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Sample records for sediment quality guidelines

  1. APPLICATION OF SEDIMENT QUALITY GUIDELINES IN THE ASSESSMENT OF MANGROVE SURFACE SEDIMENT IN MENGKABONG LAGOON, SABAH, MALAYSIA

    Directory of Open Access Journals (Sweden)

    S. M. Praveena, M. Radojevic, M. H. Abdullah, A. Z. Aris

    2008-01-01

    Full Text Available There have been numerous sediment quality guidelines developed to monitor the sediments. Sediment quality guidelines are very useful to screen sediment contamination by comparing sediment contaminant concentration with the corresponding quality guideline, provide useful tools for screening sediment chemical data to identify pollutants of concern and prioritise problem sites and relatively good predictors of contaminations. However, these guidelines are chemical specific and do not include biological parameters. Aquatic ecosystems, including sediments, must be assessed in multiple components (biological data, toxicity, physicochemistry by using intregrated approaches in order to establish a complete and comprehensive set of sediment quality guidelines. Numerous sediment quality guidelines Washington Department of Ecology Sediment Quality Guideline, Australian and New Zealand Environment and Conservation Council, Swedish Environmental Sediment Quality, Screening Quick Reference Table, Portuguese Legislation on the Classification of Dredged Materials in Coastal Zones and Interim Sediment Quality Guideline for Hong Kong have been applied to the Mengkabong lagoon mangrove sediment and discussed. The most appropriate guideline that meets the prioritization criteria consistent with international initiatives and regulations is interim sediment quality values for Hong Kong. The guideline verifies that all the metals are below the Interim Sediment Quality Value-low. However, site-specific, biological testing and ecological analysis of exisiting benthics community structure related to sediment contamination are needed for final decision making in the case of Mengkabong lagoon.

  2. Comparison of test specific sediment effect concentrations with marine sediment quality assessment guidelines

    International Nuclear Information System (INIS)

    Carr, R.S.; Biedenbach, J.M.; MacDonald, D.D.

    1995-01-01

    As part of NOAA's National Status and Trends (NS and T) Bioeffects Assessment program and studies conducted by the National Biological Service, numerous sediment quality assessment surveys have recently been conducted along the Atlantic and Gulf coasts of the US using the sea urchin (Arbacia punctulata) fertilization and embryological development tests with pore water. Additional toxicity tests were also conducted in conjunction with most of these studies. The areas that have been sampled include Boston harbor, Massachusetts; Charleston Harbor, Winyah Bay, and Savannah River, South Carolina; St. Simon Sound, Georgia; Biscayne Bay, Tampa Bay, Choctawhatchee Bay, Apalachicola Bay, St. Andrew Bay, and Pensacola Bay, Florida; Galveston Bay, Lavaca Bay, and Sabine Lake, Texas, and 200 stations in the vicinity of offshore oil and gas production platforms in the Gulf of Mexico. Sufficient data are now available from this series of surveys to calculate test specific sediment effect concentrations (SECs). Based on these recent studies, SECs were developed for the sea urchin porewater and amphipod tests and compared with existing marine sediment quality assessment guidelines

  3. An evaluation of contaminated estuarine sites using sediment quality guidelines and ecological assessment methodologies.

    Science.gov (United States)

    Fulton, M; Key, P; Wirth, E; Leight, A K; Daugomah, J; Bearden, D; Sivertsen, S; Scott, G

    2006-10-01

    Toxic contaminants may enter estuarine ecosystems through a variety of pathways. When sediment contaminant levels become sufficiently high, they may impact resident biota. One approach to predict sediment-associated toxicity in estuarine ecosystems involves the use of sediment quality guidelines (ERMs, ERLs) and site-specific contaminant chemistry while a second approach utilizes site-specific ecological sampling to assess impacts at the population or community level. The goal of this study was to utilize an integrated approach including chemical contaminant analysis, sediment quality guidelines and grass shrimp population monitoring to evaluate the impact of contaminants from industrial sources. Three impacted sites and one reference site were selected for study. Grass shrimp populations were sampled using a push-netting approach. Sediment samples were collected at each site and analyzed for metals, polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs) and pesticides. Contaminant levels were then compared to sediment quality guidelines. In general, grass shrimp population densities at the sites decreased as the ERM quotients increased. Grass shrimp densities were significantly reduced at the impacted site that had an ERM exceedance for chromium and the highest Mean ERM quotient. Regression analysis indicated that sediment chromium concentrations were negatively correlated with grass shrimp density. Grass shrimp size was reduced at two sites with intermediate levels of contamination. These findings support the use of both sediment quality guidelines and site-specific population monitoring to evaluate the impacts of sediment-associated contaminants in estuarine systems.

  4. Sediment quality guidelines for copper and zinc for filter-feeding estuarine oysters?

    Energy Technology Data Exchange (ETDEWEB)

    Birch, G.F., E-mail: gavin.birch@sydney.edu.a [Environmental Geology Group, School of Geosciences, Sydney University, NSW (Australia); Hogg, T.D. [Environmental Geology Group, School of Geosciences, Sydney University, NSW (Australia)

    2011-01-15

    Sediment quality guidelines (SQGs) assess the ability of bottom sediment to sustain healthy infauna and water quality guidelines (WQGs) provide protection for a designated percentage of aquatic species. Filter-feeding marine species, e.g. oysters and mussels, acquire food from particles in the water column and protection of these animals is not provided by SQGs or WQGs. The current work investigated the relationship between metal (Cu, Zn) concentrations in total and fine-fraction (<62.5 {mu}m) surficial sediment digested in a range of acids and chelating agents and oyster tissue metal concentrations. A strong correlation between oyster tissue Cu and Zn concentrations and fine-fraction surficial sediment digested in 1 M HCl provided a sedimentary guideline which predicted tissue metal concentrations in oysters and established a level (<45 {mu}g g{sup -1} and <1000 {mu}g g{sup -1}, respectively) for protecting oysters from exceeding human consumption levels (70 {mu}g g{sup -1} and 1000 {mu}g g{sup -1}, respectively). - A strong correlation between oyster tissue Cu and Zn concentrations and fine-fraction surficial sediment digested in 1 M HCl provided a sedimentary guideline which predicted tissue metal concentrations in oysters and established a level for protecting oysters from exceeding human consumption levels for these metals. The guidelines for fine surficial sediment developed in the present work accurately predicted oyster tissue concentrations in the field.

  5. Sediment quality guidelines for copper and zinc for filter-feeding estuarine oysters?

    International Nuclear Information System (INIS)

    Birch, G.F.; Hogg, T.D.

    2011-01-01

    Sediment quality guidelines (SQGs) assess the ability of bottom sediment to sustain healthy infauna and water quality guidelines (WQGs) provide protection for a designated percentage of aquatic species. Filter-feeding marine species, e.g. oysters and mussels, acquire food from particles in the water column and protection of these animals is not provided by SQGs or WQGs. The current work investigated the relationship between metal (Cu, Zn) concentrations in total and fine-fraction ( -1 and -1 , respectively) for protecting oysters from exceeding human consumption levels (70 μg g -1 and 1000 μg g -1 , respectively). - A strong correlation between oyster tissue Cu and Zn concentrations and fine-fraction surficial sediment digested in 1 M HCl provided a sedimentary guideline which predicted tissue metal concentrations in oysters and established a level for protecting oysters from exceeding human consumption levels for these metals. The guidelines for fine surficial sediment developed in the present work accurately predicted oyster tissue concentrations in the field.

  6. Toxicities and risk assessment of heavy metals in sediments of Taihu Lake, China, based on sediment quality guidelines.

    Science.gov (United States)

    Zhang, Yanfeng; Han, Yuwei; Yang, Jinxi; Zhu, Lingyan; Zhong, Wenjue

    2017-12-01

    The occurrence, toxicities, and ecological risks of five heavy metals (Pb, Cu, Cd, Zn and Ni) in the sediment of Taihu Lake were investigated in this study. To evaluate the toxicities caused by the heavy metals, the toxicities induced by organic contaminants and ammonia in the sediments were screened out with activated carbon and zeolite. The toxicities of heavy metals in sediments were tested with benthic invertebrates (tubificid and chironomid). The correlations between toxicity of sediment and the sediment quality guidelines (SQGs) derived previously were evaluated. There were significant correlations (pheavy metals based on SQGs, indicating that threshold effect level (TEL) and probable effect level (PEL) were reliable to predict the toxicities of heavy metals in the sediments of Taihu Lake. By contrast, the method based on acid volatile sulfides (AVS) and simultaneously extracted metals (SEM), such as ∑SEM/AVS and ∑SEM-AVS, did not show correlations with the toxicities. Moreover, the predictive ability of SQGs was confirmed by a total predicting accuracy of 77%. Ecological risk assessment based on TELs and PELs showed that the contaminations of Pb, Cu, Cd and Zn in the sediments of Taihu Lake were at relatively low or medium levels. The risks caused by heavy metals in the sediments of northern bay of the lake, which received more wastewater discharge from upper stream, were higher than other area of the lake. Copyright © 2017. Published by Elsevier B.V.

  7. Quality Guidelines

    Science.gov (United States)

    ... this page: https://medlineplus.gov/criteria.html MedlinePlus Quality Guidelines To use the sharing features on this ... materials must also meet our existing quality guidelines. Quality, authority and accuracy of health content The organization's ...

  8. The assessment of sediment screening risk in Venice Lagoon and other coastal areas using international sediment quality guidelines

    International Nuclear Information System (INIS)

    Apitz, S.A.; Barbanti, A.; Bocci, M.; Delaney, E.; Bernstein, A.G.; Montobbio, L.

    2007-01-01

    A number of studies carried out in recent years have shown the presence of a wide range of contaminants in the Venice Lagoon. It is important to have a good understanding of the ecological quality of Venice Lagoon sediments, in order to: i) define and locate areas where a threat to the environment is present and therefore an intervention is needed (i.e. in situ assessment and management); and ii) define sustainable and environmentally correct ways of managing sediments which are to be dredged for navigational purposes or in relation to other interventions (i.e., ex situ management). Materials and Methods: To examine how various regional and international SQGs 'classed' screening risk in Venice Lagoon sediments, data on median contaminant levels in surface sediments in Venice Lagoon resulting from a literature review were compared to a range of local and international sediment quality guidelines (SQGs). Then data on sediment contaminant levels in various areas and sub-basins of Venice Lagoon (main Lagoon, Porto Marghera and Venice City Canals) and in other regional and international transitional and coastal ecosystems with various levels of human impact (urbanization and industrialization) were evaluated based upon a selected consensus-based SQG. Finally, screening sediment quality for all of Venice Lagoon was mapped and contoured, relative to this consensus-based SQG and briefly compared with direct toxicity measurement through a battery of bioassays. Results: SQGs allow the sediment areas to be put in terms of potential, or screening, risk. Although there were some differences depending upon which specific SQGs were applied, the Venice SQGs and other international SQGs provided the same general picture of screening risk in Venice Lagoon despite geographic differences. Venice Lagoon South has the lowest screening risk levels, Venice Lagoon Central/North has the highest (and is nearest to the Porto Marghera and Venice City Canals sites). Discussion: The Venice

  9. Combining contamination indexes, sediment quality guidelines and multivariate data analysis for metal pollution assessment in marine sediments of Cienfuegos Bay, Cuba.

    Science.gov (United States)

    Peña-Icart, Mirella; Pereira-Filho, Edenir Rodrigues; Lopes Fialho, Lucimar; Nóbrega, Joaquim A; Alonso-Hernández, Carlos; Bolaños-Alvarez, Yoelvis; Pomares-Alfonso, Mario S

    2017-02-01

    The purpose of the present work was to combine several tools for assessing metal pollution in marine sediments from Cienfuegos Bay. Fourteen surface sediments collected in 2013 were evaluated. Concentrations of As, Cu, Ni, Zn and V decreased respect to those previous reported. The metal contamination was spatially distributed in the north and south parts of the bay. According to the contamination factor (CF) enrichment factor (EF) and index of geoaccumulation (I geo ), Cd and Cu were classified in that order as the most contaminated elements in most sediment. Comparison of the total metal concentrations with the threshold (TELs) and probable (PELs) effect levels in sediment quality guidelines suggested a more worrisome situation for Cu, of which concentrations were occasional associated with adverse biological effects in thirteen sediments, followed by Ni in nine sediments; while adverse effects were rarely associated with Cd. Probably, Cu could be considered as the most dangerous in the whole bay because it was classified in the high contamination levels by all indexes and, simultaneously, associated to occasional adverse effects in most samples. Despite the bioavailability was partially evaluated with the HCl method, the low extraction of Ni (<3% in all samples) and Cu (<55%, except sample 3) and the relative high extraction of Cd (50% or more, except sample 14) could be considered as an attenuating (Ni and Cu) or increasing (Cd) factor in the risk assessment of those element. Copyright © 2016. Published by Elsevier Ltd.

  10. Classification of sediments by means of Self-Organizing Maps and sediment quality guidelines in sites of the southern Spanish coastline

    Directory of Open Access Journals (Sweden)

    O. VESES

    2013-08-01

    Full Text Available This study was carried out to classify 112 marine and estuarine sites of the southern Spanish coastline (about 918 km long according to similar sediment characteristics by means of artificial neural networks (ANNs such as Self-Organizing Maps (SOM and sediment quality guidelines from a dataset consisted of 16 physical and chemical parameters including sediment granulometry, trace and major elements, total N and P and organic carbon content. The use of ANNs such as SOM made possible the classification of the sampling sites according to their similar chemical characteristics. Visual correlations between geochemical parameters were extracted due to the powerful visual characteristics (component planes of the SOM revealing that ANNs are an excellent tool to be incorporated in sediment quality assessments. Besides, almost 20% of the sites were classified as medium-high or high priority sites in order to take future remediation actions due to their high mean Effects Range-Median Quotient (m-ERMQ value. Priority sites included the estuaries of the major rivers (Tinto, Odiel, Palmones, etc. and several locations along the eastern coastline.

  11. The sediments of the Venice Lagoon (Italy) evaluated in a screening risk assessment approach: part I--application of international sediment quality guidelines.

    Science.gov (United States)

    Apitz, Sabine E; Barbanti, Andrea; Bocci, Martina; Carlin, Anna; Montobbio, Laura; Bernstein, Alberto Giulio

    2007-07-01

    A number of studies carried out in recent years have shown the presence of a wide range of contaminants in the Venice Lagoon. It is important to have a good understanding of the ecological quality of Venice Lagoon sediments in order to 1) define and locate areas where a threat to the environment is present and therefore an intervention is needed (i.e., in situ assessment and management); and 2) define sustainable and environmentally correct ways of managing sediments that are to be dredged for navigational purposes or in relation to other interventions (i.e., ex situ management). This study reports on a critical comparison of chemical quality of sediments in Venice Lagoon and its subregions. Data on the Venice Lagoon were compiled from several studies conducted during the past decade on surface sediment contamination; temporal variation and risks for contaminants at depth were not addressed. The comparison of observed pollutant concentrations with local and internationally used sediment quality guidelines (SQGs) was used as a tool to benchmark different sites and for a tier I (screening) ecological risk assessment. Meaning and relevance of a number of SQGs are discussed, together with the options available for carrying out the comparison with sediment data. The screening of the Venice Lagoon sediment quality is discussed from a risk-assessment perspective and appropriate values for use in an in situ-ex situ management framework are suggested. Although there were some differences depending upon which specific SQGs were applied, different SQGs provided the same general picture of screening risk in Venice Lagoon: Although there are geographic differences, median levels for several contaminants in surface sediments exceeded a number of SQGs. Many contaminants exceed threshold effects SQGs, and Hg exceeds probable effects SQGs in most sub-basins except the southern Lagoon. Venice Lagoon south has the lowest screening risk levels, Venice Lagoon central/north has the

  12. Uranium in Aquatic Sediments; Where are the Guidelines?

    Energy Technology Data Exchange (ETDEWEB)

    Iles, M., E-mail: michelle.iles@ewlsciences.com.au [Earth, Water and Life Sciences Pty Ltd, Darwin (Australia)

    2014-05-15

    Sediment data has been collected on and around the Ranger uranium mine for over 20 years. This included studies such as annual routine monitoring of metal concentrations, adsorption-desorption conditions, phase associations, transport mechanism, release potential, bioaccumulation and bioconcentration etc. Building on this, performance-based monitoring of the sediments from on-site water bodies was undertaken to ascertain the spatial and temporal distribution of contaminants as a basis to determine ecological risks associated with the sediments which in turn underpins closure planning. Highlights of these studies are interpreted using an ecological risk assessment approach. Ideally interpretation of aquatic sediment contamination in Australia is guided by the national guidelines for water quality and a weighted multiple lines of evidence approach whereby the chemistry of sediments is compared with reference and guideline values and predictions of bio-availability, and biological effects data allows cause and effect relationships to be derived. However, where uranium in aquatic sediments is concerned there is a lack of national (Australian) and international guidelines that are applicable to tropical sediments and the biological effects data available are limited or confounded by other variables. In the absence of clear uranium guidelines for sediments an internationally reported “Predicted No Effect Concentration” (PNEC) for uranium in temperate sediments was used as a “pseudo-guideline” value to identify sites with concentrations that might present an environmental risk and that should be further investigated. The applicability of the PNEC to the tropical Ranger site was understandably questioned by stakeholders and peers. The issues raised highlighted the need for international guidelines for uranium in aquatic sediments for tropical and temperate climates and an internationally accepted approach for deriving same. (author)

  13. Air quality model guideline

    International Nuclear Information System (INIS)

    Idriss, A.; Spurrell, F.

    2009-06-01

    Alberta Environment has developed a guidelines for operations and proposed operations that require approvals under the province's Environmental Protection and Enhancement Act or that operate under a code of practice for emissions to the atmosphere. In an effort to ensure consistency in the use of dispersion models for regulatory applications in Alberta, this document provided detailed guidance on suitable methods and approaches that should be employed to assess air quality from emission sources, specifically, information required to demonstrate that a source meets the Alberta ambient air quality objectives. The document outlined the statutory authority and provided an overview of the approach. It provided detailed advice on the types and uses of dispersion models with particular reference to the modelling protocol, input data, and output interpretation. Guidance on the application of regulatory models were also presented. Various models were described and their intended uses were explained. Internet addresses for different modelling resources were also offered. Last, some information about regional modelling in the province of Alberta was discussed. 40 refs., 4 tabs., 7 figs., 3 appendices.

  14. Total quality management implementation guidelines

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-01

    These Guidelines were designed by the Energy Quality Council to help managers and supervisors in the Department of Energy Complex bring Total Quality Management to their organizations. Because the Department is composed of a rich mixture of diverse organizations, each with its own distinctive culture and quality history, these Guidelines are intended to be adapted by users to meet the particular needs of their organizations. For example, for organizations that are well along on their quality journeys and may already have achieved quality results, these Guidelines will provide a consistent methodology and terminology reference to foster their alignment with the overall Energy quality initiative. For organizations that are just beginning their quality journeys, these Guidelines will serve as a startup manual on quality principles applied in the Energy context.

  15. British Columbia water quality guidelines (criteria): 1998 edition

    Energy Technology Data Exchange (ETDEWEB)

    Nagpal, N.K.; Pommen, L.W.; Swain, L.G.

    1998-08-01

    British Columbia has developed water quality guidelines in order that water quality data can be assessed and site-specific water quality objectives can be prepared. The guidelines provide benchmarks for the assessment of water quality and setting water quality objectives. Guidelines are provided to protect the following six major water uses: drinking water, aquatic life, wildlife, recreation/aesthetics, agriculture, and industrial. Water quality encompasses the physical, chemical and biological quality of the water, sediment and biota. Among other quality criteria the guide provides maximum approved concentrations for nitrogen, aluminum, copper, cyanide, lead, mercury, and molybdenum. 30 tabs.

  16. Technical guidelines for environmental dredging of contaminated sediments

    Science.gov (United States)

    2008-09-01

    This report provides technical guidelines for evaluating : environmental dredging as a sediment remedy component. This document : supports the Contaminated Sediment Remediation Guidance for : Hazardous Waste Sites, released by the U.S. Environmental ...

  17. RELEVANCE OF ROOTED VASCULAR PLANTS AS INDICATORS OF ESTUARINE SEDIMENT QUALITY

    Science.gov (United States)

    Toxicity assessments and numerical quality assessment guidelines for estuarine sediments are rarely based on information for aquatic plants. The effect of this lack of information on contaminated sediment evaluations is largely unknown. For this reason, the toxicities of whole se...

  18. Quality of evidence-based pediatric guidelines

    NARCIS (Netherlands)

    Boluyt, Nicole; Lincke, Carsten R.; Offringa, Martin

    2005-01-01

    Objective. To identify evidence-based pediatric guidelines and to assess their quality. Methods. We searched Medline, Embase, and relevant Web sites of guideline development programs and national pediatric societies to identify evidence-based pediatric guidelines. A list with titles of identified

  19. Methodological quality of guidelines in gastroenterology.

    Science.gov (United States)

    Malheiro, Rui; de Monteiro-Soares, Matilde; Hassan, Cesare; Dinis-Ribeiro, Mário

    2014-06-01

    Clinical guidelines are a common feature in modern endoscopy practice and they are being produced faster than ever. However, their methodological quality is rarely assessed. This study evaluated the methodological quality of current clinical guidelines in the field of gastroenterology, with an emphasis on endoscopy. Practice guidelines published by the American College of Gastroenterology (ACG), American Gastroenterological Association (AGA), American Society for Gastrointestinal Endoscopy (ASGE), European Society of Gastrointestinal Endoscopy (ESGE), British Society of Gastroenterology (BSG), National Institute for Health and Care Excellence (NICE), and the Scottish Intercollegiate Guidelines Network (SIGN) were searched between September and October 2012 and evaluated using the AGREE II (Appraisal of Guidelines for Research and Evaluation) instrument (23 items, scores 1 - 7 for each item; higher scores mean better quality). A total of 100 guidelines were assessed. The mean number of items scoring 6 or 7 per guideline was 9.2 (out of 23 items). Overall, 99 % of guidelines failed to include the target population in the development process, and 96 % did not report facilitators and barriers to guideline application. In addition, 86 % did not include advice or tools, and 94 % did not present monitoring or auditing criteria. The global methodological quality of clinical guidelines in the field of gastroenterology is poor, particularly regarding involvement of the target population in the development of guidelines and in the provision of clear suggestions to practitioners. © Georg Thieme Verlag KG Stuttgart · New York.

  20. Formalising medical quality indicators to improve guidelines

    NARCIS (Netherlands)

    Van Gendt, Marjolein; Ten Teije, Annette; Serban, Radu; Van Harmelen, Frank

    2005-01-01

    Medical guidelines can significantly improve quality of medical care and reduce costs. But how do we get sound and well-structured guidelines? This paper investigates the use of quality indicators that are formulated by medical institutions to evaluate medical care. The main research questions are

  1. Reporting guidelines and journal quality in otolaryngology.

    Science.gov (United States)

    Henderson, A H; Upile, T; Pilavakis, Y; Patel, N N

    2016-10-01

    Journals increasingly use reporting guidelines to standardise research papers, partly to improve quality. Although defining journal quality is difficult, various calculated metrics are used. This study investigates guideline adoption by otolaryngology journals and whether a relationship exists between this and journal quality. Retrospective MEDLINE database review for English language, Index Medicus, journals of interest to otolaryngologists (October 2013). The resulting journals were examined for the number of guidelines endorsed and then tabulated against surrogate measures of journal quality (Impact factor, Eigenfactor, SCImago, Source-Normalised rank). The primary outcome measure was the number of recognised reporting guidelines endorsed per journal. This was then correlated against journal quality scores. For comparison, a further small sample correlation was performed with 6 randomly selected and 6 high-profile clinical non-otolaryngology journals. 37 otolaryngology journals were identified. Number of guidelines used and quality scores were not normally distributed. Mean guideline usage was 1.0 for otolaryngology journals, 1.5 for randomly selected, and 5.5 for the high-profile journals. Only 18/37 (49%) otolaryngology journals endorsed any guidelines, compared with 11/12 non-otolaryngology journals. Within otolaryngology, Eigenfactor positively correlated with guideline use (r = 0.4, n = 44, p otolaryngology journals is low. Although it might be expected that use of reporting guidelines improved quality, this is not reflected in the derived quality scores in otolaryngology. This may reflect low levels of use/enforcement, that quality indicators are inherently flawed, or that generalised guidelines are not always appropriate or valued by editors. © 2015 John Wiley & Sons Ltd.

  2. Quality Control Guidelines for SAM Biotoxin Methods

    Science.gov (United States)

    Learn more about quality control guidelines and recommendations for the analysis of samples using the pathogen methods listed in EPA's Selected Analytical Methods for Environmental Remediation and Recovery (SAM).

  3. Quality Control Guidelines for SAM Radiochemical Methods

    Science.gov (United States)

    Learn more about quality control guidelines and recommendations for the analysis of samples using the radiochemistry methods listed in EPA's Selected Analytical Methods for Environmental Remediation and Recovery (SAM).

  4. Quality Control Guidelines for SAM Pathogen Methods

    Science.gov (United States)

    Learn more about quality control guidelines and recommendations for the analysis of samples using the biotoxin methods listed in EPA's Selected Analytical Methods for Environmental Remediation and Recovery (SAM).

  5. Quality Control Guidelines for SAM Chemical Methods

    Science.gov (United States)

    Learn more about quality control guidelines and recommendations for the analysis of samples using the chemistry methods listed in EPA's Selected Analytical Methods for Environmental Remediation and Recovery (SAM).

  6. Sandia software guidelines: Software quality planning

    Energy Technology Data Exchange (ETDEWEB)

    1987-08-01

    This volume is one in a series of Sandia Software Guidelines intended for use in producing quality software within Sandia National Laboratories. In consonance with the IEEE Standard for Software Quality Assurance Plans, this volume identifies procedures to follow in producing a Software Quality Assurance Plan for an organization or a project, and provides an example project SQA plan. 2 figs., 4 tabs.

  7. [Essential guidelines for Quality Management System].

    Science.gov (United States)

    Daunizeau, A

    2013-06-01

    The guidelines describe the essential parts of the quality management system to fulfil the requirements of the standard EN ISO 15 189. It includes mainly the organisation, the definition of responsibilities, training of personnel, the document control, the quality control, identification and control of nonconformities, corrective actions, preventive actions and evaluation, as audits and the management review.

  8. Do Clinical Practice Guidelines Improve Quality?

    Science.gov (United States)

    Baldassari, Cristina M

    2017-07-01

    Controversy exists surrounding how to best define and assess quality in the health care setting. Clinical practice guidelines (CPGs) have been developed to improve the quality of medical care by highlighting key clinical recommendations based on recent evidence. However, data linking CPGs to improvements in outcomes in otolaryngology are lacking. Numerous barriers contribute to difficulties in translating CPGs to improvements in quality. Future initiatives are needed to improve CPG adherence and define the impact of CPG recommendations on the quality of otolaryngologic care provided to our patients.

  9. Guidelines for radriopharmaceutical quality control in hospitals

    International Nuclear Information System (INIS)

    Welsh, W.J.

    1982-01-01

    This document has been prepared to assist hospital administrators in ensuring that adequate quality control is performed on radiopharmaceuticals administered to their patients. Three sets of guidelines are presented, the degree of sophistication being dependent on the amount of hospital involvement in the radiopharmaceutical preparation

  10. Guidelines for comprehensive quality assurance in brachytherapy

    International Nuclear Information System (INIS)

    Goldson, A.L.; Nibhanupudy, J.R.

    1984-01-01

    Brachytherapy treatment techniques can provide significant improvement in local control and overall survival, but only when quality assurance can be guaranteed. To establish brachytherapy quality assurance, basic requirements for three predetermined subdivisions of clinical institutions will be forwarded. These are: (1) centers having minimum requirements to provide brachytherapy, (2) intermediate centers such as regional or community hospitals, and (3) optimal centers such as university hospital and cancer centers. This presentation will highlight personnel needs, equipment requirements, academic activities, clinical experience with these systems and proposed quality assurance guidelines

  11. The use of multivariate analysis to link sediment contamination and toxicity data to establish sediment quality guidelines: an example in the Gulf of Cadiz (Spain); El uso del analisis multivariante en la union de datos de toxicidad y contaminacion para establecer guias de calidad de sedimento: Un ejemplo en la Bahia de Cadiz (Espana)

    Energy Technology Data Exchange (ETDEWEB)

    Del Valls, T. Angel; Forja, Jesus M [Departamento de Quimica Fisica, Facultad de Ciencias del Mar, Universidad de Cadiz, Cadiz, (Spain); Gomez-Parra, Abelardo [Instituto de Ciencias Marinas de Andalucia, CSIC, Puerto Real, Cadiz, (Spain)

    1998-03-01

    To evaluate marine sediment quality in the Gulf of Cadiz, chemical concentration and toxicity test endpoints from sediments were linked using multivariate analysis. Sediment samples were collected synoptically at seven stations in two littoral ecosystems of the Gulf of Cadiz (five in the Bay of Cadiz and two in the salt marsh of the Barbate River), and subjected to six separate, replicated sediment toxicity tests and comprehensive sediment chemistry analyses. The toxic effects of sediments were tested using three operational sediment phases: whole sediment, using the estuarine amphipod Microdeutopus gryllotalpa (10 d static: survival) and the estuarine clam Ruditapes philippinaru (48 h static: survival) and of the marine fish Sparus aurata (48 h static. Survival); and interstitial water, using populations of the estuarine rotifer Brachionus Plicatilis (7 d static: Population decline) and of the marine bacteria Photobacterium phosphoreum (Microtox ). To evaluate the levels of contamination, the concentrations in the sediments of organic carbon, 14 trace metals (Fe, Mn, Cu, Zn, Pb, Cd, Ag, Hg, As, Sn, V, Ni, Co and Cr) and the surfactant linear alkylbenzenesulphonate (LAS) were measured. The results of the toxicity tests were compared in a dose-response relationship between sites, demonstrating a general agreement between the toxicity values determined by all the tests, except in the case of interstitial water toxicity (principally due to toxic mixtures of trace metals). Data derived from sediment chemistry and bioassays were assembled by multivariate statistical techniques (PCA and factor analysis), showing that the two data types could be represented by only five factors corresponding to five overlapping chemical-biological effect relations. Positive prevalence of these factors in the cases studied was used to establish those ranges in chemical concentrations associated with adverse effects. The sediment quality guidelines, in terms of concentrations at or below

  12. Surface sediment quality relative to port activities: A contaminant-spectrum assessment.

    Science.gov (United States)

    Yu, Shen; Hong, Bing; Ma, Jun; Chen, Yongshan; Xi, Xiuping; Gao, Jingbo; Hu, Xiuqin; Xu, Xiangrong; Sun, Yuxin

    2017-10-15

    Ports are facing increasing environmental concerns with their importance to the global economy. Numerous studies indicated sediment quality deterioration in ports; however, the deterioration is not discriminated for each port activity. This study investigated a spectrum of contaminants (metals and organic pollutants) in surface sediments at 20 sampling points in Port Ningbo, China, one of the top five world ports by volume. The spectrum of contaminants (metals and organic pollutants) was quantified following marine sediment quality guidelines of China and USA and surface sediment quality was assessed according to thresholds of the two guidelines. Coupling a categorical matrix of port activities with the matrix of sedimentary contaminants revealed that contaminants were highly associated with the port operations. Ship repair posed a severe chemical risk to sediment. Operations of crude oil and coal loadings were two top activities related to organic pollutants in sediments while port operations of ore and container loadings discharged metals. Among the 20 sampling points, Cu, Zn, Pb, and DDT and its metabolites were the priority contaminants influencing sediment quality. Overall, surface sediments in Port Ningbo had relatively low environmental risks but ship repair is an environmental concern that must be addressed. This study provides a practical approach for port activity-related quality assessment of surface sediments in ports that could be applicable in many world sites. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Residential indoor air quality guideline : ozone

    International Nuclear Information System (INIS)

    2010-01-01

    Ozone (O 3 ) is a colourless gas that reacts rapidly on surfaces and with other constituents in the air. Sources of indoor O 3 include devices sold as home air cleaners, and some types of office equipment. Outdoor O 3 is also an important contributor to indoor levels of O 3 , depending on the air exchange rate with indoor environments. This residential indoor air quality guideline examined factors that affect the introduction, dispersion and removal of O 3 indoors. The health effects of prolonged exposure to O 3 were discussed, and studies conducted to evaluate the population health impacts of O 3 were reviewed. The studies demonstrated that there is a significant association between ambient O 3 and adverse health impacts. Exposure guidelines for residential indoor air quality were discussed. 14 refs.

  14. A comparison of sediment quality results with acid volatile sulfide (AVS) and simultaneously extracted metals (SEM) ratio in Vojvodina (Serbia) sediments.

    Science.gov (United States)

    Prica, M; Dalmacija, B; Roncević, S; Krcmar, D; Becelić, M

    2008-01-25

    The acid-volatile sulfide (AVS), simultaneously extracted metals (SEM), total metals, and pore-water metal concentrations were studied in Vojvodina (Serbia) sediments. In Serbia, there are no regulations concerning sediment quality standards and sediment management. Harmonization of legislation in the domain of environmental protection with EU requirements will increase the significance of the sediment issue. Sediment quality was assessed according to Dutch standards, but the results were also compared with Canadian and USEPA (United States Environmental Protection Agency) guidelines for sediment quality. A comparison of the results based on different criteria for sediment quality assessment shows that they are sometimes contradictory. Therefore, a single approach to quality assessment may be insufficient. The Sigma[SEM]/[AVS] ratio was found to be greater than one at several locations that were already recognized as places of high risk based on Dutch standards. Some other samples had Sigma[SEM]/[AVS]AVS]>1 can cause increased toxicity because there are many other metal-binding phases in sediments. Metals that are associated with AVS may be released within sediments through storms, dredging activities, oxidation, etc., and may have adverse environmental impacts. This has to be taken into account during dredging, which is for some sediments necessary because the sediment is of class 4 (Dutch evaluation), because the dredging process will certainly increase the concentration of bioavailable heavy metals and disturb the sedimentation dynamics. The obtained results will be invaluable for future activities regarding dredging and sediment management in the country.

  15. Sediment quality in the north coastal basin of Massachusetts, 2003

    Science.gov (United States)

    Breault, Robert F.; Ashman, Mary S.; Heath, Douglas

    2004-01-01

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Environmental Protection, completed a reconnaissance-level study of bottom-sediment quality in selected lakes, rivers, and estuaries in the North Coastal Basin of Massachusetts. Bottom-sediment grab samples were collected from 20 sites in the North River, Lake Quannapowitt, Saugus River, Mill River, Shute Brook, Sea Plane Basin, Pines River, and Bear Creek. The samples were tested for various types of potentially harmful contaminants? including 33 elements, 17 polyaromatic hydrocarbons (PAHs), 22 organochlorine pesticides, and 7 polychlorinated biphenyl (PCB) mixtures (Aroclors)?to benthic organisms (bottom-dwelling) and humans. The results were compared among sampling sites, to background concentrations, and to concen-trations measured in other urban rivers, and sediment-quality guidelines were used to predict toxicity at the sampling sites to benthic organisms and humans. Because there are no standards for human toxicity for aquatic sediment, standards for contaminated upland soil were used. Contaminant concentrations measured in sediment collected from the North Coastal Basin generally were equal to or greater than concentrations in sediment from uncontaminated rivers throughout New England. Contaminants in North Coastal Basin sediment with elevated concentrations (above back-ground levels) included arsenic, chromium, copper, lead, nickel, and zinc, some of the PAHs, dichlorodiphenyltrichloro-ethane (DDT) and its metabolites, and dieldrin. No PCBs were measured above the detection limits. Measured concentrations of arsenic, chromium, and lead were also generally greater than those measured in other urban rivers throughout the conter-minous United States. With one exception (arsenic), local con-centrations measured in sediment samples collected from the North Coastal Basin were lower than concentrations measured in sediment collected from two of three urban rivers draining to Boston

  16. Methodological Quality of Consensus Guidelines in Implant Dentistry.

    Science.gov (United States)

    Faggion, Clovis Mariano; Apaza, Karol; Ariza-Fritas, Tania; Málaga, Lilian; Giannakopoulos, Nikolaos Nikitas; Alarcón, Marco Antonio

    2017-01-01

    Consensus guidelines are useful to improve clinical decision making. Therefore, the methodological evaluation of these guidelines is of paramount importance. Low quality information may guide to inadequate or harmful clinical decisions. To evaluate the methodological quality of consensus guidelines published in implant dentistry using a validated methodological instrument. The six implant dentistry journals with impact factors were scrutinised for consensus guidelines related to implant dentistry. Two assessors independently selected consensus guidelines, and four assessors independently evaluated their methodological quality using the Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument. Disagreements in the selection and evaluation of guidelines were resolved by consensus. First, the consensus guidelines were analysed alone. Then, systematic reviews conducted to support the guidelines were included in the analysis. Non-parametric statistics for dependent variables (Wilcoxon signed rank test) was used to compare both groups. Of 258 initially retrieved articles, 27 consensus guidelines were selected. Median scores in four domains (applicability, rigour of development, stakeholder involvement, and editorial independence), expressed as percentages of maximum possible domain scores, were below 50% (median, 26%, 30.70%, 41.70%, and 41.70%, respectively). The consensus guidelines and consensus guidelines + systematic reviews data sets could be compared for 19 guidelines, and the results showed significant improvements in all domain scores (p dentistry journals is needed. The findings of the present study may help researchers to better develop consensus guidelines in implant dentistry, which will improve the quality and trust of information needed to make proper clinical decisions.

  17. Residential indoor air quality guideline : carbon monoxide

    International Nuclear Information System (INIS)

    2010-01-01

    Carbon monoxide (CO) is a tasteless, odourless, and colourless gas that can be produced by both natural and anthropogenic processes, but is most often formed during the incomplete combustion of organic materials. In the indoor environment, CO occurs directly as a result of emissions from indoor sources or as a result of infiltration from outdoor air containing CO. Studies have shown that the use of specific sources can lead to increased concentrations of CO indoors. This residential indoor air quality guideline examined the factors influencing the introduction, dispersion and removal of CO indoors. The health effects of exposure to low and higher concentrations of CO were discussed. Residential maximum exposure limits for CO were presented. Sources and concentrations in indoor environments were also examined. 17 refs., 2 tabs.

  18. General Quality Control (QC) Guidelines for SAM Methods

    Science.gov (United States)

    Learn more about quality control guidelines and recommendations for the analysis of samples using the methods listed in EPA's Selected Analytical Methods for Environmental Remediation and Recovery (SAM).

  19. Incorporating Contaminant Bioavailability into Sediment Quality Assessment Frameworks

    Science.gov (United States)

    The recently adopted sediment quality assessment framework for evaluating bay and estuarine sediments in the State of California incorporates bulk sediment chemistry as a key line of evidence(LOE) but does not address the bioavailability of measured contaminants. Thus, the chemis...

  20. Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality

    Directory of Open Access Journals (Sweden)

    Joslyn S. Kirby

    2015-01-01

    Full Text Available Actinic keratosis (AK is a common precancerous skin lesion and many AK management guidelines exist, but there has been limited investigation into the quality of these documents. The objective of this study was to assess the strengths and weaknesses of guidelines that address AK management. A systematic search for guidelines with recommendations for AK was performed. The Appraisal of Guidelines for Research and Evaluation (AGREE II was used to appraise the quality of guidelines. Multiple raters independently reviewed each of the guidelines and applied the AGREE II tool and scores were calculated. Overall, 2,307 citations were identified and 7 fulfilled the study criteria. The Cancer Council of Australia/Australian Cancer Network guideline had the highest mean scores and was the only guideline to include a systematic review, include an evidence rating for recommendations, and report conflicts of interest and funding sources. High-quality, effective guidelines are evidence-based with recommendations that are concise and organized, so practical application is facilitated. Features such as concise tables, pictorial diagrams, and explicit links to evidence are helpful. However, the rigor and validity of some guidelines were weak. So, it is important for providers to be aware of the features that contribute to a high-quality, practical document.

  1. Effects of dredging operations on sediment quality. Contaminant mobilization in dredged sediments from the Port of Santos, SP, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Torres, Ronaldo J.; Santos, Fernando C.; Mozeto, Antonio A. [Lab. de Biogeoquimica Ambiental, Dept. de Quimica, Univ. Federal de Sao Carlos, Sao Paulo, SP (Brazil); Abessa, Denis M.S.; Maranho, Luciane A.; Davanso, Marcela B. [Campus Experimental do Litoral Paulista, UNESP - Univ. Estadual Paulista ' Julio de Mesquita Filho' , Sao Paulo, SP (Brazil); Nascimento, Marcos R.L. do [Lab. de Pocos de Caldas (LAPOC), CNEN-Comissao Nacional de Energia Nuclear, MG (Brazil)

    2009-10-15

    Background, aim, and scope Contaminated sediments are a worldwide problem, and mobilization of contaminants is one of the most critical issues in environmental risk assessment insofar as dredging projects are concerned. The investigation of how toxic compounds are mobilized during dredging operations in the channel of the Port of Santos, Brazil, was conducted in an attempt to assess changes in the bioavailability and toxicity of these contaminants. Materials and methods Bulk sediment samples and their interstitial waters and elutriates were subjected to chemical evaluation and ecotoxicological assessment. Samples were collected from the channel before dredging, from the dredge's hopper, and from the disposal site and its surroundings. Results The results indicate that the bulk sediments from the dredging site are contaminated moderately with As, Pb, and Zn and severely with Hg, and that polycyclic aromatic hydrocarbon (PAH) concentrations are relatively high. Our results also show a 50% increase in PAH concentrations in suspended solids in the water collected from the hopper dredge. This finding is of great concern, since it refers to the dredge overflow water which is pumped back into the ecosystem. Acute toxicity tests on bulk sediment using the amphipod Tiburonella viscana showed no toxicity, while chronic tests with the sea urchin Lytechinus variegatus showed toxicity in the interstitial waters and elutriates. Results are compared with widely used sediment quality guidelines and with a sediment quality assessment scheme based on various lines of evidence. Conclusions The data presented here indicate that the sediments collected in this port show a certain degree of contamination, especially those from the inner part of the channel. The classification established in this study indicated that sediments from the dredged channel are impacted detrimentally and that sea disposal may disperse contaminants. According to this classification, the sediments are

  2. Sedimentation, sediment quality, and upstream channel stability, John Redmond Reservoir, east-central Kansas, 1964-2009

    Science.gov (United States)

    Juracek, Kyle E.

    2010-01-01

    A combination of available bathymetric-survey information, bottom-sediment coring, and historical streamgage information was used to investigate sedimentation, sediment quality, and upstream channel stability for John Redmond Reservoir, east-central Kansas. Ongoing sedimentation is reducing the ability of the reservoir to serve several purposes including flood control, water supply, and recreation. The total estimated volume and mass of bottom sediment deposited between 1964 and 2009 in the conservation pool of the reservoir was 1.46 billion cubic feet and 55.8 billion pounds, respectively. The estimated sediment volume occupied about 41 percent of the conservation-pool, water-storage capacity of the reservoir. Water-storage capacity in the conservation pool has been lost to sedimentation at a rate of about 1 percent annually. Mean annual net sediment deposition since 1964 in the conservation pool of the reservoir was estimated to be 1.24 billion pounds per year. Mean annual net sediment yield from the reservoir basin was estimated to be 411,000 pounds per square mile per year Information from sediment cores shows that throughout the history of John Redmond Reservoir, total nitrogen concentrations in the deposited sediment generally were uniform indicating consistent nitrogen inputs to the reservoir. Total phosphorus concentrations in the deposited sediment were more variable than total nitrogen indicating the possibility of changing phosphorus inputs to the reservoir. As the principal limiting factor for primary production in most freshwater environments, phosphorus is of particular importance because increased inputs can contribute to accelerated reservoir eutrophication and the production of algal toxins and taste-and-odor compounds. The mean annual net loads of total nitrogen and total phosphorus deposited in the bottom sediment of the reservoir were estimated to be 2,350,000 pounds per year and 1,030,000 pounds per year, respectively. The estimated mean annual

  3. Toward improved guideline quality: using the COGS statement with GEM.

    Science.gov (United States)

    Shiffman, Richard N; Michel, Georges

    2004-01-01

    The Conference on Guideline Standardization (COGS) was convened to create a standardized documentation checklist for clinical practice guidelines in an effort to promote guideline quality and facilitate implementation. The statement was created by a multidisciplinary panel using a rigorous consensus development methodology. The Guideline Elements Model (GEM) provides a standardized approach to representing guideline documents using XML. In this work, we demonstrate the sufficiency of GEM for describing COGS components. Using the mapping between COGS and GEM elements we built an XSLT application to examine a guideline's adherence (or non-adherence) to the COGS checklist. Once a guideline has been marked up according to the GEM hierarchy, its knowledge content can be reused in multiple ways.

  4. HVAC design guidelines for effective indoor air quality

    International Nuclear Information System (INIS)

    Bladykas, M.P.

    1993-01-01

    Building owners, designers and occupants need to consider all the design measures that contribute to high indoor air quality. Building occupants, furnishings, equipment, and ambient air pollution all contribute to surmounting indoor air quality concerns. However, these can be minimized by following HVAC design guidelines which promote high indoor air quality while maintaining reasonable energy-efficiency. The possible liabilities and loss of business productivity due to air quality problems are too great to ignore

  5. Sedimentation

    Science.gov (United States)

    Cliff R. Hupp; Michael R. Schening

    2000-01-01

    Sedimentation is arguably the most important water-quality concern in the United States. Sediment trapping is cited frequently as a major function of riverine-forested wetlands, yet little is known about sedimcntation rates at the landscape scale in relation to site parameters, including woody vegetation type, elevation, velocity, and hydraulic connection to the river...

  6. Methods of assessment of stormwater sediments quality

    Directory of Open Access Journals (Sweden)

    Sałata Aleksandra

    2017-01-01

    Full Text Available Concentration of heavy metal (cadmium, copper, chromium, nickel, lead and zinc in sediments collected from the stormwater treatment plant located in the urbanised catchment were investigated using geo-accumulation index and enrichment factor to determine metal accumulation and pollution status. Total metal concentrations varied widely in studied materials and the mean values were higher than their background values. The Igeo results indicate that tested sediments were uncontaminated with respect to Cd. The study area is moderately to strongly contaminated with Zn, Pb and Cu. The other elements are within the scope moderate contamination.

  7. Air quality guidelines for arenas in Nova Scotia

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-05-01

    A series of guidelines have been prepared to address the quality of air in skating arena facilities in Nova Scotia. They are limited to carbon monoxide and nitrogen dioxide emissions. Average nitrogen dioxide levels should not exceed 1 part per million (ppm). Average carbon monoxide levels should not exceed 25 ppm. These guidelines do not address other contaminants such as ammonia or chlorofluorocarbons (CFCs). The guidelines are considered to be the minimum standards required for safe arena operations. These standards can be met by reducing emissions of the ice resurfacer and edger which is one of the major sources of poor air quality in arenas. Other ways to meet the standards are to ensure proper equipment operation, ventilation and monitoring of indoor air quality levels. Symptoms of exposure and potential consequences were also described. It was noted that owners and operators may be found libel for injury if a proper environment is not maintained. 6 appendices.

  8. Integrated quality assessment of sediments from harbour areas in Santos-São Vicente Estuarine System, Southern Brazil

    Science.gov (United States)

    Buruaem, Lucas Moreira; de Castro, Ítalo Braga; Hortellani, Marcos Antonio; Taniguchi, Satie; Fillmann, Gilberto; Sasaki, Silvio Tarou; Varella Petti, Mônica Angélica; Sarkis, Jorge Eduardo de Souza; Bícego, Márcia Caruso; Maranho, Luciane Alves; Davanso, Marcela Bergo; Nonato, Edmundo Ferraz; Cesar, Augusto; Costa-Lotufo, Leticia Veras; Abessa, Denis Moledo de Souza

    2013-09-01

    Santos-São Vicente Estuarine System is a highly populated coastal zone in Brazil and where it is located the major port of Latin America. Historically, port activities, industrial and domestic effluents discharges have constituted the main sources of contaminants to estuarine system. This study aimed to assess the recent status of sediment quality from 5 zones of Port of Santos by applying a lines-of-evidence approach through integrating results of: (1) acute toxicity of whole sediment and chronic toxicity of liquid phases; (2) grain size, organic matter, organic carbon, nitrogen, phosphorus, trace metals, polycyclic aromatic hydrocarbons, linear alkylbenzenes and butyltins; (3) benthic community descriptors. Results revealed a gradient of increasing contamination for metals and organic compounds, alongside with their geochemical carriers. Sediment liquid phases were more toxic compared to whole sediment. Low number of species and individuals indicated the impoverishment of benthic community. The use of site-specific sediment quality guidelines was more appropriate to predict sediment toxicity. The integration of results through Sediment Quality Triad approach and principal component analysis allowed observing the effects of natural stressors and dredging on sediment quality and benthic distribution. Even with recent governmental efforts to control, pollution is still relevant in Port of Santos and a threat to local ecosystems.

  9. Which points deserve special attention in the new guidelines on X-ray use (testing guidelines for experts and quality assurance guidelines)?

    International Nuclear Information System (INIS)

    Ewen, K.; Lauber, I.

    2004-01-01

    Two important guidelines for the application of X-rays in medicine became effective on 1 October 2003 and 1 December 2003. These are testing guidelines for experts and quality assurance guidelines. Both guidelines are very extensive and not always easy to interpret. In the present paper the authors try to explain in detail some chapters important for radiology and to make the necessary technical background transparent. Both authors took an essential part in forming the guidelines. (orig.) [de

  10. Sediment Quality and Comparison to Historical Water Quality, Little Arkansas River Basin, South-Central Kansas, 2007

    Science.gov (United States)

    Juracek, Kyle E.; Rasmussen, Patrick P.

    2008-01-01

    The spatial and temporal variability in streambed-sediment quality and its relation to historical water quality was assessed to provide guidance for the development of total maximum daily loads and the implementation of best-management practices in the Little Arkansas River Basin, south-central Kansas. Streambed-sediment samples were collected at 26 sites in 2007, sieved to isolate the less than 63-micron fraction (that is, the silt and clay), and analyzed for selected nutrients (total nitrogen and total phosphorus), organic and total carbon, 25 trace elements, and the radionuclides beryllium-7, cesium-137, lead-210, and radium-226. At eight sites, streambed-sediment samples also were collected and analyzed for bacteria. Particulate nitrogen, phosphorus, and organic carbon concentrations in the streambed sediment varied substantially spatially and temporally, and positive correlations among the three constituents were statistically significant. Along the main-stem Little Arkansas River, streambed-sediment concentrations of particulate nitrogen and phosphorus generally were larger at and downstream from Alta Mills, Kansas. The largest particulate nitrogen concentrations were measured in samples collected in the Emma Creek subbasin and may be related to livestock and poultry production. The largest particulate phosphorus concentrations in the basin were measured in samples collected along the main-stem Little Arkansas River downstream from Alta Mills, Kansas. Particulate nitrogen, phosphorus, and organic carbon content in the water and streambed-sediment samples typically decreased as streamflow increased. This inverse relation may be caused by an increased contribution of sediment from channel-bank sources during high flows and (or) increased particle sizes transported by the high flows. Trace element concentrations in the streambed sediment varied from site to site and typically were less than threshold-effects guidelines for possible adverse biological effects

  11. Systematic Review of International Colposcopy Quality Improvement Guidelines.

    Science.gov (United States)

    Mayeaux, Edward J; Novetsky, Akiva P; Chelmow, David; Choma, Kim; Garcia, Francisco; Liu, Angela H; Papasozomenos, Theognosia; Einstein, Mark H

    2017-10-01

    The American Society for Colposcopy and Cervical Pathology Colposcopy Standards Committee organized multiple working groups to draft colposcopy standards for the United States. As part of this project, international quality assurance and improvement measures were examined. The quality improvement working group performed a systematic review of the literature to collate international guidelines related to quality improvement. Source guidelines were collected using searches in Medline, Google Scholar, the International Federation of Cervical Pathology and Colposcopy Web site, other regional colposcopy group's Web sites, and communications with International Federation of Cervical Pathology and Colposcopy board of directors' members and other expert members of various national groups. Once identified, the sources were reviewed by multiple workgroup members for potential guideline materials. Fifty-six unique documents were identified, of which 18 met inclusion criteria and contributed data to the analysis. Information was abstracted and grouped by related subject. Wide variation exists in colposcopy guidance and quality indicators from regional and national colposcopy societies. Abstracted international guidelines are presented.

  12. Strategy Guideline: Quality Management in Existing Homes; Cantilever Floor Example

    Energy Technology Data Exchange (ETDEWEB)

    Taggart, J.; Sikora, J.; Wiehagen, J.; Wood, A.

    2011-12-01

    This guideline is designed to highlight the QA process that can be applied to any residential building retrofit activity. The cantilevered floor retrofit detailed in this guideline is included only to provide an actual retrofit example to better illustrate the QA activities being presented. The goal of existing home high performing remodeling quality management systems (HPR-QMS) is to establish practices and processes that can be used throughout any remodeling project. The research presented in this document provides a comparison of a selected retrofit activity as typically done versus that same retrofit activity approached from an integrated high performance remodeling and quality management perspective. It highlights some key quality management tools and approaches that can be adopted incrementally by a high performance remodeler for this or any high performance retrofit. This example is intended as a template and establishes a methodology that can be used to develop a portfolio of high performance remodeling strategies.

  13. Distribution and partitioning of heavy metals in estuarine sediment cores and implications for the use of sediment quality standards

    Directory of Open Access Journals (Sweden)

    K. L. Spencer

    2002-01-01

    Full Text Available Total metal concentrations in surface sediments and historically contaminated sediments were determined in sediment cores collected from three estuaries (Thames, Medway and Blackwater in south-east England. The partitioning behaviour of metals in these sediments was also determined using a sequential extraction scheme. These data were then compared with sediment quality values (SQVs to determine the potential ecotoxicological risk to sediment dwelling organisms. When total metal concentrations in surface sediments are examined, no risk to biota in any of the estuaries is indicated. However, when historically contaminated sediments at depth are also considered, risks to biota are apparent and are greatest for the Thames, followed by the Medway and then the Blackwater. This suggests that regulatory authorities should examine vertical metal profiles, particularly in estuaries that are experiencing low sediment accumulation rates where historically contaminated sediments are in the shallow sub-surface zone and where erosion or dredging activities may take place. When metal partitioning characteristics are also considered, the risk to biota is comparable for the Medway and the Blackwater with the potentially bioavailable fraction presenting no ecotoxicological risk. Conversely, over 70% of metals are labile in the Thames Estuary sediments and toxic effects are probable. This suggests that the application of SQVs using total sediment metal concentrations may over- or under-estimate the risk to biota in geochemically dissimilar estuarine sediments. Keywords: sediment quality values, estuarine sediments, metal contamination, partitioning, sequential extraction

  14. Long-term pavement performance compliance with Department of Transportation information dissemination quality guidelines

    Science.gov (United States)

    2008-11-01

    This document provides information on the compliance of the LTPP program with the guidelines the Department of Transportation (DOT) issued Information Dissemination Quality Guidelines (IDQG). These guidelines were developed in response to requirement...

  15. Assessment of sediment quality based on toxic equivalent benzo[a]Pyrene concentration

    International Nuclear Information System (INIS)

    King, T.L.; Lee, K.

    2004-01-01

    This study examined benzo[a]pyrene (B[a]P) as an indicator and its thresholds for polycyclic aromatic hydrocarbons (PAH) in sediments. The indicator, based on toxicity and carcinogenic effects, was selected to assess the marine environment and changes in marine environmental quality (MEQ) in Sydney Harbour, Nova Scotia. It was shown that the bioavailability of B[a]P and other PAHs is greatly affected by the quality and quantity of dissolved organic matter and organic carbon content. Two coal coke facilities were constructed on the shore of Sydney Harbour in the 19th century. For many years, the coke-ovens discharged toxic liquid effluent through the Tar Ponds into the harbour, contaminating the ground and surface water with arsenic, lead and other toxins. It also led to the accumulation of PAHs and polychlorinated biphenyls. A recent assessment of PAH contamination of Sydney Harbour has focused on the exposure of organisms to contaminants as well as the biological effects on the organisms. All samples collected from the South Arm of Sydney Harbour exceeded the upper threshold of established regulatory guidelines. Samples from the Northwest Arm were within regulatory limits, suggesting that industrial and municipal sources were the primary sources of pollution. PAH concentrations were used to identify sediments that exceed effects thresholds based on MEQ guidelines. The results were compared to actual observations of biological effects. Toxic equivalency factors were established for B[a]P and other PAHs in order to estimate cumulative exposure levels. The concentrations can be compared to regulatory sediment quality guidelines established in Canada and the United States for the protection of marine life. 34 refs., 6 tabs., 2 figs

  16. Development, evaluation, and application of sediment quality targets for assessing and managing contaminated sediments in Tampa Bay, Florida

    Science.gov (United States)

    MacDonald, D.D.; Carr, R.S.; Eckenrod, D.; Greening, H.; Grabe, S.; Ingersoll, C.G.; Janicki, S.; Janicki, T.; Lindskoog, R.A.; Long, E.R.; Pribble, R.; Sloane, G.; Smorong, D.E.

    2004-01-01

    Tampa Bay is a large, urban estuary that is located in west central Florida. Although water quality conditions represent an important concern in this estuary, information from numerous sources indicates that sediment contamination also has the potential to adversely affect aquatic organisms, aquatic-dependent wildlife, and human health. As such, protecting relatively uncontaminated areas of the bay from contamination and reducing the amount of toxic chemicals in contaminated sediments have been identified as high-priority sediment management objectives for Tampa Bay. To address concerns related to sediment contamination in the bay, an ecosystem-based framework for assessing and managing sediment quality conditions was developed that included identification of sediment quality issues and concerns, development of ecosystem goals and objectives, selection of ecosystem health indicators, establishment of metrics and targets for key indicators, and incorporation of key indicators, metrics, and targets into watershed management plans and decision-making processes. This paper describes the process that was used to select and evaluate numerical sediment quality targets (SQTs) for assessing and managing contaminated sediments. These SQTs included measures of sediment chemistry, whole-sediment and pore-water toxicity, and benthic invertebrate community structure. In addition, the paper describes how the SQTs were used to develop site-specific concentration-response models that describe how the frequency of adverse biological effects changes with increasing concentrations of chemicals of potential concern. Finally, a key application of the SQTs for defining sediment management areas is discussed.

  17. Impact of air quality guidelines on COPD sufferers

    Science.gov (United States)

    Liu, Youcheng; Yan, Shuang; Poh, Karen; Liu, Suyang; Iyioriobhe, Emanehi; Sterling, David A

    2016-01-01

    Background COPD is one of the leading causes of morbidity and mortality in both high- and low-income countries and a major public health burden worldwide. While cigarette smoking remains the main cause of COPD, outdoor and indoor air pollution are important risk factors to its etiology. Although studies over the last 30 years helped reduce the values, it is not very clear if the current air quality guidelines are adequately protective for COPD sufferers. Objective This systematic review was to summarize the up-to-date literature on the impact of air pollution on the COPD sufferers. Methods PubMed and Google Scholar were utilized to search for articles related to our study’s focus. Search terms included “COPD exacerbation”, “air pollution”, “air quality guidelines”, “air quality standards”, “COPD morbidity and mortality”, “chronic bronchitis”, and “air pollution control” separately and in combination. We focused on articles from 1990 to 2015. We also used articles prior to 1990 if they contained relevant information. We focused on articles written in English or with an English abstract. We also used the articles in the reference lists of the identified articles. Results Both short-term and long-term exposures to outdoor air pollution around the world are associated with the mortality and morbidity of COPD sufferers even at levels below the current air quality guidelines. Biomass cooking in low-income countries was clearly associated with COPD morbidity in adult nonsmoking females. Conclusion There is a need to continue to improve the air quality guidelines. A range of intervention measures could be selected at different levels based on countries’ socioeconomic conditions to reduce the air pollution exposure and COPD burden. PMID:27143874

  18. Update and revision of WHO air quality guidelines for Europe

    Energy Technology Data Exchange (ETDEWEB)

    Younes, M [WHO European Centre for Environment and Health, Bilthoven (Netherlands). Bilthoven Div.

    1996-12-31

    The WHO Air Quality Guidelines for Europe (AQG), published in 1987, have provided a uniform basis for the development of strategies for the control of air pollution, and have contributed to the maintenance and improvement of public health in several countries. The aim of the guidelines is to provide a basis for protecting public health from adverse effects of air pollutants, and for eliminating or reducing to a minimum, those contaminants that are known or likely to be hazardous to human health and wellbeing. Since the publication of the first edition of the AQG, new scientific data in the fields of air pollution toxicology and epidemiology have accumulated and new developments in risk assessment methodologies have taken place, requiring updating and/or revision of the existing guidelines. This fact was recognized during the preparation of the initial work plan of the European Centre for Environment and Health, and it was recommended that the Centre undertake any necessary amendments and extensions to the Air Quality Guidelines. The updating procedure is being carried out in cooperation with the International Programme on Chemical Safety (IPCS) and the Commission of the European Communities (CEC) and will be implemented through working group meetings which require the preparation of working documents on specific air pollutants or mixtures and a final consultation to discuss the updated document.It was initiated by a Planning Meeting which was organized in January 1993. The purpose of the planning meeting was to set the framework for the updating and revision process, in particular to discuss the scope and purpose, the contents and the format of the revised AQG publication, to define the details of and the time schedule for the updating process and to identify the working groups needed and their way of operation. (author)

  19. Update and revision of WHO air quality guidelines for Europe

    Energy Technology Data Exchange (ETDEWEB)

    Younes, M. [WHO European Centre for Environment and Health, Bilthoven (Netherlands). Bilthoven Div.

    1995-12-31

    The WHO Air Quality Guidelines for Europe (AQG), published in 1987, have provided a uniform basis for the development of strategies for the control of air pollution, and have contributed to the maintenance and improvement of public health in several countries. The aim of the guidelines is to provide a basis for protecting public health from adverse effects of air pollutants, and for eliminating or reducing to a minimum, those contaminants that are known or likely to be hazardous to human health and wellbeing. Since the publication of the first edition of the AQG, new scientific data in the fields of air pollution toxicology and epidemiology have accumulated and new developments in risk assessment methodologies have taken place, requiring updating and/or revision of the existing guidelines. This fact was recognized during the preparation of the initial work plan of the European Centre for Environment and Health, and it was recommended that the Centre undertake any necessary amendments and extensions to the Air Quality Guidelines. The updating procedure is being carried out in cooperation with the International Programme on Chemical Safety (IPCS) and the Commission of the European Communities (CEC) and will be implemented through working group meetings which require the preparation of working documents on specific air pollutants or mixtures and a final consultation to discuss the updated document.It was initiated by a Planning Meeting which was organized in January 1993. The purpose of the planning meeting was to set the framework for the updating and revision process, in particular to discuss the scope and purpose, the contents and the format of the revised AQG publication, to define the details of and the time schedule for the updating process and to identify the working groups needed and their way of operation. (author)

  20. IIW guidelines on weld quality in relationship to fatigue strength

    CERN Document Server

    Jonsson, Bertil; Hobbacher, A F; Kassner, M; Marquis, G

    2016-01-01

    This book presents guidelines on quantitative and qualitative measures of the geometric features and imperfections of welds to ensure that it meets the fatigue strength requirements laid out in the recommendations of the IIW (International Institute of Welding). Welds that satisfy these quality criteria can be assessed in accordance with existing IIW recommendations based on nominal stress, structural stress, notch stress or linear fracture mechanics. Further, the book defines more restrictive acceptance criteria based on weld geometry features and imperfections with increased fatigue strength. Fatigue strength for these welds is defined as S-N curves expressed in terms of nominal applied stress or hot spot stress. Where appropriate, reference is made to existing quality systems for welds.In addition to the acceptance criteria and fatigue assessment curves, the book also provides guidance on their inspection and quality control. The successful implementation of these methods depends on adequate training for o...

  1. Integrative assessment of sediment quality in lower basin affected by former mining in Brazil.

    Science.gov (United States)

    Bonnail, Estefanía; Buruaem, Lucas M; Morais, Lucas G; Araujo, Giuliana S; Abessa, Denis M S; Sarmiento, Aguasanta M; Ángel DelValls, T

    2017-06-13

    The Ribeira de Iguape River (Southeast Brazil) is metal contaminated by mining activities. Despite it has been cataloged as "in via of restoration" by the literature, this basin is still a sink of pollution in some segments of the fluvial system. This study aimed to assess the sediment quality in the lower part of the RIR basin. The employed approach was based on biological responses of the freshwater clam Corbicula fluminea after 7-day exposure bioassays using as the reference site the Perequê Ecological Park. Toxic responses (burial activity and lethality) and biochemical biomarkers (GST, GR, GPx, LPO, MTs, AChE and DNA damage) were evaluated and then integrated with metal bioavailability and chemical concentrations to address the sediment quality in the area through the weight-of-evidence approach. A multivariate analysis identified linkages between biological responses and contamination. Results pointed that, despite being below the benchmarks of the US Environmental Protection Agency, there is slight metal contamination in the lower part of the basin which induces oxidative stress in C. fluminea; other toxic responses were sometimes attributed to As and Cr bioaccumulation. The sediment quality values (TEL-PEL values in mg/kg) were calculated for the current study for As (0.63-1.31), Cr (3.5-11.05), Cs (1.0-1.17), Cu (6.32-7.32), Ni (6.78-7.46), Ti (42.0-215), V (1.77-8.00). By comparison with other international guidelines, the sediment quality of the lower basin of the Vale de Ribeira does not identify a significant environmental risk.

  2. Historical variations of Bera Lake (Malaysia) sediments geochemistry using radioisotopes and sediment quality indices

    International Nuclear Information System (INIS)

    Mohammadreza Gharibreza; John Kuna Raj; Ismail Yusoff; Zainudin Othman; Wan Zakaria Wan Muhamad Tahir; Muhammad Aqeel Ashraf

    2013-01-01

    The Bera Lake basin is a lacustrine mire system and the largest natural lake in Peninsular Malaysia. Three cores were collected from the lake sediments in order to assess sediment quality and ecological risks for aquatic life and human health. An index analysis approach (C f , C d , E r , and IR) and fallout 210 Pb and 137 Cs radioisotopes were applied to assess the impacts of environmental evolutionary changes. Sediment chronology was determined using the Constant Rate of Supply model with the resultant ages verified by 137 Cs horizons. Although the general contamination factors indicate low risk conditions in Bera Lake the risks associated with individual layers ranged from moderate to considerable. Five deforestation phases can be identified in the dated sediment cores with distinct variations in heavy metal influxes since 1972. These phases are in excellent agreement with the dates of land clearance and development projects undertaken over the past four decades. This study has highlighted the capability of contamination factors and chronological methods in environmental evolutionary studies where catchments have experienced extensive land use changes. The destiny of heavy metal influxes into a lake can also be revealed using this methodology. (author)

  3. Characterization of the quality of water, bed sediment, and fish in Mittry Lake, Arizona, 2014–15

    Science.gov (United States)

    Hermosillo, Edyth; Coes, Alissa L.

    2017-03-01

    Water, bed-sediment, and fish sampling was conducted in Mittry Lake, Arizona, in 2014–15 to establish current water-quality conditions of the lake. The parameters of temperature, dissolved-oxygen concentration, specific conductance, and alkalinity were measured in the field. Water samples were collected and analyzed for dissolved major ions, dissolved trace elements, dissolved nutrients, dissolved organic carbon, dissolved pesticides, bacteria, and suspended-sediment concentrations. Bed-sediment and fish samples were analyzed for trace elements, halogenated compounds, total mercury, and methylmercury.U.S. Environmental Protection Agency secondary maximum contaminant levels in drinking water were exceeded for sulfate, chloride, and manganese in the water samples. Trace-element concentrations were relatively similar between the inlet, middle, and outlet locations. Concentrations for nutrients in all water samples were below the Arizona Department of Environmental Quality’s water-quality standards for aquatic and wildlife uses, and all bacteria levels were below the Arizona Department of Environmental Quality’s recommended recreational water-quality criteria. Three out of 81 pesticides were detected in the water samples.Trace-element concentrations in bed sediment were relatively consistent between the inlet, middle, and outlet locations. Lead, manganese, nickel, and zinc concentrations, however, decreased from the inlet to outlet locations. Concentrations for lead, nickel, and zinc in some bed-sediment samples exceeded consensus-based sediment-quality guidelines probable effect concentrations. Eleven out of 61 halogenated compounds were detected in bed sediment at the inlet location, whereas three were detected at the middle location, and five were detected at the outlet location. No methylmercury was detected in bed sediment. Total mercury was detected in bed sediment at concentrations below the consensus-based sediment-quality guidelines probable effect

  4. Assessment of sediment quality in dredged and undredged areas of the Trenton Channel of the Detroit River, Michigan USA, using the sediment quality triad

    Science.gov (United States)

    Besser, John M.; Giesy, John P.; Kubitz, Jody A.; Verbrugge, David A.; Coon, Thomas G.; Braselton, W. Emmett

    1996-01-01

    The “sediment quality triad” approach was used to assess the effects of dredging on the sediment quality of a new marina in the Trenton Channel of the Detroit River, and to evaluate spatial and temporal variation in sediment quality in the Trenton Channel. Samples were collected in November of 1993 (10 months after dredging) and characterized by chemical analysis, sediment bioassays, and assessment of benthic invertebrate communities. The three study components indicated little difference in sediment quality at dredged sites in the marina relative to nearby areas in the Trenton Channel, and little change in sediment quality of Trenton Channel sites relative to conditions reported in the mid-1980s. These results suggest that improvement in sediment quality in the Trenton Channel, due to dredging or natural processes, will depend on elimination of sediment “hot spots” and other upstream contaminant sources. Concentrations of chemical contaminants, especially metals and polycyclic aromatic hydrocarbons, exceeded concentrations associated with effects on biota and were significantly correlated with results of sediment bioassays and characteristics of benthic communities. Laboratory sediment bioassays with Hyalella azteca andChironomus tentans produced better discrimination among sites with differing degrees of contamination than did characterization of benthic communities, which were dominated by oligochaetes at all sites in the marina and the Trenton Channel.

  5. Impact of air quality guidelines on COPD sufferers

    Directory of Open Access Journals (Sweden)

    Liu Y

    2016-04-01

    Full Text Available Youcheng Liu,1,* Shuang Yan,2,* Karen Poh,1 Suyang Liu,3 Emanehi Iyioriobhe,1 David A Sterling1 1Department of Environmental and Occupational Health Sciences, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, USA; 2Department of Endocrinology and Metabolism, Fourth Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang Province, People’s Republic of China; 3Epidemiology, Human Genetics & Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA *These authors contributed equally to this work Background: COPD is one of the leading causes of morbidity and mortality in both high- and low-income countries and a major public health burden worldwide. While cigarette smoking remains the main cause of COPD, outdoor and indoor air pollution are important risk factors to its etiology. Although studies over the last 30 years helped reduce the values, it is not very clear if the current air quality guidelines are adequately protective for COPD sufferers. Objective: This systematic review was to summarize the up-to-date literature on the impact of air pollution on the COPD sufferers. Methods: PubMed and Google Scholar were utilized to search for articles related to our study’s focus. Search terms included “COPD exacerbation”, “air pollution”, “air quality guidelines”, “air quality standards”, “COPD morbidity and mortality”, “chronic bronchitis”, and “air pollution control” separately and in combination. We focused on articles from 1990 to 2015. We also used articles prior to 1990 if they contained relevant information. We focused on articles written in English or with an English abstract. We also used the articles in the reference lists of the identified articles. Results: Both short-term and long-term exposures to outdoor air pollution around the world are associated with the mortality and morbidity of COPD

  6. A sediment resuspension and water quality model of Lake Okeechobee

    Science.gov (United States)

    James, R.T.; Martin, J.; Wool, T.; Wang, P.-F.

    1997-01-01

    The influence of sediment resuspension on the water quality of shallow lakes is well documented. However, a search of the literature reveals no deterministic mass-balance eutrophication models that explicitly include resuspension. We modified the Lake Okeeehobee water quality model - which uses the Water Analysis Simulation Package (WASP) to simulate algal dynamics and phosphorus, nitrogen, and oxygen cycles - to include inorganic suspended solids and algorithms that: (1) define changes in depth with changes in volume; (2) compute sediment resuspension based on bottom shear stress; (3) compute partition coefficients for ammonia and ortho-phosphorus to solids; and (4) relate light attenuation to solids concentrations. The model calibration and validation were successful with the exception of dissolved inorganic nitrogen species which did not correspond well to observed data in the validation phase. This could be attributed to an inaccurate formulation of algal nitrogen preference and/or the absence of nitrogen fixation in the model. The model correctly predicted that the lake is lightlimited from resuspended solids, and algae are primarily nitrogen limited. The model simulation suggested that biological fluxes greatly exceed external loads of dissolved nutrients; and sedimentwater interactions of organic nitrogen and phosphorus far exceed external loads. A sensitivity analysis demonstrated that parameters affecting resuspension, settling, sediment nutrient and solids concentrations, mineralization, algal productivity, and algal stoichiometry are factors requiring further study to improve our understanding of the Lake Okeechobee ecosystem.

  7. [Quality indicators for National Disease Management Guidelines using the example of the National Disease Management Guideline for "Chronic Heart Failure"].

    Science.gov (United States)

    Nothacker, Monika Judith; Langer, Thomas; Weinbrenner, Susanne

    2011-01-01

    Together with an expert committee a structured approach to determining quality indicators for National Disease Management Guidelines has been developed. The key steps of this approach include: introducing guideline authors to the methodology at an early stage of the process of guideline development, pre-selecting recommendations of the guideline which are potentially measurable by means of quality indicators, assessing the potentially measurable quality indicators in written form using five criteria (including their importance for the health care system and clarity of definitions) and approving them in a formal consensus process. For lack of a database these quality indicators must be regarded as preliminary. For the National Disease Management Guideline "Chronic Heart Failure" nine rate-based indicators have been chosen. The indicators correspond to important strong recommendations (grade of recommendation: A) from the fields of diagnosis (two), general therapeutic strategy (two), specific treatment (three), clinical monitoring (one) and co-ordination of care (one). In a second step, the quality indicators have to be validated within a pilot project. The determination and assessment of the potential quality indicators have revealed room for improvement of guideline development. In particular, there is a need for more health care data and for specification of recommendations.

  8. Content and quality of workplace guidelines developed to prevent mental health problems

    DEFF Research Database (Denmark)

    Nexø, Mette Andersen; Kristensen, Josefine Vejlby; Grønvad, Majbritt Thorhauge

    2018-01-01

    Objectives A wide range of guidelines have been developed to prevent work-related mental health problems (MHP), but little is known about the quality of such guidelines. We systematically reviewed the content and quality of workplace guidelines aiming to prevent, detect, and/or manage work......-related MHP. Methods We conducted systematic online and database searches (MEDLINE; Web of Science; PsychNET; occupational safety and health databases) to identify guidelines. Eligibility criteria included guidelines recommending primary, secondary, or tertiary preventive interventions to be implemented...... at the workplace by employers, employees or organizational staff. A minimum of minimum three independent reviewers assessed the quality of guidelines using the Guidelines for Research and Evaluation (AGREE II). Guidelines rated ≥65% with regards to domain I, II, and III were considered to be of good developmental...

  9. Multielemental characterization of sediments from rivers and reservoirs of a sediment quality monitoring network of Sao Paulo state, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Walace A.A.; Quinaglia, Gilson A., E-mail: wasoares@sp.gov.br, E-mail: gquinaglia@sp.gov.br [Companhia Ambiental do Estado de Sao Paulo (CETESB), SP (Brazil). Setor de Analises Toxicologicas; Favaro, Deborah I.T., E-mail: defavaro@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (LAN/CRPq/IPEN/CNEN-SP), Sao Paulo, SP (Brazil). Lab. de Analise por Ativacao Neutronica

    2013-07-01

    The Environment Company of the State of Sao Paulo (CETESB) by means of its quality monitoring network does, systematically, the assessment of water and sediment quality in rivers and reservoirs in the Sao Paulo state. The quality evaluation is done by means 50 parameters in water and 63 for sediment that are considered the more representative for CETESB monitoring. In 2011 the network monitoring analyzed 420 points being 24 in sediments. In the present study the multielemental characterization (total concentration) of 13 sediment samples from 24 rivers and reservoirs belonging to the CETESB monitoring network were analyzed by instrumental neutron activation analysis (INAA). The analytical validation according to precision and accuracy was checked through certified reference materials analyzes BEN (Basalt-IWG-GIT), SL-1 (Lake Sediment - IAEA) and Soil-5 (IAEA), that presents certified concentration values for all elements analyzed. The results obtained for multielemental characterization were compared to NASC values (North American Shale Composite) and the enrichment factor (EF) by using Sc as a normalizer element was calculated. The results showed higher enrichment values for As, Br, Cr, Hf, Ta, Th , U and Zn and rare earth elements (REE) Ce, Eu, La, Nd, Sm, Tb and Yb in many of the tested sediment samples indicating that there may be an anthropogenic contribution for these elements. The multielemental results were also compared to the granulometric composition of the sediment samples. Factorial and Cluster Analysis were applied and indicated that the elements distribution is controlled, mainly by the granulometric fractions of the sediments. (author)

  10. Multielemental characterization of sediments from rivers and reservoirs of a sediment quality monitoring network of Sao Paulo state, Brazil

    International Nuclear Information System (INIS)

    Soares, Walace A.A.; Quinaglia, Gilson A.; Favaro, Deborah I.T.

    2013-01-01

    The Environment Company of the State of Sao Paulo (CETESB) by means of its quality monitoring network does, systematically, the assessment of water and sediment quality in rivers and reservoirs in the Sao Paulo state. The quality evaluation is done by means 50 parameters in water and 63 for sediment that are considered the more representative for CETESB monitoring. In 2011 the network monitoring analyzed 420 points being 24 in sediments. In the present study the multielemental characterization (total concentration) of 13 sediment samples from 24 rivers and reservoirs belonging to the CETESB monitoring network were analyzed by instrumental neutron activation analysis (INAA). The analytical validation according to precision and accuracy was checked through certified reference materials analyzes BEN (Basalt-IWG-GIT), SL-1 (Lake Sediment - IAEA) and Soil-5 (IAEA), that presents certified concentration values for all elements analyzed. The results obtained for multielemental characterization were compared to NASC values (North American Shale Composite) and the enrichment factor (EF) by using Sc as a normalizer element was calculated. The results showed higher enrichment values for As, Br, Cr, Hf, Ta, Th , U and Zn and rare earth elements (REE) Ce, Eu, La, Nd, Sm, Tb and Yb in many of the tested sediment samples indicating that there may be an anthropogenic contribution for these elements. The multielemental results were also compared to the granulometric composition of the sediment samples. Factorial and Cluster Analysis were applied and indicated that the elements distribution is controlled, mainly by the granulometric fractions of the sediments. (author)

  11. Medication and monitoring in palliative sedation therapy: a systematic review and quality assessment of published guidelines.

    Science.gov (United States)

    Schildmann, Eva Katharina; Schildmann, Jan; Kiesewetter, Isabel

    2015-04-01

    Palliative sedation therapy (PST) is increasingly used in patients at the end of life. However, consensus about medications and monitoring is lacking. To assess published PST guidelines with regard to quality and recommendations on drugs and monitoring. We searched CINAHL, the Cochrane Library, Embase, PsycINFO, PubMed, and references of included articles until July 2014. Search terms included "palliative sedation" or "sedation" and "guideline" or "policy" or "framework." Guideline selection was based on English or German publications that included a PST guideline. Two investigators independently assessed the quality of the guidelines according to the Appraisal of Guidelines for Research and Evaluation II instrument (AGREE II) and extracted information on drug selection and monitoring. Nine guidelines were eligible. Eight guidelines received high quality scores for the domain "scope and purpose" (median 69%, range 28-83%), whereas in the other domains the guidelines' quality differed considerably. The majority of guidelines suggest midazolam as drug of first choice. Recommendations on dosage and alternatives vary. The guidelines' recommendations regarding monitoring of PST show wide variation in the number and details of outcome parameters and methods of assessment. The published guidelines on PST vary considerably regarding their quality and content on drugs and monitoring. Given the need for clear guidance regarding PST in patients at the end of life, this comparative analysis may serve as a starting point for further improvement. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  12. Characterization of quality of sediments from Paranaguá Bay (Brazil) by combined in vitro bioassays and chemical analyses.

    Science.gov (United States)

    Rizzi, Juliane; Pérez-Albaladejo, Elisabet; Fernandes, Denise; Contreras, Javier; Froehner, Sandro; Porte, Cinta

    2017-07-01

    The present study characterizes the quality of sediments from the Paranaguá Estuarine Complex (South Brazil). Polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), and organochlorine pesticides (OCPs) were determined in sediment samples together with a series of different in vitro bioassays. The fish hepatoma cell line (PLHC-1) was used to determine the presence of cytotoxic compounds and CYP1A- and oxidative stress-inducing agents in sediment extracts. Ovarian microsomal fractions from sea bass (Dicentrarchus labrax) were used to detect the presence of endocrine disrupters that interfered with the synthesis of estrogens (ovarian CYP19). Despite the relatively low levels of pollutants and no evidence of negative effects based on guideline levels, sediments collected close to harbors were enriched with CYP1A-inducing agents and they showed higher cytotoxicity. In contrast, sediments from internal areas inhibited CYP19 activity, which suggests the presence of endocrine disrupters at these sites. Overall, the selected bioassays and the chemistry data led to the identification of potentially impacted areas along the Paranaguá Estuarine Complex that would require further action to improve their environmental quality. Environ Toxicol Chem 2017;36:1811-1819. © 2016 SETAC. © 2016 SETAC.

  13. Comparison of Quality And Content of Violence Guidelines For The Health Care Sector

    Directory of Open Access Journals (Sweden)

    Rabia Kahveci

    2018-03-01

    Full Text Available More than 50% of the employees in health sector are exposed to violence at any time. This study investigated international workplace violence guidelines for the health care sector to compare their quality and content and explore whether these guidelines could be used in different settings. We ran a broad review to identify international guidelines for violence in health care. After identification of the guidelines, the quality of the guidelines was assessed by personal experience and views of the authors, also taking AGREE domains into consideration as a guidance. The identified guidelines were later qualitatively analyzed for the content by two researchers and compared to each other. Canada, New Zealand, USA, UK and Turkey’s guidelines were involved in the study. Definitions of workplace violence, risk factors, objectives of the guideline, legal requirements, responsible stakeholders, target population, strategies recommended, physical environment, training and staffing were assessed in the content of the violence guidelines. It was found that current guidelines need improvement in both quality and content, but it is possible to have an international guidance that could be applicable in different settings. The development of violence guidelines should be the first and most strategic step for better protection of the health care workers. We expect our results to be useful in preparation of new guidelines for different settings.

  14. QUALITY ASSURANCE GUIDELINES FOR LABORATORIES PERFORMING FORENSIC ANALYSIS OF CHEMICAL TERRORISM

    Science.gov (United States)

    The Scientific Working Group on Forensic Analysis of Chemical Terrorism (SWGFACT) has developed the following quality assurance guidelines to provide laboratories engaged in forensic analysis of chemical evidence associated with terrorism a framework to implement a quality assura...

  15. Teacher evaluation system, institutions of technology higher education: quality guidelines

    Directory of Open Access Journals (Sweden)

    Laura Belkis Parada Romero

    2016-01-01

    Full Text Available Due to the globalization of education, it has become prevalent to strengthen the quality systems to ensure that educational actors in higher education institutions are the best. In this context teachers are given a main role since they are cornerstones in educational processes. Currently, teacher quality is assessed through an assessment or evaluation system. Almost every university evaluates its teachers, but there is no legal regulation on how to do it, in most institutions there is a professional in charge of designing and applying assessment instruments according to the authors he/she prefers. In most universities, on the one hand, it is used a traditional questionnaire aiming to collect data about dimensions associated with teaching, on the other hand, there is another option in which assessment models include self-evaluation, as in some cases in Chile. That’s why one of the concerns of this research is to propose guidelines for a more qualitative and formative assessment not exclusively following political parameters –based on administrative decisions–, but following emerging proposals with a deeper analysis. Nowadays the main actors in teacher evaluation are teachers, students and administrative staff, every six months these actors are evaluated by using an assessment tool that they usually do not know. The research investigates the perception actors in teacher evaluation have regarding its objectives, methods and stages, so they put forward ideas on how to restructure the current institutional assessment and propose improvements aiming at both the quantitative aspect and the qualitative analysis of performances and skills.

  16. Development of quality indicators based on a multidisciplinary, evidence-based guideline on pediatric constipation

    NARCIS (Netherlands)

    Stienen, J.J.C.; Tabbers, M.M.; Benninga, M.A.; Harmsen, M.; Ouwens, M.M.T.J.

    2011-01-01

    Several clinical guidelines for childhood functional constipation have been developed, but none of them is accompanied by a set of quality indicators. It is important to gain insight into the quality of care in daily practice in order to improve the implementation of clinical guidelines. This can be

  17. Common issues raised during the quality assurance process of WHO guidelines: a cross-sectional study.

    Science.gov (United States)

    Porgo, Teegwendé V; Ferri, Mauricio; Norris, Susan L

    2018-02-07

    In 2007, WHO established the Guidelines Review Committee (GRC) to ensure that WHO guidelines adhere to the highest international standards. The GRC reviews guideline proposals and final guidelines. The objectives of this study were to examine the rates of and reasons for conditional approval and non-approval of documents submitted for the first time to the GRC, and calculate the time intervals and numbers of submissions to achieve approval for documents conditionally approved or not approved at first submission. All initial submissions to the GRC between 2014 and 2017 were examined. Data were extracted from the GRC's records of written comments and discussions. Of a total of 85 proposals and 88 final guidelines, 32 (37.6%) proposals and 37 (42.0%) final guidelines were conditionally approved, and 15 (17.6%) proposals and 28 (31.8%) final guidelines were not. For both conditionally approved and not approved proposals, the most frequent reasons were suboptimal composition or inadequate description of the guideline contributor groups (in all proposals), followed by inadequate formulation of key questions (in 90.6% of conditionally approved proposals and all not approved proposals). For both conditionally approved and not approved final guidelines, the most frequent reasons were problems with recommendations (in all final guidelines), followed by inappropriate methods for evidence retrieval or an inadequate description thereof (in all conditionally approved final guidelines and 75.0% of not approved final guidelines). The median time to achieve approval was 2 months for proposals and 1-2 months for final guidelines. The median number of submissions was 2 for proposals and 2-2.5 for final guidelines. The GRC implements a rigorous quality assurance process and identifies problems with a significant percentage of initial submissions. WHO needs to continuously evaluate its guideline development processes to inform effective quality improvement measures and optimise the

  18. Incident reviews in UK maternity units: a systematic appraisal of the quality of local guidelines.

    Science.gov (United States)

    Shah, Anjali; Mohamed-Ahmed, Olaa; Peirsegaele, Philippe; McClymont, Charlotte; Knight, Marian

    2015-03-14

    Maternity care is recognised as a particularly high-risk speciality that is subject to investigation and inquiry, and improvements in risk management have been recommended. However, the quality of guidelines for local reviews of maternity incidents is unknown. The aim of the study is to appraise the quality of local guidance on conducting reviews of severe maternity incidents in the National Health Service. Guidelines for incident reviews were requested from all 211 consultant-led maternity units in the UK during 2012. The Appraisal of Guidelines for Research and Evaluation Instrument (AGREE II) was used to evaluate the quality of guidelines. The methods used for reviewing an incident, the people involved in the review and the methods for disseminating the outcomes of the reviews were also examined. Guidelines covering 148 (70%) of all NHS maternity units in the UK were received for evaluation. Most guidelines (55%) received were of good or high quality. The median score on 'scope and purpose' (86%), concerned with the aims and target population of the guideline, was higher than for other domains. Median scores were: 'stakeholder involvement' (representation of users' views) 56%, 'rigour of development' (process used to develop guideline) 34%, 'clarity of presentation' 78%, 'applicability' (organisational and cost implications of applying guideline) 56% and 'editorial independence' 0%. Most guidelines (81%) recommended a range of health professionals review serious maternity incidents using root cause analysis. Findings were most often disseminated at meetings, in reports and in newsletters. Many guidelines (69%) stated lessons learnt from incidents would be audited. Overall, local guidance for the review of maternity incidents was mostly of good or high quality. Stakeholder participation in guideline development could be widened, and editorial independence more clearly stated. It was unclear in over a quarter of guidelines whether changes in practice in response

  19. Guidelines for Quality Management of Apallic Syndrome / Vegetative State.

    Science.gov (United States)

    von Wild, Klaus; Gerstenbrand, Franz; Dolce, Giuliano; Binder, Heinrich; Vos, Pieter E; Saltuari, Leopold; Alekseenko, Yuri; Formisano, Rita; Ritz, Annegret; Ortega-Suhrkamp, Erika; Jörg, Johannes R; Potapov, Alexander A; León-Carrión, José; Vilcinis, Rimantas; Zitnay, George A

    2007-06-01

    Epidemiology in Europe shows constantly increasing figures for the apallic syndrome (AS)/vegetative state (VS) as a consequence of advanced rescue, emergency services, intensive care treatment after acute brain damage and high-standard activating home nursing for completely dependent end-stage cases secondary to progressive neurological disease. Management of patients in irreversible permanent AS/VS has been the subject of sustained scientific and moral-legal debate over the past decade. A task force on guidelines for quality management of AS/VS was set up under the auspices of the Scientific Panel Neurotraumatology of the European Federation of Neurological Societies to address key issues relating to AS/VS prevalence and quality management. Collection and analysis of scientific data on class II (III) evidence from the literature and recommendations based on the best practice as resulting from the task force members' expertise are in accordance with EFNS Guidance regulations. The overall incidence of new AS/VS full stage cases all etiology is 0.5-2/100.000 population per year. About one third are traumatic and two thirds non traumatic cases. Increasing figures for hypoxic brain damage and progressive neurological disease have been noticed. The main conceptual criticism is based on the assessment and diagnosis of all different AS/VS stages based solely on behavioural findings without knowing the exact or uniform pathogenesis or neuropathological findings and the uncertainty of clinical assessment due to varying inclusion criteria. No special diagnostics, no specific medical management can be recommended for class II or III AS treatment and rehabilitation. This is why sine qua non diagnostics of the clinical features and appropriate treatment of AS/VS patients of "AS full, remission, defect and end stages" require further professional training and expertise for doctors and rehabilitation personnel. Management of AS aims at the social reintegration of patients or has

  20. Strategy Guideline: Quality Management in Existing Homes - Cantilever Floor Example

    Energy Technology Data Exchange (ETDEWEB)

    Taggart, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Sikora, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Wiehagen, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Wood, A. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States)

    2011-12-01

    This guideline is designed to highlight the QA process that can be applied to any residential building retrofit activity. The cantilevered floor retrofit detailed in this guideline is included only to provide an actual retrofit example to better illustrate the QA activities being presented.

  1. Neck Pain: Clinical Practice Guidelines Help Ensure Quality Care.

    Science.gov (United States)

    2017-07-01

    In 2008, physical therapists published the first neck pain clinical practice guidelines. These guidelines have been updated and are now available in the July 2017 issue of JOSPT. To update these guidelines, physical therapists teamed with the International Collaboration on Neck Pain to identify leading practices. These revised guidelines provide direction to clinicians as they screen, evaluate, diagnose, and make treatment-based classifications of neck pain. They also outline the best nonsurgical treatment options based on the published literature. At the end of the day, the best care is a combination of the leading science, the clinical expertise of your health care provider, and your input as the patient. These guidelines help inform the first step in this process. J Orthop Sports Phys Ther 2017;47(7):513. doi:10.2519/jospt.2017.0508.

  2. The Effect of Sediment Quality and Stocking Density on Survival and ...

    African Journals Online (AJOL)

    The effect of sediment quality and stocking density on the survival and growth of the sea cucumber Holothuria scabra reared in nursery ponds and in pens was studied at Aqua-Lab Farm in Toliara, south west Madagascar. Three types of sediment (micro-atoll, mangrove and seagrass bed) were tested for their food quality ...

  3. Quality babies. China's "eugenics" guidelines are as old as civilization.

    Science.gov (United States)

    1994-01-12

    Inaccurate translations inadvertently misrepresent policy directives from China. Professional moralizers respond to the new laws with indignation. For example, an editorial in a US newspaper said that Americans objected to China's eugenic guidelines to prevent inferior quality infants. Yet, in the US and other developed countries, parents, and adult siblings do no allow their mentally retarded family members to procreate. Quiet abortions occur. In the US, deformed newborns are classified as stillborns. In the 1950s in the US, state governments allowed sterilization of handicapped people and even alcoholics. The moralizers expect China to accomplish in 10 years what developed countries did in 100 years. China has a one-child policy to which many so-called human rights advocates object. Yet, China cannot sustain a population of 2 billion with the living standards to which it aspires. Granted, however, that China does create its own image problems. It needs to invest more in public relations, maybe employ image-building professionals from the US and Europe to circumvent the unintentional use of emotionally charged, historically loaded, or inappropriate terms and, therefore, to prevent the international media from overreacting. Nevertheless, moral dilemmas do exist with eugenics policies. Genetic markers can detect chromosomal abnormalities leading to mental retardation as well as later-life abnormalities; e.g., colon cancer. Markers may perhaps someday detect a propensity to criminal behavior, homosexuality, or alcoholism. Governments could forbid all genetic testing, resulting in families accepting whatever nature sends, but with the advancement of science, this is unrealistic. If it is banned in one country, people will go to a country where it is available. Since parents in both the US and China want healthy, good-looking and intelligent children US editorialists should not moralize about China while US couples have access to the most up-to-date genetic technology.

  4. Site-specific sediment clean-up objectives developed by the sediment quality triad

    International Nuclear Information System (INIS)

    Redman, S.; Janisch, T.

    1995-01-01

    Sediment chemistry, sediment toxicity, and benthic macroinvertebrate community data were collected and evaluated in concert (1) to characterize adverse effects of hydrocarbon and metal contaminants in the sediments of a small inlet of Superior Bay, Lake Superior and a tributary creek and (2) to derive numeric objectives for the clean up of this system. Sediments from reference locations and eight study sites were analyzed for a range of contaminants, including hydrocarbons (measured both as diesel range organics (DRO) and oil and grease), lead, chromium, and ammonia. A range of sediment toxicity was observed across the eight study sites using a variety of tests and endpoints: Hyalella azteca (10 day survival and growth), Chironomus tentans (10 day survival and growth), Ceriodaphnia dubia (48 hour survival), and Daphnia magna (48 hour survival and 10 day survival and reproduction). A range of alterations of the benthic macroinvertebrate community compared with communities from reference locations were observed. Benthic community alterations were summarized quantitatively by taxa richness and Shannon-Weiner mean diversity. Lowest effect levels determined through this study included 150 microg/g dry sediment for DRO (as measured in this study) and 40 microg/g dry sediment for lead. Effects thresholds determined through this study included 1,500 microg/g dry sediment for DRO and 90 microg/g dry sediment for lead. These levels and concentrations measured in relevant reference locations are being used to define objectives for sediment clean up in the inlet and creek

  5. Systematic Review of the Methodology Quality in Lung Cancer Screening Guidelines

    Directory of Open Access Journals (Sweden)

    Jiang LI

    2016-10-01

    Full Text Available Background and objective Lung cancer is the most common malignancy and screening can decrease the mortality. High quality screening guideline is necessary and important for effective work. Our study is to review and evaluate the basic characteristics and methodology quality of the current global lung cancer screening guidelines so as to provide useful information for domestic study in the future. Methods Electronic searches were done in English and Chinese databases including PubMed, the Cochrane Library, Web of Science, Embase, CNKI, CBM, Wanfang, and some cancer official websites. Articles were screened according to the predefined inclusion and exclusion criteria by two researchers. The quality of guidelines was assessed by AGREE II. Results At last, a total of 11 guidelines with methodology were included. The guidelines were issued mainly by USA (81%. Canada and China developed one, respectively. As for quality, the average score in the “Scale and objective” of all guidelines was 80, the average score in the “Participants” was 52, the average score in the “rigorism” was 50, the average score in the “clarity” was 76, the average score in the “application” was 43 and the average score in the “independence” was 59. The highest average score was found in 2013 and 2015. Canada guideline had higher quality in six domains. 7 guidelines were evaluated as A level. Conclusion The number of clinical guidelines showed an increasing trend. Most guidelines were issued by developed countries with heavy burden. Multi-country contribution to one guideline was another trend. Evidence-based methodology was accepted globally in the guideline development.

  6. Predicting pollutant concentrations in the water column during dredging operations: Implications for sediment quality criteria

    International Nuclear Information System (INIS)

    Wasserman, Julio Cesar; Wasserman, Maria Angélica V.; Barrocas, Paulo Rubens G.; Almeida, Aline Mansur

    2016-01-01

    The development of new dredging techniques that can reduce, or at least predict, the environmental impacts, is in high demand by governments in developing countries. In the present work, a new methodology was developed, to evaluate the level of metals contamination (i.e. cadmium, lead and zinc) of the water column, during a dredging operation. This methodology was used to evaluate the impacts of the construction of a new maritime terminal in Sepetiba Bay, Brazil. The methodology quantifies the amount of resuspended sediments and calculates the expected contaminants concentrations in the water column. The results indicated that sediment quality criteria were not compatible with water quality criteria, because the dredging of contaminated sediments does not necessarily yield contaminated water. It is suggested that the use of sediment quality criteria for dredging operations might be abandoned, and the methodology presented in this study applied to assess dredging's environmental impacts, predicting water contamination levels. - Graphical abstract: A graphic model showing transference of contaminants from the sediments to the water column. The dark sediment area represents the dredged sediments and the arrows emerging from them represent the resuspended sediments affecting the water column. - Highlights: •Developing countries demand for new dredging projects. •A new model evaluates concentrations of metals in the water, caused by dredging. •The model shows that water and sediment quality criteria are not compatible. •Local hydrodynamics have a strong influence on the contamination of the water. •Management of dredging operations reduces environmental contamination.

  7. ASVCP quality assurance guidelines: control of general analytical factors in veterinary laboratories.

    Science.gov (United States)

    Flatland, Bente; Freeman, Kathy P; Friedrichs, Kristen R; Vap, Linda M; Getzy, Karen M; Evans, Ellen W; Harr, Kendal E

    2010-09-01

    Owing to lack of governmental regulation of veterinary laboratory performance, veterinarians ideally should demonstrate a commitment to self-monitoring and regulation of laboratory performance from within the profession. In response to member concerns about quality management in veterinary laboratories, the American Society for Veterinary Clinical Pathology (ASVCP) formed a Quality Assurance and Laboratory Standards (QAS) committee in 1996. This committee recently published updated and peer-reviewed Quality Assurance Guidelines on the ASVCP website. The Quality Assurance Guidelines are intended for use by veterinary diagnostic laboratories and veterinary research laboratories that are not covered by the US Food and Drug Administration Good Laboratory Practice standards (Code of Federal Regulations Title 21, Chapter 58). The guidelines have been divided into 3 reports on 1) general analytic factors for veterinary laboratory performance and comparisons, 2) hematology and hemostasis, and 3) clinical chemistry, endocrine assessment, and urinalysis. This report documents recommendations for control of general analytical factors within veterinary clinical laboratories and is based on section 2.1 (Analytical Factors Important In Veterinary Clinical Pathology, General) of the newly revised ASVCP QAS Guidelines. These guidelines are not intended to be all-inclusive; rather, they provide minimum guidelines for quality assurance and quality control for veterinary laboratory testing. It is hoped that these guidelines will provide a basis for laboratories to assess their current practices, determine areas for improvement, and guide continuing professional development and education efforts. ©2010 American Society for Veterinary Clinical Pathology.

  8. Quality Primary Care and Family Planning Services for LGBT Clients: A Comprehensive Review of Clinical Guidelines.

    Science.gov (United States)

    Klein, David A; Malcolm, Nikita M; Berry-Bibee, Erin N; Paradise, Scott L; Coulter, Jessica S; Keglovitz Baker, Kristin; Schvey, Natasha A; Rollison, Julia M; Frederiksen, Brittni N

    2018-04-01

    LGBT clients have unique healthcare needs but experience a wide range of quality in the care that they receive. This study provides a summary of clinical guideline recommendations related to the provision of primary care and family planning services for LGBT clients. In addition, we identify gaps in current guidelines, and inform future recommendations and guidance for clinical practice and research. PubMed, Cochrane, and Agency for Healthcare Research and Quality electronic bibliographic databases, and relevant professional organizations' websites, were searched to identify clinical guidelines related to the provision of primary care and family planning services for LGBT clients. Information obtained from a technical expert panel was used to inform the review. Clinical guidelines meeting the inclusion criteria were assessed to determine their alignment with Institute of Medicine (IOM) standards for the development of clinical practice guidelines and content relevant to the identified themes. The search parameters identified 2,006 clinical practice guidelines. Seventeen clinical guidelines met the inclusion criteria. Two of the guidelines met all eight IOM criteria. However, many recommendations were consistent regarding provision of services to LGBT clients within the following themes: clinic environment, provider cultural sensitivity and awareness, communication, confidentiality, coordination of care, general clinical principles, mental health considerations, and reproductive health. Guidelines for the primary and family planning care of LGBT clients are evolving. The themes identified in this review may guide professional organizations during guideline development, clinicians when providing care, and researchers conducting LGBT-related studies.

  9. ITC Guidelines on Quality Control in Scoring, Test Analysis, and Reporting of Test Scores

    Science.gov (United States)

    Allalouf, Avi

    2014-01-01

    The Quality Control (QC) Guidelines are intended to increase the efficiency, precision, and accuracy of the scoring, analysis, and reporting process of testing. The QC Guidelines focus on large-scale testing operations where multiple forms of tests are created for use on set dates. However, they may also be used for a wide variety of other testing…

  10. Interpretation of drinking water quality guidelines – The case of arsenic

    African Journals Online (AJOL)

    ... both in the creation of sound drinking water quality guidelines or standards, and in the problem of how to interpret the risk to human health when guideline values are exceeded. In this paper this problem is discussed using the case of arsenic, where the definition of the boundaries of the grey area is particularly uncertain.

  11. EAACI Food Allergy and Anaphylaxis Guidelines : Food allergy health-related quality of life measures

    NARCIS (Netherlands)

    Muraro, A.; Dubois, Anthony; DunnGalvin, A.; Hourihane, J. O'B.; de Jong, N. W.; Meyer, R.; Panesar, S. S.; Roberts, G.; Salvilla, S.; Sheikh, A.; Worth, A.; Flokstra-de Blok, B. M. J.

    Instruments have been developed and validated for the measurement of health-related quality of life in patients with food allergy. This guideline has been prepared by the European Academy of Allergy and Clinical Immunology's (EAACI) Guidelines for Food Allergy and Anaphylaxis Group. It draws on a

  12. Quality assurance and quality control for radiotherapy/medical oncology in Europe: guideline development and implementation.

    Science.gov (United States)

    Valentini, V; Glimelius, B; Frascino, V

    2013-09-01

    The past two decades have brought tremendous changes to the practice of radiation oncology and medical oncology. To manage all the complexities related to the new technologies and the new drugs, the radiation and medical oncologists have to enhance their clinical action and professional skill profile. To accomplish this they have to find reliable tools in the quality of their medical practice and in future research activities. Quality assurance (QA) and quality control (QC) for radiation and medical oncologists mean to clarify the different components of the clinical decision, to supervise with proper methodology the required steps needed to accomplish the agreed outcomes and to control them. Quality for radiation and medical oncology means to supervise each clinical and technical component of the whole process to guarantee that all steps together will arrive at the final and best possible outcome. Key components are guidelines, specialization and a multidisciplinary approach. The research of global quality could represent a further complexity, but it is the best tool to give a perspective and a chance to further improvements of our disciplines and to promote better outcome in all cancer patients. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. DOT report for implementing OMB’s information dissemination quality guidelines

    Science.gov (United States)

    2002-08-01

    Consistent with The Office of Management and Budgets (OMB) Guidelines (for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated by Federal Agencies) implementing Section 515 of the Treasury and Gener...

  14. Methods for the guideline-based development of quality indicators--a systematic review

    Science.gov (United States)

    2012-01-01

    Background Quality indicators (QIs) are used in many healthcare settings to measure, compare, and improve quality of care. For the efficient development of high-quality QIs, rigorous, approved, and evidence-based development methods are needed. Clinical practice guidelines are a suitable source to derive QIs from, but no gold standard for guideline-based QI development exists. This review aims to identify, describe, and compare methodological approaches to guideline-based QI development. Methods We systematically searched medical literature databases (Medline, EMBASE, and CINAHL) and grey literature. Two researchers selected publications reporting methodological approaches to guideline-based QI development. In order to describe and compare methodological approaches used in these publications, we extracted detailed information on common steps of guideline-based QI development (topic selection, guideline selection, extraction of recommendations, QI selection, practice test, and implementation) to predesigned extraction tables. Results From 8,697 hits in the database search and several grey literature documents, we selected 48 relevant references. The studies were of heterogeneous type and quality. We found no randomized controlled trial or other studies comparing the ability of different methodological approaches to guideline-based development to generate high-quality QIs. The relevant publications featured a wide variety of methodological approaches to guideline-based QI development, especially regarding guideline selection and extraction of recommendations. Only a few studies reported patient involvement. Conclusions Further research is needed to determine which elements of the methodological approaches identified, described, and compared in this review are best suited to constitute a gold standard for guideline-based QI development. For this research, we provide a comprehensive groundwork. PMID:22436067

  15. Quality assurance in X-ray mammography. Comparison of proposed EUREF guidelines with relevant German regulations

    International Nuclear Information System (INIS)

    Zaers, J.; Brix, G.; Woudenberg, S. van

    1997-01-01

    The Program 'Europe against Cancer' published the 2nd edition of quality assurance guidelines for breast cancer screening in June 1996. For the enforcement of these guidelines, a European network of reference centres (EUREF) is being established. Although the EUREF protocol contains guidelines for all disciplines involved in breast cancer screening, this article concentrates on the physical and technical aspect. The comparison with the German regulations (DIN Norms) demonstrates the high requirements requested by the EUREF guidelines with its tighter limits and more extensive and more frequent tests. (orig.) [de

  16. Effects of sediment organic matter quality on bioaccumulation, degradation, and distribution of pyrene in two macrofaunal species and their surrounding sediment

    DEFF Research Database (Denmark)

    Granberg, Maria E.; Selck, Henriette

    2007-01-01

    Sediment dwelling macrofauna (infauna) are important vectors for the transfer of sediment-associated contaminants to higher trophic levels. Sedimenting organic matter constitutes an important food source for all benthic organisms and changes seasonally in terms of quantity and quality. Sediment...... imply that bioaccumulation and trophic transfer of sediment-associated PAH should increase following fresh organic matter input, e.g. after sedimentation of phytoplankton blooms. We stress the importance of considering behavioural characteristics of infauna and the trophic situation of the system when...

  17. Using AGREE II to Evaluate the Quality of Traditional Medicine Clinical Practice Guidelines in China.

    Science.gov (United States)

    Deng, Wei; Li, Le; Wang, Zixia; Chang, Xiaonan; Li, Rui; Fang, Ziye; Wei, Dang; Yao, Liang; Wang, Xiaoqin; Wang, Qi; An, Guanghui

    2016-03-15

    To evaluate/assess the quality of the Clinical Practice Guidelines (CPGs) of traditional medicine in China. We systematically searched the literature databases WanFang Data, VIP, CNKI and CBM for studies published between 1978 and 2012 to identify and select CPGs of traditional medicine. We used the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument to evaluate these guidelines. A total of 75 guidelines were included, of which 46 guidelines (62%) were on Traditional Chinese Medicine, 19 (25%) on Chinese Integrated Medicine, and 10 (13%) on Uyghur Medicine. Most traditional medicine CPGs published in domestic journals scored medicine. In each domain of AGREE II, traditional Medicine CPGs performed clearly better than international CPGs. The same trend was seen in guidelines of Modern Medicine. An increasing amount of CPGs are being published, but their quality is low. Referring to the key points of international guidelines development, supervision through AGREE II, cooperating with international groups and exploring the strategy of guideline development could improve the quality of CPGs on traditional medicine. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  18. Educational Intervention Improves Compliance With AAN Guidelines for Return Epilepsy Visits: A Quality Improvement Project.

    Science.gov (United States)

    Nelson, Gary R; Filloux, Francis M; Kerr, Lynne M

    2016-10-01

    In 2011, the American Academy of Neurology (AAN) released guidelines for return seizure visits detailing 8 points that should be addressed during such visits. These guidelines are designed to improve routine follow-up care for epilepsy patients. The authors performed a quality improvement project aimed at increasing compliance with these guidelines after educating providers about them. The authors performed a chart review before and after an intervention which included: education regarding the guidelines, providing materials to remind providers of the guidelines, and templates to facilitate compliance. The authors reviewed charts at 2 and 6 months after the intervention. Significant improvement in documentation of 4 of the 8 measures was observed after this educational intervention. This suggests that simple educational interventions may help providers change practice and can improve compliance with new guidelines while requiring minimal time and resources to implement. © The Author(s) 2016.

  19. Canadian Association of Gastroenterology Consensus Guidelines on Safety and Quality Indicators in Endoscopy

    Directory of Open Access Journals (Sweden)

    David Armstrong

    2012-01-01

    Full Text Available Several organizations worldwide have developed procedure-based guidelines and/or position statements regarding various aspects of quality and safety indicators, and credentialing for endoscopy. Although important, they do not specifically address patient needs or provide a framework for their adoption in the context of endoscopy services. The consensus guidelines reported in this article, however, aimed to identify processes and indicators relevant to the provision of high-quality endoscopy services that will support ongoing quality improvement across many jurisdictions, specifically in the areas of ethics, facility standards and policies, quality assurance, training and education, reporting standards and patient perceptions.

  20. Using bioavailability to assess contaminated sediment risk: Passive sampling and Pore Water Remedial Guidelines (PWRGs)

    Science.gov (United States)

    Hosted by the Contaminated Sediment Forum, this half-day course will introduce the RPM to the use of passive samplers to assess bioavailability and in ecological risk assessment. Passive sampling devices (PSD) are a technology with growing acceptance for measuring porewater conce...

  1. Water Quality and Heavy Metal Concentrations in Sediment of Sungai Kelantan, Kelantan, Malaysia: A Baseline Study

    International Nuclear Information System (INIS)

    Ahmad, A.K.; Mushrifah, I.; Mohamad Shuhaimi Othman

    2009-01-01

    A study on water quality and heavy metal concentration in sediment at selected sites of Sungai Kelantan was carried out. Ten water samples were collected along the river for physical and chemical analysis and twenty-six water and sediment samples were collected for heavy metal analysis. Water was sampled at three different dates throughout the study period whereas sediments were collected once. In addition to heavy metal analysis, sediment samples were also analysed for texture, ph and organic content. The physical and chemical water quality analyses were carried out according to the ALPHA procedures. Result of water quality analysis (physico-chemical) indicated that Sungai Kelantan is characterised by excellent water quality and comparable to pristine ecosystems such as the National Park and Kenyir Lake. This river was classified into class I - class III based on Malaysian interim water quality standard criteria (INWQS). Heavy metals Pb, Zn, Cu and Cd was detected at low concentration in sediment samples, except for Fe and Mn. The presence of Fe and Mn in sediment samples was though to be of natural origin from the soil. Anthropogenic metal concentrations in sediment were low indicating that Sungai Kelantan has not experienced extreme pollution. (author)

  2. Integration of community structure data reveals observable effects below sediment guideline thresholds in a large estuary

    KAUST Repository

    Tremblay, Louis A.

    2017-04-07

    The sustainable management of estuarine and coastal ecosystems requires robust frameworks due to the presence of multiple physical and chemical stressors. In this study, we assessed whether ecological health decline, based on community structure composition changes along a pollution gradient, occurred at levels below guideline threshold values for copper, zinc and lead. Canonical analysis of principal coordinates (CAP) was used to characterise benthic communities along a metal contamination gradient. The analysis revealed changes in benthic community distribution at levels below the individual guideline values for the three metals. These results suggest that field-based measures of ecological health analysed with multivariate tools can provide additional information to single metal guideline threshold values to monitor large systems exposed to multiple stressors.

  3. Efficient clinical evaluation of guideline quality: development and testing of a new tool

    Science.gov (United States)

    2014-01-01

    Background Evaluating the methodological quality of clinical practice guidelines is essential before deciding which ones which could best inform policy or practice. One current method of evaluating clinical guideline quality is the research-focused AGREE II instrument. This uses 23 questions scored 1–7, arranged in six domains, which requires at least two independent testers, and uses a formulaic weighted domain scoring system. Following feedback from time-poor clinicians, policy-makers and managers that this instrument did not suit clinical need, we developed and tested a simpler, shorter, binary scored instrument (the iCAHE Guideline Quality Checklist) designed for single users. Methods Content and construct validity, inter-tester reliability and clinical utility were tested by comparing the new iCAHE Guideline Quality Checklist with the AGREE II instrument. Firstly the questions and domains in both instruments were compared. Six randomly-selected guidelines on a similar theme were then assessed by three independent testers with different experience in guideline quality assessment, using both instruments. Per guideline, weighted domain and total AGREE II scores were calculated, using the scoring rubric for three testers. Total iCAHE scores were calculated per guideline, per tester. The linear relationship between iCAHE and AGREE II scores was assessed using Pearson r correlation coefficients. Score differences between testers were assessed for the iCAHE Guideline Quality Checklist. Results There were congruent questions in each instrument in four domains (Scope & Purpose, Stakeholder involvement, Underlying evidence/Rigour, Clarity). The iCAHE and AGREE II scores were moderate to strongly correlated for the six guidelines. There was generally good agreement between testers for iCAHE scores, irrespective of their experience. The iCAHE instrument was preferred by all testers, and took significantly less time to administer than the AGREE II instrument. However

  4. COMP report: CPQR technical quality control guidelines for low-dose-rate permanent seed brachytherapy.

    Science.gov (United States)

    Beaulieu, Luc; Radford, Dee-Ann; Eduardo Villarreal-Barajas, J

    2018-03-14

    The Canadian Organization of Medical Physicists (COMP), in close partnership with the Canadian Partnership for Quality Radiotherapy (CPQR) has developed a series of Technical Quality Control (TQC) guidelines for radiation treatment equipment. These guidelines outline the performance objectives that equipment should meet in order to ensure an acceptable level of radiation treatment quality. The TQC guidelines have been rigorously reviewed and field tested in a variety of Canadian radiation treatment facilities. The development process enables rapid review and update to keep the guidelines current with changes in technology. This article contains detailed performance objectives and safety criteria for low-dose-rate (LDR) permanent seed brachytherapy. © 2018 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

  5. Clinical practice guidelines within the Southern African development community: a descriptive study of the quality of guideline development and concordance with best evidence for five priority diseases

    Science.gov (United States)

    2012-01-01

    Background Reducing the burden of disease relies on availability of evidence-based clinical practice guidelines (CPGs). There is limited data on availability, quality and content of guidelines within the Southern African Development Community (SADC). This evaluation aims to address this gap in knowledge and provide recommendations for regional guideline development. Methods We prioritised five diseases: HIV in adults, malaria in children and adults, pre-eclampsia, diarrhoea in children and hypertension in primary care. A comprehensive electronic search to locate guidelines was conducted between June and October 2010 and augmented with email contact with SADC Ministries of Health. Independent reviewers used the AGREE II tool to score six quality domains reporting the guideline development process. Alignment of the evidence-base of the guidelines was evaluated by comparing their content with key recommendations from accepted reference guidelines, identified with a content expert, and percentage scores were calculated. Findings We identified 30 guidelines from 13 countries, publication dates ranging from 2003-2010. Overall the 'scope and purpose' and 'clarity and presentation' domains of the AGREE II instrument scored highest, median 58%(range 19-92) and 83%(range 17-100) respectively. 'Stakeholder involvement' followed with median 39%(range 6-75). 'Applicability', 'rigour of development' and 'editorial independence' scored poorly, all below 25%. Alignment with evidence was variable across member states, the lowest scores occurring in older guidelines or where the guideline being evaluated was part of broader primary healthcare CPG rather than a disease-specific guideline. Conclusion This review identified quality gaps and variable alignment with best evidence in available guidelines within SADC for five priority diseases. Future guideline development processes within SADC should better adhere to global reporting norms requiring broader consultation of stakeholders

  6. Review and comparison of quality standards, guidelines and regulations for laboratories

    Directory of Open Access Journals (Sweden)

    Tjeerd A.M. Datema

    2011-12-01

    Full Text Available Background: The variety and number of laboratory quality standards, guidelines and regulations (hereafter: quality documents makes it difficult to choose the most suitable one for establishing and maintaining a laboratory quality management system. Objectives: There is a need to compare the characteristics, suitability and applicability of quality documents in view of the increasing efforts to introduce quality management in laboratories, especially in clinical diagnostic laboratories in low income and middle income countries. This may provide valuable insights for policy makers developing national laboratory policies, and for laboratory managers and quality officers in choosing the most appropriate quality document for upgrading their laboratories. Method: We reviewed the history of quality document development and then selected a subset based on their current use. We analysed these documents following a framework for comparison of quality documents that was adapted from the Clinical Laboratory Standards Institute guideline GP26 Quality management system model for clinical laboratory services. Results: Differences were identified between national and international, and non-clinical and clinical quality documents. The most salient findings were the absence of provisions on occurrence management and customer service in almost all non-clinical quality documents, a low number of safety requirements aimed at protecting laboratory personnel in international quality documents and no requirements regarding ethical behaviour in almost all quality documents. Conclusion: Each laboratory needs to investigate whether national regulatory standards are present. These are preferred as they most closely suit the needs of laboratories in the country. A laboratory should always use both a standard and a guideline: a standard sums up the requirements to a quality management system, a guideline describes how quality management can be integrated in the laboratory

  7. Clinical practice guidelines and consensus statements in oncology--an assessment of their methodological quality.

    Directory of Open Access Journals (Sweden)

    Carmel Jacobs

    Full Text Available Consensus statements and clinical practice guidelines are widely available for enhancing the care of cancer patients. Despite subtle differences in their definition and purpose, these terms are often used interchangeably. We systematically assessed the methodological quality of consensus statements and clinical practice guidelines published in three commonly read, geographically diverse, cancer-specific journals. Methods Consensus statements and clinical practice guidelines published between January 2005 and September 2013 in Current Oncology, European Journal of Cancer and Journal of Clinical Oncology were evaluated. Each publication was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II rigour of development and editorial independence domains. For assessment of transparency of document development, 7 additional items were taken from the Institute of Medicine's standards for practice guidelines and the Journal of Clinical Oncology guidelines for authors of guidance documents.Consensus statements and clinical practice guidelines published between January 2005 and September 2013 in Current Oncology, European Journal of Cancer and Journal of Clinical Oncology were evaluated. Each publication was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II rigour of development and editorial independence domains. For assessment of transparency of document development, 7 additional items were taken from the Institute of Medicine's standards for practice guidelines and the Journal of Clinical Oncology guidelines for authors of guidance documents.Thirty-four consensus statements and 67 clinical practice guidelines were evaluated. The rigour of development score for consensus statements over the three journals was 32% lower than that of clinical practice guidelines. The editorial independence score was 15% lower for consensus statements than clinical practice guidelines. One journal scored

  8. Implementation and translation: from European standards and guidelines for quality assurance to education quality work in higher education institutions

    NARCIS (Netherlands)

    Westerheijden, Donald F.; Kohoutek, Jan; Eggins, Heather

    2014-01-01

    The Standards and Guidelines for Quality Assurance in the European Higher Education Area (ESG for short) have been part of the regulative infrastructure of the European Higher Education Area (EHEA) since 2005 (European Association for Quality Assurance in Higher Education, 2009).

  9. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project.

    NARCIS (Netherlands)

    Cluzeau, F.A.; Burgers, J.S.; Brouwers, M.M.; Grol, R.P.T.M.; et al.,

    2003-01-01

    BACKGROUND: International interest in clinical practice guidelines has never been greater but many published guidelines do not meet the basic quality requirements. There have been renewed calls for validated criteria to assess the quality of guidelines. OBJECTIVE: To develop and validate an

  10. ISO 9000. Guidelines to increased costs and reduced product quality

    International Nuclear Information System (INIS)

    Reedy, R.F.

    1994-01-01

    Many US companies are considering being registered to the provisions of ISO 9000, International Standards for Quality Management. One important problem with the document is that ISO 9000 is not focused on control of product quality. The quality assurance rules established in ISO 9000 have been used in the US for more than 25 years with disastrous financial consequences and little, if any, improvement in quality and safety. These rules are so reliant on documentation and strict compliance that ensuring products comply with specifications has become a secondary issues. That is not what was intended, but it is the result. ISO 9000 program can work effectively only when the top executive responsible for engineering or production takes full responsibility for interpretation and implementation of the quality assurance program. 3 refs., 1 tab

  11. Technical Guidelines on Performing a Sediment Erosion and Deposition Assessment (SEDA) at Superfund Sites

    Science.gov (United States)

    2014-09-01

    introduced to a water body because of the failure of a river bank due to, for example, flow-induced erosion of the bank toe and/or surface, or...under supercritical flows (with Froude number greater than one). Antidunes are usually more symmetrical (in their longitudinal profile) than dunes ... dunes , and anti- dunes . Bedload Sediment material moving on top of or near a channel bed by rolling, sliding, and saltating, i.e., jumping

  12. Quality appraisal of clinical practice guidelines on the use of physiotherapy in rheumatoid arthritis: a systematic review.

    Science.gov (United States)

    Hurkmans, Emalie J; Jones, Anamaria; Li, Linda C; Vliet Vlieland, Theodora P M

    2011-10-01

    To assess the quality of guidelines published in peer-reviewed literature concerning the role of physiotherapy in the management of patients with RA. A systematic literature search for clinical practice guidelines that included physiotherapy interventions was performed in four electronic databases. We assessed the quality of the selected guidelines using the appraisal of guidelines for research and evaluation (AGREE) instrument. In addition, the recommendations of guidelines with the highest quality scores were summarized. Eight clinical practice guidelines fulfilled the inclusion criteria. Scope/purpose was the most often adequately addressed AGREE domain (in seven of the eight guidelines) and applicability the least (in two of the eight guidelines). Based on the AGREE domain scores, six guidelines could be recommended or strongly recommended for clinical use. Five out of these six (strongly) recommended guidelines included a recommendation on exercise therapy and/or patient education, with these interventions being recommended in every case. Transcutaneous electrical nerve stimulation and thermotherapy were recommended in four of these six guidelines. US, thermotherapy, low-level laser therapy, massage, passive mobilization and balneotherapy were addressed in one or two of these six guidelines. Six of eight clinical practice guidelines addressing physiotherapy interventions were recommended or strongly recommended according to the AGREE instrument. In general, guideline recommendations on physiotherapy intervention, from both the recommended guidelines as well as from the not recommended guidelines, lacked detail concerning mode of delivery, intensity, frequency and duration.

  13. Effects of sediment organic matter quality on bioaccumulation, degradation, and distribution of pyrene in two macrofaunal species and their surrounding sediment

    DEFF Research Database (Denmark)

    Granberg, M. E.; Selck, H.

    2007-01-01

    Sediment dwelling macrofauna (infauna) are important vectors for the transfer of sediment-associated contaminants to higher trophic levels. Sedimenting organic matter constitutes an important food source for all benthic organisms and changes seasonally in terms of quantity and quality. Sediment...... organic matter (SOM) quality affects organism activity and feeding behaviour, and is therefore also likely to affect contaminant fate in benthic systems. We investigated the impact of SOM quality (enrichment with either labile Tetraselmis sp. or refractory lignin) on the accumulation and metabolism...... imply that bioaccumulation and trophic transfer of sediment-associated PAH should increase following fresh organic matter input, e.g. after sedimentation of phytoplankton blooms. We stress the importance of considering behavioural characteristics of infauna and the trophic situation of the system when...

  14. Climate Change Impacts on Sediment Quality of Subalpine Reservoirs: Implications on Management

    Directory of Open Access Journals (Sweden)

    Marziali Laura

    2017-09-01

    Full Text Available Reservoirs are characterized by accumulation of sediments where micropollutants may concentrate, with potential toxic effects on downstream river ecosystems. However, sediment management such as flushing is needed to maintain storage capacity. Climate change is expected to increase sediment loads, but potential effects on their quality are scarcely known. In this context, sediment contamination by trace elements (As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn and organics (Polycyclic Aromatic Hydrocarbons PAHs, Polychlorinated Biphenyls PCBs and C > 12 hydrocarbons was analyzed in 20 reservoirs located in Italian Central Alps. A strong As and a moderate Cd, Hg and Pb enrichment was emphasized by Igeo, with potential ecotoxicological risk according to Probable Effect Concentration quotients. Sedimentation rate, granulometry, total organic carbon (TOC and altitude resulted as the main drivers governing pollutant concentrations in sediments. According to climate change models, expected increase of rainfall erosivity will enhance soil erosion and consequently the sediment flow to reservoirs, potentially increasing coarse grain fractions and thus potentially diluting pollutants. Conversely, increased weathering may enhance metal fluxes to reservoirs. Increased vegetation cover will potentially result in higher TOC concentrations, which may contrast contaminant bioavailability and thus toxicity. Our results may provide elements for a proper management of contaminated sediments in a climate change scenario aiming at preserving water quality and ecosystem functioning.

  15. Guidelines for the processing and quality assurance of benthic invertebrate samples collected as part of the National Water-Quality Assessment Program

    Science.gov (United States)

    Cuffney, T.F.; Gurtz, M.E.; Meador, M.R.

    1993-01-01

    Benthic invertebrate samples are collected as part of the U.S. Geological Survey's National Water-Quality Assessment Program. This is a perennial, multidisciplinary program that integrates biological, physical, and chemical indicators of water quality to evaluate status and trends and to develop an understanding of the factors controlling observed water quality. The Program examines water quality in 60 study units (coupled ground- and surface-water systems) that encompass most of the conterminous United States and parts of Alaska and Hawaii. Study-unit teams collect and process qualitative and semi-quantitative invertebrate samples according to standardized procedures. These samples are processed (elutriated and subsampled) in the field to produce as many as four sample components: large-rare, main-body, elutriate, and split. Each sample component is preserved in 10-percent formalin, and two components, large-rare and main-body, are sent to contract laboratories for further processing. The large-rare component is composed of large invertebrates that are removed from the sample matrix during field processing and placed in one or more containers. The main-body sample component consists of the remaining sample materials (sediment, detritus, and invertebrates) and is subsampled in the field to achieve a volume of 750 milliliters or less. The remaining two sample components, elutriate and split, are used for quality-assurance and quality-control purposes. Contract laboratories are used to identify and quantify invertebrates from the large-rare and main-body sample components according to the procedures and guidelines specified within this document. These guidelines allow the use of subsampling techniques to reduce the volume of sample material processed and to facilitate identifications. These processing procedures and techniques may be modified if the modifications provide equal or greater levels of accuracy and precision. The intent of sample processing is to

  16. EAACI Food Allergy and Anaphylaxis Guidelines. Food allergy health-related quality of life measures.

    Science.gov (United States)

    Muraro, A; Dubois, A E J; DunnGalvin, A; Hourihane, J O'B; de Jong, N W; Meyer, R; Panesar, S S; Roberts, G; Salvilla, S; Sheikh, A; Worth, A; Flokstra-de Blok, B M J

    2014-07-01

    Instruments have been developed and validated for the measurement of health-related quality of life in patients with food allergy. This guideline has been prepared by the European Academy of Allergy and Clinical Immunology's (EAACI) Guidelines for Food Allergy and Anaphylaxis Group. It draws on a systematic review of the literature on quality of life instruments for food allergy and the Appraisal of Guidelines for Research & Evaluation (AGREE II) guideline development process. Guidance is provided on the use of such instruments in research, and the current limitations of their use in clinical practice are described. Gaps in current knowledge as well as areas of future interest are also discussed. This document is relevant to healthcare workers dealing with food-allergic patients, scientists engaging in food allergy research and policy makers involved in regulatory aspects concerning food allergy and safety. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  17. An evaluation of the objective quality and perceived usefulness of maternity clinical practice guidelines at a tertiary maternity unit.

    Science.gov (United States)

    Trollope, Helena; Leung, Joyce Pui Yee; Wise, Michelle; Farquhar, Cynthia; Sadler, Lynn

    2018-03-05

    Compliance with maternity clinical practice guidelines developed by National Women's Health has been found to be low at audit. To explore the reasons for poor compliance with maternity guidelines by evaluating the quality of a sample of National Women's Health guidelines using a validated instrument and assessing local guideline users' perceptions of and attitudes toward guidelines. Five independent reviewers evaluated the quality of 10 purposively selected guidelines for adherence to the Appraisal of Guidelines Research & Evaluation (AGREE) II instrument standards. A self-administered questionnaire for staff was undertaken regarding views of and barriers to guideline use. None of the guidelines attained a score over 50% for the following domains: stakeholder involvement, rigour of development, applicability, editorial independence. The highest scoring domain was clarity of presentation (mean 69%). All guidelines scored the minimum possible for editorial independence. Survey respondents had positive attitudes toward guidelines, believed that their use could improve quality of care within the service, and felt that encouragement from senior staff members and peers would encourage their use. Accessibility was the most commonly cited of many barriers identified. The National Women's Health guidelines evaluated in this study cannot be considered to be high quality, and could be improved by reporting on methodology of the development process. Although poor guideline development may contribute to failure of the local maternity guidelines, it appears that accessibility is a major barrier to their use and implementation. © 2018 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

  18. Canadian soil quality guidelines for the protection of environmental and human health : benzene

    Energy Technology Data Exchange (ETDEWEB)

    Potter, K.

    2005-07-01

    This report presented soil quality guidelines for benzene to protect humans and ecological receptors in 4 types of land uses: agricultural; residential and parklands; commercial and industrial. The chemical and physical properties of benzene were reviewed, as well as the sources and emissions of benzene in Canada. The distribution and behaviour of benzene in the environment was examined, and the toxicological effects of benzene on microbial processes, plants, animals and humans were reviewed. It was noted that the background information and rationale for the derivation of Canadian Soil Quality Guidelines for this substance were originally published in 1999 by the Canadian Council of Ministers of the Environment (CCME) in Canadian Environmental Quality Guidelines. These guidelines have since been revised to reflect new data and lessons learned during the development of the Canada-wide Standard for Petroleum Hydrocarbons in Soil (CCME 2000). Modifications in this report included the derivation of guidelines for different soil textures and depths. Behaviour and effects in biota were reviewed, including soil microbial processes; terrestrial plants; terrestrial invertebrates; livestock and wildlife; and bioaccumulation. Behaviour and effects in humans and mammalian species were examined. The derivation of environmental soil quality guidelines was outlined. Recommendations for Canadian soil quality guidelines were presented. It was concluded that there is a lack of studies on the toxic effects of benzene on livestock, mammalian wildlife and birds and that studies on the metabolism of benzene in mammals and birds as well as invertebrates are needed. In addition, research is needed on the effects of benzene on nitrogen fixation, nitrification, nitrogen mineralization, decomposition and respiration. 118 refs., 3 tabs., 2 figs.

  19. Guidelines for enforcing rideability quality control on road contracts

    CSIR Research Space (South Africa)

    Burgess, IG

    2009-05-26

    Full Text Available of the road, but also to lessen the effects of dynamic loading on the pavement and to decrease vehicle operating costs. The present system of quality control of unevenness, the three meter rolling straight-edge, has been questioned as to its effectiveness...

  20. Identifying the Correlation between Water Quality Data and LOADEST Model Behavior in Annual Sediment Load Estimations

    Directory of Open Access Journals (Sweden)

    Youn Shik Park

    2016-08-01

    Full Text Available Water quality samples are typically collected less frequently than flow since water quality sampling is costly. Load Estimator (LOADEST, provided by the United States Geological Survey, is used to predict water quality concentration (or load on days when flow data are measured so that the water quality data are sufficient for annual pollutant load estimation. However, there is a need to identify water quality data requirements for accurate pollutant load estimation. Measured daily sediment data were collected from 211 streams. Estimated annual sediment loads from LOADEST and subsampled data were compared to the measured annual sediment loads (true load. The means of flow for calibration data were correlated to model behavior. A regression equation was developed to compute the required mean of flow in calibration data to best calibrate the LOADEST regression model coefficients. LOADEST runs were performed to investigate the correlation between the mean flow in calibration data and model behaviors as daily water quality data were subsampled. LOADEST calibration data used sediment concentration data for flows suggested by the regression equation. Using the mean flow calibrated by the regression equation reduced errors in annual sediment load estimation from −39.7% to −10.8% compared to using all available data.

  1. PAHs, OCPs and PCBs in sediments from three catchments in ...

    African Journals Online (AJOL)

    Based on the comparison of chemical concentrations to international sediment quality guidelines, PAH, OCP and PCB concentrations in most sediment samples posed a low risk to sediment-dwelling organisms. However, in some instances the risk was moderate or high. It is recommended that these compounds be ...

  2. A quality assessment tool for markup-based clinical guidelines.

    Science.gov (United States)

    Shalom, Erez; Shahar, Yuval; Taieb-Maimon, Meirav; Lunenfeld, Eitan

    2008-11-06

    We introduce a tool for quality assessment of procedural and declarative knowledge. We developed this tool for evaluating the specification of mark-up-based clinical GLs. Using this graphical tool, the expert physician and knowledge engineer collaborate to perform scoring, using pre-defined scoring scale, each of the knowledge roles of the mark-ups, comparing it to a gold standard. The tool enables scoring the mark-ups simultaneously at different sites by different users at different locations.

  3. Environmental and Water Quality Operational Studies. General Guidelines for Monitoring Contaminants in Reservoirs

    Science.gov (United States)

    1986-02-01

    espacially trte for the topics of sampling and analytical methods, statistical considerations, and the design of general water quality monitoring networks. For...and to the establishment and habitat differentiation of biological populations within reservoirs. Reservoir operatirn, esp- cially the timing...8217 % - - % properties of bottom sediments, as well as specific habitat associations of biological populations of reservoirs. Thus, such heterogeneities

  4. Quality Assessment of Clinical Practice Guidelines for Respiratory Diseases in China: A Systematic Appraisal.

    Science.gov (United States)

    Jiang, Mei; Liao, Li-Yue; Liu, Xiao-Qing; He, Wei-Qun; Guan, Wei-Jie; Chen, Hao; Li, Yi-Min

    2015-09-01

    There has been a significant increase in the publication of clinical practice guidelines (CPGs) for respiratory diseases in China. However, little is known about the quality and potential impacts of these CPGs. Our objective was to critically evaluate the quality of Chinese CPGs for respiratory diseases that were published in peer-reviewed medical journals. A systematic search of scientific literature published between 1979 and 2013 was undertaken to identify and select CPGs that were related to respiratory diseases. Four Chinese databases (the Chinese Biomedical Literature database [CBM], the China National Knowledge Infrastructure [CNKI], the VIP database, and the WANFANG database) were used. The quality of eligible guidelines was assessed independently by four reviewers using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. The overall agreement among reviewers was evaluated using an intraclass correlation coefficient. A total of 109 guidelines published in 27 medical journals from 1979 to 2013 were evaluated. The overall agreement among reviewers was considered good (intraclass correlation coefficient, 0.838; 95% CI, 0.812-0.862). The scores of the six AGREE domains were low: 57.3% for scope and purpose (range, 4.2%-80.5%), 23.8% for stakeholder involvement (range, 2.8%-54.2%), 7.7% for rigor of development (range, 0%-27.1%), 59.8% for clarity and presentation (range, 22.2%-80.6%), 10.9% for applicability (range, 0%-22.9%), and 0.6% for editorial independence (range, 0%-16.7%). Scores for all guidelines were below 60%, and only three guidelines (2.8%) were recommended for clinical practice with modifications. The quality of the guidelines was low, and stakeholder involvement, rigor of development, applicability, and editorial independence should be considered in the future development of CPGs for respiratory diseases in China.

  5. Impacts of urbanization on surface sediment quality: evidence from polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs) contaminations in the Grand Canal of China.

    Science.gov (United States)

    Hong, Youwei; Yu, Shen; Yu, Guangbin; Liu, Yi; Li, Guilin; Wang, Min

    2012-06-01

    Organic pollutants, especially synthetic organic compounds, can indicate paces of anthropogenic activities. Effects of urbanization on polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs) distributions in surface sediment were conducted in urban sections of the Grand Canal, China, consisting of a four-level urbanization gradient. The four-level urbanization gradients include three countryside towns, two small-size cities, three medium-size cities, and a large-size city. Diagnostic ratio analysis and factor analysis-multiple linear regression model were used for source apportionment of PAHs. Sediment quality guidelines (SQGs) of USA and Canada were employed to assess ecological risks of PAHs and PCBs in surface sediments of the Canal. Ranges of PAH and PCB concentrations in surface sediments were 0.66-22 mg/kg and 0.5-93 μg/kg, respectively. Coal-related sources were primary PAH sources and followed by vehicular emission. Total concentration, composition, and source apportionment of PAHs exhibited urbanization gradient effects. Total PCB concentrations increased with the urbanization gradient, while total PAHs concentration in surface sediments presented an inverted U Kuznets curve with the urbanization gradient. Elevated concentrations of both PAHs and PCBs ranged at effect range low levels or interim SQG, assessed by USA and Canadian SQGs. PAHs and PCBs in surface sediments of the Grand Canal showed urbanization gradient effects and low ecological risks.

  6. Managing erosion, sediment transport and water quality in drained peatland catchments

    Energy Technology Data Exchange (ETDEWEB)

    Marttila, H.

    2010-07-01

    Peatland drainage changes catchment conditions and increases the transport of suspended solids (SS) and nutrients. New knowledge and management methods are needed to reduce SS loading from these areas. This thesis examines sediment delivery and erosion processes in a number of peatland drainage areas and catchments in order to determine the effects of drainage on sediment and erosion dynamics and mechanics. Results from studies performed in peat mining, peatland forestry and disturbed headwater catchments in Finland are presented and potential sediment load management methods are discussed for drainage areas and headwater brooks. Particular attention is devoted to erosion of organic peat, sediment transport and methods to reduce the impacts of peatland drainage in boreal headwaters. This thesis consists of six articles. The first and second papers focus on the erosion and sediment transport processes at peat harvesting and peatland forestry drainage networks. The results indicate that in-channel processes are important in drained peatland, since the drainage network often constitutes temporary inter-storm storage for eroding and transporting material. Sediment properties determine the bed sediment erosion sensitivity, as fluffy organic peat sediment consolidates over time. As flashiness and peak runoff control sediment entrainment and transport from drained peatland areas, water quality management should include peak runoff management. The third, fourth and fifth papers studies use and application of peak runoff control (PRC) method to the peat harvesting and peatland forestry conditions for water protection. Results indicate that effective water quality management in drained peatland areas can be achieved using this method. Installation of the PRC structures is a useful and cost-effective way of storing storm runoff waters temporarily in the ditch system and providing a retention time for eroded sediment to settle to the ditch bed and drainage network. The main

  7. Development of Quality Management Systems for Clinical Practice Guidelines in Korea.

    Science.gov (United States)

    Jo, Heui-Sug; Kim, Dong Ik; Chang, Sung-Goo; Shin, Ein-Soon; Oh, Moo-Kyung

    2015-11-01

    This study introduces the Clinical practice guidelines (CPGs) appraisal system by the Korean Academy of Medical Sciences (KAMS). Quality management policies for CPGs vary among different countries, which have their own cultures and health care systems. However, supporting developers in guideline development and appraisals using standardized tools are common practices. KAMS, an organization representing the various medical societies of Korea, has been striving to establish a quality management system for CPGs, and has established a CPGs quality management system that reflects the characteristics of the Korean healthcare environment and the needs of its users. KAMS created a foundation for the development of CPGs, set up an independent appraisal organization, enacted regulations related to the appraisals, and trained appraisers. These efforts could enhance the ability of each individual medical society to develop CPGs, to increase the quality of the CPGs, and to ultimately improve the quality of the information available to decision-makers.

  8. The Study of Heavy Metals on Sediment Quality of Kuala Perlis Coastal Area

    Science.gov (United States)

    Zubir, A. A. Ahmad; Saad, F. N. Mohd; Dahalan, F. A.

    2018-03-01

    The contamination of heavy metals gives bad implications to the aquatic environment. Thus, a study was conducted to assess the sediment quality by using different contamination indices such as Enrichment Factor (EF), Geo-accumulation Index (Igeo), and Pollution Load Index (PLI). Each sediment sample was collected at the surface (0-15cm) at 5 locations based on the land use activity; jetty port (A), seaside restaurant (B), roadside area (C), power plant (D) and residential area (E). All samples were undergoes acid digestion and analyzed with AAS. Four elements identified from the sediment samples which are Cr, Cu, Pb and Zn were used to calculate the respective indices. Results show that, the highest EF value of Pb which categorized as very severe enrichment was at point E. Meanwhile minor enrichment was detected at point B for Cu while Cr and Zn at point A. Based on Igeo value the sediment quality along Kuala Perlis was in the unpolluted-moderately polluted condition (class 1). As for PLI it shows that the sediment of the coastal area is unpolluted (PLI<1). Therefore, this study revealed that, the main contributor of heavy metals in this area is Pb while the sediment quality of Kuala Perlis was in minor pollution condition.

  9. Ensuring quality in qualitative inquiry: using key concepts as guidelines

    Directory of Open Access Journals (Sweden)

    Debra Frances Campbell

    2013-09-01

    Full Text Available The field of qualitative scientific inquiry employs a fast-growing variety of approaches, whose traditions, procedures, and structures vary, depending on the type of study design and methodology (i.e., phenomenological, ethnographic, grounded theory, case study, action research, etc.. With the interpretive approach, researchers do not utilize the same measures of validity used in positivist approaches to scientific inquiry, since there is "...no one standard or accepted structure as one typically finds in quantitative research" (Creswell, 2007. With the absence of a single standard, how, then, is it possible for qualitative researchers to know whether or not their study was done with rigor, that it has validity, that it is ready to submit to their peers? The research literature is sprinkled with references to quality in qualitative inquiry, which helps to construe a study's validity. Markula (2008 suggests that we validate our study's findings by assuring readers that it was done "in the best possible way." While each research tradition has its own set of criteria for judging quality, we present here general concepts drawn from the literature. We hope this article will provide a framework from which qualitative researchers can judge their work before submitting it to their peers¸ one which will help ensure that their study was done "in the best possible way."

  10. Sediment quality criteria: A review with recommendations for developing criteria for the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Driver, C.J.

    1994-05-01

    Criteria for determining the quality of liver sediment are necessary to ensure that concentrations of contaminants in aquatic systems are within acceptable limits for the protection of aquatic and human life. Such criteria should facilitate decision-making about remediation, handling, and disposal of contaminants. Several approaches to the development of sediment quality criteria (SQC) have been described and include both descriptive and numerical methods. However, no single method measures all impacts at all times to all organisms (U.S. EPA 1992b). The U.S. EPA`s interest is primarily in establishing chemically based, numerical SQC that are applicable nation-wide (Shea 1988). Of the approaches proposed for SQC development, only three are being considered for numerical SQC on a national level. These approaches include an Equilibrium Partitioning Approach, a site-specific method using bioassays (the Apparent Effects Threshold Approach), and an approach similar to EPA`s water quality criteria (Pavlou and Weston 1984). Although national (or even regional) criteria address a number of political, litigative, and engineering needs, some researchers feel that protection of benthic communities require site-specific, biologically based criteria (Baudo et al. 1990). This is particularly true for areas where complex mixtures of contaminants are present in sediments. Other scientifically valid and accepted procedures for freshwater SQC include a background concentration approach, methods using field or spiked bioassays, a screening level concentration approach, the Apparent Effects Threshold Approach, the Sediment Quality Triad, the International Joint Commission Sediment Assessment Strategy, and the National Status and Trends Program Approach. The various sediment assessment approaches are evaluated for application to the Hanford Reach and recommendations for Hanford Site sediment quality criteria are discussed.

  11. Organizational culture affecting quality of care: guideline adherence in perioperative antibiotic use.

    Science.gov (United States)

    Ukawa, Naoto; Tanaka, Masayuki; Morishima, Toshitaka; Imanaka, Yuichi

    2015-02-01

    The objective of this work was to elucidate aspects of organizational culture associated with hospital performance in perioperative antibiotic prophylaxis using quantitative data in a multicenter and multidimensional study. Cross-sectional retrospective study using a survey data and administrative data. Eighty-three acute hospitals in Japan. A total of 4856 respondents in the organizational culture study, and 23 172 patients for the quality indicator analysis. Multilevel models of various cultural dimensions were used to analyze the association between hospital organizational culture and guideline adherence. The dependent variable was adherence or non-adherence to Japanese and CDC guidelines at the patient level and main independent variable was hospital groups categorized according to organizational culture score. Other control variables included hospital characteristics such as ownership, bed capacity, region and urbanization level of location. The multilevel analysis showed that hospitals with a high score in organizational culture were more likely to adhere to the Japanese and CDC guidelines when compared with lower scoring hospitals. In particular, the hospital group with high scores in the 'collaboration' and 'professional growth' dimensions had three times the odds for Japanese guideline adherence in comparison with low-scoring hospitals. Our study revealed that various aspects of organizational culture were associated with adherence to guidelines for perioperative antibiotic use. Hospital managers aiming to improve quality of care may benefit from improving hospital organizational culture. © The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  12. Guideline for dialysate quality of Spanish Society of Nephrology (second edition, 2015).

    Science.gov (United States)

    Pérez-García, Rafael; García Maset, Rafael; Gonzalez Parra, Emilio; Solozábal Campos, Carlos; Ramírez Chamond, Rafael; Martín-Rabadán, Pablo; Sobrino Pérez, Pedro Enrique; Gallego Pereira, Ovidio; Dominguez, Jon; de la Cueva Matute, Enrique; Ferllen, Ricardo

    2016-01-01

    A Best Practice Guideline about Dialysis fluid purity was developed under the leadership of the Spanish Society of Nephrology in 2004. The second edition revised Guideline considered new evidences and International Standard. The Guideline has established recommendations for standards for preparing dialysate: water, concentrates and hemodialysis proportioning systems. This Guideline is based on the ISO13959, European Pharmacopoeia, the Real Farmacopea Española, the AAMI Standards and Recommended Practices, European Best Practice Guidelines for Haemodialysis, literature reviews, according to their level of evidence, and the opinion of the expert Spanish group. Two levels of quality of water were defined: purified water and high purified water (ultra pure) and for dialysate: ultra pure dialysate. Regular use of ultra pure dialysate is recommended for all type of hemodialysis to prevent and delay the occurrence of complications: inflammation, malnutrition, anaemia and amiloidosis. Water, concentrates and dialysate quality requirements are defined as maximum allowable contaminant levels: chemicals (4.1.2), conductivity, microbial and endotoxins (4.1.1): Monitoring frequency, maintenance and corrective actions were specified. Methods of sampling and analysis were described in appendix (anexos). For microbiological monitoring, R2A medium is recommended, incubated during 7-14 days at a temperature of 17-23°C. The dialysate quality assurance process involves all dialysis staff members and requires strict protocols. The physician in charge of hemodialysis has the ultimate responsibility for dialysate quality. All suggestions and questions about this Guideline are wellcome to www.senefro.org. Copyright © 2016 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  13. Postpartum haemorrhage in midwifery care in the Netherlands: validation of quality indicators for midwifery guidelines

    NARCIS (Netherlands)

    Smit, M.; Chan, K.L.L.; Middeldorp, J.M.; van Roosmalen, J.

    2014-01-01

    Background: Postpartum haemorrhage (PPH) is still one of the major causes of severe maternal morbidity and mortality worldwide. Currently, no guideline for PPH occurring in primary midwifery care in the Netherlands is available. A set of 25 quality indicators for prevention and management of PPH in

  14. Guidelines for Quality Control of Equipment Used in Diagnostic Radiology in the Netherlands

    International Nuclear Information System (INIS)

    Berg, L. van den; Aarts, C.N.M.; Beentjes, L.B.; Dalen, A. van; Elsakkers, P.; Julius, H.W.; Kicken, P.J.H.; Meer, F. van der; Teeuwisse, W.; Thijssen, M.A.O.; Zoetelief, J.

    1998-01-01

    The Dutch working group on 'Quality Criteria for Equipment Used in Diagnostic Radiology' has formulated guidelines providing technical criteria for equipment used in conventional diagnostic radiology. These guidelines are applicable to the technical parameters having a major impact on image quality and patient dose and include methods for testing. The following parameters are included: tube voltage, automatic exposure control, film processing, film-screen combination, light tightness and illumination of the dark room, half-value layer and filtration, light field, grid, focal spot size, viewing boxes and geometrical indicators. Each guideline consists of the following chapters: (1) Scope and field of application, (2) Background information, (3) Test procedure, (4) Test frequency, (5) Registration of observations, (6) Evaluation and interpretation, (7) Test report. Chapter 3 includes both the principles of the test method and a step by step description of the procedures. The principles of the test procedure provide a basis for adaptation to local circumstances. The step by step test procedure allows a quality control measurement to be performed with limited physical knowledge of the equipment. Chapter 6 includes limiting values. Draft guidelines were evaluated in practice in 20 hospitals. The final document has been accepted by the professional societies in the Netherlands and the Dutch Minister of Health as a reference set of tools to perform Quality Control of equipment used for conventional diagnostic radiology. (author)

  15. The national curriculum guidelines of early childhood education: In search of a job to educational quality

    Directory of Open Access Journals (Sweden)

    Alessandra de Carvalho Faria

    2014-08-01

    childhood education. This paper intends to discuss the National Curriculum Guidelines for Early Childhood Education, which define how they should be organized teaching practice, and examine how the activities should be developed in early childhood education institutions, to objectify the holistic development of children in seeking quality care this stage of basic education.

  16. Bridge-in-a-Backpack(TM) task 5: guidelines for quality assurance.

    Science.gov (United States)

    2016-03-01

    This report includes fulfillment of Task 5 of a multi-task contract to further enhance concrete filled FRP tubes, or : the Bridge in a Backpack. Task 6 provides guidelines for quality assurance. : The Bridge-in-a-Backpack or hybrid composite arch ...

  17. Soil quality standards and guidelines for forest sustainability in northwestern North America

    Science.gov (United States)

    Deborah Page-Dumroese; Martin Jurgensen; William Elliot; Thomas Rice; John Nesser; Thomas Collins; Robert. Meurisse

    2000-01-01

    Soil quality standards and guidelines of the USDA Forest Service were some of the first in the world to be developed to evaluate changes in forest soil productivity and sustainability after harvesting and site preparation. International and national development of criteria and indicators for maintenance of soil productivity make it imperative to have adequate threshold...

  18. Development of South African water quality guidelines for the natural aquatic environment

    CSIR Research Space (South Africa)

    MacKay, HM

    1995-01-01

    Full Text Available This paper describes the progress made by the Department of Water Affairs and Forestry in the development of documented water quality guidelines for aquatic ecosystems in South Africa, which will be able to take into account local and site...

  19. Stakeholder-Driven Quality Improvement: A Compelling Force for Clinical Practice Guidelines.

    Science.gov (United States)

    Rosenfeld, Richard M; Wyer, Peter C

    2018-01-01

    Clinical practice guideline development should be driven by rigorous methodology, but what is less clear is where quality improvement enters the process: should it be a priority-guiding force, or should it enter only after recommendations are formulated? We argue for a stakeholder-driven approach to guideline development, with an overriding goal of quality improvement based on stakeholder perceptions of needs, uncertainties, and knowledge gaps. In contrast, the widely used topic-driven approach, which often makes recommendations based only on randomized controlled trials, is driven by epidemiologic purity and evidence rigor, with quality improvement a downstream consideration. The advantages of a stakeholder-driven versus a topic-driven approach are highlighted by comparisons of guidelines for otitis media with effusion, thyroid nodules, sepsis, and acute bacterial rhinosinusitis. These comparisons show that stakeholder-driven guidelines are more likely to address the quality improvement needs and pressing concerns of clinicians and patients, including understudied populations and patients with multiple chronic conditions. Conversely, a topic-driven approach often addresses "typical" patients, based on research that may not reflect the needs of high-risk groups excluded from studies because of ethical issues or a desire for purity of research design.

  20. PP095. Guideline-based development of quality indicators for hypertensive diseases in pregnancy

    DEFF Research Database (Denmark)

    Luitjes, S.H.E.; Wouters, M; Franx, A.

    2012-01-01

    for care improvement.RESULTS: A representative set of 14 quality indicators was selected from 48 initial guideline recommendations. Indicators concerned both professional performance and organisation of care for patients with hypertension in pregnancy.CONCLUSION: This study describes the systematic...

  1. Assessment of sediment quality collected from the Tunku Abdul Rahman National Park, Sabah

    International Nuclear Information System (INIS)

    Mohd Suhaimi Elias; Mohd Suhaimi Hamzah; Shamsiah Abdul Rahman; Siong, Wee Boon; Nazaratul Ashifa Abdullah Salim

    2012-01-01

    Assessment of source and sediment quality was carried out on marine sediments collected from the Tuanku Abdul Rahman National Park. Enrichment factors (EF), pollution load index (PLI) and geo-accumulation index (Igeo) were used to identify the sources of pollution, degree of contamination and sediment quality, respectively. Elemental analyses of marine sediment samples were performed by using the Instrumental Neutron Activation Analysis (INAA). Results from the Tunku Abdul Rahman National Park of Sabah indicated that most of the elements are considered to be from lithological or natural origin with EF values of less than 2 except for As (10 stations), Cr (3 stations), Lu (5 stations), Mg (2 stations), Sb (6 stations) and U (3 stations). For the sediment quality, most of the study area can be categorised as unpolluted for most of the elements (Igeo value < 2) except for As, Cr, Lu, Mg, Sb and U. A few study areas were slightly low contaminated with As, Cr, Lu, Mg, Sb and U. The contamination of As, Cr, Lu, Mg, Sb and U in the study area can be categorised as moderate with Igeo values ranged from 1 to 2. Meanwhile, the results of PLI value for sediment were ranged from 0.93 to 1.47 (PLI < 50) indicating there are not required to perform drastic rectification measures for the screening of the elements in the Tunku Abdul Rahman Park. Overall, assessment of the sediment quality at the Tunku Abdul Rahman National Park showed a few elements such as As, Cr, Lu, Mg, Sb and U were slightly enriched while most of the elements were similar to background values. (author)

  2. ASVCP quality assurance guidelines: external quality assessment and comparative testing for reference and in-clinic laboratories.

    Science.gov (United States)

    Camus, Melinda S; Flatland, Bente; Freeman, Kathleen P; Cruz Cardona, Janice A

    2015-12-01

    The purpose of this document is to educate providers of veterinary laboratory diagnostic testing in any setting about comparative testing. These guidelines will define, explain, and illustrate the importance of a multi-faceted laboratory quality management program which includes comparative testing. The guidelines will provide suggestions for implementation of such testing, including which samples should be tested, frequency of testing, and recommendations for result interpretation. Examples and a list of vendors and manufacturers supplying control materials and services to veterinary laboratories are also included. © 2015 American Society for Veterinary Clinical Pathology.

  3. [Needs assessment to improve the applicability and methodological quality of a German S3 guideline].

    Science.gov (United States)

    Burckhardt, Marion; Hoffmann, Cristina; Nink-Grebe, Brigitte; Sänger, Sylvia

    2018-04-01

    Clinical practice guidelines can change the practice in healthcare only if their recommendations are implemented in a comprehensive way. The German S3 guideline "Local Therapy of Chronic Wounds in Patients with Peripheral Vascular Disease, Chronic Venous Insufficiency, and Diabetes" will be updated in 2017. The emphasis here is on the guideline's validity, user-friendliness and implementation into practice. Therefore, the aim was to identify the improvements required in regard to the guideline's methods and content presentation. The methodological approach used was the critical appraisal of the guideline according to established quality criteria and an additional stakeholder survey. Both were conducted between August and November 2016. The guideline and its related documents were reviewed independently by two researchers according to the criteria of the "Appraisal of Guidelines for Research and Evaluation" (AGREE-II). Published reviews and peer reviews by external experts and organisations were also taken into account. For the stakeholder survey, a questionnaire with open questions was distributed by e-mail and via the Internet to health professionals and organisations involved in the care of patients with leg ulcers in Germany. The questions were aimed at amendments and new topics based on the stakeholders' experience in inpatient and outpatient care. In addition, the survey focused on gathering suggestions to improve the applicability of the guideline. Suggested new topics and amendments were summarised thematically. The stakeholders' suggestions to improve the applicability, the results of the critical appraisal and the relevant aspects of the external reviews were then summarised according to the AGREE-II domains and presented in a cause and effect diagram. 17 questionnaires (out of 864 sent out by e-mail) were returned. Due to high practice relevance, the stakeholders suggested an expansion of the inclusion criteria to patients with infected wounds and

  4. From Computer-interpretable Guidelines to Computer-interpretable Quality Indicators: A Case for an Ontology.

    Science.gov (United States)

    White, Pam; Roudsari, Abdul

    2014-01-01

    In the United Kingdom's National Health Service, quality indicators are generally measured electronically by using queries and data extraction, resulting in overlap and duplication of query components. Electronic measurement of health care quality indicators could be improved through an ontology intended to reduce duplication of effort during healthcare quality monitoring. While much research has been published on ontologies for computer-interpretable guidelines, quality indicators have lagged behind. We aimed to determine progress on the use of ontologies to facilitate computer-interpretable healthcare quality indicators. We assessed potential for improvements to computer-interpretable healthcare quality indicators in England. We concluded that an ontology for a large, diverse set of healthcare quality indicators could benefit the NHS and reduce workload, with potential lessons for other countries.

  5. Canadian Association of Gastroenterology consensus guidelines on safety and quality indicators in endoscopy.

    Science.gov (United States)

    Armstrong, David; Barkun, Alan; Bridges, Ron; Carter, Rose; de Gara, Chris; Dube, Catherine; Enns, Robert; Hollingworth, Roger; Macintosh, Donald; Borgaonkar, Mark; Forget, Sylviane; Leontiadis, Grigorios; Meddings, Jonathan; Cotton, Peter; Kuipers, Ernst J

    2012-01-01

    Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality, highlight the need for clearly defined, evidence-based processes to support quality improvement in endoscopy. To identify processes and indicators of quality and safety relevant to high-quality endoscopy service delivery. A multidisciplinary group of 35 voting participants developed recommendation statements and performance indicators. Systematic literature searches generated 50 initial statements that were revised iteratively following a modified Delphi approach using a web-based evaluation and voting tool. Statement development and evidence evaluation followed the AGREE (Appraisal of Guidelines, REsearch and Evaluation) and GRADE (Grading of Recommendations, Assessment, Development and Evaluation) guidelines. At the consensus conference, participants voted anonymously on all statements using a 6-point scale. Subsequent web-based voting evaluated recommendations for specific, individual quality indicators, safety indicators and mandatory endoscopy reporting fields. Consensus was defined a priori as agreement by 80% of participants. Consensus was reached on 23 recommendation statements addressing the following: ethics (statement 1: agreement 100%), facility standards and policies (statements 2 to 9: 90% to 100%), quality assurance (statements 10 to 13: 94% to 100%), training, education, competency and privileges (statements 14 to 19: 97% to 100%), endoscopy reporting standards (statements 20 and 21: 97% to 100%) and patient perceptions (statements 22 and 23: 100%). Additionally, 18 quality indicators (agreement 83% to 100%), 20 safety indicators (agreement 77% to 100%) and 23 recommended endoscopy-reporting elements (agreement 91% to 100%) were identified. The consensus process identified a clear need for high-quality clinical and outcomes research to support quality improvement in the delivery of endoscopy services. The

  6. Simultaneous Investigation of Sediment Transport and Water Quality Parameters Using An In Situ Measurement Device

    Science.gov (United States)

    Prochnow, J. V.

    Though quality of surface waters has improved remarkably over the last twenty years, the contaminant load of soft cohesive sediments remained comparatively unimproved. That is why the new European water framework directive addresses contaminant loaded sediments and postulates criteria for assessing sediment quality. Surveys into contaminated sediment behaviour have revealed adsorption/desorption characteristics of individual toxins. Biomonitoring of pollutant pressure on specific benthic organ- isms on the other hand can be useful to elucidate potential dangers to aquatic ecosys- tems. However, it is yet unknown how a given contaminant loaded sediment will re- spond to different hypercritical flow conditions in terms of release rates and partition- ing of xenobiotica. On this account a small in situ measuring device (EROSIMESS) was constructed, that features simultaneous determination of suspended sediment con- centration (optical turbidity meter), dissolved oxygen levels, pH and temperature (membrane probes) under predefined hydraulic conditions. Samples of the suspen- sion can be withdrawn for subsequent chemical analysis. Bottom shear stresses up to 5N/m2 can be generated by means of a propeller that resides in cylindrical perspex tube (erosion chamber) two centimeters above the sediment bed. Baffles on the in- ner wall of the cylinder prevent a solid body rotation of the suspension by creating additional turbulence and a second propeller straight beneath the concentration me- ter inhibits the development of a concentration gradient within the chamber. A small CCD-camera is used to control positioning of the device. It can be used in water- depths up to 5m. The control unit consists of a trigger box and an ordinary laptop computer running LabView. EROSIMESS has been successfully used in various stud- ies on contaminant release, eutrophication, and SOD (sediment oxygen demand) in rivers (Spree: Germany; Maun: UK), reservoirs (Heimbach, Haus Ley: Germany), and

  7. Considerations in the development of generic human health-based soil quality guidelines for uranium

    International Nuclear Information System (INIS)

    Richardson, G.M.; Petrovic, S.; Purtill, C.; Wilson, R.

    2006-01-01

    At the current time in Canada, no human health-based generic (national) soil quality guidelines (SQG HH ) exist for uranium. This paper explores some of the various methods that could be used to develop human health soil guideline values for this element. To determine possible values that may be appropriate for use in Canada, the authors have applied both the existing CCME approach (1996) and the draft revised CCME approach (2005) to estimate possible SQG HH for uranium for various land uses. (author)

  8. The effects of a randomised multi-centre trial and international accreditation on availability and quality of clinical guidelines

    DEFF Research Database (Denmark)

    Juul, Anne Benedicte; Gluud, Christian; Wetterslev, Jørn

    2005-01-01

    To examine the availability and quality of clinical guidelines on perioperative diabetes care in hospital units before and after a randomised clinical trial (RCT) and international accreditation.......To examine the availability and quality of clinical guidelines on perioperative diabetes care in hospital units before and after a randomised clinical trial (RCT) and international accreditation....

  9. Development and implementation of guidelines for quality assurance in breast cancer screening: The European experience.

    Directory of Open Access Journals (Sweden)

    Lawrence von Karsa

    2013-05-01

    Full Text Available In Europe, as in many other regions of the world, breast cancer is a major cause of suffering and death. Early detection of breast cancer by systematic mammography screening can find lesions for which treatment is more effective and generally more favourable for quality of life. Comprehensive quality assurance guidelines for breast cancer screening based on mammography have been developed in the Europe Against Cancer programme with the aim of maximising screening benefits while minimising adverse effects, such as unnecessary examination or treatment resulting from false-positive screening tests. The present report provides an overview of the European experience in developing and implementing quality assurance guidelines for breast cancer screening. It highlights implications relevant to those regions of the world in which the burden of breast cancer in the coming years will make population-based screening an option for cancer control.

  10. European guidelines for quality assurance in colorectal cancer screening and diagnosis

    DEFF Research Database (Denmark)

    von Karsa, L; Patnick, J; Segnan, N

    2013-01-01

    -based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010.  They include 10 chapters and over 250 recommendations, individually graded......Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence...... according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease...

  11. Evaluation of the quality of guidelines for myasthenia gravis with the AGREE II instrument.

    Directory of Open Access Journals (Sweden)

    Zhenchang Zhang

    Full Text Available Clinical practice guidelines (CPGs are systematically developed statements to assist practitioners in making decisions about appropriate healthcare in specific clinical circumstances. The methodological quality of CPGs for myasthenia gravis (MG are unclear.To critically evaluate the methodological quality of CPGs for MG using AGREE II instrument.A systematical search strategy on PubMed, EMBASE, DynaMed, the National Guideline Clearinghouse (NGC and the Chinese Biomedical Literature database (CBM was performed on September 20th 2013. All guidelines related to MG were evaluated with AGREE II. The software used for analysis was SPSS 17.0.A total of 15 CPGs for MG met the inclusion criteria (12 CPGs in English, 3 CPGs in Chinese. The overall agreement among reviews was moderate or high (ICC >0.70. The mean scores (mean ± SD for al six domains were presented as follows: scope and purpose (60.93% ± 16.62%, stakeholder involvement (40.93% ± 20.04%, rigor of development (37.22% ± 30.46%, clarity of presentation (64.26% ± 16.36%, applicability (28.19% ± 20.56% and editorial independence (27.78% ± 28.28%. Compared with non-evidence-based CPGs, evidence-based CPGs had statistically significant higher quality scores for all AGREE II domains (P0.05. The quality scores of CPGs developed by NGC/AAN were higher than the quality scores of CPGs developed by other organizations for all domains. The difference was statistically significant for all domains with the exception of clarity of presentation (P = 0.07.The qualities of CPGs on MG were generally acceptable with several flaws. The AGREE II instrument should be adopted by guideline developers, particularly in China.

  12. Experience with the european quality assurance guidelines for digital mammography systems in a national screening programme

    International Nuclear Information System (INIS)

    McCullagh, J.; Keavey, E.; Egan, G.; Phelan, N.

    2013-01-01

    The transition to a fully digital breast screening programme, utilising three different full-field digital mammography (FFDM) systems has presented many challenges to the implementation of the European guidelines for physico-technical quality assurance (QA) testing. An analysis of the QA results collected from the FFDM systems in the screening programme over a 2-y period indicates that the three different systems have similar QA performances. Generally, the same tests were failed by all systems and failure rates were low. The findings provide some assurance that the QA guidelines are being correctly implemented. They also suggest that there is more scope for the development of the relevance of the guidelines with respect to modern FFDM systems. This study has also shown that a summary review of the QA data can be achieved by simple organisation of the QA data storage and by automation of data query and retrieval using commonly available software. (authors)

  13. USING THE SEDIMENT QUALITY TRIAD (SQT) APPROACH TO ASSESS SEDIMENTARY CONTAMINATION IN THE ANACOSTIA RIVER, WASHINGTON

    Science.gov (United States)

    Using the Sediment Quality Triad (SQT) Approach to Assess Sedimentary Contamination in the Anacostia River, Washington, D.C. Velinsky, DJ*1, Ashley, JTF1,2, Pinkney, F.3, McGee, BL3 and Norberg-King, TJ.4 1Academy of Natural Sciences-PCER, Philadelphia, PA. 2Philadelphia Universi...

  14. Guidelines for the symptomatic management of fever in children: systematic review of the literature and quality appraisal with AGREE II.

    Science.gov (United States)

    Chiappini, Elena; Bortone, Barbara; Galli, Luisa; de Martino, Maurizio

    2017-07-31

    Several societies have produced and disseminated clinical practice guidelines (CPGs) for the symptomatic management of fever in children. However, to date, the quality of such guidelines has not been appraised. To identify and evaluate guidelines for the symptomatic management of fever in children. The research was conducted using PubMed, guideline websites, and Google (January 2010 to July 2016). The quality of the CPGs was independently assessed by two assessors using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument, and specific recommendations in guidelines were summarised and evaluated. Domain scores were considered of sufficient quality when >60% and of good quality when >80%. Seven guidelines were retrieved. The median score for the scope and purpose domain was 85.3% (range 66.6-100%). The median score for the stakeholder involvement domain was 57.5% (range 33.3-83.3%) and four guidelines scored >60%. The median score for the rigour of development domain was 52.0% (range 14.6-98.9%), and only three guidelines scored >60%. The median score for the clarity of presentation domain was 80.9% (range 50.0-94.4%). The median score for the applicability domain was 39.3% (8.3-100%). Only one guideline scored >60%. The median score for the editorial independence domain was 48.84% (0-91.6%); only three guidelines scored >60%. Most guidelines were recommended for use even if with modification, especially in the methodology, the applicability and the editorial independence domains. Our results could help improve reporting of future guidelines, and affect the selection and use of guidelines in clinical practice. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. Sediment quality and ecorisk assessment factors for a major river system

    International Nuclear Information System (INIS)

    Johnson, V.G.; Wagner, J.J.; Cutshall, N.H.

    1993-08-01

    Sediment-related water quality and risk assessment parameters for the Columbia River were developed using heavy metal loading and concentration data from Lake Roosevelt (river km 1120) to the mouth and adjacent coastal zone. Correlation of Pb, Zn, Hg, and Cd concentrations in downstream sediments with refinery operations in British Columbia suggest that solutes with K d 's > 10 5 reach about 1 to 5 μg/g per metric ton/year of input. A low-suspended load (upriver avg. <10 mg/L) and high particle-surface reactivity account for the high clay-fraction contaminant concentrations. In addition, a sediment exposure path was demonstrated based on analysis of post-shutdown biodynamics of a heavy metal radiotracer. The slow decline in sediment was attributed to resuspension, bioturbation, and anthropogenic disturbances. The above findings suggest that conservative sediment quality criteria should be used to restrict additional contaminant loading in the upper drainage basin. The issuance of an advisory for Lake Roosevelt, due in part to Hg accumulation in large sport fish, suggests more restrictive controls are needed. A monitoring strategy for assessing human exposure potential and the ecological health of the river is proposed

  16. Data quality objectives summary report for 105-N Basin sediment disposition

    International Nuclear Information System (INIS)

    Pisarcik, D.J.

    1998-01-01

    During stabilization of the 105-N Basin, sediments that have accumulated on 105-N Basin surfaces will be vacuumed, collected in the North Cask Pit of the basin complex, and eventually removed. The Environmental Assessment for the Deactivation of the N Reactor Facilities describes two potential disposition paths for the 105-N Basin sediment: transfer in slurry form to a double-shell tank if determined to be a transuranic waste, or disposal in solid form as a low-level waste. Interim storage of the sediments may be required if a transfer to the Tank Waste Remediation System cannot meet schedule milestones. Selection of a particular alternative depends on the final characterization of the accumulated sediment, regulatory requirements, cost/benefit analyses, and 105-N Stabilization Project schedule requirements. Revision 0 of this Data Quality Objectives (DQO) report was issued to describe a formal DQO process that was performed according to BHI-EE-01, Environmental Investigations Procedures, EIP 1.2, Data Quality Objectives, Revision 1. Since publication of Revision 0 of this report, important changes to the disposition strategy for 100-N Deactivation sediment material have been proposed, evaluated, discussed with the US Department of Energy and State of Washington Department of Ecology, and implemented. Revision 1 of this report documents these changes

  17. Postpartum haemorrhage in midwifery care in the Netherlands: validation of quality indicators for midwifery guidelines.

    Science.gov (United States)

    Smit, Marrit; Chan, Kar-Li L; Middeldorp, Johanna M; van Roosmalen, Jos

    2014-12-07

    Postpartum haemorrhage (PPH) is still one of the major causes of severe maternal morbidity and mortality worldwide. Currently, no guideline for PPH occurring in primary midwifery care in the Netherlands is available. A set of 25 quality indicators for prevention and management of PPH in primary care has been developed by an expert panel consisting of midwives, obstetricians, ambulance personal and representatives of the Royal Dutch College of Midwives (KNOV) and the Dutch Society of Obstetrics and Gynecology (NVOG). This study aims to assess the performance of these quality indicators as an assessment tool for midwifery care and suitability for incorporation in a professional midwifery guideline. From April 2008 to April 2010, midwives reported cases of PPH. Cases were assessed using the 25 earlier developed quality indicators. Quality criteria on applicability, feasibility, adherence to the indicator, and the indicator's potential to monitor improvement were assessed. 98 cases of PPH were reported during the study period, of which 94 were analysed. Eleven indicators were found to be applicable and feasible. Five of these indicators showed improvement potential: routine administration of uterotonics, quantifying blood loss by weighing, timely referral to secondary care in homebirth and treatment of PPH using catherisation, uterine massage and oxytocin and the use of oxygen. Eleven out of 25 indicators were found to be suitable as an assessment tool for midwifery care of PPH and are therefore suitable for incorporation in a professional midwifery guideline. Larger studies are necessary to confirm these results.

  18. Guideline for determining the mean glandular dose according to DIN 6868-162 and threshold contrast visibility according to the quality assurance guideline for digital mammography systems.

    Science.gov (United States)

    Sommer, A; Schopphoven, S; Land, I; Blaser, D; Sobczak, T

    2014-05-01

    As part of the physico-technical quality assurance of the German breast cancer screening program, the threshold contrast visibility and the average glandular dose of every digital mammography system have to fulfill the requirements of the "European guidelines for quality assurance in breast cancer screening and diagnosis" (4th Edition). To accomplish uniform measurements in all federal states of Germany, the physical board of the reference centers developed a special guideline in 2009. Due to recent changes in the guidelines and standards, a second version of the guideline was developed by the reference centers. This guideline describes the determination of the average glandular dose as well as the CDMAM image acquisition and the CDMAM image evaluation. The determination of the threshold contrast visibility can be performed visually or automatically. The determination of the average glandular dose is based on DIN 6868 - 162 and the threshold contrast visibility test is based on the German "Quality Assurance Guideline". © Georg Thieme Verlag KG Stuttgart · New York.

  19. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project.

    Science.gov (United States)

    2003-02-01

    International interest in clinical practice guidelines has never been greater but many published guidelines do not meet the basic quality requirements. There have been renewed calls for validated criteria to assess the quality of guidelines. To develop and validate an international instrument for assessing the quality of the process and reporting of clinical practice guideline development. The instrument was developed through a multi-staged process of item generation, selection and scaling, field testing, and refinement procedures. 100 guidelines selected from 11 participating countries were evaluated independently by 194 appraisers with the instrument. Following refinement the instrument was further field tested on three guidelines per country by a new set of 70 appraisers. The final version of the instrument contained 23 items grouped into six quality domains with a 4 point Likert scale to score each item (scope and purpose, stakeholder involvement, rigour of development, clarity and presentation, applicability, editorial independence). 95% of appraisers found the instrument useful for assessing guidelines. Reliability was acceptable for most domains (Cronbach's alpha 0.64-0.88). Guidelines produced as part of an established guideline programme had significantly higher scores on editorial independence and, after the publication of a national policy, had significantly higher quality scores on rigour of development (pinternationally. The instrument is sensitive to differences in important aspects of guidelines and can be used consistently and easily by a wide range of professionals from different backgrounds. The adoption of common standards should improve the consistency and quality of the reporting of guideline development worldwide and provide a framework to encourage international comparison of clinical practice guidelines.

  20. Water and sediment quality assessment in the Colastiné-Corralito stream system (Santa Fe, Argentina): impact of industry and agriculture on aquatic ecosystems.

    Science.gov (United States)

    Regaldo, Luciana; Gutierrez, María F; Reno, Ulises; Fernández, Viviana; Gervasio, Susana; Repetti, María R; Gagneten, Ana M

    2018-03-01

    The present study focuses on the evaluation of metal (chromium, copper, and lead), arsenic, and pesticide (atrazine and endosulfan) contamination in freshwater streams of one of the most important agricultural and industrial areas of central-eastern Argentina, which has not been reported earlier. The environmental fate of inorganic microcontaminants and pesticides was assessed. Samples were collected monthly for a year. Pesticide concentrations were measured in water; metal and arsenic concentrations were measured in water and sediments, and physicochemical variables were analyzed. In most cases, metals and arsenic in water exceeded the established guideline levels for the protection of aquatic biota: 98 and 56.25% of the samples showed higher levels of Cr and Pb, while 81.25 and 85% of the samples presented higher values for Cu and As, respectively. Cr, Pb, Cu, and As exceeded 181.5 times, 41.6 times, 57.5 times, and 12.9 times, respectively, the guideline level values. In sediment samples, permitted levels were also surpassed by 40% for Pb, 15% for As, 4% for Cu, and 2% for Cr. Geoaccumulation Index (Igeo) demonstrated that most of the sediment samples were highly polluted by Cr and Cu and very seriously polluted by Pb, which indicates progressive deterioration of the sediment quality. Atrazine never exceeded them, but 27% of the 48 water samples contained total endosulfan that surpassed the guidelines. The findings of this study suggest risk to the freshwater biota over prolong periods and possible risk to humans if such type of contaminated water is employed for recreation or human use. Improper disposal of industrial effluents and agricultural runoffs need to be controlled, and proper treatment should be done before disposal to avoid further deterioration of the aquifers of this area.

  1. European Guidelines for Quality Assurance in Cervical Cancer Screening. Second edition--summary document.

    Science.gov (United States)

    Arbyn, M; Anttila, A; Jordan, J; Ronco, G; Schenck, U; Segnan, N; Wiener, H; Herbert, A; von Karsa, L

    2010-03-01

    European Guidelines for Quality Assurance in Cervical Cancer Screening have been initiated in the Europe Against Cancer Programme. The first edition established the principles of organised population-based screening and stimulated numerous pilot projects. The second multidisciplinary edition was published in 2008 and comprises approximately 250 pages divided into seven chapters prepared by 48 authors and contributors. Considerable attention has been devoted to organised, population-based programme policies which minimise adverse effects and maximise benefits of screening. It is hoped that this expanded guidelines edition will have a greater impact on countries in which screening programmes are still lacking and in which opportunistic screening has been preferred in the past. Other methodological aspects such as future prospects of human papillomavirus testing and vaccination in cervical cancer control have also been examined in the second edition; recommendations for integration of the latter technologies into European guidelines are currently under development in a related project supported by the European Union Health Programme. An overview of the fundamental points and principles that should support any quality-assured screening programme and key performance indicators are presented here in a summary document of the second guidelines edition in order to make these principles and standards known to a wider scientific community.

  2. Elevating the quality of disability and rehabilitation research: mandatory use of the reporting guidelines.

    Science.gov (United States)

    Chan, Leighton; Heinemann, Allen W; Roberts, Jason

    2014-01-01

    Note from the AJOT Editor-in-Chief: Since 2010, the American Journal of Occupational Therapy (AJOT) has adopted reporting standards based on the Consolidated Standards of Reporting Trials (CONSORT) Statement and American Psychological Association (APA) guidelines in an effort to publish transparent clinical research that can be easily evaluated for methodological and analytical rigor (APA Publications and Communications Board Working Group on Journal Article Reporting Standards, 2008; Moher, Schulz, & Altman, 2001). AJOT has now joined 28 other major rehabilitation and disability journals in a collaborative initiative to enhance clinical research reporting standards through adoption of the EQUATOR Network reporting guidelines, described below. Authors will now be required to use these guidelines in the preparation of manuscripts that will be submitted to AJOT. Reviewers will also use these guidelines to evaluate the quality and rigor of all AJOT submissions. By adopting these standards we hope to further enhance the quality and clinical applicability of articles to our readers. Copyright © 2014 by the American Occupational Therapy Association, Inc.

  3. Assessing the impact of preload on pyrite-rich sediment and groundwater quality.

    Science.gov (United States)

    Karikari-Yeboah, Ohene; Addai-Mensah, Jonas

    2017-02-01

    Pyrite-rich sediments would, invariably, undergo redox reactions which would lead to acidic aqueous environment containing solubilized toxic metal species. When such sediments are subjected to preload, a technique employed by geotechnical engineers to improve the load-bearing capacity of highly compressible formation, transient flow of pore water, accompanied by acidity transfer, would occur as a response. Despite the concomitant environmental and socio-economic significance, to date, there has been limited interdisciplinary research on the underpinning geotechnical engineering and geo-environmental science issues for pyrite-rich sediments under preload. In this study, we investigate the effect of pyrite-rich sediment pore water transfer under preload surcharge on the receiving environment and the impact on the groundwater speciation and quality. Sediment samples were obtained at close depth intervals from boreholes established within pristine areas and those subjected to the preload application. Soil and pore water samples were subjected to solid/solution speciation, moisture contents, soil pH and the Atterberg Limits' analyses using standard analytical techniques and methods. Standpipes were also installed in the boreholes for groundwater sampling and in situ monitoring of water quality parameters. It is shown that the imposition of preload surcharge over pyritic sediment created a reducing environment rich in SO 4 2- , iron oxide minerals and organic matter. This reducing environment fostered organic carbon catabolism to generate excess pyrite and bicarbonate alkalinity, which would invariably impact adversely on soil quality and plant growth. These were accompanied by increase in pH, dissolved Al, Ca, Mg and K species beneath the surcharge.

  4. [The German program for disease management guidelines: evaluation by use of quality indicators].

    Science.gov (United States)

    Kopp, Ina B; Geraedts, Max; Jäckel, Wilfried H; Altenhofen, Lutz; Thomeczek, Christian; Ollenschläger, Günter

    2007-08-15

    The Program for National Disease Management Guidelines (German DM-CPG Program) in Germany aims at the implementation of best-practice recommendations for prevention, acute care, rehabilitation and chronic care in the setting of disease management programs and integrated health-care systems. Like other guidelines, DM-CPG need to be assessed regarding their influence on structures, processes and outcomes of care. However, quality assessment in integrated health-care systems is challenging. On the one hand, a multitude of potential domains for measurement, actors and perspectives need to be considered. On the other hand, measures need to be identified that assess the function of the diagnostic and therapeutic chain in terms of cooperation and coordination of care. The article reviews methods and use of quality indicators in the context of the German DM-CPG Program.

  5. Guidelines for assessing the valorization of a waste into cementitious material: dredged sediment for production of self compacting concrete

    Directory of Open Access Journals (Sweden)

    Rozas, F.

    2015-09-01

    Full Text Available This article presents some guidelines in order to analyse the feasibility of including a waste material in the production of a structural cementitious material. First of all, the compatibility of the waste with a cementitious material has to be assured; then, if necessary, a decontamination step will be carried out; after, decision on the type of material has to be taken based on different aspects, with special emphasis on the granulometry. As a last step, mechanical, environmental and durability properties have to be evaluated. Then the procedure is illustrated with a full example, obtaining a self compacting concrete (SCC including dredged sediment taken from a Spanish harbour.Este artículo presenta algunas directrices con el fin de analizar la posibilidad de incluir un material de desecho en la producción de un material base cemento estructural. En primer lugar, debe asegurarse la compatibilidad de los residuos con el material base cemento. Tras ello, si es necesario, se llevará a cabo la etapa de descontaminación del residuo. Después debe tomarse la decisión sobre el tipo de material a utilizar en base a diferentes aspectos, haciendo especial énfasis en la granulometría. Como último paso, deben evaluarse las propiedades mecánicas, ambientales y de durabilidad del producto final. El procedimiento a seguir se ilustra con un ejemplo concreto basado en la obtención de un hormigón autocompactante (SCC incluyendo en su fabricación sedimentos dragados tomados de un puerto español.

  6. Evaluation of computed radiography (CR) and digital radiography (DR) image quality against the EUREF guidelines

    International Nuclear Information System (INIS)

    Honey, I.

    2007-01-01

    Full text: In the UK National Health Service Breast Screening Program (NHSBSP) the predominant imaging technique remains film/screen. However there is a gradual move towards digital imaging technologies. Before a system can be considered for use by the NHSBSP it must undergo technical and clinical evaluation. The technical evaluation must meet the requirements of EUREF1. In this work the image quality of several systems is compared against these guidelines.

  7. Water-quality assessment of the Albermarle-Pamlico drainage basin, North Carolina and Virginia; a summary of selected trace element, nutrient, and pesticide data for bed sediments, 1969-90

    Science.gov (United States)

    Skrobialowski, S.C.

    1996-01-01

    Spatial distributions of metals and trace elements, nutrients, and pesticides and polychiorinated biphenyls (PCB's) in bed sediment were characterized using data collected from 1969 through 1990 and stored in the U.S. Geological Survey's National Water Data Storage and Retrieval (WATSTORE) system and the U.S. Environmental Protection Agency's Storage and Retrieval (STORET) system databases. Bed-sediment data from WATSTORE and STORET were combined to form a single database of 1,049 records representing 301 sites. Data were examined for concentrations of 16 metals and trace elements, 4 nutrients, 10 pesticides, and PCB's. Maximum bed-sediment concentrations were evaluated relative to sediment-quality guidelines developed by the National Oceanic and Atmospheric Administration, the Ontario Ministry of Environment and Energy, and the Virginia Department of Environmental Quality. Sites were not selected randomly; therefore, results should not be interpreted as representing average conditions. Many sites were located in or around lakes and reservoirs, urban areas, and areas where special investigations were conducted. Lakes and reservoirs function as effective sediment traps, and elevated concentrations of some constituents occurred at these sites. High concentrations of many metals and trace elements also occurred near urban areas where streams receive runoff or inputs from industrial, residential, and municipal activities. Elevated nutrient concentrations occurred near lakes, reservoirs, and the mouths of major rivers. The highest concentrations of arsenic, beryllium, chromium, iron. mercury, nickel, and selenium occurred in the Roanoke River Basin and may be a result of geologic formations or accumulations of bed sediment in lakes and reservoirs. The highest concentrations of cadmium, lead, and thallium were detected in the Chowan River Basin; copper and zinc were reported highest in the Neuse River Basin. Total phosphorus and total ammonia plus organic nitrogen

  8. Standards of Practice: Quality Assurance Guidelines for Percutaneous Treatments of Intervertebral Discs

    International Nuclear Information System (INIS)

    Kelekis, Alexis D.; Filippiadis, Dimitris K.; Martin, Jean-Baptiste; Brountzos, Elias

    2010-01-01

    Percutaneous treatments are used in the therapy of small- to medium-sized hernias of intervertebral discs to reduce the intradiscal pressure in the nucleus and theoretically create space for the herniated fragment to implode inward, thus reducing pain and improving mobility and quality of life. These techniques involve the percutaneous removal of the nucleus pulposus by using a variety of chemical, thermal, or mechanical techniques and consist of removal of all or part of nucleus pulposus to induce more rapid healing of the abnormal lumbar disc. These guidelines are written to be used in quality improvement programs for assessing fluoroscopy- and/or computed tomography-guided percutaneous intervertebral disc ablative techniques.

  9. Avaliação da qualidade de sedimentos - estudo de caso: sub-bacia do Ribeirão Espírito Santo, afluente do Rio São Francisco Evaluation of sediment quality - case study: sub-watershed of Espírito Santo stream, affluent of the São Francisco river

    Directory of Open Access Journals (Sweden)

    Vanessa Kelly Saraiva

    2009-01-01

    Full Text Available This study evaluated the environmental impact resulting from surface water and sediment contamination by metals in a watershed affected by a tailing basin that controls effluents coming from a zinc-ore beneficiation plant. The studies combined assessments of sediment chemistry (exceedances of sediment quality guidelines, benthic assemblage structure and acute and chronic ecotoxicity. The results showed that the levels of metal contamination in sediments are not yet enough to cause deleterious effects to the biota. However, the ecotoxicity tests indicated the occurrence of chronic effects, demonstrating that other factors, as the use of fertilizers, could also be a source of contamination.

  10. Effects of sediment quality on macroinvertebrates in the Sunraysia region of the Murray-Darling Rivers, Australia

    Energy Technology Data Exchange (ETDEWEB)

    Sharley, David J. [Centre for Environmental Stress and Adaptation Research-Hoffmann Laboratory, Zoology Department, University of Melbourne, Level 2, Bio 21 Institute, 30 Flemington Road, Parkville, Victoria 3010 (Australia)], E-mail: sharleyd@unimelb.edu.au; Hoffmann, Ary A. [Centre for Environmental Stress and Adaptation Research-Hoffmann Laboratory, Zoology Department, University of Melbourne, Level 2, Bio 21 Institute, 30 Flemington Road, Parkville, Victoria 3010 (Australia); Pettigrove, Vincent [Research and Technology, Melbourne Water, PO Box 4342, Melbourne, Victoria 3001 (Australia)

    2008-12-15

    A field-based microcosm approach was tested to identify deterioration of sediment quality in waterways using freshwater macroinvertebrates. The method can potentially identify the nature of contaminants based on species-specific responses. Sediments were collected from the Murray and Darling Rivers and irrigation drains within the Sunraysia region of south-eastern Australia and compared to non-polluted reference sediment. Clean sediments were also spiked with fertiliser to test whether nutrients affected the aquatic fauna. Seven of the eight sediments from the Sunraysia region had a negative impact on the macroinvertebrates, in particular sediment from the Darling River, which supported an impoverished fauna. Three species of chironomid showed varied responses to sediment quality and, although it was hypothesised that nutrients may have impacted on the macroinvertebrate fauna, the results suggest that other pollutants are also involved. The field-based microcosm method proved effective for determining the impact of sediment quality on indigenous macroinvertebrates. - Sediment quality effects on freshwater macroinvertebrates are isolated.

  11. Effects of sediment quality on macroinvertebrates in the Sunraysia region of the Murray-Darling Rivers, Australia

    International Nuclear Information System (INIS)

    Sharley, David J.; Hoffmann, Ary A.; Pettigrove, Vincent

    2008-01-01

    A field-based microcosm approach was tested to identify deterioration of sediment quality in waterways using freshwater macroinvertebrates. The method can potentially identify the nature of contaminants based on species-specific responses. Sediments were collected from the Murray and Darling Rivers and irrigation drains within the Sunraysia region of south-eastern Australia and compared to non-polluted reference sediment. Clean sediments were also spiked with fertiliser to test whether nutrients affected the aquatic fauna. Seven of the eight sediments from the Sunraysia region had a negative impact on the macroinvertebrates, in particular sediment from the Darling River, which supported an impoverished fauna. Three species of chironomid showed varied responses to sediment quality and, although it was hypothesised that nutrients may have impacted on the macroinvertebrate fauna, the results suggest that other pollutants are also involved. The field-based microcosm method proved effective for determining the impact of sediment quality on indigenous macroinvertebrates. - Sediment quality effects on freshwater macroinvertebrates are isolated

  12. [European community guidelines and standards in indoor air quality: what proposals for Italy].

    Science.gov (United States)

    Settimo, Gaetano; D'Alessandro, Daniela

    2014-01-01

    Indoor air quality is an issue on which to focus because of the increasing number of exposed population and in view of the strong public feeling on this issue. This paper reports the rules of EU and several European countries about indoor air quality, focusing on the initiatives performed in Italy to respond to WHO recommendations. Several EU countries have introduced in their legislation rules relating to indoor air quality. At the moment, in Italy, a reference rule has not been issued. For this reason, up to date main informations concerning some guidelines or reference values in indoor air, to be used for a first comparison, are those obtained by the scientific literature, or by the guidelines issued by other European countries or, for analogy, by other standard values such as limit or reference values regarding outdoor air. Even the EU, while reaffirming the priority of energy efficiency measures, recommends healthier indoor environments and the development of a specific European strategy on the issue of indoor air quality. The National Study Group on indoor pollution of the Italian National Health Institute (ISS), is working for the development of shared technical and scientific documents, in order to provide greater uniformity of actions at national level, waiting for a legal framework for indoor air quality, in the light of the indication already produced by the WHO.

  13. Application of a new sediment contact test with Myriophyllum aquaticum and of the Aquatic Lemna test to assess the sediment quality of Lake Skadar

    Energy Technology Data Exchange (ETDEWEB)

    Stesevic, D.; Sundic, D.; Mijovic, S. [Montenegro Univ., Podgorica (ME). Faculty of Sciences; Feiler, U.; Heininger, P. [Federal Institute of Hydrology, Koblenz (Germany); Erdinger, L. [Heidelberg Univ. (Germany). Inst. of Hygiene; Seiler, T.B.; Hollert, H. [Heidelberg Univ. (Germany). Dept. of Zoology; RWTH Aachen (Germany). Inst. fuer Umweltforschung - Biologie V

    2007-10-15

    Goal, Scope and Background: Situated in the transboundary belt between Montenegro and Albania, the Lake Skadar is the largest freshwater reservoir in Southeastern Europe. Because of the wide range of endemic, rare or endangered plant and animal species it supports, Lake Skadar and its extensive adjacent wetlands are internationally recognised as a site of significance and importance (Ramsar site). Within the last 10 to 20 years, Lake Skadar was exposed to intensive pollution. For the assessment of the ecotoxic load of the sediments sampled in Lake Skadar, a triad approach was recently applied. Overall, a complex spectrum of ecotoxic loads was elucidated. The aim of the present study was to use plant-based bioassays for assessing the sediment quality of Lake Skadar in order to facilitate and complement the triad test battery. The newly developed sediment contact test with Myriophyllum aquaticum and the aquatic growth inhibition test with Lemna minor were applied to native sediments and pore water, respectively, allowing the investigation of different toxicity-effects caused by particle-bound pollutants as well as pollutants in the interstitial water. This investigation is the first application of the novel sediment contact test with Myriophyllum aquaticum to lake sediments. Materials and Methods: Sediment samples were taken from nine selected sites at Lake Skadar and investigated by the sediment contact assay with Myriophyllum aquaticum. The pore water was extracted from these sediment samples to be analysed in the aquatic growth inhibition test with Lemna minor. The results of the sediment contact tests were compared with each other and with those of the aquatic growth inhibition test. Results and Discussion: Both applied macrophyte biotests revealed distinct changes in the growth behaviour of the two macrophytes subsequent to the exposure to the investigated natural sediments of Lake Skadar. The Myriophyllum sediment contact test revealed significant toxicity in

  14. Nordic Comparative Analysis of Guidelines for Quality and Content in Early Childhood Education

    Directory of Open Access Journals (Sweden)

    Ann-Christine Vallberg Roth

    2014-09-01

    Full Text Available The article is based on a project intended to further develop understanding of similarities and differences in Nordic binding guidelines and non-binding guidance for content and quality in early childhood education. The study is of a descriptive and comparative nature and the process is based on a research tradition connected to curriculum studies. Both variation and standardisation emerge in the comparative analysis with regard to content construction. Quality is expressed and may be interpreted as operationalised as both structure and process. In relation to the study results, quality may be interpreted as primarily oriented towards institutions, activities and secondarily towards individuals. Quality is consistently related to learning (lifelong learning and is more linear and oriented towards goal-rationality than non-linear.

  15. Data quality objectives summary report for the 107-N Basin Recirculation Building liquid/sediment

    International Nuclear Information System (INIS)

    Pisarcik, D.J.

    1998-01-01

    The Data Quality Objectives (DQO) process used for this 107-N Basin Recirculation Building liquid/sediment DQO report followed BHI-EE-01, Environmental Investigations Procedures, EIIP 1.2, Data Quality Objectives, Revision 2. Tri-Party Agreement Milestone (M-16-OIE) states that the 100-N Area deactivation must be performed according to the work scope identified in the N Reactor Deactivation Program Plan (WHC 1993c). Consistent with the N Reactor Deactivation Program Plan, the scope of the 107-N liquid/sediment DQO process exclusively involves the determination of sampling requirements during the deactivation period. The sampling requirements are primarily directed at characterization for comparison to decontamination and decommissioning endpoint acceptance criteria in preparation for turnover of the facilities listed below to the D and D organization. The sample characterization will also be used for selection of the appropriate disposition option for liquid and sediment currently contained in the facility. The primary media within the scope of this DQO includes the following: Accumulated liquids and sediment contained in tanks, vessels, pump wells, sumps, associated piping, and valve pit floors; and Limited solid debris (anticipated to be discovered)

  16. Assessment of heavy metal contamination and sediment quality in the Cimadur river, Banten

    International Nuclear Information System (INIS)

    Rina Mulyaningsih; Siti Suprapti

    2015-01-01

    River sediment quality assessment can be done by the calculation of pollution index. The existence of gold mining activities in Cikotok suspected to have an impact on Cimadur river quality degradation. Calculations pollution index by heavy metal Hg, As, Cr, Co and Zn contained in river sediment Cimadur Cikotok Banten have been performed. Sediment sampling has conducted at 9 locations along the Cimadur River. Quantification of heavy metals in the samples was done by using the neutron activation analysis technique. The result of assessment based on enrichment factor showed that there has been an increase in concentration of heavy metals Hg, As, Cr, Co and Zn due to anthropogenic factors. Based on the value of index geo accumulation it was known that the sampling location has been polluted, predominantly by Hg and As. Heavy metals contained in the sediments provide ecological risk to the environment with following order: Cr < Zn < As < Hg. Based on the value of pollution load index (PLI), all locations were polluted by heavy metals Hg, As, Cr, Co and Zn. The sources of heavy metals could be from natural rocks or gold mining activities. Evaluation based on potential ecological risk index, showed that heavy metal pollution will give impact of ecological risk to the surrounding environment from low level to high, so it is necessary to do environmental monitoring and management appropriate for reducing the pollution in that location. (author)

  17. Guidelines for the introduction of a quality assurance programme in a diagnostic imaging department

    International Nuclear Information System (INIS)

    1992-01-01

    Radiographers, whether they practice in the National Health Service (NHS) or other health care systems, always strive to deliver a high quality service for their patients. The profession and its members work hard to maintain and improve standards of patient care and technical accuracy. Why then does the College of Radiographers feel it necessary to publish Quality Assurance Guidelines? The answer lies in the greater awareness that the best possible service provision requires every part of the whole service to be performing as well as it possibly can. To be sure these individual parts are achieving this goal requires that we set standards for them and monitor and reassess them regularly. The quality of an individual's or a system's performance cannot be defined in absolute terms, although this is how many people would see it. There are too many variables, some of which cannot be controlled. Instead, we must define quality as the ability to perform the required task to set standards, given the prevailing conditions and existing resources. In radiography we can assure quality by being sure that those factors over which we have control are optimised. The College of Radiographers Working Party on Quality Assurance was formed in response to members' concerns about the requirements of professionalism and legislation with regard to quality assurance. Members were confused by the approach to quality management issues, standard setting, monitoring, evaluation and the required record keeping. Work began on a comprehensive publication centred on the quality assurance of radiographic processes. However, the College felt there was danger in following a well trodden path, particularly as the passing months saw the release of a series of related publications from various sources pre-emptying the efforts of the Working Party. Ultimately, the original remit was considered to hold greater promise - a set of guidelines for the quality management of the whole of our service delivery

  18. Derivation of a water quality guideline for aluminium in marine waters.

    Science.gov (United States)

    Golding, Lisa A; Angel, Brad M; Batley, Graeme E; Apte, Simon C; Krassoi, Rick; Doyle, Chris J

    2015-01-01

    Metal risk assessment of industrialized harbors and coastal marine waters requires the application of robust water quality guidelines to determine the likelihood of biological impacts. Currently there is no such guideline available for aluminium in marine waters. A water quality guideline of 24 µg total Al/L has been developed for aluminium in marine waters based on chronic 10% inhibition or effect concentrations (IC10 or EC10) and no-observed-effect concentrations (NOECs) from 11 species (2 literature values and 9 species tested including temperate and tropical species) representing 6 taxonomic groups. The 3 most sensitive species tested were a diatom Ceratoneis closterium (formerly Nitzschia closterium; IC10 = 18 µg Al/L, 72-h growth rate inhibition) aluminium forms of aluminate (Al(OH4 (-) ) and aluminium hydroxide (Al(OH)3 (0) ) although both dissolved, and particulate aluminium contributed to toxicity in the diatom Minutocellus polymorphus and green alga Dunaliella tertiolecta. In contrast, aluminium toxicity to the green flagellate alga Tetraselmis sp. was the result of particulate aluminium only. Four species, a brown macroalga (Hormosira banksii), sea urchin embryo (Heliocidaris tuberculata), and 2 juvenile fish species (Lates calcarifer and Acanthochromis polyacanthus), were not adversely affected at the highest test concentration used. © 2014 SETAC.

  19. Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Anjni Patel

    Full Text Available Traumatic brain injury (TBI is a leading cause of death worldwide and is increasing exponentially particularly in low and middle income countries (LMIC. To inform the development of a standard Clinical Practice Guideline (CPG for the acute management of TBI that can be implemented specifically for limited resource settings, we conducted a systematic review to identify and assess the quality of all currently available CPGs on acute TBI using the AGREE II instrument. In accordance with PRISMA guidelines, from April 2013 to December 2015 we searched MEDLINE, EMBASE, Google Scholar and the Duke University Medical Center Library Guidelines for peer-reviewed published Clinical Practice Guidelines on the acute management of TBI (less than 24 hours, for any level of traumatic brain injury in both high and low income settings. A comprehensive reference and citation analysis was performed. CPGs found were assessed using the AGREE II instrument by five independent reviewers and scores were aggregated and reported in percentage of total possible score. An initial 2742 articles were evaluated with an additional 98 articles from the citation and reference analysis, yielding 273 full texts examined. A total of 24 final CPGs were included, of which 23 were from high income countries (HIC and 1 from LMIC. Based on the AGREE II instrument, the best score on overall assessment was 100.0 for the CPG from the National Institute for Health and Clinical Excellence (NIHCE, 2007, followed by the New Zealand Guidelines Group (NZ, 2006 and the National Clinical Guideline (SIGN, 2009 both with a score of 96.7. The CPG from a LMIC had lower scores than CPGs from higher income settings. Our study identified and evaluated 24 CPGs with the highest scores in clarity and presentation, scope and purpose, and rigor of development. Most of these CPGs were developed in HICs, with limited applicability or utility for resource limited settings. Stakeholder involvement, Applicability

  20. The methodological quality of guidelines for hospital-acquired pneumonia and ventilator-associated pneumonia: A systematic review.

    Science.gov (United States)

    Ambaras Khan, R; Aziz, Z

    2018-05-02

    Clinical practice guidelines serve as a framework for physicians to make decisions and to support best practice for optimizing patient care. However, if the guidelines do not address all the important components of optimal care sufficiently, the quality and validity of the guidelines can be reduced. The objectives of this study were to systematically review current guidelines for hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), evaluate their methodological quality and highlight the similarities and differences in their recommendations for empirical antibiotic and antibiotic de-escalation strategies. This review is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. Electronic databases including MEDLINE, CINAHL, PubMed and EMBASE were searched up to September 2017 for relevant guidelines. Other databases such as NICE, Scottish Intercollegiate Guidelines Network (SIGN) and the websites of professional societies were also searched for relevant guidelines. The quality and reporting of included guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE-II) instrument. Six guidelines were eligible for inclusion in our review. Among 6 domains of AGREE-II, "clarity of presentation" scored the highest (80.6%), whereas "applicability" scored the lowest (11.8%). All the guidelines supported the antibiotic de-escalation strategy, whereas the majority of the guidelines (5 of 6) recommended that empirical antibiotic therapy should be implemented in accordance with local microbiological data. All the guidelines suggested that for early-onset HAP/VAP, therapy should start with a narrow spectrum empirical antibiotic such as penicillin or cephalosporins, whereas for late-onset HAP/VAP, the guidelines recommended the use of a broader spectrum empirical antibiotic such as the penicillin extended spectrum carbapenems and glycopeptides. Expert guidelines

  1. Sediment delivery estimates in water quality models altered by resolution and source of topographic data.

    Science.gov (United States)

    Beeson, Peter C; Sadeghi, Ali M; Lang, Megan W; Tomer, Mark D; Daughtry, Craig S T

    2014-01-01

    Moderate-resolution (30-m) digital elevation models (DEMs) are normally used to estimate slope for the parameterization of non-point source, process-based water quality models. These models, such as the Soil and Water Assessment Tool (SWAT), use the Universal Soil Loss Equation (USLE) and Modified USLE to estimate sediment loss. The slope length and steepness factor, a critical parameter in USLE, significantly affects sediment loss estimates. Depending on slope range, a twofold difference in slope estimation potentially results in as little as 50% change or as much as 250% change in the LS factor and subsequent sediment estimation. Recently, the availability of much finer-resolution (∼3 m) DEMs derived from Light Detection and Ranging (LiDAR) data has increased. However, the use of these data may not always be appropriate because slope values derived from fine spatial resolution DEMs are usually significantly higher than slopes derived from coarser DEMs. This increased slope results in considerable variability in modeled sediment output. This paper addresses the implications of parameterizing models using slope values calculated from DEMs with different spatial resolutions (90, 30, 10, and 3 m) and sources. Overall, we observed over a 2.5-fold increase in slope when using a 3-m instead of a 90-m DEM, which increased modeled soil loss using the USLE calculation by 130%. Care should be taken when using LiDAR-derived DEMs to parameterize water quality models because doing so can result in significantly higher slopes, which considerably alter modeled sediment loss. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  2. GUIDELINES FOR EVALUATION OF PSYCHOLOGICAL AND PEDAGOGICAL QUALITY CHARACTERISTICS OF ELECTRONIC EDUCATIONAL RESOURCES

    Directory of Open Access Journals (Sweden)

    Galina P. Lavrentieva

    2014-05-01

    Full Text Available The article highlights the causes of insufficient effective use of electronic learning resources and sets out the guidelines on ways to solve the aforementioned problems. The set of didactic, methodical, psychological, pedagogical, design and ergonomic quality requirements is considered for evaluation, selection and application of information and communication technologies in the educational process. The most appropriate mechanisms for the ICT introduction into the learning process are disclosed as it should meet the specific learning needs of the student and the objectives of the educational process. The guidance for psycho-educational assessment of quality of electronic educational resources is provided. It is argued that the effectiveness of the ICT use is to be improved by means of quality evaluation mechanisms involved into the educational process.

  3. Sedimentation and Its Impacts/Effects on River System and Reservoir Water Quality: case Study of Mazowe Catchment, Zimbabwe

    Science.gov (United States)

    Tundu, Colleta; Tumbare, Michael James; Kileshye Onema, Jean-Marie

    2018-04-01

    Sediment delivery into water sources and bodies results in the reduction of water quantity and quality, increasing costs of water purification whilst reducing the available water for various other uses. The paper gives an analysis of sedimentation in one of Zimbabwe's seven rivers, the Mazowe Catchment, and its impact on water quality. The Revised Universal Soil Loss Equation (RUSLE) model was used to compute soil lost from the catchment as a result of soil erosion. The model was used in conjunction with GIS remotely sensed data and limited ground observations. The estimated annual soil loss in the catchment indicates soil loss ranging from 0 to 65 t ha yr-1. Bathymetric survey at Chimhanda Dam showed that the capacity of the dam had reduced by 39 % as a result of sedimentation and the annual sediment deposition into Chimhanda Dam was estimated to be 330 t with a specific yield of 226 t km-2 yr-1. Relationship between selected water quality parameters, TSS, DO, NO3, pH, TDS, turbidity and sediment yield for selected water sampling points and Chimhanda Dam was analyzed. It was established that there is a strong positive relationship between the sediment yield and the water quality parameters. Sediment yield showed high positive correlation with turbidity (0.63) and TDS (0.64). Water quality data from Chimhanda treatment plant water works revealed that the quality of water is deteriorating as a result of increase in sediment accumulation in the dam. The study concluded that sedimentation can affect the water quality of water sources.

  4. The application of national and international guidelines in the assessment of the radiological quality of drinking water

    International Nuclear Information System (INIS)

    Cooper, M.B.

    1998-01-01

    Full text: The World Health Organisation has developed international guidelines for drinking water quality which define acceptable levels of contaminants including radionuclides. These guidelines were the basis for the recent Australian water quality guidelines developed by the National Health and Medical Research Council in conjunction with the Agriculture and Resource Management Council of Australia and New Zealand. This paper highlights some of the practical problems in applying the guidelines in the assessment of groundwater supplies in Australia where the radium content of the water may be significant and the presence of other dissolved minerals can create difficulties in the analytical procedures. Generally, screening methods are based on the determination of gross alpha and beta radioactivity and the limitations of these techniques are discussed. The issue is also addressed as to the appropriate actions in the event of guideline values for specific radionuclides being exceeded

  5. Chemical quality of water and bottom sediment, Stillwater National Wildlife Refuge, Lahontan Valley, Nevada

    Science.gov (United States)

    Thodal, Carl E.

    2017-12-28

    The U.S. Geological Survey, in cooperation with the U.S. Fish and Wildlife Service collected data on water and bottom-sediment chemistry to be used to evaluate a new water rights acquisition program designed to enhance wetland habitat in Stillwater National Wildlife Refuge and in Lahontan Valley, Churchill County, Nevada. The area supports habitat critical to the feeding and resting of migratory birds travelling the Pacific Flyway. Information about how water rights acquisitions may affect the quality of water delivered to the wetlands is needed by stakeholders and Stillwater National Wildlife Refuge managers in order to evaluate the effectiveness of this approach to wetlands management. A network of six sites on waterways that deliver the majority of water to Refuge wetlands was established to monitor the quality of streamflow and bottom sediment. Each site was visited every 4 to 6 weeks and selected water-quality field parameters were measured when flowing water was present. Water samples were collected at varying frequencies and analyzed for major ions, silica, and organic carbon, and for selected species of nitrogen and phosphorus, trace elements, pharmaceuticals, and other trace organic compounds. Bottom-sediment samples were collected for analysis of selected trace elements.Dissolved-solids concentrations exceeded the recommended criterion for protection of aquatic life (500 milligrams per liter) in 33 of 62 filtered water samples. The maximum arsenic criterion (340 micrograms per liter) was exceeded twice and the continuous criterion was exceeded seven times. Criteria protecting aquatic life from continuous exposure to aluminum, cadmium, lead, and mercury (87, 0.72, 2.5, and 0.77 micrograms per liter, respectively) were exceeded only once in filtered samples (27, 40, 32, and 36 samples, respectively). Mercury was the only trace element analyzed in bottom-sediment samples to exceed the published probable effect concentration (1,060 micrograms per kilogram).

  6. Sediment quality in depositional areas of Shelikof Strait and outermost Cook Inlet, July 1997 - July 1998 (NODC Accession 0000702)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Minerals Management Service (MMS) program "Sediment Quality in Depositional Areas of Shelikof Strait and Outermost Cook Inlet," consisted of a two-year study...

  7. Summary of best guidelines and validation of CFD modeling in livestock buildings to ensure prediction quality

    DEFF Research Database (Denmark)

    Rong, Li; Nielsen, Peter Vilhelm; Bjerg, Bjarne Schmidt

    2016-01-01

    scale pig barns was simulated to show the procedures of validating a CFD simulation in livestock buildings. After summarizing the guideline and/or best practice for CFD modeling, the authors addressed the issues related to numerical methods and the governing equations, which were limited to RANS models....... Although it is not necessary to maintain the same format of reporting the CFD modeling as presented in this paper, the authors would suggest including all the information related to the selection of turbulence models, difference schemes, convergence criteria, boundary conditions, geometry simplification......, simulating domain etc. This information is particularly important for the readers to evaluate the quality of the CFD simulation results....

  8. The UX Book Process and Guidelines for Ensuring a Quality User Experience

    CERN Document Server

    Hartson, Rex

    2012-01-01

    This is a comprehensive textbook on designing interaction to ensure a quality user experience. Combining breadth, depth, and practical applications, this book takes a time-tested process-and-guidelines approach that provides readers with actionable methods and techniques while retaining a firm grounding in HCI concepts and theory. The authors will guide you through the UX lifecycle process, including contextual inquiry and analysis, requirements extraction, design ideation and creation, practical design production, prototyping, and UX evaluation. Development activities are linked via handof

  9. A quality project to improve compliance with AAP guidelines for inpatient management of neonatal hyperbilirubinemia.

    Science.gov (United States)

    Tartaglia, Kimberly M; Campbell, Jessica; Shaniuk, Paul; McClead, Richard E

    2013-07-01

    The goal of this study was to improve compliance with published guidelines regarding management of neonatal hyperbilirubinemia in infants admitted to a general pediatric hospital ward and to improve support for their breastfeeding mothers. This quality improvement project was conducted by using Plan-Do-Study-Act cycles and statistical process control methods. Study subjects were infants > 35 weeks' gestation admitted for hyperbilirubinemia to the general inpatient ward of a large, freestanding pediatric hospital. We developed and implemented a guideline for the inpatient management of jaundiced neonates, with ongoing feedback given to the faculty on group performance. Outcome measures included monthly compliance scores based on American Academy of Pediatrics (AAP) guidelines for management of neonates > 35 weeks' gestation and the percentage of admitted jaundiced, breastfeeding infants whose mothers received lactation consultation during hospitalization. To determine the AAP compliance score, we reviewed and assigned points to each patient admission for completion of a standard evaluation, avoidance of unnecessary intravenous (IV) fluids and peripheral IV line placement, avoidance of rebound bilirubin checks while in the hospital, and the bilirubin level at discharge. Mean monthly AAP compliance scores increased from 60.5% of total possible points during the baseline period (January 2010-December 2010) to 90.4% during the intervention period (January 2011-December 2011). Lactation consultations increased from 48% during our baseline period to 63% during our early intervention period and to 90% during the last 5 months of our intervention. Length of stay was unchanged during the baseline and intervention periods. Interprofessional collaboration between nurses and physicians combined with a thoughtful campaign to increase awareness of published guidelines were successful in improving the care of infants admitted with unconjugated hyperbilirubinemia.

  10. Guidelines for the detection of Trichinella larvae at the slaughterhouse in a quality assurance system.

    Science.gov (United States)

    Rossi, Patrizia; Pozio, Edoardo

    2008-01-01

    The European Community Regulation (EC) No. 2075/2005 lays down specific rules on official controls for the detection of Trichinella in fresh meat for human consumption, recommending the pooled-sample digestion method as the reference method. The aim of this document is to provide specific guidance to implement an appropriate Trichinella digestion method by a laboratory accredited according to the ISO/IEC 17025:2005 international standard, and performing microbiological testing following the EA-04/10:2002 international guideline. Technical requirements for the correct implementation of the method, such as the personnel competence, specific equipments and reagents, validation of the method, reference materials, sampling, quality assurance of results and quality control of performance are provided, pointing out the critical control points for the correct implementation of the digestion method.

  11. Environmental quality model in centralised radiopharmacy units: Guidelines from French Society of Radiopharmacy

    International Nuclear Information System (INIS)

    Bruel, D.; Duez, C.; Ebel-Lao, S.; Garrigue, H.; Le Meur, C.

    2011-01-01

    The preparation of radiopharmaceutical drugs refers to the assessment of both pharmaceutical drugs and radionuclides preparations regulations. It should avoid microbiological contamination while ensuring staff as well as environmental protection from radioactive exposure. Therefore, in order to warranty sterility of injected doses, the environmental quality, specifically units indoor air quality and surfaces quality must be guaranteed. The aim of this work is to propose guidelines pertaining to environmental quality monitoring in the special field of radiopharmacy. These propositions are based on available guidances, including regulations, treating about methodology to apply for evaluation and control of hospital's environment. Throughout this report, the French College of Radiopharmacy proposals both improve the methodology for control and data analysis (targeted grade of environment, threshold for notification and corrective actions) and ensure follow-up and management of nonconformities. These recommendations represent a model for harmonization of radio-pharmacists practices with regards to frequency of environmental quality controls for facilities and equipments in their centralised radiopharmacy units. (authors)

  12. Radiotherapy procedures quality control program: Guidelines established by the Spanish Society of Radiotherapy and Oncology

    International Nuclear Information System (INIS)

    Palacios, A.; Pardo, J.; Valls, A.; Petschen, I.; Castell, A.; Villar, A.; Pedro Olive, B.A.; Munoz, V.; Fernandez, J.; Rodriguez, R.; Oton, C.

    2001-01-01

    The main purpose of the Royal Decree 1566/1998 of July 17 th , is to establish the quality criteria in radiation therapy in order to assure the optimisation of both radiation oncology treatments and radiation protection of the patients. According to this decree, the implementation of a quality control program in the radiation oncology departments is imperative. This program must be in writing and always available for supervision of health authorities. When necessary, modifications to improve non-optimal procedures or equipment will be made. The Spanish Society of Radiotherapy and Oncology, in order to co-operate and facilitate to all its members, set up a task force focussing on elaborating a set of guidelines that every single Radiation Oncology Department could use to develop its own quality control program. No agreements regarding equipment quality control were made by the Commission, in spite they are a part of the quality control program in radiotherapy, because it is considered that they correspond to members of other scientific societies. (author)

  13. Characteristics of Spanish articles of "scientific quality" cited in clinical practice guidelines on mental health.

    Science.gov (United States)

    Permanyer-Miralda, Gaietà; Adam, Paula; Guillamón, Imma; Solans-Domènech, Maite; Pons, Joan M V

    2013-01-01

    The study aims to illustrate the impact of Spanish research in clinical decision making. To this end, we analysed the characteristics of the most significant Spanish publications cited in clinical practice guidelines (CPG) on mental health. We conducted a descriptive qualitative study on the characteristics of ten articles cited in Spanish CPG on mental health, and selected for their "scientific quality". We analysed the content of the articles on the basis of the following characteristics: topics, study design, research centres, scientific and practical relevance, type of funding, and area or influence of the reference to the content of the guidelines. Among the noteworthy studies, some basic science studies, which have examined the establishment of genetic associations in the pathogenesis of mental illness are included, and others on the effectiveness of educational interventions. The content of those latter had more influence on the GPC, because they were cited in the summary of the scientific evidence or in the recommendations. Some of the outstanding features in the selected articles are the sophisticated designs (experimental or analytical), and the number of study centres, especially in international collaborations. Debate or refutation of previous findings on controversial issues may have also contributed to the extensive citation of work. The inclusion of studies in the CPG is not a sufficient condition of "quality", but their description can be instructive for the design of future research or publications. Copyright © 2012 SEP y SEPB. Published by Elsevier Espana. All rights reserved.

  14. The impact of sediment bioturbation by secondary organisms on metal bioavailability, bioaccumulation and toxicity to target organisms in benthic bioassays: Implications for sediment quality assessment

    International Nuclear Information System (INIS)

    Remaili, Timothy M.; Simpson, Stuart L.; Amato, Elvio D.; Spadaro, David A.; Jarolimek, Chad V.; Jolley, Dianne F.

    2016-01-01

    Bioturbation alters the properties of sediments and modifies contaminant bioavailability to benthic organisms. These naturally occurring disturbances are seldom considered during the assessment of sediment quality. We investigated how the presence (High bioturbation) and absence (Low bioturbation) of a strongly bioturbating amphipod within three different sediments influenced metal bioavailability, survival and bioaccumulation of metals to the bivalve Tellina deltoidalis. The concentrations of dissolved copper decreased and manganese increased with increased bioturbation. For copper a strong correlation was observed between increased bivalve survival (53–100%) and dissolved concentrations in the overlying water. Increased bioturbation intensity resulted in greater tissue concentrations for chromium and zinc in some test sediments. Overall, the results highlight the strong influence that the natural bioturbation activities from one organism may have on the risk contaminants pose to other organisms within the local environment. The characterisation of field-based exposure conditions concerning the biotic or abiotic resuspension of sediments and the rate of attenuation of released contaminants through dilution or readsorption may enable laboratory-based bioassay designs to be adapted to better match those of the assessed environment. - Highlights: • Bioturbation intensity modifies metal exposure and outcomes of sediment bioassays. • Sediment fluxes of Cu decrease and Mn and Zn increase with increased bioturbation. • Strong correlations between bioaccumulated and dissolved Cd, Cr, Pb, Zn, Cu and Ni. • Weak correlations between bioaccumulated and particulate metals. - This study investigated the impact of sediment bioturbation intensity on metal bioavailability and toxicity to aquatic organisms, and the implications of this to toxicity test design.

  15. ASVCP quality assurance guidelines: control of preanalytical, analytical, and postanalytical factors for urinalysis, cytology, and clinical chemistry in veterinary laboratories.

    Science.gov (United States)

    Gunn-Christie, Rebekah G; Flatland, Bente; Friedrichs, Kristen R; Szladovits, Balazs; Harr, Kendal E; Ruotsalo, Kristiina; Knoll, Joyce S; Wamsley, Heather L; Freeman, Kathy P

    2012-03-01

    In December 2009, the American Society for Veterinary Clinical Pathology (ASVCP) Quality Assurance and Laboratory Standards committee published the updated and peer-reviewed ASVCP Quality Assurance Guidelines on the Society's website. These guidelines are intended for use by veterinary diagnostic laboratories and veterinary research laboratories that are not covered by the US Food and Drug Administration Good Laboratory Practice standards (Code of Federal Regulations Title 21, Chapter 58). The guidelines have been divided into 3 reports: (1) general analytical factors for veterinary laboratory performance and comparisons; (2) hematology, hemostasis, and crossmatching; and (3) clinical chemistry, cytology, and urinalysis. This particular report is one of 3 reports and documents recommendations for control of preanalytical, analytical, and postanalytical factors related to urinalysis, cytology, and clinical chemistry in veterinary laboratories and is adapted from sections 1.1 and 2.2 (clinical chemistry), 1.3 and 2.5 (urinalysis), 1.4 and 2.6 (cytology), and 3 (postanalytical factors important in veterinary clinical pathology) of these guidelines. These guidelines are not intended to be all-inclusive; rather, they provide minimal guidelines for quality assurance and quality control for veterinary laboratory testing and a basis for laboratories to assess their current practices, determine areas for improvement, and guide continuing professional development and education efforts. © 2012 American Society for Veterinary Clinical Pathology.

  16. Preliminary sediments quality assessment of the Midia Port aquatorium - Black Sea - Romania

    Science.gov (United States)

    Catianis, I.; Ungureanu, C.; Stanica, A.

    2012-04-01

    This study shows the present environmental quality of superficial sediments within the aquatorium of an industrial harbor. These results help better understand the correlation between historical pollution and present environmental state of the harbor sediments and related environmental hazards in case of dredging. The study area is the Port of Midia, situated in Romania, western Black Sea coast. The port is located at the boundary between the Danube Delta coast (widest nature protected biosphere reserve in the EU) in the north - and the almost entirely human controlled coast - starting south of the port. Midia Harbor was first built in 1942, expanded during the late 1970`s, and currently operates as an oil and general merchandise terminal. This port receives a double impact of waters: brackish Black Sea waters, as well as Danube fresh waters arriving into the aquatorium through the inshore Danube - Black Sea Canal Lock. To understand the environmental status of the port aquatorium one sampling campaign was performed during August 2011. Samples were collected within the aquatorium and in in the surrounding area outside the harbor. For a better correlation with the particularities related to the transitions in water salinity, the aquatorium was divided into five sectors with specific characteristics: Cargo Terminal Area, Oil Terminal Enclosure Area, Ships Transit Area, Waste Oil Buffer Area and Marine Area. The following analyses were performed on water and sediment samples: physical and chemical characteristics of the waters (dissolved oxygen, temperature, electrical conductivity, total dissolved salts, pH, redox potential, nitrates, nitrites, phosphates, sulphates, heavy metals), bulk sediments (particle size, grain size distribution, mineralogy, organic matter and carbonates content, heavy minerals load, organic compounds) and microbiological and ecotoxicological assays. The grain size analysis reveals the prevalence of very fine-silt and silty-clay fractions, and

  17. Students as Stakeholders in the Policy Context of the European Standards and Guidelines for Quality Assurance in Higher Education Institutions

    NARCIS (Netherlands)

    Logermann, Frauke; Leisyte, Liudvika; Curaj, Adrian; Matei, Liviu; Pricopie, Remus; Salmi, Jamil; Scott, Peter

    2015-01-01

    The European Standard and Guidelines for Quality Assurance (ESG) of 2005 can be defined as one of the major Bologna documents aimed at furthering the role of students as stakeholders in internal quality assurance processes at higher education institutions (HEIs). Still little is known about

  18. A review of quality assessment of the methodology used in guidelines and systematic reviews on oral mucositis.

    NARCIS (Netherlands)

    Potting, C.; Mistiaen, P.; Poot, E.; Blijlevens, N.; Donnelly, P.; Achterberg, T. van

    2009-01-01

    Aims and objectives: The objective of this study was to identify and to assess the quality of evidence-based guidelines and systematic reviews we used in the case of oral mucositis, to apply general quality criteria for the prevention and treatment of oral mucositis in patients receiving

  19. Biomarker responsiveness in different tissues of caged Ruditapes philippinarum and its use within an integrated sediment quality assessment

    Energy Technology Data Exchange (ETDEWEB)

    Ramos-Gomez, Julia, E-mail: julia.ramosgomez@uca.es [UNITWIN/UNESCO/WiCoP, Departamento de Quimica Fisica, Universidad de Cadiz, Facultad de Ciencias del Mar y Ambientales, Campus Universitario de Puerto Real, 11510 Puerto Real, Cadiz (Spain); Coz, Alberto; Viguri, Javier R. [Dpto. Ingenieria Quimica y Quimica Inorganica, ETSIIT, Universidad de Cantabria, Avda. los Castros, s/n 39005 Santander (Spain); Luque, Angel [Departamento de Biologia, Universidad de Las Palmas de Gran Canaria, 35017 Las Palmas de Gran Canaria, Gran Canaria, The Canary Islands (Spain); Martin-Diaz, M. Laura [UNITWIN/UNESCO/WiCoP, Departamento de Quimica Fisica, Universidad de Cadiz, Facultad de Ciencias del Mar y Ambientales, Campus Universitario de Puerto Real, 11510 Puerto Real, Cadiz (Spain); Centro Andaluz de Ciencia y Tecnologia Marinas (CACYTMAR), Universidad de Cadiz, Campus Universitario de Puerto Real, 11510 Puerto Real, Cadiz (Spain); DelValls, T. Angel [UNITWIN/UNESCO/WiCoP, Departamento de Quimica Fisica, Universidad de Cadiz, Facultad de Ciencias del Mar y Ambientales, Campus Universitario de Puerto Real, 11510 Puerto Real, Cadiz (Spain)

    2011-07-15

    Biomarkers comprising activities of biotransformation enzymes (ethoxyresorufin-O-deethylase -EROD-, dibenzylfluorescein dealkylase -DBF-, glutathione S-transferase -GST), antioxidant enzymes (glutathione reductase -GR- and glutathione peroxidase -GPX), lipid peroxidation -LPO- and DNA strand breaks were analyzed in the clam Ruditapes philippinarum caged at Cadiz Bay, Santander Bay and Las Palmas de Gran Canaria (LPGC) Port (Spain). Sediments were characterized. Digestive gland was the most sensitive tissue to sediment contamination. In Cadiz Bay, changes in LPO regarding day 0 were related with metals. In LPGC Port, DBF, EROD, and GST activity responses suggested the presence of undetermined contaminants which might have led to DNA damage. In Santander Bay, PAHs were related with EROD activity, organic and metal contamination was found to be associated with GR and GST activities and DNA damage presented significant (p < 0.05) induction. R. philippinarum was sensitive to sediment contamination at biochemical level. Biomarkers allowed chemical exposure and sediment quality assessment. - Highlights: > Ruditapes philippinarum is sensitive to sediment contamination at biochemical level. > Digestive gland biomarkers showed the best correlations with sediment contaminants. > Presence of potentially toxic chemicals not analyzed in this research was unmasked. > Multivariate analysis allowed the identification of toxic xenobiotic and possible sources. > Inner area of Santander Bay presented the highest sediment toxicity. - Integration of Ruditapes philippinarum biomarker results and sediment chemistry distinguished xenobiotic exposure and sediment toxicity in coastal areas of Spain.

  20. Biomarker responsiveness in different tissues of caged Ruditapes philippinarum and its use within an integrated sediment quality assessment

    International Nuclear Information System (INIS)

    Ramos-Gomez, Julia; Coz, Alberto; Viguri, Javier R.; Luque, Angel; Martin-Diaz, M. Laura; DelValls, T. Angel

    2011-01-01

    Biomarkers comprising activities of biotransformation enzymes (ethoxyresorufin-O-deethylase -EROD-, dibenzylfluorescein dealkylase -DBF-, glutathione S-transferase -GST), antioxidant enzymes (glutathione reductase -GR- and glutathione peroxidase -GPX), lipid peroxidation -LPO- and DNA strand breaks were analyzed in the clam Ruditapes philippinarum caged at Cadiz Bay, Santander Bay and Las Palmas de Gran Canaria (LPGC) Port (Spain). Sediments were characterized. Digestive gland was the most sensitive tissue to sediment contamination. In Cadiz Bay, changes in LPO regarding day 0 were related with metals. In LPGC Port, DBF, EROD, and GST activity responses suggested the presence of undetermined contaminants which might have led to DNA damage. In Santander Bay, PAHs were related with EROD activity, organic and metal contamination was found to be associated with GR and GST activities and DNA damage presented significant (p < 0.05) induction. R. philippinarum was sensitive to sediment contamination at biochemical level. Biomarkers allowed chemical exposure and sediment quality assessment. - Highlights: → Ruditapes philippinarum is sensitive to sediment contamination at biochemical level. → Digestive gland biomarkers showed the best correlations with sediment contaminants. → Presence of potentially toxic chemicals not analyzed in this research was unmasked. → Multivariate analysis allowed the identification of toxic xenobiotic and possible sources. → Inner area of Santander Bay presented the highest sediment toxicity. - Integration of Ruditapes philippinarum biomarker results and sediment chemistry distinguished xenobiotic exposure and sediment toxicity in coastal areas of Spain.

  1. [Quality and compliance with Clinical Practice Guidelines of Chronic Noncommunicable Diseases in primary care].

    Science.gov (United States)

    Poblano-Verástegui, Ofelia; Vieyra-Romero, Waldo I; Galván-García, Ángel F; Fernández-Elorriaga, María; Rodríguez-Martínez, Antonia I; Saturno-Hernández, Pedro J

    2017-01-01

    To assess the quality and compliance of clinical practice guidelines (CPG) applicable to chronic non-communicable diseases (CNCD) in primary healthcare (CS), and views of staff on the barriers, facilitators and their use. 18 valued CPG with AGREEII, 3 are selected to develop indicators and assess compliance using lot quality acceptance sample (LQAS, standard 75 / 95% threshold 40 / 75% respectively, α:0. 05, β:0. 10) on 5 CS. 70 professionals surveyed about knowledge and use of CPG. Average quality of the CPG was 57.2%; low rating in domains: "Applicability" (<25%), "Stakeholder involvement" (43.5%) and "Rigour of development" (55.0%). Compliance in CS ranges from 39 to 53.4%. Professionals show uneven knowledge of CPG; 44 to 45% (according to CPG), they declare that they are not used, they identify as main barriers the lack of training, and their difficult accessibility and management. The quality and implementation of evaluated CPG is deficient constituting an opportunity of improvement in health services.

  2. European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition--Annotations of colorectal lesions.

    Science.gov (United States)

    Vieth, M; Quirke, P; Lambert, R; von Karsa, L; Risio, M

    2012-09-01

    Multidisciplinary, evidence-based guidelines for quality assurance in colorectal cancer screening and diagnosis have been developed by experts in a project coordinated by the International Agency for Research on Cancer. The full guideline document covers the entire process of population-based screening. It consists of 10 chapters and over 250 recommendations, graded according to the strength of the recommendation and the supporting evidence. The 450-page guidelines and the extensive evidence base have been published by the European Commission. The chapter on quality assurance in pathology was supplemented by an annex describing in greater detail some issues raised in the chapter, particularly details of special interest to pathologists. The content of the annex is presented here to promote international discussion and collaboration by making the issues discussed in the guidelines known to a wider professional and scientific community. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Guidelines on acute gastroenteritis in children: a critical appraisal of their quality and applicability in primary care

    Directory of Open Access Journals (Sweden)

    van den Berg José

    2011-12-01

    Full Text Available Abstract Background Reasons for poor guideline adherence in acute gastroenteritis (AGE in children in high-income countries are unclear, but may be due to inconsistency between guideline recommendations, lack of evidence, and lack of generalizability of the recommendations to general practice. The aim of this study was to assess the quality of international guidelines on AGE in children and investigate the generalizability of the recommendations to general practice. Methods Guidelines were retrieved from websites of professional medical organisations and websites of institutes involved in guideline development. In addition, a systematic search of the literature was performed. Articles were selected if they were a guideline, consensus statement or care protocol. Results Eight guidelines met the inclusion criteria, the quality of the guidelines varied. 242 recommendations on diagnosis and management were found, of which 138 (57% were based on evidence. There is a large variety in the classification of symptoms to different categories of dehydration. No signs are generalizable to general practice. It is consistently recommended to use hypo-osmolar ORS, however, the recommendations on ORS-dosage are not evidence based and are inconsistent. One of 14 evidence based recommendations on therapy of AGE is based on outpatient research and is therefore generalizable to general practice. Conclusions The present study shows considerable variation in the quality of guidelines on AGE in children, as well as inconsistencies between the recommendations. It remains unclear how to asses the extent of dehydration and determine the preferred treatment or referral of a young child with AGE presenting in general practice.

  4. Towards science-based sediment quality standards—Effects of field-collected sediments in rainbow trout (Oncorhynchus mykiss)

    Energy Technology Data Exchange (ETDEWEB)

    Brinkmann, Markus, E-mail: markus.brinkmann@bio5.rwth-aachen.de [Department of Ecosystem Analysis, Institute for Environmental Research, RWTH Aachen University, Worringerweg 1, 52074 Aachen (Germany); Eichbaum, Kathrin; Reininghaus, Mathias; Koglin, Sven [Department of Ecosystem Analysis, Institute for Environmental Research, RWTH Aachen University, Worringerweg 1, 52074 Aachen (Germany); Kammann, Ulrike [Thünen-Institute of Fisheries Ecology, Palmaille 9, 22767 Hamburg (Germany); Baumann, Lisa; Segner, Helmut [Centre for Fish and Wildlife Health, Vetsuisse Faculty, University of Bern, Länggassstr. 122, 3012 Bern (Switzerland); Zennegg, Markus [Swiss Federal Institute for Materials Science and Technology (Empa), Laboratory for Advanced Analytical Technologies, Überlandstrasse 129, 8600 Dübendorf (Switzerland); Buchinger, Sebastian; Reifferscheid, Georg [Department G3: Biochemistry, Ecotoxicology, Federal Institute of Hydrology (BFG), Am Mainzer Tor 1, 56068 Koblenz (Germany); Hollert, Henner, E-mail: henner.hollert@bio5.rwth-aachen.de [Department of Ecosystem Analysis, Institute for Environmental Research, RWTH Aachen University, Worringerweg 1, 52074 Aachen (Germany); College of Resources and Environmental Science, Chongqing University, 1 Tiansheng Road Beibei, Chongqing 400715 (China); College of Environmental Science and Engineering and State Key Laboratory of Pollution Control and Resource Reuse, Tongji University, 1239 Siping Road, Shanghai (China); State Key Laboratory of Pollution Control and Resource Reuse, School of the Environment, Nanjing University (China)

    2015-09-15

    Highlights: • Particle-bound DLCs were readily bioavailable during re-suspension of sediments. • DLC uptake and effects in fish were proportional to the concentration in sediments. • Responses of biomarkers reflected the contamination levels of different sediments. • Cyp1a mRNA expression and EROD activity in livers of fish responded immediately. • Histopathological lesions were strong indicators of potential long-term effects. - Abstract: Sediments can act as long-term sinks for environmental pollutants. Within the past decades, dioxin-like compounds (DLCs) such as polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), polychlorinated biphenyls (PCBs), and polycyclic aromatic hydrocarbons (PAHs) have attracted significant attention in the scientific community. To investigate the time- and concentration-dependent uptake of DLCs and PAHs in rainbow trout (Oncorhynchus mykiss) and their associated toxicological effects, we conducted exposure experiments using suspensions of three field-collected sediments from the rivers Rhine and Elbe, which were chosen to represent different contamination levels. Five serial dilutions of contaminated sediments were tested; these originated from the Prossen and Zollelbe sampling sites (both in the river Elbe, Germany) and from Ehrenbreitstein (Rhine, Germany), with lower levels of contamination. Fish were exposed to suspensions of these dilutions under semi-static conditions for 90 days. Analysis of muscle tissue by high resolution gas chromatography and mass spectrometry and of bile liquid by high-performance liquid chromatography showed that particle-bound PCDD/Fs, PCBs and PAHs were readily bioavailable from re-suspended sediments. Uptake of these contaminants and the associated toxicological effects in fish were largely proportional to their sediment concentrations. The changes in the investigated biomarkers closely reflected the different sediment contamination levels: cytochrome P450 1A m

  5. Towards science-based sediment quality standards—Effects of field-collected sediments in rainbow trout (Oncorhynchus mykiss)

    International Nuclear Information System (INIS)

    Brinkmann, Markus; Eichbaum, Kathrin; Reininghaus, Mathias; Koglin, Sven; Kammann, Ulrike; Baumann, Lisa; Segner, Helmut; Zennegg, Markus; Buchinger, Sebastian; Reifferscheid, Georg; Hollert, Henner

    2015-01-01

    Highlights: • Particle-bound DLCs were readily bioavailable during re-suspension of sediments. • DLC uptake and effects in fish were proportional to the concentration in sediments. • Responses of biomarkers reflected the contamination levels of different sediments. • Cyp1a mRNA expression and EROD activity in livers of fish responded immediately. • Histopathological lesions were strong indicators of potential long-term effects. - Abstract: Sediments can act as long-term sinks for environmental pollutants. Within the past decades, dioxin-like compounds (DLCs) such as polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), polychlorinated biphenyls (PCBs), and polycyclic aromatic hydrocarbons (PAHs) have attracted significant attention in the scientific community. To investigate the time- and concentration-dependent uptake of DLCs and PAHs in rainbow trout (Oncorhynchus mykiss) and their associated toxicological effects, we conducted exposure experiments using suspensions of three field-collected sediments from the rivers Rhine and Elbe, which were chosen to represent different contamination levels. Five serial dilutions of contaminated sediments were tested; these originated from the Prossen and Zollelbe sampling sites (both in the river Elbe, Germany) and from Ehrenbreitstein (Rhine, Germany), with lower levels of contamination. Fish were exposed to suspensions of these dilutions under semi-static conditions for 90 days. Analysis of muscle tissue by high resolution gas chromatography and mass spectrometry and of bile liquid by high-performance liquid chromatography showed that particle-bound PCDD/Fs, PCBs and PAHs were readily bioavailable from re-suspended sediments. Uptake of these contaminants and the associated toxicological effects in fish were largely proportional to their sediment concentrations. The changes in the investigated biomarkers closely reflected the different sediment contamination levels: cytochrome P450 1A m

  6. The impacts of indoor Amang processing to the quality of water and locally sediments

    International Nuclear Information System (INIS)

    Muhammad Samudi Yasir; Redzuwan Yahaya; Ismail Bahari; Wong, Siew Kim

    2007-01-01

    The impact of amang industry to the environment and community health has long been studied since the industry uses a large amount of water as well the accumulation of TENORM. A study was carried out to measure the water quality as well as the contents of radioactive substances and selected heavy metals in the water and sediments in the vicinity of an amang processing plant in Kampar, Perak, which is using a close water system. The sampling locations selected are; the natural pond, closed to the plant which supply the water for the processing (L1), a recycling concrete pond outside the plant (L2) and an affluent discharge point inside the plant (L3). The techniques of analysis used included in-situ measurement and laboratory analysis of water quality, direct counting of radioactivity ( 238 U and 232 Th) and chemical extraction for atomic absorption spectroscopy of heavy metals (zinc, lead, copper). Chemical extraction was carried out using potassium nitrate, sodium hydroxide, disodium ethylene-diamine tetra-acetic acid (Na 2 EDTA) and concentrated nitric acid solutions. the results show that the water quality indices for the natural pond are much better than at the effluent discharge point or the recycling concrete pond. The average 238 U and 232 Th concentrations were the highest in sediment samples at L3 (1110.5 ± 7.3 Bq/ Kg and 1966.6 ± 4.7 Bq/ kg respectively). For the water samples, the radioactivity was highest in the water sample collected at concrete pond (L2), which is 35.42 ± 1.63 Bq/ L ( 238 U) and 36.16 ± 1.02 Bq/ L ( 232 Th). The average value of extracted Pb (194.13 μg/ g) and Cu (9.71 μg/ g) was highest in the sediment from L3, while for Zn in sediment taken from L1 (38.78 μg/ g). In general, the water quality indices of L1 are better than L2 and L3. The closed water recycling system currently practiced by the amang processing plant has successfully contained the contamination to the environment caused by amang processing activities. (author)

  7. Guideline appraisal with AGREE II: online survey of the potential influence of AGREE II items on overall assessment of guideline quality and recommendation for use.

    Science.gov (United States)

    Hoffmann-Eßer, Wiebke; Siering, Ulrich; Neugebauer, Edmund A M; Brockhaus, Anne Catharina; McGauran, Natalie; Eikermann, Michaela

    2018-02-27

    The AGREE II instrument is the most commonly used guideline appraisal tool. It includes 23 appraisal criteria (items) organized within six domains. AGREE II also includes two overall assessments (overall guideline quality, recommendation for use). Our aim was to investigate how strongly the 23 AGREE II items influence the two overall assessments. An online survey of authors of publications on guideline appraisals with AGREE II and guideline users from a German scientific network was conducted between 10th February 2015 and 30th March 2015. Participants were asked to rate the influence of the AGREE II items on a Likert scale (0 = no influence to 5 = very strong influence). The frequencies of responses and their dispersion were presented descriptively. Fifty-eight of the 376 persons contacted (15.4%) participated in the survey and the data of the 51 respondents with prior knowledge of AGREE II were analysed. Items 7-12 of Domain 3 (rigour of development) and both items of Domain 6 (editorial independence) had the strongest influence on the two overall assessments. In addition, Items 15-17 (clarity of presentation) had a strong influence on the recommendation for use. Great variations were shown for the other items. The main limitation of the survey is the low response rate. In guideline appraisals using AGREE II, items representing rigour of guideline development and editorial independence seem to have the strongest influence on the two overall assessments. In order to ensure a transparent approach to reaching the overall assessments, we suggest the inclusion of a recommendation in the AGREE II user manual on how to consider item and domain scores. For instance, the manual could include an a-priori weighting of those items and domains that should have the strongest influence on the two overall assessments. The relevance of these assessments within AGREE II could thereby be further specified.

  8. Have CONSORT guidelines improved the quality of reporting of randomised controlled trials published in public health dentistry journals?

    Science.gov (United States)

    Savithra, Prakash; Nagesh, Lakshminarayan Shetty

    2013-01-01

    To assess a) whether the quality of reporting of randomised controlled trials (RCTs) has improved since the formulation of the Consolidated Standards of Reporting Trials (CONSORT) statement and b) whether there is any difference in reporting of RCTs between the selected public health dentistry journals. A hand search of the journals of public health dentistry was performed and four journals were identified for the study. They were Community Dentistry and Oral Epidemiology (CDOE), Community Dental Health (CDH), Journal of Public Health Dentistry (JPHD) and Oral Health and Preventive Dentistry (OHPD). A total of 114 RCTs published between 1990 and 2009 were selected. CONSORT guidelines were applied to each selected article in order to assess and determine any improvement since the publication of CONSORT guidelines. The chi-square test was employed to determine any statistical significant difference in quality of reporting of RCTs before and after the publication of the CONSORT guidelines. A comparison was also done to determine any statistically significant difference in quality of reporting of RCTs between the selected journals. Title, abstract, discussion and conclusion sections of the selected articles showed adherence to the CONSORT guidelines, whereas the compliance was poor with respect to the methodology section. The quality of reporting of RCTs is generally poor in public health dentistry journals. Overall, the quality of reporting has not substantially improved since the publication of CONSORT guidelines.

  9. Are nutrition messages lost in transmission? Assessing the quality and consistency of diabetes guideline recommendations on the delivery of nutrition therapy.

    Science.gov (United States)

    Hale, Kelli; Capra, Sandra; Bauer, Judy

    2016-12-01

    To provide an overview of (1) the consistency of Type 2 Diabetes Clinical Practice Guidelines recommendations on the delivery of nutrition therapy and (2) Clinical Practice Guideline quality. Large international clinical practice guideline repositories, diabetes organisation websites, and electronic databases (Pubmed, Scopus), were searched to identify Clinical Practice Guidelines for adults with type 2 diabetes published 2005 to August 2014. Recommendations on the delivery of nutrition therapy were extracted and inductive content analysis was used to analyse consistency. Two researchers independently assessed guideline quality using the AGREE II tool. Nine topics were identified from the recommendations. Overall the consistency of the recommendations was related to guideline type. Compared with nutrition-specific guidelines, the broad ones had a broader focus and included more patient-focused recommendations. The ten Clinical Practice Guidelines assessed included six broad guidelines and four nutrition specific guidelines. Based on AGREE II analysis, the broad guidelines were higher quality than nutrition-specific ones. Broad Clinical Practice Guidelines were higher quality and included more patient-focused recommendations than nutrition-specific ones. Our findings suggest a need for nutrition-specific guidelines to be modified to include greater patient-focus, or for practitioners delivering nutrition therapy to adopt broad Clinical Practice Guidelines. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Quality assurance: recommended guidelines for safe heating by capacitive-type heating technique to treat patients with metallic implants.

    Science.gov (United States)

    Kato, Hirokazu; Kondo, Motoharu; Imada, Hajime; Kuroda, Masahiro; Kamimura, Yoshitsugu; Saito, Kazuyuki; Kuroda, Kagayaki; Ito, Koichi; Takahashi, Hideaki; Matsuki, Hidetoshi

    2013-05-01

    This article is a redissemination of the previous Japanese Quality Assurance Guide guidelines. Specific absorption rate and temperature distribution were investigated with respect to various aspects including metallic implant size and shape, insertion site, insertion direction, blood flow and heating power, and simulated results were compared with adverse reactions of patients treated by radio frequency capacitive-type heating. Recommended guidelines for safe heating methods for patients with metallic implants are presented based on our findings.

  11. Production and quality of clinical practice guidelines in Argentina (1994–2004: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Dieguez Marcelo

    2008-10-01

    Full Text Available Abstract Background In the last decades, a sustained increment of Clinical Practice Guidelines (CPG production in the world has been accompanied by a growing concern about their quality. Many studies related to quality assessment of guidelines produced in High Income Countries were published; however, evidence on this topic is scarce in Low and Middle Income Countries (LMIC. The objectives of this research were: a to describe guideline production in Argentina at different levels of the health system (macro, meso and micro from 1994 to 2004; and b to assess their quality by using the AGREE instrument. Methods A cross-sectional study was undertaken to describe guidelines production in Argentina between 1994 and 2004. CPG were identified through Internet and electronic databases (MEDLINE and LILACS. Explicit inclusion and exclusion criteria were used to select guidelines. Each CPG was independently assessed by two reviewers using the AGREE instrument. Domain scores were calculated as recommended by the AGREE Collaboration. The internal consistency of each domain was evaluated using Cronbach's alpha and inter-observer agreement by the Intraclass Correlation Coefficient (ICC. Results A total amount of 431 potential CPG were identified, but only 144 were considered CPG. At the end, 101 CPG were included for further assessment. Median standardized score for each domain were: scope = 39%; stakeholder involvement = 13%; rigour of development = 10%; clarity = 42%; applicability = 6%; editorial independence = 0%. Only 22 CPG were recommended with modifications by both appraisers. ICC and Cronbach's alpha for each domain were in all cases moderate or high (greater than 0.40, except for editorial independence. Conclusion This study has systematically employed the AGREE instrument for the critical assessment of guidelines produced in a LMIC. Guideline development and diffusion in Argentina from 1994 to 2004 shows a constant increment, although quality of

  12. Environmental geochemistry and sediment quality in Lake Pontchartrain: database development and review

    Science.gov (United States)

    Manheim, Frank T.; Flowers, George C.; McIntire, Andrew G.; Marot, Marcie; Holmes, Charles

    1997-01-01

    This paper reports on preliminary results of a project to develop a comprehensive data base of chemical and environmental information on sediments from Lake Pontchartrain, Louisiana, and surrounding water bodies. The goal is to evaluate all data for reliability and comparability, and to make it widely accessible and useful to all users. Methods for processing heterogeneous, historical data follow previous methods employed in the Boston Harbor and Massachusetts Bay area. Data from 11 different data sets, encompassing about 900 total samples, have been entered to date. Questionable or anomalous data were noted in a minority of cases. Problems tend to follow distinct patterns and are relatively easy to identify. Hence, comparability of data has not proven to be the major obstacle to synthesis efforts that was anticipated in earlier years (NRC, 1989). Quality-controlled data sets show that the bulk of sediment samples in the more central parts of Lake Pontchartrain have values within normal background for heavy metals like Cu, Pb, and Zn. The same or lower concentrations were found in the vicinity of the Bonnet Carre Spillway, representing influx from the Mississippi River. Mean concentrations for Cu, Pb, and Zn were 17, 21, and 74 µg/g (total dissolution analyses), respectively. However, values as high as 267 µg/g Pb and comparable increases for other metal and organic contaminants are found in sediments within 2 km of the coastal strip of New Orleans. Additional sampling in such areas and in other inland coastal waterways is needed, since such levels are above the threshold for potential toxic effects on benthic organisms, according to effects-based screening criteria. The most contaminated sites, Bayou Trepagnier and Bayou Bonfouca, involve industrial areas where waste discharge has now been controlled or remediated, but where sediments may retain large concentrations of contaminants, e.g. tenths of a percent of Pb, Cr, and Zn or more for Bayou Trepagnier.

  13. The Quality of Teaching Staff: Higher Education Institutions' Compliance with the European Standards and Guidelines for Quality Assurance--The Case of Portugal

    Science.gov (United States)

    Cardoso, Sónia; Tavares, Orlanda; Sin, Cristina

    2015-01-01

    In recent years, initiatives for the improvement of teaching quality have been pursued both at European and national levels. Such is the case of the European Standards and Guidelines for Quality Assurance (ESG) and of legislation passed by several European countries, including Portugal, in response to European policy developments driven by the…

  14. Data on Streamflow and Quality of Water and Bottom Sediment in and near Humboldt Wildlife Management Area, Churchill and Pershing Counties, Nevada, 1998-2000

    Science.gov (United States)

    Paul, Angela P.; Thodal, Carl E.

    2003-01-01

    produced the maximum instantaneous loads of sodium, chloride, dissolved solids, arsenic, boron, molybdenum, and uranium at all river-sampling sites, except molybdenum near Imlay. Nevada Division of Environmental Protection monitoring reports on mine-dewatering discharge for permitted releases of treated effluent to the surface waters of the Humboldt River and its tributaries were reviewed for reported discharges and trace-element concentrations from June 1998 to September 1999. These data were compared with similar information for the river near Imlay. In all bottom sediments collected for this study, arsenic concentrations exceeded the Canadian Freshwater Interim Sediment-Quality Guideline for the protection of aquatic life and probable-effect level (concentration). Sediments collected near Imlay, Rye Patch Reservoir, Lovelock, and from Toulon Drain and Army Drain were found to contain cadmium and chromium concentrations that exceeded Canadian criteria. Chromium concentrations in sediments collected from these sites also exceeded the consensus-based threshold-effect concentration. The Canadian criterion for sediment copper concentration was exceeded in sediments collected from the Humboldt River near Lovelock and from Toulon, Army, and the unnamed agricultural drains. Mercury in sediments collected near Imlay and from Toulon Drain in August 1999 exceeded the U.S. Department of the Interior sediment probable-effect level. Nickel concentrations in sediments collected during this study were above the consensus-based threshold-effect concentration. All other river and drain sediments had constituent concentrations below protective criteria and toxicity thresholds. In Upper Humboldt Lake, chloride, dissolved solids, arsenic, boron, molybdenum, and uranium concentrations in surface-water samples collected near the mouth of the Humboldt River generally were higher than in samples collected near the mouth of Army Drain. Ecological criteria or effect con

  15. The SQUIRE guidelines and how can they help you report on quality in health

    Directory of Open Access Journals (Sweden)

    Frank Davidoff MD, MCAP

    2014-08-01

    Full Text Available Published in 2008, the SQUIRE guidelines are a set of 19 descriptive items that identify the information readers want and need to know about making and studying improvements in healthcare delivery. They were created over a period of several years, largely in response to earlier concerns about the limited quantity and inadequate quality of published reports of work in this new discipline. They have proven useful in writing about improvement interventions, as well as in designing and implementing them. As improvement concepts and methods continue to develop, SQUIRE is also evolving as part of its continuing effort to contribute to the advancement of the “science of improvement.”

  16. Nutritional Quality of School Meals in France: Impact of Guidelines and the Role of Protein Dishes

    Directory of Open Access Journals (Sweden)

    Florent Vieux

    2018-02-01

    Full Text Available In France, school meals must comply with 15 frequency criteria (FC expressed as nutritional requirements (e.g., “starters containing more than 15% fat served no more than four times out of 20” in a series of 20 consecutive meals. The objective was to assess, for the first time, the nutritional impact of complying with French school food FC. Based on 40 series of meals actually served in primary schools (“observed series”, several scenarios (1600 series per scenario of compliance or non-compliance with FC were simulated, and nutritional quality was assessed via the mean adequacy ratio (MAR/2000 kcal. In the observed series, only 9.7 FC on average (range 4–14 were fulfilled. In the simulated series: (i MAR was positively associated with FC compliance level, with the highest MAR obtained with complete compliance; (ii MAR decreased when meat or fish-based dishes were replaced by dishes without meat or fish; and (iii removing the protein dish without replacement led to the lowest MAR. This study demonstrates that French school food guidelines ensure good nutritional quality of food services. It also shows that generalizing the service of meals without meat or fish would deteriorate overall nutritional quality, highlighting the need to define the composition of vegetarian dishes and their frequency of service to children.

  17. Nutritional Quality of School Meals in France: Impact of Guidelines and the Role of Protein Dishes.

    Science.gov (United States)

    Vieux, Florent; Dubois, Christophe; Duchêne, Christelle; Darmon, Nicole

    2018-02-13

    In France, school meals must comply with 15 frequency criteria (FC) expressed as nutritional requirements (e.g., "starters containing more than 15% fat served no more than four times out of 20") in a series of 20 consecutive meals. The objective was to assess, for the first time, the nutritional impact of complying with French school food FC. Based on 40 series of meals actually served in primary schools ("observed series"), several scenarios (1600 series per scenario) of compliance or non-compliance with FC were simulated, and nutritional quality was assessed via the mean adequacy ratio (MAR/2000 kcal). In the observed series, only 9.7 FC on average (range 4-14) were fulfilled. In the simulated series: (i) MAR was positively associated with FC compliance level, with the highest MAR obtained with complete compliance; (ii) MAR decreased when meat or fish-based dishes were replaced by dishes without meat or fish; and (iii) removing the protein dish without replacement led to the lowest MAR. This study demonstrates that French school food guidelines ensure good nutritional quality of food services. It also shows that generalizing the service of meals without meat or fish would deteriorate overall nutritional quality, highlighting the need to define the composition of vegetarian dishes and their frequency of service to children.

  18. Compilation, quality control, analysis, and summary of discrete suspended-sediment and ancillary data in the United States, 1901-2010

    Science.gov (United States)

    Lee, Casey J.; Glysson, G. Douglas

    2013-01-01

    Human-induced and natural changes to the transport of sediment and sediment-associated constituents can degrade aquatic ecosystems and limit human uses of streams and rivers. The lack of a dedicated, easily accessible, quality-controlled database of sediment and ancillary data has made it difficult to identify sediment-related water-quality impairments and has limited understanding of how human actions affect suspended-sediment concentrations and transport. The purpose of this report is to describe the creation of a quality-controlled U.S. Geological Survey suspended-sediment database, provide guidance for its use, and summarize characteristics of suspended-sediment data through 2010. The database is provided as an online application at http://cida.usgs.gov/sediment to allow users to view, filter, and retrieve available suspended-sediment and ancillary data. A data recovery, filtration, and quality-control process was performed to expand the availability, representativeness, and utility of existing suspended-sediment data collected by the U.S. Geological Survey in the United States before January 1, 2011. Information on streamflow condition, sediment grain size, and upstream landscape condition were matched to sediment data and sediment-sampling sites to place data in context with factors that may influence sediment transport. Suspended-sediment and selected ancillary data are presented from across the United States with respect to time, streamflow, and landscape condition. Examples of potential uses of this database for identifying sediment-related impairments, assessing trends, and designing new data collection activities are provided. This report and database can support local and national-level decision making, project planning, and data mining activities related to the transport of suspended-sediment and sediment-associated constituents.

  19. Preparation of an estuarine sediment quality control material for the determination of trace metals

    Directory of Open Access Journals (Sweden)

    Hatje Vanessa

    2006-01-01

    Full Text Available Quality Control Materials (QCM have being used routinely in daily laboratory work as a tool to fill the gap between need and availability of Certified Reference Materials (CRM. The QCM are a low-cost alternative to CRMs, and they are in high demand, especially, for the implementation of quality control systems in laboratories of several areas. This paper describes the preparation of a QCM for the determination of trace metals in estuarine sediments and the results of an interlaboratory exercise. Homogeneity and stability studies were performed and analysis of variance was carried out with the results. No statistical significant differences were observed in the concentrations of Co, Cr, Cu, Mn, Pb and Zn between- or within bottle results. Neither the storage nor temperature affected the results. Therefore, the QCM produced is considered homogeneous and stable and can be used for statistical control charts, evaluation of reproducibility and interlaboratory exercises.

  20. Environmental impact of the Midia Port - Black Sea (Romania, on the coastal sediment quality

    Directory of Open Access Journals (Sweden)

    Catianis Irina

    2016-03-01

    Full Text Available The aim of the study was to evaluate the impact of potential pollution sources, mainly from the upstream anthropogenic sources and port-related activities. The in-vestigated area covered a wide range of anthropogenic im-pacts (e.g., industrial wastes, storm water runoff, acciden-tal oil spills, intentional discharges and shipping activities. The quality of water and Sediments was assessed us-ing Standard methods, as physical-chemical parameters, chemistry and biology (microbiology, ecotoxicology aim-ing to figure the level of pollution and the effect of port-related activities. Seawater quality results agreed generally with environmental Standards. Though, in some samples the concentrations of sulphates (mg/1 and heavy metals (μg/1, as B, As and Se exceeded the recommended lim-its, without posing a serious environmental concern. Most of the surface sediment samples contain critical levels of hydrocarbons (C>12, (mg/kg, polycyclic aromatic hydrocarbons (ng/g and polychlorobiphenyls (ng/g. For some heavy metals (mg/kg, exchangeable concentrations were found to be very close or above the regulations. The signifi-cance of this study is incontestable taking into account the lack of previous relevant historical data of this area. In this sense, it was possible to indicate, in general, good environmental conditions, despite the industrial and concentrated local port-related activities in the investigated area.

  1. The effect of the SQUIRE (Standards of QUality Improvement Reporting Excellence) guidelines on reporting standards in the quality improvement literature: a before-and-after study.

    Science.gov (United States)

    Howell, Victoria; Schwartz, Amanda Eva; O'Leary, James Daniel; Mc Donnell, Conor

    2015-06-01

    The SQUIRE (Standards of QUality Improvement Reporting Excellence) guidelines were developed to improve the reporting of quality improvement (QI) projects. The effect of the guidelines on the completeness of reporting in the QI literature is unknown. Our primary objective was to determine if the completeness of reporting in the QI literature has been improved[OUP_CE13] since the introduction of the SQUIRE guidelines. We performed a before-and-after evaluation of QI articles selected from four prominent journals of healthcare quality. Twenty-five articles published in each of two time periods (2006-2008 and 2010-2011) were confirmed to be QI projects using a standardised definition and were independently evaluated by two investigators as an interim evaluation of a planned larger sample. Articles were assessed using 50 statements of the SQUIRE guidelines, and the overall change in the completeness of reporting between the two groups was determined. The value of pimprovement observed in the completeness of reporting of QI projects after the publication of the SQUIRE guidelines, and the study was stopped early. There is potential for improvement in reporting standards, particularly for those guideline items or statements specific to QI projects. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  2. Using research metrics to evaluate the International Atomic Energy Agency guidelines on quality assurance for R&D

    Energy Technology Data Exchange (ETDEWEB)

    Bodnarczuk, M.

    1994-06-01

    The objective of the International Atomic Energy Agency (IAEA) Guidelines on Quality Assurance for R&D is to provide guidance for developing quality assurance (QA) programs for R&D work on items, services, and processes important to safety, and to support the siting, design, construction, commissioning, operation, and decommissioning of nuclear facilities. The standard approach to writing papers describing new quality guidelines documents is to present a descriptive overview of the contents of the document. I will depart from this approach. Instead, I will first discuss a conceptual framework of metrics for evaluating and improving basic and applied experimental science as well as the associated role that quality management should play in understanding and implementing these metrics. I will conclude by evaluating how well the IAEA document addresses the metrics from this conceptual framework and the broader principles of quality management.

  3. Quality assurance in radiotherapy: Proposal of guidelines concerning clinical and technological aspects

    International Nuclear Information System (INIS)

    Group of study 'Assicurazione di qualita' in radioterapia'.

    1996-12-01

    The document, based on European guidelines, was jointly developed by radiation oncologists, radiation physicists and radiation technologists. In contains the aims of the guidelines, professional profiles, roles and responsibilities, personnel and equipment requirements, procedures

  4. Proposed Regulatory Guideline on the PSA Quality for Risk-informed Applications

    International Nuclear Information System (INIS)

    Lee, Chang Ju; Choi, Jong Soo

    2005-01-01

    In the policy statement on nuclear safety issued by the Korean government in 1994, the introduction of risk-informed regulations in licensing and regulation of nuclear power plants was emphasized for the first time. It also describes the implementation of comprehensive safety assessment utilizing PSA (probabilistic safety assessment). Since then, because risk-informed environment and fundamentals had not been strong, several R and D on PSA and risk-informed regulation have been done even though their application has been delayed. However, today it is not the case. Since the follow-up policy statement (called Severe Accident Policy) was issued, which prescribes strong items such as PSA implementation and its periodic reassessment, reliability database, and risk monitoring program to the utility, we have a chance to easily get all kinds of risk information for improving current regulatory framework. In addition, with the overall availability of PSA results for all operating nuclear power plants, it is expected that many risk-informed applications (RIAs) will be submitted to the regulatory authority. In general, there are a lot of regulatory concerns associated with the quality assurance of licensee's submittals for RIA. It is also noted that making general requirements and touching specific check points are essential for the regulatory decision making process. This paper summarizes the structure and contents of our regulatory guideline for assuring PSA quality

  5. Water-quality trends in the Rio Grande/Rio Bravo Basin using sediment cores from reservoirs

    Science.gov (United States)

    Van Metre, Peter C.; Mahler, B.J.; Callender, Edward C.

    1997-01-01

    Water-quality trends reflect the relation between water quality and human activities, chronicling changes in concentrations of environmental contaminants, introduction of new contaminants, and successful efforts in environmental pollution remediation. Historical data available for analyzing trends often have severe limitations, from questionable accuracy to unknown sampling and analytic methodologies. Where data are unavailable or have such limitations, water-quality trends sometimes can be reconstructed using sediment cores from lakes and reservoirs.

  6. Assessment of stream bottom sediment quality in the vicinity of the Caldas uranium mine

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Priscila E.S. de, E-mail: pge_13@hotmail.com [Universidade Federal de Ouro Preto (ProAmb/UFOP), Ouro Preto, MG (Brazil). Programa de Pos-Graduacao em Engenharia Ambiental; Filho, Carlos A.C.; Moreira, Rubens M.; Ramos, Maria E.A.F.; Dutra, Pedro H.; Ferreira, Vinicius V.M., E-mail: cacf@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte (Brazil); Silva, Nivaldo C., E-mail: ncsilva@cnen.gov.br [Comissao Nacional de Energia Nuclear (LAPOC/CNEN-MG), Pocos de Caldas, MG (Brazil). Laboratorio de Pocos de Caldas

    2015-07-01

    An evaluation of the quality of stream bottom sediments was performed in the surroundings of the Caldas Uranium Mining and Milling Facilities (UMMF), sited on Pocos de Caldas Plateau (southeastern Brazil), to verify whether the sediments in the water bodies downstream the plant, were impacted by effluents from a large waste rock pile, named Waste Rock Pile 4 (WRP4), and from the Tailings Dam (TD). In order to perform the research, twelve sampling stations were established in the watersheds around Caldas UMMF: the Soberbo creek, the Consulta brook, and the Taquari river. One of the stations was located inside the Bacia Nestor Figueiredo, a retention pond that receives effluents from WRP4, and another in a settling tank (D2) for radium, which receives the effluents from TD. A monitoring scheme has been developed, comprising four sampling campaigns in 2010 and 2011, and the samples were analyzed for selected metals-metalloids and radionuclides, using Inductively Coupled Plasma Mass Spectrometry (ICP-MS), Inductively Coupled Plasma Atomic Emission Spectroscopy (ICP-AES), Ultraviolet-Visible (UV-Vis) Spectroscopy and Gamma-ray Spectrometry. The results suggest that effluents discharged from retention ponds to watercourses, causing an increase in the concentration of As, B, Ba, Cr, Mo, Mn, Pb, Zn, {sup 238}U, {sup 232}Th, {sup 226}Ra, {sup 228}Ra and {sup 210}Pb in sediments. Detailed investigation in sub-superficial layers is recommended at these locations to evaluate the need of implementing mitigation actions such as lining and constructing hydraulic barriers downstream the ponds. Actually, the UTM/Caldas operator is already implementing control measures. (author)

  7. Assessment of stream bottom sediment quality in the vicinity of the Caldas uranium mine

    International Nuclear Information System (INIS)

    Oliveira, Priscila E.S. de; Silva, Nivaldo C.

    2015-01-01

    An evaluation of the quality of stream bottom sediments was performed in the surroundings of the Caldas Uranium Mining and Milling Facilities (UMMF), sited on Pocos de Caldas Plateau (southeastern Brazil), to verify whether the sediments in the water bodies downstream the plant, were impacted by effluents from a large waste rock pile, named Waste Rock Pile 4 (WRP4), and from the Tailings Dam (TD). In order to perform the research, twelve sampling stations were established in the watersheds around Caldas UMMF: the Soberbo creek, the Consulta brook, and the Taquari river. One of the stations was located inside the Bacia Nestor Figueiredo, a retention pond that receives effluents from WRP4, and another in a settling tank (D2) for radium, which receives the effluents from TD. A monitoring scheme has been developed, comprising four sampling campaigns in 2010 and 2011, and the samples were analyzed for selected metals-metalloids and radionuclides, using Inductively Coupled Plasma Mass Spectrometry (ICP-MS), Inductively Coupled Plasma Atomic Emission Spectroscopy (ICP-AES), Ultraviolet-Visible (UV-Vis) Spectroscopy and Gamma-ray Spectrometry. The results suggest that effluents discharged from retention ponds to watercourses, causing an increase in the concentration of As, B, Ba, Cr, Mo, Mn, Pb, Zn, 238 U, 232 Th, 226 Ra, 228 Ra and 210 Pb in sediments. Detailed investigation in sub-superficial layers is recommended at these locations to evaluate the need of implementing mitigation actions such as lining and constructing hydraulic barriers downstream the ponds. Actually, the UTM/Caldas operator is already implementing control measures. (author)

  8. Sedimentation and chemical quality of surface water in the Heart River drainage basin, North Dakota

    Science.gov (United States)

    Maderak, Marion L.

    1966-01-01

    The Heart River drainage basin of southwestern North Dakota comprises an area of 3,365 square miles and lies within the Missouri Plateau of the Great Plains province. Streamflow of the Heart River and its tributaries during 1949-58 was directly proportional to .the drainage area. After the construction of Heart Butte Dam in 1949 and Dickinson Dam in 1950, the mean annual streamflow near Mandan was decreased an estimated 10 percent by irrigation, evaporation from the two reservoirs, and municipal use. Processes that contribute sediment to the Heart River are mass wasting, advancement of valley heads, and sheet, lateral stream, and gully erosion. In general, glacial deposits, terraces, and bars of Quaternary age are sources of sand and larger sediment, and the rocks of Tertiary age are sources of clay, silt. and sand. The average annual suspended-sediment discharges near Mandan were estimated to be 1,300,000 tons for 1945-49 and 710,000 tons for 1970-58. The percentage composition of ions in water of the Heart River, based on average concentrations in equivalents per million for selected ranges of streamflow, changes with flow and from station to station. During extremely low flows the water contains a large percentage of sodium and about equal percentages of bicarbonate and .sulfate, and during extremely high flows the water contains a large percentage of calcium plus magnesium and bicarbonate. The concentrations, in parts per million, of most of the ions vary inversely with flow. The water in the reservoirs--Edward Arthur Patterson Lake and Lake Tschida--during normal or above-normal runoff is of suitable quality for public use. Generally, because of medium or high salinity hazards, the successful long-term use of Heart River water for irrigation will depend on a moderate amount of leaching, adequate drainage, ,and the growing of crops that have moderate or good salt tolerance.

  9. Application of phytotoxicity data to a new Australian soil quality guideline framework for biosolids

    International Nuclear Information System (INIS)

    Heemsbergen, Diane A.; Warne, Michael St.J.; Broos, Kris; Bell, Mike; Nash, David; McLaughlin, Mike; Whatmuff, Mark; Barry, Glenn; Pritchard, Deb; Penney, Nancy

    2009-01-01

    To protect terrestrial ecosystems and humans from contaminants many countries and jurisdictions have developed soil quality guidelines (SQGs). This study proposes a new framework to derive SQGs and guidelines for amended soils and uses a case study based on phytotoxicity data of copper (Cu) and zinc (Zn) from field studies to illustrate how the framework could be applied. The proposed framework uses normalisation relationships to account for the effects of soil properties on toxicity data followed by a species sensitivity distribution (SSD) method to calculate a soil added contaminant limit (soil ACL) for a standard soil. The normalisation equations are then used to calculate soil ACLs for other soils. A soil amendment availability factor (SAAF) is then calculated as the toxicity and bioavailability of pure contaminants and contaminants in amendments can be different. The SAAF is used to modify soil ACLs to ACLs for amended soils. The framework was then used to calculate soil ACLs for copper (Cu) and zinc (Zn). For soils with pH of 4-8 and OC content of 1-6%, the ACLs range from 8 mg/kg to 970 mg/kg added Cu. The SAAF for Cu was pH dependant and varied from 1.44 at pH 4 to 2.15 at pH 8. For soils with pH of 4-8 and OC content of 1-6%, the ACLs for amended soils range from 11 mg/kg to 2080 mg/kg added Cu. For soils with pH of 4-8 and a CEC from 5-60, the ACLs for Zn ranged from 21 to 1470 mg/kg added Zn. A SAAF of one was used for Zn as it concentrations in plant tissue and soil to water partitioning showed no difference between biosolids and soluble Zn salt treatments, indicating that Zn from biosolids and Zn salts are equally bioavailable to plants

  10. Toward Improving Quality of End-of-Life Care: Encoding Clinical Guidelines and Standing Orders Using the Omaha System.

    Science.gov (United States)

    Slipka, Allison F; Monsen, Karen A

    2018-02-01

    End-of-life care (EOLC) relieves the suffering of millions of people around the globe each year. A growing body of hospice care research has led to the creation of several evidence-based clinical guidelines for EOLC. As evidence for the effectiveness of timely EOLC swells, so does the increased need for efficient information exchange between disciplines and across the care continuum. The purpose of this study was to investigate the feasibility of using the Omaha System as a framework for encoding interoperable evidence-based EOL interventions with specified temporality for use across disciplines and settings. Four evidence-based clinical guidelines and one current set of hospice standing orders were encoded using the Omaha System Problem Classification Scheme and Intervention Scheme, as well as Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT). The resulting encoded guideline was entered on a Microsoft Excel spreadsheet and made available for public use on the Omaha System Guidelines website. The resulting EOLC guideline consisted of 153 interventions that may enable patients and their surrogates, clinicians, and ancillary providers to communicate interventions in a universally comprehensible way. Evidence-based interventions from diverse disciplines involved in EOLC are described within this guideline using the Omaha System. Because the Omaha System and clinical guidelines are maintained in the public domain, encoding interventions is achievable by anyone with access to the Internet and basic Excel skills. Using the guideline as a documentation template customized for unique patient needs, clinicians can quantify and track patient care across the care continuum to ensure timely evidence-based interventions. Clinical guidelines coded in the Omaha System can support the use of multidisciplinary evidence-based interventions to improve quality of EOLC across settings and professions. © 2017 Sigma Theta Tau International.

  11. Fluvial sediment transport: Analytical techniques for measuring sediment load

    International Nuclear Information System (INIS)

    2005-07-01

    Sediment transport data are often used for the evaluation of land surface erosion, reservoir sedimentation, ecological habitat quality and coastal sediment budgets. Sediment transport by rivers is usually considered to occur in two major ways: (1) in the flow as a suspended load and (2) along the bed as a bed load. This publication provides guidance on selected techniques for the measurement of particles moving in both modes in the fluvial environment. The relative importance of the transport mode is variable and depends on the hydraulic and sedimentary conditions. The potential user is directed in the selection of an appropriate technique through the presentation of operating principles, application guidelines and estimated costs. Techniques which require laboratory analysis are grab sample, pump sample, depth sample, point integrated and radioactive tracers. Techniques which will continuously record data are optical backscattering, nuclear transmission, single frequency acoustic and laser diffraction

  12. Sediment Quality of the SW Coastal Laizhou Bay, Bohai Sea, China: A Comprehensive Assessment Based on the Analysis of Heavy Metals

    Science.gov (United States)

    Gao, Xuelu; Zhuang, Wen; Chen, Chen-Tung Arthur; Zhang, Yong

    2015-01-01

    Historically, the Bohai Sea is one of the most important fishing grounds in China. Yet, surrounded by one of the biggest economic rims of China, its ecological functions have been declining rapidly in recent two decades under the heavy anthropogenic impacts. The Laizhou Bay is the smallest one of the three main bays in the Bohai Sea. Owing to the rich brine deposits, chemical industries using brine as raw materials are booming in the southern coast of the Laizhou Bay, the scale of which ranks as the largest one in China. In order to monitor and assess the environmental quality, surface sediments were collected from the coastal waters of southwestern Laizhou Bay and the rivers it connects with during summer and autumn in 2012, and analyzed for heavy metals. Several widely adopted methods were used in the overall assessment of heavy metal pollution status and potential ecological risks in these sediments, and the data were analyzed to infer the main sources of the pollutants. The results showed that the remarkably high concentrations of heavy metals were almost all recorded in a small number of riverine sites. Cr, Cu, Ni and Zn were the main environmental threat according to the sediment quality guidelines. The marine area was generally in good condition with no or low risk from the studied metals and adverse effects on biota could hardly occur. Natural sources dominated the concentrations and distributions of Cu, Ni, Pb and Zn in the marine area. Our results indicated that heavy metal pollution was not a main cause of the ecological degradation of the Laizhou Bay at present. PMID:25816338

  13. Sediment quality of the SW coastal Laizhou Bay, Bohai Sea, China: a comprehensive assessment based on the analysis of heavy metals.

    Science.gov (United States)

    Gao, Xuelu; Zhuang, Wen; Chen, Chen-Tung Arthur; Zhang, Yong

    2015-01-01

    Historically, the Bohai Sea is one of the most important fishing grounds in China. Yet, surrounded by one of the biggest economic rims of China, its ecological functions have been declining rapidly in recent two decades under the heavy anthropogenic impacts. The Laizhou Bay is the smallest one of the three main bays in the Bohai Sea. Owing to the rich brine deposits, chemical industries using brine as raw materials are booming in the southern coast of the Laizhou Bay, the scale of which ranks as the largest one in China. In order to monitor and assess the environmental quality, surface sediments were collected from the coastal waters of southwestern Laizhou Bay and the rivers it connects with during summer and autumn in 2012, and analyzed for heavy metals. Several widely adopted methods were used in the overall assessment of heavy metal pollution status and potential ecological risks in these sediments, and the data were analyzed to infer the main sources of the pollutants. The results showed that the remarkably high concentrations of heavy metals were almost all recorded in a small number of riverine sites. Cr, Cu, Ni and Zn were the main environmental threat according to the sediment quality guidelines. The marine area was generally in good condition with no or low risk from the studied metals and adverse effects on biota could hardly occur. Natural sources dominated the concentrations and distributions of Cu, Ni, Pb and Zn in the marine area. Our results indicated that heavy metal pollution was not a main cause of the ecological degradation of the Laizhou Bay at present.

  14. Sediment quality of the SW coastal Laizhou Bay, Bohai Sea, China: a comprehensive assessment based on the analysis of heavy metals.

    Directory of Open Access Journals (Sweden)

    Xuelu Gao

    Full Text Available Historically, the Bohai Sea is one of the most important fishing grounds in China. Yet, surrounded by one of the biggest economic rims of China, its ecological functions have been declining rapidly in recent two decades under the heavy anthropogenic impacts. The Laizhou Bay is the smallest one of the three main bays in the Bohai Sea. Owing to the rich brine deposits, chemical industries using brine as raw materials are booming in the southern coast of the Laizhou Bay, the scale of which ranks as the largest one in China. In order to monitor and assess the environmental quality, surface sediments were collected from the coastal waters of southwestern Laizhou Bay and the rivers it connects with during summer and autumn in 2012, and analyzed for heavy metals. Several widely adopted methods were used in the overall assessment of heavy metal pollution status and potential ecological risks in these sediments, and the data were analyzed to infer the main sources of the pollutants. The results showed that the remarkably high concentrations of heavy metals were almost all recorded in a small number of riverine sites. Cr, Cu, Ni and Zn were the main environmental threat according to the sediment quality guidelines. The marine area was generally in good condition with no or low risk from the studied metals and adverse effects on biota could hardly occur. Natural sources dominated the concentrations and distributions of Cu, Ni, Pb and Zn in the marine area. Our results indicated that heavy metal pollution was not a main cause of the ecological degradation of the Laizhou Bay at present.

  15. Data quality objectives summary report for the 107-N Basin recirculation building liquid/sediment

    International Nuclear Information System (INIS)

    Nossardi, O.A.; Miller, M.S.; Carlson, D.

    1997-01-01

    The scope of the 107-N Basin Recirculation Facility Liquid/Sediment Data Quality Objectives (DQO) exclusively involves the determination of sampling and analytical requirements during the deactivation period. The sampling requirements are primarily directed at sample characterization for comparison to decontamination and decommissioning (D and D) endpoint acceptance criteria in preparation for turnover of the facilities (listed below) to D and D organization. If determined to be waste, the sample characterization is also used for comparison with the waste acceptance criteria (WAC) of the receiving facilities for selection of the appropriate disposition. Additionally, the data generated from the characterization will be used to support the selection of available disposition options. The primary media within the scope of this DQO includes the following: Accumulated liquids and sediment contained in tanks, vessels, pump wells, sumps, associated piping, and valve pit floors; and Limited solid debris (anticipated to be discovered). Although the title of this report refers only to the 107-N Basin Recirculation Building, this DQO encompasses the following four 100-N Buildings/areas: 1310-N valve pit area inside the Radioactive Chemical Waste Treatment Pump House (silo); 1314-N Waste Pump (Overflow) Tank at the Liquid Waste Disposal Station; 105-N Lift Station pump well and valve pit areas inside the 105-N Reactor Building; and 107-N Basin Recirculation Building

  16. Review and evaluation of the methodological quality of the existing guidelines and recommendations for inherited neurometabolic disorders

    DEFF Research Database (Denmark)

    Cassis, Linda; Cortès-Saladelafont, Elisenda; Molero-Luis, Marta

    2015-01-01

    and timely treatments are often pivotal for the favorable course of the disease. Thus, the elaboration of new evidence-based recommendations for iNMD diagnosis and management is increasingly requested by health care professionals and patients, even though the methodological quality of existing guidelines...

  17. Systematic analysis of the quality of the scientific evidence and conflicts of interest in osteoarthritis of the hip and knee practice guidelines.

    Science.gov (United States)

    Feuerstein, Joseph D; Pelsis, Jonathan R; Lloyd, Samuel; Cheifetz, Adam S; Stone, Kevin R

    2016-02-01

    To determine the validity of the hip and knee osteoarthritis guidelines. A systematic search of PubMed using a combination of Mesh and text terms with limitations to guidelines was performed to identify hip and knee osteoarthritis guidelines. The study was performed from April 17, 2014 to October 1, 2014. Guidelines were reviewed for graded levels of evidence, methods used to grade the evidence, and disclosures of conflicts of interest. Additionally, guidelines were also assessed for key quality measures using the AGREE II system for assessing the quality of guidelines. A total of 13 guidelines relevant to the diagnosis and/or treatment of hip/knee osteoarthritis was identified. The 180 recommendations reviewed were supported by 231 pieces of evidence. In total, 35% (n = 80; range: 0-26) were supported by level A evidence, 15% (n = 35; range: 0-10) were by level B, and 50% (n = 116; range: 0-62) were by level C. Median age of the guidelines was 4 years (±4.8; range: 0-16) with no comments on planned updates. In total, 31% of the guidelines included patients in the development process. Only one guideline incorporated cost consideration, and only 15% of the guidelines addressed the surgical management of osteoarthritis. Additionally, 46% of guidelines did not comment on conflicts of interest (COI). When present, there was an average 29.8 COI. Notably, 82% of the COI were monetary support/consulting. In total, 50% of the hip/knee osteoarthritis guideline recommendations are based on lower quality evidence. Nearly half the guidelines fail to disclose relevant COI and when disclosed, multiple potential COI are present. Future hip/knee osteoarthritis guideline development committees should strive to improve the transparency and quality of evidence used to formulate practice guidelines. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Quality Measurement Recommendations Relevant to Clinical Guidelines in Germany and the United Kingdom: (What) Can We Learn From Each Other?

    Science.gov (United States)

    Petzold, Thomas; Deckert, Stefanie; Williamson, Paula R.; Schmitt, Jochen

    2018-01-01

    We conducted a systematic review of clinical guidelines (CGs) to examine the methodological approaches of quality indicator derivation in CGs, the frequency of quality indicators to check CG recommendations in routine care, and clinimetric properties of quality indicators. We analyzed the publicly available CG databases of the Association of the Scientific Medical Societies in Germany (AWMF) and National Institute for Health and Care Excellence (NICE). Data on the methodology of subsequent quality indicator derivation, the content and definition of recommended quality indicators, and clinimetric properties of measurement instruments were extracted. In Germany, no explicit methodological guidance exists, but 3 different approaches are used. For NICE, a general approach is used for the derivation of quality indicators out of quality standards. Quality indicators were defined in 34 out of 87 CGs (39%) in Germany and for 58 out of 133 (43%) NICE CGs. Statements regarding measurement properties of instruments for quality indicator assessment were missing in German and NICE documents. Thirteen pairs of CGs (32%) have associated quality indicators. Thirty-four quality indicators refer to the same aspect of the quality of care, which corresponds to 27% of the German and 7% of NICE quality indicators. The development of a standardized and internationally accepted methodology for the derivation of quality indicators relevant to CGs is needed to measure and compare quality of care in health care systems. PMID:29591538

  19. Could a revision of the current guidelines for cancer drug use improve the quality of cancer treatment?

    Directory of Open Access Journals (Sweden)

    Lippert TH

    2014-01-01

    Full Text Available Theodor H Lippert,1 Hans-Jörg Ruoff,1 Manfred Volm2 1Medical Faculty, University of Tübingen, Tübingen, Germany; 2Medical Faculty, University of Heidelberg, Heidelberg, Germany Abstract: Clinical practice guidelines are indispensable for such a variable disease as malignant solid tumors, with the complex possibilities of drug treatment. The current guidelines may be criticized on several points, however. First, there is a lack of information on the outcome of treatment, such as the expected success and failure rates. Treating not only drug responders but also nonresponders, that is, patients with drug resistance, must result in failures. There is no mention of the possibility of excluding the drug nonresponders, identifiable by special laboratory tests and no consideration is given to the different side effects of the recommended drug regimens. Nor are there any instructions concerning tumor cases for which anticancer drug treatment is futile. In such cases, early palliative care may lead to significant improvements in both life quality and life expectancy. Not least, there is no transparency concerning the preparation of the guidelines: persons cannot be identified who could give a statement of conflicts of interest, and responsibility is assumed only by anonymous medical associations. A revision of the current guidelines could considerably improve cancer treatment. Keywords: anticancer drugs, quality of guidelines, critical remarks

  20. Impact of sediment organic matter quality on the fate and effects of fluoranthene in the infaunal brittle star Amphiura filiformis

    DEFF Research Database (Denmark)

    Selck, Henriette; Granberg, Maria E; Forbes, Valery E.

    2005-01-01

    Hydrophobic contaminants, such as polycyclic aromatic hydrocarbons (PAHs) readily adsorb to organic matter. The aim of this study was to determine the importance of the quality of sedimentary organic matter for the uptake, biotransformation and toxicity of the PAH, fluoranthene (Flu......), in the infaunal brittle star Amphiura filiformis. Brittle stars were exposed to a base sediment covered by a 2 cm Flu-spiked top layer (30 mug Flu/g dry wt. sed.), enriched to the same total organic carbon content with either refractory or labile organic matter. The labile carbon source was concentrated green...... to equilibrium partitioning between organism lipid content and organic content of the sediment. Biotransformation of Flu by brittle stars was very limited and unaffected by organic matter quality. A. filiformis contributed to the downward transport of Flu from the surface sediment to the burrow lining...

  1. Ambient water and sediment quality of Galveston Bay: Present status and historical trends. Volume 1. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Ward, G.H.; Armstrong, N.E.

    1992-08-01

    For many years, data relating to the quality of water and sediment have been collected in the Galveston Bay system by a variety of organizations and individuals. The purpose of the project was to compile these data, and to perform a quantitative assessment of water and sediment quality of Galveston Bay and its evolution over time. The study focused on the following categories of parameters: temperature, salinity and related parameters, suspended sediments and turbidity, pH, dissolved oxygen, nutrients as measured by nitrogen, phosphorous and organic carbon, organics as measured by oil and grease, volatile solids and biochemical oxygen demand, chlorophyll-a, coliforms, metals (total and dissolved), and trace organics, including pesticides, herbicides, PAH's, PCB's, and priority pollutants.

  2. The role of yogurt in improving the quality of the American diet and meeting dietary guidelines.

    Science.gov (United States)

    Webb, Densie; Donovan, Sharon M; Meydani, Simin Nikbin

    2014-03-01

    The Dietary Guidelines for Americans (DGA) recommend three daily servings of low- or nonfat dairy products, yet two-thirds of individuals in the United States do not meet that goal. Including low- or nonfat yogurt as part of an overall healthful diet can be a positive step toward meeting the DGA recommendations. Yogurt naturally contains calcium and potassium, and some products are fortified with vitamin D. All of these nutrients were identified in the DGA as "nutrients of concern," because typical intake falls far short of recommended intakes. Yogurt can also be an excellent source of high-quality protein, which promotes satiety, helps in maintaining a healthy body weight, and aids muscle and bone growth. In addition, yogurt is low in sodium and contributes 1.0% or less of added sugars to the diets of most individuals in the United States; however, 90% of children and adults consume less than 8 ounces (1 cup) of yogurt per week. Thus, consuming 1 serving of yogurt per day would help to meet the DGA-recommended dairy servings and would provide nutrients of concern. © 2014 International Life Sciences Institute.

  3. European guidelines for quality assurance in colorectal cancer screening and diagnosis: Overview and introduction to the full Supplement publication

    Science.gov (United States)

    von Karsa, L.; Patnick, J.; Segnan, N.; Atkin, W.; Halloran, S.; Lansdorp-Vogelaar, I.; Malila, N.; Minozzi, S.; Moss, S.; Quirke, P.; Steele, R. J.; Vieth, M.; Aabakken, L.; Altenhofen, L.; Ancelle-Park, R.; Antoljak, N.; Anttila, A.; Armaroli, P.; Arrossi, S.; Austoker, J.; Banzi, R.; Bellisario, C.; Blom, J.; Brenner, H.; Bretthauer, M.; Camargo Cancela, M.; Costamagna, G.; Cuzick, J.; Dai, M.; Daniel, J.; Dekker, E.; Delicata, N.; Ducarroz, S.; Erfkamp, H.; Espinàs, J. A.; Faivre, J.; Faulds Wood, L.; Flugelman, A.; Frkovic-Grazio, S.; Geller, B.; Giordano, L.; Grazzini, G.; Green, J.; Hamashima, C.; Herrmann, C.; Hewitson, P.; Hoff, G.; Holten, I.; Jover, R.; Kaminski, M. F.; Kuipers, E. J.; Kurtinaitis, J.; Lambert, R.; Launoy, G.; Lee, W.; Leicester, R.; Leja, M.; Lieberman, D.; Lignini, T.; Lucas, E.; Lynge, E.; Mádai, S.; Marinho, J.; Maučec Zakotnik, J.; Minoli, G.; Monk, C.; Morais, A.; Muwonge, R.; Nadel, M.; Neamtiu, L.; Peris Tuser, M.; Pignone, M.; Pox, C.; Primic-Zakelj, M.; Psaila, J.; Rabeneck, L.; Ransohoff, D.; Rasmussen, M.; Regula, J.; Ren, J.; Rennert, G.; Rey, J.; Riddell, R. H.; Risio, M.; Rodrigues, V.; Saito, H.; Sauvaget, C.; Scharpantgen, A.; Schmiegel, W.; Senore, C.; Siddiqi, M.; Sighoko, D.; Smith, R.; Smith, S.; Suchanek, S.; Suonio, E.; Tong, W.; Törnberg, S.; Van Cutsem, E.; Vignatelli, L.; Villain, P.; Voti, L.; Watanabe, H.; Watson, J.; Winawer, S.; Young, G.; Zaksas, V.; Zappa, M.; Valori, R.

    2015-01-01

    Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence-based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010.They include 10 chapters and over 250 recommendations, individually graded according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease and appropriate surveillance in people with detected lesions. To make the principles, recommendations and standards in the guidelines known to a wider professional and scientific community and to facilitate their use in the scientific literature, the original content is presented in journal format in an open-access Supplement of Endoscopy. The editors have prepared the present overview to inform readers of the comprehensive scope and content of the guidelines. PMID:23212726

  4. Climate change and the impact of increased rainfall variability on sediment transport and catchment scale water quality

    Science.gov (United States)

    Hancock, G. R.; Willgoose, G. R.; Cohen, S.

    2009-12-01

    Recently there has been recognition that changing climate will affect rainfall and storm patterns with research directed to examine how the global hydrological cycle will respond to climate change. This study investigates the effect of different rainfall patterns on erosion and resultant water quality for a well studied tropical monsoonal catchment that is undisturbed by Europeans in the Northern Territory, Australia. Water quality has a large affect on a range of aquatic flora and fauna and a significant change in sediment could have impacts on the aquatic ecosystems. There have been several studies of the effect of climate change on rainfall patterns in the study area with projections indicating a significant increase in storm activity. Therefore it is important that the impact of this variability be assessed in terms of catchment hydrology, sediment transport and water quality. Here a numerical model of erosion and hydrology (CAESAR) is used to assess several different rainfall scenarios over a 1000 year modelled period. The results show that that increased rainfall amount and intensity increases sediment transport rates but predicted water quality was variable and non-linear but within the range of measured field data for the catchment and region. Therefore an assessment of sediment transport and water quality is a significant and complex issue that requires further understandings of the role of biophysical feedbacks such as vegetation as well as the role of humans in managing landscapes (i.e. controlled and uncontrolled fire). The study provides a robust methodology for assessing the impact of enhanced climate variability on sediment transport and water quality.

  5. Quality Assurance Project Plan for Verification of Sediment Ecotoxicity Assessment Ring(SEA Ring)

    Science.gov (United States)

    The objective of the verification is to test the efficacy and ability of the Sediment Ecotoxicity Assessment Ring (SEA Ring) to evaluate the toxicity of contaminants in the sediment, at the sediment-water interface, and WC to organisms that live in those respective environments.

  6. Sediment transport, light and algal growth in the Markermeer : a two-dimensional water quality model for a shallow lake

    NARCIS (Netherlands)

    Duin, van E.H.S.

    1992-01-01

    This thesis reports on a study of the water quality in the Markermeer, focusing on the relationships between sediment transport, the light field and the growth of Oscillatoria agardhii . The study comprises two aspects: an extensive data collection program with the data

  7. Scour hole ('wielen') sediments as historical archive of floods, vegetation, and air and water quality in lowlands

    NARCIS (Netherlands)

    Cremer, Holger; van Hoof, Thomas; Bunnik, Frans; Donders, Timme

    2010-01-01

    The sediment record from a maximum 18 m deep scour hole lake (Haarsteegse Wiel) near the embanked Meuse River in the Netherlands was studied for past changes in flooding frequency, water quality, and landscape change using a combined geochemical, geobiological and historical approach. The results

  8. Beyond the bed: Effects of metal contamination on recruitment to bedded sediments and overlying substrata

    International Nuclear Information System (INIS)

    Hill, Nicole A.; Simpson, Stuart L.; Johnston, Emma L.

    2013-01-01

    Metal-contaminated sediments pose a recognised threat to sediment-dwelling fauna. Re-mobilisation of contaminated sediments however, may impact more broadly on benthic ecosystems, including on diverse assemblages living on hard substrata patches immediately above sediments. We used manipulative field experiments to simultaneously test for the effects of metal contamination on recruitment to marine sediments and overlying hard substrata. Recruitment to sediments was strongly and negatively affected by metal contamination. However, while assemblage-level effects on hard-substratum fauna and flora were observed, most functional groups were unaffected or slightly enhanced by exposure to contaminated sediments. Diversity of hard-substratum fauna was also enhanced by metal contamination at one site. Metal-contaminated sediments appear to pose less of a hazard to hard-substratum than sediment-dwelling assemblages, perhaps due to a lower direct contaminant exposure or to indirect effects mediated by contaminant impacts on sediment fauna. Our results indicate that current sediment quality guidelines are protective of hard-substrata organisms. - Highlights: ► Potential for contaminated sediments to exert impacts beyond the sediment communities. ► We examine effects on recruitment to sediments and overlying hard substrata simultaneously. ► Metal-contaminated sediments had a strong negative impact on sediment fauna. ► Metal-contaminated sediments pose less of a hazard to hard-substratum fauna. ► Sediment quality guidelines are likely protective of hard-substrata organisms. - Under natural disturbance regimes, metal-contaminated sediments pose less of a direct risk to hard-substratum fauna than to sediment-dwelling fauna and SQG appear appropriate.

  9. Review on the quality of sediments from the stormwater drainage system in the urban area

    Directory of Open Access Journals (Sweden)

    Nawrot Nicole

    2017-01-01

    Full Text Available The main task of the stormwater drainage system (SDS is a safe drainage of rainwater and snowmelt from the urban area to the receiver. The flow of rain water in the drainage pipes is directly related with the formation of sediments in the whole stormwater system. In addition, pollutants from land runoff get adsorbed to the sediments. The sludge is mainly formed in those elements of SDS, wherein the flow conditions allow for sedimentation. This article provides an overview of the literature concerning the characteristics of sediments from SDS, with a particular focus on heavy metals in sediments deposited in the urban catchment area.

  10. The influence of standards and clinical guidelines on prosthetic and orthotic service quality: a scoping review.

    Science.gov (United States)

    Sadeghi-Demneh, Ebrahim; Forghany, Saeed; Onmanee, Pornsuree; Trinler, Ursula; Dillon, Michael P; Baker, Richard

    2017-06-20

    Standards and guidelines are an integral part of prosthetic and orthotic service delivery in the developed world underpinned by an assumption that they lead to improved services. Implementing them has a cost, however, and that cost needs to be justified, particularly in resource-limited environments. This scoping review thus asks the question, "What is the evidence of the impact of standards and guidelines on service delivery outcomes in prosthetics and orthotics?" A structured search of three electronic databases (Medline, Scopus and Web of Science) followed by manual searching of title, abstract and full text, yielded 29 articles. Four categories of papers were identified: Descriptions and Commentaries (17 papers), Guideline Development (7), Guideline Testing (2) and Standards implementation (3). No articles were explicitly designed to assess the impact of standards and guidelines on service delivery outcomes in prosthetics and orthotics. Studies tended to be commentaries on or descriptions of guideline development, testing or implementation of standards. The literature is not sufficiently well developed to warrant the cost and effort of a systematic review. Future primary research should seek to demonstrate whether and how guidelines and standards improve the outcomes for people that require prostheses, orthoses and other assistive devices. Implications for Rehabilitation International Standards and Clinical Guidelines are now an integral part of clinical service provision in prosthetics and orthotics in the developed world. Complying with standards and guidelines has a cost and, particularly in resource-limited environments, it should be possible to justify this in terms of the resulting benefits. This scoping review concludes that there have been no previous studies designed to directly quantify the effects of implementing standards and guidelines on service delivery.

  11. European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition--Quality assurance in pathology in colorectal cancer screening and diagnosis.

    Science.gov (United States)

    Quirke, P; Risio, M; Lambert, R; von Karsa, L; Vieth, M

    2012-09-01

    Multidisciplinary, evidence-based guidelines for quality assurance in colorectal cancer screening and diagnosis have been developed by experts in a project coordinated by the International Agency for Research on Cancer. The full guideline document covers the entire process of population-based screening. It consists of 10 chapters and over 250 recommendations, graded according to the strength of the recommendation and the supporting evidence. The 450-page guidelines and the extensive evidence base have been published by the European Commission. The chapter on quality assurance in pathology in colorectal cancer screening and diagnosis includes 23 graded recommendations. The content of the chapter is presented here to promote international discussion and collaboration by making the principles and standards recommended in the new EU Guidelines known to a wider professional and scientific community. Following these recommendations has the potential to enhance the control of colorectal cancer through improvement in the quality and effectiveness of the screening process, including multi-disciplinary diagnosis and management of the disease. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Adherence to Guidelines for Cancer Survivors and Health-Related Quality of Life among Korean Breast Cancer Survivors

    Directory of Open Access Journals (Sweden)

    Sihan Song

    2015-12-01

    Full Text Available There is limited evidence on the association between adherence to guidelines for cancer survivors and health-related quality of life (HRQoL. In a cross-sectional study of Korean breast cancer survivors, we examined whether adherence to the guidelines of the American Cancer Society (ACS and World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR for cancer survivors was related to levels of HRQoL, assessed by the Korean version of Core 30 (C30 and Breast cancer module 23 (BR23 of the European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire (EORTC-QLQ. We included a total of 160 women aged 21 to 79 years who had been diagnosed with breast cancer according to American Joint Committee on Cancer (AJCC stages I to III and had breast cancer surgery at least six months before the interview. Increasing adherence to ACS guidelines was associated with higher scores of social functioning (p for trend = 0.05, whereas increasing adherence to WCRF/AICR recommendations was associated with higher scores of arm symptoms (p for trend = 0.01. These associations were limited to those with stage II or III cancer. Diet may be an important factor in relation to quality of life among Korean breast cancer survivors, however our findings warrant further prospective studies to evaluate whether healthy diet improves survivors’ quality of life.

  13. Chemical quality of surface waters and sedimentation in the Saline River basin, Kansas

    Science.gov (United States)

    Jordan, Paul Robert; Jones, B.F.; Petri, Lester R.

    1964-01-01

    calcium bicarbonate type when the specific conductance is less than about 1,000 micromhos per centimeter, but it is of the sodium chloride type when the specific conductance is more than about 1,500 micromhos per centimeter. The water is off the calcium bicarbonate, sodium bicarbonate, or sodium chloride type when the conductance is between 1,000 and 1,500 micromhos per centimeter. Most of the increase in mineralization of the water is caused by inflow of highly mineralized ground water. The ground-water inflow was estimated to be 22 percent of the total streamflow at Tescott in 1948 and 60 percent in 1952. Mineralization increases and water quality deteriorates progressively downstream along nearly the entire Saline River, especially in the part of the area directly underlain by the Dakota Sandstone between the vicinities of Fairport and Wilson: sodium and chloride are the principal constituents of water contributed by the Dakota. The total percentage of the salt in the Saline River that comes from oil-field brines is considered to be small. The water in the upper Saline River is of good quality for domestic use except that it is hard; the water in the lower Saline River is of poor quality for domestic use because most of the time it is highly mineralized, is hard, and contains high concentrations of chloride and sulfate. In the upper reaches of the river, the water is of good quality for irrigation. In the lower reaches, if the water were impounded in a reservoir, it would be of good quality for irrigation during years of high flow and of very poor quality during years of low flow. The water in the lower reaches is of poor quality for industrial use because it is highly mineralized most of the tinge. Relations of suspended-sediment discharge to water discharge were used with the long-term streamflow duration curves to compute the long-term aver age suspended-sediment discharges and concentrations at five indications. Sediment discharge is closely related to runoff. S

  14. Guidelines for quality assurance and quality control of fish taxonomic data collected as part of the National Water-Quality Assessment Program

    Science.gov (United States)

    Walsh, Stephen Joseph; Meador, Michael R.

    1998-01-01

    Fish community structure is characterized by the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program as part of a perennial, multidisciplinary approach to evaluating the physical, chemical, and biological conditions of the Nation's water resources. The objective of quality assurance and quality control of fish taxonomic data that are collected as part of the NAWQA Program is to establish uniform guidelines and protocols for the identification, processing, and archiving of fish specimens to ensure that accurate and reliable data are collected. Study unit biologists, collaborating with regional biologists and fish taxonomic specialists, prepare a pre-sampling study plan that includes a preliminary faunal list and identification of an ichthyological curation center for receiving preserved fish specimens. Problematic taxonomic issues and protected taxa also are identified in the study plan, and collecting permits are obtained in advance of sampling activities. Taxonomic specialists are selected to identify fish specimens in the field and to assist in determining what fish specimens should be sacrificed, fixed, and preserved for laboratory identification, independent taxonomic verification, and long-term storage in reference or voucher collections. Quantitative and qualitative sampling of fishes follows standard methods previously established for the NAWQA Program. Common ichthyological techniques are used to process samples in the field and prepare fish specimens to be returned to the laboratory or sent to an institutional repository. Taxonomic identifications are reported by using a standardized list of scientific names that provides nomenclatural consistency and uniformity across study units.

  15. The quality of operative note taking: an audit using the Royal College of Surgeons Guidelines as the gold standard.

    Science.gov (United States)

    Shayah, A; Agada, F O; Gunasekaran, S; Jassar, P; England, R J A

    2007-04-01

    To assess the quality of operative note keeping and compare the results with the Royal College of Surgeons (RCS) of England guidelines 'Good Surgical Practice' as the gold standard. ENT Department at Hull Royal Infirmary, University Hospital. A hundred consecutive operative notes were selected between November 2005 and January 2006. The documentation of the operative notes in each case was compared with the RCS of England guidelines. All surgeons were made aware of the results of the first cycle and the guidelines were made available in all ENT theatres in the form of a printed aide-memoir. A second audit cycle was then carried out prospectively between April and June 2006. The results demonstrated a change in practice in key areas. The 1st cycle results showed the documentation of patient identification (94%), name of surgeon (98%) and clearly written postoperative instructions (94%). However, surgeons performed suboptimally at recording the name of assistant (82%), operative diagnosis (46%), the incision type (87%) and the type of wound closure (83%). After introducing the aide-memoir, the second cycle demonstrated a change in practice with 100% documentation in most of the assessed parameters except that the time of surgery and the type of surgery (emergency or elective) were not adequately recorded. We recommend that all surgical departments should have the RCS guidelines as an aide-memoir in theatres to enhance the quality and standardise operative note recording.

  16. [The German program for disease management guidelines--implementation with pathways and quality management].

    Science.gov (United States)

    Ollenschläger, Günter; Lelgemann, Monika; Kopp, Ina

    2007-07-15

    In Germany, physicians enrolled in disease management programs are legally obliged to follow evidence-based clinical practice guidelines. That is why a Program for National Disease Management Guidelines (German DM-CPG Program) was established in 2002 aiming at implementation of best-practice evidence-based recommendations for nationwide as well as regional disease management programs. Against this background the article reviews programs, methods and tools for implementing DM-CPGs via clinical pathways as well as regional guidelines for outpatient care. Special reference is given to the institutionalized program of adapting DM-CPGs for regional use by primary-care physicians in the State of Hesse.

  17. Investigation of metal toxicity to tropical biota. Recommendations for revision of Australian water quality guidelines

    International Nuclear Information System (INIS)

    Marchich, S.

    1997-01-01

    The specific objectives of this study were to: review available data on the toxicity of metals to aquatic biota in tropical Australia; identify metals considered to be priority toxicants to aquatic biota in tropical Australia; and employ previously developed toxicity testing protocols for two tropical freshwater species to obtain preliminary toxicity data for two priority metals. From the literature review, it was concluded that insufficient metal toxicity data exist for Australian tropical species. Data were absent for a range of metals (eg Ag, As, Al, Cr, Hg, Ni, Sb and Se) listed in the current Australian water quality guidelines. Aluminium, Cd, Co, Cu, Ni, Mn, Pb, U, V and Zn were identified as priority metals of potential ecotoxicological concern in aquatic ecosystems of tropical Australia, largely as a consequence of mining activities, but also from urban impacts. Instead of testing the toxicity of the priority metals for which data do not currently exist (ie Al, Co, Ni and V), it was deemed more important to conduct further experimental work on Cu and U, in the context of elucidating the relatively high variability in the toxic response of these two metals. As a result, Cu and U were selected and toxicity tests conducted using two tropical freshwater species (green hydra (Hydra viridissima) and gudgeon fish (Mogurnda mogurnda)) from the Australian wet/dry tropics using test protocols designed to maximise the greatest sensitivity of metal response in the shortest period of time. Hydra viridissima was about eight times more sensitive to Cu than U, whereas M. mogurnda was about twenty times more sensitive. Once differences between the sublethal and lethal endpoints of the two organisms were corrected by statistical extrapolation, H. viridissima was approximately seven times more sensitive than M. mogurnda to U, but only about three times more sensitive to Cu. Both species were more sensitive to Cu than U. These results are generally consistent with those from

  18. Estuarine bed-sediment-quality data collected in New Jersey and New York after Hurricane Sandy, 2013

    Science.gov (United States)

    Fischer, Jeffrey M.; Phillips, Patrick J.; Reilly, Timothy J.; Focazio, Michael J.; Loftin, Keith A.; Benzel, William M.; Jones, Daniel K.; Smalling, Kelly L.; Fisher, Shawn C.; Fisher, Irene J.; Iwanowicz, Luke R.; Romanok, Kristin M.; Jenkins, Darkus E.; Bowers, Luke; Boehlke, Adam; Foreman, William T.; Deetz, Anna C.; Carper, Lisa G.; Imbrigiotta, Thomas E.; Birdwell, Justin E.

    2015-01-01

    This report describes a reconnaissance study of estuarine bed-sediment quality conducted June–October 2013 in New Jersey and New York after Hurricane Sandy in October 2012 to assess the extent of contamination and the potential long-term human and ecological impacts of the storm. The study, funded through the Disaster Relief Appropriations Act of 2013 (PL 113-2), was conducted by the U.S. Geological Survey in cooperation with the U.S. Environmental Protection Agency and the National Oceanographic and Atmospheric Administration. In addition to presenting the bed-sediment-quality data, the report describes the study design, documents the methods of sample collection and analysis, and discusses the steps taken to assure the quality of the data.

  19. Proposed quality control guidelines for National Committee for Clinical Laboratory Standards Susceptibility Tests using the veterinary antimicrobial agent tiamulin.

    Science.gov (United States)

    Pfaller, M A; Jones, R N; Walter, D H

    2001-01-01

    Quality control guidelines for standardized antimicrobial susceptibility test methods are critical for the continuing accuracy of these clinical tests. In this report, quality control limits were proposed for the veterinary antimicrobial agent tiamulin with minimum inhibitory concentration (MIC) ranges of three or four log(2) dilution steps in two different medium formulations. Disk diffusion zone diameter ranges were proposed for tiamulin tested against Actinobacillus pleuropneumoniae ATCC 27090 (12-18 mm) and Staphylococcus aureus ATCC 25923 (25-32 mm). The data from eight participating laboratories produced 100% of results within proposed MIC limits (8-32 microg/mL), and 95.8-97.0% of zones were found within suggested zone diameter QC guidelines. These proposed QC ranges should be validated by in-use results from veterinary clinical laboratories.

  20. Utility of routine data sources for feedback on the quality of cancer care: an assessment based on clinical practice guidelines

    OpenAIRE

    Coory, Michael; Thompson, Bridie; Baade, Peter; Fritschi, Lin

    2009-01-01

    Abstract Background Not all cancer patients receive state-of-the-art care and providing regular feedback to clinicians might reduce this problem. The purpose of this study was to assess the utility of various data sources in providing feedback on the quality of cancer care. Methods Published clinical practice guidelines were used to obtain a list of processes-of-care of interest to clinicians. These were assigned to one of four data categories according to their availability and the marginal ...

  1. Nuclear power plants. Guidelines to ensure quality of collected data on reliability

    International Nuclear Information System (INIS)

    1983-01-01

    This international standard lays down guidelines to be followed in the collection of data relative to nuclear power plants so as to ensure the reliability and completeness of the data and its insertion in a computerized system

  2. Review on the quality of sediments from the stormwater drainage system in the urban area

    OpenAIRE

    Nawrot Nicole; Wojciechowska Ewa

    2017-01-01

    The main task of the stormwater drainage system (SDS) is a safe drainage of rainwater and snowmelt from the urban area to the receiver. The flow of rain water in the drainage pipes is directly related with the formation of sediments in the whole stormwater system. In addition, pollutants from land runoff get adsorbed to the sediments. The sludge is mainly formed in those elements of SDS, wherein the flow conditions allow for sedimentation. This article provides an overview of the literature c...

  3. Catch and Release: A dense, longitudinal array of water quality sondes reveals spatial and temporal complexities in suspended sediment flux

    Science.gov (United States)

    Guilinger, J. J.; Crosby, B. T.

    2017-12-01

    Excessive suspended sediment in streams is one of the most common causes for industrial, ecological and recreational stream impairment in the US. Identifying the primary geomorphic or anthropogenic sources of sediment is a key step in the effective mitigation of impairment. This study seeks to identify sources of suspended sediment in an agriculturally impaired watershed, Marsh Creek, in southeast Idaho. We employ thirteen multi-parameter water quality sensors to simultaneously measure stage, turbidity, temperature and conductivity every 15 minutes over a full calendar year. Examined at both the event and annual scale, these data enable mass balance calculations for mainstem and tributary contributions. Revealed in this monitoring is an approximately eight-fold longitudinal increase in sediment flux over 74 km that is largely augmented by eroding mainstem banks in reaches with higher stream power in the lower 30 km, with less than 20% contributed from tributaries. Independent data confirming the bank source were acquired through cost-effective sediment fingerprinting using 15N and C:N signatures from potential soil endmembers. Additionally, Google Street View-type longitudinal imagery of banks was collected via a kayak survey to confirm the spatial extent and magnitude of bank erosion along Marsh Creek. These data converge on bank erosion as the primary source of fine sediment. Sediment load at various hierarchical temporal and spatial scales is impacted by in-stream storage and remobilization, especially over shorter timescales ranging from daily to seasonal periods. Once averaged over the annual scale, local, temporary in-channel storage is overcome and these data reveal source reaches that can be prioritized for restoration and mitigation projects.

  4. Larval development ratio test with the calanoid copepod Acartia tonsa as a new bioassay to assess marine sediment quality.

    Science.gov (United States)

    Buttino, Isabella; Vitiello, Valentina; Macchia, Simona; Scuderi, Alice; Pellegrini, David

    2018-03-01

    The copepod Acartia tonsa was used as a model species to assess marine sediment quality. Acute and chronic bioassays, such as larval development ratio (LDR) and different end-points were evaluated. As a pelagic species, A. tonsa is mainly exposed to water-soluble toxicants and bioassays are commonly performed in seawater. However, an interaction among A. tonsa eggs and the first larval stages with marine sediments might occur in shallow water environments. Here we tested two different LDR protocols by incubating A. tonsa eggs in elutriates and sediments coming from two areas located in Tuscany Region (Central Italy): Livorno harbour and Viareggio coast. The end-points analyzed were larval mortality (LM) and development inhibition (DI) expressed as the percentage of copepods that completed the metamorphosis from nauplius to copepodite. Aims of this study were: i) to verify the suitability of A. tonsa copepod for the bioassay with sediment and ii) to compare the sensitivity of A. tonsa exposed to different matrices, such as water and sediment. A preliminary acute test was also performed. Acute tests showed the highest toxicity of Livorno's samples (two out of three) compared to Viareggio samples, for which no effect was observed. On the contrary, LDR tests with sediments and elutriates revealed some toxic effects also for Viareggio's samples. Results were discussed with regards to the chemical characterization of the samples. Our results indicated that different end-points were affected in A. tonsa, depending on the matrices to which the copepods were exposed and on the test used. Bioassays with elutriates and sediments are suggested and LDR test could help decision-makers to identify a more appropriate management of dredging materials. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Comparison of heavy metal contamination during the last decade along the coastal sediment of Pakistan: Multiple pollution indices approach.

    Science.gov (United States)

    Saher, Noor Us; Siddiqui, Asmat Saleem

    2016-04-15

    Heavy metals concentrations (Fe, Cu, Zn, Ni, Cr, Co, Pb, and Cd) were scrutinized during two monitoring years (2001 and 2011) in the coastal sediment of Pakistan. The status of metal contamination in coastal sediment was interpreted using sediment quality guidelines, and single and combined metal pollution indices. Ni, Cr, and Cd were recognized for their significant (p<0.05) intensification in the sediment during the last decade. Sediment quality guidelines recognized the frequent adverse biological effect of Ni and the occasional adverse biological effect of Cu, Cr, Pb and Cd. Single metal pollution indices (Igeo, EF, CF, and ER) revealed that sediment pollution is predominantly caused by Pb and Cd. Low to moderate contamination was appraised along the coast by multi-metal pollution indices (CD and PERI). Correlation study specifies that heavy metals were presented diverse affiliations and carriers for distribution in the sediment during the last decade. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Critical review: Radionuclide transport, sediment transport, and water quality mathematical modeling; and radionuclide adsorption/desorption mechanisms

    Energy Technology Data Exchange (ETDEWEB)

    Onishi, Y.; Serne, R.J.; Arnold, E.M.; Cowan, C.E.; Thompson, F.L. [Pacific Northwest Lab., Richland, WA (United States)

    1981-01-01

    This report describes the results of a detailed literature review of radionuclide transport models applicable to rivers, estuaries, coastal waters, the Great Lakes, and impoundments. Some representatives sediment transport and water quality models were also reviewed to evaluate if they can be readily adapted to radionuclide transport modeling. The review showed that most available transport models were developed for dissolved radionuclide in rivers. These models include the mechanisms of advection, dispersion, and radionuclide decay. Since the models do not include sediment and radionuclide interactions, they are best suited for simulating short-term radionuclide migration where: (1) radionuclides have small distribution coefficients; (2) sediment concentrations in receiving water bodies are very low. Only 5 of the reviewed models include full sediment and radionuclide interactions: CHMSED developed by Fields; FETRA SERATRA, and TODAM developed by Onishi et al, and a model developed by Shull and Gloyna. The 5 models are applicable to cases where: (1) the distribution coefficient is large; (2) sediment concentrations are high; or (3) long-term migration and accumulation are under consideration. The report also discusses radionuclide absorption/desorption distribution ratios and addresses adsorption/desorption mechanisms and their controlling processes for 25 elements under surface water conditions. These elements are: Am, Sb, C, Ce, Cm, Co, Cr, Cs, Eu, I, Fe, Mn, Np, P, Pu, Pm, Ra, Ru, Sr, Tc, Th, {sup 3}H, U, Zn and Zr.

  7. Quality of Reporting and Adherence to ARRIVE Guidelines in Animal Studies for Chagas Disease Preclinical Drug Research: A Systematic Review.

    Science.gov (United States)

    Gulin, Julián Ernesto Nicolás; Rocco, Daniela Marisa; García-Bournissen, Facundo

    2015-11-01

    Publication of accurate and detailed descriptions of methods in research articles involving animals is essential for health scientists to accurately interpret published data, evaluate results and replicate findings. Inadequate reporting of key aspects of experimental design may reduce the impact of studies and could act as a barrier to translation of research findings. Reporting of animal use must be as comprehensive as possible in order to take advantage of every study and every animal used. Animal models are essential to understanding and assessing new chemotherapy candidates for Chagas disease pathology, a widespread parasitic disease with few treatment options currently available. A systematic review was carried out to compare ARRIVE guidelines recommendations with information provided in publications of preclinical studies for new anti-Trypanosoma cruzi compounds. A total of 83 publications were reviewed. Before ARRIVE guidelines, 69% of publications failed to report any macroenvironment information, compared to 57% after ARRIVE publication. Similar proportions were observed when evaluating reporting of microenvironmental information (56% vs. 61%). Also, before ARRIVE guidelines publication, only 13% of papers described animal gender, only 18% specified microbiological status and 13% reported randomized treatment assignment, among other essential information missing or incomplete. Unfortunately, publication of ARRIVE guidelines did not seem to enhance reporting quality, compared to papers appeared before ARRIVE publication. Our results suggest that there is a strong need for the scientific community to improve animal use description, animal models employed, transparent reporting and experiment design to facilitate its transfer and application to the affected human population. Full compliance with ARRIVE guidelines, or similar animal research reporting guidelines, would be an excellent start in this direction.

  8. Quality of Reporting and Adherence to ARRIVE Guidelines in Animal Studies for Chagas Disease Preclinical Drug Research: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Julián Ernesto Nicolás Gulin

    2015-11-01

    Full Text Available Publication of accurate and detailed descriptions of methods in research articles involving animals is essential for health scientists to accurately interpret published data, evaluate results and replicate findings. Inadequate reporting of key aspects of experimental design may reduce the impact of studies and could act as a barrier to translation of research findings. Reporting of animal use must be as comprehensive as possible in order to take advantage of every study and every animal used. Animal models are essential to understanding and assessing new chemotherapy candidates for Chagas disease pathology, a widespread parasitic disease with few treatment options currently available. A systematic review was carried out to compare ARRIVE guidelines recommendations with information provided in publications of preclinical studies for new anti-Trypanosoma cruzi compounds. A total of 83 publications were reviewed. Before ARRIVE guidelines, 69% of publications failed to report any macroenvironment information, compared to 57% after ARRIVE publication. Similar proportions were observed when evaluating reporting of microenvironmental information (56% vs. 61%. Also, before ARRIVE guidelines publication, only 13% of papers described animal gender, only 18% specified microbiological status and 13% reported randomized treatment assignment, among other essential information missing or incomplete. Unfortunately, publication of ARRIVE guidelines did not seem to enhance reporting quality, compared to papers appeared before ARRIVE publication. Our results suggest that there is a strong need for the scientific community to improve animal use description, animal models employed, transparent reporting and experiment design to facilitate its transfer and application to the affected human population. Full compliance with ARRIVE guidelines, or similar animal research reporting guidelines, would be an excellent start in this direction.

  9. Data quality objectives summary report for 105-N Basin sediment disposition

    International Nuclear Information System (INIS)

    Pisarcik, D.J.

    1996-10-01

    During stabilization of the 105-N Basin, sediments that have accumulated on basin surfaces will be vacuumed, collected in the North Cask Pit of the basin complex, and eventually removed. The environmental assessment for the deactivation of the N Reactor Facilities describes two potential disposition paths for the 105-N Basin sediment: transfer in slurry form to a double-shell tank if determined to be a transuranic waste, or disposal in solid form as a low-level waste. Interim storage of the sediments may be required if a transfer to the Tank Waste Remediation System cannot meet scheduled milestones. Selection of a particular alternative depends on the final characterization of the accumulated sediment, regulatory requirements, cost/benefit analyses, and 105-N Stabilization Project schedule requirements. The 105-N Basin Sediment Process is being conducted in two phases. The scope of the first phase includes identification of the sampling requirements, and the specific analyses required to support evaluation of the sediment disposition options. The objectives of the first phase of the 105-N Basin Sediment DQO Process include the following: identify the relevant acceptance criteria for each of the disposition options; and develop a sampling and analysis plan (SAP) sufficiently through to allow evaluation of sediment analysis results against each set of acceptance criteria

  10. Modeling Benthic Sediment Processes to Predict Water Quality and Ecology in Narragansett Bay

    Science.gov (United States)

    The benthic sediment acts as a huge reservoir of particulate and dissolved material (within interstitial water) which can contribute to loading of contaminants and nutrients to the water column. A benthic sediment model is presented in this report to predict spatial and temporal ...

  11. Could a revision of the current guidelines for cancer drug use improve the quality of cancer treatment?

    Science.gov (United States)

    Lippert, Theodor H; Ruoff, Hans-Jörg; Volm, Manfred

    2014-01-01

    Clinical practice guidelines are indispensable for such a variable disease as malignant solid tumors, with the complex possibilities of drug treatment. The current guidelines may be criticized on several points, however. First, there is a lack of information on the outcome of treatment, such as the expected success and failure rates. Treating not only drug responders but also nonresponders, that is, patients with drug resistance, must result in failures. There is no mention of the possibility of excluding the drug nonresponders, identifiable by special laboratory tests and no consideration is given to the different side effects of the recommended drug regimens. Nor are there any instructions concerning tumor cases for which anticancer drug treatment is futile. In such cases, early palliative care may lead to significant improvements in both life quality and life expectancy. Not least, there is no transparency concerning the preparation of the guidelines: persons cannot be identified who could give a statement of conflicts of interest, and responsibility is assumed only by anonymous medical associations. A revision of the current guidelines could considerably improve cancer treatment.

  12. Testing the potential for improving quality of sediments impacted by mussel farms using bioturbating polychaete worms

    DEFF Research Database (Denmark)

    Bergström, Per; Carlsson, Marita S; Lindegarth, Mats

    2017-01-01

    Biodeposits from farmed mussels severely influence the biogeochemistry of sediments by increasing the levels of organic matter (OM). Mitigation of such negative impacts is important for the development of sustainable aquaculture operations. As a step towards developing methods for remediation...... of coastal sediments affected by mussel farming, the effects of the polychaete, Hediste diversicolor was evaluated experimentally. In a series of field- and laboratory experiments we tested hypotheses about the effects of polychaetes on sediment oxygen consumption, nutrient fluxes and sulphide pools under...... different polychaete densities and sedimentation regimes. The experimental results support the idea that polychaetes can mitigate negative effects on the benthic environment beneath mussel farms. H. diversicolor oxidized the sediment and generally enhanced the oxygen consumption, and thus the decomposition...

  13. Guidelines for the design of the working rules of the guarantee and quality control in radiotherapy commission

    International Nuclear Information System (INIS)

    Pardo, J.; Galmes, M.A.; Font, J.; Caro, J.; Serra, J.; Mata, F.; Bertan, S.; Biete, A.; Carceller, J.A.; Esco, R.; Palacios, A.; Veiras, C.; Vazquez, M.G.

    2001-01-01

    The 1566/1988 Royal Decree stated on July 17 th , focused on Quality Criteria in Radiation Therapy, was published in the Official Spanish Gazette on August 28 th . Its publication began a self-analysis process in all the Spanish Radiation Oncology Departments due to the fact that it implies the guidelines elaboration of each step of the radiation therapy process, including the patient post-treatment follow up and the equipment quality control. The Royal Decree orders the managers of the hospitals and facilities that have a radiation oncology department to create the Guarantee and Quality Control in Radiotherapy Commission. According to the Spanish law regulations, every single commission must have its own working rules based on the Chapter II, focused in 'Organos Colegiados', of the 30/1992 Law stated on November 27 th about Public Administration Legal Rules. The Guidelines for the design of the Guarantee and Quality Control in Radiotherapy Commission Working Rules here presented, have been done by consensus in Son Dureta University Hospital and afterwards sent to all Radiation Oncology Departments by the Spanish Society for Radiotherapy and Oncology. (author)

  14. Cumulative influences of a small city and former mining activities on the sediment quality of a subtropical estuarine protected area.

    Science.gov (United States)

    Cruz, Ana Carolina Feitosa; Davanso, Marcela Bergo; Araujo, Giuliana Seraphim; Buruaem, Lucas M; Santaella, Sandra Tédde; de Morais, Rodofley Davino; Abessa, Denis M S

    2014-11-01

    This study aimed to evaluate the sediment quality in the estuarine protected area known as Cananéia-Iguape-Peruíbe (CIP-PA), located on the southeastern coast of Brazil. The study was designed considering possible negative effects induced by the city of Cananéia on the sediment quality of surrounding areas. This evaluation was performed using chemical and ecotoxicological analyses. Sediments were predominantly sandy, with low CaCO3 contents. Amounts of organic matter varied, but higher contents occurred closer to the city, as well as did Fe and Total Recoverable Oils and Greases (TROGs) concentrations. Contamination by Cd and Cu was revealed in some samples, while concentrations of Zn were considered low. Chronic toxicity was detected in all tested sediments and acute toxicity occurred only in sediments collected near the city. The principal component analysis (PCA) revealed an association among Cd, Cu, Fe, TROG, fines, organic matter, CaCO3, and chronic toxicity, whereas acute toxicity was found to be associated with Zn and mud. However, because Zn levels were low, acute toxicity was likely due to a contaminant that was not measured. Results show that there is a broad area within the CIP-PA that is under the influence of mining activities (chronic toxicity, moderate contamination by metals), whereas poorer conditions occur closer to Cananéia (acute toxicity); thus, the urban area seems to constitute a relevant source of contaminants for the estuarine complex. These results show that contamination is already capable of producing risks for the local aquatic biota, which suggests that the CIP-PA effectiveness in protecting estuarine biota may be threatened.

  15. Characterizing toxicity of metal-contaminated sediments from mining areas

    International Nuclear Information System (INIS)

    Besser, John M.; Brumbaugh, William G.; Ingersoll, Christopher G.

    2015-01-01

    Highlights: • We review methods for testing toxicity of sediments affected by metals. • Toxicity testing provides site-specific assessment of impacts on resident biota. • Goals are to document extent of toxicity and associations with metal exposure. • Need to characterize bioavailability of metals in sediment and pore water. • Toxicity data is basis for guidelines used to predict hazards of metal toxicity. - Abstract: This paper reviews methods for testing the toxicity of metals associated with freshwater sediments, linking toxic effects with metal exposure and bioavailability, and developing sediment quality guidelines. The most broadly applicable approach for characterizing metal toxicity is whole-sediment toxicity testing, which attempts to simulate natural exposure conditions in the laboratory. Standard methods for whole-sediment testing can be adapted to test a wide variety of taxa. Chronic sediment tests that characterize effects on multiple endpoints (e.g., survival, growth, and reproduction) can be highly sensitive indicators of adverse effects on resident invertebrate taxa. Methods for testing of aqueous phases (pore water, overlying water, or elutriates) are used less frequently. Analysis of sediment toxicity data focuses on statistical comparisons between responses in sediments from the study area and responses in one or more uncontaminated reference sediments. For large or complex study areas, a greater number of reference sediments is recommended to reliably define the normal range of responses in uncontaminated sediments – the ‘reference envelope’. Data on metal concentrations and effects on test organisms across a gradient of contamination may allow development of concentration-response models, which estimate metal concentrations associated with specified levels of toxic effects (e.g. 20% effect concentration or EC20). Comparisons of toxic effects in laboratory tests with measures of impacts on resident benthic invertebrate

  16. Feasibility and efficacy of sepsis management guidelines in a pediatric intensive care unit in Saudi Arabia: a quality improvement initiative.

    Science.gov (United States)

    Hasan, Gamal M; Al-Eyadhy, Ayman A; Temsah, Mohamed-Hani A; Al-Haboob, Ali A; Alkhateeb, Mohammad A; Al-Sohime, Fahad

    2018-04-25

    Evaluation of feasibility and effectiveness of Surviving Sepsis Campaign (SSC) Guidelines implementation at a Pediatric Intensive Care Unit (PICU) in Saudi Arabia to reduce severe sepsis associated mortality. Retrospective data analysis for a prospective quality improvement (QI) initiative. PICU at King Saud University Medical City, Saudi Arabia. Children ≤14 years of age admitted to the PICU from July 2010 to March 2011 with suspected or proven sepsis. Comparisons were made to a previously admitted group of patients with sepsis from October 2009 to June 2010. Adaptation and implementation of the Surviving Sepsis Campaign-Clinical Practice Guidelines (SSC-CPGs) through AGREE instrument and ADAPTE process. We reported pre- and post-implementation outcome of interest for this QI initiative, annual sepsis-related mortality rate. Furthermore, we reported follow-up of annual mortality rate until December 2016. Sixty-five patients was included in the study (42 in post-guidelines implementation group and 23 in pre-guidelines implementation group). Mortality was insignificantly lower in the post-implementation group (26.2% vs. 47.8%; P = 0.079). However, when adjusted for severity, identified by number of failing organs in the multivariate regression analysis, the mortality difference was favorable for the post-implementation group (P = 0.006). The lower sepsis-related mortality rate was also sustained, with an average mortality rate of 15.11% for the subsequent years (2012-16). Adaptation and implementation of SSC Guidelines in our setting support its feasibility and potential benefits. However, a larger study is recommended to explore detailed compliance rates.

  17. A benchmarking project on the quality of previous guidelines about the management of malignant pleural effusion from the European Society of Thoracic Surgeons (ESTS) Pleural Diseases Working Group.

    Science.gov (United States)

    Bertolaccini, Luca; Bedetti, Benedetta; Brunelli, Alessandro; Marinova, Katerina; Raveglia, Federico; Rocco, Gaetano; Shargall, Yaron; Solli, Piergiorgio; Varela, Gonzalo; Papagiannopoulos, Kostas; Kuzdzal, Jaroslaw; Massard, Gilbert; Ruffini, Enrico; Falcoz, Pierre-Emmanuel; Martinez-Barenys, Carlos; Opitz, Isabelle; Batirel, Hasan F; Toker, Alper; Scarci, Marco

    2017-08-01

    In the European Society of Thoracic Surgeons (ESTS) survey about management of malignant pleural effusions (MPE), 56% of respondents are not informed of any relevant clinical guidelines and 52%, who are aware of the existence of guidelines, declared that they are in need of updating or revision. The ESTS Pleural Diseases Working Group developed a benchmarking project on quality of previous guidelines on the management of MPE. The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument was used to assess each guideline. Each item was scored on a 7-point scale. Scores for each domain were calculated. Economic data for the nations which have issued the guidelines were collected from the Organisation for Economic Cooperation and Development health statistics database. Six guidelines fitted the inclusion criteria and were assessed. Five out of 6 guidelines were produced by a multinational collaboration. Observers would recommend only 2 guidelines with minimal modification. Two areas that received the best score were clarity of presentation and scope and purpose (objectives and health questions target population). The applicability of guideline domain had the lowest score. Multivariate analysis demonstrated that clarity of presentation, international guidelines and publication through medical journal were related to improved scores. A strong correlation was observed between the measures of economic status. The quality of guidelines assessed by the AGREE II criteria was found to be extremely variable. Guidelines achieving higher AGREE II scores were more likely to come from the European Union with the direct involvement of scientific societies in their development. It was also recognized that some fundamental unanswered questions remain about the management of MPE. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  18. The legacy of lead (Pb) in fluvial bed sediments of an urban drainage basin, Oahu, Hawaii.

    Science.gov (United States)

    Hotton, Veronica K; Sutherland, Ross A

    2016-03-01

    The study of fluvial bed sediments is essential for deciphering the impact of anthropogenic activities on water quality and drainage basin integrity. In this study, a systematic sampling design was employed to characterize the spatial variation of lead (Pb) concentrations in bed sediment of urban streams in the Palolo drainage basin, southeastern Oahu, Hawaii. Potentially bioavailable Pb was assessed with a dilute 0.5 N HCl extraction of the  Pukele (19) > Waiomao (8). Comparisons to sediment quality guidelines and potential toxicity estimates using a logistic regression model (LRM) indicated a significant potential risk of Palolo Stream bed sediments to bottom-dwelling organisms.

  19. Guideline-based development of quality indicators for hypertensive diseases in pregnancy

    NARCIS (Netherlands)

    Luitjes, S.H.; Wouters, M.G.A.J.; Franx, A.; Bolte, A.C.; Groot, C.J. de; Tulder, M.W. van; Hermens, R.P.M.G.

    2013-01-01

    Objective. Hypertensive disorders in pregnancy are one of the main causes of maternal morbidity and mortality. Internationally, several organizations have developed clinical guidelines to assist professionals and to supply patients with the best possible care. To improve the care for this group of

  20. PP095. Guideline-based development of quality indicators for hypertensive diseases in pregnancy

    NARCIS (Netherlands)

    Luitjes, S.H.E.; Wouters, M; Franx, A.; Bolte, A.C.; Groot, C.; van Tulder, M; Hermens, R.

    INTRODUCTION: Hypertensive disorders in pregnancy are one of the main causes of maternal morbidity and mortality. Internationally, several organizations have developed clinical guidelines to assist professionals and to supply patients with the best possible care. To improve the care for this group

  1. Assessment of the Water and Sediment Quality of Tropical Forest Streams in Upper Reaches of the Baleh River, Sarawak, Malaysia, Subjected to Logging Activities

    Directory of Open Access Journals (Sweden)

    Teck-Yee Ling

    2016-01-01

    Full Text Available The study of the impact of logging activities on water and sediment quality of Sarawak forest streams is still scarce despite Sarawak being the largest exporter of timber in Malaysia. This study was aimed at determining the water and sediment quality of forest streams in Sarawak and the potential impact of logging activities. In situ parameters were measured, and water and sediment samples were collected at six stations before rain. Additionally, water quality was investigated at three stations after rain. The results showed that canopy removal resulted in large temperature variation and sedimentation in the forest streams. Lower suspended solids were found at stations with inactive logging (<2 mg/L compared to active logging (10–16 mg/L activities. The highest concentration of total nitrogen and total phosphorus in water and sediment was 4.4 mg/L, 77.6 μg/L, 0.17%, and 0.01%, respectively. Besides, significantly negative correlation of sediment nitrogen and water total ammonia nitrogen indicated the loss of nitrogen from sediment to water. Water quality of the streams deteriorated after rain, in particular, suspended solids which increased from 8.3 mg/L to 104.1 mg/L. This study reveals that logging activities have an impact on the water quality of Sarawak forest streams particularly in rainfall events.

  2. Water Quality and Sedimentation Data of the Coastal Intensive Site Network (CISNet) Long Term Monitoring Sites in Kaneohe Bay, Oahu, Hawaii from 1998 to 2001 (NODC Accession 0001473)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A long term project to monitor water quality and sediment processes in Kaneohe Bay was initiated in November 1998 and continued through July 2001. Four primary sites...

  3. Consensus guidelines for the uniform reporting of study ethics in anatomical research within the framework of the anatomical quality assurance (AQUA) checklist.

    Science.gov (United States)

    Henry, Brandon Michael; Vikse, Jens; Pekala, Przemyslaw; Loukas, Marios; Tubbs, R Shane; Walocha, Jerzy A; Jones, D Gareth; Tomaszewski, Krzysztof A

    2018-05-01

    Unambiguous reporting of a study's compliance with ethical guidelines in anatomical research is imperative. As such, clear, universal, and uniform reporting guidelines for study ethics are essential. In 2016, the International Evidence-Based Anatomy Working group in collaboration with international partners established reporting guidelines for anatomical studies, the Anatomical Quality Assurance (AQUA) Checklist. In this elaboration of the AQUA Checklist, consensus guidelines for reporting study ethics in anatomical studies are provided with in the framework of the AQUA Checklist. The new guidelines are aimed to be applicable to research across the spectrum of the anatomical sciences, including studies on both living and deceased donors. The authors hope the established guidelines will improve ethical compliance and reporting in anatomical research. Clin. Anat. 31:521-524, 2018. © 2018 Wiley Periodicals, Inc. © 2018 Wiley Periodicals, Inc.

  4. Drinking Water Quality Guidelines across Canadian Provinces and Territories: Jurisdictional Variation in the Context of Decentralized Water Governance

    Directory of Open Access Journals (Sweden)

    Gemma Dunn

    2014-04-01

    Full Text Available This article presents the first comprehensive review and analysis of the uptake of the Canadian Drinking Water Quality Guidelines (CDWQG across Canada’s 13 provinces and territories. This review is significant given that Canada’s approach to drinking water governance is: (i highly decentralized and (ii discretionary. Canada is (along with Australia only one of two Organization for Economic Cooperation and Development (OECD member states that does not comply with the World Health Organization’s (WHO recommendation that all countries have national, legally binding drinking water quality standards. Our review identifies key differences in the regulatory approaches to drinking water quality across Canada’s 13 jurisdictions. Only 16 of the 94 CDWQG are consistently applied across all 13 jurisdictions; five jurisdictions use voluntary guidelines, whereas eight use mandatory standards. The analysis explores three questions of central importance for water managers and public health officials: (i should standards be uniform or variable; (ii should compliance be voluntary or legally binding; and (iii should regulation and oversight be harmonized or delegated? We conclude with recommendations for further research, with particular reference to the relevance of our findings given the high degree of variability in drinking water management and oversight capacity between urban and rural areas in Canada.

  5. Drinking Water Quality Guidelines across Canadian provinces and territories: jurisdictional variation in the context of decentralized water governance.

    Science.gov (United States)

    Dunn, Gemma; Bakker, Karen; Harris, Leila

    2014-04-25

    This article presents the first comprehensive review and analysis of the uptake of the Canadian Drinking Water Quality Guidelines (CDWQG) across Canada's 13 provinces and territories. This review is significant given that Canada's approach to drinking water governance is: (i) highly decentralized and (ii) discretionary. Canada is (along with Australia) only one of two Organization for Economic Cooperation and Development (OECD) member states that does not comply with the World Health Organization's (WHO) recommendation that all countries have national, legally binding drinking water quality standards. Our review identifies key differences in the regulatory approaches to drinking water quality across Canada's 13 jurisdictions. Only 16 of the 94 CDWQG are consistently applied across all 13 jurisdictions; five jurisdictions use voluntary guidelines, whereas eight use mandatory standards. The analysis explores three questions of central importance for water managers and public health officials: (i) should standards be uniform or variable; (ii) should compliance be voluntary or legally binding; and (iii) should regulation and oversight be harmonized or delegated? We conclude with recommendations for further research, with particular reference to the relevance of our findings given the high degree of variability in drinking water management and oversight capacity between urban and rural areas in Canada.

  6. Drinking Water Quality Guidelines across Canadian Provinces and Territories: Jurisdictional Variation in the Context of Decentralized Water Governance

    Science.gov (United States)

    Dunn, Gemma; Bakker, Karen; Harris, Leila

    2014-01-01

    This article presents the first comprehensive review and analysis of the uptake of the Canadian Drinking Water Quality Guidelines (CDWQG) across Canada’s 13 provinces and territories. This review is significant given that Canada’s approach to drinking water governance is: (i) highly decentralized and (ii) discretionary. Canada is (along with Australia) only one of two Organization for Economic Cooperation and Development (OECD) member states that does not comply with the World Health Organization’s (WHO) recommendation that all countries have national, legally binding drinking water quality standards. Our review identifies key differences in the regulatory approaches to drinking water quality across Canada’s 13 jurisdictions. Only 16 of the 94 CDWQG are consistently applied across all 13 jurisdictions; five jurisdictions use voluntary guidelines, whereas eight use mandatory standards. The analysis explores three questions of central importance for water managers and public health officials: (i) should standards be uniform or variable; (ii) should compliance be voluntary or legally binding; and (iii) should regulation and oversight be harmonized or delegated? We conclude with recommendations for further research, with particular reference to the relevance of our findings given the high degree of variability in drinking water management and oversight capacity between urban and rural areas in Canada. PMID:24776725

  7. Quality-Assurance Plan for the Analysis of Fluvial Sediment by the U. S. Geological Survey Kentucky Water Science Center Sediment Laboratory

    National Research Council Canada - National Science Library

    Shreve, Elizabeth A; Downs, Aimee C

    2005-01-01

    This report describes laboratory procedures used by the U. S. Geological Survey Kentucky Water Science Center Sediment Laboratory for the processing and analysis of fluvial sediment samples for concentration of sand and finer material...

  8. MRI follow-up examinations in multiple sclerosis: guidelines for quality assurance

    International Nuclear Information System (INIS)

    Gass, A.; Radue, E.W.; Filippi, M.; Kappos, L.

    1999-01-01

    Magnetic resonance imaging (MRI) is highly sensitive to pathological tissue changes in multiple sclerosis (MS) patients. It demonstrates the frequently subclinical disease activity and follow-up examinations regularly show the accumulation of new lesions and the development of atrophy. The increasing importance of follow-up examinations in MS patients makes it necessary to provide comparable MRI data even over long observation periods. This review article focusses on critical variables in this regard and technical issues; practical guidelines for MRI protocols in MS patients are presented. The influence of field strenght, MR systems from different manufacturers, and new software releases is described. Guidelines concerning the graphic planning of the examination, sequence protocols, documentation and reporting of cranial MR studies in MS patients are presented. (orig.) [de

  9. The combined use of the PLHC-1 cell line and the recombinant yeast assay to assess the environmental quality of estuarine and coastal sediments.

    Science.gov (United States)

    Schnell, Sabine; Olivares, Alba; Piña, Benjamin; Echavarri-Erasun, Beatriz; Lacorte, Silvia; Porte, Cinta

    2013-12-15

    Sediment contamination poses a potential risk for both ecosystems and human health. Risk assessment is troublesome as sediments contain complex mixtures of toxicants, and traditional chemical analyses can neither provide information about potential hazards to organisms nor identify and measure all present contaminants. This work combines the use of the PLHC-1 cell line and the recombinant yeast assay (RYA) to assess the environmental quality of estuarine and coastal sediments. The application of multiple endpoints (cytotoxicity, generation of oxidative stress, presence of CYP1A inducing agents, micronucleus formation and estrogenicity) revealed that the organic extracts of those sediments affected by industrial activities or collected near harbours and untreated urban discharges showed significant cytotoxicity, micronuclei and CYP1A induction. The study highlights the usefulness of the applied bioassays to identify those sediments that could pose risk to aquatic organisms and that require further action to improve their environmental quality. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Quality and consistency of guidelines for the management of mild traumatic brain injury in the emergency department.

    Science.gov (United States)

    Tavender, Emma J; Bosch, Marije; Green, Sally; O'Connor, Denise; Pitt, Veronica; Phillips, Kate; Bragge, Peter; Gruen, Russell L

    2011-08-01

    The objective was to provide an overview of the recommendations and quality of evidence-based clinical practice guidelines (CPGs) for the emergency management of mild traumatic brain injury (mTBI), with a view to informing best practice and improving the consistency of recommendations. Electronic searches of health databases (MEDLINE, EMBASE, The Cochrane Library, PsycINFO), CPG clearinghouse websites, CPG developer websites, and Internet search engines up to January 2010 were conducted. CPGs were included if 1) they were published in English and freely accessible, 2) their scope included the management of mTBI in the emergency department (ED), 3) the date of last search was within the past 10 years (2000 onward), 4) systematic methods were used to search for evidence, and 5) there was an explicit link between the recommendations and the supporting evidence. Four authors independently assessed the quality of the included CPGs using the Appraisal of Guidelines, Research and Evaluation (AGREE) Instrument. The authors extracted and categorized recommendations according to initial clinical assessment, imaging, management, observation, discharge planning, and patient information and follow-up. The search identified 18 potential CPGs, of which six met the inclusion criteria. The included CPGs varied in scope, target population, size, and guideline development processes. Four CPGs were assessed as "strongly recommended." The majority of CPGs did not provide information about the level of stakeholder involvement (mean AGREE standardized domain score = 57%, range = 25% to 81%), nor did they address the organizational/cost implications of applying the recommendations or provide criteria for monitoring and review of recommendations in practice (mean AGREE standardized domain score = 46.6%, range = 19% to 94%). Recommendations were mostly consistent in terms of the use of the Glasgow Coma Scale (GCS) score (adult and pediatric) to assess the level of consciousness, initial

  11. Quality Improvement Guidelines for Imaging Detection and Treatment of Endoleaks following Endovascular Aneurysm Repair (EVAR)

    International Nuclear Information System (INIS)

    Rand, T.; Uberoi, R.; Cil, B.; Munneke, G.; Tsetis, D.

    2013-01-01

    Major concerns after aortic aneurysm repair are caused by the presence of endoleaks, which are defined as persistent perigraft flow within the aortic aneurysm sac. Diagnosis of endoleaks can be performed with various imaging modalities, and indications for treatment are based on further subclassifications. Early detection and correct classification of endoleaks are crucial for planning patient management. The vast majority of endoleaks can be treated successfully by interventional means. Guidelines for Imaging Detection and Treatment of endoleaks are described in this article.

  12. Report: Workshop "Development and Implementation of Environmental Quality Guidelines". Bilthoven, March 7-9, 1994

    OpenAIRE

    Kruijf HAM de; Vegter JJ; Caudet G; Kent R; ECO; BIS; Environment Canada

    1995-01-01

    In het kader van het Memorandum of Understanding tussen Environment Canada en het Ministerie van VROM, Directoraat Generaal Milieubeheer, werd een workshop georganiseerd in Bilthoven, van 7-9 maart 1994, over de ontwikkeling van "Environmental Guidelines" Vertegenwoordigers en specialisten van verschillende terreinen uit zowel Canada als Nederland waren aanwezig en namen deel aan de discussies. Een algemene conclusie was dat de uitwisseling van informatie en benaderingen buitengewoo...

  13. A soil radiological quality guideline value for wildlife-based protection in uranium mine rehabilitation

    International Nuclear Information System (INIS)

    Doering, Che; Bollhöfer, Andreas

    2016-01-01

    A soil guideline value for radiological protection of the environment was determined for the impending rehabilitation of Ranger uranium mine in the wet-dry tropics of northern Australia. The guideline value was 1000 Bq kg"−"1 of "2"2"6Ra in the proposed waste rock substrate of the rehabilitated landform and corresponded to an above-baseline dose rate of 100 μGy h"−"1 to the most highly exposed individuals of the limiting organism. The limiting organism was reptile based on an assessment using site-specific concentration ratio data. - Highlights: • A soil guideline value for wildlife was derived for a mine rehabilitation situation. • The value was 1000 Bq kg"−"1 of "2"2"6Ra in the rehabilitation substrate. • The value was back-calculated from a benchmark dose rate of 100 μGy h"−"1. • Exposures from "2"2"2Rn and progeny were considered and included. • Use of site-specific concentration ratio data gave lower results than generic data.

  14. European guidelines for quality assurance in cervical cancer screening. Summary of the supplements on HPV screening and vaccination

    Directory of Open Access Journals (Sweden)

    Lawrence von Karsa

    2015-12-01

    Full Text Available In a project coordinated by the International Agency for Research on Cancer (IARC 31 experts from 11 European countries and IARC have developed supplements to the current European guidelines for quality assurance in cervical cancer screening. The supplements take into account the potential of primary testing for human papillomavirus (HPV and vaccination against HPV infection to improve cervical cancer prevention and control and will be published by the European Commission in book format. They include 62 recommendations or conclusions for which the strength of the evidence and the respective recommendations is graded. While acknowledging the available evidence for more efficacious screening using HPV primary testing compared to screening based on cytology, the authors and editors of the supplements emphasize that appropriate policy and programme organization remain essential to achieve an acceptable balance between benefit and harm of any screening or vaccination programme. A summary of the supplements and all of the graded recommendations are presented here in journal format to make key aspects of the updated and expanded guidelines known to a wider professional and scientific community. Keywords: Mass screening, Vaccination, Cervical neoplasms, Human papillomavirus, Evidence-based guidelines, Population-based programme

  15. Non-Communicable Disease Clinical Practice Guidelines in Brazil: A Systematic Assessment of Methodological Quality and Transparency.

    Directory of Open Access Journals (Sweden)

    Caroline de Godoi Rezende Costa Molino

    Full Text Available Annually, non-communicable diseases (NCDs kill 38 million people worldwide, with low and middle-income countries accounting for three-quarters of these deaths. High-quality clinical practice guidelines (CPGs are fundamental to improving NCD management. The present study evaluated the methodological rigor and transparency of Brazilian CPGs that recommend pharmacological treatment for the most prevalent NCDs.We conducted a systematic search for CPGs of the following NCDs: asthma, atrial fibrillation, benign prostatic hyperplasia, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease and/or stable angina, dementia, depression, diabetes, gastroesophageal reflux disease, hypercholesterolemia, hypertension, osteoarthritis, and osteoporosis. CPGs comprising pharmacological treatment recommendations were included. No language or year restrictions were applied. CPGs were excluded if they were merely for local use and referred to NCDs not listed above. CPG quality was independently assessed by two reviewers using the Appraisal of Guidelines Research and Evaluation instrument, version II (AGREE II."Scope and purpose" and "clarity and presentation" domains received the highest scores. Sixteen of 26 CPGs were classified as low quality, and none were classified as high overall quality. No CPG was recommended without modification (77% were not recommended at all. After 2009, 2 domain scores ("rigor of development" and "clarity and presentation" increased (61% and 73%, respectively. However, "rigor of development" was still rated < 30%.Brazilian healthcare professionals should be concerned with CPG quality for the treatment of selected NCDs. Features that undermined AGREE II scores included the lack of a multidisciplinary team for the development group, no consideration of patients' preferences, insufficient information regarding literature searches, lack of selection criteria, formulating recommendations, authors' conflict of

  16. Effect-based trigger values for in vitro bioassays: Reading across from existing water quality guideline values.

    Science.gov (United States)

    Escher, Beate I; Neale, Peta A; Leusch, Frederic D L

    2015-09-15

    Cell-based bioassays are becoming increasingly popular in water quality assessment. The new generations of reporter-gene assays are very sensitive and effects are often detected in very clean water types such as drinking water and recycled water. For monitoring applications it is therefore imperative to derive trigger values that differentiate between acceptable and unacceptable effect levels. In this proof-of-concept paper, we propose a statistical method to read directly across from chemical guideline values to trigger values without the need to perform in vitro to in vivo extrapolations. The derivation is based on matching effect concentrations with existing chemical guideline values and filtering out appropriate chemicals that are responsive in the given bioassays at concentrations in the range of the guideline values. To account for the mixture effects of many chemicals acting together in a complex water sample, we propose bioanalytical equivalents that integrate the effects of groups of chemicals with the same mode of action that act in a concentration-additive manner. Statistical distribution methods are proposed to derive a specific effect-based trigger bioanalytical equivalent concentration (EBT-BEQ) for each bioassay of environmental interest that targets receptor-mediated toxicity. Even bioassays that are indicative of the same mode of action have slightly different numeric trigger values due to differences in their inherent sensitivity. The algorithm was applied to 18 cell-based bioassays and 11 provisional effect-based trigger bioanalytical equivalents were derived as an illustrative example using the 349 chemical guideline values protective for human health of the Australian Guidelines for Water Recycling. We illustrate the applicability using the example of a diverse set of water samples including recycled water. Most recycled water samples were compliant with the proposed triggers while wastewater effluent would not have been compliant with a few

  17. A mathematical model of reservoir sediment quality prediction based on land-use and erosion processes in watershed

    Science.gov (United States)

    Junakova, N.; Balintova, M.; Junak, J.

    2017-10-01

    The aim of this paper is to propose a mathematical model for determining of total nitrogen (N) and phosphorus (P) content in eroded soil particles with emphasis on prediction of bottom sediment quality in reservoirs. The adsorbed nutrient concentrations are calculated using the Universal Soil Loss Equation (USLE) extended by the determination of the average soil nutrient concentration in top soils. The average annual vegetation and management factor is divided into five periods of the cropping cycle. For selected plants, the average plant nutrient uptake divided into five cropping periods is also proposed. The average nutrient concentrations in eroded soil particles in adsorbed form are modified by sediment enrichment ratio to obtain the total nutrient content in transported soil particles. The model was designed for the conditions of north-eastern Slovakia. The study was carried out in the agricultural basin of the small water reservoir Klusov.

  18. Distribution of polychlorinated biphenyl residues in sediments and blue mussels (Mytilus galloprovincialis) from Port Elizabeth Harbour, South Africa.

    Science.gov (United States)

    Kampire, E; Rubidge, G; Adams, J B

    2015-02-15

    Sediment and Mytilus galloprovincialis samples collected from the Port Elizabeth Harbour were analysed for six indicator PCB congeners to assess their contamination status. The concentrations of total PCBs in sediments and M. galloprovincialis ranged from 0.56 to 2.35 ng/g dry weight and 14.48 to 21.37 ng/g wet weight, respectively. Congeners 138 and 153 were dominant and accounted for an average of 29% and 24% of total PCBs in M. galloprovincialis; 32% and 30% in sediments, respectively. Sediments are home to a wide variety of aquatic life. None of the sediments analysed exceeded the PCB limits recommended the Canadian interim sediment quality guideline and the South African recommended sediment guidelines (21.6 ng/g). Both humans and aquatic life are sensitive to the toxic effects of PCBs. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Preliminary Assessment of Silting and The Quality of Bottom Sediments in A Small Water Reservoir

    Directory of Open Access Journals (Sweden)

    Bąk Łukasz

    2014-07-01

    Full Text Available The aim of this study was to assess the degree of silting and pollution of bottom sediments in a small water reservoir Lubianka situated in Starachowice, Świętokrzyskie Province, with selected heavy metals (Pb, Cr, Cd, Cu, Ni, Zn, Fe, Mn, Hg. Catchment basin of the reservoir is forested in 92%. Other parts are covered by estates of detached houses, barren lands and green areas. Bathymetric measurements and analyses of trace elements in bottom sediments were made in 2012. After 28 years of exploitation, reservoir's basin accumulated 43 thousand cubic metres of sediments i.e. 4.7% of its initial volume. Mean annual silting rate was 0.17%. Due to the content of copper and chromium, bottom sediments were classified to the II category (sediments of average pollution according to geochemical standards. Concentrations of Pb, Cd and Hg in all analysed samples were below geochemical background. In a sample collected at the inlet to the reservoir, the TEL index for chromium was exceeded by 25.6%. In other samples the threshold values of the TEL and PEL indices were not exceeded.

  20. Field validation of a battery of biomarkers to assess sediment quality in Spanish ports

    Energy Technology Data Exchange (ETDEWEB)

    Martin-Diaz, M.L. [Departamento de Quimica Fisica, Facultad de Ciencias del Mar y Ambientales, Poligono Rio San Pedro s/n, 11510 Puerto Real, Cadiz (Spain); Consejo Superior de Investigaciones Cientificas, Instituto de Ciencias Marinas de Andalucia, Poligono Rio San Pedro s/n, 11510 Puerto Real, Cadiz (Spain)], E-mail: laura.martin@uca.es; Blasco, J. [Consejo Superior de Investigaciones Cientificas, Instituto de Ciencias Marinas de Andalucia, Poligono Rio San Pedro s/n, 11510 Puerto Real, Cadiz (Spain); Sales, D. [Departamento Ciencias Ambientales y Tecnologia de los Alimentos, Facultad de Ciencias del Mar y Ambientales, Poligono Rio San Pedro s/n, 11510 Puerto Real, Cadiz (Spain); DelValls, T.A. [Departamento de Quimica Fisica, Facultad de Ciencias del Mar y Ambientales, Poligono Rio San Pedro s/n, 11510 Puerto Real, Cadiz (Spain)

    2008-02-15

    Two marine invertebrates, the crab Carcinus maenas and the clam Ruditapes philippinarum, were used as bioindicator species to assess contamination when exposed in situ to sediment from different sites from four Spanish ports Cadiz (SW Spain), Huelva (SW Spain), Bilbao (NE Spain) and Pasajes (NE Spain). In an attempt to determine sediments toxicity, a combination of exposure biomarkers was analyzed in both species: metallothionein-like-proteins (MTLPs), ethoxyresorufin O-deethylase (EROD), glutathione S-transferase activity (GST), glutathione peroxidase (GPX) and glutathione reductase (GR). In parallel, physical and chemical characterization of the different sediments was performed and biological responses related to the contaminants. Significant induction of MTLPs was observed when organisms were exposed to metal contaminated sediments (port of Huelva), and EROD and GPX activities after exposure to sediments containing organic compounds (port of Bilbao and Pasajes). No significant interspecies differences were observed in biomarker responses except for the GST and GR. - A battery of biomarkers shows exposure to metals and organic compounds.

  1. Field validation of a battery of biomarkers to assess sediment quality in Spanish ports

    International Nuclear Information System (INIS)

    Martin-Diaz, M.L.; Blasco, J.; Sales, D.; DelValls, T.A.

    2008-01-01

    Two marine invertebrates, the crab Carcinus maenas and the clam Ruditapes philippinarum, were used as bioindicator species to assess contamination when exposed in situ to sediment from different sites from four Spanish ports Cadiz (SW Spain), Huelva (SW Spain), Bilbao (NE Spain) and Pasajes (NE Spain). In an attempt to determine sediments toxicity, a combination of exposure biomarkers was analyzed in both species: metallothionein-like-proteins (MTLPs), ethoxyresorufin O-deethylase (EROD), glutathione S-transferase activity (GST), glutathione peroxidase (GPX) and glutathione reductase (GR). In parallel, physical and chemical characterization of the different sediments was performed and biological responses related to the contaminants. Significant induction of MTLPs was observed when organisms were exposed to metal contaminated sediments (port of Huelva), and EROD and GPX activities after exposure to sediments containing organic compounds (port of Bilbao and Pasajes). No significant interspecies differences were observed in biomarker responses except for the GST and GR. - A battery of biomarkers shows exposure to metals and organic compounds

  2. [Promoting directives of the Quality Law of the Spanish National Health System: Computer-interpretable clinical practice guidelines].

    Science.gov (United States)

    González-Ferrer, Arturo; Valcárcel, María Ángel

    2018-04-01

    The Cohesion and Quality Act of the National Health System promotes the use of new technologies to make it possible for health professionals put the scientific evidence into practice. In order to do this, there are technological tools, known as of computer-interpretable guidelines, which can help achieve this goal from an innovation perspective. They can be adopted using an iterative process, having a great initial potential as an educational tool, of quality and safety of the patient, in the decision making and, optionally, can be integrated with the electronic medical history, once they are rigorously validated. This article presents updates on these tools, reviews international projects, and personal experiences in which they have demonstrated their value, and highlights the advantages, risks, and limitations they present from a clinical point of view. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  3. The effects of changes to the ERC resuscitation guidelines on no flow time and cardiopulmonary resuscitation quality: a randomised controlled study on manikins.

    Science.gov (United States)

    Jäntti, H; Kuisma, M; Uusaro, A

    2007-11-01

    The European Resuscitation Council (ERC) guidelines changed in 2005. We investigated the impact of these changes on no flow time and on the quality of cardiopulmonary resuscitation (CPR). Simulated cardiac arrest (CA) scenarios were managed randomly in manikins using ERC 2000 or 2005 guidelines. Pairs of paramedics/paramedic students treated 34 scenarios with 10min of continuous ventricular fibrillation. The rhythm was analysed and defibrillation shocks were delivered with a semi-automatic defibrillator, and breathing was assisted with a bag-valve-mask; no intravenous medication was given. Time factors related to human intervention and time factors related to device, rhythm analysis, charging and defibrillation were analysed for their contribution to no flow time (time without chest compression). Chest compression quality was also analysed. No flow time (mean+/-S.D.) was 66+/-3% of CA time with ERC 2000 and 32+/-4% with ERC 2005 guidelines (PERC 2000) versus 107+/-4s (ERC 2005) during 600-s scenarios (P=0.237). Device factor interventions took longer using ERC 2000 guidelines: 290+/-19s versus 92+/-15s (PERC 2005 guidelines (808+/-92s versus 458+/-90s, P<0.001), but the quality of CPR did not differ between the groups. The use of a single shock sequence with guidelines 2005 has decreased the no flow time during CPR when compared with guidelines 2000 with multiple shocks.

  4. The air quality in ventilation installations. Practical guidelines; Qualite de l'air dans les installations aerauliques. Guide pratique

    Energy Technology Data Exchange (ETDEWEB)

    Angeli, L. [France Air, 91 - Chilly Mazarin (France); Bianchina, M. [Unelvent, 93 - Le Bourget (France); Blazy, M. [Anjos, 01 - Torcieu (France); Boulanger, X. [Aldes, 21 - Chenove (France); Chiesa, M. [Atlantic (France); Duclos, M. [Groupe Titanair, 69 - Lyon (France); Hubert, D.; Kridorian, O. [Groupe Astato, Blanc Mesnil (France); Josserand, O. [Carrier (Belgium); Lancieux, C. [Camfil, 60 - Saint Martin Longueau (France); Lemaire, J.C. [Agence de l' Environnement et de la Maitrise de l' Energie, ADEME, 75 - Paris (France); Petit, Ph. [Compagnie Industrielle d' Applications Thermiques ( CIAT ), 75 - Paris (France); Ribot, B. [Electricite de France (EDF), 75 - Paris (France); Tokarek, S. [Gaz de France (GDF), 75 - Paris (France); Bernard, A.M.; Tissot, A. [Centre Technique des Industries Aerauliques et Thermiques (CETIAT), 69 - Villeurbanne (France)

    2004-07-01

    The present guide aims to provide design departments, maintenance companies and builders with practical guidelines and recommendations for the installation of ventilation and air-conditioning systems. The objective is to ensure good Indoor Air Quality (IAQ) and to safeguard the health and well-being of the occupants. The guide deals with aspects of design, dimensioning, installation and servicing, all of which play a major role in guaranteeing IAQ and duct-work hygiene. These steps are reviewed for the principal ventilation systems met in both residential and commercial premises. The first part presents the system and draws the attention of the user to specific points which require particular care in term of IAQ. The second part details recommended practice component by component, in respect of design, installation and servicing. Application of these simple guidelines during the various project stages is essential, in order to ensure a good IAQ in ventilation systems. Content: introduction; good ventilation; systems: exhaust ventilation, balanced ventilation, air handling unit, terminal ventilation units, impact of systems on indoor air quality, components: air inlet, air filter, heat recovery unit, heating or cooling coil, humidifier, mechanical fan unit, cowl and hybrid ventilation fan, mixing box, ventilation duct-work, air outlet and air terminal device; references.

  5. Diet quality: associations with health messages included in the Danish Dietary Guidelines 2005, personal attitudes and social factors

    DEFF Research Database (Denmark)

    Biltoft-Jensen, Anja Pia; Groth, Margit Velsing; Matthiessen, Jeppe

    2009-01-01

    Objective: To Study the association between diet quality and the new health messages in the Danish Dietary Guidelines 2005, i.e. 'Eat a varied diet', 'Engage in regular physical activity' and 'Maintain a healthy body weight'. Design/setting/subjects: The study was cross-sectional, comprising a ra...... with healthy eating. The dietary habits reported were strongly influenced by personal intentions. Thus, the biggest challenge for public health nutritionists will be to reach non-compliers who seldom have intentions to eat healthily.......Objective: To Study the association between diet quality and the new health messages in the Danish Dietary Guidelines 2005, i.e. 'Eat a varied diet', 'Engage in regular physical activity' and 'Maintain a healthy body weight'. Design/setting/subjects: The study was cross-sectional, comprising...... a random sample of 3151 Danish adults aged 18-75 years. Dietary intake was estimated using a 7 d pre-coded food diary. information on social background, leisure-time physical activity, height, body weight and intention to eat healthily was Obtained by in-person interviews. Logistic regression models Were...

  6. Quality of after-hours primary care in The Netherlands: adherence to national guidelines

    NARCIS (Netherlands)

    Willekens, M.; Giesen, P.H.J.; Plat, E.; Mokkink, H.G.A.; Burgers, J.S.; Grol, R.P.T.M.

    2011-01-01

    OBJECTIVE: To assess the quality of after-hours clinical care as delivered by general practitioner (GP) cooperatives in The Netherlands. METHODS: A cross-sectional analysis was undertaken of patient health records of five GP cooperatives during 1 year. We used quality indicators derived from

  7. 23 CFR 650.211 - Guidelines.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Guidelines. 650.211 Section 650.211 Highways FEDERAL..., STRUCTURES, AND HYDRAULICS Erosion and Sediment Control on Highway Construction Projects § 650.211 Guidelines. (a) The FHWA adopts the AASHTO Highway Drainage Guidelines, Volume III, “Erosion and Sediment Control...

  8. ASVCP quality assurance guidelines: control of preanalytical and analytical factors for hematology for mammalian and nonmammalian species, hemostasis, and crossmatching in veterinary laboratories.

    Science.gov (United States)

    Vap, Linda M; Harr, Kendal E; Arnold, Jill E; Freeman, Kathleen P; Getzy, Karen; Lester, Sally; Friedrichs, Kristen R

    2012-03-01

    In December 2009, the American Society for Veterinary Clinical Pathology (ASVCP) Quality Assurance and Laboratory Standards committee published the updated and peer-reviewed ASVCP Quality Assurance Guidelines on the Society's website. These guidelines are intended for use by veterinary diagnostic laboratories and veterinary research laboratories that are not covered by the US Food and Drug Administration Good Laboratory Practice standards (Code of Federal Regulations Title 21, Chapter 58). The guidelines have been divided into 3 reports: (1) general analytical factors for veterinary laboratory performance and comparisons; (2) hematology, hemostasis, and crossmatching; and (3) clinical chemistry, cytology, and urinalysis. This particular report is one of 3 reports and provides recommendations for control of preanalytical and analytical factors related to hematology for mammalian and nonmammalian species, hemostasis testing, and crossmatching and is adapted from sections 1.1 and 2.3 (mammalian hematology), 1.2 and 2.4 (nonmammalian hematology), 1.5 and 2.7 (hemostasis testing), and 1.6 and 2.8 (crossmatching) of the complete guidelines. These guidelines are not intended to be all-inclusive; rather, they provide minimal guidelines for quality assurance and quality control for veterinary laboratory testing and a basis for laboratories to assess their current practices, determine areas for improvement, and guide continuing professional development and education efforts. © 2012 American Society for Veterinary Clinical Pathology.

  9. The use of Ampelisca abdita growth rate as an indicator of sediment quality

    International Nuclear Information System (INIS)

    Weston, D.P.; Thompson, B.

    1995-01-01

    Acute lethal bioassays with amphipod crustaceans are routinely used to assess toxicity of bulk sediments. A study within the San Francisco Bay Regional Monitoring Program (RMP) is in progress to develop a chronic bioassay with the amphipod Ampelisca abdita, measuring both survivorship and growth rates. This approach is attractive because depression of growth rate is likely to be a more sensitive indicator of toxic effects than acute lethality, and natural populations of A. abdita exist throughout the Bay. Spiked sediment bioassays, using cadmium and crude oil, were used to demonstrate the relative sensitivity of the standard 10-day lethal test vs. the 30-day growth test. Sediments were also collected from 9 sites throughout the Bay, ranging from areas adjacent to municipal wastewater discharges to areas distant from known point source inputs. These samples were then split, and used for side-by-side comparison of acute (lethal) and chronic (growth) toxicity tests. Survivorship exceeded 90% in all tests, including those sediments collected nearest the wastewater outfalls. Growth rates were contrasted among the various treatments to examine the utility of this end point in discriminating the outfall sites. Data on the spatial distribution, abundance, and size-frequency distribution of native populations was examined within the context of using growth rate as an indicator of toxic effects in natural populations as well

  10. Impact of sediments resuspension on metal solubilization and water quality during recurrent reservoir sluicing management

    Energy Technology Data Exchange (ETDEWEB)

    Frémion, Franck; Courtin-Nomade, Alexandra [Groupement de Recherche Eau Sol Environnement, Université de Limoges, 123 avenue Albert Thomas, 87060 Limoges Cedex (France); Bordas, François, E-mail: francois.bordas@unilim.fr [Groupement de Recherche Eau Sol Environnement, Université de Limoges, 123 avenue Albert Thomas, 87060 Limoges Cedex (France); Lenain, Jean-François [Groupement de Recherche Eau Sol Environnement, Université de Limoges, 123 avenue Albert Thomas, 87060 Limoges Cedex (France); Jugé, Philippe [CETU – ELMIS Ingénieries, Université François Rabelais, , 60 Rue du Plat d' Étain, 37000 Tours (France); Kestens, Tim [EDF – DPIH, Unité de Production Centre, 19 bis avenue de la Révolution, BP 406, 87012 Limoges Cedex (France); Mourier, Brice [Groupement de Recherche Eau Sol Environnement, Université de Limoges, 123 avenue Albert Thomas, 87060 Limoges Cedex (France)

    2016-08-15

    In dam contexts, sluicing operations can be performed to reestablish sediments continuity, as proposed by the EU Water Framework Directive, as well as to preserve the reservoirs' water storage capacity. Such management permits the rapid release of high quantities of reservoir sediments through the opening of dam bottom valves. This work aims to study the impact of such operation on the evolution of environmental physicochemical conditions notably changes in dissolved metallic elements concentrations (Al, As, Cd, Cr, Cu, Fe, Mn, Ni, Pb, Zn) through field and laboratory investigations. Results were interpreted in terms of concentrations and fluxes, and compared with data collected on an annual basis regarding both suspended matter and metallic elements. The release of high quantities of sediments (4,500 tons dry weight in 24 h), with concentrations representing up to 300 times the inter-annual mean suspended sediments discharge, significantly modified water parameters, notably solid/liquid (S/L) ratio, pH and redox conditions. Despite the fact that they are mainly trapped in stable phases, a clear increase of the solubilized metals content was measured, representing up to 60 times the maximum values of current exploitation. This solubilization is related to desorption phenomena from sediments through changes in chemical equilibriums as highlighted by laboratory characterizations and experiments. These chemical modifications are mainly attributed to S/L ratio variations. Indeed, the low S/L ratios (≤ 1.3 g·L{sup −1}) measured in situ are typically the ones for which metals solubilization is the highest, as shown by laboratory experiments. Additional thermodynamic modeling highlighted that the decrease in pH measured during the operation favors the release of the free forms of metallic elements (Al and Cu), and decreases the OM complexation influence. These changes, either in term of physical conditions or speciation, increasing metals long term

  11. The Importance and Degree of Implementation of the European Standards and Guidelines for Internal Quality Assurance in Universities: The Views of Portuguese Academics

    Science.gov (United States)

    Manatos, Maria J.; Rosa, Maria J.; Sarrico, Cláudia S.

    2015-01-01

    This research seeks to explore academics' perceptions of the importance and degree of implementation of the Standards and Guidelines for Quality Assurance in the European Higher Education Area (ESG) for internal quality assurance. It uses empirical evidence from Portugal, gathered via a questionnaire given to all university academics. Results show…

  12. Comparing sediment quality in Spanish littoral areas affected by acute (Prestige, 2002) and chronic (Bay of Algeciras) oil spills

    International Nuclear Information System (INIS)

    Morales-Caselles, C.; Kalman, J.; Riba, I.; DelValls, T.A.

    2007-01-01

    The quality of sediments collected from two areas of the Spanish coast affected by different sources of contaminants has been compared in this study. The areas studied are the coast of Galicia affected by the oil spill from the tanker Prestige (November 2002) and the Gulf of Cadiz which suffers continuous inputs of contaminants from industries located in the area and from oil spills. Contamination by several chemicals (metals, PCBs and PAHs) that bind to sediments was analyzed, and two toxicity tests (Microtox[reg]) and amphipod 10-day bioassay) were conducted. PAHs were identified as the compounds responsible for the toxic effects. Results show differences between an acute impact related to the sinking of the tanker Prestige and the chronic impact associated with continuous oil spills associated with the maritime and industrial activities in the Bay of Algeciras, this being the most polluted part of the two coastal areas studied in this work. - Littoral sediments affected by low or moderated but continuous oil spills are more polluted than those affected by accidental oil spills such as the Prestige

  13. Water and bottom sediments quality of brackish water shrimp farms in Kaliganj Upazila, Satkhira, Bangladesh

    Directory of Open Access Journals (Sweden)

    Mohammed Aktaruzzaman, Mohammed Shakhaoat Hossain, Abu Naieum Muhammad Fakhruddin, Mohammed Jamal Uddin, Syed Hafizur Rahman

    2013-05-01

    Full Text Available Shrimp culture plays a central part in the fisheries sector of Bangladesh that leads to a significant change in the structure and composition of frozen food export sector. An investigation was carried out to determine physiochemical parameters, nutrients content, bacterial contamination and metal content in shrimp “Gher” (Farms water and sediments. Physicochemical parameters were analyzed in situ by portable meters. Ammonia, phosphate, bacterial counts, and metals contents were analyzed by Nesslerization, colorimetric and standard microbiological methods and Atomic Absorption Spectrophotometery (AAS, respectively. Except Dissolve oxygen and temperature all other physiochemical parameters were unsuitable for shrimp culture. The concentration of ammonia was 0.384 to 1.5 mg L-1 and the concentration of phosphate ranged from 0.02 to 0.818 mg L-1. In bacteriological analysis, highest levels of coliform were found in the tested samples and total colifom count reached up to 2.04x103 cfu mL-1. Among the tested metals, Cr was highest in water and sediment samples. Concentration of Cr ranged from 0.150 to 0.807 mg L-1 and 1.957 to 3.436 mg kg-1 in water and sediment samples, respectively. A significant difference was observed for the concentration of metals in sediment and water samples. The high concentration of nutrients and metals in shrimp “Gher” water and sediment as well as the presence of pathogenic bacteria in the “Gher” and river water indicated unhygienic environment and the sources of contamination of shrimp “Gher”.

  14. Building America Top Innovations 2013 Profile – Quality Management System Guidelines

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    This Top Innovation profile describes quality management system tools that were customized for residential construction by BSC, IBACOS, and PHI, for use by builders, trades, and designers to help eliminate mistakes that would require high-cost rework.

  15. Quality assurance grading guidelines for research and development at DOE facilities

    Energy Technology Data Exchange (ETDEWEB)

    Powell, T.B.; Morris, R.N.

    1993-01-01

    The quality assurance (QA) requirements for the US Department of Energy (DOE) are established in DOE Order 5700.6C. This order is applicable for all DOE departmental elements, management, and maintenance and operating contractors and requires that documented Quality Assurance Programs (QAPs) are prepared at all levels; it has one attachment. The DOE Office of Energy Research (DOE-ER) has issued a standard to ensure implementation of the full intent of this order in the ER community.

  16. Implementation of Good Clinical Laboratory Practice (GCLP) guidelines within the External Quality Assurance Program Oversight Laboratory (EQAPOL).

    Science.gov (United States)

    Todd, Christopher A; Sanchez, Ana M; Garcia, Ambrosia; Denny, Thomas N; Sarzotti-Kelsoe, Marcella

    2014-07-01

    The EQAPOL contract was awarded to Duke University to develop and manage global proficiency testing programs for flow cytometry-, ELISpot-, and Luminex bead-based assays (cytokine analytes), as well as create a genetically diverse panel of HIV-1 viral cultures to be made available to National Institutes of Health (NIH) researchers. As a part of this contract, EQAPOL was required to operate under Good Clinical Laboratory Practices (GCLP) that are traditionally used for laboratories conducting endpoint assays for human clinical trials. EQAPOL adapted these guidelines to the management of proficiency testing programs while simultaneously incorporating aspects of ISO/IEC 17043 which are specifically designed for external proficiency management. Over the first two years of the contract, the EQAPOL Oversight Laboratories received training, developed standard operating procedures and quality management practices, implemented strict quality control procedures for equipment, reagents, and documentation, and received audits from the EQAPOL Central Quality Assurance Unit. GCLP programs, such as EQAPOL, strengthen a laboratory's ability to perform critical assays and provide quality assessments of future potential vaccines. © 2013.

  17. Comparative performances of eggs and embryos of sea urchin (Paracentrotus lividus) in toxicity bioassays used for assessment of marine sediment quality.

    Science.gov (United States)

    Khosrovyan, A; Rodríguez-Romero, A; Salamanca, M J; Del Valls, T A; Riba, I; Serrano, F

    2013-05-15

    The potential toxicity of sediments from various ports was assessed by means of two different liquid-phase toxicity bioassays (acute and chronic) with embryos and eggs of sea urchin Paracentrotus lividus. Performances of embryos and eggs of P. lividus in these bioassays were compared for their interchangeable applicability in integrated sediment quality assessment. The obtained endpoints (percentages of normally developed plutei and fertilized eggs) were linked to physical and chemical properties of sediments and demonstrated dependence on sediment contamination. The endpoints in the two bioassays were strongly correlated and generally exhibited similar tendency throughout the samples. Therein, embryos demonstrated higher sensitivity to elutriate exposure, compared to eggs. It was concluded that these tests could be used interchangeably for testing toxicity of marine sediments. Preferential use of any of the bioassays can be determined by the discriminatory capacity of the test or vulnerability consideration of the test subject to the surrounding conditions. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Atmospheric deposition, water-quality, and sediment data for selected lakes in Mount Rainer, North Cascades, and Olympic National Parks, Washington, 2008-10

    Science.gov (United States)

    Sheibley, Rich W.; Foreman, James R.; Moran, Patrick W.; Swarzenski, Peter W.

    2012-01-01

    To evaluate the potential effect from atmospheric deposition of nitrogen to high-elevation lakes, the U.S. Geological Survey partnered with the National Park Service to develop a "critical load" of nitrogen for sediment diatoms. A critical load is defined as the level of a given pollutant (in this case, nitrogen) at which detrimental effects to a target endpoint (sediment diatoms) result. Because sediment diatoms are considered one of the "first responders" to ecosystem changes from nitrogen, they are a sensitive indicator for nitrogen deposition changes in natural areas. This report presents atmospheric deposition, water quality, sediment geochronology, and sediment diatom data collected from July 2008 through August 2010 in support of this effort.

  19. Characterizing toxicity of metal-contaminated sediments from mining areas

    Science.gov (United States)

    Besser, John M.; Brumbaugh, William G.; Ingersoll, Christopher G.

    2015-01-01

    This paper reviews methods for testing the toxicity of metals associated with freshwater sediments, linking toxic effects with metal exposure and bioavailability, and developing sediment quality guidelines. The most broadly applicable approach for characterizing metal toxicity is whole-sediment toxicity testing, which attempts to simulate natural exposure conditions in the laboratory. Standard methods for whole-sediment testing can be adapted to test a wide variety of taxa. Chronic sediment tests that characterize effects on multiple endpoints (e.g., survival, growth, and reproduction) can be highly sensitive indicators of adverse effects on resident invertebrate taxa. Methods for testing of aqueous phases (pore water, overlying water, or elutriates) are used less frequently. Analysis of sediment toxicity data focuses on statistical comparisons between responses in sediments from the study area and responses in one or more uncontaminated reference sediments. For large or complex study areas, a greater number of reference sediments is recommended to reliably define the normal range of responses in uncontaminated sediments – the ‘reference envelope’. Data on metal concentrations and effects on test organisms across a gradient of contamination may allow development of concentration-response models, which estimate metal concentrations associated with specified levels of toxic effects (e.g. 20% effect concentration or EC20). Comparisons of toxic effects in laboratory tests with measures of impacts on resident benthic invertebrate communities can help document causal relationships between metal contamination and biological effects. Total or total-recoverable metal concentrations in sediments are the most common measure of metal contamination in sediments, but metal concentrations in labile sediment fractions (e.g., determined as part of selective sediment extraction protocols) may better represent metal bioavailability. Metals released by the weak-acid extraction

  20. The Association between Dietary Quality and Dietary Guideline Adherence with Mental Health Outcomes in Adults: A Cross-Sectional Analysis

    Directory of Open Access Journals (Sweden)

    Amy P. Meegan

    2017-03-01

    Full Text Available The prevalence of adverse mental health outcomes in adults is increasing. Although beneficial effects of selected micronutrients and foods on mental health have been reported, they do not reflect the impact of the habitual diet on mental health. Therefore, our objective is to examine potential associations between dietary quality, dietary composition and compliance with food pyramid recommendations with depressive symptoms, anxiety and well-being (assessed using CES-D, HADS-A and WHO-5 screening tools in a cross-sectional sample of 2047 middle-aged adults. Diet was assessed using a self-completed FFQ. Chi-square tests, t-tests and logistic regression analyses were used to investigate the associations between dietary components and mental health outcomes. Dietary quality, but not dietary composition or guideline adherence, was associated with well-being. Those with high dietary quality were more likely to report well-being (OR =1.67, 95% CI 1.15–2.44, p = 0.007 relative to those with low dietary quality. This remained significant among females (OR = 1.92, (95% CI 1.14–3.23, p = 0.014 and non-obese individuals (OR = 2.03, 95% CI 1.28–3.20, p = 0.003. No associations between any dietary measures with anxiety or depressive symptoms were observed. These novel results highlight the importance of dietary quality in maintaining optimal psychological well-being. Better understanding of the relationship between dietary quality and mental health may provide insight into potential therapeutic or intervention strategies to improve mental health and well-being.

  1. Guidelines and Procedures for Computing Time-Series Suspended-Sediment Concentrations and Loads from In-Stream Turbidity-Sensor and Streamflow Data

    Science.gov (United States)

    Rasmussen, Patrick P.; Gray, John R.; Glysson, G. Douglas; Ziegler, Andrew C.

    2009-01-01

    In-stream continuous turbidity and streamflow data, calibrated with measured suspended-sediment concentration data, can be used to compute a time series of suspended-sediment concentration and load at a stream site. Development of a simple linear (ordinary least squares) regression model for computing suspended-sediment concentrations from instantaneous turbidity data is the first step in the computation process. If the model standard percentage error (MSPE) of the simple linear regression model meets a minimum criterion, this model should be used to compute a time series of suspended-sediment concentrations. Otherwise, a multiple linear regression model using paired instantaneous turbidity and streamflow data is developed and compared to the simple regression model. If the inclusion of the streamflow variable proves to be statistically significant and the uncertainty associated with the multiple regression model results in an improvement over that for the simple linear model, the turbidity-streamflow multiple linear regression model should be used to compute a suspended-sediment concentration time series. The computed concentration time series is subsequently used with its paired streamflow time series to compute suspended-sediment loads by standard U.S. Geological Survey techniques. Once an acceptable regression model is developed, it can be used to compute suspended-sediment concentration beyond the period of record used in model development with proper ongoing collection and analysis of calibration samples. Regression models to compute suspended-sediment concentrations are generally site specific and should never be considered static, but they represent a set period in a continually dynamic system in which additional data will help verify any change in sediment load, type, and source.

  2. Water-quality conditions and suspended-sediment transport in the Wilson and Trask Rivers, northwestern Oregon, water years 2012–14

    Science.gov (United States)

    Sobieszczyk, Steven; Bragg, Heather M.; Uhrich, Mark A.

    2015-07-28

    In October 2011, the U.S. Geological Survey began investigating and monitoring water-quality conditions and suspended-sediment transport in the Wilson and Trask Rivers, northwestern Oregon. Water temperature, specific conductance, turbidity, and dissolved oxygen were measured every 15–30 minutes in both streams using real-time instream water-quality monitors. In conjunction with the monitoring effort, suspended-sediment samples were collected and analyzed to model the amount of suspended sediment being transported by each river. Over the course of the 3-year study, which ended in September 2014, nearly 600,000 tons (t) of suspended-sediment material entered Tillamook Bay from these two tributaries. 

  3. Sediment quality in Burlington Harbor, Lake Champlain, U.S.A.

    Science.gov (United States)

    Lacey, E.M.; King, J.W.; Quinn, J.G.; Mecray, E.L.; Appleby, P.G.; Hunt, A.S.

    2001-01-01

    Surface samples and cores were collected in 1993 from the Burlington Harbor region of Lake Champlain. Sediment samples were analyzed for trace metals (cadmium, copper, lead, nickel, silver and zinc), simultaneously extracted metal/acid volatile sulfide (SEM-AVS), grain size, nutrients (carbon and nitrogen) and organic contaminants (polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs)). The concentrations of cadmium, copper, silver and zinc from the partial sediment digestion of the surface samples correlated well with each other (r2 > 0.60) indicating that either a common process, or group of processes determined the sediment concentrations of these metals. In an analysis of the spatial distribution of the trace metals and PAHs, high surficial concentrations were present in the southern portion of the Harbor. The trace metal trend was strengthened when the concentrations were normalized by grain size. A sewage treatment plant outfall discharge was present in the southeastern portion of the Harbor at the time of this study and is the major source of trace metal and PAH contamination. Evaluation of sediment cores provides a proxy record of historical trace metal and organic inputs. The peak accumulation rate for copper, cadmium, lead, and zinc was in the late 1960s and the peak silver accumulation rate was later. The greatest accumulation of trace metals occurred in the late 1960s after discharges from the STP began. Subsequent declines in trace metal concentrations may be attributed to increased water and air regulations. The potential toxicity of trace metals and organic contaminants was predicted by comparing contaminant concentrations to benchmark concentrations and potential trace metal bioavailability was predicted with SEM-AVS results. Surface sample results indicate lead, silver, ???PAHs and ???PCBs are potentially toxic and/or bioavailable. These predictions were supported by studies of biota in the Burlington Harbor watershed. There

  4. Guidelines for the preparation of a quality manual for external audit groups on dosimetry in radiotherapy

    International Nuclear Information System (INIS)

    Izewska, Joanna; Arib, M.; Saravi, M.

    2002-01-01

    This document has been prepared within the framework of a Co-ordinated Research Programme (CRP) on Development of Quality Assurance Programme for Radiation Therapy Dosimetry in Developing Countries, during two Meetings at the IAEA Headquarters in Vienna (11-14 November 1996 and 6-10 October 1997). It is based on the recommendations of ISO 9000 series and ISO/IEC guide No. 25. The document can be used as a guide on how to prepare a quality manual for national External Audit Groups (EAG), i.e., a nationally recognised group in charge of operating external quality audits for radiotherapy dosimetry. The EAG of a given country includes the SSDL, a Measuring Group and a Medical Physics Group, who work in close co-operation at all steps of the audit. The content herein should be considered as a suggestion and additions or deletions can be made in accordance with the specific conditions in each country. It is preferable that the manual itself be as concise as possible, limiting it to the core scope. Detailed working sheets describing the procedures should be included in Appendices together with data sheets, questionnaires and reporting forms. The quality manual of each country should be carefully reviewed by all members of the EAG and, as far as possible, should be approved by relevant professional bodies and supported by health authorities. It has long been recognised that accurate knowledge of the dose in radiotherapy is vital to ensure safe and effective radiation treatments. To achieve this goal, comprehensive quality assurance programmes should be established to cover all steps from dose prescription to dose delivery. These programmes should include internal checks performed by the radiotherapy centres and external audits made by independent external bodies. It is estimated that not more than 50% of radiotherapy facilities world-wide have participated in some level of dose quality audit by an independent expert. Genuine concern exists that some, or even many

  5. Strategy Guideline: Application of a Construction Quality Process to Existing Home Retrofits

    Energy Technology Data Exchange (ETDEWEB)

    Mallay, D.; Del Bianco, M.

    2013-08-01

    The Home Innovation Research Labs developed a construction quality process for new and existing high performance homes (HPH) in which high performance goals are established, specifications to meet those goals are defined, and construction monitoring points are added to the construction schedule so that critical energy efficiency details are systematically reviewed, documented, and tested in a timely manner. This report follows the evolution of the construction quality process from its development for new homes, to its application in the construction of a high performance home with enhanced specifications, and its application in a crawlspace renovation.

  6. Strategy Guideline. Application of a Construction Quality Process to Existing Home Retrofits

    Energy Technology Data Exchange (ETDEWEB)

    Mallay, D. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Del Bianco, M. [Partnership for Home Innovation, Upper Marlboro, MD (United States)

    2013-08-01

    The Partnership for Home Innovation developed a construction quality process for new and existing high performance homes (HPH) in which high performance goals are established, specifications to meet those goals are defined, and construction monitoring points are added to the construction schedule so that critical energy efficiency details are systematically reviewed, documented, and tested in a timely manner. This report follows the evolution of the construction quality process from its development for new homes, to its application in the construction of a high performance home with enhanced specifications, and its application in a crawlspace renovation.

  7. Establishing 'quality of life' parameters using behavioural guidelines for humane euthanasia of captive non-human primates.

    Science.gov (United States)

    Lambeth, Sp; Schapiro, Sj; Bernacky, Bj; Wilkerson, Gk

    2013-09-01

    Chronic pain and distress are universally accepted conditions that may adversely affect an animal's quality of life (QOL) and lead to the humane euthanasia of an animal. At most research institutions and zoological parks in the USA, a veterinarian, who has physically examined the animal and reviewed the clinical records, ultimately decides when an animal has reached a humane endpoint. To aid in the difficult process of interpreting pain and distress, we have developed specific behavioural guidelines, in addition to standard clinical information, to help define unique characteristics and traits of primates to assess and promote discussion of an individual primate's QOL, and thereby, to assist in the decision-making process regarding euthanasia. These guidelines advocate the creation of a QOL team when the animal is diagnosed with a life-threatening or debilitating chronic condition, or at the time the animal is entered into a terminal study. The team compiles a list of characteristics unique to that individual animal by utilising a questionnaire and a behavioural ethogram. This list enables the team to quantitatively assess any deviations from the established normal behavioural repertoire of that individual. Concurrently, the QOL team determines the number of behavioural deviations that are needed to trigger an immediate discussion of the necessity for humane euthanasia of the animal. The team remains intact once created, and revisits the animal's condition as frequently as deemed necessary. This process improves animal welfare by continuing the quest to optimally define QOL for captive primates, and potentially for all captive animals.

  8. Factors Influencing Quality of Life in Caregivers of People with Parkinson's Disease and Implications for Clinical Guidelines

    Directory of Open Access Journals (Sweden)

    D. Morley

    2012-01-01

    Full Text Available The quality of life (QoL of informal caregivers can be adversely affected by a number of factors. This issue, however, has not been well explored for carers of people with Parkinson's (PwP, with research largely restricted to the assessment of caregiver burden and caregiver strain. This study aims to determine the main influences on carer QoL in this population and consider results in the context of current clinical guidelines for the management of Parkinson's disease (PD. Carers completed the newly validated PDQ-Carer, and PwP completed the PDQ-39. The sample comprised 238 carers (mean age 68.20 years and 238 PwP (mean age 71.64. Results suggest multiple influences on caregiver QoL. These include carer age, gender, health status, and duration of the caregiving role. PwP levels of mobility and cognitive impairment are also significant influences on carer QoL. Not only should practitioners and service providers be particularly aware of the heightened impact of PD on carers over time and as PwP symptoms deteriorate, but this should also be reflected in clinical guidelines for the management of PD.

  9. Water-quality, bed-sediment, and biological data (October 2015 through September 2016) and statistical summaries of data for streams in the Clark Fork Basin, Montana

    Science.gov (United States)

    Dodge, Kent A.; Hornberger, Michelle I.; Turner, Matthew A.

    2018-03-30

    Water, bed sediment, and biota were sampled in selected streams from Butte to near Missoula, Montana, as part of a monitoring program in the upper Clark Fork Basin of western Montana. The sampling program was led by the U.S. Geological Survey, in cooperation with the U.S. Environmental Protection Agency, to characterize aquatic resources in the Clark Fork Basin, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were on the Clark Fork and selected tributaries. Water samples were collected periodically at 20 sites from October 2015 through September 2016. Bed-sediment and biota samples were collected once at 13 sites during August 2016.This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2015 through September 2016. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Samples for analysis of turbidity were collected at 13 sites, whereas samples for analysis of dissolved organic carbon were collected at 10 sites. In addition, samples for analysis of nitrogen (nitrate plus nitrite) were collected at two sites. Daily values of mean suspended-sediment concentration and suspended-sediment discharge were determined for three sites. Seasonal daily values of turbidity were determined for five sites. Bed-sediment data include trace-element concentrations in the fine-grained (less than 0.063 millimeter) fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork Basin are provided for the period of record.

  10. Guideline on the requirements of external quality assessment programs in molecular pathology

    NARCIS (Netherlands)

    van Krieken, J Han; Normanno, Nicola; Blackhall, Fiona; Boone, Elke; Botti, Gerardo; Carneiro, Fatima; Celik, Ilhan; Ciardiello, Fortunato; Cree, Ian A; Deans, Zandra C; Edsjö, Anders; Groenen, Patricia J T A; Kamarainen, Outi; Kreipe, Hans H; Ligtenberg, Marjolijn J L; Marchetti, Antonio; Murray, Samuel; Opdam, Frank J M; Patterson, Scott D; Patton, Simon; Pinto, Carmine; Rouleau, Etienne; Schuuring, Ed; Sterck, Silke; Taron, Miquel; Tejpar, Sabine; Timens, Wim; Thunnissen, Erik; van de Ven, Peter M; Siebers, Albert G; Dequeker, Elisabeth

    Molecular pathology is an integral part of daily diagnostic pathology and used for classification of tumors, for prediction of prognosis and response to therapy, and to support treatment decisions. For these reasons, analyses in molecular pathology must be highly reliable and hence external quality

  11. Quality Control Guidelines for Disk Diffusion and Broth Microdilution Antimicrobial Susceptibility Tests with Seven Drugs for Veterinary Applications

    Science.gov (United States)

    Odland, Brant A.; Erwin, Meredith E.; Jones, Ronald N.

    2000-01-01

    This multicenter study proposes antimicrobial susceptibility (MIC and disk diffusion methods) quality control (QC) parameters for seven compounds utilized in veterinary health. Alexomycin, apramycin, tiamulin, tilmicosin, and tylosin were tested by broth microdilution against various National Committee for Clinical Laboratory Standards (NCCLS)-recommended QC organisms (Staphylococcus aureus ATCC 29213, Enterococcus faecalis ATCC 29212, Streptococcus pneumoniae ATCC 49619, Escherichia coli ATCC 25922, and Pseudomonas aeruginosa ATCC 27853). In addition, disk diffusion zone diameter QC limits were determined for apramycin, enrofloxacin, and premafloxacin by using E. coli ATCC 25922, P. aeruginosa ATCC 27853, and S. aureus ATCC 25923. The results from five or six participating laboratories produced ≥99.0% of MICs and ≥95.0% of the zone diameters within suggested guidelines. The NCCLS Subcommittee for Veterinary Antimicrobial Susceptibility Testing has recently approved these ranges for publication in the next M31 document. PMID:10618141

  12. Heavy metals in surface sediments of the Jialu River, China: Their relations to environmental factors

    Energy Technology Data Exchange (ETDEWEB)

    Fu, Jie [State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing 210093 (China); Environmental Engineering Program, Department of Civil Engineering, Auburn University, Auburn, AL 36849 (United States); Zhao, Changpo [State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing 210093 (China); Luo, Yupeng [Department of Mathematics and Statistics, Auburn University, Auburn, AL 36849 (United States); Liu, Chunsheng, E-mail: liuchunshengidid@126.com [College of Fisheries, Huazhong Agricultural University, Wuhan 430070 (China); Kyzas, George Z. [Laboratory of General and Inorganic Chemical Technology, Department of Chemistry, Aristotle University of Thessaloniki, Thessaloniki 54124 (Greece); Luo, Yin [State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing 210093 (China); Zhao, Dongye [Environmental Engineering Program, Department of Civil Engineering, Auburn University, Auburn, AL 36849 (United States); An, Shuqing [State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing 210093 (China); Zhu, Hailiang, E-mail: zhuhl@nju.edu.cn [State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing 210093 (China)

    2014-04-01

    Highlights: • Zhengzhou City had major effect on the pollution of the Jialu River. • TN, OP, TP and COD{sub Mn} in water drove heavy metals to deposit in sediments. • B-IBI was sensitive to the adverse effect of heavy metals in sediments. - Abstract: This work investigated heavy metal pollution in surface sediments of the Jialu River, China. Sediment samples were collected at 19 sites along the river in connection with field surveys and the total concentrations were determined using atomic fluorescence spectrometer and inductively coupled plasma optical emission spectrometer. Sediment samples with higher metal concentrations were collected from the upper reach of the river, while sediments in the middle and lower reaches had relatively lower metal concentrations. Multivariate techniques including Pearson correlation, hierarchical cluster and principal components analysis were used to evaluate the metal sources. The ecological risk associated with the heavy metals in sediments was rated as moderate based on the assessments using methods of consensus-based Sediment Quality Guidelines, Potential Ecological Risk Index and Geo-accumulation Index. The relations between heavy metals and various environmental factors (i.e., chemical properties of sediments, water quality indices and aquatic organism indices) were also studied. Nitrate nitrogen, total nitrogen, and total polycyclic aromatic hydrocarbons concentrations in sediments showed a co-release behavior with heavy metals. Ammonia nitrogen, total nitrogen, orthophosphate, total phosphate and permanganate index in water were found to be related to metal sedimentation. Heavy metals in sediments posed a potential impact on the benthos community.

  13. Heavy metals in surface sediments of the Jialu River, China: Their relations to environmental factors

    International Nuclear Information System (INIS)

    Fu, Jie; Zhao, Changpo; Luo, Yupeng; Liu, Chunsheng; Kyzas, George Z.; Luo, Yin; Zhao, Dongye; An, Shuqing; Zhu, Hailiang

    2014-01-01

    Highlights: • Zhengzhou City had major effect on the pollution of the Jialu River. • TN, OP, TP and COD Mn in water drove heavy metals to deposit in sediments. • B-IBI was sensitive to the adverse effect of heavy metals in sediments. - Abstract: This work investigated heavy metal pollution in surface sediments of the Jialu River, China. Sediment samples were collected at 19 sites along the river in connection with field surveys and the total concentrations were determined using atomic fluorescence spectrometer and inductively coupled plasma optical emission spectrometer. Sediment samples with higher metal concentrations were collected from the upper reach of the river, while sediments in the middle and lower reaches had relatively lower metal concentrations. Multivariate techniques including Pearson correlation, hierarchical cluster and principal components analysis were used to evaluate the metal sources. The ecological risk associated with the heavy metals in sediments was rated as moderate based on the assessments using methods of consensus-based Sediment Quality Guidelines, Potential Ecological Risk Index and Geo-accumulation Index. The relations between heavy metals and various environmental factors (i.e., chemical properties of sediments, water quality indices and aquatic organism indices) were also studied. Nitrate nitrogen, total nitrogen, and total polycyclic aromatic hydrocarbons concentrations in sediments showed a co-release behavior with heavy metals. Ammonia nitrogen, total nitrogen, orthophosphate, total phosphate and permanganate index in water were found to be related to metal sedimentation. Heavy metals in sediments posed a potential impact on the benthos community

  14. Efficacy, safety, quality control, marketing and regulatory guidelines for herbal medicines (phytotherapeutic agents

    Directory of Open Access Journals (Sweden)

    J.B. Calixto

    2000-02-01

    Full Text Available This review highlights the current advances in knowledge about the safety, efficacy, quality control, marketing and regulatory aspects of botanical medicines. Phytotherapeutic agents are standardized herbal preparations consisting of complex mixtures of one or more plants which contain as active ingredients plant parts or plant material in the crude or processed state. A marked growth in the worldwide phytotherapeutic market has occurred over the last 15 years. For the European and USA markets alone, this will reach about $7 billion and $5 billion per annum, respectively, in 1999, and has thus attracted the interest of most large pharmaceutical companies. Insufficient data exist for most plants to guarantee their quality, efficacy and safety. The idea that herbal drugs are safe and free from side effects is false. Plants contain hundreds of constituents and some of them are very toxic, such as the most cytotoxic anti-cancer plant-derived drugs, digitalis and the pyrrolizidine alkaloids, etc. However, the adverse effects of phytotherapeutic agents are less frequent compared with synthetic drugs, but well-controlled clinical trials have now confirmed that such effects really exist. Several regulatory models for herbal medicines are currently available including prescription drugs, over-the-counter substances, traditional medicines and dietary supplements. Harmonization and improvement in the processes of regulation is needed, and the general tendency is to perpetuate the German Commission E experience, which combines scientific studies and traditional knowledge (monographs. Finally, the trend in the domestication, production and biotechnological studies and genetic improvement of medicinal plants, instead of the use of plants harvested in the wild, will offer great advantages, since it will be possible to obtain uniform and high quality raw materials which are fundamental to the efficacy and safety of herbal drugs.

  15. Water Quality, Sediment Characteristics and Benthic Status of the Razim-Sinoie Lagoon System, Romania

    Science.gov (United States)

    Catianis, Irina; Secrieru, Dan; Pojar, Iulian; Grosu, Dumitru; Scrieciu, Albert; Pavel, Ana Bianca; Vasiliu, Dan

    2018-03-01

    Razim Lake is the biggest of Romania's freshwater lakes and along with other basins as Golovita, Zmeica and Sinoie constitutes a system of great ecological significance, playing also an essential role in the supply of water for irrigation, fishery exploitation, farming, flood prevention, recreational navigation and water tourism. Due to their importance, the environmental conditions in the Razim - Sinoie coastal lakes have attracted an increased public attention in contemporary society. To assess the levels, dissemination and potential sources of contamination in the above-mentioned lagoon system, random sampling was used to collect water and sediment samples from every lake and several analytical techniques were performed to investigate their environmental characteristics. The results obtained from this study indicated that, in water, concentrations of various physico-chemical parameters are, mostly, in agreement with correlated environmental standards. Slight variations and/or occasional exceeding of the maximum admissible limits were generally limited to small areas showing levels that would not warrant special concern. In sediments, the mean concentrations of some specific trace metals were below the levels of potential effect. Benthic samples revealed 31 taxa belonging to 16 zoo-benthal subdivisions. The results of this study showed good ecological status despite local several natural and anthropogenic stressors as fishery exploitation, farming, recreational navigation and water tourism.

  16. The quantity and quality of complementary and alternative medicine clinical practice guidelines on herbal medicines, acupuncture and spinal manipulation: systematic review and assessment using AGREE II.

    Science.gov (United States)

    Ng, Jeremy Y; Liang, Laurel; Gagliardi, Anna R

    2016-10-29

    Complementary and alternative medicine (CAM) use is often not disclosed by patients, and can be unfamiliar to health care professionals. This may lead to underuse of beneficial CAM therapies, and overuse of other CAM therapies with little proven benefit or known contraindications. No prior research has thoroughly evaluated the credibility of knowledge-based resources. The purpose of this research was to assess the quantity and quality of CAM guidelines. A systematic review was conducted to identify CAM guidelines. MEDLINE, EMBASE and CINAHL were searched in January 2016 from 2003 to 2015. The National Guideline Clearinghouse, National Center for Complementary and Integrative Health web site, and two CAM journals were also searched. Eligible guidelines published in English language by non-profit agencies on herbal medicine, acupuncture, or spinal manipulation for adults with any condition were assessed with the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument. From 3,126 unique search results, 17 guidelines (two herbal medicine, three acupuncture, four spinal manipulation, eight mixed CAM therapies) published in 2003 or later and relevant to several clinical conditions were eligible. Scaled domain percentages from highest to lowest were clarity of presentation (85.3 %), scope and purpose (83.3 %), rigour of development (61.2 %), editorial independence (60.1 %), stakeholder involvement (52.0 %) and applicability (20.7 %). Quality varied within and across guidelines. None of the 17 guidelines were recommended by both appraisers; 14 were recommended as Yes or Yes with modifications. Guidelines that scored well could be used by patients and health care professionals as the basis for discussion about the use of these CAM therapies. In future updates, guidelines that achieved variable or lower scores could be improved according to specifications in the AGREE II instrument, and with insight from a large number of resources that are available

  17. Improving planning, design, reporting and scientific quality of animal experiments by using the Gold Standard Publication Checklist, in addition to the ARRIVE guidelines.

    Science.gov (United States)

    Hooijmans, Carlijn R; de Vries, Rob; Leenaars, Marlies; Curfs, Jo; Ritskes-Hoitinga, Merel

    2011-03-01

    Several studies have demonstrated serious omissions in the way research that use animals is reported. In order to improve the quality of reporting of animal experiments, the Animals in research: reporting in vivo experiments (ARRIVE) Guidelines were published in the British Journal of Pharmacology in August 2010. However, not only the quality of reporting of completed animal studies needs to be improved, but also the design and execution of new experiments. With both these goals in mind, we published the Gold Standard Publication Checklist (GSPC) in May 2010, a few months before the ARRIVE guidelines appeared. In this letter, we compare the GSPC checklist with the ARRIVE Guidelines. The GSPC describes certain items in more detail, which makes it both easier to use when designing and conducting an experiment and particularly suitable for making systematic reviews of animal studies more feasible. In order to improve not only the reporting but also the planning, design, execution and thereby, the scientific quality of animal experiments, we strongly recommend to all scientists involved in animal experimentation and to editors of journals publishing animal studies to take a closer look at the contents of both the ARRIVE guidelines and GSPC, and select the set of guidelines which is most appropriate for their particular situation. © 2011 The Authors. British Journal of Pharmacology © 2011 The British Pharmacological Society.

  18. Report on water quality, sediment and water chemistry data for water and sediment samples collected from source areas to Melton Hill and Watts Bar reservoirs

    International Nuclear Information System (INIS)

    Tomaszewski, T.M.; Bruggink, D.J.; Nunn, D.L.

    1995-01-01

    Contamination of surface water and sediments in the Clinch River and Watts Bar Reservoir (CR/WBR) system as a result of past and present activities by the US Department of Energy (DOE) on the Oak Ridge Reservation (ORR) and also activities by non-ORR facilities are being studied by the Clinch River Environmental Restoration Program (CR-ERP). Previous studies have documented the presence of heavy metals, organics, and radionuclides in the sediments of reservoirs in the vicinity. In support of the CR-ERP, during the summer of 1991, TVA collected and evaluated water and sediment samples from swimming areas and municipal water intakes on Watts Bar Reservoir, Melton Hill Reservoir and Norris Reservoir, which was considered a source of less-contaminated reference or background data. Despite the numerous studies, until the current work documented by this report, relatively few sediment or water samples had been collected by the CR-ERP in the immediate vicinity of contaminant point sources. This work focused on water and sediment samples taken from points immediately downstream from suspected effluent point sources both on and off the ORR. In August and September, 1994, TVA sampled surface water and sediment at twelve locations in melton Hill and Watts Bar Reservoirs

  19. Grading quality of evidence and strength of recommendations in clinical practice guidelines part 3 of 3. The GRADE approach to developing recommendations

    NARCIS (Netherlands)

    Brożek, J. L.; Akl, E. A.; Compalati, E.; Kreis, J.; Terracciano, L.; Fiocchi, A.; Ueffing, E.; Andrews, J.; Alonso-Coello, P.; Meerpohl, J. J.; Lang, D. M.; Jaeschke, R.; Williams, J. W.; Phillips, B.; Lethaby, A.; Bossuyt, P.; Glasziou, P.; Helfand, M.; Watine, J.; Afilalo, M.; Welch, V.; Montedori, A.; Abraha, I.; Horvath, A. R.; Bousquet, J.; Guyatt, G. H.; Schünemann, H. J.

    2011-01-01

    This is the third and last article in the series about the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to grading the quality of evidence and the strength of recommendations in clinical practice guidelines and its application in the field of allergy. We

  20. Improving planning, design, reporting and scientific quality of animal experiments by using the Gold Standard Publication Checklist, in addition to the ARRIVE guidelines

    NARCIS (Netherlands)

    Hooijmans, C.R.; Vries, R.B.M. de; Leenaars, M.; Curfs, J.H.A.J.; Ritskes-Hoitinga, M.

    2011-01-01

    Several studies have demonstrated serious omissions in the way research that use animals is reported. In order to improve the quality of reporting of animal experiments, the Animals in research: reporting in vivo experiments (ARRIVE) Guidelines were published in the British Journal of Pharmacology

  1. Translation of the UNESCO/OECD Guidelines for Quality Provision in Cross-Border Higher Education into Local Policy Contexts: A Comparative Study of Finland and Russia

    Science.gov (United States)

    Kallo, Johanna; Semchenko, Anzhelika

    2016-01-01

    This article analyses the localisation of the United Nations Educational Scientific and Cultural Organisation (UNESCO)/Organisation for Economic Co-operation and Development (OECD) "Guidelines for Quality Provision in Cross-Border Higher Education" (2005) at the national and university levels in Finland and Russia. The article engages…

  2. Quality monitoring and assessment of mercury contamination in water and sediments of the Botafogo river, PE, Brazil

    Directory of Open Access Journals (Sweden)

    Joelma Moraes Ferreira

    2009-08-01

    Full Text Available Since the mid 80's, the riverside population of Rio Botafogo, in the Santa Cruz channel, Itamaracá has undergone critical environmental situations due to poorly planned growth and inadequate soil occupation, and as a consequence, a loss in environmental quality resulted. In 1963, an industry for production of chlorine and caustic soda produced by electrolytic cell of mercury was installed in the Botafogo river. By mid-1987, a discharge of inorganic mercury between 22 and 35 tones of mercury in this river was estimated. In addition to this industry, others of different types were installed in recent years along the sides of this river. Based on previous studies, we conducted a new assessment of contaminated sites, comparing the changes over the years concerning the quality of water and sediment of the Botafogo river, in which the locations of collection, the need to increase the network of environmental monitoring were investigated. The parameters defined for analysis of water were: pH, dissolved oxygen (OD, biochemical oxygen demand (BOD, ammonia and phosphorus concentration, color, turbidity and mercury content. It was monitored the concentration of mercury in the sediments. The values of pH, turbidity, DO, BOD and ammonia usually showed values within the limits established by CONAMA Resolution No 357. Color parameters have remained consistently high, probably caused by continuous withdrawal of sand before the points of collection. The content of phosphorus was high, until the beginning of 2005, and remained within standards required by legislation until the end of this research. In the studied area, it has been installed, since 1963, an industry for chlorine and caustic soda production, which uses in its manufacturing process electrolytic cell of mercury. In this experiment, the impact of mercury has been observed.

  3. Selected Hydrologic, Water-Quality, Biological, and Sedimentation Characteristics of Laguna Grande, Fajardo, Puerto Rico, March 2007-February 2009

    Science.gov (United States)

    Soler-López, Luis R.; Santos, Carlos R.

    2010-01-01

    Laguna Grande is a 50-hectare lagoon in the municipio of Fajardo, located in the northeasternmost part of Puerto Rico. Hydrologic, water-quality, and biological data were collected in the lagoon between March 2007 and February 2009 to establish baseline conditions and determine the health of Laguna Grande on the basis of preestablished standards. In addition, a core of bottom material was obtained at one site within the lagoon to establish sediment depositional rates. Water-quality properties measured onsite (temperature, pH, dissolved oxygen, specific conductance, and water transparency) varied temporally rather than areally. All physical properties were in compliance with current regulatory standards established for Puerto Rico. Nutrient concentrations were very low and in compliance with current regulatory standards (less than 5.0 and 1.0 milligrams per liter for total nitrogen and total phosphorus, respectively). The average total nitrogen concentration was 0.28 milligram per liter, and the average total phosphorus concentration was 0.02 milligram per liter. Chlorophyll a was the predominant form of photosynthetic pigment in the water. The average chlorophyll-a concentration was 6.2 micrograms per liter. Bottom sediment accumulation rates were determined in sediment cores by modeling the downcore activities of lead-210 and cesium-137. Results indicated a sediment depositional rate of about 0.44 centimeter per year. At this rate of sediment accretion, the lagoon may become a marshland in about 700 to 900 years. About 86 percent of the community primary productivity in Laguna Grande was generated by periphyton, primarily algal mats and seagrasses, and the remaining 14 percent was generated by phytoplankton in the water column. Based on the diel studies the total average net community productivity equaled 5.7 grams of oxygen per cubic meter per day (2.1 grams of carbon per cubic meter per day). Most of this productivity was ascribed to periphyton and macrophytes

  4. Water quality, sediment, and soil characteristics near Fargo-Moorhead urban areas as affected by major flooding of the Red River of the north

    Science.gov (United States)

    A.C. Guy; T.M. DeSutter; F.X.M. Casey; R. Kolka; H. Hakk

    2012-01-01

    Spring flooding of the Red River of the North (RR) is common, but little information exits on how these flood events affect water and overbank sediment quality within an urban area. With the threat of the spring 2009 flood in the RR predicted to be the largest in recorded history and the concerns about the flooding of farmsteads, outbuildings, garages, and basements,...

  5. Longitudinal variation in suspended sediment and turbidity of two undisturbed streams in northwestern California in relation to the monitoring of water quality above and below a land disturbance

    Science.gov (United States)

    Steve G. Markman

    1990-01-01

    Abstract - In-stream water quality regulations of California state that silvicultural disturbances must not increase turbidity levels more than 20 percent above naturally occurring background levels. These regulations fail to take into account the natural variation of turbidity and suspended sediment concentration along a short stretch of an undisturbed stream. At...

  6. On the necessity of ecotoxicological assessments of aquatic sediments

    International Nuclear Information System (INIS)

    Krebs, F.

    1992-01-01

    The guidelines for dredged material adopted by the Oslo Commission in June 1991 impose stricter obligations on its member states regarding the management of dredged material in the marine environment. It can be assumed that the basic ideas of these guidelines will become the model for inland waterways as well. For an environmentally acceptable management of dredging operations and the collection of evidence against polluters, ecotoxicological investigations on the behaviour of contaminants in waters are required in addition to chemical analyses. The practical application of these guidelines is hampered by the fact that no standardized biotests for sediments exist in Germany to date. The paper describes situations in which standardized biotest methods of aquatic ecotoxicology can already be used. A concept for the biological assessment of sediments is still lacking. It is necessary to define quality objectives for the evaluation of chemical and ecotoxicological data with a view to ecologically acceptable management of dredged material. (orig.) [de

  7. Applying a developmental approach to quality of life assessment in children and adolescents with psychological disorders: challenges and guidelines.

    Science.gov (United States)

    Carona, Carlos; Silva, Neuza; Moreira, Helena

    2015-02-01

    Research on the quality of life (QL) of children/adolescents with psychological disorders has flourished over the last few decades. Given the developmental challenges of QL measurements in pediatric populations, the aim of this study was to ascertain the extent to which a developmental approach to QL assessment has been applied to pedopsychiatric QL research. A systematic literature search was conducted in three electronic databases (PubMed, PsycINFO, SocINDEX) from 1994 to May 2014. Quantitative studies were included if they assessed the self- or proxy-reported QL of children/adolescents with a psychological disorder. Data were extracted for study design, participants, QL instruments and informants, and statistical approach to age-related specificities. The systematic review revealed widespread utilization of developmentally appropriate QL instruments but less frequent use of both self and proxy reports and an inconsistent approach to age group specificities. Methodological guidelines are discussed to improve the developmental validity of QL research for children/adolescents with mental disorders.

  8. A study of arsenic and chromium contamination in freshwater sediments

    International Nuclear Information System (INIS)

    Nazaratul Ashifa Abdullah Salim; Abdul Khalik Wood; Alias Mohd Yusof; Mohd Suhaimi Hamzah; Md Suhaimi Elias; Shamsiah Abdul Rahman

    2008-08-01

    Arsenic (As) is generally known for its toxicity while chromium (Cr) at the appropriate amount is an essential element to man and becomes quite toxic in excessive amount. Anthropogenic activities such as industrialization, agricultural and urbanization have led to the contamination of toxic elements into aquatic that finally end up in the sediment system. Environmental process like diagenetic process causes the toxic metals to migrate from the bedrock materials into the sediment surface and lastly into the water column. This process has been recognized to be the factor of arsenic contamination in well water in several countries such as Bangladesh, Taiwan, USA and Canada. A number of samples of freshwater sediments from identified rivers and lakes at Johor Bharu area had been analyzed to determine the concentration level of As and Cr using neutron activation analysis (NAA) technique. Certified Reference Material (CRM) namely BCSS-1 and IAEA Soil-7 were applied to provide good quality assurance control. The results obtained show that the concentrations of As in the rivers and lakes are 10-33 mg/g and 18-62 mg/g, respectively. The concentrations of Cr in the rivers range between 25 mg/g to125 mg/g, while in the lake sediments the concentrations range between 173 mg/g to 301 mg/g. The lakes sediments have higher As and Cr contents than the river sediment. The results of the As and Cr concentrations were then compared to the background value proposed by National Oceanic and Atmospheric Administration (NOAA), USA and interim freshwater sediment quality guidelines value established by Canadian Sediment Quality Guidelines for The Protection of Aquatic Life. (Author)

  9. Can current analytical quality performance of UK clinical laboratories support evidence-based guidelines for diabetes and ischaemic heart disease?--A pilot study and a proposal.

    Science.gov (United States)

    Jassam, Nuthar; Yundt-Pacheco, John; Jansen, Rob; Thomas, Annette; Barth, Julian H

    2013-08-01

    The implementation of national and international guidelines is beginning to standardise clinical practice. However, since many guidelines have decision limits based on laboratory tests, there is an urgent need to ensure that different laboratories obtain the same analytical result on any sample. A scientifically-based quality control process will be a pre-requisite to provide this level of analytical performance which will support evidence-based guidelines and movement of patients across boundaries while maintaining standardised outcomes. We discuss the finding of a pilot study performed to assess UK clinical laboratories readiness to work to a higher grade quality specifications such as biological variation-based quality specifications. Internal quality control (IQC) data for HbA1c, glucose, creatinine, cholesterol and high density lipoprotein (HDL)-cholesterol were collected from UK laboratories participating in the Bio-Rad Unity QC programme. The median of the coefficient of variation (CV%) of the participating laboratories was evaluated against the CV% based on biological variation. Except creatinine, the other four analytes had a variable degree of compliance with the biological variation-based quality specifications. More than 75% of the laboratories met the biological variation-based quality specifications for glucose, cholesterol and HDL-cholesterol. Slightly over 50% of the laboratories met the analytical goal for HBA1c. Only one analyte (cholesterol) had a performance achieving the higher quality specifications consistent with 5σ. Our data from IQC do not consistently demonstrate that the results from clinical laboratories meet evidence-based quality specifications. Therefore, we propose that a graded scale of quality specifications may be needed at this stage.

  10. Effects of land disposal of municipal sewage sludge on fate of nitrates in soil, streambed sediment, and water quality

    Science.gov (United States)

    Tindall, James A.; Lull, Kenneth J.; Gaggiani, Neville G.

    1994-01-01

    This study was undertaken to determine the effects of sewage-sludge disposal at the Lowry sewage-sludge-disposal area, near Denver, Colorado, on ground- and surface-water quality, to determine the fate of nitrates from sludge leachate, and to determine the source areas of leachate and the potential for additional leaching from the disposal area.Sewage-sludge disposal began in 1969. Two methods were used to apply the sludge: burial and plowing. Also, the sludge was applied both in liquid and cake forms. Data in this report represent the chemical composition of soil and streambed sediment from seven soil- and four streambed-sampling sites in 1986, chemical and bacterial composition of ground water from 28 wells from 1981 to 1987, and surface-water runoff from seven water-sampling sites from 1984 to 1987. Ground water samples were obtained from alluvial and bedrock aquifers. Samples of soil, streambed sediment, ground water and surface water were obtained for onsite measurement and chemical analysis. Measurements included determination of nitrogen compounds and major cations and anions, fecal-coliform and -streptococcus bacteria, specific conductance, and pH.Thirteen wells in the alluvial aquifer in Region 3 of the study area contain water that was probably affected by sewage-sludge leachate. The plots of concentration of nitrate with time show seasonal trends and trends caused by precipitation. In addition to yearly fluctuation, there were noticeable increases in ground-water concentrations of nitrate that coincided with increased precipitation. After 3 years of annual ground-water-quality monitoring and 4 years of a quarterly sampling program, it has been determined that leachate from the sewage-sludge-disposal area caused increased nitrite plus nitrate (as nitrogen) concentration in the alluvial ground water at the site. Soil analyses from the disposal area indicate that organic nitrogen was the dominant form of nitrogen in the soil.As a result of investigations at

  11. Design patterns for modelling guidelines

    NARCIS (Netherlands)

    Serban, Radu; Ten Teije, Annette; Marcos, Mar; Polo-Conde, Cristina; Rosenbrand, Kitty C J G M; Wittenberg, Jolanda; van Croonenborg, Joyce

    2005-01-01

    It is by now widely accepted that medical guidelines can help to significantly improve the quality of medical care. Unfortunately, constructing the required medical guidelines is a very labour intensive and costly process. The cost of guideline construction would decrease if guidelines could be

  12. Sperm quality assessment via separation and sedimentation in a microfluidic device.

    Science.gov (United States)

    Chen, Chang-Yu; Chiang, Tsun-Chao; Lin, Cheng-Ming; Lin, Shu-Sheng; Jong, De-Shien; Tsai, Vincent F-S; Hsieh, Ju-Ton; Wo, Andrew M

    2013-09-07

    A major reason for infertility is due to male factors, including the quality of spermatozoa, which is a primary factor and often difficult to assess, particularly the total sperm concentration and its motile percentage. This work presents a simple microfluidic device to assess sperm quality by quantifying both total and motile sperm counts. The key design feature of the microfluidic device is two channels separated by a permeative phase-guide structure, where one channel is filled with raw semen and the other with pure buffer. The semen sample was allowed to reach equilibrium in both chambers, whereas non-motile sperms remained in the original channel, and roughly half of the motile sperms would swim across the phase-guide barrier into the buffer channel. Sperms in each channel agglomerated into pellets after centrifugation, with the corresponding area representing total and motile sperm concentrations. Total sperm concentration up to 10(8) sperms per ml and motile percentage in the range of 10-70% were tested, encompassing the cutoff value of 40% stated by World Health Organization standards. Results from patient samples show compact and robust pellets after centrifugation. Comparison of total sperm concentration between the microfluidic device and the Makler chamber reveal they agree within 5% and show strong correlation, with a coefficient of determination of R(2) = 0.97. Motile sperm count between the microfluidic device and the Makler chamber agrees within 5%, with a coefficient of determination of R(2) = 0.84. Comparison of results from the Makler Chamber, sperm quality analyzer, and the microfluidic device revealed that results from the microfluidic device agree well with the Makler chamber. The sperm microfluidic chip analyzes both total and motile sperm concentrations in one spin, is accurate and easy to use, and should enable sperm quality analysis with ease.

  13. Effects of clay minerals and organic matter in formulated sediments on the bioavailability of sediment-associated uranium to the freshwater midge, Chironomus dilutus

    Energy Technology Data Exchange (ETDEWEB)

    Crawford, Sarah E., E-mail: sarah.crawford@usask.ca [Toxicology Centre, University of Saskatchewan, 44 Campus Drive, Saskatoon, SK S7N 5B3 (Canada); Liber, Karsten, E-mail: karsten.liber@usask.ca [Toxicology Centre, University of Saskatchewan, 44 Campus Drive, Saskatoon, SK S7N 5B3 (Canada); School of Environment and Sustainability, 117 Science Place, University of Saskatchewan, Saskatoon, SK S7N 5C8 (Canada); Institute of Loess Plateau, 92 Wucheng Road, Shanxi University, Taiyuan, Shanxi 030006 (China)

    2015-11-01

    It is well established that bioavailability influences metal toxicity in aquatic ecosystems. However, the factors and mechanisms that influence uranium (U) bioavailability and toxicity in sediment have not been thoroughly evaluated, despite evidence that suggests different sediment components can influence the sorption and interaction of some metals. Given that dissolved U is generally accepted as being the primary bioavailable fraction of U, it is hypothesized that adsorption and interaction of U with different sediment components will influence the bioavailability of U in sediment. We investigated the effects of key sediment physicochemical properties on the bioavailability of U to a model freshwater benthic invertebrate, Chironomus dilutus. Several 10-day spiked sediment bioaccumulation experiments were performed, exposing C. dilutus larvae to a variety of formulated sediments spiked with different concentrations of U (5, 50 and/or 200 mg U/kg d.w.). Mean accumulation of U in C. dilutus larvae decreased significantly from 1195 to 10 mg U/kg d.w. as kaolin clay content increased from 0% to 60% in sediment spiked with 50 mg U/kg d.w. Similarly, higher organic matter content also resulted in a significant reduction of U bioaccumulation in C. dilutus larvae, indicating a reduction in U bioavailability. Concentrations of U in both the overlying water and sediment pore water displayed a strong positive relationship to U bioaccumulation in C. dilutus larvae (r{sup 2} = 0.77, p < 0.001 and r{sup 2} = 0.57, p < 0.001, respectively) for all experiments, while total U concentrations in the sediment had a poor relationship to U bioaccumulation (r{sup 2} = 0.10, p = 0.028). Results from this research confirm that sediment clay and organic matter content play a significant role in altering U bioavailability, which is important in informing risk assessments of U contaminated sites and in the development of site-specific sediment quality guidelines for U. - Highlights: • We

  14. Guidelines on acute gastroenteritis in children: A critical appraisal of their quality and applicability in primary care

    NARCIS (Netherlands)

    J. van den Berg (José); M.Y. Berger (Marjolein)

    2011-01-01

    textabstractBackground: Reasons for poor guideline adherence in acute gastroenteritis (AGE) in children in high-income countries are unclear, but may be due to inconsistency between guideline recommendations, lack of evidence, and lack of generalizability of the recommendations to general practice.

  15. Heavy metals in surface sediments of the Jialu River, China: their relations to environmental factors.

    Science.gov (United States)

    Fu, Jie; Zhao, Changpo; Luo, Yupeng; Liu, Chunsheng; Kyzas, George Z; Luo, Yin; Zhao, Dongye; An, Shuqing; Zhu, Hailiang

    2014-04-15

    This work investigated heavy metal pollution in surface sediments of the Jialu River, China. Sediment samples were collected at 19 sites along the river in connection with field surveys and the total concentrations were determined using atomic fluorescence spectrometer and inductively coupled plasma optical emission spectrometer. Sediment samples with higher metal concentrations were collected from the upper reach of the river, while sediments in the middle and lower reaches had relatively lower metal concentrations. Multivariate techniques including Pearson correlation, hierarchical cluster and principal components analysis were used to evaluate the metal sources. The ecological risk associated with the heavy metals in sediments was rated as moderate based on the assessments using methods of consensus-based Sediment Quality Guidelines, Potential Ecological Risk Index and Geo-accumulation Index. The relations between heavy metals and various environmental factors (i.e., chemical properties of sediments, water quality indices and aquatic organism indices) were also studied. Nitrate nitrogen, total nitrogen, and total polycyclic aromatic hydrocarbons concentrations in sediments showed a co-release behavior with heavy metals. Ammonia nitrogen, total nitrogen, orthophosphate, total phosphate and permanganate index in water were found to be related to metal sedimentation. Heavy metals in sediments posed a potential impact on the benthos community. Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Longevity and effectiveness of aluminum addition to reduce sediment phosphorus release and restore lake water quality

    DEFF Research Database (Denmark)

    Huser, Brian J; Egemose, Sara; Harper, Harvey

    2016-01-01

    114 lakes treated with aluminum (Al) salts to reduce internal phosphorus (P) loading were analyzed to identify factors driving longevity of post-treatment water quality improvements. Lakes varied greatly in morphology, applied Al dose, and other factors that may have affected overall treatment...... (OI, a morphological index), and watershed to lake area ratio (related to hydraulic residence time, WA:LA) were the most important variables determining treatment longevity. Multiple linear regression showed that Al dose, WA:LA, and OI explained 47, 32 and 3% respectively of the variation in treatment...

  17. Utility of routine data sources for feedback on the quality of cancer care: an assessment based on clinical practice guidelines

    Directory of Open Access Journals (Sweden)

    Baade Peter

    2009-05-01

    Full Text Available Abstract Background Not all cancer patients receive state-of-the-art care and providing regular feedback to clinicians might reduce this problem. The purpose of this study was to assess the utility of various data sources in providing feedback on the quality of cancer care. Methods Published clinical practice guidelines were used to obtain a list of processes-of-care of interest to clinicians. These were assigned to one of four data categories according to their availability and the marginal cost of using them for feedback. Results Only 8 (3% of 243 processes-of-care could be measured using population-based registry or administrative inpatient data (lowest cost. A further 119 (49% could be measured using a core clinical registry, which contains information on important prognostic factors (e.g., clinical stage, physiological reserve, hormone-receptor status. Another 88 (36% required an expanded clinical registry or medical record review; mainly because they concerned long-term management of disease progression (recurrences and metastases and 28 (11.5% required patient interview or audio-taping of consultations because they involved information sharing between clinician and patient. Conclusion The advantages of population-based cancer registries and administrative inpatient data are wide coverage and low cost. The disadvantage is that they currently contain information on only a few processes-of-care. In most jurisdictions, clinical cancer registries, which can be used to report on many more processes-of-care, do not cover smaller hospitals. If we are to provide feedback about all patients, not just those in larger academic hospitals with the most developed data systems, then we need to develop sustainable population-based data systems that capture information on prognostic factors at the time of initial diagnosis and information on management of disease progression.

  18. The relative sensitivity of freshwater species to antimony(III): Implications for water quality guidelines and ecological risk assessments.

    Science.gov (United States)

    Obiakor, Maximilian Obinna; Tighe, Matthew; Wang, Zhen; Ezeonyejiaku, Chigozie Damian; Pereg, Lily; Wilson, Susan C

    2017-11-01

    Antimony (Sb) is a pollutant in many jurisdictions, yet its threat to aquatic biota is unclear. Water quality guidelines (WQGs) for Sb are not well established and large uncertainty factors are commonly applied in derivation. We constructed freshwater species sensitivity distributions (SSDs) for Sb(III) using available acute toxicity data sourced from temperate and tropical regional studies. A tiered ecological risk assessment (ERA) approach using risk quotients (RQs) was applied for characterisation of risks presented by Sb(III) concentrations measured in the freshwater environment. Multiple parametric models were fitted for each SSD, with the optimal model used to derive the 5% hazardous concentration (HC5), defined as protective of 95% of species, and the corresponding predicted no effect concentration (PNEC). The HC5 values for whole and temperate SSDs were estimated at 781 and 976 μg L -1 Sb(III), respectively, while the PNECs for both datasets were 156 and 195 μg L -1 Sb(III), respectively. Due to limited tropical data, a temperate-to-tropic extrapolation factor of 10 was used to estimate an interim PNEC for tropical regions of 20 μg L -1 Sb(III). Based on published freshwater Sb(III) concentration values across a range of locations, potential ecological risks posed by Sb(III) in some freshwater systems studied would be classified as medium to high risk, but the majority of locations sampled would fall into the low ecological risk category. Our results facilitate the understanding of toxic effects of Sb(III) to freshwater species but also demonstrate that data for Sb ERA are extremely limited.

  19. Multiple linear regression models for predicting chronic aluminum toxicity to freshwater aquatic organisms and developing water quality guidelines.

    Science.gov (United States)

    DeForest, David K; Brix, Kevin V; Tear, Lucinda M; Adams, William J

    2018-01-01

    The bioavailability of aluminum (Al) to freshwater aquatic organisms varies as a function of several water chemistry parameters, including pH, dissolved organic carbon (DOC), and water hardness. We evaluated the ability of multiple linear regression (MLR) models to predict chronic Al toxicity to a green alga (Pseudokirchneriella subcapitata), a cladoceran (Ceriodaphnia dubia), and a fish (Pimephales promelas) as a function of varying DOC, pH, and hardness conditions. The MLR models predicted toxicity values that were within a factor of 2 of observed values in 100% of the cases for P. subcapitata (10 and 20% effective concentrations [EC10s and EC20s]), 91% of the cases for C. dubia (EC10s and EC20s), and 95% (EC10s) and 91% (EC20s) of the cases for P. promelas. The MLR models were then applied to all species with Al toxicity data to derive species and genus sensitivity distributions that could be adjusted as a function of varying DOC, pH, and hardness conditions (the P. subcapitata model was applied to algae and macrophytes, the C. dubia model was applied to invertebrates, and the P. promelas model was applied to fish). Hazardous concentrations to 5% of the species or genera were then derived in 2 ways: 1) fitting a log-normal distribution to species-mean EC10s for all species (following the European Union methodology), and 2) fitting a triangular distribution to genus-mean EC20s for animals only (following the US Environmental Protection Agency methodology). Overall, MLR-based models provide a viable approach for deriving Al water quality guidelines that vary as a function of DOC, pH, and hardness conditions and are a significant improvement over bioavailability corrections based on single parameters. Environ Toxicol Chem 2018;37:80-90. © 2017 SETAC. © 2017 SETAC.

  20. Implementation of ICU palliative care guidelines and procedures: a quality improvement initiative following an investigation of alleged euthanasia.

    Science.gov (United States)

    Kuschner, Ware G; Gruenewald, David A; Clum, Nancy; Beal, Alice; Ezeji-Okoye, Stephen C

    2009-01-01

    Ethical conflicts are commonly encountered in the course of delivering end-of-life care in the ICU. Some ethical concerns have legal dimensions, including concerns about inappropriate hastening of death. Despite these concerns, many ICUs do not have explicit policies and procedures for withdrawal of life-sustaining treatments. We describe a US Office of Inspector General (OIG) investigation of end-of-life care practices in our ICU. The investigation focused on care delivered to four critically ill patients with terminal diseases and an ICU nurse's concern that the patients had been subjected to euthanasia. The OIG investigation also assessed the validity of allegations that patient flow in and out of our ICU was inappropriately influenced by scheduled surgeries and that end-of-life care policies in our ICU were not clear. Although the investigation did not substantiate the allegations of euthanasia or inappropriate ICU patient flow, it did find that the policies that discuss end-of-life care issues were not clear and allowed for wide-ranging interpretations. Acting on the OIG recommendations, we developed a quality improvement initiative addressing end-of-life care in our ICU, intended to enhance communication and understanding about palliative care practices in our ICU, to prevent ethical conflicts surrounding end-of-life care, and to improve patient care. The initiative included the introduction of newly developed ICU comfort care guidelines, a physician order set, and a physician template note. Additionally, we implemented an educational program for ICU staff. Staff feedback regarding the initiative has been highly favorable, and the nurse whose concerns led to the investigation was satisfied not only with the investigation but also the policies and procedures that were subsequently introduced in our ICU.

  1. Utility of routine data sources for feedback on the quality of cancer care: an assessment based on clinical practice guidelines.

    Science.gov (United States)

    Coory, Michael; Thompson, Bridie; Baade, Peter; Fritschi, Lin

    2009-05-27

    Not all cancer patients receive state-of-the-art care and providing regular feedback to clinicians might reduce this problem. The purpose of this study was to assess the utility of various data sources in providing feedback on the quality of cancer care. Published clinical practice guidelines were used to obtain a list of processes-of-care of interest to clinicians. These were assigned to one of four data categories according to their availability and the marginal cost of using them for feedback. Only 8 (3%) of 243 processes-of-care could be measured using population-based registry or administrative inpatient data (lowest cost). A further 119 (49%) could be measured using a core clinical registry, which contains information on important prognostic factors (e.g., clinical stage, physiological reserve, hormone-receptor status). Another 88 (36%) required an expanded clinical registry or medical record review; mainly because they concerned long-term management of disease progression (recurrences and metastases) and 28 (11.5%) required patient interview or audio-taping of consultations because they involved information sharing between clinician and patient. The advantages of population-based cancer registries and administrative inpatient data are wide coverage and low cost. The disadvantage is that they currently contain information on only a few processes-of-care. In most jurisdictions, clinical cancer registries, which can be used to report on many more processes-of-care, do not cover smaller hospitals. If we are to provide feedback about all patients, not just those in larger academic hospitals with the most developed data systems, then we need to develop sustainable population-based data systems that capture information on prognostic factors at the time of initial diagnosis and information on management of disease progression.

  2. Comparison of the quality of basic life support provided by rescuers trained using the 2005 or 2010 ERC guidelines

    Directory of Open Access Journals (Sweden)

    Jones Christopher M

    2012-08-01

    Full Text Available Abstract Introduction Effective delivery of cardiopulmonary resuscitation (CPR and prompt defibrillation following sudden cardiac arrest (SCA is vital. Updated guidelines for adult basic life support (BLS were published in 2010 by the European Resuscitation Council (ERC in an effort to improve survival following SCA. There has been little assessment of the ability of rescuers to meet the standards outlined within these new guidelines. Methods We conducted a retrospective analysis of the performance of first year healthcare students trained and assessed using either the new 2010 ERC guidelines or their 2005 predecessor, within the University of Birmingham, United Kingdom. All students were trained as lay rescuers during a standardised eight hour ERC-accredited adult BLS course. Results We analysed the examination records of 1091 students. Of these, 561 were trained and assessed using the old 2005 ERC guidelines and 530 using the new 2010 guidelines. A significantly greater proportion of candidates failed in the new guideline group (16.04% vs. 11.05%; p  Conclusions The new ERC guidelines lead to a greater proportion of lay rescuers performing chest compressions at an erroneously fast rate and may therefore worsen BLS efficacy. Additional study is required in order to define the clinical impact of compressions performed to a greater depth and at too fast a rate.

  3. Comparison of the quality of basic life support provided by rescuers trained using the 2005 or 2010 ERC guidelines.

    Science.gov (United States)

    Jones, Christopher M; Owen, Andrew; Thorne, Christopher J; Hulme, Jonathan

    2012-08-09

    Effective delivery of cardiopulmonary resuscitation (CPR) and prompt defibrillation following sudden cardiac arrest (SCA) is vital. Updated guidelines for adult basic life support (BLS) were published in 2010 by the European Resuscitation Council (ERC) in an effort to improve survival following SCA. There has been little assessment of the ability of rescuers to meet the standards outlined within these new guidelines. We conducted a retrospective analysis of the performance of first year healthcare students trained and assessed using either the new 2010 ERC guidelines or their 2005 predecessor, within the University of Birmingham, United Kingdom. All students were trained as lay rescuers during a standardised eight hour ERC-accredited adult BLS course. We analysed the examination records of 1091 students. Of these, 561 were trained and assessed using the old 2005 ERC guidelines and 530 using the new 2010 guidelines. A significantly greater proportion of candidates failed in the new guideline group (16.04% vs. 11.05%; p < 0.05), reflecting a significantly greater proportion of lay-rescuers performing chest compressions at too fast a rate when trained and assessed with the 2010 rather than 2005 guidelines (6.04% vs. 2.67%; p < 0.05). Error rates for other skills did not differ between guideline groups. The new ERC guidelines lead to a greater proportion of lay rescuers performing chest compressions at an erroneously fast rate and may therefore worsen BLS efficacy. Additional study is required in order to define the clinical impact of compressions performed to a greater depth and at too fast a rate.

  4. Selected elements and organic chemicals in streambed sediment in the Salem area, Oregon, 1999

    Science.gov (United States)

    Tanner, Dwight Q.

    2002-09-13

    Analysis of streambed sediments in the Salem, Oregon, area showed anomalously large concentrations of some elements and organic chemicals, indicating contamination from anthropogenic and/or geologic sources. The streambed sediment sample from Clark Creek, an urban basin, had large concentrations of polycyclic aromatic hyrdocarbons (PAHs), organochlorines, cadmium, lead, and zinc. The sample from the East Fork of Pringle Creek, which is a mostly urban basin, had the highest concentrations of DDD, DDE, and DDT compounds. Aldrin was detected in streambed sediment at only one site, the East Fork of Pringle Creek. Ten of the 14 sites sampled had exceedances of the sediment quality guidelines of the Canadian Council of Ministers of the Environment (CCME), and 8 sites had exceedances of guidelines from the Puget Sound Dredged Disposal Analysis (PSDDA) Program.

  5. Assessment of sediment quality based on acid-volatile sulfide and simultaneously extracted metals in heavily industrialized area of Asaluyeh, Persian Gulf: concentrations, spatial distributions, and sediment bioavailability/toxicity.

    Science.gov (United States)

    Arfaeinia, Hossein; Nabipour, Iraj; Ostovar, Afshin; Asadgol, Zahra; Abuee, Ehsan; Keshtkar, Mozhgan; Dobaradaran, Sina

    2016-05-01

    Sediment samples from the coastal area of Asaluyeh harbor were collected during autumn and spring 2015. The acid-volatile sulfide (AVS) and simultaneously extracted metals (SEMs) were measured to assess the sediment quality and potential ecological risks. The average concentrations (and relative standard deviation (RSD)) of AVS in the industrial sediments were 12.32 μmol/g (36.91) and 6.34 μmol/g (80.05) in autumn and spring, respectively, while in the urban area, these values were 0.44 μmol/g (123.50) and 0.31 μmol/g (160.0) in autumn and spring, respectively. The average concentrations of SEM (and RSD) in the industrial sediments were 15.02 μmol/g (14.38) and 12.34 μmol/g (20.65) in autumn and spring, respectively, while in the urban area, these values were 1.10 μmol/g (43.03) and 1.06 μmol/g (55.59) in autumn and spring, respectively. Zn was the predominant component (34.25-86.24 %) of SEM, while the corresponding value for Cd, much more toxic ingredient, was less than 1 %. Some of the coastal sediments in the harbor of Asaluyeh (20 and 47 % in autumn and spring, respectively) had expected adverse biological effects based on the suggested criterion by United States Environmental Protection Agency (USEPA), while most stations (80 and 53 % in autumn and spring, respectively) had uncertain adverse effects.

  6. On the complex non-linear interaction between bacteria and redox dynamics in sediments and its effects on water quality

    Science.gov (United States)

    Sanchez-Vila, X.; Rubol, S.; Fernandez-Garcia, D.

    2011-12-01

    Despite the fact that the prognoses on the availability of resources related to different climate scenarios have been already formulated, the complex hydrological and biogeochemical reactions taking place in different compartments in natural environmental media are poorly understood, especially regarding the interactions between water bodies, and the reactions taking place at soil-water interfaces. Amongst them, the inter-relationship between hydrology, chemistry and biology has important implications in natural (rivers, lakes) and man-made water facilities (lagoons, artificial recharge pounds, reservoirs, slow infiltration systems, etc). The consequences involve environment, economic, social and health-risk aspects. At the current stage, only limited explanations are available to understand the implications of these relationships on ecosystem services, water quality and water quantity. Therefore, there is an urgent need to seek a full understanding of these physical-biogeochemical processes in water-bodies, sediments and biota and its implications in ecological and health risk. We present a soil column experiment and a mathematical model which aim to study the mutual interplay between water and bacteria activity in porous media, the corresponding dynamics and the feedback on nutrient cycling by using a multidisciplinary approach.

  7. Quality of newborn care: adherence to guidelines for parenteral nutrition in preterm infants in four European countries.

    Science.gov (United States)

    Lapillonne, Alexandre; Carnielli, Virgilio Paolo; Embleton, Nicholas David; Mihatsch, Walter

    2013-09-18

    The level of adherence to guidelines should be explored particularly in preterm infants for whom poor nutrition has major effects on outcomes in later life. The objective was to evaluate compliance to international guidelines for parenteral nutrition (PN) in preterm infants across neonatal intensive care units (NICUs) of four European countries. Clinical practice survey by means of a questionnaire addressing routine PN protocols, awareness and implementation of guidelines. NICUs in the UK, Italy, Germany and France. One senior physician per unit; 199 units which represent 74% of the NICUs of the four countries. Adherence of unit protocol to international guidelines. Factors that influence adherence to guidelines. 80% of the respondents stated that they were aware of some PN clinical practice guidelines. For amino acid infusion (AA), 63% of the respondents aimed to initiate AA on D0, 38% aimed to administer an initial dose ≥1.5 g/kg/day and 91% aimed for a target dose of 3 or 4 g/kg/day, as recommended. For parenteral lipids, 90% of the respondents aimed to initiate parenteral lipids during the first 3 days of life, 39% aimed to use an initial dose ≥1.0 g/kg/day and 76% defined the target dose as 3-4 g/kg/day, as recommended. Significant variations in PN protocols were observed among countries, but the type of hospital or the number of admissions per year had only a marginal impact on the PN protocols. Most respondents indicated that their clinical practice was based on common guidelines. However, the initiation of PN is frequently not compliant with current recommendations, with the main differences being observed during the first days of life. Continuous education focusing on PN practice is needed, and greater efforts are required to disseminate and implement international guidelines.

  8. 167: CRITICALLY APPRAISE OF THE REPORTING QUALITY OF RANDOMIZED CONTROLLED TRIALS ARTICLES IN THE FIELD OF DIABETES IN MEDICAL GUIDELINES IN IRAN

    Science.gov (United States)

    Aletaha, Azadeh; Baradaran, Hamid Reza; Soltani, Akbar; Ramezani, Amir

    2017-01-01

    Background and aims To determine the quality of randomized controlled clinical trial reports in diabetes research in Iran and their presence in domestic and foreign credible guidelines which can imply whether randomized controlled trial articles in the field of diabetes are of good quality or not with respect to their high level of received citations, quality and credibility. Method We included RCTs conducted on Diabetes mellitus in Iran. Animal studies, educational, interventions, and non-randomized trials were excluded. This was a bibliographic study examining published journal articles involving RCTs in diabetes research from Iranian authors. A systematic search of ten databases(ISI Web of science, Scopus, PubMed, Science Direct, The Cochrane Library, Taylor & Francis Online, Biomed Central, EBSCO, ProQuest and OVID)were undertaken from July 2004–2014. We excluded duplicated publications reporting the same groups of participants and intervention two independent reviewers identify all eligible articles specifically designed data extraction form. Two reviewers assessed the quality of reporting by CONSORT 2010 (Consolidated Standards of Reporting Trials) checklist statement and also evaluate each article with Scientometry tools in 260 valid English diabetes guidelines. Result Overall, we included 185 RCTs on diabetes mellitus, One hundred and eight five (185) studies were included and appraised. Half of them (55.7%) were published in Iranian journals. Most (89.7%) were parallel RCTs, and being performed on type2 diabetic patients (77.8%). Less than half of the CONSORT items (43.2%) were reported in studies, totally. The reporting of randomization and blinding were poor. A few studies 15.1% mentioned the method of random sequence generation and strategy of allocation concealment. And only 34.8% of trials report how blinding was applied. From 185 articles, twelve articles (10%) are presented in 260 Guidelines. Conclusion The reporting quality of abstracts of RCTs

  9. Metal assessment in sediments from the Guarapiranga Reservoir

    Energy Technology Data Exchange (ETDEWEB)

    Coutinho, Suellen N.; Figueiredo, Ana Maria G. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Quináglia, Gilson A., E-mail: sncoutinho@usp.br, E-mail: anamaria@ipen.br, E-mail: gquinaglia@sp.gov.br [Companhia Ambiental do Estado de São Paulo (CETESB), São Paulo, SP (Brazil)

    2017-07-01

    The study of the distribution of metals in sediments is very important from the point of view of environmental pollution once the sediment concentrates metals in aquatic systems and represents a relevant contamination monitor. The analysis of sediments has been used to evaluate the quality of aquatic systems in relation to the concentration of metals. This study aimed to assess sediment contamination by metals in the Guarapiranga Reservoir. Sediment and water samples were analyzed by ICP OES (Inductively Coupled Plasma Optical Emission Spectrometry) for As, Cd, Cr, Cu, Ni, Pb and Zn and by CV AAS (Cold Vapor Atomic Absorption Spectrophotometry) for Hg. The sediment samples results were compared to TEL (Threshold Effect Level) and PEL (Probable Effect Level) guidance values and RRV (Reference Regional Values). Geoaccumulation Index (I{sub geo}) was calculated to evaluate metals pollution degree using reference values established for metals and metalloids in sediments from the Upper Tietê Basin and E{sub H}-pH diagrams were applied to explain chemical forms and bioavailability of toxic metals in sediment samples. In general, most of the analyzed elements exceeded TEL values and Cr, Cu and Zn exceeded RRV guidelines. The high concentrations of Cu found in this reservoir can be explained by the frequent application of CuSO{sub 4} algicide, mainly at sampling site S-03. The I{sub geo} indicated moderated polluted sediments by Zn and moderately to extremely polluted sediments by Cu, especially at S-03, in agreement with the TEL, PEL and RRV values comparison. These results may indicate potential risk of the reservoir water quality. (author)

  10. Metal assessment in sediments from the Guarapiranga Reservoir

    International Nuclear Information System (INIS)

    Coutinho, Suellen N.; Figueiredo, Ana Maria G.; Quináglia, Gilson A.

    2017-01-01

    The study of the distribution of metals in sediments is very important from the point of view of environmental pollution once the sediment concentrates metals in aquatic systems and represents a relevant contamination monitor. The analysis of sediments has been used to evaluate the quality of aquatic systems in relation to the concentration of metals. This study aimed to assess sediment contamination by metals in the Guarapiranga Reservoir. Sediment and water samples were analyzed by ICP OES (Inductively Coupled Plasma Optical Emission Spectrometry) for As, Cd, Cr, Cu, Ni, Pb and Zn and by CV AAS (Cold Vapor Atomic Absorption Spectrophotometry) for Hg. The sediment samples results were compared to TEL (Threshold Effect Level) and PEL (Probable Effect Level) guidance values and RRV (Reference Regional Values). Geoaccumulation Index (I geo ) was calculated to evaluate metals pollution degree using reference values established for metals and metalloids in sediments from the Upper Tietê Basin and E H -pH diagrams were applied to explain chemical forms and bioavailability of toxic metals in sediment samples. In general, most of the analyzed elements exceeded TEL values and Cr, Cu and Zn exceeded RRV guidelines. The high concentrations of Cu found in this reservoir can be explained by the frequent application of CuSO 4 algicide, mainly at sampling site S-03. The I geo indicated moderated polluted sediments by Zn and moderately to extremely polluted sediments by Cu, especially at S-03, in agreement with the TEL, PEL and RRV values comparison. These results may indicate potential risk of the reservoir water quality. (author)

  11. Water- and sediment-quality effects on Pimephales promelas spawning vary along an agriculture-to-urban land-use gradient.

    Science.gov (United States)

    Corsi, Steven R; Klaper, Rebecca D; Weber, Daniel N; Bannerman, Roger T

    2011-10-15

    Many streams in the U.S. are "impaired" due to anthropogenic influence. For watershed managers to achieve practical understanding of these impairments, a multitude of factors must be considered, including point and nonpoint-source influence on water quality. A spawning assay was developed in this study to evaluate water- and sediment-quality effects that influenced Pimephales promelas (fathead minnow) egg production over a gradient of urban and agricultural land use in 27 small watersheds in Eastern Wisconsin. Six pairs of reproducing fathead minnows were contained in separate mesh cartridges within one larger flow-through chamber. Water- and sediment quality were sampled for an array of parameters. Egg production was monitored for each pair providing an assessment of spawning success throughout the 21-day test periods. Incidences of low dissolved oxygen (DO) in many of these streams negatively impacted spawning success. Nine of 27 streams experienced DO less than 3.1mg/L and 15 streams experienced DO less than 4.8mg/L. Low DO was observed in urban and agricultural watersheds, but the upper threshold of minimum DO decreased with increasing urban development. An increase in specific conductance was related to a decrease in spawning success. In previous studies for streams in this region, specific conductance had a linear relation with chloride, suggesting the possibility that chloride could be a factor in egg production. Egg production was lower at sites with substantial urban development, but sites with low egg production were not limited to urban sites. Degradation of water- and sediment-quality parameters with increasing urban development is indicated for multiple parameters while patterns were not detected for others. Results from this study indicate that DO must be a high priority watershed management consideration for this region, specific conductance should be investigated further to determine the mechanism of the relation with egg production, and water- and

  12. Efficiency of the kidney disease outcomes quality initiative guidelines for preemptive vascular access in an academic setting.

    Science.gov (United States)

    Kimball, Traci A; Barz, Ken; Dimond, Kelly R; Edwards, James M; Nehler, Mark R

    2011-09-01

    The National Kidney Foundation-Kidney Diseases Outcomes Quality Initiative (KDOQI) for vascular access guidelines state that patients with late-stage chronic kidney disease (CKD) should undergo native arteriovenous fistula (AVF) creation at least 6 months before anticipated start of hemodialysis (HD) treatments to obviate the need for other vascular access types, such as grafts or central catheters. The objective of this study was to determine the incidence of HD, the functional patency, and associated morbidity of AVFs in patients with late-stage CKD placed according to KDOQI. Consecutive patients with late-stage CKD who underwent AVF creation using KDOQI guidelines for anatomy between January 2003 and December 2007 at two tertiary academic centers were retrospectively evaluated. Baseline demographics, AVF type, and clinical comorbidities were recorded. Patients were stratified into one of four groups (groups A-D) over the follow-up course based on two end points: patency of their AVF and whether or not they began HD. The ideal primary outcome was AVF maturation and use for HD (group A; cumulative functional patency). Other outcomes included AVF patency but no HD (group B), HD with AVF failure (group C), or no HD and AVF abandonment (ie, death, refused hemodialysis, kidney transplant, or fistula failure; group D). Secondary outcomes were time to first cannulation, complications, and secondary interventions. AVFs were created (46% forearm and 54% upper arm) in 150 patients with CKD (85% men, median age 63 years old). At a median follow-up of 10 months, 74 patients (49%) were receiving HD and of these, 48 patients (65%) were using their AVF (group A), whereas 26 patients (35%) were not due to fistula failure (group C). Thirty-four patients (23%) never initiated HD treatments, but had a viable AVF (group B), and 42 patients (28%) never initiated HD and abandoned their AVF (group D). Overall, AVF abandonment was 51%. Mean maturation time of all AVFs successfully

  13. Hydraulic, water-quality, and temperature performance of three types of permeable pavement under high sediment loading conditions

    Science.gov (United States)

    Selbig, William R.; Buer, Nicolas

    2018-05-11

    Three permeable pavement surfaces - asphalt (PA), concrete (PC), and interlocking pavers (PIP) - were evaluated side-by-side to measure changes to the infiltrative capacity and water quality of stormwater runoff originating from a conventional asphalt parking lot in Madison, Wisconsin. During the 24-month monitoring period (2014-16), all three permeable pavements resulted in statistically significant reductions in the cumulative load of solids (total suspended solids and suspended sediment), total phosphorus, Escherichia coli (E. coli), and Enterococci. Most of the removal occurred through capture and retention in the void spaces of each permeable surface and aggregate base. The largest reduction in total suspended solids was for PC at 80 percent, followed by PIP and PA at 69 and 65 percent, respectively. Reductions (generally less than 50 percent) in total phosphorus also were observed, which might have been tempered by increases in the dissolved fraction observed in PIP and PA. Conversely, PC results indicated a slight reduction in dissolved phosphorus but failed to meet statistical significance. E. coli and Enterococci were reduced by about 80 percent for PC, almost twice the amount observed for PIP and PA.Results for the PIP and PC surfaces initially indicated higher pollutant load reduction than results for the PA surface. The efficiency of PIP and PC surfaces capturing sediment, however, led to a decline in infiltration rates that resulted in more runoff flowing over, not through, the permeable surface. This result led to a decline in treatment until the permeable surface was partially restored through maintenance practices, to which PIP responded more dramatically than PC or PA. Conversely, the PA surface was capable of infiltrating most of the influent runoff volume during the monitoring period and, thus, continued to provide some level of treatment. The combined effect of underdrain and overflow drainage resulted in similar pollutant treatment for all

  14. Water- and air-quality and surficial bed-sediment monitoring of the Sweetwater Reservoir watershed, San Diego County, California, 2003-09

    Science.gov (United States)

    Mendez, Gregory O.; Majewski, Michael S.; Foreman, William T.; Morita, Andrew Y.

    2015-01-01

    In 1998, the U.S. Geological Survey, in cooperation with the Sweetwater Authority, began a study to assess the overall health of the Sweetwater watershed in San Diego County, California. This study was designed to provide a data set that could be used to evaluate potential effects from the construction and operation of State Route 125 within the broader context of the water quality and air quality in the watershed. The study included regular sampling of water, air, and surficial bed sediment at Sweetwater Reservoir (SWR) for chemical constituents, including volatile organic compounds (VOCs), base-neutral and acid- extractable organic compounds (BNAs) that include polycyclic aromatic hydrocarbons (PAHs), pesticides, and metals. Additionally, water samples were collected for anthropogenic organic indicator compounds in and around SWR. Background water samples were collected at Loveland Reservoir for VOCs, BNAs, pesticides, and metals. Surficial bed-sediment samples were collected for PAHs, organochlorine pesticides, and metals at Sweetwater and Loveland Reservoirs.

  15. Biological and chemical characterization of metal bioavailability in sediments from Lake Roosevelt, Columbia River, Washington, USA

    Science.gov (United States)

    Besser, J.M.; Brumbaugh, W.G.; Ivey, C.D.; Ingersoll, C.G.; Moran, P.W.

    2008-01-01

    We studied the bioavailability and toxicity of copper, zinc, arsenic, cadmium, and lead in sediments from Lake Roosevelt (LR), a reservoir on the Columbia River in Washington, USA that receives inputs of metals from an upstream smelter facility. We characterized chronic sediment toxicity, metal bioaccumulation, and metal concentrations in sediment and pore water from eight study sites: one site upstream in the Columbia River, six sites in the reservoir, and a reference site in an uncontaminated tributary. Total recoverable metal concentrations in LR sediments generally decreased from upstream to downstream in the study area, but sediments from two sites in the reservoir had metal concentrations much lower than adjacent reservoir sites and similar to the reference site, apparently due to erosion of uncontaminated bank soils. Concentrations of acid-volatile sulfide in LR sediments were too low to provide strong controls on metal bioavailability, and selective sediment extractions indicated that metals in most LR sediments were primarily associated with iron and manganese oxides. Oligochaetes (Lumbriculus variegatus) accumulated greatest concentrations of copper from the river sediment, and greatest concentrations of arsenic, cadmium, and lead from reservoir sediments. Chronic toxic effects on amphipods (Hyalella azteca; reduced survival) and midge larvae (Chironomus dilutus; reduced growth) in whole-sediment exposures were generally consistent with predictions of metal toxicity based on empirical and equilibrium partitioning-based sediment quality guidelines. Elevated metal concentrations in pore waters of some LR sediments suggested that metals released from iron and manganese oxides under anoxic conditions contributed to metal bioaccumulation and toxicity. Results of both chemical and biological assays indicate that metals in sediments from both riverine and reservoir habitats of Lake Roosevelt are available to benthic invertebrates. These findings will be used as

  16. Multivariate analysis for source identification of pollution in sediment of Linggi River, Malaysia.

    Science.gov (United States)

    Elias, Md Suhaimi; Ibrahim, Shariff; Samuding, Kamarudin; Rahman, Shamsiah Ab; Wo, Yii Mei; Daung, Jeremy Andy Dominic

    2018-03-29

    Rapid socioeconomic development in the Linggi River Basin has contributed to the significant increase of pollution discharge into the Linggi River and its adjacent coastal areas. The toxic element contents and distributions in the sediment samples collected along the Linggi River were determined using neutron activation analysis (NAA) and inductively coupled plasma-mass spectrometry (ICP-MS) techniques. The measured mean concentration of As, Cd, Pb, Sb, U, Th and Zn is relatively higher compared to the continental crust value of the respective element. Most of the elements (As, Cr, Fe, Pb, Sb and Zn) exceeded the freshwater sediment quality guideline-threshold effect concentration (FSQG-TEC) value. Downstream stations of the Linggi River showed that As concentrations in sediment exceeded the freshwater sediment quality guideline-probable effect concentration (FSQG-PEC) value. This indicates that the concentration of As will give an adverse effect to the growth of sediment-dwelling organisms. Generally, the Linggi River sediment can be categorised as unpolluted to strongly polluted and unpolluted to strongly to extremely polluted. The correlation matrix of metal-metal relationship, principle component analysis (PCA) and cluster analysis (CA) indicates that the pollution sources of Cu, Ni, Zn, Cd and Pb in sediments of the Linggi River originated from the industry of electronics and electroplating. Elements of As, Cr, Sb and Fe mainly originated from motor-vehicle workshops and metal work, whilst U and Th originated from natural processes such as terrestrial runoff and land erosion.

  17. Guidelines and mHealth to Improve Quality of Hypertension and Type 2 Diabetes Care for Vulnerable Populations in Lebanon: Longitudinal Cohort Study

    Science.gov (United States)

    Paik, Kenneth E; Hei Tam, Hok; Fahed, Zeina; Winkler, Eric; Kontunen, Kaisa; Mkanna, Abdalla; Burnham, Gilbert

    2017-01-01

    Background Given the protracted nature of the crisis in Syria, the large noncommunicable disease (NCD) caseload of Syrian refugees and host Lebanese, and the high costs of providing NCD care, the implications for Lebanon’s health system are vast. Objective The aim of this study was to evaluate the effectiveness of treatment guidelines and a mobile health (mHealth) app on quality of care and health outcomes in primary care settings in Lebanon. Methods A longitudinal cohort study was implemented from January 2015 to August 2016 to evaluate the effectiveness of treatment guidelines and an mHealth app on quality of care and health outcomes for Syrian and Lebanese patients in Lebanese primary health care (PHC) facilities. Results Compared with baseline record extraction, recording of blood pressure (BP) readings (−11.4%, PmHealth phase as compared with baseline (−8.4%, P=.001); however, recording of body mass index (BMI) reporting increased at the end of the mHealth phase from baseline (8.1%, PmHealth app showed that a higher proportion of providers offered lifestyle counseling compared with the counseling reported in patients’ paper records (health diet counseling; 77.3% in app data vs 8.8% in paper records, PmHealth implementation (PmHealth phases by 12.9% and 59.6%, respectively, (PmHealth implementation by 66.3% (PmHealth phase by 39.8% (PmHealth app in 10 PHC facilities in Lebanon indicate that the app has potential to improve adherence to guidelines and quality of care. Further studies are necessary to determine the effects of patient-controlled health record apps on provider adherence to treatment guidelines, as well as patients’ long-term medication and treatment adherence and disease control. PMID:29046266

  18. Water and sediment quality of the Lake Andes and Choteau Creek basins, South Dakota, 1983-2000

    Science.gov (United States)

    Sando, Steven Kent; Neitzert, Kathleen M.

    2003-01-01

    The Bureau of Reclamation has proposed construction of the Lake Andes/Wagner Irrigation Demonstration Project to investigate environmental effects of irrigation of glacial till soils substantially derived from marine shales. During 1983-2000, the U.S. Geological Survey collected hydrologic, water-quality, and sediment data in the Lake Andes and Choteau Creek Basins, and on the Missouri River upstream and downstream from Choteau Creek, to provide baseline information in support of the proposed demonstration project. Lake Andes has a drainage area of about 230 mi2 (square miles). Tributaries to Lake Andes are ephemeral. Water-level fluctuations in Lake Andes can be large, and the lake has been completely dry on several occasions. The outlet aqueduct from Lake Andes feeds into Garden Creek, which enters Lake Francis Case just upstream from Fort Randall Dam on the Missouri River. For Lake Andes tributary stations, calcium, magnesium, and sodium are approximately codominant among the cations, and sulfate is the dominant anion. Dissolved-solids concentrations typically range from about 1,000 mg/L (milligrams per liter) to about 1,700 mg/L. Major-ion concentrations for Lake Andes tend to be higher than the tributaries and generally increase downstream in Lake Andes. Proportions of major ions are similar among the different lake units (with the exception of Owens Bay), with calcium, magnesium, and sodium being approximately codominant among cations, and sulfate being the dominant anion. Owens Bay is characterized by a calcium sulfate water type. Dissolved-solids concentrations for Lake Andes typically range from about 1,400 to 2,000 mg/L. Whole-water nitrogen and phosphorus concentrations are similar among the Lake Andes tributaries, with median whole-water nitrogen concentrations ranging from about 1.6 to 2.4 mg/L, and median whole-water phosphorus concentrations ranging from about 0.5 to 0.7 mg/L. Whole-water nitrogen concentrations in Lake Andes are similar among the

  19. Analysis of postfire hydrology, water quality, and sediment transport for selected streams in areas of the 2002 Hayman and Hinman fires, Colorado

    Science.gov (United States)

    Stevens, Michael R.

    2013-01-01

    The U.S. Geological Survey (USGS) began a 5-year study in 2003 that focused on postfire stream-water quality and postfire sediment load in streams within the Hayman and Hinman fire study areas. This report compares water quality of selected streams receiving runoff from unburned areas and burned areas using concentrations and loads, and trend analysis, from seasonal data (approximately April–November) collected 2003–2007 at the Hayman fire study area, and data collected from 1999–2000 (prefire) and 2003 (postfire) at the Hinman fire study area. The water-quality data collected during this study include onsite measurements of streamflow, specific conductance, and turbidity, laboratory-determined pH, and concentrations of major ions, nutrients, organic carbon, trace elements, and suspended sediment. Postfire floods and effects on water quality of streams, lakes and reservoirs, drinking-water treatment, and the comparison of measured concentrations to applicable water quality standards also are discussed. Exceedances of Colorado water-quality standards in streams of both the Hayman and Hinman fire study areas only occurred for concentrations of five trace elements (not all trace-element exceedances occurred in every stream). Selected samples analyzed for total recoverable arsenic (fixed), dissolved copper (acute and chronic), total recoverable iron (chronic), dissolved manganese (acute, chronic, and fixed) and total recoverable mercury (chronic) exceeded Colorado aquatic-life standards.

  20. Evidence for mild sediment Pb contamination affecting leaf-litter decomposition in a lake.

    Science.gov (United States)

    Oguma, Andrew Y; Klerks, Paul L

    2015-08-01

    Much work has focused on the effects of metal-contaminated sediment on benthic community structure, but effects on ecosystem functions have received far less attention. Decomposition has been widely used as an integrating metric of ecosystem function in lotic systems, but not for lentic ones. We assessed the relationship between low-level sediment lead (Pb) contamination and leaf-litter decomposition in a lentic system. We measured 30-day weight loss in 30 litter-bags that were deployed along a Pb-contamination gradient in a cypress-forested lake. At each deployment site we also quantified macrobenthos abundance, dissolved oxygen, water depth, sediment organic content, sediment silt/clay content, and both total sediment and porewater concentrations of Cd, Cu, Ni, Pb and Zn. Principal components (PC) analysis revealed a negative relationship between Pb concentration and benthic macroinvertebrate abundance, and this covariation dominated the first PC axis (PC1). Subsequent correlation analyses revealed a negative relationship between PC1 and percent leaf-litter loss. Our results indicate that leaf-litter decomposition was related to sediment Pb and benthic macroinvertebrate abundance. They also showed that ecosystem function may be affected even where sediment Pb concentrations are mostly below threshold-effects sediment quality guidelines--a finding with potential implications for sediment risk assessment. Additionally, the litter-bag technique used in this study showed promise as a tool in risk assessments of metal-contaminated sediments in lentic systems.

  1. Effects of hurricanes Katrina and Rita on the chemistry of bottom sediments in Lake Pontchartrain, Louisiana, USA

    Science.gov (United States)

    Van Metre, P.C.; Horowitz, A.J.; Mahler, B.J.; Foreman, W.T.; Fuller, C.C.; Burkhardt, M.R.; Elrick, K.A.; Furlong, E.T.; Skrobialowski, S.C.; Smith, J.J.; Wilson, J.T.; Zaugg, S.D.

    2006-01-01

    The effects of Hurricanes Katrina and Rita and the subsequent unwatering of New Orleans, Louisiana, on the sediment chemistry of Lake Pontchartrain were evaluated by chemical analysis of samples of street mud and suspended and bottom sediments. The highest concentrations of urban-related elements and compounds (e.g., Pb, Zn, polycyclic aromatic hydrocarbons, and chlordane) in bottom sediments exceeded median concentrations in U.S. urban lakes and sediment-quality guidelines. The extent of the elevated concentrations was limited, however, to within a few hundred meters of the mouth of the 17th Street Canal, similar to results of historical assessments. Chemical and radionuclide analysis of pre- and post-Hurricane Rita samples indicates that remobilization of near-shore sediment by lake currents and storms is an ongoing process. The effects of Hurricanes Katrina and Rita on the sediment chemistry of Lake Pontchartrain are limited spatially and are most likely transitory. ?? 2006 American Chemical Society.

  2. Quality assessment of recent evidence-based clinical practice guidelines for management of type 2 diabetes mellitus in adults using the AGREE II instrument.

    Science.gov (United States)

    Anwer, Muhammad A; Al-Fahed, Ousama B; Arif, Samir I; Amer, Yasser S; Titi, Maher A; Al-Rukban, Mohammed O

    2018-02-01

    Type 2 diabetes mellitus (T2DM) is a worldwide and national public health problem that has a great impact on the population in Saudi Arabia. High-quality clinical practice guidelines (CPGs) are cornerstones in improving the health care provided for patients with diabetes. This study evaluated the methodological rigour, transparency, and applicability of recently published CPGs. Our group conducted a systematic search for recently published CPGs for T2DM. The searching and screening for Source CPGs were guided by tools from the ADAPTE methods with specific inclusion/exclusion criteria. Five reviewers using the second version of the Appraisal of Guidelines for Research and Evaluation (AGREE II) Instrument independently assessed the quality of the retrieved Source CPGs. Domains of Scope and purpose and Clarity of presentation received the highest scores in all CPGs. Most of the assessed CPGs (86%) were considered with high overall quality and were recommended for use. Rigour of development and applicability domains were together highest in 3 CPGs (43%). The overall high quality of DM CPGs published in the last 3 years demonstrated the continuous development and improvement in CPG methodologies and standards. Health care professionals should consider the quality of any CPG for T2DM before deciding to use it in their daily clinical practice. Three CPGs have been identified, using the AGREE criteria, as high-quality and trustworthy. Ideally, the resources provided by the AGREE trust including the AGREE II Instrument should be used by a clinician to scan through the large number of published T2DM CPGs to identify the CPGs with high methodological quality and applicability. © 2017 John Wiley & Sons, Ltd.

  3. Quality of Diagnosis and Treatment Plans After Using the 'Diagnostic Guideline for Anxiety and Challenging Behaviours' in People with Intellectual Disabilities: A Comparative Multiple Case Study Design.

    Science.gov (United States)

    Pruijssers, Addy; van Meijel, Berno; Maaskant, Marian; Keeman, Noortje; van Achterberg, Theo

    2016-07-01

    People with intellectual disabilities often have a multitude of concurrent problems due to the combination of cognitive impairments, psychiatric disorders (particularly anxiety) and related challenging behaviours. Diagnoses in people with intellectual disabilities are complicated. This study evaluates the quality of the diagnoses and treatment plans after using a guideline that was developed to support professionals in their diagnostic tasks. A comparative multiple case study with an experimental and control condition, applying deductive analyses of diagnoses and treatment plans. The analyses revealed that the number of diagnostic statements and planned treatment actions in the experimental group was significantly larger and more differentiated than in the control condition. In the control group, consequential harm and protective factors were hardly mentioned in diagnoses and treatment plans. Working with the 'Diagnostic Guideline for Anxiety and CB' leads to improved diagnoses and treatment plans compared with care as usual. © 2015 John Wiley & Sons Ltd.

  4. Reconnaissance investigation of water quality, bottom sediment, and biota associated with irrigation drainage in and near Stillwater Wildlife Management Area, Churchill County, Nevada, 1986-87

    Science.gov (United States)

    Hoffman, R.J.; Hallock, R.J.; Rowe, T.G.; Lico, M.S.; Burge, H.L.; Thompson, S.P.

    1990-01-01

    A reconnaissance was initiated in 1986 to determine whether the quality of irrigation-drainage water in and near the Stillwater Wildlife Management Area, Nevada, has caused or has potential to cause harmful effects on human health, fish, wildlife, or other beneficial uses of water. Samples of surface and groundwater, bottom sediment, and biota were collected from sites upstream and downstream from the Fallon agricultural area in the Carson Desert, and analyzed for potentially toxic trace elements. Other analysis included radioactive substances, major dissolved constituents, and nutrients in water, and pesticide residues in bottom sediment and biota. In areas affected by irrigation drainage, the following constituents were found to commonly exceed baseline concentrations or recommended criteria for protection of aquatic life or propagation of wildlife: In water, arsenic, boron, dissolved solids, molybdenum, sodium, and un-ionized ammonia; in bottom sediments, arsenic, lithium, mercury, molybdenum, and selenium; and in biota, arsenic, boron, chromium, copper, mercury, selenium, and zinc. In some wetlands, selenium and mercury appeared to be biomagnified, and arsenic bioaccumulated. Pesticides contamination in bottom sediments and biota was insignificant. Adverse biological effects observed during this reconnaissance included gradual vegetative changes and species loss, fish die-offs, waterfowl disease epidemics, and persistent and unexplained deaths of migratory birds. (USGS)

  5. Reconnaissance investigation of water quality, bottom sediment, and biota associated with irrigation drainage in and near Humboldt Wildlife Management Area, Churchill and Pershing Counties, Nevada, 1990-91

    Science.gov (United States)

    Seiler, R.L.; Ekechukwu, G.A.; Hallock, R.J.

    1993-01-01

    A reconnaissance investigation was begun in 1990 to determine whether the quality of irrigation drainage in and near the Humboldt Wildlife Management Area, Nevada, has caused or has the potential to cause harmful effects on human health, fish, and wildlife or to impair beneficial uses of water. Samples of surface and ground water, bottom sediment, and biota collected from sites upstream and downstream from the Lovelock agricultural area were analyzed for potentially toxic trace elements. Also analyzed were radioactive substances, major dissolved constitu- ents, and nutrients in water, as well as pesticide residues in bottom sediment and biota. In samples from areas affected by irrigation drainage, the following constituents equaled or exceeded baseline concentrations or recommended standards for protection of aquatic life or propagation of wildlife--in water: arsenic, boron, dissolved solids, mercury, molybdenum, selenium, sodium, and un-ionized ammonia; in bottom sediment; arsenic and uranium; and in biota; arsenic, boron, and selenium. Selenium appears to be biomagnified in the Humboldt Sink wetlands. Biological effects observed during the reconnaissance included reduced insect diversity in sites receiving irrigation drainage and acute toxicity of drain water and sediment to test organisms. The current drought and upstream consumption of water for irrigation have reduced water deliveries to the wetlands and caused habitat degradation at Humboldt Wildlife Management Area. During this investigation. Humboldt and Toulon Lakes evaporated to dryness because of the reduced water deliveries.

  6. Contaminants in surface water and sediments near the Tynagh silver mine site, County Galway, Ireland

    Energy Technology Data Exchange (ETDEWEB)

    O' Neill, A. [School of Planning, Architecture and Civil Engineering, Queen' s University of Belfast, Belfast, Northern Ireland (United Kingdom); Phillips, D.H., E-mail: d.phillips@qub.ac.uk [School of Planning, Architecture and Civil Engineering, Queen' s University of Belfast, Belfast, Northern Ireland (United Kingdom); Bowen, J. [School of Planning, Architecture and Civil Engineering, Queen' s University of Belfast, Belfast, Northern Ireland (United Kingdom); Sen Gupta, B. [School of the Built Environment, Hariot-Watt University, Edinburgh, Scotland (United Kingdom)

    2015-04-15

    A former silver mine in Tynagh, Co. Galway, Ireland is one of the most contaminated mine sites in Europe with maximum concentrations of Zn, As, Pb, Mn, Ni, Cu, and Cd far exceeding guideline values for water and sediment. The aims of this research were to 1) further assess the contamination, particularly metals, in surface water and sediment around the site, and 2) determine if the contamination has increased 10 years after the Environmental Protection Agency Ireland (EPAI) identified off-site contamination. Site pH is alkaline to neutral because CaCO{sub 3}-rich sediment and rock material buffer the exposed acid generating sulphide-rich ore. When this study was compared to the previous EPAI study conducted 10 years earlier, it appeared that further weathering of exposed surface sediment had increased concentrations of As and other potentially toxic elements. Water samples from the tailings ponds and adjacent Barnacullia Stream had concentrations of Al, Cd, Mn, Zn and Pb above guideline values. Lead and Zn concentrations from the tailings pond sediment were 16 and 5 times higher, respectively, than concentrations reported 10 years earlier. Pb and Zn levels in most sediment samples exceeded the Expert Group (EGS) guidelines of 1000 and 5000 mg/kg, respectively. Arsenic concentrations were as high as 6238 mg/kg in the tailings ponds sediment, which is 62 and 862 times greater than the EGS and Canadian Soil Quality Guidelines (CSQG), respectively. Cadmium, Cu, Fe, Mn, Pb and Zn concentrations in water and sediment were above guideline values downstream of the site. Additionally, Fe, Mn and organic matter (OM) were strongly correlated and correlated to Zn, Pb, As, Cd, Cu and Ni in stream sediment. Therefore, the nearby Barnacullia Stream is also a significant pathway for contaminant transport to downstream areas. Further rehabilitation of the site may decrease the contamination around the area. - Highlights: • Tynagh silver mine in Co. Galway, Ireland is a source of

  7. Inconsistencies in clinical guidelines for obstetric anaesthesia for Caesarean section

    DEFF Research Database (Denmark)

    Winther, Lars; Mitchell, A U; Møller, Ann

    2013-01-01

    Anaesthetists need evidence-based clinical guidelines, also in obstetric anaesthesia. We compared the Danish, English, American, and German national guidelines for anaesthesia for Caesarean section. We focused on assessing the quality of guideline development and evaluation of the guidelines...

  8. Features of distribution and quality of organic matter in the bottom sediments of the Great Peter Bay (Sea of Japan)

    Science.gov (United States)

    Nesterova, Olga; Tregubova, Valentina; Semal, Victoria; Vasenev, Ivan

    2017-04-01

    The nature and distribution of organic carbon in marine waters depends on: 1) biological productivity and revenue of the autochthonous organic matter to the bottom; 2) sediment grain-size composition and conditions of dumping, which in turn depends of hydrothermic regime, topography, speed River mist and received major erosion products; 3) living conditions of the benthos (the quantity consumed of OM, gas regime of habitats, physiological capacity of heterotrophs). Autochthonous OM of phytoplankton plays a dominant role in the processes of formation of humus in aquatic conditions. Bottom sediments at different distance from the shoreline to depths from 0.5 up to 480 m of the Sea of Japan, which are formed in various conditions of facies, were selected as the objects of study. There is no clear relationships to the amount of organic matter in bottom sediments on the characteristics of the distribution and nature of living matter in the oceans and seas. This is because the process of sedimentation and fossilization of organic matter on the seabed and the ocean floor depends on many factors (currents, depth). Humus of studied bottom sediments in composition can be attributed mainly to the humic type. Nonhydrolyzing rest is 70-90%. This is characteristic of bottom sediments formed in facial types of small bays, internal coastal shelf bights and the underwater slope. At a fraction of the carbon of humic acids in organic matter, ranging from 4 to 80% of the amount of humic and fulvic acids. Fulvic acids content is much less. This is due to more favourable conservation situation of humic acids in precipitation with high content of organic matter, whereas fulvic acids in aquatic environments are more labile and almost not dumped. Despite the fact humic acids are not the most stable component (s), however, with increased content of humic acids, the mobility of organic matter and removing it from the bottom sediments are reduced. Internal shelf facies of the Great Peter Bay

  9. How to achieve safe, high-quality clinical studies with non-Medicinal Investigational Products? A practical guideline by using intra-bronchial carbon nanoparticles as case study.

    Science.gov (United States)

    Berger, M; Kooyman, P J; Makkee, M; van der Zee, J S; Sterk, P J; van Dijk, J; Kemper, E M

    2016-08-19

    Clinical studies investigating medicinal products need to comply with laws concerning good clinical practice (GCP) and good manufacturing practice (GMP) to guarantee the quality and safety of the product, to protect the health of the participating individual and to assure proper performance of the study. However, there are no specific regulations or guidelines for non-Medicinal Investigational Products (non-MIPs) such as allergens, enriched food supplements, and air pollution components. As a consequence, investigators will avoid clinical research and prefer preclinical models or in vitro testing for e.g. toxicology studies. 1) briefly review the current guidelines and regulations for Investigational Medicinal Products; 2) present a standardised approach to ensure the quality and safety of non-MIPs in human in vivo research; and 3) discuss some lessons we have learned. We propose a practical line of approach to compose a clarifying product dossier (PD), comprising the description of the production process, the analysis of the raw and final product, toxicological studies, and a thorough risk-benefit-analysis. This is illustrated by an example from a human in vivo research model to study exposure to air pollutants, by challenging volunteers with a suspension of carbon nanoparticles (the component of ink cartridges for laser printers). With this novel risk-based approach, the members of competent authorities are provided with standardised information on the quality of the product in relation to the safety of the participants, and the scientific goal of the study.

  10. Chronic toxicity of nickel-spiked freshwater sediments: variation in toxicity among eight invertebrate taxa and eight sediments

    Science.gov (United States)

    Besser, John M.; Brumbaugh, William G.; Ingersoll, Christopher G.; Ivey, Chris D.; Kunz, James L.; Kemble, Nile E.; Schlekat, Christian E.; Garman, Emily R.

    2013-01-01

    This study evaluated the chronic toxicity of Ni-spiked freshwater sediments to benthic invertebrates. A 2-step spiking procedure (spiking and sediment dilution) and a 2-stage equilibration period (10 wk anaerobic and 1 wk aerobic) were used to spike 8 freshwater sediments with wide ranges of acid-volatile sulfide (AVS; 0.94–38 µmol/g) and total organic carbon (TOC; 0.42–10%). Chronic sediment toxicity tests were conducted with 8 invertebrates (Hyalella azteca, Gammarus pseudolimnaeus, Chironomus riparius, Chironomus dilutus, Hexagenia sp., Lumbriculus variegatus, Tubifex tubifex, and Lampsilis siliquoidea) in 2 spiked sediments. Nickel toxicity thresholds estimated from species-sensitivity distributions were 97 µg/g and 752 µg/g (total recoverable Ni; dry wt basis) for sediments with low and high concentrations of AVS and TOC, respectively. Sensitive species were tested with 6 additional sediments. The 20% effect concentrations (EC20s) for Hyalella and Gammarus, but not Hexagenia, were consistent with US Environmental Protection Agency benchmarks based on Ni in porewater and in simultaneously extracted metals (SEM) normalized to AVS and TOC. For Hexagenia, sediment EC20s increased at less than an equimolar basis with increased AVS, and toxicity occurred in several sediments with Ni concentrations in SEM less than AVS. The authors hypothesize that circulation of oxygenated water by Hexagenia led to oxidation of AVS in burrows, creating microenvironments with high Ni exposure. Despite these unexpected results, a strong relationship between Hexagenia EC20s and AVS could provide a basis for conservative site-specific sediment quality guidelines for Ni.

  11. [Phosphorus characteristics and the impact to water quality across interface of overlying water and sediment of Xiazhuhu wetland in Northern Zhejiang Province, China].

    Science.gov (United States)

    Shen, Jian-Guo; Zhu, Huang-Chao; Wang, Zhao-De; Lin, Yuan; Li, Shuai; Xie, Guan-Hong; Zhang, Zhi-Jian

    2009-06-15

    Healthy wetland system is regarded as an effective way for biological remediation of non-point source pollutants. A case field investigation on phosphorus (P) status of overlying water and sediment was carried out for Xiazhuhu wetland located in Northern Zhejiang Province, China. A static wetland microcosm experiment was conducted to understand the characteristics and mechanisms related to P exchanging, P forms changing, and water quality impact across the interface of water and sediment. Field investigation showed that total P (TP) concentrations of sediments were found from 0.187 mg x g(-1) to 0.591 mg x g(-1), and TP in overlying water reached from 0.022 mg x L(-1) to 0.718 mg x L(-1) where the seasonal concentration variations of TP, dissolved P (DP), and particulate P (PP) were commonly found in order as winter > summer > spring > fall. Fed by synthetic solution containing P levels of 0.0 - 10.5 mg x L(-1), a 35-day-lasting microcosm study showed that P retention by sediments could be divided into three basic phases in order, i.e., buffer reaction, rapid adsorption, and slow adsorption. Under a typical stress concentration of 1.0 mg x L(-1) in overlying water, the increment of P tanks in different forms was found as NH4 Cl-P (0.0%), Fe-P/Mn-P (around 20%), NaOH-TP (around 66%, mainly as the form of Al-P), Ca-P (1.9%), and Res-P (11.3%), on the condition of Xiazhuhu wetland under low water season. Application of Al to wetland would increase the capacity of sediment P retention in Xiazhuhu wetland.

  12. Hydrocarbon Pollution and Potential Ecological Risk of Heavy Metals in the Sediments of the Oturuba Creek, Niger Delta, Nigeria

    Directory of Open Access Journals (Sweden)

    Ezekwe Clinton Ifeanyichukwu

    2017-04-01

    Full Text Available This study aimed at examining the impact of oil pollution from artisanal oil refineries on the Oturuba river ecosystem using active river bottom sediment. Specific objectives included to determine the level of hydrocarbons and trace metals (Pb, Cd, Zn, Cu, Ni, V and Mg in the sediments and to relate this with general ecosystem health. The study found elevated concentrations of both hydrocarbons and heavy metals in the range above most sediment quality guidelines exceeding the respective Threshold Effects Level and Probable Effects. Level guideline values and occurring at levels where impairment to biological communities is certain an d where toxicity levels can lead to negative impacts on benthic animals or infaunal communities. Heavy metal geochemical accumulation index and potential ecological risk analysis also returned anomalously high concentrations in the range of very highly polluted sediment environments with very high ecological risk indices, thereby ranking the Oturuba Creek as one of the most polluted coastal river systems in the world.

  13. Twenty two years of sewage sludge marine disposal monitoring in the Eastern Mediterranean Sea: Impact on sediment quality and infauna and the response to load reduction.

    Science.gov (United States)

    Kress, N; Shoham-Frider, E; Galil, B S

    2016-09-15

    Effects of sewage sludge disposal on sediments and infauna are presented in a unique long-term (22years) data set from the Eastern Mediterranean. While organic carbon (Corg) and metals affected sediment quality in an area which size varied seasonally, the infauna exhibited seasonal "boom and bust" cycle. Metal concentrations declined following load reduction. However, Corg did not decrease and infaunal abundance, closely related to Corg, varied with changes in environmental forcing. Mild winters affected the infaunal populations at the heavily impacted stations, due to anoxic conditions. Planned cessation of disposal is estimated to reduce Corg and metal concentrations to pre-discharge levels. Yet the resettling biota is expected to differ significantly from the pre-discharge one and consist in large part of Erythraean non indigenous species. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. PAH Baselines for Amazonic Surficial Sediments: A Case of Study in Guajará Bay and Guamá River (Northern Brazil).

    Science.gov (United States)

    Rodrigues, Camila Carneiro Dos Santos; Santos, Ewerton; Ramos, Brunalisa Silva; Damasceno, Flaviana Cardoso; Correa, José Augusto Martins

    2018-06-01

    The 16 priority PAH were determined in sediment samples from the insular zone of Guajará Bay and Guamá River (Southern Amazon River mouth). Low hydrocarbon levels were observed and naphthalene was the most representative PAH. The low molecular weight PAH represented 51% of the total PAH. Statistical analysis showed that the sampling sites are not significantly different. Source analysis by PAH ratios and principal component analysis revealed that PAH are primary from a few rate of fossil fuel combustion, mainly related to the local small community activity. All samples presented no biological stress or damage potencial according to the sediment quality guidelines. This study discuss baselines for PAH in surface sediments from Amazonic aquatic systems based on source determination by PAH ratios and principal component analysis, sediment quality guidelines and through comparison with previous studies data.

  15. Continuous water-quality and suspended-sediment transport monitoring in the San Francisco Bay, California, water years 2011–13

    Science.gov (United States)

    Buchanan, Paul A.; Downing-Kunz, Maureen; Schoellhamer, David H.; Shellenbarger, Gregory; Weidich, Kurt

    2014-01-01

    The U.S. Geological Survey (USGS) monitors water quality and suspended-sediment transport in the San Francisco Bay. The San Francisco Bay area is home to millions of people, and the bay teems with both resident and migratory wildlife, plants, and fish. Fresh water mixes with salt water in the bay, which is subject both to riverine and marine (tides, waves, influx of salt water) influences. To understand this environment, the USGS, along with its partners, has been monitoring the bay’s waters continuously since 1988. Several water-quality variables are of particular importance to State and Federal resource managers and are monitored at key locations throughout the bay. Salinity, which indicates the relative mixing of fresh and ocean waters in the bay, is derived from specific conductance measurements. Water temperature, along with salinity, affects the density of water, which causes gravity driven circulation patterns and stratification in the water column. Turbidity is measured using light-scattering from suspended solids in water, and is used as a surrogate for suspended-sediment concentration (SSC). Suspended sediment often carries adsorbed contaminants; attenuates sunlight in the water column; deposits on tidal marsh and intertidal mudflats, which can help sustain these habitats as sea level rises; and deposits in ports and shipping channels, which can necessitate dredging. Dissolved oxygen, which is essential to a healthy ecosystem, is a fundamental indicator of water quality, and its concentration is affected by water temperature, salinity, ecosystem metabolism, tidal currents, and wind. Tidal currents in the bay reverse four times a day, and wind direction and intensity typically change on a daily cycle: consequently, salinity, water temperature, suspendedsediment concentration, and dissolvedoxygen concentration vary spatially and temporally throughout the bay, and continuous measurements are needed to observe these changes. The purpose of this fact sheet

  16. Effects-based spatial assessment of contaminated estuarine sediments from Bear Creek, Baltimore Harbor, MD, USA.

    Science.gov (United States)

    Hartzell, Sharon E; Unger, Michael A; McGee, Beth L; Wilson, Sacoby M; Yonkos, Lance T

    2017-10-01

    Estuarine sediments in regions with prolonged histories of industrial activity are often laden to significant depths with complex contaminant mixtures, including trace metals and persistent organic pollutants. Given the complexity of assessing risks from multi-contaminant exposures, the direct measurement of impacts to biological receptors is central to characterizing contaminated sediment sites. Though biological consequences are less commonly assessed at depth, laboratory-based toxicity testing of subsurface sediments can be used to delineate the scope of contamination at impacted sites. The extent and depth of sediment toxicity in Bear Creek, near Baltimore, Maryland, USA, was delineated using 10-day acute toxicity tests with the estuarine amphipod Leptocheirus plumulosus, and chemical analysis of trace metals and persistent organic pollutants. A gradient of toxicity was demonstrated in surface sediments with 21 of 22 tested sites differing significantly from controls. Effects were most pronounced (100% lethality) at sites proximate to a historic industrial complex. Sediments from eight of nine core samples to depths of 80 cm were particularly impacted (i.e., caused significant lethality to L. plumulosus) even in locations overlain with relatively non-toxic surface sediments, supporting a conclusion that toxicity observed at the surface (top 2 cm) does not adequately predict toxicity at depth. In seven of nine sites, toxicity of surface sediments differed from toxicity at levels beneath by 28 to 69%, in five instances underestimating toxicity (28 to 69%), and in two instances overestimating toxicity (44 to 56%). Multiple contaminants exceeded sediment quality guidelines and correlated positively with toxic responses within surface sediments (e.g., chromium, nickel, polycyclic aromatic hydrocarbon (PAH), total petroleum hydrocarbon). Use of an antibody-based PAH biosensor revealed that porewater PAH concentrations also increased with depth at most sites. This

  17. [Evaluation of the quality of clinical practice guidelines published in the Annales de Biologie Clinique with the help of the EFLM checklist].

    Science.gov (United States)

    Wils, Julien; Fonfrède, Michèle; Augereau, Christine; Watine, Joseph

    2014-01-01

    Several tools are available to help evaluate the quality of clinical practice guidelines (CPG). The AGREE instrument (Appraisal of guidelines for research & evaluation) is the most consensual tool but it has been designed to assess CPG methodology only. The European federation of laboratory medicine (EFLM) recently designed a check-list dedicated to laboratory medicine which is supposed to be comprehensive and which therefore makes it possible to evaluate more thoroughly the quality of CPG in laboratory medicine. In the present work we test the comprehensiveness of this check-list on a sample of CPG written in French and published in Annales de biologie clinique (ABC). Thus we show that some work remains to be achieved before a truly comprehensive check-list is designed. We also show that there is some room for improvement for the CPG published in ABC, for example regarding the fact that some of these CPG do not provide any information about allowed durations of transport and of storage of biological samples before analysis, or about standards of minimal analytical performance, or about the sensitivities or the specificities of the recommended tests.

  18. Compliance to exercise-oncology guidelines in prostate cancer survivors and associations with psychological distress, unmet supportive care needs, and quality of life.

    Science.gov (United States)

    Galvão, Daniel A; Newton, Robert U; Gardiner, Robert A; Girgis, Afaf; Lepore, Stephen J; Stiller, Anna; Occhipinti, Stefano; Chambers, Suzanne K

    2015-06-18

    The purpose of this study was to determine prevalence of Australian prostate cancer survivors meeting contemporary exercise-oncology guidelines and identify associations with distress, unmet supportive care needs, and quality of life. A population-based cohort of 463 prostate cancer survivors who were on 10.8 months post-curative therapy was assessed for compliance with current exercise guidelines for cancer survivors, motivational readiness for physical activity, psychological distress, unmet supportive care needs, and quality of life. Only 57 men (12.3%) reported sufficient exercise levels (150 min of moderate intensity or 75 min of strenuous exercise per week and twice weekly resistance exercise), 186 (40.2%) were insufficiently active, and 220 (47.5%) were inactive. Among inactive men, 99 (45.0%) were in the contemplation or preparation stage of motivation readiness. Inactive men had higher global distress (p = 0.01) and Brief Symptom Inventory-Anxiety (p Australian prostate cancer survivors met contemporary exercise-oncology recommendations despite increasing recognition of exercise to improve patient outcomes. Strategies are urgently required to increase prostate cancer survivors' participation in aerobic and resistance exercise training.Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  19. Variations in selected water quality variables and metal concentrations in the sediment of the lower Olifants and Selati rivers, South Africa

    Directory of Open Access Journals (Sweden)

    T. Seymore

    1994-08-01

    Full Text Available A survey of the water and sediment quality of the lower Olifants River and lower Selati River was carried out. Metal concentrations (Cr, Cu, Fe, Mn, Ni, Pb, Sr and Zn in the water and sediment, as well as the physical and chemical characteristics of the water were determined over a two-year period (April 1990 - February 1992. The water quality of the lower Selati River, which flows through the Phalaborwa area, was found to be influenced by the mining and industrial activities in the area. It was also the case with the lower Olifants River after the Selati-Olifants confluence, although the concentrations of most variables did decrease from the western side of the Kruger National Park to the eastern side due to dilution of the water by tributaries of the Olifants River. Variables of special concern were sodium, fluoride. chloride, sulphate, potassium, the total dissolved salts and the metal concentrations (except strontium. The water quality of the Selati River in the study area is a great cause of concern and a further degradation thereof cannot be afforded.

  20. Integrative assessment of coastal pollution: Development and evaluation of sediment quality criteria from chemical contamination and ecotoxicological data

    Science.gov (United States)

    Bellas, Juan; Nieto, Óscar; Beiras, Ricardo

    2011-04-01

    Elutriate embryo-larval bioassays with sea-urchins ( Paracentrotus lividus) were conducted concurrently with chemical analyses of sediments and biota as part of an integrative assessment of pollution in highly productive coastal regions. High metal contents and organic compounds in sediments and mussels were found in localised areas from the inner part of the estuaries indicating a clear anthropogenic influence. In particular, average maximum concentrations of 2803 mg Cu/kg dw, 776 mg Pb/kg dw, 2.5 mg Hg/kg dw and 5803 μg ∑ 7PAHs/kg dw were measured in sediments from the most polluted sites. Significant correlations were observed between sediment chemistry and toxicity bioassays. Moreover, the Mantel test revealed a significant correlation ( rM=0.80; pbioassays identified polluted sites and quantified the level of toxicity, providing a cost-effective tool to complement the routine chemical monitoring currently conducted in European coastal waters with ecologically relevant information. This is in line with the recent European legislation that advocates the use of biological tools with the ultimate aim of protecting marine resources from anthropogenic substances that will affect their sensitive early life stages.

  1. Influence of sediment quality on the responses of benthic invertebrates after treatment with the fungicide triphenyltin acetate

    NARCIS (Netherlands)

    Haas, de E.M.; Roessink, I.; Verbree, B.; Koelmans, A.A.; Kraak, M.H.S.; Admiraal, W.

    2005-01-01

    After decades of pollution, benthic communities in floodplain lake ecosystems are likely to be exposed to a diverse assortment of sediment-bound historical toxicants and nutrients as well as pulses of newly discharged or deposited toxicants. The aim of this study was therefore to analyze the effects

  2. Congener-specific model for polychlorinated biphenyl effect on otter (Lutra lutra) and associated sediment quality criteria

    NARCIS (Netherlands)

    Traas, T.P.; Luttik, R.; Klepper, O.; Beurskens, J.E.M.; Smit, M.D.; Leonards, P.E.G.; Hattum, van A.G.M.; Aldenberg, T.

    2001-01-01

    A model for risk assessment was built for simultaneous, congener-specific PCB bioaccumulation from sediment to fish to otters (Lutra lutra). Toxic equivalence factors (TEFs) were used to sum individual congeners in otters to a toxic equivalent concentration (TEQ) relative to

  3. Using on-farm sedimentation ponds to improve microbial quality of irrigation water in urban vegetable farming in Ghana

    DEFF Research Database (Denmark)

    Keraita, Bernard; Drechsel, P.; Konradsen, Flemming

    2008-01-01

    water without disturbing sediments reduced helminth eggs in irrigation water by about 70%. Helminth eggs reduced from about 5 to less than 1 egg per litre in three days in both dry and wet seasons while thermotolerant coliforms took six days in the dry season to reduce from about 8 to 4 log units per...

  4. Guideline for Technical Quality Assurance (TQA) of Ultrasound devices (B-Mode) - Version 1.0 (July 2012)

    NARCIS (Netherlands)

    Kollmann, C.; Korte, C.L. de; Dudley, N.J.; Gritzmann, N.; Martin, K.; Evans, D.H.

    2012-01-01

    The Technical Quality Assurance group was initiated by the EFSUMB Board in 2007 and met firstly in 2008 to discuss and evaluate methods and procedures published for performing technical quality assurance for diagnostic ultrasound devices. It is the aim of this group of experts to advise the EFSUMB

  5. Using Early Learning Standards to Provide High-Quality Education for All Children: The Early Learning Guidelines Toolkit

    Science.gov (United States)

    Flores, Roseanne L.; Curby, Timothy W.; Coleman, Hardin; Melo, Kristan

    2016-01-01

    Today with the rise in the number of 3- to 6-year-old children enrolled in center-based early childhood programs, and a focus on program quality, it becomes imperative for educators to have a better understanding of the role research plays in establishing high-quality programs as these programs provide much of the foundation that supports early…

  6. Assessment of sediment quality in the Mediterranean Sea-Boughrara lagoon exchange areas (southeastern Tunisia): GIS approach-based chemometric methods.

    Science.gov (United States)

    Kharroubi, Adel; Gargouri, Dorra; Baati, Houda; Azri, Chafai

    2012-06-01

    Concentrations of selected heavy metals (Cd, Pb, Zn, Cu, Mn, and Fe) in surface sediments from 66 sites in both northern and eastern Mediterranean Sea-Boughrara lagoon exchange areas (southeastern Tunisia) were studied in order to understand current metal contamination due to the urbanization and economic development of nearby several coastal regions of the Gulf of Gabès. Multiple approaches were applied for the sediment quality assessment. These approaches were based on GIS coupled with chemometric methods (enrichment factors, geoaccumulation index, principal component analysis, and cluster analysis). Enrichment factors and principal component analysis revealed two distinct groups of metals. The first group corresponded to Fe and Mn derived from natural sources, and the second group contained Cd, Pb, Zn, and Cu originated from man-made sources. For these latter metals, cluster analysis showed two distinct distributions in the selected areas. They were attributed to temporal and spatial variations of contaminant sources input. The geoaccumulation index (I (geo)) values explained that only Cd, Pb, and Cu can be considered as moderate to extreme pollutants in the studied sediments.

  7. The application of a weight of evidence approach to compare the quality of coastal sediments affected by acute (Prestige 2002) and chronic (Bay of Algeciras) oil spills

    International Nuclear Information System (INIS)

    Morales-Caselles, Carmen; Riba, Inmaculada; Sarasquete, Carmen; Valls, T. Angel del

    2008-01-01

    To evaluate sediment quality in different areas affected by oil spills, a weight of evidence approach was employed by including a complete set of parameters as part of four lines of evidence: sediment contamination, biological effects (including biomarkers) and bioaccumulation under laboratory conditions, toxicity in field conditions and benthic community structure. The methodology was applied to sediments from the Bay of Algeciras (S Spain) chronically impacted by different spills, and the Galician Coast (NW Spain) acutely impacted by an oil spill (Prestige 2002). Results obtained have elucidated the sources and fates of pollutants and the type of risk involved for the ecosystem. Factorial analysis revealed that the main factors were those containing toxicity, chemistry and benthic community variables indicating degradation in Algeciras. It has been demonstrated that the impact associated with chronic event of contamination by oil spills are significantly more dangerous and polluted than those related to acute effects. - Chronic inputs due to the continuous entrance of contaminants result in much more harm to coastal ecosystems than major but precise environmental impacts

  8. Distribution and ecological risk assessment of cadmium in water and sediment in Longjiang River, China: Implication on water quality management after pollution accident.

    Science.gov (United States)

    Zhao, Xue-Min; Yao, Ling-Ai; Ma, Qian-Li; Zhou, Guang-Jie; Wang, Li; Fang, Qiao-Li; Xu, Zhen-Cheng

    2018-03-01

    In early January 2012, the Longjiang River was subjected to a serious cadmium (Cd) pollution accident, which led to negatively environmental and social impacts. A series of measures of emergency treatment were subsequently taken to reduce water Cd level. However, little information was available about the change of Cd level in environmental matrices and long-term effect of this pollution accident to aquatic ecosystem. Thus, this study investigated the distribution of Cd in water and sediment of this river for two years since pollution accident, as well as assessed its ecological risk to aquatic ecosystem of Longjiang River. The results showed that it was efficient for taking emergency treatment measures to decrease water Cd concentration to below the threshold value of national drinking water quality standard of China. There was high risk (HQ > 1) to aquatic ecosystem in some of reaches between February and July 2012, but low or no risk (HQ polluted reaches increased after pollution accident and emergency treatments in 2012, but decreased in 2013. During flood period, the sediment containing high concentration of Cd in Longjiang River was migrated to downstream Liujiang River. Cd content in sediment was reduced to background level after two years of the pollution accident occurrence. The study provides basic information about Cd levels in different media after pollution accident, which is helpful in evaluating the effectiveness of emergency treatments and the variation of ecological risk, as well as in conducting water management and conservation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Sediment quality assessment in a coastal lagoon (Ravenna, NE Italy) based on SEM-AVS and sequential extraction procedure.

    Science.gov (United States)

    Pignotti, Emanuela; Guerra, Roberta; Covelli, Stefano; Fabbri, Elena; Dinelli, Enrico

    2018-09-01

    Sediments from the Pialassa Piomboni coastal lagoon (NE Italy) were studied to assess the degree of contamination and ecological risk related to trace metals by combining a geochemical characterization of bulk sediments with the assessment of the bioavailable forms of trace metals. With this purpose, sediment contamination (Cd, Cu, Hg, Ni, Pb, and Zn) was assessed by Enrichment Factors (EFs), and potential bioavailability by the Simultaneously Extracted Metals and Acid Volatile Sulfides (SEM-AVS) approach (Cd, Cu, Ni, Pb, and Zn), and by Sequential Extraction Procedure (Co, Cr, Cu, Ni, Pb, and Zn). On average, Cr and Ni exhibited no contamination (EF ≤1.5), and a predominance in the residual fraction of the sediment, indicating natural origin for these metals. Cu, Pb and Zn displayed a local contamination, which resulted in a higher proportion of Cu bound to the reducible and oxidizable fractions (~30% and ~40% as median, respectively), and Pb mostly associated with the reducible phase (~60% as median). Hence, Cu and Pb could be mobilized when environmental conditions become reducing or oxidizing. Zn resulted mainly partitioned into the reducible and residual fractions (~50% as median, in both fractions). The Risk Assessment Code (RAC) indicated that approximately 30% of samples had >10% of total Zn weakly bound to the sediment, suggesting a medium risk of exposure for aquatic organisms. RAC results were consistent with the ∑SEM-AVS findings, pointing to possible adverse effects for aquatic biota in ~30% of samples, with Zn mostly accounting for the total metal bioavailability. Hg showed a moderate to very severe enrichment, indicating that a substantial amount of this metal derives from anthropogenic sources and may pose adverse effects on the aquatic biota of the Pialassa Piomboni lagoon. Copyright © 2018 Elsevier B.V. All rights reserved.

  10. Transparent Guideline Methodology Needed

    DEFF Research Database (Denmark)

    Lidal, Ingeborg; Norén, Camilla; Mäkelä, Marjukka

    2013-01-01

    As part of learning at the Nordic Workshop of Evidence-based Medicine, we have read with interest the practice guidelines for central venous access, published in your Journal in 2012.1 We appraised the quality of this guideline using the checklist developed by The Evidence-Based Medicine Working ...... are based on best currently available evidence. Our concerns are in two main categories: the rigor of development, including methodology of searching, evaluating, and combining the evidence; and editorial independence, including funding and possible conflicts of interest....... Group.2 Similar criteria for guideline quality have been suggested elsewhere.3 Our conclusion was that this much needed guideline is currently unclear about several aspects of the methodology used in developing the recommendations. This means potential users cannot be certain that the recommendations...

  11. Enhancing system-wide implementation of opioid prescribing guidelines in primary care: protocol for a stepped-wedge quality improvement project.

    Science.gov (United States)

    Zgierska, Aleksandra E; Vidaver, Regina M; Smith, Paul; Ales, Mary W; Nisbet, Kate; Boss, Deanne; Tuan, Wen-Jan; Hahn, David L

    2018-06-05

    Systematic implementation of guidelines for opioid therapy management in chronic non-cancer pain can reduce opioid-related harms. However, implementation of guideline-recommended practices in routine care is subpar. The goal of this quality improvement (QI) project is to assess whether a clinic-tailored QI intervention improves the implementation of a health system-wide, guideline-driven policy on opioid prescribing in primary care. This manuscript describes the protocol for this QI project. A health system with 28 primary care clinics caring for approximately 294,000 primary care patients developed and implemented a guideline-driven policy on long-term opioid therapy in adults with opioid-treated chronic non-cancer pain (estimated N = 3980). The policy provided multiple recommendations, including the universal use of treatment agreements, urine drug testing, depression and opioid misuse risk screening, and standardized documentation of the chronic pain diagnosis and treatment plan. The project team drew upon existing guidelines, feedback from end-users, experts and health system leadership to develop a robust QI intervention, targeting clinic-level implementation of policy-directed practices. The resulting multi-pronged QI intervention included clinic-wide and individual clinician-level educational interventions. The QI intervention will augment the health system's "routine rollout" method, consisting of a single educational presentation to clinicians in group settings and a separate presentation for staff. A stepped-wedge design will enable 9 primary care clinics to receive the intervention and assessment of within-clinic and between-clinic changes in adherence to the policy items measured by clinic-level electronic health record-based measures and process measures of the experience with the intervention. Developing methods for a health system-tailored QI intervention required a multi-step process to incorporate end-user feedback and account for the needs of

  12. Quantity of dates trumps quality of dates for dense Bayesian radiocarbon sediment chronologies - Gas ion source 14C dating instructed by simultaneous Bayesian accumulation rate modeling

    Science.gov (United States)

    Rosenheim, B. E.; Firesinger, D.; Roberts, M. L.; Burton, J. R.; Khan, N.; Moyer, R. P.

    2016-12-01

    Radiocarbon (14C) sediment core chronologies benefit from a high density of dates, even when precision of individual dates is sacrificed. This is demonstrated by a combined approach of rapid 14C analysis of CO2 gas generated from carbonates and organic material coupled with Bayesian statistical modeling. Analysis of 14C is facilitated by the gas ion source on the Continuous Flow Accelerator Mass Spectrometry (CFAMS) system at the Woods Hole Oceanographic Institution's National Ocean Sciences Accelerator Mass Spectrometry facility. This instrument is capable of producing a 14C determination of +/- 100 14C y precision every 4-5 minutes, with limited sample handling (dissolution of carbonates and/or combustion of organic carbon in evacuated containers). Rapid analysis allows over-preparation of samples to include replicates at each depth and/or comparison of different sample types at particular depths in a sediment or peat core. Analysis priority is given to depths that have the least chronologic precision as determined by Bayesian modeling of the chronology of calibrated ages. Use of such a statistical approach to determine the order in which samples are run ensures that the chronology constantly improves so long as material is available for the analysis of chronologic weak points. Ultimately, accuracy of the chronology is determined by the material that is actually being dated, and our combined approach allows testing of different constituents of the organic carbon pool and the carbonate minerals within a core. We will present preliminary results from a deep-sea sediment core abundant in deep-sea foraminifera as well as coastal wetland peat cores to demonstrate statistical improvements in sediment- and peat-core chronologies obtained by increasing the quantity and decreasing the quality of individual dates.

  13. Quality Assurance Grading Guidelines for Research and Development at DOE Facilities (DOE Order 5700.6C)

    Energy Technology Data Exchange (ETDEWEB)

    Powell, T.B.

    1992-01-01

    The quality assurance (QA) requirements for the U.S. Department of Energy (DOE) are established in DOE Order 5700.6C. This order is applicable for all DOE departmental elements, management, and maintenance and operating contractors and requires that documented Quality Assurance Programs (QAPs) are prepared at all levels; it has one attachment. The DOE Office of Energy Research (DOE-ER) has issued a standard to ensure implementation of the full intent of this order in the ER community.

  14. Allergen manufacturing and quality aspects for allergen immunotherapy in Europe and the United States: An analysis from the EAACI AIT Guidelines Project.

    Science.gov (United States)

    Bonertz, A; Roberts, G; Slater, J E; Bridgewater, J; Rabin, R L; Hoefnagel, M; Timon, M; Pini, C; Pfaar, O; Sheikh, A; Ryan, D; Akdis, C; Goldstein, J; Poulsen, L K; van Ree, R; Rhyner, C; Barber, D; Palomares, O; Pawankar, R; Hamerlijnk, D; Klimek, L; Agache, I; Angier, E; Casale, T; Fernandez-Rivas, M; Halken, S; Jutel, M; Lau, S; Pajno, G; Sturm, G; Varga, E M; Gerth van Wijk, R; Bonini, S; Muraro, A; Vieths, S

    2018-04-01

    Adequate quality is essential for any medicinal product to be eligible for marketing. Quality includes verification of the identity, content and purity of a medicinal product in combination with a specified production process and its control. Allergen products derived from natural sources require particular considerations to ensure adequate quality. Here, we describe key aspects of the documentation on manufacturing and quality aspects for allergen immunotherapy products in the European Union and the United States. In some key parts, requirements in these areas are harmonized while other fields are regulated separately between both regions. Essential differences are found in the use of Reference Preparations, or the requirement to apply standardized assays for potency determination. As the types of products available are different in specific regions, regulatory guidance for such products may also be available in one specific region only, such as for allergoids in the European Union. Region-specific issues and priorities are a result of this. As allergen products derived from natural sources are inherently variable in their qualitative and quantitative composition, these products present special challenges to balance the variability and ensuring batch-to-batch consistency. Advancements in scientific knowledge on specific allergens and their role in allergic disease will consequentially find representation in future regulatory guidelines. © 2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

  15. A review of clinical guidelines.

    LENUS (Irish Health Repository)

    Andrews, E J

    2012-02-03

    BACKGROUND: Clinical guidelines are increasingly used in patient management but few clinicians are familiar with their origin or appropriate application. METHODS: A Medline search using the terms \\'clinical guidelines\\' and \\'practice guidelines\\' was conducted. Additional references were sourced by manual searching from the bibliographies of articles located. RESULTS AND CONCLUSION: Clinical guidelines originated in the USA in the early 1980s, initially as a cost containment exercise. Significant improvements in the process and outcomes of care have been demonstrated following their introduction, although the extent of improvement varies considerably. The principles for the development of guidelines are well established but many published guidelines fall short of these basic quality criteria. Guidelines are only one aspect of improving quality and should be used within a wider framework of promoting clinical effectiveness. Understanding their limitations as well as their potential benefits should enable clinicians to have a clearer view of their place in everyday practice.

  16. Assessment of Trace Metals Contamination of Surface Water and Sediment: A Case Study of Mvudi River, South Africa

    Directory of Open Access Journals (Sweden)

    Joshua N. Edokpayi

    2016-02-01

    Full Text Available Trace metals contamination of rivers and sediments remains a global threat to biodiversity and humans. This study was carried out to assess the variation pattern in trace metals contamination in Mvudi River water and sediments for the period of January–June 2014. Metal concentrations were analyzed using an inductively-coupled plasma optical emission spectrometer after nitric acid digestion. A compliance study for the water samples was performed using the guidelines of the Department of Water Affairs and Forestry (DWAF of South Africa and the World Health Organization (WHO. The National Oceanic and Atmospheric Administration (NOAA sediment quality guidelines for marine and estuarine sediments and the Canadian Council of Ministers of the Environment sediment guidelines (CCME for freshwater sediments were used to determine the possible toxic effects of the metals on aquatic organisms. pH (7.2–7.7 and conductivity (10.5–16.1 mS/m values complied with DWAF and WHO standards for domestic water use. Turbidity values in nephelometric turbidity units (NTU were in the range of 1.9–429 and exceeded the guideline values. The monthly average levels of trace metals in the water and sediments of Mvudi River were in the range of: Al (1.01–9.644 mg/L and 4296–5557 mg/kg, Cd (0.0003–0.002 mg/L and from below the detection limit to 2.19 mg/kg, Cr (0.015–0.357 mg/L and 44.23–149.52 mg/kg, Cu (0.024–0.185 mg/L and 13.22–1027 mg/kg, Fe (0.702–2.645 mg/L and 3840–6982 mg/kg, Mn (0.081–0.521 mg/L and 279–1638 mg/kg, Pb (0.002–0.042 mg/L and 1.775-4.157 mg/kg and Zn (0.031–0.261 mg/L and 14.481–39.88 mg/kg. The average concentrations of Al, Cr, Fe, Mn and Pb in the water samples exceeded the recommended guidelines of DWAF and WHO for domestic water use. High concentrations of Al and Fe were determined in the sediment samples. Generally, the concentrations of Cd, Cr and Cu in the sediments exceeded the corresponding effect range low

  17. Field screening of water quality, bottom sediment, and biota associated with irrigation drainage in and near Walker River Indian Reservation, Nevada 1994-95

    Science.gov (United States)

    Thodal, Carl E.; Tuttle, Peter L.

    1996-01-01

    A study was begun in 1994 to determine whether the quality of irrigation drainage from the Walker River Indian Reservation, Nevada, has caused or has potential to cause harmful effects on human health or on fish and wildlife, or may adversely affect the suitability of the Walker River for other beneficial uses. Samples of water, bottom sediment, and biota were collected during June-August 1994 (during a drought year) from sites upstream from and on the Walker River Indian Reservation for analyses of trace elements. Other analyses included physical characteristics, major dissolved constituents, selected species of water-soluble nitrogen and phosphorus, and selected pesticides in bottom sediment. Water samples were collected again from four sites on the Reservation in August 1995 (during a wetterthan- average year) to provide data for comparing extreme climatic conditions. Water samples collected from the Walker River Indian Reservation in 1994 equaled or exceeded the Nevada water-quality standard or level of concern for at least one of the following: water temperature, pH, dissolved solids, unionized ammonia, phosphate, arsenic, boron, chromium, lead, and molybdenum; in 1995, only a single sample from one site exceeded a Nevada water-quality standard for molybdenum. Levels of concern for trace elements in bottom sediment collected in 1994 were equaled or exceeded for arsenic, iron, manganese, and zinc. Concentrations of organochiorine pesticide residues in bottom sediment were below analytical reporting limits. Levels of concern for trace-elements in samples of biota were equaled or exceeded for arsenic, boron, copper, and mercury. Results of toxicity testing indicate that only water samples from Walker Lake caused a toxic response in test bacteria. Arsenic and boron concentrations in water, bottom sediment, and biological tissue exceeded levels of concern throughout the Walker River Basin, but most commonly in the lower Walker River Basin. Mercury also was elevated

  18. ANALISIS KUALITAS LINGKUNGAN PERAIRAN BERDASARKAN KOMUNITAS MEIOBENTOS DAN KUALITAS SEDIMEN DI PANTAI DAN AREA PERTAMBAKAN, PESISIR SRIWULAN KABUPATEN DEMAK (The Quality Analysis of Aquatic Environment based on Meiobentos Community and Sediment Quality

    Directory of Open Access Journals (Sweden)

    Muhandis Sidqi

    2015-01-01

    Full Text Available ABSTRAK  Tujuan studi ini meliputi (1 menentukan kualitas lingkungan daerah pesisir dan tambak ikan, kualitas sedimen, dan komunitas meiobentos, (2 menemukan hubungan antara kualitas sedimen dan meiobentos, dan (3 menentukan tingkat produktivitas peikampungan tambak ikan berdasarkan jarak, tingkat polusi dan destruksi. Parameter kualitas air dianalisis menggunakan metode deskriptif-komparatif, sedangkan parameter sedimen dianalisis menggunakan PCA (Principal Component Analisys untuk menentukan distribusi spasial pada setiap stasiun pemantauan dan lapisan kedalaman sedimen. Komunitas meiobentos diperiksa dengan menggunakan CA (Factorial Correspondence Analysis untuk mendeteksi tingkat distribusi spasial yang juga berdasarkan stasiun pemantauan dan lapisan kedalaman sedimen. Data tersebut dianalisis menggunakan korelasi dan regresi untuk memahami pengaruh parameter bebas terhadap produktivitas tambak ikan. Kemudian tes statistik non parametric dari Kruskall Wallis digunakan untuk membedakan produktivitas pada 3 desa berdasarkan jarak terhadap sumber pencemaran dan tingkat destruksi tambak ikan. Penelitian ini menemukan bahwa nilai parameter kualitas air (muddy, TSS NH3, NO2, beyond threshold level, negative redox potential (Eh sediment value/reduction zone, and IMLP adalah moderat. Hal ini menunjukkan bahwa kondisi air di daerah penelitian tidak stabil. Penelitian juga menunjukkan nilai indeks diversitas yang rendah, dominasi organisme meiobentos tertentu, dan konformitas antar komunitas bentos. Hasil tes statistik Kruskall Wallis menunjukkan adanya signifikansi antara produktivitas tambak ikan dengan factor jarak dan tingkat destruksi diantara 3 desa dalam daerah penelitian yaitu Bedono, Sriwulan. Purwosari yaitu dengan nilai produktivitas 0.65,0.56, 0.41 ton/hektar/tahun.   ABSTRACT The objective of this study area to determine the environmental quality of coastal area and fish ponds which are on water quality, sediment quality, and Meiobentos

  19. The use of amino acid indices for assessing organic matter quality and microbial abundance in deep-sea Antarctic sediments of IODP Expedition 318

    Science.gov (United States)

    Carr, Stephanie A; Mills, Christopher T.; Mandernack, Kevin W

    2016-01-01

    The Adélie Basin, located offshore of the Wilkes Land margin, experiences unusually high sedimentation rates (~ 2 cm yr− 1) for the Antarctic coast. This study sought to compare depthwise changes in organic matter (OM) quantity and quality with changes in microbial biomass with depth at this high-deposition site and an offshore continental margin site. Sediments from both sites were collected during the International Ocean Drilling (IODP) Program Expedition 318. Viable microbial biomass was estimated from concentrations of bacterial-derived phospholipid fatty acids, while OM quality was assessed using four different amino acid degradation proxies. Concentrations of total hydrolysable amino acids (THAA) measured from the continental margin suggest an oligotrophic environment, with THAA concentrations representing only 2% of total organic carbon with relative proportions of non-protein amino acids β-alanine and γ-aminobutyric acid as high as 40%. In contrast, THAA concentrations from the near-shore Adélie Basin represent 40%–60% of total organic carbon. Concentrations of β-alanine and γ-aminobutyric acid were often below the detection limit and suggest that the OM of the basin as labile. DI values in surface sediments at the Adélie and margin sites were measured to be + 0.78 and − 0.76, reflecting labile and more recalcitrant OM, respectively. Greater DI values in deeper and more anoxic portions of both cores correlated positively with increased relative concentrations of phenylalanine plus tyrosine and may represent a change of redox conditions, rather than OM quality. This suggests that DI values calculated along chemical profiles should be interpreted with caution. THAA concentrations, the percentage of organic carbon (CAA%) and total nitrogen (NAA%) represented by amino acids at both sites demonstrated a significant positive correlation with bacterial abundance estimates. These data suggest that the selective degradation of amino acids, as

  20. Toxicity of nickel-spiked freshwater sediments to benthic invertebrates-Spiking methodology, species sensitivity, and nickel bioavailability

    Science.gov (United States)

    Besser, John M.; Brumbaugh, William G.; Kemble, Nile E.; Ivey, Chris D.; Kunz, James L.; Ingersoll, Christopher G.; Rudel, David

    2011-01-01

    This report summarizes data from studies of the toxicity and bioavailability of nickel in nickel-spiked freshwater sediments. The goal of these studies was to generate toxicity and chemistry data to support development of broadly applicable sediment quality guidelines for nickel. The studies were conducted as three tasks, which are presented here as three chapters: Task 1, Development of methods for preparation and toxicity testing of nickel-spiked freshwater sediments; Task 2, Sensitivity of benthic invertebrates to toxicity of nickel-spiked freshwater sediments; and Task 3, Effect of sediment characteristics on nickel bioavailability. Appendices with additional methodological details and raw chemistry and toxicity data for the three tasks are available online at http://pubs.usgs.gov/sir/2011/5225/downloads/.

  1. Distribution of polycyclic aromatic hydrocarbons (PAHs) and tributyltin (TBT) in Barcelona harbour sediments and their impact on benthic communities

    Energy Technology Data Exchange (ETDEWEB)

    Martinez-Llado, Xavier [Environmental Technology Area, CTM-UPC, Avda. Bases de Manresa 1, 08240 Manresa (Spain); Gibert, Oriol [Environmental Technology Area, CTM-UPC, Avda. Bases de Manresa 1, 08240 Manresa (Spain); Marti, Vicens [Environmental Technology Area, CTM-UPC, Avda. Bases de Manresa 1, 08240 Manresa (Spain)]. E-mail: vicens.marti@upc.edu; Diez, Sergi [Environmental Chemistry Department, IIQAB-CSIC, c/Jordi Girona 18-26, 08034 Barcelona (Spain); Environmental Geology Department, ICTJA-CSIC, Lluis Sole i Sabaris, s/n, 08028 Barcelona (Spain); Romo, Javier [Environmental Service of Barcelona Harbour Authority, Carretera de la Circumval.lacio, s/n, Tram VI, Sector 6, Barcelona (Spain); Bayona, Josep Maria [Environmental Chemistry Department, IIQAB-CSIC, c/Jordi Girona 18-26, 08034 Barcelona (Spain); Pablo, Joan de [Environmental Technology Area, CTM-UPC, Avda. Bases de Manresa 1, 08240 Manresa (Spain)

    2007-09-15

    Sediments have long been recognised as a sink for many contaminants like polycyclic aromatic hydrocarbons (PAHs) and tributyltin (TBT), which by virtue of their nature can strongly adsorb onto sediments affecting the benthic community inhabiting them. Using geographical information systems, this study reports and combines the results of several already existing studies along Barcelona harbour in order to assess the potential ecological impacts of these contaminants on the benthos of the harbour ecosystem. Chemical analysis indicated low to moderate contents of PAHs and high contents of TBT in sediments in Barcelona harbour. Comparison against existing sediment quality guidelines (SQGs) indicated that acutely toxic effects would not be expected for PAHs but for TBT, which represents a serious environmental threat for the benthic community. Benthos surveys revealed a deterioration of the benthic community throughout the harbour, especially in the inner port. - A possible correlation exists between TBT concentration in sediments and ecological effects on benthos in Barcelona harbour.

  2. Distribution of polycyclic aromatic hydrocarbons (PAHs) and tributyltin (TBT) in Barcelona harbour sediments and their impact on benthic communities

    International Nuclear Information System (INIS)

    Martinez-Llado, Xavier; Gibert, Oriol; Marti, Vicens; Diez, Sergi; Romo, Javier; Bayona, Josep Maria; Pablo, Joan de

    2007-01-01

    Sediments have long been recognised as a sink for many contaminants like polycyclic aromatic hydrocarbons (PAHs) and tributyltin (TBT), which by virtue of their nature can strongly adsorb onto sediments affecting the benthic community inhabiting them. Using geographical information systems, this study reports and combines the results of several already existing studies along Barcelona harbour in order to assess the potential ecological impacts of these contaminants on the benthos of the harbour ecosystem. Chemical analysis indicated low to moderate contents of PAHs and high contents of TBT in sediments in Barcelona harbour. Comparison against existing sediment quality guidelines (SQGs) indicated that acutely toxic effects would not be expected for PAHs but for TBT, which represents a serious environmental threat for the benthic community. Benthos surveys revealed a deterioration of the benthic community throughout the harbour, especially in the inner port. - A possible correlation exists between TBT concentration in sediments and ecological effects on benthos in Barcelona harbour

  3. Distribution, Source, and Ecological Risk Assessment of Polycyclic Aromatic Hydrocarbons in Surface Sediment of Liaodong Bay, Northeast China

    Science.gov (United States)

    Xu, Shuang; Tao, Ping; Li, Yuxia; Guo, Qi; Zhang, Yan; Wang, Man; Jia, Hongliang; Shao, Mihua

    2018-01-01

    Sixteen polycyclic aromatic hydrocarbons (PAHs) were determined in surface sediments from Liaodong Bay, northeast China. The concentration levels of total PAHs (Σ16PAHs) in sediment were 11.0˜249.6 ng·g-1 dry weight (dw), with a mean value of 89.9 ng·g-1 dry weight (dw). From the point of the spatial distribution, high PAHs levels were found in the western areas of Liaodong Bay. In the paper, sources of PAHs were investigated by diagnostic ratios, which indicated that pyrogenic sources were the main sources of PAHs in the sediment of Liaodong Bay. Therefore, selected PAH levels in sediments were compared with Sediments Quality Guidelines (ERM-ERL indexes) for evaluation probable toxic effects on marine organism.

  4. Assessment of trace metals pollution in estuarine sediments using SEM-AVS and ERM-ERL predictions.

    Science.gov (United States)

    Garcia, Carlos Alexandre Borges; Passos, Elisangela de Andrade; Alves, José do Patrocínio Hora

    2011-10-01

    This paper presents the distributions of the investigation of trace metals geochemistry in surface sediments of the Sergipe river estuary, northeast Brazil. Analyses were carried out by Flame or electrothermal atomic absorption spectrometry (FAAS or ETAAS). Principal component analysis was applied to results to identify any groupings among the different sampling sites. In order to determine the extent of contamination, taking into account natural variability within the region, metal concentrations were normalized relative to aluminium. Cr, Cu, Ni and Zn contamination was observed in sediments from the area receiving highest inputs of domestic wastes, while cadmium contamination occurred in sediments from the region affected by highest inflows of industrial effluents. Possible toxicity related to these metals was examined using the relationship simultaneously extracted metals/acid volatile sulfide and by comparing sediment chemical data with sediment quality guidelines ERL-ERM values. Results obtained using the two methods were in agreement and indicated that adverse effects on aquatic biota should rarely occur.

  5. Effects of land disposal of municipal sewage sludge on soil, streambed sediment, and ground- and surface-water quality at a site near Denver, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    Gaggiani, N.G.

    1991-01-01

    The report describes the effects of burial and land application of municipal sewage sludge on soil and streambed sediment and water quality in the underlying aquifers and surface water within and around the Lowry sewage-sludge-disposal area. The existing ground-water observation-well network at the disposal area was expanded for the study. Surface-water-sampling sites were selected so that runoff could be sampled from intense rainstorms or snowmelt. The sampling frequency for ground-water and surface-water runoff was changed from yearly to quarterly, and soil samples were collected. Four years of data were collected from 1984 to 1987 during the expanded monitoring program at the Lowry sewage-sludge-disposal area. These data, in addition to the data collected by the U.S. Geological Survey from 1981 to 1983, were used to determine effects of sewage-sludge-disposal on soil and streambed sediment and surface- and ground-water quality at the disposal area.

  6. Temperature-induced impacts on groundwater quality and arsenic mobility in anoxic aquifer sediments used for both drinking water and shallow geothermal energy production.

    Science.gov (United States)

    Bonte, Matthijs; van Breukelen, Boris M; Stuyfzand, Pieter J

    2013-09-15

    Aquifers used for the production of drinking water are increasingly being used for the generation of shallow geothermal energy. This causes temperature perturbations far beyond the natural variations in aquifers and the effects of these temperature variations on groundwater quality, in particular trace elements, have not been investigated. Here, we report the results of column experiments to assess the impacts of temperature variations (5°C, 11°C, 25°C and 60°C) on groundwater quality in anoxic reactive unconsolidated sandy sediments derived from an aquifer system widely used for drinking water production in the Netherlands. Our results showed that at 5 °C no effects on water quality were observed compared to the reference of 11°C (in situ temperature). At 25°C, As concentrations were significantly increased and at 60 °C, significant increases were observed pH and DOC, P, K, Si, As, Mo, V, B, and F concentrations. These elements should therefore be considered for water quality monitoring programs of shallow geothermal energy projects. No consistent temperature effects were observed on Na, Ca, Mg, Sr, Fe, Mn, Al, Ba, Co, Cu, Ni, Pb, Zn, Eu, Ho, Sb, Sc, Yb, Ga, La, and Th concentrations, all of which were present in the sediment. The temperature-induced chemical effects were probably caused by (incongruent) dissolution of silicate minerals (K and Si), desorption from, and potentially reductive dissolution of, iron oxides (As, B, Mo, V, and possibly P and DOC), and mineralisation of sedimentary organic matter (DOC and P). Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Quality assurance grading guidelines for research and development at DOE facilities. DOE Order 5700.6C

    Energy Technology Data Exchange (ETDEWEB)

    Powell, T.B.; Morris, R.N.

    1992-10-01

    The quality assurance (QA) requirements for the US Department of Energy (DOE) are established in DOE Order 5700.6C. This order is applicable for all DOE departmental elements, management, and maintenance and operating contractors and requires that documented Quality Assurance Programs (QAPS) are prepared at all levels; it has one attachment. The DOE Office of Energy Research (DOE-ER) has issued a standard to ensure implementation of the full intent of this order in the ER community. This report discusses order 5700.6C in relation to research with DOE.

  8. Quality of water and sediment in streams affected by historical mining, and quality of Mine Tailings, in the Rio Grande/Rio Bravo Basin, Big Bend Area of the United States and Mexico, August 2002

    Science.gov (United States)

    Lambert, Rebecca B.; Kolbe, Christine M.; Belzer, Wayne

    2008-01-01

    The U.S. Geological Survey, in cooperation with the International Boundary and Water Commission - U.S. and Mexican Sections, the National Park Service, the Texas Commission on Environmental Quality, the Secretaria de Medio Ambiente y Recursos Naturales in Mexico, the Area de Proteccion de Flora y Fauna Canon de Santa Elena in Mexico, and the Area de Proteccion de Flora y Fauna Maderas del Carmen in Mexico, collected samples of stream water, streambed sediment, and mine tailings during August 2002 for a study to determine whether trace elements from abandoned mines in the area in and around Big Bend National Park have affected the water and sediment quality in the Rio Grande/Rio Bravo Basin of the United States and Mexico. Samples were collected from eight sites on the main stem of the Rio Grande/Rio Bravo, four Rio Grande/Rio Bravo tributary sites downstream from abandoned mines or mine-tailing sites, and 11 mine-tailing sites. Mines in the area were operated to produce fluorite, germanium, iron, lead, mercury, silver, and zinc during the late 1800s through at least the late 1970s. Moderate (relatively neutral) pHs in stream-water samples collected at the 12 Rio Grande/Rio Bravo main-stem and tributary sites indicate that water is well mixed, diluted, and buffered with respect to the solubility of trace elements. The highest sulfate concentrations were in water samples from tributaries draining the Terlingua mining district. Only the sample from the Rough Run Draw site exceeded the Texas Surface Water Quality Standards general-use protection criterion for sulfate. All chloride and dissolved solids concentrations in water samples were less than the general-use protection criteria. Aluminum, copper, mercury, nickel, selenium, and zinc were detected in all water samples for which each element was analyzed. Cadmium, chromium, and lead were detected in samples less frequently, and silver was not detected in any of the samples. None of the sample concentrations of

  9. Water-quality assessment of the Lower Susquehanna River Basin, Pennsylvania and Maryland; sources, characteristics, analysis and limitations of nutrient and suspended-sediment data, 1975-90

    Science.gov (United States)

    Hainly, R.A.; Loper, C.A.

    1997-01-01

    This report describes analyses of available information on nutrients and suspended sediment collected in the Lower Susquehanna River Basin during water years 1975-90. Most of the analyses were applied to data collected during water years 1980-89. The report describes the spatial and temporal availability of nutrient and suspended-sediment data and presents a preliminary concept of the spatial and temporal patterns of concentrations and loads within the basin. Where data were available, total and dissolved forms of nitrogen and phosphorus species from precipitation, surface water, ground water, and springwater, and bottom material from streams and reservoirs were evaluated. Suspended-sediment data from streams also were evaluated. The U.S. Geological Survey National Water Information System (NWIS) database was selected as the primary database for the analyses. Precipitation-quality data from the National Atmospheric Deposition Program (NADP) and bottom-material-quality data from the National Uranium Resource Evaluation (NURE) were used to supplement the water-quality data from NWIS. Concentrations of nutrients were available from 3 precipitation sites established for longterm monitoring purposes, 883 wells (854 synoptic areal survey sites and 29 project and research sites), 23 springs (17 synoptic areal survey sites and 6 project and research sites), and 894 bottom-material sites (840 synoptic areal survey sites and 54 project and research sites). Concentrations of nutrients and (or) suspended sediment were available from 128 streams (36 long-term monitoring sites, 51 synoptic areal survey sites, and 41 project and research sites). Concentrations of nutrients and suspended sediment in streams varied temporally and spatially and were related to land use, agricultural practices, and streamflow. A general north-to-south pattern of increasing median nitrate concentrations, from 2 to 5 mg/L, was detected in samples collected in study unit streams. In streams that drain

  10. Riparian buffer design guidelines for water quality and wildlife habitat functions on agricultural landscapes in the Intermountain West: Appendix C

    Science.gov (United States)

    Susan Buffler

    2008-01-01

    Currently, there is no scientific literature examining appropriate riparian buffer widths for water quality for streams on private agriculturally dominated lands in arid regions of the Intermountain West. The initial step in this research effort was a review of buffer research as documented in the literature in other physiographic regions of the United States. Research...

  11. Equilibrium Partitioning Sediment Guidelines (ESGs) for the ...

    Science.gov (United States)

    ... PLC = partial life-cycle ... 5 ii mini iiiiiiiii iiiiiii mi 1 1 iii mini ii i B : - Benthic vs WQC i— w ~_ ~ _ o° _ -0 ° - - - ii mini iiiiiiiii iiiiiii iiiiiiiii mini ii 0.1 ... PhD thesis. ...

  12. Distribution of Selected Heavy Metals in Sediment of the River Basin of Coastal Area of Chanthaburi Province, Gulf of Thailand

    Directory of Open Access Journals (Sweden)

    Jakkapan Potipat

    2015-01-01

    Full Text Available The sediment samples from 24 stations in coastal area of Chanthaburi Province were collected during March 2012 to March 2013 and analyzed for heavy metal contents (Pb, Cd, Cr, Fe, Cu and Zn, pH, organic matters and grain sizes. The correlation analyses showed that heavy metal concentrations were affected by the content of organic matter and the size of clay particles. The evaluation of the quality of sediment was carried out using the geoaccumulation index (Igeo and the enrichment factor (EF as well as the comparison with those in the Thailand's sediment quality guideline (SQG values. The results of the geoaccumulation index and the enrichment factor values of the heavy metals content in the sediments revealed that the study area was unpolluted and not enriched, respectively. The relationship between the heavy metals concentration and the organic matter, and the clay particle was proposed by using the multiple regression equations.

  13. Trace Metal Content of Sediments Close to Mine Sites in the Andean Region

    Directory of Open Access Journals (Sweden)

    Cristina Yacoub

    2012-01-01

    Full Text Available This study is a preliminary examination of heavy metal pollution in sediments close to two mine sites in the upper part of the Jequetepeque River Basin, Peru. Sediment concentrations of Al, As, Cd, Cu, Cr, Fe, Hg, Ni, Pb, Sb, Sn, and Zn were analyzed. A comparative study of the trace metal content of sediments shows that the highest concentrations are found at the closest points to the mine sites in both cases. The sediment quality analysis was performed using the threshold effect level of the Canadian guidelines (TEL. The sediment samples analyzed show that potential ecological risk is caused frequently at both sites by As, Cd, Cu, Hg, Pb, and Zn. The long-term influence of sediment metals in the environment is also assessed by sequential extraction scheme analysis (SES. The availability of metals in sediments is assessed, and it is considered a significant threat to the environment for As, Cd, and Sb close to one mine site and Cr and Hg close to the other mine site. Statistical analysis of sediment samples provides a characterization of both subbasins, showing low concentrations of a specific set of metals and identifies the main characteristics of the different pollution sources. A tentative relationship between pollution sources and possible ecological risk is established.

  14. [Evaluation of the methodological quality of the Rémic (microbiology guidelines - bacteriology and mycology) of the Société française de microbiologie].

    Science.gov (United States)

    Fonfrède, Michèle; Couaillac, Jean Paul; Augereau, Christine; De Moüy, Danny; Lepargneur, Jean Pierre; Szymanowicz, Anton; Watine, Joseph

    2011-01-01

    We have evaluated the methodological quality of the Rémic (microbiology guidelines - bacteriology and mycology) of the Société française de microbiologie (edition2007), using to AGREE criteria, which are consensual at an international level, in particular at the the World Health Organisation (WHO) and at the European Union. The methodological quality of the Rémic appears to be sub-optimal. These shortcomings in quality are mainly observed in AGREE domain n° 5 (applicability), in AGREE item n° 5 (patients' opinions were not considered), and in AGREE item n° 23 (conflicts of interest were not declared). The users of the Rémic must be aware of these few methodological shortcomings in order for them to be careful before they put its recommendation in practice. In conclusion, we advise the editors of the Rémic to insert at least a methodological chapter in their next edition.

  15. Continuous water-quality and suspended-sediment transport monitoring in the San Francisco Bay, California, water years 2014–15

    Science.gov (United States)

    Buchanan, Paul A.; Downing-Kunz, Maureen; Schoellhamer, David H.; Livsey, Daniel N.

    2018-03-08

    The U.S. Geological Survey (USGS) monitors water quality and suspended-sediment transport in the San Francisco Bay (bay) as part of a multi-agency effort to address management, water supply, and ecological concerns. The San Francisco Bay area is home to millions of people, and the bay teems both with resident and with migratory wildlife, plants, and fish. Freshwater mixes with salt water in the bay, which is subject both to riverine influences (floods, droughts, managed reservoir releases and freshwater diversions) and to marine influences (tides, waves, effects of salt water). To understand this environment, the USGS, along with its partners (see “Acknowledgements”), has been monitoring the bay’s waters continuously since 1988. Several water-quality variables are of particular importance to State and Federal resource managers and are monitored at key locations throughout the bay (fig. 1). Salinity, which indicates the relative mixing of fresh and ocean waters in the bay, is derived from specific conductance measurements. Water temperature, along with salinity, affects the density of water, which controls gravity-driven circulation patterns and stratification in the water column. Turbidity, a measure of light scattered from suspended particles in the water, is used to estimate suspended-sediment concentration (SSC). Suspended sediment affects the bay in multiple ways: attenuation of sunlight in the water column, affecting phytoplankton growth; deposition on tidal marsh and intertidal mudflats, which can help sustain these habitats as sea level rises; deposition in ports and shipping channels, which can necessitate dredging; and often, adsorption of contaminants, affecting their distribution and concentrations in the environment. Dissolved oxygen concentration, essential to a healthy ecosystem and a fundamental indicator of water quality, is affected by water temperature, salinity, ecosystem metabolism, tidal currents, and wind. Tidal currents in the bay

  16. Assessing the quality of media reporting of suicide news in India against World Health Organization guidelines: A content analysis study of nine major newspapers in Tamil Nadu.

    Science.gov (United States)

    Armstrong, Gregory; Vijayakumar, Lakshmi; Niederkrotenthaler, Thomas; Jayaseelan, Mala; Kannan, Ramya; Pirkis, Jane; Jorm, Anthony F

    2018-05-01

    Suicide rates in India are among the highest in the world, resulting in an estimated 250,000 suicide deaths annually. How the media communicates with the Indian public on the topic of suicide has thus far gone without sufficient scrutiny. The objective of our study was to assess the quality of newspaper reporting of suicide-related news in India against World Health Organization suicide reporting guidelines. We used content analysis to assess the quality of suicide reporting against World Health Organization guidelines in nine of the most highly read daily newspapers in the southern state of Tamil Nadu between June and December 2016. Five of the nine newspapers under review were in the top 20 most circulated daily newspapers in the country. A total of 1681 suicide articles were retrieved. The mean number of suicide articles per day per newspaper was 0.9%, and 54.5% of articles were 10 sentences or less. The vast majority (95.9%) of articles primarily focused on reporting specific suicide incidents. Harmful reporting practices were very common (e.g. a detailed suicide method was reported in 43.3% of articles), while helpful reporting practices were rare (e.g. just 2.5% gave contact details for a suicide support service). We observed that a daily diet of short and explicit suicide-related news was served up to readers of newspapers. Attempts should be made to understand the perspectives of media professionals in relation to suicide reporting, and to devise strategies to boost the positive contribution that media can make to suicide prevention.

  17. Adopting preoperative fasting guidelines.

    Science.gov (United States)

    Anderson, Megan; Comrie, Rhonda

    2009-07-01

    In 1999, the American Society of Anesthesiologists adopted preoperative fasting guidelines to enhance the quality and efficiency of patient care. Guidelines suggest that healthy, non-pregnant patients should fast six hours from solids and two hours from liquids. Although these guidelines are in place, studies suggest that providers are still using the blanket statement "NPO after midnight" without regard to patient characteristics, the procedure, or the time of the procedure. Using theory to help change provider's beliefs may help make change more successful. Rogers' Theory of Diffusion of Innovations can assist in changing long-time practice by laying the groundwork for an analysis of the benefits and disadvantages of proposed changes, such as changes to fasting orders, while helping initiate local protocols instead of additional national guidelines.

  18. Coastal surface sediment quality assessment in Leizhou Peninsula (South China Sea) based on SEM-AVS analysis.

    Science.gov (United States)

    Li, Feng; Lin, Jin-qin; Liang, Yan-yan; Gan, Hua-yang; Zeng, Xiang-yun; Duan, Zhi-peng; Liang, Kai; Liu, Xing; Huo, Zhen-hai; Wu, Chang-hua

    2014-07-15

    Surface sediments from the coastal area of the Leizhou Peninsula in the South China Sea were collected and analyzed and the potential ecological risks in the area were assessed based on acid-volatile sulfide (AVS) model. The AVS levels are between 0.109 and 55.6 μmol g(-1), with the average at 4.45 μmol g(-1). The high AVS-concentration zones include the aquaculture areas of Liusha Bay and the densely populated areas of Zhanjiang Bay. The simultaneously extracted metals (SEM) range from 0.026 μmol g(-1) to 8.61 μmol g(-1), with the average at 0.843 μmol g(-1). Most of high SEM-concentration stations were located in ports or aquaculture zones. Most of the coastal surface sediments of the Leizhou Peninsula (90%) had no adverse biological effects according to the criterion proposed by USEPA (2005); while adverse effects were uncertain in some stations (8%); even in 2 stations (2%) adverse biological effects may be expected. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Potential risks of metal toxicity in contaminated sediments of Deule river in Northern France

    International Nuclear Information System (INIS)

    Lourino-Cabana, Beatriz; Lesven, Ludovic; Charriau, Adeline; Billon, Gabriel; Ouddane, Baghdad; Boughriet, Abdel

    2011-01-01

    Research highlights: → A historical environmental pollution is evidenced with reference to background levels. → Sedimentary trace metals partitioning is examined under undisturbed conditions. → Anoxia and diagenetic processes induce geochemical and mineralogical variabilities. → Do metals present in particles and pore waters exhibit a potential toxicity risk? → Behaviour of binding fractions contributes to trace metals scavenging. - Abstract: The aim of this paper was to evaluate the potential sediment cumulative damage and toxicity due to metal contamination in a polluted zone of Deule river (in northern France) from nearby two smelters. Metal-enrichment factors and geoaccumulation indices measured with sediment depth revealed that - compared to background levels either in local reference soils or in world rivers sediments/suspended particulate matter - Cd contributed to the highest pollution levels, followed by Zn, Pb and to a much lesser extent Cu and Ni. A comparison of the vertical distribution of AVS (acid volatile sulfides), SEM (simultaneously extracted metals), TMC (total metal concentrations), TOC (total organic carbon) and interstitial water-metal concentrations in the sediment allowed us to highlight the extent of toxicity caused by Cd, Pb, Zn, Ni and Cu and to raise the possibility of their association with certain geochemical phases. To assess the actual environmental impacts of these metals in Deule river, numerical sediment quality guidelines were further used in the present work. Sedimentary Pb, Zn, and Cd contents largely exceeded PEC (probable effect concentration) values reported as consensus-based sediment quality guidelines for freshwater ecosystems. As for risks of toxicity from pore waters, metal concentrations reached their maxima at the surficial layers of the sediment (1-3 cm) and IWCTU (Interstitial Water Criteria Toxicity Unit) observed for Pb and to a lesser extent Cd, violated the corresponding water quality data recommended

  20. A Call to Digital Health Practitioners: New Guidelines Can Help Improve the Quality of Digital Health Evidence.

    Science.gov (United States)

    Agarwal, Smisha; Lefevre, Amnesty E; Labrique, Alain B

    2017-10-06

    Despite the rapid proliferation of health interventions that employ digital tools, the evidence on the effectiveness of such approaches remains insufficient and of variable quality. To address gaps in the comprehensiveness and quality of reporting on the effectiveness of digital programs, the mHealth Technical Evidence Review Group (mTERG), convened by the World Health Organization, proposed the mHealth Evidence Reporting and Assessment (mERA) checklist to address existing gaps in the comprehensiveness and quality of reporting on the effectiveness of digital health programs. We present an overview of the mERA checklist and encourage researchers working in the digital health space to use the mERA checklist for reporting their research. The development of the mERA checklist consisted of convening an expert group to recommend an appropriate approach, convening a global expert review panel for checklist development, and pilot-testing the checklist. The mERA checklist consists of 16 core mHealth items that define what the mHealth intervention is (content), where it is being implemented (context), and how it was implemented (technical features). Additionally, a 29-item methodology checklist guides authors on reporting critical aspects of the research methodology employed in the study. We recommend that the core mERA checklist is used in conjunction with an appropriate study-design specific checklist. The mERA checklist aims to assist authors in reporting on digital health research, guide reviewers and policymakers in synthesizing evidence, and guide journal editors in assessing the completeness in reporting on digital health studies. An increase in transparent and rigorous reporting can help identify gaps in the conduct of research and understand the effects of digital health interventions as a field of inquiry. ©Smisha Agarwal, Amnesty E Lefevre, Alain B Labrique. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 06.10.2017.

  1. Geochemistry of Mine Waste and Mill Tailings, Meadow Deposits, Streambed Sediment, and General Hydrology and Water Quality for the Frohner Meadows Area, Upper Lump Gulch, Jefferson County, Montana

    Science.gov (United States)

    Klein, Terry L.; Cannon, Michael R.; Fey, David L.

    2004-01-01

    Frohner Meadows, an area of low-topographic gradient subalpine ponds and wetlands in glaciated terrane near the headwaters of Lump Gulch (a tributary of Prickly Pear Creek), is located about 15 miles west of the town of Clancy, Montana, in the Helena National Forest. Mining and ore treatment of lead-zinc-silver veins in granitic rocks of the Boulder batholith over the last 120 years from two sites (Frohner mine and the Nellie Grant mine) has resulted in accumulations of mine waste and mill tailings that have been distributed downslope and downstream by anthropogenic and natural processes. This report presents the results of an investigation of the geochemistry of the wetlands, streams, and unconsolidated-sediment deposits and the hydrology, hydrogeology, and water quality of the area affected by these sources of ore-related metals. Ground water sampled from most shallow wells in the meadow system contained high concentrations of arsenic, exceeding the Montana numeric water-quality standard for human health. Transport of cadmium and zinc in ground water is indicated at one site near Nellie Grant Creek based on water-quality data from one well near the creek. Mill tailings deposited in upper Frohner Meadow contribute large arsenic loads to Frohner Meadows Creek; Nellie Grant Creek contributes large arsenic, cadmium, and zinc loads to upper Frohner Meadows. Concentrations of total-recoverable cadmium, copper, lead, and zinc in most surface-water sites downstream from the Nellie Grant mine area exceeded Montana aquatic-life standards. Nearly all samples of surface water and ground water had neutral to slightly alkaline pH values. Concentrations of arsenic, cadmium, lead, and zinc in streambed sediment in the entire meadow below the mine waste and mill tailings accumulations are highly enriched relative to regional watershed-background concentrations and exceed consensus-based, probable-effects concentrations for streambed sediment at most sites. Cadmium, copper, and

  2. Quality assurance in radiotherapy: Proposal of guidelines concerning clinical and technological aspects; Assicurazione di qualita` in radioterapia: Proposta di linee guida in relazione agli aspetti clinici e tecnologici

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-01

    The document, based on European guidelines, was jointly developed by radiation oncologists, radiation physicists and radiation technologists. It contains the aims of the guidelines, professional profiles, roles and responsibilities, personnel and equipment requirements, procedures.

  3. Qualifying codes under software quality assurance: Two examples as guidelines for codes that are existing or under development

    Energy Technology Data Exchange (ETDEWEB)

    Mangold, D.

    1993-05-01

    Software quality assurance is an area of concem for DOE, EPA, and other agencies due to the poor quality of software and its documentation they have received in the past. This report briefly summarizes the software development concepts and terminology increasingly employed by these agencies and provides a workable approach to scientific programming under the new requirements. Following this is a practical description of how to qualify a simulation code, based on a software QA plan that has been reviewed and officially accepted by DOE/OCRWM. Two codes have recently been baselined and qualified, so that they can be officially used for QA Level 1 work under the DOE/OCRWM QA requirements. One of them was baselined and qualified within one week. The first of the codes was the multi-phase multi-component flow code TOUGH version 1, an already existing code, and the other was a geochemistry transport code STATEQ that was under development The way to accomplish qualification for both types of codes is summarized in an easy-to-follow step-by step fashion to illustrate how to baseline and qualify such codes through a relatively painless procedure.

  4. The Mini-OAKHQOL for knee and hip osteoarthritis quality of life was obtained following recent shortening guidelines.

    Science.gov (United States)

    Guillemin, Francis; Rat, Anne-Christine; Goetz, Christophe; Spitz, Elisabeth; Pouchot, Jacques; Coste, Joël

    2016-01-01

    To develop a short form of the knee and hip osteoarthritis quality of life questionnaire, the Mini-OAKHQOL, preserving the conceptual model and, as far as possible, the content and the psychometric properties of the original instrument. A two-step shortening procedure was used: (1) a consensus Delphi method, with a panel of patients and another of professionals independently asked to select items and (2) a nominal group, where patients, professionals, and methodologists reached consensus on the final selection of items, using information from the panels and from modern measurement and classical test theory analyses. The psychometric properties of the Mini-OAKHQOL were assessed in an independent population-based sample of 581 subjects with knee or hip osteoarthritis. The two-step shortening procedure resulted in a 20-item questionnaire. Confirmatory factor analysis showed preservation of the original five-dimensional structure. Rasch analyses showed the unidimensionality and invariance by sex, age, and joint of the main dimensions. Convergent validity, reproducibility, and internal consistency were similar to or better than those of the original OAKHQOL. The 20-item Mini-OAKHQOL has good psychometric properties and can be used for the measurement of quality of life in subjects with osteoarthritis of the lower limbs. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Overview of Green Building Material (GBM Policies and Guidelines with Relevance to Indoor Air Quality Management in Taiwan

    Directory of Open Access Journals (Sweden)

    Wen-Tien Tsai

    2017-12-01

    Full Text Available The objective of this paper was to offer a preliminary overview of Taiwan’s success in green building material (GBM efforts through legal systems and promotion measures, which are relevant to the contribution to indoor air quality (IAQ due to sustainability and health issues. In the first part of the paper, the IAQ regulations are summarized to highlight the second nation (i.e., Taiwan around the world in IAQ management by the law. In addition, the permissible exposure limits (PEL in Taiwan for airborne hazardous substances were first promulgated in 1974 to deal with occupational health issues in the workplace environment. In the second part of the paper, the developing status of the GBM in Taiwan is analyzed to unravel its connection with the Indoor Air Quality Management Act (IAQMA, promulgated on 23 November 2011. By the end of September 2017, a total of 645 GBM labels have been conferred, covering over 5000 green products. Due to the effectiveness of source control, the healthy GBM occupies most of the market, accounting for about 75%. The IAQMA, which took force in November 2012, is expected to significantly increase the use of healthy GBM in new building construction and remodeling, especially in low formaldehyde (HCHO/volatile organic compound (VOC-emitting products.

  6. Qualifying codes under software quality assurance: Two examples as guidelines for codes that are existing or under development

    International Nuclear Information System (INIS)

    Mangold, D.

    1993-05-01

    Software quality assurance is an area of concern for DOE, EPA, and other agencies due to the poor quality of software and its documentation they have received in the past. This report briefly summarizes the software development concepts and terminology increasingly employed by these agencies and provides a workable approach to scientific programming under the new requirements. Following this is a practical description of how to qualify a simulation code, based on a software QA plan that has been reviewed and officially accepted by DOE/OCRWM. Two codes have recently been baselined and qualified, so that they can be officially used for QA Level 1 work under the DOE/OCRWM QA requirements. One of them was baselined and qualified within one week. The first of the codes was the multi-phase multi-component flow code TOUGH version 1, an already existing code, and the other was a geochemistry transport code STATEQ that was under development The way to accomplish qualification for both types of codes is summarized in an easy-to-follow step-by step fashion to illustrate how to baseline and qualify such codes through a relatively painless procedure

  7. Summary guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Halsnaes, K.; Painuly, J.P.; Turkson, J.; Meyer, H.J.; Markandya, A.

    1999-09-01

    This document is a summary version of the methodological guidelines for climate change mitigation assessment developed as part of the Global Environment Facility (GEF) project Economics of Greenhouse Gas Limitations; Methodological Guidelines. The objectives of this project have been to develop a methodology, an implementing framework and a reporting system which countries can use in the construction of national climate change mitigation policies and in meeting their future reporting obligations under the FCCC. The methodological framework developed in the Methodological Guidelines covers key economic concepts, scenario building, modelling tools and common assumptions. It was used by several country studies included in the project. (au) 13 refs.

  8. Effect of resuspension on the release of heavy metals and water chemistry in anoxic and oxic sediments

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Kyung-Yup; Kim, Hong-Seok; Hwang, Inseong [School of Civil and Environmental Engineering, Pusan National University, Busan (Korea, Republic of)

    2011-10-15

    Two types of river sediments with contrasting characteristics (anoxic or oxic) were resuspended and the release of heavy metals and changes in water chemistry were investigated. During resuspension of the anoxic sediment, the dissolved oxygen (DO) concentration and redox potential of the water layer decreased abruptly within the first 1 min, followed by increases toward the end of the resuspension period. Heavy metals were released rapidly in the first 6 h, probably due to the oxidation of acid volatile sulfide (AVS) of the anoxic sediment, and then the aqueous phase concentrations of the heavy metals decreased due to resorption onto the sediment until the 12-h point. During resuspension of the oxic sediment, the DO concentration and redox potential remained relatively constant in the oxic ranges. The heavy metals were released from the oxic sediment gradually during a 24-h resuspension period. The temporal maximum concentrations of Ni, Cu, Zn, and Cd in the aqueous phases in both experiments frequently exceeded the USEPA water quality criteria or the water quality guidelines of Australia and New Zealand. This suggests that a resuspension event could bring about temporal water quality deterioration in the two sediment environments. (Copyright copyright 2011 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  9. Toxicity of sediment cores collected from the Ashtabula River in northeastern Ohio, USA, to the amphipod Hyalella azteca

    Science.gov (United States)

    Ingersoll, C.G.; Kemble, N.E.; Kunz, J.L.; Brumbaugh, W.G.; MacDonald, D.D.; Smorong, D.

    2009-01-01

    This study was conducted to support a Natural Resource Damage Assessment and Restoration project associated with the Ashtabula River in Ohio. The objective of the study was to evaluate the chemistry and toxicity of 50 sediment samples obtained from five cores collected from the Ashtabula River (10 samples/core, with each 10-cm-diameter core collected to a total depth of about 150 cm). Effects of chemicals of potential concern (COPCs) measured in the sediment samples were evaluated by measuring whole-sediment chemistry and whole-sediment toxicity in the sediment samples (including polycyclic aromatic hydrocarbons [PAHs], polychlorinated biphenyls [PCBs], organochlorine pesticides, and metals). Effects on the amphipod Hyalella azteca at the end of a 28-day sediment toxicity test were determined by comparing survival or length of amphipods in individual sediment samples in the cores to the range of responses of amphipods exposed to selected reference sediments that were also collected from the cores. Mean survival or length of amphipods was below the lower limit of the reference envelope in 56% of the sediment samples. Concentrations of total PCBs alone in some samples or concentrations of total PAHs alone in other samples were likely high enough to have caused the reduced survival or length of amphipods (i.e., concentrations of PAHs or PCBs exceeded mechanistically based and empirically based sediment quality guidelines). While elevated concentrations of ammonia in pore water may have contributed to the reduced length of amphipods, it is unlikely that the reduced length was caused solely by elevated ammonia (i.e., concentrations of ammonia were not significantly correlated with the concentrations of PCBs or PAHs and concentrations of ammonia were elevated both in the reference sediments and in the test sediments). Results of this study show that PAHs, PCBs, and ammonia are the primary COPCs that are likely causing or substantially contributing to the toxicity to

  10. Environmental evaluation near to a fuel vendor inside of the Parque Nacional Morrocoy, Venezuela. II: water quality, sediments and biota

    International Nuclear Information System (INIS)

    Rada, M.; Losada, F.

    2000-01-01

    A base line study was conducted reference in the coastal area near a Estacion de Servicio Nautica, located in Parque Nacional Morrrocoy, Venezuela, this is the second part of the investigation. Results from a physical and chemical characterization of the water and sediments of four sites located around the service station are presented. The physical and chemical factors measured in water included: temperature, salinity, specific conductance, dissolved oxygen, saturation percentage of dissolved oxygen, pH, total suspended solids, transparency, oil and grease, total residual petroleum hydrocarbon, vanadium and lead, total coliform bacteria, and the presence of coliform bacteria. The factors measured in sediments included: granulometry, organic material, total carbonates, vanadium, lead, oil and grease, and total hydrocarbons. In addition, the amount of vanadium and lead in sample tissue from three species which are abundant and widely distributed in each site was measured in order to evaluate the potential of these species as bio-indicators. The water in the area where this study was conducted is shallow, warm, and thermally homogeneous, with high salinity and normal pH and dissolved oxygen. The supersaturation with oxygen in certain hours in sites adjacent to abundant underwater vegetation. The water is moderately turbid with a tendency towards less dissolved oxygen with increased depth. The estimated values of NMP/100 ml of the coliform fecal organisms is within legal limits even though the total number of water coliforms measured in Site 2 was ten times higher than in Site 1. This increase is associated with the proximity of Site 2 to an outflow of pre-treated sewage. The values of TRPH in the water collected from each site were low and very close to the detection limit (0.8 mg/l). Vanadium was not found, while lead was detected in 11 of the 12 samples. One sample had a concentration of three times the maximum baseline compared to the values measured for Site 1

  11. Differences in SEM-AVS and ERM-ERL predictions of sediment impacts from metals in two US Virgin Islands marinas.

    Science.gov (United States)

    Hinkey, Lynne M; Zaidi, Baqar R

    2007-02-01

    Two US Virgin Islands marinas were examined for potential metal impacts by comparing sediment chemistry data with two sediment quality guideline (SQG) values: the ratio of simultaneously extractable metals to acid volatile sulfides (SEM-AVS), and effects range-low and -mean (ERL-ERM) values. ERL-ERMs predicted the marina/boatyard complex (IBY: 2118 microg/g dry weight total metals, two exceeded ERMs) would have greater impacts than the marina with no boatyard (CBM: 231 microg/g dry weight total metals, no ERMs exceeded). The AVS-SEM method predicted IBY would have fewer effects due to high AVS-forming metal sulfide complexes, reducing trace metal bioavailability. These contradictory predictions demonstrate the importance of validating the results of either of these methods with other toxicity measures before making any management or regulatory decisions regarding boating and marina impacts. This is especially important in non-temperate areas where sediment quality guidelines have not been validated.

  12. Interconnection Guidelines

    Science.gov (United States)

    The Interconnection Guidelines provide general guidance on the steps involved with connecting biogas recovery systems to the utility electrical power grid. Interconnection best practices including time and cost estimates are discussed.

  13. Effluent Guidelines

    Science.gov (United States)

    Effluent guidelines are national standards for wastewater discharges to surface waters and municipal sewage treatment plants. We issue the regulations for industrial categories based on the performance of treatment and control technologies.

  14. A preliminary assessment of the spatial sources of contemporary suspended sediment in the Ohio River basin, United States, using water quality data from the NASQAN programme in a source tracing procedure

    Science.gov (United States)

    Zhang, Y.-S.; Collins, A.L.; Horowitz, A.J.

    2012-01-01

    Reliable information on catchment scale suspended sediment sources is required to inform the design of management strategies for helping abate the numerous environmental issues associated with enhanced sediment mobilization and off-site loadings. Since sediment fingerprinting techniques avoid many of the logistical constraints associated with using more traditional indirect measurement methods at catchment scale, such approaches have been increasingly reported in the international literature and typically use data sets collected specifically for sediment source apportionment purposes. There remains scope for investigating the potential for using geochemical data sets assembled by routine monitoring programmes to fingerprint sediment provenance. In the United States, routine water quality samples are collected as part of the US Geological Survey's revised National Stream Quality Accounting Network programme. Accordingly, the geochemistry data generated from these samples over a 10-year period (1996-2006) were used as the basis for a fingerprinting exercise to assess the key tributary sub-catchment spatial sources of contemporary suspended sediment transported by the Ohio River. Uncertainty associated with the spatial source estimates was quantified using a Monte Carlo approach in conjunction with mass balance modelling. Relative frequency weighted means were used as an alternative way of summarizing the spatial source contributions, thereby avoiding the need to use confidence limits. The results should be interpreted in the context of the routine, but infrequent nature, of the suspended sediment samples used to assemble geochemistry as a basis for the sourcing exercise. Nonetheless, the study demonstrates how routine monitoring samples can be used to provide some preliminary information on sediment provenance in large drainage basins. ?? 2011 John Wiley & Sons, Ltd.

  15. OSART guidelines

    International Nuclear Information System (INIS)

    1988-02-01

    The IAEA Operational Safety Review Team (OSART) programme provides advice and assistance to Member States to enhance the operational safety of nuclear power plants. These OSART Guidelines provide overall guidance for the experts to ensure the consistency and comprehensiveness of the operational safety review. Specific guidelines are provided as guide for the systematic review in the following areas important to operational safety: management, organization and administration, training and qualification, operations, maintenance, technical support, radiation protection, chemistry, emergency planning and preparedness

  16. Trace metals in water and sediments from Ologe Lagoon, southwestern Nigeria

    International Nuclear Information System (INIS)

    Yusuf, K.A.; Osibanjo, O.

    2006-01-01

    The concentrations of trace metals in water and sediment samples from Ologe lagoon located in southwestern Nigeria were investigated. The lagoon is a source of water for domestic, transportation and fishing activities. The water quality characteristics for a period of two years (January, 1997 - November, 1998), and the speciation of metals in the lagoon sediments were evaluated. The lagoon water quality characteristics, with respect to heavy metal contamination, were compared with global averages for freshwater and international water quality standards for drinking water. All elements except iron, were well within the safety limits. Sequential extraction techniques were used to establish the association of the total concentrations of Zn, Cu, Pb, Cd and Mn in the sediment samples with their contents as exchangeable, carbonates, Fe/Mn oxides, and organic and residual fractions. The concentrations of trace metals in the whole sediments were generally below the world-wide background levels. When compared to a number of sediment quality guidelines, the concentrations of trace metals were found to be below the level considered to have the potential to cause biological effects. Pb and Cd were extracted from the residual fraction at values greater than 50%. The metals that were most easily extractable in the samples analyzed were Mn and Zn, which posed the highest risk to water contamination. The low level of industrialization in the study area has kept the lagoon relatively free from heavy metal contamination. (author)

  17. Screening-level ecological and human health risk assessment of polycyclic aromatic hydrocarbons in stormwater detention pond sediments of Coastal South Carolina, USA

    Energy Technology Data Exchange (ETDEWEB)

    Weinstein, John E., E-mail: john.weinstein@citadel.edu [Department of Biology, The Citadel, Charleston, SC (United States); Crawford, Kevin D. [Department of Chemistry, University of Wisconsin-Oshkosh, Oshkosh, WI (United States); Garner, Thomas R. [Institute of Environmental Toxicology, Clemson University, Pendleton, SC (United States); Flemming, Alan J. [South Carolina Department of Health and Environmental Control, Charleston, SC (United States)

    2010-06-15

    Screening-level ecological and human health assessments were performed for polycyclic aromatic hydrocarbon (PAH) contamination in the sediments of 19 stormwater detention ponds located in coastal South Carolina. For ecological screening benchmarks, we used threshold and probable effect concentrations (TEC and PEC) derived from consensus-based sediment quality guidelines for individual PAH analytes and equilibrium partitioning sediment benchmarks-toxic units ({Sigma}ESB-TU) derived for PAH mixtures. For human health benchmarks, we used preliminary remediation goals (PRGs). Se