EPA and other government organizations make decisions based on environmental measurements. How good are the data? How well are the data generators performing? What measurements apply to them? How can the data life cycle processes be improved so data generators can continually provide the best data? EPA's Quality Management System requirements go beyond evaluation of environmental data quality itself to examine systems associated with production, collection, processing (validation/verification), transfer, reduction, storage, and retrieval of data throughout a life cycle. This QMS specifies minimum quality requirements for particular environmental programs. But how can you measure and compare programs that go well beyond the minimum, towards optimal quality? This paper compares EPA's requirements for Quality Management Systems (R2) and Project Plans (R5) to the Software Engineering Institute Capability Maturity Model (CMMISM). The CMMISM model provides for growth (staged or continuous) and a comprehensive assessment that is not yet provided in EPA's R2 or R5. Properly implemented, the CMMISM model serves as a quality framework for integrating and aligning organizational processes and implementing a program of continual process improvements. It identifies process areas ("things to do"), and provides measures of performance ("how well things are done") against specific goals and practices. CMMISM uses a Systems Engineering Management approach, built on process models, that helps identify "how good" the system is. Goodness is defined as stages in a complete model for optimal operation. CMMISM provides two methods for evaluating the goodness of the project. The Staged model in CMMISM provides a Maturity Level that is a well-defined evolutionary plateau describing the manner in which a specified set of processes are performed. As the organization advances in maturity, these levels become more defined and processes are tailored for specific project needs. The other method is called the Continuous Model in CMMISM, and it allows you to achieve Capability Levels. These are used to describe how well each project is doing in relationship to the different process areas. There are six Capability Levels from 0-5 that apply to individual process areas. Organizations using the Capability Level approach can select individual process areas that are important to specific projects and work to improve the processes. Improving capability in individual process areas raises the organization's overall quality of products delivered. The Continuous Model, unlike the Staged Model, lets you pick higher maturity level process areas before completing all of the ones below. Environmental measurement programs need to focus on the quality of the systems where data are collected, processed, transferred, and so forth. DynCorp built on the quality foundation from our experience with R2 to successfully implement CMMISM practices in the development of Forms II Lite and other applications. DynCorp is now migrating to the CMMISM model that has evolved from the existing CMM model. The CMMISM model focuses on the full cycle of Requirements Management from identification, development, collection, refinement, analysis, and validation throughout a project life cycle. It also has a more refined focus on the identification, development, collection, analysis, and evaluation of meaningful measurements, so the results can be used to improve a process or product.

Academies and Institutes↗

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Research rewards for the critical care nurse.

Explore the source record for details and available documents.

Critical Care↗

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pH dependence of blood-brain barrier permeability to lactate and nicotine.

Brain uptake of radiolabeled D and L-lactate, D-glucose and nicotine, as measured by the intra-carotid bolus method, was examined over a range of pH of the injected solution. The uptake of L-lactate was highest at pH 6.1, and lowered significantly at pH 7.2, 7.5 and 8.4. In contrast, the uptake of the D-enantiomer was not as dramatically affected. Glucose uptake was not affected by alterations in pH. Nicotine uptake decreased with pH reduction through a range of 8.3-4.2. These data suggest that it is the uncharged molecule which penetrates the blood-brain barrier by both carrier and lipid mediation. A mechanism relating to these observations is postulated and possible relevance to lactate washout from ischemic brain discussed.

Animals↗

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Double-blind report on the efficacy of lactic acid-producing Enterococcus SF68 in the prevention of antibiotic-associated diarrhoea and in the treatment of acute diarrhoea.

A multicentre double-blind, placebo-controlled clinical trial, involving 123 patients at 10 centres, was carried out to assess the efficacy of a preparation of lactic acid-producing Enterococcus SF 68 in the prevention of antibiotic-associated diarrhoea and in the treatment of acute diarrhoea. In the prevention study, 45 patients being treated with antibiotics were given, concurrently, one capsule twice daily of either Enterococcus SF68 or placebo. Acute diarrhoea was present in 78 patients who were given the same treatment but three times daily. All treatments were continued for 7 days. Enterococcus SF 68 was shown to be effective in reducing the incidence of antibiotic-associated diarrhoea in comparison with placebo (8.7% compared with 27.2%, respectively). Patients with acute enteritis showed a significantly faster resolution of bowel abnormalities during treatment with Enterococcus SF68 compared with placebo.

Adult↗

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Gastric dilatation-volvulus in the dog with histological evidence of preexisting inflammatory bowel disease: a retrospective study of 23 cases.

The gastric dilatation-volvulus (GDV) syndrome in the dog is considered to be multifactorial. The medical records of 42 dogs treated for GDV between 1990 and 1994 were reviewed in an effort to evaluate the correlation between GDV and preexisting gastrointestinal disease. Twenty-three cases fit the inclusion criteria of an intestinal biopsy taken at the time of corrective surgery and a complete medical history. The microscopic jejunal changes expected from the acute vascular compromise in these animals were diffuse edema, dilatation of lymphatics with possible lymphangiectasia, mucosal degeneration, diapedesis of neutrophils, and rare hemorrhage. These changes were discounted. Of the 23 biopsies, 14 (61%) were consistent with the presence of an underlying inflammatory disease, and of these 14, 12 (86%) were accompanied by case histories of prior gastrointestinal disturbances. This study raises the possibility of an association between GDV and inflammatory bowel disease.

Animals↗

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Cytogenetic characterization of three cell lines derived from primary cervical tumors.

Braun et al established three cell lines from keratinizing and nonkeratinizing cervical carcinomas. These cell lines were subsequently analyzed for growth properties and physical state of the human papillomavirus type 16 genome. It was found that these cell lines have distinct growth properties in vitro and in vivo. Furthermore, they differ in the physical state of the viral genome. TC-140/7, derived from a keratinizing cervical tumor, contains primarily human papillomavirus type 16 in the episomal state. Both TC-146A and TC-146B, derived from a nonkeratinizing large-cell cervical carcinoma, contain exclusively human papillomavirus type 16 in the integrated state. The chromosomes of these three cell lines were characterized in the present study using GTG-banding analysis. The most striking chromosomal abnormalities noted in the TC-140/7 cell line were the presence of a small metacentric consistent with the morphology of an i(12p) or i(5p), an isochromosome 8q and multiple copies of chromosome 9. For TC-146A, the most notable chromosomal abnormalities were in the presence of a derivative chromosome 7 with additional material present on its long arm, an i(8q) and derivative chromosome 19's. For cell line 146B, the most notable chromosomal abnormalities were found to be a marker resembling a derivative X chromosome, a derivative chromosome 7 with additional material on its long arms, an i(8q), an i(16q) and one or more copies of a marker with morphology resembling i(17q). Fluorescent in situ hybridization experiments using select probes further corroborate the results of the conventional cytogenetic studies.

Adult↗

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Computer analysis of external counterpulsation by use of a nonlinear mathematical model of the cardiovascular system.

A pressure system externally applied to the limbs of a patient has been proven effective in assisting circulation in animal and clinical studies. In this study a nonlinear mathematical model of the cardiovascular system is utilized to determine the effectiveness of high-frequency components in the external pressure waveform. The development of the model, the method of analysis, and the results acquired with the model are presented in this report, demonstrating its suitability for the study of external counterpulsation.

Animals↗