934 research outputs found

    Coastline Kriging: A Bayesian Approach

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    Statistical interpolation of chemical concentrations at new locations is an important step in assessing a worker's exposure level. When measurements are available from coastlines, as is the case in coastal clean-up operations in oil spills, one may need a mechanism to carry out spatial interpolation at new locations along the coast. In this paper we present a simple model for analyzing spatial data that is observed over a coastline. We demonstrate four different models using two different representations of the coast using curves. The four models were demonstrated on simulated data and one of them was also demonstrated on a dataset from the GuLF STUDY. Our contribution here is to offer practicing hygienists and exposure assessors with a simple and easy method to implement Bayesian hierarchical models for analyzing and interpolating coastal chemical concentrations

    Distribution, Abundance and Diversity of Benthic Macroinvertebrates on the Canadian Continental Shelf and Slope of Southern Davis Strait and Ungava Bay

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    Stations in a survey of benthic invertebrates on the Canadian continental shelf and slope of southeastern Baffin Island, in Ungava Bay, and on the northern Labrador Shelf, fell into definite groups as a result of an objective analysis of similarity in species composition. The groupings were shown to correspond to major water masses in the area. Groups corresponding to cold surface water masses, to the deep Irminger Atlantic water mass, and to mixtures of these with adjacent water masses were observed. The Irminger Atlantic group dominated on the Baffin Island continental shelf. Species diversity, also measured in the study, was high, with large numbers of species present in low abundance.Key words: marine, benthos, invertebrates, distribution, shelf, slope, Davis Strait, Ungava Bay, subarticMots clés: marin, benthos, invertébrés, distribution, plateau, versant, détroit de Davis, baie d'Ungava, subarctiqu

    Diuron From Maui Sugarcane Field Runoff is Potentially Harmful to Local Coral Reefs

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    In a grassroots effort to identify stressors influencing the health of Maui’s coral reefs, samples for the pre- and post-emergent herbicide, Diuron, were taken in July–August 2013, prior to, during, and after the passage of Tropical Storm Flossie on the south central coast of Maui, Hawaii. Diuron is routinely used on sugarcane fields adjacent to Hawaiian coastal waters and is a component of the anti-fouling paint used on small boats. It inhibits photosynthesis of terrestrial plants at concentrations as low as 0.1 parts per billion and can be lethal to endosymbiotic dinoflagellates in corals at concentrations less than 3 parts per billion, a concentration measured in runoff samples taken during this study. While Diuron was not detected in samples taken beyond the coastal outfall or in an adjacent boat basin, this effort provides evidence that a detectable influx of Diuron into Maui’s coastal waters can result from a single rain event. Further, this study will inform efforts to support a ban on the use of Diuron in the wet season and guide monitoring efforts to better understand the effects of Diuron in coastal areas

    Prenatal diagnosis by ultrasound in pregnancies at risk for autosomal recessive polycystic kidney disease

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    Abstract In 15 pregnancies at risk of the autosomal recessive type of polycystic kidney disease (ARPKD), there were six recurrences (40%), five of which were diagnosed prenatally between 17 and 26 weeks (mean, 22 weeks). In the remaining affected case, normal kidney size and echogenicity were still present at 30 weeks of gestation. Fetal kidney enlargement and increased echogenicity are the key ultrasonographic signs for the detection of ARPKD. Absent fetal bladder filling and oligohydramnios were only documented in two of the six affected pregnancies. The variability in onset, the intrafamilial variability and the limitations of excluding ARPKD by second trimester ultrasound have to be considered when counselling a couple at risk for this particular disorder

    Healthcare and Financial Decision Making and Incident Adverse Cognitive Outcomes among Older Adults

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    OBJECTIVES To determine if poorer healthcare and financial decision making forecasts adverse cognitive outcomes in old age. Specifically, we hypothesized that poorer decision making would be associated with an increased risk of incident Alzheimer's dementia, an increased risk of incident mild cognitive impairment (MCI), and a more rapid decline in cognition. DESIGN An ongoing prospective observational cohort study of aging (the Rush Memory and Aging Project). SETTING The greater Chicago area. PARTICIPANTS A total of 952 community‐based older adults without dementia at baseline. MEASUREMENTS Participants completed a measure of healthcare and financial decision making at baseline and underwent annual standardized evaluations to track clinical status and cognitive functions (global cognition, episodic memory, semantic memory, working memory, perceptual speed, and visuospatial ability). RESULTS During up to 9 years of follow‐up (M  = 5.2 y; standard deviation = 2.7), 156 participants developed Alzheimer's dementia (16.4% of 952), 253 participants developed MCI (33.2% of 760), and each cognitive measure declined (all P s < .001). In Cox proportional hazards models adjusted for age, sex, and education, poorer decision making was associated with an increased risk of incident Alzheimer's dementia (hazard ratio [HR] = 1.17; 95% confidence interval [CI] = 1.10‐1.24; P  < .001) and incident MCI (HR = 1.16; 95% CI = 1.10‐1.22; P  < .001). Further, in linear mixed‐effects models, poorer decision making among those who were initially free of cognitive impairment was associated with a more rapid decline in global cognition and four of five specific cognitive domains (all P s < .05). CONCLUSION Our results suggest that poorer healthcare and financial decision making heralds adverse cognitive outcomes in old age

    Висновок експерта в криміналістичних технологіях

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    Досліджується висновок експерта в аспекті технологій експертних та технологій слідчих. Встановлюються умови технологічності цього процесуального документу. Конкретизуються критерії та дії експерта з забезпечення процесуальних вимог при складанні висновку за результатами проведених досліджень, та операції з оцінки висновку експерта слідчим.Исследуется заключение эксперта в аспекте технологий экспертных и технологий следственных. Устанавливаются условия технологичности этого процессуального документа. Конкретизируются критерии и действия эксперта по обеспечению процессуальных требований при составлении заключения по результатам проведенных исследований, и операции по оценке заключения эксперта следователем.The expert's conclusion is investigated in the aspect of expertise technologies and investigation technologies . The conditions for manufacturability of this procedural document are established. The criteria and expert's actions providing the procedural requirements while preparation of the report on the research results, and the operation on the assessment of the expert conclusion by investigator are concretized

    The Diesel Exhaust in Miners Study: V. Evaluation of the Exposure Assessment Methods

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    Exposure to respirable elemental carbon (REC), a component of diesel exhaust (DE), was assessed for an epidemiologic study investigating the association between DE and mortality, particularly from lung cancer, among miners at eight mining facilities from the date of dieselization (1947–1967) through 1997. To provide insight into the quality of the estimates for use in the epidemiologic analyses, several approaches were taken to evaluate the exposure assessment process and the quality of the estimates. An analysis of variance was conducted to evaluate the variability of 1998–2001 REC measurements within and between exposure groups of underground jobs. Estimates for the surface exposure groups were evaluated to determine if the arithmetic means (AMs) of the REC measurements increased with increased proximity to, or use of, diesel-powered equipment, which was the basis on which the surface groups were formed. Estimates of carbon monoxide (CO) (another component of DE) air concentrations in 1976–1977, derived from models developed to predict estimated historical exposures, were compared to 1976–1977 CO measurement data that had not been used in the model development. Alternative sets of estimates were developed to investigate the robustness of various model assumptions. These estimates were based on prediction models using: (i) REC medians rather AMs, (ii) a different CO:REC proportionality than a 1:1 relation, and (iii) 5-year averages of historical CO measurements rather than modeled historical CO measurements and DE-related determinants. The analysis of variance found that in three of the facilities, most of the between-group variability in the underground measurements was explained by the use of job titles. There was relatively little between-group variability in the other facilities. The estimated REC AMs for the surface exposure groups rose overall from 1 to 5 μg m−3 as proximity to, and use of, diesel equipment increased. The alternative estimates overall were highly correlated (∼0.9) with the primary set of estimates. The median of the relative differences between the 1976–1977 CO measurement means and the 1976–1977 estimates for six facilities was 29%. Comparison of estimated CO air concentrations from the facility-specific prediction models with historical CO measurement data found an overall agreement similar to that observed in other epidemiologic studies. Other evaluations of components of the exposure assessment process found moderate to excellent agreement. Thus, the overall evidence suggests that the estimates were likely accurate representations of historical personal exposure levels to DE and are useful for epidemiologic analyses

    Development and Assessment of a Patient-Centered Care Curriculum

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    The purpose of this paper is to chronicle the development and implementation of a pilot offering of the patient-centered care (PCC) curriculum sponsored by a partnership of schools of allied health and nursing and a local health care system. The objective of this interdisciplinary track is to increase the competency of allied health and nursing graduates to function in health care teams in both PCC and non-PCC hospital environments, thus improving the effectiveness of patient care. The elective track consists of two courses; a third course is under consideration. Students and faculty participating in the elective track were surveyed to assess their attitudes toward change and patient-centered care. Generally, participants believed that they could work well together but were not convinced of the viability of the PCC. Although the curriculum is still in its implementation stage and the nursing participation became minimal, this study aids in understanding opinions of nursing and allied health faculty and students regarding a new PCC curriculum

    Psychological States Underlying Excellent Performance in Sport: Toward an Integrated Model of Flow and Clutch States

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    This study investigated the psychological states underlying excellent performance in 26 athletes (Mage = 29 years, SD = 7.7) across a range of sports (team, net/wall, sprint, endurance, adventure) and standards (world class to recreational). Participants were primarily interviewed on average 4 days after excellent performances. The data were analyzed thematically. Distinct states of flow and clutch were reported, each of which occurred through separate contexts and processes, while athletes also transitioned between states during performance. These findings extend current knowledge of the psychology of excellent performance and are discussed in terms of implications for future research and applied practice

    The Diesel Exhaust in Miners Study: II. Exposure Monitoring Surveys and Development of Exposure Groups

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    Air monitoring surveys were conducted between 1998 and 2001 at seven non-metal mining facilities to assess exposure to respirable elemental carbon (REC), a component of diesel exhaust (DE), for an epidemiologic study of miners exposed to DE. Personal exposure measurements were taken on workers in a cross-section of jobs located underground and on the surface. Air samples taken to measure REC were also analyzed for respirable organic carbon (ROC). Concurrent measurements to assess exposure to nitric oxide (NO) and nitrogen dioxide (NO2), two gaseous components of DE, were also taken. The REC measurements were used to develop quantitative estimates of average exposure levels by facility, department, and job title for the epidemiologic analysis. Each underground job was assigned to one of three sets of exposure groups from specific to general: (i) standardized job titles, (ii) groups of standardized job titles combined based on the percentage of time in the major underground areas, and (iii) larger groups based on similar area carbon monoxide (CO) air concentrations. Surface jobs were categorized based on their use of diesel equipment and proximity to DE. A total of 779 full-shift personal measurements were taken underground. The average REC exposure levels for underground jobs with five or more measurements ranged from 31 to 58 μg m−3 at the facility with the lowest average exposure levels and from 313 to 488 μg m−3 at the facility with the highest average exposure levels. The average REC exposure levels for surface workers ranged from 2 to 6 μg m−3 across the seven facilities. There was much less contrast in the ROC compared with REC exposure levels measured between surface and underground workers within each facility, as well as across the facilities. The average ROC levels underground ranged from 64 to 195 μg m−3, while on the surface, the average ROC levels ranged from 38 to 71 μg m−3 by facility, an ∼2- to 3-fold difference. The average NO and NO2 levels underground ranged from 0.20 to 1.49 parts per million (ppm) and from 0.10 to 0.60 ppm, respectively, and were ∼10 times higher than levels on the surface, which ranged from 0.02 to 0.11 ppm and from 0.01 to 0.06 ppm, respectively. The ROC, NO, and NO2 concentrations underground were correlated with the REC levels (r = 0.62, 0.71, and 0.62, respectively). A total of 80% of the underground jobs were assigned an exposure estimate based on measurements taken for the specific job title or for other jobs with a similar percentage of time spent in the major underground work areas. The average REC exposure levels by facility were from 15 to 64 times higher underground than on the surface. The large contrast in exposure levels measured underground versus on the surface, along with the differences between the mining facilities and between underground jobs within the facilities resulted in a wide distribution in the exposure estimates for evaluation of exposure–response relationships in the epidemiologic analyses
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