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Monitoring System (monitoring + system)
Kinds of Monitoring System Selected AbstractsMONITORING SYSTEM PROVES ROOFTOP SAFE AFTER SEATTLE EARTHQUAKEEXPERIMENTAL TECHNIQUES, Issue 3 2001Vincent P. Wnuk No abstract is available for this article. [source] Brückenobjekt A21.R1 , Wiener Außenring Autobahn Knoten SteinhäuselBETON- UND STAHLBETONBAU, Issue 8 2009Dynamische Folgemessung und begleitende Brückeninspektion hinsichtlich Tragfähigkeit und Funktionsfähigkeit Abstract Die untersuchte Spannbeton-Straßenbrücke am Knoten Steinhäusel ist eine zweispurige Querung über die A1 Westautobahn. Das Haupttragwerk besteht aus vier Feldern mit einer Gesamtlänge von rund 125 m. Der Querschnitt der 15,10 m breiten , im Grundriss schiefen , Brücke wird durch einen offenen Querschnitt gebildet. Die zugehörigen beiden Hauptträger setzen sich jeweils aus einem zweistegigen Plattenbalken zusammen und werden durch eine Kassettendecke verbunden. Gegenstand der vorliegenden Untersuchung war zunächst eine dynamische Analyse mit BRIMOS® (BRIdge MOnitoring System), wodurch der globale Erhaltungszustand des Tragwerkes hinsichtlich Tragfähigkeit und Funktionsfähigkeit der Brückenstruktur festgelegt und damit Empfehlungen für die weitere Betriebsdauer gegeben werden. Das Hauptaugenmerk liegt dabei auf dem Verbundquerschnitt Spannbeton, der besondere Aufmerksamkeit erfordert. Begleitend erfolgte eine Inspektion des Brückentragwerks nach der RVS 13.03.11. Anlass der Brückenprüfung waren spanngliedparallele Risse an den Stegen des Tragwerks sowie örtliche, freiliegende Spannkabel. Ziel der Prüfung war es festzustellen, ob in den Bereichen der spanngliedparallelen Risse systematische Schäden an den Spanngliedern vorhanden sind, oder ob es sich bei den augenscheinlichen Fehlstellen an den Spanngliedern um einen lokal begrenzten Schaden handelt. [source] Continuous Subcutaneous Glucose Monitoring System in diabetic mothers during labour and postnatal glucose adaptation of their infantsDIABETIC MEDICINE, Issue 4 2008E. Stenninger Abstract Aims To assess a new technique for continuous monitoring of glucose concentration during labour in diabetic mothers. A second objective was to study maternal glucose levels in relation to postnatal glucose adaptation and the need for intravenous (IV) glucose treatment in the newborn infant. Methods Fifteen pregnant women with insulin-treated diabetes mellitus participated in this prospective pilot study. To measure their glucose control during labour we used the Continuous Subcutaneous Glucose Monitoring System (CGMS; Medtronic, Minneapolis, MN, USA) to calculate the mean glucose concentration and the area under the curve (AUC) in the last 120 min before delivery. All infants of these women were transferred to the neonatal care unit for early oral feeding and blood glucose measurements up to 14 h after delivery. Infants received IV glucose if blood glucose values were repeatedly < 2.2 mmol/l. Results All women coped well with the CGMS monitoring. AUC 0,120 min before delivery, mean glucose concentration 0,120 min before delivery and cord plasma insulin level were all significantly associated with the need for IV glucose in the newborn children. Conclusions In this study we found an association between maternal glucose concentrations during labour and postnatal glucose adaptation and need for IV glucose treatment in the infants. Online monitoring of glucose levels during delivery might help us to achieve maternal normoglycaemia and further reduce the risk of postnatal hypoglycaemia in the offspring. [source] Trends in morphine prescriptions, illicit morphine use and associated harms among regular injecting drug users in AustraliaDRUG AND ALCOHOL REVIEW, Issue 5 2006LOUISA DEGENHARDT Abstract This paper examines population trends in morphine prescriptions in Australia, and contrasts them with findings from annual surveys with regular injecting drug users (IDU). Data on morphine prescriptions from 1995 to 2003 were obtained from the Drug Monitoring System (DRUMS) run by the Australian Government Department of Health and Ageing. Data collected from regular IDU as part of the Australian Illicit Drug Reporting System (IDRS) were analysed (2001,2004). The rate of morphine prescription per person aged 15,54 years increased by 89% across Australia between 1995 and 2003 (from 46.3 to 85.9 mg per person). Almost half (46%) of IDU surveyed in 2004 reported illicit morphine use, with the highest rates in jurisdictions where heroin was less available. Recent morphine injectors were significantly more likely to be male, unemployed, out of treatment and homeless in comparison to IDU who had not injected morphine. They were also more likely to have injected other pharmaceutical drugs and to report injection related problems. Among those who had injected morphine recently, the most commonly reported injecting harms were morphine dependence (38%), difficulty finding veins into which to inject (36%) and scarring or bruising (27%). Morphine use and injection is a common practice among regular IDU in Australia. In some cases, morphine may be a substitute for illicit heroin; in others, it may be being used to treat heroin dependence where other pharmacotherapies, such as methadone and buprenorphine, are perceived as being unavailable or undesirable by IDU. Morphine injection appears to be associated with polydrug use, and with it, a range of problems related to drug injection. Further research is required to monitor and reduce morphine diversion and related harms by such polydrug injectors. [source] Content of ecstasy in the Netherlands: 1993,2008ADDICTION, Issue 12 2009Neeltje Vogels ABSTRACT Aims The present paper outlines the results of analyses carried out on the content of tablets sold as ecstasy, collected in the Netherlands by the Drugs Information Monitoring System (DIMS) from January 1993 to December 2008. Methods During a period of 16 years, the DIMS analysed the content of 33 006 tablets sold as ecstasy that were handed in by numerous individual (potential) substance users. The DIMS results were compared with the results from various seized tablets to determine whether the DIMS is a monitor of the ecstasy consumer market. Results The DIMS system appears to be a market monitor that gives an accurate reflection of what is actually available on the hidden Dutch ecstasy market. During 16 years of monitoring, the purity [tablets containing only 3,4-methylenedioxymethamphetamine (MDMA)] was lowest around 1997. During this time-period many tablets contained other substances in addition to or instead of MDMA [e.g. 3,4-methylene-dioxyamphetamine (MDA), 3,4-methylene-dioxyethylamphetamine (MDEA) and N-methyl-a-(1,3-benzodixol-5-yl)-2-butamine (MBDB), amphetamine and caffeine]. From 1998 to 2008, the number of high-dose tablets (,106 mg MDMA per tablet) gradually increased. The same holds true for the proportion of tablets that contained only MDMA, reaching the highest levels in 2000 and 2004. After 2004, the purity of ecstasy tablets decreased again, caused mainly by a growing proportion of tablets containing meta-chlorophenylpiperazine (mCPP). Conclusions The DIMS results provide valuable qualitative information on the content of ecstasy tablets in the Netherlands, and its changes throughout the years. Moreover, the results were used for national and international risk assessments and important warning and prevention activities. [source] Methylone and mCPP, two new drugs of abuse?ADDICTION BIOLOGY, Issue 4 2005M. Bossong Recently, two new ecstasy-like substances, methylone and mCPP, were found in street drugs in the Netherlands by the Drugs Information and Monitoring System (DIMS). Methylone (3,4-methylenedioxymethcathinone) is the main ingredient of a new liquid designer drug that appeared on the Dutch drug market, called ,Explosion'. mCPP (meta-chlorophenylpiperazine) is a substance often used as a probe for the serotonin function in psychiatric research, and has now been found in street drugs, both in tablets and powders. Methylone as well as mCPP act on monoaminergic systems, resembling MDMA (3,4-methylenedioxymethamphetamine), with mCPP mainly affecting the serotonin system. The subjective effects of both new substances exhibit subtle differences with those of MDMA. Only little is known about the harmfulness of both methylone and mCPP. However, because of similarities between these substances and MDMA, risks common to MDMA cannot be excluded. [source] Integrating remote sensing in fisheries controlFISHERIES MANAGEMENT & ECOLOGY, Issue 5 2005N. KOURTI Abstract, To complement existing fishery control measures, in particular the Vessel Monitoring System (VMS), a pilot operational system to find fishing vessels in satellite images was set up. Radar is the mainstay of the system, which furthermore includes fully automated image processing and communication protocols with the authorities. Different image types are used to match different fisheries , oceanic, shelf and coastal. Vessel detection rates were 75,100% depending on image type and vessel size. Output of the system, in the form of an overview of vessel positions in the area highlighting any discrepancies with otherwise reported positions, can be at the authorities within 30 min of the satellite image being taken , fast enough to task airborne inspection for follow up. [source] Seismological identification of the 1998 May 28 Pakistan nuclear testGEOPHYSICAL JOURNAL INTERNATIONAL, Issue 1 2002D. Bowers Summary On 1998 May 28 Pakistan announced that it had conducted an underground nuclear test. Here we assess whether seismological data, recorded by the International Monitoring System (IMS) being set up to help verify the Comprehensive Test Ban Treaty (CTBT), can be used to identify the Pakistani test as a possible underground explosion. The prototype International Data Centre (pIDC) automatically determined the network-averaged body wave and surface wave magnitudes to be 4.9 and 3.6, respectively. One of the most reliable methods of identifying possible underground explosions is the mb : Ms criterion. However, mb : Ms is calibrated using conventional magnitudes from historical earthquakes and explosions. We calculate , in the conventional way, using P waves from the Pakistani test recorded by a simulated standard short-period seismograph and read by an experienced analyst. We also analyse the three components of the surface waves from the Pakistani test to confirm that these are correctly associated, and calculate . On mb : Ms the Pakistani test falls between the historical Eurasian underground explosion and earthquake populations. Thus, while the source may arouse suspicion on mb : Ms, its signature is typical of both explosions and deep-lithospheric Eurasian earthquakes. The vast majority of the seismic P signals from the Pakistani test, recorded at long range, are complex. However, simple P seismograms are recorded by at least three of the IMS stations. Analysis, using the relative amplitude method, of three of the simple P seismograms suggests that the source is shallow (less than 5 km). We conclude that the combination of the mb : Ms signature and shallow depth are sufficient to classify the Pakistani test as a possible explosion. Under the CTBT an on-site inspection would be required to determine whether the explosion was nuclear. [source] Neonatal health care costs related to smoking during pregnancyHEALTH ECONOMICS, Issue 3 2002E. Kathleen Adams Abstract Research objective: Much of the work on estimating health care costs attributable to smoking has failed to capture the effects and related costs of smoking during pregnancy. The goal of this study is to use data on smoking behavior, birth outcomes and resource utilization to estimate neonatal costs attributable to maternal smoking during pregnancy. Study design: We use 1995 data from the Center for Disease Control's (CDC) Pregnancy Risk Assessment Monitoring System (PRAMS) database. The PRAMS collects representative samples of births from 13 states (Alabama, Alaska, California, Florida, Georgia, Indiana, Maine, Michigan, New York (excluding New York City), Oklahoma, South Carolina, Washington, and West Virginia), and the District of Columbia. The 1995 PRAMS sample is approximately 25 000. Multivariate analysis is used to estimate the relationship of smoking to probability of admission to an NICU and, separately, the length of stay for those admitted or not admitted to an NICU. Neonatal costs are predicted for infants ,as is' and ,as if' their mother did not smoke. The difference between these constitutes smoking attributable neonatal costs; this divided by total neonatal costs constitutes the smoking attributable fraction (SAF). We use data from the MarketScanÔ database of the MedStatÔ Corporation to attach average dollar amounts to NICU and non-NICU nursery nights and data from the 1997 birth certificates to extrapolate the SAFs and attributable expenses to all states. Principal findings: The analysis showed that maternal smoking increased the relative risk of admission to an NICU by almost 20%. For infants admitted to the NICU, maternal smoking increased length of stay while for non- NICU infants it appeared to lower it. Over all births, however, smoking increased infant length of stay by 1.1%. NICU infants cost $2496 per night while in the NICU and $1796 while in a regular nursery compared to only $748 for non-NICU infants. The combination of the increased NICU use, longer stays and higher costs result in a positive smoking attributable fraction (SAF) for neonatal costs. The SAF across all states is 2.2%. Across the states, the SAF varied from a low of 1.3% in Texas to a high of 4.6% in Indiana. Conclusions: These results further confirm the adverse effects of smoking. Among mothers who smoke, smoking adds over $700 in neonatal costs. The smoking attributable neonatal costs in the US represent almost $367 million in 1996 dollars; these costs vary from less than a million in smaller states to over $35 million in California. These costs are highly preventable since the adverse effects of maternal smoking occur in the short-run and can be avoided by even a temporary cessation of maternal smoking. These cost estimates can be used by managed care plans, state and local public health officials and others to evaluate alternative smoking cessation programs. Copyright © 2002 John Wiley & Sons, Ltd. [source] The Impact of Welfare Reform on Insurance Coverage before Pregnancy and the Timing of Prenatal Care InitiationHEALTH SERVICES RESEARCH, Issue 4 2007Norma I. Gavin Objective. This study investigates the impact of welfare reform on insurance coverage before pregnancy and on first-trimester initiation of prenatal care (PNC) among pregnant women eligible for Medicaid under welfare-related eligibility criteria. Data Sources. We used pooled data from the Pregnancy Risk Assessment Monitoring System for eight states (AL, FL, ME, NY, OK, SC, WA, and WV) from 1996 through 1999. Study Design. We estimated a two-part logistic model of insurance coverage before pregnancy and first-trimester PNC initiation. The impact of welfare reform on insurance coverage before pregnancy was measured by marginal effects computed from coefficients of an interaction term for the postreform period and welfare-related eligibility and on PNC initiation by the same interaction term and the coefficients of insurance coverage adjusted for potential simultaneous equation bias. We compared the estimates from this model with results from simple logistic, ordinary least squares, and two-stage least squares models. Principal Findings. Welfare reform had a significant negative impact on Medicaid coverage before pregnancy among welfare-related Medicaid eligibles. This drop resulted in a small decline in their first-trimester PNC initiation. Enrollment in Medicaid before pregnancy was independent of the decision to initiate PNC, and estimates of the effect of a reduction in Medicaid coverage before pregnancy on PNC initiation were consistent over the single- and two-stage models. Effects of private coverage were mixed. Welfare reform had no impact on first-trimester PNC beyond that from reduced Medicaid coverage in the pooled regression but separate state-specific regressions suggest additional effects from time and income constraints induced by welfare reform may have occurred in some states. Conclusions. Welfare reform had significant adverse effects on insurance coverage and first-trimester PNC initiation among our nation's poorest women of childbearing age. Improved outreach and insurance options for these women are needed to meet national health goals. [source] Long-term patient monitoring for clozapine-induced agranulocytosis and neutropenia in Korea: when is it safe to discontinue CPMS?HUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 6 2006Byung-Jo Kang Abstract Objectives This study documents the incidences of agranulocytosis and neutropenia, and the patterns of incidence of the side effects of long-term clozapine treatment in order to determine an appropriate time to stop the Clozaril Patient Monitoring System (CPMS). Methods Hematological, demographic, and other data from the CPMS for 6782 patients who took clozapine for the past 11 years in the Republic of Korea has been analyzed. Results Twenty-nine (53.7%) of fifty-four agranulocytosis cases occurred within the first 18 weeks. The cumulative incidence of agranulocytosis was 1.64% between 6 and 11 years and the crude incidence was 0.8%. Neutropenia occurred in 697 patients, and 365 (52.4%) of these cases occurred within the first 18 weeks. The cumulative incidence of neutropenia was 19.8% between 8 and 11 years, and the crude incidence was 10.3%. There were no cases of agranulocytosis or neutropenia after the 9th year of clozapine treatment. Conclusions The incidence of agranulocytosis in the Republic of Korea was similar to those in the rest of the world. While agranulocytosis began several years after clozapine treatment, long-term monitoring of white blood cells is necessary. We suggest that the CPMS should be stopped or less frequently after the 9th year of treatment. Copyright © 2006 John Wiley & Sons, Ltd. [source] Ecofriendly Protection from Biofouling of the Monitoring System at Pantelleria's Cala Gadir Underwater Archaeological Site, SicilyINTERNATIONAL JOURNAL OF NAUTICAL ARCHAEOLOGY, Issue 2 2009Pietro Selvaggio First page of article [source] Surveillance and measuring trends of stroke in Japan: The Takashima Stroke Registry (1988 , present)INTERNATIONAL JOURNAL OF STROKE, Issue 2 2007Yoshikuni Kita This stroke registry is a population-based, prospective, observational study whose objective is to monitor trends in the incidence and case-fatality of stroke in Japan. Takashima County is located in the rural area of the Shiga prefecture in central Japan, having a stable population of approximately 54,000. It is a farming community with similar cultural values and standards of living throughout the region. The population has remained fairly stable during the 16-year study period. 1750 stroke cases (men 937 and women 813) were registered during 1988,2002. The average ages of the men and women patients were 69.4 and 74.4 years respectively. Stroke diagnostic criteria are established for the Monitoring System for Cardiovascular Disease commissioned by the Ministry of Health and Welfare, Japan. These criteria were based on WHO-MONICA project. Takashima registry system was planned to capture all the cases in the study area by covering all the hospitals of the county. To ensure that eligible patients hospitalized outside the county were not omitted, registration procedures were also conducted at three high-level medical facilities within the Shiga region but outside the county. Due to the high rate of computed tomography use in Japan the identification of stroke cases within the study area is almost complete and stroke diagnosis and classification are accurately recorded. [source] Individual responses of seabirds to commercial fisheries revealed using GPS tracking, stable isotopes and vessel monitoring systemsJOURNAL OF APPLIED ECOLOGY, Issue 2 2010Stephen C. Votier Summary 1.,The large amount of discards produced by commercial fisheries can have major impacts on marine predator populations: this abundant food may increase populations of some scavengers or decrease others via accidental bycatch. Yet, despite the conservation implications of discard practices, the ecology of individual scavengers is poorly understood. 2.,Here, we assess the influence of commercial fisheries' activity on the foraging behaviour of individual breeding northern gannets Morus bassanus. Using recent developments in stable isotope mixing models (Stable Isotope Analysis in R or SIAR) we estimate individual discard consumption. Using GPS tracking and the Vessel Monitoring System (VMS), we investigate behavioural responses to trawlers. 3.,Analysis of conventional diet samples, as well as stable isotope ratios of carbon and nitrogen in blood (plasma and cells), highlight marked individual differences in the proportion of fishery discards in the diet. Individual differences in foraging behaviour revealed by stable isotopes show evidence of both short-term consistency and behavioural flexibility. 4.,At-sea path tortuosity of 25 gannets (tracked using GPS loggers) revealed scale-dependent adjustments in response to VMS-derived fishing vessel locations, as well as to sea surface temperature, chlorophyll a concentration and copepod abundance. The results also indicate individual variability in behavioural response to trawlers. 5.,Individual differences in the amount of discards estimated from SIAR were negatively correlated with differences in foraging trip length and body condition, indicating potential fitness consequences. 6.,Synthesis and applications. The management of commercial fisheries and apex predators is a daunting task. Ultimately, reducing bycatch and removing dependency on discards remain key conservation priorities, but managers should also ensure that scavenging species have sufficient alternative food to meet their energetic needs, to ameliorate potential unforeseen knock-on consequences. The results of Stable Isotope Analysis (SIAR) reveal intra-population differences in discard consumption by gannets; differences that have impacts on foraging effort and body condition. The use of GPS tracking and Vessel Monitoring Systems (VMS) reveal that gannet at-sea behaviour is influenced by fishing vessels, although this also varies among individuals. A combination of SIAR, GPS tracking and VMS can be used to study fishery/scavenger interactions in detail at the individual level, to answer fundamental questions about scavenging behaviour. [source] Characterization of antimicrobial susceptibility and virulence genes of Salmonella serovars collected at a commercial turkey processing plantJOURNAL OF APPLIED MICROBIOLOGY, Issue 1 2008C.W. Nde Abstract Aims:, To determine the antimicrobial susceptibility profiles, distribution of class 1 integrons, virulence genes and genes encoding resistance to tetracycline (tetA, tetC, tetD and tetE) and streptomycin (strA, strB and aadA1) in Salmonella recovered from turkeys. Methods and Results:, The antimicrobial susceptibility of 80 isolates was determined using National Antimicrobial Resistance Monitoring System. The distribution of resistance genes, class 1 integrons and virulence genes was determined using PCR. Resistances to tetracycline (76·3%) and streptomycin (40%) were common. Sixty-two (77·5%) isolates displayed resistance against one or more antimicrobials and 33 were multi-drug resistant. tetA was detected in 72·5% of the isolates, while tetC, tetD and tetE were not detected. The strA and strB genes were detected in 73·8% of the isolates. Two isolates possessed class 1 integrons of 1 kb in size, containing the aadA1 gene conferring resistance to streptomycin and spectinomycin. Fourteen of the virulence genes were detected in over 80% of the isolates. Conclusions:, This study shows that continuous use of tetracycline and streptomycin in poultry production selects for resistant strains. The Salmonella isolates recovered possess significant ability to cause human illness. Significance and Impact of the Study:, Information from this study can be employed in guiding future strategies for the use of antimicrobials in poultry production. [source] Pension Valuation Under Uncertainties: Implementation of a Stochastic and Dynamic Monitoring SystemJOURNAL OF RISK AND INSURANCE, Issue 2 2002Shih-Chieh Chang Financial soundness and funding stability are two critical issues in pension fund management. First, we construct a generalized stochastic model to monitor the solvency risk and cash flow dynamics of the defined benefit pension plan. A semi-Markov process proposed by Dominicis et al. (1991) and Janssen and Manca (1997) is employed in structuring the transition pattern of the plan's population, and the economic-based factors are generated through plausible stochastic processes. Modifications according to classification and movements of the plan member and the plan's turnover pattern are also employed to improve its practical usefulness. Then the actuarial valuations, cash flow analyses, and workforce projection are performed and investigated. Second, we explicitly formulate the plan dynamics and implement the proposed mechanism into a risk management framework for pension management. By employing the stochastic and dynamic approach, the cost factors can be monitored throughout the valuation process. Third, we outline the procedure of implementing the proposed methodology into a monitoring system. Finally, the Taiwan Public Employees Retirement System is simplified to illustrate techniques in achieving risk management goals. [source] Prolonged use of continuous glucose monitors in children with type 1 diabetes on continuous subcutaneous insulin infusion or intensive multiple-daily injection therapyPEDIATRIC DIABETES, Issue 2 2009Diabetes Research in Children Network (DirecNet) Study Group Objective:, For continuous glucose sensors to improve the treatment of children with type 1 diabetes (T1D), they must be accurate, comfortable to wear, and easy to use. We conducted a pilot study of the FreeStyle NavigatorÔ Continuous Glucose Monitoring System (Abbott Diabetes Care) to examine the feasibility of daily use of a continuous glucose monitor (CGM) in an extended ambulatory setting. Methods:, Following a 13-wk trial of daily Navigator use, 45 children with T1D [10.7 ± 3.7 yr, range 4.6,17.6, 24 using insulin pumps; continuous subcutaneous insulin infusion (CSII) and 21 using glargine-based multiple daily injections (MDI)] used the Navigator for an additional 13 wk. Results:, Navigator use was initially slightly higher in the CSII users than in the MDI users but declined similarly in both groups by 22,26 wk. After 26 wk, 11 (46%) of 24 CSII users and 7 (33%) of 21 MDI users were using the CGM at least 5 d a week. No baseline demographic or clinical factors were predictive of the amount of sensor use at 26 wk. However, Navigator use during weeks 1,13 and scores on a CGM satisfaction survey at 13 wk were predictive of use in weeks 22,26. Conclusions:, CGM was generally well-tolerated in children with T1D for more than 6 months, and early acceptance of CGM was predictive of extended use of the device. Although many subjects and parents found CGM valuable, the declining usage over time underscores the need to develop new technologies and strategies to increase acceptance, effectiveness, and long-term use of these devices in youth with T1D. [source] Differences Between Mistimed and Unwanted Pregnancies Among Women Who Have Live BirthsPERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, Issue 5 2004Denise V. D'Angelo CONTEXT: Mistimed and unwanted pregnancies that result in live births are commonly considered together as unintended pregnancies, but they may have different precursors and outcomes METHODS: Data from 15 states participating in the 1998 Pregnancy Risk Assessment Monitoring System were used to calculate the prevalence of intended, mistimed and unwanted conceptions, by selected variables. Associations between unintendedness and women's behaviors and experiences before, during and after the pregnancy were assessed through unadjusted relative risks. RESULTS: The distribution of intended, mistimed and unwanted pregnancies differed on nearly every variable examined; risky behaviors and adverse experiences were more common among women with mistimed than intended pregnancies and were most common among those whose pregnancies were unwanted. The likelihood of having an unwanted rather than mistimed pregnancy was elevated for women 35 or older (relative risk, 2.3) and was reduced for those younger than 25 (0.8); the pattern was reversed for the likelihood of mistimed rather than intended pregnancy (0.5 vs. 1.7,2.7). Parous women had an increased risk of an unwanted pregnancy (2.1,4.0) but a decreased risk of a mistimed one (0.9). Women who smoked in the third trimester, received delayed or no prenatal care, did not breastfeed, were physically abused during pregnancy, said their partner had not wanted a pregnancy or had a low-birth-weight infant had an increased risk of unintended pregnancy; the size of the increase depended on whether the pregnancy was unwanted or mistimed CONCLUSION: Clarifying the difference in risk between mistimed and unwanted pregnancies may help guide decisions regarding services to women and infants [source] Prevalence of neural tube defects in Australia prior to mandatory fortification of bread-making flour with folic acidAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 4 2010Samanthi Abeywardana Abstract Objective: To establish baseline prevalence of neural tube defects (NTDs) prior to mandatory folic acid fortification in Australia. Method: Retrospective population based study. Data from the Australian Congenital Anomalies Monitoring System, for 1998,2005 were used to calculate birth prevalence including live/stillbirths of at least 20 weeks gestation or 400 g birthweight. Total prevalence and trends of NTD including terminations of pregnancy (TOPs) before 20 weeks were established using data from South Australia, Victoria and Western Australia because of the incomplete ascertainment in other states. Results: The birth prevalence of NTDs from 1998,2005, was 5/10,000 births. The total prevalence including TOPs was 13/10,000 births. A 26% declining trend in total prevalence was seen from 1992,2005, but the main decline occurred prior to 1998. Women who were Indigenous, socially disadvantaged, young, living in remote areas and had multiple gestations were more likely to give birth to babies with NTDs. Conclusion: The prevalence of NTD has been stable since 1998. Reporting of the birth prevalence alone underestimates the actual prevalence of NTD. Implications: From a public health perspective, future monitoring of NTD following implementation of fortification of bread-making flour with folic acid should include a mixed methods approach; reporting birth prevalence on national data and total prevalence on tri-state data. [source] Maternal smoking and the risk for clubfoot in infants,BIRTH DEFECTS RESEARCH, Issue 2 2008Kathryn C. Dickinson Abstract BACKGROUND: Clubfoot is one of the most common major birth defects, with a prevalence of approximately 1 per 1,000 live births. The etiology of clubfoot is complex and not well understood, and yet, few epidemiologic studies of risk factors have been conducted. Maternal smoking has been suggested as a possible risk factor. The purpose of this population-based, case-control study was to examine the association between maternal smoking and clubfoot. METHODS: Data from the North Carolina Birth Defects Monitoring Program matched to North Carolina birth certificates and health services data were used in the analysis of 443 cases of clubfoot and 4,492 randomly sampled controls for the years 1999,2003. Smoking data were ascertained from the birth certificates, and the reliability of the data was assessed by comparing them with reported smoking from the North Carolina Pregnancy Risk Assessment Monitoring System. Multiple logistic regression was used to calculate crude and adjusted ORs and 95% CIs for smoking and clubfoot. RESULTS: The crude OR for maternal smoking during pregnancy and clubfoot was 1.49 (95% CI: 1.15, 1.92). Controlling for maternal age, race/ethnicity, infant's sex, and timing of prenatal care initiation did not appreciably change the results (adjusted OR 1.40; 95% CI: 1.07, 1.83). CONCLUSIONS: This study is consistent with the hypothesis that smoking during pregnancy is associated with a slightly increased risk of an infant being born with clubfoot. Further research is needed to confirm this association, and to identify potential genetic factors that may modify the magnitude of the risk. Birth Defects Research (Part A) 2008. © 2007 Wiley-Liss, Inc. [source] Teratogenic Effects of Antiepileptic Drugs: Use of an International Database on Malformations and Drug Exposure (MADRE)EPILEPSIA, Issue 11 2000Carla Arpino Summary: Purpose: The study goal was to assess teratogenic effects of antiepileptic drugs (AEDs) through the use of a surveillance system (MADRE) of infants with malformations. Methods: Information on all malformed infants (1990,1996) with maternal first-trimester drug exposure was collected by the International Clearinghouse for Birth Defects and Monitoring Systems (ICBDMS). Cases were defined as infants presenting with a specific malformation, and controls were defined as infants presenting with any other birth defect. Exposure was defined by the use of AEDs during the first trimester of pregnancy. The association of AEDs with malformations was then estimated by calculating the odds ratios with 95% confidence intervals and testing their homogeneity among registries. Results: Among 8005 cases of malformations, 299 infants were exposed in utero to AEDs. Of those exposed to monotherapy, 65 were exposed to phenobarbital, 10 to methylphenobarbital, 80 to valproic acid, 46 to carbamazepine, 24 to phenytoin, and 16 to other AEDs. Associations were found for spina bifida with valproic acid. Infants exposed to phenobarbital and to methylphenobarbital showed an increased risk of oral clefts. Cardiac malformations were found to be associated with phenobarbital, methylphenobarbital, valproic acid, and carbamazepine. Hypospadias was associated with valproic acid. Porencephaly and other specified anomalies of brain, anomalies of face, coarctation of aorta, and limb reduction defects were found to be associated with valproic acid. Conclusions: Using the MADRE system, we confirmed known teratogenic effects of AEDs. We also found increased risks for malformations that had never been reported associated with AEDs or for which the association was suggested by case reports. [source] Individual responses of seabirds to commercial fisheries revealed using GPS tracking, stable isotopes and vessel monitoring systemsJOURNAL OF APPLIED ECOLOGY, Issue 2 2010Stephen C. Votier Summary 1.,The large amount of discards produced by commercial fisheries can have major impacts on marine predator populations: this abundant food may increase populations of some scavengers or decrease others via accidental bycatch. Yet, despite the conservation implications of discard practices, the ecology of individual scavengers is poorly understood. 2.,Here, we assess the influence of commercial fisheries' activity on the foraging behaviour of individual breeding northern gannets Morus bassanus. Using recent developments in stable isotope mixing models (Stable Isotope Analysis in R or SIAR) we estimate individual discard consumption. Using GPS tracking and the Vessel Monitoring System (VMS), we investigate behavioural responses to trawlers. 3.,Analysis of conventional diet samples, as well as stable isotope ratios of carbon and nitrogen in blood (plasma and cells), highlight marked individual differences in the proportion of fishery discards in the diet. Individual differences in foraging behaviour revealed by stable isotopes show evidence of both short-term consistency and behavioural flexibility. 4.,At-sea path tortuosity of 25 gannets (tracked using GPS loggers) revealed scale-dependent adjustments in response to VMS-derived fishing vessel locations, as well as to sea surface temperature, chlorophyll a concentration and copepod abundance. The results also indicate individual variability in behavioural response to trawlers. 5.,Individual differences in the amount of discards estimated from SIAR were negatively correlated with differences in foraging trip length and body condition, indicating potential fitness consequences. 6.,Synthesis and applications. The management of commercial fisheries and apex predators is a daunting task. Ultimately, reducing bycatch and removing dependency on discards remain key conservation priorities, but managers should also ensure that scavenging species have sufficient alternative food to meet their energetic needs, to ameliorate potential unforeseen knock-on consequences. The results of Stable Isotope Analysis (SIAR) reveal intra-population differences in discard consumption by gannets; differences that have impacts on foraging effort and body condition. The use of GPS tracking and Vessel Monitoring Systems (VMS) reveal that gannet at-sea behaviour is influenced by fishing vessels, although this also varies among individuals. A combination of SIAR, GPS tracking and VMS can be used to study fishery/scavenger interactions in detail at the individual level, to answer fundamental questions about scavenging behaviour. [source] Remote, Wireless, Ambulatory Monitoring of Implantable Pacemakers, Cardioverter Defibrillators, and Cardiac Resynchronization Therapy Systems: Analysis of a Worldwide DatabasePACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 2007ARNAUD LAZARUS M.D. Study Objective: To describe the daily routine application of a new telemonitoring system in a large population of cardiac device recipients. Methods: Data transmitted daily and automatically by a remote, wireless Home MonitoringÔ system (HM) were analyzed. The average time gained in the detection of events using HM versus standard practice and the impact of HM on physician workload were examined. The mean interval between device interrogations was used to compare the rates of follow-up visits versus that recommended in guidelines. Results: 3,004,763 transmissions were made by 11,624 recipients of pacemakers (n = 4,631), defibrillators (ICD; n = 6,548), and combined ICD + cardiac resynchronization therapy (CRT-D) systems (n = 445) worldwide. The duration of monitoring/patient ranged from 1 to 49 months, representing 10,057 years. The vast majority (86%) of events were disease-related. The mean interval between last follow-up and occurrence of events notified by HM was 26 days, representing a putative temporal gain of 154 and 64 days in patients usually followed at 6- and 3-month intervals, respectively. The mean numbers of events per patient per month reported to the caregivers for the overall population was 0.6. On average, 47.6% of the patients were event-free. The mean interval between follow-up visits in patients with pacemakers, single-chamber ICDs, dual chamber ICDs, and CRT-D systems were 5.9 ± 2.1, 3.6 ± 3.3, 3.3 ± 3.5, and 1.9 ± 2.9 months, respectively. Conclusions: This broad clinical application of a new monitoring system strongly supports its capability to improve the care of cardiac device recipients, enhance their safety, and optimize the allocation of health resources. [source] Computation of time delay margin for power system small-signal stabilityEUROPEAN TRANSACTIONS ON ELECTRICAL POWER, Issue 7 2009Saffet AyasunArticle first published online: 19 JUN 200 Abstract With the extensive use of phasor measurement units (PMU) in the wide-area measurement/monitoring systems (WAMS), time delays have become unavoidable in power systems. This paper presents a direct and exact method to compute the delay margin of power systems with single and commensurate time delays. The delay margin is the maximum amount of time delay that the system can tolerate before it becomes unstable for a given operating point. First, without using any approximation or substitution, the transcendental characteristic equation is converted into a polynomial without the transcendentality such that its real roots coincide with the imaginary roots of the characteristic equation exactly. The resulting polynomial also enables us to easily determine the delay dependency of the system stability and the sensitivities of crossing roots with respect to time delay. Then, an expression in terms of system parameters and imaginary root of the characteristic equation is derived for computing the delay margin. The proposed method is applied to a single-machine-infinite bus (SMIB) power system with an exciter. Delay margins are computed for a wide range of system parameters including generator mechanical power, damping and transient reactance, exciter gain, and transmission line reactance. The results indicate that the delay margin decreases as the mechanical power, exciter gain and line reactance increase while it increases with increasing generator transient reactance Additionally, the relationship between the delay margin and generator damping is found be relatively complex. Finally, the theoretical delay margin results are validated using the time-domain simulations of Matlab. Copyright © 2008 John Wiley & Sons, Ltd. [source] Development of an Accurate Positioning System Using Low-Cost L1 GPS ReceiversCOMPUTER-AIDED CIVIL AND INFRASTRUCTURE ENGINEERING, Issue 4 2006Masayuki Saeki This system employs an inexpensive L1 GPS receiver and a small patch antenna. As these devices are very inexpensive and small, they can be attached to an array of sensor nodes of a wireless network sensing system. In the present study, we first develop a program that can be used to estimate the relative positions of receivers and evaluate its performance. Next, a number of experiments were conducted to assess the performance of the inexpensive L1 GPS receiver with a patch antenna. Compared to the results obtained using a sophisticated antenna, the present measurement system, which uses a patch antenna, is less accurate. However, the present system achieves an accuracy of 1,2 cm. This system can be used as a localization system for the sensor nodes or, because of its accuracy, as a displacement monitoring system. [source] Local Participation in Natural Resource Monitoring: a Characterization of ApproachesCONSERVATION BIOLOGY, Issue 1 2009FINN DANIELSEN conservación; evaluación de la biodiversidad; esquemas de monitoreo; intereses locales; manejo de recursos naturales Abstract:,The monitoring of trends in the status of species or habitats is routine in developed countries, where it is funded by the state or large nongovernmental organizations and often involves large numbers of skilled amateur volunteers. Far less monitoring of natural resources takes place in developing countries, where state agencies have small budgets, there are fewer skilled professionals or amateurs, and socioeconomic conditions prevent development of a culture of volunteerism. The resulting lack of knowledge about trends in species and habitats presents a serious challenge for detecting, understanding, and reversing declines in natural resource values. International environmental agreements require signatories undertake systematic monitoring of their natural resources, but no system exists to guide the development and expansion of monitoring schemes. To help develop such a protocol, we suggest a typology of monitoring categories, defined by their degree of local participation, ranging from no local involvement with monitoring undertaken by professional researchers to an entirely local effort with monitoring undertaken by local people. We assessed the strengths and weaknesses of each monitoring category and the potential of each to be sustainable in developed or developing countries. Locally based monitoring is particularly relevant in developing countries, where it can lead to rapid decisions to solve the key threats affecting natural resources, can empower local communities to better manage their resources, and can refine sustainable-use strategies to improve local livelihoods. Nevertheless, we recognize that the accuracy and precision of the monitoring undertaken by local communities in different situations needs further study and field protocols need to be further developed to get the best from the unrealized potential of this approach. A challenge to conservation biologists is to identify and establish the monitoring system most relevant to a particular situation and to develop methods to integrate outputs from across the spectrum of monitoring schemes to produce wider indices of natural resources that capture the strengths of each. Resumen:,El monitoreo de tendencias en el estatus de especies o hábitats es rutinario en los países desarrollados, donde es financiado por el estado o por grandes organizaciones no gubernamentales y a menudo involucra a grandes números de voluntarios amateurs competentes. El monitoreo de recursos naturales es menos intenso en los países en desarrollo, donde las agencias estatales tienen presupuestos pequeños, hay menos profesionales o amateurs competentes y las condiciones socioeconómicas limitan el desarrollo de una cultura de voluntariado. La consecuente falta de conocimientos sobre las tendencias de las especies y los hábitats presenta un serio reto para la detección, entendimiento y reversión de las declinaciones de los recursos naturales. Los tratados ambientales internacionales requieren que los signatarios realicen monitoreos sistemáticos de sus recursos naturales, pero no existe un sistema para guiar el desarrollo y la expansión de los esquemas de monitoreo. Para ayudar al desarrollo de tal protocolo, sugerimos una tipología de categorías de monitoreo, definidas por el nivel de participación local, desde ningún involucramiento local con el monitoreo realizado por investigadores profesionales hasta un esfuerzo completamente local con el monitoreo llevado a cabo por habitantes locales. Evaluamos las fortalezas y debilidades de cada categoría de monitoreo, así como su sustentabilidad potencial en países desarrollados o en desarrollo. El monitoreo basado localmente es particularmente relevante en los países en desarrollo, donde puede llevar a decisiones rápidas para resolver amenazas clave sobre sus recursos naturales, puede facultar a las comunidades locales para un mejor manejo de sus recursos naturales y puede refinar las estrategias de uso sustentable para mejorar la forma de vida local. Sin embargo, reconocemos que la precisión y exactitud del monitoreo llevado a cabo por comunidades locales en situaciones diferentes requiere de mayor estudio y los protocolos de campo requieren de mayor desarrollo para obtener lo mejor del potencial de este método. Un reto para los biólogos de la conservación es la identificación y establecimiento del sistema de monitoreo más relevante para la situación particular, así como el desarrollo de métodos para integrar los resultados de una gama de esquemas de monitoreo para producir índices de recursos naturales más amplios que capturen las fortalezas de cada uno. [source] Quality control of CD4+ T-lymphocyte enumeration: Results from the last 9 years of the United Kingdom national external quality assessment scheme for immune monitoring (1993,2001)CYTOMETRY, Issue 2 2002Liam Whitby Abstract The human immunodeficiency virus (HIV) global epidemic has necessitated the routine enumeration of T-lymphocyte subsets, which has created a need for external quality assurance (EQA). The United Kingdom National External Quality Assessment Scheme (UK NEQAS) for Immune Monitoring provides EQA for 296 laboratories in 40 countries. In 1993, UK NEQAS developed and incorporated into its program stabilized whole blood that enables the accurate monitoring of laboratory performance. Overall, the mean interlaboratory coefficient of variation (CV) for percentage CD4+ T-lymphocyte subset enumeration has fallen from 15% to less than 5%, as a direct result of the increased use of CD45/ side scatter (SSC) gating. Laboratories using alternative gating strategies (i.e., CD45/CD14 or forward scatter [FSC]/SSC) were about 7.4 times more likely to fail an EQA exercise. Furthermore, the adoption of single-platform technology resulted in a reduction of the overall mean interlaboratory CV for absolute CD4+ T lymphocytes from 56% (prior to the widespread use of single-platform technology) to 9.7%. Individual laboratory deficiencies were also identified using a performance monitoring system and, through re-education by collaboration with the coordinating center, satisfactorily resolved. In conclusion, during the last 9 years, the UK NEQAS for Immune Monitoring program has highlighted the significant technological advances made by laboratories worldwide that undertake lymphocyte subset enumeration. Cytometry (Clin. Cytometry) 50:102,110, 2002. © 2002 Wiley-Liss, Inc. [source] Measurement delay associated with the Guardian® RT continuous glucose monitoring systemDIABETIC MEDICINE, Issue 1 2010C. Wei Diabet. Med. Abstract Aims, Using compartment modelling, we assessed the time delay between blood glucose and sensor glucose measured by the Guardian® RT continuous glucose monitoring system in young subjects with Type 1 diabetes (T1D). Methods, Twelve children and adolescents with T1D treated by continuous subcutaneous insulin infusion (male/female 7/5; age 13.1 ± 4.2 years; body mass index 21.9 ± 4.3 kg/m2; mean ± sd) were studied over 19 h in a Clinical Research Facility. Guardian® RT was calibrated every 6 h and sensor glucose measured every 5 min. Reference blood glucose was measured every 15 min using a YSI 2300 STAT Plus Analyser. A population compartment model of sensor glucose,blood glucose kinetics was adopted to estimate the time delay, the calibration scale and the calibration shift. Results, The population median of the time delay was 15.8 (interquartile range 15.2, 16.5) min, which was corroborated by correlation analysis between blood glucose and 15-min delayed sensor glucose. The delay has a relatively low intersubject variability, with 95% of individuals predicted to have delays between 10.4 and 24.3 min. Population medians (interquartile range) for the scale and shift are 0.800 (0.777, 0.823) (unitless) and 1.66 (1.47, 1.84) mmol/l, respectively. Conclusions, In young subjects with T1D, the total time delay associated with the Guardian® RT system was approximately 15 min. This is twice that expected on physiological grounds, suggesting a 5- to 10-min delay because of data processing. Delays above 25 min are rarely to be observed. [source] Insulin pump therapy vs. multiple daily injections in obese Type 2 diabetic patientsDIABETIC MEDICINE, Issue 8 2005J. Wainstein Abstract Aims To compare the efficacy of insulin pump treatment with multiple daily injections in the treatment of poorly controlled obese Type 2 diabetic patients already receiving two or more daily injections of insulin plus metformin. Methods Forty obese Type 2 diabetic subjects (using insulin) were randomized to treatment with continuous subcutaneous infusion pump (CSII) (Minimed®) or multiple daily insulin injections (MDI). At the end of the first 18-week treatment period, patients underwent a 12-week washout period during which they were treated with MDI plus metformin. They were then crossed-over to the other treatment for an 18-week follow-up period. Patients performed 4-point daily self blood-glucose monitoring (SBGM) on a regular basis and 7-point monitoring prior to visits 2, 8, 10 and 16. A subset of patients underwent continuous glucose monitoring using the Minimed® continuous glucose monitoring system (CGMS) at visits 2, 8, 10 and 16. A standard meal test was performed in which serum glucose was tested at fasting and once each hour for 6 h following a test meal. Glucose levels were plotted against time and the area under the curve (AUC) was calculated. HbA1c, weight, daily insulin dose and hypoglycaemic episodes were recorded. Results In obese Type 2 diabetic patients already treated with insulin, treatment with CSII significantly reduced HbA1c levels compared with treatment with MDI. An additional CSII treatment benefit was demonstrated by reduced meal-test glucose AUC. Initial reduction of daily insulin requirement observed in CSII-treated subjects during the first treatment period was attributable to a period effect and did not persist over time. Conclusions In the intent-to-treat analysis, CSII appeared to be superior to MDI in reducing HbA1c and glucose AUC values without significant change in weight or insulin dose in obese, uncontrolled, insulin-treated Type 2 diabetic subjects. [source] Influence of seasonal, diel, lunar, and other environmental factors on upstream fish passage in the Igarapava Fish Ladder, BrazilECOLOGY OF FRESHWATER FISH, Issue 3 2009P. M. Bizzotto Abstract,,, Upstream fish passage was evaluated during 12 months in the vertical-slot Igarapava Fish Ladder constructed around Igarapava Dam, in the heavily dammed Grande River, Southeast Brazil. A video monitoring system was used to observe 61,621 fish that passed the ladder, of which 93.5% were identified to 15 taxa. Among the migratory species, the most abundant were Pimelodus maculatus (33.6% of all fish), Leporinus octofasciatus (31.4%), Leporinus friderici (4.5%), and Prochilodus lineatus (3.1%). Seven taxa were classified as nonmigratory, and of these taxa, the small Bryconamericus stramineus was the most abundant (12.7%) of all fishes. Passage of the ,nonmigratory' taxa upstream in the ladder shows they are migratory in this system and have a strong behavioural drive to move to upstream habitat. Passage of most taxa had a strong seasonal pattern. While some species passed primarily during the day, others showed a distinct nocturnal pattern. Lunar phase and water temperature also strongly affected passage of some taxa. Rainfall and dam discharge had a small or null influence on most taxa; perhaps due to the fairly small catchment area of the reservoir and the highly regulated discharge at Igarapava Dam. [source] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||