National Monitoring System Research Articles

A Reconstruction of the WAMS-Detected Transformer Sympathetic Inrush Phenomenon

The transformer-energization inrush phenomenon is to be expected in cases when a single transformer is connected to an ac voltage source. The most commonly employed mitigation technique is to use mechanisms that enable per-phase controlled switching based on a residual magnetic-flux estimation in the transformer’s ferromagnetic iron core. However, the time scale of the phenomenon is relatively short and imposes no extremely critical issues to wide-scale power-system operation. On the other hand, the sympathetic inrush phenomenon that might occur among several parallel transformers exhibits much longer time constants (several seconds and even tens of seconds). The resulting system impact becomes longer lasting. Recently, national wide area monitoring system (WAMS) measurements indicated that a sympathetic interaction occurred between two parallel 400/110-kV transformers in the Slovenian power system. The cause was the magnetization of a second transformer in parallel to the already operational and fully loaded one in the substation in electrical vicinity to a large power plant. Apart from the WAMS, the event was also captured by the transformer’s over-current protection relay. The specifics of the event are described in this paper together with a dynamic-simulation-based reconstruction that is very important for the operator’s understanding of on-line, WAMS-provided, and system measurements.

Monitoreo de la superficie de los bosques nativos de Chile: un desafío pendiente

Forest monitoring is important for decision making of forest management and conservation. In Chile, the forest monitoring system was initiated in 1994, which has been continued through the implementation of regional updates. This has enabled a temporal monitoring of the distribution and surface covered by native forest. However, while regional updates have reported increase in the surface covered by native forest, other studies have shown an opposite trend. Therefore, the capacity of the forest monitoring system to measure the temporal variation in forest areas was evaluated. Specifically, a review of reports and official data of the national forest monitoring system was carried out through the fulfillment of three basic criteria: i) comparability, ii) replicability and iii) quality. According to our results, the Chilean forest monitoring system does not fulfill their basic requirements because: (i) methodologies have not been consistent over time; (ii) it does not provide a baseline of land cover or forest loss that allows comparisons with changing forest area; iii) there is not adequate error estimation and how it can affect the results and analysis of monitoring. The national forest monitoring system requires a redefinition of its aims and methods, guiding them to the long term by convening different stakeholders looking for a national agreement.

Correlation of respiratory syncytial virus infection with climate parameters and air pollution levels in Korean children during 2005–2012

Purpose: Respiratory syncytial virus (RSV) is the major cause of acute lower respiratory tract infection (LRTI) in infants and children. We investigated the association of meteorological conditions and air pollution with the prevalence of RSV infection. Methods: Between January 2005 and December 2012, a total of 9,113 nasopharyngeal swab specimens from children under 3 years of age who were admitted to the hospital with acute LRTI were tested for RSV antigens using a direct immunofluorescence kit. Me teorological data (mean temperature, precipitation, wind speed, and relative humidity) and air pollutant levels including PM10 (par ticulate matter with a median aerodynamic diameter less than or equal to 10 μm in diameter), nitrogen dioxide (NO2), sulfur dioxide (SO2), and carbon monoxide (CO) in Seoul during the study period were collected from the national monitoring system. The correla tions of the monthly incidence of RSV infection with climate factors and air pollutant levels were analyzed. Results: RSV infection mainly occurred between October and February, and showed the peak in November. The prevalence of RSV infection had a moderate negative correlation with mean temperature (r=-0.60, P<0.001), a weak negative correlation with relative humidity (r=-0.26, P=0.01), and precipitation (r=-0.34, P=0.001). Regarding air pollutants, RSV activity moderately correlated with NO2 (r=0.40, P<0.001), SO2 (r=0.41, P<0.001), and CO (r=0.58, P<0.001). In the RSV peak season in Korea (between October and February), RSV epidemics showed a weak positive correlation with relative humidity (r=0.35, P=0.03) and precipitation (r=0.38, P= 0.02). Conclusion: Meteorological factors and air pollutant levels may be associated with RSV activity. Therefore, further nationwide large-scaled intensive evaluations to prove factors affecting RSV activity are warranted. (Allergy Asthma Respir Dis 2018;6:206-210)

Detection of a Planktothrix agardhii Bloom in Portuguese Marine Coastal Waters.

Cyanobacteria blooms are frequent in freshwaters and are responsible for water quality deterioration and human intoxication. Although, not a new phenomenon, concern exists on the increasing persistence, scale, and toxicity of these blooms. There is evidence, in recent years, of the transfer of these toxins from inland to marine waters through freshwater outflow. However, the true impact of these blooms in marine habitats has been overlooked. In the present work, we describe the detection of Planktothrix agardhii, which is a common microcystin producer, in the Portuguese marine coastal waters nearby a river outfall in an area used for shellfish harvesting and recreational activities. P. agardhii was first observed in November of 2016 in seawater samples that are in the scope of the national shellfish monitoring system. This occurrence was followed closely between November and December of 2016 by a weekly sampling of mussels and water from the sea pier and adjacent river mouth with salinity ranging from 35 to 3. High cell densities were found in the water from both sea pier and river outfall, reaching concentrations of 4,960,608 cells·L−1 and 6810.3 × 106 cells·L−1 respectively. Cultures were also established with success from the environment and microplate salinity growth assays showed that the isolates grew at salinity 10. HPLC-PDA analysis of total microcystin content in mussel tissue, water biomass, and P. agardhii cultures did not retrieve a positive result. In addition, microcystin related genes were not detected in the water nor cultures. So, the P. agardhii present in the environment was probably a non-toxic strain. This is, to our knowledge, the first report on a P. agardhii bloom reaching the sea and points to the relevance to also monitoring freshwater harmful phytoplankton and related toxins in seafood harvesting and recreational coastal areas, particularly under the influence of river plumes.

Gap assessment in current soil monitoring networks across Europe for measuring soil functions

Soil is the most important natural resource for life on Earth after water. Given its fundamental role in sustaining the human population, both the availability and quality of soil must be managed sustainably and protected. To ensure sustainable management we need to understand the intrinsic functional capacity of different soils across Europe and how it changes over time. Soil monitoring is needed to support evidence-based policies to incentivise sustainable soil management. To this aim, we assessed which soil attributes can be used as potential indicators of five soil functions; (1) primary production, (2) water purification and regulation, (3) carbon sequestration and climate regulation, (4) soil biodiversity and habitat provisioning and (5) recycling of nutrients. We compared this list of attributes to existing national (regional) and EU-wide soil monitoring networks. The overall picture highlighted a clearly unbalanced dataset, in which predominantly chemical soil parameters were included, and soil biological and physical attributes were severely under represented. Methods applied across countries for indicators also varied. At a European scale, the LUCAS-soil survey was evaluated and again confirmed a lack of important soil biological parameters, such as C mineralisation rate, microbial biomass and earthworm community, and soil physical measures such as bulk density. In summary, no current national or European monitoring system exists which has the capacity to quantify the five soil functions and therefore evaluate multi-functional capacity of a soil and in many countries no data exists at all. This paper calls for the addition of soil biological and some physical parameters within the LUCAS-soil survey at European scale and for further development of national soil monitoring schemes.

Recommendations to harmonize European early warning dosimetry network systems

After the Chernobyl nuclear power plant accident in 1986, followed by the Fukushima Nuclear power plant accident 25 years later, it became obvious that real-time information is required to quickly gain radiological information. As a consequence, the European countries established early warning network systems with the aim to provide an immediate warning in case of a major radiological emergency, to supply reliable information on area dose rates, contamination levels, radioactivity concentrations in air and finally to assess public exposure. This is relevant for governmental decisions on intervention measures in an emergency situation. Since different methods are used by national environmental monitoring systems to measure area dose rate values and activity concentrations, there are significant differences in the results provided by different countries. Because European and neighboring countries report area dose rate data to a central data base operated on behalf of the European Commission, the comparability of the data is crucial for its meaningful interpretation, especially in the case of a nuclear accident with transboundary implications. Only by harmonizing measuring methods and data evaluation, is the comparability of the dose rate data ensured. This publication concentrates on technical requirements and methods with the goal to effectively harmonize area dose rate monitoring data provided by automatic early warning network systems. The requirements and procedures laid down in this publication are based on studies within the MetroERM project, taking into account realistic technical approaches and tested procedures.

Assessing gender responsiveness of the Government-wide Monitoring and Evaluation System in South Africa

ABSTRACTThere is growing recognition of the critical role that National Monitoring and Evaluation Systems can play in achieving sustainable development through enhancing effectiveness, efficiency and sustainability of policies and programmes. The South African government legislated the Government-wide Monitoring and Evaluation System (GWMES) in 2009. The extent of gender responsiveness of the system has not been assessed yet gender mainstreaming ensures that gender needs, realities and issues are consistently and specifically considered in policies, programmes and projects. The study utilises data from document reviews and key informant interviews to assess gender mainstreaming in the National Evaluation Policy (NEP) and the GWMES using a gender diagnostic matrix. Results indicate that the GWMES and NEP rank low in most gender-mainstreaming dimensions. However, the study concludes that existing policies and institutional frameworks if well supported by multiple stakeholders are conducive for effective gender mainstreaming within the GWMES in South Africa.

Returning HIV‐1 viral load results to participant‐selected health facilities in national Population‐based HIV Impact Assessment (PHIA) household surveys in three sub‐Saharan African Countries, 2015 to 2016

IntroductionLogistical complexities of returning laboratory test results to participants have precluded most population‐based HIV surveys conducted in sub‐Saharan Africa from doing so. For HIV positive participants, this presents a missed opportunity for engagement into clinical care and improvement in health outcomes. The Population‐based HIV Impact Assessment (PHIA) surveys, which measure HIV incidence and the prevalence of viral load (VL) suppression in selected African countries, are returning VL results to health facilities specified by each HIV positive participant within eight weeks of collection. We describe the performance of the specimen and data management systems used to return VL results to PHIA participants in Zimbabwe, Malawi and Zambia.MethodsConsenting participants underwent home‐based counseling and HIV rapid testing as per national testing guidelines; all confirmed HIV positive participants had VL measured at a central laboratory on either the Roche CAP/CTM or Abbott m2000 platform. On a bi‐weekly basis, a dedicated data management team produced logs linking the VL test result with the participants’ contact information and preferred health facility; project staff sent test results confidentially via project drivers, national courier systems, or electronically through an adapted short message service (SMS). Participants who provided cell phone numbers received SMS or phone call alerts regarding availability of VL results.Results and discussionFrom 29,634 households across the three countries, 78,090 total participants 0 to 64 years in Zimbabwe and Malawi and 0 to 59 years in Zambia underwent blood draw and HIV testing. Of the 8391 total HIV positive participants identified, 8313 (99%) had VL tests performed and 8245 (99%) of these were returned to the selected health facilities. Of the 5979 VL results returned in Zimbabwe and Zambia, 85% were returned within the eight‐week goal with a median turnaround time of 48 days (IQR: 33 to 61). In Malawi, where exact return dates were unavailable all 2266 returnable results reached the health facilities by 11 weeks.ConclusionsThe first three PHIA surveys returned the vast majority of VL results to each HIV positive participant's preferred health facility within the eight‐week target. Even in the absence of national VL monitoring systems, a system to return VL results from a population‐based survey is feasible, but it requires developing laboratory and data management systems and dedicated staff. These are likely important requirements to strengthen return of results systems in routine clinical care.

Longitudinal trends of blood lead levels before and after leaded gasoline regulation in Korea.

The objective of this study was to verify a change in the longitudinal trend of blood lead levels for the Korean population, before and after the regulation of leaded gasoline— which occurred between 1987 and 1993 in Korea. A total of 77 reports on blood lead levels among general Korean population between 1981 and 2014 were selected, and the results were summarized to have the variables of year, number of subjects, the subjects’ range in age, gender, and blood lead concentrations (arithmetic mean). The annual average atmospheric lead levels for four major cities (i.e., Seoul, Busan, Daegu and Gwangju) were collected from the Air Pollution Monitoring Database from 1991, and pilot studies from 1985 to 1990 before the national air quality monitoring system was launched in 1991. Blood lead levels were visualized in a bubble plot in which the size of each bubble represented the sample size of each study, and the annual average concentrations in ambient air were depicted on line graphs. Blood lead levels in the Korean population tended to gradually increase from the early 1980s (approximately 15-20 μg/dL) until 1990-1992 (20-25 μg/dL). Blood lead levels then began to rapidly decrease until 2014 (<2 μg/dL). Similar patterns were observed for both adults (≥20 years) and younger children/adolescents. The same longitudinal trend was observed in annual average atmospheric lead concentration, which suggests a significant correlation between air lead concentration and blood lead concentration in the general population. In conclusion, the regulation of leaded gasoline has significantly contributed to the rapid change in blood lead concentrations. And, the regulation of other sources of lead exposure should be considered to further decrease blood lead levels in the Korean population.

Geomorphic effects caused by heavy rainfall in southern Calabria (Italy) on 30 October–1 November 2015

ABSTRACTA severe rainfall event occurred in southern Calabria between 29 October and 2 November 2015, causing two deaths and serious damage to transport infrastructure. Widespread slope erosion and thousands of shallow landslides were triggered on the slopes, combined with flooding and transport of debris along the streams. Rains recorded by the regional gauge network and the national radar monitoring system were analysed by means of Kriging techniques. Ground effects were surveyed in the field, and mapped using post-event air photos taken along the coastal sector. Shallow landslides, soil erosion (including sheet, rill, and gully erosion), flooding, lateral erosion, and debris deposition along streambeds, overflow on lateral slopes, and fan deposition at the mouths of the streams were mapped at 1:60,000 scale. Isohyets of the rainfall event – in terms of cumulative maxima over 24 h – are also shown on the Main Map. In Annex A, a list of notices of processes and/or damage, arranged by municipalities, with coordinates, types of ground effect, and synthetic descriptions, is also provided.

Implementation of the European health interview survey (EHIS) into the German health update (GEDA)

BackgroundThis methodological paper describes the integration of the ‘European Health Interview Survey wave 2’ (EHIS 2) into the ‘German Health Update’ 2014/2015 (GEDA 2014/2015-EHIS).MethodsGEDA 2014/2015-EHIS is a cross-sectional health survey. A two-stage stratified cluster sampling approach was used to recruit persons aged 15 years and older with permanent residence in Germany. Two different modes of data collection were used, self-administered web questionnaire and self-administered paper questionnaire. The survey instrument implemented the EHIS 2 modules on health status, health care use, health determinants and social background variables and additional national questions. Data processing was conducted according to the quality and validation rules specified by Eurostat. ResultsIn total, 24,824 questionnaires were completed. The response rate was 27.6%. The two-stage cluster sample method seems to have been successful in achieving a sample with high representativeness. The final micro data file was inspected, approved and certified by Eurostat. Access to micro data of the EHIS 2 can be provided by Eurostat via research contract and to the GEDA 2014/2015-EHIS public use file by the Research Data Centre of the Robert Koch Institute. First EHIS 2 results are available at the Eurostat website.ConclusionsIntegrating a multinational health survey into an existing national health monitoring system was a challenge in Germany. The national survey methodology for conducting the survey had to be further developed in order to meet the overarching goal of harmonizing the health information from national statistical offices and public health research institutes across the European Union. The harmonized EHIS 2 data source will profoundly impact international public health research in the near future. The next EHIS wave 3 will be conducted around 2019.

Assessing and Monitoring Forest Degradation in a Deciduous Tropical Forest in Mexico via Remote Sensing Indicators

Assessing and monitoring forest degradation under national Monitoring, Verification and Reporting (MRV) systems in developing countries have been difficult to implement due to the lack of adequate technical and operational capacities. This study aims at providing methodological options for monitoring forest degradation in developing countries by using freely available remote sensing, forest inventory and ancillary data. We propose using Canopy Cover to separate, through a time series analysis approach using Landsat Imagery, forest areas with changes over time from sectors that report a “stable condition”. Above ground Biomass and Net Primary Productivity derived from remote sensing data were used to define thresholds for areas considered degraded. The approach was tested in a semi-deciduous tropical forest in the Southeast of Mexico. The results showed that higher rates of forest degradation, 1596 to 2865 ha year−1, occur in areas with high population densities. The results also showed that 43% of the forests of the study area remain with no evident signs of degradation, as determined by the indicators used. The approach and procedures followed allowed for the identification and mapping of the temporal and spatial distribution of forest degradation, based on the indicators selected, and they are expected to serve as the basis for operations of the Reduction of Emissions from Deforestation and Forest Degradation (REDD+) initiative in Mexico and other developing countries, provided appropriate adaptations of the methodology are made to the conditions of the area in turn.

Development of the space observation system and geophysical monitoring system in Roshydromet

Two important areas of Roshydromet activity are considered: the development of the space observation system and the creation of the system of ground-, air-, and space-based geophysical monitoring. The investigation, monitoring, and forecasting of the state of the Earth, its climate, severe weather events, catastrophes, and emergencies requires the extended usage of space observation methods. The current state is considered of hydrometeorological space system included in the Roshydromet space observation system. The space- and ground-based segments of this system are briefly described. The ground segment is based on the national space monitoring system which was developed in 1992—2010 and is geographically distributed. The works are reviewed on the formation of the Roshydromet geophysical monitoring system using ground-based, airborne, and space-based observations.

Living and dying to be counted: What we know about the epidemiology of the global adolescent HIV epidemic.

Introduction: With increasing survival of vertically HIV‐infected children and ongoing new horizontal HIV infections, the population of adolescents (age 10–19 years) living with HIV is increasing. This review aims to describe the epidemiology of the adolescent HIV epidemic and the ability of national monitoring systems to measure outcomes in HIV‐infected adolescents through the adolescent transition to adulthood. Methods: Differences in global trends between younger (age 10–14 years) and older (age 15–19 years) adolescents in key epidemic indicators are interrogated using 2016 UNAIDS estimates. National population‐based survey data in the 15 highest adolescent HIV burden countries are evaluated and examples of national case‐based surveillance systems described. Finally, we consider the potential impact of adolescent‐specific recommendations in the 2016 WHO Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection. Discussion: UNAIDS estimates indicate the population of adolescents living with HIV is increasing, new HIV infections in older adolescents are declining, and while AIDS‐related deaths are beginning to decline in younger adolescents, they are still increasing in older adolescents. National population‐based surveys provide valuable estimates of HIV prevalence in older adolescents and recent surveys include data on younger adolescents. Only a few countries have nationwide electronic case‐based HIV surveillance, with the ability to provide population‐level data on key HIV outcomes in the diagnosed population living with HIV. However, in the 15 highest adolescent HIV burden countries, there are no systems tracking adolescent transition to adulthood or healthcare transition. The strength of the 2016 WHO adolescent‐specific recommendations on antiretroviral therapy and provision of HIV services to adolescents was hampered by the lack of evidence specific to this age group. Conclusions: Progress is being made in national surveillance and global monitoring systems to specifically identify trends in adolescents living with HIV. However, HIV programmes responsive to the evolving HIV prevention and treatment needs of adolescents can be facilitated further by: data disaggregation to younger and older adolescents and mode of HIV infection where feasible; implementation of tools to achieve expanded national case‐based surveillance; streamlining consent/assent procedures in younger adolescents and consensus on indicators of adolescent healthcare transition and transition to adulthood.

Gender responsiveness diagnostic of national monitoring and evaluation systems – methodological reflections

Background: This article reflects on the implementation of a diagnostic study carried out to understand the gender responsiveness of the national monitoring and evaluation (M&amp;E) systems of Benin, South Africa and Uganda. Carrying out the study found that the potential for integrating the cross-cutting systems of gender and monitoring and evaluation (M&amp;E) are strong. At the same time, it highlighted a range of challenges intersecting these two areas of work. This article explores these issues, which range from logistical to conceptual.Objectives: This article aims to share reflections from the gender diagnostic study to enable more appropriate capacity building in the field of gender responsiveness in national M&amp;E systems. Developing more sophisticated tools to measure gender responsiveness in complex contexts is critical. A better understanding of how gender and national M&amp;E systems intersect is important to understanding firstly how we can more accurately measure the gender responsiveness of existing systems and secondly how better to engender capacity development initiatives.Method: As part of the Twende Mbele programme, Centre for Learning on Evaluation and Results (CLEAR) commissioned Africa Gender and Development Evaluator’s Network (AGDEN) to coordinate teams of researchers in Benin, Uganda, and South Africa to collaboratively develop the diagnostic tool, and then implement it by conducting a review of key documentation and to interview officials within the government wide monitoring and evaluation systems as well as the national gender machinery in each country.Results: The study found that the gender responsiveness of M&amp;E systems across all three systems was unequal, but more importantly, it is important to do more work on how M&amp;E and gender are conceptualised, to ensure this can be studied in a more meaningful way. To strengthen national monitoring and evaluation systems, gender responsiveness and equity must serve as a foundation for growth. However, intersection M&amp;E with gender is complex, and riddled with gaps in capacity, conceptual differences, and challenges bringing together disparate and complex systems.Conclusion: A stronger understanding of the linkages between M&amp;E and gender is an important starting place for bringing them together holistically.

Types and rates of forest disturbance in Brazilian Legal Amazon, 2000-2013.

Deforestation rates in primary humid tropical forests of the Brazilian Legal Amazon (BLA) have declined significantly since the early 2000s. Brazil's national forest monitoring system provides extensive information for the BLA but lacks independent validation and systematic coverage outside of primary forests. We use a sample-based approach to consistently quantify 2000-2013 tree cover loss in all forest types of the region and characterize the types of forest disturbance. Our results provide unbiased forest loss area estimates, which confirm the reduction of primary forest clearing (deforestation) documented by official maps. By the end of the study period, nonprimary forest clearing, together with primary forest degradation within the BLA, became comparable in area to deforestation, accounting for an estimated 53% of gross tree cover loss area and 26 to 35% of gross aboveground carbon loss. The main type of tree cover loss in all forest types was agroindustrial clearing for pasture (63% of total loss area), followed by small-scale forest clearing (12%) and agroindustrial clearing for cropland (9%), with natural woodlands being directly converted into croplands more often than primary forests. Fire accounted for 9% of the 2000-2013 primary forest disturbance area, with peak disturbances corresponding to droughts in 2005, 2007, and 2010. The rate of selective logging exploitation remained constant throughout the study period, contributing to forest fire vulnerability and degradation pressures. As the forest land use transition advances within the BLA, comprehensive tracking of forest transitions beyond primary forest loss is required to achieve accurate carbon accounting and other monitoring objectives.

Epidemiology and risk factors associated with surgical site infection after different types of hepatobiliary and pancreatic surgery.

Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs); however, SSI after hepatobiliary and pancreatic surgery (HBPS) has not been well investigated in a large cohort of patients. This study analyzed the factors associated with SSI following HBPS in Japan, using a Japanese national database. Data on HBPS performed between 2012 and 2014 were extracted from a national monitoring system for HAI: The Japan Nosocomial Infections Surveillance. Using multivariate logistic regression, I assessed the factors associated with SSI. The cumulative incidence of SSI following HBPS was 15.6% (2873/18,398). The incidence of SSI after pancreatoduodenectomy was 28.0%, which was significantly higher than that after liver resection and other types of HBPS (8.8 and 15.5%, respectively). Among the four traditional risk factors, the American Society of Anesthesiologists score was ineffective for predicting SSI in the final model of all three types of surgery. Additional risk factors were identified, including age and male gender. The incidence of and factors associated with SSI after the three types of HBPS analyzed differed significantly. To accurately compare hospital performance in relation to SSI following HBPS, the operative procedure category in the surveillance system must be divided into three types.

Apparent Prevalence of Swine Brucellosis in Feral Swine in the United States

Samples were collected in 35 states as part of a national monitoring system to detect multiple diseases in feral swine (Sus scrofa). During March 2009 through December 2010, we collected serum samples from 4,479 feral swine from 13 states, and 159 animals tested were seropositive for brucellosis. No difference in likelihood of infection was found between males and females, but adults were more likely than sub-adults or juveniles to be exposed to brucellosis. Feral swine sampled during winter months also were more likely to be seropositive than animals sampled during other seasons. Apparent prevalence varied among states, and seropositive animals often were clustered in specifi c counties within a state. We recommend improved diagnostics and stricter regulations on movement of feral swine both intra- and inter-state to minimize further spread of the disease and to decrease the risk of re- introduction of brucellosis into livestock.

The Effectiveness of the Braden Scale as a Tool for Identifying Nutrition Risk

Pressure injuries are a global problem affecting approximately 2.5 million patients per year. These pressure injuries can drastically impact the patients’ quality of life, with increased pain and infection 1 Lyder C. Wang Y. Metersky M. et al. Hospital-acquired pressure ulcers: Results from the national medicare patient safety monitoring system study. J Am Geriatr Soc. 2012; 60: 1603-1608 Crossref PubMed Scopus (249) Google Scholar as well as increased costs to treat. The cost to treat a pressure injury, on average, is $20,900 to $151,700, depending on the severity and extent of the ulcer, and each pressure injury is thought to add approximately $43,180 to the cost of a patient’s hospital stay. 2 US Department of Health Services Agency for Healthcare Research and Quality. Are we ready for change? 2014. http://www.ahrq.gov/professionals/systems/hospital/pressureulcertoolkit/putool1.html. Accessed November 15, 2016. Google Scholar These injuries also have been linked to increased mortality, with approximately 60,000 yearly patient deaths in the United States from complications of pressure injuries. 2 US Department of Health Services Agency for Healthcare Research and Quality. Are we ready for change? 2014. http://www.ahrq.gov/professionals/systems/hospital/pressureulcertoolkit/putool1.html. Accessed November 15, 2016. Google Scholar However, with the correct identification of risk and prompt intervention, they are most often preventable.

Design and development of national geographic condition monitoring system based on WebGIS

Our purpose was to systematically grasp the authoritative, objective, and accurate information of national geographical conditions, and improve the scientific level of management decision-making; this paper designs a national geographical monitoring system based on WebGIS. The system realizes the functions of storage, management, analysis, and visualization of the spatial data of the national geographical condition. It is applied to Xicheng District of Beijing to realize the monitoring of planning implementation assessment, ecological environment protection, historical and cultural city, and traffic travel. The system can use the Web browser to query and publish the information of national geographical conditions conveniently and quickly.