Water monitoring to support the State of Illinois Governor's Drought Response Task Force -August 7, 2012

2012 ◽  
Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Janice Sandt ◽  
Sarah E Brown ◽  
Colleen Lechtenberg ◽  
Cherie Boxberger

Background and Purpose: Kansas is a rural state lacking geographically distributed Primary Stroke Centers. Of the 128 hospitals in the state, 88 are designated as Critical Access (< 25 beds). The IV r-tPA treatment rate in the state of Kansas is less than 2%. The pre-transport death rate for patients experiencing stroke is 55.4% .The Kansas Initiative for Stroke Survival (KISS) is a non-government task force with the goal of improving stroke survival among Kansans. The task force encourages hospitals to meet the criteria as Emergent Stroke Ready and based on this status engage with their individual communities, emphasizing the need to seek immediate assistance by EMS and arrive at the closest Emergent Stroke Ready hospital. Methods: The Kansas State Stroke Task force determined requirements for a facility to be considered Emergent Stroke Ready. This information was distributed to all acute care hospitals, asking them to attest to their current Emergent Stroke Ready status. Responding facilities were provided access to a 24 x 7 Stroke Support Line - providing access to stroke specialists for the purpose of guiding evaluation and treatment decisions for r-tPA administration or need to transfer to a higher level of care. Also provided is a community education kit. Data is reported through a monthly online survey or GWTG database. Results: In the first phase of the KISS project - forty-two hospitals attested as Emergent Stroke Ready Hospital or were certified Primary Stroke Centers representing an increase from 7% to 33% of hospitals in the state. The post-KISS implementation IV r-tPA treatment rate for the reporting Emergent Stroke Ready Hospitals was 48% compared with a pre-KISS treatment rate of 6%. The post-KISS implementation transfer rate was 26.7% compared with a pre-KISS transfer rate of 18%. Conclusions: The KISS program resulted in a significant increase in the number of Emergent Stroke Ready facilities, stroke patients reporting to their local hospitals, stroke specialist consultations and use of IV r-tPA. A low-cost, statewide program that provides standardized protocols and direct phone consultation can improve access to stroke specialists and approved stroke treatment while offering a cost effective, feasible alternative to telestroke.


2003 ◽  
Vol 48 (7) ◽  
pp. 9-16 ◽  
Author(s):  
S.D. Lindloff

For two years, the State of New Hampshire has worked to institutionalize the option of dam removal. The high gradient streams that flow through the granite hills and mountains of this small northeastern state provided ideal conditions for dam construction, particularly during AmericaÕs Industrial Revolution of the 1800s when mills were constructed throughout the area. With more than 4,800 dams in the stateÕs database, there are many opportunities for the removal of dams that no longer serve a useful purpose, have become a public safety hazard and impact the river environment. Efforts to facilitate removal of dams in New Hampshire include the formation of a River Restoration Task Force and the creation of a dam removal program within the state agency responsible for regulating dams. This has led to the removal of two dams in the past year, with approximately ten additional projects in various stages of planning. A history of this agency-led initiative, as well as a discussion of the programÕs strengths, challenges and goals for the future are presented.


2002 ◽  
Vol 2 (4) ◽  
pp. 1-20 ◽  
Author(s):  
A.O. Lambert

Since the 1991 IWSA International Report on “Unaccounted for Water and the Economics of Leak Detection”, the topic of management of water losses in distribution systems has received increased attention. This International Report seeks to present an overview of the “state of the art” in management of Water Losses, based on the Reports prepared by National Rapporteurs, the recent recommendations of the IWA Task Forces on Water Losses and Performance Measures, and improved concepts for modelling components of leakage and pressure: leakage relationships. The IWA Task Force recommendations provide overdue clarification and guidance on several issues that have caused persistent problems in quantifying Water Losses and comparing the effectiveness of their management. It is hoped that this Report will assist in the promotion of a more standardised international approach to the definition, assessment, monitoring and management of Non-Revenue Water and Water Losses.


2019 ◽  
Author(s):  
Toshikazu Kawagoe ◽  
Keiichi Onoda ◽  
Shuhei Yamaguchi

Mind wandering is a phenomenon in which attention drifts away from a given task towards task-unrelated thoughts. Recent studies have demonstrated that mind wandering occurs during tasks in which participants are demotivated. However, motivation ranges on a continuum from trait to state. We examined the association between trait/state motivation and trait/state mind wandering. We used common questionnaires and an experience sampling method through a sustained attention response task for measuring those indices. Through correlation analyses, we demonstrated an association between motivation and mind wandering within the same dimension (trait and state, respectively) but found no association across dimensions. Our results indicate that motivation in personality affects the occurrence of daily mind wandering, but not state mind wandering, which is affected by state motivation. Although the relationship between motivation and mind wandering is substantial, mind wandering at the state-level might be a more phasic phenomenon than expected, driven by a range of factors such as state motivation.


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