feet. This included 50% of the total space allotted to collections and over 15% of user spaces. The top-floor space now houses offices for Duke Medicine oncology faculty and staff. By storing a large portion of its collection off-site, the library was able to remove more stacks on the remaining stack level and convert them to user spaces, a long-term goal for the library. Additional space on the mezzanine level had to be converted to replace lost study and conference room spaces. While this project did not match the recommended space plans for the library, it underscored the need for the library to think creatively about the future of its facility and to work toward a more cohesive master plan.

  13. Micro-costing analysis of guideline-based treatment by direct-acting agents: the real-life case of hepatitis C management in Brazil.

    Science.gov (United States)

    Perazzo, Hugo; Jorge, Marcelino Jose; Silva, Julio Castro; Avellar, Alexandre Monken; Silva, Patrícia Santos; Romero, Carmen; Veloso, Valdilea Gonçalves; Mujica-Mota, Ruben; Anderson, Rob; Hyde, Chris; Castro, Rodolfo

    2017-11-23

    Eradication of hepatitis C virus (HCV) using direct-acting agents (DAA) has been associated with a financial burden to health authorities worldwide. We aimed to evaluate the guideline-based treatment costs by DAAs from the perspective of the Brazilian Ministry of Health (BMoH). The activity based costing method was used to estimate the cost for monitoring/treatment of genotype-1 (GT1) HCV patients by the following strategies: peg-interferon (PEG-IFN)/ribavirin (RBV) for 48 weeks, PEG-IFN/RBV plus boceprevir (BOC) or telaprevir (TEL) for 48 weeks, and sofosbuvir (SOF) plus daclastavir (DCV) or simeprevir (SIM) for 12 weeks. Costs were reported in United States Dollars without (US$) and with adjustment for purchasing power parity (PPP$). Drug costs were collected at the National Database of Health Prices and an overview of the literature was performed to assess effectiveness of SOF/DCV and SOF/SIM regimens in real-world cohorts. Treatment costs of GT1-HCV patients were PPP$ 43,176.28 (US$ 24,020.16) for PEG-IFN/RBV, PPP$ 71,196.03 (US$ 39,578.23) for PEG-IFN/RBV/BOC and PPP$ 86,250.33 (US$ 47,946.92) for PEG-IFN/RBV/TEL. Treatment by all-oral interferon-free regimens were the less expensive approach: PPP$ 19,761.72 (US$ 10,985.90) for SOF/DCV and PPP$ 21,590.91 (US$ 12,002.75) for SOF/SIM. The overview reported HCV eradication in up to 98% for SOF/DCV and 96% for SOF/SIM. Strategies with all oral interferon-free might lead to lower costs for management of GT1-HCV patients compared to IFN-based regimens in Brazil. This occurred mainly because of high discounts over international DAA prices due to negotiation between BMoH and pharmaceutical industries.

  14. CLOUD-BASED AGRICULTURAL SOLUTION: A CASE STUDY OF NEAR REAL-TIME REGIONAL AGRICULTURAL CROP GROWTH INFORMATION IN SOUTH AFRICA

    Directory of Open Access Journals (Sweden)

    J. Hiestermann

    2017-11-01

    Full Text Available Recent advances in cloud-based technology has led to the rapid increase of geospatial web-based applications. The combination of GIS and cloud-based solutions is revolutionizing product development in the geospatial industry and is facilitating accessibility to a wider range of users, planners and decision makers. Accessible through an internet browser, web applications are an effective and convenient method to disseminate information in multiple formats, and they provide an interface offering interactive access to geospatial data, real-time integration and data processing, and application specific analysis tools. An example of such a web application is GeoTerraImage’s monthly crop monitoring tool called GeoFarmer. This tool uses climatic data and satellite imagery processed through a complex rule-based algorithms to determine monthly climatic averages and anomalies, and most importantly the field specific crop status (i.e. is the field fallow, or is the crop emerging, or if the field has been harvested. Monthly field verification has formed a part of calibrating the growth classification outputs to further improve the accuracy of its monthly agricultural reporting. The goal of this application is to provide timely data to decision makers to assist them in field-level and regional crop growth monitoring, crop production and management, financial risk assessment and insurance, and food security applications. This web application has the unique advantage of being highly transportable to other regions, since it has been designed so it can easily be adapted to other seasonal growth response patterns, and up-scaled to regional or national coverages for operational use.

  15. On the real performance of cation exchange resins in wastewater treatment under conditions of cation competition: the case of heavy metal pollution.

    Science.gov (United States)

    Prelot, Benedicte; Ayed, Imen; Marchandeau, Franck; Zajac, Jerzy

    2014-01-01

    Sorption performance of cation-exchange resins Amberlite® IRN77 and Amberlite™ IRN9652 toward Cs(I) and Sr(II) has been tested in single-component aqueous solutions and simulated waste effluents containing other monovalent (Effluent 1) or divalent (Effluent 2) metal cations, as well as nitrate, borate, or carbonate anions. The individual sorption isotherms of each main component were measured by the solution depletion method. The differential molar enthalpy changes accompanying the ion-exchange between Cs+ or Sr2+ ions and protons at the resin surface from single-component nitrate solutions were measured by isothermal titration calorimetry and they showed a higher specificity of the two resins toward cesium. Compared to the retention limits of both resins under such idealized conditions, an important depression in the maximum adsorption capacity toward each main component was observed in multication systems. The overall effect of ion exchange process appeared to be an unpredictable outcome of the individual sorption capacities of the two resins toward various cations as a function of the cation charge, size, and concentration. The cesium retention capacity of the resins was diminished to about 25% of the "ideal" value in Effluent 1 and 50% in Effluent 2; a further decrease to about 15% was observed upon concomitant strontium addition. The uptake of strontium by the resins was found to be less sensitive to the addition of other metal components: the greatest decrease in the amount adsorbed was 60% of the ideal value in the two effluents for Amberlite® IRN77 and 75% for Amberlite™ IRN9652. It was therefore demonstrated that any performance tests carried out under idealized conditions should be exploited with much caution to predict the real performance of cation exchange resins under conditions of cation competition.

  16. Visualising the Complex Roots of Quadratic Equations with Real Coefficients

    Science.gov (United States)

    Bardell, Nicholas S.

    2012-01-01

    The roots of the general quadratic equation y = ax[superscript 2] + bx + c (real a, b, c) are known to occur in the following sets: (i) real and distinct; (ii) real and coincident; and (iii) a complex conjugate pair. Case (iii), which provides the focus for this investigation, can only occur when the values of the real coefficients a, b, and c are…

  17. Adherence With Bisphosphonates and Long-Term Risk of Hip Fractures: A Nested Case-Control Study Using Real-World Data.

    Science.gov (United States)

    Shalev, Varda; Sharman Moser, Sarah; Goldshtein, Inbal; Yu, Jingbo; Weil, Clara; Ish-Shalom, Sophia; Rouach, Vanessa; Chodick, Gabriel

    2017-09-01

    Hip fracture is a major complication of osteoporosis. Bisphosphonate medication is the mainstay of treatment for osteoporosis. However, concerns have been raised regarding the effectiveness of bisphosphonates in reducing hip fracture risk after long-term use, particularly among patients with suboptimal adherence. To examine the association between adherence with bisphosphonate therapy and long-term risk of hip fracture. Included in the present nested case-control study were osteoporotic women (n = 14 357) who initiated bisphosphonate therapy in 2000-2010 and were retrospectively followed for incident hip fracture through November 2014. Within this cohort, each case of primary hip fractures was individually matched to 3 controls without a primary hip fracture. Proportion of follow-up days covered (PDC) with bisphosphonates was calculated from bisphosphonate purchases. Adherence was categorized into the following groups: purchase of 1 or 2 months' supply (reference group), at least 3 months' supply to PDC ≤20%, PDC >20% to ≤80%, PDC >80% to ≤100%. Included in the analysis were 426 case-control groups with a mean age (SD) of 73.7 years (7.9). Compared with the reference group, PDC of 80% to 100% with bisphosphonates was associated with a significant reduction in hip fracture risk for patients with 8 to 15 years of follow-up (OR = 0.39; 95% CI = 0.18-0.87). Among patients with a follow-up of up to 3 years, OR was 0.58 (95% CI = 0.31-1.06). Adherence with bisphosphonates among osteoporotic patients is associated with lower risk of hip fracture, with no indication of diminished effectiveness with long-term use.

  18. Summary record

    International Nuclear Information System (INIS)

    2007-01-01

    encouragement to developing novel next-generation approaches that focus on more microscopic processes. Thus, the benchmark problem includes both macroscopic and microscopic measurement data. In this context, the sub-channel grade void fraction data are regarded as the macroscopic data and the digitized computer graphic images are the microscopic data. The meeting was organized around the discussion of the Benchmark Specifications, as well as the presentation and discussion of modelling issues and preliminary results for Exercises 1 and 2 of Phase 1, and Exercise 1 of Phase 2. At the first workshop of the OECD/NRC BFBT Benchmark BFBT-1 - a schedule for benchmark activities was accepted by the participants (see NEA/NSC/DOC (2004)15). According to this schedule the participants were requested to submit their results for Exercises 1 of Phase 1 and Phase 2 by April 30, 2005, which was postponed because of the delay in issuing the BFBT Benchmark Specifications. The Version 2 of the Specifications was distributed in May 2005 and the participants were requested to review the Specifications and were encouraged to start modelling of Exercises 1 of Phase 1 and Phase 2 as well as Exercise 2 of Phase 2. This was beneficial for the discussions at the 2. Workshop where the participants were requested to present any available preliminary results, for the exercises of both phases. Presentations on related experience in BWR sub-channel modelling as well as on CFD modelling were also encouraged. The technical topics, which were presented and discussed at the BFBT-2 workshop, are as follows: Review of the benchmark activities after the first Workshop; Detailed discussion of test facility, test conditions and measurement techniques; Discussion of the complete test data provided on the CD-ROM to the participants' key for using the data and format of the data; Discussion of the Benchmark Specifications and how the benchmark cases have been selected; Presentation and discussion of modelling issues and

  19. Records Management Directive

    Data.gov (United States)

    Office of Personnel Management — The Office of Personnel Management (OPM) Records Management Directive provides guidelines for the management of OPM records, and identifies the records management...

  20. Design and Evaluation in a Real Use-case of Closed-loop Scheduling Algorithms for the gLite Workload Management System

    International Nuclear Information System (INIS)

    Andreetto, P; Bauce, M; Bertocco, S

    2011-01-01

    The High Throughput Computing paradigm typically involves a scenario whereby a given, estimated processing power is made available and sustained by the computing environment over a medium/long period of time. As a consequence, the performance goals are in general targeted at maximizing resource utilization to obtain the expected throughput, rather than minimizing run time for individual jobs. This does not mean that optimal resource selection through adequate workload management is not desired nor effective, nonetheless, relatively small and pre-assessed percentages of suboptimal choices or unexpected events can be tolerated. However, there are use-cases, among the HEP community, for which the described model does not immediately fit. This paper deals with the workload needs primarily driven by the Collider Detector at Fermilab (CDF) experimental collaboration. In particular, the CDF analysis facility (CAF) typically operates by splitting its computations into so-called sections, which can be seen as sets of uniform and independent jobs. Processing a section cannot be considered completed until all its jobs have been successfully executed, thus requiring a Minimum Completion Time (MCT) dynamic scheduling policy where not even a single job should lay in non-terminal Grid states. A significant part of the CDF analysis is processed on the European Grid infrastructure through the gLite Workload Management System (WMS). This paper describes the design enhancements and ranking algorithms the WMS has been provided with to implement an adaptive scheduling policy to minimise MCT. Case study, outlined approach and first results are presented.

  1. Deficiencies in radiation protection record systems

    International Nuclear Information System (INIS)

    Martin, J.B.; Lyon, M.

    1991-01-01

    Radiation protection records are a fundamental part of any program for protecting radiation workers. Records are essential to epidemiological studies of radiation workers and are becoming increasingly important as the number of radiation exposure litigation cases increases. Ready retrievability of comprehensive records is also essential to the adequate defense of a radiation protection program. Appraisals of numerous radiation protection programs have revealed that few record-keeping systems comply with American National Standards Institute, Standard Practice N13.6-1972. Record-keeping requirements and types of deficiencies in radiation protection records systems are presented in this paper, followed by general recommendations for implementing a comprehensive radiation protection records system

  2. Deficiencies in radiation protection record systems

    International Nuclear Information System (INIS)

    Martin, J.B.; Lyon, M.

    1991-01-01

    Radiation protection records are a fundamental part of any program for protecting radiation workers. Records are essential to epidemiological studies of radiation workers and are becoming increasingly important as the number of radiation exposure litigation cases increases. Ready retrievability of comprehensive records is also essential to the adequate defense of a radiation protection program. Appraisals of numerous radiation protection programs have revealed that few record-keeping systems comply with American National Standards Institute, Standard Practice N13.6-1972. Record-keeping requirements and types of deficiencies in radiation protection records systems are presented in this paper, followed by general recommendations for implementing a comprehensive radiation protection records system. 8 refs

  3. Possibility of the real-time dynamic strain field monitoring deduced from GNSS data: case study of the 2016 Kumamoto earthquake sequence

    Science.gov (United States)

    Ohta, Y.; Ohzono, M.; Takahashi, H.; Kawamoto, S.; Hino, R.

    2017-12-01

    the geothermal region, the crustal materials are more sensitive to stress perturbations, and the earthquakes are more easily triggered compared with other typical regions. Our result also suggested that the real-time strain field monitoring may be useful information for the understanding of the possibility of the remotely triggered earthquake in the future.

  4. A real case simulation of the air-borne effluent dispersion on a typical summer day under CDA scenario for PFBR using an advanced meteorological and dispersion model

    International Nuclear Information System (INIS)

    Srinivas, C.V; Venkatesan, R.; Bagavath Singh, A.; Somayaji, K.M.

    2003-11-01

    Environmental concentrations and radioactive doses within and beyond the site boundary for the CDA situation of PFBR have been estimated using an Advanced Radiological Impact Prediction system for a real atmospheric situation on a typical summer day in the month of May 2003. The system consists of a meso-scale atmospheric prognostic model MM5 coupled with a random walk Lagrangian particle dispersion model FLEXPART for the simulation of transport, diffusion and deposition of radio nuclides. The details of the modeling system, its capabilities and various features are presented. The model has been validated for the simulated coastal atmospheric features of land-sea breeze, development of TIBL etc., with site and regional meteorological observations from IMD. Analysis of the dose distribution in a situation that corresponds to the atmospheric conditions on the chosen day shows that the doses for CDA through different pathways are 8 times less than the earlier estimations made according to regulatory requirements using the Gaussian Plume Model (GPM) approach. However for stack releases a higher dose than was reported earlier occurred beyond the site boundary at 2-4 km range under stable and fumigation conditions. The doses due to stack releases under these conditions maintained almost the same value in 3 to 10 km range and decreased there after. Deposition velocities computed from radionuclide species, wind speed, surface properties were 2 orders lower than the values used earlier and hence gave more realistic estimates of ground deposited activity. The study has enabled to simulate the more complex meteorological situation that actually is present at the site of interest and the associated spatial distribution of radiological impact around Kalpakkam. In order to draw meaningful conclusion that can be compared with regulatory estimates future study would be undertaken to simulate the dispersion under extreme meteorological situations which could possibly be worse than

  5. Evaluation of the Association between Air Pollutants and Number of Cases with Severe Acute Respiratory Syndrome Recorded at Emergency Medical Centers in Tehran, Iran in 2013

    Directory of Open Access Journals (Sweden)

    sadegh khazaei

    2016-09-01

    Full Text Available Introduction and purpose: Air pollution is an important risk factor for the environment and public health, associated with increased severity of respiratory diseases. This study aimed to evaluate the association between various air pollutants and number of cases with severe acute respiratory syndrome referred to emergency medical centers in Tehran, Iran in 2013. Methods: In this ecological study, the relationship between air pollution and acute respiratory symptoms in patients referred to the emergency centers of Tehran in 2013 was assessed. In total, 36787 patients with acute respiratory symptoms has been registered in these centers. Data on the number of cases with acute respiratory symptoms and air pollutants of emergency centers and air quality monitoring stations were collected. Moreover, Poisson regression was used to assess the relationship between air pollutant concentrations (PM2.5, SO2, NO2, O3, CO and the number of cases with severe acute respiratory syndrome. Results: The results of the current study demonstrated that CO (weekly average IRR=1.1 and SO2 (three days average IRR=1.03 and weekly average IRR= 1.04 increased the risk of respiratory diseases 10%, 3%, and 4%, respectively. Consequently, longer duration of pollutants would increase the risk of respiratory syndromes. Conclusion: According to the results of this study, increased air pollutant concentrations could be associated with escalated number of patients with acute respiratory symptoms referred to the emergency medical centers in Tehran.

  6. Integration of DNA barcoding for the initial recordings of Lessepsian fishes: a case study of the Indo-Pacific slender ponyfish Equulites elongatus.

    Science.gov (United States)

    Sakinan, S; Karahan, A; Ok, M

    2017-03-01

    In this study, the DNA barcode of a regional Lessepsian sighting of the slender ponyfish Equulites elongatus is integrated with morphometric and meristic descriptors as a case study to address further identification problems in the Mediterranean Sea. The study also aims to contribute to the regional mitochondrial cytochrome oxidase I information pool, to support other potential uses. The initial sighting of E. elongatus from the north-eastern Mediterranean coast of Turkey is provided from a trawl survey on 3 June 2015, where 76 specimens were captured during a 15 min tow. © 2016 The Fisheries Society of the British Isles.

  7. Treatment of real industrial wastewaters through nano-TiO2 and nano-Fe2O3 photocatalysis: case study of mining and kraft pulp mill effluents.

    Science.gov (United States)

    Nogueira, V; Lopes, I; Rocha-Santos, T A P; Gonçalves, F; Pereira, R

    2018-06-01

    High quantities of industrial wastewaters containing a wide range of organic and inorganic pollutants are being directly discharged into the environment, sometimes without proper treatment. Nanotechnology has a tremendous potential improving the existing treatments or even develop new treatment solutions. In this study, nano-TiO 2 or nano-Fe 2 O 3 was used for the photocatalytic treatment of kraft pulp mill effluent and mining effluent. The experiments with the organic effluent lead to reduction percentages of 93.3%, 68.4% and 89.8%, for colour, aromatic compounds and chemical oxygen demand, respectively, when treated with nano-TiO 2 /H 2 O 2 /UV and nano-Fe 2 O 3 /H 2 O 2 /UV, at pH 3.0. Significant removal of metals from the mining effluent was recorded but only for Zn, Al and Cd, the highest removal attained with 1.0 g L -1 of nano-TiO 2 /UV and nano-Fe 2 O 3 /UV. Regarding the toxicity of the organic effluent to Vibrio fischeri, it was reduced with the treatments combining the oxidant and the catalyst. However, for the inorganic effluent, the best reduction was achieved using 1.0 g L -1 of catalyst. In fact, the increase in dose of the catalyst, especially for nano-TiO 2 , enhanced toxicity reduction. Our results have shown that the use of these NMs seemed to be more effective in the organic effluent than in metal-rich effluent.

  8. Successful Teaching of Radiobiology Students in the Medical Management of Acute Radiation Effects From Real Case Histories Using Clinical Signs and Symptoms and Taking Advantage of Recently Developed Software Tools.

    Science.gov (United States)

    Majewski, Matthäus; Combs, Stephanie E; Trott, Klaus-Rüdiger; Abend, Michael; Port, Matthias

    2018-07-01

    In 2015, the Bundeswehr Institute of Radiobiology organized a North Atlantic Treaty Organization exercise to examine the significance of clinical signs and symptoms for the prediction of late-occurring acute radiation syndrome. Cases were generated using either the Medical Treatment Protocols for Radiation Accident Victims (METREPOL, n = 167) system or using real-case descriptions extracted from a database system for evaluation and archiving of radiation accidents based on case histories (SEARCH, n = 24). The cases ranged from unexposed [response category 0 (RC 0, n = 89)] to mild (RC 1, n = 45), moderate (RC 2, n = 19), severe (RC 3, n = 20), and lethal (RC 4, n = 18) acute radiation syndrome. During the previous exercise, expert teams successfully predicted hematological acute radiation syndrome severity, determined whether hospitalization was required, and gave treatment recommendations, taking advantage of different software tools developed by the North Atlantic Treaty Organization teams. The authors provided the same data set to radiobiology students who were introduced to the medical management of acute effects after radiation exposure and the software tools during a class lasting 15 h. Corresponding to the previous results, difficulties in the discrimination between RC 0/RC 1 and RC 3/RC 4, as well as a systematic underestimation of RC 1 and RC 2, were observed. Nevertheless, after merging reported response categories into clinically relevant groups (RC 0-1, RC 2-3, and RC 3-4), it was found that the majority of cases (95.2% ± 2.2 standard deviations) were correctly identified and that 94.7% (±2.6 standard deviations) developing acute radiation syndrome and z96.4% (±1.6 standard deviations) requiring hospitalization were identified correctly. Two out of three student teams also provided a dose estimate. These results are comparable to the best-performing team of the 2015 North Atlantic Treaty Organization exercise (response category: 92.5%; acute

  9. Economic Effects Real Estate Tax

    Directory of Open Access Journals (Sweden)

    Tadić Milan

    2016-06-01

    Full Text Available The real estate tax is usually a fiscal instrument which performs the property tax. When it comes to real property or immovable this term include: apartments, houses, land, cottages, excess housing landscape and more. The real estate tax as a form of the fiscal charges ownership or use of certain forms of real estate, and the revenue from this tax is levied on the area where the property is located regardless of the place of residence of its owner. The tax base for the calculation of this tax usually consists of the market, estimated or annuity value of certain real estate. This form of taxation in the Republic of Serbian applies from 1.1.2012., and its introduction has been replaced by former property taxes. The differences between the two concepts mentioned taxes are numerous and significant. Among the more important are: subject to taxation under the new concept of the real estate rather than law, a taxpayer is any property owner rather than the holder of rights to immovable property tax base is the market value of real estate which is replaced by the payment of taxes per square meter of usable area, the rate of property tax is determined local government, which can not be lower than 0.05% of the estimated value of the real estate nor higher than 0.5% of the appraised value of real estate. The last change, ie. The new law on Property Tax from 5.11.2015. was determined by the tax rate to 20%. The fact that local governments each of them determines the tax rate on real estate which range from high to low rates of multiple, makes this tax is progressive. Progression is particularly expressed in the distinction applied tax rates of developed and undeveloped municipalities, where we have a case that less developed tolerate a higher tax burden, which leads to negative economic effects. However, real estate tax has its own economic and social characteristics which must be aligned with the objectives of tax policy. This means that the real estate tax

  10. A fast liquid chromatography-tandem mass spectrometry method for determining benzodiazepines and analogues in urine. Validation and application to real cases of forensic interest.

    Science.gov (United States)

    Salomone, Alberto; Gerace, Enrico; Brizio, Paola; Gennaro, M Carla; Vincenti, Marco

    2011-11-01

    A fast liquid chromatographic/tandem mass spectrometric method was developed for the simultaneous determination in human urine of seventeen benzodiazepines, four relevant metabolites together plus zolpidem and zopiclone. The sample preparation, optimized to take into account the matrix effect, was based on enzymatic hydrolysis and liquid-liquid extraction. The separation of the twenty-three analytes was achieved in less than eight minutes. The whole methodology was fully validated according to UNI EN ISO/IEC 17025:2005 rules and 2006 SOFT/AAFS guidelines. Selectivity, linearity range, identification (LOD) and quantitation (LOQ) limits, precision, accuracy and recovery were evaluated. For all the species the signal/concentration linearity was satisfactory in the 50-1000 ng/mL concentration range. The limits of detection ranged from 0.5 to 30 ng/mL and LOQs from 1.7 to 100.0 ng/mL. Precisions were in the ranges 5.0-11.8%, 1.5-11.0% and 1.1-4.4% for low (100 ng/mL), medium (300 ng/mL) and high (1000 ng/mL) concentration, respectively. The accuracy, expressed as bias% was within ± 25 % for all the analytes. The recovery values, evaluated at 300 ng/mL concentration, ranged from 56.2% to 98.8%. The present method for the determination of several benzodiazepines, zolpidem and zopiclone in human urine proved to be simple, fast, specific and sensitive. The quantification by LC-MS/MS was successfully applied to 329 forensic cases among driving re-licensing, car accidents and alleged sexual violence cases. Copyright © 2011 Elsevier B.V. All rights reserved.

  11. 131I therapy for hyperthyroidism and consequent appearing of anaplastic carcinoma of the thyroid: simple case-report or real pathophysiologic link?

    Directory of Open Access Journals (Sweden)

    G. Scanelli

    2013-05-01

    Full Text Available BACKGROUND 131I is usually employed for the therapy of hyperfunctioning thyroid diseases. This β-emitting radioisotope acts releasing its radiations in small tissue volumes, but it is mandatory to consider, also for the small doses, the carcinogenic risk, well documented with the high 131I dosages used to cure differentiated thyroid cancers. METHODS We describe a case of anaplastic thyroid carcinoma appeared 4 years after therapy with 131I for Graves’ disease. The patient was treated both surgically and with thyonamides for Graves’ disease 20 years before; thereafter she underwent simple nephrectomy owing to Grawitz disease. After some years of well being, she was treated with 131I for a relapse of Graves’ disease. Four years later, she was treated with interleukin-2 and TNF-α, owing to distant metastases (pancreas, liver and lung of Grawitz cancer. Some months later, because of a rapid enlargement of the thyroid gland, she was thyroidectomized and anaplastic thyroid cancer was histologically documented. DISCUSSION AND CONCLUSIONS It is very difficult to investigate the possible transformation of a benign thyroid lesion to a malignant one, and data from the literature are conflicting. Fractioned doses of 131I are known to induce less cancers than high doses: they allow DNA to repair. Nevertheless, in patients with altered or non valid genetic repair’s mechanisms (i.e. patients with p53 mutations and, for this reason, prone to develop cancers, even low doses of 131I can induce carcinogenetic effects. In a patient with a history of cancer, who subsequently develops hyperthyroidism, even low doses of 131I can induce anaplastic thyroid cancer; in these subjects, therefore, other treatments than 131I could be preferred for the therapy of Graves’ disease. In our peculiar case, moreover, some studies have noteworthy demonstrated that certain cytokines (IL-1, TGF-β1 e TNF-α can, rather than inhibit, induce anaplastic thyroid cancer cells

  12. Uplift history of a transform continental margin revealed by the stratigraphic record: The case of the Agulhas transform margin along the Southern African Plateau

    Science.gov (United States)

    Baby, Guillaume; Guillocheau, François; Boulogne, Carl; Robin, Cécile; Dall'Asta, Massimo

    2018-04-01

    The south and southeast coast of southern Africa (from 28°S to 33°S) forms a high-elevated transform passive margin bounded to the east by the Agulhas-Falkland Fracture Zone (AFFZ). We analysed the stratigraphic record of the Outeniqua and Durban (Thekwini) Basins, located on the African side of the AFFZ, to determine the evolution of these margins from the rifting stage to present-day. The goal was to reconstruct the strike-slip evolution of the Agulhas Margin and the uplift of the inland high-elevation South African Plateau. The Agulhas transform passive margin results from four successive stages: Rifting stage, from Late Triassic to Early Cretaceous ( 200?-134 Ma), punctuated by three successive rifting episodes related to the Gondwana breakup; Wrench stage (134-131 Ma), evidenced by strike- and dip-slip deformations increasing toward the AFFZ; Active transform margin stage (131-92 Ma), during which the Falkland/Malvinas Plateau drifts away along the AFFZ, with an uplift of the northeastern part of the Outeniqua Basin progressively migrating toward the west; Thermal subsidence stage (92-0 Ma), marked by a major change in the configuration of the margin (onset of the shelf-break passive margin morphology). Two main periods of uplift were documented during the thermal subsidence stage of the Agulhas Margin: (1) a 92 Ma short-lived margin-scale uplift, followed by a second one at 76 Ma located along the Outeniqua Basin and; (2) a long-lasting uplift from 40 to 15 Ma limited to the Durban (Thekwini) Basin. This suggests that the South African Plateau is an old Upper Cretaceous relief (90-70 Ma) reactivated during Late Eocene to Early Miocene times (40-15 Ma).

  13. Accuracy of Electronic Health Record Data for Identifying Stroke Cases in Large-Scale Epidemiological Studies: A Systematic Review from the UK Biobank Stroke Outcomes Group.

    Directory of Open Access Journals (Sweden)

    Rebecca Woodfield

    Full Text Available Long-term follow-up of population-based prospective studies is often achieved through linkages to coded regional or national health care data. Our knowledge of the accuracy of such data is incomplete. To inform methods for identifying stroke cases in UK Biobank (a prospective study of 503,000 UK adults recruited in middle-age, we systematically evaluated the accuracy of these data for stroke and its main pathological types (ischaemic stroke, intracerebral haemorrhage, subarachnoid haemorrhage, determining the optimum codes for case identification.We sought studies published from 1990-November 2013, which compared coded data from death certificates, hospital admissions or primary care with a reference standard for stroke or its pathological types. We extracted information on a range of study characteristics and assessed study quality with the Quality Assessment of Diagnostic Studies tool (QUADAS-2. To assess accuracy, we extracted data on positive predictive values (PPV and-where available-on sensitivity, specificity, and negative predictive values (NPV.37 of 39 eligible studies assessed accuracy of International Classification of Diseases (ICD-coded hospital or death certificate data. They varied widely in their settings, methods, reporting, quality, and in the choice and accuracy of codes. Although PPVs for stroke and its pathological types ranged from 6-97%, appropriately selected, stroke-specific codes (rather than broad cerebrovascular codes consistently produced PPVs >70%, and in several studies >90%. The few studies with data on sensitivity, specificity and NPV showed higher sensitivity of hospital versus death certificate data for stroke, with specificity and NPV consistently >96%. Few studies assessed either primary care data or combinations of data sources.Particular stroke-specific codes can yield high PPVs (>90% for stroke/stroke types. Inclusion of primary care data and combining data sources should improve accuracy in large

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

    Science.gov (United States)

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

    1997-05-31

    To monitor the conduct of medical research projects that have already been approved by the local medical research ethics committee. Follow up study of ethically approved studies (randomly selected from all the studies approved in the previous year) by examination of patients' case notes, consent forms, and research records and by interview of the researchers at their workplace. Tayside, Scotland (mixed rural and urban population). 30 research projects approved by Tayside local medical research ethics committee. Adherence to the agreed protocol, particularly for recruitment (obtaining and recording informed consent) and for specific requirements of the ethics committee, including notification of changes to the protocol and of adverse events. In one project only oral consent had been obtained, and in a quarter of the studies one or more consent forms were incorrectly completed. Inadequate filing of case notes in five studies and of consent forms in six made them unavailable for scrutiny. Adverse events were reported, but there was a general failure to report the abandoning or non-starting of projects in two studies the investigators failed to notify a change in the responsible researcher. Monitoring of medical research by local medical research ethics committees promotes and preserves ethical standards, protects subjects and researchers, discourages fraud, and has the support of investigators. We recommend that 10% of projects should undergo on-site review, with all others monitored by questionnaire. This would require about six person hours of time and a salary bill of 120 pounds per study monitored.

  15. Plants in water-controlled ecosystems: active role in hydrologic processes and response to water stress. IV. Discussion of real cases

    Science.gov (United States)

    Laio, F.; Porporato, A.; Fernandez-Illescas, C. P.; Rodriguez-Iturbe, I.

    Three water-controlled ecosystems are studied here using the stochastic description of soil moisture dynamics and vegetation water stress proposed in Part II (F. Laio, A. Porporato, L. Ridolfi, I. Rodriguez-Iturbe, Adv. Water Res. 24 (7) (2001) 707-723) and Part III (A. Porporato, F. Laio, L. Ridolfi, I. Rodriguez-Iturbe, Adv. Water Res. 24 (7) (2001) 725-744) of this series of papers. In the savanna of Nylsvley (South Africa) the very diverse physiological characteristics of the existing plants give rise to different strategies of soil moisture exploitation. Notwithstanding these differences, the vegetation water stress for all the species turns out to be very similar, suggesting that coexistence might be attained also through differentiation of water use. The case of the savanna of Southern Texas points out how rooting depth and interannual rainfall variability can impact soil moisture dynamics and vegetation water stress. Because of the different responses to water stress of trees and grasses, external climatic forcing could be at the origin of the dynamic equilibrium allowing coexistence in this ecosystem. Finally, the analysis of a short grass steppe in Colorado provides an interesting example of the so-called inverse texture effect, whereby preferential conditions for vegetation are dependent on soil texture and rainfall. Sites which are more favorable during wet conditions may become less suitable to the same vegetation type during drier years. Such an effect is important to explain the predominance of existing species, as well as to investigate their reproductive strategies.

  16. The usefulness of air quality monitoring and air quality impact studies before the introduction of reformulated gasolines in developing countries. Mexico City, a real case study

    Energy Technology Data Exchange (ETDEWEB)

    Bravo, H.A.; Torres, R.J. [Universidad Nacional Autonoma de Mexico (Mexico). Section de Contaminacion Ambiental

    2000-07-01

    Urban air pollution is a major environmental problem in several developing countries in the world. This phenomenon seems to be related to the growth of both the urban population in large cities and the number of old and poorly maintained car fleets. The expected rise of population in the next century in countries which suffer from lack of capital for air pollution control, means that there is a great potential for the worsening of the air quality. The worldwide promote policy to phase out lead in gasolines has not proved to be an adequate option in improving the environmental quality. Mexico City Metropolitan Area (MCMA) represents a case in which the introduction of reformulated gasolines in an old car fleet has resulted in the reduction of the airborne lead levels but has worsened the ozone concentration of its urban atmosphere. This paper critically analyzes the chronological evolution of the ozone air pollution problem in MCMA after the successive occurrence of several changes in the formulation of low leaded and unleaded gasolines. It also presents evidences of the usefulness potential of air quality monitoring activities and air quality impact studies on the definition of realistic fuel reformulation policies of developing countries. (author)

  17. Analysis of the single and combined non-destructive test approaches for on-site concrete strength assessment: General statements based on a real case-study

    Directory of Open Access Journals (Sweden)

    Khoudja Ali-Benyahia

    2017-06-01

    Full Text Available The evaluation of the compressive strength of concrete in existing structures by coring is expensive, technically difficult in certain cases, and even impossible in others. The use of non-destructive testing (NDT is an interesting alternative method (i.e. affordable cost, portable, fast, etc.. However, the NDT estimation of strength requires a procedure of calibration of the model between NDT and compressive strength. The robustness of this calibration is a crucial point allowing better choice of the optimal number of cores. Studies which treat the calibration of proposed models are often based on laboratory experiments or synthetic data. The present study aims at identifying and optimizing the methodology of the calibration model on site. This paper is based on a broad campaign of auscultation using NDT (Rebound and Ultrasound and coring on an existing construction with 205 triplets of data (strengths and NDT results. Statistical data analysis enables to quantify the role of: the number of cores (NC used for the calibration, the use of only one or two-combined NDT techniques and the calibration method. The conclusions are focused on the improvement of the relevance and the effectiveness of NDT techniques in such operational situations.

  18. Computational and the real energy performance of a single-family residential building in Poland – an attempt to compare: a case study

    Directory of Open Access Journals (Sweden)

    Kowalski Piotr

    2017-01-01

    Full Text Available The paper presents energy use for heating and ventilation (one of the energy performance components determined in three ways. A case of a single family building located near Wroclaw in Poland is analyzed. The first and the second variant are both computational and the third presents actual measured energy consumption. Computational variants are based on the Polish methodology for the EPC (the Energy Performance Certificate. This methodology is based on ‘the Energy Performance of Buildings Directive 2010/31/EU’. Energy use for heating and ventilation is calculated using monthly method presented in EN ISO 13790. In the first computational option standard input data (parameters such as indoor and outdoor air temperature etc. are taken from standards and regulations are implemented. In the second variant this input data are partially taken from measurements. The results of energy use from both computational variants are compared to the actual measured energy consumption. On the basis of this comparison the influence of three factors: solar radiation heat gains, building air tightness and the SCOP of the heat pump on energy use calculations are analyzed. Conclusions aim to point the differences between them and the actual energy consumption.

  19. A mathematical model applied for assisting the estimation of PMI in a case of forensic importance. First record of Conicera similis (Diptera: Phoridae) in a corpse.

    Science.gov (United States)

    García-Rojo, A M; Martínez-Sánchez, A; López, R; García de la Vega, J M; Rica, M; González, M; Disney, R H L

    2013-09-10

    We present a forensic case associated with skeletonized human remains found inside a cistern in a coastal town located in the eastern Iberian Peninsula (Valencian Regional Government, Spain). In order to analyse the particular environmental conditions that occurred during oviposition and development of the collected insects, estimated temperatures at the crime scene were calculated by a predictive mathematical model. This model analyses the correlation between the variability of the internal temperature depending on the variability of the external ones. The amplitude of the temperature oscillations inside the tank and the containment of the enclosure is reduced by the presence of water. Such variation occurred within about 2h due to the time required for heat exchange. The differential equations employed to model differences between outdoor and indoor temperatures were an essential tool which let us estimate the post-mortem interval (PMI) that was carried out by the study of the insect succession and the development time of the collected Diptera specimens under the adjusted temperatures. The presence of live larvae and pupae of Sarcophagidae and empty pupae of Calliphoridae, Sarcophagidae, Fanniidae, Muscidae, Phoridae and Piophilidae and the decomposition stage suggested the possibility that the remains were in the tank at least a year. We highlight the absence of Calliphora and Lucilia spp., and the first occurrence of the phorid Conicera similis in a human cadaver among the entomological evidence. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  20. Geospatial Web Services in Real Estate Information System

    Science.gov (United States)

    Radulovic, Aleksandra; Sladic, Dubravka; Govedarica, Miro; Popovic, Dragana; Radovic, Jovana

    2017-12-01

    Since the data of cadastral records are of great importance for the economic development of the country, they must be well structured and organized. Records of real estate on the territory of Serbia met many problems in previous years. To prevent problems and to achieve efficient access, sharing and exchange of cadastral data on the principles of interoperability, domain model for real estate is created according to current standards in the field of spatial data. The resulting profile of the domain model for the Serbian real estate cadastre is based on the current legislation and on Land Administration Domain Model (LADM) which is specified in the ISO19152 standard. Above such organized data, and for their effective exchange, it is necessary to develop a model of services that must be provided by the institutions interested in the exchange of cadastral data. This is achieved by introducing a service-oriented architecture in the information system of real estate cadastre and with that ensures efficiency of the system. It is