scholarly journals Integration of Single-Center Data-Driven Vital Sign Parameters into a Modified Pediatric Early Warning System

2017 ◽  
Vol 18 (5) ◽  
pp. 469-476 ◽  
Author(s):  
Catherine E. Ross ◽  
Iliana J. Harrysson ◽  
Veena V. Goel ◽  
Erika J. Strandberg ◽  
Peiyi Kan ◽  
...  
PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 256A-256A
Author(s):  
Catherine Ross ◽  
Iliana Harrysson ◽  
Lynda Knight ◽  
Veena Goel ◽  
Sarah Poole ◽  
...  

2020 ◽  
Author(s):  
Solomon Seyoum ◽  
Boud Verbeiren ◽  
Patrick Willems

<p>Urban catchments are characterized by a high degree of imperviousness, as well as a highly modified landscape and interconnectedness. The hydrological response of such catchments is usually complex and fast and sensitive to precipitation variability at small scales. To properly model and understand urban hydrological responses, high-resolution precipitation measurements to capture spatiotemporal variability is crucial input.</p><p>In urban areas floods are among the most recurrent and costly disasters, as these areas are often densely populated and contain vital infrastructure. Runoff from impervious surfaces as a result of extreme rainfall leads to pluvial flooding if the system’s drainage capacity is exceeded. Due to the fast onset and localised nature of pluvial flooding, high-resolution models are needed to produce fast simulations of flood forecasts for early warning system development. Data-driven models for predictive modelling have been gaining popularity, due to the fact they require minimal inputs and have shorter processing time compared to other types of models.</p><p>Data-driven models to forecast peak flows in drainage channels of Brussels, Belgium are being developed at sub-catchment scale, as a proxy for pluvial flooding within the FloodCitiSense project. FloodCitiSense aims to develop an urban pluvial flood early warning service. The effectiveness of these models relies on the input data resolution among others. High-temporal resolution rainfall and runoff data from 13 rainfall and 13 flow gauging stations in Brussels for several years is collected (Open data from Flowbru.be) and the data-driven models for forecasting peak flows in drainage channels are build using the Random Forest classification model.</p><p>Optimal model inputs are determined to increase model performance, including rainfall and runoff information from the current time step, as well as additional information derived from previous time steps.</p><p>The additional inputs are determined by progressively including rainfall data from neighboring stations and runoff from previous time steps equivalent to the lag time equal to the forecasting horizon, in our case two hours. The data-driven model we develop has the form as shown in the following equation.</p><p><strong><em>Q<sub>t</sub> = f(Q<sub>t-lag</sub>, ∑RF<sub>i,j</sub>)  </em></strong><em>for <strong>i</strong> is the number of rainfall stations considered and <strong>j</strong> is the time  from <strong>t-lag</strong> to <strong>t</strong></em></p><p>Where <strong><em>Q<sub>t</sub>  </em></strong>is the flow at a flow station at time <strong><em>t</em></strong>, <strong><em>Q<sub>t-lag </sub></em></strong>is the lagged flow at the station and <strong><em>RF<sub>i,j </sub></em></strong>is the rainfall values for station <strong><em>i</em></strong> and time <strong><em>j</em></strong>.</p><p>For Brussels nine relevant sub-catchments were identified based on historical flood frequency for which we are building data-driven flood forecasting models. For each sub-catchment, RF models are being trained and tested. More than 200,000 data point were available for training and testing the models. For most of the flow stations the data-driven models perform well with R-squared values up to 0.84 for training and 0.6 for testing for a 2-hour forecast horizon. </p><p>To improve the reliability of the data-driven models, as next step, we are including radar rainfall data input, which has the ability to capture temporal and spatial variability of rainfall from localized convective storms to large scale moving storms.</p><p><strong>KEYWORDS</strong></p><p>Data driven models, FloodCitiSense, Flood Early Warning System, Urban pluvial flooding</p>


Water ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 1808 ◽  
Author(s):  
Alberto de la Fuente ◽  
Viviana Meruane ◽  
Carolina Meruane

The intensification of the hydrological cycle because of global warming raises concerns about future floods and their impact on large cities where exposure to these events has also increased. The development of adequate adaptation solutions such as early warning systems is crucial. Here, we used deep learning (DL) for weather-runoff forecasting in región Metropolitana of Chile, a large urban area in a valley at the foot of the Andes Mountains, with more than 7 million inhabitants. The final goal of this research is to develop an effective forecasting system to provide timely information and support in real-time decision making. For this purpose, we implemented a coupled model of a near-future global meteorological forecast with a short-range runoff forecasting system. Starting from a traditional hydrological conceptual model, we defined the hydro-meteorological and geomorphological variables that were used in the data-driven weather-runoff forecast models. The meteorological variables were obtained through statistical scaling of the Global Forecast System (GFS), thus enabling near-future prediction, and two data-driven approaches were implemented for predicting the entire hourly flow time-series in the near future (3 days), a simple Artificial Neural Networks (ANN) and a Deep Learning (DL) approach based on Long-Short Term Memory (LSTM) cells. We show that the coupling between meteorological forecasts and data-driven weather-runoff forecast models are able to satisfy two basic requirements that any early warning system should have: The forecast should be given in advance, and it should be accurate and reliable. In this context, DL significantly improves runoff forecast when compared with a traditional data-driven approach such as ANN, being accurate in predicting time-evolution of output variables, with an error of 5% for DL, measured in terms of the root mean square error (RMSE) for predicting the peak flow, compared to 15.5% error for ANN, which is adequate to warn communities at risk and initiate disaster response operations.


2020 ◽  
Vol 6 (2) ◽  
pp. 112
Author(s):  
Veronika Hutabarat ◽  
Enie Novieastari ◽  
Satinah Satinah

Salah satu faktor dalam meningkatkan penerapan keselamatan pasien adalah ketersediaan dan efektifitas prasarana dalam rumah sakit. Early warning system (EWS) merupakan prasarana dalam mendeteksi perubahan dini  kondisi pasien. Penatalaksanaan EWS masih kurang efektif karena parameter dan nilai rentang scorenya belum sesuai dengan kondisi pasien. Tujuan penulisan untuk mengidentifikasi efektifitas EWS dalam penerapan keselamatan pasien. Metode penulisan action research melalui proses diagnosa, planning action, intervensi, evaluasi dan  refleksi. Responden dalam penelitian ini adalah  perawat yang bertugas di area respirasi dan pasien dengan kasus kompleks respirasi di Rumah Sakit Pusat Rujukan Pernapasan Persahabatan Jakarta. Analisis masalah dilakukan dengan menggunakan diagram fishbone. Masalah yang muncul belum optimalnya implementasi early warning system dalam penerapan keselamatan pasien. Hasilnya 100% perawat mengatakan REWS membantu mendeteksi kondisi pasien, 97,4 % perawat mengatakan lebih efektif dan 92,3 % perawat mengatakan lebih efesien mendeteksi perubahan kondisi pasien. Modifikasi EWS menjadi REWS lebih efektif dan efesien dilakukan karena disesuaikan dengan jenis dan kekhususan Rumah Sakit dan berdampak terhadap kualitas asuhan keperawatan dalam menerapkan keselamatan pasien. Rekomendasi perlu dilakukan monitoring evaluasi terhadap implementasi t.erhadap implementasi REWS dan pengembangan aplikasi berbasis tehnologi


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