Presentation Slides: This is a technical presentation discussing the harmonization of water quality standards/screening procedures used by the EPA Office of Water for establishing water quality criteria under the Clean Water Action and the EPA Office of Pesticide Programs for evaluation of the potential impacted of pesticide products under the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA).
ACIL White Paper On Third Party AccreditationFSEABOARD
The document discusses the economic benefits of transitioning the National Environmental Laboratory Accreditation Program (NELAP) from a system operated by state regulatory agencies to a third-party accreditation model. Budget constraints have negatively impacted states' ability to effectively manage NELAP, reducing assessment frequency and consistency. The proposed third-party system would relieve states of the cost burden while improving program administration, stability, and assessment quality through independent accredited bodies. Laboratories would pay accreditation fees directly to third parties, freeing up state resources for licensing and enforcement. Experts believe this coordinated approach could virtually eliminate costs to states while strengthening the program.
AbbVie has acquired Stemcentrx. Learn more from the first outside investor and board member, Stuart Peterson: https://medium.com/artis-ventures/congratulations-stemcentrx-e65576762d28
This document provides an overview of Archway Health Advisors' oncology care management savings model and estimate of savings for Oncology Care Practice. Archway analyzed CMS claims data to establish national, state, regional, and practice-level benchmarks. Oncology Care Practice's costs are higher than benchmarks, especially for chemotherapy and outpatient services. Archway's savings model estimates annual savings ranging from $1.3-1.6 million from reducing ER visits, avoidable hospitalizations, service duplication, and increasing chemotherapy pathway adherence through care management. Oncology Care Practice could expect $1.3 million in payments over two years and $4.3 million over five years of the OCM program.
Sustainable chemistry is the design and use of chemicals that minimize impacts to human health, ecosystems and the environment. To assess sustainability, chemicals must be evaluated not only for their toxicity to humans and other species, but also for environmental persistence and potential formation of toxic products as a result of biotic and abiotic transformations. Traditional approaches to evaluate these characteristics are resource intensive and normally lack biologically mechanistic information that might facilitate a “safety by design” approach. A more promising approach would exploit recent advances in high-throughput (HT) and high-content (HC) screening methods coupled with computational methods for data analysis and predictive modelling. The elements of a framework to assess sustainable chemistry could rely on integration of non-testing approaches such as (Q)SAR and read-across, coupled with prediction models derived from HT/HC methods anchored to biological pathways (eg., Adverse Outcome Pathways). Acceptance and use of such integrated approaches necessitates a level of validation that demonstrates scientific confidence for specific decision contexts. Here we illustrate a scientific confidence framework for Tox21 approaches underpinned by a mechanistic basis, and illustrate how this will drive the development of enhanced non-testing approaches. This framework also focuses development of prediction models that are hybrid yet local in terms of their chemistry in nature. Specific examples highlight how the extensive testing library within ToxCast was profiled with respect to its chemistry, resulting in new insights that direct strategic testing as well as formulate new predictive models specifically SARs. This abstract does not necessarily reflect U.S. EPA policy.
This document discusses using supervised classification of aerial imagery to identify methamphetamine lab locations in Denver, Colorado. The researcher obtained 2008 meth lab location data and aerial images. He used ERDAS to perform supervised classification to identify healthy and unhealthy vegetation, then analyzed meth lab sites against control sites. The results showed no statistically significant difference between meth lab and control sites in Denver's urban environment, likely due to low image quality. Better identification may require higher quality images, more samples, and analysis in rural areas with open fields.
The document discusses the hematopoietic cell transplant (HCT) program at City of Hope Medical Foundation. It notes that the program is the second largest in the US, performing over 13,000 transplants. The focus and volume of the program has led to rapid integration of new therapies, continuous quality improvement, and survival outcomes above expected levels for 11 consecutive years according to an analysis by the Center for International Blood and Marrow Transplant Research. The analysis shows City of Hope is the only transplant center in the US to have performed above expected survival levels for 11 straight years.
The monitoring program has a goal of managing contaminants of emerging concern and deriving water quality standards from 2007-present with a budget of $11 million. It monitors 375 substances nationwide at 115 points each season, focusing on substances like metals, volatile organic compounds, pharmaceuticals, pesticides, and more. Standards have been derived for 1,4-Dioxane, Formaldehyde, and Hexachlorobenzene based on a process that selects candidate substances, monitors them nationwide, performs risk assessments, and derives standards while building a database and establishing a monitoring system. Issues around aligning water quality standards with drinking water standards and balancing scientific and stakeholder criteria remain.
ACIL White Paper On Third Party AccreditationFSEABOARD
The document discusses the economic benefits of transitioning the National Environmental Laboratory Accreditation Program (NELAP) from a system operated by state regulatory agencies to a third-party accreditation model. Budget constraints have negatively impacted states' ability to effectively manage NELAP, reducing assessment frequency and consistency. The proposed third-party system would relieve states of the cost burden while improving program administration, stability, and assessment quality through independent accredited bodies. Laboratories would pay accreditation fees directly to third parties, freeing up state resources for licensing and enforcement. Experts believe this coordinated approach could virtually eliminate costs to states while strengthening the program.
AbbVie has acquired Stemcentrx. Learn more from the first outside investor and board member, Stuart Peterson: https://medium.com/artis-ventures/congratulations-stemcentrx-e65576762d28
This document provides an overview of Archway Health Advisors' oncology care management savings model and estimate of savings for Oncology Care Practice. Archway analyzed CMS claims data to establish national, state, regional, and practice-level benchmarks. Oncology Care Practice's costs are higher than benchmarks, especially for chemotherapy and outpatient services. Archway's savings model estimates annual savings ranging from $1.3-1.6 million from reducing ER visits, avoidable hospitalizations, service duplication, and increasing chemotherapy pathway adherence through care management. Oncology Care Practice could expect $1.3 million in payments over two years and $4.3 million over five years of the OCM program.
Sustainable chemistry is the design and use of chemicals that minimize impacts to human health, ecosystems and the environment. To assess sustainability, chemicals must be evaluated not only for their toxicity to humans and other species, but also for environmental persistence and potential formation of toxic products as a result of biotic and abiotic transformations. Traditional approaches to evaluate these characteristics are resource intensive and normally lack biologically mechanistic information that might facilitate a “safety by design” approach. A more promising approach would exploit recent advances in high-throughput (HT) and high-content (HC) screening methods coupled with computational methods for data analysis and predictive modelling. The elements of a framework to assess sustainable chemistry could rely on integration of non-testing approaches such as (Q)SAR and read-across, coupled with prediction models derived from HT/HC methods anchored to biological pathways (eg., Adverse Outcome Pathways). Acceptance and use of such integrated approaches necessitates a level of validation that demonstrates scientific confidence for specific decision contexts. Here we illustrate a scientific confidence framework for Tox21 approaches underpinned by a mechanistic basis, and illustrate how this will drive the development of enhanced non-testing approaches. This framework also focuses development of prediction models that are hybrid yet local in terms of their chemistry in nature. Specific examples highlight how the extensive testing library within ToxCast was profiled with respect to its chemistry, resulting in new insights that direct strategic testing as well as formulate new predictive models specifically SARs. This abstract does not necessarily reflect U.S. EPA policy.
This document discusses using supervised classification of aerial imagery to identify methamphetamine lab locations in Denver, Colorado. The researcher obtained 2008 meth lab location data and aerial images. He used ERDAS to perform supervised classification to identify healthy and unhealthy vegetation, then analyzed meth lab sites against control sites. The results showed no statistically significant difference between meth lab and control sites in Denver's urban environment, likely due to low image quality. Better identification may require higher quality images, more samples, and analysis in rural areas with open fields.
The document discusses the hematopoietic cell transplant (HCT) program at City of Hope Medical Foundation. It notes that the program is the second largest in the US, performing over 13,000 transplants. The focus and volume of the program has led to rapid integration of new therapies, continuous quality improvement, and survival outcomes above expected levels for 11 consecutive years according to an analysis by the Center for International Blood and Marrow Transplant Research. The analysis shows City of Hope is the only transplant center in the US to have performed above expected survival levels for 11 straight years.
The monitoring program has a goal of managing contaminants of emerging concern and deriving water quality standards from 2007-present with a budget of $11 million. It monitors 375 substances nationwide at 115 points each season, focusing on substances like metals, volatile organic compounds, pharmaceuticals, pesticides, and more. Standards have been derived for 1,4-Dioxane, Formaldehyde, and Hexachlorobenzene based on a process that selects candidate substances, monitors them nationwide, performs risk assessments, and derives standards while building a database and establishing a monitoring system. Issues around aligning water quality standards with drinking water standards and balancing scientific and stakeholder criteria remain.
La Unión Europea ha acordado un paquete de sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen restricciones a las transacciones con bancos rusos clave y la prohibición de la venta de aviones y equipos a Rusia. Los líderes de la UE esperan que las sanciones aumenten la presión económica sobre Rusia y la disuadan de continuar su agresión contra Ucrania.
La Religión y el Mundo Actual de Federico Salvador Ramón – 10 – Condúcete a ...Antonio García Megía
Este documento resume el contexto histórico y social en el que se publicó el artículo original de Federico Salvador Ramón en 1918-1919. Describe cómo la Primera Guerra Mundial marcó el fin de la era del positivismo y el racionalismo del siglo XIX y dio paso a nuevas corrientes irracionalistas. También señala que la guerra despertó nuevas luchas ideológicas entre el cristianismo y corrientes anticristianas como el socialismo. El autor concluye que, tras la destrucción de la guerra,
A responsive web design makes changes to your website according to the device it is being used at and provides a better user experience. Medical website design task in hand the feature of making a website compatible with all the devices be it a desktop, laptop, a tablet, Mac or a Smartphone is a given standard.
O documento discute a transferência de calor em caldeiras e fornos, mencionando que envolve troca de calor por radiação, convecção e condução térmica. Explica que a troca de calor na fornalha, onde ocorre a combustão, é basicamente por radiação térmica. Também apresenta modelos para cálculo da troca de calor por radiação na fornalha, considerando-a como um reator perfeitamente misturado.
"Ліцейський вісник" за вересень 2016 р.Дмитрий Мяч
МЕДІА КОМАНДА
Головний редактор – Гурська Олена
Шеф-редактор – Маренич Марія
Фотографи, кореспонденти: Склезь Ольга, Зінкевич Анастасія, Квітка Кирило, Лісневська Поліна
Maidan Technology LLC is an IT company established in 2014 in Sharjah, UAE. It helps customers leverage technology expertise and services to improve business. Maidan offers a wide range of IT solutions including networking, security, data protection, and more. It aims to exceed client requirements and ensure customer satisfaction. Maidan works with major technology providers and monitors systems 24/7 to rapidly respond to issues.
This document discusses nationalism in Gilgit Baltistan and analyzes the Balawaristan National Front (BNF). It notes that BNF demands independence for Gilgit Baltistan and rejects Pakistan's control. It provides a case study of BNF, discussing its formation, leaders like Hamid Khan and Nawaz Khan Naji, and transformation into a nationalist party. Causes of nationalism in Gilgit Baltistan include less representation, lack of development and opportunities. Recommendations include giving constitutional rights to Gilgit Baltistan and addressing unemployment and infrastructure issues.
This document provides a summary of the qualifications and experience of Manoj Tyagi, Ph.D. He has over 15 years of experience in quality management, regulatory compliance, and laboratory accreditation. Currently he serves as the Chief Scientific Officer and Laboratory Director of Captiva Lab LLC, where he oversees CLIA and accreditation compliance. He has extensive expertise in clinical chemistry, toxicology, and workplace drug testing.
Based on the information provided:
- There is no information about whether the hospital offers pre-surgery full blood count testing to optimise patient blood levels before surgery, in line with patient blood management guidelines.
- The transfusion was documented in the patient record, meeting criterion 2.
- An adverse event of transfusion associated circulatory overload occurred, meeting criterion 3 for reporting incidents.
- However, there is no information provided about whether the patient received information about alternatives to transfusion or risks/benefits, in line with criterion 4 on communicating with patients. The patient's complaint suggests this information and discussion of options may not have occurred.
- Informed consent for the transfusion is also not mentioned,
Chris Impellitteri: EPA's update on PFAS analytical methodsOECD Environment
On 11 June 2020, the OECD hosted a webinar on the latest developments in analytical and monitoring methods for PFASs. It is important to understand the levels and trends of PFASs in the global environment, biota and in products so as to take relevant measures to reduce environmental and human exposure.
The webinar featured the following speakers:
Introduction by Eeva Leinala, Principal Administrator, Environment Directorate, OECD
Shoji Nakayama, Centre for Health and Environmental Risk Research, National Institute for Environmental Studies, Japan presented work on worldwide trends in tracing PFAS in the environment;
Chris Impellitteri, EPA’s Office of Research and Development, United States presented an update on EPA’s Analytical Methods for PFAS;
Stefan Posner, Independent researcher, presented work on the development of CEN and ISO test methods for the analysis of PFAS in textile and leather.
The webinar video recording is available at: https://youtu.be/O9s4qvD9i_c
Dr. Kelvin Chan gave a short explanation on what real-world evidence (RWE) is, how they can be used in cancer care and what benefits patients can get from the real-world evidence. He will also introduce the Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration, which is a pan-Canadian collaboration working on developing a framework to generate and use real-world evidence to inform cancer drug funding decisions.
The webinar was followed by an interactive question & answer session.
Bioassessment Approach to MS4 Evaluation and AssessmentJPoore
Jesse Poore presented logic and background information that supports integration of stream bioassessments into MS4 evaluation and assessment procedures.
This document provides guidance on bioanalytical method validation. It discusses validation parameters such as selectivity, accuracy, precision, recovery, calibration curves, and stability. Full validation is recommended when developing a new bioanalytical method or validating a revised method. Partial validation may be done for modifications like changes in matrix, reagents, or instrumentation. Cross-validation between methods and labs is also addressed. Recommendations are provided for chemical and microbiological/ligand-binding assay validation.
1) The study results differed from randomized controlled trials on some outcomes like mortality and stroke risk.
2) There are differences in warfarin management between clinical trials and real-world settings that could impact results.
3) Excluding many warfarin users from the matched analysis impacts the generalizability of the findings.
4) There may be unmeasured confounding when comparing warfarin to NOACs or different NOACs.
5) The study relies on claims-based outcome algorithms that were not all directly confirmed.
6) Treatment persistence in the study could lead to bias or
This study used Medicare claims data to compare risks of stroke, bleeding, and death between warfarin and four non-vitamin K antagonist oral anticoagulants (NOACs) in older patients with atrial fibrillation. Researchers assembled an inception cohort of over 500,000 patients newly initiating warfarin or a NOAC between 2010-2015. Patients were propensity score matched and weighted to balance characteristics between treatment groups. Outcomes during follow-up were compared between warfarin and individual NOACs using adjusted Cox proportional hazards models, finding lower risks of stroke, bleeding, and death for NOACs versus warfarin.
This study used Medicare claims data to compare risks of stroke, bleeding, and death between warfarin and four non-vitamin K antagonist oral anticoagulants (NOACs) in patients with atrial fibrillation. Researchers assembled an inception cohort of over 500,000 new warfarin users and over 260,000 new NOAC users. They used propensity score matching and weighting to balance patient characteristics between the treatment groups. Outcomes were compared using Cox proportional hazards models, finding lower risks of stroke, bleeding, and death for NOACs compared to warfarin. This provided real-world evidence on effectiveness and safety of NOACs versus warfarin.
La Unión Europea ha acordado un paquete de sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen restricciones a las transacciones con bancos rusos clave y la prohibición de la venta de aviones y equipos a Rusia. Los líderes de la UE esperan que las sanciones aumenten la presión económica sobre Rusia y la disuadan de continuar su agresión contra Ucrania.
La Religión y el Mundo Actual de Federico Salvador Ramón – 10 – Condúcete a ...Antonio García Megía
Este documento resume el contexto histórico y social en el que se publicó el artículo original de Federico Salvador Ramón en 1918-1919. Describe cómo la Primera Guerra Mundial marcó el fin de la era del positivismo y el racionalismo del siglo XIX y dio paso a nuevas corrientes irracionalistas. También señala que la guerra despertó nuevas luchas ideológicas entre el cristianismo y corrientes anticristianas como el socialismo. El autor concluye que, tras la destrucción de la guerra,
A responsive web design makes changes to your website according to the device it is being used at and provides a better user experience. Medical website design task in hand the feature of making a website compatible with all the devices be it a desktop, laptop, a tablet, Mac or a Smartphone is a given standard.
O documento discute a transferência de calor em caldeiras e fornos, mencionando que envolve troca de calor por radiação, convecção e condução térmica. Explica que a troca de calor na fornalha, onde ocorre a combustão, é basicamente por radiação térmica. Também apresenta modelos para cálculo da troca de calor por radiação na fornalha, considerando-a como um reator perfeitamente misturado.
"Ліцейський вісник" за вересень 2016 р.Дмитрий Мяч
МЕДІА КОМАНДА
Головний редактор – Гурська Олена
Шеф-редактор – Маренич Марія
Фотографи, кореспонденти: Склезь Ольга, Зінкевич Анастасія, Квітка Кирило, Лісневська Поліна
Maidan Technology LLC is an IT company established in 2014 in Sharjah, UAE. It helps customers leverage technology expertise and services to improve business. Maidan offers a wide range of IT solutions including networking, security, data protection, and more. It aims to exceed client requirements and ensure customer satisfaction. Maidan works with major technology providers and monitors systems 24/7 to rapidly respond to issues.
This document discusses nationalism in Gilgit Baltistan and analyzes the Balawaristan National Front (BNF). It notes that BNF demands independence for Gilgit Baltistan and rejects Pakistan's control. It provides a case study of BNF, discussing its formation, leaders like Hamid Khan and Nawaz Khan Naji, and transformation into a nationalist party. Causes of nationalism in Gilgit Baltistan include less representation, lack of development and opportunities. Recommendations include giving constitutional rights to Gilgit Baltistan and addressing unemployment and infrastructure issues.
This document provides a summary of the qualifications and experience of Manoj Tyagi, Ph.D. He has over 15 years of experience in quality management, regulatory compliance, and laboratory accreditation. Currently he serves as the Chief Scientific Officer and Laboratory Director of Captiva Lab LLC, where he oversees CLIA and accreditation compliance. He has extensive expertise in clinical chemistry, toxicology, and workplace drug testing.
Based on the information provided:
- There is no information about whether the hospital offers pre-surgery full blood count testing to optimise patient blood levels before surgery, in line with patient blood management guidelines.
- The transfusion was documented in the patient record, meeting criterion 2.
- An adverse event of transfusion associated circulatory overload occurred, meeting criterion 3 for reporting incidents.
- However, there is no information provided about whether the patient received information about alternatives to transfusion or risks/benefits, in line with criterion 4 on communicating with patients. The patient's complaint suggests this information and discussion of options may not have occurred.
- Informed consent for the transfusion is also not mentioned,
Chris Impellitteri: EPA's update on PFAS analytical methodsOECD Environment
On 11 June 2020, the OECD hosted a webinar on the latest developments in analytical and monitoring methods for PFASs. It is important to understand the levels and trends of PFASs in the global environment, biota and in products so as to take relevant measures to reduce environmental and human exposure.
The webinar featured the following speakers:
Introduction by Eeva Leinala, Principal Administrator, Environment Directorate, OECD
Shoji Nakayama, Centre for Health and Environmental Risk Research, National Institute for Environmental Studies, Japan presented work on worldwide trends in tracing PFAS in the environment;
Chris Impellitteri, EPA’s Office of Research and Development, United States presented an update on EPA’s Analytical Methods for PFAS;
Stefan Posner, Independent researcher, presented work on the development of CEN and ISO test methods for the analysis of PFAS in textile and leather.
The webinar video recording is available at: https://youtu.be/O9s4qvD9i_c
Dr. Kelvin Chan gave a short explanation on what real-world evidence (RWE) is, how they can be used in cancer care and what benefits patients can get from the real-world evidence. He will also introduce the Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration, which is a pan-Canadian collaboration working on developing a framework to generate and use real-world evidence to inform cancer drug funding decisions.
The webinar was followed by an interactive question & answer session.
Bioassessment Approach to MS4 Evaluation and AssessmentJPoore
Jesse Poore presented logic and background information that supports integration of stream bioassessments into MS4 evaluation and assessment procedures.
This document provides guidance on bioanalytical method validation. It discusses validation parameters such as selectivity, accuracy, precision, recovery, calibration curves, and stability. Full validation is recommended when developing a new bioanalytical method or validating a revised method. Partial validation may be done for modifications like changes in matrix, reagents, or instrumentation. Cross-validation between methods and labs is also addressed. Recommendations are provided for chemical and microbiological/ligand-binding assay validation.
1) The study results differed from randomized controlled trials on some outcomes like mortality and stroke risk.
2) There are differences in warfarin management between clinical trials and real-world settings that could impact results.
3) Excluding many warfarin users from the matched analysis impacts the generalizability of the findings.
4) There may be unmeasured confounding when comparing warfarin to NOACs or different NOACs.
5) The study relies on claims-based outcome algorithms that were not all directly confirmed.
6) Treatment persistence in the study could lead to bias or
This study used Medicare claims data to compare risks of stroke, bleeding, and death between warfarin and four non-vitamin K antagonist oral anticoagulants (NOACs) in older patients with atrial fibrillation. Researchers assembled an inception cohort of over 500,000 patients newly initiating warfarin or a NOAC between 2010-2015. Patients were propensity score matched and weighted to balance characteristics between treatment groups. Outcomes during follow-up were compared between warfarin and individual NOACs using adjusted Cox proportional hazards models, finding lower risks of stroke, bleeding, and death for NOACs versus warfarin.
This study used Medicare claims data to compare risks of stroke, bleeding, and death between warfarin and four non-vitamin K antagonist oral anticoagulants (NOACs) in patients with atrial fibrillation. Researchers assembled an inception cohort of over 500,000 new warfarin users and over 260,000 new NOAC users. They used propensity score matching and weighting to balance patient characteristics between the treatment groups. Outcomes were compared using Cox proportional hazards models, finding lower risks of stroke, bleeding, and death for NOACs compared to warfarin. This provided real-world evidence on effectiveness and safety of NOACs versus warfarin.
The document discusses the use of passive sampling devices, specifically the Chemcatcher®, to monitor pollutants in water systems. It notes that passive samplers can provide time-weighted average concentrations over time rather than just snapshots. The Chemcatcher® is introduced as a three-part passive sampler that uses receiving phases like disks to sequester pollutants. Examples of using the Chemcatcher® to detect spikes in pollutants are provided from the UK and India. Future work is proposed to further evaluate the Chemcatcher®'s potential for monitoring and identifying pollution sources in India.
Reference scaled average bioequivalence analysisCertara
About 20% of generic drugs appear to be highly variable. Because of their highly variability, studies designed to show the bioequivalence of these drugs may require enrolling a large number of subjects. The Reference Scaled Average Bioequivalance (RSABE) approach helps show bioequivalence for highly variable drugs using a typical sample size in order to save money and minimize patient exposure. RSABE can be performed in Phoenix WinNonlni using reusable templates projects and workflows for both the EMA and FDA approaches.
United State Pharmacopoeia (USP)The establishment of a rational relationship between a biological property, or a parameter derived from a biological property produced by a dosage form, and a physicochemical property or characteristic of the same dosage form.
Food and Drug Administration (FDA) definitionIVIVC is a predictive mathematical model describing the relationship between an in vitro property of a dosage form and a relevant in vivo response. Generally, the in vitro property is the rate or extent of drug dissolution or release while the in vivo response is the plasma drug concentration or amount of drug absorbed.
Dr. Sarah Tomlinson - Diagnostic Technology Update: Strategic Development and...John Blue
Diagnostic Technology Update: Strategic Development and Deployment - Dr. Sarah Tomlinson, Associate NAHLN Coordinator at USDA-APHIS-VS, from the 2013 NIAA Merging Values and Technology conference, April 15-17, 2013, Louisville, KY, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2013-niaa-merging-values-and-technology
Review on Bioanalytical Method Development in Human Plasmaijtsrd
1. The document discusses bioanalytical method development and validation which is important for quantifying drug and metabolite concentrations in biological samples like plasma.
2. Key parameters that are validated for a bioanalytical method include selectivity, accuracy, precision, linearity, limits of detection/quantification, recovery, robustness and stability.
3. There are three types of validation - full validation for a new method/drug, partial validation for modifications to an existing method, and cross-validation to compare different methods analyzing the same samples. Validated methods must be used to generate reliable results for clinical and nonclinical studies.
This document provides an overview of conducting drug trials in cardiology. It discusses the definition and types of clinical trials, guidelines for trials including Good Clinical Practice and regulatory guidelines in India. Key elements of trials are covered such as the protocol, investigators, ethics committees, data collection and analysis. Equipoise, randomization, blinding and important considerations for trial design and conduct are also summarized.
Patient Blood Management: Impact of Quality Data on Patient OutcomesViewics
Patient blood management (PBM) has been proven to improve patient outcomes and save hospitals millions of dollars. Ensuring the quality of your data is central to decision making and critical to having a strong PBM program.
Would you like to learn how your organization can improve patient outcomes by implementing a PBM program based on accurate data?
If so, view this presentation by blood management expert Lance Trewhella. Lance presents how to develop a successful, evidence-based, multidisciplinary PBM program aimed at optimizing the care of patients who might need transfusion.
You’ll learn:
• Current recommendations for blood transfusion utilization
• The impact of quality data on PBM programs
• Best data practices in PBM
Management Systems Overview for the Hazardous Materials Professional
CHMM Overview Workshop
March 22, 2018
Loren Larson, CHMM, CPEA
Caltha LLP
Topics
Management System – What is it?
The Five Components of an EMS/SMS
Potential Costs/Benefits of Implementing an EMS/SMS
Sustainability/Sustainable Development
So What Should Environmental Managers Really Do?
Environmental Management System (EMS)
Part of an organization’s management system used to develop and implement its environmental policy and manage its environmental aspects.
This document discusses using social media as an EH&S professional. It outlines different levels of engagement from belonging to a platform with no activity to actively contributing content. While social media can help with career development and tracking issues, it also requires time and some professionals are uncomfortable being seen as experts. The document recommends platforms like LinkedIn, Facebook and Twitter and suggests benefits like networking, professional development and gaining recognition as a subject matter expert. It also provides guidance on engaging for personal and organizational purposes while avoiding sharing confidential information.
Assessing Business Risks and Controls for the Financial Professional | Enviro...Loren Larson, CHMM, CPEA
To request this training at your location or for further information, go to:
http://calthacompany.com/assessing-business-risks-controls-financial-professional-environmental-risks.html
The professional development training module on assessing risks and applying risk management strategies to control risks associated with environmental contamination when buying real estate.
The North Dakota Department of Health (NDDH) published its proposed reissued “NPDES Industrial Stormwater General
Permit”. This permit covers stormwater discharges from industrial and “industrial-like” operations that are required to have an NPDES permit to discharge stormwater.
Addressing Environmental Liabilities When Buying Land or Business | Caltha LLPLoren Larson, CHMM, CPEA
Seminar slides: Addressing Environmental Liabilities When Buying Land or Business
This seminar is for buyers and sellers of commercial property and business assets. It focuses on assessing liabilities associated with both real estate and businesses.
Topics cover include
Property liabilities compared to business environmental liabilities
Understanding Buyer & Seller risks
Risk management tools
Upcoming changes to US EPA and ASTM standards for property assessments
Quantifying environmental liabilities
For more information go to:
www.calthacompany.com
Summary of CHMMunity Volunteer Projects at Voyageurs National Park 2003 to 2005Loren Larson, CHMM, CPEA
The North Star Chapter of the Alliance of Hazardous Material Professionals has conducted numerous technical projects at Voyageurs National Park. This presentation provides a summary of some of the work done in 2003 through 2005. Most of these projects involved water quality and biological monitoring of several of the major lakes in the Park.
Voyageurs National Park Lyle Mine Remediation: Part 1-Environmental AssessmentLoren Larson, CHMM, CPEA
Between 2002 and 2009, the Alliance of Hazardous Materials Professionals - North Star Chapter (AHMP-NSC) conducted numerous volunteer projects at Voyageurs National Park through its CHMMunity program. Members of the chapter volunteered their technical skills to complete specialized projects at the Park.
One such project was the Lyle Mine Remediation. The Lyle Mine was a historic gold mine located on a small island in Rainy Lake. The vertical shaft had been used as a dump and had filled with water creating a significant hazard. This presentation covers the first phase of the project, which included an environmental risk evaluation and environmental monitoring. Based on this information, the North Star Chapter members returned the next year to complete a drawdown of the pit and permanently seal the mine shaft to eliminate the hazard to visitors.
Visitors to the Park can reach the island today by boat. You will find a "bear box" there with a plate thanking the members of the North Star Chapter for their efforts.
Comparison of Industial Stormwater Benchmarks To Historical Industrial Sector...Loren Larson, CHMM, CPEA
This analysis demonstrates the impact of using "mean" versus "median" values when utilizing these types of data to set regulatory action levels.
Technical analysis of historical industrial sector stormwater monitoring data compared to current benchmark values being used in State general discharge permits. Data source is primarily from monitoring results collected through the US EPA Group Permitting initiative. Results identify key benchmark parameters for industrial sectors.
Presentation slides from a professional development seminar on the industrial multisector general permit issued by the Minnesota Pollution Control Agency.
EHS Management Systems Overview For The Hazardous Materials ProfessionalLoren Larson, CHMM, CPEA
Presentation slides from the CHMM Review Course module covering Environmental, Health & Safety Management Systems, with emphasis on ISO management systems requirements, corrective and preventive action and auditing .
Kinetic studies on malachite green dye adsorption from aqueous solutions by A...Open Access Research Paper
Water polluted by dyestuffs compounds is a global threat to health and the environment; accordingly, we prepared a green novel sorbent chemical and Physical system from an algae, chitosan and chitosan nanoparticle and impregnated with algae with chitosan nanocomposite for the sorption of Malachite green dye from water. The algae with chitosan nanocomposite by a simple method and used as a recyclable and effective adsorbent for the removal of malachite green dye from aqueous solutions. Algae, chitosan, chitosan nanoparticle and algae with chitosan nanocomposite were characterized using different physicochemical methods. The functional groups and chemical compounds found in algae, chitosan, chitosan algae, chitosan nanoparticle, and chitosan nanoparticle with algae were identified using FTIR, SEM, and TGADTA/DTG techniques. The optimal adsorption conditions, different dosages, pH and Temperature the amount of algae with chitosan nanocomposite were determined. At optimized conditions and the batch equilibrium studies more than 99% of the dye was removed. The adsorption process data matched well kinetics showed that the reaction order for dye varied with pseudo-first order and pseudo-second order. Furthermore, the maximum adsorption capacity of the algae with chitosan nanocomposite toward malachite green dye reached as high as 15.5mg/g, respectively. Finally, multiple times reusing of algae with chitosan nanocomposite and removing dye from a real wastewater has made it a promising and attractive option for further practical applications.
Evolving Lifecycles with High Resolution Site Characterization (HRSC) and 3-D...Joshua Orris
The incorporation of a 3DCSM and completion of HRSC provided a tool for enhanced, data-driven, decisions to support a change in remediation closure strategies. Currently, an approved pilot study has been obtained to shut-down the remediation systems (ISCO, P&T) and conduct a hydraulic study under non-pumping conditions. A separate micro-biological bench scale treatability study was competed that yielded positive results for an emerging innovative technology. As a result, a field pilot study has commenced with results expected in nine-twelve months. With the results of the hydraulic study, field pilot studies and an updated risk assessment leading site monitoring optimization cost lifecycle savings upwards of $15MM towards an alternatively evolved best available technology remediation closure strategy.
Optimizing Post Remediation Groundwater Performance with Enhanced Microbiolog...Joshua Orris
Results of geophysics and pneumatic injection pilot tests during 2003 – 2007 yielded significant positive results for injection delivery design and contaminant mass treatment, resulting in permanent shut-down of an existing groundwater Pump & Treat system.
Accessible source areas were subsequently removed (2011) by soil excavation and treated with the placement of Emulsified Vegetable Oil EVO and zero-valent iron ZVI to accelerate treatment of impacted groundwater in overburden and weathered fractured bedrock. Post pilot test and post remediation groundwater monitoring has included analyses of CVOCs, organic fatty acids, dissolved gases and QuantArray® -Chlor to quantify key microorganisms (e.g., Dehalococcoides, Dehalobacter, etc.) and functional genes (e.g., vinyl chloride reductase, methane monooxygenase, etc.) to assess potential for reductive dechlorination and aerobic cometabolism of CVOCs.
In 2022, the first commercial application of MetaArray™ was performed at the site. MetaArray™ utilizes statistical analysis, such as principal component analysis and multivariate analysis to provide evidence that reductive dechlorination is active or even that it is slowing. This creates actionable data allowing users to save money by making important site management decisions earlier.
The results of the MetaArray™ analysis’ support vector machine (SVM) identified groundwater monitoring wells with a 80% confidence that were characterized as either Limited for Reductive Decholorination or had a High Reductive Reduction Dechlorination potential. The results of MetaArray™ will be used to further optimize the site’s post remediation monitoring program for monitored natural attenuation.
Improving the viability of probiotics by encapsulation methods for developmen...Open Access Research Paper
The popularity of functional foods among scientists and common people has been increasing day by day. Awareness and modernization make the consumer think better regarding food and nutrition. Now a day’s individual knows very well about the relation between food consumption and disease prevalence. Humans have a diversity of microbes in the gut that together form the gut microflora. Probiotics are the health-promoting live microbial cells improve host health through gut and brain connection and fighting against harmful bacteria. Bifidobacterium and Lactobacillus are the two bacterial genera which are considered to be probiotic. These good bacteria are facing challenges of viability. There are so many factors such as sensitivity to heat, pH, acidity, osmotic effect, mechanical shear, chemical components, freezing and storage time as well which affects the viability of probiotics in the dairy food matrix as well as in the gut. Multiple efforts have been done in the past and ongoing in present for these beneficial microbial population stability until their destination in the gut. One of a useful technique known as microencapsulation makes the probiotic effective in the diversified conditions and maintain these microbe’s community to the optimum level for achieving targeted benefits. Dairy products are found to be an ideal vehicle for probiotic incorporation. It has been seen that the encapsulated microbial cells show higher viability than the free cells in different processing and storage conditions as well as against bile salts in the gut. They make the food functional when incorporated, without affecting the product sensory characteristics.
Biomimicry in agriculture: Nature-Inspired Solutions for a Greener Future
Derivation of Aquatic Life Screening Values | Harmonization of Office of Water and Office of Pesticide Programs | Caltha LLP
1. OWOW -- OPPOPP
Harmonization and Derivation ofHarmonization and Derivation of
Aquatic Life Screening Values:Aquatic Life Screening Values:
GrowersGrowers’’ PerspectivesPerspectives
Loren J. Larson
Managing Partner
Caltha LLP, Minneapolis, MN
CropLife America and RISE 2011 Science and Regulatory Spring Conference| April 7, 2011
3. Keys Differences Between OPP
and OW Data Use
Keys Differences Between OPPKeys Differences Between OPP
and OW Data Useand OW Data Use
• Both OPP and OW use same pool of test data to
evaluate risks and derive standards
• OPP and OW differ in specific testing
requirements and can use/reject different data
• OPP and OW have different minimum data set
requirements
– OPP can require minimum data set from registrants
– OW uses available data
• Method used to derive standards are different,
even within programs
• Protection goals differ between OPP and OW
4. OPP-OW HarmonizationOPPOPP--OW HarmonizationOW Harmonization
• Develop a common methodology to derive
“Aquatic Life Screening Values” (ALSV)
• Initial “white papers” summarizing current
status, potential methodologies
– Aquatic animal methods
– Aquatic plant methods
– Methods to estimate or predict toxicity
• Focus is on how to derive aquatic animal
ALSV and aquatic plant ALSV with small
data sets
5. Why should Growers and
Applicators be interested?
Why should Growers andWhy should Growers and
Applicators be interested?Applicators be interested?
6. Historic Regulatory ImpactsHistoric Regulatory ImpactsHistoric Regulatory Impacts
• FIFRA
– Use registered products
– Follow label instructions
– Comply with State regulations
• CWA
– Minimal direct impact
– Voluntary stakeholders regarding impaired
waters (primarily sediment and nutrient)
7. Potential Regulatory ImpactsPotential Regulatory ImpactsPotential Regulatory Impacts
• FIFRA
– Potential elimination of registered products based on
monitoring data
– Additional label requirements or use restrictions
– State restrictions, required or voluntary BMPs
• CWA
– More surface waters listed as impaired due to
herbicides, insecticides, etc.
– Restricted uses under State or EPA Pesticide
Application NPDES general permits
– Prohibited use and discharge to listed impaired
waters
8. Use of WQ Benchmarks
Minnesota Example
Use of WQ BenchmarksUse of WQ Benchmarks
Minnesota ExampleMinnesota Example
• Minnesota Pesticide Management Plan
• Selecting reference values to interpret
surface water monitoring data
• Preference is to compare pesticide monitoring data
to promulgated State Water Quality Standard
• In the absence of State Water Quality Standard,
“reference values” from the EPA or other states will
be considered
9. Use of WQ Benchmarks
Minnesota Example
Use of WQ BenchmarksUse of WQ Benchmarks
Minnesota ExampleMinnesota Example
• If monitoring data exceed 10%-50% of reference
value, “preventive measures” are considered
– Development of voluntary pesticide-specific BMPs to protect
surface waters from further contamination,
• MDA has authority to take additional action to
prevent any unreasonable adverse effects on
the environment including impacts to surface
waters,
• MDA can approve, deny or cancel the
registration of any pesticide and can impose
state use and distribution restrictions to prevent
unreasonable adverse effects on the
environment.
11. 1. Using Screening Methods To Set Legally
Enforceable Water Quality Standards
1. Using Screening Methods To Set Legally1. Using Screening Methods To Set Legally
Enforceable Water Quality StandardsEnforceable Water Quality Standards
• Intended use of ALSV to set water quality
standards under CWA
“ALSVs …may be used by States and Tribes in the development of water quality standards.”, Animal paper, page 5, 24.
“ALSV may be considered by USEPA, States and Tribes to derive scientifically defensible water quality standards…”,
Animal paper, page 7, 28, 29
“This paper also provides a conceptual approach that may be used to integrate chemical-specific data, tools and
methods for deriving community level benchmarks (i.e., ALSVs) that may be used by USEPA, States and Tribes to
derive scientifically defensible water quality criteria ”, Animal paper, page 32.
• Additional intended use of ALSV as
screening tool and in risk assessment
“ALSVs may be used to screen concentrations of pesticides and effluents in ambient waters.”, Animal paper, page 5,
24;
“These additional methods may be used to augment the ability of the USEPA, as well as states, local and tribal water
management agencies to derive taxa-based and cross-taxa (community-based) toxicity benchmark values for
chemicals, such as pesticides, for risk assessment, monitoring and diagnostic purposes. ”, Animal paper, page 6;
“…additional tools and approaches that may be used to augment the ability of the EPA, and states, local and tribal
water management agencies to derive taxa specific and cross-taxa (community) benchmark values for chemicals
such as pesticides.”, Plant paper, page 5..
12. 1. Using Screening Methods To Set Legally
Enforceable Water Quality Standards
1. Using Screening Methods To Set Legally1. Using Screening Methods To Set Legally
Enforceable Water Quality StandardsEnforceable Water Quality Standards
• A method used to develop legally enforceable
water quality standards needs to be more
rigorous compared to a method used to develop
screening values.
• Therefore, if the intent is to develop a method to
derive ALSV to be used as both standards and
screening values, a more rigorous analysis will
be required to assure ALSV do not over or under
estimate effects
13. 2. Data Acceptability Requirements Between
OPP and OW Are Not Adequately Addressed
2. Data Acceptability Requirements Between2. Data Acceptability Requirements Between
OPP and OW Are Not Adequately AddressedOPP and OW Are Not Adequately Addressed
• Assumption that data sets used by OPP
and OW are the same
“Currently, both OPP and OW rely on the same aquatic toxicity test results (e.g., scientific
literature, registrant-submitted studies)”, Animal paper, page 5.
“Although the assessment endpoints of OPP and OW differ … they both rely upon similar
aquatic toxicity test results. ”, Animal paper, page 6.
• Current OW data acceptance criteria
exclude some data accepted by OPP
• Use of “greater than” values, used in OPP
screening assessments
14. 3. Key Issues Regarding Use of Plant Data Are
Not Adequately Addressed
3. Key Issues Regarding Use of Plant Data Are3. Key Issues Regarding Use of Plant Data Are
Not Adequately AddressedNot Adequately Addressed
• Recovery and reversal of impacts unique
to plants
• Inconsistent use of plant test end-points
– EC50, EC20, NOAEC
• Are community protection goals and return
frequencies comparable for aquatic
animals and aquatic plants?
– Under CWA, protection goal for aquatic animals is to
protect down to 5th percentile, with three year return
frequency
15. 4. Stated Criteria For Evaluation of
Methodologies Are Inconsistent
4. Stated Criteria For Evaluation of4. Stated Criteria For Evaluation of
Methodologies Are InconsistentMethodologies Are Inconsistent
• Protection goals should be consistent with CWA
– 5th percentile, 3 year recovery
• EPA describes its intent to develop a
methodology that would result in a more
conservative (i.e. lower) ASLV compared to a
methodology that would approximate the 5th
percentile (HC5).
• Current OW methods estimate most likely value
for HC5; methods are discussed to estimate
lower 95th percentile confidence limit of HC5
16. 5. Implementation and Uses of Methodologies
Under FIFRA - CWA Inadequately Addressed
5. Implementation and Uses of Methodologies5. Implementation and Uses of Methodologies
Under FIFRAUnder FIFRA -- CWA Inadequately AddressedCWA Inadequately Addressed
• Alternative methodologies to derive ALSV
need to address intended implementation
and uses of the ALSV by EPA, States and
Tribes.
• Should aquatic animal and aquatic plant ALSV be
used interchangeably?
• Are averaging periods equivalent?
17. 6. Use of Predicted or Estimated Values6. Use of Predicted or Estimated Values6. Use of Predicted or Estimated Values
• In the absence of actual test data, EPA is
exploring the use of predicted or calculated
toxicity data, to fill some or all minimum data
needs
• Concern is that, based on EPA’s assessment of
the accuracy of these predictive methods, use of
predicted or calculated data adds significant
uncertainty to calculation of ALSVs, as well as a
bias to over estimating the toxicity of chemicals.
18. 6. Use of Predicted or Estimated Values6. Use of Predicted or Estimated Values6. Use of Predicted or Estimated Values
• EPA’s preliminary evaluation of the
accuracy of the predictive methodologies
• Predicted LC50s between various fish species
used regressions with fairly low r2 values, ranging
from 0.311 to 0.825, with an average of 0.56.
• ALSV calculations resulted in ALSVs ranging from
about 1.4- to 9.2-fold lower than those calculated
using experimentally determined toxicity data. On
average, using predicted values resulted in
approximately a 5-fold lower ALSV.
19. 7. Use of Unqualified Data and Requirement
For Minimum Data Set
7. Use of Unqualified Data and Requirement7. Use of Unqualified Data and Requirement
For Minimum Data SetFor Minimum Data Set
• Not clear that minimum data set and data
quality requirements will be established
“regulatory agencies must have the flexibility to characterize the potential
… effects of chemicals using the available data even if those data are
limited in quantity.” Animal paper, page 6
“In practice, however, data from any “reasonable” test procedure are often
included in aquatic plant sensitivity distributions…The need to
characterize the range of sensitivities in the aquatic plant community
may outweigh the desire for comparable test conditions.” Plant paper,
page 27
20. Why should growers be
concerned?
Why should growers beWhy should growers be
concerned?concerned?
Minnesota example – Acetochlor
State Water Quality Standard 3.6 µg/L
21. Why should growers be
concerned?
Why should growers beWhy should growers be
concerned?concerned?
Minnesota example – Acetochlor
State Water Quality Standard 3.6 µg/L
Mean concentration (2004-2009) <0.17 µg/L • Median <0.050 µg/L
• ND for 71% of samples
• 2,030 samples collected 2004- 2009
% of samples exceeding WQ
standard
0.4% • 9 samples collected on 4 rivers
% of samples above high range of
action under MDA Pesticide Mgmt.
Plan
1% • 24 samples collected on 12 rivers
% of samples above low range of
action under MDA Pesticide Mgmt.
Plan
9% • 187 samples collected on 34 rivers
22. Why should growers be
concerned?
Why should growers beWhy should growers be
concerned?concerned?
Minnesota example – Acetochlor
Hypothetical ALSV = 0.72 µg/L (assumes 5x overestimate of effects)
23. Why should growers be
concerned?
Why should growers beWhy should growers be
concerned?concerned?
Minnesota example – Acetochlor
Hypothetical ALSV = 0.72 µg/L (assumes 5x overestimate of effects)
Current WQ
Standard
Hypothetical WQ
Standard
% of samples exceeding WQ
standard
0.4% 5 %
% of samples above high range of
action under MDA Pesticide Mgmt.
Plan
1 % 9 %
% of samples above low range of
action under MDA Pesticide Mgmt.
Plan
9 % 23 %