Development of a microprocessor-based biochemical sampler

Modern medicine requires patients to be treated on the basis of precise data, which are often obtained from electronic equipment. An inexpensive and portable microprocessor-based sampler developed by the authors is described. It is comprised of the following units: sample plate assembly, probe-drive linkage system, wash fluid receptacle, timing system and 8085A microprocessor

Does the Adoption of EMR Systems Inflate Medicare Reimbursements?

The adoption of EMR systems has been argued to lead to physicians “upcoding” their patients to inflate insurance reimbursements. In this paper, we examine if the adoption of the Clinical Physician Order Entry (CPOE) system is associated with an increase in the complexity of the patients\u27 case mix that hospitals report (termed upcoding ). We make use of a staggered roll-out of the Recovery Audit Program to combat upcoding as a natural experiment to assess the impact of the adoption of the CPOE systems on the case mix that a hospital reports. We find that on average the adoption of CPOE systems is associated with an increase in the reported case mix of hospitals, and that the Audit program has had an effect on reducing the case mix that hospitals report to Medicare for reimbursement. Implications for preventing inflated reimbursements due to upcoding are discussed

Development of a heating reactor for a continuous flow-through application in urea measurement

In most biochemical analyses, a flow-through heating arrangement is needed to reduce the reaction time or maintain a constant temperature. A rectangular reactor is described that is constructed of aluminium, is hollow inside and is filled with silicone oil. The glass coil through which the solution flows is immersed in the silicone oil. The heater, a Peltier-effect heat pump, on one side and the temperature sensor on the other side of the reactor body are embedded for heating and temperature control. The brief performance evaluation of the reactor is discussed by measuring the absorbance of urea concentration at different temperatures

Development of a photometric system for continuous flow analysis

Most chemical analyses carried out in a clinical laboratory are colorimetric. An improved photometric system is described where a tungsten lamp is the light source, a photo-diode is the detector and a microcontroller 8051 is used for processing and displaying absorbances. The performance characteristics of the instrument are reported. The parameters investigated are photometric linearity, precision and instrumental drift

Variability in marsh migration potential determined by topographicrather than anthropogenic constraints in the Chesapeake Bay region

Sea level rise (SLR) and saltwater intrusion are driving inland shifts in coastal ecosystems. Here, we make high-resolution (1 m) predictions of land conversion under future SLR scenarios in 81 watersheds surrounding Chesapeake Bay, United States, a hotspot for accelerated SLR and saltwater intrusion. We find that 1050–3748 km2 of marsh could be created by 2100, largely at the expense of forested wetlands. Predicted marsh migration exceeds total current tidal marsh area and is about 4x greater than historical observations. Anthropogenic land use in marsh migration areas is concentrated within a few watersheds and minimally impacts calculated metrics of marsh resilience. Despite regional marsh area maintenance, local ecosystem service replacement within vulnerable watersheds remains uncertain. However, our work suggests that topography rather than land use drives spatial variability in wetland vulnerability regionally, and that rural land conversion is needed to compensate for extensive areal losses on heavily developed coasts globally

Variability in marsh migration potential determined by topographic rather than anthropogenic constraints in the Chesapeake Bay region

© The Author(s), 2022. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Molino, G. D., Carr, J. A., Ganju, N. K., & Kirwan, M. L. Variability in marsh migration potential determined by topographic rather than anthropogenic constraints in the Chesapeake Bay region. Limnology and Oceanography Letters, 7(4), (2022): 321-331, https://doi.org/10.1002/lol2.10262.Sea level rise (SLR) and saltwater intrusion are driving inland shifts in coastal ecosystems. Here, we make high-resolution (1 m) predictions of land conversion under future SLR scenarios in 81 watersheds surrounding Chesapeake Bay, United States, a hotspot for accelerated SLR and saltwater intrusion. We find that 1050–3748 km2 of marsh could be created by 2100, largely at the expense of forested wetlands. Predicted marsh migration exceeds total current tidal marsh area and is ~ 4× greater than historical observations. Anthropogenic land use in marsh migration areas is concentrated within a few watersheds and minimally impacts calculated metrics of marsh resilience. Despite regional marsh area maintenance, local ecosystem service replacement within vulnerable watersheds remains uncertain. However, our work suggests that topography rather than land use drives spatial variability in wetland vulnerability regionally, and that rural land conversion is needed to compensate for extensive areal losses on heavily developed coasts globally.This work was funded by the U.S. Geological Survey Climate Research and Development and the U.S. Geological Survey Coastal and Marine Hazards and Resources Program. Additional funding was provided from the National Science Foundation CAREER, LTER, and CZN programs (EAR-1654374, DEB-1832221, and EAR-2012670)

How much marsh restoration is enough to deliver wave attenuation coastal protection benefits?

© The Author(s), 2022. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Castagno, K., Ganju, N., Beck, M., Bowden, A., & Scyphers, S. How much marsh restoration is enough to deliver wave attenuation coastal protection benefits? Frontiers in Marine Science, 8, (2022): 756670, https://doi.org/10.3389/fmars.2021.756670.As coastal communities grow more vulnerable to sea-level rise and increased storminess, communities have turned to nature-based solutions to bolster coastal resilience and protection. Marshes have significant wave attenuation properties and can play an important role in coastal protection for many communities. Many restoration projects seek to maximize this ecosystem service but how much marsh restoration is enough to deliver measurable coastal protection benefits is still unknown. This question is critical to guiding assessments of cost effectiveness and for funding, implementation, and optimizing of marsh restoration for risk reduction projects. This study uses SWAN model simulations to determine empirical relationships between wave attenuation and marsh vegetation. The model runs consider several different common marsh morphologies (including systems with channels, ponds, and fringing mudflats), vegetation placement, and simulated storm intensity. Up to a 95% reduction in wave energy is seen at as low as 50% vegetation cover. Although these empirical relationships between vegetative cover and wave attenuation provide essential insight for marsh restoration, it is also important to factor in lifespan estimates of restored marshes when making overall restoration decisions. The results of this study are important for coastal practitioners and managers seeking performance goals and metrics for marsh restoration, enhancement, and creation

Quantifying slopes as a driver of forest to marsh conversion using geospatial techniques: application to Chesapeake Bay coastal-plain, United States

© The Author(s), 2021. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Molino, G. D., Defne, Z., Aretxabaleta, A. L., Ganju, N. K., & Carr, J. A. Quantifying slopes as a driver of forest to marsh conversion using geospatial techniques: application to Chesapeake Bay coastal-plain, United States. Frontiers in Environmental Science, 9, (2021): 616319, https://doi.org/10.3389/fenvs.2021.616319.Coastal salt marshes, which provide valuable ecosystem services such as flood mitigation and carbon sequestration, are threatened by rising sea level. In response, these ecosystems migrate landward, converting available upland into salt marsh. In the coastal-plain surrounding Chesapeake Bay, United States, conversion of coastal forest to salt marsh is well-documented and may offset salt marsh loss due to sea level rise, sediment deficits, and wave erosion. Land slope at the marsh-forest boundary is an important factor determining migration likelihood, however, the standard method of using field measurements to assess slope across the marsh-forest boundary is impractical on the scale of an estuary. Therefore, we developed a general slope quantification method that uses high resolution elevation data and a repurposed shoreline analysis tool to determine slope along the marsh-forest boundary for the entire Chesapeake Bay coastal-plain and find that less than 3% of transects have a slope value less than 1%; these low slope environments offer more favorable conditions for forest to marsh conversion. Then, we combine the bay-wide slope and elevation data with inundation modeling from Hurricane Isabel to determine likelihood of coastal forest conversion to salt marsh. This method can be applied to local and estuary-scale research to support management decisions regarding which upland forested areas are more critical to preserve as available space for marsh migration.Funding for this study was provided by the United States Geological Survey’s Coastal/Marine Hazards and Resources Program and Ecosystems Mission Area

Methyl mercury dynamics in a tidal wetland quantified using in situ optical measurements

Author Posting. © American Society of Limnology and Oceanography, 2011. This article is posted here by permission of American Society of Limnology and Oceanography for personal use, not for redistribution. The definitive version was published in Limnology and Oceanography 56 (2011): 1355-1371, doi:10.4319/lo.2011.56.4.1355.We assessed monomethylmercury (MeHg) dynamics in a tidal wetland over three seasons using a novel method that employs a combination of in situ optical measurements as concentration proxies. MeHg concentrations measured over a single spring tide were extended to a concentration time series using in situ optical measurements. Tidal fluxes were calculated using modeled concentrations and bi-directional velocities obtained acoustically. The magnitude of the flux was the result of complex interactions of tides, geomorphic features, particle sorption, and random episodic events such as wind storms and precipitation. Correlation of dissolved organic matter quality measurements with timing of MeHg release suggests that MeHg is produced in areas of fluctuating redox and not limited by buildup of sulfide. The wetland was a net source of MeHg to the estuary in all seasons, with particulate flux being much higher than dissolved flux, even though dissolved concentrations were commonly higher. Estimated total MeHg yields out of the wetland were approximately 2.5 µg m−2 yr−1—4–40 times previously published yields—representing a potential loading to the estuary of 80 g yr−1, equivalent to 3% of the river loading. Thus, export from tidal wetlands should be included in mass balance estimates for MeHg loading to estuaries. Also, adequate estimation of loads and the interactions between physical and biogeochemical processes in tidal wetlands might not be possible without long-term, high-frequency in situ measurements.This work was supported by funding from the California Bay Delta Authority Ecosystem Restoration and Drinking Water Programs (grant ERP-00-G01) and matching funds from the U.S. Geological Survey Cooperative Research Program