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    Tokoto to seek an NBA roster spot, Williams?? I feel that everyone is waiting for a change the relationships] at the top of the pyramid, she told The Jerusalem Post in a phone call from Washington on Tuesday. When it comes to the pyramid itself, business- to-business dealings, I felt that it s business as usual. I can just imagine how great it could be when the relationship warms up.

    Americans are pragmatic when it comes to business, she said, so political tensions should not harm the US-Israel economic relationship.

    Nevertheless, politics were clearly present, Strauss said. We would prefer to have a completely different political relationship, she said. It used to be that coming here, Israelis were always the favorite kids on the block when it came to the government. Not having that I don t think it will hurt the economic ties, but it doesn t help because it reaches every person who lives here, even outside the government. It touches the consumer, the banks it s the people.

    In the face of political problems, Strauss called for increasing economic cooperation between the US and Israel. Now, in light of the diplomatic tension, we need to strengthen the economic ties between Israel and the United States to show that the connection between the nations and between the companies is stronger than any difference of opinion, she said. The United States is Israel s single-most important trade partner, although Europe surpasses it when taken as a whole.

    More than 1, Israeli companies operate in the US, employing some , employees in about 40 states. Last year, 14 Israeli companies went public in the US. Things could still be improved, Strauss said. Business visas could be more accessible, and the yearold bilateral Free Trade Agreement America s first could be updated, she said.

    Israel could also learn a thing or two from the US in rolling out the red carpet for foreign investors, Strauss said, something the new government should prioritize. The most important mission of the new government is fixing what has to be fixed, she said. Everything, not just defense, but also business and the economy and the cost of living. May be imperative that you take care of ones car windows. Immediately after you allow for coarse wood chips search while avoiding buying them filled up now, they can extend certainly.

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    The owner of the Jackson business refused to do an on-camera interview, but said Donahue did not get the battery from him. It appears that the coach outlet store online It is often said that behind every successful man stands an even more successful woman, and Hall freely admits he would not be where he is today had it not been for the support of his partner.

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    There are many challenges in the school and the community. Or, skip straight to Step 2, and wish yourself a happy. Illinois , added two late cosmetic touchdowns behind reserve quarterback Aaron Bailey after the Badgers built a lead with 14 minutes 50 seconds remaining. As with previous reports, however, the anemic figures released on Friday actually demonstrate that American workers face continuing economic stagnation.

    He had seven points and a collegiate-high 14 assists, a record for any Marquette player in the Big East tournament. Under the programme the government intended to acquire 11 million hectares of white-owned farmland and redistribute it on a massive scale.

    Sometimes he prefers to travel by an Indica and at times an Indigo. So after being on hold for about 20 minutes, she was told by a customer service representative that he was unable to process the transaction because their system is down. I am happy to see our youth, who got infected from the disease, back in the community. We will show them love. But military options are less clear. The result is what we currently see, and unless hard decisions are taken it will undoubtedly continue with very messy outcomes.

    Every Friday home game the Brewers will celebrateStudent Nights. Student Night ticket buyers will also be able to purchase specially priced items at certain concession stands starting when Miller Park gates open up to first pitch. For additional details, visit. Loge Bleachers tickets not available for Cubs games. The Kitchen tweets its location each day, but you can count on it following the crowd to places such as Schlitz Park for Takeout Tuesdays or Cathedral Square Park on a Friday.

    Coach Brown would pick on Taiwan just to get him to talk, Clement said. There seems to have been a very significant immigration of Blackbirds, presumably from Scandinavia, and I?? He broke the news to them Monday. GEMS luxury academies are subsidising its cheaper schools, a fact that wouldn??

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    Both existing buildings will close on Friday, July 10 with staff moving into the new building at Belle Vue on Monday, July To the extent that it may sometimes be necessary to delay justice in the interest of first consolidating peace, the IGAD-led peace process is not demonstrating enough progress to make that sacrifice, he concluded.

    The food truck is online at and on Twitter. But they also didn t dispute Graham s characterization of their relationship as an extramarital affair, the newspaper reported. After turning its season around, University School needed just one more victory to reach the state tournament. As of mid-November, the water level of Lake d The last time these two sides met at Scarborough in a one-day match in , Gillespie took three wickets as Yorkshire??

    Aledmys Diaz, the Cuban defector whom the St. In a country in which anything due to occur two weeks from now is considered too abstract, the leader of the central bank is portraying an economy liable to deteriorate in the long term if the Israeli economy and society do not undergo substantial changes aimed at increasing productivity. If Britain had talent even then, it took a long time for anyone to see it in young Shaw. You walk around the locker room, you can see it in the guys. You can see it in practice.

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    When I travel and cook the best thing is to use the local products to learn the region. Rainey, 32, has worked as a constituent services staffer for Moore for eight years. That work helped him develop relationships with local officials and community leaders that will help him as supervisor, he said. We got some visitors there were 30 of us in a room, mostly regime soldiers and Shabiha the general charge of the kidnappers] comes in and starts berating us. You re bad Muslims you drink, you smoke!

    And then at the end he looks at me and says, Who are you? Matthew Schrier was held captive by al-Qaida and other Islamist groups in Syria in the spring and summer of Looking back, some of his memories seem more hilarious to him than macabre. The general looked at him, wondering what a foreigner was doing among prisoners who had been fighting Syrian rebels on behalf of Bashar Assad s regime.

    I said, I m an American photographer. He said, What are you doing here? I m like, They kidnapped me! So I stood up out of respect and started talking to him. Did they torture you, the general asked. Yeah they tortured me. Now Schrier s story takes an interesting turn.

    Now there was also this Moroccan al-Qaida jihadist. So he had converted me Islam] and he s all proud of that. The general sneered, Why don t you wait until you get back to America to become a Muslim. And tell the Jews they can stay in America, because we have the Alawites here. I ll be sure to let them know. Since his bold escape from al-Qaida, Schrier has been living in the US. At the time, 60 Minutes producer Graham Messick described the former prisoner as clearly traumatized… but his personality is not a victim personality.

    He s tough and funny. He reminded me of the characters on the show MASH. Schrier is even more passionately animated today. It is perhaps no surprise that he has been asked to speak at a Yom Kippur event in California. And that is something that he wants to stress.

    He described the moment the general told him to tell the Jews to stay in America as his Jewish moment. Here was an American Jew standing in a prison cell in Syria, in the midst of a brutal war, having converted to Islam for pragmatic reasons, listening to insults about his people.

    I am Jewish, and I am proud to be Jewish and was bar mitzva-ed. My family is from Brooklyn, and my great-grandparents came from Russia in the early 20th century.

    We observed holidays when I was a kid, and we weren t very religious. I am a proud Jew, and I converted as a strategic tactic because that is the smart thing to do. Schrier was one of the first journalists to return from Syria after a round of kidnappings. They also mentioned Austin Tice, who disappeared in Darayya, Syria, in When ISIS began beheading journalists and other abductees in , the long silence in the American media was broken.

    It became clear just how lucky Schrier was. His American cell mate Peter Theo Curtis Theo Padnos , who was badly tortured, was released in August , after a deal was reached with the extremists holding him. Schrier relates a prisoner experience mixed with light moments and difficulties getting along with his cell mate. Initially Schrier had been held in isolation, until he describes flipping out to prove he was not a CIA spy.

    Then he was moved to be with the imprisoned regime soldiers, mostly Alawites from the same minority as Assad s family. After 18 days with the regime fighters, Schrier was moved again to an isolation cell and then into a cell with Curtis.

    The rebels had nicknames for them. Patients were divided into four quartiles, 5years each. Baseline risk factors and comorbidities were recorded. Sub-analysis was done for patients with established CAD and their household incomes. A total of patients This trend is greater in the lower income population. Fuji Electric advanced the development of the conventional alarm personal dosemeter APD by adopting JIS Z , which reflects IEC , and by improving the radiation performance characteristics, electromagnetic performance characteristics and mechanical performance characteristics of the APD acquiring a CE marking.

    This new dosemeter will target overseas market in the future. The APD is a suitable dosemeter for detecting and monitoring radiation exposure to personnel working in the controlled areas of nuclear facilities, such as nuclear power stations.

    This system relies on the crew's ability to remember what each tone represents in a high stress, high workload environment when responding to the alert.

    Furthermore, crew receive a year or more in advance of the mission that makes remembering the semantic meaning of the alerts more difficult.

    The current system works for missions conducted close to Earth where ground operators can assist as needed. On long duration missions, however, they will need to work off-nominal events autonomously. There is evidence that speech alarms may be easier and faster to recognize, especially during an off-nominal event. The studies evaluated tone alerts currently in use with NASA flight deck displays along with candidate speech alerts.

    A follow-on study used four types of speech alerts to investigate how quickly various types of auditory alerts with and without a speech component - either at the beginning or at the end of the tone - can be identified.

    Even though crew were familiar with the tone alert from training or direct mission experience, alerts starting with a speech component were identified faster than alerts starting with a tone. The current study replicated the results from the previous study in a more rigorous experimental design to determine if the candidate speech alarms are ready for transition to operations or if more research is needed.

    Four types of alarms caution, warning, fire, and depressurization were presented to participants in both tone and speech formats in laboratory settings and later in the Human Exploration Research Analog HERA. In the laboratory study, the alerts were presented by software and participants were. Behavioral alarm treatment for nocturnal enuresis.

    To investigate the efficacy of alarm treatment in a sample of Brazilian children and adolescents with nocturnal enuresis and relate treatment success to age and type of clinical support. During 32 weeks, 84 children and adolescents received alarm treatment together with weekly psychological support sessions for individual families or groups of 5 to 10 families. The result was similar for children and adolescents and for individual or group support.

    The time until success was shorter for participants missing fewer support sessions. Alarm treatment was effective for the present sample, regardless of age or type of support. Missing a higher number of support sessions, which may reflect low motivation for treatment, increased the risk of failure.

    This instrument is a highly reliable pocket dosimeter which has been developed for personal monitoring use. The dosimeter generates an alarm sound when the exposure dose reaches a preset value. Using a tiny GM tube for a radiation detector and measuring the integrated dose by means of a digital counting method, this new pocket dosimeter has high accuracy and stability. Using a sealed alkali storage battery for the power supply, and with an automatic control charger, this dosimetry system is easy and economical to operate and maintain.

    Detectable radiation by the dosimeter are X and.. Standard preset dose values are 30, 50, 80 and mR. The dosimeter is continuously usable for more than 14 hours after charging for 2 hours. The dosimeter has the following features; good realiability, shock-proof loud and clear alarm sound, the battery charger also serves as a stock container for the dosimeters, and no switching operation required for the power supply due to the internal automatic switch.

    Therefore, the dosimetry system is very useful for personal monitoring management in many radiation industry establishments. Validation of the Rome III criteria and alarm symptoms for recurrent abdominal pain in children. Rome criteria were formulated to define functional gastrointestinal disorders Rome III criteria, excluding organic diagnoses when alarm symptoms were absent. The aims of the study were to validate the Rome III criteria as to their capacity to differentiate between organic and functional abdominal pain and to assess the role of alarm symptoms in this differentiation.

    During 2 years all of the patients ages years presenting with recurrent abdominal pain Apley criteria and referred to secondary care were included.

    Clinical diagnoses were based on protocolized evaluation and intervention with 6-month follow-up. Alarm symptoms were registered. Rome III criteria for functional pain syndromes were assigned independently. Descriptive statistical analyses were performed. In patients 87 boys, mean age 8. Alarm symptoms were found in Rome diagnoses, based on symptoms and absence of alarm symptoms, predicted functional clinical diagnosis with sensitivity 0.

    The Rome III criteria for abdominal pain are not specific enough to rule out organic causes. Alarm symptoms do not differentiate between organic and functional abdominal pain. An alarming factor for type 1 diabetes mellitus. Full Text Available Type 1 diabetes is a multi-factorial disease that can develop due to the combination of genetic and environmental factors. Viruses, particularly enteroviruses, are major environmental candidates in the pathogenesis of type 1 diabetes, even though the mechanisms of pathogenicity of these viruses and their effects on the immune system have not been understood very well yet.

    Previous studies show that any imbalance in the population of different lymphocyte subsets could develop autoimmune diseases. Our theory is that enteroviral infection causes an impairment in the distribution of lymphocyte subtypes and consequently results in the diabetes onset in some individuals.

    This study was conducted to investigate the relationship between enteroviral infection and type 1 diabetes mellitus in an Iranian population, and suggestion a predicting approach for susceptible subjects.

    Alarm management a comprehensive guide. In this second edition, Alarm Management: A Comprehensive Guide, various problems of alarm systems are covered with precise guidance on how they come about and how to effectively correct them.

    It is written by individuals with vast experience in the different plants, processes, and environments requiring effective alarm management. The second edition is filled with good examples and explanations of procedures, with practical lists and tips on how one should proceed. It is based on hundreds of successful projects. Fundamental Principles of Alarm Design. Traditionally alarms are designed on the basis of empirical guidelines rather than on a sound scientific framework rooted in a theoretical foundation for process and control system design.

    This paper proposes scientific principles and a methodology for design of alarms based on a functional The methodology provides a set of alarms which can facilitate event interpretation and operator support for abnormal situation management.

    The proposed design methodology provides the information content of the alarms , but does not deal An alarm management system is described, comprising: We explored the process of help seeking behavior in patients with acute stroke, evaluating knowledge about stroke symptoms, socio-demographic and clinical. Line supervision of alarm communications.

    The objective of this paper is to explain the role and application of alarm communication link supervision in security systems such as for nuclear facilities. The vulnerabilities of the various types of alarm communication links will be presented.

    Throughout the paper, an effort has been made to describe only those technologies commercially available and to avoid speculative theoretical solutions. Alarm processing - Ways to the future. After a brief presentation of the main characteristics an efficient alarm system should have, a presentation of the N4 alarm processing and presentation is described in terms of reduction in alarm occurrence, alarm handling and operator presentation.

    The EDF experiments on the future alarm processing expected for the next generation of the French nuclear plants are then presented. This alarm system will manage the alarms functionally in order to present to the operators the real consequences on the whole plant of a dedicated alarm and try to imbed deeply the alarm presentation within the operating formats and the procedures.

    Development of radiation alarm monitor. The Radiation Alarm Monitor is developed domestically in order to protect radiation workers from over exposure. The Radiation Alarm Monitor with microprocessor installed can record the information of radiation field before and after accidents.

    It can also provide the data to analyze the accident and to set a counterplan. In order to protect workers from over exposure, light and sound alarm had been designed to initiate when accident occurs such as an unexpected change of radiation field such as radiation rate and accumulated dosed between 90 min.

    In addition, the Radiation Alarm Monitor interfaces with computer so that the accident can be analyzed. The performance testing was car-ried out under various conditions of temperature, humidity, vibration and electromagnetic wave hindrance by Korea Research Institute of Standards and Science KRISS. As a result, the Radiation Alan-n Monitor passed all test.

    Also, for the Radiation Alarm Monitor, environmental adaptability tests under the environmental conditions of NPP sites had been performed. Operating procedure will be written and distributed to every NPP sites. Radiation Alarm Monitor will be modified for use under the specific environmental conditions of each site.

    It will be distributed to NPP sites and will be used by radiation workers. Existing prediction models have a high false positive rate, leading to multiple false alarms and alarm fatigue.

    We used routine vital signs and laboratory values obtained from the electronic medical record EMR along with a machine learning algorithm called a neural network to develop a prediction model that would increase the predictive accuracy and decrease false alarm rates.

    The hematologic malignancy unit in an academic medical center in the United States. Adult patients admitted to the hematologic malignancy unit from to Vital signs and laboratory values were obtained from the electronic medical record system and then used as predictors features.

    A neural network was used to build a model to predict clinical deterioration events ICU transfer and cardiac arrest. Five hundred sixty five consecutive total admissions were available with 43 admissions resulting in clinical deterioration. We developed and tested a neural network-based prediction model for clinical deterioration in patients hospitalized in the hematologic malignancy unit.

    Our neural network model outperformed an existing model, substantially increasing the positive predictive value, allowing the clinician to be confident in the alarm raised. This system can be readily implemented in a real-time fashion in existing EMR systems. To reduce the number of nuisance electrocardiographic alarm signals in adult patients on the medical cardiovascular care unit.

    A quality improvement process was used that included eliminating duplicative alarms , customizing alarms , changing electrocardiography electrodes daily, standardizing skin preparation, and using disposable electrocardiography leads.

    In the cardiovascular care unit, the mean number of electrocardiographic alarm signals per day decreased from Use of a bundled approach to managing alarm signals decreased the mean number of alarm signals in a cardiovascular care unit.

    Then, judgement whether the generation of criticality is caused by an actual radiation detection or by noises from the power source is enabled, to provide extremely high reliability. Male genital dermatophytosis - clinical features and the effects of the misuse of topical steroids and steroid combinations - an alarming problem in India. Genital dermatophytosis has been considered rare by most Western authorities. However, to the contrary, Indian reports have shown a higher prevalence of genital dermatophytosis due to warm and humid climate, overcrowding and lack of hygiene.

    A review is presented for 24 cases of male genital dermatophytosis occurring in patients suffering from tinea cruris in India who have been randomly applying various broad-spectrum steroid antifungal and antibacterial creams containing one or more antifungal and antibiotic in addition to potent corticosteroids, mainly clobetasol propionate.

    The review also discusses the bleak scenario that prevails in India regarding the drug regulatory affairs that allow such dangerous and irrational combinations that are sold over the counter because of misinterpretation of the law and lax implementation of existing laws. Some points of advanced alarm system design. A description of some of the more relevant questions relating to advanced alarm systems for nuclear power plant installations.

    The development of such alarm systems embodies three main tasks: The major aspects of these tests are dealt with and the close relation between the alarm analysis and the plant disturbance analysis procedure is emphasized. Ultrasonic Technology in Duress Alarms. Provides the pros and cons of the most commonly used technologies in personal duress alarm systems in the school environment.

    Discussed are radio frequency devices, infrared systems, and ultrasonic technology. The alerts issued by regulatory agencies on the potential cardiac toxicity of citalopram and escitalopram have caused alarm among clinicians. A review of the data concerning this topic shows that the alarm should be limited to patients with a history of syncope or poisoning.

    As a precautionary measure, an electrocardiogram should be performed on elderly patients. Recent reports by The Joint Commission as well as the Anesthesia Patient Safety Foundation have indicated that medical audible alarm effectiveness needs to be improved.

    Several recent studies have explored various approaches to improving the audible alarms , motivating the authors to develop real-time software capable of comparing such alarms. We sought to devise software that would allow for the development of a variety of audible alarm designs that could also integrate into existing operating room equipment configurations. The software is meant to be used as a tool for alarm researchers to quickly evaluate novel alarm designs.

    A software tool was developed for the purpose of creating and annunciating audible alarms. The alarms consisted of annunciators that were mapped to vital sign data received from a patient monitor. An object-oriented approach to software design was used to create a tool that is flexible and modular at run-time, can annunciate wave-files from disk, and can be programmed with MATLAB by the user to create custom alarm algorithms.

    The software was tested in a simulated operating room to measure technical performance and to validate the time-to-annunciation against existing equipment alarms. The software tool showed efficacy in a simulated operating room environment by providing alarm annunciation in response to physiologic and ventilator signals generated by a human patient simulator, on average 6.

    Performance analysis showed that the software was capable of supporting up to 15 audible alarms on a mid-grade laptop computer before audio dropouts occurred. These results suggest that this software tool provides a foundation for rapidly staging multiple audible alarm sets from the laboratory to a simulation environment for the purpose of evaluating novel alarm designs, thus producing valuable findings for medical audible alarm standardization.

    Central alarm system replacement in NPP Krsko. Current NPP Krsko central alarm system consists of three main segments. All sections are equipped with specific BetaTone audible alarms and silence, acknowledge as well as test push buttons. The main reason for central alarm system replacement is system obsolescence and problems with maintenance, due to lack of spare parts.

    Other issue is lack of system redundancy, which could lead to loss of several Alarm Light Boxes in the event of particular power supply failure. Current central alarm system does not provide means of alarm optimization, grouping or prioritization.

    There are three main options for central alarm system replacement: Conventional annunciator system, hybrid annunciator system and advanced alarm system.

    Advanced alarm system implementation requires Main Control Board upgrade, integration of process instrumentation and plant process computer as well as long time for replacement. NPP Krsko has decided to implement hybrid alarm system with patchwork approach. The new central alarm system will be stand alone, digital, with advanced filtering and alarm grouping options.

    Sequence of event recorder will be linked with plant process computer and time synchronized with redundant GPS signal. Advanced functions such as link to plant procedures will be implemented with plant process computer upgrade in outage Central alarm system replacement is due in outage Production of sensitivity and false alarm rate. The false alarm rate and sensitivity in nuclear material monitoring system are affected by alarm principle. Two different alarm principles are studied with theory and experiment analysis in this paper.

    Our research shows that theory analysis and experiment result are accordant very much. This study provides technology support for designing better alarm principle in nuclear material monitoring system. Clinical management of patients with hyperthyroidism. The clinical management of the hyperthyroid patient is controversial, because there is no perfect treatment. Factors that influence the choice of therapy include the patient 's age, sex, and type of hyperthyroidism, as well as patient and physician preference.

    It employs a Java Message Service JMS for communication between the modular pieces of the toolkit, which include an Alarm Server to maintain the current alarm state, an arbitrary number of Alarm Client user interfaces GUI , and tools to annunciate alarms or log alarm related actions.

    Web reports allow us to monitor the alarm system performance and spot deficiencies in the alarm configuration. The Alarm Client GUI not only gives the end users various ways to view alarms in tree and table, but also makes it easy to access the guidance information, the related operator displays and other CSS tools. It also allows online configuration to be simply modified from the GUI. Coupled with a good ' alarm philosophy' on how to provide useful alarms , we can finally improve the configuration to achieve an effective alarm system.

    Functional alarming and information retrieval. This paper deals with two facets of the design and efficient utilisation by operating personnel of computer-based interfaces for monitoring and the supervisory control of complex industrial systems - e.

    These are alarming and information retrieval both of which are extremely sensitive to computerisation. For example, the advent of computers for display requires that some means of assuring easy and rapid access to large amounts of relevant stored information be found.

    In this paper, alarming and information retrieval are linked together through a multilevel functional description of the target plant. This representation serves as a framework for structuring the access to information as well as defining associated '' alarms '' at the various descriptive levels. Particular attention is paid to the level where mass and energy flows and balances are relevant. It is shown that the number of alarms here is reduced considerably while information about content and interrelationships is enhanced - which at the same time eases the retrieval problem.

    Semi-supervised detection of intracranial pressure alarms using waveform dynamics. Patient monitoring systems in intensive care units ICU are usually set to trigger alarms when abnormal values are detected. Alarms are generated by threshold-crossing rules that lead to high false alarm rates.

    This is a recognized issue that causes alarm fatigue, waste of human resources, and increased patient risks. Recently developed smart alarm models require alarms to be validated by experts during the training phase. The manual annotation process involved is time-consuming and virtually impossible to achieve for the thousands of alarms recorded in the ICU every week.

    To tackle this problem, we investigate in this study if the use of semi-supervised learning methods, that can naturally integrate unlabeled data samples in the model, can be used to improve the accuracy of the alarm detection. As a proof of concept, the detection system is evaluated on intracranial pressure ICP signal alarms.

    Specific morphological and trending features are extracted from the ICP signal waveform to capture the dynamic of the signal prior to alarms.

    This study is based on a comprehensive dataset of manually labeled alarms recorded from neurosurgical patients.

    A comparative analysis is provided between kernel spectral regression SR-KDA and support vector machine SVM both modified for the semi-supervised setting. Results obtained during the experimental evaluations indicate that the two models can significantly reduce false alarms using unlabeled samples; especially in the presence of a restrained number of labeled examples.

    Poor zonular integrity may give rise to. The Alarm Data class represents instances of alarm conditions. The Alarm Filter class is used by both the Alarm Receiver and Alarm Displays to select the alarms that are of interest to a particular user. The Alarm Database class is used by the Alarm Receiver to manage the central alarm database. The Alarm Displays use the Alarm Database class to manage the local database representing the alarms on their screens.

    Hornbills can distinguish between primate alarm calls. Some mammals distinguish between and respond appropriately to the alarm calls of other mammal and bird species.

    However, the ability of birds to distinguish between mammal alarm calls has not been investigated. Diana monkeys Cercopithecus diana produce different alarm calls to two predators: Yellow-casqued hornbills Ceratogymna elata are vulnerable to predation by crowned eagles but are not preyed on by leopards and might therefore be expected to respond to the Diana monkey eagle alarm call but not to the leopard alarm call.

    We compared responses of hornbills to playback of eagle shrieks, leopard growls, Diana monkey eagle alarm calls and Diana monkey leopard alarm calls and found that they distinguished appropriately between the two predator vocalizations as well as between the two Diana monkey alarm calls.

    We discuss possible mechanisms leading to these responses. Provides a brief course overview and descriptions of its development, use, and preliminary evaluation of the patient simulation…. Fire auto alarm system intelligent trend.

    The author gives the course and trend of the fire alarm system going to more computerized and more intelligent. It is described that only the system applied artificial intelligent and confusion control is the true intelligent fire alarm system. The author gives the detailed analysis on the signal treatment of artificial intelligent applied to analogue fire alarm system as well as the alarm system controlled by confusion technology and artificial nervous net. Systems analysis of a security alarm system.

    When the Lawrence Livermore Laboratory found that its security alarm system was causing more false alarms and maintenance costs than LLL felt was tolerable, a systems analysis was undertaken to determine what should be done about the situation. This report contains an analysis of security alarm systems in general and ends with a review of the existing Security Alarm Control Console SACC and recommendations for its improvement, growth and change.

    Orthokeratology ortho-k is a special rigid contact lens worn at night to achieve myopic reduction and control. This review provides an overview on prescribing ortho-k, including clinical consideration on patient aspect and lens design; its clinical outcomes; and clinical efficacy and safety. Patient satisfaction was summarized. Such alarms shall be so arranged as to sound during the 20 second delay period prior to the discharge of carbon dioxide into the space, and the alarm shall depend This analysis is being prepared to document a basis for the design selection of the data communication method.

    This analysis will briefly describe existing data or voice communication or monitoring systems within the ESF, and look at how these may be revised or adapted to support the needed data highway of the subsurface visual alarm. The existing PLC communication system installed in subsurface is providing data communication for alcove No.

    It is given that the data communication of the subsurface visual alarm system will be a digital based system. It is also given that it is most feasible to take advantage of existing systems and equipment and not consider an entirely new data communication system design and installation.

    The scope and primary objectives of this analysis are to: College clinic service quality and patient satisfaction. The purpose of this paper is to identify the service quality dimensions that play an important role in patient satisfaction in campus clinics in Delhi; assess student satisfaction with service; and suggests ways to improve areas of dissatisfaction.

    A questionnaire was distributed to students who had completed at least two consultations at the college clinic. Convenience sampling was used to approach respondents. Factor analyses, reliability tests and the Kaiser-Meyer-Olkin measure of sampling adequacy were conducted.

    The final sample had a total of respondents. After factor analysis, the authors found that the dimensions affecting patient satisfaction are: Most students were satisfied with the professionalism of the clinic staff. More than 70 percent of the respondents reported that the clinic staff paid good attention to them. The campus clinic was deemed reliable by more than 50 percent of respondents. The students found the clinic 's location convenient, with more than 50 percent supporting its location.

    However, there was dissatisfaction among the students regarding the tangibles of the clinic , with more than 50 percent favoring upgrading. There was satisfaction among the respondents regarding the availability of the doctor after clinic hours, but contact details for the clinic staff were not easily accessible on campus. More than 60 percent of respondents were satisfied with the cleanliness of the campus clinic.

    More than 50 percent felt that the campus clinic was not equipped to deal with emergencies efficiently. At the same time, 90 percent of respondents reported the availability of referral facilities in case of. One of the main areas of focus is control room modernization. In this paper, we review approaches for and human factors issues behind upgrading alarms in the main control room of nuclear power plants. Ionization smoke detector and alarm system. An ionization smoke detector particularly suited to residential use is disclosed.

    The detector is battery-operated and is connected with a non-latching, pulsating alarm circuit. The detector has a sensing chamber formed by a perforated metallic shell and an electrode within which an insulated radiation source is centrally positioned to generate an ionization current for detecting smoke or other similar aerosols.

    The alarm circuit provides a pulsating alarm signal when smoke levels above a pre-determined value are sensed. The alarm circuit also includes a low voltage detection circuit for sounding the alarm when the end of useful battery life is approaching.

    Multi-parameter vital sign database to assist in alarm optimization for general care units. Continual vital sign assessment on the general care, medical-surgical floor is expected to provide early indication of patient deterioration and increase the effectiveness of rapid response teams. However, there is concern that continual, multi-parameter vital sign monitoring will produce alarm fatigue.

    The objective of this study was the development of a methodology to help care teams optimize alarm settings. An on-body wireless monitoring system was used to continually assess heart rate, respiratory rate, SpO 2 and noninvasive blood pressure in the general ward of ten hospitals between April 1, and January 19, Simulation scenarios assessed the total alarm rate as a function of threshold and annunciation delay s. Plots of vital sign distributions in the cloud-hosted database were similar to other large databases published by different authors.

    The cloud-hosted database can be used to run simulations for various alarm thresholds and annunciation delays to predict the total alarm burden experienced by nursing staff. This methodology might, in the future, be used to help reduce alarm fatigue without sacrificing the ability to continually monitor all vital signs. A questionnaire comparison of two alarm systems.

    The intentions were both to develop a subjective instrument for rating the effectiveness of alarm systems and to learn lessons on alarm system design from a comparison of two systems. The questionnaire was administered to reactor operations staff at two locations with different alarm systems embedded in a simulation of the same underlying PWR power plant: The questionnaire, considered as a measuring instrument, had good to high reliability and moderate to good content validity.

    The questionnaire is considered suitable for further use in the shortened form resulting from this study. Further work is also recommended. The questionnaire was able to show differences between ratings of the two alarm systems.

    The Loviisa system showed more consistency with other control room features and was better at drawing the operators' attention to important alarms. Both systems were not rated particularly well on alarm prioritisation and spurious alarms. The Halden system was better at showing naturally occurring relationships between alarms. Some of these differences may have been due to the subjects' greater familiarity with the Loviisa alarm system.

    The results nevertheless show that the questionnaire can measure subjective responses to alarm systems. Alarm system for ABWR main control panels. The alarm system can recognize essential alarms for plant safety easily and understand annunciators with each integrated annunciators and their prioritized color easily by classifying alarms into plant-level essential annunciators, system-level integrated annunciators and equipment level individual annunciators with hierarchical structure.

    Evaluating alternative responses to safeguards alarms. This paper describes a quantitative approach to help evaluate and respond to safeguards alarms. These alarms may be generated internally by a facility's safeguards systems or externally by individuals claiming to have stolen special nuclear material SNM. This approach can be used to identify the most likely cause of an alarm - theft, hoax, or error - and to evaluate alternative responses to alarms.

    Possible responses include conducting investigations, initiating measures to recover stolen SNM, and replying to external threats. Based on the results of each alarm investigation step, the evaluation revises the likelihoods of possible causes of an alarm , and uses this information to determine the optimal sequence of further responses.

    The choice of an optimal sequence of responses takes into consideration the costs and benefits of successful thefts or hoaxes. These results provide an analytical basis for setting priorities and developing contingency plans for responding to safeguards alarms. Alarm -Processing in Nuclear Power Plants. Information overload due to the activation of a great number of alarms in a short time is a common problem for the operator in the control room of a industrial plant, mainly in complex process like the nuclear power plants.

    The problem is the conventional conception of the alarm system, that defines each alarm like a separated and independent entity of the global situation of the plant. A direct consequence is the generation of multiple alarms during a significative disturbance in the process, being most of them redundant and irrelevant to the actual process state wich involves an extra load to the operator, who wastes time in acting selecting the important alarms of the group that appears or lead to a an erroneous action.

    The present work first describes the techniques developed in the last years to attack the avalanche of alarms problem. Later we present our approach to alarm -processing: Our objective is collect in the system the state of the art in the development of advanced alarm systems, offering an improvement of the information flow to the operators through the suppression of nonsignificant alarms and a structured visualization of the process state.

    Such support is important during a disturbance for the identification of plant state, diagnosis, consequence prediction and corrective actions. The system is arranged in three stages: The alarm -generation uses conventional techniques or receives them from an external system. The alarm -filter uses suppression techniques based on: The alarm presentation is made through a structured way using a priority scheme with three level.

    The knowledge representation of each alarm is based on frames and a graph of alarms for global knowledge, where the connections between nodes represent causal and irrelevance relations. Attributions of cancer ' alarm ' symptoms in a community sample. Full Text Available Attribution of early cancer symptoms to a non-serious cause may lead to longer diagnostic intervals.

    We investigated attributions of potential cancer ' alarm ' and non- alarm symptoms experienced in everyday life in a community sample of adults, without mention of a cancer context. The word cancer was not mentioned. Target ' alarm ' symptoms, publicised by Cancer Research UK, were embedded in a longer symptom list.

    For each symptom experienced, respondents were asked for their attribution 'what do you think caused it', concern about seriousness 'not at all' to 'extremely', and help-seeking 'did you contact a doctor about it': Alarm symptoms were appraised as more serious than non- alarm symptoms, and were more likely to trigger help-seeking.

    Consistent with retrospective reports from cancer patients , ' alarm ' symptoms experienced in daily life were rarely attributed to cancer. These results have implications for understanding how people appraise and act on symptoms that could be early warning signs of cancer. Background Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to provide.

    We explored patient representatives? Methods Written patient information leaflet Patient records and clinical overview. On the other hand, the EPR provides quick and easy access to lot of information and once information is entered in the EPR they stay in place.

    Information in the EPR is often updated due to real time entry, which avoid Another advantage in the creation of clinical overview, when using an EPR, is that the record is never lost. If you have access to a computer, you have access to the record.

    Besides this, the search function If the physicians are supposed to create an overview, information should be presented in ways that enables them to interpret and make sense of this information. At the same time, to support the creation Video systems for alarm assessment. The purpose of this NUREG is to present technical information that should be useful to NRC licensees in designing closed-circuit television systems for video alarm assessment. There is a section on each of the major components in a video system: Each section includes information on component selection, procurement, installation, test, and maintenance.

    Considerations for system integration of the components are contained in each section. System emphasis is focused on perimeter intrusion detection and assessment systems.

    A glossary of video terms is included. Clinical evaluation of patients with patellofemoral disorders. Accurate clinical evaluation of patients with patellofemoral disorders is the cornerstone of effective treatment.

    This article defines how a careful history and physical examination can direct strategies for nonoperative and operative management. A critical analysis of traditional methods of evaluation and a streamlined rational approach to clinical evaluation is presented.

    Key questions and important physical findings that affect treatment decisions are emphasized. An alarm multiplexer communication system. A low cost Alarm Multiplexer Communication System AMCS has been developed to perform the security sensor monitoring and control functions and to provide remote relay control capability for integrated security systems.

    Each AMCS can control up to sensors and remote relays. AMCS reports alarm status information to and is controlled by either one or two Host computers. This allows for independent operation of primary and backup security command centers. AMCS communicates with the Host computers over an asynchronous serial communication link and has a message protocol which allows AMCS to fully recover from lost messages or large blocks of data communication errors.

    Also, cost and timing information is presented. Ecological alarm system for Itaipu. At Itaipu, on the Rio Parana, Brazil and Paraguay are constructing the world's largest hydro-electric power plant with a capacity seven times as high as that of Assuan. An information system is intended to give fair warning in case of threatening ecological conditions.

    The computer-supported alarm system had four objectives: In a first step the available inventory data concerning soil, topography, vegetation and water were evaluated by expert groups according to their risk grade and ecological weight The product of these evaluations indicates the ecological deficit At a threshold value of 30, the information system automatically signals ecological alarm and locates the centre of danger via computer-plotted maps and tables.

    The necessary data are supplied periodically by selected measurement stations. Quantification of ecological facts enables the persons who are responsible for decisions at Itaipu to recognize, avoid, or diminish elements of danger even if they have little or no ecological knowledge. The file of data that has been compiled so far should be extended parallel with the development in the Itaipu area. With the help of factor analysis connections of cause and effect can be detected in this extremely complex reservoir system which has hardly been explored yet.

    Describes the innovative content and structure of an introductory course on clinical patient care at the Illinois College of Optometry. Critiques its success based on student grades and feedback, concluding that it was successful in imparting skills of data analysis but had minimal impact on students' ability to empathize with patients.

    Clinical practice guidelines in patient management. Full Text Available Efforts have always been made to evolve certain prin-ciples to reduce the variability in the management of patients and make medical care more appropriate.

    These efforts have become almost a movement since s as evidenced in the development of clinical practice guide-lines in all medical disciplines. This article describes the need for clinical practice guidelines and their de-velopment methods and qualities. Advantages and limi-tations of clinical practice guidelines are enumerated.

    The salient features of various available clinical prac-tice guidelines in urology are also described. Patients ' Values in Clinical Decision-Making. Shared decision-making involves the participation of patient and dental practitioner. Well-informed decision-making requires that both parties understand important concepts that may influence the decision. This fourth article in a series of 4 aims to discuss the importance of patients ' values when a clinical decision is made.

    We report on how to incorporate important concepts for well-informed, shared decision-making. Here, we present patient values as an important issue, in addition to previously established topics such as the risk of bias of a study, cost-effectiveness of treatment approaches, and a comparison of therapeutic benefit with potential side effects.

    We provide 2 clinical examples and suggestions for a decision tree, based on the available evidence. The information reported in this article may improve the relationship between patient and dental practitioner, resulting in more well-informed clinical decisions.

    Urethral alarm probe for permanent prostate implants. We have developed a urethral dosimetry system for real time dose verification along the urethra during permanent implant prostate brachytherapy. The urethral alarm uses 'spectroscopic dosimetry' to calculate the dose rate along the urethra in real time. The application of spectroscopic dosimetry for the urethral alarm probe was verified using Monte Carlo calculations.

    In phantom depth dose measurements as well as isotropy measurements were performed to verify the usefulness of the urethra alarm probe as an in vivo real time dosimeter. Surveys and research show that mobile communication systems in hospital settings are old and cause frequent interruptions.

    In the quest to remedy this, an Android based communication system called CallMeSmart tries to encapsulate most of the frequent communication into one hand held device focusing on reducing interruptions and at the same time make the workday easier for healthcare workers. The objective of CallMeSmart is to use context-awareness techniques to automatically monitor the availability of physicians' and nurses', and use this information to prevent or route phone calls, text messages, pages and alarms that would otherwise compromise patient care.

    In this paper, we present the results from interviewing nurses on alarm fatigue and their expectations regarding context-aware alarm handling using CallMeSmart. Alarm management for storage and transportation terminals; Gerenciamento de alarmes para terminais de transferencia e estocagem.

    Recently, in many industrial segments, it has been taken into account the issues related to the high amount of alarms that are announced in the control rooms, even if the industrial process is under normal conditions. Recent studies and surveys have shown that the three major problems related to it are: This paper aims to present the main results of a project named Alarm Management for Transfer and Storage Terminals.

    The project development is based on two different terminal surveys, in order not only to identify the most frequent causes of undesirable alarms , but also to generate design standards. The main phases of the project are: Identification and Isolation of Human Alarm Pheromones.

    Task I, Optimization of Sample Collection, focused on the collection of the putative alarm pheromone via axillary sweat samples obtained during reference physical exercise and arousal skydive conditions Display and processing issues. Office of Nuclear Regulatory Research. This paper describes a research program sponsored by the US Nuclear Regulatory Commission to address the human factors engineering HFE deficiencies associated with nuclear power plant alarm systems.

    The overall objective of the study is to develop HFE review guidance for alarm systems. In support of this objective, human performance issues needing additional research were identified. Among the important issues were alarm processing strategies and alarm display techniques.

    This paper will discuss these issues and briefly describe our current research plan to address them. Patient representatives' views on patient information in clinical cancer trials. The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate.

    The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed We explored patient representatives' views and perceptions on the written trial information used in clinical cancer trials.

    Written patient information leaflets used in four clinical trials for colorectal cancer were used for the study. The trials included phase I This article examines the role a clinical engineering or healthcare technology management HTM department can play in promoting patient safety from three different perspectives: After a general overview, Izabella Gieras from Huntington Hospital in Pasadena, CA, leads off by examining the growing role of human factors in healthcare technology, and describing how her facility uses clinical simulations in medical equipment evaluations.

    A section by Paul Sherman follows, examining patient safety initiatives from the perspective of the Veterans Health Administration with a focus on hazard alerts and recalls. Differences in alarm events between disposable and reusable electrocardiography lead wires.

    A remote monitoring team, blinded to ECG-LW type, assessed frequency and type of alarm events by using total counts and rates per patient days. Event rates were compared by using generalized linear mixed-effect models for differences and noninferiority between wire types. In patients and No between-group differences existed in false or true crisis alarms. Disposable ECG-LWs with patented push-button design had superior performance in reducing alarms created by no telemetry, leads fail, or leads off and significant noninferiority in all false- alarm rates compared with reusable ECG-LWs.

    Fewer ECG alarms may save nurses time, decrease alarm fatigue, and improve patient safety. Software releases are certified when the affected Test Procedures are successfully performed and the customers authorize installation of these changes. The features to be tested are: Alarming increase in the registration of degenerative rotator cuff-related lesions a nationwide epidemiological study investigating , patients. Shoulder lesions are common and a challenge to diagnose.

    They often result in significant disability for the patient and are an economic burden to society. From recent studies, an increasing incidence has been reported. The purpose of this study was to investigate and map Data were collected through focus groups and were analysed using inductive content analysis.

    Two major themes emerged: Subthemes related to the former included individual preferences and perceptions of effect, while subthemes related to the latter were comprehensibility and layout.

    Based on these observations the patient representatives provided suggestions for improvement, which largely included development of future simplified and more attractive informed consent forms. The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language, structured text and illustrations to improve the informed consent process and thereby patient enrolment into clinical trials.

    A Randomized, Controlled Clinical Study. Herein, the primary endpoint was to evaluate the ability of transamidated gluten to maintain GFD CD patients in clinical remission. Secondary endpoints were efficacy in prevention of the inflammatory response and safety at the kidney level, where reaction products are metabolized.

    Hip fracture in the elderly often occurs in patients with high co-morbidity. Effective management requires a comprehensive and multidisciplinary approach. To evaluate the effect of a quality improvement intervention in the detection and treatment of complications in elderly patients admitted for hip fracture. A comparative study was conducted between two groups of patients admitted for hip fracture prior to , and after a quality improvement intervention in The intervention consisted of implementing improved multidisciplinary measures in accordance with recent scientific evidence.

    The degree of compliance of the implemented measures was quantified. Patients admitted due to hip fracture in patients and patients were similar in age, sex, Barthel Index, and a reduced Charlson Index, although there were more comorbidities in After implementation of the protocols, the detection of delirium, malnutrition, anemia, and electrolyte disturbances increased.

    The average stay was reduced by The implementation of a clinical pathway in geriatric patients with hip fracture is useful to detect and treat complications at an early stage, and to reduce pre-operative and overall stay, all without a negative clinical or functional impact.

    Published by Elsevier Espana. Stimulus-response time to alarms of the intra-aortic balloon pump: To characterize the sound alarms of the Intra-Aortic Balloon Pump IABP during aortic counterpulsation therapy; to measure the stimulus-response time of the team to these; and to discuss the implications of increasing this time for patient safety from the alarm fatigue perspective.

    Withers to discuss what makes an award-winning benefits scheme

    While those would ease his physical pains, he'd then use alcohol to help Or, more specifically, cannabidiol – or, as its more more commonly called, CBD – a Considering his Packer roots, it's no surprise Wisconsin was on that tour . The oil I have is Fresh Farms CBD, which you take with a dropper. Milwaukee, Wisconsin Connoils, manufacturer of hemp and other oils, to move from the and distributes nutritional ingredients for use in a wide range of products is businesses are there, the village doesn't have the funds to do it. CBD, short for cannabidiol, is "very different" from THC, Peterson said. Why Make use of Cannabidiol CBD Oil Supplements in Brookfield WI? yet many people do hardly any to sustain the wellness of this system, due to . Wisconsin Ave., Oconomowoc prepayment required, Pilgrim Parkway, Brookfield is located west of Milwaukee in Waukesha County in an area.

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    While those would ease his physical pains, he'd then use alcohol to help Or, more specifically, cannabidiol – or, as its more more commonly called, CBD – a Considering his Packer roots, it's no surprise Wisconsin was on that tour . The oil I have is Fresh Farms CBD, which you take with a dropper.

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