997 resultados para Lake Forest (Ill.)


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Collection : The New York Herald, Paris

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OBJECTIVES: To determine the prevalence, predictors, and clinical significance of electrographic seizures (ESz) and other continuous electroencephalographic monitoring findings in critically ill patients with central nervous system infections. DESIGN: Retrospective cohort study. SETTING: Eighteen-bed neurocritical care unit. PATIENTS: We identified 42 consecutive patients with primary central nervous system infection (viral, 27 patients [64%]; bacterial, 8 patients [18%]; and fungal or parasitic, 7 patients [17%]) who underwent continuous electroencephalographic monitoring between January 1, 1996, and February 28, 2007. MAIN OUTCOME MEASURES: Presence of ESz or periodic epileptiform discharges (PEDs). RESULTS: Electrographic seizures were recorded in 14 patients (33%), and PEDs were recorded in 17 patients (40%). Twenty patients (48%) had either PEDs or ESz. Of the 14 patients with ESz, only 5 (36%) had a clinical correlate. Periodic epileptiform discharges (odds ratio=13.4; P=.001) and viral cause (odds ratio=13.0; P=.02) were independently associated with ESz. Both ESz (odds ratio=5.9; P=.02) and PEDs (odds ratio=6.1; P=.01) were independently associated with poor outcome at discharge (severe disability, vegetative state, or death). CONCLUSIONS: In patients with central nervous system infections undergoing continuous electroencephalographic monitoring, ESz and/or PEDs were frequent, occurring in 48% of our cohort. More than half of the ESz had no clinical correlate. Both ESz and PEDs were independently associated with poor outcome. Additional studies are needed to determine whether prevention or treatment of these electrographic findings improves outcome.

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Abstract

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The DMACC Lake Watershed Improvement project will focus on water quality and quantity as well as channel and lake restoration. Roadway, parking lot, and roof drainage from the west and northwest portions of the campus add significant amounts of pollutants and silt to the lake. Severe channel erosion exists along the northern creek channel with exposed cut banks ranging from 2-10 feet in height devoid of vegetation. Heavy lake sedimentation and algae blooms are a result of accumulated sediment being conveyed to the lake. Most sections of the north channel have grades of between 0.5% and 1%. This channel receives large scouring flow velocities. There are no natural riffle or pool systems. There are five areas where these riffle and pool systems may need to be created in order to slow overall channel velocities. This will create a series of rock riffles and a still pool that will mimic the conditions that natural channels tend to create, protecting the channel from undercutting. Multiple practices will need to be implemented to address the pollutant, silt, and channel erosion. Improvements will be specifically tailored to address problems observed within the north channel, on-site drainage from the west and northwest, as well as off-site drainage to the north of the campus and east of Ankeny Blvd (Hwy 69). The result will be improved quality and quantity of site drainage and a channel with a more natural appearance and reduced scour velocities. Sections of the north channel will require grading to establish slopes that can support deep rooted vegetation and to improve maintenance access. Areas with eroded banks will require slope pull back and may also require toe armor protection to stabilize. A constructed wetland will collect and treat runoff from the west on site parking lot, before being discharged into the lake. This project will create educational opportunities to both students and the general public as well as interested parties outside of the local area for how an existing system can be retro fitted for improved watershed quality.

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Lake Morris is the larger of two lakes which serve as the municipal water supply for the City of Chariton, Iowa. As a site for fishing and boating, it also serves as a significant recreational resource for area residents. Its ability to sustain these uses has been significantly impaired by long-term and ongoing accumulation of sediment and sediment-borne nutrients from both public and private land within the watershed. This accumulation has resulted in reduced water depth, reduced water-holding capacity, reduced quality of the fishery, increased water turbidity, increased growth of undesirable algae, and increased cost of treating the water for municipal uses. Water quality projects undertaken in the past, notably the Lucas Lakes Project of the 1990s, made important progress in reducing sedimentation from privately-owned land higher in the watershed, but paid little attention to land owned by the City of Chariton immediately surrounding the lakes. A recent reassessment of gully erosion within the watershed shows serious, ongoing erosion on that City-owned land. This project proposes a two-part approach to improving the water quality in Lake Morris. First, we propose that a complement of five SolarBee water circulation devices be installed in Lake Morris to provide near-term and continuing improvements in water quality, by inhibiting cyanobacterial growth and thereby removing the need for treatment of the lakes with copper sulfate. Second, we propose the installation of erosion-control structures on primarily City-owned land surrounding the lake, to provide a major reduction in ongoing sedimentation.

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The Rathbun Land and Water Alliance and partners have undertaken a highly effective approach to water quality protection through the Rathbun Lake Special Project. This approach is achieving a significant reduction in the sediment and phosphorus that impair water quality in Rathbun Lake and its tributaries as a result of the targeted application of best management practices (BMPs) for priority land in the watershed. This project application proposes to assist landowners to apply BMPs that will reduce sediment and phosphorus delivery from priority land in one targeted sub-watershed as part of the Rathbun Lake Special Project. Features of this project are: (1) use of geographic information system (GIS) analysis to identify priority land that requires BMPs; (2) assistance for landowners to apply BMPs on 1,450 acres that will reduce the annual delivery of sediment by 2,160 tons and phosphorus by 8,210 pounds; (3) evaluation of the benefits from BMP application using GIS analysis and water quality monitoring; and (4) watershed outreach activities that encourage landowners to apply BMPs for priority land to protect water quality.