Determining a Consistent Peak Flow Level of Control for a Wet Weather Management Plan

2008 ◽  
Author(s):  
Hazem Gheith ◽  
◽  
Matthew Davis ◽  
Tim Fallara ◽  
Taymour El-Hosseiny ◽  
...  
Keyword(s):  
Peak Flow ◽  
Management Plan ◽  
Wet Weather

Using Existing Facility to Maximize the Wet Weather Treatment Capacity of the Akron, Ohio, Water Reclamation Facility: Operating Step Feed and Improved Clarifiers to Process Peak Flow

2016 ◽  
Vol 2016 (11) ◽  
pp. 5018-5037
Author(s):  
John S Siczka ◽  
Thomas F Smith ◽  
Eugenie M Hanna ◽  
Glen T Daigger ◽  
James P Cooper ◽  
...  
Keyword(s):  
Peak Flow ◽  
Water Reclamation ◽  
Wet Weather

Mobile phone technology in the management of asthma

2005 ◽  
Vol 11 (1_suppl) ◽  
pp. 43-46 ◽  
Author(s):  
D Ryan ◽  
W Cobern ◽  
J Wheeler ◽  
D Price ◽  
L Tarassenko
Keyword(s):  
Mobile Phone ◽  
Peak Flow ◽  
Management Plan ◽  
Primary Outcome Measure ◽  
Ease Of Use ◽  
Telemedicine System ◽  
Mobile Phone Technology ◽  
Inhaled Steroids ◽  
Flow Monitoring ◽  
Practice Population

Peak flow monitoring is widely recommended as part of a self-management plan for asthma. We conducted an observational study using electronic peak flow monitoring and mobile phone technology in a UK general practice population over a nine-month period. Patients between 12 and 55 years of age who required treatment with regular inhaled steroids and (as needed) bronchodilators were recruited from nine general practices. Patients were included if their asthma was considered stable (i.e. no exacerbation in the previous three months). No therapeutic intervention was proposed. The primary outcome measure was compliance. In all, 69% of the 46 participants who filled in the post-study questionnaire were ‘satisfied’ or ‘very satisfied’ by the study, citing the ease of use and the increased autonomy and understanding of asthma as the main advantages. In total, 74% indicated that the system had helped to improve their ability to manage their symptoms. The most positive features of the telemedicine system were described as follows: increased awareness and information about asthma, improved ability to monitor/manage the condition with the feedback screens on the mobile phone and ease of use.

An Update on the Columbus Wet Weather Management Plan

2006 ◽  
Vol 2006 (5) ◽  
pp. 6902-6931
Author(s):  
Jeff Sharon ◽  
Kevin Campanella
Keyword(s):  
Management Plan ◽  
Wet Weather

An Audit of Hospital Discharge Letters in Patients Admitted with Acute Asthma

1993 ◽  
Vol 38 (4) ◽  
pp. 116-119 ◽  
Author(s):  
B J. Lipworth ◽  
J Allan ◽  
C.M. Jackson ◽  
P.D. Dhillon ◽  
J.H. Winter ◽  
...  
Keyword(s):  
Peak Flow ◽  
Acute Asthma ◽  
Acute Attack ◽  
Management Plan ◽  
Smoking History ◽  
Self Management ◽  
Oral Steroid ◽  
Inhaled Steroids ◽  
Retrospective Audit

The management of patients following discharge with acute asthma is dependent on effective communication with general practitioners. A retrospective audit was therefore performed on copies kept of 81 typed discharge letters with a diagnosis of acute asthma between March and October 1991. A subset of 42 interim (handwritten) letters were also audited where case notes could be retrieved. Details on clinic follow up were also obtained from the case notes (n=42). In the typed letter documentation of severity and treatment of the acute attack was accurate in most cases. Information concerning a precipatating factor was provided in 54% of cases and a smoking history in 57%. Deficiencies were found in specifying inhaler delivery devices (40% recorded), and whether inhaler technique had been formally assessed whilst in hospital (17%). Drug prescribing on discharge was as follows: oral steroid (69%), inhaled steroids (77%), inhaled B2-agonists (92%), theophylline slow release (38%), salbutamol controlled release (20%), and antibiotics (30%). The implementation of a self-management plan and domiciliary peak flow was mentioned in 66% of the letters. The interim letter was generally poor in particular for mention if discharge peak flow (2%), clinic follow-up (64%) and prednisolone regime (61%). Mean ± s.d. time for clinic follow-up (n=42) was 4.7± 1.7 weeks (range 1–13 weeks) with 24% non-attendance. Thus, improvements in discharge letters are clearly required for optimum continuity of care in the community.

Comparison of the pollutant loads in dry and wet weather runoff in a southern California urban watershed

2002 ◽  
Vol 45 (9) ◽  
pp. 255-261 ◽  
Author(s):  
T.N. McPherson ◽  
S.J. Burian ◽  
H.J. Turin ◽  
M.K. Stenstrom ◽  
I.H. Suffet
Keyword(s):  
Southern California ◽  
Inorganic Nitrogen ◽  
Oxygen Demand ◽  
Management Plan ◽  
Deterministic Models ◽  
Relative Contribution ◽  
Creek Watershed ◽  
Total Inorganic Nitrogen ◽  
Wet Weather ◽  
Kjeldahl Nitrogen

This research compares the relative contributions of potential contaminants discharged in dry weather flow (DWF) and wet weather flow (WWF) from the highly urbanized Ballona Creek watershed (BCW) in southern California using empirical and deterministic models. These models were used to compare the loading of the following pollutants: total suspended solids, biochemical oxygen demand, total nitrogen, total inorganic nitrogen, total Kjeldahl nitrogen, total phosphorus, copper, lead, arsenic, nickel, cadmium, and chromium. The results indicate DWF contributes approximately 10–30% of the total annual flow discharged from Ballona Creek. The annual DWF volume was fairly consistent; the variation in DWF percentage contribution was dependent on the highly variable volume of WWF. The relative contribution to the annual pollutant load varied considerably between each pollutant. In general, the DWF load was found to be significant, especially in years with lower precipitation totals. The results from this investigation have identified the relative relationship between DWF and WWF loads in the BCW and will aid in the decision-making process during the development of an integrated DWF-WWF management plan and allocation of water pollution control funds between DWF and WWF management.

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