Managers of water quality and water monitoring programs are often faced with constraints in terms of budget, time, and laboratory capacity for sample analysis. In such situation, the ideal solution is to reduce the number of sampling sites and/or monitored variables. In this case, selecting appropriate monitoring sites is a challenge. To overcome this problem, this study was conducted to statistically assess and identify the appropriate sampling stations of monitoring network under the monitored parameters. To achieve this goal, two sets of water quality data acquired from two different monitoring networks were used. The hierarchical agglomerative cluster analysis (HACA) were used to group stations with similar characteristics in the networks, the time series analysis was then performed to observe the temporal variation of water quality within the station clusters, and the geo-statistical analysis associated Kendall's coefficient of concordance were finally applied to identify the most appropriate and least appropriate sampling stations. Based on the overall result, five stations were identified in the networks that contribute the most to the knowledge of water quality status of the entire river. In addition, five stations deemed less important were identified and could therefore be considered as redundant in the network. This result demonstrated that geo-statistical technique coupled with Kendall's coefficient of concordance can be a reliable method for water resource managers to identify appropriate sampling sites in a river monitoring network.
The evaluation of the importance of having accurate and representative stations in a network for river water quality monitoring is always a matter of concern. The minimal budget and time demands of water quality monitoring programme may appear very attractive, especially when dealing with large-scale river watersheds. This article proposes an improved methodology for optimising water quality monitoring network for present and forthcoming monitoring of water quality under a case study of the Selangor River watershed in Malaysia, where different monitoring networks are being used by water management authorities. Knowing that the lack of financial resources in developing countries like Malaysia is one of the reasons for inadequate monitoring network density, to identify an optimised network for cost-efficiency benefits in this study, a geo-statistical technique coupled Kendall's W was first applied to analyse the performance of each monitoring station in the existing networks under the monitored water quality parameters. Second, the present and future changes in non-point pollution sources were simulated using the integrated Cellular Automata and Markov chain model (CA-Markov). Third, Station Potential Pollution Score (SPPS) determined based on Analytic Hierarchy Process (AHP) was used to weight each station under the changes of non-point pollution sources for 2015, 2024, and 2033 prior to prioritisation. Finally, according to the Kendall's W test on kriging results, the weights of non-point sources from the AHP evaluation and fuzzy membership functions, six most efficient sampling stations were identified to build a robust network for the present and future monitoring of water quality status in the Selangor River watershed. This study proposes a useful approach to the pertinent agencies and management authority concerned to establish appropriate methods for developing an efficient water quality monitoring network for tropical rivers.
About 10% of newborns require some degree of assistance to begin their breathing, and 1% necessitates extensive resuscitation. Sick neonates are exposed to a number of invasive life-saving procedures as part of their management, either for investigation or for treatment. In order to support the neonates with the maximum possible benefits and reduce iatrogenic morbidity, health-care providers performing these procedures must be familiar with their indications, measurements, and potential complications. Hence, the aim of this review is to summarise ten of the main neonatal intensive care procedures with highlighting of their indications, measurements, and complications. They include the umbilical venous and arterial catheterizations and the intraosseous line which represent the principal postnatal emergency vascular accesses; the peripherally inserted central catheter for long-term venous access; the endotracheal tube and laryngeal mask airway for airway control and ventilation; chest tube for drainage of air and fluid from the thorax; and the nasogastric/orogastric tube for enteral feeding. Furthermore, lumber puncture and heel stick were included in this review as very important and frequently performed diagnostic procedures in the neonatal intensive care unit.