Water Quality Reporting Limits, Method Detection Limits, and Censored Values: What Does It All Mean?

The Arkansas Water Resources Center (AWRC) maintains a fee-based water-quality lab that is certified by the Arkansas Department of Environmental Quality (ADEQ). The AWRC Water Quality Lab analyzes water samples for a variety of constituents, using standard methods for the analysis of water samples (APHA 2012). The lab generates a report on the analysis, which is provided to clientele, and reports the concentrations or values as measured. Often times the concentrations or values might be very small, even zero as reported by the lab – what does this mean? How should we use this information? This document is intended to help our clientele understand the analytical report, the values, and how one might interpret information near the lower analytical limits. Every client wants the analysis of their water sample(s) to be accurate and precise, but what do we really mean when we say those two words? These words are often used synonymously or thought of as being the same, but the two words mean two different things. Both are equally important when analyzing water samples for constituent concentrations

Generalizations of the Abstract Boundary singularity theorem

The Abstract Boundary singularity theorem was first proven by Ashley and Scott. It links the existence of incomplete causal geodesics in strongly causal, maximally extended spacetimes to the existence of Abstract Boundary essential singularities, i.e., non-removable singular boundary points. We give two generalizations of this theorem: the first to continuous causal curves and the distinguishing condition, the second to locally Lipschitz curves in manifolds such that no inextendible locally Lipschitz curve is totally imprisoned. To do this we extend generalized affine parameters from $C^1$ curves to locally Lipschitz curves.Comment: 24 page

What are the implications for childhood pneumonia of successfully introducing Hib and pneumococcal vaccines in developing countries?

The authors look to the future and imagine the implications of a successful vaccination campaign againstH. influenzae type b and pneumococcus

The Effects of Nutrition Package Claims, Nutrition Facts Panels, and Motivation to Process Nutrition Information on Consumer Product Evaluations

In a laboratory experiment using a between-subjects design, the authors examine the effects on nutrition and product evaluations of nutrition claims made (e.g., 99% fat free; low in calories ) on a product package, product nutrition value levels, and enduring motivation to process nutrition information. Enduring motivation is shown to moderate the effects of product nutrition value on consumer evaluations. Also, nutrition claims interact with product nutrition value in affecting consumer perceptions of manufacturer credibility. Given the availability of nutrient levels in the Nutrition Facts panel on the back of the mock package, nutrition claims on the front of the package generally did not affect positively consumers\u27 overall product and purchase intention evaluations. The authors discuss some implications of these findings, suggestions for further research, and study limitations

NDM-556: WIND UPLIFT RESISTANCE DESIGN OF A GREEN ROOF

Green roofs, also referred to as vegetated roofs, have increased in popularity in recent years in North America. Traditionally their use had been more prominent in European countries, such as Germany, however the North American design community have recently adopted them, thanks in part to programs such as LEED and the City of Toronto’s Green Roof Bylaw. Toronto’s Green Roof Bylaw mandates “green roofs on new commercial, institutional and residential development with a minimum Gross Floor Area of 2,000m2 as of January 31, 2010”. Also contained within the aforementioned Green Roof Bylaw is a requirement that the submitted green roof design explicitly state the uplift wind pressures that it has been designed for, and how the design addresses the stated pressures. This report needs to be stamped by a Professional Engineer. This requirement has led to many questions regarding the wind resistance of a green roof, which is a unique building material in many ways - it is organic, living, porous, and has a variable weight (based on the amount of water it is retaining). Conventional building materials have strict tolerances and highly standardized, whereas the properties of green roofs change on a daily basis. The intent of this paper is to discuss the design of a green roof in order to prevent lift off/fly away of a green roof assembly. The methods presented are based on applicable standards and building codes, as well as specific testing that has been undertaken on a green roof system to demonstrate its porosity and pressure equalization properties

Galactic cosmic ray modulation near the heliospheric current sheet

Galactic cosmic rays (GCRs) are modulated by the heliospheric magnetic field (HMF) both over decadal time scales (due to long-term, global HMF variations), and over time scales of a few hours (associated with solar wind structures such as coronal mass ejections or the heliospheric current sheet, HCS). Due to the close association between the HCS, the streamer belt, and the band of slow solar wind, HCS crossings are often associated with corotating interaction regions where fast solar wind catches up and compresses slow solar wind ahead of it. However, not all HCS crossings are associated with strong compressions. In this study we categorize HCS crossings in two ways: Firstly, using the change in magnetic polarity, as either away-to-toward (AT) or toward-to-away (TA) magnetic field directions relative to the Sun and, secondly, using the strength of the associated solar wind compression, determined from the observed plasma density enhancement. For each category, we use superposed epoch analyses to show differences in both solar wind parameters and GCR flux inferred from neutron monitors. For strong-compression HCS crossings, we observe a peak in neutron counts preceding the HCS crossing, followed by a large drop after the crossing, attributable to the so-called ‘snow-plough’ effect. For weak-compression HCS crossings, where magnetic field polarity effects are more readily observable, we instead observe that the neutron counts have a tendency to peak in the away magnetic field sector. By splitting the data by the dominant polarity at each solar polar region, we find that the increase in GCR flux prior to the HCS crossing is primarily from strong compressions in cycles with negative north polar fields due to GCR drift effects. Finally, we report on unexpected differences in GCR behavior between TA weak compressions during opposing polarity cycles

Evaluating interventions for informed consent for surgery (ICONS) :Protocol for the development of a core outcome set

Abstract Background The concept of informed consent is fundamental to medical practice. Shortcomings in the process can lead to patient complaints, litigation, unmet expectations and poor outcomes. Consent research has focused on developing tools to improve patient recall and understanding. However, the definitions, methods of measurement and timing of measurement vary widely across the studies that have been done. Although a Cochrane review has reported that many of these interventions appear to work, the high level of heterogeneity in outcome reporting prevents the identification of those interventions that work best and why they do so. It is also not clear which outcomes are most important to each party involved in the consent process and why. Methods/design This project will develop a core outcome set for assessing the effects of interventions aimed at improving informed consent for surgery and other invasive procedures for adult patients with the capacity to consent for themselves. We will conduct a systematic review of the qualitative and quantitative literature to identify outcomes used to date in consent research and map these into domains. A series of semi-structured key stakeholder interviews will also be used to identify relevant outcomes. These processes will produce a list of potential outcomes for assessing the effects of interventions to improve consent, which will be refined through an international Delphi survey and consensus webinars involving key stakeholders to produce the core outcome set. Discussion The ICONS study aims to develop a core outcome set for use in trials and reviews of interventions designed to improve the informed consent process for surgery and other invasive procedures. Our aim is that this core outcome set will reduce the level of selection and reporting bias in consent research and help clinicians to compare tools to improve consent

Ionospheric and geomagnetic responses to changes in IMF B_Z: a superposed epoch study

Superposed epoch studies have been carried out in order to determine the ionospheric response at mid-latitudes to southward turnings of the interplanetary magnetic field (IMF). This is compared with the geomagnetic response, as seen in the indices K p, AE and Dst. The solar wind, IMF and geomagnetic data used were hourly averages from the years 1967–1989 and thus cover a full 22-year cycle in the solar magnetic field. These data were divided into subsets, determined by the magnitudes of the southward turnings and the concomitant increase in solar wind pressure. The superposed epoch studies were carried out using the time of the southward turning as time zero. The response of the mid-latitude ionosphere is studied by looking at the F-layer critical frequencies, f o F2, from hourly soundings by the Slough ionosonde and their deviation from the monthly median values, δf o F2. For the southward turnings with a change in B z of δB z > 11.5 nT accompanied by a solar wind dynamic pressure P exceeding 5 nPa, the F region critical frequency, f o F2, shows a marked decrease, reaching a minimum value about 20 h after the southward turning. This recovers to pre-event values over the subsequent 24 h, on average. The Dst index shows the classic storm-time decrease to about −60 nT. Four days later, the index has still to fully recover and is at about −25 nT. Both the K p and AE indices show rises before the southward turnings, when the IMF is strongly northward but the solar wind dynamic pressure is enhanced. The average AE index does register a clear isolated pulse (averaging 650 nT for 2 h, compared with a background peak level of near 450 nT at these times) showing enhanced energy deposition at high latitudes in substorms but, like K p, remains somewhat enhanced for several days, even after the average IMF has returned to zero after 1 day. This AE background decays away over several days as the Dst index recovers, indicating that there is some contamination of the currents observed at the AE stations by the continuing enhanced equatorial ring current. For data averaged over all seasons, the critical frequencies are depressed at Slough by 1.3 MHz, which is close to the lower decile of the overall distribution of δf o Fl values. Taking 30-day periods around summer and winter solstice, the largest depression is 1.6 and 1.2 MHz, respectively. This seasonal dependence is confirmed by a similar study for a Southern Hemisphere station, Argentine Island, giving peak depressions of 1.8 MHz and 0.5 MHz for summer and winter. For the subset of turnings where δB z > 11.5 nT and P ≤ 5 nPa, the response of the geomagnetic indices is similar but smaller, while the change in δf o F2 has all but disappeared. This confirms that the energy deposited at high latitudes, which leads to the geomagnetic and ionospheric disturbances following a southward turning of the IMF, increases with the energy density (dynamic pressure) of the solar wind flow. The magnitude of all responses are shown to depend on δB z . At Slough, the peak depression always occurs when Slough rotates into the noon sector. The largest ionospheric response is for southward turnings seen between 15–21 UT

Incidence and severity of respiratory syncytial virus pneumonia in rural Kenyan children identified through hospital surveillance

Background.Although necessary for developing a rationale for vaccination, the burden of severe respiratory syncytial virus (RSV) disease in children in resource‐poor settings remains poorly defined. Methods.We conducted prospective surveillance of severe and very severe pneumonia in children aged <5 years admitted from 2002 through 2007 to Kilifi district hospital in coastal Kenya. Nasal specimens were screened for RSV antigen by immunofluorescence. Incidence rates were estimated for the well‐defined population. Results.Of 25,149 hospital admissions, 7359 patients (29%) had severe or very severe pneumonia, of whom 6026 (82%) were enrolled. RSV prevalence was 15% (20% among infants) and 27% during epidemics (32% among infants). The proportion of case patients aged 3 months was 65%, and the proportion aged 6 months was 43%. Average annual hospitalization rates were 293 hospitalizations per 100,000 children aged <5 years (95% confidence interval, 271–371 hospitalizations per 100,000 children aged <5 years) and 1107 hospitalizations per 100,000 infants (95% confidence interval, 1012–1211 hospitalizations per 100,000 infants). Hospital admission rates were double in the region close to the hospital. Few patients with RSV infection had life‐threatening clinical features or concurrent serious illnesses, and the associated mortality was 2.2%. Conclusions.In this low‐income setting, rates of hospital admission with RSV‐associated pneumonia are substantial; they are comparable to estimates from the United States but considerably underestimate the burden in the full community. An effective vaccine for children aged >2 months (outside the age group of poor responders) could prevent a large portion of RSV disease. Severity data suggest that the justification for RSV vaccination will be based on the prevention of morbidity, not mortality