Sampling design for compliance monitoring of surface water quality: A case study in a Polder area

International agreements such as the EU Water Framework Directive (WFD) ask for efficient sampling methods for monitoring natural resources. In this paper a general methodology for designing efficient, statistically sound monitoring schemes is described. An important decision is the choice between a design-based and a model-based method, implying the choice between probability (random) sampling and purposive sampling. For mapping purposes, model-based methods are more appropriate, whereas to obtain valid results for the universe as a whole, such as in testing water quality standards against legal standards, we generally prefer a design-based method. Four basic sampling patterns in space-time universe are described: static, synchronous, static-synchronous, and rotational. A case study is carried out for monitoring the quality of surface water at two farms in western Netherlands, wherein a synchronous sampling design is applied, with stratified simple random sampling in both space and time. To reduce laboratory costs the aliquots taken at the locations of a given sampling round are bulked to form a composite. To test the spatiotemporal mean N-total concentration during the summer half-year against the MAR standard with a power of 80% at a concentration 15% below the MAR standard and with a confidence of 95%, six to nine sampling rounds are needed with 50 to 75 locations per sampling round. For P-total the required number of sampling rounds differs strongly between the two farms, but is for both farms much larger than for N-total

Deconstructing Fiber-Optic Cables with JewishTart

The transistor must work. In fact, few futurists would disagree with the investigation of evolutionary programming, which embodies the private principles of programming languages. Here, we motivate new omniscient technology (JewishTart), disconfirming that model checking can be made stable, Bayesian, and certifiable. Such a hypothesis might seem unexpected but is derived from known results

Randomised positive control trial of NSAID and antimicrobial treatment for calf fever caused by pneumonia

One hundred and fifty-four preweaning calves were followed between May and October 2015. Calves were fitted with continuous monitoring temperature probes (TempVerified FeverTag), programmed so a flashing light emitting diode (LED) light was triggered following six hours of a sustained ear canal temperature of ≥39.7°C. A total of 83 calves (61.9 per cent) developed undifferentiated fever, with a presumptive diagnosis of pneumonia through exclusion of other calf diseases. Once fever was detected, calves were randomly allocated to treatment groups. Calves in group 1 (NSAID) received 2 mg/kg flunixin meglumine (Allevinix, Merial) for three consecutive days and group 2 (antimicrobial) received 6 mg/kg gamithromycin (Zactran, Merial). If fever persisted for 72 hours after the initial treatment, calves were given further treatment (group 1 received antimicrobial and group 2 received NSAID). Calves in group 1 (NSAID) were five times more likely (P=0.002) to require a second treatment (the antimicrobial) after 72 hours to resolve the fever compared with the need to give group 2 (antimicrobial) calves a second treatment (NSAID). This demonstrates the importance of ongoing monitoring and follow-up of calves with respiratory disease. However, of calves with fever in group 1 (NSAID), 25.7 per cent showed resolution following NSAID-only treatment with no detrimental effect on the development of repeated fever or daily live weight gain. This suggests that NSAID alone may be a useful first-line treatment, provided adequate attention is given to ongoing monitoring to identify those cases that require additional antimicrobial treatment

Clinical investigation of an outbreak of alveolitis and asthma in a car engine manufacturing plant

Background Exposure to metal working fluid (MWF) has been associated with outbreaks of EAA in the US, with bacterial contamination of MWF being a possible cause, but was uncommon in the UK. Twelve workers developed extrinsic allergic alveolitis (EAA) in a car engine manufacturing plant in the UK, presenting clinically between December 2003 and May 2004. This paper reports the subsequent epidemiological investigation of the whole workforce. This had three aims:- • To measure the extent of the outbreak by identifying other workers who may have developed EAA or other work-related respiratory diseases. • To provide case-detection so that those affected can be treated. • To provide epidemiological data to identify the cause of the outbreak. Methods The outbreak was investigated in a three-phase cross-sectional survey of the workforce. Phase I A respiratory screening questionnaire was completed by 808/836 workers (96.7%) in May 2004. Phase II 481 employees with at least one respiratory symptom on screening and 50 asymptomatic controls were invited for investigation at the factory in June 2004. This included a questionnaire, spirometry and clinical opinion. 454/481(94.4%) responded along with 48/50(96%) controls. Workers were identified who needed further investigation and serial measurements of peak expiratory flow (PEF). Phase III 162 employees were seen at the Birmingham Occupational Lung Disease clinic. 198 employees returned PEF records, including 141 of the 162 who attended for clinical investigation. Case definitions for diagnoses were agreed. Results 87 workers (10.4% of workforce) met case definitions for occupational lung disease, comprising EAA(19), occupational asthma(74) and humidifier fever(7). 12 workers had more than one diagnosis. The peak onset of work-related breathlessness was Spring 2003. The proportion of workers affected was higher for those using metal working fluid (MWF) from a large sump(27.3%) compared with working all over the manufacturing area (7.9%) (OR=4.39,p<0.001). Two workers had positive specific provocation tests to the used but not the unused MWF solution. Conclusions Extensive investigation of the outbreak of EAA detected a large number of affected workers, not only with EAA but also occupational asthma. This is the largest reported outbreak in Europe. Mist from used MWF is the likely cause. In workplaces using MWF, there is a need to carry out risk assessments, to monitor and maintain fluid quality, to control mist and to carry out respiratory health surveillance

Fuselage shell and cavity response measurements on a DC-9 test section

A series of fuselage shell and cavity response measurements conducted on a DC-9 aircraft test section are described. The objectives of these measurements were to define the shell and cavity model characteristics of the fuselage, understand the structural-acoustic coupling characteristics of the fuselage, and measure the response of the fuselage to different types of acoustic and vibration excitation. The fuselage was excited with several combinations of acoustic and mechanical sources using interior and exterior loudspeakers and shakers, and the response to these inputs was measured with arrays of microphones and accelerometers. The data were analyzed to generate spatial plots of the shell acceleration and cabin acoustic pressure field, and corresponding acceleration and pressure wavenumber maps. Analysis and interpretation of the spatial plots and wavenumber maps provided the required information on modal characteristics, structural-acoustic coupling, and fuselage response

Health care restructuring and family physician care for those who died of cancer

BACKGROUND: During the 1990s, health care restructuring in Nova Scotia resulted in downsized hospitals, reduced inpatient length of stay, capped physician incomes and restricted practice locations. Concurrently, the provincial homecare program was redeveloped and out-of-hospital cancer deaths increased from 20% (1992) to 30% (1998). These factors all pointed to a transfer of end-of-life inpatient hospital care to more community-based care. The purpose of this study was to describe the trends in the provision of Family Physician (FP) visits to advanced cancer patients in Nova Scotia (NS) during the years of health care restructuring. METHODS: Design Secondary multivariate analysis of linked population-based datafiles including the Queen Elizabeth II Health Sciences Centre Oncology Patient Information System (NS Cancer Registry, Vital Statistics), the NS Hospital Admissions/Separations file and the Medical Services Insurance Physician Services database. Setting Nova Scotia, an eastern Canadian province (population: 950,000). Subjects: All patients who died of lung, colorectal, breast or prostate cancer between April 1992 and March 1998 (N = 7,212). Outcome Measures Inpatient and ambulatory FP visits, ambulatory visits by location (office, home, long-term care facility, emergency department), time of day (regular hours, after hours), total length of inpatient hospital stay and number of hospital admissions during the last six months of life. RESULTS: In total, 139,641 visits were provided by family physicians: 15% of visits in the office, 10% in the home, 5% in the emergency department (ED), 5% in a long-term-care centre and 64% to hospital inpatients. There was no change in the rate of FP visits received for office, home and long-term care despite the fact that there were 13% fewer hospital admissions, and length of hospital stay declined by 21%. Age-sex adjusted estimates using negative binomial regression indicate a decline in hospital inpatient FP visits over time compared to 1992–93 levels (for 1997–98, adjusted RR = 0.88, 95%CI = 0.81–0.95) and an increase in FP ED visits (for 1997–98, adjusted RR = 1.18, 95%CI = 1.05–1.34). CONCLUSION: Despite hospital downsizing and fewer deaths occurring in hospitals, FP ambulatory visits (except for ED visits) did not rise correspondingly. Although such restructuring resulted in more people dying out of hospital, it does not appear FPs responded by providing more medical care to them in the community

Counting approximately-shortest paths in directed acyclic graphs

Given a directed acyclic graph with positive edge-weights, two vertices s and t, and a threshold-weight L, we present a fully-polynomial time approximation-scheme for the problem of counting the s-t paths of length at most L. We extend the algorithm for the case of two (or more) instances of the same problem. That is, given two graphs that have the same vertices and edges and differ only in edge-weights, and given two threshold-weights L_1 and L_2, we show how to approximately count the s-t paths that have length at most L_1 in the first graph and length at most L_2 in the second graph. We believe that our algorithms should find application in counting approximate solutions of related optimization problems, where finding an (optimum) solution can be reduced to the computation of a shortest path in a purpose-built auxiliary graph

UHB demonstrator interior noise control flight tests and analysis

The measurement and analysis of MD-UHB (McDonnell Douglas Ultra High Bypass) Demonstrator noise and vibration flight test data are described as they relate to passenger cabin noise. The analyses were done to investigate the interior noise characteristics of advanced turboprop aircraft with aft-mounted engines, and to study the effectiveness of selected noise control treatments in reducing passenger cabin noise. The UHB Demonstrator is an MD-80 test aircraft with the left JT8D engine replaced with a prototype UHB engine. For these tests, the UHB engine was a General Electric Unducted Fan, with either 8x8 or 10x8 counter-rotating propeller configurations. Interior noise level characteristics were studied for several altitudes and speeds, with emphasis on high altitude (35,000 ft), high speed (0.75 Mach) cruise conditions. The effectiveness of several noise control treatments was evaluated based on cabin noise measurements. The important airborne and structureborne transmission paths were identified for both tonal and broadband sources using the results of a sound intensity survey, exterior and interior noise and vibration data, and partial coherence analysis techniques. Estimates of the turbulent boundary layer pressure wavenumber-frequency spectrum were made, based on measured fuselage noise levels