Exploring the training and scope of practice of GPs in England, Germany and Spain.

PubMed

Glonti, Ketevan; Struckmann, Verena; Alconada, Alvaro; Pettigrew, Luisa M; Hernandez-Santiago, Virginia; Minue, Sergio; Risso-Gill, Isabelle; McKee, Martin; Legido-Quigley, Helena

2018-03-22

To explore general practitioner (GP) training, continuing professional development, scope of practice, ethical issues and challenges in the working environment in three European countries. Qualitative study of 35 GPs from England, Germany and Spain working in urban primary care practices. Participants were recruited using convenience and snowball sampling techniques. Semi-structured interviews were recorded, transcribed and analysed by four independent researchers adopting a thematic approach. Entrance to and length of GP training differ between the three countries, while continuing professional development is required in all three, although with different characteristics. Key variations in the scope of practice include whether there is a gatekeeping role, whether GPs work in multidisciplinary teams or singlehandedly, the existence of appraisal processes, and the balance between administrative and clinical tasks. However, similar challenges, including the need to adapt to an ageing population, end-of-life care, ethical dilemmas, the impact of austerity measures, limited time for patients and gaps in coordination between primary and secondary care are experienced by GPs in all three countries. Primary health care variations have strong historical roots, derived from the different national experiences and the range of clinical services delivered by GPs. There is a need for an accessible source of information for GPs themselves and those responsible for safety and quality standards of the healthcare workforce. This paper maps out the current situation before Brexit is being implemented in the UK which could see many of the current EU arrangements and legislation to assure professional mobility between the UK and the rest of Europe dismantled. Copyright © 2017. Publicado por Elsevier España, S.L.U.

Drought-induced uplift in the western United States as observed by the EarthScope Plate Boundary Observatory GPS network

NASA Astrophysics Data System (ADS)

Borsa, A. A.; Agnew, D. C.; Cayan, D. R.

2014-12-01

The western United States (WUS) has been experiencing severe drought since 2013. The solid earth response to the accompanying loss of surface and near-surface water mass should be a broad region of uplift. We use seasonally-adjusted time series from continuously operating GPS stations in the EarthScope Plate Boundary Observatory and several smaller networks to measure this uplift, which reaches 15 mm in the California Coastal Ranges and Sierra Nevada and has a median value of 4 mm over the entire WUS. The pattern of mass loss due to the drought, which we recover from an inversion of uplift observations, ranges up to 50 cm of water equivalent and is consistent with observed decreases in precipitation and streamflow. We estimate the total deficit to be 240 Gt, equivalent to a uniform 10 cm layer of water over the entire region, or the magnitude of the current annual mass loss from the Greenland Ice Sheet. In the WUS, interannual changes in crustal loading are driven by changes in cool-season precipitation, which cause variations in surface water, snowpack, soil moisture, and groundwater. The results here demonstrate that the existing network of continuous GPS stations can be used to recover loading changes due to both wet and dry climate patterns. This suggests a new role for GPS networks such as that of the Plate Boundary Observatory. The exceptional stability of the GPS monumentation means that this network is also capable of monitoring the long-term effects of regional climate change. Surface displacement observations from GPS have the potential to expand the capabilities of the current hydrological observing network for monitoring current and future hydrological changes, with obvious social and economic benefits.

GPS interferometric reflectometry for ground-based remote sensing of snow depth and density

NASA Astrophysics Data System (ADS)

Nievinski, F. G.; Larson, K. M.; Gutmann, E. D.; Zavorotny, V.; Williams, M. W.

2011-12-01

GPS interferometric reflectometry (GPS-IR) is a method that exploits multipath for ground-based remote sensing in the surroundings of a GPS antenna. It operates on L-band, leveraging hundreds of conventional GPS sites existing in the U.S., with a typical footprint of 30-meter radius. Multipath is the coherent interference of line-of-sight and reflected signals; as the two go in and out of phase, the power recorded by a GPS interferometer goes through peaks and troughs that can be related to land surface characteristics, such as soil moisture and snow depth. GPS-IR has been demonstrated to be capable of retrieving snow depth during extended periods at various locations, as validated by comparisons with a continuously-operating terrestrial scanning laser, an airborne LIDAR campaign, manual stake surveys, and ultrasonic depth sensors. Here we explore the possibility of retrieving snow density, too. This will determine the feasibility and limitations of GPS-IR for monitoring of snow water equivalent (SWE). Data were collected at Niwot Ridge LTER in Colorado, at a 3,500-m altitude alpine tundra site. Niwot receives around 1,000 mm of precipitation per year and has a mean annual air temperature of -3.8°C. Snow density and temperature is measured in 10-cm vertical increments at snowpits dug approximately every week. A continuously-operating GPS system established in 2009 allows for measurement of the snowpack several times a day at multiple azimuths as satellites rise and set. The typical peak snow depth at the GPS site is 1.5 m, with a peak depth during the study period of 1.7 m in 2009/2010 and 2.5 m in 2010/2011; density ranged 200-600 kg/m3. We employ a forward/inverse model originally developed for snow depth and recently extended to account for layering to study both synthetic and real observations. We present comparisons of density estimates obtained using GPS-IR observations to snowpit field data, focusing initially on dry snow. In addition, we explore the sensitivity of the model to roughness, density, snow depth, and random noise. Synthetic observations derived from the forward model based on realistic snow profiles are utilized in the inverse model to quantify both the formal uncertainty and the expected error in parameter retrievals.

Plans for a Northern Cascadia Subduction Zone Observatory

NASA Astrophysics Data System (ADS)

Heesemann, M.; Wang, K.; Davis, E.; Chadwell, C. D.; Nissen, E.; Moran, K.; Scherwath, M.

2017-12-01

To accurately assess earthquake and tsunami hazards posed by the Cascadia Subduction Zone, it is critically important to know which area of the plate interface is locked and whether or not part of the energy is being released aseismically by slow creep on the fault. Deeper locking that extends further to the coast produces stronger shaking in population centers. Shallow locking, on the other hand, leads to bigger tsunamis. We will report on and discuss plans for a new amphibious Northern Cascadia Subduction Zone Observatory (NCSZO) that will leverage the existing NEPTUNE cabled seafloor observatory, which is operated by Ocean Networks Canada (ONC), and the onshore network of geodetic stations, which is operated by Natural Resources Canada (NRCan). To create a NCSZO we plan to (1) add a network of seven GPS-Acoustic (GPS-A) sites offshore Vancouver Island, (2) establish a Deformation Front Observatory, and (3) improve the existing onshore geodetic network (see Figure below). The GPS-A stations will provide the undisturbed motion of the Juan de Fuca (JdF) Plate (1), deformation of the JdF plate (2), deformation of the overriding plate (3-7) and a cabled laboratory to study the potential for continuous GPS-A measurements (6). The Deformation Front Observatory will be used to study possible transient slip events using seafloor pressure and tilt instruments and fluid flux meters.

Safety Arguments for Next Generation, Location Aware Computing

NASA Technical Reports Server (NTRS)

Johnson, C. W.; Holloway, C. M.

2010-01-01

Concerns over accuracy, availability, integrity, and continuity have limited the integration of Global Positioning System (GPS) and Global Navigation Satellite System (GLONASS) for safety-critical applications. More recent augmentation systems, such as the European Geostationary Navigation Overlay Service (EGNOS) and the North American Wide Area Augmentation System (WAAS) have begun to address these concerns. Augmentation architectures build on the existing GPS/GLONASS infrastructures to support location based services in Safety of Life (SoL) applications. Much of the technical development has been directed by air traffic management requirements, in anticipation of the more extensive support to be offered by GPS III and Galileo. WAAS has already been approved to provide vertical guidance for aviation applications. During the next twelve months, the full certification of EGNOS for SoL applications is expected. This paper discusses similarities and differences between the safety assessment techniques used in Europe and North America.

An integrated GPS-FID system for airborne gas detection of pipeline right-of-ways

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gehue, H.L.; Sommer, P.

1996-12-31

Pipeline integrity, safety and environmental concerns are of prime importance in the Canadian natural gas industry. Terramatic Technology Inc. (TTI) has developed an integrated GPS/FID gas detection system known as TTI-AirTrac{trademark} for use in airborne gas detection (AGD) along pipeline right-of-ways. The Flame Ionization Detector (FID), which has traditionally been used to monitor air quality for gas plants and refineries, has been integrated with the Global Positioning System (GPS) via a 486 DX2-50 computer and specialized open architecture data acquisition software. The purpose of this technology marriage is to be able to continuously monitor air quality during airborne pipeline inspection.more » Event tagging from visual surveillance is used to determine an explanation of any delta line deviations (DLD). These deviations are an indication of hydrocarbon gases present in the plume that the aircraft has passed through. The role of the GPS system is to provide mapping information and coordinate data for ground inspections. The ground based inspection using a handheld multi gas detector will confirm whether or not a leak exists.« less

'Two sides of the coin'--the value of personal continuity to GPs: a qualitative interview study.

PubMed

Ridd, Matthew; Shaw, Alison; Salisbury, Chris

2006-08-01

Continuity is thought to be important to GPs but the values behind this are unknown. To explore the values that doctors working in general practice attach to continuity of patient care and to outline how these values are applied in practice. In-depth qualitative interview with 24 GPs in England. Participants were purposefully sampled according to personal and practice characteristics. Analysis was thematic, drawing on the constant comparative method. The majority of doctors valued doctor-patient, or personal, continuity in their everyday work. It was most valued in patients with serious, complex or psychological problems. GPs believed that through their personal knowledge of the patient and the doctor-patient relationship, personal continuity enabled them to provide higher quality care. However, the benefits of personal continuity were balanced against problems, and GPs identified personal, professional and external constraints that limited its provision. GPs seemed to have resolved the tension between the benefits, limits and constraints they described by accepting an increased reliance on continuity being provided within teams. Personal continuity may offer important benefits to doctors and patients, but we do not know how unique its values are. In particular, it is not clear whether the same benefits can be achieved within teams, the level at which continuity is increasingly being provided. The relative advantages and limits of the different means of delivering continuity need to be better understood, before further policy changes that affect personal continuity are introduced.

International developments in revenues and incomes of general practitioners from 2000 to 2010

PubMed Central

2013-01-01

Background The remuneration system of General Practitioners (GPs) has changed in several countries in the past decade. The aim of our study was: to establish the effect of these changes on the revenues and income of GPs in the first decade of the 21st century. Methods Annual GP revenue and practice costs were collected from national institutes in the eight countries included in our study (Belgium, Denmark, Finland, France, Germany, The Netherlands, Sweden, The United Kingdom (UK)) from 2000–2010. The data were corrected for inflation and purchasing power. Data on the remuneration systems and changes herein were collected from the European Observatory Health Systems Reviews and country experts. Results Comprehensive changes in the remuneration system of GPs were associated with considerable changes in GP income. Incremental changes mainly coincided with a gradual increase in income after correction for inflation. Average GP income was higher in countries with a strong primary care structure. Conclusions The gap between the countries where GPs have a lower income (Belgium, Sweden, France and Finland) and the countries where GPs have a higher income (Netherlands, Germany and the UK) continues to exist over time and appeared to be related to dimensions of primary care, such as governance and access. New payment forms, such as integrated care payment systems, and new health care professionals that are working for GPs, increasingly blur the line between practice costs and income, making it more and more important to clearly define expenditures on GPs, to remain sight on the actual income of GPs. PMID:24152337

The league of extraordinary generalists: a qualitative study of professional identity and perceptions of role of GPs working on a national after hours helpline in Australia.

PubMed

McKenzie, Rosemary; Williamson, Michelle

2016-04-22

Telephone triage and advice services (TTAS) have become commonplace in western health care systems particularly as an aid to patient access and demand management in the after hours period. In 2011 an after hours general practitioner (GP) helpline was established as a supplementary service to existing 24-h nurse-TTAS in Australia. Callers to the service in the after hours period who are triaged by a nurse as needing to see a GP immediately or within 24 h may speak with a GP on the line to obtain further assessment and advice. While much research has been undertaken on the roles of nurses in TTAS and the professional identities and attitudes to new technology of community-based GPs, little is known of the perceptions of role and identity of GPs providing after hours advice on primary care helplines. This qualitative study explored the perceptions of professional identity and role, motivations and contributions to the health system of GPs employed on the Australian afterhours GP helpline in 2011-2013. The study took a phenomenographic approach seeking to understand the essence of being a telephone GP, probing professional identity while also exploring role tensions. Twelve GPs, or 15% of the helpline GP workforce participated in the qualitative study. The GPs experienced both personal and professional benefits and believed they were strengthening patient care and the Australian health system. However the role required a re-alignment of practice that challenged professional autonomy, the doctor-patient relationship and commitment to continuity of care. Some GPs made this role realignment more readily than others and were well suited to the helpline role. There was a strong collegial bond amongst the helpline GPs which facilitated the maintenance of professional autonomy. Telephone GP assessment and advice does not demonstrate the same breadth as face-to-face practice and provides little opportunity for continuity of care, but this has not prevented those performing the role from identifying as a new form of generalist. The establishment of an after hours GP helpline in Australia has seen the emergence of a new generalist primary care identity as telehealth innovators.

Accuracy of Snow Water Equivalent Estimated From GPS Vertical Displacements: A Synthetic Loading Case Study for Western U.S. Mountains

NASA Astrophysics Data System (ADS)

Enzminger, Thomas L.; Small, Eric E.; Borsa, Adrian A.

2018-01-01

GPS monitoring of solid Earth deformation due to surface loading is an independent approach for estimating seasonal changes in terrestrial water storage (TWS). In western United States (WUSA) mountain ranges, snow water equivalent (SWE) is the dominant component of TWS and an essential water resource. While several studies have estimated SWE from GPS-measured vertical displacements, the error associated with this method remains poorly constrained. We examine the accuracy of SWE estimated from synthetic displacements at 1,395 continuous GPS station locations in the WUSA. Displacement at each station is calculated from the predicted elastic response to variations in SWE from SNODAS and soil moisture from the NLDAS-2 Noah model. We invert synthetic displacements for TWS, showing that both seasonal accumulation and melt as well as year-to-year fluctuations in peak SWE can be estimated from data recorded by the existing GPS network. Because we impose a smoothness constraint in the inversion, recovered TWS exhibits mass leakage from mountain ranges to surrounding areas. This leakage bias is removed via linear rescaling in which the magnitude of the gain factor depends on station distribution and TWS anomaly patterns. The synthetic GPS-derived estimates reproduce approximately half of the spatial variability (unbiased root mean square error ˜50%) of TWS loading within mountain ranges, a considerable improvement over GRACE. The inclusion of additional simulated GPS stations improves representation of spatial variations. GPS data can be used to estimate mountain-range-scale SWE, but effects of soil moisture and other TWS components must first be subtracted from the GPS-derived load estimates.

Signal existence verification (SEV) for GPS low received power signal detection using the time-frequency approach.

PubMed

Jan, Shau-Shiun; Sun, Chih-Cheng

2010-01-01

The detection of low received power of global positioning system (GPS) signals in the signal acquisition process is an important issue for GPS applications. Improving the miss-detection problem of low received power signal is crucial, especially for urban or indoor environments. This paper proposes a signal existence verification (SEV) process to detect and subsequently verify low received power GPS signals. The SEV process is based on the time-frequency representation of GPS signal, and it can capture the characteristic of GPS signal in the time-frequency plane to enhance the GPS signal acquisition performance. Several simulations and experiments are conducted to show the effectiveness of the proposed method for low received power signal detection. The contribution of this work is that the SEV process is an additional scheme to assist the GPS signal acquisition process in low received power signal detection, without changing the original signal acquisition or tracking algorithms.

Rigidity and definition of Caribbean plate motion from COCONet and campaign GPS observations

NASA Astrophysics Data System (ADS)

Mattioli, Glen; Miller, Jamie; DeMets, Charles; Jansma, Pamela

2014-05-01

The currently accepted kinematic model of the Caribbean plate presented by DeMets et al. (2007) is based on velocities from 6 continuous and 14 campaign GPS sites. COCONet is a multi-hazard GPS-Met observatory, which extends the existing infrastructure of the Plate Boundary Observatory in North America into the Caribbean basin. In 2010, UNAVCO in collaboration with UCAR, was funded by NSF to design, build, and initially maintain a network of 50 new cGPS/Met sites and include data from another 50 existing sites in the Caribbean region. The current COCONet siting plan calls for 46 new stations, 21 refurbished stations, and 77 existing stations across 26 nations in the Caribbean region. Data from all COCONet sites flow into the UNAVCO archive and are processed by the PBO analysis centers and are also processed independently by the UTA Geodesy Lab using GIPSY-OASISII (v.6.2) using an absolute point positioning strategy and final, precise orbits, clocks, and Earth orientation parameters from JPL in the IGS08 frame. We present here our refined estimate of Caribbean plate motion by evaluating data from an expanded number of stations with an improved spatial distribution. In order to better constrain the eastern margin of the plate near the Lesser Antilles subduction interface, campaign GPS observations have been collected on the island of Dominica over the last decade. These are combined with additional campaign observations from the western Caribbean, specifically from Honduras and Nicaragua. We have analyzed a total of 117 sites from the Caribbean region, including campaign data and the data from the cGPS stations that comprise COCONet. An updated velocity field for the Caribbean plate is presented and an inversion of the velocities for 24 sites yields a plate angular velocity that differs from previously published models. Our best fitting inversion to GPS velocities from these 24 sites suggests that 2-plate model for the Caribbean is required to fit the GPS observations, which implies that the Caribbean is undergoing modest (1-3 mm/yr) deformation within its interior. Some sites in the western Caribbean included in our analysis may be biased by small, but significant coseismic deformation, which has not been removed from the site velocities used in our inversion to define Caribbean motion and rigidity. Scenarios for possible east-west deformation accommodated across the Lower Nicaraguan Rise and Beata Ridge will be presented.

PBO Southwest Region: Baja Earthquake Response and Network Operations

NASA Astrophysics Data System (ADS)

Walls, C. P.; Basset, A.; Mann, D.; Lawrence, S.; Jarvis, C.; Feaux, K.; Jackson, M. E.

2011-12-01

The SW region of the Plate Boundary Observatory consists of 455 continuously operating GPS stations located principally along the transform system of the San Andreas fault and Eastern California Shear Zone. In the past year network uptime exceeded an average of 97% with greater than 99% data acquisition. Communications range from CDMA modem (307), radio (92), Vsat (30), DSL/T1/other (25) to manual downloads (1). Sixty-three stations stream 1 Hz data over the VRS3Net typically with <0.5 second latency. Over 620 maintenance activities were performed during 316 onsite visits out of approximately 368 engineer field days. Within the past year there have been 7 incidences of minor (attempted theft) to moderate vandalism (solar panel stolen) with one total loss of receiver and communications gear. Security was enhanced at these sites through fencing and more secure station configurations. In the past 12 months, 4 new stations were installed to replace removed stations or to augment the network at strategic locations. Following the M7.2 El Mayor-Cucapah earthquake CGPS station P796, a deep-drilled braced monument, was constructed in San Luis, AZ along the border within 5 weeks of the event. In addition, UNAVCO participated in a successful University of Arizona-led RAPID proposal for the installation of six continuous GPS stations for post-seismic observations. Six stations are installed and telemetered through a UNAM relay at the Sierra San Pedro Martir. Four of these stations have Vaisala WXT520 meteorological sensors. An additional site in the Sierra Cucapah (PTAX) that was built by CICESE, an Associate UNAVCO Member institution in Mexico, and Caltech has been integrated into PBO dataflow. The stations will be maintained as part of the PBO network in coordination with CICESE. UNAVCO is working with NOAA to upgrade PBO stations with WXT520 meteorological sensors and communications systems capable of streaming real-time GPS and met data. The real-time GPS and meteorological sensor data streaming support watershed and flood analyses for regional early-warning systems related to NOAA's work with California Department of Water Resources. Currently 19 stations are online and streaming with 7 more in preparation. In 2008 PBO became the steward of 209 existing network stations of which 140 are in the SW region that included SCIGN, BARD, BARGEN stations. Due to the mix of incompatible equipment used between PBO and existing network stations a project was undertaken to standardize existing network GPS stations to PBO specifications by upgrading power systems and enclosures. To date 96 stations have been upgraded. UNAVCO is currently funded through a USGS ARRA grant to construct 8 new GPS stations in the San Francisco Bay Area capable of streaming high rate data. At present 6 stations are built with 2 permits outstanding.

Changing the Antibiotic Prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention.

PubMed

van Driel, Mieke L; Morgan, Simon; Tapley, Amanda; McArthur, Lawrie; McElduff, Patrick; Yardley, Lucy; Dallas, Anthea; Deckx, Laura; Mulquiney, Katie; Davis, Joshua S; Davey, Andrew; Henderson, Kim; Little, Paul; Magin, Parker J

2016-06-06

Australian General Practitioners (GPs) are generous prescribers of antibiotics, prompting concerns including increasing antimicrobial resistance in the community. Recent data show that GPs in vocational training have prescribing patterns comparable with the high prescribing rate of their established GP supervisors. Evidence-based guidelines consistently advise that antibiotics are not indicated for uncomplicated upper respiratory tract infections (URTI) and are rarely indicated for acute bronchitis. A number of interventions have been trialled to promote rational antibiotic prescribing by established GPs (with variable effectiveness), but the impact of such interventions in a training setting is unclear. We hypothesise that intervening while early-career GPs are still developing their practice patterns and prescribing habits will result in better adherence to evidence-based guidelines as manifested by lower antibiotic prescribing rates for URTIs and acute bronchitis. The intervention consists of two online modules, a face-to-face workshop for GP trainees, a face-to-face workshop for their supervisors and encouragement for the trainee-supervisor dyad to include a case-based discussion of evidence-based antibiotic prescribing in their weekly one-on-one teaching meetings. We will use a non-randomised, non-equivalent control group design to assess the impact on antibiotic prescribing for acute upper respiratory infections and acute bronchitis by GP trainees in vocational training. Early-career GPs who are still developing their clinical practice and prescribing habits are an underutilized target-group for interventions to curb the growth of antimicrobial resistance in the community. Interventions that are embedded into existing training programs or are linked to continuing professional development have potential to increase the impact of existing interventions at limited additional cost. Australian New Zealand Clinical Trials Registry, ACTRN12614001209684 (registered 17/11/2014).

GPS Monitor Station Upgrade Program at the Naval Research Laboratory

NASA Technical Reports Server (NTRS)

Galysh, Ivan J.; Craig, Dwin M.

1996-01-01

One of the measurements made by the Global Positioning System (GPS) monitor stations is to measure the continuous pseudo-range of all the passing GPS satellites. The pseudo-range contains GPS and monitor station clock errors as well as GPS satellite navigation errors. Currently the time at the GPS monitor station is obtained from the GPS constellation and has an inherent inaccuracy as a result. Improved timing accuracy at the GPS monitoring stations will improve GPS performance. The US Naval Research Laboratory (NRL) is developing hardware and software for the GPS monitor station upgrade program to improve the monitor station clock accuracy. This upgrade will allow a method independent of the GPS satellite constellation of measuring and correcting monitor station time to US Naval Observatory (USNO) time. THe hardware consists of a high performance atomic cesium frequency standard (CFS) and a computer which is used to ensemble the CFS with the two CFS's currently located at the monitor station by use of a dual-mixer system. The dual-mixer system achieves phase measurements between the high-performance CFS and the existing monitor station CFS's to within 400 femtoseconds. Time transfer between USNO and a given monitor station is achieved via a two way satellite time transfer modem. The computer at the monitor station disciplines the CFS based on a comparison of one pulse per second sent from the master site at USNO. The monitor station computer is also used to perform housekeeping functions, as well as recording the health status of all three CFS's. This information is sent to the USNO through the time transfer modem. Laboratory time synchronization results in the sub nanosecond range have been observed and the ability to maintain the monitor station CFS frequency to within 3.0 x 10 (sup minus 14) of the master site at USNO.

Review of current GPS methodologies for producing accurate time series and their error sources

NASA Astrophysics Data System (ADS)

He, Xiaoxing; Montillet, Jean-Philippe; Fernandes, Rui; Bos, Machiel; Yu, Kegen; Hua, Xianghong; Jiang, Weiping

2017-05-01

The Global Positioning System (GPS) is an important tool to observe and model geodynamic processes such as plate tectonics and post-glacial rebound. In the last three decades, GPS has seen tremendous advances in the precision of the measurements, which allow researchers to study geophysical signals through a careful analysis of daily time series of GPS receiver coordinates. However, the GPS observations contain errors and the time series can be described as the sum of a real signal and noise. The signal itself can again be divided into station displacements due to geophysical causes and to disturbing factors. Examples of the latter are errors in the realization and stability of the reference frame and corrections due to ionospheric and tropospheric delays and GPS satellite orbit errors. There is an increasing demand on detecting millimeter to sub-millimeter level ground displacement signals in order to further understand regional scale geodetic phenomena hence requiring further improvements in the sensitivity of the GPS solutions. This paper provides a review spanning over 25 years of advances in processing strategies, error mitigation methods and noise modeling for the processing and analysis of GPS daily position time series. The processing of the observations is described step-by-step and mainly with three different strategies in order to explain the weaknesses and strengths of the existing methodologies. In particular, we focus on the choice of the stochastic model in the GPS time series, which directly affects the estimation of the functional model including, for example, tectonic rates, seasonal signals and co-seismic offsets. Moreover, the geodetic community continues to develop computational methods to fully automatize all phases from analysis of GPS time series. This idea is greatly motivated by the large number of GPS receivers installed around the world for diverse applications ranging from surveying small deformations of civil engineering structures (e.g., subsidence of the highway bridge) to the detection of particular geophysical signals.

PBO Nucleus Project Summary: The Successful Integration of 209 Existing GPS Sions in the Plate Boundary Observatory

NASA Astrophysics Data System (ADS)

Blume, F.; Miller, M.; Boyce, E.; Borsa, A.; Eriksson, S.

2008-12-01

Tectonic and earthquake research in the US has experienced a quiet revolution over the last decade precipitated by the recognition that slow-motion faulting events can both trigger and be triggered by regular earthquakes. Transient motion has now been found in essentially all tectonic environments, and the detection and analysis of such events is the first-order science target of the EarthScope Project. Because of this and a host of other fundamental tectonics questions that can be answered only with long-duration geodetic time series, the 1100-station EarthScope Plate Boundary Observatory (PBO) network was designed to leverage 445 existing continuous GPS stations whose measurements extend back over a decade. The irreplaceable recording history of these stations will accelerate EarthScope scientific return by providing the highest possible resolution. This resolution will be used to detect and understand transients, to determine the three-dimensional velocity field (particularly vertical motion), and to improve measurement precision by understanding the complex noise sources inherent in GPS. The PBO Nucleus project supports the operation, maintenance and hardware upgrades of a subset of the six western U.S. geodetic networks until they are subsumed by PBO. Uninterrupted data flow from these stations will effectively double the time-series length of PBO over the expected life of EarthScope, and has created, for the first time, a single GPS-based geodetic network in the US. The other existing sites remain in operation under support from non-NSF sources (e.g. the USGS), and EarthScope continues to benefit from their continued operation On the grounds of relevance to EarthScope science goals, geographic distribution and data quality, 209 of the 432 existing stations were selected as the nucleus upon which to build PBO. Conversion of these stations to a PBO-compatible mode of operation was begun under previous funding, and as a result data now flow directly to PBO archives and processing centers while maintenance, operations, and meta-data requirements are continue to be upgraded to PBO standards. At the end of this project all 209 stations have been fully incorporated into PBO, meeting all standards for new PBO construction including data communications and land use permits. Funds for operation of these stations have been included in approved budgets for PBO's Operations and Maintenance phase. The data from these stations serve a much larger audience than just the few people who work to keep them operating. This project is now collecting the data that will be used by the next generation of solid-earth researchers for at least two decades. Educational modules are being developed by a team of researchers, educators, and curriculum development professionals, and are being disseminated through regional and national workshops. An interactive website provides the newest developments in tectonics research to K-16 classrooms. class="ab'>

Dynamic strain and rotation ground motions of the 2011 Tohoku earthquake from dense high-rate GPS observations in Taiwan

NASA Astrophysics Data System (ADS)

Huang, B. S.; Rau, R. J.; Lin, C. J.; Kuo, L. C.

2017-12-01

Seismic waves generated by the 2011 Mw 9.0 Tohoku, Japan earthquake were well recorded by continuous GPS in Taiwan. Those GPS were operated in one hertz sampling rate and densely distributed in Taiwan Island. Those continuous GPS observations and the precise point positioning technique provide an opportunity to estimate spatial derivatives from absolute ground motions of this giant teleseismic event. In this study, we process and investigate more than one and half hundred high-rate GPS displacements and its spatial derivatives, thus strain and rotations, to compare to broadband seismic and rotational sensor observations. It is shown that continuous GPS observations are highly consistent with broadband seismic observations during its surface waves across Taiwan Island. Several standard Geodesy and seismic array analysis techniques for spatial gradients have been applied to those continuous GPS time series to determine its dynamic strain and rotation time histories. Results show that those derivate GPS vertical axis ground rotations are consistent to seismic array determined rotations. However, vertical rotation-rate observations from the R1 rotational sensors have low resolutions and could not compared with GPS observations for this special event. For its dese spatial distribution of GPS stations in Taiwan Island, not only wavefield gradient time histories at individual site was obtained but also 2-D spatial ground motion fields were determined in this study also. In this study, we will report the analyzed results of those spatial gradient wavefields of the 2011 Tohoku earthquake across Taiwan Island and discuss its geological implications.

January 30, 1997 eruptive event on Kilauea Volcano, Hawaii, as monitored by continuous GPS

USGS Publications Warehouse

Owen, S.; Segall, P.; Lisowski, M.; Miklius, Asta; Murray, M.; Bevis, M.; Foster, J.

2000-01-01

A continuous Global Positioning System (GPS) network on Kilauea Volcano captured the most recent fissure eruption in Kilauea's East Rift Zone (ERZ) in unprecedented spatial and temporal detail. The short eruption drained the lava pond at Pu'u O' o, leading to a two month long pause in its on-going eruption. Models of the GPS data indicate that the intrusion's bottom edge extended to only 2.4 km. Continuous GPS data reveal rift opening 8 hours prior to the eruption. Absence of precursory summit inflation rules out magma storage overpressurization as the eruption's cause. We infer that stresses in the shallow rift created by the continued deep rift dilation and slip on the south flank decollement caused the rift intrusion.

Medium-Frequency Data Link for Differential NAVSTAR/GPS Broadcasts

DOT National Transportation Integrated Search

1986-06-01

Differential GPS must communicate differential corrections to civilian users of the Global Positioning System. Modulation of existing marine radiobeacons can provide the needed communication link for DGPS, provided the operation of existing radiobeac...

Continued study of NAVSTAR/GPS for general aviation

NASA Technical Reports Server (NTRS)

Alberts, R. D.; Ruedger, W. H.

1979-01-01

A conceptual approach for examining the full potential of Global Positioning Systems (GPS) for the general aviation community is presented. Aspects of an experimental program to demonstrate these concepts are discussed. The report concludes with the observation that the true potential of GPS can only be exploited by utilization in concert with a data link. The capability afforded by the combination of position location and reporting stimulates the concept of GPS providing the auxiliary functions of collision avoidance, and approach and landing guidance. A series of general recommendations for future NASA and civil community efforts in order to continue to support GPS for general aviation are included.

The UNAVCO role in planning, building, and maintaining geodetic infrastructure across the Americas: update on PBO, COCONet, and TLALOCNet

NASA Astrophysics Data System (ADS)

Mattioli, G. S.; Braun, J. J.; Cabral, E.; Calais, E.; DeMets, C.; Feaux, K.; Mencin, D.; Miller, M. M.; Normandeau, J.; Serra, Y.; Wang, G.

2013-05-01

UNAVCO maintains the NSF-funded Plate Boundary Observatory (PBO), which is the geodetic facility of EarthScope. PBO is largest continuous GPS and borehole geophysical network in the Americas, with ~1130 cGPS sites, including several with multiple monuments, ~80 boreholes, with 75 tensor strainmeters, 79 short-period, 3-component seismometers, and pore pressure sensors at 23 sites. PBO also includes 26 tiltmeters deployed at several volcanoes. Surface meteorological sensors are collocated at 134 GPS sites. UNAVCO provides high-rate (1 Hz), low-latency (<1 s) GPS data streams (RT-GPS) from 348 stations in PBO and has delivered over 62 Tb of geodetic data since PBO's inception in 2004. COCONet is a multi-hazard GPS-Met observatory, which extends PBO infrastructure into the Caribbean basin. In 2010, UNAVCO in collaboration with UCAR, was funded by NSF to build and initially maintain a network of 50 new cGPS/Met sites and incorporate another 50 existing sites in the Caribbean region. The revised siting plan calls for 46 new, 21 refurbished, and 77 existing stations spanning 26 nations in the Caribbean. Data from COCONet sites flow into the UNAVCO archive and are processed by the PBO analysis centers. Three workshops have helped to foster a COCONet science community and provide important guidance to UNAVCO to assure success of this complex multi-national project. A new joint UNAVCO-Mexican multi-hazard GPS-Met observatory, called TLALOCNet, has been proposed based on the outcomes of a NSF-funded workshop held in Puerto Vallarta in 2010. The TLALOCNet plan calls for UNAVCO to install 9 new PBO-quality GPS-Met sites in Mexico and adjacent islands, upgrade 29 sites previously installed with NSF funding along the western subduction boundary, and coordinate with the Mexican National Meteorological Service to federate data from at least another 80 GPS-Met sites distributed across Mexico. All GPS-Met data from TLALOCNet will be freely available at the UNAVCO archive and Mexican mirror sites. The ultimate goal for these networks is to provide free, high-quality, low-latency data and data products for researchers, educators, students, and the private sector. Data from COCONet and TLALOCNet will be used by US and international scientists to study solid earth processes, for example plate kinematics and dynamic as well as plate boundary interactions and deformation, with an emphasis on the earthquake cycle. The networks also serve atmospheric science objectives by providing more precise estimates of tropospheric water vapor thus enabling better forecast of the dynamics of airborne moisture associated with the yearly Caribbean hurricane cycle.

Data Access and Web Services at the EarthScope Plate Boundary Observatory

NASA Astrophysics Data System (ADS)

Matykiewicz, J.; Anderson, G.; Henderson, D.; Hodgkinson, K.; Hoyt, B.; Lee, E.; Persson, E.; Torrez, D.; Smith, J.; Wright, J.; Jackson, M.

2007-12-01

The EarthScope Plate Boundary Observatory (PBO) at UNAVCO, Inc., part of the NSF-funded EarthScope project, is designed to study the three-dimensional strain field resulting from deformation across the active boundary zone between the Pacific and North American plates in the western United States. To meet these goals, PBO will install 880 continuous GPS stations, 103 borehole strainmeter stations, and five laser strainmeters, as well as manage data for 209 previously existing continuous GPS stations and one previously existing laser strainmeter. UNAVCO provides access to data products from these stations, as well as general information about the PBO project, via the PBO web site (http://pboweb.unavco.org). GPS and strainmeter data products can be found using a variety of access methods, incuding map searches, text searches, and station specific data retrieval. In addition, the PBO construction status is available via multiple mapping interfaces, including custom web based map widgets and Google Earth. Additional construction details can be accessed from PBO operational pages and station specific home pages. The current state of health for the PBO network is available with the statistical snap-shot, full map interfaces, tabular web based reports, and automatic data mining and alerts. UNAVCO is currently working to enhance the community access to this information by developing a web service framework for the discovery of data products, interfacing with operational engineers, and exposing data services to third party participants. In addition, UNAVCO, through the PBO project, provides advanced data management and monitoring systems for use by the community in operating geodetic networks in the United States and beyond. We will demonstrate these systems during the AGU meeting, and we welcome inquiries from the community at any time.

GPS Monitoring of Surface Change During and Following the Fortuitous Occurrence of the M(sub w) = 7.3 Landers Earthquake in our Network

NASA Technical Reports Server (NTRS)

Miller, M. Meghan

1998-01-01

Accomplishments: (1) Continues GPS monitoring of surface change during and following the fortuitous occurrence of the M(sub w) = 7.3 Landers earthquake in our network, in order to characterize earthquake dynamics and accelerated activity of related faults as far as 100's of kilometers along strike. (2) Integrates the geodetic constraints into consistent kinematic descriptions of the deformation field that can in turn be used to characterize the processes that drive geodynamics, including seismic cycle dynamics. In 1991, we installed and occupied a high precision GPS geodetic network to measure transform-related deformation that is partitioned from the Pacific - North America plate boundary northeastward through the Mojave Desert, via the Eastern California shear zone to the Walker Lane. The onset of the M(sub w) = 7.3 June 28, 1992, Landers, California, earthquake sequence within this network poses unique opportunities for continued monitoring of regional surface deformation related to the culmination of a major seismic cycle, characterization of the dynamic behavior of continental lithosphere during the seismic sequence, and post-seismic transient deformation. During the last year, we have reprocessed all three previous epochs for which JPL fiducial free point positioning products available and are queued for the remaining needed products, completed two field campaigns monitoring approx. 20 sites (October 1995 and September 1996), begun modeling by development of a finite element mesh based on network station locations, and developed manuscripts dealing with both the Landers-related transient deformation at the latitude of Lone Pine and the velocity field of the whole experiment. We are currently deploying a 1997 observation campaign (June 1997). We use GPS geodetic studies to characterize deformation in the Mojave Desert region and related structural domains to the north, and geophysical modeling of lithospheric behavior. The modeling is constrained by our existing and continued GPS measurements, which will provide much needed data on far-field strain accumulation across the region and on the deformational response of continental lithosphere during and following a large earthquake, forming the basis for kinematic and dynamic modeling of secular and seismic-cycle deformation. GPS geodesy affords both regional coverage and high precision that uniquely bear on these problems.

Patient and professional views of open access hysterosalpingography for the initial management of infertility in primary care

PubMed Central

Wilkes, Scott; Rubin, Greg; Crosland, Ann; Hall, Nicola; Murdoch, Alison

2009-01-01

Background Hysterosalpingography (HSG) is recommended as a first-line investigation for tubal assessment of infertile women. This investigation is not routinely available to GPs. Aim To explore the perceptions and attitudes of patients and health professionals to open access HSG for the initial management of infertile couples in general practice. Design of study A nested qualitative study using in-depth interviews with GPs, fertility specialists, and infertile couples. Setting Northumberland, Newcastle upon Tyne, North Tyneside, South Tyneside, and Gateshead. Method Participants were 39 interviewees: 12 GPs, five fertility specialists, and 13 infertile couples (nine interviewed with their partner). Results Four themes emerged: personal factors; will it benefit patients, GPs, and fertility specialists?; professional factors; does it fit the role of a GP?; local context; do the skills exist in general practice?; and wider context; will it benefit the NHS? GPs who had used open access HSG, felt it was appropriate for general practice and would continue to use the service. All GPs, fertility specialists, and infertile couples who had experienced open access HSG wished the service to remain in place. The main barriers to its uptake were: infrequency with which infertility presents; lack of clarity on perceived responsibilities; difficulty keeping up to date, including assimilating guidelines; low clinical priority; and lack of support in authoritative guidance. Conclusion Providing GPs with open access to HSG would allow a full initial assessment of the infertile couple and refer women with blocked tubes directly to tertiary care. While there is general support for the provision of such a facility, the majority of GPs perceive its use as being by a limited number of GPs who have a special interest in infertility. The study findings can inform future development of infertility services at the interface between primary and secondary/tertiary care. PMID:19401016

GPS Measurements of Crustal Deformation in Lebanon: Implication for Current Kinematics of the Sinaï Plate.

NASA Astrophysics Data System (ADS)

Vergnolle, M.; Jomaa, R.; Brax, M.; Menut, J. L.; Sursock, A.; Elias, A. R.; Mariscal, A.; Vidal, M.; Cotte, N.

2016-12-01

The Levant fault is a major strike-slip fault bounding the Arabia and the Sinaï plates. Its kinematics, although understood in its main characteristics, remains partly unresolved in its quantification, especially in the Lebanese restraining bend. We present a GPS velocity field based on survey GPS data acquired in Lebanon (1999, 2002, 2010) and on continuous GPS data publicly available in the Levant area. To complete the measurements along the Levant fault, we combine our velocity field with previously published velocity fields. First, from our velocity field, we derive two velocity profiles, across the Lebanese fault system, which we analyze in terms of elastic strain accumulation. Despite the uncertainty on the locking depth of the main strand of the Levant fault, small lateral fault slip rates (2-4mm/yr) are detected on each profile, with a slight slip rate decrease (<1mm/yr) from south to north. The latter is consistent with published results south and north of Lebanon. Small compression (<0.5mm/yr), with most part of it located across Mount Lebanon, is also suggested. Second, we analyze the combined GPS velocity field in the Sinaï tectonic framework. We evaluate how well the Sinaï plate motion is described with an Euler pole. Due to heterogeneous velocity errors (5 times smaller for cGPS velocities wrt sGPS velocities), a unique pole estimation using all the data provides good statistical results. However, the residuals show systematic deviations at central and northern sGPS stations. Using only the velocities at these stations, the estimated pole is significantly different from the unique pole at 95% confidence level. This analysis highlights the difficulty to robustly resolve the rigid Sinaï plate motion while the uncertainties on the velocities are heterogeneous. New sGPS measurements on existing sites should improve the solution and help to conclude.

PBO Nucleus Project Status: Integration of 209 Existing GPS Stations into the Plate Boundary Observatory.

NASA Astrophysics Data System (ADS)

Blume, F.; Prescott, W.; Anderson, G.; Eriksson, S.; Feldl, N.

2006-12-01

Tectonic and earthquake research in the US has experienced a quiet revolution over the last decade precipitated by the recognition that slow-motion faulting events can both trigger and be triggered by regular earthquakes. Transient motion has now been found in essentially all tectonic environments, and the detection and analysis of such events is the first-order science target of the EarthScope Project. Because of this and a host of other fundamental tectonics questions that can be answered only with long-duration geodetic time series, the incipient 1400-station EarthScope Plate Boundary Observatory (PBO) network has been designed to leverage 432 existing continuous GPS stations whose measurements extend back over a decade. The irreplaceable recording history of these stations is accelerating EarthScope scientific return by providing the highest possible resolution. This resolution will be used to detect and understand transients, to determine the three-dimensional velocity field (particularly vertical motion), and to improve measurement precision by understanding the complex noise sources inherent in GPS. The PBO Nucleus project supports the operation, maintenance and hardware upgrades of a subset of the six western U.S. geodetic networks until they are subsumed by PBO. Uninterrupted data flow from these stations will effectively double the time-series length of PBO over the expected life of EarthScope, and has created, for the first time, a single GPS-based geodetic network in the US. The other existing sites remain in operation under support from non-NSF sources (e.g. the USGS), and EarthScope continues to benefit from their continued operation. On the grounds of relevance to EarthScope science goals, geographic distribution and data quality, 209 of the 432 existing stations were selected as the nucleus upon which to build PBO. Conversion of these stations to a PBO-compatible mode of operation was begun under previous funding, and as a result data now flow directly to PBO archives and processing centers while maintenance, operations, and meta-data requirements are continuing to be upgraded to PBO standards. At the end of this project all 209 stations will be fully incorporated into PBO, meeting all standards for new PBO construction including data communications and land use permits. Funds for operation of these stations have been included in planned budgets for PBO after the construction phase ends and PBO begins an operational phase in 2008. To date approximately 150 of the 209 stations have been completely upgraded, and data flow from all stations is incorporated into the PBO data analysis flow. The community has only begun to understand the pervasive effects of transient creep, and its societal consequences remained largely unexplored. For example, one open question is whether slow faulting pervasively moderates earthquake nucleation. The existence of slow earthquakes will impact seismic hazards estimation, since these transients are now known to `absorb' a significant component of total slip in some regions and trigger earthquakes in others. The data from these stations serve a much larger audience than just the few people who work to keep them operating. This project is now collecting the data that will be used by the next generation of solid-earth researchers for at least two decades. Educational modules are being developed by a team of researchers, educators, and curriculum development professionals, and are being disseminated through regional and national workshops. An interactive website provides the newest developments in tectonics research to K-16 classrooms.

The Plate Boundary Observatory Cascadia Network: Development and Installation of a Large Scale Real-time GPS Network

NASA Astrophysics Data System (ADS)

Austin, K. E.; Blume, F.; Berglund, H. T.; Feaux, K.; Gallaher, W. W.; Hodgkinson, K. M.; Mattioli, G. S.; Mencin, D.

2014-12-01

The EarthScope Plate Boundary Observatory (PBO), through a NSF-ARRA supplement, has enhanced the geophysical infrastructure in in the Pacific Northwest by upgrading a total of 282 Plate Boundary Observatory GPS stations to allow the collection and distribution of high-rate (1 Hz), low-latency (<1 s) data streams (RT-GPS). These upgraded stations supplemented the original 100 RT-GPS stations in the PBO GPS network. The addition of the new RT-GPS sites in Cascadia should spur new volcano and earthquake research opportunities in an area of great scientific interest and high geophysical hazard. Streaming RT-GPS data will enable researchers to detect and investigate strong ground motion during large geophysical events, including a possible plate-interface earthquake, which has implications for earthquake hazard mitigation. A Mw 6.9 earthquake occurred on March 10, 2014, off the coast of northern California. As a response, UNAVCO downloaded high-rate GPS data from Plate Boundary Observatory stations within 500 km of the epicenter of the event, providing a good test of network performance.In addition to the 282 stations upgraded to real-time, 22 new meteorological instruments were added to existing PBO stations. Extensive testing of BGAN satellite communications systems has been conducted to support the Cascadia RT-GPS upgrades and the installation of three BGAN satellite fail over systems along the Cascadia margin will allow for the continuation of data flow in the event of a loss of primary communications during in a large geophysical event or other interruptions in commercial cellular networks. In summary, with these additional upgrades in the Cascadia region, the PBO RT-GPS network will increase to 420 stations. Upgrades to the UNAVCO data infrastructure included evaluation and purchase of the Trimble Pivot Platform, servers, and additional hardware for archiving the high rate data, as well as testing and implementation of GLONASS and Trimble RTX positioning on the receivers. UNAVCO staff is working closely with the UNAVCO community to develop data standards, protocols, and a science plan for the use of RT-GPS data.

PBO Nucleus Project Status: Integration of 209 Existing GPS Stations into the Plate Boundary Observatory

NASA Astrophysics Data System (ADS)

Blume, F.; Meertens, C.; Anderson, G.; Eriksson, S.; Boyce, E.

2007-12-01

Tectonic and earthquake research in the US has experienced a quiet revolution over the last decade precipitated by the recognition that slow-motion faulting events can both trigger and be triggered by regular earthquakes. Transient motion has now been found in essentially all tectonic environments, and the detection and analysis of such events is the first-order science target of the EarthScope Project. Because of this and a host of other fundamental tectonics questions that can be answered only with long-duration geodetic time series, the incipient 1100-station EarthScope Plate Boundary Observatory (PBO) network has been designed to leverage 445 existing continuous GPS stations whose measurements extend back over a decade. The irreplaceable recording history of these stations will accelerate EarthScope scientific return by providing the highest possible resolution. This resolution will be used to detect and understand transients, to determine the three-dimensional velocity field (particularly vertical motion), and to improve measurement precision by understanding the complex noise sources inherent in GPS. The PBO Nucleus project supports the operation, maintenance and hardware upgrades of a subset of the six western U.S. geodetic networks until they are subsumed by PBO. Uninterrupted data flow from these stations will effectively double the time-series length of PBO over the expected life of EarthScope, and has created, for the first time, a single GPS-based geodetic network in the US. The other existing sites remain in operation under support from non-NSF sources (e.g. the USGS), and EarthScope continues to benefit from their continued operation On the grounds of relevance to EarthScope science goals, geographic distribution and data quality, 209 of the 432 existing stations were selected as the nucleus upon which to build PBO. Conversion of these stations to a PBO-compatible mode of operation was begun under previous funding, and as a result data now flow directly to PBO archives and processing centers while maintenance, operations, and meta-data requirements are continue to be upgraded to PBO standards. At the end of this project all 209 stations will be fully incorporated into PBO, meeting all standards for new PBO construction including data communications and land use permits. Funds for operation of these stations have been included in planned budgets for PBO after the construction phase ends and PBO begins an operational phase in 2008. At this time work on the project is apporixmately 80% complete, with over 90% of the stations having been upgraded. The data from these stations serve a much larger audience than just the few people who work to keep them operating. This project is now collecting the data that will be used by the next generation of solid-earth researchers for at least two decades. Educational modules are being developed by a team of researchers, educators, and curriculum development professionals, and are being disseminated through regional and national workshops. An interactive website provides the newest developments in tectonics research to K-16 classrooms.

Single-Receiver GPS Phase Bias Resolution

NASA Technical Reports Server (NTRS)

Bertiger, William I.; Haines, Bruce J.; Weiss, Jan P.; Harvey, Nathaniel E.

2010-01-01

Existing software has been modified to yield the benefits of integer fixed double-differenced GPS-phased ambiguities when processing data from a single GPS receiver with no access to any other GPS receiver data. When the double-differenced combination of phase biases can be fixed reliably, a significant improvement in solution accuracy is obtained. This innovation uses a large global set of GPS receivers (40 to 80 receivers) to solve for the GPS satellite orbits and clocks (along with any other parameters). In this process, integer ambiguities are fixed and information on the ambiguity constraints is saved. For each GPS transmitter/receiver pair, the process saves the arc start and stop times, the wide-lane average value for the arc, the standard deviation of the wide lane, and the dual-frequency phase bias after bias fixing for the arc. The second step of the process uses the orbit and clock information, the bias information from the global solution, and only data from the single receiver to resolve double-differenced phase combinations. It is called "resolved" instead of "fixed" because constraints are introduced into the problem with a finite data weight to better account for possible errors. A receiver in orbit has much shorter continuous passes of data than a receiver fixed to the Earth. The method has parameters to account for this. In particular, differences in drifting wide-lane values must be handled differently. The first step of the process is automated, using two JPL software sets, Longarc and Gipsy-Oasis. The resulting orbit/clock and bias information files are posted on anonymous ftp for use by any licensed Gipsy-Oasis user. The second step is implemented in the Gipsy-Oasis executable, gd2p.pl, which automates the entire process, including fetching the information from anonymous ftp

GPS Imaging of Time-Dependent Seasonal Strain in Central California

NASA Astrophysics Data System (ADS)

Kraner, M.; Hammond, W. C.; Kreemer, C.; Borsa, A. A.; Blewitt, G.

2016-12-01

Recently, studies are suggesting that crustal deformation can be time-dependent and nontectonic. Continuous global positioning system (cGPS) measurements are now showing how steady long-term deformation can be influenced by factors such as fluctuations in loading and temperature variations. Here we model the seasonal time-dependent dilatational and shear strain in Central California, specifically surrounding the Parkfield region and try to uncover the sources of these deformation patterns. We use 8 years of cGPS data (2008 - 2016) processed by the Nevada Geodetic Laboratory and carefully select the cGPS stations for our analysis based on the vertical position of cGPS time series during the drought period. In building our strain model, we first detrend the selected station time series using a set of velocities from the robust MIDAS trend estimator. This estimation algorithm is a robust approach that is insensitive to common problems such as step discontinuities, outliers, and seasonality. We use these detrended time series to estimate the median cGPS positions for each month of the 8-year period and filter displacement differences between these monthly median positions using a filtering technique called "GPS Imaging." This technique improves the overall robustness and spatial resolution of the input displacements for the strain model. We then model our dilatational and shear strain field for each month of time series. We also test a variety of a priori constraints, which controls the style of faulting within the strain model. Upon examining our strain maps, we find that a seasonal strain signal exists in Central California. We investigate how this signal compares to thermoelastic, hydrologic, and atmospheric loading models during the 8-year period. We additionally determine whether the drought played a role in influencing the seasonal signal.

USGS earthquake hazards program (EHP) GPS use case : earthquake early warning (EEW) and shake alert

DOT National Transportation Integrated Search

2017-03-30

GPS Adjacent Band Workshop VI RTCA Inc., Washington D.C., 30 March 2017. USGS GPS receiver use case - Real-Time GPS for EEW -Continued: CRITICAL EFFECT - The GNSS component of the Shake Alert system augments the inertial sensors and is especial...

Experiences of using email for general practice consultations: a qualitative study.

PubMed

Atherton, Helen; Pappas, Yannis; Heneghan, Carl; Murray, Elizabeth

2013-11-01

Reports suggest approximately 21-23% of GPs in the UK have consulted with patients using email, but little is known about the nature of this use and what it means for clinicians and patients in general practice. To understand the use of email consultation in general practice by investigating the experiences of existing users and views of experts. A qualitative study conducted in 2010 using purposive sampling and semi-structured interviews in general practice and community settings in some London boroughs. A maximum variation sample of GPs and patients who had used email for consultation in general practice were recruited, as were policy and/or implementation experts. Interviews continued until saturation was achieved. In total 10 GPs, 14 patients, and six experts were interviewed. Consultation by email was often triggered by logistic or practical issues; motivators for ongoing use were the benefits, such as convenience, for GPs and patients. Both GPs and patients reported concerns about safety and lack of guidance about the 'rules of engagement' in email consultations, with GPs also concerned about workload. In response, both groups attempted to introduce their own rules, although this only went some way to addressing uncertainty. Long term, participants felt there was a need for regulation and guidance. Consultations by email in general practice occur in an unregulated and unstructured way. Current UK policy is to promote consultations by email, making it crucial to consider the responsibility and workload faced by clinicians, and the changes required to ensure safe use; not doing so may risk safety breaches and result in suboptimal care for patients.

Geoscience Australia Continuous Global Positioning System (CGPS) Station Field Campaign Report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ruddick, R.; Twilley, B.

2016-03-01

This station formed part of the Australian Regional GPS Network (ARGN) and South Pacific Regional GPS Network (SPRGN), which is a network of continuous GPS stations operating within Australia and its Territories (including Antarctica) and the Pacific. These networks support a number of different science applications including maintenance of the Geospatial Reference Frame, both national and international, continental and tectonic plate motions, sea level rise, and global warming.

A Demonstration of GPS Landslide Monitoring Using Online Positioning User Service (OPUS)

NASA Astrophysics Data System (ADS)

Wang, G.

2011-12-01

Global Positioning System (GPS) technologies have been frequently applied to landslide study, both as a complement, and as an alternative to conventional surveying methods. However, most applications of GPS for landslide monitoring have been limited to the academic community for research purposes. High-accuracy GPS has not been widely equipped in geotechnical companies and used by technicians. The main issue that limits the applications of GPS in the practice of high-accuracy landslide monitoring is the complexity of GPS data processing. This study demonstrated an approach using the Online Positioning User Service (OPUS) (http://www.ngs.noaa.gov/OPUS) provided by the National Geodetic Survey (NGS) of National Oceanic and Atmospheric Administration (NOAA) to process GPS data and conduct long-term landslide monitoring in the Puerto Rico and Virgin Islands Region. Continuous GPS data collected at a creeping landslide site during two years were used to evaluate different scenarios for landslide surveying: continuous or campaign, long duration or short duration, morning or afternoon (different weather conditions). OPUS uses Continuously Operating Reference Station (CORS) managed by NGS (http://www.ngs.noaa.giv/CORS/) as references and user data as a rover to solve a position. There are 19 CORS permanent GPS stations in the Puerto Rico and Virgin Islands region. The dense GPS network provides a precise and reliable reference frame for subcentimeter-accuracy landslide monitoring in this region. Our criterion for the accuracy was the root-mean-square (RMS) of OPUS solutions over a 2-year period with respect to true landslide displacement time series overt the same period. The true landslide displacements were derived from a single-baseline (130 m) GPS processing by using 24-hour continuous data. If continuous GPS surveying is performed in the field, then OPUS static processing can provide 0.6 cm horizontal and 1.1 cm vertical precision with few outliers. If repeated campaign-style surveying is performed in the field, then the choice of observation time window and duration are very important. In order to detect a suspected sliding mass and track the kinematics of a creeping landslide, sub-centimeter horizontal accuracy is often required. OPUS static solutions for sessions of 4 hours or longer and OPUS rapid-static solutions for sessions as short as 15 minutes can achieve accuracy at this level if data collection during extreme weather conditions is avoided, such as rainfall and storm time. This study also indicated that rainfall events can seriously degrade the performance of high-accuracy GPS. Field GPS landslide surveying should avoid rainfall time that is usually accompanied by thunderstorms and the passage of weather fronts.

Navstar Global Positioning System (GPS) clock program: Present and future

NASA Technical Reports Server (NTRS)

Tennant, D. M.

1981-01-01

Global Positioning System (GPS) program status are discussed and plans for ensuring the long term continuation of the program are presented. Performance of GPS clocks is presented in terms of on orbit data as portrayed by GPS master control station kalman filter processing. The GPS Clock reliability program is reviewed in depth and future plans fo the overall clock program are published.

Continuous GPS : pilot applications - Phase II

DOT National Transportation Integrated Search

2003-08-01

The primary objective of this research was to evaluate the feasibility of applying Global Positioning System (GPS) technology in the study of geotechnical phenomenon by developing, integrating, and test deploying a GPS-based instrumentation package u...

How GPs learn.

PubMed

MacLeod, Sheona

2009-07-01

As the requirements for the revalidation of general practitioners (GPs) unfold, there is an increasing emphasis on demonstrating effective continued medical education (CME) based on identified learning needs. This qualitative study aimed to promote understanding of how GPs currently approach their learning. The behaviour of one group of GPs was studied to explore how they assessed and met individual learning needs. The GPs studied showed a pragmatic approach, valuing learning that gave them practical advice and instant access to information for patient-specific problems. The main driver for the GPs' learning was discomfort during their daily work if a possible lack of knowledge or skills was perceived. However, some learning benchmarked current good practice or ensured continued expertise. Learning purely for interest was also described. The GPs in this study all demonstrated a commitment to personal learning, although they were not yet thinking about demonstrating the effectiveness of this for revalidation. The GPs prioritised their learning needs and were beginning to use some objective assessment methods to do this and the GP appraisal process was found to have a mainly positive effect on learning.

Modelling ground deformation patterns associated with volcanic processes at the Okataina Volcanic Centre

NASA Astrophysics Data System (ADS)

Holden, L.; Cas, R.; Fournier, N.; Ailleres, L.

2017-09-01

The Okataina Volcanic Centre (OVC) is one of two large active rhyolite centres in the modern Taupo Volcanic Zone (TVZ) in the North Island of New Zealand. It is located in a complex section of the Taupo rift, a tectonically active section of the TVZ. The most recent volcanic unrest at the OVC includes the 1315 CE Kaharoa and 1886 Tarawera eruptions. Current monitoring activity at the OVC includes the use of continuous GPS receivers (cGPS), lake levelling and seismographs. The ground deformation patterns preceding volcanic activity the OVC are poorly constrained and restricted to predictions from basic modelling and comparison to other volcanoes worldwide. A better understanding of the deformation patterns preceding renewed volcanic activity is essential to determine if observed deformation is related to volcanic, tectonic or hydrothermal processes. Such an understanding also means that the ability of the present day cGPS network to detect these deformation patterns can also be assessed. The research presented here uses the finite element (FE) modelling technique to investigate ground deformation patterns associated with magma accumulation and diking processes at the OVC in greater detail. A number of FE models are produced and tested using Pylith software and incorporate characteristics of the 1315 CE Kaharoa and 1886 Tarawera eruptions, summarised from the existing body of research literature. The influence of a simple ring fault structure at the OVC on the modelled deformation is evaluated. The ability of the present-day continuous GPS (cGPS) GeoNet monitoring network to detect or observe the modelled deformation is also considered. The results show the modelled horizontal and vertical displacement fields have a number of key features, which include prominent lobe based regions extending northwest and southeast of the OVC. The results also show that the ring fault structure increases the magnitude of the displacements inside the caldera, in particular in the vicinity of the southern margin. As a result, some of the cGPS stations in the vicinity of the OVC are more important for measuring deformation related to volcanic processes than others. The results have important implications for how any future observed deformation at the OVC is observed and interpreted.

The International GPS Service (IGS) as a Continuous Reference System for Precise GPS Positioning

NASA Technical Reports Server (NTRS)

Neilan, Ruth; Heflin, Michael; Watkins, Michael; Zumberge, James

1996-01-01

The International GPS Service for Geodynamics (IGS) is an organization which operates under the auspices of the International Association of Geodesy (IAG) and has been operational since January 1994. The primary objective of the IGS is to provide precise GPS data and data products to support geodetic and geophysical research activities.

Assessing the performance of the generalized propensity score for estimating the effect of quantitative or continuous exposures on survival or time-to-event outcomes.

PubMed

Austin, Peter C

2018-01-01

Propensity score methods are frequently used to estimate the effects of interventions using observational data. The propensity score was originally developed for use with binary exposures. The generalized propensity score (GPS) is an extension of the propensity score for use with quantitative or continuous exposures (e.g. pack-years of cigarettes smoked, dose of medication, or years of education). We describe how the GPS can be used to estimate the effect of continuous exposures on survival or time-to-event outcomes. To do so we modified the concept of the dose-response function for use with time-to-event outcomes. We used Monte Carlo simulations to examine the performance of different methods of using the GPS to estimate the effect of quantitative exposures on survival or time-to-event outcomes. We examined covariate adjustment using the GPS and weighting using weights based on the inverse of the GPS. The use of methods based on the GPS was compared with the use of conventional G-computation and weighted G-computation. Conventional G-computation resulted in estimates of the dose-response function that displayed the lowest bias and the lowest variability. Amongst the two GPS-based methods, covariate adjustment using the GPS tended to have the better performance. We illustrate the application of these methods by estimating the effect of average neighbourhood income on the probability of survival following hospitalization for an acute myocardial infarction.

76 FR 72442 - Certain Automotive GPS Navigation Systems, Components Thereof, and Products Containing Same...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-23

... INTERNATIONAL TRADE COMMISSION [Inv. No. 337-TA-814] Certain Automotive GPS Navigation Systems... the sale within the United States after importation of certain automotive GPS navigation systems... further alleges that an industry in the United States exists as required by subsection (a)(2) of section...

Combining low-cost GPS receivers with upGPR to derive continuously liquid water content, snow height and snow water equivalent in Alpine snow covers

NASA Astrophysics Data System (ADS)

Koch, Franziska; Schmid, Lino; Prasch, Monika; Heilig, Achim; Eisen, Olaf; Schweizer, Jürg; Mauser, Wolfram

2015-04-01

The temporal evolution of Alpine snowpacks is important for assessing water supply, hydropower generation, flood predictions and avalanche forecasts. Especially in high mountain regions with an extremely varying topography, it is until now often difficult to derive continuous and non-destructive information on snow parameters. Since autumn 2012, we are running a new low-cost GPS (Global Positioning System) snow measurement experiment at the high alpine study site Weissfluhjoch (2450 m a.s.l.) in Switzerland. The globally and freely broadcasted GPS L1-band (1.57542 GHz) was continuously recorded with GPS antennas, which are installed at the ground surface underneath the snowpack. GPS raw data, containing carrier-to-noise power density ratio (C/N0) as well as elevation and azimuth angle information for each time step of 1 s, was stored and analyzed for all 32 GPS satellites. Since the dielectric permittivity of an overlying wet snowpack influences microwave radiation, the bulk volumetric liquid water content as well as daily melt-freeze cycles can be derived non-destructively from GPS signal strength losses and external snow height information. This liquid water content information is qualitatively in good accordance with meteorological and snow-hydrological data and quantitatively highly agrees with continuous data derived from an upward-looking ground-penetrating radar (upGPR) working in a similar frequency range. As a promising novelty, we combined the GPS signal strength data with upGPR travel-time information of active impulse radar rays to the snow surface and back from underneath the snow cover. This combination allows determining liquid water content, snow height and snow water equivalent from beneath the snow cover without using any other external information. The snow parameters derived by combining upGPR and GPS data are in good agreement with conventional sensors as e.g. laser distance gauges or snow pillows. As the GPS sensors are cheap, they can easily be installed in parallel with further upGPR systems or as sensor networks to monitor the snowpack evolution in avalanche paths or at a larger scale in an entire hydrological basin to derive distributed melt-water runoff information.

Examining the spatial congruence between data obtained with a novel activity location questionnaire, continuous GPS tracking, and prompted recall surveys

PubMed Central

2013-01-01

Background Place and health researchers are increasingly interested in integrating individuals’ mobility and the experience they have with multiple settings in their studies. In practice, however, few tools exist which allow for rapid and accurate gathering of detailed information on the geographic location of places where people regularly undertake activities. We describe the development and validation of a new activity location questionnaire which can be useful in accounting for multiple environmental influences in large population health investigations. Methods To develop the questionnaire, we relied on a literature review of similar data collection tools and on results of a pilot study wherein we explored content validity, test-retest reliability, and face validity. To estimate convergent validity, we used data from a study of users of a public bicycle share program conducted in Montreal, Canada in 2011. We examined the spatial congruence between questionnaire data and data from three other sources: 1) one-week GPS tracks; 2) activity locations extracted from the GPS tracks; and 3) a prompted recall survey of locations visited during the day. Proximity and convex hull measures were used to compare questionnaire-derived data and GPS and prompted recall survey data. Results In the sample, 75% of questionnaire-reported activity locations were located within 400 meters of an activity location recorded on the GPS track or through the prompted recall survey. Results from convex hull analyses suggested questionnaire activity locations were more concentrated in space than GPS or prompted-recall locations. Conclusions The new questionnaire has high convergent validity and can be used to accurately collect data on regular activity spaces in terms of locations regularly visited. The methods, measures, and findings presented provide new material to further study mobility in place and health research. PMID:24025119

Experiences of using email for general practice consultations: a qualitative study

PubMed Central

Atherton, Helen; Pappas, Yannis; Heneghan, Carl; Murray, Elizabeth

2013-01-01

Background Reports suggest approximately 21–23% of GPs in the UK have consulted with patients using email, but little is known about the nature of this use and what it means for clinicians and patients in general practice. Aim To understand the use of email consultation in general practice by investigating the experiences of existing users and views of experts. Design and setting A qualitative study conducted in 2010 using purposive sampling and semi-structured interviews in general practice and community settings in some London boroughs. Method A maximum variation sample of GPs and patients who had used email for consultation in general practice were recruited, as were policy and/or implementation experts. Interviews continued until saturation was achieved. Results In total 10 GPs, 14 patients, and six experts were interviewed. Consultation by email was often triggered by logistic or practical issues; motivators for ongoing use were the benefits, such as convenience, for GPs and patients. Both GPs and patients reported concerns about safety and lack of guidance about the ‘rules of engagement’ in email consultations, with GPs also concerned about workload. In response, both groups attempted to introduce their own rules, although this only went some way to addressing uncertainty. Long term, participants felt there was a need for regulation and guidance. Conclusion Consultations by email in general practice occur in an unregulated and unstructured way. Current UK policy is to promote consultations by email, making it crucial to consider the responsibility and workload faced by clinicians, and the changes required to ensure safe use; not doing so may risk safety breaches and result in suboptimal care for patients. PMID:24267859

Fine tuning GPS clock estimation in the MCS

NASA Technical Reports Server (NTRS)

Hutsell, Steven T.

1995-01-01

With the completion of a 24 operational satellite constellation, GPS is fast approaching the critical milestone, Full Operational Capability (FOC). Although GPS is well capable of providing the timing accuracy and stability figures required by system specifications, the GPS community will continue to strive for further improvements in performance. The GPS Master Control Station (MCS) recently demonstrated that timing improvements are always composite Clock, and hence, Kalman Filter state estimation, providing a small improvement to user accuracy.

A low-cost GPS/INS integrated vehicle heading angle measurement system

NASA Astrophysics Data System (ADS)

Wu, Ye; Gao, Tongyue; Ding, Yi

2018-04-01

GPS can provide continuous heading information, but the accuracy is easily affected by the velocity and shelter from buildings or trees. For vehicle systems, we propose a low-cost heading angle update algorithm. Based on the GPS/INS integrated navigation kalman filter, we add the GPS heading angle to the measurement vector, and establish its error model. The experiment results show that this algorithm can effectively improve the accuracy of GPS heading angle.

Performance Evaluation of Block Acquisition and Tracking Algorithms Using an Open Source GPS Receiver Platform

NASA Technical Reports Server (NTRS)

Ramachandran, Ganesh K.; Akopian, David; Heckler, Gregory W.; Winternitz, Luke B.

2011-01-01

Location technologies have many applications in wireless communications, military and space missions, etc. US Global Positioning System (GPS) and other existing and emerging Global Navigation Satellite Systems (GNSS) are expected to provide accurate location information to enable such applications. While GNSS systems perform very well in strong signal conditions, their operation in many urban, indoor, and space applications is not robust or even impossible due to weak signals and strong distortions. The search for less costly, faster and more sensitive receivers is still in progress. As the research community addresses more and more complicated phenomena there exists a demand on flexible multimode reference receivers, associated SDKs, and development platforms which may accelerate and facilitate the research. One of such concepts is the software GPS/GNSS receiver (GPS SDR) which permits a facilitated access to algorithmic libraries and a possibility to integrate more advanced algorithms without hardware and essential software updates. The GNU-SDR and GPS-SDR open source receiver platforms are such popular examples. This paper evaluates the performance of recently proposed block-corelator techniques for acquisition and tracking of GPS signals using open source GPS-SDR platform.

UNAVCO-PBO Southwest Region Network Operations

NASA Astrophysics Data System (ADS)

Walls, C. P.; Mann, D.; Basset, A.; Sklar, J.; Jarvis, C.; Pitcher, T.; Lawrence, S.; Greathouse, M.; Feaux, K.

2012-12-01

The UNAVCO Southwest region of the Plate Boundary Observatory manages 470 continuously operating GPS stations located principally along the transform system of the San Andreas Fault, Eastern California Shear Zone and the northern Baja peninsula. In the past year, network uptime averaged 98% with greater than 99% data acquisition. Communications range from CDMA modem (314), radio (100), Vsat (30), DSL/T1/other (25) to manual download (1). Thirty-four stations have WXT520 metpacks. Sixty-four stations stream 1 Hz data over the VRS3Net typically with <0.5 second latency. Over 650 maintenance activities were performed during 341 onsite visits out of approximately 346 engineer field days. Within the past year there have been 7 incidences of minor (attempted theft) to moderate vandalism (solar panel stolen) with one total loss of receiver and communications gear. Security was enhanced at these sites through fencing and more secure station configurations. UNAVCO is working with NOAA to stream real-time GPS and met data from PBO stations with WXT520 meteorological sensors and high rate data communications. These streams support watershed and flood analyses for regional early-warning systems related to NOAA's work with California Department of Water Resources. Network-wide NOAA receives a total of 54 streams including stations in Cascadia. In 2008 PBO became the steward of 209 existing network stations ("Nucleus stations") of which 140 are in the SW region that included SCIGN, BARD, BARGEN stations. Due to the mix of incompatible equipment used between PBO and existing network stations a project was undertaken to standardize existing network GPS stations to PBO specifications by upgrading antenna cabling, power systems and enclosures. In 2012 the Nucleus upgrade project was completed.

GPS data processing of networks with mixed single- and dual-frequency receivers for deformation monitoring

NASA Astrophysics Data System (ADS)

Zou, X.; Deng, Z.; Ge, M.; Dick, G.; Jiang, W.; Liu, J.

2010-07-01

In order to obtain crustal deformations of higher spatial resolution, existing GPS networks must be densified. This densification can be carried out using single-frequency receivers at moderate costs. However, ionospheric delay handling is required in the data processing. We adapt the Satellite-specific Epoch-differenced Ionospheric Delay model (SEID) for GPS networks with mixed single- and dual-frequency receivers. The SEID model is modified to utilize the observations from the three nearest dual-frequency reference stations in order to avoid contaminations from more remote stations. As data of only three stations are used, an efficient missing data constructing approach with polynomial fitting is implemented to minimize data losses. Data from large scale reference networks extended with single-frequency receivers can now be processed, based on the adapted SEID model. A new data processing scheme is developed in order to make use of existing GPS data processing software packages without any modifications. This processing scheme is evaluated using a sub-network of the German SAPOS network. The results verify that the new scheme provides an efficient way to densify existing GPS networks with single-frequency receivers.

Setting up a domestic violence telephone helpline for general practitioners in Australia: What exists and what works?

PubMed

Forsdike-Young, Kirsty; Hegarty, Kelsey

2016-08-01

Domestic violence is a global health issue. The World Health Organization (WHO) recommends training health professionals to respond appropriately to victims of domestic violence. Despite those who experience domestic violence attending general practice, general practitioners (GPs) receive little training in managing this issue. Helplines predominantly exist to support the general public and patients; however, few exist for GPs, and there are none regarding domestic violence. This article explores how helplines can support GPs in the management of patients who have experienced domestic violence. A scoping review of helplines targeting GPs was used in this study. Few helplines target health professionals and limited evaluations on these helplines have been undertaken. Health professional helplines cover broad specialist fields, and health professionals value access to specialists. Helplines are educational and increase the confidence of health professionals in providing quality patient care. Key challenges include helpline awareness and timely support. Developing a domestic violence helpline for GPs is unexplored, but there is potential for education and improved response to patients. Helpline workers need tailored training to respond to health professionals' complex, specialist needs. These helplines need extensive marketing to ensure uptake and funding.

Assessing the performance of the generalized propensity score for estimating the effect of quantitative or continuous exposures on binary outcomes.

PubMed

Austin, Peter C

2018-05-20

Propensity score methods are increasingly being used to estimate the effects of treatments and exposures when using observational data. The propensity score was initially developed for use with binary exposures. The generalized propensity score (GPS) is an extension of the propensity score for use with quantitative or continuous exposures (eg, dose or quantity of medication, income, or years of education). We used Monte Carlo simulations to examine the performance of different methods of using the GPS to estimate the effect of continuous exposures on binary outcomes. We examined covariate adjustment using the GPS and weighting using weights based on the inverse of the GPS. We examined both the use of ordinary least squares to estimate the propensity function and the use of the covariate balancing propensity score algorithm. The use of methods based on the GPS was compared with the use of G-computation. All methods resulted in essentially unbiased estimation of the population dose-response function. However, GPS-based weighting tended to result in estimates that displayed greater variability and had higher mean squared error when the magnitude of confounding was strong. Of the methods based on the GPS, covariate adjustment using the GPS tended to result in estimates with lower variability and mean squared error when the magnitude of confounding was strong. We illustrate the application of these methods by estimating the effect of average neighborhood income on the probability of death within 1 year of hospitalization for an acute myocardial infarction. © 2018 The Authors. Statistics in Medicine published by John Wiley & Sons Ltd.

The 2010 Eyjafjallajökull and 2011 Grimsvötn ash plumes as seen by GPS

NASA Astrophysics Data System (ADS)

Grapenthin, R.; Hreinsdottir, S.; Gudmundsson, M. T.

2015-12-01

The injection of a volcanic plume introduces a dynamic, localized, short-term heterogeneity in the atmosphere. Satellite-imagery based remote sensing techniques provide good spatial coverage for the detection of such plumes, but slow satellite repeat times (>30 minutes) and cloud cover can delay, if not entirely prevent, the detection. GPS, in turn, provides excellent temporal coverage, but requires favorable satellite-station-geometry such that the signal propagates through the plume if it is to be used for plume detection and analysis. Two methods exist to detect / analyze ash plumes with GPS: (a) Ash-heavy plumes result in signal dispersion and hence a lowered signal-to-noise ratio (SNR). A lowered SNR, recorded by some receivers, can provide useful information about the plume, such as location and velocity of ascent. These data can be evaluated directly as they are recorded by the receiver; without the need of solving for a receiver's position. (b) Wet plumes refract the GPS signals piercing the plume and hence induce a propagation delay. When solving for a receiver position GPS analysis tools do not model this localized phase delay effect and solutions for plume-piercing satellites do not fit the data well. This can be exploited for plume analysis such as the estimation of changes to the atmospheric refractivity index. We analyze GPS data of the ~2 month 2010 Eyafjallajökull erption and the week-long 2011 Grímsvötn eruption to infer a first order estimate of plume geometry and its progression. Using SNR and phase delay information, we evaluate the evolution of the partitioning of wet versus dry parts of the plume. During the GPS processing we iteratively solve for phase-delay and position and fix other parameters, hence reducing the mapping of least-squares misfit into position estimates and other parameters. Nearly continuous webcam imagery provides independent observations of first-order plume characteristics for the Eyafjallajökull event.

Reloading Continuous GPS in Northwest Mexico

NASA Astrophysics Data System (ADS)

Gonzalez-Garcia, J. J.; Suarez-Vidal, F.; Gonzalez-Ortega, J. A.

2007-05-01

For more than 10 years we try to follow the steps of the Southern California Integrated GPS Network (SCIGN) and the Plate Boundary Observatory (PBO) in USA, this gives us the opportunity to be in position to contribute to develop a modern GPS Network in Mexico. During 1998 and 2001, three stations were deployed in Northwest Mexico in concert with the development of SCIGN: SPMX in north central Baja California state at the National Astronomical Observatory, UNAM in the Sierra San Pedro Martir; CORX in Isla Coronados Sur, offshore San Diego, Ca./Tijuana, Mexico and GUAX in Guadalupe island 150 miles offshore Baja California peninsula, which provide a unique site on the Pacific plate in the Northamerica/Pacific boundary zone in Las Californias. The former IGS station in CICESE, Ensenada, CICE installed in 1995, was replaced by CIC1 in 1999. In 2004 and 2005 with partial support from SCIGN and UNAVCO to University of Arizona a volunteer team from UNAVCO, Caltech, U.S. Geological Survey, Universidad de la Sierra at Moctezuma Sonora and CICESE built two new shallow-braced GPS sites in northwest Mexico. The first site USMX is located at east-central Sonora and the second YESX is located high in the Sierra Madre Occidental at Yecora near the southern border of Sonora and Chihuahua. All data is openly available at SOPAC and/or UNAVCO. The existing information has been valuable to resolve the "total" plate motion between the Pacific plate (GUAX) and the Northamerica plate (USMX and YESX) in the north- central Gulf of California. Since the last year we have the capability of GPS data processing using GAMIT/GLOBK, and after gain some practice with survey mode data processing we can convert us in a GPS processing center in Mexico. Currently only 2 sites are operational: CIC1 and USMX. With new energy we are ready to contribute to the establishment of a modern GPS network in Mexico for science, hazard monitoring and infrastructure.

Recent Developments in Balloon Support Instrumentation at TIFR Balloon Facility, Hyderabad.

NASA Astrophysics Data System (ADS)

Vasudevan, Rajagopalan

2012-07-01

The Balloon Facility of Tata Institute of Fundamental Research has been conducting stratospheric balloon flights regularly for various experiments in Space Astronomy and Atmospheric Sciences. A continuous improvement in Balloon flight Support instrumentation by the Control Instrumentation Group to keep in space with the growing complexities of the scientific payloads have contributed to the total success of balloon flights conducted recently. Recent improvements in display of Balloon position during balloon flight by showing on real time the balloon GPS position against Google TM maps is of immense help in selecting the right spot for payload landing and safe recovery . For further speeding up the payload recovery process, a new GPS-GSM payload system has been developed which gives SMS of the payload position information to the recovery team on their cell phones. On parallel footing, a new GPS- VHF system has been developed using GPS and Radio Modems for Balloon Tracking and also for obtaining the payload impact point. On the Telecommand side, a single board Telecommand/ Timer weighing less than 2 Kg has been specially developed for use in the mesosphere balloon test flight. The interference on the existing Short Range Telemetry System has been eliminated by introducing a Band Pass Filter and LNA in the Receiving system of the modules, thereby enhancing its reliability. In this paper , we present the details of the above mentioned developments.

minSKIN does a multifaceted intervention improve the competence in the diagnosis of skin cancer by general practitioners? Study protocol for a randomised controlled trial.

PubMed

Badertscher, Nina; Rosemann, Thomas; Tandjung, Ryan; Braun, Ralph P

2011-06-30

In Switzerland, skin cancer is one of the most common neoplasms. Melanoma is the most aggressive one and can be lethal if not detected and removed on time. Nonmelanoma skin cancer is more frequent as melanoma; it is seldom lethal but can disfigure patients in advanced stages. General practitioners (GPs) are often faced with suspicious skin lesions of their patients. Randomised controlled trial (RCT). 60 GPs, randomised into intervention group and control group. GPs get a Lumio loupe, a digital camera and continuous feedback based on pictures of skin lesions they send to the Dermatologist. Competence in the diagnosis of skin cancer by GPs, measured as the percentage of correctly classified pictures of skin lesions. At baseline, and prior to any intervention (T0), GPs will be asked to rate 36 pictures of skin lesions according to their likelihood of malignancy on a visual analogue scale (VAS). After a full day training course with both groups (T1) and after one year of continuous feedback (T2) with the intervention group, we will repeat the picture scoring session with both groups, using new pictures. We want to determine whether a multifaceted intervention (including technical equipment and a continuous feedback on skin lesions) leads to an improved competence in the diagnosis of skin cancer by GPs. This study addresses the hypothesis that an additional feedback loop, based on pictures performed in daily practice by GPs is superior to a simple educational intervention regarding diagnostic competence. We expect an improvement of the competence in skin cancer diagnosis by GPs in both groups after the full day training course. Beside this immediate effect, we also expect a long term effect in the intervention group because of the continuous problem based feedback. ISRCTN29854485.

Air traffic management system design using satellite based geo-positioning and communications assets

NASA Technical Reports Server (NTRS)

Horkin, Phil

1995-01-01

The current FAA and ICAO FANS vision of Air Traffic Management will transition the functions of Communications, Navigation, and Surveillance to satellite based assets in the 21st century. Fundamental to widespread acceptance of this vision is a geo-positioning system that can provide worldwide access with best case differential GPS performance, but without the associated problems. A robust communications capability linking-up aircraft and towers to meet the voice and data requirements is also essential. The current GPS constellation does not provide continuous global coverage with a sufficient number of satellites to meet the precision landing requirements as set by the world community. Periodic loss of the minimum number of satellites in view creates an integrity problem, which prevents GPS from becoming the primary system for navigation. Furthermore, there is reluctance on the part of many countries to depend on assets like GPS and GLONASS which are controlled by military communities. This paper addresses these concerns and provides a system solving the key issues associated with navigation, automatic dependent surveillance, and flexible communications. It contains an independent GPS-like navigation system with 27 satellites providing global coverage with a minimum of six in view at all times. Robust communications is provided by a network of TDMA/FDMA communications payloads contained on these satellites. This network can support simultaneous communications for up to 30,000 links, nearly enough to simultaneously support three times the current global fleet of jumbo air passenger aircraft. All of the required hardware is directly traceable to existing designs.

Wearable vital parameters monitoring system

NASA Astrophysics Data System (ADS)

Caramaliu, Radu Vadim; Vasile, Alexandru; Bacis, Irina

2015-02-01

The system we propose monitors body temperature, heart rate and beside this, it tracks if the person who wears it suffers a faint. It uses a digital temperature sensor, a pulse sensor and a gravitational acceleration sensor to monitor the eventual faint or small heights free falls. The system continuously tracks the GPS position when available and stores the last valid data. So, when measuring abnormal vital parameters the module will send an SMS, using the GSM cellular network , with the person's social security number, the last valid GPS position for that person, the heart rate, the body temperature and, where applicable, a valid fall alert or non-valid fall alert. Even though such systems exist, they contain only faint detection or heart rate detection. Usually there is a strong correlation between low/high heart rate and an eventual faint. Combining both features into one system results in a more reliable detection device.

Evaluation of High-Precision Sensors in Structural Monitoring

PubMed Central

Erol, Bihter

2010-01-01

One of the most intricate branches of metrology involves the monitoring of displacements and deformations of natural and anthropogenic structures under environmental forces, such as tidal or tectonic phenomena, or ground water level changes. Technological progress has changed the measurement process, and steadily increasing accuracy requirements have led to the continued development of new measuring instruments. The adoption of an appropriate measurement strategy, with proper instruments suited for the characteristics of the observed structure and its environmental conditions, is of high priority in the planning of deformation monitoring processes. This paper describes the use of precise digital inclination sensors in continuous monitoring of structural deformations. The topic is treated from two viewpoints: (i) evaluation of the performance of inclination sensors by comparing them to static and continuous GPS observations in deformation monitoring and (ii) providing a strategy for analyzing the structural deformations. The movements of two case study objects, a tall building and a geodetic monument in Istanbul, were separately monitored using dual-axes micro-radian precision inclination sensors (inclinometers) and GPS. The time series of continuous deformation observations were analyzed using the Least Squares Spectral Analysis Technique (LSSA). Overall, the inclinometers showed good performance for continuous monitoring of structural displacements, even at the sub-millimeter level. Static GPS observations remained insufficient for resolving the deformations to the sub-centimeter level due to the errors that affect GPS signals. With the accuracy advantage of inclination sensors, their use with GPS provides more detailed investigation of deformation phenomena. Using inclinometers and GPS is helpful to be able to identify the components of structural responses to the natural forces as static, quasi-static, or resonant. PMID:22163499

USGS Menlo Park GPS Data Processing Techniques and Derived North America Velocity Field (Invited)

NASA Astrophysics Data System (ADS)

Svarc, J. L.; Murray-Moraleda, J. R.; Langbein, J. O.

2010-12-01

The U.S. Geological Survey in Menlo Park routinely conducts repeated GPS surveys of geodetic markers throughout the western United States using dual-frequency geodetic GPS receivers. We combine campaign, continuous, and semi-permanent data to present a North America fixed velocity field for regions in the western United States. Mobile campaign-based surveys require less up-front investment than permanently monumented and telemetered GPS systems, and hence have achieved a broad and dense spatial coverage. The greater flexibility and mobility comes at the cost of greater uncertainties in individual daily position solutions. We also routinely process continuous GPS data collected at PBO stations operated by UNAVCO along with data from other continuous GPS networks such as BARD, PANGA, and CORS operated by other agencies. We have broken the Western US into several subnetworks containing approximately 150-250 stations each. The data are processed using JPL’s GIPSY-OASIS II release 5.0 software using a modified precise positioning strategy (Zumberge and others, 1997). We use the “ambizap” code provided by Geoff Blewitt (Blewitt, 2008) to fix phase ambiguities in continuous networks. To mitigate the effect of common mode noise we use the positions of stations in the network with very long, clean time series (i.e. those with no large outliers or offsets) to transform all position estimates into “regionally filtered” results following the approach of Hammond and Thatcher (2007). Velocity uncertainties from continuously operated GPS stations tend to be about 3 times smaller than those from campaign data. Langbein (2004) presents a maximum likelihood method for fitting a time series employing a variety of temporal noise models. We assume that GPS observations are contaminated by a combination of white, flicker, and random walk noise. For continuous and semi-permanent time series longer than 2 years we estimate these values, otherwise we fix the amplitudes of these processes to 0.85 mm, 1.7 mm/yr1/4, and 0.4 mm/yr1/2 respectively for the north components, 0.84 mm, 1.4 mm/yr1/4, and 0.6 mm/yr1/2 respectively for the east components and 3.2 mm, 6.4 mm/yr1/4, and 0.0 mm/yr1/2 respectively for the vertical. We have also deployed “semi-permanent” stations in selected regions of California. Semi-permanent stations have the advantage of increasing the density of coverage without the high cost of monumentation and telemetry associated with continuous GPS stations. Also, because of the increased temporal coverage of these stations, accurate estimates of station velocities can be achieved in a far shorter time period than from campaign mode surveys.

General practitioners' management of mental disorders: a rewarding practice with considerable obstacles.

PubMed

Fleury, Marie-Josée; Imboua, Armelle; Aubé, Denise; Farand, Lambert; Lambert, Yves

2012-03-16

Primary care improvement is the cornerstone of current reforms. Mental disorders (MDs) are a leading cause of morbidity worldwide and widespread in industrialised countries. MDs are treated mainly in primary care by general practitioners (GPs), even though the latter ability to detect, diagnose, and treat patients with MDs is often considered unsatisfactory. This article examines GPs' management of MDs in an effort to acquire more information regarding means by which GPs deal with MD cases, impact of such cases on their practices, factors that enable or hinder MD management, and patient-management strategies. This study employs a mixed-method approach with emphasis on qualitative investigation. Based on a previous survey of 398 GPs in Quebec, Canada, 60 GPs representing a variety of practice settings were selected for further study. A 10-minute-long questionnaire comprising 27 items was administered, and 70-minute-long interviews were conducted. Quantitative (SPSS) and qualitative (NVivo) analyses were performed. At least 20% of GP visits were MD-related. GPs were comfortable managing common MDs, but not serious MDs. GPs' based their treatment of MDs on pharmacotherapy, support therapy, and psycho-education. They used clinical intuition with few clinical tools, and closely followed their patients with MDs. Practice features (salary or hourly fees payment; psycho-social teams on-site; strong informal networks), and GPs' individual characteristics (continuing medical education; exposure and interest in MDs; traits like empathy) favoured MD management. Collaboration with psychologists and psychiatrists was considered key to good MD management. Limited access to specialists, system fragmentation, and underdeveloped group practice and shared-care models were impediments. MD management was seen as burdensome because it required more time, flexibility, and emotional investment. Strategies exist to reduce the burden (one-problem-per-visit rule; longer time slots). GPs found MD practice rewarding as patients were seen as grateful and more complying with medical recommendations compared to other patients, generally leading to positive outcomes. To improve MD management, this study highlights the importance of extending multidisciplinary GP practice settings with salary or hourly fee payment; access to psychotherapeutic and psychiatric expertise; and case-discussion training involving local networks of GPs and MD specialists that encourage both knowledge transfer and shared care.

General practitioners' management of mental disorders: A rewarding practice with considerable obstacles

PubMed Central

2012-01-01

Background Primary care improvement is the cornerstone of current reforms. Mental disorders (MDs) are a leading cause of morbidity worldwide and widespread in industrialised countries. MDs are treated mainly in primary care by general practitioners (GPs), even though the latter ability to detect, diagnose, and treat patients with MDs is often considered unsatisfactory. This article examines GPs' management of MDs in an effort to acquire more information regarding means by which GPs deal with MD cases, impact of such cases on their practices, factors that enable or hinder MD management, and patient-management strategies. Methods This study employs a mixed-method approach with emphasis on qualitative investigation. Based on a previous survey of 398 GPs in Quebec, Canada, 60 GPs representing a variety of practice settings were selected for further study. A 10-minute-long questionnaire comprising 27 items was administered, and 70-minute-long interviews were conducted. Quantitative (SPSS) and qualitative (NVivo) analyses were performed. Results At least 20% of GP visits were MD-related. GPs were comfortable managing common MDs, but not serious MDs. GPs' based their treatment of MDs on pharmacotherapy, support therapy, and psycho-education. They used clinical intuition with few clinical tools, and closely followed their patients with MDs. Practice features (salary or hourly fees payment; psycho-social teams on-site; strong informal networks), and GPs' individual characteristics (continuing medical education; exposure and interest in MDs; traits like empathy) favoured MD management. Collaboration with psychologists and psychiatrists was considered key to good MD management. Limited access to specialists, system fragmentation, and underdeveloped group practice and shared-care models were impediments. MD management was seen as burdensome because it required more time, flexibility, and emotional investment. Strategies exist to reduce the burden (one-problem-per-visit rule; longer time slots). GPs found MD practice rewarding as patients were seen as grateful and more complying with medical recommendations compared to other patients, generally leading to positive outcomes. Conclusions To improve MD management, this study highlights the importance of extending multidisciplinary GP practice settings with salary or hourly fee payment; access to psychotherapeutic and psychiatric expertise; and case-discussion training involving local networks of GPs and MD specialists that encourage both knowledge transfer and shared care. PMID:22423592

Advancing Technology: GPS and GIS Outreach Training for Agricultural Producers

ERIC Educational Resources Information Center

Flynn, Allison; Arnold, Shannon

2010-01-01

The use of the Global Positioning System (GPS) and Global Information Systems (GIS) has made significant impacts on agricultural production practices. However, constant changes in the technologies require continuing educational updates. The outreach program described here introduces the operation, use, and applications of GPS receivers and GIS…

47 CFR 87.151 - Special requirements for differential GPS receivers.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 47 Telecommunication 5 2011-10-01 2011-10-01 false Special requirements for differential GPS receivers. 87.151 Section 87.151 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND... differential GPS receivers. (a) The receiver shall achieve a message failure rate less than or equal to one...

The impact of financial constraints and incentives on professional autonomy.

PubMed

Lewis, Jenny M; Marjoribanks, Tim

2003-01-01

General practice has been the subject of extensive reforms over the 1990s in Australia as elsewhere. Reforms have attempted to improve quality and contain the overall cost of health care, and have often been seen as reducing the autonomy of medical professionals. This paper examines the impact of financial constraints and incentives introduced during the 1990s on Australian GPs' perceptions of autonomy. An existing seven component definition of autonomy and six themes that emerged from reviewing publications were used to construct focus group questions. A total of 25 GPs participated in four focus groups. Those who participated believe that their financial autonomy has been diminished by policy changes and consumer expectations. They also perceive that their ability to control clinical decisions, which they regard as the most important aspect of professional autonomy, has been reduced along with financial autonomy. Organized medicine in Australia sees financial accountability and clinical decision making as polar opposites, and has continued to argue that fee-for-service payment is the only appropriate method of remuneration, despite increasing evidence that this does not guarantee clinical autonomy. Major changes to the financing of general practice in Australia are required to address the concerns of GPs, governments and patients.

Three Strategies for Delivering Continuing Medical Education in Geriatrics to General Practitioners

ERIC Educational Resources Information Center

Rikkert, Marcel G. M.; Rigaud, Anne-Sophie

2004-01-01

General practitioners (GPs) need advanced skills in geriatric assessment to be competent to treat the increasing number of elderly patients. Continuing medical education in geriatrics for GPs is heterogeneous, and not assessed for effectiveness. In this study we compared the educational effects of three geriatric post-graduate training methods on…

Is participation in research as an investigator an effective form of continuing medical education?

PubMed Central

Huas, D; Wallace, P

2000-01-01

Continuing medical education and research are a daily necessity for general practitioners (GPs). This study investigated the possibility that participation in research is an effective form of continuing medical education. Although there was an indication that some modification of GPs' knowledge and skills had occurred, it was not possible to conclude that this was entirely due to participation in research. PMID:11224971

GENESIS: GPS Environmental and Earth Science Information System

NASA Technical Reports Server (NTRS)

Hajj, George

1999-01-01

This presentation reviews the GPS ENvironmental and Earth Science Information System (GENESIS). The objectives of GENESIS are outlined (1) Data Archiving, searching and distribution for science data products derived from Space borne TurboRogue Space Receivers for GPS science and other ground based GPS receivers, (2) Data browsing using integrated visualization tools, (3) Interactive web/java-based data search and retrieval, (4) Data subscription service, (5) Data migration from existing GPS archived data, (6) On-line help and documentation, and (7) participation in the WP-ESIP federation. The presentation reviews the products and services of Genesis, and the technology behind the system.

New PBO GPS Station Construction: Eastern Region Network Enhancements and Multiple-Monument Stability Comparisons

NASA Astrophysics Data System (ADS)

Dittmann, S. T.; Austin, K. E.; Berglund, H. T.; Blume, F.; Feaux, K.; Mann, D.; Mattioli, G. S.; Walls, C. P.

2013-12-01

The Plate Boundary Observatory (PBO) network consists of 1100 continuously operating, permanent GPS stations throughout the United States. The majority of this network was constructed using NSF-MREFC funding as part of the EarthScope Project during FY2003-FY2008. Since FY2009, UNAVCO has operated and maintained PBO through a Cooperative Agreement (CA) with NSF. Construction of new, permanent GPS monuments in the PBO network was the result of two change orders to the original PBO O&M CA. Change Order 33 (CO33) allocated funds to construct additional GPS stations at six locations in the Eastern Region of PBO. Three of these locations were designed to replace poorly performing existing GPS monuments in Georgia, Texas and New York. The remaining three new locations were selected to fill in gaps in network coverage in Pennsylvania, Wisconsin and North Dakota. Construction of all six new sites was completed in September 2013. Important scientific goals for CO33 include improvement of the stable North American reference frame, measurement of the vertical signal associated with the Glacial Isostatic Adjustment, and improved constraints on surface deformation and possible earthquakes, which occur in the low-strain tectonic setting of the eastern North American Plate. Change Order 35 (CO35) allocated funds to construct two additional geodetic monuments at five existing PBO stations in order to test and compare the long-term stability of various monument designs under near-identical geologic conditions. Sites were chosen to yield a variety of geographic, hydrologic and geologic conditions, including both fine-grained alluvium and crystalline bedrock. At each location, three different monuments (deep drill braced, short drill braced/driven-braced, mast/pillar) were built with 10 meter spacing, with shared power systems and data telemetry infrastructure. Construction of these multi-monument test locations began in October 2012 and finished in September 2013. See G010- Berglund, H., Blume, F., et al... 'PBO Monument Stability Experiment Analysis' for the initial results of the data quality comparison from these locations.

GPS Ocean Reflection Experiment (GORE) Wind Explorer (WindEx) Instrument Design and Development

NASA Astrophysics Data System (ADS)

Ganoe, G.

2004-12-01

This paper describes the design and development of the WindEx instrument, and the technology implemented by it. The important design trades will be covered along with the justification for the options selected. An evaluation of the operation of the instrument, and plans for continued development and enhancements will also be given. The WindEx instrument consists of a processor that receives data from an included GPS Surface reflection receiver, and computes ocean surface wind speeds in real time utilizing an algorithm developed at LaRC by Dr. Stephen J. Katzberg. The WindEx performs a windspeed server function as well as acting as a repository for the client moving map applications, and providing a web page with instructions on the installation and use of the WindEx system. The server receives the GPS reflection data produced by the receiver, performs wind speed processing, then makes the wind speed data available as a moving map display to requesting client processors on the aircraft network. The client processors are existing systems used by the research personnel onboard. They can be configured to be WINDEX clients by downloading the Java client application from the WINDEX server. The client application provides a graphical display of a moving map that shows the aircraft position along with the position of the reflection point from the surface of the ocean where the wind speed is being estimated, and any coastlines within the field of view. Information associated with the reflection point includes the estimated wind speed, and a confidence factor that gives the researcher an idea about the reliability of the wind speed measurement. The instrument has been installed on one of NOAA's Hurricane Hunters, a Gulfstream IV, whose nickname is "Gonzo". Based at MacDill AFB, Florida, "Gonzo" flies around the periphery of the storm deploying GPS-based dropsondes which measure local winds. The dropsondes are the "gold-standard" for determining surface winds, but can only be deployed sparingly. The GPS WindEx system allows for a continuous map between dropsonde releases as well as monitoring the ocean surface for suspicious areas. The GPS technique is insensitive to clouds or rain and can give information concerning surface conditions not available to the flight crew.

Characterizing the spatial and temporal activities of free-ranging cows from GPS data

USDA-ARS?s Scientific Manuscript database

Electronic tracking provides a unique way to document animal behavior on a continuous basis. This manuscript describes how uncorrected 1 s GPS fixes can be used to characterize the rate of cow travel (m·s-1) into stationary, foraging and walking activities. Cows instrumented with GPS devices were ...

Continental-scale water fluxes from continuous GPS observations of Earth surface loading

NASA Astrophysics Data System (ADS)

Borsa, A. A.; Agnew, D. C.; Cayan, D. R.

2015-12-01

After more than a decade of observing annual oscillations of Earth's surface from seasonal snow and water loading, continuous GPS is now being used to model time-varying terrestrial water fluxes on the local and regional scale. Although the largest signal is typically due to the seasonal hydrological cycle, GPS can also measure subtle surface deformation caused by sustained wet and dry periods, and to estimate the spatial distribution of the underlying terrestrial water storage changes. The next frontier is expanding this analysis to the continental scale and paving the way for incorporating GPS models into the National Climate Assessment and into the observational infrastructure for national water resource management. This will require reconciling GPS observations with predictions from hydrological models and with remote sensing observations from a suite of satellite instruments (e.g. GRACE, SMAP, SWOT). The elastic Earth response which transforms surface loads into vertical and horizontal displacements is also responsible for the contamination of loading observations by tectonic and anthropogenic transients, and we discuss these and other challenges to this new application of GPS.

Integration of the B-52G Offensive Avionics System (OAS) with the Global Positioning System (GPS)

NASA Astrophysics Data System (ADS)

Foote, A. L.; Pluntze, S. C.

Integration of the B-52G OAS with the GPS has been accomplished by modification of existing OAS software. GPS derived position and velocity data are used to enhance the quality of the OAS inertial and dead reckoning navigation systems. The engineering design and the software development process used to implement this design are presented.

Integration of Geospatial Technologies into K-12 Curriculum: An Investigation of Teacher and Student Perceptions and Student Academic Achievement

ERIC Educational Resources Information Center

Goldstein, Donna L.

2010-01-01

The purpose of this study was to explore outcomes of a GIS/GPS integration process: to (a) examine student responses to GIS and GPS inclusion in their curriculum, (b) determine whether a relationship exists between inclusion of GIS into existing K-12 curriculum and student achievement, (c) examine the effectiveness of GIS professional development…

Directional Networking in GPS Denied Environments - Time Synchronization

DTIC Science & Technology

2016-03-14

RF-based measurements to synchronize time and measure node range.  Satellite Doppler: Using Doppler measurements from multiple satellites along...with satellite catalog data to determine time and position.  LTE : Use existing LTE base-stations for time and position.  Differential GPS: A...Opportunistic Signals: Opportunistically take advantage of existing RF signals (i.e., FM radio, DTV, LTE , etc.) transmitted from known locations

Automated daily processing of more than 1000 ground-based GPS receivers for studying intense ionospheric storms

NASA Astrophysics Data System (ADS)

Komjathy, Attila; Sparks, Lawrence; Wilson, Brian D.; Mannucci, Anthony J.

2005-12-01

As the number of ground-based and space-based receivers tracking the Global Positioning System (GPS) satellites steadily increases, it is becoming possible to monitor changes in the ionosphere continuously and on a global scale with unprecedented accuracy and reliability. As of August 2005, there are more than 1000 globally distributed dual-frequency GPS receivers available using publicly accessible networks including, for example, the International GPS Service and the continuously operating reference stations. To take advantage of the vast amount of GPS data, researchers use a number of techniques to estimate satellite and receiver interfrequency biases and the total electron content (TEC) of the ionosphere. Most techniques estimate vertical ionospheric structure and, simultaneously, hardware-related biases treated as nuisance parameters. These methods often are limited to 200 GPS receivers and use a sequential least squares or Kalman filter approach. The biases are later removed from the measurements to obtain unbiased TEC. In our approach to calibrating GPS receiver and transmitter interfrequency biases we take advantage of all available GPS receivers using a new processing algorithm based on the Global Ionospheric Mapping (GIM) software developed at the Jet Propulsion Laboratory. This new capability is designed to estimate receiver biases for all stations. We solve for the instrumental biases by modeling the ionospheric delay and removing it from the observation equation using precomputed GIM maps. The precomputed GIM maps rely on 200 globally distributed GPS receivers to establish the "background" used to model the ionosphere at the remaining 800 GPS sites.

Continuity of care through medical records--an explorative study on GPs' management considerations.

PubMed

Schers, Henk; van den Hoogen, Henk; Grol, Richard; van den Bosch, Wil

2006-06-01

The growing complexity of care with more professionals involved is a threat to the delivery of coherent and consistent care. Excellent exchange of information between professionals may be a way to maintain continuity of care. Relevant information to be passed over includes thoughts about future management for individual patients. To explore the nature of GPs' thoughts about future management, and to determine the extent to which such thoughts are actually recorded in medical records. Cross-sectional study of 5741 consultations. Thirty GPs from 17 practices in a region in the eastern part of The Netherlands. The GPs responded to an electronic questionnaire, directly after 200 successive consultations. The questionnaire included items on management considerations, consultation characteristics and personal continuity. We compared the data from the questionnaire to the actual recording of management considerations in the patient records. The GPs had management considerations in 66.4% of the consultations, involving mainly considerations about additional testing (15.5%), adjustment of medication (22.5%), alternative treatment plans (18.6%), possible referral (11.8%) and coping behaviour (18.0%). These considerations were seldom recorded in the electronic patient record; additional testing (3.0%) adjustment of medication (2.9%) and alternative treatment plans (4.1%). Surprisingly however, GPs rarely found that management considerations from earlier consultations were lacking in the medical record. GPs often have thoughts on how to deal with this patient, but hardly ever record such considerations. We recommend the development of tools that facilitate the recording of management considerations in electronic patient records.

Assessing the performance of the generalized propensity score for estimating the effect of quantitative or continuous exposures on binary outcomes

PubMed Central

2018-01-01

Propensity score methods are increasingly being used to estimate the effects of treatments and exposures when using observational data. The propensity score was initially developed for use with binary exposures. The generalized propensity score (GPS) is an extension of the propensity score for use with quantitative or continuous exposures (eg, dose or quantity of medication, income, or years of education). We used Monte Carlo simulations to examine the performance of different methods of using the GPS to estimate the effect of continuous exposures on binary outcomes. We examined covariate adjustment using the GPS and weighting using weights based on the inverse of the GPS. We examined both the use of ordinary least squares to estimate the propensity function and the use of the covariate balancing propensity score algorithm. The use of methods based on the GPS was compared with the use of G‐computation. All methods resulted in essentially unbiased estimation of the population dose‐response function. However, GPS‐based weighting tended to result in estimates that displayed greater variability and had higher mean squared error when the magnitude of confounding was strong. Of the methods based on the GPS, covariate adjustment using the GPS tended to result in estimates with lower variability and mean squared error when the magnitude of confounding was strong. We illustrate the application of these methods by estimating the effect of average neighborhood income on the probability of death within 1 year of hospitalization for an acute myocardial infarction. PMID:29508424

Determining Sea-Level Rise and Coastal Subsidence in the Canadian Arctic Using a Dense GPS Velocity Field for North America

NASA Astrophysics Data System (ADS)

Craymer, M.; Forbes, D.; Henton, J.; Lapelle, E.; Piraszewski, M.; Solomon, S.

2005-12-01

With observed climate warming in the western Canadian Arctic and potential increases in regional sea level, we anticipate expansion of the coastal region subject to rising relative sea level and increased flooding risk. This is a concern for coastal communities such as Tuktoyaktuk and Sachs Harbour and for the design and safety of hydrocarbon production facilities on the Mackenzie Delta. To provide a framework in which to monitor these changes, a consistent velocity field has been determined from GPS observations throughout North America, including the Canadian Arctic Archipelago and the Mackenzie Delta region. An expanded network of continuous GPS sites and multi-epoch (episodic) sites has enabled an increased density that enhances the application to geophysical studies including the discrimination of crustal motion, other components of coastal subsidence, and sea-level rise. To obtain a dense velocity field consistent at all scales, we have combined weekly solutions of continuous GPS sites from different agencies in Canada and the USA, together with the global reference frame under the North American Reference Frame initiative. Although there is already a high density of continuous GPS sites in the conterminous United States, there are many fewer such sites in Canada. To make up for this lack of density, we have incorporated high-accuracy episodic GPS observations on stable monuments distributed throughout Canada. By combining up to ten years of repeated, episodic GPS observations at such sites, together with weekly solutions from the continuous sites, we have obtained a highly consistent velocity field with a significantly increased spatial sampling of crustal deformation throughout Canada. This exhibits a spatially coherent pattern of uplift and subsidence in Canada that is consistent with the expected rates of glacial isostatic adjustment. To determine the contribution of vertical motion to sea-level rise under climate warming in the Canadian Arctic, we have established co-located tide gauges and continuous GPS at a number of sites across the Canadian Arctic, including Tuktoyaktuk on the eastern side of the Mackenzie Delta. We are also investigating additional sources of subsidence in the delta, including sediment loading, compaction of unfrozen and discontinuously ice-bonded sediments, and anticipated subsidence resulting from future natural gas production. Further densification of the velocity field, including the addition of new sites in the delta, and regular reoccupation of episodic sites will assist in determining local rates of motion. Strategies for discriminating the various components of subsidence in this large delta include episodic GPS on monuments and borehole casing penetrating to various depths and supporting InSAR analysis and geological data. Coastal flooding hazards will be evaluated using digital elevation models derived from real-time kinematic GPS, airborne LiDAR surveys, and synthetic aperture radar flood mapping.

The Plate Boundary Observatory: Current status and plans for the next five years

NASA Astrophysics Data System (ADS)

Mattioli, G. S.; Feaux, K.; Meertens, C. M.; Mencin, D.; Miller, M.

2013-12-01

UNAVCO currently operates and maintains the NSF-funded Plate Boundary Observatory (PBO), which is the geodetic facility of EarthScope. PBO was designed and built from 2003 to 2008 with $100M investment from the NSF Major Research Equipment and Facilities Construction (MREFC) Program. UNAVCO operated and maintained PBO under a Cooperative Agreement (CA) with NSF from 2008 to 2013 and will continue PBO O&M for the next five years as part of the new Geodesy Advancing Geosciences and EarthScope (GAGE) Facility. PBO is largest continuous GPS and borehole geophysical network in the Americas, with 1100 continuous Global Positioning System (cGPS) sites, including several with multiple monuments, 79 boreholes, with 75 tensor strainmeters, 78 short-period, 3-component seismometers, and pore pressure sensors at 23 sites. PBO also includes 26 tiltmeters deployed at volcanoes in Alaska, Mt St Helens, and Yellowstone caldera and 6 long-baseline laser strainmeters. Surface meteorological sensors are collocated at 154 GPS sites. UNAVCO provides high-rate (1 Hz), low-latency (<1 s) GPS data streams (RT-GPS) from 382 stations in PBO. UNAVCO has delivered over 62 Tb of geodetic data to the EarthScope community since its PBO's inception in 2004. Over the past year, data return for the cGPS component of PBO is 98%, well above the data return metric of 85% set by the NSF, a result of efforts to upgrade power systems and communications infrastructure. In addition, PBO has set the standard for the design, construction, and operation of other multi-hazard networks across the Americas, including COCONet in the Caribbean region and TLALOCNet in Mexico. Funding to support ongoing PBO O&M has declined from FY2012 CA levels under the new GAGE Facility. The implications for data return and data quality metrics as well as replacement of aging PBO GPS instruments with GNSS-compatible systems are as yet unknown. A process to assess the cost of specific PBO components, data rates, enhanced capabilities, and method of delivery (i.e. continuous streams vs. archived files) relative to their scientific value will be proposed. In addition, options to partner with other federal mission-oriented agencies and possible commercial ventures also will be discussed. 1100 station PBO continuous GPS Network.

U.S. Space Shuttle GPS navigation capability for all mission phases

NASA Technical Reports Server (NTRS)

Kachmar, Peter; Chu, William; Montez, Moises

1993-01-01

Incorporating a GPS capability on the Space Shuttle presented unique system integration design considerations and has led to an integration concept that has minimum impact on the existing Shuttle hardware and software systems. This paper presents the Space Shuttle GPS integrated design and the concepts used in implementing this GPS capability. The major focus of the paper is on the modifications that will be made to the navigation systems in the Space Shuttle General Purpose Computers (GPC) and on the Operational Requirements of the integrated GPS/GPC system. Shuttle navigation system architecture, functions and operations are discussed for the current system and with the GPS integrated navigation capability. The GPS system integration design presented in this paper has been formally submitted to the Shuttle Avionics Software Control Board for implementation in the on-board GPC software.

An Analysis Of The Gps R and D Program As A Case Study Illustrating Dod R and D And Its Associated Successes To Justify The Continued Investments Into And Sustainment Of Dod R and D Budgets

DTIC Science & Technology

2016-09-01

Global Positioning System (GPS). • DOD R&D budget analysis • GPS case study analysis These research areas will support the thesis on the defense... CASE STUDY ANALYSIS As successful as GPS has been on both the battlefield and in worldwide civilian life, the end state wasn’t realized when the...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA JOINT APPLIED PROJECT AN ANALYSIS OF THE GPS R&D PROGRAM AS A CASE STUDY

GPS/INS integration by functional partitioning

NASA Astrophysics Data System (ADS)

Diesel, John W.

It is shown that a GPS/INS system integrated by functional partitioning can satisfy all of the RTCA navigation requirements and goals. This is accomplished by accurately calibrating the INS using GPS after the inertial instruments are thermally stabilized and by exploiting the very slow subsequent error growth in the INS information. In this way, autonomous integrity monitoring can be achieved using only existing or presently planned systems.

Kalman filter implementation for small satellites using constraint GPS data

NASA Astrophysics Data System (ADS)

Wesam, Elmahy M.; Zhang, Xiang; Lu, Zhengliang; Liao, Wenhe

2017-06-01

Due to the increased need for autonomy, an Extended Kalman Filter (EKF) has been designed to autonomously estimate the orbit using GPS data. A propagation step models the satellite dynamics as a two body with J2 (second zonal effect) perturbations being suitable for orbits in altitudes higher than 600 km. An onboard GPS receiver provides continuous measurement inputs. The continuity of measurements decreases the errors of the orbit determination algorithm. Power restrictions are imposed on small satellites in general and nanosatellites in particular. In cubesats, the GPS is forced to be shut down most of the mission’s life time. GPS is turned on when experiments like atmospheric ones are carried out and meter level accuracy for positioning is required. This accuracy can’t be obtained by other autonomous sensors like magnetometer and sun sensor as they provide kilometer level accuracy. Through simulation using Matlab and satellite tool kit (STK) the position accuracy is analyzed after imposing constrained conditions suitable for small satellites and a very tight one suitable for nanosatellite missions.

UK GPs' and practice nurses' views of continuity of care for patients with type 2 diabetes.

PubMed

Alazri, Mohammed H; Heywood, Philip; Neal, Richard D; Leese, Brenda

2007-04-01

Continuity of care is widely regarded as a core value of primary care. Type 2 diabetes is a common chronic disease with major health, social and economic impacts. Primary health care professionals in many countries are involved in the management of patients with type 2 diabetes, but their perspectives on continuity remain neglected in research. To explore UK GPs' and nurses' experiences of continuity of care for patients with type 2 diabetes in primary care settings. Semi-structured individual interviews were conducted with 16 GPs and 18 practice nurses who manage patients with type 2 diabetes recruited from 20 practices with various organizational structures in Leeds, UK. Three types of continuities were identified: relational continuity from the same health care professional, team continuity from a group of health care professionals and cross-boundary continuity across primary-secondary care settings. Relational continuity was influenced by the quality of the patient-health care professional relationship, policy of the National Health Service (NHS) in the UK (new General Medical Services contract), walk-in centres, the behaviour of receptionists and the structure and systems of the practice. Team and cross-boundary continuities were influenced by the relationship between team members and by effective communication. Relational continuity contributed to more 'personal care', but the usual health care professional might know less about diabetes. Team continuity was important in providing 'physical care', but patients could be confused by conflicting advice from different professionals. Cross-boundary continuity helps to provide 'expert advice', but is dependent upon effective communication. GPs and practice nurses dealing with patients with type 2 diabetes identified three types of continuities, each influenced by several factors. Relational continuity deals better with psychosocial care while team continuity promotes better physical care; therefore, imposing one type of continuity may inhibit good diabetic care. Cross-boundary continuity between primary and secondary care is fundamental to contemporary diabetic services and ways should be found to achieve more effective communication.

A Low Cost Automated Monitoring System for Landslides Using Dual Frequency GPS

NASA Astrophysics Data System (ADS)

Mills, H.; Edwards, S.

2006-12-01

Landslides are an existing and permanent threat to societies across the globe, generating financial and human losses whenever and wherever they occur. Drawing together the strands of science that provide increased understanding of landslide triggers through accurate modelling is therefore vital for the development of mitigation and management strategies. Together with climatic and geomorphological data a key input here is information on the precise location and timing of landslide events. However, the detailed monitoring of landslides and precursor movements is generally limited to episodic campaigns where limiting factors include equipment and mobilisation costs, time constraints and spatial resolution. This research has developed a geodetic tool of benefit to scientists involved in the development of closely coupled models that seek to explain trigger mechanisms such as rainfall duration and intensity and changes in groundwater pressure to actual real land movements. A fully automated low cost dual frequency GPS station for the continuous in-situ monitoring of landslide sites has been developed. System configuration combines a dual frequency GPS receiver, PC board with a GPRS modem and power supply to deliver 24hr/365day operation capability. Individual components have been chosen to provide the highest accuracies while minimising power consumption resulting in a system around half that of equivalent commercial systems. Measurement point-costs can be further reduced through the use of antenna switching and multi antenna arrays. Continuous data is delivered via mobile phone uplink and processed automatically using geodetic software. The developed system has been extensively tested on a purpose built platform capable of simulating ground movements. Co-mounted antennas have allowed direct comparisons with more expensive geodetic GPS receivers. The system is capable of delivering precise 3D coordinates with a 9 mm rms. The system can be up-scaled resulting in the increased spatial density of monitoring and yielding more detailed information on landslide movements for improved downstream modelling and monitoring.

Precise estimation of tropospheric path delays with GPS techniques

NASA Technical Reports Server (NTRS)

Lichten, S. M.

1990-01-01

Tropospheric path delays are a major source of error in deep space tracking. However, the tropospheric-induced delay at tracking sites can be calibrated using measurements of Global Positioning System (GPS) satellites. A series of experiments has demonstrated the high sensitivity of GPS to tropospheric delays. A variety of tests and comparisons indicates that current accuracy of the GPS zenith tropospheric delay estimates is better than 1-cm root-mean-square over many hours, sampled continuously at intervals of six minutes. These results are consistent with expectations from covariance analyses. The covariance analyses also indicate that by the mid-1990s, when the GPS constellation is complete and the Deep Space Network is equipped with advanced GPS receivers, zenith tropospheric delay accuracy with GPS will improve further to 0.5 cm or better.

Continuous time transfer using GPS carrier phase.

PubMed

Dach, Rolf; Schildknecht, Thomas; Springer, Tim; Dudle, Gregor; Prost, Leon

2002-11-01

The Astronomical Institute of the University of Berne is hosting one of the Analysis Centers (AC) of the International GPS Service (IGS). A network of a few GPS stations in Europe and North America is routinely analyzed for time transfer purposes, using the carrier phase observations. This work is done in the framework of a joint project with the Swiss Federal Office of Metrology and Accreditation (METAS). The daily solutions are computed independently. The resulting time transfer series show jumps of up to 1 ns at the day boundaries. A method to concatenate the daily time transfer solutions to a continuous series was developed. A continuous time series is available for a time span of more than 4 mo. The results were compared with the time transfer results from other techniques such as two-way satellite time and frequency transfer. This concatenation improves the results obtained in a daily computing scheme because a continuous time series better reflects the characteristics of continuously working clocks.

Tracking down a solution: exploring the acceptability and value of wearable GPS devices for older persons, individuals with a disability and their support persons.

PubMed

Williamson, Brittany; Aplin, Tammy; de Jonge, Desleigh; Goyne, Matthew

2017-11-01

To explore the acceptability and value of three wearable GPS devices for older persons and individuals with a disability and safety concerns when accessing the community. This pilot study explored six wearers' and their support persons' experience of using three different wearable GPS devices (a pendant, watch, and mini GPS phone), each for a two-week period. Participants identified safety as the main value of using a wearable GPS device. The acceptability and value of these devices was strongly influenced by device features, ease of use, cost, appearance, the reliability of the GPS coordinates, the wearer's health condition and the users familiarity with technology. Overall, participants indicated that they preferred the pendant. Wearable GPS devices are potentially useful in providing individuals who have safety concerns with reassurance and access to assistance as required. To ensure successful utilization, future device design and device selection should consider the user's familiarity with technology and their health condition. This study also revealed that not all wearable GPS devices provide continuous location tracking. It is therefore critical to ensure that the device's location tracking functions address the wearer's requirements and reason for using the device. Implications for Rehabilitation The acceptability and usability of wearable GPS devices is strongly influenced by the device features, ease of use, cost, appearance, the reliability of the device to provide accurate and timely GPS coordinates, as well as the health condition of the wearer and their familiarity with technology. Wearable GPS devices need to be simple to use and support and training is essential to ensure they are successfully utilized. Not all wearable GPS devices provide continuous location tracking and accuracy of location is impacted by line of sight to satellites. Therefore, care needs to be taken when choosing a suitable device, to ensure that the device's location tracking features are based on the wearer's requirements and value behind using the device.

DOTD standards for GPS data collection accuracy : research project capsule.

DOT National Transportation Integrated Search

2013-12-01

Global Navigational Satellite Systems (GNSS), which includes GPS technologies : maintained by the United States, are used extensively throughout government : and industry. These technologies continue to revolutionize positional data : collection acti...

Reprocessing Multiyear GPS Data from Continuously Operating Reference Stations on Cloud Computing Platform

NASA Astrophysics Data System (ADS)

Yoon, S.

2016-12-01

To define geodetic reference frame using GPS data collected by Continuously Operating Reference Stations (CORS) network, historical GPS data needs to be reprocessed regularly. Reprocessing GPS data collected by upto 2000 CORS sites for the last two decades requires a lot of computational resource. At National Geodetic Survey (NGS), there has been one completed reprocessing in 2011, and currently, the second reprocessing is undergoing. For the first reprocessing effort, in-house computing resource was utilized. In the current second reprocessing effort, outsourced cloud computing platform is being utilized. In this presentation, the outline of data processing strategy at NGS is described as well as the effort to parallelize the data processing procedure in order to maximize the benefit of the cloud computing. The time and cost savings realized by utilizing cloud computing approach will also be discussed.

GPS Data Analysis for Earth Orientation at the Jet Propulsion Laboratory

NASA Technical Reports Server (NTRS)

Zumberge, J.; Webb, F.; Lindqwister, U.; Lichten, S.; Jefferson, D.; Ibanez-Meier, R.; Heflin, M.; Freedman, A.; Blewitt, G.

1994-01-01

Beginning June 1992 and continuing indefinitely as part of our contribution to FLINN (Fiducial Laboratories for an International Natural Science Network), DOSE (NASA's Dynamics of the Solid Earth Program), and the IGS (International GPS Geodynamics Service), analysts at the Jet Propulsion Laboratory (JPL) have routinely been reducing data from a globally-distributed network of Rogue Global Positioning System (GPS) receivers.

The Stability of GPS Carrier-Phase Receivers

DTIC Science & Technology

2010-11-01

Frequency Transfer ( TWSTFT ) method [2]. For both CP and TWSTFT , accuracy in time transfer is achieved through special calibration efforts that retain...View (CV) receivers and TWSTFT equipment. Many of these geodetic receivers operate continuously within the International GNSS Service (IGS), and...with TWSTFT , GPS CV, and GPS P3. If ionosphere-free measurements are used in combination with nominally compensated tropospheric corrections, a

Ageing of the baby boomer generation: how demographic change will impact on city and rural GP and nursing workforce.

PubMed

Schofield, D J; Page, S L; Lyle, D M; Walker, T J

2006-01-01

To compare the impact of ageing on the GP and nursing rural and city workforce. Cohort analysis of Australian Bureau of Statistics census data. The data was used to examine the age distribution of the city and rural GP and nursing workforce; patterns of attrition for those 50 years and over; and the impact of changes in working hours. The rural GP and nursing workforce is significantly older than their city counterparts (p<0.001) with the 'baby boomer' generation making up 52% of city GPs but 59% of rural GPs in 2001. While a large proportion of city and rural GPs continued to work past the age of 65 years, rural GPs left the workforce at a significantly younger age than city doctors (p<0.001). Rural nurses are older than their city peers (p<0.001) but retire at an older age than city nurses (p<0.001). In 1986, a significantly higher proportion of rural GPs in all age cohorts worked more than 41 hours per week compared with their city counterparts (p<0.001). By 2001, rural 'generation X' GPs were no more likely to work long hours than those in the city (p<0.001). However, significantly more rural than city 'baby boomers' continued to work long hours. Rural GPs are retiring faster than city GPs and strategies to attract rural GPs and nurses will be critical to ensure adequate rural health care and that current rural workforce shortage do not worsen.

Decadal changes of surface elevation over permafrost area estimated using reflected GPS signals

NASA Astrophysics Data System (ADS)

Liu, Lin; Larson, Kristine M.

2018-02-01

Conventional benchmark-based survey and Global Positioning System (GPS) have been used to measure surface elevation changes over permafrost areas, usually once or a few times a year. Here we use reflected GPS signals to measure temporal changes of ground surface elevation due to dynamics of the active layer and near-surface permafrost. Applying the GPS interferometric reflectometry technique to the multipath signal-to-noise ratio data collected by a continuously operating GPS receiver mounted deep in permafrost in Barrow, Alaska, we can retrieve the vertical distance between the antenna and reflecting surface. Using this unique kind of observables, we obtain daily changes of surface elevation during July and August from 2004 to 2015. Our results show distinct temporal variations at three timescales: regular thaw settlement within each summer, strong interannual variability that is characterized by a sub-decadal subsidence trend followed by a brief uplift trend, and a secular subsidence trend of 0.26 ± 0.02 cm year-1 during 2004 and 2015. This method provides a new way to fully utilize data from continuously operating GPS sites in cold regions for studying dynamics of the frozen ground consistently and sustainably over a long time.

Multiscale GPS tomography during COPS: validation and applications

NASA Astrophysics Data System (ADS)

Champollion, Cédric; Flamant, Cyrille; Masson, Frédéric; Gégout, Pascal; Boniface, Karen; Richard, Evelyne

2010-05-01

Accurate 3D description of the water vapour field is of interest for process studies such as convection initiation. None of the current techniques (LIDAR, satellite, radio soundings, GPS) can provide an all weather continuous 3D field of moisture. The combination of GPS tomography with radio-soundings (and/or LIDAR) has been used for such process studies using both advantages of vertically resolved soundings and high temporal density of GPS measurements. GPS tomography has been used at short scale (10 km horizontal resolution but in a 50 km² area) for process studies such as the ESCOMPTE experiment (Bastin et al., 2005) and at larger scale (50 km horizontal resolution) during IHOP_2002. But no extensive statistical validation has been done so far. The overarching goal of the COPS field experiment is to advance the quality of forecasts of orographically induced convective precipitation by four-dimensional observations and modeling of its life cycle for identifying the physical and chemical processes responsible for deficiencies in QPF over low-mountain regions. During the COPS field experiment, a GPS network of about 100 GPS stations has been continuously operating during three months in an area of 500 km² in the East of France (Vosges Mountains) and West of Germany (Black Forest). If the mean spacing between the GPS is about 50 km, an East-West GPS profile with a density of about 10 km is dedicated to high resolution tomography. One major goal of the GPS COPS experiment is to validate the GPS tomography with different spatial resolutions. Validation is based on additional radio-soundings and airborne / ground-based LIDAR measurement. The number and the high quality of vertically resolved water vapor observations give an unique data set for GPS tomography validation. Numerous tests have been done on real data to show the type water vapor structures that can be imaging by GPS tomography depending of the assimilation of additional data (radio soundings), the resolution of the tomography grid and the density of GPS network. Finally some applications to different cases studies will be shortly presented.

Subacute toxicity of copper and glyphosate and their interaction to earthworm (Eisenia fetida).

PubMed

Zhou, Chui-Fan; Wang, Yu-Jun; Li, Cheng-Cheng; Sun, Rui-Juan; Yu, Yuan-Chun; Zhou, Dong-Mei

2013-09-01

Glyphosate (GPS) and copper (Cu) are common pollutants in soils, and commonly co-exist. Due to the chemical structure of GPS, it can form complexes of heavy metals and interface their bioavailability in soil environment. In order to explore the interactions between GPS and Cu, subacute toxicity tests of Cu and GPS on soil invertebrate earthworms (Eisenia fetida) were conducted. The relative weight loss and whole-worm metal burdens increased significantly with the increasing exposure concentration of Cu, while the toxicity of GPS was insignificant. The joint toxicity data showed that the relative weight loss and the uptake of Cu, as well as the superoxide dismutase, catalase and malondialdehyde activities, were significantly alleviated in the present of GPS, which indicated that GPS could reduce the toxicity and bioavailability of Cu in the soil because of its strong chelating effects. Copyright © 2013 Elsevier Ltd. All rights reserved.

GP views on strategies to cope with increasing workload: a qualitative interview study.

PubMed

Fisher, Rebecca Fr; Croxson, Caroline Hd; Ashdown, Helen F; Hobbs, Fd Richard

2017-02-01

The existence of a crisis in primary care in the UK is in little doubt. GP morale and job satisfaction are low, and workload is increasing. In this challenging context, finding ways for GPs to manage that workload is imperative. To explore what existing or potential strategies are described by GPs for dealing with their workload, and their views on the relative merits of each. Semi-structured, qualitative interviews with GPs working within NHS England. All GPs working within NHS England were eligible. Of those who responded to advertisements, a maximum-variation sample was selected and interviewed until data saturation was reached. Data were analysed thematically. Responses were received from 171 GPs, and, from these, 34 were included in the study. Four main themes emerged for workload management: patient-level, GP-level, practice-level, and systems-level strategies. A need for patients to take greater responsibility for self-management was clear, but many felt that GPs should not be responsible for this education. Increased delegation of tasks was felt to be key to managing workload, with innovative use of allied healthcare professionals and extended roles for non-clinical staff suggested. Telephone triage was a commonly used tool for managing workload, although not all participants found this helpful. This in-depth qualitative study demonstrates an encouraging resilience among GPs. They are proactively trying to manage workload, often using innovative local strategies. GPs do not feel that they can do this alone, however, and called repeatedly for increased recruitment and more investment in primary care. © British Journal of General Practice 2017.

Prescribing and deprescribing antihypertensive medication in older people by Dutch general practitioners: a qualitative study

PubMed Central

van Middelaar, Tessa; Ivens, Sophie D; van Peet, Petra G; Poortvliet, Rosalinde K E; Richard, Edo; Pols, A Jeannette; Moll van Charante, Eric P.

2018-01-01

Objectives To explore general practitioners’ (GPs) routines and considerations on (de)prescribing antihypertensive medication (AHM) in older patients, their judgement on usability of the current guideline and needs for future support. Design Semistructured interviews. Setting Dutch general practice. Participants Fifteen GPs were purposively sampled based on level of experience and practice characteristics until saturation was reached. Results GPs appeared reluctant to start AHM, especially in patient >80 years. High systolic blood pressure and history of cardiovascular disease or diabetes were enablers to start or intensify treatment. Reasons to refrain from this were frailty and patient preference. GPs described a tendency to continue AHM regimens unchanged, influenced by daily time constraints, automated prescription routines and anticipating discomfort when disturbing patients’ delicate balance. GPs were only inclined to deprescribe AHM in terminally ill patients or after prolonged achievement of target levels in combination with side effects or patient preference. Deprescription was facilitated when GPs had experience with patients showing increased quality of life after deprescription and was withheld by anticipated regret (ie, GPs’ fear of a stroke after deprescribing). GPs felt insufficient guidance from current guidelines, especially on deprescription. Conclusions GPs are reluctant to start or deprescribe AHM in older people and have a propensity to continue AHM within a daily routine that insufficiently supports critical medication review. (De)prescription is influenced by patient preferences and anticipated regret and current guidelines provide insufficient guidance. PMID:29678989

Home visits - central to primary care, tradition or an obligation? A qualitative study

PubMed Central

2011-01-01

Background Home visits are claimed to be a central element of primary care. However, the frequency with which home visits are made is declining both internationally and in Germany despite the increase in the number of chronically ill elderly patients. Given this, the question arises as to how to ensure sufficient primary health care for this vulnerable patient group. The aim of this study was to explore German general practitioners' (GPs) attitudes with regard to the feasibility, burden and outlook of continued home visits in German primary care. Methods Qualitative semi-structured interviews were carried out with 24 GPs from the city of Hannover, Germany, and its rural surroundings. Data was analysed using qualitative content analysis. Results The GPs indicated that they frequently conduct home visits, but not all of them were convinced of their benefit. Most were not really motivated to undertake home visits but some felt obliged to. The basic conditions covering home visits were described as unsatisfactory, in particular with respect to reimbursement and time constraints. House calls for vulnerable, elderly people remained undisputed, whereas visits of a social nature were mostly deleted. Urgent house calls were increasingly delegated to the emergency services. Visits to nursing homes were portrayed as being emotionally distressing. GPs considered good cooperation with nursing staff the key factor to ensure a successful nursing home visit. The GPs wanted to ease their work load while still ensuring quality home care but were unable to suggest how this might be achieved. Better financial compensation was proposed most often. The involvement of specially trained nurses was considered possible, but viewed with resentment. Conclusions Home visits are still an integral aspect of primary care in Germany and impose a considerable workload on many practices. Though the existing situation was generally perceived as unsatisfactory, German GPs could not envisage alternatives if asked to consider whether the current arrangements were sustainable in the future. To guarantee an unaltered quality of primary home care, German GPs and health care policy makers should actively initiate a debate on the need for and nature of home visits in the future. PMID:21513534

Monitoring beach changes using GPS surveying techniques

USGS Publications Warehouse

Morton, Robert; Leach, Mark P.; Paine, Jeffrey G.; Cardoza, Michael A.

1993-01-01

The adaptation of Global Positioning System (GPS) surveying techniques to beach monitoring activities is a promising response to this challenge. An experiment that employed both GPS and conventional beach surveying was conducted, and a new beach monitoring method employing kinematic GPS surveys was devised. This new method involves the collection of precise shore-parallel and shore-normal GPS positions from a moving vehicle so that an accurate two-dimensional beach surface can be generated. Results show that the GPS measurements agree with conventional shore-normal surveys at the 1 cm level, and repeated GPS measurements employing the moving vehicle demonstrate a precision of better than 1 cm. In addition, the nearly continuous sampling and increased resolution provided by the GPS surveying technique reveals alongshore changes in beach morphology that are undetected by conventional shore-normal profiles. The application of GPS surveying techniques combined with the refinement of appropriate methods for data collection and analysis provides a better understanding of beach changes, sediment transport, and storm impacts.

Performance trends of rehabilitated AC pavements

DOT National Transportation Integrated Search

2000-10-01

The General Pavement Study (GPS) 6 experiment, "AC Overlay of AC Pavements," involves pavement test sections where an asphalt concrete (AC) overlay was placed on an existing AC pavement. This TechBrief summarizes the results of a study of the GPS-6 e...

Cross-cultural differences in GPs' attitudes towards complementary and alternative medicine: a survey comparing regions of the UK and Germany.

PubMed

Schmidt, K; Jacobs, P A; Barton, A

2002-09-01

To investigate whether there is a difference in general practitioners' attitudes towards CAM in the UK and Germany. A descriptive questionnaire was developed and sent to 97 GPs in the UK and 99 GPs in Germany. The overall response rate was 68%. German GPs showed a (non-significant) overall more positive attitude towards CAM than did British GPs. British GPs made more referrals to complementary practitioners. The most popular CAM therapies that UK GPs referred their patients to were chiropractic treatment, acupuncture and osteopathy. German GPs referred their patients mainly to acupuncture treatment, chiropractic treatment and herbal medicine. A significantly higher number of German GPs reported having practised as a CAM practitioner before and having personally used CAM themselves. Seventy percent of British GPs and 76% of German GPs thought it is safe to prescribe complementary medicine and therapies to patients. There are small national differences in referring patients to various CAM modalities. Both nations have an overall positive attitude toward and a high interest in CAM. Lack of scientific evidence and information on training opportunities were important points that were continuously raised by GPs in both countries.

Early detection of pathological gambling: betting on GPs' beliefs and attitudes.

PubMed

Achab, Sophia; Chatton, Anne; Khan, Riaz; Thorens, Gabriel; Penzenstadler, Louise; Zullino, Daniele; Khazaal, Yasser

2014-01-01

Pathological gambling (PG) is an addictive disorder with harm related to the high psychiatric comorbidity and increased suicidal risk. Prevalence rates in general population range from 0.2% to 2.1%. Problem gamblers are hard to attract to treatment programs for several proper reasons and for obstacles (e.g., accessibility). To address these obstacles, primary care (where the problem gambling (PrG) prevalence seems to be 6.2%) has a crucial role to play (i.e., identifying and referring patients to specialized treatment programs and treating at first line when needed and possible) in the era of online gambling offer expansion. The present work aimed to collect data on resources in the field from GPs themselves, using a 24-item online questionnaire. Swiss French-speaking participants were asked about their screening practice and knowledge. The results state that the vast majority of them are aware of the existence and the potential impact of PrG on their patients. However, PrG screening is not systematic and their knowledge of adequate treatments or referral methods is scarce. GPs being central to health screening in general, targeted advice and training on short screening tools and better knowledge of referral pathways should be promoted and continued to empower the GP's management skills in a public health approach.

TLALOCNet continuous GPS-Met Array in Mexico supporting the 2017 NAM GPS Hydrometeorological Network.

NASA Astrophysics Data System (ADS)

Cabral-Cano, E.; Salazar-Tlaczani, L.; Adams, D. K.; Vivoni, E. R.; Grutter, M.; Serra, Y. L.; DeMets, C.; Galetzka, J.; Feaux, K.; Mattioli, G. S.; Miller, M. M.

2017-12-01

TLALOCNet is a network of continuous GPS and meteorology stations in Mexico to study atmospheric and solid earth processes. This recently completed network spans most of Mexico with a strong coverage emphasis on southern and western Mexico. This network, funded by NSF, CONACyT and UNAM, recently built 40 cGPS-Met sites to EarthScope Plate Boundary Observatory standards and upgraded 25 additional GPS stations. TLALOCNet provides open and freely available raw GPS data, and high frequency surface meteorology measurements, and time series of daily positions. This is accomplished through the development of the TLALOCNet data center (http://tlalocnet.udg.mx) that serves as a collection and distribution point. This data center is based on UNAVCO's Dataworks-GSAC software and also works as part of UNAVCO's seamless archive for discovery, sharing, and access to GPS data. The TLALOCNet data center also contains contributed data from several regional GPS networks in Mexico for a total of 100+ stations. By using the same protocols and structure as the UNAVCO and other COCONet regional data centers, the scientific community has the capability of accessing data from the largest Mexican GPS network. This archive provides a fully queryable and scriptable GPS and Meteorological data retrieval point. In addition, real-time 1Hz streams from selected TLALOCNet stations are available in BINEX, RTCM 2.3 and RTCM 3.1 formats via the Networked Transport of RTCM via Internet Protocol (NTRIP) for real-time seismic and weather forecasting applications. TLALOCNet served as a GPS-Met backbone for the binational Mexico-US North American Monsoon GPS Hydrometeorological Network 2017 campaign experiment. This innovative experiment attempts to address water vapor source regions and land-surface water vapor flux contributions to precipitation (i.e., moisture recycling) during the 2017 North American Monsoon in Baja California, Sonora, Chihuahua, and Arizona. Models suggest that moisture recycling is a large contributor to summer rainfall. This experiment represents a first attempt to quantify the surface water vapor flux contribution to GPS-derived precipitable water vapor. Preliminary results from this campaign are presented.

Internet tool box for rural GPs to access mental health services information.

PubMed

Ollerenshaw, Alison

2009-01-01

Rural GPs play a significant role in the mental health care of their patients. It is therefore crucial that they have access to reputable support and advice that enhances their existing knowledge. This article outlines a recent project initiated by the Australian rural Ballarat and District Division of General Practice (BDDGP) to develop and implement an online resource to facilitate local implementation and delivery of the 'Better Access to Mental Health Care' (BAMHC) program. This 12 month project was initiated in response to a request from local GPs for additional information about and support in using the BAMHC program. The project is the culmination of significant collaboration among key stakeholders that includes local GPs, GP advisors from BDDGP, BDDGP staff, and two University of Ballarat research centres (the Centre for Health Research and Practice, and the Centre for Electronic Commerce and Communication). This article documents the key stages involved in the project from initiation to implementation, and reports on the use of this resource 12 months after its launch. The BDDGP represents 107 GPs and six GP registrars and covers a large rural/semi-rural area of 7300 km2 and a catchment population of more than 120,000. The format and design of the project entailed four distinct but interrelated stages of development: (1) developing the program specifications and localising it to the BDDGP catchment; (2) constructing a decision-making support tool with 7 sequential steps comprising key questions and links to detailed answers; (3) developing and populating an online service directory of local allied health professionals; and (4) constructing the website for easy access and navigation for GPs and other service providers. The website was publicly launched in December 2007 and is hosted by BDDGP. Since then it has received strong support. In the 12 months since its launch the website received regular and continuous visits (2847 visits/11,500 pages accessed). In addition, anecdotal evidence and other feedback (positive comments; requested changes to entries in the service directory from allied mental health professionals) indicate that the website is being recognised as an important resource of and hub for local information relating to the BAMHC program for GPs and allied health professionals. Integral to the website's success and sustainability is the close and continued monitoring and updating of the information provided. A formal, longitudinal evaluation 18 months to 2 years after the website's launch is recommended to provide a more rigorous assessment of the tool, and examine possible improvements. While the project does not address the problem of the supply of allied mental health providers in rural areas, it does provide assistance with responsive service system expansion and the provision of a localized tool for accessing appropriate information about mental health services.

Effects of Cocos Ridge Collision on the Western Caribbean: Is there a Panama Block?

NASA Astrophysics Data System (ADS)

Kobayashi, D.; La Femina, P. C.; Geirsson, H.; Chichaco, E.; Abrego M, A. A.; Fisher, D. M.; Camacho, E. I.

2011-12-01

It has been recognized that the subduction and collision of the Cocos Ridge, a 2 km high aseismic ridge standing on >20 km thick oceanic crust of the Cocos plate, drives upper plate deformation in southern Central America. Recent studies of Global Positioning System (GPS) derived horizontal velocities relative to the Caribbean Plate showed a radial pattern centered on the Cocos Ridge axis where Cocos-Caribbean convergence is orthogonal, and margin-parallel velocities to the northwest. Models of the full three-dimensional GPS velocity field and earthquake slip vectors demonstrate low mechanical coupling along the Middle America subduction zone in Nicaragua and El Salvador, and a broad zone of high coupling beneath the Osa Peninsula, where the Cocos Ridge intersects the margin. These results suggest that Cocos Ridge collision may be the main driver for trench-parallel motion of the fore arc to the northwest and for uplift and shortening of the outer fore arc in southern Central America, whereby thickened and hence buoyant Cocos Ridge crust acts as an indenter causing the tectonic escape of the fore arc. These studies, however, were not able to constrain well the pattern of surface deformation east-southeast of the ridge axis due to a lack of GPS stations, and Cocos Ridge collision may be responsible for the kinematics and deformation of the proposed Panama block. Recent reinforcement of the GPS network in southeastern Costa Rica and Panama has increased the spatial and temporal resolution of the network and made it possible to further investigate surface deformation of southern Central America and the Panama block. We present a new regional surface velocity field for Central America from geodetic GPS data collected at 11 recently-installed and 178 existing episodic, semi-continuous, and continuous GPS sites in Nicaragua, Costa Rica, and Panama. We investigate the effects of Cocos Ridge collision on the Panama block through kinematic block modeling. Published earthquake relocation and geologic data are used to define block boundaries and fault geometries. We invert the three-dimensional GPS velocity vectors and earthquake slip vectors to estimate the magnitude and spatial distribution of interplate mechanical coupling on active plate and block boundaries around the Panama block; the Middle America Trench - South Panama Deformed Belt, the Central Costa Rican Deformed Belt, and the North Panama Deformed Belt in particular, and the rates of relative plate motion between the Panama block and the adjacent Cocos, Nazca, and Caribbean plates. This study tests whether the Panama block responds to the ridge collision as a rigid tectonic block or as a deforming zone consisting of multiple blocks.

Towards GPS Surface Reflection Remote Sensing of Sea Ice Conditions

NASA Technical Reports Server (NTRS)

Komjathy, A.; Maslanik, J. A.; Zavorotny, V. U.; Axelrad, P.; Katzberg, S. J.

2000-01-01

This paper describes the research to extend the application of Global Positioning System (GPS) signal reflections, received by airborne instruments, to cryospheric remote sensing. The characteristics of the GPS signals and equipment afford the possibility of new measurements not possible with existing radar and passive microwave systems. In particular, the GPS receiving systems are small and light-weight, and as such are particularly well suited to be deployed on small aircraft or satellite platforms with minimal impact. Our preliminary models and experimental results indicate that reflected GPS signals have potential to provide information on the presence and condition of sea and fresh-water ice as well as the freeze/thaw state of frozen ground. In this paper we show results from aircraft experiments over the ice pack near Barrow, Alaska suggesting correlation between forward scattered GPS returns and RADARSAT backscattered signals.

Broadcasting GPS integrity information using Loran-C

NASA Astrophysics Data System (ADS)

Lo, Sherman Chih

The United States Federal Aviation Administration (FAA) will adopt the Global Positioning System (GPS) as its primary navigation systems for aviation as stated by the Federal Radionavigation Plans (FRP) of 1996 and 1999. The FRP also proposes the reduction or termination of some existing radionavigation system in favor of GPS and satellite navigation. It may be beneficial to retain some of these existing terrestrial navigation systems if they can provide increased safety and redundancy to the GPS based architecture. One manner in which this can be done is by using or creating a data link on these existing radionavigation systems. These systems thus can provide both navigation and an additional broadcast of GPS integrity information. This thesis examines the use of terrestrial data links to provide Wide Area Augmentation System (WAAS) based GPS integrity information for aviation. The thesis focuses on using Loran-C to broadcast WAAS data. Analysis and experimental results demonstrating the capabilities of these designs are also discussed. Using Loran for this purpose requires increasing its data capacity. Many Loran modulation schemes are developed and analyzed. The data rates developed significantly increased the Loran data capacity. However, retaining compatibility with Loran legacy users resulted in data rates below the WARS data rate of 250 bps. As a result, this thesis also examines means of reducing the data requirements for WAAS information. While higher data rates offer improved performance and compatibility with WAAS, this thesis demonstrates that higher rates incur greater interference. Therefore, this work develops and considers a 108 bps and 167 bps Loran GPS integrity channel (LOGIC) design. The performance of the two designs illustrates some of the advantages and disadvantages of using a higher data rate. Analysis demonstrated means of maintaining integrity with these low data rate systems and determined the theoretical capabilities of the systems. The system was tested empirically by developing software that generated the LOGIC message and applied these messages to a GPS user. The resulting 108 bps and 167 bps systems demonstrated capability to provide lateral navigation/vertical navigation (LNAV/VNAV) and approach with vertical guidance (APV) respectively.

Addressing the problems associated with general practitioners' workload in nursing and residential homes: findings from a qualitative study.

PubMed Central

Jacobs, Sally

2003-01-01

BACKGROUND: Caring for older people in residential and nursing homes makes major demands on general practitioners (GPs). AIM: To investigate the perceptions and experiences of home managers and GPs of the provision of general medical services for older residents. DESIGN OF STUDY: In-depth qualitative study. SETTING: Forty-two nursing and residential homes in five locations in England, interviewing home managers and eight of their residents' GPs. METHOD: Semi-structured face-to-face and telephone interviews. RESULTS: Most homes endorse principles of continuity of care and patient choice. Although many homes therefore deal with a large number of GPs, with the inherent difficulties of coordinating care and duplication of GP effort, limitations in residents' choice of GP result in the majority of residents in many homes being registered with only one or two practices. Contracts between homes and GPs may provide opportunities for improving medical care but do not guarantee additional services and have implications for patient choice and residents' fees. Visits on request form the bulk of GPs' workload in homes but can be hard to obtain for residents and may not be appropriate. Regular weekly surgeries are preferred by many homes but may have additional workload implications for GPs. CONCLUSION: The assumption that patient choice and continuity in medical care are paramount for older people in nursing and residential homes is questioned. While recognition of the additional workload for GPs working in these settings is necessary, this should be accompanied by additional NHS remuneration. Further research is urgently required to identify which models of GP provision would most benefit both residents and GPs. PMID:12817356

An Introduction to the Tibet cGPS pilot project: TigiCAS

NASA Astrophysics Data System (ADS)

Zhang, Z.; Liu, J.; Galetzka, J.; Avouac, J.; Tapponnier, P.; Zeng, L.; Gan, W.; Shen, Z.; Wang, M.

2007-12-01

The convergence between India and Eurasia is the¡¡prototype of continental collision in action. Compared¡¡to geological history and fault kinematics studies, the present-day, regional pattern of strain-partitioning¡¡is still inadequately known. Among limited geodetic¡¡efforts in the past decade or two, most have been focused¡¡on refining measurements of the current crustal¡¡shortening rate across the Himalaya. The vast region¡¡immediately to the north is sparsely instrumented, with only one continuous GPS station (Lhasa) within¡¡the plateau proper. Campaign stations are few and¡¡ill-positioned, mostly along major roads, providing¡¡poor constraints on present-day slip-rates on individual¡¡active faults. The extant GPS network configuration is thus still insufficient to discriminate between block vs continuum deformation. In November 2006, the¡¡Chinese Academy of Sciences led a pilot program and¡¡installed 6 continuous GPS stations in southern Tibet, crossing the NS-trending normal fault systems and¡¡complementing the Nepal cGPS profiles. We present¡¡here the new sites, preliminary data processing results, and the spatial relationship with ongoing or planned¡¡continuous GPS sites from a couple of other projects. Together with such projects, TigiCAS will provide¡¡a substantial increase in geodetic data in the¡¡Himalayan-Tibet convergent belt in the next few¡¡years, and lead to a better understanding of¡¡contemporary deformation of the region.

General practitioners' knowledge of ageing and attitudes towards older people in China.

PubMed

Yang, Yanni; Xiao, Lily Dongxia; Ullah, Shahid; Deng, Lanlan

2015-06-01

To explore general practitioners (GPs)knowledge of ageing, attitudes towards older people and factors affecting their knowledge and attitudes in a Chinese context. Four hundred GPs were surveyed using the Chinese version of the Aging Semantic Differential (CASD) and the Chinese version of the Facts on Aging Quiz (CFAQ1) scale. The CASD scores indicated that GPs had a neutral attitude towards older people. The CFAQ1 scores indicated a low level of knowledge about ageing. GPs' awareness of the mental and social facts of ageing was poorer compared to that of physical facts. Male GPs had a significantly higher negative bias score than female GPs. No other variables had a statistically significant influence on knowledge and attitudes. The findings suggest the need for education interventions for GPs regarding knowledge of ageing and also provide evidence to guide future development of continuing medical programs for this group of medical doctors. © 2013 ACOTA.

Slow slip events in Guerrero, Mexico, and consequences on strain accumulation over the past 15 years.

NASA Astrophysics Data System (ADS)

Radiguet, M.; Cotton, F.; Cavalié, O.; Pathier, E.; Kostoglodov, V.; Vergnolle, M.; Campillo, M.; Walpersdorf, A.; Cotte, N.; Santiago, J.; Franco, S.

2012-12-01

Continuous Global Positioning System (cGPS) time series in Guerrero, Mexico, reveal the widespread existence of large Slow Slip Events (SSEs) at the boundary between the Cocos and North American plates. The existence of these SSEs asks the question of how seismic and aseismic slips complement each other in subduction zones. We examined the last three SSEs that occurred in 2001/2002, 2006 and 2009/2010, and their impact on the strain accumulation along the Guerrero subduction margin. We use continuous cGPS time series and InSAR images to evaluate the surface displacement during SSEs and inter-SSE periods. The slip distributions on the plate interface associated with each SSE, as well as the inter-SSE (short-term) coupling rates are evaluated by inverting these surface displacements. Our results reveal that the three analyzed SSEs have equivalent moment magnitudes of around 7.5 and their lateral extension is variable.The slip distributions for the three SSEs show that in the Guerrero gap area, the slow slip occurs at shallower depth (updip limit around 15-20 km) than in surrounding regions. The InSAR data provide additional information for the 2006 SSE. The joint inversion of InSAR and cGPS data confirms the lateral variation of the slip distribution along the trench, with shallower slip in the Guerrero seismic gap, west of Acapulco, and deeper slip further east. Inversion of inter-SSE displacement rates reveal that during the inter-SSE time intervals, the interplate coupling is high in the area where the slow slip subsequently occurs. Over a 12 year period, corresponding to three cycles of SSEs, our results reveal that the accumulated slip deficit in the Guerrero gap area is only ¼ of the slip deficit accumulated on both sides of the gap. Moreover, the regions of large slip deficit coincide with the rupture areas of recent large earthquakes. We conclude that the SSEs account for a major portion of the overall moment release budget in the Guerrero gap. If large subduction thrust earthquakes occur in the Guerrero gap, their recurrence time is probably increased compared to adjacent regions.

Further characterization of the time transfer capabilities of precise point positioning (PPP): the Sliding Batch Procedure.

PubMed

Guyennon, Nicolas; Cerretto, Giancarlo; Tavella, Patrizia; Lahaye, François

2009-08-01

In recent years, many national timing laboratories have installed geodetic Global Positioning System receivers together with their traditional GPS/GLONASS Common View receivers and Two Way Satellite Time and Frequency Transfer equipment. Many of these geodetic receivers operate continuously within the International GNSS Service (IGS), and their data are regularly processed by IGS Analysis Centers. From its global network of over 350 stations and its Analysis Centers, the IGS generates precise combined GPS ephemeredes and station and satellite clock time series referred to the IGS Time Scale. A processing method called Precise Point Positioning (PPP) is in use in the geodetic community allowing precise recovery of GPS antenna position, clock phase, and atmospheric delays by taking advantage of these IGS precise products. Previous assessments, carried out at Istituto Nazionale di Ricerca Metrologica (INRiM; formerly IEN) with a PPP implementation developed at Natural Resources Canada (NRCan), showed PPP clock solutions have better stability over short/medium term than GPS CV and GPS P3 methods and significantly reduce the day-boundary discontinuities when used in multi-day continuous processing, allowing time-limited, campaign-style time-transfer experiments. This paper reports on follow-on work performed at INRiM and NRCan to further characterize and develop the PPP method for time transfer applications, using data from some of the National Metrology Institutes. We develop a processing procedure that takes advantage of the improved stability of the phase-connected multi-day PPP solutions while allowing the generation of continuous clock time series, more applicable to continuous operation/monitoring of timing equipment.

Demonstration of precise estimation of polar motion parameters with the global positioning system: Initial results

NASA Technical Reports Server (NTRS)

Lichten, S. M.

1991-01-01

Data from the Global Positioning System (GPS) were used to determine precise polar motion estimates. Conservatively calculated formal errors of the GPS least squares solution are approx. 10 cm. The GPS estimates agree with independently determined polar motion values from very long baseline interferometry (VLBI) at the 5 cm level. The data were obtained from a partial constellation of GPS satellites and from a sparse worldwide distribution of ground stations. The accuracy of the GPS estimates should continue to improve as more satellites and ground receivers become operational, and eventually a near real time GPS capability should be available. Because the GPS data are obtained and processed independently from the large radio antennas at the Deep Space Network (DSN), GPS estimation could provide very precise measurements of Earth orientation for calibration of deep space tracking data and could significantly relieve the ever growing burden on the DSN radio telescopes to provide Earth platform calibrations.

Global Positioning System III (GPS III)

DTIC Science & Technology

2013-12-01

Galileo satellite navigation system signal, E1. L1C is also compatible with those signals planned for broadcast on Japan’s Quazi-Zenith Satellite...and Galileo constellations, further increasing the accuracy and availability of civil PNT solutions. GPS III December 2013 SAR April 16, 2014...vehicle- level core mate. The overall program continues to make progress on the GPS III Non-Flight Satellite Testbed (GNST), on SV01 development, and

Crustal Deformation During the 2011 Volanic Crisis of El Hierro, Canary Islands, Revealed by Continuous GPS Observation

NASA Astrophysics Data System (ADS)

Sagiya, T.; Barrancos Martinez, J.; Calvo, D.; Padron, E.; Hernandez, G. H.; Hernández, P. A.; Perez Rodriguez, N.; Suárez, J. M. P.

2012-04-01

Seismo-volcnic activity of El Hierro started in the middle of July of 2011 and resulted in the active submarine eruption after October 12 south off La Restinga, the southern tip of the island. We have been operating one continuous GPS site on the island since 2004. Responding to the activity, we quickly installed 5 more GPS sites. Including another site operated by the Canary Islands Cartograhical Service (GRAFCAN) for a cartographic purpose, we have been monitoring 7 GPS sites equipped with dual-frequency receivers. We present the result of our crustal deformation monitoring and the magmatic activity inferred from the deformation data. In accordance with the deformation pattern, we divide the volcanic activity in 2011 into 4 stages. The first stage is from the middle of July to middle of September, during which steady magmatic inflation is estimated at the center of the island. The inflated volume of the first stage is estimated to be about 1.3 X 107 m3 at the depth of about 5km. The second stage, which continued until the first submarine eruption on October 12, is characterized by the accelerated deformation due to the upward as well as southward migration of magma. Additional inflation of about 2.1 X 107 m3 occurred in the depth range of 1-2km. The third stage continued for about 3 weeks after the first submarine eruption. During this stage, submarine eruption continues while no significant surface deformation is observed. It is considered magma supply from a deeper magma chamber continued during this 3 weeks period. Therefore, the total inflation volume during the first two stages gives the minimum estimate for the total magma volume. Since the beginning of November 2011, many GPS sites started subsiding. However, this deflation pattern is quite different from those in the shallow inflation stages. Horizontal deformation during this 4th stage is not significant, implying that deflation is occurring below the moho.

Predictions of GPS X-Set Performance during the Places Experiment

DTIC Science & Technology

1979-07-01

previously existing GPS X-set receiver simulation was modified to include the received signal spectrum and the receiver code correlation operation... CORRELATION OPERATION The X-set receiver simulation documented in Reference 3-1 is a direct sampled -data digital implementation of the GPS X-set...ul(t) -sin w2t From Carrier and Code Loops (wit +0 1 (t)) Figure 3-6. Simplified block diagram of code correlator operation and I-Q sampling . 6 I

Determination of Seismic Activity on the Main Marmara Fault with GPS Measurements

NASA Astrophysics Data System (ADS)

Alkan, M. N.; Alkan, R. M.; Yavaşoğlu, H.; Köse, Z.; Aladoğan, K.; Özbey, V.

2017-12-01

The tectonic plates that creates the Earth have always been an important topic to work on for Geosciences. Plate motion affecting the Earth's crust have occurred for millions of years. This slow but continuous movement that has been going on for millions of years can only be followed by instrumental measurements. In recent years, this process has been done with GPS very accurately. The North Anatolian Fault (NAF) is a major right-lateral, strike-slip fault that extends more than 1200 km extends along all North Anatolia from Bingol to Saros Gulf. The NAFZ is divided into Southern and Northern Branches to the east of Marmara region that several destructive earthquakes occurred, such as Izmit (in 1999, Mw=7.4) and Duzce (in 1999, Mw=7.2) in the last century. MMF (Main Marmara Fault) which is the part of the Northern Branch in the Marmara Sea, starting in from the Gulf of Izmit-Adapazarı and reaching the Gulf of Saros. The determination of the deformation accumulated on the MMF has become extremely important especially after the 1999 Izmit earthquake. According to the recent studies, the MMF is the largest unbroken part of the fault and is divided into segments. These segments are Cinarcik, Prince Island, Central Marmara and Tekirdag. Recent studies have demonstrated that the Prince Island segment is fully locked. However, studies that are focused on the Central Marmara segment, that is located offshore Istanbul, a giant metropole that has more than 14 million populations, do not conclude about the presence of a seismic gap, capable of generating a big earthquake. Therefore, in the scope of this study, a new GPS network was established at short and long distance from the Main Marmara Fault, to densify the existing GPS network. 3 campaign GPS measurements were done in 2015, 2016, 2017. The evaluation of the datasets were done by GAMIT/GLOBK software. For the evaluation, 30 continuous observation stations, 14 stations connected to the IGS network and 16 stations connected to the local networks CORS-TR and ISKI-UKBS, and 18 campaign stations that located in the study area were used. The evaluation was made between 12-26 August for each year and thus intended to determine the kinematics of the Main Marmara Fault.

A new velocity field for Africa from combined GPS and DORIS space geodetic Solutions: Contribution to the definition of the African reference frame (AFREF)

NASA Astrophysics Data System (ADS)

Saria, E.; Calais, E.; Altamimi, Z.; Willis, P.; Farah, H.

2013-04-01

We analyzed 16 years of GPS and 17 years of Doppler orbitography and radiopositioning integrated by satellite (DORIS) data at continuously operating geodetic sites in Africa and surroundings to describe the present-day kinematics of the Nubian and Somalian plates and constrain relative motions across the East African Rift. The resulting velocity field describes horizontal and vertical motion at 133 GPS sites and 9 DORIS sites. Horizontal velocities at sites located on stable Nubia fit a single plate model with a weighted root mean square residual of 0.6 mm/yr (maximum residual 1 mm/yr), an upper bound for plate-wide motions and for regional-scale deformation in the seismically active southern Africa and Cameroon volcanic line. We confirm significant southward motion ( ˜ 1.5 mm/yr) in Morocco with respect to Nubia, consistent with earlier findings. We propose an updated angular velocity for the divergence between Nubia and Somalia, which provides the kinematic boundary conditions to rifting in East Africa. We update a plate motion model for the East African Rift and revise the counterclockwise rotation of the Victoria plate and clockwise rotation of the Rovuma plate with respect to Nubia. Vertical velocities range from - 2 to +2 mm/yr, close to their uncertainties, with no clear geographic pattern. This study provides the first continent-wide position/velocity solution for Africa, expressed in International Terrestrial Reference Frame (ITRF2008), a contribution to the upcoming African Reference Frame (AFREF). Except for a few regions, the African continent remains largely under-sampled by continuous space geodetic data. Efforts are needed to augment the geodetic infrastructure and openly share existing data sets so that the objectives of AFREF can be fully reached.

Continuous Estimates of Precipitable Water Vapor Within and Around Hurricane Systems

NASA Astrophysics Data System (ADS)

Braun, J. J.; Iwabuchi, T.; van Hove, T.

2008-12-01

This study investigates how estimates of precipitable water vapor (PW) from Global Positioning System (GPS) stations can be used to quantify how atmospheric moisture influences the intensity of tropical storms and hurricanes. The motivation for this study is based on the fact that hurricanes derive their strength through water vapor that is both evaporated from warm ocean surfaces and the existing moisture in the surrounding atmospheric environment. Observationally, there are relatively few instruments that can accurately measure water vapor in the presence of clouds and rain. Retrievals of PW using GPS stations may be the most reliable way to continuously monitor column integrated water vapor. Using storm information from the National Hurricane Center (www.nhc.noaa.gov), we have compared storm intensity to PW estimates for all tropical storms and hurricanes making landfall within 100-km of a GPS station between 2003 and 2008. We find that PW is inversely correlated (r**2 < -0.7) to the drop in surface pressure observed at that station. We have also begun to relate atmospheric PW at a station to the local sea surface temperature (SST). This comparison can be used to measure how strongly atmospheric water vapor and SST are coupled. It can also be used to measure how quickly the atmosphere responds to changes in SST. Finally we have compared the estimated PW to the Global Forecast System (GFS) analysis fields that are used to initialize numerical weather prediction models. This comparison indicates that the GFS analysis fields have significantly larger errors in atmospheric moisture in the Caribbean and Gulf of Mexico when compared to differences over the continental United States. These results illustrate that estimates of PW are an important data set for atmospheric scientists and forecasters attempting to improve the prediction of hurricane intensity.

The Plate Boundary Observatory: Community Focused Web Services

NASA Astrophysics Data System (ADS)

Matykiewicz, J.; Anderson, G.; Lee, E.; Hoyt, B.; Hodgkinson, K.; Persson, E.; Wright, J.; Torrez, D.; Jackson, M.

2006-12-01

The Plate Boundary Observatory (PBO), part of the NSF-funded EarthScope project, is designed to study the three-dimensional strain field resulting from deformation across the active boundary zone between the Pacific and North American plates in the western United States. To meet these goals, PBO will install 852 continuous GPS stations, 103 borehole strainmeter stations, 28 tiltmeters, and five laser strainmeters, as well as manage data for 209 previously existing continuous GPS stations. UNAVCO provides access to data products from these stations, as well as general information about the PBO project, via the PBO web site (http://pboweb.unavco.org). GPS and strainmeter data products can be found using a variety of channels, including map searches, text searches, and station specific data retrieval. In addition, the PBO construction status is available via multiple mapping interfaces, including custom web based map widgets and Google Earth. Additional construction details can be accessed from PBO operational pages and station specific home pages. The current state of health for the PBO network is available with the statistical snap-shot, full map interfaces, tabular web based reports, and automatic data mining and alerts. UNAVCO is currently working to enhance the community access to this information by developing a web service framework for the discovery of data products, interfacing with operational engineers, and exposing data services to third party participants. In addition, UNAVCO, through the PBO project, provides advanced data management and monitoring systems for use by the community in operating geodetic networks in the United States and beyond. We will demonstrate these systems during the AGU meeting, and we welcome inquiries from the community at any time.

The Continuous Generation of Equatorial Plasma Bubbles during the Passage of the Solar Terminator, Observed with a Densely-Clustered Network of GPS Receivers in Southeast Asia.

NASA Astrophysics Data System (ADS)

Buhari, S. M.; Tsunoda, R. T.; Abdullah, M.; Hasbi, A. M.; Otsuka, Y.; Yokoyama, T.; Nishioka, M.; Tsugawa, T.

2014-12-01

Equatorial plasma bubbles (EPBs) are three-dimensional structures of depleted plasma density that are often observed in the nighttime equatorial ionosphere. They are initiated near the magnetic dip equator, in the bottomside of the F layer, and develop with time, upward in altitude and poleward in latitude (into both hemispheres), taking the form of longitudinally-narrow, vertically-extended wedges that penetrate deep into the topside of the F layer. Moreover, these structures drift zonally as they evolve in time. Much of what is not yet known about EPBs stems from our inability (1) to capture spatial descriptions of these structures, and (2) to monitor their evolution as a function of time. An objective of this presentation is to report the existence and availability of total electron content (TEC) data from densely-clustered networks of GPS receivers that are capable of providing time-continuous descriptions of EPBs with both high spatial resolution and broad geographical coverage. The networks include the Malaysia Real-Time Kinematics GNSS Network (MyRTKnet), Sumatera GPS Array (SUGAR) network and International GNSS Service (IGS) located in Southeast Asia (SEA). These networks contain 127 GPS receivers with average spacing of about 50 to 100 km. With the ability to resolve space-time ambiguities, we are able to follow the temporal evolution of EPB structures over an extended longitude sector (90 to 120 degrees, East longitude). We will present results from a case study (April 5, 2011) in which 16 EPBs were detected in longitude and tracked in time. We show, for the first time, that the births of 10 out of 16 observed EPBs coincided with the time of passage of the solar terminator across the longitude of birth. The distance between birth locations varied between 100 and 550 km with 10-minute interval. These EPBs were found to persist for 50 minutes to 7 hours, while drifting eastward at a speed of 92 to 150 ms-1. The finding that as many as 16 EPBs can be generated in a continuous sequence over 30 degree of longitude is new. The implications of these findings in terms of seeding and amplification will be discussed.

GPS Availability for Aviation Applications : How Good Does it Need to Be?

DOT National Transportation Integrated Search

2000-09-19

The availability of GPS for airborne applications is driven by the accuracy, integrity, and continuity of the system. The International Civil Aviation Organization (ICAO) Standards and Recommended Practices (SARPS) for GNSS spells out all of these re...

Development of a Novel Gas Pressurized Stripping Process-Based Technology for CO₂ Capture from Post-Combustion Flue Gases

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chen, Shiaoguo

A novel Gas Pressurized Stripping (GPS) post-combustion carbon capture (PCC) process has been developed by Carbon Capture Scientific, LLC, CONSOL Energy Inc., Nexant Inc., and Western Kentucky University in this bench-scale project. The GPS-based process presents a unique approach that uses a gas pressurized technology for CO₂ stripping at an elevated pressure to overcome the energy use and other disadvantages associated with the benchmark monoethanolamine (MEA) process. The project was aimed at performing laboratory- and bench-scale experiments to prove its technical feasibility and generate process engineering and scale-up data, and conducting a techno-economic analysis (TEA) to demonstrate its energy usemore » and cost competitiveness over the MEA process. To meet project goals and objectives, a combination of experimental work, process simulation, and technical and economic analysis studies were applied. The project conducted individual unit lab-scale tests for major process components, including a first absorption column, a GPS column, a second absorption column, and a flasher. Computer simulations were carried out to study the GPS column behavior under different operating conditions, to optimize the column design and operation, and to optimize the GPS process for an existing and a new power plant. The vapor-liquid equilibrium data under high loading and high temperature for the selected amines were also measured. The thermal and oxidative stability of the selected solvents were also tested experimentally and presented. A bench-scale column-based unit capable of achieving at least 90% CO₂ capture from a nominal 500 SLPM coal-derived flue gas slipstream was designed and built. This integrated, continuous, skid-mounted GPS system was tested using real flue gas from a coal-fired boiler at the National Carbon Capture Center (NCCC). The technical challenges of the GPS technology in stability, corrosion, and foaming of selected solvents, and environmental, health and safety risks have been addressed through experimental tests, consultation with vendors and engineering analysis. Multiple rounds of TEA were performed to improve the GPS-based PCC process design and operation, and to compare the energy use and cost performance of a nominal 550-MWe supercritical pulverized coal (PC) plant among the DOE/NETL report Case 11 (the PC plant without CO₂ capture), the DOE/NETL report Case 12 (the PC plant with benchmark MEA-based PCC), and the PC plant using GPS-based PCC. The results reveal that the net power produced in the PC plant with GPS-based PCC is 647 MWe, greater than that of the Case 12 (550 MWe). The 20-year LCOE for the PC plant with GPS-based PCC is 97.4 mills/kWh, or 152% of that of the Case 11, which is also 23% less than that of the Case 12. These results demonstrate that the GPS-based PCC process is energy-efficient and cost-effective compared with the benchmark MEA process.« less

Using GPS Reflections for Satellite Remote Sensing

NASA Technical Reports Server (NTRS)

Mickler, David

2000-01-01

GPS signals that have reflected off of the ocean's surface have shown potential for use in oceanographic and atmospheric studies. The research described here investigates the possible deployment of a GPS reflection receiver onboard a remote sensing satellite in low Earth orbit (LEO). The coverage and resolution characteristics of this receiver are calculated and estimated. This mission analysis examines using reflected GPS signals for several remote sensing missions. These include measurement of the total electron content in the ionosphere, sea surface height, and ocean wind speed and direction. Also discussed is the potential test deployment of such a GPS receiver on the space shuttle. Constellations of satellites are proposed to provide adequate spatial and temporal resolution for the aforementioned remote sensing missions. These results provide a starting point for research into the feasibility of augmenting or replacing existing remote sensing satellites with spaceborne GPS reflection-detecting receivers.

Subsidence and Fault Displacement Along the Long Point Fault Derived from Continuous GPS Observations (2012-2017)

NASA Astrophysics Data System (ADS)

Tsibanos, V.; Wang, G.

2017-12-01

The Long Point Fault located in Houston Texas is a complex system of normal faults which causes significant damage to urban infrastructure on both private and public property. This case study focuses on the 20-km long fault using high accuracy continuously operating global positioning satellite (GPS) stations to delineate fault movement over five years (2012 - 2017). The Long Point Fault is the longest active fault in the greater Houston area that damages roads, buried pipes, concrete structures and buildings and creates a financial burden for the city of Houston and the residents who live in close vicinity to the fault trace. In order to monitor fault displacement along the surface 11 permanent and continuously operating GPS stations were installed 6 on the hanging wall and 5 on the footwall. This study is an overview of the GPS observations from 2013 to 2017. GPS positions were processed with both relative (double differencing) and absolute Precise Point Positioning (PPP) techniques. The PPP solutions that are referred to IGS08 reference frame were transformed to the Stable Houston Reference Frame (SHRF16). Our results show no considerable horizontal displacements across the fault, but do show uneven vertical displacement attributed to regional subsidence in the range of (5 - 10 mm/yr). This subsidence can be associated to compaction of silty clays in the Chicot and Evangeline aquifers whose water depths are approximately 50m and 80m below the land surface (bls). These levels are below the regional pre-consolidation head that is about 30 to 40m bls. Recent research indicates subsidence will continue to occur until the aquifer levels reach the pre-consolidation head. With further GPS observations both the Long Point Fault and regional land subsidence can be monitored providing important geological data to the Houston community.

Software for Generating Troposphere Corrections for InSAR Using GPS and Weather Model Data

NASA Technical Reports Server (NTRS)

Moore, Angelyn W.; Webb, Frank H.; Fishbein, Evan F.; Fielding, Eric J.; Owen, Susan E.; Granger, Stephanie L.; Bjoerndahl, Fredrik; Loefgren, Johan; Fang, Peng; Means, James D.;

Space Shuttle Navigation in the GPS Era

NASA Technical Reports Server (NTRS)

Goodman, John L.

2001-01-01

The Space Shuttle navigation architecture was originally designed in the 1970s. A variety of on-board and ground based navigation sensors and computers are used during the ascent, orbit coast, rendezvous, (including proximity operations and docking) and entry flight phases. With the advent of GPS navigation and tightly coupled GPS/INS Units employing strapdown sensors, opportunities to improve and streamline the Shuttle navigation process are being pursued. These improvements can potentially result in increased safety, reliability, and cost savings in maintenance through the replacement of older technologies and elimination of ground support systems (such as Tactical Air Control and Navigation (TACAN), Microwave Landing System (MLS) and ground radar). Selection and missionization of "off the shelf" GPS and GPS/INS units pose a unique challenge since the units in question were not originally designed for the Space Shuttle application. Various options for integrating GPS and GPS/INS units with the existing orbiter avionics system were considered in light of budget constraints, software quality concerns, and schedule limitations. An overview of Shuttle navigation methodology from 1981 to the present is given, along with how GPS and GPS/INS technology will change, or not change, the way Space Shuttle navigation is performed in the 21 5 century.

Program for Continued Development and Use of Ocean Acoustic/GPS Geodetic Techniques

NASA Technical Reports Server (NTRS)

Spiess, Fred N.

1997-01-01

Under prior NASA grants our group, with collaboration from scientists at the CalTech Jet Propulsion Lab (JPL), visualized and carried out the initial development of a combined GPS and underwater acoustic (GPS/A) method for determining the location of points on the deep sea floor with accuracy relevant to studies of crustal deformation. Under an immediately preceding grant we built, installed and surveyed a set of the necessary seafloor marker precision transponders just seaward of the Cascadia Subduction Zone off British Columbia. The JPL group carried out processing of the GPS data.

Disciplined rubidium oscillator with GPS selective availability

NASA Technical Reports Server (NTRS)

Dewey, Wayne P.

1993-01-01

A U.S. Department of Defense decision for continuous implementation of GPS Selective Availability (S/A) has made it necessary to modify Rubidium oscillator disciplining methods. One such method for reducing the effects of S/A on the oscillator disciplining process was developed which achieves results approaching pre-S/A GPS. The Satellite Hopping algorithm used in minimizing the effects of S/A on the oscillator disciplining process is described, and the results of using this process to those obtained prior to the implementation of S/A are compared. Test results are from a TrueTime Rubidium based Model GPS-DC timing receiver.

Continued Rapid Uplift at Laguna del Maule Volcanic Field (Chile) from 2007 through 2014

NASA Astrophysics Data System (ADS)

Le Mével, H.; Feigl, K. L.; Cordova, L.; DeMets, C.; Lundgren, P.

2014-12-01

The current rate of uplift at Laguna del Maule (LdM) volcanic field in Chile is among the highest ever observed geodetically for a volcano that is not actively erupting. Using data from interferometric synthetic aperture radar (InSAR) and the Global Positioning System (GPS) recorded at five continuously operating stations, we measure the deformation field with dense sampling in time (1/day) and space (1/hectare). These data track the temporal evolution of the current unrest episode from its inception (sometime between 2004 and 2007) to vertical velocities faster than 200 mm/yr that continue through (at least) July 2014. Building on our previous work, we evaluate the temporal evolution by analyzing data from InSAR (ALOS, TerraSAR-X, TanDEM-X) and GPS [http://dx.doi.org/ 10.1093/gji/ggt438]. In addition, we consider InSAR data from (ERS, ENVISAT, COSMO-Skymed, and UAVSAR), as well as constraints from magneto-telluric (MT), seismic, and gravity surveys. The goal is to test the hypothesis that a recent magma intrusion is feeding a large, existing magma reservoir. What will happen next? To address this question, we analyze the temporal evolution of deformation at other large silicic systems such as Yellowstone, Long Valley, and Three Sisters, during well-studied episodes of unrest. We consider several parameterizations, including piecewise linear, parabolic, and Gaussian functions of time. By choosing the best-fitting model, we expect to constrain the time scales of such episodes and elucidate the processes driving them.

Applying GPS to enhance understanding of transport-related physical activity.

PubMed

Duncan, Mitch J; Badland, Hannah M; Mummery, W Kerry

2009-09-01

The purpose of the paper is to review the utility of the global positioning system (GPS) in the study of health-related physical activity. The paper draws from existing literature to outline the current work performed using GPS to examine transport-related physical activity, with a focus on the relative utility of the approach when combined with geographic information system (GIS) and other data sources including accelerometers. The paper argues that GPS, especially when used in combination with GIS and accelerometery, offers great promise in objectively measuring and studying the relationship of numerous environmental attributes to human behaviour in terms of physical activity and transport-related activity. Limitations to the use of GPS for the purpose of monitoring health-related physical activity are presented, and recommendations for future avenues of research are discussed.

Study on index system of GPS interference effect evaluation

NASA Astrophysics Data System (ADS)

Zhang, Kun; Zeng, Fangling; Zhao, Yuan; Zeng, Ruiqi

2018-05-01

Satellite navigation interference effect evaluation is the key technology to break through the research of Navigation countermeasure. To evaluate accurately the interference degree and Anti-jamming ability of GPS receiver, this text based on the existing research results of Navigation interference effect evaluation, build the index system of GPS receiver effectiveness evaluation from four levels of signal acquisition, tracking, demodulation and positioning/timing and establish the model for each index. These indexes can accurately and quantitatively describe the interference effect at all levels.

47 CFR 87.151 - Special requirements for differential GPS receivers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 5 2010-10-01 2010-10-01 false Special requirements for differential GPS receivers. 87.151 Section 87.151 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES AVIATION SERVICES Technical Requirements § 87.151 Special requirements for...

Lessons Learned from Two Years of On-Orbit Global Positioning System Experience on International Space Station

NASA Technical Reports Server (NTRS)

Gomez, Susan F.; Lammers, Michael L.

2004-01-01

The Global Positioning System Subsystem (GPS) for International Space Station (ISS) was activated April 12,2002 following the installation of the SO truss segment that included the GPS antennas on Shuttle mission STS-110. The ISS GPS receiver became the primary source for position, velocity, and attitude information for ISS two days after activation. The GPS receiver also provides a time reference for manual control of ISS time, and will be used for automatic time updates after problems are resolved with the output from the receiver. After two years of on-orbit experience, the GPS continues to be used as the primary navigation source for ISS; however, enough problems have surfaced that the firmware in the GPS attitude code has had to be totally rewritten and new algorithms developed, the firmware that processed the time output from the GPS receiver had to be rewritten, while the GPS navigation code has had minor revisions. The factors contributing to the delivery of a GPS receiver for use on ISS that requires extensive operator intervention to function are discussed. Observations from two years worth of GPS solutions will also be discussed. The technical solutions to the anomalous GPS receiver behavior will be discussed.

GPS data exploration for seismologists and geodesists

NASA Astrophysics Data System (ADS)

Webb, F.; Bock, Y.; Kedar, S.; Dong, D.; Jamason, P.; Chang, R.; Prawirodirdjo, L.; MacLeod, I.; Wadsworth, G.

2007-12-01

Over the past decade, GPS and seismic networks spanning the western US plate boundaries have produced vast amounts of data that need to be made accessible to both the geodesy and seismology communities. Unlike seismic data, raw geodetic data requires significant processing before geophysical interpretations can be made. This requires the generation of data-products (time series, velocities and strain maps) and dissemination strategies to bridge these differences and assure efficient use of data across traditionally separate communities. "GPS DATA PRODUCTS FOR SOLID EARTH SCIENCE" (GDPSES) is a multi-year NASA funded project, designed to produce and deliver high quality GPS time series, velocities, and strain fields, derived from multiple GPS networks along the western US plate boundary, and to make these products easily accessible to geophysicists. Our GPS product dissemination is through modern web-based IT methodology. Product browsing is facilitated through a web tool known as GPS Explorer and continuous streams of GPS time series are provided using web services to the seismic archive, where it can be accessed by seismologists using traditional seismic data viewing and manipulation tools. GPS-Explorer enables users to efficiently browse several layers of data products from raw data through time series, velocities and strain by providing the user with a web interface, which seamlessly interacts with a continuously updated database of these data products through the use of web-services. The current archive contains GDPSES data products beginning in 1995, and includes observations from GPS stations in EarthScope's Plate Boundary Observatory (PBO), as well as from real-time real-time CGPS stations. The generic, standards-based approach used in this project enables GDPSES to seamlessly expand indefinitely to include other space-time-dependent data products from additional GPS networks. The prototype GPS-Explorer provides users with a personalized working environment in which the user may zoom in and access subsets of the data via web services. It provides users with a variety of interactive web tools interconnected in a portlet environment to explore and save datasets of interest to return to at a later date. At the same time the GPS time series are also made available through the seismic data archive, where the GPS networks are treated as regular seismic networks, whose data is made available in data formats used by seismic utilities such as SEED readers and SAC. A key challenge, stemming from the fundamental differences between seismic and geodetic time series, is the representation of reprocessed of GPS data in the seismic archive. As GPS processing algorithms evolve and their accuracy increases, a periodic complete recreation of the the GPS time series archive is necessary.

GPS Time Series and Geodynamic Implications for the Hellenic Arc Area, Greece

NASA Astrophysics Data System (ADS)

Hollenstein, Ch.; Heller, O.; Geiger, A.; Kahle, H.-G.; Veis, G.

The quantification of crustal deformation and its temporal behavior is an important contribution to earthquake hazard assessment. With GPS measurements, especially from continuous operating stations, pre-, co-, post- and interseismic movements can be recorded and monitored. We present results of a continuous GPS network which has been operated in the Hellenic Arc area, Greece, since 1995. In order to obtain coordinate time series of high precision which are representative for crustal deformation, a main goal was to eliminate effects which are not of tectonic origin. By applying different steps of improvement, non-tectonic irregularities were reduced significantly, and the precision could be improved by an average of 40%. The improved time series are used to study the crustal movements in space and time. They serve as a base for the estimation of velocities and for the visualization of the movements in terms of trajectories. Special attention is given to large earthquakes (M>6), which occurred near GPS sites during the measuring time span.

Recruitment and retention of general practitioners in the UK: what are the problems and solutions?

PubMed

Young, R; Leese, B

1999-10-01

Recruitment and retention of general practitioners (GPs) has become an issue of major concern in recent years. However, much of the evidence is anecdotal and some commentators continue to question the scale of workforce problems. Hence, there is a need to establish a clear picture of those instabilities (i.e. imbalances between demand and supply) that do exist in the GP labour market in the UK. Based on a review of the published literature, we identify problems that stem from: (i) the changing social composition of the workforce and the fact that a large proportion of qualified GPs are significantly underutilized within traditional career structures; and (ii) the considerable differences in the ability of local areas to match labour demand and supply. We argue that one way to address these problems would be to encourage greater flexibility in a number of areas highlighted in the literature: (i) time commitment across the working day and week; (ii) long-term career paths; (iii) training and education; and (iv) remuneration and contract conditions. Overall, although the evidence suggests that the predicted 'crisis' has not yet occurred in the GP labour market as a whole, there is no room for lack of imagination in planning terms. Workforce planners continue to emphasize national changes to the medical school intake as the means to balance labour demand and supply between the specialities; however, better retention and deployment of existing GP labour would arguably produce more effective supply-side solutions. In this context, current policy and practice developments (e.g. Primary Care Groups and Primary Care Act Pilot Sites) offer a unique learning base upon which to move forward.

Applicability of the theory of planned behavior in explaining the general practitioners eLearning use in continuing medical education.

PubMed

Hadadgar, Arash; Changiz, Tahereh; Masiello, Italo; Dehghani, Zahra; Mirshahzadeh, Nahidossadat; Zary, Nabil

2016-08-22

General practitioners (GP) update their knowledge and skills by participating in continuing medical education (CME) programs either in a traditional or an e-Learning format. GPs' beliefs about electronic format of CME have been studied but without an explicit theoretical framework which makes the findings difficult to interpret. In other health disciplines, researchers used theory of planned behavior (TPB) to predict user's behavior. In this study, an instrument was developed to investigate GPs' intention to use e-Learning in CME based on TPB. The goodness of fit of TPB was measured using confirmatory factor analysis and the relationship between latent variables was assessed using structural equation modeling. A total of 148 GPs participated in the study. Most of the items in the questionnaire related well to the TPB theoretical constructs, and the model had good fitness. The perceived behavioral control and attitudinal constructs were included, and the subjective norms construct was excluded from the structural model. The developed questionnaire could explain 66 % of the GPs' intention variance. The TPB could be used as a model to construct instruments that investigate GPs' intention to participate in e-Learning programs in CME. The findings from the study will encourage CME managers and researchers to explore the developed instrument as a mean to explain and improve the GPs' intentions to use eLearning in CME.

Modeling environmental bias and computing velocity field from data of Terra Nova Bay GPS network in Antarctica by means of a quasi-observation processing approach

USGS Publications Warehouse

Casula, Giuseppe; Dubbini, Marco; Galeandro, Angelo

2007-01-01

A semi-permanent GPS network of about 30 vertices has been installed at Terra Nova Bay (TNB) near Ross Sea in Antarctica. A permanent GPS station TNB1 based on an Ashtech Z-XII dual frequency P-code GPS receiver with ASH700936D_M Choke Ring Antenna has been mounted on a reinforced concrete pillar built on bedrock since October 1998 and has recorded continuously up to the present. The semi-permanent network has been routinely surveyed every summer using high quality dual frequency GPS receivers with 24 hour sessions at 15 sec rate; data, metadata and solutions will be available to the scientific community at (http://www.geodant.unimore.it). We present the results of a distributed session approach applied to processing GPS data of the TNB GPS network, and based on Gamit/Globk 10.2-3 GPS analysis software. The results are in good agreement with other authors' computations and with many of the theoretical models.

Barriers and facilitators to using a web-based tool for diagnosis and monitoring of patients with depression: a qualitative study among Danish general practitioners.

PubMed

Krog, Mette Daugbjerg; Nielsen, Marie Germund; Le, Jette Videbæk; Bro, Flemming; Christensen, Kaj Sparle; Mygind, Anna

2018-06-27

Depression constitutes a significant part of the global burden of diseases. General practice plays a central role in diagnosing and monitoring depression. A telemedicine solution comprising a web-based psychometric tool may reduce number of visits to general practice and increase patient empowerment. However, the current use of telemedicine solutions in the field of general practice is limited. This study aims to explore barriers and facilitators to using a web-based version of the Major Depression Inventory (eMDI) for psychometric testing of potentially depressive patients in general practice. Semi-structured individual interviews were conducted with nine general practitioners (GPs) from eight general practices in the Central Denmark Region. All interviewees had previous experience in using the eMDI in general practice. Determinants for using the eMDI were identified in relation to the GPs' capability, opportunity and motivation to change clinical behaviour (the COM-B system). Our results indicate that the main barriers for using the eMDI are related to limitations in the GPs' opportunity in regards to having the time it takes to introduce change. Further, the use of the eMDI seems to be hampered by the time-consuming login process. Facilitating factors included behavioural aspects of capability, opportunity and motivation. The implementation of the eMDI was facilitated by the interviewees' previous familiarity with the paper-based version of the tool. Continued use of the eMDI was facilitated by a time-saving documentation process and motivational factors associated with clinical core values. These factors included perceptions of improved consultation quality and services for patients, improved possibilities for GPs to prioritise their patients and improved possibilities for disease monitoring. Furthermore, the flexible nature of the eMDI allowed the GPs to use the paper-based MDI for patients whom the eMDI was not considered appropriate. Implementation of a telemedicine intervention in general practice can be facilitated by resemblance between the intervention and already existing tools as well as the perception among GPs that the intervention is time-saving and improves quality of care for the patients.

GPS-Acoustic Seafloor Geodesy using a Wave Glider

NASA Astrophysics Data System (ADS)

Chadwell, C. D.

2013-12-01

The conventional approach to implement the GPS-Acoustic technique uses a ship or buoy for the interface between GPS and Acoustics. The high cost and limited availability of ships restricts occupations to infrequent campaign-style measurements. A new approach to address this problem uses a remote controlled, wave-powered sea surface vehicle, the Wave Glider. The Wave Glider uses sea-surface wave action for forward propulsion with both upward and downward motions producing forward thrust. It uses solar energy for power with solar panels charging the onboard 660 W-h battery for near continuous operation. It uses Iridium for communication providing command and control from shore plus status and user data via the satellite link. Given both the sea-surface wave action and solar energy are renewable, the vehicle can operate for extended periods (months) remotely. The vehicle can be launched from a small boat and can travel at ~ 1 kt to locations offshore. We have adapted a Wave Glider for seafloor geodesy by adding a dual frequency GPS receiver embedded in an Inertial Navigation Unit, a second GPS antenna/receiver to align the INU, and a high precision acoustic ranging system. We will report results of initial testing of the system conducted at SIO. In 2014, the new approach will be used for seafloor geodetic measurements of plate motion in the Cascadia Subduction Zone. The project is for a three-year effort to measure plate motion at three sites along an East-West profile at latitude 44.6 N, offshore Newport Oregon. One site will be located on the incoming plate to measure the present day convergence between the Juan de Fuca and North American plates and two additional sites will be located on the continental slope of NA to measure the elastic deformation due to stick-slip behavior on the mega-thrust fault. These new seafloor data will constrain existing models of slip behavior that presently are poorly constrained by land geodetic data 100 km from the deformation front.

Comparison of GLONASS and GPS Time Transfers

NASA Astrophysics Data System (ADS)

Daly, P.; Koshelyaevsky, N. B.; Lewandowski, W.; Petit, G.; Thomas, C.

1993-01-01

The Russian global space navigation system GLONASS could provide a technique similar to GPS for international time comparison. The main limitation to its use for time transfer is the lack of commercially available time receivers. The University of Leeds built a GPS/GLONASS receiver five years ago and since then has provided continuous information about GLONASS time and its comparison with GPS time. For the last two years the VNIIFTRI and several other Russian time laboratories have used Russian-built GLONASS navigation receivers for time comparisons. Since June 1991, the VNIIFTRI has operated a GPS time receiver which offers, for the first time, an opportunity for the direct comparison of time transfers using GPS and GLONASS. This seven-month experiment shows that even with relatively imprecise data recording and processing, in terms of time metrology, GLONASS can provide continental time transfer at a level of several tens of nanoseconds.

General practitioners' attitudes toward reporting and learning from adverse events: results from a survey.

PubMed

Mikkelsen, Thorbjørn H; Sokolowski, Ineta; Olesen, Frede

2006-03-01

To investigate GPs' attitudes to and willingness to report and learn from adverse events and to study how a reporting system should function. Survey. General practice in Denmark. GPs' attitudes to exchange of experience with colleagues and others, and circumstances under which such exchange is accepted. A structured questionnaire sent to 1198 GPs of whom 61% responded. RESULTS. GPs had a positive attitude towards discussing adverse events in the clinic with colleagues and staff and in their continuing medical education groups. The GPs had a positive attitude to reporting adverse events to a database if the system granted legal and administrative immunity to reporters. The majority preferred a reporting system located at a research institute. GPs have a very positive attitude towards discussing and reporting adverse events. This project encourages further research and pilot projects testing concrete reporting systems.

Short-and-long-term Slip Rates Along the Carboneras Fault in the Betic Cordillera, Spain

NASA Astrophysics Data System (ADS)

Khazaradze, G.; López, R.; Pallàs, R.; Ortuño, M.; Bordonau, J.; Masana, E.

2017-12-01

We present the new results from our long-standing studies to understand the geodynamic behavior of the Carboneras fault, located in the SE Betic Cordilleras of Spain. Specifically, we quantify the geodetic and geologic slip rates for the onland section of the fault. As a result of our previous GPS observations, we have been able to confirm the continuing tectonic activity of the Carboneras fault: we were able to quantify that the geodetic slip rate of the fault equals 1.3±0.2 mm/yr, expressed mainly as a left-lateral strike slip motion (Echeverria et al., 2015). In autumn 2017, with the purpose of revealing a detailed nature of the crustal deformation and its partitioning between different structures, 3 new continuous GPS stations will be established along the fault-perpendicular profile. In addition, since summer 2016, we have conducted surveys of the nearby CuaTeNeo and IGN Regente campaign points. We have also established and measured several new geodetic points in the vicinity of the fault, with the aim of increasing the spatial coverage around it. The GPS measured, short-term slip rates are in surprising agreement with the estimates of the long-term, geologic slip rates based on paleoseismic studies, which indicate a minimum strike-slip rate of 1.31 mm/yr and dip-slip rate of 0.05 mm/yr since 110.3 ka (Moreno et al. 2015). In order to increase the paleoseismic event database, several new sites have been identified along the fault, where further paleoseismic trenching surveys will be performed within the coming year or two. At the site of Tostana, located at the central part of the fault, in winter 2017 seven trenches have been opened and clear evidence of past earthquakes has been encountered. These new data, combined with the findings of the recent geomorphological study of river offsets (Ferrater, 2016) and new GPS observations, should improve the reliability of the existent deformation data and therefore, will help to better understand the seismic hazard posed by the Carbonears fault in the SE Betics. Project PREVENT (CGL2015-66263-R) financed by the Ministry of Economy, Industry and Competitiveness.

Development, modelling, and pilot testing of a complex intervention to support end-of-life care provided by Danish general practitioners.

PubMed

Winthereik, Anna Kirstine; Neergaard, Mette Asbjoern; Jensen, Anders Bonde; Vedsted, Peter

2018-06-20

Most patients in end-of-life with life-threatening diseases prefer to be cared for and die at home. Nevertheless, the majority die in hospitals. GPs have a pivotal role in providing end-of-life care at patients' home, and their involvement in the palliative trajectory enhances the patient's possibility to stay at home. The aim of this study was to develop and pilot-test an intervention consisting of continuing medical education (CME) and electronic decision support (EDS) to support end-of-life care in general practice. We developed an intervention in line with the first phases of the guidelines for complex interventions drawn up by the Medical Research Council. Phase 1 involved the development of the intervention including identification of key barriers to provision of end-of-life care for GPs and of facilitators of change. Furthermore the actual modelling of two components: CME meeting and EDS. Phase 2 focused on pilot-testing and intervention assessment by process evaluation. In phase 1 lack of identification of patients at the end of life and limited palliative knowledge among GPs were identified as barriers. The CME meeting and the EDS were developed. The CME meeting was a four-hour educational meeting performed by GPs and specialists in palliative care. The EDS consisted of two parts: a pop-up window for each patient with palliative needs and a list of all patients with palliative needs in the practice. The pilot testing in phase 2 showed that the CME meeting was performed as intended and 120 (14%) of the GPs in the region attended. The EDS was integrated in existing electronic records but was shut down early for external reasons; 50 (5%) GPs signed up. The pilot-testing demonstrated a need to strengthen the implementation as attending rate was low in the current set-up. We developed a complex intervention to support GPs in providing end-of-life care. The pilot-test showed general acceptance of the CME meetings. The EDS was shut down early and needs further evaluation before examining the whole intervention in a larger study, where evaluation could be based on patient-related outcomes and impact on end-of-life care. Clinicaltrials.gov ( NCT02050256 ) January 30, 2014.

Predicting present-day rates of glacial isostatic adjustment using a smoothed GPS velocity field for the reconciliation of NAD83 reference frames in Canada

NASA Astrophysics Data System (ADS)

Craymer, M. R.; Henton, J. A.; Piraszewski, M.

2008-12-01

Glacial isostatic adjustment following the last glacial period is the dominant source of crustal deformation in Canada east of the Rocky Mountains. The present-day vertical component of motion associated with this process may exceed 1 cm/y and is being directly measured with the Global Positioning System (GPS). A consequence of this steady deformation is that high accuracy coordinates at one epoch may not be compatible with those at another epoch. For example, modern precise point positioning (PPP) methods provide coordinates at the epoch of observation while NAD83, the officially adopted reference frame in Canada and the U.S., is expressed at some past reference epoch. The PPP positions are therefore incompatible with coordinates in such a realization of the reference frame and need to be propagated back to the frame's reference epoch. Moreover, the realizations of NAD83 adopted by the provincial geodetic agencies in Canada are referenced to different coordinate epochs; either 1997.0 or 2002.0. Proper comparison of coordinates between provinces therefore requires propagating them from one reference epoch to another. In an effort to reconcile PPP results and different realizations of NAD83, we empirically represent crustal deformation throughout Canada using a velocity field based solely on high accuracy continuous and episodic GPS observations. The continuous observations from 2001 to 2007 were obtained from nearly 100 permanent GPS stations, predominately operated by Natural Resources Canada (NRCan) and provincial geodetic agencies. Many of these sites are part of the International GNSS Service (IGS) global network. Episodic observations from 1994 to 2006 were obtained from repeated occupations of the Canadian Base Network (CBN), which consists of approximately 160 stable pillar-type monuments across the entire country. The CBN enables a much denser spatial sampling of crustal motions although coverage in the far north is still rather sparse. NRCan solutions of the continuous GPS data were combined with those from other agencies as part of the North American Reference Frame (NAREF) effort to improve the reliability of the results. This NAREF solution has then been combined with our CBN results to obtain a denser velocity sampling for fitting different types of surfaces in a first attempt to determine a continuous GPS velocity field for the entire country. Expressing this velocity field as a grid enables users to interpolate to any location in Canada, allowing for the propagation of coordinates to any desired reference epoch. We examine the accuracy and limitations of this GPS velocity field by comparing it to other published GPS velocity solutions (which are all based on less data) as well as to GIA models, including versions of ICE-3G, ICE-5G and the recent Stable North America Reference Frame (SNARF) model. Of course, the accuracy of the GPS velocity field depends directly on the density of the GPS coverage. Consequently, the GPS velocity field is unable to fully represent the actual GIA motion in the far north and tends to smooth out the signal due to the spatially sparse coverage. On the other hand, the model performs quite well in the southern parts of the country where there is a much greater spatial density of GPS measurements.

Sea level rise within the west of Arabian Gulf using tide gauge and continuous GPS measurements

NASA Astrophysics Data System (ADS)

Ayhan, M. E.; Alothman, A.

2009-04-01

Arabian Gulf is connected to Indian Ocean and located in the south-west of the Zagros Trust Belt. To investigate sea level variations within the west of Arabian Gulf, monthly means of sea level at 13 tide gauges along the coast of Saudi Arabia and Bahrain, available in the database of the Permanent Service for Mean Sea Level (PSMSL), are studied. We analyzed individually the monthly means at each station, and estimated secular sea level rate by a robust linear trend fitting. We computed the average relative sea level rise rate of 1.96 ± 0.21 mm/yr within the west of Arabian Gulf based on 4 stations spanning longer than 19 years. Vertical land motions are included into the relative sea level measurements at the tide gauges. Therefore sea level rates at the stations are corrected for vertical land motions using the ICE-5G v1.2 VM4 Glacial Isostatic Adjustment (GIA) model then we found the average sea level rise rate of 2.27 mm/yr. Bahrain International GPS Service (IGS) GPS station, which is close to the Mina Sulman tide gauge station in Bahrain, is the only continuous GPS station accessible in the region. The weekly GPS time series of vertical component at Bahrain IGS-GPS station referring to the ITRF97 from 1999.2 to 2008.6 are downloaded from http://www-gps.mit.edu/~tah/. We fitted a linear trend with an annual signal and one break to the GPS vertical time series and found a vertical land motion rate of 0.48 ± 0.11 mm/yr. Assuming the vertical rate at Bahrain IGS-GPS station represents the vertical rate at each of the other tide gauge stations studied here in the region, we computed average sea level rise rate of 2.44 ± 0.21 mm/yr within the west of Arabian Gulf.

An introduction to the global positioning system and some geological applications

NASA Technical Reports Server (NTRS)

Dixon, T. H.

1991-01-01

The fundamental principles of the global positioning system (GPS) are reviewed, with consideration given to geological and geophysical applications and related accuracy requirements. Recent improvements are emphasized which relate to areas such as equipment cost, limitations in the GPS satellite constellation, data analysis, uncertainties in satellite orbits and propagation delays, and problems in resolving carrier phase cycle ambiguities. Earthquake processes and near-fault crustal deformation monitoring have been facilitated by advances in GPS data acquisition and analysis. Horizontal positioning capability has been improved by new satellite constellation, better models, and global tracking networks. New classes of tectonic problems may now be studied through GPS, such as kinematic descriptions of crustal deformation and the measurement of relative plate motion at convergent boundaries. Continued improvements in the GPS are foreseen.

Soil Moisture Sensing Using Reflected GPS Signals: Description of the GPS Soil Moisture Product.

NASA Astrophysics Data System (ADS)

Larson, Kristine; Small, Eric; Chew, Clara

2015-04-01

As first demonstrated by the GPS reflections group in 2008, data from GPS networks can be used to monitor multiple parameters of the terrestrial water cycle. The GPS L-band signals take two paths: (1) the "direct" signal travels from the satellite to the antenna, which is typically located 2-3 meters above the ground; (2) the reflected signal interacts with the Earth's surface before traveling to the antenna. The direct signal is used by geophysicists and surveyors to measure the position of the antenna, while the effects of reflected signals are a source of error. If one focuses on the reflected signal rather than the positioning observables, one has a method that is sensitive to surface soil moisture (top 5 cm), vegetation water content, and snow depth. This method - known as GPS Interferometric Reflectometry (GPS-IR) - has a footprint of ~1000 m2 for most GPS sites. This is intermediate in scale to most in situ and satellite observations. A significant advantage of GPS-IR is that data from existing GPS networks can be used without any changes to the instrumentation. This means that there is a new source of cost-effective instrumentation for satellite validation and climate studies. This presentation will provide an overview of the GPS-IR methodology with an emphasis on the soil moisture product. GPS water cycle products are currently produced on a daily basis for a network of ~500 sites in the western United States; results are freely available at http://xenon.colorado.edu/portal. Plans to expand the GPS-IR method to the network of international GPS sites will also be discussed.

Impact of continuing medical education in cancer diagnosis on GP knowledge, attitude and readiness to investigate - a before-after study.

PubMed

Toftegaard, Berit Skjødeberg; Bro, Flemming; Falborg, Alina Zalounina; Vedsted, Peter

2016-07-26

Continuing medical education (CME) in earlier cancer diagnosis was launched in Denmark in 2012 as part of the Danish National Cancer Plan. The CME programme was introduced to improve the recognition among general practitioners (GPs) of symptoms suggestive of cancer and improve the selection of patients requiring urgent investigation. This study aims to explore the effect of CME on GP knowledge about cancer diagnosis, attitude towards own role in cancer detection, self-assessed readiness to investigate and cancer risk assessment of urgently referred patients. We conducted a before-after study in the Central Denmark Region including 831 GPs assigned to one of eight geographical clusters. All GPs were invited to participate in the CME at three-week intervals between clusters. A questionnaire focusing on knowledge, attitude and clinical vignettes was sent to each GP one month before and seven months after the CME. The GPs were also asked to assess the risk of cancer in patients urgently referred to a fast-track cancer pathway during an eight-month period. CME-participating GPs were compared with reference (non-participating) GPs by analysing before-after differences. One quarter of all GPs participated in the CME. 202 GPs (24.3 %) completed both the baseline and the follow-up questionnaires. 532 GPs (64.0 %) assessed the risk of cancer before the CME and 524 GPs (63.1 %) assessed the risk of cancer after the CME in urgently referred consecutive patients. Compared to the reference group, CME-participating GPs statistically significantly improved their understanding of a rational probability of diagnosing cancer among patients urgently referred for suspected cancer, increased their knowledge of cancer likelihood in a 50-year-old referred patient and lowered the assessed risk of cancer in urgently referred patients. The standardised CME lowered the GP-assessed cancer risk of urgently referred patients, whereas the effect on knowledge about cancer diagnosis and attitude towards own role in cancer detection was limited. No effect was found on the GPs' readiness to investigate. CME may be effective for optimising the interpretation of cancer symptoms and thereby improve the selection of patients for urgent cancer referral. NCT02069470 on ClinicalTrials.gov. Retrospectively registered, 1/29/2014.

Interferometric investigations with the S1 constellation: an application to the Vesuvius/Campi Flegrei volcanic test site

NASA Astrophysics Data System (ADS)

Borgstrom, Sven; Del Gaudio, Carlo; De Martino, Prospero; Siniscalchi, Valeria; Prats-Iraola, Pau; Nannini, Matteo; Yague-Martinez, Nestor; Pinheiro, Muriel; Kim, Jun-Su; Vecchioli, Francesco; Minati, Federico; Costantini, Mario; Foumelis, Michael; Desnos, Yves-Louis

2017-04-01

The contribution focuses on the current status of the ESA study entitled "INSARAP Sentinel-1 Constellation Study" and investigates the interferometric performance of the S1A/S1B units. In particular, we refer to the Vesuvius/Campi Flegrei (Southern Italy) volcanic test site, where the continuous inflation (about 35 cm from 2011 to date) and the huge availability of ground-based geodetic data (continuous GPS - cGPS - leveling, tiltmetric, gravimetric, etc.) from the INGV-Osservatorio Vesuviano monitoring networks have allowed to get a clear deformation signal, besides the comparison between S1A/S1B and geodetic data. In this regard, the integration between InSAR and geodetic measurements is crucial for a continuous and extended monitoring of such an active volcanic area, as InSAR investigations allow to get an information on wide areas, whereas permanent networks (e.g., cGPS), allow to provide a continuous information complementing InSAR, which is limited by its revisiting time. Comparisons between S1 constellation data and geodetic measurements, with a particular focus on cGPS, will be presented, exploiting both LOS and inverted (E-W and vertical inversion) InSAR data starting from October, 2014. In addition, as a next step we are planning to model the deformation source of the area by exploiting the S1 time series results. Ultimately, very encouraging results suggest for a continuation of this activity also for the future, showing the great potential of S1 constellation data for monitoring active volcanic areas and, in general, to retrieve a very high quality deformation signal.

SCIGN; new Southern California GPS network advances the study of earthquakes

USGS Publications Warehouse

Hudnut, Ken; King, Nancy

2001-01-01

Southern California is a giant jigsaw puzzle, and scientists are now using GPS satellites to track the pieces. These puzzle pieces are continuously moving, slowly straining the faults in between. That strain is then eventually released in earthquakes. The innovative Southern California Integrated GPS Network (SCIGN) tracks the motions of these pieces over most of southern California with unprecedented precision. This new network greatly improves the ability to assess seismic hazards and quickly measure the larger displacements that occur during and immediatelyafter earthquakes.

Airborne Pseudolites in a Global Positioning System (GPS) Degraded Environment

DTIC Science & Technology

2011-03-01

continuously two types of encoded pseudo-random noise (PRN) signals via using two center frequencies 4 in the L- band , namely L1 (1575.42 MHz) and L2...Jovanevic, Aleksandar, Nikhil Bhaita, Joseph Noronha, Brijesh Sirpatil, Michael Kirchner, and Deepak Saxena. “ Piercing the Veil ”. GPS World, 30–37, March...difficulties in receiver design. • Pseudolites can operate either at GPS L1, L2 and L5, or any other available frequency band . Similarly, other parameters to

GPS Time Series Analysis of Southern California Associated with the 2010 M7.2 El Mayor/Cucapah Earthquake

NASA Technical Reports Server (NTRS)

Granat, Robert; Donnellan, Andrea

2011-01-01

The Magnitude 7.2 El-Mayor/Cucapah earthquake the occurred in Mexico on April 4, 2012 was well instrumented with continuous GPS stations in California. Large Offsets were observed at the GPS stations as a result of deformation from the earthquake providing information about the co-seismic fault slip as well as fault slip from large aftershocks. Information can also be obtained from the position time series at each station.

Real-Time Detection of Tsunami Ionospheric Disturbances with a Stand-Alone GNSS Receiver: An Integration of GPS and Galileo Systems

NASA Astrophysics Data System (ADS)

Savastano, Giorgio; Komjathy, Attila; Verkhoglyadova, Olga; Wei, Yong; Mazzoni, Augusto; Crespi, Mattia

2017-04-01

Tsunamis can produce gravity waves that propagate up to the ionosphere generating disturbed electron densities in the E and F regions. These ionospheric disturbances are studied in detail using ionospheric total electron content (TEC) measurements collected by continuously operating ground-based receivers from the Global Navigation Satellite Systems (GNSS). Here, we present results using a new approach, named VARION (Variometric Approach for Real-Time Ionosphere Observation), and for the first time, we estimate slant TEC (sTEC) variations in a real-time scenario from GPS and Galileo constellations. Specifically, we study the 2016 New Zealand tsunami event using GNSS receivers with multi-constellation tracking capabilities located in the Pacific region. We compare sTEC estimates obtained using GPS and Galileo constellations. The efficiency of the real-time sTEC estimation using the VARION algorithm has been demonstrated for the 2012 Haida Gwaii tsunami event. TEC variations induced by the tsunami event are computed using 56 GPS receivers in Hawai'i. We observe TEC perturbations with amplitudes up to 0.25 TEC units and traveling ionospheric disturbances moving away from the epicenter at a speed of about 316 m/s. We present comparisons with the real-time tsunami model MOST (Method of Splitting Tsunami) provided by the NOAA Center for Tsunami Research. We observe variations in TEC that correlate well in time and space with the propagating tsunami waves. We conclude that the integration of different satellite constellations is a crucial step forward to increasing the reliability of real-time tsunami detection systems using ground-based GNSS receivers as an augmentation to existing tsunami early warning systems.

A Micromechanical INS/GPS System for Small Satellites

NASA Technical Reports Server (NTRS)

Barbour, N.; Brand, T.; Haley, R.; Socha, M.; Stoll, J.; Ward, P.; Weinberg, M.

1995-01-01

The cost and complexity of large satellite space missions continue to escalate. To reduce costs, more attention is being directed toward small lightweight satellites where future demand is expected to grow dramatically. Specifically, micromechanical inertial systems and microstrip global positioning system (GPS) antennas incorporating flip-chip bonding, application specific integrated circuits (ASIC) and MCM technologies will be required. Traditional microsatellite pointing systems do not employ active control. Many systems allow the satellite to point coarsely using gravity gradient, then attempt to maintain the image on the focal plane with fast-steering mirrors. Draper's approach is to actively control the line of sight pointing by utilizing on-board attitude determination with micromechanical inertial sensors and reaction wheel control actuators. Draper has developed commercial and tactical-grade micromechanical inertial sensors, The small size, low weight, and low cost of these gyroscopes and accelerometers enable systems previously impractical because of size and cost. Evolving micromechanical inertial sensors can be applied to closed-loop, active control of small satellites for micro-radian precision-pointing missions. An inertial reference feedback control loop can be used to determine attitude and line of sight jitter to provide error information to the controller for correction. At low frequencies, the error signal is provided by GPS. At higher frequencies, feedback is provided by the micromechanical gyros. This blending of sensors provides wide-band sensing from dc to operational frequencies. First order simulation has shown that the performance of existing micromechanical gyros, with integrated GPS, is feasible for a pointing mission of 10 micro-radians of jitter stability and approximately 1 milli-radian absolute error, for a satellite with 1 meter antenna separation. Improved performance micromechanical sensors currently under development will be suitable for a range of micro-nano-satellite applications.

Integration of the Plate Boundary Observatory and Existing GPS Networks in Southern California: A Multi Use Geodetic Network

NASA Astrophysics Data System (ADS)

Walls, C.; Blume, F.; Meertens, C.; Arnitz, E.; Lawrence, S.; Miller, S.; Bradley, W.; Jackson, M.; Feaux, K.

2007-12-01

The ultra-stable GPS monument design developed by Southern California Geodetic Network (SCIGN) in the late 1990s demonstrates sub-millimeter errors on long time series where there are a high percentage of observations and low multipath. Following SCIGN, other networks such as PANGA and BARGEN have adopted the monument design for both deep drilled braced monuments (DDBM = 5 legs grouted 10.7 meters into bedrock/stratigraphy) and short drilled braced monuments (SDBM = 4 legs epoxied 2 meters into bedrock). A Plate Boundary Observatory (PBO) GPS station consists of a "SCIGN" style monument and state of the art NetRS receiver and IP based communications. Between the years 2003-2008 875 permanent PBO GPS stations are being built throughout the United States. Concomitant with construction of the PBO the majority of pre-existing GPS stations that meet stability specifications are being upgraded with Trimble NetRS and IP based communications to PBO standards under the EarthScope PBO Nucleus project. In 2008, with completed construction of the Plate Boundary Observatory, more than 1100 GPS stations will share common design specifications and have identical receivers with common communications making it the most homogenous geodetic network in the World. Of the 875 total Plate Boundary Observatory GPS stations, 211 proposed sites are distributed throughout the Southern California region. As of August 2007 the production status is: 174 stations built (81 short braced monuments, 93 deep drilled braced monuments), 181 permits signed, 211 permits submitted and 211 station reconnaissance reports. The balance of 37 stations (19 SDBM and 18 DDBM) will be built over the next year from Long Valley to the Mexico border in order of priority as recommended by the PBO Transform, Extension and Magmatic working groups. Fifteen second data is archived for each station and 1 Hz as well as 5 Hz data is buffered to be triggered for download in the event of an earthquake. Communications equipment includes CDMA Proxicast modems, Hughes Vsat, Intuicom 900 MHz Ethernet bridge radios and several "real-time" sites use 2.4 GHz Wilan radios. Ultimately, 125 of the existing former-SCIGN GPS stations will be integrated into the So Cal region of PBO, of which 25 have real-time data streams. At the time of this publication the total combined Southern California region has over 40 stations streaming real-time data using both radios and CDMA modems. The real-time GPS sites provide specific benefits beyond the standard GPS station: they can provide a live correction for local surveyors and can be used to trigger an alarm if large displacements are recorded. The cross fault spatial distribution of these 336 GPS stations in the seismically active southern California region has the grand potential of augmenting a strong motion earthquake early warning system.

The Accidental Tide Gauge: A GPS Reflection Case Study from Kachemak Bay, Alaska

NASA Technical Reports Server (NTRS)

Larson, Kristine M.; Ray, Richard D.; Nievinski, Felipe G..; Freymueller, Jeffrey T.

2013-01-01

For the last decade, it has been known that reflected GPS signals observed with specialized instruments could be used to measure sea level. In this letter, data from an existing geodeticquality GPS site near Kachemak Bay, Alaska, are analyzed for a one-year time period. Daily sea-level variations are more than 7 m. Tidal coefficients have been estimated and compared with coefficients estimated from records from a traditional tide gauge at Seldovia Harbor, approximately 30 km away. The GPS and Seldovia estimates of M(sub 2) and S(sub 2) coefficients agree to better than 2%; much of this residual can be attributed to true differences in the tide over 30 km as it propagates up Kachemak Bay. For daily mean sea levels the agreement is 2.3 cm. Because a standard geodetic GPS receiver/antenna is used, this GPS instrument can measure long-term sea-level changes in a stable terrestrial reference frame.

Time Transfer by Laser Link - T2L2: Results of the First Year of Operation

DTIC Science & Technology

2009-11-01

transportable laser ranging system (FTLRS) based at Paris (Syrte). The availability on these sites of both a GPS and a TWSTFT station will allow a direct...on these two sites, of both a GPS and a TWSTFT station will also allow a direct comparison of T2L2 with RF time transfer techniques. T2L2...calibration of various existing radiofrequency time and frequency transfer systems like GPS or TWSTFT , and comparisons of cold-atom clocks at a level

Global Positioning System (GPS): Current status and possible nursery uses

Treesearch

Dick Karsky

2002-01-01

The GPS (Global Positioning System) is a worldwide satellite-positioning system that was funded, installed, and continues to be operated by the U.S. Department of Defense. The navigation signals are provided free and can be used by anyone who has the equipment necessary to receive them.

Global Positioning System (GPS) survey of Augustine Volcano, Alaska, August 3-8, 2000: data processing, geodetic coordinates and comparison with prior geodetic surveys

USGS Publications Warehouse

Pauk, Benjamin A.; Power, John A.; Lisowski, Mike; Dzurisin, Daniel; Iwatsubo, Eugene Y.; Melbourne, Tim

2001-01-01

Between August 3 and 8,2000,the Alaska Volcano Observatory completed a Global Positioning System (GPS) survey at Augustine Volcano, Alaska. Augustine is a frequently active calcalkaline volcano located in the lower portion of Cook Inlet (fig. 1), with reported eruptions in 1812, 1882, 1909?, 1935, 1964, 1976, and 1986 (Miller et al., 1998). Geodetic measurements using electronic and optical surveying techniques (EDM and theodolite) were begun at Augustine Volcano in 1986. In 1988 and 1989, an island-wide trilateration network comprising 19 benchmarks was completed and measured in its entirety (Power and Iwatsubo, 1998). Partial GPS surveys of the Augustine Island geodetic network were completed in 1992 and 1995; however, neither of these surveys included all marks on the island.Additional GPS measurements of benchmarks A5 and A15 (fig. 2) were made during the summers of 1992, 1993, 1994, and 1996. The goals of the 2000 GPS survey were to:1) re-measure all existing benchmarks on Augustine Island using a homogeneous set of GPS equipment operated in a consistent manner, 2) add measurements at benchmarks on the western shore of Cook Inlet at distances of 15 to 25 km, 3) add measurements at an existing benchmark (BURR) on Augustine Island that was not previously surveyed, and 4) add additional marks in areas of the island thought to be actively deforming. The entire survey resulted in collection of GPS data at a total of 24 sites (fig. 1 and 2). In this report we describe the methods of GPS data collection and processing used at Augustine during the 2000 survey. We use this data to calculate coordinates and elevations for all 24 sites surveyed. Data from the 2000 survey is then compared toelectronic and optical measurements made in 1988 and 1989. This report also contains a general description of all marks surveyed in 2000 and photographs of all new marks established during the 2000 survey (Appendix A).

Event Detection Using Mobile Phone Mass GPS Data and Their Reliavility Verification by Dmsp/ols Night Light Image

NASA Astrophysics Data System (ADS)

Yuki, Akiyama; Satoshi, Ueyama; Ryosuke, Shibasaki; Adachi, Ryuichiro

2016-06-01

In this study, we developed a method to detect sudden population concentration on a certain day and area, that is, an "Event," all over Japan in 2012 using mass GPS data provided from mobile phone users. First, stay locations of all phone users were detected using existing methods. Second, areas and days where Events occurred were detected by aggregation of mass stay locations into 1-km-square grid polygons. Finally, the proposed method could detect Events with an especially large number of visitors in the year by removing the influences of Events that occurred continuously throughout the year. In addition, we demonstrated reasonable reliability of the proposed Event detection method by comparing the results of Event detection with light intensities obtained from the night light images from the DMSP/OLS night light images. Our method can detect not only positive events such as festivals but also negative events such as natural disasters and road accidents. These results are expected to support policy development of urban planning, disaster prevention, and transportation management.

Modelling of The Dyke Emplacement Leading To The Etna July 2001 Eruption Through Continuous Tilt and GPS Data

NASA Astrophysics Data System (ADS)

Bonaccorso, A.; Aloisi, M.; Mattia, A.

During the June 2001 eruption of Mt. Etna the continuous ground deformation mon- itoring have been recorded through tilt (9 stations) and GPS (11 stations) permanent networks. The evolution of the July crisis preceding and leading to the eruption has been monitored through the tilt and GPS continuous measurements, which constrained in time the final intrusion and inferred the position and geometry of the uprising dyke. The tilt signals, which record 48 samples/day, fixed the time action of the intrusion, whose main effects are recorded during 13-15 July in concomitance with the first days of the seismic crisis. In particular, the high precision long-base mercury tiltmeter, in- stalled at Pizzi Deneri observatory in the high north-eastern flank close to the crater area, showed very well the continuous deformation during the dyke emplacement. The deformation pattern, at the entire volcano scale, was well characterised by the daily measurement sessions recorded at the GPS permanent network. The variations recorded at the permanent GPS stations started from July 13 and, in agreement with tilt recordings, were mainly cumulated in the following two days. The GPS measurements showed horizontal displacement vectors much bigger than vertical changes. The defor- mation pattern indicates the response to a tensile mechanisms that appears compatible with an intrusion in the volcano edifice along a ca. N-S direction. In this poster we show the modelling of the marked ground deformation changes recorded in the days before the eruption starting. The first results show that a tensile crack with an opening dislocation of ~3 m. and crossing the entire edifice, south-west to the crater area, can explain the recorded deformation pattern. The location of the modelled tensile source fits the seismogenetic zone characterized by epicenters aligned in a ca. N-S direction with the foci clustered in the last shallow kilometers. The ground deformation pat- tern associated with the final uprising and its modelling suggest a dyke emplacement which appears different, both in terms of velocity and source position, with respect to the sources modelled for the other lateral eruptions in the previous twenty years.

Internet-based remote consultations - general practitioner experience and attitudes in Norway and Germany.

PubMed

Kampik, Timotheus; Larsen, Frank; Bellika, Johan Gustav

2015-01-01

The objective of the study was to identify experiences and attitudes of German and Norwegian general practitioners (GPs) towards Internet-based remote consultation solutions supporting communication between GPs and patients in the context of the German and Norwegian healthcare systems. Interviews with four German and five Norwegian GPs were conducted. The results were qualitatively analyzed. All interviewed GPs stated they would like to make use of Internet-based remote consultations in the future. Current experiences with remote consultations are existent to a limited degree. No GP reported to use a comprehensive remote consultation solution. The main features GPs would like to see in a remote consultation solution include asynchronous exchange of text messages, video conferencing with text chat, scheduling of remote consultation appointments, secure login and data transfer and the integration of the remote consultation solution into the GP's EHR system.

India plate angular velocity and contemporary deformation rates from continuous GPS measurements from 1996 to 2015.

PubMed

Jade, Sridevi; Shrungeshwara, T S; Kumar, Kireet; Choudhury, Pallabee; Dumka, Rakesh K; Bhu, Harsh

2017-09-12

We estimate a new angular velocity for the India plate and contemporary deformation rates in the plate interior and along its seismically active margins from Global Positioning System (GPS) measurements from 1996 to 2015 at 70 continuous and 3 episodic stations. A new India-ITRF2008 angular velocity is estimated from 30 GPS sites, which include stations from western and eastern regions of the plate interior that were unrepresented or only sparsely sampled in previous studies. Our newly estimated India-ITRF2008 Euler pole is located significantly closer to the plate with ~3% higher angular velocity than all previous estimates and thus predicts more rapid variations in rates and directions along the plate boundaries. The 30 India plate GPS site velocities are well fit by the new angular velocity, with north and east RMS misfits of only 0.8 and 0.9 mm/yr, respectively. India fixed velocities suggest an approximate of 1-2 mm/yr intra-plate deformation that might be concentrated along regional dislocations, faults in Peninsular India, Kachchh and Indo-Gangetic plain. Relative to our newly-defined India plate frame of reference, the newly estimated velocities for 43 other GPS sites along the plate margins give insights into active deformation along India's seismically active northern and eastern boundaries.

SURMODERR: A MATLAB toolbox for estimation of velocity uncertainties of a non-permanent GPS station

NASA Astrophysics Data System (ADS)

Teza, Giordano; Pesci, Arianna; Casula, Giuseppe

2010-08-01

SURMODERR is a MATLAB toolbox intended for the estimation of reliable velocity uncertainties of a non-permanent GPS station (NPS), i.e. a GPS receiver used in campaign-style measurements. The implemented method is based on the subsampling of daily coordinate time series of one or more continuous GPS stations located inside or close to the area where the NPSs are installed. The continuous time series are subsampled according to real or planned occupation tables and random errors occurring in antenna replacement on different surveys are taken into account. In order to overcome the uncertainty underestimation that typically characterizes short duration GPS time series, statistical analysis of the simulated data is performed to estimate the velocity uncertainties of this real NPS. The basic hypotheses required are: (i) the signal must be a long-term linear trend plus seasonal and colored noise for each coordinate; (ii) the standard data processing should have already been performed to provide daily data series; and (iii) if the method is applied to survey planning, the future behavior should not be significantly different from the past behavior. In order to show the strength of the approach, two case studies with real data are presented and discussed (Central Apennine and Panarea Island, Italy).

Monitoring and Prediction of Precipitable Water Vapor using GPS data in Turkey

NASA Astrophysics Data System (ADS)

Ansari, Kutubuddin; Althuwaynee, Omar F.; Corumluoglu, Ozsen

2016-12-01

Although Global Positioning System (GPS) primarily provide accurate estimates of position, velocity and time of the receiver, as the signals pass through the atmoshphere carrying its signatures, thus offers opportunities for atmoshpheric applications. Precipitable water vapor (PWV) is a vital component of the atmosphere and significantly influences atmospheric processes like rainfall and atmospheric temperature. The developing networks of continuously operating GPS can be used to efficiently estimate PWV. The Turkish Permanent GPS Network (TPGN) is employed to monitor PWV information in Turkey. This work primarily aims to derive long-term data of PWV by using atmospheric path delays observed through continuously operating TPGN from November 2014 to October 2015. A least square mathematical approach was then applied to establish the relation of the observed PWV to rainfall and temperature. The modeled PWV was correlated with PWV estimated from GPS data, with an average correlation of 67.10 %-88.60 %. The estimated root mean square error (RMSE) varied from 2.840 to 6.380, with an average of 4.697. Finally, data of TPGN, rainfall, and temperature were obtained for less than 2 months (November 2015 to December 2015) and assessed to validate the mathematical model. This study provides a basis for determining PWV by using rainfall and temperature data.

The views and experiences of female GPs on professional practice and career support.

PubMed

Wedderburn, Clare; Scallan, Samantha; Whittle, Clare; Curtis, Anthony

2013-09-01

National GP demographic data demonstrate an increasing 'feminisation' of the workforce. With female GP specialty trainees continuing to outnumber males, this trend is set to continue. The changing composition of the workforce presents challenges in terms of how best to support the long-term career and educational development needs of this sector of the workforce in an evolving healthcare context. The aim of this work was to capture female GPs' experiences of working in general practice and their expectations concerning their career and educational development. Participants were surveyed and completed a semi-structured questionnaire, which generated qualitative and quantitative data. The sample comprised GP registrars, principals and sessionals. This study has generated an important dataset on working patterns, educational experiences and long-term career intentions of female GPs. Despite increased representation in the GP workforce, female GPs (particularly those with young children) appear less likely to be involved in education and training than their male counterparts, and even less likely to be involved in roles linked to primary care trusts, medico-political issues, hospital service delivery, special clinical interests or deanery education management. younger GPs reported significantly more difficulties in managing their childcare needs than older colleagues. Marital status, number of children and employment status did not moderate the effect of these difficulties. Female GPs reported working more hours with increasing age, but were not necessarily represented in a range of educational and/or training posts as a consequence.

A comparison of hydrological deformation using GPS and global hydrological model for the Eurasian plate

NASA Astrophysics Data System (ADS)

Li, Zhen; Yue, Jianping; Li, Wang; Lu, Dekai; Li, Xiaogen

2017-08-01

The 0.5° × 0.5° gridded hydrological loading from Global Land Surface Discharge Model (LSDM) mass distributions is adopted for 32 GPS sites on the Eurasian plate from January 2010 to January 2014. When the heights of these sites that have been corrected for the effects of non-tidal atmospheric and ocean loading are adjusted by the hydrological loading deformation, more than one third of the root-mean-square (RMS) values of the GPS height variability become larger. After analyzing the results by continuous wavelet transform (CWT) and wavelet transform coherence (WTC), we confirm that hydrological loading primarily contributes to the annual variations in GPS heights. Further, the cross wavelet transform (XWT) is used to investigate the relative phase between the time series of GPS heights and hydrological deformation, and it is indicated that the annual oscillations in the two time series are physically related for some sites; other geophysical effect, GPS systematic errors and hydrological modeling errors could result in the phase asynchrony between GPS and hydrological loading signals for the other sites. Consequently, the phase asynchrony confirms that the annual fluctuations in GPS observations result from a combination of geophysical signals and systematic errors.

Reconciling GRACE and GPS estimates of long-term load deformation in southern Greenland

NASA Astrophysics Data System (ADS)

Wang, Song-Yun; Chen, J. L.; Wilson, Clark R.; Li, Jin; Hu, Xiaogong

2018-02-01

We examine vertical load deformation at four continuous Global Positioning System (GPS) sites in southern Greenland relative to Gravity Recovery and Climate Experiment (GRACE) predictions of vertical deformation over the period 2002-2016. With limited spatial resolution, GRACE predictions require adjustment before they can be compared with GPS height time series. Without adjustment, both GRACE spherical harmonic (SH) and mascon solutions predict significant vertical displacement rate differences relative to GPS. We use a scaling factor method to adjust GRACE results, based on a long-term mass rate model derived from GRACE measurements, glacial geography, and ice flow data. Adjusted GRACE estimates show significantly improved agreement with GPS, both in terms of long-term rates and interannual variations. A deceleration of mass loss is observed in southern Greenland since early 2013. The success at reconciling GPS and GRACE observations with a more detailed mass rate model demonstrates the high sensitivity to load distribution in regions surrounding GPS stations. Conversely, the value of GPS observations in constraining mass changes in surrounding regions is also demonstrated. In addition, our results are consistent with recent estimates of GIA uplift (˜4.4 mm yr-1) at the KULU site.

Positioning performance of the NTCM model driven by GPS Klobuchar model parameters

NASA Astrophysics Data System (ADS)

Hoque, Mohammed Mainul; Jakowski, Norbert; Berdermann, Jens

2018-03-01

Users of the Global Positioning System (GPS) utilize the Ionospheric Correction Algorithm (ICA) also known as Klobuchar model for correcting ionospheric signal delay or range error. Recently, we developed an ionosphere correction algorithm called NTCM-Klobpar model for single frequency GNSS applications. The model is driven by a parameter computed from GPS Klobuchar model and consecutively can be used instead of the GPS Klobuchar model for ionospheric corrections. In the presented work we compare the positioning solutions obtained using NTCM-Klobpar with those using the Klobuchar model. Our investigation using worldwide ground GPS data from a quiet and a perturbed ionospheric and geomagnetic activity period of 17 days each shows that the 24-hour prediction performance of the NTCM-Klobpar is better than the GPS Klobuchar model in global average. The root mean squared deviation of the 3D position errors are found to be about 0.24 and 0.45 m less for the NTCM-Klobpar compared to the GPS Klobuchar model during quiet and perturbed condition, respectively. The presented algorithm has the potential to continuously improve the accuracy of GPS single frequency mass market devices with only little software modification.

GPS meteorology - Remote sensing of atmospheric water vapor using the Global Positioning System

NASA Technical Reports Server (NTRS)

Bevis, Michael; Businger, Steven; Herring, Thomas A.; Rocken, Christian; Anthes, Richard A.; Ware, Randolph H.

1992-01-01

We present a new approach to remote sensing of water vapor based on the Global Positioning System (GPS). Geodesists and geophysicists have devised methods for estimating the extent to which signals propagating from GPS satellites to ground-based GPS receivers are delayed by atmospheric water vapor. This delay is parameterized in terms of a time-varying zenith wet delay (ZWD) which is retrieved by stochastic filtering of the GPS data. Given surface temperature and pressure readings at the GPS receiver, the retrieved ZWD can be transformed with very little additional uncertainty into an estimate of the integrated water vapor (IWV) overlying that receiver. Networks of continuously operating GPS receivers are being constructed by geodesists, geophysicists, and government and military agencies, in order to implement a wide range of positioning capabilities. These emerging GPS networks offer the possibility of observing the horizontal distribution of IWV or, equivalently, precipitate water with unprecedented coverage and a temporal resolution of the order of 10 min. These measurements could be utilized in operational weather forecasting and in fundamental research into atmospheric storm systems, the hydrologic cycle, atmospheric chemistry, and global climate change.

Study of TEC and foF2 with the Help of GPS and Ionosonde Data over Maitri, Antarctica

NASA Astrophysics Data System (ADS)

Khatarkar, Prakash; Gwal, Ashok Kumar

Prakash Khatarkar, Purusottam Bhaware, Azad Ahmad Mansoori, Varsha Kachneria, Shweta Thakur, and A. K. Gwal Abstract The behavior of ionosphere can be diagnosed by a number of techniques. The common techniques used are the space based Global Positioning System and the ground based Ionosonde. We have compared the variability of ionospheric parameters by using two different techniques GPS and Ionosonde, during December 2009 to November 2010 at the Indian base station Maitri (11.45E, 70.45S). The comparison between the measurements of two techniques was realized through the Total Electron Content (TEC) parameters derived by using different methods. The comparison was made diurnally, seasonally, polar day and polar night variations and the annually. From our analysis we found that a strong correlation exists between the GPS derived TEC and Ionosonde derived foF2 during the day period while during the night time the correlation is insignificant. At the same time we found that a strong correlation exists between the Ionosonde and GPS derived TEC. The pattern of variation of ionospheric parameters derived from two techniques is strikingly similar indicating that the high degree of synchronization between them. This has a practical applicability by allowing calculating the error in one technique by comparing with other. Keywords: Ionosphere, Ionosonde, GPS, foF2, TEC.

Terrestrial water storage variations and surface vertical deformation derived from GPS and GRACE observations in Nepal and Himalayas

NASA Astrophysics Data System (ADS)

Pan, Y.; Shen, W.; Hwang, C.

2015-12-01

As an elastic Earth, the surface vertical deformation is in response to hydrological mass change on or near Earth's surface. The continuous GPS (CGPS) records show surface vertical deformations which are significant information to estimate the variation of terrestrial water storage. We compute the loading deformations at GPS stations based on synthetic models of seasonal water load distribution and then invert the synthetic GPS data for surface mass distribution. We use GRACE gravity observations and hydrology models to evaluate seasonal water storage variability in Nepal and Himalayas. The coherence among GPS inversion results, GRACE and hydrology models indicate that GPS can provide quantitative estimates of terrestrial water storage variations by inverting the surface deformation observations. The annual peak-to-peak surface mass change derived from GPS and GRACE results reveal seasonal loads oscillations of water, snow and ice. Meanwhile, the present uplifting of Nepal and Himalayas indicates the hydrology mass loss. This study is supported by National 973 Project China (grant Nos. 2013CB733302 and 2013CB733305), NSFC (grant Nos. 41174011, 41429401, 41210006, 41128003, 41021061).

Deformation analysis of Aceh April 11{sup th} 2012 earthquake using GPS observation data

DOE Office of Scientific and Technical Information (OSTI.GOV)

Maulida, Putra, E-mail: putra.maulida@gmail.com; Meilano, Irwan; Sarsito, Dina A.

This research tries to estimate the co-seismic deformation of intraplate earthquake occurred off northern Sumatra coast which is about 100-200 km southwest of Sumatrasubduction zone. The earthquake mechanism was strike-slip with magnitude 8.6 and triggering aftershock with magnitude 8.2 two hours later. We estimated the co-seismic deformation by using the GPS (Global Positioning System) continuous data along western Sumatra coast. The GPS observation derived from Sumatran GPS Array (SuGAr) and Geospatial Information Agency (BIG). For data processing we used GPS Analyze at Massachusetts Institute of Technology (GAMIT) software and Global Kalman Filter (GLOBK) to estimate the co-seismic deformation. From themore » GPS daily solution, the result shows that the earthquake caused displacement for the GPS stations in Sumatra. GPS stations in northern Sumatra showed the displacement to the northeast with the average displacement was 15 cm. The biggest displacement was found at station BSIM which is located at Simeuleu Island off north west Sumatra coast. GPS station in middle part of Sumatra, the displacement was northwest. The earthquake also caused subsidence for stations in northern Sumatra, but from the time series there was not sign of subsidence was found at middle part of Sumatra. In addition, the effect of the earthquake was worldwide and affected the other GPS Stations around Hindia oceanic.« less

Quality assessment of DInSAR deformation measurements in volcanic areas by comparing GPS and SBAS results

NASA Astrophysics Data System (ADS)

Bonforte, A.; Casu, F.; de Martino, P.; Guglielmino, F.; Lanari, R.; Manzo, M.; Obrizzo, F.; Puglisi, G.; Sansosti, E.; Tammaro, U.

2009-04-01

Differential Synthetic Aperture Radar Interferometry (DInSAR) is a methodology able to measure ground deformation rates and time series of relatively large areas. Several different approaches have been developed over the past few years: they all have in common the capability to measure deformations on a relatively wide area (say 100 km by 100 km) with a high density of the measuring points. For these reasons, DInSAR represents a very useful tool for investigating geophysical phenomena, with particular reference to volcanic areas. As for any measuring technique, the knowledge of the attainable accuracy is of fundamental importance. In the case of DInSAR technology, we have several error sources, such as orbital inaccuracies, phase unwrapping errors, atmospheric artifacts, effects related to the reference point selection, thus making very difficult to define a theoretical error model. A practical way to obtain assess the accuracy is to compare DInSAR results with independent measurements, such as GPS or levelling. Here we present an in-deep comparison between the deformation measurement obtained by exploiting the DInSAR technique referred to as Small BAseline Subset (SBAS) algorithm and by continuous GPS stations. The selected volcanic test-sites are Etna, Vesuvio and Campi Flegrei, in Italy. From continuous GPS data, solutions are computed at the same days SAR data are acquired for direct comparison. Moreover, three dimensional GPS displacement vectors are projected along the radar line of sight of both ascending and descending acquisition orbits. GPS data are then compared with the coherent DInSAR pixels closest to the GPS station. Relevant statistics of the differences between the two measurements are computed and correlated to some scene parameter that may affect DInSAR accuracy (altitude, terrain slope, etc.).

Prescribing tamoxifen in primary care for the prevention of breast cancer: a national online survey of GPs' attitudes.

PubMed

Smith, Samuel G; Foy, Robbie; McGowan, Jennifer A; Kobayashi, Lindsay C; DeCensi, Andrea; Brown, Karen; Side, Lucy; Cuzick, Jack

2017-06-01

The cancer strategy for England (2015-2020) recommends GPs prescribe tamoxifen for breast cancer primary prevention among women at increased risk. To investigate GPs' attitudes towards prescribing tamoxifen. In an online survey, GPs in England, Northern Ireland, and Wales ( n = 928) were randomised using a 2 × 2 between-subjects design to read one of four vignettes describing a healthy patient seeking a tamoxifen prescription. In the vignette, the hypothetical patient's breast cancer risk (moderate versus high) and the clinician initiating the prescription (GP prescriber versus secondary care clinician [SCC] prescriber) were manipulated in a 1:1:1:1 ratio. Outcomes were willingness to prescribe, comfort discussing harms and benefits, comfort managing the patient, factors affecting the prescribing decision, and awareness of tamoxifen and the National Institute for Health and Care Excellence (NICE) guideline CG164. Half (51.7%) of the GPs knew tamoxifen can reduce breast cancer risk, and one-quarter (24.1%) were aware of NICE guideline CG164. Responders asked to initiate prescribing (GP prescriber) were less willing to prescribe tamoxifen than those continuing a prescription initiated in secondary care (SCC prescriber) (68.9% versus 84.6%, P <0.001). The GP prescribers reported less comfort discussing tamoxifen (53.4% versus 62.5%, P = 0.01). GPs willing to prescribe were more likely to be aware of the NICE guideline ( P = 0.039) and to have acknowledged the benefits of tamoxifen ( P <0.001), and were less likely to have considered its off-licence status ( P <0.001). Initiating tamoxifen prescriptions for preventive therapy in secondary care before asking GPs to continue the patient's care may overcome some prescribing barriers. © British Journal of General Practice 2017.

Successful implantation of an abdominal aortic blood pressure transducer and radio-telemetry transmitter in guinea pigs - Anaesthesia, analgesic management and surgical methods, and their influence on hemodynamic parameters and body temperature.

PubMed

Schmitz, Sabrina; Henke, Julia; Tacke, Sabine; Guth, Brian

2016-01-01

Guinea pigs (GPs) are a valuable cardiovascular pharmacology model. Implantation of a radio-telemetry system into GPs is, however, challenging and has been associated with a high failure rate in the past. We provide information on a novel procedure for implanting telemetry devices into GPs and we have measured the hemodynamics (arterial blood pressure, BP and heart rate, HR) and core body temperature (BT) in the 24h after surgery. Male Hartley GPs (Crl:HA, 350-400g, 6.5weeks, n=16) were implanted with a radio transmitter abdominally and were then monitored continuously (HR, BP and BT) for 24h after surgery. 13 of 16 GPs (81%) survived the surgery. Surgery duration was 94min (min) (range: 76-112min) and anaesthesia duration was 131min (range: 107-158min). GPs lost body weight until 2days after surgery and then regained weight. Mean arterial BP increased from 33.7mmHg directly after surgery to 59.1mmHg after 24h. HR increased from 206bpm directly after surgery to 286bpm at 8h and fell to 251bpm at 24h after implantation. BT was 36°C directly after surgery, fell to 35.4°C until regaining of the righting reflex and then stabilized at 38.5°C after 24h. A high survival rate in telemetered GPs is possible. We achieved this through a procedure with minimal stress through habituation and planning, continuous warming during anaesthesia, an optimal anaesthetic and analgesic management, efficient surgical techniques and vitamin C supplementation. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

A tailored educational intervention improves doctor's performance in managing depression: a randomized controlled trial.

PubMed

Shirazi, Mandana; Lonka, Kirsti; Parikh, Sagar V; Ristner, Gunilla; Alaeddini, Farshid; Sadeghi, Majid; Wahlstrom, Rolf

2013-02-01

To assess the effects of a tailored and activating educational intervention, based on a three-stage modified Prochaska model of readiness-to-change, on the performance of general physicians in primary care (GPs) regarding management of depressive disorders. Parallel group, randomized control trial. Primary hypothesis was that performance would improve by 20 percentage units in the intervention arm. The setting was primary care in southern Tehran. The participants were 192 GPs stratified on stage of readiness-to-change, sex, age and work experience. The intervention was a 2-day interactive workshop for a small group of GPs' at a higher stage of readiness-to-change ('intention') and a 2-day interactive large group meeting for those with lower propensity to change ('attitude') at the pre-assessment. GPs in the control arm participated in a standard educational programme on the same topic. The main outcome measures were validated tools to assess GPs' performance by unannounced standardized patients, regarding diagnosis and treatment of depressive disorders. The assessments were made 2 months before and 2 months after the intervention. GPs in the intervention arm significantly improved their overall mean scores for performance regarding both diagnosis, with an intervention effect of 14 percentage units (P = 0.007), and treatment and referral, with an intervention effect of 20 percentage units (P < 0.0001). The largest improvement after the intervention appeared in the small group: 30 percentage units for diagnosis (P = 0.027) and 29 percentage units for treatment and referral (P < 0.0001). Activating learning methods, tailored according to the participants' readiness to change, improved clinical performance of GPs in continuing medical education and can be recommended for continuing professional development. © 2011 Blackwell Publishing Ltd.

Integrating Continuous GPS Time Series and Geodetic Leveling Data to Estimate Secular Vertical Velocity of Taiwan

NASA Astrophysics Data System (ADS)

LAI, Y. R.; Hsu, Y. J.; You, R. J.

2017-12-01

GPS technique services as the most powerful method in monitoring crustal deformation owing to its advantage of temporal continuity. Geodetic leveling is also widely used not only in engineering but also in geophysics applicants due to its high precision in vertical datum determination and spatial continuity advantages. As widely known, the reference frames of GPS and geodetic leveling are different- the former refers to the reference ellipsoid (WGS84 ellipsoid) and the latter refers to the geoid. In order to combine vertical velocity fields from different datums, we decide to examine discrepancy between these two data sets. Moreover, GPS stations and benchmarks always do not locate at the same places. In place of using a spatial reduced function (Ching et.al, JGR, 2011) to find the discrepancy between them, we focused on comparing termporal variation of GPS vertical motions and geodetic leveling displacements. In this study, we analyzed the vertical velocity field from 238 GPS stations and 1634 benchmarks, including the time-period (2000 to 2015) influenced by postseismiceffects from 1999 Chi-Chi earthquake (Mw 7.6), 2003 Chengkung earthquake (Mw 6.8), and so on. After we thoroughly examined all the process and considered coseismic and postseismic deformation of significant earthquakes, we found that the discrepancy of vertical velocity of the GPS station and its nearby benchmarks is about 1 - 2 mm/yr, including several source of errors in data processing. We suggest that this discrepancy of vertical velocity field can be ignored as tolerable error, and two heterogeneous fields can be integrated together without any mathematical presumptions of spatial regression. The result shows that the western coast is suffering sever subsidence with rates up to 40 mm/yr; the Central Range of Taiwan is uplifting with rates about +10 mm/yr and active landslides with significant subsidence of 5-10 mm/yr in local area. A huge velocity contrast of 30 mm;/yr indicating east over west thrusting is shown across the Longitudinal Valley Fault. Estimation of vertical velocity from 2000 to 2015 is consistent with velocities from 2008 to 2015, indicating our modification process is not affected by the Chi-Chi earthquake (Mw 7.6).

Whole-system evaluation research of a scheme to support inner city recruitment and retention of GPs.

PubMed

Bellman, Loretta

2002-12-01

The GP Assistant/Research Associate scheme developed in the Guy's, King's and St Thomas' School of Medicine, London, aims to attract and recruit young GPs (GP Assistants) and develop their commitment to work in local inner city practices. Continuing professional development for both young and established GPs is a key feature of the scheme. The objectives of the whole-system evaluation research were to explore the perspectives of 34 stakeholders in the academic department, the practices and the PCGs, and to investigate the experiences of 19 GP Assistants who have participated in the scheme. Qualitative methods included semi-structured interviews, non-participant observations in the practices, audio-taped meetings and personal journals. Data collection also included reviewing documentation of the scheme, i.e. the previous quantitative evaluation report, publications and e-mails. The multi-method approach enabled individual, group and team perspectives of the scheme and triangulation of the data through comparing dialogue with observations and documentary evidence. Thematic analysis was undertaken to elicit the complex experiences of the GP Assistants. Wide-ranging findings included enthusiastic support for the continuation of the scheme. The GP Assistants' personal and professional development was clearly evident from the themes 'eye opener', new knowledge, managing multiple roles, feeling vulnerable, time constraints and empowering processes. Seven of the GP Assistants have become partners and ten chose to remain working in local practices. Significant challenges for managing and leading the scheme were apparent. Greater co-operation and collaborative working between the academic department and the practices is required. The scheme provides a highly valued visible means of support for GPs and could act as a model for a career pathway aimed at enhancing recruitment and retention of GPs. The scheme is also at the forefront of national initiatives aimed at supporting single-handed practices and helping GPs with their continuing professional development. An integrated approach to change, education, research and development is advocated to enable recruitment and retention of GPs, their academic development, and to underpin the evolution of PCTs as learning organizations.

The quasi-biennial vertical oscillations at global GPS stations: identification by ensemble empirical mode decomposition.

PubMed

Pan, Yuanjin; Shen, Wen-Bin; Ding, Hao; Hwang, Cheinway; Li, Jin; Zhang, Tengxu

2015-10-14

Modeling nonlinear vertical components of a GPS time series is critical to separating sources contributing to mass displacements. Improved vertical precision in GPS positioning at stations for velocity fields is key to resolving the mechanism of certain geophysical phenomena. In this paper, we use ensemble empirical mode decomposition (EEMD) to analyze the daily GPS time series at 89 continuous GPS stations, spanning from 2002 to 2013. EEMD decomposes a GPS time series into different intrinsic mode functions (IMFs), which are used to identify different kinds of signals and secular terms. Our study suggests that the GPS records contain not only the well-known signals (such as semi-annual and annual signals) but also the seldom-noted quasi-biennial oscillations (QBS). The quasi-biennial signals are explained by modeled loadings of atmosphere, non-tidal and hydrology that deform the surface around the GPS stations. In addition, the loadings derived from GRACE gravity changes are also consistent with the quasi-biennial deformations derived from the GPS observations. By removing the modeled components, the weighted root-mean-square (WRMS) variation of the GPS time series is reduced by 7.1% to 42.3%, and especially, after removing the seasonal and QBO signals, the average improvement percentages for seasonal and QBO signals are 25.6% and 7.5%, respectively, suggesting that it is significant to consider the QBS signals in the GPS records to improve the observed vertical deformations.

"GP Psych Opinion": evaluation of a psychiatric consultation service.

PubMed

Simpson, Alex E; Emmerson, W Brett; Frost, Aaron D J; Powell, Jacinta L

2005-07-18

To evaluate a hospital-based psychiatric consultation service for patients referred by general practitioners (GPs), and the effect on its use of a focused marketing strategy aimed at GPs. Postal survey of GPs in the catchment area (inner north Brisbane, Queensland), September to November 2003; and assessment of referrals, March to August 2003. Patient referrals, satisfaction among GPs who had referred, and awareness and opinions of the service among GPs who had not referred, compared with results of a similar survey conducted before marketing. In the 6 months after marketing, 43 patients were referred by 23 GPs, an average of 7.2 patients per month, compared with 2.5 per month in the first 12 months of the service. Survey responses were received from 13 of 36 GPs who had referred patients and 97 of 282 GPs who had not (response rate, 35%). Satisfaction among GPs who had referred remained high, and 12/13 felt the service should continue. Among GPs who had not referred, 76% were aware of the service, up from 26% in the previous survey, and 99% liked the concept of the service. Given the ongoing low utilisation of this service, we question whether this model is accepted by most GPs in our district. Possibly, they prefer more traditional models, where treatment is taken over by psychiatrists in the public or private system. We believe there is a need to increase the capacity and scope of publicly funded services to treat mental health problems.

The Quasi-Biennial Vertical Oscillations at Global GPS Stations: Identification by Ensemble Empirical Mode Decomposition

PubMed Central

Pan, Yuanjin; Shen, Wen-Bin; Ding, Hao; Hwang, Cheinway; Li, Jin; Zhang, Tengxu

2015-01-01

Modeling nonlinear vertical components of a GPS time series is critical to separating sources contributing to mass displacements. Improved vertical precision in GPS positioning at stations for velocity fields is key to resolving the mechanism of certain geophysical phenomena. In this paper, we use ensemble empirical mode decomposition (EEMD) to analyze the daily GPS time series at 89 continuous GPS stations, spanning from 2002 to 2013. EEMD decomposes a GPS time series into different intrinsic mode functions (IMFs), which are used to identify different kinds of signals and secular terms. Our study suggests that the GPS records contain not only the well-known signals (such as semi-annual and annual signals) but also the seldom-noted quasi-biennial oscillations (QBS). The quasi-biennial signals are explained by modeled loadings of atmosphere, non-tidal and hydrology that deform the surface around the GPS stations. In addition, the loadings derived from GRACE gravity changes are also consistent with the quasi-biennial deformations derived from the GPS observations. By removing the modeled components, the weighted root-mean-square (WRMS) variation of the GPS time series is reduced by 7.1% to 42.3%, and especially, after removing the seasonal and QBO signals, the average improvement percentages for seasonal and QBO signals are 25.6% and 7.5%, respectively, suggesting that it is significant to consider the QBS signals in the GPS records to improve the observed vertical deformations. PMID:26473882

Power and powerlessness: GPs' narratives about lifestyle counselling.

PubMed

Abildsnes, Eirik; Walseth, Liv Tveit; Flottorp, Signe A; Stensland, Per S

2012-03-01

Power in doctor-patient relationships is asymmetrically distributed. The doctor holds resources the patient needs and has a mandate to promote healthy living. Power may benefit or harm the patients' health, and the doctor-patient relationship. To identify aspects of power and powerlessness in GPs' narratives about lifestyle counselling. A qualitative study using focus groups from peer-group meetings of Norwegian GPs attending continuing medical education. GPs discussed case stories about lifestyle counselling in focus groups. The discussions were transcribed and the text analysed using systematic text condensation. Aspects of power concerning the framework of the consultation and the GPs' professional role were found. Also identified were: power expressed by opportunistic approaches to change patients' lifestyle; rhetoric communication; paternalism; and disclosure. GPs reported powerlessness in complex communication, when there were difficulties reaching goals, and when patients resisted or ignored their proposals. Case-study discussions in peer groups disclose several aspects of power and powerlessness that occur in consultations. Consciousness about aspects of power may facilitate counselling that benefits the patient and the doctor-patient relationship.

GPs' thoughts on prescribing medication and evidence-based knowledge: the benefit aspect is a strong motivator. A descriptive focus group study.

PubMed

Skoglund, Ingmarie; Segesten, Kerstin; Björkelund, Cecilia

2007-06-01

To describe GPs' thoughts of prescribing medication and evidence-based knowledge (EBM) concerning drug therapy. Tape-recorded focus-group interviews transcribed verbatim and analysed using qualitative methods. GPs from the south-eastern part of Västra Götaland, Sweden. A total of 16 GPs out of 178 from the south-eastern part of the region strategically chosen to represent urban and rural, male and female, long and short GP experience. Transcripts were analysed using a descriptive qualitative method. The categories were: benefits, time and space, and expert knowledge. The benefit was a merge of positive elements, all aspects of the GPs' tasks. Time and space were limitations for GPs' tasks. EBM as a constituent of expert knowledge should be more customer adjusted to be able to be used in practice. Benefit was the most important category, existing in every decision-making situation for the GP. The core category was prompt and pragmatic benefit, which was the utmost benefit. GPs' thoughts on evidence-based medicine and prescribing medication were highly related to reflecting on benefit and results. The interviews indicated that prompt and pragmatic benefit is important for comprehending their thoughts.

Large-Strain Monitoring Above a Longwall Coal Mine With GPS and Seismic Measurements

NASA Astrophysics Data System (ADS)

Swanson, P. L.; Andreatta, V.; Meertens, C. M.; Krahenbuhl, T.; Kenner, B.

2001-12-01

As part of an effort to evaluate continuous GPS measurements for use in mine safety studies, a joint GPS-seismic experiment was conducted at an underground longwall coal mine near Paonia, Colorado in June, 2001. Seismic and deformation signals were measured using prototype low-cost monitoring systems as a longwall panel was excavated 150 m beneath the site. Data from both seismic and GPS instruments were logged onto low-power PC-104 Linux computers which were networked using a wireless LAN. The seismic system under development at NIOSH/SRL is based on multiple distributed 8-channel 24-bit A/D converters. The GPS system uses a serial single-frequency (L1) receiver and UNAVCO's "Jstream" Java data logging software. For this experiment, a continuously operating dual-frequency GPS receiver was installed 2.4 km away to serve as a reference site. In addition to the continuously operating sites, 10 benchmarks were surveyed daily with short "rapid-static" occupations in order to provide greater spatial sampling. Two single-frequency sites were located 35 meters apart on a relatively steep north-facing slope. As mining progressed from the east, net displacements of 1.2 meters to the north and 1.65 meters of subsidence were observed over a period of 6 days. The east component exhibited up to 0.45 meters of eastward displacement (toward the excavation) followed by reverse movement to the west. This cycle, observed approximately two days earlier at the eastern L1 site, is consistent with a change in surface strain from tension to compression as the excavation front passed underneath. As this strain "wave" propagated across the field site, surface deformation underwent a cycle of tension crack nucleation, crack opening (up to 15 cm normal displacements), subsequent crack closure, and production of low-angle-thrust compressional deformation features. Analysis of seismic results, surface deformation, and additional survey results are presented.

NoWMex: Continuous GNSS Sites in Northwest Mexico

NASA Astrophysics Data System (ADS)

Gonzalez-Garcia, J. J.; Gonzalez-Ortega, J. A.

2008-05-01

Nowadays GPS has become part of daily life activities. In the near future, with the GPS modernization and the use of Glonass and Galileo as a Global Navigation Satellite System will give relative location precision from decimeters to millimeters in near real time applications. In order to realize this, we need a global array of continuously operating GNSS stations built to meet the standards of the geophysical communities and linked with gravimetric local measurements to discern the vertical component of our active Earth. Trying to follow this revolution, CICESE has been working with GPS since 1985. The GPS site CICE was built as an IGS reference station in 1995. Afterward we built 5 more continuous GPS sites in Northwest Mexico with the support of SCIGN. The CGPS NoWMex network is currently made up of six sites: CIC1, SPMX, CORX, GUAX, USMX and YESX (sopac.ucsd.edu). Recently, we implemented an experimental GPS processing lab as part of the Geodesy and Geodynamics Laboratory in the Seismology Department at CICESE. 30 stations are now currently processed from the network Red Geodesica Nacional Activa (RGNA-INEGI), NoWMex, and sites in neighbor countries. Fiducials solutions in ITRF2000 are obtained using GAMIT/GLOBK 10.31 with final igs orbits, every month since 2006. In order to make a contribution to densification of ITRF and support NAREF, SIRGAS and SNARF issues related to scientific and geomatics results; we are looking for internal (Mexican) and external colleagues as well as funding for maintenance and increase the number of CGNSS in NoWMeX including southern Basin and Ranger (Sonora, Chihuahua, Sinaloa and Durango), Gulf of California islands, Peninsular Californias, Nayarit, Jalisco, Colima and the Mexican Pacific islands: Guadalupe (2 more sites), Cedros, Socorro (DORIS site), Clarion and Tres Marias. We must to build more and free available CGNSS sites in and around Mexico to contribute to sea level rise and global change studies.

Long-period GPS waveforms. What can GPS bring to Earth seismic velocity models?

NASA Astrophysics Data System (ADS)

Kelevitz, Krisztina; Houlié, Nicolas; Boschi, Lapo; Nissen-Meyer, Tarje; Giardini, Domenico

2014-05-01

It is now commonly admitted that high rate GPS observations can provide reliable surface displacement waveforms (Cervelli, et al., 2001; Langbein, et al., 2006; Houlié, et al., 2006; Houlié et al., 2011). For long-period (T>5s) transients, it was shown that GPS and seismometer (STS-1) displacements are in agreement at least for vertical component (Houlié, et al., Sci. Rep. 2011). We propose here to supplement existing long-period seismic networks with high rate (>= 1Hz) GPS data in order to improve the resolution of global seismic velocity models. GPS measurements are providing a wide range of frequencies, going beyond the range of STS-1 in the low frequency end. Nowadays, almost 10.000 GPS receivers would be able to record data at 1 Hz with 3000+ stations already streaming data in Real-Time (RT). The reasons for this quick expansion are the price of receivers, their low maintenance, and the wide range of activities they can be used for (transport, science, public apps, navigation, etc.). We are presenting work completed on the 1Hz GPS records of the Hokkaido earthquake (25th of September, 2003, Mw=8.3). 3D Waveforms have been computed with an improved, stabilised inversion algorithm in order to constrain the ground motion history. Through the better resolution of inversion of the GPS phase observations, we determine displacement waveforms of frequencies ranging from 0.77 mHz to 330 mHz for a selection of sites. We compare inverted GPS waveforms with STS-1 waveforms and synthetic waveforms computed using 3D global wave propagation with SPECFEM. At co-located sites (STS-1 and GPS located within 10km) the agreement is good for the vertical component between seismic (both real and synthetic) and GPS waveforms.

Surveillance for collision avoidance with integrity using raw measurements in the automatic dependent surveillance-broadcast

NASA Astrophysics Data System (ADS)

Vana, Sudha; Uijt de Haag, Maarten

2010-04-01

This paper discusses an alternative ADS-B implementation that uses available provisions (Mode-S, UAT and GPS receivers) and existing GPS algorithms and techniques. This alternative has many advantages over the current ADS-B implementation, especially with respect to integrity of the solution. The paper will describe the methodology, its advantages, simulation results and implementation issues.

Physicians' characteristics associated with exploring suicide risk among patients with depression: a French panel survey of general practitioners.

PubMed

Bocquier, Aurélie; Pambrun, Elodie; Dumesnil, Hélène; Villani, Patrick; Verdoux, Hélène; Verger, Pierre

2013-01-01

General practitioners (GPs) have a key role to play in suicide prevention, but the rates at which they question patients with depression about suicidal thoughts and plans are rather low. Little is known about GPs' characteristics associated with such inquiries. Our objectives were to describe GPs' attitudes, perceived barriers, and self-reported practices in this questioning of these patients and to analyze factors associated with these practices. This cross-sectional survey was conducted among participants in a panel of randomly selected French GPs (1249/1431 participated: 87.3%). GPs were interviewed with a standardized questionnaire covering their professional and personal characteristics, attitudes, and practices in exploring the suicide risk of their patients with depression. We built a suicide inquiry score by summing the responses to 5 items and used a multiple linear regression analysis to explore the characteristics associated with this score. Most GPs reported inquiring about the presence of suicidal ideation often or very often; less than 30% reported that they frequently explored signs of a specific suicide plan. The mean suicide inquiry score was 12.4 (SD, 2.9; range, 5-20). False ideas, such as thinking that patients who report suicidal ideas do not often commit suicide, were frequent (42.3%). Previous continuing medical education on suicide, participation in a formal mental health network, and patients who committed suicide in the past 5 years were associated with a higher score. Reluctance to question patients about suicide and perception of insufficient skill were associated with a lower score. This study showed great variability in French GPs' practices in exploring suicide risk in patients with depression. Interventions aiming at improving GPs' initial training and continuing medical education in suicide and/or depression, and their collaboration with mental health specialists should be developed, and their impacts assessed.

Compaction of Aquifer at Different Depths: Observations from a Vertical GPS Array in the Coastal Center of the University of Houston, Texas

NASA Astrophysics Data System (ADS)

Lee, D.; Kearns, T.; Yang, L.; Wang, G.

2014-12-01

Houston and the surrounding Harris County have experienced the detrimental effects of subsidence even prior to World War II, to the extent that the land along Galveston Bay had sunk as much as 20 feet since 1906. One dramatic example is the Brownwood subdivision, a coastal community in Baytown where continuous flooding due to subsidence forced the area to be deemed unlivable and consequently abandoned. Thus, Houston's changes in groundwater and compaction of its aquifers are of relatively high concern to those in the public (infrastructure), private (oil & gas), and international (Port of Houston Authority) sectors. One of the key questions related to the subsidence issue in Houston area is what are the contributions of sediments at different depths, and what particularly is the contribution from shallow sediments? To address these questions, University of Houston has installed a vertical GPS array in the UH Coastal Center in March 2014. The GPS array includes four permanent GPS stations with the antenna pole foundations anchored at different depths below ground surface (-10 m, -7m, -4m, 0 m). A special, double-pipe GPS antenna monument was designed for GPS stations with the array. This project was funded by an NSF grant and a UH internal grant. Five groundwater wells with the depths ranging from 2 m to 100 m below the ground surface were also installed at the UH Coastal Center site. This study will investigate continuous GPS and groundwater level measurements (March-November, 2014) at the UHCC site. It is expected that the GPS array will provide total information on subsidence as well as compaction of aquifers within different depth ranges (0 to -4m, -4 to -7 m, -7 to -10m, and below -10 m). Correlation of land subsidence and groundwater fluctuation will also be investigated.

Supporting EarthScope Cyber-Infrastructure with a Modern GPS Science Data System

NASA Astrophysics Data System (ADS)

Webb, F. H.; Bock, Y.; Kedar, S.; Jamason, P.; Fang, P.; Dong, D.; Owen, S. E.; Prawirodirjo, L.; Squibb, M.

2008-12-01

Building on NASA's investment in the measurement of crustal deformation from continuous GPS, we are developing and implementing a Science Data System (SDS) that will provide mature, long-term Earth Science Data Records (ESDR's). This effort supports NASA's Earth Surface and Interiors (ESI) focus area and provide NASA's component to the EarthScope PBO. This multi-year development is sponsored by NASA's Making Earth System data records for Use in Research Environments (MEaSUREs) program. The SDS integrates the generation of ESDRs with data analysis and exploration, product generation, and modeling tools based on daily GPS data that include GPS networks in western North America and a component of NASA's Global GPS Network (GGN) for terrestrial reference frame definition. The system is expandable to multiple regional and global networks. The SDS builds upon mature data production, exploration, and analysis algorithms developed under NASA's REASoN, ACCESS, and SENH programs. This SDS provides access to positions, time series, velocity fields, and strain measurements derived from continuous GPS data obtained at tracking stations in both the Plate Boundary Observatory and other regional Western North America GPS networks, dating back to 1995. The SDS leverages the IT and Web Services developments carried out under the SCIGN/REASoN and ACCESS projects, which have streamlined access to data products for researchers and modelers, and which have created a prototype an on-the-fly interactive research environment through a modern data portal, GPS Explorer. This IT system has been designed using modern IT tools and principles in order to be extensible to any geographic location, scale, natural hazard, and combination of geophysical sensor and related data. We have built upon open GIS standards, particularly those of the OGC, and have used the principles of Web Service-based Service Oriented Architectures to provide scalability and extensibility to new services and capabilities.

Development of the TLALOCNet GPS-Met Network in Northwestern Mexico: Supporting Continuous Water Vapor Observations of the North American Monsoon

NASA Astrophysics Data System (ADS)

Galetzka, J.; Feaux, K.; Cabral, E.; Salazar-Tlaczani, L.; Adams, D. K.; Serra, Y. L.; Mattioli, G. S.; Miller, M. M.

2014-12-01

TLALOCNet is a combined atmospheric and tectonic cGPS-Met network in Mexico designed for the investigation of climate, atmospheric processes, the earthquake cycle, and tectonics. While EarthScope-Plate Boundary Observatory (conterminous US, Alaska, Puerto Rico) is among the networks poised to become a nucleus for hemisphere-scale GPS observations, the completion of TLALOCNet at the end of 2015 will close a gap between PBO and other Latin American GPS networks that include COCONet (Central America, Caribbean, and Northern South America), CAnTO, CAP, and IGS extending from Alaska to Patagonia. The National Science Foundation funded the construction and operation of TLALOCNet, with significant matching funds and resources provided by the Universidad Nacional Autónoma de México (UNAM). The project will involve the construction or refurbishment of 38 cGPS-Met stations in Mexico built to PBO standards. The first three TLALOCNet stations were installed in the northern Mexican states of Sonora and Chihuahua in July 2014, following the North American Monsoon GPS Transect Experiment 2013. Together these observations better characterize critical components of water transport in the region. Data from these stations are now available through the UNAVCO data archive and can be downloaded from http://facility.unavco.org/data/dai2/app/dai2.html#. By the end of 2014, TLALOCNet data, together with complementary data from other regional cGPS networks in Mexico, will also be openly available through a Mexico-based data center. We will present the status of the project to date, including an overview of the station hardware, data communications, data flow, construction schedule, and science objectives. We will also present some of the challenges encountered, including regional logistics, shipping and importation, site security, and other issues associated with the construction and operation of a large continuous GPS network.

Physicians' Characteristics Associated with Exploring Suicide Risk among Patients with Depression: A French Panel Survey of General Practitioners

PubMed Central

Bocquier, Aurélie; Pambrun, Elodie; Dumesnil, Hélène; Villani, Patrick; Verdoux, Hélène; Verger, Pierre

2013-01-01

Background General practitioners (GPs) have a key role to play in suicide prevention, but the rates at which they question patients with depression about suicidal thoughts and plans are rather low. Little is known about GPs' characteristics associated with such inquiries. Our objectives were to describe GPs' attitudes, perceived barriers, and self-reported practices in this questioning of these patients and to analyze factors associated with these practices. Methodology This cross-sectional survey was conducted among participants in a panel of randomly selected French GPs (1249/1431 participated: 87.3%). GPs were interviewed with a standardized questionnaire covering their professional and personal characteristics, attitudes, and practices in exploring the suicide risk of their patients with depression. We built a suicide inquiry score by summing the responses to 5 items and used a multiple linear regression analysis to explore the characteristics associated with this score. Principal Findings Most GPs reported inquiring about the presence of suicidal ideation often or very often; less than 30% reported that they frequently explored signs of a specific suicide plan. The mean suicide inquiry score was 12.4 (SD, 2.9; range, 5–20). False ideas, such as thinking that patients who report suicidal ideas do not often commit suicide, were frequent (42.3%). Previous continuing medical education on suicide, participation in a formal mental health network, and patients who committed suicide in the past 5 years were associated with a higher score. Reluctance to question patients about suicide and perception of insufficient skill were associated with a lower score. Conclusions/Significance This study showed great variability in French GPs' practices in exploring suicide risk in patients with depression. Interventions aiming at improving GPs' initial training and continuing medical education in suicide and/or depression, and their collaboration with mental health specialists should be developed, and their impacts assessed. PMID:24339883

Rail inspection system based on iGPS

NASA Astrophysics Data System (ADS)

Fu, Xiaoyan; Wang, Mulan; Wen, Xiuping

2018-05-01

Track parameters include gauge, super elevation, cross level and so on, which could be calculated through the three-dimensional coordinates of the track. The rail inspection system based on iGPS (indoor/infrared GPS) was composed of base station, receiver, rail inspection frame, wireless communication unit, display and control unit and data processing unit. With the continuous movement of the inspection frame, the system could accurately inspect the coordinates of rail; realize the intelligent detection and precision measurement. According to principle of angle intersection measurement, the inspection model was structured, and detection process was given.

Non-dynamic decimeter tracking of earth satellites using the Global Positioning System

NASA Technical Reports Server (NTRS)

Yunck, T. P.; Wu, S. C.

1986-01-01

A technique is described for employing the Global Positioning System (GPS) to determine the position of a low earth orbiter with decimeter accuracy without the need for user dynamic models. A differential observing strategy is used requiring a GPS receiver on the user vehicle and a network of six ground receivers. The technique uses the continuous record of position change obtained from GPS carrier phase to smooth position measurements made with pseudo-range. The result is a computationally efficient technique that can deliver decimeter accuracy down to the lowest altitude orbits.

GP Practices as a One-Stop Shop: How Do Patients Perceive the Quality of Care? A Cross-Sectional Study in Thirty-Four Countries.

PubMed

Schäfer, Willemijn L A; Boerma, Wienke G W; Schellevis, François G; Groenewegen, Peter P

2017-12-29

To contribute to the current knowledge on how a broad range of services offered by general practitioners (GPs) may contribute to the patient perceived quality and, hence, the potential benefits of primary care. Between 2011 and 2013, primary care data were collected among GPs and their patients in 31 European countries, plus Australia, Canada, and New Zealand. In these countries, GPs are the main providers of primary care, mostly specialized in family medicine and working in the ambulatory setting. In this cross-sectional study, questionnaires were completed by 7,183 GPs and 61,931 visiting patients. Moreover, 7,270 patients answered questions about what they find important (their values). In the analyses of patient experiences, we adjusted for patients' values in each country to measure patient perceived quality. Perceived quality was measured regarding five areas: accessibility and continuity of care, doctor-patient communication, patient involvement in decision making, and comprehensiveness of care. The range of GP services was measured in relation to four areas: (1) to what extent they are the first contact to the health care system for patients in need of care, (2) their involvement in treatment and follow-up of acute and chronic conditions, in other words treatment of diseases, (3) their involvement in minor technical procedures, and (4) their involvement in preventive treatments. Data of the patients were linked to the data of the GPs. Multilevel modeling was used to construct scale scores for the experiences of patients in the five areas of quality and the range of services of GPs. In these four-level models, items were nested within patients, nested in GP practices, nested in countries. The relationship between the range of services and the experiences of patients was analyzed in three-level multilevel models, also taking into account the values of patients. In countries where GPs offer a broader range of services patients perceive better accessibility, continuity, and comprehensiveness of care, and more involvement in decision making. No associations were found between the range of services and the patient perceived communication with their GP. The range of GP services mostly explained the variation between countries in the areas of patient perceived accessibility and continuity of care. This study showed that in countries where GP practices serve as a "one-stop shop," patients perceive better quality of care, especially in the areas of accessibility and continuity of care. Therefore, primary care in a country is expected to benefit from investments in a broader range of services of GPs or other primary care physicians. © Health Research and Educational Trust.

Timing Comparisons for GLEs and High-energy Proton Events using GPS Proton Measurements

NASA Astrophysics Data System (ADS)

Bernstein, V.; Winter, L. M.; Carver, M.; Morley, S.

2017-12-01

The newly released LANL GPS particle sensor data offers a unique snapshot of access of relativistic particles into the geomagnetic field. Currently, 23 of the 31 operational GPS satellites host energetic particle detectors which can detect the arrival of high-energy solar protons associated with Ground Level Enhancements (GLEs). We compare the timing profiles of solar energetic proton detections from GPS satellites as well as from ground-based Neutron Monitors and GOES spacecraft at geostationary orbit in order to understand how high-energy protons from the Sun enter the geomagnetic field and investigate potential differences in arrival time of energetic protons at GPS satellites as a function of location. Previous studies could only use one or two spacecraft at a similar altitude to track the arrival of energetic particles. With GPS data, we can now test whether the particles arrive isotropically, as assumed, or whether there exist differences in the timing and energetics viewed by each of the individual satellites. Extensions of this work could lead to improvements in space weather forecasting that predict more localized risk estimates for space-based technology.

Comparison of GLONASS and GPS time transfers between two west European time laboratories and VNIIFTRI

NASA Technical Reports Server (NTRS)

Daly, P.; Koshelyaevsky, N. B.; Lewandowski, Wlodzimierz; Petit, Gerard; Thomas, Claudine

1992-01-01

The University of Leeds built a Global Positioning System/Global Orbiting Navigation Satellite System (GPS/GLONASS) receiver about five years ago and since then has provided continuous information about GLONASS time and its comparison with GPS time. For the last two years, VNIIFTRI (All Union Institute for Physical, Technical and Radiotechnical Measurements) and some other Soviet time laboratories have used Soviet built GLONASS navigation receivers for time comparisons. Since June 1991, VNIIFTIR has been operating a GPS time receiver on loan from the BIPM (Bureau International des Poids et Mesures). This offered, for the first time, an opportunity for direct comparison of time transfers using GPS and GLONASS. This experiment shows that even with relatively imprecise data recording and processing, in terms of time metrology, GLONASS can provide continental time transfer at a level of several tens of nanoseconds.

Characters of Vertical Variability with Geodetic Satellites and Ground-based Continuous GPS in Taiwan

NASA Astrophysics Data System (ADS)

Yang, C.-C.; Wu, Y.-H.; Chao, B. F.; Yu, S.-B.

2009-04-01

Present-day GPS network have been extensively used to monitor crustal deformation due to various geodynamic mechanisms. Situated among the Pacific Ring of Fire on the suture zone of Eurasian and Philippine Sea Plates, the island of Taiwan with a dense continuous GPS network since ~1996 and now over 300 stations sees plenty of geophysical phenomena including particularly prominent crustal motions. We assessed daily solution of each station's coordinate time series, and made the routine corrections, such as orbital, EOP, atmospheric and tidal corrections, using GAMIT/GLOBK software (with ITRF05). We then employ the Quasi-Observation Combination Analysis (QOCA) package to obtain the variability and trend after removing occasional earthquake "disruptions". Preliminary results show strong seasonal variations. We then utilize the numerical method of Empirical Orthogonal Function (EOF) to analysis the geophysical signals from the continuous and dense GPS vertical crustal motion observations. We wish to be able to characterize both the seasonal and non-seasonal variability in the vertical crustal motion, in terms of the EOF modes in the spatial domain over Taiwan (plus a few offshore islets) with time evolution spanning the entire period of time. Corraborating with time-variable gravity data from the geodetic satellite mission GRACE, we can further obtain vertical components of both mass-induced loading with respect to the precipitation minus evaporation and the crustal motion caused by the active tectonic processes on Taiwan.

Inflation of Long Valley Caldera from 1 year of continuous GPS observations

NASA Technical Reports Server (NTRS)

Webb, Frank H.; Bursik, Marcus; Dixon, Timothy; Farina, Frederic; Marshall, Grant; Stein, Ross S.

1995-01-01

A permanent Global Positioning System (GPS) receiver at Casa Diablo Hot Springs, Long Valley Caldera, California was installed in January, 1993, and has operated almost continuously since then. The data have been transmitted daily to the Jet Propulsion Laboratory (JPL) for routine analysis with data from the Fiducial Laboratories for an International Natural sciences Network (FLINN) by the JPL FLINN analysis center. Results from these analyses have been used to interpret the on going deformation at Long Valley, with data excluded from periods when the antenna was covered under 2.5 meters of snow and from some periods when Anti Spoofing was enforced on the GPS signal. The remaining time series suggests that uplift of the resurgent dome of Long Valley Caldera during 1993 has been 2.5 +/- 1.1 cm/yr and horizontal motion has been 3.0 +/- 0.7 cm/yr at S53W in a no-net-rotation global reference frame, or 1.5 +/- 0.7 cm/yr at S14W relative to the Sierra Nevada block. These rates are consistent with uplift predicted from frequent horizontal strain measurements. Spectral analysis of the observations suggests that tidal forcing of the magma chamber is not a source of the variability in the 3 dimensional station location. These results suggest that remotely operated, continuously recording GPS receivers could prove to be a reliable tool for volcanic monitoring throughout the world.

Clustering of GPS velocities in the Mojave Block, southeastern California

USGS Publications Warehouse

Savage, James C.; Simpson, Robert W.

2013-01-01

We find subdivisions within the Mojave Block using cluster analysis to identify groupings in the velocities observed at GPS stations there. The clusters are represented on a fault map by symbols located at the positions of the GPS stations, each symbol representing the cluster to which the velocity of that GPS station belongs. Fault systems that separate the clusters are readily identified on such a map. The most significant representation as judged by the gap test involves 4 clusters within the Mojave Block. The fault systems bounding the clusters from east to west are 1) the faults defining the eastern boundary of the Northeast Mojave Domain extended southward to connect to the Hector Mine rupture, 2) the Calico-Paradise fault system, 3) the Landers-Blackwater fault system, and 4) the Helendale-Lockhart fault system. This division of the Mojave Block is very similar to that proposed by Meade and Hager. However, no cluster boundary coincides with the Garlock Fault, the northern boundary of the Mojave Block. Rather, the clusters appear to continue without interruption from the Mojave Block north into the southern Walker Lane Belt, similar to the continuity across the Garlock Fault of the shear zone along the Blackwater-Little Lake fault system observed by Peltzer et al. Mapped traces of individual faults in the Mojave Block terminate within the block and do not continue across the Garlock Fault [Dokka and Travis, ].

Present-day crustal motion around eastern margin of the Pamir plateau from GPS measurements

NASA Astrophysics Data System (ADS)

Pan, Z.; He, J.; Zhou, Y.; Wang, W.

2017-12-01

The Pamir plateau is featured mainly by northward convex thrust faults in its center and by strike-slip faults on its western and eastern sides. To better describe the deformation pattern of the Pamir plateau, a new campaign-mode GPS network has been deployed with 18 stations around the boundary between the Pamir and the Tarim since 2012. The network has been surveyed 3 times, and each site has been surveyed for at least 48 hours with Trimble NetR8 receivers and zephyr geodetic antennas. By combining the nearest Continuous GPS sites (GUAO KIT3 POL2 CHUM URUM ARTU BJFS IISC IRKT LHAZ SHAO ULAB WUHN YIBL), we then processed the observing data with GAMIT/GLOBK software to obtain the velocity field of the network. Results show that, unlike the western margin of the Pamir plateau where significant ( 9mm/yr) left-lateral motion between the Tajik basin and the Pamir was observed, the eastern margin between the Pamir and the Tarim exists negligible strike-slip motion along the boundary. However, perpendicular to the Pamir-Tarim boundary, we observed clearly coeval extension and compression strain across this boundary. By calibrating the strain distribution and the simplified structure profiles, it can be seen that the extension rate locates mainly around the Tashkurghan basin; while the compression strain around the Tashkurghan basin and the Tarim basin. We also predicted that among the total strain rate, the extension rate is about 4-6mm/yr and the compression rate about 2-3mm/yr. This suggests that the general tectonic stress across the eastern margin of the Pamir plateau is extension, in agreement with previous result of anti-clockwise rotation of the Pamir. Finally, the possible mechanics on co-existence of extension and compression along same direction has been discussed by building a two-dimensional viscoelastic finite model.

GPS/GLONASS Time Transfer with 20-Channel Dual GNSS Receiver

NASA Technical Reports Server (NTRS)

Daly, P.; Riley, S.

1996-01-01

One of the world's two global navigation systems, the Global Positioning System (GPS), is already fully operational (April 1994) and the other, the Global Navigation Satellite System (GLONASS) will become operational by the end of 1995 or early 1996. Each will offer, independently of the other, precise location and time transfer continuously anywhere in the world and indeed in space itself. Many potential users, in particular the civil aviation community, are keenly interested in a joint GPS/GLONASS operation since it would offer substantial advantages in defining and maintaining the integrity of the navigation aid. Results are presented on the characterization of GPS/GLONASS time comparison using a 20-channel dual receiver developed and constructed at the University of Leeds, UK.

GPs' prescription routines and cooperation with other healthcare personnel before and after implementation of multidose drug dispensing.

PubMed

Wekre, Liv Johanne; Bakken, Kjersti; Garåsen, Helge; Grimsmo, Anders

2012-08-01

This study addresses GPs' attitudes towards multidose drug dispensing before and after implementation and their perceived experience of how multidose drug dispensing affects prescription and communication routines for patients in the home care services. This study contributes to a method triangulation with two other studies on the introduction of multidose drug dispensing in Trondheim. A controlled before-and-after study carried out in Trondheim (intervention) and Tromsø (control). A questionnaire was distributed to all GPs in the two towns in 2005 with a follow-up questionnaire in 2008. The GPs in Trondheim showed a positive attitude to multidose drug dispensing both before and after the implementation. Increased workload was reported, but still the GPs wanted the system to be continued. Most of the GPs reported a better overview of the patients' medication and a supposed reduction in medication errors. The GPs' prescription- and communication routines were changed only for the multidose drug users and not for the other patients in the home care services. The study supports the results presented in two previous publications according to GPs' positive attitude towards multidose drug dispensing, their better overview of the patients' medications, and improved cooperation with the pharmacy. This study adds to our understanding of prescription routines among GPs and the use of the medication module in the electronic health record.

Tracking magma volume recovery at okmok volcano using GPS and an unscented kalman filter

USGS Publications Warehouse

Fournier, T.; Freymueller, Jeffrey T.; Cervelli, Peter

2009-01-01

Changes beneath a volcano can be observed through position changes in a GPS network, but distinguishing the source of site motion is not always straightforward. The records of continuous GPS sites provide a favorable data set for tracking magma migration. Dense campaign observations usually provide a better spatial picture of the overall deformation field, at the expense of an episodic temporal record. Combining these observations provides the best of both worlds. A Kalman filter provides a means for integrating discrete and continuous measurements and for interpreting subtle signals. The unscented Kalman filter (UKF) is a nonlinear method for time-dependent observations. We demonstrate the application of this technique to deformation data by applying it to GPS data collected at Okmok volcano. Seven years of GPS observations at Okmok are analyzed using a Mogi source model and the UKF. The deformation source at Okmok is relatively stable at 2.5 km depth below sea level, located beneath the center of the caldera, which means the surface deformation is caused by changes in the strength of the source. During the 7 years of GPS observations more than 0.5 m of uplift has occurred, a majority of that during the time period January 2003 to July 2004. The total volume recovery at Okmok since the last eruption in 1997 is ??60-80%. The UKF allows us to solve simultaneously for the time-dependence of the source strength and for the location without a priori information about the source. ?? 2009 by the American Geophysical Union.

Placebo use in the UK: a qualitative study exploring GPs' views on placebo effects in clinical practice.

PubMed

Bishop, Felicity L; Howick, Jeremy; Heneghan, Carl; Stevens, Sarah; Hobbs, F D Richard; Lewith, George

2014-06-01

Surveys show GPs use placebos in clinical practice and reported prevalence rates vary widely. To explore GPs' perspectives on clinical uses of placebos. A web-based survey of 783 UK GPs' use of placebos in clinical practice. Qualitative descriptive analysis of written responses ('comments') to three open-ended questions. Comments were classified into three categories: (i) defining placebos and their effects in general practice; (ii) ethical, societal and regulatory issues faced by doctors and (iii) reasons why a doctor might use placebos and placebo effects in clinical practice. GPs typically defined placebos as lacking something, be that adverse or beneficial effects, known mechanism of action and/or scientific evidence. Some GPs defined placebos positively as having potential to benefit patients, primarily through psychological mechanisms. GPs described a broad array of possible harms and benefits of placebo prescribing, reflecting fundamental bioethical principles, at the level of the individual, the doctor-patient relationship, the National Health Service and society. While some GPs were adamant that there was no place for placebos in clinical practice, others focused on the clinically beneficial effects of placebos in primary care. This study has elucidated specific costs, benefits and ethical barriers to placebo use as perceived by a large sample of UK GPs. Stand-alone qualitative work would provide a more in-depth understanding of GPs' views. Continuing education and professional guidance could help GPs update and contextualize their understanding of placebos and their clinical effects. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Absolute Sea-level Monitoring and Altimeter Calibration Facility at Gavdos, Crete, Greece

NASA Astrophysics Data System (ADS)

Pavlis, E. C.

2002-12-01

We introduce the recently instrumented mean sea level (MSL) monitoring facility on western Crete and the isle of Gavdos. We will focus on the altimeter calibration aspect of the facility, in particular, its application to the JASON mission. The Eastern Mediterranean area is one of great interest for its intense tectonic activity as well as for its regional oceanography. Recent observations have convincingly demonstrated the importance of that area for the regional meteorological and climatologic changes. Tide-gauge monitoring with continuous GPS has gained importance lately since tectonics contaminate the inferred sea level variations, and a global network of tide-gauges with long historical records can be used as satellite altimeter calibration sites (e.g. TOPEX/POSEIDON, GFO, JASON-1, ENVISAT, etc.). This is at present a common IOC-GLOSS-IGS effort, already underway (TIGA), and our facility is part of it. Crete hosts two of the oldest tide-gauges in the regional network and our project will further expand it to the south with a new site on the isle of Gavdos, the southernmost European parcel of land. One component of our "GAVDOS" project is the repeated occupation of two already in existence tide-gauge sites at Souda Bay and Heraklion, and their tie to the new facility. We show here initial results from positioning of these sites and some of the available tidal records. Gavdos is situated under a ground-track crossing point of the original T/P and present JASON-1 orbits. It is an ideal calibration site if the tectonic motions are monitored precisely and continuously. The facility hosts in addition to the tide gauges: GPS and DORIS beacons for positioning, transponders for direct calibration, water vapor radiometers and solar spectrometers, GPS-loaded buoys, airborne surveys with gravimeters and laser profiling lidars, transportable laser ranging systems, etc., to ensure the best possible and most reliable results.

Reconciling geodetic and geologic slip rates along the Carboneras fault in the Betics: work in progress

NASA Astrophysics Data System (ADS)

Khazaradze, Giorgi; López, Robert; Pallàs, Raimon; Bordonau, Jaume; Masana, Eulàlia

2017-04-01

As part of the recently initiated research project we are in the process of studying in detail the geodynamic behavior of the Carboneras fault in the SE Betics in Spain. Specifically, we plan to quantify the geodetic and geologic slip rates for the onland section of the fault, as well as getting some insight on the state of locking of the fault. As a result of our previous GPS observations, we have been able to illustrate the continuing tectonic activity of the Carboneras fault, expressed mainly as a left-lateral strike slip motion of 1.3±0.2 mm/yr (Echeverria et al., 2015). To reveal how the deformation is partitioned between different structures, 3 new continuous GPS points are being established along fault-perpendicular profile. In addition, since summer 2016, we have conducted surveys of the nearby CuaTeNeo and IGN Regente points. We have also established and measured several new geodetic points in the vicinity of the fault, with the aim of increasing the spatial coverage around it. The above-mentioned geodetic, short-term, slip rates are in surprisingly good agreement with the estimates of geologic slip rates based on paleoseismic studies, which indicate a minimum strike-slip rate of 1.31 mm/yr and a dip-slip rate of 0.05 mm/yr since 110.3 ka (Moreno et al. 2015). In order to increase the paleoseismic event database, 6 new sites have been identified along the fault, where further paleoseismic trenching surveys will be conducted within the coming years. These new data, combined with the findings of the recent geomorphological study of river offsets (Ferrater, 2016) and new GPS observations, should significantly improve the reliability of the existent deformation data and as a consequence, contribute to better understanding the seismic hazard posed by the Carbonears fault in the SE Betics. This work is funded by the project PREVENT (CGL2015-66263-R), financed by the Ministry of Economy, Industry and Competitiveness.

Paperless migrants and Norwegian general practitioners.

PubMed

Aarseth, Svein; Kongshavn, Trygve; Maartmann-Moe, Kjell; Hjortdahl, Per

2016-06-01

In Norway, the rights of paperless migrants are restricted. We wished to investigate the extent to which Norwegian general practitioners give treatment to this group and their grounds for doing so, as well as to identify the health problems that were presented. In 2010, an online questionnaire was distributed to 3 994 general practitioners who were members of the Norwegian Medical Association. Altogether 1 027 GPs responded. Of these, 237 (23 %) reported to have treated paperless migrants. Mental problems, pregnancy-related issues and respiratory ailments were the most frequently reported reasons for contact. Of the 237 GPs who reported to have treated paperless migrants, altogether 166 (70 %) stated that they would continue to receive these patients. The fact that most of the GPs who had treated paperless migrants would continue to receive this patient group and thus provide health services beyond this group’s entitlements, we regard as a wish to comply with the Code of Ethics for Norwegian doctors.

General practitioners' clinical expertise in managing suicidal young people: implications for continued education.

PubMed

Michail, Maria; Tait, Lynda; Churchill, Dick

2017-09-01

Aim To examine general practitioners' (GPs) clinical expertise in assessing, communicating with, and managing suicidal young people aged 14-25 to inform the development of an educational intervention for GPs on youth suicide prevention. Suicide is the second leading cause of death for young people worldwide. GPs are ideally suited to facilitate early identification and assessment of suicide risk. However, GPs' levels of competence, knowledge, and attitudes towards suicidal young people have not yet been explored. A cross-sectional survey on GPs' levels of confidence in assessing and managing young people at risk of suicide; knowledge of risk factors and warning signs of suicide in young people; attitudes towards young suicidal people; and training preferences on managing suicide risk. Findings Seventy GPs completed the survey (30 males). The majority of GPs reported high levels of confidence in assessing and managing suicidality in young people. Experienced GPs demonstrated high levels of knowledge of suicide risk factors in young people but low levels of knowledge of warning signs that might indicate heightened risk. Although 48% of GPs disagreed that maintaining compassionate care is difficult with those who deliberately self-harm, GPs perceived communication with young people to be difficult, with one-third reporting frustration in managing those at risk of suicide. A total of 75% of GPs said they would be interested in receiving further training on assessing and managing young people at risk of suicide. The study has important implications for providing specialist training to support GPs in assessing and managing youth suicide risk and facilitating attitudinal change. GP education on youth suicide risk assessment and management should promote a holistic understanding and assessment of risk and its individual, social and contextual influences in line with clinical recommendations to facilitate therapeutic engagement and communication with young people.

Real-time GPS integration for prototype earthquake early warning and near-field imaging of the earthquake rupture process

NASA Astrophysics Data System (ADS)

Hudnut, K. W.; Given, D.; King, N. E.; Lisowski, M.; Langbein, J. O.; Murray-Moraleda, J. R.; Gomberg, J. S.

2011-12-01

Over the past several years, USGS has developed the infrastructure for integrating real-time GPS with seismic data in order to improve our ability to respond to earthquakes and volcanic activity. As part of this effort, we have tested real-time GPS processing software components , and identified the most robust and scalable options. Simultaneously, additional near-field monitoring stations have been built using a new station design that combines dual-frequency GPS with high quality strong-motion sensors and dataloggers. Several existing stations have been upgraded in this way, using USGS Multi-Hazards Demonstration Project and American Recovery and Reinvestment Act funds in southern California. In particular, existing seismic stations have been augmented by the addition of GPS and vice versa. The focus of new instrumentation as well as datalogger and telemetry upgrades to date has been along the southern San Andreas fault in hopes of 1) capturing a large and potentially damaging rupture in progress and augmenting inputs to earthquake early warning systems, and 2) recovering high quality recordings on scale of large dynamic displacement waveforms, static displacements and immediate and long-term post-seismic transient deformation. Obtaining definitive records of large ground motions close to a large San Andreas or Cascadia rupture (or volcanic activity) would be a fundamentally important contribution to understanding near-source large ground motions and the physics of earthquakes, including the rupture process and friction associated with crack propagation and healing. Soon, telemetry upgrades will be completed in Cascadia and throughout the Plate Boundary Observatory as well. By collaborating with other groups on open-source automation system development, we will be ready to process the newly available real-time GPS data streams and to fold these data in with existing strong-motion and other seismic data. Data from these same stations will also serve the very practical purpose of enabling earthquake early warning and greatly improving rapid finite-fault source modeling. Multiple uses of the effectively very broad-band data obtained by these stations, for operational and research purposes, are bound to occur especially because all data will be freely, openly and instantly available.

High-precision coseismic displacement estimation with a single-frequency GPS receiver

NASA Astrophysics Data System (ADS)

Guo, Bofeng; Zhang, Xiaohong; Ren, Xiaodong; Li, Xingxing

2015-07-01

To improve the performance of Global Positioning System (GPS) in the earthquake/tsunami early warning and rapid response applications, minimizing the blind zone and increasing the stability and accuracy of both the rapid source and rupture inversion, the density of existing GPS networks must be increased in the areas at risk. For economic reasons, low-cost single-frequency receivers would be preferable to make the sparse dual-frequency GPS networks denser. When using single-frequency GPS receivers, the main problem that must be solved is the ionospheric delay, which is a critical factor when determining accurate coseismic displacements. In this study, we introduce a modified Satellite-specific Epoch-differenced Ionospheric Delay (MSEID) model to compensate for the effect of ionospheric error on single-frequency GPS receivers. In the MSEID model, the time-differenced ionospheric delays observed from a regional dual-frequency GPS network to a common satellite are fitted to a plane rather than part of a sphere, and the parameters of this plane are determined by using the coordinates of the stations. When the parameters are known, time-differenced ionospheric delays for a single-frequency GPS receiver could be derived from the observations of those dual-frequency receivers. Using these ionospheric delay corrections, coseismic displacements of a single-frequency GPS receiver can be accurately calculated based on time-differenced carrier-phase measurements in real time. The performance of the proposed approach is validated using 5 Hz GPS data collected during the 2012 Nicoya Peninsula Earthquake (Mw 7.6, 2012 September 5) in Costa Rica. This shows that the proposed approach improves the accuracy of the displacement of a single-frequency GPS station, and coseismic displacements with an accuracy of a few centimetres are achieved over a 10-min interval.

GPS-PWV Estimation and Analysis for CGPS Sites Operating in Mexico

NASA Astrophysics Data System (ADS)

Gutierrez, O.; Vazquez, G. E.; Bennett, R. A.; Adams, D. K.

2014-12-01

Eighty permanent Global Positioning System (GPS) tracking stations that belong to several networks spanning Mexico intended for diverse purposes and applications were used to estimate precipitable water vapor (PWV) using measurement series covering the period of 2000-2014. We extracted the GPS-PWV from the ionosphere-free double-difference carrier phase observations, processed using the GAMIT software. The GPS data were processed with a 30 s sampling rate, 15-degree cutoff angle, and precise GPS orbits disseminated by IGS. The time-varying part of the zenith wet delay was estimated using the Global Mapping Function (GMF), while the constant part is evaluated using the Neil tropospheric model. The data reduction to compute the zenith wet delay follows the step piecewise linear strategy, which is subsequently transformed to PWV estimated every 2-hr. Although there exist previous isolated studies for estimating PWV in Mexico, this study is an attempt to perform a more complete and comprehensive analysis of PWV estimation throughout the Mexican territory. Our resulting GPS-based PWV were compared to available PWV values for 30 stations that operate in Mexico and report the PWV to Suominet. This comparison revealed differences of 1 to 2 mm between the GPS-PWV solution and the PWV reported by Suominet. Accurate values of GPS-PWV will help enhance Mexico ability to investigate water vapor advection, convective and frontal rainfall and long-term climate variability.

The kinematics of crustal deformation in Java from GPS observations: Implications for fault slip partitioning

NASA Astrophysics Data System (ADS)

Koulali, A.; McClusky, S.; Susilo, S.; Leonard, Y.; Cummins, P.; Tregoning, P.; Meilano, I.; Efendi, J.; Wijanarto, A. B.

2017-01-01

Our understanding of seismic risk in Java has been focused primarily on the subduction zone, where the seismic records during the last century have shown the occurrence of a number of tsunami earthquakes. However, the potential of the existence of active crustal structures within the island of Java itself is less well known. Historical archives show the occurrence of several devastating earthquake ruptures north of the volcanic arc in west Java during the 18th and the 19th centuries, suggesting the existence of active faults that need to be identified in order to guide seismic hazard assessment. Here we use geodetic constraints from the Global Positioning System (GPS) to quantify the present day crustal deformation in Java. The GPS velocities reveal a homogeneous counterclockwise rotation of the Java Block independent of Sunda Block, consistent with a NE-SW convergence between the Australian Plate and southeast Asia. Continuous GPS observations show a time-dependent change in the linear rate of surface motion in west Java, which we interpret as an ongoing long-term post-seismic deformation following the 2006 Mw 7.7 Java earthquake. We use an elastic block model in combination with a viscoelastic model to correct for this post-seismic transient and derive the long-term inter-seismic velocity, which we interpret as a combination of tectonic block motions and crustal faults strain related deformation. There is a north-south gradient in the resulting velocity field with a decrease in the magnitude towards the North across the Kendeng Thrust in the east and the Baribis Thrust in the west. We suggest that the Baribis Thrust is active and accommodating a slow relative motion between Java and the Sunda Block at about 5 ± 0.2 mm /yr. We propose a kinematic model of convergence of the Australian Plate and the Sunda Block, involving a slip partitioning between the Java Trench and a left-lateral structure extending E-W along Java with most of the convergence being accommodated by the Java megathrust, and a much smaller parallel motion accommodated along the Baribis (∼ 5 ± 0.2 mm /yr) and Kendeng (∼ 2.3 ± 0.7 mm /yr) Thrusts. Our study highlights a correlation between the geodetically inferred active faults and historical seismic catalogs, emphasizing the importance of considering crustal fault activity within Java in future seismic assessments.

Large Earthquake Potential in the Southeast Caribbean

NASA Astrophysics Data System (ADS)

Mencin, D.; Mora-Paez, H.; Bilham, R. G.; Lafemina, P.; Mattioli, G. S.; Molnar, P. H.; Audemard, F. A.; Perez, O. J.

2015-12-01

The axis of rotation describing relative motion of the Caribbean plate with respect to South America lies in Canada near Hudson's Bay, such that the Caribbean plate moves nearly due east relative to South America [DeMets et al. 2010]. The plate motion is absorbed largely by pure strike slip motion along the El Pilar Fault in northeastern Venezuela, but in northwestern Venezuela and northeastern Colombia, the relative motion is distributed over a wide zone that extends from offshore to the northeasterly trending Mérida Andes, with the resolved component of convergence between the Caribbean and South American plates estimated at ~10 mm/yr. Recent densification of GPS networks through COLOVEN and COCONet including access to private GPS data maintained by Colombia and Venezuela allowed the development of a new GPS velocity field. The velocity field, processed with JPL's GOA 6.2, JPL non-fiducial final orbit and clock products and VMF tropospheric products, includes over 120 continuous and campaign stations. This new velocity field along with enhanced seismic reflection profiles, and earthquake location analysis strongly suggest the existence of an active oblique subduction zone. We have also been able to use broadband data from Venezuela to search slow-slip events as an indicator of an active subduction zone. There are caveats to this hypothesis, however, including the absence of volcanism that is typically concurrent with active subduction zones and a weak historical record of great earthquakes. A single tsunami deposit dated at 1500 years before present has been identified on the southeast Yucatan peninsula. Our simulations indicate its probable origin is within our study area. We present a new GPS-derived velocity field, which has been used to improve a regional block model [based on Mora and LaFemina, 2009-2012] and discuss the earthquake and tsunami hazards implied by this model. Based on the new geodetic constraints and our updated block model, if part of the region slipped 2.5 m (500 yrs x 5 mm/yr) in a single 200 km x 200 km rupture, the moment-magnitude of the event would exceed Mw = 8.3. We hypothesize that an active subduction zone exists and supports great earthquake events with a strong possibility of destructive tsunamis, which makes this region the one with the largest seismic hazard in the circum-Caribbean.

An Interdisciplinary Approach at Studying the Earth-Sun System with GPS/GNSS and GPS-like Signals

NASA Technical Reports Server (NTRS)

Zuffada, Cinzia; Hajj, George; Mannucci, Anthony J.; Chao, Yi; Ao, Chi; Zumberge, James

2005-01-01

The value of Global Positioning Satellites (GPS) measurements to atmospheric science, space physics, and ocean science, is now emerging or showing a potential to play a major role in the evolving programs of NASA, NSF and NOAA. The objective of this communication is to identify and articulate the key scientific questions that are optimally, or perhaps uniquely, addressed by GPS or GPS-like observations, and discuss their relevance to existing or planned national Earth-science research programs. The GPS-based ocean reflection experiments performed to date have demonstrated the precision and spatial resolution suitable to altimetric applications that require higher spatial resolution and more frequent repeat than the current radar altimeter satellites. GPS radio occultation is promising as a climate monitoring tool because of its benchmark properties: its raw observable is based on extremely accurate timing measurements. GPS-derived temperature profiles can provide meaningful climate trend information over decadal time scales without the need for overlapping missions or mission-to-mission calibrations. By acquiring data as GPS satellites occult behind the Earth's limb, GPS also provides high vertical resolution information on the vertical structure of electron density with global coverage. New experimental techniques will create more comprehensive TEC maps by using signals reflected from the oceans and received in orbit. This communication will discuss a potential future GNSS Earth Observing System project which would deploy a constellation of satellites using GPS and GPS-like measurements, to obtain a) topography measurements based on GPS reflections with an accuracy and horizontal resolution suitable for eddy monitoring, and h) climate-records quality atmospheric temperature profiles. The constellation would also provide for measurements of ionospheric elec tron density. This is a good example of an interdisciplinary mission concept, with broad science objectives of high societal relevance, al l resting on common cost-effective technology.

Feasibility of Construction of the Continuously Operating Geodetic GPS Network of Sinaloa, Mexico

NASA Astrophysics Data System (ADS)

Vazquez, G. E.; Jacobo, C.

2011-12-01

This research is based on the study and analysis of feasibility for the construction of the geodetic network for GPS continuous operation for Sinaloa, hereafter called (RGOCSIN). A GPS network of continuous operation is defined as that materialized structure physically through permanent monuments where measurements to the systems of Global Positioning (GPS) is performed continuously throughout a region. The GPS measurements in this network are measurements of accuracy according to international standards to define its coordinates, thus constituting the basic structure of geodetic referencing for a country. In this context is that in the near future the RGOCSIN constitutes a system state only accurate and reliable georeferencing in real-time (continuous and permanent operation) and will be used for different purposes; i.e., in addition to being fundamental basis for any lifting topographic or geodetic survey, and other areas such as: (1) Different construction processes (control and monitoring of engineering works); (2) Studies of deformation of the Earth's crust (before and after a seismic event); (3) GPS meteorology (weather forecasting); (4) Demarcation projects (natural and political); (5) Establishment of bases to generate mapping (necessary for the economic and social development of the state); (6) Precision agriculture (optimization of economic resources to the various crops); (7) Geographic information systems (Organization and planning activities associated with the design and construction of public services); (8) Urban growth (possible settlements in the appropriate form and taking care of the environmental aspect), among others. However there are criteria and regulations according to the INEGI (Instituto Nacional de Estadística y Geografía, http://www.inegi.org.mx/) that must be met; even for this stage of feasibility of construction that sees this project as a first phase. The fundamental criterion to be taken into account according to INEGI is a geometric distribution appropriate to ensure the state coverage, so the radius of coverage is found in the 10 to 15 Km. station. Likewise INEGI recommends the implementation of GPS measurements a priori in the vertices where at the end of such measurements generate a report by station containing details of the conditions of visibility, the GPS equipment used, the methodology of measurement and field data processing mode and is intended to build the RGOCSIN. Based on the results of the final report for each one of the measures beforehand, it will be or not feasible to determine if it meets these specifications to be finally considered as part of the RGOCSIN. It should be noted that the selection of the potential places where is intended to carry out the study and analysis of feasibility for the construction of the RGOCSIN will be some of the weather stations of the Centro de Investigación en Alimentación y Desarrollo (CIAD) Culiacán (http://www.ciad.edu.mx/clima/pc.asp). These weather stations have some technical infrastructure which would be used in the future; In addition to providing meteorological information which will ensure success in the solution of scientific and technological problems in various sectors requiring our state.

High-Precision, Continuous GPS Data Reveals Seasonal Groundwater Influence on the Deformation of the Salmon Falls Landslide, a Slow-Moving, Rotational Feature in Central Idaho

NASA Astrophysics Data System (ADS)

Lauer, I. H.; Crosby, B. T.

2017-12-01

The development of predictive tools for landslide initiation and deformation serve both the natural hazard and geomorphic communities. Founded on both field observations and physical laws, these tools require a mechanistic understanding of the connection between forcing and response. Water has a well-documented influence on slope stability, impacting both soil plasticity and pore water pressure. High precision, high frequency GPS measurements of deformation paired with similar frequency water table measurements enable new insight into the lag and sensitivity present in the coupled hillslope-groundwater system, especially in the rotational domain, which is underrepresented in current literature. Our study explores the influence of groundwater on a slow-moving, deep-seated, rotational slide in southern Idaho using daily, mm precision GPS positions and contemporaneous groundwater levels measurements in adjacent wells, lakes, and streams. Seven semi-permanent GPS stations are spatially distributed across the slide and record three-dimensional velocities up to 11 cm/yr, which compare well with historical measurements from the early 2000's. Water level loggers are located in a rough cross-section through the study area and documents rises in water level during spring 2017 and a subsequent 1.5m drop in the following summer. We hypothesize a correlation of groundwater levels and landslide velocity, which varies seasonally and spatially across the body of the slide. We will present whether deformation is spatially contemporaneous or initiate in one region and propagates down-feature. We will also discuss whether temporal lag exists between water level change and deformation and if hysteresis complicates correlation between forcing and response. Results will bolster the breadth of case-studies available for this landslide morphology and provide regional land managers with predictors for increased landslide activity and associated hazards, such as rockfall or landslide dam outburst events. The data from this study will also be integrated into a newly developed field-education module under the GETSI curriculum project. Our project provides a core dataset for how how-precision GPS positioning can be applied to solve societally relevant issues such as hazard prediction or early warning systems.

Analysis of afterslip and viscoelastic relaxation following the 2004 Sumatra-Andaman earthquake from GPS observations in northern Sumatra

NASA Astrophysics Data System (ADS)

Gunawan, E.; Sagiya, T.; Ito, T.; Kimata, F.; Tabei, T.; Ohta, Y.; Meilano, I.; Abidin, H. Z.; Agustan, A.; Nurdin, I.; Sugiyanto, D.

2013-12-01

Global Positioning System (GPS) data in northern Sumatra, Andaman Islands and Thailand provides an opportunity to understand the postseismic deformation associated with the 2004 Sumatra-Andaman earthquake. Previous study of postseismic deformation after the 2004 earthquake reached different conclusions, which attributed to different assumption on the postseismic deformation mechanisms. Also, previous studies use only a certain part (e.g. Andaman Islands only) of observations without investigating postseismic deformation data in northern Sumatra, which is close to the largest coseismic slip rupture of 2004 SAE. In this study, we tackle this problem by taking GPS data in northern Sumatra, Aceh GPS Network for Sumatran Fault System (AGNeSS), into account. AGNeSS data are important because of the following reasons: (1) The network is located in the near-field of the main slip patch of the 2004 SAE. (2) GPS measurements started a few months after the main shock, providing information of early postseismic deformation after the 2004 SAE. (3) Continuous GPS measurements provide a good control on both horizontal and vertical components. (4) GPS data have never been used in analyzing postseismic deformation. The continuous GPS data in northern Sumatra suggest that there are multiple physical mechanisms controls the postseismic deformation, that is afterslip and viscoelastic relaxation. In the first step, we search for the optimum rheology model by fitting vertical component with viscoelastic relaxation model, and consider residual is caused by an afterslip. Using the estimated rheology model, we calculate 'afterslip' displacements by subtracting predicted viscoelastic displacements from observed GPS data, and with these 'afterslip' displacements, we estimate afterslip distribution on the plate interface. Since in the first estimation of the rheology model analyzed displacement data contain afterslip effects, we then correct the afterslip contribution from the original deformation data and estimate the rheology model again. We iterate this calculation process until we obtain the optimum model. By using this strategy, we can calculate joint mechanisms of viscoelastic relaxation and afterslip simultaneously. For viscoelastic relaxation, our best solution yields a rheological structure with elastic layer depth of 65×5 km and a Maxwell viscosity of 8.0×1 x 1e18 Pa s, respectively. The afterslip inversion results shows that major afterslip occurred during two years after the 2004 Sumatra-Andaman earthquake where the maximum slip was approximately 0.9 m occurred between 20 to 40 km depth. Our afterslip patch result showed that it is consistent with the idea of afterslip is driven by the stress change due to the mainshock. We also find that the dominance of viscoelastic relaxation significantly increased, as the afterslip continuously decreased during the four years time periods between 2005.91~2009.87. Finally, our results suggest that our model satisfied observation data in northern Sumatra, however, it poorly fit GPS data in Thailand, respectively.

Comparison of GPS/SAC-C and MIPAS/ENVISAT temperature profiles and its implementation for EOS AURA-MLS observations

NASA Technical Reports Server (NTRS)

Jiang, Jonathan H.; Wang, Ding-Yi; Romans, Larry J.; Ao, Chi O.; Schwartz, Michael J.; Stiller, Gabriele P.; von Clarmann, Thomas; Lopez-Puertas, Manuel; Funke, Bernd; Gil-Lopez, Sergio;

Vision-Aided RAIM: A New Method for GPS Integrity Monitoring in Approach and Landing Phase

PubMed Central

Fu, Li; Zhang, Jun; Li, Rui; Cao, Xianbin; Wang, Jinling

2015-01-01

In the 1980s, Global Positioning System (GPS) receiver autonomous integrity monitoring (RAIM) was proposed to provide the integrity of a navigation system by checking the consistency of GPS measurements. However, during the approach and landing phase of a flight path, where there is often low GPS visibility conditions, the performance of the existing RAIM method may not meet the stringent aviation requirements for availability and integrity due to insufficient observations. To solve this problem, a new RAIM method, named vision-aided RAIM (VA-RAIM), is proposed for GPS integrity monitoring in the approach and landing phase. By introducing landmarks as pseudo-satellites, the VA-RAIM enriches the navigation observations to improve the performance of RAIM. In the method, a computer vision system photographs and matches these landmarks to obtain additional measurements for navigation. Nevertheless, the challenging issue is that such additional measurements may suffer from vision errors. To ensure the reliability of the vision measurements, a GPS-based calibration algorithm is presented to reduce the time-invariant part of the vision errors. Then, the calibrated vision measurements are integrated with the GPS observations for integrity monitoring. Simulation results show that the VA-RAIM outperforms the conventional RAIM with a higher level of availability and fault detection rate. PMID:26378533

Vision-Aided RAIM: A New Method for GPS Integrity Monitoring in Approach and Landing Phase.

PubMed

Fu, Li; Zhang, Jun; Li, Rui; Cao, Xianbin; Wang, Jinling

2015-09-10

In the 1980s, Global Positioning System (GPS) receiver autonomous integrity monitoring (RAIM) was proposed to provide the integrity of a navigation system by checking the consistency of GPS measurements. However, during the approach and landing phase of a flight path, where there is often low GPS visibility conditions, the performance of the existing RAIM method may not meet the stringent aviation requirements for availability and integrity due to insufficient observations. To solve this problem, a new RAIM method, named vision-aided RAIM (VA-RAIM), is proposed for GPS integrity monitoring in the approach and landing phase. By introducing landmarks as pseudo-satellites, the VA-RAIM enriches the navigation observations to improve the performance of RAIM. In the method, a computer vision system photographs and matches these landmarks to obtain additional measurements for navigation. Nevertheless, the challenging issue is that such additional measurements may suffer from vision errors. To ensure the reliability of the vision measurements, a GPS-based calibration algorithm is presented to reduce the time-invariant part of the vision errors. Then, the calibrated vision measurements are integrated with the GPS observations for integrity monitoring. Simulation results show that the VA-RAIM outperforms the conventional RAIM with a higher level of availability and fault detection rate.

Survey of Irish general practitioners' preferences for continuing professional development.

PubMed

Maher, B; O'Neill, R; Faruqui, A; Bergin, C; Horgan, M; Bennett, D; O'Tuathaigh, C M P

2018-01-01

Doctors' continuing professional development (CPD) training needs are known to be strongly influenced by national and local contextual characteristics. Given the changing national demographic profile and government-mandated changes to primary care health care provision, this study aimed to investigate Irish General Practitioners' (GPs) perceptions of, and preferences for, current and future CPD programmes. A cross-sectional questionnaire, using closed- and open-ended questions, was administered to Irish GPs, focusing on training needs analysis; CPD course content; preferred format and the learning environment. The response rate was 719/1000 (71.9%). GPs identified doctor-patient communication as the most important and best-performed GP skill. Discrepancies between perceived importance (high) and current performance (low) emerged for time/workload management, practice finance and business skills. GPs identified clinically-relevant primary care topics and non-clinical topics (stress management, business skills, practice management) as preferences for future CPD. Flexible methods for CPD delivery were important. Gender and practice location (urban or rural) significantly influenced CPD participation and future course preference. The increasing diversity of services offered in the Irish primary care setting, in both clinical and non-clinical areas, should be tailored based to include GP practice location and structure.

GPS net­work operations for the International GPS Geodynamics Service

USGS Publications Warehouse

Neilan, Ruth E.

1993-01-01

As GPS technology comes of age in the 1990’s, it is evident that an internationally sponsored GPS tracking system is called for to provide consistent, timely ground tracking data and data products to the geophysical community. The planning group for the International GPS Geodynamics Service (IGS), sponsored by the International Association of Geodesy (IAG), is addressing all elements of the end-to-end tracking system, ranging from data collection to data analysis and distribution of products (Mueller, 1992). Part of the planning process is to formulate how these various elements work together to create the common infrastructure needed to support a wide variety of GPS investigations. A key element for any permanent satellite tracking system is certainly the acquisition segment; the reliability and robustness of the ground network operations directly determine the fates and limitations of final products. The IGS planning group therefore included a committee tasked to develop and establish standards governing data acquisition and site-specific characteristics deemed necessary to ensure the collection of a high quality, continuous data set.

Power and powerlessness: GPs' narratives about lifestyle counselling

PubMed Central

Abildsnes, Eirik; Walseth, Liv Tveit; Flottorp, Signe A; Stensland, Per S

2012-01-01

Background Power in doctor–patient relationships is asymmetrically distributed. The doctor holds resources the patient needs and has a mandate to promote healthy living. Power may benefit or harm the patients' health, and the doctor–patient relationship. Aim To identify aspects of power and powerlessness in GPs' narratives about lifestyle counselling. Design and setting A qualitative study using focus groups from peer-group meetings of Norwegian GPs attending continuing medical education. Method GPs discussed case stories about lifestyle counselling in focus groups. The discussions were transcribed and the text analysed using systematic text condensation. Results Aspects of power concerning the framework of the consultation and the GPs' professional role were found. Also identified were: power expressed by opportunistic approaches to change patients' lifestyle; rhetoric communication; paternalism; and disclosure. GPs reported powerlessness in complex communication, when there were difficulties reaching goals, and when patients resisted or ignored their proposals. Conclusion Case-study discussions in peer groups disclose several aspects of power and powerlessness that occur in consultations. Consciousness about aspects of power may facilitate counselling that benefits the patient and the doctor–patient relationship. PMID:22429431

General practitioners knowledge about use of topical corticosteroids in paediatric atopic dermatitis in Australia.

PubMed

Smith, Saxon D; Harris, Victoria; Lee, Andrew; Blaszczynski, Alex; Fischer, Gayle

2017-01-01

Topical corticosteroids are the standard of care in paediatric atopic dermatitis (pAD). However, messages that overstress possible side effects can have a negative impact on perceptions of safety and contribute to treatment non-adherence. The aim of this study was to assess general practitioners' (GPs') perception of the safety of topical corticosteroids in pAD treatment. Australian GPs participating in continuing professional development programs were assessed before an education session on pAD. Responses were recorded via an electronic survey. A total of 257 GPs were surveyed. More than one-third (40.7%) of the GPs instructed parents to apply topical corticosteroids for two weeks or less. Nearly half (47.7%) instructed parents to apply topical corticosteroids sparingly or with the smallest amount possible. Furthermore, nearly one-third (30.2%) reported skin atrophy as the most common side effect of topical corticosteroids. Advice to patients given by Australian GPs may carry unintentional risk messages contributing to treatment non‑adherence. Evidence-based information on the safety of topical corticosteroids is needed to empower GPs to improve treatment outcomes in pAD.

Relative Navigation of Formation-Flying Satellites

NASA Technical Reports Server (NTRS)

Long, Anne; Kelbel, David; Lee, Taesul; Leung, Dominic; Carpenter, J. Russell; Grambling, Cheryl

2002-01-01

This paper compares autonomous relative navigation performance for formations in eccentric, medium and high-altitude Earth orbits using Global Positioning System (GPS) Standard Positioning Service (SPS), crosslink, and celestial object measurements. For close formations, the relative navigation accuracy is highly dependent on the magnitude of the uncorrelated measurement errors. A relative navigation position accuracy of better than 10 centimeters root-mean-square (RMS) can be achieved for medium-altitude formations that can continuously track at least one GPS signal. A relative navigation position accuracy of better than 15 meters RMS can be achieved for high-altitude formations that have sparse tracking of the GPS signals. The addition of crosslink measurements can significantly improve relative navigation accuracy for formations that use sparse GPS tracking or celestial object measurements for absolute navigation.

Satellite Geodetic Constraints On Earthquake Processes: Implications of the 1999 Turkish Earthquakes for Fault Mechanics and Seismic Hazards on the San Andreas Fault

NASA Technical Reports Server (NTRS)

Reilinger, Robert

2005-01-01

Our principal activities during the initial phase of this project include: 1) Continued monitoring of postseismic deformation for the 1999 Izmit and Duzce, Turkey earthquakes from repeated GPS survey measurements and expansion of the Marmara Continuous GPS Network (MAGNET), 2) Establishing three North Anatolian fault crossing profiles (10 sitedprofile) at locations that experienced major surface-fault earthquakes at different times in the past to examine strain accumulation as a function of time in the earthquake cycle (2004), 3) Repeat observations of selected sites in the fault-crossing profiles (2005), 4) Repeat surveys of the Marmara GPS network to continue to monitor postseismic deformation, 5) Refining block models for the Marmara Sea seismic gap area to better understand earthquake hazards in the Greater Istanbul area, 6) Continuing development of models for afterslip and distributed viscoelastic deformation for the earthquake cycle. We are keeping close contact with MIT colleagues (Brad Hager, and Eric Hetland) who are developing models for S. California and for the earthquake cycle in general (Hetland, 2006). In addition, our Turkish partners at the Marmara Research Center have undertaken repeat, micro-gravity measurements at the MAGNET sites and have provided us estimates of gravity change during the period 2003 - 2005.

Sex of the GP--20 years on.

PubMed

Harrison, Christopher M; Britt, Helena C; Charles, Janice

2011-08-15

Previous research with the Australian Morbidity and Treatment Survey (1990-1991) showed significant differences in general practitioner characteristics and patient mix of male and female GPs. Even after adjusting for these, it was seen that male and female GPs managed different types of medical conditions. The proportion of female GPs increased from 19.6% in 1990-1991 to 37.1% in 2009-2010. This study investigates whether differences remain two decades later. Analysis of 2009-2010 Bettering the Evaluation and Care of Health (BEACH) data examining GP characteristics, patient encounter characteristics, patient reasons for encounter (RFE), problem types managed and management methods used, by GP sex. Whether GP sex was an independent predictor of problem types being managed, or management methods used, was tested using multiple logistic regressions and Poisson regression. 988 GPs recorded 98 800 GP-patient encounters. Adjusted differences in clinical activity of male and female GPs. After adjustment, compared with male GPs, females recorded more RFEs about general and unspecified issues and endocrine, female genital, pregnancy and family planning problems; and fewer concerning the musculoskeletal, respiratory, skin and male genital systems. Female GPs managed more general and unspecified, digestive, circulatory, psychological, endocrine, female genital and social problems; recorded nearly 20% more clinical treatments and referrals; recorded nearly 10% more imaging and pathology tests; and 4.3% fewer medications. After two decades, even with increased numbers of female GPs, the differences in problems managed by male and female GPs remain, and will probably continue. Female GPs use more resources per encounter, but may not use more resources in terms of annual patient care.

Research-related intercultural higher education in satellite geodesy

NASA Astrophysics Data System (ADS)

Mayer, M.; Heck, B.; Krueger, C. P.

2009-04-01

In order to improve the education of young researchers (master degree, PhD, PostDocs) a cooperation between the Department of Geomatics (DGEOM), Federal University of Paraná (UFPR), Curitiba (Brazil) and the Geodetic Institute (GIK), University Karlsruhe (TH), Karlsruhe (Germany) was established which now exists since more than five years. The joint venture is actually called "PROBRAL: Precise positioning and height determination by means of GPS: Modeling of errors and transformation into physical heights" and focuses on research and education within the field of satellite geodesy. PROBRAL is funded by the Brazilian academic exchange service CAPES and the German academic exchange service DAAD. The geodetic aim of the research project is to validate and improve the quality of 3d positions derived from observations related to satellite navigation systems like GPS. In order to fulfill this ambitious goal sustainably, research has to be carried out in close cooperation. At the same time, e.g. to guarantee continuous success, a coordinated education has to be ensured. Besides technical education aspects key competences (e.g. language, capacity for teamwork, project management skills) are trained. Within the presentation the lessons which were learned from this project are discussed in detail.

Availability of Dutch General Practitioners for After-Hours Palliative Care.

PubMed

Plat, Fredrik M; Peters, Yvonne A S; Giesen, Paul; Smits, Marleen

2018-01-01

Continuity of care is important for palliative patients in their end of life. In the Netherlands, after-hours primary care for palliative patients is either provided by large-scale general practitioner (GP) cooperatives or GPs choose to give palliative care by themselves while they are not on duty. To examine the availability of, perceived problems by, and attitude of Dutch GPs regarding providing palliative care for their own patients outside office hours. Cross-sectional observational study among 1772 GPs from 10 Dutch regions. Online questionnaire among GPs affiliated with 10 GP cooperatives. Five hundred twenty-four (29.6%) eligible questionnaires were returned. Of the GPs, 60.8% were personally available outside office hours for their own palliative patients on their own private cell phone and performed home visits if needed. In 33.0%, GPs were willing to make home visits in private time instigated by the GP cooperative and 26.8% were only accessible for telephone consultation by the GP cooperative. In 12.2%, the GP delegated after-hours palliative care completely to the GP cooperative. The GPs predominantly reported "time pressure" problems (17.3%) as a barrier and 61.7% stated that after-hours palliative care is the responsibility of the own GP. The large majority of Dutch GPs is personally available for telephone consultation and/or willing to provide palliative care for their own patients outside office hours. For the future, it is important to maintain the willingness of GPs to remain personally available for their palliative patients.

High-precision GPS autonomous platforms for sea ice dynamics and physical oceanography

NASA Astrophysics Data System (ADS)

Elosegui, P.; Wilkinson, J.; Olsson, M.; Rodwell, S.; James, A.; Hagan, B.; Hwang, B.; Forsberg, R.; Gerdes, R.; Johannessen, J.; Wadhams, P.; Nettles, M.; Padman, L.

2012-12-01

Project "Arctic Ocean sea ice and ocean circulation using satellite methods" (SATICE), is the first high-rate, high-precision, continuous GPS positioning experiment on sea ice in the Arctic Ocean. The SATICE systems collect continuous, dual-frequency carrier-phase GPS data while drifting on sea ice. Additional geophysical measurements also collected include ocean water pressure, ocean surface salinity, atmospheric pressure, snow-depth, air-ice-ocean temperature profiles, photographic imagery, and others, enabling sea ice drift, freeboard, weather, ice mass balance, and sea-level height determination. Relatively large volumes of data from each buoy are streamed over a satellite link to a central computer on the Internet in near real time, where they are processed to estimate the time-varying buoy positions. SATICE system obtains continuous GPS data at sub-minute intervals with a positioning precision of a few centimetres in all three dimensions. Although monitoring of sea ice motions goes back to the early days of satellite observations, these autonomous platforms bring out a level of spatio-temporal detail that has never been seen before, especially in the vertical axis. These high-resolution data allows us to address new polar science questions and challenge our present understanding of both sea ice dynamics and Arctic oceanography. We will describe the technology behind this new autonomous platform, which could also be adapted to other applications that require high resolution positioning information with sustained operations and observations in the polar marine environment, and present results pertaining to sea ice dynamics and physical oceanography.

Clustering of GPS velocities in the Mojave Block, southeastern California

NASA Astrophysics Data System (ADS)

Savage, J. C.; Simpson, R. W.

2013-04-01

find subdivisions within the Mojave Block using cluster analysis to identify groupings in the velocities observed at GPS stations there. The clusters are represented on a fault map by symbols located at the positions of the GPS stations, each symbol representing the cluster to which the velocity of that GPS station belongs. Fault systems that separate the clusters are readily identified on such a map. The most significant representation as judged by the gap test involves 4 clusters within the Mojave Block. The fault systems bounding the clusters from east to west are 1) the faults defining the eastern boundary of the Northeast Mojave Domain extended southward to connect to the Hector Mine rupture, 2) the Calico-Paradise fault system, 3) the Landers-Blackwater fault system, and 4) the Helendale-Lockhart fault system. This division of the Mojave Block is very similar to that proposed by Meade and Hager []. However, no cluster boundary coincides with the Garlock Fault, the northern boundary of the Mojave Block. Rather, the clusters appear to continue without interruption from the Mojave Block north into the southern Walker Lane Belt, similar to the continuity across the Garlock Fault of the shear zone along the Blackwater-Little Lake fault system observed by Peltzer et al. []. Mapped traces of individual faults in the Mojave Block terminate within the block and do not continue across the Garlock Fault [Dokka and Travis, ].

Assessing the role of GPs in Nordic health care systems.

PubMed

Quaye, Randolph K

2016-05-03

Purpose This paper examines the changing role of general practitioners (GPs) in Nordic countries of Sweden, Norway and Denmark. It aims to explore the "gate keeping" role of GPs in the face of current changes in the health care delivery systems in these countries. Design/methodology/approach Data were collected from existing literature, interviews with GPs, hospital specialists and representatives of Danish regions and Norwegian Medical Association. Findings The paper contends that in all these changes, the position of the GPs in the medical division of labor has been strengthened, and patients now have increased and broadened access to choice. Research limitations/implications Health care cost and high cancer mortality rates have forced Nordic countries of Sweden, Norway and Denmark to rethink their health care systems. Several attempts have been made to reduce health care cost through market reform and by strenghtening the position of GPs. The evidence suggests that in Norway and Denmark, right incentives are in place to achieve this goal. Sweden is not far behind. The paper has limitations of a small sample size and an exclusive focus on GPs. Practical implications Anecdotal evidence suggests that physicians are becoming extremely unhappy. Understanding the changing status of primary care physicians will yield valuable information for assessing the effectiveness of Nordic health care delivery systems. Social implications This study has wider implications of how GPs see their role as potential gatekeepers in the Nordic health care systems. The role of GPs is changing as a result of recent health care reforms. Originality/value This paper contends that in Norway and Denmark, right incentives are in place to strengthen the position of GPs.

Cumulative co-seismic displacement and comparison with GPS observations in Taiwan

NASA Astrophysics Data System (ADS)

Xu, C.; Chao, B. F.; Sun, W.

2013-12-01

The island of Taiwan owes its existence to the collision of the Eurasian plate and the Philippine Sea plate. The strong seismicity can produce permanent displacement field which can be observed by GPS. Both seismological and GPS networks have been fully established in Taiwan for years. In this paper, we will study the earthquake-induced relative movements, including the amplitude and pattern, and determine how much cumulative co-seismic displacement can contribute to the observed GPS signals as long-term 'trends', by comparing the two sets of data. The co-seismic displacement is calculated by adopting the elastic dislocation theory on a spherical Earth as derived by Sun and Okubo. For the GPS observations, we will remove the seasonal and tidal effects by the least square method and the common-mode errors by the empirical orthogonal function technique. The comparison results show that the earthquake-induced displacements account only for a tiny fraction of the GPS signals, implying that the majority of the displacements in Taiwan during the studied period of 1995-2013 (which includes the largest 1999 Chi-Chi earthquake), both horizontal and vertical, are caused aseismically. The comparison also reveals some interesting details about the pattern and behavior of the displacement fields.

Remote Sensing the Thermal and Humidity Structure of the Earth's Atmosphere Using the GPS Radio Occultation Technique: Applications in Climate Studies

NASA Astrophysics Data System (ADS)

Vergados, P.; Mannucci, A. J.; Ao, C. O.; Verkhoglyadova, O. P.; Iijima, B.

2017-12-01

This presentation introduces the fundamentals of the Global Positioning System radio occultation (GPS RO) remote sensing technique in retrieving atmospheric temperature and humidity information and presents the use of these observations in climate research. Our objective is to demonstrate and establish the GPS RO remote sensing technique as a complementary data set to existing state-of-the-art space-based platforms for climate studies. We show how GPS RO measurements at 1.2-1.6 GHz frequency band can be used to infer the upper tropospheric water vapor and temperature feedbacks and we present a decade-long specific humidity (SH) record from January 2007 until December 2015. We cross-compare the GPS RO-estimated climate feedbacks and the SH long-record with independent data sets from the Modern-Era Retrospective Analysis for Research and Applications (MERRA), the European Center for Medium-range Weather Forecasts Re-Analysis Interim (ERA-Interim), and the Atmospheric Infrared Sounder (AIRS) instrument. These cross-comparisons serve as a performance guide for the GPS-RO observations with respect to other data sets by providing an independent measure of climate feedbacks and humidity short-term trends.

Achieving and Validating the 1-centimeter Orbit: JASON-1 Precision Orbit Determination Using GPS, SLR, DORIS and Altimeter data

NASA Technical Reports Server (NTRS)

Luthcke, Scott B.; Zelensky, Nikita P.; Rowlands, David D.; Lemoine, Frank G.; Williams, Teresa A.

2003-01-01

Jason-1, launched on December 7, 2001, is continuing the time series of centimeter level ocean topography observations as the follow-on to the highly successful TOPEX/POSEIDON (T/P) radar altimeter satellite. The precision orbit determination (POD) is a critical component to meeting the ocean topography goals of the mission. Jason-1 is no exception and has set a 1 cm radial orbit accuracy goal, which represents a factor of two improvement over what is currently being achieved for T/P. The challenge to precision orbit determination (POD) is both achieving the 1 cm radial orbit accuracy and evaluating and validating the performance of the 1 cm orbit. Fortunately, Jason-1 POD can rely on four independent tracking data types including near continuous tracking data from the dual frequency codeless BlackJack GPS receiver. In addition, to the enhanced GPS receiver, Jason-1 carries significantly improved SLR and DORIS tracking systems along with the altimeter itself. We demonstrate the 1 cm radial orbit accuracy goal has been achieved using GPS data alone in a reduced dynamic solution. It is also shown that adding SLR data to the GPS-based solutions improves the orbits even further. In order to assess the performance of these orbits it is necessary to process all of the available tracking data (GPS, SLR, DORIS and altimeter crossover differences) as either dependent or independent of the orbit solutions. It was also necessary to compute orbit solutions using various combinations of the four available tracking data in order to independently assess the orbit performance. Towards this end, we have greatly improved orbits determined solely from SLR+DORIS data by applying the reduced dynamic solution strategy. In addition, we have computed reduced dynamic orbits based on SLR, DORIS and crossover data that are a significant improvement over the SLR and DORIS based dynamic solutions. These solutions provide the best performing orbits for independent validation of the GPS-based reduced dynamic orbits.

Poor uptake of an online intervention in a cluster randomised controlled trial of online diabetes education for rural general practitioners.

PubMed

Paul, Christine L; Piterman, Leon; Shaw, Jonathan E; Kirby, Catherine; Forshaw, Kristy L; Robinson, Jennifer; Thepwongsa, Isaraporn; Sanson-Fisher, Robert W

2017-03-23

In Australia, rural and remote communities have high rates of diabetes-related death and hospitalisation. General practitioners (GPs) play a major role in diabetes detection and management. Education of GPs could optimise diabetes management and improve patient outcomes at a population level. The study aimed to describe the uptake of a continuing medical education intervention for rural GPs and its impact on the viability of a cluster randomised controlled trial of the effects of continuing medical education on whole-town diabetes monitoring and control. Trial design: the cluster randomised controlled trial involved towns as the unit of allocation and analysis with outcomes assessed by de-identified pathology data (not reported here). The intervention programme consisted of an online active learning module, direct electronic access to specialist advice and performance feedback. Multiple rounds of invitation were used to engage GPs with the online intervention content. Evidence-based strategies (e.g. pre-notification, rewards, incentives) were incorporated into the invitations to enrol in the programme. Recruitment to the programme was electronically monitored through the hosting software package during the study intervention period. Eleven matched pairs of towns were included in the study. There were 146 GPs in the 11 intervention towns, of whom 34 (23.3%) enrolled in the programme, and 8 (5.5%) completed the online learning module. No town had more than 10% of the resident GPs complete the learning module. There were no contacts made by GPs regarding requests for specialist advice. Consequently, the trial was discontinued. There is an ongoing need to engage primary care physicians in improving diabetes monitoring and management in rural areas. Online training options, while notionally attractive and accessible, are not likely to have high levels of uptake, even when evidence-based recruitment strategies are implemented. Australian New Zealand Clinical Trials Registry, identifier: ACTRN12611000553976 . Retrospectively registered on 31 May 2011.

Calibrating coseismic coastal land-level changes during the 2014 Iquique (Mw=8.2) earthquake (northern Chile) with leveling, GPS and intertidal biota.

PubMed

Jaramillo, Eduardo; Melnick, Daniel; Baez, Juan Carlos; Montecino, Henry; Lagos, Nelson A; Acuña, Emilio; Manzano, Mario; Camus, Patricio A

2017-01-01

The April 1st 2014 Iquique earthquake (MW 8.1) occurred along the northern Chile margin where the Nazca plate is subducted below the South American continent. The last great megathrust earthquake here, in 1877 of Mw ~8.8 opened a seismic gap, which was only partly closed by the 2014 earthquake. Prior to the earthquake in 2013, and shortly after it we compared data from leveled benchmarks, deployed campaign GPS instruments, continuous GPS stations and estimated sea levels using the upper vertical level of rocky shore benthic organisms including algae, barnacles, and mussels. Land-level changes estimated from mean elevations of benchmarks indicate subsidence along a ~100-km stretch of coast, ranging from 3 to 9 cm at Corazones (18°30'S) to between 30 and 50 cm at Pisagua (19°30'S). About 15 cm of uplift was measured along the southern part of the rupture at Chanabaya (20°50'S). Land-level changes obtained from benchmarks and campaign GPS were similar at most sites (mean difference 3.7±3.2 cm). Higher differences however, were found between benchmarks and continuous GPS (mean difference 8.5±3.6 cm), possibly because sites were not collocated and separated by several kilometers. Subsidence estimated from the upper limits of intertidal fauna at Pisagua ranged between 40 to 60 cm, in general agreement with benchmarks and GPS. At Chanavaya, the magnitude and sense of displacement of the upper marine limit was variable across species, possibly due to species-dependent differences in ecology. Among the studied species, measurements on lithothamnioid calcareous algae most closely matched those made with benchmarks and GPS. When properly calibrated, rocky shore benthic species may be used to accurately measure land-level changes along coasts affected by subduction earthquakes. Our calibration of those methods will improve their accuracy when applied to coasts lacking pre-earthquake data and in estimating deformation during pre-instrumental earthquakes.

Improvement of tsunami detection in timeseries data of GPS buoys with the Continuous Wavelet Transform

NASA Astrophysics Data System (ADS)

Chida, Y.; Takagawa, T.

2017-12-01

The observation data of GPS buoys which are installed in the offshore of Japan are used for monitoring not only waves but also tsunamis in Japan. The real-time data was successfully used to upgrade the tsunami warnings just after the 2011 Tohoku earthquake. Huge tsunamis can be easily detected because the signal-noise ratio is high enough, but moderate tsunami is not. GPS data sometimes include the error waveforms like tsunamis because of changing accuracy by the number and the position of GPS satellites. To distinguish the true tsunami waveforms from pseudo-tsunami ones is important for tsunami detection. In this research, a method to reduce misdetections of tsunami in the observation data of GPS buoys and to increase the efficiency of tsunami detection was developed.Firstly, the error waveforms were extracted by using the indexes of position dilution of precision, reliability of GPS satellite positioning and satellite number for calculation. Then, the output from this procedure was used for the Continuous Wavelet Transform (CWT) to analyze the time-frequency characteristics of error waveforms and real tsunami waveforms.We found that the error waveforms tended to appear when the accuracy of GPS buoys positioning was low. By extracting these waveforms, it was possible to decrease about 43% error waveforms without the reduction of the tsunami detection rate. Moreover, we found that the amplitudes of power spectra obtained from the error waveforms and real tsunamis were similar in the component of long period (4-65 minutes), on the other hand, the amplitude in the component of short period (< 1 minute) obtained from the error waveforms was significantly larger than that of the real tsunami waveforms. By thresholding of the short-period component, further extraction of error waveforms became possible without a significant reduction of tsunami detection rate.

Strategic planning of INA-CORS development for public service and tectonic deformation study

NASA Astrophysics Data System (ADS)

Syetiawan, Agung; Gaol, Yustisi Ardhitasari Lumban; Safi'i, Ayu Nur

2017-07-01

GPS technology can be applied for surveying, mapping and research purposes. The simplicity of GPS technology for positioning make it become the first choice for survey compared with another positioning method. GPS can measure a position with various accuracy level based on the measurement method. In order to facilitate the GPS positioning, many organizations are establishing permanent GPS station. National Geodetic Survey (NGS) called it as Continuously Operating Reference Stations (CORS). Those devices continuously collect and record GPS data to be used by users. CORS has been built by several government agencies for particular purposes and scattered throughout Indonesia. Geospatial Information Agency (BIG) as a geospatial information providers begin to compile a grand design of Indonesia CORS (INA-CORS) that can be used for public service such as Real Time Kinematic (RTK), RINEX data request, or post-processing service and for tectonic deformation study to determine the deformation models of Indonesia and to evaluate the national geospatial reference system. This study aims to review the ideal location to develop CORS network distribution. The method was used is to perform spatial analysis on the data distribution of BIG and BPN CORS overlayed with Seismotectonic Map of Indonesia and land cover. The ideal condition to be achieved is that CORS will be available on each radius of 50 km. The result showed that CORS distribution in Java and Nusa Tenggara are already tight while on Sumatra, Celebes and Moluccas are still need to be more tighten. Meanwhile, the development of CORS in Papua will encounter obstacles toward road access and networking. This analysis result can be used as consideration for determining the priorities of CORS development in Indonesia.

Unwrapping the diagnosis of tuberculosis in primary care: a qualitative study.

PubMed

Metcalf, Elizabeth P; Davies, Joanne C; Wood, Fiona; Butler, Christopher C

2007-02-01

Although tuberculosis (TB) is relatively rare in the UK, its diagnosis is important because diagnostic delays can result in worse outcomes for patients and expose others to the risk of infection. Atypical presentations may be common, and patients' help-seeking behaviour may influence the diagnostic process in primary care. Little is known about the process of diagnosing TB in primary care in developed countries. To understand the process of diagnosing TB in UK primary care. Qualitative inductive study with paired semi-structured interviews. Communities and general practices in south-east Wales. Interviews were conducted with 17 patients diagnosed with TB in the previous 6 months and 16 GPs involved with their care. Data were analysed thematically. In response to expected classical features, GPs generally ordered specific tests. Both GPs and patients reported atypical presentations, and then the diagnostic and referral net was appropriately widened in most cases. Identified barriers to prompt diagnosis included atypical presentations and low clinical suspicion of TB, lack of continuity of care, workload demands that limit time with patients, and suboptimal clinician-patient communication. GPs recognised the growing problem of TB nationally and the need for improved education among health professionals. GPs' and patients' accounts about the process of diagnosing TB suggest that delays can occur, although they are not typical. Where diagnosis is clear, GPs generally test specifically and refer appropriately; where diagnosis is less clear, the diagnostic net is cast further. It is only when certain core values of general practice are not applied (including continuity of care, considering context appropriately, and eliciting and responding appropriately to patients' explanatory models) that clinicians and patients identify a suboptimal diagnostic process.

General practitioners' decisions about discontinuation of medication: an explorative study.

PubMed

Nixon, Michael Simon; Vendelø, Morten Thanning

2016-06-20

Purpose - The purpose of this paper is to investigate how general practitioners' (GPs) decisions about discontinuation of medication are influenced by their institutional context. Design/methodology/approach - In total, 24 GPs were interviewed, three practices were observed and documents were collected. The Gioia methodology was used to analyse data, drawing on a theoretical framework that integrate the sensemaking perspective and institutional theory. Findings - Most GPs, who actively consider discontinuation, are reluctant to discontinue medication, because the safest course of action for GPs is to continue prescriptions, rather than discontinue them. The authors conclude that this is in part due to the ambiguity about the appropriateness of discontinuing medication, experienced by the GPs, and in part because the clinical guidelines do not encourage discontinuation of medication, as they offer GPs a weak frame for discontinuation. Three reasons for this are identified: the guidelines provide dominating triggers for prescribing, they provide weak priming for discontinuation as an option, and they underscore a cognitive constraint against discontinuation. Originality/value - The analysis offers new insights about decision making when discontinuing medication. It also offers one of the first examinations of how the institutional context embedding GPs influences their decisions about discontinuation. For policymakers interested in the discontinuation of medication, the findings suggest that de-stigmatising discontinuation on an institutional level may be beneficial, allowing GPs to better justify discontinuation in light of the ambiguity they experience.

How do Dutch GPs address work-related problems? A focus group study.

PubMed

de Kock, Cornelis A; Lucassen, Peter L B J; Spinnewijn, Laura; Knottnerus, J André; Buijs, Peter C; Steenbeek, Romy; Lagro-Janssen, Antoine L M

2016-09-01

In the Netherlands, there is a lack of knowledge about general practitioners' (GPs) perception of their role regarding patients' occupation and work related problems (WRP). As work and health are closely related, and patients expect help from their GPs in this area, a better understanding is needed of GPs' motivation to address WRP. To explore GPs' opinions on their role in the area of work and health. This is a qualitative study using three focus groups with Dutch GPs from the catchment area of a hospital in the Southeast of the Netherlands. The group was heterogeneous in characteristics such as sex, age, and practice setting. Three focus groups were convened with 18 GPs. The moderator used an interview guide. Two researchers analysed verbatim transcripts using constant comparative analysis. We distinguished three items: (a) work context in a GP's integrated consultation style; (b) counselling about sick leave; (c) cooperation with occupational physicians (OPs). The participants are willing to address the topic and counsel about sick leave. They consider WRP in patients with medically unexplained symptoms (MUS) challenging. They tend to advise these patients to continue working as they think this will ultimately benefit them. The participating GPs seemed well aware of the relation between work and health but need more knowledge, communication skills and better cooperation with occupational physicians to manage work-related problems. [Box: see text].

Is missing geographic positioning system data in accelerometry studies a problem, and is imputation the solution?

PubMed Central

Meseck, Kristin; Jankowska, Marta M.; Schipperijn, Jasper; Natarajan, Loki; Godbole, Suneeta; Carlson, Jordan; Takemoto, Michelle; Crist, Katie; Kerr, Jacqueline

2016-01-01

The main purpose of the present study was to assess the impact of global positioning system (GPS) signal lapse on physical activity analyses, discover any existing associations between missing GPS data and environmental and demographics attributes, and to determine whether imputation is an accurate and viable method for correcting GPS data loss. Accelerometer and GPS data of 782 participants from 8 studies were pooled to represent a range of lifestyles and interactions with the built environment. Periods of GPS signal lapse were identified and extracted. Generalised linear mixed models were run with the number of lapses and the length of lapses as outcomes. The signal lapses were imputed using a simple ruleset, and imputation was validated against person-worn camera imagery. A final generalised linear mixed model was used to identify the difference between the amount of GPS minutes pre- and post-imputation for the activity categories of sedentary, light, and moderate-to-vigorous physical activity. Over 17% of the dataset was comprised of GPS data lapses. No strong associations were found between increasing lapse length and number of lapses and the demographic and built environment variables. A significant difference was found between the pre- and post-imputation minutes for each activity category. No demographic or environmental bias was found for length or number of lapses, but imputation of GPS data may make a significant difference for inclusion of physical activity data that occurred during a lapse. Imputing GPS data lapses is a viable technique for returning spatial context to accelerometer data and improving the completeness of the dataset. PMID:27245796

A propensity score approach to correction for bias due to population stratification using genetic and non-genetic factors.

PubMed

Zhao, Huaqing; Rebbeck, Timothy R; Mitra, Nandita

2009-12-01

Confounding due to population stratification (PS) arises when differences in both allele and disease frequencies exist in a population of mixed racial/ethnic subpopulations. Genomic control, structured association, principal components analysis (PCA), and multidimensional scaling (MDS) approaches have been proposed to address this bias using genetic markers. However, confounding due to PS can also be due to non-genetic factors. Propensity scores are widely used to address confounding in observational studies but have not been adapted to deal with PS in genetic association studies. We propose a genomic propensity score (GPS) approach to correct for bias due to PS that considers both genetic and non-genetic factors. We compare the GPS method with PCA and MDS using simulation studies. Our results show that GPS can adequately adjust and consistently correct for bias due to PS. Under no/mild, moderate, and severe PS, GPS yielded estimated with bias close to 0 (mean=-0.0044, standard error=0.0087). Under moderate or severe PS, the GPS method consistently outperforms the PCA method in terms of bias, coverage probability (CP), and type I error. Under moderate PS, the GPS method consistently outperforms the MDS method in terms of CP. PCA maintains relatively high power compared to both MDS and GPS methods under the simulated situations. GPS and MDS are comparable in terms of statistical properties such as bias, type I error, and power. The GPS method provides a novel and robust tool for obtaining less-biased estimates of genetic associations that can consider both genetic and non-genetic factors. 2009 Wiley-Liss, Inc.

Automated time activity classification based on global positioning system (GPS) tracking data

PubMed Central

2011-01-01

Background Air pollution epidemiological studies are increasingly using global positioning system (GPS) to collect time-location data because they offer continuous tracking, high temporal resolution, and minimum reporting burden for participants. However, substantial uncertainties in the processing and classifying of raw GPS data create challenges for reliably characterizing time activity patterns. We developed and evaluated models to classify people's major time activity patterns from continuous GPS tracking data. Methods We developed and evaluated two automated models to classify major time activity patterns (i.e., indoor, outdoor static, outdoor walking, and in-vehicle travel) based on GPS time activity data collected under free living conditions for 47 participants (N = 131 person-days) from the Harbor Communities Time Location Study (HCTLS) in 2008 and supplemental GPS data collected from three UC-Irvine research staff (N = 21 person-days) in 2010. Time activity patterns used for model development were manually classified by research staff using information from participant GPS recordings, activity logs, and follow-up interviews. We evaluated two models: (a) a rule-based model that developed user-defined rules based on time, speed, and spatial location, and (b) a random forest decision tree model. Results Indoor, outdoor static, outdoor walking and in-vehicle travel activities accounted for 82.7%, 6.1%, 3.2% and 7.2% of manually-classified time activities in the HCTLS dataset, respectively. The rule-based model classified indoor and in-vehicle travel periods reasonably well (Indoor: sensitivity > 91%, specificity > 80%, and precision > 96%; in-vehicle travel: sensitivity > 71%, specificity > 99%, and precision > 88%), but the performance was moderate for outdoor static and outdoor walking predictions. No striking differences in performance were observed between the rule-based and the random forest models. The random forest model was fast and easy to execute, but was likely less robust than the rule-based model under the condition of biased or poor quality training data. Conclusions Our models can successfully identify indoor and in-vehicle travel points from the raw GPS data, but challenges remain in developing models to distinguish outdoor static points and walking. Accurate training data are essential in developing reliable models in classifying time-activity patterns. PMID:22082316

Automated time activity classification based on global positioning system (GPS) tracking data.

PubMed

Wu, Jun; Jiang, Chengsheng; Houston, Douglas; Baker, Dean; Delfino, Ralph

2011-11-14

Air pollution epidemiological studies are increasingly using global positioning system (GPS) to collect time-location data because they offer continuous tracking, high temporal resolution, and minimum reporting burden for participants. However, substantial uncertainties in the processing and classifying of raw GPS data create challenges for reliably characterizing time activity patterns. We developed and evaluated models to classify people's major time activity patterns from continuous GPS tracking data. We developed and evaluated two automated models to classify major time activity patterns (i.e., indoor, outdoor static, outdoor walking, and in-vehicle travel) based on GPS time activity data collected under free living conditions for 47 participants (N = 131 person-days) from the Harbor Communities Time Location Study (HCTLS) in 2008 and supplemental GPS data collected from three UC-Irvine research staff (N = 21 person-days) in 2010. Time activity patterns used for model development were manually classified by research staff using information from participant GPS recordings, activity logs, and follow-up interviews. We evaluated two models: (a) a rule-based model that developed user-defined rules based on time, speed, and spatial location, and (b) a random forest decision tree model. Indoor, outdoor static, outdoor walking and in-vehicle travel activities accounted for 82.7%, 6.1%, 3.2% and 7.2% of manually-classified time activities in the HCTLS dataset, respectively. The rule-based model classified indoor and in-vehicle travel periods reasonably well (Indoor: sensitivity > 91%, specificity > 80%, and precision > 96%; in-vehicle travel: sensitivity > 71%, specificity > 99%, and precision > 88%), but the performance was moderate for outdoor static and outdoor walking predictions. No striking differences in performance were observed between the rule-based and the random forest models. The random forest model was fast and easy to execute, but was likely less robust than the rule-based model under the condition of biased or poor quality training data. Our models can successfully identify indoor and in-vehicle travel points from the raw GPS data, but challenges remain in developing models to distinguish outdoor static points and walking. Accurate training data are essential in developing reliable models in classifying time-activity patterns.

Sensor-based animal tracking

NASA Astrophysics Data System (ADS)

Hunter, Andrew

The advent of Global Positioning System (GPS) technologies has provided wildlife researchers with new insights into the movement and habitat utilization patterns of wildlife species by being able to provide vast quantities of detailed location data. However, current wildlife tracking techniques have numerous limitations, as GPS locations can be biased to an unknown extent because animals move through habitats that are often denied GPS signals. This can result in some habitat types being under sampled or not sampled at all. Additionally, researchers using GPS tracking systems cannot understand what behaviour an animal is exhibiting at each GPS position without either relying on extensive field data or statistical techniques that may infer behaviour. Overall these issues, and others, limit the knowledge that can be derived from the data currently being collected by GPS collars alone. To address these limitations, a dead reckoning solution (called the NavAid) has been developed to augment GPS tracking collars, which enables both the acquisition of continuous movement trajectories for animals under study, and the collection of digital images on a user-defined schedule along travel routes. Analysis of an animal's velocity allows one to identify different types of movement behaviours that can be associated with foraging, searching for food, and locomotion between patches. In addition, the ability to capture continuous paths allows researchers to identify habitat that is important to a species, and habitat that is not---something that is not possible when relying solely on GPS. This new system weighs approximately 220 g and can be deployed on most conventional collar systems for a wide range of species. This thesis presents the research and development of this new system over the past four years, along with preliminary findings from field work carried out on grizzly bears (Ursus arctos) in the foothills of the Canadian Rocky Mountains. Analysis of tracking data suggests that animals select different types of habitat for different purposes, that foraging occurs at movement rates of less than 52m/minute, searching for food between movement rates of 52 m/minute and 223 m/minute and locomotion, or active walking between foraging sites at movement rates greater than 223 m/minute.

Evaluation of Relative Navigation Algorithms for Formation-Flying Satellites

NASA Technical Reports Server (NTRS)

Kelbel, David; Lee, Taesul; Long, Anne; Carpenter, J. Russell; Gramling, Cheryl

2001-01-01

Goddard Space Flight Center is currently developing advanced spacecraft systems to provide autonomous navigation and control of formation flyers. This paper discusses autonomous relative navigation performance for formations in eccentric, medium, and high-altitude Earth orbits using Global Positioning System (GPS) Standard Positioning Service (SPS) and intersatellite range measurements. The performance of several candidate relative navigation approaches is evaluated. These analyses indicate that the relative navigation accuracy is primarily a function of the frequency of acquisition and tracking of the GPS signals. A relative navigation position accuracy of 0.5 meters root-mean-square (RMS) can be achieved for formations in medium-attitude eccentric orbits that can continuously track at least one GPS signal. A relative navigation position accuracy of better than 75 meters RMS can be achieved for formations in high-altitude eccentric orbits that have sparse tracking of the GPS signals. The addition of round-trip intersatellite range measurements can significantly improve relative navigation accuracy for formations with sparse tracking of the GPS signals.

Current and planned use of the Navstar Global Positioning System by NASA

NASA Technical Reports Server (NTRS)

Theiss, Harold L.

1993-01-01

NASA was quick to realize the potential that the Global Positioning System (GPS) had to offer for its many diverse vehicles, experiments and platforms. Soon after the first Block 1 GPS satellites were launched, NASA began to use the tremendous capabilities that they had to offer. Even with a partial GPS constellation in place, important results have been obtained about the shape, orientation and rotation of the earth and calibration of the ionosphere and troposphere. These calibrations enhance geophysical science and facilitate the navigation of interplanetary spacecraft. Some very important results have been obtained in the continuing NASA program for aircraft terminal area operations. Currently, a large amount of activity is being concentrated on real time kinematic carrier phase tracking which has the potential to revolutionize aircraft navigation. This year marks the launch of the first GPS receiver equipped earth-orbiting NASA spacecraft: the Extreme Ultraviolet Explorer and the Ocean Topography Experiment (TOPEX/Poseidon). This paper describes a cross section of GPS-based research at NASA.

GPs, violence and work performance - 'just part of the job?'.

PubMed

Coles, Jan; Koritsas, Stella; Boyle, Malcolm; Stanley, Janet

2007-03-01

This study explored the impact of work related violence on general practitioners' work performance. A postal survey of 1000 randomly selected GPs about work related violence. Those GPs reporting incidents of work related violence in the past 12 months were asked to write about its effect on them in response to an open question. Eighty-five GPs responded. Seventy-three percent of GPs who had experienced work related violence answered an open question about its effect on their work performance. The effect was negative for most, respondents citing poor concentration, difficulty listening to patients, rumination and intrusive thoughts when in an enclosed space in subsequent consultations, particularly in consultations with the patient who had perpetrated the violence, or their families or coworkers, or with similar patients. General practitioners have reported that work related violence has a continuing impact on their work performance. Future research should include psychometric testing of cognitive functioning and mental health testing to quantify this.

Global Scale Observations of Ionospheric Instabilities from GPS in Low Earth Orbit

NASA Technical Reports Server (NTRS)

Kramer, Leonard; Goodman, John L.

2003-01-01

The GPS receiver used for navigation on the Space Shuttle exhibits range rate noise which appears to result from scintillation of the satellite signals by irregularities in ionospheric plasma. The noise events cluster in geographic regions previously identified as susceptible to instability and disturbed ionospheric conditions. These mechanisms are reviewed in the context of the GPS observations. Range rate data continuously monitored during the free orbiting phase of several space shuttle missions reveals global scale distribution of ionospheric irregularities. Equatorial events cluster +/- 20 degrees about the magnetic equator and polar events exhibit hemispheric asymmetry suggesting influence of off axis geomagnetic polar oval system. The diurnal, seasonal and geographic distribution is compared to previous work concerning equatorial spread F, Appleton anomaly and polar oval. The observations provide a succinct demonstration of the utility of space based ionospheric monitoring using GPS. The susceptability of GPS receivers to scintillation represents 'an unanticipated technical risk not factored into the selection of receivers for the United States space program.

Time dependent deformation of Kilauea Volcano, Hawaii

NASA Astrophysics Data System (ADS)

Montgomery-Brown, Emily Kvietka Desmarais

In 1997 the continuous Global Positioning System (GPS) network was completed on Kilauea, providing the first network of daily position measurements during eruptions and earthquakes on Kilauea. Kilauea has been studied for many decades with continuous seismic and tilt instruments. Other geodetic data (e.g., campaign GPS, leveling, electronic distance measurements) are also available although they contain only sparse data. Data analysis methods used here include inverting multiple data sets for optimal source parameters and the spatio-temporal distribution of magma volume and fault slip, and combining GPS and seismic observations to understand flank tectonics. The field area for this study, Kilauea Volcano, was chosen because of its frequent activity and potential hazards. The 1997 East Rift Zone eruption (Episode 54) was the first major event to occur after the completion of the continuous GPS network. The event lasted 2 days, but transient deformation continued for six months. This long-duration transient allowed the first spatio-temporal study of transient dike deformation on Kilauea from daily GPS positions. Slow-slip events were discovered on Kilauea during which the southern flank of the volcano would accelerate seaward for approximately 2 days. The discovery was made possible because of the continuously operating GPS network. These slip events were also observed to correlate with small swarms of microearthquakes found to follow temporal pattern consistent with them being co- and aftershocks of the slow-slip event (Segall, 2006). Half-space models of geodetic data favor a shallow fault plane (˜ 5 km), which is much too shallow to have increased the Coulomb stress at the depths of the co- and aftershocks. However, optimizations for the slow-slip source parameters including a layered elastic structure and a topographic correction favor deeper models within the range of the co- and aftershocks. Additionally, the spatial distribution of seaward fault slip, fixed to a decollement structure 8 km under the south flank, and the locations of the microearthquakes suggest that both occur on the same structure. In 2007, Episode 56 of the Pu'u 'O'o-Kupianaha eruption occurred. This episode was exciting both because it was the largest intrusion in the last decade, and because it occurred concurrently with a flank slow-slip event. The intrusion started on Father's day (June 17th), 2007 with increased seismicity and abrupt tilts at the summit and rift zones. Quasi-static models of the total deformation determined from GPS, tilt, and InSAR indicate that the intrusion occurred on two en echelon dike segments in the upper East Rift Zone along with deformation consistent with slow-slip in the same areas of previous events. The ˜ 2 m maximum opening occurred on the eastern segment near Makaopui crater. Unlike previous intrusions in 1997, 1999, and 2000, the dike model was not sufficient to explain deformation on the western flank. Additionally, a coastal tiltmeter installed in anticipation of a slow-slip event recorded tilts consistent with those observed during the 2005 slow-slip event. These observations led to the conclusion that a concurrent slow-slip event occurred. Geodetic models indicate a similar amount of decollement slip occurred as in previous slow-slip events. Sub-daily GPS positions were used to study the spatio-temporal distribution of the dike intrusion. The time-dependent intrusion model shows that the intrusion began on the western en echelon segment before jumping to the eastern segment, which accumulated the majority of the 2 m of opening. Sub-daily GPS positions limit the number of stations available since there are very few continuous stations north of the East Rift Zone, where coverage is critical for separating the intrusion from the slow-slip. However, an ENVISAT interferogram at 08:22 on June 18, 2007 provides additional spatial coverage of deformation up to that point. Combining this image with the GPS and tilt data up to that point, we perform a quasi-static inversion for the intrusion source. The residual deformation indicates that slow-slip had not significantly progressed by the ENVISAT image. The slow-slip event occurred therefore at least 20 hours after the initiation of the dike intrusion. (Abstract shortened by UMI.)

Earthquake cycle deformation in Mexico and Central America constrained by GPS: Implications for coseismic, postseismic, and slow slip

NASA Astrophysics Data System (ADS)

Graham, Shannon E.

Using surface deformation measured by GPS stations within Mexico and Central America, I model coseismic slip, Coulomb stress changes, postseismic afterslip, and slow slip events in order to increase our knowledge of the earthquake deformation cycle in seismically hazardous regions. In Chapter 1, I use GPS data to estimate coseismic slip due to the May 28, 2009 Swan Islands fault earthquake off the coast of Honduras and then use the slip distribution to calculate Coulomb stress changes for the earthquake. Coulomb stress change calculations resolve stress transfer to the seismically hazardous Motagua fault and further show an unclamping of normal faults in northern Honduras. In Chapter 2, the focus shifts to southern Mexico, where continuous GPS measurements since the mid-1990s are revolutionizing our understanding of the flatly subducting Cocos plate. I perform a time-dependent inversion of continuous GPS observations of the 2011-2012 slow slip event (SSE) to estimate the location and magnitude of slow slip preceding the March 20, 2012 Ometepec earthquake. Coulomb stress changes as a result of slip during the SSE are consistent with the hypothesis that the SSE triggered the Ometepec earthquake. Chapter 3 describes inversions for slip both during and after the Ometepec earthquake. Time-dependent modeling of the first six months of postseismic deformation reveals that fault afterslip extended ˜250 km inland to depths of ˜50 km along the Cocos plate subduction. The postseismic afterslip and previous SSEs in southern Mexico occur at similar depths down-dip from the seismogenic zone, indicating that transitional areas of the subduction interface underlie much of southern Mexico. Finally, I perform the first time-dependent modeling of SSEs below Mexico and the first to exploit all available continuous GPS stations in southern and central Mexico. The results provide a more complete and consistent catalog of modeled SSE for the Mexico subduction zone (MSZ) than is currently available and add to our understanding of how SSEs on the subduction interface evolve in time, migrate in space, and possibly interact. I find that slow slip along the MSZ migrates across the gap between the Guerrero and Oaxaca regions, contrary to previous results.

CELT: a computerised evaluative learning tool for continuing professional development.

PubMed

Kelly, Diane R; MacKay, Linda

2003-04-01

To evaluate a computerised, evaluative learning tool (CELT) designed to encourage self-directed learning and help users make changes in practice following learning. The study aimed to evaluate how CELT was used and to ascertain user perceptions of the program. Qualitative analysis of interviews and quantitative analysis of entries made using the software. West of Scotland region, comprising six Health Board areas with a total of 2176 general practitioners (GPs), 39 of whom took part in the study. Of the 39 GPs who started on the project, 34 used CELT. Of these 34, 28 GPs sent in files and six did not. Of the 28 GPs who sent in files, 25 entered data and 76% (22/29) considered the program easy to use. The program was used 7 days a week during the day and night. It raised participants' awareness of the educational value of everyday experiences and led to increased thought about learning. In 41% (45/111) of entries there was evidence that some action had been initiated by users as a result of learning. CELT was designed to encourage self-directed learning and help users make changes in practice following learning. The study has shown that it can be used to deliver individual continuing professional development. It encourages a disciplined approach to learning, promotes thought about learning needs and increases the ability of GPs to learn from everyday experiences. In some instances, users were able to apply what had been learned.

Different deformation patterns using GPS in the volcanic process of El Hierro (Canary Island) 2011-2013

NASA Astrophysics Data System (ADS)

García-Cañada, Laura; José García-Arias, María; Pereda de Pablo, Jorge; Lamolda, Héctor; López, Carmen

2014-05-01

Ground deformation is one of the most important parameter in volcano monitoring. The detected deformations in volcanic areas can be precursors of a volcanic activity and contribute with useful information to study the evolution of an unrest, eruption or any volcanic process. GPS is the most common technique used to measure volcano deformations. It can be used to detect slow displacement rates or much larger and faster deformations associated with any volcanic process. In volcanoes the deformation is expected to be a mixed of nature; during periods of quiescence it will be slow or not present, while increased activity slow displacement rates can be detected or much larger and faster deformations can be measure due to magma intrusion, for example in the hours to days prior a eruption beginning. In response to the anomalous seismicity detected at El Hierro in July 2011, the Instituto Geográfico Nacional (IGN) improved its volcano monitoring network in the island with continuous GPS that had been used to measure the ground deformation associated with the precursory unrest since summer 2011, submarine eruption (October 2011-March 2012) and the following unrest periods (2012-2013). The continuous GPS time series, together with other techniques, had been used to evaluate the activity and to detect changes in the process. We investigate changes in the direction and module of the deformation obtained by GPS and they show different patterns in every unrest period, very close to the seismicity locations and migrations.

Development of a GPS buoy system for monitoring tsunami, sea waves, ocean bottom crustal deformation and atmospheric water vapor

NASA Astrophysics Data System (ADS)

Kato, Teruyuki; Terada, Yukihiro; Nagai, Toshihiko; Koshimura, Shun'ichi

2010-05-01

We have developed a GPS buoy system for monitoring tsunami for over 12 years. The idea was that a buoy equipped with a GPS antenna and placed offshore may be an effective way of monitoring tsunami before its arrival to the coast and to give warning to the coastal residents. The key technology for the system is real-time kinematic (RTK) GPS technology. We have successfully developed the system; we have detected tsunamis of about 10cm in height for three large earthquakes, namely, the 23 June 2001 Peru earthquake (Mw8.4), the 26 September 2003 Tokachi earthquake (Mw8.3) and the 5 September 2004 earthquake (Mw7.4). The developed GPS buoy system is also capable of monitoring sea waves that are mainly caused by winds. Only the difference between tsunami and sea waves is their frequency range and can be segregated each other by a simple filtering technique. Given the success of GPS buoy experiments, the system has been adopted as a part of the Nationwide Ocean Wave information system for Port and HArborS (NOWPHAS) by the Ministry of Land, Infrastructure, Transport and Tourism of Japan. They have established more than eight GPS buoys along the Japanese coasts and the system has been operated by the Port and Airport Research Institute. As a future scope, we are now planning to implement some other additional facilities for the GPS buoy system. The first application is a so-called GPS/Acoustic system for monitoring ocean bottom crustal deformation. The system requires acoustic waves to detect ocean bottom reference position, which is the geometrical center of an array of transponders, by measuring distances between a position at the sea surface (vessel) and ocean bottom equipments to return the received sonic wave. The position of the vessel is measured using GPS. The system was first proposed by a research group at the Scripps Institution of Oceanography in early 1980's. The system was extensively developed by Japanese researchers and is now capable of detecting ocean bottom positions with a few centimeters in accuracy. The system is now operational for more than ten sites along the Japanese coasts. Currently, however, the measurements are not continuous but have been done once to several times a year using a boat. If a GPS and acoustic system is placed on a buoy, ocean bottom position could be monitored in near real-time and continuous manner. This will allow us to monitor more detailed and short term crustal deformations at the sea bottom. Another application plan is for an atmospheric research. Previous researchers have shown that GPS is capable of measuring atmospheric water vapor through estimating tropospheric zenith delay measurements of GPS at the sea surface. Information of water vapor content and its temporal variation over sea surface will much contribute to weather forecast on land which has mostly been conducted only by land observations. Considering that the atmospheric mass moves from west to east in general in and around Japanese islands, information of water vapor together with other atmospheric data from an array of GPS buoy placed in the west of Japanese Islands, will much improve weather forecast. We try to examine if this is also feasible. As a conclusion of a series of GPS buoy experiments, we could assert that GPS buoy system will be a powerful tool to monitor ocean surface and much contribute to provide safe and secure life of people.

A Pilot Study for Understanding the Perceptions of Australian General Practitioners Regarding Psychopharmacology for Children With Autism Spectrum Disorders.

PubMed

Garg, Pankaj; Lillystone, David; Dossetor, David; Eastwood, John; Liaw, Siaw-Teng

2016-10-01

General practitioners (GPs) are increasing involved in the care of children with autism spectrum disorders (ASDs), and prescribe and/or manage psychotropic medications for these children. Few published reports of perceptions of GPs regarding use of these medications exist in the literature. Qualitative analysis of comments by 177 GPs regarding psychopharmacology use in children with ASDs. A postal questionnaire survey containing both close- and open-ended questions was conducted in New South Wales, Australia. Respondent GPs were more likely to be females graduated from Australian medical schools and reported an interest either in child or in mental health. The respondents demonstrated good understanding of the issues surrounding psychopharmacology use in children with ASD based on contemporary literature on this topic. The main themes included concerns regarding medication safety, evidence for their use, and role of these medications as an adjuvant to behavior management. GPs reported a lack of experience of these medications, and would often prescribe only under the supervision of specialists. GPs with greater confidence and involvement with children of ASDs prescribed more medications; whereas GP reporting more concerns with regard to medications prescribed less. Respondent GPs have good understanding of psychotropic medications but need support from specialists for managing these medications in children with ASDs. Future larger studies should explore the utility of collaborative models of care for GPs to work in close partnerships with specialists. © The Author(s) 2016.

Localizing Ground Penetrating RADAR: A Step Towards Robust Autonomous Ground Vehicle Localization

DTIC Science & Technology

2016-07-14

localization designed to complement existing approaches with a low sensitivity to failure modes of LIDAR, camera, and GPS/INS sensors due to its low...the detailed design and results from highway testing, which uses a simple heuristic for fusing LGPR estimates with a GPS/INS system. Cross-track... designed to enable a priori map-based local- ization. LGPR offers complementary capabilities to tradi- tional optics-based approaches to map-based

Motivations and Training Needs of General Practitioner Preceptors.

PubMed

Ren, Wen; Hasenbieke, Nulanbieke; Liu, Ying; Qiu, Yan; Zhou, Zhao-Nong; Mao, Xiao-Yan; Ren, Jing-Jing

2017-07-20

General practitioner (GP) preceptors play an important role in the cultivation of GPs. Many problems exist in the training of GP preceptors. This study aimed to explore the willingness and training needs of GP preceptors and compare the differences between preceptors from general practice and other specialties. A total of 375 questionnaire forms were sent to 375 GP preceptors from 11 different provinces, and 344 completed forms were returned. The main outcome included general information, teaching motivations, and training needs of GP preceptors. The study showed that about 89.2% of GP preceptors were willing to be teachers. The majority of respondents strongly agreed that the motivation for becoming a GP supervisor was to learn from teaching. The most important capability they should master was clinical teaching (92.2%), followed by lecture (83.1%) and doctor-patient communication (83.1%). The top three preferred methods of GP preceptors training were case discussion (78.8%), workshop (57.6%), and classroom teaching (56.4%). The domains in which most GP preceptors wanted to acquire knowledge and skill were mental health (59.3%), rehabilitation (47.1%), pediatrics (41.0%), and obstetrics (37.5%). No significant differences were found in the willingness to train GPs (χ2 = 3.34, P > 0.05) and whether they would become or continue to become a GP supervisor after the training (χ2 = 1.106, P > 0.05). Although most preceptors were under on-the-job training, they were glad to train GPs. To be qualified, preceptors should be trained according to the actual needs of GP preceptors.

Motivations and Training Needs of General Practitioner Preceptors

PubMed Central

Ren, Wen; Hasenbieke, Nulanbieke; Liu, Ying; Qiu, Yan; Zhou, Zhao-Nong; Mao, Xiao-Yan; Ren, Jing-Jing

2017-01-01

Background: General practitioner (GP) preceptors play an important role in the cultivation of GPs. Many problems exist in the training of GP preceptors. This study aimed to explore the willingness and training needs of GP preceptors and compare the differences between preceptors from general practice and other specialties. Methods: A total of 375 questionnaire forms were sent to 375 GP preceptors from 11 different provinces, and 344 completed forms were returned. The main outcome included general information, teaching motivations, and training needs of GP preceptors. Results: The study showed that about 89.2% of GP preceptors were willing to be teachers. The majority of respondents strongly agreed that the motivation for becoming a GP supervisor was to learn from teaching. The most important capability they should master was clinical teaching (92.2%), followed by lecture (83.1%) and doctor–patient communication (83.1%). The top three preferred methods of GP preceptors training were case discussion (78.8%), workshop (57.6%), and classroom teaching (56.4%). The domains in which most GP preceptors wanted to acquire knowledge and skill were mental health (59.3%), rehabilitation (47.1%), pediatrics (41.0%), and obstetrics (37.5%). No significant differences were found in the willingness to train GPs (χ2 = 3.34, P > 0.05) and whether they would become or continue to become a GP supervisor after the training (χ2 = 1.106, P > 0.05). Conclusions: Although most preceptors were under on-the-job training, they were glad to train GPs. To be qualified, preceptors should be trained according to the actual needs of GP preceptors. PMID:28685719

Near real-time monitoring of volcanic surface deformation from GPS measurements at Long Valley Caldera, California

USGS Publications Warehouse

Ji, Kang Hyeun; Herring, Thomas A.; Llenos, Andrea L.

2013-01-01

Long Valley Caldera in eastern California is an active volcanic area and has shown continued unrest in the last three decades. We have monitored surface deformation from Global Positioning System (GPS) data by using a projection method that we call Targeted Projection Operator (TPO). TPO projects residual time series with secular rates and periodic terms removed onto a predefined spatial pattern. We used the 2009–2010 slow deflation as a target spatial pattern. The resulting TPO time series shows a detailed deformation history including the 2007–2009 inflation, the 2009–2010 deflation, and a recent inflation that started in late-2011 and is continuing at the present time (November 2012). The recent inflation event is about four times faster than the previous 2007–2009 event. A Mogi source of the recent event is located beneath the resurgent dome at about 6.6 km depth at a rate of 0.009 km3/yr volume change. TPO is simple and fast and can provide a near real-time continuous monitoring tool without directly looking at all the data from many GPS sites in this potentially eruptive volcanic system.

GPS-based tracking system for TOPEX orbit determination

NASA Technical Reports Server (NTRS)

Melbourne, W. G.

1984-01-01

A tracking system concept is discussed that is based on the utilization of the constellation of Navstar satellites in the Global Positioning System (GPS). The concept involves simultaneous and continuous metric tracking of the signals from all visible Navstar satellites by approximately six globally distributed ground terminals and by the TOPEX spacecraft at 1300-km altitude. Error studies indicate that this system could be capable of obtaining decimeter position accuracies and, most importantly, around 5 cm in the radial component which is key to exploiting the full accuracy potential of the altimetric measurements for ocean topography. Topics covered include: background of the GPS, the precision mode for utilization of the system, past JPL research for using the GPS in precision applications, the present tracking system concept for high accuracy satellite positioning, and results from a proof-of-concept demonstration.

Secular variation and fluctuation of GPS Total Electron Content over Antarctica

NASA Astrophysics Data System (ADS)

Jin, Rui; Jin, Shuanggen

2013-01-01

The total electron content (TEC) is an important parameters in the Earth's ionosphere, related to various space weather and solar activities. However, understanding of the complex ionospheric environments is still a challenge due to the lack of direct observations, particularly in the polar areas, e.g., Antarctica. Now the Global Positioning System (GPS) can be used to retrieve total electron content (TEC) from dual-frequency observations. The continuous GPS observations in Antarctica provide a good opportunity to investigate ionospheric climatology. In this paper, the long-term variations and fluctuations of TEC over Antarctica are investigated from CODE global ionospheric maps (GIM) with a resolution of 2.5°×5° every two hours since 1998. The analysis shows significant seasonal and secular variations in the GPS TEC. Furthermore, the effects of TEC fluctuations are discussed.

Comparison of global positioning system (GPS) tracking and parent-report diaries to characterize children's time-location patterns.

PubMed

Elgethun, Kai; Yost, Michael G; Fitzpatrick, Cole T E; Nyerges, Timothy L; Fenske, Richard A

2007-03-01

Respondent error, low resolution, and study participant burden are known limitations of diary timelines used in exposure studies such as the National Human Exposure Assessment Survey (NHEXAS). Recent advances in global positioning system (GPS) technology have produced tracking devices sufficiently portable, functional and affordable to utilize in exposure assessment science. In this study, a differentially corrected GPS (dGPS) tracking device was compared to the NHEXAS diary timeline. The study also explored how GPS can be used to evaluate and improve such diary timelines by determining which location categories and which respondents are least likely to record "correct" time-location responses. A total of 31 children ages 3-5 years old wore a dGPS device for all waking hours on a weekend day while their parents completed the NHEXAS diary timeline to document the child's time-location pattern. Parents misclassified child time-location approximately 48% of the time using the NHEXAS timeline in comparison to dGPS. Overall concordance between methods was marginal (kappa=0.33-0.35). The dGPS device found that on average, children spent 76% of the 24-h study period in the home. The diary underestimated time the child spent in the home by 17%, while overestimating time spent inside other locations, outside at home, outside in other locations, and time spent in transit. Diary data for time spent outside at home and time in transit had the lowest response concordance with dGPS. The diaries of stay-at-home mothers and mothers working unskilled labor jobs had lower concordance with dGPS than did those of the other participants. The ability of dGPS tracking to collect continuous rather than categorical (ordinal) data was also demonstrated. It is concluded that automated GPS tracking measurements can improve the quality and collection efficiency of time-location data in exposure assessment studies, albeit for small cohorts.

How do private general practitioners manage tuberculosis cases? A survey in eight cities in Indonesia.

PubMed

Mahendradhata, Yodi; Lestari, Trisasi; Probandari, Ari; Indriarini, Lucia Evi; Burhan, Erlina; Mustikawati, Dyah; Utarini, Adi

2015-10-14

Private practitioners (PPs) in high-burden countries often provide substandard tuberculosis (TB) treatment, leading to increased risk of drug resistance and continued transmission. TB case management among PPs in Indonesia has not been investigated in recent years, despite longstanding recognition of inadequate care and substantial investment in several initiatives. This study aimed to assess case management practices of private general practitioners (GPs) in eight major cities across Indonesia. A cross-sectional survey of private GPs was carried out simultaneously in eight cities by trained researchers between August and December 2011. We aimed for a sample size of 627 in total, and took a simple random sample of GPs from the validated local registers of GPs. Informed consent was obtained from participants prior to interview. Diagnostic and treatment practices were evaluated based on compliance with national guidelines. Descriptive statistics are presented. Of 608 eligible GPs invited to participate during the study period, 547 (89.9%) consented and completed the interview. A low proportion of GPs (24.6-74.3%) had heard of the International Standards for TB care (ISTC) and only 41.2-68.9% of these GPs had participated in ISTC training. As few as 47.3% (90% CI: 37.6-57.0%) of GPs reported having seen presumptive TB. The median number of cases of presumptive TB seen per month was low (0-5). The proportion of GPs who utilized smear microscopy for diagnosing presumptive adult TB ranged from 62.3 to 84.6%. In all cities, a substantial proportion of GPs (12.0-45.5%) prescribed second-line anti-TB drugs for treating new adult TB cases. In nearly all cities, less than half of GPs appointed a treatment observer (13.8-52.0%). The pattern of TB case management practices among private GPs in Indonesia is still not in line with the guidelines, despite longstanding awareness of the issue and considerable trialing of various interventions.

Preferences for general practice jobs: a survey of principals and sessional GPs

PubMed Central

Wordsworth, Sarah; Skåtun, Diane; Scott, Anthony; French, Fiona

2004-01-01

Background: Many countries are experiencing recruitment and retention problems in general practice, particularly in rural areas. In the United Kingdom (UK), recent contractual changes aim to address general practitioner (GP) recruitment and retention difficulties. However, the evidence base for their impact is limited, and preference differences between principals and sessional GPs (previously called non-principals) are insufficiently explored. Aim: To elicit GP principals' and sessional GPs' preferences for alternative jobs in general practice, and to identify the most important work attributes. Design of study: A discrete choice experiment. Setting: National Health Service (NHS) general practices throughout Scotland. Method: A postal questionnaire was sent to 1862 principals and 712 sessional GPs. The questionnaire contained a discrete choice experiment to quantify GPs' preferences for different job attributes. Results: A response rate of 49% (904/1862) was achieved for principals and 54% (388/712) for sessional GPs. Of responders, most principals were male (60%), and sessional GPs female (75%), with the average age being 42 years. All GPs preferred a job with longer consultations, no increase in working hours, but an increase in earnings. A job with outside commitments (for example, a health board or hospital) was preferable; one with additional out-of-hours work was less preferable. Sessional GPs placed a lower value on consultation length, were less worried about hours of work, and a job offering sufficient continuing professional development was less important. Conclusion: The differences in preferences between principals and sessional GPs, and also between different personal characteristics, suggests that a general contract could fail to cater for all GPs. Recruitment and retention of GPs may improve if the least preferred aspects of their jobs are changed. However, the long-term success of contractual reform will require enhancement of the positive aspects of working, such as patient contact. PMID:15469673

How often should general practitioners provide nutrition care to patients? A forecasting activity to determine the target frequency for chronic-disease management in Australia.

PubMed

Ball, Lauren; Lee, Patricia; Ambrosini, Gina L; Hamilton, Kyra; Tuffaha, Haitham

2016-11-01

Supporting patients to have healthy dietary behaviours contributes significantly to preventing and managing lifestyle-related chronic diseases. 'Nutrition care' refers to any practice provided by a health professional to support a patient to improve their dietary behaviours and subsequent health outcomes. Approximately 3% of consultations by Australian general practitioners (GPs) involve the provision of nutrition care. The aim of the present paper was to forecast the potential implications of a higher frequency of nutrition care by GPs. Evidence on the effect of improved dietary behaviours on chronic disease outcomes, number of Australian adults estimated to have poor dietary behaviours and effectiveness of GPs providing nutrition care were taken into consideration. Using hypertension as a case example, for GPs to provide nutrition care to all hypertensive adults who would benefit from improved dietary behaviours, GPs would need to provide nutrition care in a target rate of 4.85% of consultations or 4.5 million different patients each year. The target aligns with the existing priorities for supporting chronic-disease prevention and management in Australia by increasing the rate that brief lifestyle interventions are provided by primary health professionals. This conservative target presents a considerable challenge for GPs, support staff, researchers and policy makers, but can be used to inform future interventions to support nutrition care by GPs.

General practitioners' psychosocial resources, distress, and sickness absence: a study comparing the UK and Finland.

PubMed

Heponiemi, Tarja; Elovainio, Marko; Presseau, Justin; Eccles, Martin P

2014-06-01

Many countries, including the UK and Finland, face difficulties in recruiting GPs and one reason for these difficulties may be due to negative psychosocial work environments. To compare psychosocial resources (job control and participative safety), distress and sickness absences between GPs from the UK and those from Finland. We also examined differences in how psychosocial resources are associated with distress and sickness absence and how distress is associated with sickness absence for both countries. Two independent cross-sectional surveys conducted in general practice in the UK and Finland. Analyses of covariance were used for continuous outcome variables and logistic regression for dichotomized variable (sickness absence) adjusted for gender, qualification year and response format. UK GPs reported more opportunities to control their work and had higher levels of participative safety but were more distressed than Finnish GPs. Finnish GPs were 2.3 (95% confidence interval = 1.8-3.1) times more likely to report sickness absence spells than UK GPs. Among Finnish GPs, job control opportunities and high participative safety were associated with lower levels of distress, but not among UK GPs. Among UK GPs, higher distress was associated with 2.1 (95% confidence interval = 1.3-3.6) times higher likelihood of sickness absence spells, but among Finnish GPs there were no such association. In Finland, primary health care organizations should try to improve participative safety and increase control opportunities of physicians to decrease GP distress, whereas in the UK, other work or private life factors may be more important. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

General Practitioners' experiences of bereavement care and their educational support needs: a qualitative study.

PubMed

O'Connor, Moira; Breen, Lauren J

2014-03-27

General Practitioners (GPs) are well-positioned to provide grief support to patients. Most GPs view the provision of bereavement care as an important aspect of their role and the GP is the health professional that many people turn to when they need support. We aimed to explore GPs' understandings of bereavement care and their education and professional development needs in relation to bereavement care. An in-depth qualitative design was adopted using a social constructionist approach as our aims were exploratory and applied. Nineteen GPs (12 women and 7 men) living in Western Australia were interviewed; 14 were based in metropolitan Perth and 5 in rural areas. GPs were invited, via a letter, to participate in a semi-structured interview. The interviews occurred within each GP's workplace or, for the rural GPs, via telephone, and all interviews were digitally audio-recorded and transcribed. Analysis was based upon constant comparison and began as soon as possible after each interview. The data revealed four tensions or opposing views concerning bereavement and bereavement care. These were (1) whether grief is a standardised versus an individual process, (2) the role of the GP in intervening versus promoting resilience, (3) the GP as a broker of services versus a service provider, and (4) the need for formal education and professional development versus 'on-the-job' experiential learning. GPs have a critical role in exploring distress, including grief. However, changes need to be made to ensure GPs have up-to-date knowledge of contemporary theories and approaches. GPs urgently need education both at the undergraduate and postgraduate degree levels, and in continuing professional development. Otherwise GPs will rely on out-dated theories and constructions of grief, which may be detrimental to patient care.

Improve wildlife species tracking—Implementing an enhanced global positioning system data management system for California condors

USGS Publications Warehouse

Waltermire, Robert G.; Emmerich, Christopher U.; Mendenhall, Laura C.; Bohrer, Gil; Weinzierl, Rolf P.; McGann, Andrew J.; Lineback, Pat K.; Kern, Tim J.; Douglas, David C.

2016-05-03

U.S. Fish and Wildlife Service (USFWS) staff in the Pacific Southwest Region and at the Hopper Mountain National Wildlife Refuge Complex requested technical assistance to improve their global positioning system (GPS) data acquisition, management, and archive in support of the California Condor Recovery Program. The USFWS deployed and maintained GPS units on individual Gymnogyps californianus (California condor) in support of long-term research and daily operational monitoring and management of California condors. The U.S. Geological Survey (USGS) obtained funding through the Science Support Program to provide coordination among project participants, provide GPS Global System for Mobile Communication (GSM) transmitters for testing, and compare GSM/GPS with existing Argos satellite GPS technology. The USFWS staff worked with private companies to design, develop, and fit condors with GSM/GPS transmitters. The Movebank organization, an online database of animal tracking data, coordinated with each of these companies to automatically stream their GPS data into Movebank servers and coordinated with USFWS to improve Movebank software for managing transmitter data, including proofing/error checking of incoming GPS data. The USGS arranged to pull raw GPS data from Movebank into the USGS California Condor Management and Analysis Portal (CCMAP) (https://my.usgs.gov/ccmap) for production and dissemination of a daily map of condor movements including various automated alerts. Further, the USGS developed an automatic archiving system for pulling raw and proofed Movebank data into USGS ScienceBase to comply with the Federal Information Security Management Act of 2002. This improved data management system requires minimal manual intervention resulting in more efficient data flow from GPS data capture to archive status. As a result of the project’s success, Pinnacles National Park and the Ventana Wildlife Society California condor programs became partners and adopted the same workflow, tracking, and data archive system. This GPS tracking data management model and workflow should be applicable and beneficial to other wildlife tracking programs.

Strain Variation along Cimandiri Fault, West Java Based on Continuous and Campaign GPS Observation From 2006-2016

NASA Astrophysics Data System (ADS)

Safitri, A. A.; Meilano, I.; Gunawan, E.; Abidin, H. Z.; Efendi, J.; Kriswati, E.

2018-03-01

The Cimandiri fault which is running in the direction from Pelabuhan Ratu to Padalarang is the longest fault in West Java with several previous shallow earthquakes in the last 20 years. By using continues and campaign GPS observation from 2006-2016, we obtain the deformation pattern along the fault through the variation of strain tensor. We use the velocity vector of GPS station which is fixed in stable International Terrestrial Reference Frame 2008 to calculate horizontal strain tensor. Least Square Collocation is applied to produce widely dense distributed velocity vector and optimum scale factor for the Least Square Weighting matrix. We find that the strain tensor tend to change from dominantly contraction in the west to dominantly extension to the east of fault. Both the maximum shear strain and dilatation show positive value along the fault and increasing from the west to the east. The findings of strain tensor variation along Cimandiri Fault indicate the post seismic effect of the 2006 Java Earthquake.

New insights into the kinematics and seismotectonics of the Adria-Eurasia boundary in the eastern Alps from geodetic and seismic data

NASA Astrophysics Data System (ADS)

Serpelloni, Enrico; Vannucci, Gianfranco; Bennett, Richard A.; Anderlini, Letizia; Cavaliere, Adriano

2015-04-01

In this work we describe a new kinematic and seismotectonic model of the eastern Alps, at the boundary between Italy, Austria, Slovenia and Croatia, obtained from the analysis of geodetic (GPS) and seismological data. We use a dense GPS velocity field, obtained from integration of continuous, semi-continuous and survey-mode networks (~200 GPS stations between longitude 10°E and 17°E and latitude 44.5°N and 47.5°N) and an updated seismic and focal mechanisms catalogue, with uniformly calibrated moment magnitudes from ~1000 B.C.. Improved accuracies and precisions of GPS motion rates have been obtained by filtering displacement time-series for the spatially correlated common mode errors. The eastern Alps mark the boundary between the Adriatic microplate and the Eurasian plate through a wide zone of distributed deformation. Geodetic deformation and seismic release are more localized, and characterized by larger earthquakes, along the southeastern Alps fold-and-thrust belt, which accommodates the large part of the ~N-S Adria-Eurasia convergence, and in Slovenia, where a transition from ~N-S shortening to the eastward escape of the Pannonian Basin units occurs through a complex pattern of crustal deformation. GPS velocities well describe the overall kinematics, with a transition from NNW-ward to NE-ward motion trends (in a Eurasian frame) across Slovenia and Austria, but also show small but significant crustal deformation far from the major blocks boundaries. This may suggest internal continuous deformation or a more complex configuration of interacting tectonic blocks in the eastern Alps. This second hypothesis is taken into account and tested in this work. We use seismic moment release rate maps, active faults databases and inspections of GPS velocities in different local frames to define the geometry of a kinematic block model, constrained by GPS horizontal velocities, in order to estimate blocks rotations and elastic strain at blocks bounding faults. The improved GPS velocity field highlights significant strain accumulation off the main thrust fault segments in the southeastern Alps, in regions stroke by large (M>6.5) historical earthquakes (e.g., the 1117 Verona and the 1695 Asolo events). This is evident in the Venetian plain, where GPS highlights significant shortening in areas that are tens of km southward of the south Alpine mountain front. In the Italian southeastern Alps results from the block model, constrained by a denser GPS velocity field (e.g., around the Montello fault), put new lights on i) the way the Adria-Eurasia convergence is partitioned across the southeast Alpine mountain range, ii) about interseismic coupling along the main thrust faults and iii) the way N-S shortening is transferred, through right-lateral shear across the Dinaric system, to shortening across the Sava folds in Slovenia. In the end, a comparison of the estimated seismic moment release rates and the seismic moment accumulation rates, estimated from the model velocities, provide new insights into the seismic potential of the study region.

GPS Signal Feature Analysis to Detect Volcanic Plume on Mount Etna

NASA Astrophysics Data System (ADS)

Cannavo', Flavio; Aranzulla, Massimo; Scollo, Simona; Puglisi, Giuseppe; Imme', Giuseppina

2014-05-01

Volcanic ash produced during explosive eruptions can cause disruptions to aviation operations and to population living around active volcanoes. Thus, detection of volcanic plume becomes a crucial issue to reduce troubles connected to its presence. Nowadays, the volcanic plume detection is carried out by using different approaches such as satellites, radars and lidars. Recently, the capability of GPS to retrieve volcanic plumes has been also investigated and some tests applied to explosive activity of Etna have demonstrated that also the GPS may give useful information. In this work, we use the permanent and continuous GPS network of the Istituto Nazionale di Geofisica e Vulcanologia, Osservatorio Etneo (Italy) that consists of 35 stations located all around volcano flanks. Data are processed by the GAMIT package developed by Massachusetts Institute of Technology. Here we investigate the possibility to quantify the volcanic plume through the GPS signal features and to estimate its spatial distribution by means of a tomographic inversion algorithm. The method is tested on volcanic plumes produced during the lava fountain of 4-5 September 2007, already used to confirm if weak explosive activity may or may not affect the GPS signals.

Coseismic slip distributions of the 26 December 2004 Sumatra-Andaman and 28 March 2005 Nias earthquakes from GPS static offsets

USGS Publications Warehouse

Banerjee, P.; Pollitz, F.; Nagarajan, B.; Burgmann, R.

2007-01-01

Static offsets produced by the 26 December 2004 M ???9 Sumatra-Andaman earthquake as measured by Global Positioning System (GPS) reveal a large amount of slip along the entire ???1300 km-long rupture. Most seismic slip inversions place little slip on the Andaman segment. whereas both near-field and far-field GPS offsets demand large slip on the Andaman segment. We compile available datasets of the static offset to render a more detailed picture of the static-slip distribution. We construct geodetic offsets such that postearthquake positions of continuous GPS sites are reckoned to a time 1 day after the earthquake and campaign GPS sites are similarly corrected for postseismic motions. The newly revised slip distribution (Mw 9.22) reveals substantial segmentation of slip along the Andaman Islands, with the southern quarter slipping ???15 m in unison with the adjacent Nicobar and northern Sumatran segments of length ???700 km. We infer a small excess of geodetic moment relative to the seismic moment. A similar compilation of GPS offsets from the 28 March 2005 Nias earthquake is well explained with dip slip averaging several meters (Mw = 8.66) distributed primarily at depths greater than 20 km.

Permanent GPS Geodetic Array in Southern California (PGGA) and GPS observations in Indonesia

NASA Technical Reports Server (NTRS)

Bock, Yehuds

1994-01-01

The Permanent GPS Geodetic Array (PGGA) is a network of permanent monitoring GPS stations in southern California devoted to the continuous measurement of crustal deformation in near real-time. The PGGA plays a unique role in studies of the kinematics of crustal deformation and the earthquake cycle in southern California because it is also providing temporally dense geodetic measurements of crustal motion over periods of minutes to variations in regional crustal strain. As it expands and matures the PGGA will play an increasingly important role in the study of active tectonics of southern California by bridging the frequency range between seismology, observatory geodesy, paleoseismology, and geology. In Indonesia GPS data is used for measurement of a large scale crustal deformation, extending from north China to the Indonesian archipelago. Indonesia offers a tremendous laboratory to study some of the processes that build continents, and mountains are active there. We began GPS observations in August 1989 on mainland Sumatra and the Mentawai Islands to study the phenomena of oblique plate convergence. We have analyzed the Indonesian data in conjunction with data collected on Christmas and Cocos Islands and at Darwin, Australia, and with the triangulation data in Sumatra.

Soliciting additional concerns in the primary care consultation and the utility of a brief communication intervention to aid solicitation: A qualitative study.

PubMed

Summers, Rachael H; Moore, Michael; Ekberg, Stuart; Chew-Graham, Carolyn A; Little, Paul; Stevenson, Fiona; Brindle, Lucy; Leydon, Geraldine M

2016-05-01

To investigate the perspectives of general practitioners (GPs) on the practice of soliciting additional concerns (ACs) and the acceptability and utility of two brief interventions (prompts) designed to aid the solicitation. Eighteen GPs participating in a feasibility randomised controlled trial were interviewed. Interviews were semi-structured and audio-recorded. Data were analysed using a Framework Approach. Participants perceived eliciting ACs as important for: reducing the need for multiple visits, identifying serious illness early, and increasing patient and GP satisfaction. GPs found the prompts easy to use and some continued their use after the study had ended to aid time management. Others noted similarities between the intervention and their usual practice. Nevertheless, soliciting ACs in every consultation was not unanimously supported. The prompts were acceptable to GPs within a trial context, but there was disagreement as to whether ACs should be solicited routinely. Some GPs considered the intervention to aid their prioritisation efficiency within consultations. Some GPs will find prompts which encourage ACs to be solicited early in the consultation enable them to better organise priorities and manage time-limited consultations more effectively. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

'The biggest car crash in NHS history': the media portrayal of GP pay before and after the introduction of the Health and Social Care Bill 2011.

PubMed

Balkham, Adam; Alderson, Sarah

2017-01-01

The introduction of the Health and Social Care Bill (2011) changed the role of GPs to include commissioning of health services. Aim This study aimed to identify any differences in the media portrayal of GPs before and after the introduction of the Bill. We retrospectively searched four British newspapers over the period 2009-2013 using the media database Nexis. In order to directly compare the findings of the study with the work of Tanner et al., articles relating to GP pay were analysed using thematic analysis. Themes were identified and each article was scored to determine whether it portrayed GPs positively or negatively. GPs were portrayed slightly less negatively after the introduction of the Bill. The theme of 'high salaries' persisted despite reference to 'pay freezes'. References to decreased trust in the patient-doctor relationship appeared after the introduction of the Bill. Negative portrayal of GP pay has continued and a lack of trust in GPs has started to be portrayed. This trend may exacerbate the low morale amongst the profession and difficulties in recruiting and retaining GPs.

GPs' perceptions of workload in England: a qualitative interview study.

PubMed

Croxson, Caroline Hd; Ashdown, Helen F; Hobbs, Fd Richard

2017-02-01

GPs report the lowest levels of morale among doctors, job satisfaction is low, and the GP workforce is diminishing. Workload is frequently cited as negatively impacting on commitment to a career in general practice, and many GPs report that their workload is unmanageable. To gather an in-depth understanding of GPs' perceptions and attitudes towards workload. All GPs working within NHS England were eligible. Advertisements were circulated via regional GP e-mail lists and national social media networks in June 2015. Of those GPs who responded, a maximum-variation sample was selected until data saturation was reached. Semi-structured, qualitative interviews were conducted. Data were analysed thematically. In total, 171 GPs responded, and 34 were included in this study. GPs described an increase in workload over recent years, with current working days being long and intense, raising concerns over the wellbeing of GPs and patients. Full-time partnership was generally not considered to be possible, and many participants felt workload was unsustainable, particularly given the diminishing workforce. Four major themes emerged to explain increased workload: increased patient needs and expectations; a changing relationship between primary and secondary care; bureaucracy and resources; and the balance of workload within a practice. Continuity of care was perceived as being eroded by changes in contracts and working patterns to deal with workload. This study highlights the urgent need to address perceived lack of investment and clinical capacity in general practice, and suggests that managing patient expectations around what primary care can deliver, and reducing bureaucracy, have become key issues, at least until capacity issues are resolved. © British Journal of General Practice 2017.

Does an outcome-based approach to continuing medical education improve physicians' competences in rational prescribing?

PubMed

Esmaily, Hamideh M; Savage, Carl; Vahidi, Rezagoli; Amini, Abolghasem; Dastgiri, Saeed; Hult, Hakan; Dahlgren, Lars Owe; Wahlstrom, Rolf

2009-11-01

Continuing medical education (CME) is compulsory in Iran, and traditionally it is lecture-based, which is mostly not successful. Outcome-based education has been proposed for CME programs. To evaluate the effectiveness of an outcome-based educational intervention with a new approach based on outcomes and aligned teaching methods, on knowledge and skills of general physicians (GPs) working in primary care compared with a concurrent CME program in the field of "Rational prescribing". The method used was cluster randomized controlled design. All GPs working in six cities in one province in Iran were invited to participate. The cities were matched and randomly divided into an intervention arm for education on rational prescribing with an outcome-based approach, and a control arm for a traditional program on the same topic. Knowledge and skills were assessed using a pre- and post-test, including case scenarios. In total, 112 GPs participated. There were significant improvements in knowledge and prescribing skills after the training in the intervention arm as well as in comparison with the changes in the control arm. The overall intervention effect was 26 percentage units. The introduction of an outcome-based approach in CME appears to be effective when creating programs to improve GPs' knowledge and skills.

Plate interaction in the NE Caribbean subduction zone from continuous GPS observations

USGS Publications Warehouse

ten Brink, Uri S.; Lopez-Vegas, Alberto M.

2012-01-01

Kinematic similarities between the Sumatra and Puerto Rico Trenches highlight the potential for a mega-earthquake along the Puerto Rico Trench and the generation of local and trans-Atlantic tsunamis. We used the horizontal components of continuous GPS (cGPS) measurements from 10 sites on NE Caribbean islands to evaluate strain accumulation along the North American (NA) - Caribbean (CA) plate boundary. These sites move westward and slightly northward relative to CA interior at rates ≤2.5 mm/y. Provided this motion originates in the subduction interface, the northward motion suggests little or no trench-perpendicular thrust accumulation and may in fact indicate divergence north of Puerto Rico, where abnormal subsidence, bathymetry, and gravity are observed. The Puerto Rico Trench, thus, appears unable to generate mega-earthquakes, but damaging smaller earthquakes cannot be discounted. The westward motion, characterized by decreasing rate with distance from the trench, is probably due to eastward motion of CA plate impeded at the plate boundary by the Bahamas platform. Two additional cGPS sites in Mona Passage and SW Puerto Rico move to the SW similar to Hispaniola and unlike the other 10 sites. That motion relative to the rest of Puerto Rico may have given rise to seismicity and normal faults in Mona Rift, Mona Passage, and SW Puerto Rico.

Plate interaction in the NE Caribbean subduction zone from continuous GPS observations

NASA Astrophysics Data System (ADS)

ten Brink, Uri S.; López-Venegas, Alberto M.

2012-05-01

Kinematic similarities between the Sumatra and Puerto Rico Trenches highlight the potential for a mega-earthquake along the Puerto Rico Trench and the generation of local and trans-Atlantic tsunamis. We used the horizontal components of continuous GPS (cGPS) measurements from 10 sites on NE Caribbean islands to evaluate strain accumulation along the North American (NA) - Caribbean (CA) plate boundary. These sites move westward and slightly northward relative to CA interior at rates ≤2.5 mm/y. Provided this motion originates in the subduction interface, the northward motion suggests little or no trench-perpendicular thrust accumulation and may in fact indicate divergence north of Puerto Rico, where abnormal subsidence, bathymetry, and gravity are observed. The Puerto Rico Trench, thus, appears unable to generate mega-earthquakes, but damaging smaller earthquakes cannot be discounted. The westward motion, characterized by decreasing rate with distance from the trench, is probably due to eastward motion of CA plate impeded at the plate boundary by the Bahamas platform. Two additional cGPS sites in Mona Passage and SW Puerto Rico move to the SW similar to Hispaniola and unlike the other 10 sites. That motion relative to the rest of Puerto Rico may have given rise to seismicity and normal faults in Mona Rift, Mona Passage, and SW Puerto Rico.

Seafloor horizontal positioning from a continuously operating buoy-based GPS-acoustic array

NASA Astrophysics Data System (ADS)

Chadwell, C. D.; Brown, K. M.; Tryon, M. D.; Send, U.

2009-12-01

Seafloor horizontal positions in a global frame were estimated daily from an autonomous buoy operating continuously over several months. The buoy (GEOCE) was moored offshore San Diego in 100-m-deep waters above an array of 4 seafloor transponders. Dual-frequency GPS data were collected at 1-Hz at a main antenna on the buoy and at 3 shore stations to provide continuous 2-3 cm positions of the buoy main antenna. Two single-frequency antennas on the buoy along with the main antenna were used to estimate the buoy attitude and short-term velocity. At one minute intervals the two-way acoustic travel time was measured between the buoy and transponders. During this few second span when transmitting and receiving acoustic signals, 10-Hz attitude and velocity were collected to locate the position of the transducer mounted approximately 2 m below the water line. The GPS and acoustic data were recorded internally and transmitted to shore over a cell-phone link and/or a wireless Ethernet. GPS data were combined with the acoustic data to estimate the array location at 1 minute intervals. The 1-minute positions are combined to provide a daily estimate of the array position. The buoy is autonomous, solar-powered and in addition to the GPS and acoustic data collects air pressure, temperature, wind speed/direction as well as water level at the surface and conductivity and temperature along the mooring line from near the sea surface to just above the sea floor. Here we report results from the horizontal positioning effort from Phase I of the project in shallow waters. The project also includes a vertical deformation sensor and physical oceanographic monitoring. A deep water (nominally 1000 m) test is planned for 2010. This work is supported by NSF-OCE-0551363 of the Ocean Technology and Interdisciplinary Coordination Program.

How well do general practitioners manage laboratory test results for patients with diabetes mellitus and cardiovascular disease?: A systematic review.

PubMed

McCaughey, Euan J; Li, Julie; Badrick, Tony C; Westbrook, Johanna I; Georgiou, Andrew

2017-10-01

To evaluate how well general practitioners (GPs) manage and respond to laboratory results for patients with diabetes mellitus (DM) and cardiovascular disease (CVD). MEDLINE, CINAHL, Embase, EBM reviews, ProQuest and Scopus. Peer-reviewed journal articles published between 2000 and 2015 that assessed GPs' management of laboratory results for patients with DM or CVD. Study design and demographics, laboratory tests and key findings relating to GP management of laboratory results were extracted from studies. Thirteen articles were included, comprising seven studies which utilized surveys, four observational studies, one cohort study and one randomized controlled trial. Findings indicate that GPs often overestimate the risk of complications associated with DM and CVD based on laboratory results and have unrealistically high expectations regarding the precision of laboratory tests. Considerable variation existed in the use of repeat testing for diagnostic confirmation and in GPs' identification of the difference between two consecutive results required to indicate a change in patient condition. GPs also often failed to initiate appropriate treatment for patients with DM and CVD based on laboratory results. Feedback to GPs about their test ordering patterns and educational messages on laboratory results improved clinical outcomes. Evidence about how well GPs manage results and its impact on patient outcomes remains weak and inconclusive. This review identified a number of areas where interventions could support GPs to improve the interpretation and management of laboratory test results, including feedback to GPs and educational messages on test result reports. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Applying clinical guidelines in general practice: a qualitative study of potential complications.

PubMed

Austad, Bjarne; Hetlevik, Irene; Mjølstad, Bente Prytz; Helvik, Anne-Sofie

2016-07-22

Clinical guidelines for single diseases often pose problems in general practice work with multimorbid patients. However, little research focuses on how general practice is affected by the demand to follow multiple guidelines. This study explored Norwegian general practitioners' (GPs') experiences with and reflections upon the consequences for general practice of applying multiple guidelines. Qualitative focus group study carried out in Mid-Norway. The study involved a purposeful sample of 25 Norwegian GPs from four pre-existing groups. Interviews were audio-recorded, transcribed and analyzed using systematic text condensation, i.e. applying a phenomenological approach. The GPs' responses clustered around two major topics: 1) Complications for the GPs of applying multiple guidelines; and, 2) Complications for their patients when GPs apply multiple guidelines. For the GPs, applying multiple guidelines created a highly problematic situation as they felt obliged to implement guidelines that were not suited to their patients: too often, the map and the terrain did not match. They also experienced greater insecurity regarding their own practice which, they admitted, resulted in an increased tendency to practice 'defensive medicine'. For their patients, the GPs experienced that applying multiple guidelines increased the risk of polypharmacy, excessive non-pharmacological recommendations, a tendency toward medicalization and, for some, a reduction in quality of life. The GPs experienced negative consequences when obliged to apply a variety of single disease guidelines to multimorbid patients, including increased risk of polypharmacy and overtreatment. We believe patient-centered care and the GPs' courage to non-comply when necessary may aid in reducing these risks. Health care authorities and guideline developers need to be aware of the potential negative effects of applying a single disease focus in general practice, where multimorbidity is highly prevalent.

The History and Evolution of Young and Distant Radio Sources

NASA Astrophysics Data System (ADS)

Collier, Jordan

We study two classes of object to gain a better understanding of the evolution of Active Galactic Nuclei (AGN): Infrared-Faint Radio Sources (IFRSs) and Gigahertz Peaked Spectrum (GPS) / Compact Steep Spectrum (CSS) sources. IFRSs are a recently discovered rare class of object, which were found to be strong in the radio but undetectable in extremely sensitive infrared observations from the Spitzer Space Telescope, even in stacked images with sigma < 1muJy. IFRSs were found to exhibit a relatively high sky density, and were thought to represent AGN at z > 3. Therefore, IFRSs may significantly increase the number of known high-redshift galaxies. However, their non-detections in the optical and infrared prevented confirmation of their nature. Previous studies of IFRSs focused on very sensitive observations of a few small regions of the sky, and the largest sample consisted of 55 IFRSs. However, we follow the strategy of combining radio data with IR and optical data for a large region of the sky. Using these data, we discover a population of >1300 brighter IFRSs which are, for the first time, reliably detected in the infrared and optical. We present the first spectroscopic redshifts of IFRSs and show that the brightest IFRSs are at z > 2. Furthermore, we rule out that IFRSs are Star Forming Galaxies, hotspots, lobes or misidentifications. We find the first X-ray counterparts of IFRSs, and increase the number of known polarised IFRSs five-fold. We present an analysis of their radio spectra and show that IFRSs consist of GPS, CSS and ultra-steep-spectrum sources. We follow up >50 of these using VLBI observations, and confirm the AGN status of IFRSs. GPS and CSS sources are compact radio sources with a convex radio spectrum. They are widely thought to represent young and evolving radio galaxies that have recently launched their jets. However, good evidence exists in individual cases that GPS and CSS sources are one of the following: 1) frustrated by interactions with dense gas and dust in their environment; 2) prematurely dying radio sources; 3) recurrent radio galaxies. Their convex spectrum is generally thought to be caused by Synchrotron Self Absorption (SSA), an internal process in which the same population of electrons is responsible for the synchrotron emission and self-absorption. However, recent studies have shown that the convex spectrum may be caused by Free-Free Absorption (FFA), an external process in which an inhomogeneous screen absorbs the synchrotron emission. The majority of GPS and CSS samples consist of Jy-level and therefore, high-luminosity sources. VLBI images show that GPS and CSS sources typically have double-lobed, edge-brightened morphologies on mas scales, appearing as scaled down versions of Fanaroff-Riley Class II (FR II) galaxies. Recently, two low-luminosity GPS sources were found to have jet-brightened morphologies, which appeared as scaled down versions of Fanaroff-Riley Class I (FR I) galaxies. From this, it was proposed that there exists a morphology-luminosity break analogous to the FR I/II break and that low-luminosity GPS and CSS sources are the compact counterparts of FR I galaxies. However, this hypothesis remains unconfirmed, since very few samples of low-luminosity GPS and CSS sources exist. We conclude that, despite being historically favoured, single inhomogeneous SSA is not the dominant form of absorption amongst a large fraction of GPS and CSS sources. We find that FFA provides a good model for the majority of the spectra with observable turnovers, suggesting an inhomogeneous and clumpy ambient medium. Furthermore, we conclude that the majority of our GPS and CSS sources are young and evolving and may undergo recurrent activity over small time scales. We conclude that a very small fraction of GPS and CSS sources consists of frustrated, dying or restarted radio galaxies. (Abstract shortened by ProQuest.).

What to give the patient who has everything? A qualitative study of prescribing for multimorbidity in primary care.

PubMed

Sinnott, Carol; Hugh, Sheena Mc; Boyce, Maria B; Bradley, Colin P

2015-03-01

Using clinical guidelines in the management of patients with multimorbidity can lead to the prescription of multiple and sometimes conflicting medications. To explore how GPs make decisions when prescribing for multimorbid patients, with a view to informing intervention design. In-depth qualitative interviews incorporating chart-stimulated recall with purposively sampled GPs in the Republic of Ireland. Grounded theory analysis with iterative theory development. Twenty GPs were interviewed about 51 multimorbid cases. In these cases, GPs integrated information from multiple sources including the patient, specialists, and evidence-based medicine. Difficulties arose when recommendations or preferences conflicted, to which GPs responded by 'satisficing': accepting care that they deemed satisfactory and sufficient for a particular patient. Satisficing was manifest as relaxing targets for disease control, negotiating compromise with the patient, or making 'best guesses' about the most appropriate course of action to take. In multimorbid patients perceived as stable, GPs preferred to 'maintain the status quo' rather than rationalise medications, even in cases with significant polypharmacy. Proactive changes in medications were facilitated by continuity of care, sufficient consultation time, and open lines of communication with the patient, other healthcare professionals, and other GPs. GPs respond to conflicts in the management of multimorbid patients by making compromises between patient-centred and evidence-based care. These findings will be used to inform interventions that aim to care in multimorbidity. © British Journal of General Practice 2015.

[The information about discharge medication: what do general practitioners need?].

PubMed

Adam, Henning; Niebling, Wilhelm-Bernhard; Schott, Gisela

2015-04-01

The information about the patient's discharge medication (DM) in the discharge letter guarantees the subsequent pharmacotherapy at the interface between tertiary to primary care. International data however shows that general practitioners (GPs) receive discharge letters with a delay and relevant information about DM is lacking. The aim of this study was to assess the point of view of German GPs concerning the information about DM, since no recent data about this topic is available. In a postal survey 516 GPs in the city of Berlin were contacted and asked about the transit of discharge letters and the information about DM. Results | 117 GPs answered the questionnaire (23 %). Most frequently, the patient himself handed over the information about DM to the GP on the day of his first visit in the practice after discharge. However, more than two third of GPs wished to receive the information before the patient's first consultation (73 %). Therefore, the majority preferred the electronic communication via fax (46 %) or email (9 %). Almost half of the GPs stated that discharge letters were lacking information about changes in medication and reasons for these changes. At the same time, nearly all GPs thought that these informational aspects were important. GPs wish an early and electronic transit of the DM with information concerning changes in medication and reasons. If these wishes were considered, a continuous and thus safer pharmacotherapy at the interface could be guaranteed. © Georg Thieme Verlag KG Stuttgart · New York.

Work problems due to low back pain: what do GPs do? A questionnaire survey.

PubMed

Coole, Carol; Watson, Paul J; Drummond, Avril

2010-02-01

Low back pain can affect work ability and remains a main cause of sickness absence. In the UK the GP is usually the first contact for patients seeking health care. The UK government intends that the GP will continue to be responsible for sickness certification and work advice. This role requires a considerable level of understanding of work rehabilitation, and effective communication between GPs, patients, employers and therapists. The aim of this study was to identify GPs' current practice in managing patients whose ability to work is affected by low back pain, and their perception of the support services required. A postal questionnaire of 441 GPs in the South Nottinghamshire area of the UK was carried out. Areas covered included referral patterns, sickness certification, and communication with therapists and employers. There was a 54.6% response rate. The majority of GPs (76.8%) reported that they did not take overall responsibility for managing the work problems of patients arising from low back pain. Few 'mainly agreed' that they initiated communication with employers (2.5%) and/or therapists (10.4%) regarding their patients' work. The results of this study demonstrate that most GPs do not readily engage in vocational rehabilitation and do not initiate contact with employers or other health care practitioners regarding patients' work problems. Thus the current government expectation that GPs are able to successfully manage this role may be unrealistic; considerable training and a change in the GPs' perception of their role will be required.

Knowledge and practices of general practitioners at district hospitals towards cervical cancer prevention in Burundi, 2015: a cross-sectional study.

PubMed

Ndizeye, Zacharie; Vanden Broeck, Davy; Vermandere, Heleen; Bogers, John Paul; Van Geertruyden, Jean-Pierre

2018-01-16

Well-organized screening and treatment programmes are effective to prevent Invasive Cervical Cancer (ICC) in LMICs. To achieve this, the World Health Organization (WHO) recommends the involvement of existing health personnel in casu doctors, nurses, midwives in ICC prevention. A necessary precondition is that health personnel have appropriate knowledge about ICC. Therefore, to inform policy makers and training institutions in Burundi, we documented the knowledge and practices of general practitioners (GPs) at district hospital level towards ICC control. A descriptive cross-sectional survey was conducted from February to April, 2015 among all GPs working in government district hospitals. A structured questionnaire and a scoring system were used to assess knowledge and practices of GPs. The participation rate was 58.2%. Majority of GPs (76.3%) had appropriate knowledge (score > 70%) on cervical cancer disease; but some risk factors were less well known as smoking and the 2 most important oncogenic HPV. Only 8.4% of the participants had appropriate knowledge on ICC prevention: 55% of the participants were aware that HPV vaccination exists and 48.1% knew cryotherapy as a treatment method for CIN. Further, 15.3% was aware of VIA as a screening method. The majority of the participants (87%) never or rarely propose screening tests to their clients. Only 2 participants (1.5%) have already performed VIA/VILI. Wrong thoughts were also reported: 39.7% thought that CIN could be treated with radiotherapy; 3.1% thought that X-ray is a screening method. In this comprehensive assessment, we observed that Burundian GPs have a very low knowledge level about ICC prevention, screening and treatment. Suboptimal practices and wrong thoughts related to ICC screening and treatments have also been documented. We therefore recommend an adequate pre- and in-service training of GPs and most probably nurses on ICC control before setting up any public health intervention on ICC control.

Long range geoid control through the European GPS traverse: Final results

NASA Technical Reports Server (NTRS)

Torge, W.; Basic, T.; Denker, H.; Doliff, J.; Wenzel, H.-G.

1989-01-01

The European north-south Global Positioning System (GPS)-traverse proposed by IAG SSG 3.88, should control and improve the European geoid. This traverse follows first order leveling lines, included in the United European Leveling Network. From May to August 1986 and in July 1987, the central and northern part of this traverse (approx. 3000 km) was observed using up to four TI 4100 receivers, covering Austria, Federal Republic of Germany, Denmark, Sweden and Norway. Both traverse parts contain 71 stations with distances of about 50 km. In addition, 8 stations have been occupied for overlapping connections, and traverse links were established for connecting the fundamental stations Wettzell (VLBI and SLR) and Onsala (VLBI). Final results show a GPS observation precision of a few cm for loops of some 100 km circumference. After transformation of the GPS results to geoid heights using the leveled heights, comparisons with different existing gravimetric geoid determinations including geopotential models were performed. In addition, new geopotential models complete to degree and order 360 tailored to gravity data in Europe, and gravimetric geoid solutions using 6 x 10' mean gravity anomalies were investigated. The comparison with GPS and leveling yields rms discrepancies of + or - 0.1...0.2 m over 1000 km traverse sections for the best solutions, but a strong slope is existing in Sweden and southern Norway in almost all solutions, which is probably caused by systematic errors in the available gravity data for Scandinavia. This is confirmed by a new geoid computation at the Danish Geodetic Institute where the slope has disappeared. If this new solution is taken for the northern traverse section and the best solution for the central part, the rms discrepancy reduces to approximately + or - 0.2 m over 3000 km. Thus, a + or - 10 (exp 7) relative height accuracy seems to be achievable over long distances with the GPS/leveling and the gravimetric geoid calculation techniques, applied in this experiment.

ROS Hexapod

NASA Technical Reports Server (NTRS)

Davis, Kirsch; Bankieris, Derek

2016-01-01

As an intern project for NASA Johnson Space Center (JSC), my job was to familiarize myself and operate a Robotics Operating System (ROS). The project outcome will convert existing software assets into ROS using nodes, enabling a robotic Hexapod to communicate and to be functional and controlled by an existing PlayStation 3 (PS3) controller. Existing control algorithms and current libraries have no ROS capabilities within the Hexapod C++ source code. Conversion of C++ codes to ROS will enable existing code to be compatible with ROS, and will be controlled using existing PS3 controller. Furthermore, my job description is to design ROS messages and script programs which will enable assets to participate in the ROS ecosystem. In addition, an open source software (IDE) Arduino board will be integrated in the ecosystem with designing circuitry on a breadboard to add additional behavior with push buttons, potentiometers and other simple elements in the electrical circuitry. Other projects with the Arduino will be a GPS module digital clock that will run off 22 satellites to show accurate real time using a GPS signal and internal patch antenna to communicate with satellites.

Decision-making in general practice: the effect of financial incentives on the use of laboratory analyses.

PubMed

Munkerud, Siri Fauli

2012-04-01

This paper examines the reaction of general practitioners (GPs) to a reform in 2004 in the remuneration system for using laboratory services in general practice. The purpose of this paper is to study whether income motivation exists regarding the use of laboratory services in general practice, and if so, the degree of income motivation among general practitioners (GPs) in Norway. We argue that the degree of income motivation is stronger when the physicians are uncertain about the utility of the laboratory service in question. We have panel data from actual physician-patient encounters in general practices in the years 2001-2004 and use discrete choice analysis and random effects models. Estimation results show that an increase in the fees will lead to a small but significant increase in use. The reform led to minor changes in the use of laboratory analyses in GPs' offices, and we argue that financial incentives were diluted because they were in conflict with medical recommendations and existing medical practice. The patient's age has the most influence and the results support the hypothesis that the impact of income increases with increasing uncertainty about diagnosis and treatment. The policy implication of our results is that financial incentives alone are not an effective tool for influencing the use of laboratory services in GPs' offices.

An Innovative Context-Based Crystal-Growth Activity Space Method for Environmental Exposure Assessment: A Study Using GIS and GPS Trajectory Data Collected in Chicago.

PubMed

Wang, Jue; Kwan, Mei-Po; Chai, Yanwei

2018-04-09

Scholars in the fields of health geography, urban planning, and transportation studies have long attempted to understand the relationships among human movement, environmental context, and accessibility. One fundamental question for this research area is how to measure individual activity space, which is an indicator of where and how people have contact with their social and physical environments. Conventionally, standard deviational ellipses, road network buffers, minimum convex polygons, and kernel density surfaces have been used to represent people's activity space, but they all have shortcomings. Inconsistent findings of the effects of environmental exposures on health behaviors/outcomes suggest that the reliability of existing studies may be affected by the uncertain geographic context problem (UGCoP). This paper proposes the context-based crystal-growth activity space as an innovative method for generating individual activity space based on both GPS trajectories and the environmental context. This method not only considers people's actual daily activity patterns based on GPS tracks but also takes into account the environmental context which either constrains or encourages people's daily activity. Using GPS trajectory data collected in Chicago, the results indicate that the proposed new method generates more reasonable activity space when compared to other existing methods. This can help mitigate the UGCoP in environmental health studies.

An Innovative Context-Based Crystal-Growth Activity Space Method for Environmental Exposure Assessment: A Study Using GIS and GPS Trajectory Data Collected in Chicago

PubMed Central

Chai, Yanwei

2018-01-01

Scholars in the fields of health geography, urban planning, and transportation studies have long attempted to understand the relationships among human movement, environmental context, and accessibility. One fundamental question for this research area is how to measure individual activity space, which is an indicator of where and how people have contact with their social and physical environments. Conventionally, standard deviational ellipses, road network buffers, minimum convex polygons, and kernel density surfaces have been used to represent people’s activity space, but they all have shortcomings. Inconsistent findings of the effects of environmental exposures on health behaviors/outcomes suggest that the reliability of existing studies may be affected by the uncertain geographic context problem (UGCoP). This paper proposes the context-based crystal-growth activity space as an innovative method for generating individual activity space based on both GPS trajectories and the environmental context. This method not only considers people’s actual daily activity patterns based on GPS tracks but also takes into account the environmental context which either constrains or encourages people’s daily activity. Using GPS trajectory data collected in Chicago, the results indicate that the proposed new method generates more reasonable activity space when compared to other existing methods. This can help mitigate the UGCoP in environmental health studies. PMID:29642530

Sex-based differences in income and response to proposed financial incentives among general practitioners in France.

PubMed

Weeks, William B; Paraponaris, Alain; Ventelou, Bruno

2013-11-01

Women represent a growing proportion of the physician workforce, worldwide. Therefore, for the purposes of workforce planning, it is increasingly important to understand differences in how male and female physicians work and might respond to financial incentives. A recent survey allowed us to determine whether sex-based differences in either physician income or responses to a hypothetical increase in reimbursement exist among French General Practitioners (GPs). Our analysis of 828 male and 244 female GPs' responses showed that females earned 35% less per year from medical practice than their male counterparts. After adjusting for the fact that female GPs had practiced medicine fewer years, worked 11% fewer hours per year, and spent more time with each consultation, female GPs earned 11,194€, or 20.6%, less per year (95% CI: 7085€-15,302€ less per year). Male GPs were more likely than female GPs to indicate that they would work fewer hours if consultation fees were to be increased. Our findings suggest that, as the feminization of medicine increases, the need to address gender-based income disparities increases and the tools that French policymakers use to regulate the physician supply might need to change. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Robust GPS autonomous signal quality monitoring

NASA Astrophysics Data System (ADS)

Ndili, Awele Nnaemeka

The Global Positioning System (GPS), introduced by the U.S. Department of Defense in 1973, provides unprecedented world-wide navigation capabilities through a constellation of 24 satellites in global orbit, each emitting a low-power radio-frequency signal for ranging. GPS receivers track these transmitted signals, computing position to within 30 meters from range measurements made to four satellites. GPS has a wide range of applications, including aircraft, marine and land vehicle navigation. Each application places demands on GPS for various levels of accuracy, integrity, system availability and continuity of service. Radio frequency interference (RFI), which results from natural sources such as TV/FM harmonics, radar or Mobile Satellite Systems (MSS), presents a challenge in the use of GPS, by posing a threat to the accuracy, integrity and availability of the GPS navigation solution. In order to use GPS for integrity-sensitive applications, it is therefore necessary to monitor the quality of the received signal, with the objective of promptly detecting the presence of RFI, and thus provide a timely warning of degradation of system accuracy. This presents a challenge, since the myriad kinds of RFI affect the GPS receiver in different ways. What is required then, is a robust method of detecting GPS accuracy degradation, which is effective regardless of the origin of the threat. This dissertation presents a new method of robust signal quality monitoring for GPS. Algorithms for receiver autonomous interference detection and integrity monitoring are demonstrated. Candidate test statistics are derived from fundamental receiver measurements of in-phase and quadrature correlation outputs, and the gain of the Active Gain Controller (AGC). Performance of selected test statistics are evaluated in the presence of RFI: broadband interference, pulsed and non-pulsed interference, coherent CW at different frequencies; and non-RFI: GPS signal fading due to physical blockage and multipath. Results are presented which verify the effectiveness of these proposed methods. The benefits of pseudolites in reducing service outages due to interference are demonstrated. Pseudolites also enhance the geometry of the GPS constellation, improving overall system accuracy. Designs for pseudolites signals, to reduce the near-far problem associated with pseudolite use, are also presented.

Assessment of GPS carrier-phase stability for time-transfer applications.

PubMed

Larson, K M; Levine, J; Nelson, L M; Parker, T E

2000-01-01

We have conducted global positioning system (GPS) carrier-phase time-transfer experiments between the master clock (MC) at the U.S. Naval Observatory (USNO) in Washington, DC and the alternate master clock (AMC) at Schriever Air Force Base near Colorado Springs, Colorado. These clocks are also monitored on an hourly basis with two-way satellite time-transfer (TWSTT) measurements. We compared the performance of the GPS carrier phase and TWSTT systems over a 236-d period. Because of power problems and data outages during the carrier-phase experiment, the longest continuous time span is 96 d. The data from this period show agreement with TWSTT within +/-1 ns, apart from an overall constant time offset (caused by unknown delays in the GPS hardware at both ends). For averaging times of a day, the carrier-phase and TWSTT systems have a frequency uncertainty of 2.5 and 5.5 parts in 10(15), respectively.

Cross-sectional survey: risk-averse French general practitioners are more favorable toward influenza vaccination.

PubMed

Massin, Sophie; Ventelou, Bruno; Nebout, Antoine; Verger, Pierre; Pulcini, Céline

2015-01-29

We tested the following hypotheses: (i) risk-averse general practitioners (GPs) are more likely to be vaccinated against influenza; (ii) and risk-averse GPs recommend influenza vaccination more often to their patients. In risk-averse GPs, the perceived benefits of the vaccine and/or the perceived risks of the infectious disease might indeed outweigh the perceived risks of the vaccine. In 2010-2012, we conducted a cross-sectional survey of a nationwide French representative sample of 1136 GPs. Multivariate analyses adjusted for four stratification variables (age, gender, urban/suburban/rural practice location and annual patient consultations) and for GPs' characteristics (group/solo practice, and occasional practice of alternative medicine, e.g., homeopathy) looked for associations between their risk attitudes and self-reported vaccination behavior. Individual risk attitudes were expressed as a continuous variable, from 0 (risk-tolerant) to 10 (risk-averse). Overall, 69% of GPs reported that they were very favorable toward vaccination in general. Self-reported vaccination coverage was 78% for 2009/2010 seasonal influenza and 62% for A/H1N1 pandemic influenza. Most GPs (72%) reported recommending the pandemic influenza vaccination to at-risk young adults in 2009, but few than half (42%) to young adults not at risk. In multivariate analyses, risk-averse GPs were more often vaccinated against seasonal (marginal effect=1.3%, P=0.02) and pandemic influenza (marginal effect=1.5%, P=0.02). Risk-averse GPs recommended the pandemic influenza vaccination more often than their more risk-tolerant colleagues to patients without risk factors (marginal effect=1.7%, P=0.01), but not to their at-risk patients and were more favorable toward vaccination in general (marginal effect=1.5%, P=0.04). Individual risk attitudes may influence GPs' practices regarding influenza vaccination, both for themselves and their patients. Our results suggest that risk-averse GPs may perceive the risks of influenza to outweigh the potential risks related to the vaccine. Copyright © 2014 Elsevier Ltd. All rights reserved.

Present-Day Kinematics of the Dead Sea Transform and Internal Deformation within the Sinai and Arabian Plates

NASA Astrophysics Data System (ADS)

Gomez, F. G.; Yassminh, R.; Cochran, W. J.; Reilinger, R. E.; Barazangi, M.

2015-12-01

An updated GPS velocity field along the Dead Sea Fault (DSF) provides a basis for assessing off-transform strain within the Sinai and Arabian plates along entire length of this left-lateral, continental transform. As one of the main tectonic elements in the eastern Mediterranean region, an improved kinematic view of the DSF elucidates the broader understanding of the regional tectonic framework, as well as contributes to refining the earthquake hazard assessment. Reconciling short-term (geodetic) measurements of crustal strain with neotectonic data on fault movements can yield insight into the mechanical and rheological properties of crustal deformation associated with transform tectonics. In addition to regional continuous GPS stations, this study assembles results from campaign GPS networks in Syria, Lebanon, and Jordan spanning more than a decade. 1-sigma uncertainties on velocities range from less than 0.4 mm/yr (continuous stations and older GPS survey sites) to about 1.0 mm/yr (newer survey sites). Analyses using elastic block models suggest slip rates of 4.0 - 5.0 mm/yr along the southern and central DSF and slip rates of 2.0 - 3.0 mm/yr along the northern DSF, and fault locking depths also vary along strike of the transform. Furthermore, the spatial distribution of GPS observations permits analyzing residual strains within the adjacent plates, after plate boundary strain is removed. A key observation is horizontal stretching within the Sinai plate, which may be related to pull by the subducted slab of the Sinai plate. Within the Arabian plate, areas of horizontal stretching generally correlate with locations of Quaternary volcanism.

Unfashionable tales: narratives about what is (still) great in NHS general practice

PubMed Central

Spooner, Sharon

2016-01-01

Background There is clear evidence that general practice has become a less popular career choice and among GPs there are high levels of dissatisfaction and demotivation. Little empirical evidence has emerged to indicate which factors contribute intrinsic value to the working lives of GPs and sustain their ongoing commitment. Aim To understand which aspects of work continue to motivate and engage senior GPs by exploring their narrative accounts. Design and setting This was part of a qualitative study in which senior GPs and hospital specialists contributed narratives in which they reflected on their working lives. Method Individual, open interviews were conducted with eight GPs who had graduated in the early 1980s. Thematic analysis and situational analysis mapping were used to identify and connect related themes. Results During interviews in which doctors drew on a wide range of encounters and experiences, they revealed which aspects of work were associated with greater intrinsic rewards and contributed to their continuing motivation. Having chosen careers that suited their preferred settings and working practices, they recounted adjustments made in response to new challenges and confirmed experiencing greater enjoyment when performing roles affirming their sense of providing valued health care. Conclusion This study’s findings offer an alternative angle from which to consider the current unpopularity of general practice careers. The article proposes that long-term engagement of practitioners may be achieved through provision of adequate supportive resources to allow them to enact a sense of medical identity that matches with their acquired expectations of their role in the NHS. PMID:26740605

Orbit determination performances using single- and double-differenced methods: SAC-C and KOMPSAT-2

NASA Astrophysics Data System (ADS)

Hwang, Yoola; Lee, Byoung-Sun; Kim, Haedong; Kim, Jaehoon

2011-01-01

In this paper, Global Positioning System-based (GPS) Orbit Determination (OD) for the KOrea-Multi-Purpose-SATellite (KOMPSAT)-2 using single- and double-differenced methods is studied. The requirement of KOMPSAT-2 orbit accuracy is to allow 1 m positioning error to generate 1-m panchromatic images. KOMPSAT-2 OD is computed using real on-board GPS data. However, the local time of the KOMPSAT-2 GPS receiver is not synchronized with the zero fractional seconds of the GPS time internally, and it continuously drifts according to the pseudorange epochs. In order to resolve this problem, an OD based on single-differenced GPS data from the KOMPSAT-2 uses the tagged time of the GPS receiver, and the accuracy of the OD result is assessed using the overlapping orbit solution between two adjacent days. The clock error of the GPS satellites in the KOMPSAT-2 single-differenced method is corrected using International GNSS Service (IGS) clock information at 5-min intervals. KOMPSAT-2 OD using both double- and single-differenced methods satisfies the requirement of 1-m accuracy in overlapping three dimensional orbit solutions. The results of the SAC-C OD compared with JPL’s POE (Precise Orbit Ephemeris) are also illustrated to demonstrate the implementation of the single- and double-differenced methods using a satellite that has independent orbit information available for validation.

Self-reported confidence and skills of general practitioners in management of mental health disorders.

PubMed

Oakley Browne, Mark; Lee, Adeline; Prabhu, Radha

2007-10-01

To identify the predictors of self-reported confidence and skills of GPs in management of patients with mental health problems. Cross-sectional survey, with questionnaire presented to 246 GPs working in 62 practices throughout Gippsland. Rural general practices in Gippsland. One hundred and thirty-four GPs across Gippsland. GPs completed a questionnaire assessing self-perception of knowledge and skills in recognition and management of common mental health problems. Of 134 GPs, 45% reported that they have a specific interest in mental health, and 39% of GPs reported that they had previous mental health training. Only 22% of GPs describe having both an interest and prior training in mental health care. Age and years since graduation are not significantly related to self-reported confidence and skills. The results of this study highlight that self-professed interest and prior training in mental health are associated. Self-professed interest in mental health care predicts confidence and self-perceived skills in recognition, assessment and management of common mental health disorders. Similarly, prior training in mental health care predicts confidence and self-perceived skills in recognition, assessment and management of common mental health problems. Self-professed interest in mental health issues is also associated with hours of participation in continuing medical education related to mental health care. Unfortunately, only a minority described having both interest and prior training in mental health care.

Physicians' assessments of work capacity in patients with severe subjective health complaints: a cross-sectional study on differences between five European countries

PubMed Central

Werner, Erik L; Merkus, Suzanne L; Mæland, Silje; Jourdain, Maud; Schaafsma, Frederieke; Canevet, Jean Paul; Weerdesteijn, Kristel H N; Rat, Cédric; Anema, Johannes R

2016-01-01

Objectives A comparison of appraisals made by general practitioners (GPs) in France and occupational physicians (OPs) and insurance physicians (IPs) in the Netherlands with those made by Scandinavian GPs on work capacity in patients with severe subjective health complaints (SHCs). Setting GPs in France and OPs/IPs in the Netherlands gathered to watch nine authentic video recordings from a Norwegian general practice. Participants 46 GPs in France and 93 OPs/IPs in the Netherlands were invited to a 1-day course on SHC. Outcomes Recommendation of sick leave (full or partial) or no sick leave for each of the patients. Results Compared with Norwegian GPs, sick leave was less likely to be granted by Swedish GPs (OR 0.51, 95% CI 0.30 to 0.86) and by Dutch OPs/IPs (OR 0.53, 95% CI 0.37 to 0.78). The differences between Swedish and Norwegian GPs were maintained in the adjusted analyses (OR 0.43, 95% CI 0.23 to 0.79). This was also true for the differences between Dutch and Norwegian physicians (OR 0.55, 95% CI 0.36 to 0.86). Overall, compared with the GPs, the Dutch OPs/IPs were less likely to grant sick leave (OR 0.60, 95% CI 0.45 to 0.87). Conclusions Swedish GPs and Dutch OPs/IPs were less likely to grant sick leave to patients with severe SHC compared with GPs from Norway, while GPs from Denmark and France were just as likely to grant sick leave as the Norwegian GPs. We suggest that these findings may be due to the guidelines on sick-listing and on patients with severe SHC which exist in Sweden and the Netherlands, respectively. Differences in the working conditions, relationships with patients and training of specialists in occupational medicine may also have affected the results. However, a pattern was observed in which of the patients the physicians in all countries thought should be sick-listed, suggesting that the physicians share tacit knowledge regarding sick leave decision-making in patients with severe SHC. PMID:27417198

Using Global Positioning Systems (GPS) and temperature data to generate time-activity classifications for estimating personal exposure in air monitoring studies: an automated method.

PubMed

Nethery, Elizabeth; Mallach, Gary; Rainham, Daniel; Goldberg, Mark S; Wheeler, Amanda J

2014-05-08

Personal exposure studies of air pollution generally use self-reported diaries to capture individuals' time-activity data. Enhancements in the accuracy, size, memory and battery life of personal Global Positioning Systems (GPS) units have allowed for higher resolution tracking of study participants' locations. Improved time-activity classifications combined with personal continuous air pollution sampling can improve assessments of location-related air pollution exposures for health studies. Data was collected using a GPS and personal temperature from 54 children with asthma living in Montreal, Canada, who participated in a 10-day personal air pollution exposure study. A method was developed that incorporated personal temperature data and then matched a participant's position against available spatial data (i.e., road networks) to generate time-activity categories. The diary-based and GPS-generated time-activity categories were compared and combined with continuous personal PM2.5 data to assess the impact of exposure misclassification when using diary-based methods. There was good agreement between the automated method and the diary method; however, the automated method (means: outdoors = 5.1%, indoors other =9.8%) estimated less time spent in some locations compared to the diary method (outdoors = 6.7%, indoors other = 14.4%). Agreement statistics (AC1 = 0.778) suggest 'good' agreement between methods over all location categories. However, location categories (Outdoors and Transit) where less time is spent show greater disagreement: e.g., mean time "Indoors Other" using the time-activity diary was 14.4% compared to 9.8% using the automated method. While mean daily time "In Transit" was relatively consistent between the methods, the mean daily exposure to PM2.5 while "In Transit" was 15.9 μg/m3 using the automated method compared to 6.8 μg/m3 using the daily diary. Mean times spent in different locations as categorized by a GPS-based method were comparable to those from a time-activity diary, but there were differences in estimates of exposure to PM2.5 from the two methods. An automated GPS-based time-activity method will reduce participant burden, potentially providing more accurate and unbiased assessments of location. Combined with continuous air measurements, the higher resolution GPS data could present a different and more accurate picture of personal exposures to air pollution.

Using Global Positioning Systems (GPS) and temperature data to generate time-activity classifications for estimating personal exposure in air monitoring studies: an automated method

PubMed Central

2014-01-01

Background Personal exposure studies of air pollution generally use self-reported diaries to capture individuals’ time-activity data. Enhancements in the accuracy, size, memory and battery life of personal Global Positioning Systems (GPS) units have allowed for higher resolution tracking of study participants’ locations. Improved time-activity classifications combined with personal continuous air pollution sampling can improve assessments of location-related air pollution exposures for health studies. Methods Data was collected using a GPS and personal temperature from 54 children with asthma living in Montreal, Canada, who participated in a 10-day personal air pollution exposure study. A method was developed that incorporated personal temperature data and then matched a participant’s position against available spatial data (i.e., road networks) to generate time-activity categories. The diary-based and GPS-generated time-activity categories were compared and combined with continuous personal PM2.5 data to assess the impact of exposure misclassification when using diary-based methods. Results There was good agreement between the automated method and the diary method; however, the automated method (means: outdoors = 5.1%, indoors other =9.8%) estimated less time spent in some locations compared to the diary method (outdoors = 6.7%, indoors other = 14.4%). Agreement statistics (AC1 = 0.778) suggest ‘good’ agreement between methods over all location categories. However, location categories (Outdoors and Transit) where less time is spent show greater disagreement: e.g., mean time “Indoors Other” using the time-activity diary was 14.4% compared to 9.8% using the automated method. While mean daily time “In Transit” was relatively consistent between the methods, the mean daily exposure to PM2.5 while “In Transit” was 15.9 μg/m3 using the automated method compared to 6.8 μg/m3 using the daily diary. Conclusions Mean times spent in different locations as categorized by a GPS-based method were comparable to those from a time-activity diary, but there were differences in estimates of exposure to PM2.5 from the two methods. An automated GPS-based time-activity method will reduce participant burden, potentially providing more accurate and unbiased assessments of location. Combined with continuous air measurements, the higher resolution GPS data could present a different and more accurate picture of personal exposures to air pollution. PMID:24885722

A Recommendation on SLR Ranging to Future Global Navigation Satellite Systems

NASA Astrophysics Data System (ADS)

Labrecque, J. L.; Miller, J. J.; Pearlman, M.

2008-12-01

The multi-agency US Geodetic Requirements Working Group has recommended that Satellite Laser Retro- reflectors be installed on GPS III satellites as a principal component of the Positioning, Navigation, and Timing mandate of the Global Positioning System. The Working Group, which includes NASA, NGA, NOAA, NRL, USGS, and the USNO, echoes the Global Geodetic Observing System recommendation that SLR retro- reflectors be installed on all GNSS satellites. It is further recommended that the retro-reflectors conform to and hopefully exceed the minimum standard of the International Laser Ranging Service for retro-reflector cross sections of 100 million square meters for the HEO GNSS satellites to insure sufficiently accurate ranging by the global network of satellite laser ranging systems. The objective of this recommendation is to contribute to the improvement in the International Terrestrial Reference Frame, and its derivative the WGS84 reference frame, through continuing improvements in the characterization of the GPS orbits and clocks. Another objective is to provide an independent means of assessing the interoperability and accuracy of the GNSS systems and regional augmentation systems. The ranging to GNSS-mounted retro-reflectors will constitute a significant new means of space-based collocation to constrain the tie between the GPS and SLR networks that constitute over 50% of the data from which the ITRF is derived. The recommendation for the installation of SLR retro-reflectors aboard future GPS satellites is one of a number of efforts aimed at improving the accuracy and stability of ITRF. These steps are being coordinated with and supportive of the efforts of the GGOS and its services such at the VLBI2010 initiative, developing a next generation geodetic network, near real-time GPS positioning and EOP determination, and numerous efforts in the improvement of geodetic algorithms for GPS, SLR, VLBI, DORIS, and the determination of the ITRF. If past is prologue, the requirements of accuracy placed upon GNSS systems will continue to evolve at a factor of ten per decade for the lifetime of the GPS III, extending to 2025 and beyond. Global societal priorities such as sea level change measurement already require a factor of ten or more improvement in the accuracy and stability of the ITRF. Increasing accuracy requirements by civilian users for precision positioning and time keeping will certainly continue to grow at an exponential rate. The PNT accuracy of our GNSS systems will keep pace with these societal needs only if we equip the GNSS systems with the capability to identify and further reduce systematic errors.

Global Ionosphere Perturbations Monitored by the Worldwide GPS Network

NASA Technical Reports Server (NTRS)

Ho, C. M.; Manucci, A. T.; Lindqwister, U. J.; Pi, X.

1996-01-01

For the first time, measurements from the Global Positioning System (GPS) worldwide network are employed to study the global ionospheric total electron content(TEC) changes during a magnetic storm (November 26, 1994). These measurements are obtained from more than 60 world-wide GPS stations which continuously receive dual-frequency signals. Based on the delays of the signals, we have generated high resolution global ionospheric maps (GIM) of TEC at 15 minute intervals. Using a differential method comparing storm time maps with quiet time maps, we find that significant TEC increases (the positive effect ) are the major feature in the winter hemisphere during this storm (the maximum percent change relative to quiet times is about 150 percent).

System Proposal for Mass Transit Service Quality Control Based on GPS Data

PubMed Central

Padrón, Gabino; Cristóbal, Teresa; Alayón, Francisco; Quesada-Arencibia, Alexis; García, Carmelo R.

2017-01-01

Quality is an essential aspect of public transport. In the case of regular public passenger transport by road, punctuality and regularity are criteria used to assess quality of service. Calculating metrics related to these criteria continuously over time and comprehensively across the entire transport network requires the handling of large amounts of data. This article describes a system for continuously and comprehensively monitoring punctuality and regularity. The system uses location data acquired continuously in the vehicles and automatically transferred for analysis. These data are processed intelligently by elements that are commonly used by transport operators: GPS-based tracking system, onboard computer and wireless networks for mobile data communications. The system was tested on a transport company, for which we measured the punctuality of one of the routes that it operates; the results are presented in this article. PMID:28621745

System Proposal for Mass Transit Service Quality Control Based on GPS Data.

PubMed

Padrón, Gabino; Cristóbal, Teresa; Alayón, Francisco; Quesada-Arencibia, Alexis; García, Carmelo R

2017-06-16

Quality is an essential aspect of public transport. In the case of regular public passenger transport by road, punctuality and regularity are criteria used to assess quality of service. Calculating metrics related to these criteria continuously over time and comprehensively across the entire transport network requires the handling of large amounts of data. This article describes a system for continuously and comprehensively monitoring punctuality and regularity. The system uses location data acquired continuously in the vehicles and automatically transferred for analysis. These data are processed intelligently by elements that are commonly used by transport operators: GPS-based tracking system, onboard computer and wireless networks for mobile data communications. The system was tested on a transport company, for which we measured the punctuality of one of the routes that it operates; the results are presented in this article.

The effect of reminder letters on the uptake of an e-learning programme on dementia: a randomized trial in general practice.

PubMed

Waldorff, Frans Boch; Siersma, Volkert; Nielsen, Bente; Steenstrup, Annette Plesner; Bro, Flemming

2009-12-01

The aim of the present study was to evaluate whether three reminder letters mailed to GPs after dissemination of a Dementia Guideline increased the GPs' use of the corresponding e-learning programme (ELP). Single-blinded randomized trial among all GPs in Copenhagen Municipality from 1 November 2006 to 1 May 2007. A total of 15 of 320 GPs (4.7%) had a web-based logon during the study period. The intervention group had a significantly increased frequency of web-based logons (P = 0.0192) equivalent to a hazard ratio of 8.0 (95% CI: 1.03-66.1; P = 0.047). NNT was calculated to 22.2. We could not detect any significant differences in any of the secondary outcomes. Three reminder letters added to a nation-wide dissemination increased the probability for a GP logon in the ELP by a Factor 8. However, in total, only a small proportion used the ELP. Thus, further research is needed in order to consider future implementation strategies for Internet-based Continuous Medical Education activities among not primed GPs.

GPS Velocity and Strain Rate Fields in Southwest Anatolia from Repeated GPS Measurements

PubMed Central

Erdoğan, Saffet; Şahin, Muhammed; Tiryakioğlu, İbrahim; Gülal, Engin; Telli, Ali Kazım

2009-01-01

Southwestern Turkey is a tectonically active area. To determine kinematics and strain distribution in this region, a GPS network of sixteen stations was established. We have used GPS velocity field data for southwest Anatolia from continuous measurements covering the period 2003 to 2006 to estimate current crustal deformation of this tectonically active region. GPS data were processed using GAMIT/GLOBK software and velocity and strain rate fields were estimated in the study area. The measurements showed velocities of 15–30 mm/yr toward the southwest and strain values up to 0.28–8.23×10−8. Results showed that extension has been determined in the Burdur-Isparta region. In this study, all of strain data reveal an extensional neotectonic regime through the northeast edge of the Isparta Angle despite the previously reported compressional neotectonic regime. Meanwhile, results showed some small differences relatively with the 2006 model of Reilinger et al. As a result, active tectonic movements, in agreement with earthquake fault plane solutions showed important activity. PMID:22573998

Networked differential GPS system

NASA Technical Reports Server (NTRS)

Sheynblat, Leonid (Inventor); Kalafus, Rudolph M. (Inventor); Loomis, Peter V. W. (Inventor); Mueller, K. Tysen (Inventor)

1994-01-01

An embodiment of the present invention relates to a worldwide network of differential GPS reference stations (NDGPS) that continually track the entire GPS satellite constellation and provide interpolations of reference station corrections tailored for particular user locations between the reference stations Each reference station takes real-time ionospheric measurements with codeless cross-correlating dual-frequency carrier GPS receivers and computes real-time orbit ephemerides independently. An absolute pseudorange correction (PRC) is defined for each satellite as a function of a particular user's location. A map of the function is constructed, with iso-PRC contours. The network measures the PRCs at a few points, so-called reference stations and constructs an iso-PRC map for each satellite. Corrections are interpolated for each user's site on a subscription basis. The data bandwidths are kept to a minimum by transmitting information that cannot be obtained directly by the user and by updating information by classes and according to how quickly each class of data goes stale given the realities of the GPS system. Sub-decimeter-level kinematic accuracy over a given area is accomplished by establishing a mini-fiducial network.

A Study into the Method of Precise Orbit Determination of a HEO Orbiter by GPS and Accelerometer

NASA Technical Reports Server (NTRS)

Ikenaga, Toshinori; Hashida, Yoshi; Unwin, Martin

2007-01-01

In the present day, orbit determination by Global Positioning System (GPS) is not unusual. Especially for low-cost small satellites, position determination by an on-board GPS receiver provides a cheap, reliable and precise method. However, the original purpose of GPS is for ground users, so the transmissions from all of the GPS satellites are directed toward the Earth s surface. Hence there are some restrictions for users above the GPS constellation to detect those signals. On the other hand, a desire for precise orbit determination for users in orbits higher than GPS constellation exists. For example, the next Japanese Very Long Baseline Interferometry (VLBI) mission "ASTRO-G" is trying to determine its orbit in an accuracy of a few centimeters at apogee. The use of GPS is essential for such ultra accurate orbit determination. This study aims to construct a method for precise orbit determination for such high orbit users, especially in High Elliptical Orbits (HEOs). There are several approaches for this objective. In this study, a hybrid method with GPS and an accelerometer is chosen. Basically, while the position cannot be determined by an on-board GPS receiver or other Range and Range Rate (RARR) method, all we can do to estimate the user satellite s position is to propagate the orbit along with the force model, which is not perfectly correct. However if it has an accelerometer (ACC), the coefficients of the air drag and the solar radiation pressure applied to the user satellite can be updated and then the propagation along with the "updated" force model can improve the fitting accuracy of the user satellite s orbit. In this study, it is assumed to use an accelerometer available in the present market. The effects by a bias error of an accelerometer will also be discussed in this paper.

Neighbourhood for playing: using GPS, GIS, and accelerometry to delineate areas within which youth are physically active

USDA-ARS?s Scientific Manuscript database

Abstract: Existing research suggests an association between the built environment characteristics of the neighborhood in which adolescents live and their level of physical activity. The geographic boundaries within which youth play are often arbitrarily assumed in existing research, but the geograph...

General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study

PubMed Central

2014-01-01

Background General Practitioners (GPs) are well-positioned to provide grief support to patients. Most GPs view the provision of bereavement care as an important aspect of their role and the GP is the health professional that many people turn to when they need support. We aimed to explore GPs’ understandings of bereavement care and their education and professional development needs in relation to bereavement care. Methods An in-depth qualitative design was adopted using a social constructionist approach as our aims were exploratory and applied. Nineteen GPs (12 women and 7 men) living in Western Australia were interviewed; 14 were based in metropolitan Perth and 5 in rural areas. GPs were invited, via a letter, to participate in a semi-structured interview. The interviews occurred within each GP’s workplace or, for the rural GPs, via telephone, and all interviews were digitally audio-recorded and transcribed. Results Analysis was based upon constant comparison and began as soon as possible after each interview. The data revealed four tensions or opposing views concerning bereavement and bereavement care. These were (1) whether grief is a standardised versus an individual process, (2) the role of the GP in intervening versus promoting resilience, (3) the GP as a broker of services versus a service provider, and (4) the need for formal education and professional development versus ‘on-the-job’ experiential learning. Conclusions GPs have a critical role in exploring distress, including grief. However, changes need to be made to ensure GPs have up-to-date knowledge of contemporary theories and approaches. GPs urgently need education both at the undergraduate and postgraduate degree levels, and in continuing professional development. Otherwise GPs will rely on out-dated theories and constructions of grief, which may be detrimental to patient care. PMID:24670040

Interprofessional communication between community pharmacists and general practitioners: a qualitative study.

PubMed

Weissenborn, Marina; Haefeli, Walter E; Peters-Klimm, Frank; Seidling, Hanna M

2017-06-01

Background While collaboration between community pharmacists (CPs) and general practitioners (GPs) is essential to provide comprehensive patient care, their communication often is scarce and hampered by multiple barriers. Objective We aimed to assess both professions' perceptions of interprofessional communication with regard to content and methods of communication as a basis to subsequently develop best-practice recommendations for information exchange. Setting Ambulatory care setting in Germany. Method CPs and GPs shared their experience in focus groups and in-depth interviews which were conducted using a semi-structured interview guideline. Transcribed recordings were assessed using qualitative content analysis according to Mayring. Main outcome measure Specification of existing barriers, CPs'/GPs' general perceptions of interprofessional communication and similarities and differences regarding prioritization of specific information items and how to best communicate with each other. Results Four focus groups and fourteen interviews were conducted. Seven internal (e.g. professions were not personally known to one another) and nine external barriers (e.g. mutual accessibility) were identified. Ten organizational, eight medication-related, and four patient-related information items were identified requiring interprofessional communication. Their relevance varied between the professions, e.g. CPs rated organizational issues higher than GPs. Both professions indicated communication via phone to be the most frequently used method of communication. Conclusion CPs and GPs opinions often differ. However, communication between CPs and GPs is perceived as crucial suggesting that a future concept has to offer standardized recommendations, while leaving CPs and GPs room to adjust it to their individual needs.

Common mode error in Antarctic GPS coordinate time series on its effect on bedrock-uplift estimates

NASA Astrophysics Data System (ADS)

Liu, Bin; King, Matt; Dai, Wujiao

2018-05-01

Spatially-correlated common mode error always exists in regional, or-larger, GPS networks. We applied independent component analysis (ICA) to GPS vertical coordinate time series in Antarctica from 2010 to 2014 and made a comparison with the principal component analysis (PCA). Using PCA/ICA, the time series can be decomposed into a set of temporal components and their spatial responses. We assume the components with common spatial responses are common mode error (CME). An average reduction of ˜40% about the RMS values was achieved in both PCA and ICA filtering. However, the common mode components obtained from the two approaches have different spatial and temporal features. ICA time series present interesting correlations with modeled atmospheric and non-tidal ocean loading displacements. A white noise (WN) plus power law noise (PL) model was adopted in the GPS velocity estimation using maximum likelihood estimation (MLE) analysis, with ˜55% reduction of the velocity uncertainties after filtering using ICA. Meanwhile, spatiotemporal filtering reduces the amplitude of PL and periodic terms in the GPS time series. Finally, we compare the GPS uplift velocities, after correction for elastic effects, with recent models of glacial isostatic adjustment (GIA). The agreements of the GPS observed velocities and four GIA models are generally improved after the spatiotemporal filtering, with a mean reduction of ˜0.9 mm/yr of the WRMS values, possibly allowing for more confident separation of various GIA model predictions.

Quality improvement competency gaps in primary care in Albanian, polish and slovenian contexts: a study protocol.

PubMed

Czabanowska, Katarzyna; Burazeri, Genc; Klemenc-Ketis, Zalika; Kijowska, Violetta; Tomasik, Tomasz; Brand, Helmut

2012-12-01

Nowadays, general practitioners (GPs) and family doctors (FDs) face increasing demands, as a consequence of complex patients' expectations, developments in science and technology, and limitations within healthcare systems which can result in competency gaps. Therefore, there is a need to identify which competencies in quality improvement (QI) are most important for GPs and FDs to possess in order to meet the demands of contemporary health care practice. To date, however, little information is available on the self-assessment of competencies related to QI among GPs and FDs. To deal with these issues, a project on QI in continuous medical education was launched in 2011. The project aims to broaden the GPs'/ FDs' continuous education offer, its quality and attractiveness, as well as provide them with opportunities for vocational advancement and enable the development of common, European frame of reference for GPs'/FDs' occupational competencies. The third work package of the project consists of the validation research of the questionnaire developed on the basis of the competency framework in QI for GPs/FDs in Europe. A cross-sectional study will be carried out using the self-assessment QI questionnaire which was originally developed in English and subsequently it was cross-culturally adapted in Slovenian, Albanian and Polish settings by use of a pilot study on a conveniently selected group of FDs/GPs (N=10) in each participating country. The final version of the questionnaire will be administered to large samples in each country involved in the survey. Two weeks after the first administration of the questionnaire, a second round, with the same procedure and including the same group of respondents, will follow. Psychometric tests will be conducted including internal consistency (after the initial and subsequent application of the instrument) and stability over time (two-week test-retest reliability). This self-assessment study will demonstrate the complex environment in which general practice/family medicine operates and, eventually, this gap analysis will set out strategically important areas for collaborative efforts related to QI in primary care. The authors consider that the study should be extended to other European countries to help identify most required competencies that GPs/FDs should possess in Europe and thus stir system and educational debate around QI curricula and training for primary care in Europe.

23 October 2011 (Mw=7.2) Van Earthquake (Turkey): Revised Coseismic and Postseismic Models from New GPS Observations

NASA Astrophysics Data System (ADS)

Dogan, U.; Demir, D. O.; Cakir, Z.; Ergintav, S.; Cetin, S.; Ozdemir, A.; Reilinger, R. E.

2017-12-01

The 23 October 2011, Mw=7.2 Van Earthquake occurred in eastern Turkey on a thrust fault trending NE-SW and dipping to the north. We use GPS time series from the survey and continuous stations to determine coseismic deformation and to identify spatial and temporal changes in the near and far field due to postseismic processes (2011-2017). The coseismic deformation in the near field is derived from GPS data collected at 25 cadastral GPS survey sites. The coseismic horizontal displacements reach nearly 50 cm close to the surface trace of the fault that ruptured at depth during the earthquake. The density and distribution of the GPS sites allow us to better constrain the extent of the coseismic rupture using elastic dislocations on triangular faults embedded in a homogeneous, elastic half space. Modeling studies suggest that the coseismic rupture stopped west of the Erçek Lake before veering to the north. Estimated seismic moment is in good agreement with the seismologically and geodetically estimated seismic moment, estimated from the finite-fault model. Our preferred coseismic model consists of a simple elliptical slip patch centered at around 8 km depth with a maximum slip of about 2.5 m, consistent with the previous estimates based on InSAR measurements. The postseismic deformation field is derived from far field continuous GPS observations (10.2011 - 11.2017) and near field GPS campaigns (10.2011 - 09.2015). The postseismic time-series are fit better with a logarithmic than an exponential function, suggesting that the postseismic deformation is due to afterslip. Then, we modified our published postseismic model, using the coseismic model and data sets, extended until the end of 2017. The results show that during 6 years following the earthquake, after slip of up to 65 cm occurred at relatively shallow (< 10 km) depths, mostly above the deep coseismic slip that reaches depths > 15 km. New interpretations of the shallow afterslip, also, adds further evidence that the surface break observed after the earthquake was caused by coseismic stress changes rather than representing the coseismic fault. (This study is supported by TUBITAK no: 112Y109 project). Keywords: Van earthquake, GPS, coseismic, postseismic, deformation, elastic modeling

Simulation of a navigator algorithm for a low-cost GPS receiver

NASA Technical Reports Server (NTRS)

Hodge, W. F.

1980-01-01

The analytical structure of an existing navigator algorithm for a low cost global positioning system receiver is described in detail to facilitate its implementation on in-house digital computers and real-time simulators. The material presented includes a simulation of GPS pseudorange measurements, based on a two-body representation of the NAVSTAR spacecraft orbits, and a four component model of the receiver bias errors. A simpler test for loss of pseudorange measurements due to spacecraft shielding is also noted.

The association between general practitioner participation in joint teleconsultations and rates of referral: a discrete choice experiment.

PubMed

Cravo Oliveira, Tiago; Barlow, James; Bayer, Steffen

2015-04-21

Joint consultations - such as teleconsultations - provide opportunities for continuing education of general practitioners (GPs). It has been reported this form of interactive case-based learning may lead to fewer GP referrals, yet these studies have relied on expert opinion and simple frequencies, without accounting for other factors known to influence referrals. We use a survey-based discrete choice experiment of GPs' referral preferences to estimate how referral rates are associated with participation in joint teleconsultations, explicitly controlling for a number of potentially confounding variables. We distributed questionnaires at two meetings of the Portuguese Association of General Practice. GPs were presented with descriptions of patients with dermatological lesions and asked whether they would refer based on the waiting time, the distance to appointment, and pressure from patients for a referral. We analysed GPs' responses to multiple combinations of these factors, coupled with information on GP and practice characteristics, using a binary logit model. We estimated the probabilities of referral of different lesions using marginal effects. Questionnaires were returned by 44 GPs, giving a total of 721 referral choices. The average referral rate for the 11 GPs (25%) who had participated in teleconsultations was 68.1% (range 53-88%), compared to 74.4% (range 47-100%) for the remaining physicians. Participation in teleconsultations was associated with reductions in the probabilities of referral of 17.6% for patients presenting with keratosis (p = 0.02), 42.3% for psoriasis (p < 0.001), 8.4% for melanoma (p = 0.14), and 5.4% for naevus (p = 0.19). The results indicate that GP participation in teleconsultations is associated with overall reductions in referral rates and in variation across GPs, and that these effects are robust to the inclusion of other factors known to influence referrals. The reduction in range, coupled with different effects for different clinical presentations, may suggest an educational effect. However, more research is needed to establish whether there are causal relationships between participation in teleconsultations, continuing education, and referral rates.

Calibrating coseismic coastal land-level changes during the 2014 Iquique (Mw=8.2) earthquake (northern Chile) with leveling, GPS and intertidal biota

PubMed Central

Melnick, Daniel; Baez, Juan Carlos; Montecino, Henry; Lagos, Nelson A.; Acuña, Emilio; Manzano, Mario; Camus, Patricio A.

2017-01-01

The April 1st 2014 Iquique earthquake (MW 8.1) occurred along the northern Chile margin where the Nazca plate is subducted below the South American continent. The last great megathrust earthquake here, in 1877 of Mw ~8.8 opened a seismic gap, which was only partly closed by the 2014 earthquake. Prior to the earthquake in 2013, and shortly after it we compared data from leveled benchmarks, deployed campaign GPS instruments, continuous GPS stations and estimated sea levels using the upper vertical level of rocky shore benthic organisms including algae, barnacles, and mussels. Land-level changes estimated from mean elevations of benchmarks indicate subsidence along a ~100-km stretch of coast, ranging from 3 to 9 cm at Corazones (18°30’S) to between 30 and 50 cm at Pisagua (19°30’S). About 15 cm of uplift was measured along the southern part of the rupture at Chanabaya (20°50’S). Land-level changes obtained from benchmarks and campaign GPS were similar at most sites (mean difference 3.7±3.2 cm). Higher differences however, were found between benchmarks and continuous GPS (mean difference 8.5±3.6 cm), possibly because sites were not collocated and separated by several kilometers. Subsidence estimated from the upper limits of intertidal fauna at Pisagua ranged between 40 to 60 cm, in general agreement with benchmarks and GPS. At Chanavaya, the magnitude and sense of displacement of the upper marine limit was variable across species, possibly due to species—dependent differences in ecology. Among the studied species, measurements on lithothamnioid calcareous algae most closely matched those made with benchmarks and GPS. When properly calibrated, rocky shore benthic species may be used to accurately measure land-level changes along coasts affected by subduction earthquakes. Our calibration of those methods will improve their accuracy when applied to coasts lacking pre-earthquake data and in estimating deformation during pre–instrumental earthquakes. PMID:28333998

GNSS Monitoring of Deformation within heavy civil infrastructure

NASA Astrophysics Data System (ADS)

Montillet, Jean-Philippe; Melbourne, Timothy; Szeliga, Walter; Schrock, Gavin

2015-04-01

The steady increase in precision simultaneous with the decreasing of continuous GPS monitoring has enabled the deployment of receivers for a host of new activities. Here we discuss the precision obtained from several multi-station installations operated over a five-year period on several heavy civil-engineered structures, including two earthen-fill dams and subsiding highway overpass damaged by seismic shaking. In the past 5 years, the Cascadia Hazards Institute (Pacific Northwest Geodetic Array) at Central Washington University together with the Washington department of public utilities (Land Survey) have been monitoring several structures around Seattle area including two dams (Howard Hansen and Tolt). One aim of this study is to test the use of continuous GNSS in order to detect any deformations due to rapid pool level rises or to monitor the safety of a structure when an Earthquake strikes it. In this study, data is processed using Real Time Kinematic GPS with short baseline (d < 500 m) and GPS daily position (PPP). However, multipath is the most limiting factor on accuracy for very precise positioning applications with GPS. It is very often present indoors and outdoors, especially in narrow valleys with a limited view of the sky. As a result, multipath can amount to an error of a few centimetres. Unfortunately, the accuracy requirements of precision deformation monitoring are generally at the sub centimetre level, which is presently a big challenge on an epoch-by-epoch basis with regular, carrier phase techniques. Thus, it needs to be properly mitigated. In this study, several stations are set up on the dams (4 stations on the Tolt reservoir and 10 stations on the Howard Hansen dam), and spatial filtering can then be used to mitigate multipath. In addition, several signal processing techniques are also investigated (i.e. Empirical mode decomposition, sidereal filtering, adaptive filtering). RTK GPS should allow to monitor rapid deformations, whereas GPS daily position is used to detect long-term deformations such as the pool level rises due to the melting of ice cap on surrounding mountains. Note that RTK measurements are processed with the MIT software TRACK and the GPS daily positions estimated with GAMIT-GLOBK.

Study of seasonal and long-term vertical deformation in Nepal based on GPS and GRACE observations

NASA Astrophysics Data System (ADS)

Zhang, Tengxu; Shen, WenBin; Pan, Yuanjin; Luan, Wei

2018-02-01

Lithospheric deformation signal can be detected by combining data from continuous global positioning system (CGPS) and satellite observations from the Gravity Recovery and Climate Experiment (GRACE). In this paper, we use 2.5- to 19-year-long time series from 35 CGPS stations to estimate vertical deformation rates in Nepal, which is located in the southern side of the Himalaya. GPS results were compared with GRACE observations. Principal component analysis was conducted to decompose the time series into three-dimensional principal components (PCs) and spatial eigenvectors. The top three high-order PCs were calculated to correct common mode errors. Both GPS and GRACE observations showed significant seasonal variations. The observed seasonal GPS vertical variations are in good agreement with those from the GRACE-derived results, particularly for changes in surface pressure, non-tidal oceanic mass loading, and hydrologic loading. The GPS-observed rates of vertical deformation obtained for the region suggest both tectonic impact and mass decrease. The rates of vertical crustal deformation were estimated by removing the GRACE-derived hydrological vertical rates from the GPS measurements. Most of the sites located in the southern part of the Main Himalayan Thrust subsided, whereas the northern part mostly showed an uplift. These results may contribute to the understanding of secular vertical crustal deformation in Nepal.

Annual variations of monsoon and drought detected by GPS: A case study in Yunnan, China.

PubMed

Jiang, Weiping; Yuan, Peng; Chen, Hua; Cai, Jianqing; Li, Zhao; Chao, Nengfang; Sneeuw, Nico

2017-07-19

The Global Positioning System (GPS) records monsoonal precipitable water vapor (PWV) and vertical crustal displacement (VCD) due to hydrological loading, and can thus be applied jointly to diagnose meteorological and hydrological droughts. We have analyzed the PWV and VCD observations during 2007.0-2015.0 at 26 continuous GPS stations located in Yunnan province, China. We also obtained equivalent water height (EWH) derived from the Gravity Recovery And Climate Experiment (GRACE) and precipitation at these stations with the same period. Then, we quantified the annual variations of PWV, precipitation, EWH and VCD and provided empirical relationships between them. We found that GPS-derived PWV and VCD (positive means downward movement) are in phase with precipitation and GRACE-derived EWH, respectively. The annual signals of VCD and PWV show linearly correlated amplitudes and a two-month phase lag. Furthermore, the results indicate that PWV and VCD anomalies can also be used to explore drought, such as the heavy drought during winter/spring 2010. Our analysis results verify the capability of GPS to monitor monsoon variations and drought in Yunnan and show that a more comprehensive understanding of the characteristics of regional monsoon and drought can be achieved by integrating GPS-derived PWV and VCD with precipitation and GRACE-derived EWH.

Application of GPS radio occultation to the assessment of temperature profile retrievals from microwave and infrared sounders

NASA Astrophysics Data System (ADS)

Feltz, M.; Knuteson, R.; Ackerman, S.; Revercomb, H.

2014-05-01

Comparisons of satellite temperature profile products from GPS radio occultation (RO) and hyperspectral infrared (IR)/microwave (MW) sounders are made using a previously developed matchup technique. The profile matchup technique matches GPS RO and IR/MW sounder profiles temporally, within 1 h, and spatially, taking into account the unique RO profile geometry and theoretical spatial resolution by calculating a ray-path averaged sounder profile. The comparisons use the GPS RO dry temperature product. Sounder minus GPS RO differences are computed and used to calculate bias and RMS profile statistics, which are created for global and 30° latitude zones for selected time periods. These statistics are created from various combinations of temperature profile data from the Constellation Observing System for Meteorology, Ionosphere & Climate (COSMIC) network, Global Navigation Satellite System Receiver for Atmospheric Sounding (GRAS) instrument, and the Atmospheric Infrared Sounder (AIRS)/Advanced Microwave Sounding Unit (AMSU), Infrared Atmospheric Sounding Interferometer (IASI)/AMSU, and Crosstrack Infrared Sounder (CrIS)/Advanced Technology Microwave Sounder (ATMS) sounding systems. By overlaying combinations of these matchup statistics for similar time and space domains, comparisons of different sounders' products, sounder product versions, and GPS RO products can be made. The COSMIC GPS RO network has the spatial coverage, time continuity, and stability to provide a common reference for comparison of the sounder profile products. The results of this study demonstrate that GPS RO has potential to act as a common temperature reference and can help facilitate inter-comparison of sounding retrieval methods and also highlight differences among sensor product versions.

Application of GPS radio occultation to the assessment of temperature profile retrievals from microwave and infrared sounders

NASA Astrophysics Data System (ADS)

Feltz, M.; Knuteson, R.; Ackerman, S.; Revercomb, H.

2014-11-01

Comparisons of satellite temperature profile products from GPS radio occultation (RO) and hyperspectral infrared (IR)/microwave (MW) sounders are made using a previously developed matchup technique. The profile matchup technique matches GPS RO and IR/MW sounder profiles temporally, within 1 h, and spatially, taking into account the unique RO profile geometry and theoretical spatial resolution by calculating a ray-path averaged sounder profile. The comparisons use the GPS RO dry temperature product. Sounder minus GPS RO differences are computed and used to calculate bias and rms profile statistics, which are created for global and 30° latitude zones for selected time periods. These statistics are created from various combinations of temperature profile data from the Constellation Observing System for Meteorology, Ionosphere & Climate (COSMIC) network, Global Navigation Satellite System Receiver for Atmospheric Sounding (GRAS) instrument, and the Atmospheric Infrared Sounder (AIRS)/Advanced Microwave Sounding Unit (AMSU), Infrared Atmospheric Sounding Interferometer (IASI)/AMSU, and Crosstrack Infrared Sounder (CrIS)/Advanced Technology Microwave Sounder (ATMS) sounding systems. By overlaying combinations of these matchup statistics for similar time and space domains, comparisons of different sounders' products, sounder product versions, and GPS RO products can be made. The COSMIC GPS RO network has the spatial coverage, time continuity, and stability to provide a common reference for comparison of the sounder profile products. The results of this study demonstrate that GPS RO has potential to act as a common temperature reference and can help facilitate inter-comparison of sounding retrieval methods and also highlight differences among sensor product versions.

Keeping primary care "in the loop": General practitioners want better communication with specialists and hospitals when caring for people diagnosed with cancer.

PubMed

Lizama, Natalia; Johnson, Claire E; Ghosh, Manonita; Garg, Neeraj; Emery, Jonathan D; Saunders, Christobel

2015-06-01

To investigate general practitioners' (GP) perceptions about communication when providing cancer care. A self-report survey, which included an open response section, was mailed to a random sample of 1969 eligible Australian GPs. Content analysis of open response comments pertaining to communication was undertaken in order to ascertain GPs' views about communication issues in the provision of cancer care. Of the 648 GPs who completed the survey, 68 (10%) included open response comments about interprofessional communication. Participants who commented on communication were a median age of 50 years and worked 33 h/week; 28% were male and 59% practiced in the metropolitan area. Comments pertaining to communication were coded using five non-mutually exclusive categories: being kept in the loop; continuity of care; relationships with specialists; positive communication experiences; and strategies for improving communication.GPs repeatedly noted the importance of receiving detailed and timely communication from specialists and hospitals, particularly in relation to patients' treatment regimes and follow-up care. Several GPs remarked that they were left out of "the information loop" and that patients were "lost" or "dumped" after referral. While many GPs are currently involved in some aspects of cancer management, detailed and timely communication between specialists and GPs is imperative to support shared care and ensure optimal patient outcomes. This research highlights the need for established channels of communication between specialist and primary care medicine to support greater involvement by GPs in cancer care. © 2015 Wiley Publishing Asia Pty Ltd.

The use of the AOA TTR-4P GPS receiver in operation at the BIPM for real-time restitution of GPS time

NASA Technical Reports Server (NTRS)

Thomas, Claudine

1994-01-01

The Global Positioning System is an outstanding tool for the dissemination of time. Using mono-channel C/A-code GPS time receivers, the restitution of GPS time through the satellite constellation presents a peak-to-peak discrepancy of several tens of nanoseconds without SA but may be as high as several hundreds of nanoseconds with SA. As a consequence, civil users are more and more interested in implementing hardware and software methods for efficient restitution of GPS time, especially in the framework of the project of a real-time prediction of UTC (UTCp) which could be available in the form of time differences (UTCp - GPS time). Previous work, for improving the real-time restitution of GPS time with SA, to the level obtained without SA, focused on the implementation of a Kalman filter based on past data and updated at each new observation. An alternative solution relies upon the statistical features of the noise brought about by SA; it has already been shown that the SA noise is efficiently reduced by averaging data from numerous satellites observed simultaneously over a sufficiently long time. This method was successfully applied to data from a GPS time receiver, model AOA TTR-4P, connected to the cesium clock kept at the BIPM. This device, a multi-channel, dual frequency, P-code GPS time receiver, is one of the first TTR-4P units in operation in a civil laboratory. Preliminary comparative studies of this new equipment with conventional GPS time receivers are described in this paper. The results of an experimental restitution of GPS time, obtained in June 1993, are also detailed: 3 to 6 satellites were observed simultaneously with a sample interval of 15 s, an efficient smoothing of SA noise was realized by averaging data on all observed satellites over more than 1 hour. When the GPS system is complete in 1994, 8 satellites will be observable continuously from anywhere in the world and the same level of uncertainty will be obtained using a shorter averaging time.

Present tectonics of the southeast of Russia as seen from GPS observations

NASA Astrophysics Data System (ADS)

Shestakov, N. V.; Gerasimenko, M. D.; Takahashi, H.; Kasahara, M.; Bormotov, V. A.; Bykov, V. G.; Kolomiets, A. G.; Gerasimov, G. N.; Vasilenko, N. F.; Prytkov, A. S.; Timofeev, V. Yu.; Ardyukov, D. G.; Kato, T.

2011-02-01

The present tectonics of Northeast Asia has been extensively investigated during the last 12 yr by using GPS techniques. Nevertheless, crustal velocity field of the southeast of Russia near the northeastern boundaries of the hypothesized Amurian microplate has not been defined yet. The GPS data collected between 1997 February and 2009 April at sites of the regional geodynamic network were used to estimate the recent geodynamic activity of this area. The calculated GPS velocities indicate almost internal (between network sites) and external (with respect to the Eurasian tectonic plate) stability of the investigated region. We have not found clear evidences of any notable present-day tectonic activity of the Central Sikhote-Alin Fault as a whole. This fault is the main tectonic unit that determines the geological structure of the investigated region. The obtained results speak in favour of the existence of a few separate blocks and a more sophisticated structure of the proposed Amurian microplate in comparison with an indivisible plate approach.

Secondary prevention at 360°: the important role of diagnostic imaging.

PubMed

Ciarrapico, Anna Micaela; Manenti, Guglielmo; Pistolese, Chiara; Fabiano, Sebastiano; Fiori, Roberto; Romagnoli, Andrea; Sergiacomi, Gianluigi; Stefanini, Matteo; Simonetti, Giovanni

2015-06-01

The aim of this paper is to underline the importance of the role of general practitioners (GPs) in distributing vital information about prevention to citizens, to highlight the importance of the so-called voluntary prevention programmes, both for conditions for which no organised screening programmes exist and for those for which they do exist but may well be obsolete or inefficient. Nowadays, voluntary prevention is made more effective thanks to the new sophisticated diagnostic technologies applied worldwide by diagnostic imaging. Epidemiological data about the incidence and causes of death among the Italian population have shown that screening programmes should be aimed first at fighting the following diseases: prostatic carcinoma, lung cancer, colorectal carcinoma, breast cancer, cardiovascular disease, cerebrovascular disease, aortic and peripheral vascular disease. GPs do not generally give good or adequate instructions concerning voluntary prevention programmes; GPs may not even be aware of this type of prevention which could represent a valuable option together with the existing mass screening programmes. Therefore, in the following analysis, we aim to outline the correct diagnostic pathway for the prevention of diseases having the highest incidence in our country and which represent the most frequent causes of death. If used correctly, these screening programmes may contribute to the success of secondary prevention, limiting the use of tertiary prevention and thus producing savings for the Italian National Health System.

Absolute Sea Level Monitoring and Altimeter Calibration At Gavdos, Crete, Greece

NASA Astrophysics Data System (ADS)

Pavlis, E. C.; Gavdos Team

We present the mean sea level (MSL) monitoring aspect of the altimeter calibration fa- cility under deployment on western Crete and the isle of Gavdos. The Eastern Mediter- ranean area is one of great interest for its intense tectonic activity as well as for its regional oceanography. Recent observations have convincingly demonstrated the im- portance of that area for the regional meteorological and climatological changes. Tide- gauge monitoring with GPS has gained importance lately since tectonics contaminate the inferred sea level variations, and a global network of tide-gauges with long his- torical records can be used as satellite altimeter calibration sites for current and fu- ture missions (e.g. TOPEX/POSEIDON, GFO, JASON-1, ENVISAT, etc.). This is at present a common IOC-GLOSS-IGS effort, already underway (TIGA). Crete hosts two of the oldest tide-gauges in the regional network and our project will further ex- pand it to the south of the island with a new site on the isle of Gavdos, the southernmost European parcel of land. One component of our "GAVDOS" project is the repeated occupation of two already in existence tide-gauge sites at Souda Bay and Heraklion, and their tie to the new facility. We show here initial results from positioning of these sites and some of the available tidal records. Gavdos is situated under a ground-track crossing point of the present T/P and JASON-1 orbits. It is an ideal calibration site if the tectonic motions are monitored precisely and continuously. Our plans include the deployment of additional instrumentation at this site: GPS and DORIS beacons for positioning, transponders for direct calibration, water vapor radiometers, GPS-loaded buoys, airborne surveys with gravimeters and laser profiling lidars, etc., to ensure the best possible and most reliable results.

Earthquake Hazard in the New Madrid Seismic Zone Remains a Concern

USGS Publications Warehouse

Frankel, A.D.; Applegate, D.; Tuttle, M.P.; Williams, R.A.

2009-01-01

There is broad agreement in the scientific community that a continuing concern exists for a major destructive earthquake in the New Madrid seismic zone. Many structures in Memphis, Tenn., St. Louis, Mo., and other communities in the central Mississippi River Valley region are vulnerable and at risk from severe ground shaking. This assessment is based on decades of research on New Madrid earthquakes and related phenomena by dozens of Federal, university, State, and consulting earth scientists. Considerable interest has developed recently from media reports that the New Madrid seismic zone may be shutting down. These reports stem from published research using global positioning system (GPS) instruments with results of geodetic measurements of strain in the Earth's crust. Because of a lack of measurable strain at the surface in some areas of the seismic zone over the past 14 years, arguments have been advanced that there is no buildup of stress at depth within the New Madrid seismic zone and that the zone may no longer pose a significant hazard. As part of the consensus-building process used to develop the national seismic hazard maps, the U.S. Geological Survey (USGS) convened a workshop of experts in 2006 to evaluate the latest findings in earthquake hazards in the Eastern United States. These experts considered the GPS data from New Madrid available at that time that also showed little to no ground movement at the surface. The experts did not find the GPS data to be a convincing reason to lower the assessment of earthquake hazard in the New Madrid region, especially in light of the many other types of data that are used to construct the hazard assessment, several of which are described here.

Integration of X-band SAR interferometry, continuous and periodic D-GPS and in-place inclinometers to characterize and monitor a deep-seated earthslide in the Dolomites (Italy)

NASA Astrophysics Data System (ADS)

Mulas, Marco; Corsini, Alessandro; Soldati, Mauro; Marcato, Gianluca; Pasuto, Alessandro; Crespi, Mattia; Mazzoni, Augusto; Benedetti, Elisa; Branzanti, Mara; Manunta, Michele; Ojha, Chandrakanta; Chinellato, Giulia; Cuozzo, Giovanni; Costa, Armin; Monsorno, Roberto; Thiebes, Benni; Piantelli, Elena; Magnani, Massimo; Meroni, Marco; Mair, Volkmar

2015-04-01

The Corvara landslide is an active, large-scale, deep-seated and slow moving earthslide of about 30 Mm3 located in the Dolomites (Italy). It is frequently damaging a national road and, occasionally, isolated buildings and recreational ski facilities. Since the mid '90s it has been mapped, dated and monitored thanks to field surveys, boreholes, radiocarbon dating, inclinometers, piezometers and periodic D-GPS measurements, carried out by the Geology and the Forestry Planning offices of the Autonomous Province of Bolzano, the Municipality of Corvara in Badia, the University of Modena and Reggio Emilia, the IRPI-CNR of Padua. In 2013, a new phase of characterization and monitoring has started which also involves the EURAC's Institute for Applied Remote Sensing, the geodesy group of University La Sapienza, the CNR-IREA of Naples and the Leica Geosystems office in Italy. This new phase of characterization and monitoring is meant to investigate the opportunities of innovative SAR interferometry, D-GPS and in-place inclinometers techniques to provide for a high frequency monitoring of the study site in support to the analysis of the investigation of forcing factors leading unsteady, nonuniform landslide motion through different seasons of the year. Monitoring results are also expected to provide a validation of innovative interferometric techniques so to fully evaluate their conformity to be used as a long-term monitoring system in land-use planning and risk management procedures. The monitoring infrastructure now integrates: 16 Corner Reflector for satellite X-Band SAR interferometric products, 13 benchmarks for D-GPS periodic surveys, three on-site GPS receivers for continuous positioning and remote ftp data pushing, two in-place inclinometers and a pressure transducer to record pore-pressure variations. The coupling of SAR-based products with GPS records is achieved using especially designed Corner Reflectors having an appendix dedicated to hold Dual-Frequency GPS antennas. COSMO-SkyMed X-Band SAR acquisitions started on October 2013 and are ongoing with a temporal resolution of 16 days using STRIPMAP (HIMAGE) measuring mode. Discontinuous D-GPS Fast-Static surveys are scheduled with a triple frequency: annual for 24 points outside recent activation areas, monthly for 13 points in the active zone and a bi-weekly for 6 points located in the most active zone. Displacement high-frequency data are acquired thank to the installation of 3 Dual-Frequency GPS in permanent acquisition that have been located in the accumulation, track and source zone of the active portion of the landslide. High frequency data are also obtained by the two inclinometers operating in continuous acquisition located across the main slide surface at 48 m depth into a 90 m borehole drilled in the accumulation zone. A piezometer installed in the source zone and the meteorological station of Piz La Ila (3 km far away) of the Autonomous Province of Bolzano complete the system. The poster presents the infrastructural details of the monitoring network, the technical characteristics of data acquisition systems, the data processing procedures and the latest ongoing results.

Experiences of participating in return-to-work group programmes for people with musculoskeletal disorders: A focus group study.

PubMed

Hamnes, Bente; Rønningen, Aud; Skarbø, Åse

2017-09-01

The present study aimed to explore the experiences of individuals with musculoskeletal disorders (MSDs) who had participated in return-to-work group programmes (RTW-GPs) and to assess whether the programmes had had an impact on their work disability. Three focus group interviews and one individual interview were conducted involving 17 women (mean age = 47) with MSDs who had completed RTW-GPs. All interviews were audio-recorded, transcribed verbatim and analysed using thematic analyses. Participant experiences were categorised into three main themes: changed way of thinking, the importance of being able to work, and a changed lifestyle. The respondents said that participation in the RTW-GPs had enabled them to shift their focus from problems to opportunities. They had become more aware of strategies to enhance their energy levels and continue working. Several participants had reduced their work hours to achieve a better balance between work and daily life. Many participants had also changed their lifestyle habits, which had led to weight reduction, more energy and less pain. The study participants had attained a heightened awareness of what they could do to continue working. Many participants had introduced changes in their daily lives, with consequences for employment, social life and lifestyle. The findings suggest that RTW-GPs can help people with MSDs to remain in employment and prevent absenteeism. Copyright © 2017 John Wiley & Sons, Ltd.

Crustal Movements and Gravity Variations in the Southeastern Po Plain, Italy

NASA Astrophysics Data System (ADS)

Zerbini, S.; Bruni, S.; Errico, M.; Santi, E.; Wilmes, H.; Wziontek, H.

2014-12-01

At the Medicina observatory, in the southeastern Po Plain, in Italy, we have started a project of continuous GPS and gravity observations in mid 1996. The experiment, focused on a comparison between height and gravity variations, is still ongoing; these uninterrupted time series certainly constitute a most important data base to observe and estimate reliably long-period behaviors but also to derive deeper insights on the nature of the crustal deformation. Almost two decades of continuous GPS observations from two closely located receivers have shown that the coordinate time series are characterized by linear and non-linear variations as well as by sudden jumps. Both over long- and short-period time scales, the GPS height series show signals induced by different phenomena, for example, those related to mass transport in the Earth system. Seasonal effects are clearly recognizable and are mainly associated with the water table seasonal behavior. To understand and separate the contribution of different forcings is not an easy task; to this end, the information provided by the superconducting gravimeter observations and also by absolute gravity measurements offers a most important means to detect and understand mass contributions. In addition to GPS and gravity data, at Medicina, a number of environmental parameters time series are also regularly acquired, among them water table levels. We present the results of study investigating correlations between height, gravity and environmental parameters time series.

Recent Progress in Understanding Natural-Hazards-Generated TEC Perturbations: Measurements and Modeling Results

NASA Astrophysics Data System (ADS)

Komjathy, A.; Yang, Y. M.; Meng, X.; Verkhoglyadova, O. P.; Mannucci, A. J.; Langley, R. B.

2015-12-01

Natural hazards, including earthquakes, volcanic eruptions, and tsunamis, have been significant threats to humans throughout recorded history. The Global Positioning System satellites have become primary sensors to measure signatures associated with such natural hazards. These signatures typically include GPS-derived seismic deformation measurements, co-seismic vertical displacements, and real-time GPS-derived ocean buoy positioning estimates. Another way to use GPS observables is to compute the ionospheric total electron content (TEC) to measure and monitor post-seismic ionospheric disturbances caused by earthquakes, volcanic eruptions, and tsunamis. Research at the University of New Brunswick (UNB) laid the foundations to model the three-dimensional ionosphere at NASA's Jet Propulsion Laboratory by ingesting ground- and space-based GPS measurements into the state-of-the-art Global Assimilative Ionosphere Modeling (GAIM) software. As an outcome of the UNB and NASA research, new and innovative GPS applications have been invented including the use of ionospheric measurements to detect tiny fluctuations in the GPS signals between the spacecraft and GPS receivers caused by natural hazards occurring on or near the Earth's surface.We will show examples for early detection of natural hazards generated ionospheric signatures using ground-based and space-borne GPS receivers. We will also discuss recent results from the U.S. Real-time Earthquake Analysis for Disaster Mitigation Network (READI) exercises utilizing our algorithms. By studying the propagation properties of ionospheric perturbations generated by natural hazards along with applying sophisticated first-principles physics-based modeling, we are on track to develop new technologies that can potentially save human lives and minimize property damage. It is also expected that ionospheric monitoring of TEC perturbations might become an integral part of existing natural hazards warning systems.

Interprofessional collaboration in nursing homes (interprof): a grounded theory study of general practitioner experiences and strategies to perform nursing home visits.

PubMed

Fleischmann, Nina; Tetzlaff, Britta; Werle, Jochen; Geister, Christina; Scherer, Martin; Weyerer, Siegfried; Hummers-Pradier, Eva; Mueller, Christiane A

2016-08-30

Interprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in nursing homes will challenge medical care and the interaction across professions, especially nurses and general practitioners (GPs). The nursing home visit, a key element of medical care, has been underrepresented in research. This study explores GP perspectives on interprofessional collaboration with a focus on their visits to nursing homes in order to understand their experiences and expectations. This research represents an aspect of the interprof study, which explores medical care needs as well as the perceived collaboration and communication by nursing home residents, their families, GPs and nurses. This paper focusses on GPs' views, investigating in particular their visits to nursing homes in order to understand their experiences. Open guideline-interviews covering interprofessional collaboration and the visit process were conducted with 30 GPs in three study centers and analyzed with grounded theory methodology. GPs were recruited via postal request and existing networks of the research partners. Four different types of nursing home visits were found: visits on demand, periodical visits, nursing home rounds and ad-hoc-decision based visits. We identified the core category "productive performance" of home visits in nursing homes which stands for the balance of GPs´ individual efforts and rewards. GPs used different strategies to perform a productive home visit: preparing strategies, on-site strategies and investing strategies. We compiled a theory of GPs home visits in nursing homes in Germany. The findings will be useful for research, and scientific and management purposes to generate a deeper understanding of GP perspectives and thereby improve interprofessional collaboration to ensure a high quality of care.

Homeopathy in rural Australian primary health care: a survey of general practitioner referral and practice in rural and regional New South Wales, Australia.

PubMed

Wardle, J; Adams, J; Sibbritt, D

2013-07-01

Homeopathy has attracted considerable recent attention from the Australian conventional medical community. However, despite such increased attention there has been little exploration of the interface between homeopathy and Australian conventional medical practice. This article addresses this research gap by exploring homeopathic practice and referral by rural and regional Australian general practitioners (GPs). A 27-item questionnaire was sent to all 1486 GPs currently practising in rural and regional New South Wales, Australia (response rate 40.7%). Few GPs in this study utilised homeopathy in their personal practice, with only 0.5% of GPs prescribing homeopathy in the past 12 months, and 8.5% referring patients for homeopathic treatment at least a few times over the past 12 months. Nearly two-thirds of GPs (63.9%) reported that they would not refer for homeopathy under any circumstances. Being in a remote location, receiving patient requests for homeopathy, observing positive responses from homeopathy previously, using complementary and alternative medicine (CAM) practitioners as information sources, higher levels of knowledge of homeopathy, and being interested in increasing CAM knowledge were all independently predictive of increased referral to homeopathy amongst GPs in this study. GPs in this study were less likely to refer to homeopathy if they used peer-reviewed literature as the major source of their information on CAM. Homeopathy is not integrated significantly in rural general practice either via GP utilisation or referral. There is significant opposition to homeopathy referral amongst rural and regional GPs, though some level of interaction with homeopathic providers exists. Copyright © 2013 The Faculty of Homeopathy. Published by Elsevier Ltd. All rights reserved.

Collaboration between general practitioners and mental health care professionals: a qualitative study.

PubMed

Fredheim, Terje; Danbolt, Lars J; Haavet, Ole R; Kjønsberg, Kari; Lien, Lars

2011-05-23

Collaboration between general practice and mental health care has been recognised as necessary to provide good quality healthcare services to people with mental health problems. Several studies indicate that collaboration often is poor, with the result that patient' needs for coordinated services are not sufficiently met, and that resources are inefficiently used. An increasing number of mental health care workers should improve mental health services, but may complicate collaboration and coordination between mental health workers and other professionals in the treatment chain. The aim of this qualitative study is to investigate strengths and weaknesses in today's collaboration, and to suggest improvements in the interaction between General Practitioners (GPs) and specialised mental health service. This paper presents a qualitative focus group study with data drawn from six groups and eight group sessions with 28 health professionals (10 GPs, 12 nurses, and 6 physicians doing post-doctoral training in psychiatry), all working in the same region and assumed to make professional contact with each other. GPs and mental health professionals shared each others expressions of strengths, weaknesses and suggestions for improvement in today's collaboration. Strengths in today's collaboration were related to common consultations between GPs and mental health professionals, and when GPs were able to receive advice about diagnostic treatment dilemmas. Weaknesses were related to the GPs' possibility to meet mental health professionals, and lack of mutual knowledge in mental health services. The results describe experiences and importance of interpersonal knowledge, mutual accessibility and familiarity with existing systems and resources. There is an agreement between GPs and mental health professionals that services will improve with shared knowledge about patients through systematic collaborative services, direct cell-phone lines to mental health professionals and allocated times for telephone consultation. GPs and mental health professionals experience collaboration as important. GPs are the gate-keepers to specialised health care, and lack of collaboration seems to create problems for GPs, mental health professionals, and for the patients. Suggestions for improvement included identification of situations that could increase mutual knowledge, and make it easier for GPs to reach the right mental health care professional when needed.

Co-seismic deformation of the August 27, 2012 Mw 7.3 El Salvador and September 5, 2012 Mw 7.6 Costa Rica earthquakes

NASA Astrophysics Data System (ADS)

Geirsson, H.; La Femina, P. C.; DeMets, C.; Mattioli, G. S.; Hernández, D.

2013-05-01

We investigate the co-seismic deformation of two significant earthquakes that occurred along the Middle America trench in 2012. The August 27 Mw 7.3 El Salvador and September 5 Mw 7.6 Nicoya Peninsula, Costa Rica earthquakes, were examined using a combination of episodic and continuous Global Positioning System (GPS) data. USGS finite fault models based on seismic data predict fundamentally different characteristics for the two ruptures. The El Salvador event occurred in a historical seismic gap and on the shallow segment of the Middle America Trench main thrust, rupturing a large area, but with a low magnitude of slip. A small tsunami was observed along the coast in Nicaragua and El Salvador, additionally indicating near-trench rupture. Conversely, the Nicoya, Costa Rica earthquake was predicted to have an order of magnitude higher slip on a spatially smaller patch deeper on the main thrust. We present results from episodic and continuous geodetic GPS measurements made in conjunction with the two earthquakes, including data from newly installed COCONet (Continuously Operating Caribbean GPS Observational Network) sites. Episodic GPS measurements made in El Salvador, Honduras, and Nicaragua following the earthquakes, allow us to estimate the co-seismic deformation field from both earthquakes. Because of the small magnitude of the El Salvador earthquake and its shallow rupture the observed co-seismic deformation is small (<2 cm). Conversely, the Costa Rica earthquake occurred directly beneath a seismic and geodetic network specifically designed to capture such events. The observed displacements exceeded 0.5 m and there is a significant post-seismic transient following the earthquake. We use our estimated co-seismic offsets for both earthquakes to model the magnitude and spatial variability of slip for these two events.

Collision-induced rotation in an arc-continent collision: Constrained by continuous GPS observations in Mindoro, Philippines

NASA Astrophysics Data System (ADS)

Rau, R.; Hung, H.; Yang, C.; Tsai, M.; Ching, K.; Bacolcol, T.; Solidum, R.; Chang, W.

2012-12-01

The Mindoro Island, situated at the southern end of the Manila trench, is a modern arc-continent collision. Seismic activity in Mindoro concentrates mainly in the northern segment of the island as part of the Manila subduction processes; in contrast, seismicity in the middle and the southern parts of the island is rather diffuse. Although the Mindoro Island has been experiencing intense seismic activities and is a type example of arc-continent collision, the modern mode of deformation of the Mindoro collision remains unclear. We have installed eight dual-frequency continuous GPS stations in the island since May 2010. The questions we want to address by using continuous GPS observations are (1) if there are still compressions within the Mindoro collision? Have they ceased as seen by the diffuse seismicity, or are the thrust faults locked? (2) What is the mode of deformation in the Mindoro collision and what are the roles of thrust and strike-slip faults playing in the collision? (3) How does the Mindoro collision compare with the other collision, such as the Taiwan orogen? Do they share similar characteristics for the subduction-collision transition zone? For the results of the first two years GPS measurements, if we take the Sablayan site near the southern end of the Manila trench as the reference station, a large counterclockwise rotation from south to north, with horizontal velocities of 1.9-31.1 mm/yr from 165 to 277 degrees, are found in the island. The deformation of the Mindoro is similar to the pattern of the transition zone from collision to subduction in northeastern Taiwan. This result suggests that collision-induced rotation is occurring in the Mindoro Island and the Mindoro arc-continent collision is still active.

On principles, methods and recent advances in studies towards a GPS-based control system for geodesy and geodynamics

NASA Technical Reports Server (NTRS)

Delikaraoglou, Demitris

1989-01-01

Although Very Long Baseline Interferometry (VLBI) and Satellite Laser Ranging (SLR) are becoming increasingly important tools for geodynamic studies, their future role may well be fulfilled by using alternative techniques such as those utilizing the signals from the Global Positioning System (GPS). GPS, without the full implementation of the system, already offers a favorable combination of cost and accuracy and has consistently demonstrated the capability to provide high precision densification control in the regional and local areas of the VLBI and SLR networks. This report reviews VLBI and SLR vis-a-vis GPS and outlines the capabilities and limitations of each technique and how their complementary application can be of benefit to geodetic and geodynamic operations. It demonstrates, albeit with a limited data set, that dual-frequency GPS observations and interferometric type analysis techniques make possible the modelling of the GPS orbits for several days with an accuracy of a few meters. The use of VLBI or SLR sites as fiducial stations together with refinements in the orbit determination procedures can greatly reduce the systematic errors in the GPS satellite orbits used to compute the positions of non-fiducial locations. In general, repeatability and comparison with VLBI of the GPS determined locations are of the order of between 2 parts in 10 to the 7th power and 5 parts in 10 to the 8th power for baseline lengths less than 2000 km. This report is mainly a synthesis of problems, assumptions, methods and recent advances in the studies towards the establishment of a GPS-based system for geodesy and geodynamics and is one phase in the continuing effort for the development of such a system. To some, including the author, it seems reasonable to expect within the next few years that more evidence will show GPS to be as a powerful and reliable a tool as mobile VLBI and SLR are today, but largely more economical.

Patient safety in primary care: a survey of general practitioners in The Netherlands.

PubMed

Gaal, Sander; Verstappen, Wim; Wensing, Michel

2010-01-21

Primary care encompasses many different clinical domains and patient groups, which means that patient safety in primary care may be equally broad. Previous research on safety in primary care has focused on medication safety and incident reporting. In this study, the views of general practitioners (GPs) on patient safety were examined. A web-based survey of a sample of GPs was undertaken. The items were derived from aspects of patient safety issues identified in a prior interview study. The questionnaire used 10 clinical cases and 15 potential risk factors to explore GPs' views on patient safety. A total of 68 GPs responded (51.5% response rate). None of the clinical cases was uniformly judged as particularly safe or unsafe by the GPs. Cases judged to be unsafe by a majority of the GPs concerned either the maintenance of medical records or prescription and monitoring of medication. Cases which only a few GPs judged as unsafe concerned hygiene, the diagnostic process, prevention and communication. The risk factors most frequently judged to constitute a threat to patient safety were a poor doctor-patient relationship, insufficient continuing education on the part of the GP and a patient age over 75 years. Language barriers and polypharmacy also scored high. Deviation from evidence-based guidelines and patient privacy in the reception/waiting room were not perceived as risk factors by most of the GPs. The views of GPs on safety and risk in primary care did not completely match those presented in published papers and policy documents. The GPs in the present study judged a broader range of factors than in previously published research on patient safety in primary care, including a poor doctor-patient relationship, to pose a potential threat to patient safety. Other risk factors such as infection prevention, deviation from guidelines and incident reporting were judged to be less relevant than by policy makers.

Mapping stream habitats with a global positioning system: Accuracy, precision, and comparison with traditional methods

USGS Publications Warehouse

Dauwalter, D.C.; Fisher, W.L.; Belt, K.C.

2006-01-01

We tested the precision and accuracy of the Trimble GeoXT??? global positioning system (GPS) handheld receiver on point and area features and compared estimates of stream habitat dimensions (e.g., lengths and areas of riffles and pools) that were made in three different Oklahoma streams using the GPS receiver and a tape measure. The precision of differentially corrected GPS (DGPS) points was not affected by the number of GPS position fixes (i.e., geographic location estimates) averaged per DGPS point. Horizontal error of points ranged from 0.03 to 2.77 m and did not differ with the number of position fixes per point. The error of area measurements ranged from 0.1% to 110.1% but decreased as the area increased. Again, error was independent of the number of position fixes averaged per polygon corner. The estimates of habitat lengths, widths, and areas did not differ when measured using two methods of data collection (GPS and a tape measure), nor did the differences among methods change at three stream sites with contrasting morphologies. Measuring features with a GPS receiver was up to 3.3 times faster on average than using a tape measure, although signal interference from high streambanks or overhanging vegetation occasionally limited satellite signal availability and prolonged measurements with a GPS receiver. There were also no differences in precision of habitat dimensions when mapped using a continuous versus a position fix average GPS data collection method. Despite there being some disadvantages to using the GPS in stream habitat studies, measuring stream habitats with a GPS resulted in spatially referenced data that allowed the assessment of relative habitat position and changes in habitats over time, and was often faster than using a tape measure. For most spatial scales of interest, the precision and accuracy of DGPS data are adequate and have logistical advantages when compared to traditional methods of measurement. ?? 2006 Springer Science+Business Media, Inc.

Analysis of continuous GPS measurements from southern Victoria Land, Antarctica

USGS Publications Warehouse

Willis, Michael J.

2007-01-01

Several years of continuous data have been collected at remote bedrock Global Positioning System (GPS) sites in southern Victoria Land, Antarctica. Annual to sub-annual variations are observed in the position time-series. An atmospheric pressure loading (APL) effect is calculated from pressure field anomalies supplied by the European Centre for Medium-Range Weather Forecasts (ECMWF) model loading an elastic Earth model. The predicted APL signal has a moderate correlation with the vertical position time-series at McMurdo, Ross Island (International Global Navigation Satellite System Service (IGS) station MCM4), produced using a global solution. In contrast, a local solution in which MCM4 is the fiducial site generates a vertical time series for a remote site in Victoria Land (Cape Roberts, ROB4) which exhibits a low, inverse correlation with the predicted atmospheric pressure loading signal. If, in the future, known and well modeled geophysical loads can be separated from the time-series, then local hydrological loading, of interest for glaciological and climate applications, can potentially be extracted from the GPS time-series.

EarthScope: Cyberinfrastructure to access Plate Boundary Observatory data products and services

NASA Astrophysics Data System (ADS)

Meertens, C. M.; Mattioli, G. S.; Miller, M.; Boler, F. M.; Crosby, C. J.; Mencin, D.; Phillips, D. A.; Snett, L.

2013-12-01

The wealth of data from geodetic observing systems, especially the Plate Boundary Observatory (PBO), presents major data management challenges. The challenges are driven by ingenious new uses of Global Positioning System (GPS) data, demands for higher-rate, lower latency data, the need for continued access and long term preservation of archival data, the expansion of data users into other science, engineering and commercial arenas, and the growth of enhanced products that expand the utility of the data. To meet these challenges, UNAVCO has established a comprehensive suite of data services encompassing sensor network data operations, data product generation (through the activities of partners at Massachusetts Institute of Technology, Central Washington University, New Mexico Institute of Mining and Technology, and the University of California, San Diego - UCSD), data management, access and archiving, and advanced cyberinfrastructure. PBO sensor systems include 1,100 continuously operating GPS stations, 79 borehole geophysical sites (with a combination of strainmeters, tiltmeters, seismometers, pore pressure gauges, and meteorological sensors), and 6 long baseline strainmeters. Imaging data acquired for EarthScope include large volumes of satellite synthetic aperture radar (SAR) and airborne LiDAR data. Core data products such as daily GPS position time series and derived crustal motion velocities have been augmented with real-time data streams and positions calculated every second from 367 PBO stations. Higher rate (5 Hz) data files are available for applications such as GPS seismology. Efforts are underway with UCSD to integrate GPS and accelerometers at a subset of PBO sites to increase the reliability and capability of the observations. These observations have utility for research and hazards mitigation. Ingenious methods of GPS data analysis, developed by the University of Colorado and the University Corporation for Atmospheric Research, measure snow depth, near surface soil moisture, and vegetation. Along with atmospheric water vapor estimates, these products are expanding the utility of the data into atmospheric, environmental, ecological and soil sciences. Another new PBO product, hydrologic loading models derived from the NASA Global Land Data Assimilation System, is available for correcting GPS time series and hydrologic studies. To facilitate discovery and access of these extensive, diverse, and distributed data collections, UNAVCO has led collaborative efforts to develop web services and federated query capabilities for GPS, LiDAR and SAR. These services form the foundations for global integration projects such as EarthCube, GEO Geohazard Supersites and Natural Laboratories, and COOPEUS. In order to further curation and enhance access and processing capabilities, UNAVCO is exploring cloud computing and storage with UCSD and Amazon that will increase capacity over the next five years. Finally, with the rich set of data and services offered from PBO comes the need to help users better understand data techniques, observations, and quality. To serve this need, UNAVCO is enhancing online resources and, with its community partners, will continue to develop technical short courses and workshops.

Crustal deformation of the Yellowstone-Snake River Plain volcano-tectonic system-Campaign and continuous GPS observations, 1987-2004

USGS Publications Warehouse

Puskas, C.M.; Smith, R.B.; Meertens, Charles M.; Chang, W. L.

2007-01-01

The Yellowstone-Snake River Plain tectonomagmatic province resulted from Late Tertiary volcanism in western North America, producing three large, caldera-forming eruptions at the Yellowstone Plateau in the last 2 Myr. To understand the kinematics and geodynamics of this volcanic system, the University of Utah conducted seven GPS campaigns at 140 sites between 1987 and 2003 and installed a network of 15 permanent stations. GPS deployments focused on the Yellowstone caldera, the Hebgen Lake and Teton faults, and the eastern Snake River Plain. The GPS data revealed periods of uplift and subsidence of the Yellowstone caldera at rates up to 15 mm/yr. From 1987 to 1995, the caldera subsided and contracted, implying volume loss. From 1995 to 2000, deformation shifted to inflation and extension northwest of the caldera. From 2000 to 2003, uplift continued to the northwest while caldera subsidence was renewed. The GPS observations also revealed extension across the Hebgen Lake fault and fault-normal contraction across the Teton fault. Deformation rates of the Yellowstone caldera and Hebgen Lake fault were converted to equivalent total moment rates, which exceeded historic seismic moment release and late Quaternary fault slip-derived moment release by an order of magnitude. The Yellowstone caldera deformation trends were superimposed on regional southwest extension of the Yellowstone Plateau at up to 4.3 ± 0.2 mm/yr, while the eastern Snake River Plain moved southwest as a slower rate at 2.1 ± 0.2 mm/yr. This southwest extension of the Yellowstone-Snake River Plain system merged into east-west extension of the Basin-Range province. Copyright 2007 by the American Geophysical Union.

Continuous GPS observations of postseismic deformation following the 16 October 1999 Hector Mine, California, earthquake (Mw 7.1)

USGS Publications Warehouse

Hudnutt, K.W.; King, N.E.; Galetzka, J.E.; Stark, K.F.; Behr, J.A.; Aspiotes, A.; van, Wyk S.; Moffitt, R.; Dockter, S.; Wyatt, F.

2002-01-01

Rapid field deployment of a new type of continuously operating Global Positioning System (GPS) network and data from Southern California Integrated GPS Network (SCIGN) stations that had recently begun operating in the area allow unique observations of the postseismic deformation associated with the 1999 Hector Mine earthquake. Innovative solutions in fieldcraft, devised for the 11 new GPS stations, provide high-quality observations with 1-year time histories on stable monuments at remote sites. We report on our results from processing the postseismic GPS data available from these sites, as well as 8 other SCIGN stations within 80 km of the event (a total of 19 sites). From these data, we analyze the temporal character and spatial pattern of the postseismic transients. Data from some sites display statistically significant time variation in their velocities. Although this is less certain, the spatial pattern of change in the postseismic velocity field also appears to have changed. The pattern now is similar to the pre-Landers (pre-1992) secular field, but laterally shifted and locally at twice the rate. We speculate that a 30 km ?? 50 km portion of crust (near Twentynine Palms), which was moving at nearly the North American plate rate (to within 3.5 mm/yr of that rate) prior to the 1992 Landers sequence, now is moving along with the crust to the west of it, as though it has been entrained in flow along with the Pacific Plate as a result of the Landers and Hector Mine earthquake sequence. The inboard axis of right-lateral shear deformation (at lower crustal to upper mantle depth) may have jumped 30 km farther into the continental crust at this fault junction that comprises the southern end of the eastern California shear zone.

Predicted Surface Displacements for Scenario Earthquakes in the San Francisco Bay Region

USGS Publications Warehouse

Murray-Moraleda, Jessica R.

2008-01-01

In the immediate aftermath of a major earthquake, the U.S. Geological Survey (USGS) will be called upon to provide information on the characteristics of the event to emergency responders and the media. One such piece of information is the expected surface displacement due to the earthquake. In conducting probabilistic hazard analyses for the San Francisco Bay Region, the Working Group on California Earthquake Probabilities (WGCEP) identified a series of scenario earthquakes involving the major faults of the region, and these were used in their 2003 report (hereafter referred to as WG03) and the recently released 2008 Uniform California Earthquake Rupture Forecast (UCERF). Here I present a collection of maps depicting the expected surface displacement resulting from those scenario earthquakes. The USGS has conducted frequent Global Positioning System (GPS) surveys throughout northern California for nearly two decades, generating a solid baseline of interseismic measurements. Following an earthquake, temporary GPS deployments at these sites will be important to augment the spatial coverage provided by continuous GPS sites for recording postseismic deformation, as will the acquisition of Interferometric Synthetic Aperture Radar (InSAR) scenes. The information provided in this report allows one to anticipate, for a given event, where the largest displacements are likely to occur. This information is valuable both for assessing the need for further spatial densification of GPS coverage before an event and prioritizing sites to resurvey and InSAR data to acquire in the immediate aftermath of the earthquake. In addition, these maps are envisioned to be a resource for scientists in communicating with emergency responders and members of the press, particularly during the time immediately after a major earthquake before displacements recorded by continuous GPS stations are available.

First results of geodetic deformation monitoring after commencement of CO2 injection at the Aquistore underground CO2 storage site

NASA Astrophysics Data System (ADS)

Craymer, M.; White, D.; Piraszewski, M.; Zhao, Y.; Henton, J.; Silliker, J.; Samsonov, S.

2015-12-01

Aquistore is a demonstration project for the underground storage of CO2 at a depth of ~3350 m near Estevan, Saskatchewan, Canada. An objective of the project is to design, adapt, and test non-seismic monitoring methods that have not been systematically utilized to date for monitoring CO2 storage projects, and to integrate the data from these various monitoring tools to obtain quantitative estimates of the change in subsurface fluid distributions, pressure changes and associated surface deformation. Monitoring methods being applied include satellite-, surface- and wellbore-based monitoring systems and comprise natural- and controlled-source electromagnetic methods, gravity monitoring, continuous GPS, synthetic aperture radar interferometry (InSAR), tiltmeter array analysis, and chemical tracer studies. Here we focus on the GPS, InSAR and gravity monitoring. Five monitoring sites were installed in 2012 and another six in 2013, each including GPS and InSAR corner reflector monuments (some collocated on the same monument). The continuous GPS data from these stations have been processed on a daily basis in both baseline processing mode using the Bernese GPS Software and precise point positioning mode using CSRS-PPP. Gravity measurements at each site have also been performed in fall 2013, spring 2014 and fall 2015, and at two sites in fall 2014. InSAR measurements of deformation have been obtained for a 5 m footprint at each site as well as at the corner reflector point sources. Here we present the first results of this geodetic deformation monitoring after commencement of CO2 injection on April 14, 2015. The time series of these sites are examined, compared and analyzed with respect to monument stability, seasonal signals, longer term trends, and any changes in motion and mass since CO2 injection.

Development of a GNSS Volcano Ash Plume Detector

NASA Astrophysics Data System (ADS)

Rainville, N.; Palo, S. E.; Larson, K. M.; Naik, S. R.

2015-12-01

Global Navigation Satellite Systems (GNSS), broadcast signals continuously from mid Earth orbit at a frequency near 1.5GHz. Of the four GNSS constellations, GPS and GLONASS are complete with more than 55 satellites in total. While GNSS signals are intended for navigation and timing, they have also proved to be useful for remote sensing applications. Reflections of the GNSS signals have been used to sense soil moisture, snow depth, and wind speed while refraction of the signals through the atmosphere has provided data on the electron density in the ionosphere as well as water vapor and temperature in the troposphere. Now analysis at the University of Colorado has shown that the attenuation of GNSS signals by volcanic ash plumes can be used to measure the presence and structure of the ash plume. This discovery is driving development of a distributed GNSS sensor network to complement existing optical and radar based ash plume monitoring systems. A GNSS based sensing system operating in L-band is unaffected by weather conditions or time of day. Additionally, the use of an existing signal source greatly reduces the per sensor cost and complexity compared to a radar system. However since any one measurement using this method provides only the total attenuation between the GNSS satellite and the receiver, full tomographic imaging of a plume requires a large number of sensors observing over a diversity of geometries. This presentation will provide an overview of the ongoing development of the GNSS sensor system. Evaluation of low priced commercial GNSS receivers will be discussed, as well as details on the inter sensor network. Based on analysis of existing GPS receivers near volcanic vents, the baseline configuration for an ash plume monitoring network is a 1km spaced ring of receivers 5km from the vent updating every 5 seconds. Preliminary data from field tests will be presented to show the suitability of the sensor system for this configuration near an active volcano.

The PSA testing dilemma: GPs' reports of consultations with asymptomatic men: a qualitative study.

PubMed

Clements, Alison; Watson, Eila; Rai, Tanvi; Bukach, Colleen; Shine, Brian; Austoker, Joan

2007-06-25

The National Health Service Prostate Cancer Risk Management Programme (PCRMP) has recommended that screening for prostate cancer is available for asymptomatic men, on the understanding that they have been provided with full and balanced information about the advantages and limitations of the prostate-specific antigen (PSA) test. Guidance has been distributed to all GPs in England and Wales to assist in the provision of information to men. This study aimed to elicit GPs' accounts of their discussions with asymptomatic men who consult with concerns about prostate cancer in order to identify the degree to which the PCRMP guidance was reflected in these consultations. Qualitative interview study. Semi-structured telephone interviews with 21 GPs from 18 GP practices in Oxfordshire. All GPs reported undertaking some discussion with asymptomatic men about the PSA test. They described focussing most of the discussion on the false-positive and false-negative rates of the test, and the risks associated with a prostate biopsy. They reported less discussion of the potential for diagnosing indolent cancers, the dilemmas regarding treatment options for localised prostate cancer and the potential benefits of testing. Considerable variation existed between GPs in their accounts of the degree of detail given, and GP's presentation of information appeared to be affected by their personal views of the PSA test. The GPs in this study appear to recognise the importance of discussions regarding PSA testing; however, a full and balanced picture of the associated advantages and limitations does not seem to be consistently conveyed. Factors specific to PSA testing which appeared to have an impact on the GPs' discussions were the GP's personal opinions of the PSA test, and the need to counter men's primarily positive views of the benefits of PSA testing. Awareness of the impact of their views on the consultations may help GPs give men a more balanced presentation of the benefits and limitations of the PSA test.

The role of complementary and alternative medicine (CAM) in Germany - a focus group study of GPs.

PubMed

Joos, Stefanie; Musselmann, Berthold; Miksch, Antje; Rosemann, Thomas; Szecsenyi, Joachim

2008-06-12

There has been a marked increase in the use of complementary and alternative medicine (CAM) in recent years worldwide. In Germany, apart from 'Heilpraktiker' (= state-licensed, non-medical CAM practitioners), some general practitioners (GPs) provide CAM in their practices. This paper aims to explore the attitudes of GPs about the role of CAM in Germany, in relation to the healthcare system, quality of care, medical education and research. Furthermore, experiences of GPs integrating CAM in their daily practice were explored. Using a qualitative methodological approach 3 focus groups with a convenience sample of 17 GPs were conducted. The discussions were transcribed verbatim and analysed using qualitative content analysis. The majority of the participating GPs had integrated one or more CAM therapies into their every-day practice. Four key themes were identified based on the topics covered in the focus groups: the role of CAM within the German healthcare system, quality of care, education and research. Within the theme 'role of CAM within the healthcare system' there were five categories: integration of CAM, CAM in the Statutory Health Insurance, modernisation of the Statutory Health Insurance Act, individual healthcare services and 'Heilpraktiker'. Regarding quality of care there were two broad groups of GPs: those who thought patients would benefit from standardizing CAM and those who feared that quality control would interfere with the individual approach of CAM. The main issues identified relating to research and education were the need for the development of alternative research strategies and the low quality of existing CAM education respectively. The majority of the participating GPs considered CAM as a reasonable complementary approach within primary care. The study increased our understanding of GPs attitudes about the role of CAM within the German healthcare system and the use of 'Heilpraktiker' as a competing CAM-provider. It seems to be a need for increased funding for research, better education and remuneration by the Statutory Health Insurance in order to improve access to 'Integrative medicine' in Germany.

Time Transfer by Laser Link - T2L2: An Opportunity to Calibrate RF Links

DTIC Science & Technology

2008-12-01

GNSS and TWSTFT , with an improvement of at least one order of magnitude as compared to the best calibrations performed so far (about 1 ns exactitude...frequency transfer systems like GPS or TWSTFT , and comparisons of cold atomic clocks at a level never reached before. Continuous comparison of T2L2 and...Station reattachment to local UTC Ground to Space Transfer : 30 Ground to Ground Transfer : 43 Common view TWSTFT GPS Laser ranging

Stool submission by general practitioners in SW England - when, why and how? A qualitative study.

PubMed

McNulty, Cliodna A M; Lasseter, Gemma; Newby, Katie; Joshi, Puja; Yoxall, Harry; Kumaran, Kalyanaraman; O'Brien, Sarah J; Evans, Mark

2012-08-08

We know little about when and why general practitioners (GPs) submit stool specimens in patients with diarrhoea. The recent UK-wide intestinal infectious disease (IID2) study found ten GP consultations for every case reported to national surveillance. We aimed to explore what factors influence GP's decisions to send stool specimens for laboratory investigation, and what guidance, if any, informs them. We used qualitative methods that enabled us to explore opinions and ask open questions through 20 telephone interviews with GPs with a range of stool submission rates in England, and a discussion group with 24 GPs. Interviews were transcribed and subjected to content analysis. Interviews: GPs only sent stool specimens to microbiology if diarrhoea persisted for over one week, after recent travel, or the patient was very unwell. Very few had a systematic approach to determine the clinical or public health need for a stool specimen. Only two GPs specifically asked patients about blood in their stool; only half asked about recent antibiotics, or potential food poisoning, and few asked about patients' occupations. Few GPs gave patients advice on how to collect specimens.Results from interviews and discussion group in relation to guidance: All reported that the HPA stool guidance and patient collection instructions would be useful in their clinical work, but only one GP (an interviewee) had previously accessed them. The majority of GPs would value links to guidance on electronic requests. Most GPs were surprised that a negative stool report did not exclude all the common causes of IID. GPs value stool culture and laboratories should continue to provide it. Patient instructions on how to collect stool specimens should be within stool collection kits. Through readily accessible guidance and education, GPs need to be encouraged to develop a more systematic approach to eliciting and recording details in the patient's history that indicate greater risk of severe infection or public health consequences. Mild or short duration IID (under one week) due to any cause is less likely to be picked up in national surveillance as GPs do not routinely submit specimens in these cases.

Current trends in endodontic treatment by general dental practitioners: report of a United States national survey.

PubMed

Savani, Gina M; Sabbah, Wael; Sedgley, Christine M; Whitten, Brian

2014-05-01

In the United States almost 70% of root canal treatment (RCT) is performed by general dentists (GPs), yet little is known about their treatment protocols. A paper survey was mailed to 2000 United States GPs with questions about the types of endodontic cases treated, routine treatment protocols, use of newer technologies, and endodontic continuing education (CE). Completed surveys were returned by 479 respondents (24%). GPs who perform RCT (84%) reported providing anterior (99%), bicuspid (95%), and molar (62%) RCT and retreatment (18%). Rubber dam was used always (60%), usually (16%), sometimes (13%), and never (11%). Newer technologies used by GPs included digital radiography (72%), magnification (80%), electronic apex locator (70%), and nickel-titanium rotary instrumentation (74%). Compared with GPs with >20 years of experience, those in practice for ≤10 years were more likely to use rubber dam (P < .05), nickel-titanium rotary instrumentation (P < .001), apex locators (P < .001), and magnification (P < .01); in contradistinction, GPs in practice >20 years were more likely to perform retreatments (P < .05). Women were less likely to perform retreatment or molar RCT (both P < .05). GPs with >5 hours of CE were more likely to use rotary instrumentation (P < .001), irrigant activation devices (P < .01), and apex locators (P < .001) and perform molar RCT (P < .001) and retreatment (P < .05), but no more likely to use rubber dam. Recent GP graduates (≤10 years) were more likely to adopt new technologies and use rubber dam than those who practiced for >20 years. More experienced GPs were more likely to take on complicated cases than those with fewer years of practice. There was no association between hours of CE and compliance with rubber dam usage. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Covert checks by standardised patients of general practitioners' delivery of new periodic health examinations: clustered cross-sectional study from a consumer organisation

PubMed Central

Thaler, Kylie; Harris, Mark F

2012-01-01

Objective To assess if data collected by a consumer organisation are valid for a health service research study on physicians' performance in preventive care. To report first results of the analysis of physicians performance like consultation time and guideline adherence in history taking. Design Secondary data analysis of a clustered cross-sectional direct observation survey. Setting General practitioners (GPs) in Vienna, Austria, visited unannounced by mystery shoppers (incognito standardised patients (ISPs)). Participants 21 randomly selected GPs were visited by two different ISPs each. 40 observation protocols were realised. Main outcome measures Robustness of sampling and data collection by the consumer organisation. GPs consultation and waiting times, guideline adherence in history taking. Results The double stratified random sampling method was robust and representative for the private and contracted GPs mix of Vienna. The clinical scenarios presented by the ISPs were valid and believable, and no GP realised the ISPs were not genuine patients. The average consultation time was 46 min (95% CI 37 to 54 min). Waiting times differed more than consultation times between private and contracted GPs. No differences between private and contracted GPs in terms of adherence to the evidence-based guidelines regarding history taking including questions regarding alcohol use were found. According to the analysis, 20% of the GPs took a perfect history (95% CI 9% to 39%). Conclusions The analysis of secondary data collected by a consumer organisation was a valid method for drawing conclusions about GPs preventive practice. Initial results, like consultation times longer than anticipated, and the moderate quality of history taking encourage continuing the analysis on available clinical data. PMID:22872721

Investigating Atmospheric Rivers using GPS PW from Ocean Transits

NASA Astrophysics Data System (ADS)

Almanza, V.; Foster, J. H.; Businger, S.

2014-12-01

Atmospheric Rivers (AR) can be described as a long narrow feature within a warm conveyor belt where anomalous precipitable water (PW) is transported from low to high latitudes. Close monitoring of ARs is heavily reliant on satellites, which are limited both in space and time, to capture the fluctuations PW particularly over the ocean. Ship-based Global Positioning System (GPS) receivers have been successful in obtaining millimeter PW accuracy within 100 km from the nearest ground-based reference receiver at a 30 second sampling rate. We extended this capability with a field experiment using ship-based GPS PW on board a cargo ship to traverse over the Eastern Pacific Ocean. In one 14-day cruise cycle, between the periods of February 3-16, 2014, the ship-based GPS captured PW spikes >50 mm during the early development of two ARs, which lead to moderate to heavy rainfall events for Hawaii and flood conditions along the West Coast of the United States. Comparisons between PW solutions processed using different GPS reference sites at distances 100-2000 km provided an internal validation for the ship-based GPS PW with errors typically less than 5 mm. Land-based observations provided an external validation and are in good agreement with ship-based GPS PW at distances <100 km from the coast, a zone heavily trafficked by cargo containers and a challenge area for satellite retrievals. From these preliminary results, commercial ship-based GPS receivers offer an extremely cost-effective approach for acquiring continuous meteorological observations over the oceans, which can provide important calibration/validation data for satellite retrieval algorithms. Ship-based systems could be particularly useful for augmenting our meteorological observing networks to improve weather prediction and nowcasting, which in turn provide critical support for hazard response and mitigation efforts in coastal regions.

Detection of Natural Hazards Generated TEC Perturbations and Related New Applications

NASA Astrophysics Data System (ADS)

Komjathy, A.; Yang, Y.; Langley, R. B.

2013-12-01

Natural hazards, including earthquakes, volcanic eruptions, and tsunamis, have been significant threats to humans throughout recorded history. The Global Positioning System satellites have become primary sensors to measure signatures associated with such natural hazards. These signatures typically include GPS-derived seismic deformation measurements, co-seismic vertical displacements, and real-time GPS-derived ocean buoy positioning estimates. Another way to use GPS observables is to compute the ionospheric total electron content (TEC) to measure and monitor post-seismic ionospheric disturbances caused by earthquakes, volcanic eruptions, and tsunamis. Research at the University of New Brunswick (UNB) laid the foundations to model the three-dimensional ionosphere at NASA's Jet Propulsion Laboratory by ingesting ground- and space-based GPS measurements into the state-of-the-art Global Assimilative Ionosphere Modeling (GAIM) software. As an outcome of the UNB and NASA research, new and innovative GPS applications have been invented including the use of ionospheric measurements to detect tiny fluctuations in the GPS signals between the spacecraft and GPS receivers caused by natural hazards occurring on or near the Earth's surface. This continuing research is expected to provide early warning for tsunamis, earthquakes, volcanic eruptions, and meteor impacts, for example, using GPS and other global navigation satellite systems. We will demonstrate new and upcoming applications including recent natural hazards and artificial explosions that generated TEC perturbations to perform state-of-the-art imaging and modeling of earthquakes, tsunamis and meteor impacts. By studying the propagation properties of ionospheric perturbations generated by natural hazards along with applying sophisticated first-principles physics-based modeling, we are on track to develop new technologies that can potentially save human lives and minimize property damage.

Noise analysis of GPS time series in Taiwan

NASA Astrophysics Data System (ADS)

Lee, You-Chia; Chang, Wu-Lung

2017-04-01

Global positioning system (GPS) usually used for researches of plate tectonics and crustal deformation. In most studies, GPS time series considered only time-independent noises (white noise), but time-dependent noises (flicker noise, random walk noise) which were found by nearly twenty years are also important to the precision of data. The rate uncertainties of stations will be underestimated if the GPS time series are assumed only time-independent noise. Therefore studying the noise properties of GPS time series is necessary in order to realize the precision and reliability of velocity estimates. The lengths of our GPS time series are from over 500 stations around Taiwan with time spans longer than 2.5 years up to 20 years. The GPS stations include different monument types such as deep drill braced, roof, metal tripod, and concrete pier, and the most common type in Taiwan is the metal tripod. We investigated the noise properties of continuous GPS time series by using the spectral index and amplitude of the power law noise. During the process we first remove the data outliers, and then estimate linear trend, size of offsets, and seasonal signals, and finally the amplitudes of the power-law and white noise are estimated simultaneously. Our preliminary results show that the noise amplitudes of the north component are smaller than that of the other two components, and the largest amplitudes are in the vertical. We also find that the amplitudes of white noise and power-law noises are positively correlated in three components. Comparisons of noise amplitudes of different monument types in Taiwan reveal that the deep drill braced monuments have smaller data uncertainties and therefore are more stable than other monuments.

A survey of the assessment and management of gout in general practitioners and medical officers within the Illawarra Network, Australia.

PubMed

Terrill, Matthew; Riordan, John

2017-08-01

To review the assessment and management of gout by general practitioners (GPs) and medical officers (MOs) within the Illawarra Network, Australia. A survey was sent to GPs and MOs within the Illawarra Network. Of 110 GPs, 45 responded. Of 129 MOs, 42 responded. The overall response was 32.6%. On analysis, 65.1% felt their knowledge of gout to be adequate and 61.6% thought they had been educated well. In acute assessment, 59.1% of GPs responded that the diagnosis of gout best be confirmed with a joint aspiration and 36.4% clinical suspicion. Differing, 85.7% of MOs chose a joint aspiration. In acute management, if colchicine were used, 59.1% of GPs would give 1 mg followed by 0.5 mg an hour later, then 0.5 mg twice daily, compared to 9.5% of MOs, while 20.5% of GPs would use 1 mg twice daily. Chronic management was answered poorly. After an acute attack, urate lowering therapy (ULT) would be started 14 days after by 47.7% of GPs, compared to 69.0% of MOs. GPs were more likely to start ULT within 7 days (52.3% vs. 31.0%). With dosing of ULT, 45.3% would treat to target, while 46.5% would dose to the creatinine clearance. Prophylactic therapy with ULT would be started by 81.8%, although only 17.4% would continue it for 3-6 months. There is poor adherence to recommended practice for dosing of colchicine in acute gout. Also in the management of chronic gout, in particular, the timing of starting ULT and the use of prophylaxis when initiating ULT. © 2016 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.

Postseismic Deformation following the 1995 Kobe, Japan, Earthquake Detected by Space Geodesy

NASA Astrophysics Data System (ADS)

Hashimoto, Manabu; Ozawa, Taku; Nishimura, Takuya; Munekane, Hiroshi; Tobita, Mikio

2017-04-01

A Mw 6.8 earthquake hit the city of Kobe, southwest Japan, and its surrounding area on January 17, 1995, and claimed more than 6,400 fatalities. The source faults, trending in the NE-SW direction, are estimated beneath the foothill of the Rokko Mountains, which are located north of the city and the highest peak is 931 m high, but it has a dominant right lateral strike slip components. The Rokko Mountains may have been built by the motion of active faults, but the uplift during the 1995 earthquake may not be enough. Therefore there is a possibility that postseismic deformation contributes to the building of the Rokko Mountains. In order to study the postseismic deformation following the Kobe earthquake, we collected all available space geodetic data during about 20 years, including ERS-1/2, Envisat, JERS-1, ALOS/PALSAR and ALOS-2/PALSAR-2 images and continuous GPS data, and reanalyzed them. Especially, temporal continuous GPS observation made by the Geographical Survey Institute (present the Geospatial Information Authority), Japan in and around the Kobe area is important. We recalculated coordinates of these continuous GPS stations with recent PPP procedure using reanalyzed orbits and clocks of satellites. We made DInSAR and PSInSAR analyses of SAR images using ASTER-GDEM ver.2 or GSI DEM. Time series analysis of JERS-1 images revealed line-of-sight (LOS) decrease of the Rokko Mountains. PS-InSAR results of ALOS/PALSAR also revealed slight uplift north of the Rokko Mountains that uplifted by 20 cm coseismically. These observations suggest that the Rokko Mountains might have uplifted during the postseismic period. LOS increase in a wedge shaped region between two active faults east of the Rokko Mountains in the vicinity of the NE terminus of the source fault of the Kobe earthquake. The LOS increase is also confirmed by ERS-1/2, Envisat and ALOS/PALSAR images. These facts indicate that the subsidence between these two faults continued up to 2010. Continuous GPS observation during the first two years of the postseismic period shows north-south extension with right lateral motion between these two faults. These observations suggest that the Rokko Mountains may have uplift till 2010. On the other hand, active faults near the NE terminus continued to slip with the formation of graben-like structure, due to coseismically loaded stress.

Did the new French pay-for-performance system modify benzodiazepine prescribing practices?

PubMed

Rat, Cédric; Penhouet, Gaëlle; Gaultier, Aurélie; Chaslerie, Anicet; Pivette, Jacques; Nguyen, Jean Michel; Victorri-Vigneau, Caroline

2014-07-11

French general practitioners (GPs) were enrolled in a new payment system in January 2012. As part of a national agreement with the French National Ministry of Health, GPs were asked to decrease the proportion of patients who continued their benzodiazepine treatment 12 weeks after its initiation and to decrease the proportion of patients older than 65 who were prescribed long half-life benzodiazepines. In return, GPs could expect an extra payment of up to 490 euros per year. This study reports the evolution of the corresponding prescribing practices of French GPs during that period regarding patients who were prescribed a benzodiazepine for the first time. The national healthcare system's administrative database was used to report the longitudinal follow-up of two historical cohorts of French patients from the Pays de la Loire area. The "2011" and "2012" cohorts included all patients who initiated benzodiazepine regimens from April 1 to June 30 in 2011 and 2012, respectively.The primary outcomes were the proportion of those study patients who continued benzodiazepine treatment after 12 weeks and the proportion of study patients >65 years who were prescribed long half-life benzodiazepines.Analyses were performed using a multi-level regression. In total, 41,436 and 42,042 patients initiated benzodiazepine treatment in 2011 and 2012, respectively. A total of 18.97% of patients continued treatment for more than 12 weeks in 2012, compared with 18.18% in 2011. In all, 27.43% and 28.06% of patients >65 years continued treatment beyond 12 weeks in 2011 and 2012, respectively. The proportion of patients >65 years who were prescribed long half-life benzodiazepines decreased from 53.5% to 48.8% (p < 0.005) due to an increase in short half-life benzodiazepine prescriptions. Patients >65 years who were prescribed short half-life benzodiazepines were more likely to continue treatment after 12 weeks (p < 0.005). Despite the pay-for-performance strategy, the number of short half-life benzodiazepine prescriptions increased between 2011 and 2012, and the number of long half-life benzodiazepine initiations remained unchanged. Reducing the proportion of long half-life benzodiazepine prescriptions might be counterproductive because prescribing short half-life benzodiazepines was associated with higher rates of continuation beyond the recommended duration.

Recent GPS Results at SLAC

DOE Office of Scientific and Technical Information (OSTI.GOV)

Behrend, Dirk; Imfeld, Hans L.; /SLAC

2005-08-17

The Alignment Engineering Group (AEG) makes use of GPS technology for fulfilling part of its above ground surveying tasks at SLAC since early 2002. A base station (SLAC M40) has been set up at a central location of the SLAC campus serving both as master station for real-time kinematic (RTK) operations and as datum point for local GPS campaigns. The Leica RS500 system is running continuously and the GPS data are collected both externally (logging PC) and internally (receiver flashcard). The external logging is facilitated by a serial to Ethernet converter and an Ethernet connection at the station. Internal loggingmore » (ring buffer) is done for data security purposes. The weatherproof boxes for the instrumentation are excellent shelters against rain and wind, but do heat up considerably in sun light. Whereas the GPS receiver showed no problems, the Pacific Crest PDL 35 radio shut down several times due to overheating disrupting the RTK operations. In order to prevent heat-induced shutdowns, a protection against direct sun exposure (shading) and a constant air circulation system (ventilation) were installed. As no further shutdowns have occurred so far, it appears that the two measures successfully mended the heat problem.« less

New Estimates of Crustal Velocity in the Solomon Islands

NASA Astrophysics Data System (ADS)

Phillips, D. A.; Bevis, M.; Taylor, F. W.; Papabatu, A. K.; Basi, S.; Kendrick, E.

2002-12-01

We present crustal velocity estimates derived from a dense GPS network in the western Solomon Islands. Initial crustal motion estimates reported by Tregoning et al. (1998) showed convergence between the Australian Plate and the Solomon Arc at the San Cristobal Trench. Active deformation between the Pacific Plate and the Solomon Arc block was also detected. In 1997, we established a continuous GPS (CGPS) site on Guadalcanal and five rover GPS sites in the New Georgia Group. The Guadalcanal site was short-lived due to vandalism so we established a new CGPS site in the New Georgia Group in 1999. The original rover sites were re-occupied in 1999 and 2001. We have analyzed this four-year time series using GAMIT/GLOBK software. Our measurements show convergence with the Australian Plate as well as motion between the Solomon Arc and the Pacific Plate. Possible intra-arc deformation is also observed. Regional tectonic interpretations based upon our GPS measurements and other data will be discussed.

Ethics education: a priority for general practitioners in occupational medicine.

PubMed

Alavi, S Shohreh; Makarem, Jalil; Mehrdad, Ramin

2015-01-01

General practitioners (GPs) who work in occupational medicine (OM) should be trained continuously. However, it seems that ethical issues have been neglected. This cross-sectional study aimed to determine educational priorities for GPs working in OM. A total of 410 GPs who participated in OM seminars were asked to answer a number of questions related to items that they usually come across in their work. The respondents were given scores on 15 items, which pertained to their frequency of experience in OM, their felt needs regarding education in the field, and their knowledge and skills. Ethical issues were the most frequently utilised item and the area in which the felt need for education was the greatest. The knowledge of and skills in ethical issues and matters were the poorest. Ethical principles and confidentiality had the highest calculated educational priority scores. It is necessary to consider ethical issues as an educational priority for GPs working in the field of OM.

The geophysical processor system: Automated analysis of ERS-1 SAR imagery

NASA Technical Reports Server (NTRS)

Stern, Harry L.; Rothrock, D. Andrew; Kwok, Ronald; Holt, Benjamin

1994-01-01

The Geophysical Processor System (GPS) at the Alaska (U.S.) SAR (Synthetic Aperture Radar) Facility (ASF) uses ERS-1 SAR images as input to generate three types of products: sea ice motion, sea ice type, and ocean wave spectra. The GPS, operating automatically with minimal human intervention, delivers its output to the Archive and Catalog System (ACS) where scientists can search and order the products on line. The GPS has generated more than 10,000 products since it became operational in Feb. 1992, and continues to deliver 500 new products per month to the ACS. These products cover the Beaufort and Chukchi Seas and the western portion of the central Arctic Ocean. More geophysical processing systems are needed to handle the large volumes of data from current and future satellites. Images must be routinely and consistently analyzed to yield useful information for scientists. The current GPS is a good, working prototype on the way to more sophisticated systems.

Addressing location uncertainties in GPS-based activity monitoring: A methodological framework

PubMed Central

Wan, Neng; Lin, Ge; Wilson, Gaines J.

2016-01-01

Location uncertainty has been a major barrier in information mining from location data. Although the development of electronic and telecommunication equipment has led to an increased amount and refined resolution of data about individuals’ spatio-temporal trajectories, the potential of such data, especially in the context of environmental health studies, has not been fully realized due to the lack of methodology that addresses location uncertainties. This article describes a methodological framework for deriving information about people’s continuous activities from individual-collected Global Positioning System (GPS) data, which is vital for a variety of environmental health studies. This framework is composed of two major methods that address critical issues at different stages of GPS data processing: (1) a fuzzy classification method for distinguishing activity patterns; and (2) a scale-adaptive method for refining activity locations and outdoor/indoor environments. Evaluation of this framework based on smartphone-collected GPS data indicates that it is robust to location errors and is able to generate useful information about individuals’ life trajectories. PMID:28943777

GPS in pioneering dynamic monitoring of long-period structures

USGS Publications Warehouse

Celebi, M.; Sanli, A.

2002-01-01

Global Positioning System (GPS) technology with 10-20-Hz sampling rates allows scientifically justified dynamic measurements of relative displacements of long-period structures. The displacement response of a simulated tall building in real time and permanent deployment of GPS units at the roof of a building are described. To the authors' best knowledge, this is the first permanent deployment of GPS units (in the world) for continuous dynamic monitoring of a tall building. Data recorded from the building during a windy day is analyzed to determine the structural characteristics. When recorded during extreme motions caused by earthquakes and strong winds, such measurements can be used to compute average drift ratios and changes in dynamic characteristics, and therefore can be used by engineers and building owners or managers to assess the structural integrity and performance by establishing pre-established thresholds. Such information can be used to secure public safety and/or take steps to improve the performance of the building.

An Approach for Rapid Assessment of Seismic Hazards in Turkey by Continuous GPS Data

PubMed Central

Ozener, Haluk; Dogru, Asli; Unlutepe, Ahmet

2009-01-01

The Earth is being monitored every day by all kinds of sensors. This leads an overflow of data in all branches of science nowadays, especially in Earth Sciences. Data storage and data processing are the problems to be solved by current technologies, as well as by those accessing and analyzing these large data sources. Once solutions have been created for collecting, storing and accessing data, then the challenge becomes how to effectively share data, applications and processing resources across many locations. The Global Positioning System (GPS) sensors are being used as geodetic instruments to precisely detect crustal motion in the Earth's surface. Rapid access to data provided by GPS sensors is becoming increasingly important for deformation monitoring and rapid hazard assessments. Today, reliable and fast collection and distribution of data is a challenge and advances in Internet technologies have made it easier to provide the needed data. This study describes a system which will be able to generate strain maps using data from continuous GPS stations for seismic hazard analysis. Strain rates are a key factor in seismic hazard analyses. Turkey is a country prone to earthquakes with a long history of seismic hazards and disasters. This situation has resulted in the studies by Earth scientists that focus on Turkey in order to improve their understanding of the Earth's crust structure and seismic hazards. Nevertheless, the construction of models, data access and analysis are often not fast as expected, but the combination of Internet technologies with continuous GPS sensors can be a solution to overcome this problem. This system would have the potential to answer many important questions to assess seismic hazards such as how much stretching, squashing and shearing is taking place in different parts of Turkey, and how do velocities change from place to place? Seismic hazard estimation is the most effective way to reduce earthquake losses. It is clear that reliability of data and on-line services will support the preparation of strategies for disaster management and planning to cope with hazards. PMID:22389619

Constraints on dike propagation from continuous GPS measurements

USGS Publications Warehouse

Segall, P.; Cervelli, Peter; Owen, S.; Lisowski, M.; Miklius, Asta

2001-01-01

The January 1997 East Rift Zone eruption on Kilauea volcano, Hawaii, occurred within a network of continuous Global Positioning System (GPS) receivers. The GPS measurements reveal the temporal history of deformation during dike intrusion, beginning ??? 8 hours prior to the onset of the eruption. The dike volume as a function of time, estimated from the GPS data using elastic Green's functions for a homogeneous half-space, shows that only two thirds of the final dike volume accumulated prior to the eruption and the rate of volume change decreased with time. These observations are inconsistent with simple models of dike propagation, which predict accelerating dike volume up to the time of the eruption and little or no change thereafter. Deflationary tilt changes at Kilauea summit mirror the inferred dike volume history, suggesting that the rate of dike propagation is limited by flow of magma into the dike. A simple, lumped parameter model of a coupled dike magma chamber system shows that the tendency for a dike to end in an eruption (rather than intrusion) is favored by high initial dike pressures, compressional stress states, large, compressible magma reservoirs, and highly conductive conduits linking the dike and source reservoirs. Comparison of model predictions to the observed dike volume history, the ratio of erupted to intruded magma, and the deflationary history of the summit magma chamber suggest that most of the magma supplied to the growing dike came from sources near to the eruption through highly conductive conduits. Interpretation is complicated by the presence of multiple source reservoirs, magma vesiculation and cooling, as well as spatial variations in dike-normal stress. Reinflation of the summit magma chamber following the eruption was measured by GPS and accompanied a rise in the level of the Pu'u O'o lava lake. For a spheroidal chamber these data imply a summit magma chamber volume of ??? 20 km3, consistent with recent estimates from seismic tomography. Continuous deformation measurements can be used to image the spatiotemporal evolution of propagating dikes and to reveal quantitative information about the volcanic plumbing systems. Copyright 2001 by the American Geophysical Union.

Constraints on dike propagation from continuous GPS measurements

NASA Astrophysics Data System (ADS)

Segall, Paul; Cervelli, Peter; Owen, Susan; Lisowski, Mike; Miklius, Asta

2001-09-01

The January 1997 East Rift Zone eruption on Kilauea volcano, Hawaii, occurred within a network of continuous Global Positioning System (GPS) receivers. The GPS measurements reveal the temporal history of deformation during dike intrusion, beginning ˜8 hours prior to the onset of the eruption. The dike volume as a function of time, estimated from the GPS data using elastic Green's functions for a homogeneous half-space, shows that only two thirds of the final dike volume accumulated prior to the eruption and the rate of volume change decreased with time. These observations are inconsistent with simple models of dike propagation, which predict accelerating dike volume up to the time of the eruption and little or no change thereafter. Deflationary tilt changes at Kilauea summit mirror the inferred dike volume history, suggesting that the rate of dike propagation is limited by flow of magma into the dike. A simple, lumped parameter model of a coupled dike magma chamber system shows that the tendency for a dike to end in an eruption (rather than intrusion) is favored by high initial dike pressures, compressional stress states, large, compressible magma reservoirs, and highly conductive conduits linking the dike and source reservoirs. Comparison of model predictions to the observed dike volume history, the ratio of erupted to intruded magma, and the deflationary history of the summit magma chamber suggest that most of the magma supplied to the growing dike came from sources near to the eruption through highly conductive conduits. Interpretation is complicated by the presence of multiple source reservoirs, magma vesiculation and cooling, as well as spatial variations in dike-normal stress. Reinflation of the summit magma chamber following the eruption was measured by GPS and accompanied a rise in the level of the Pu'u O'o lava lake. For a spheroidal chamber these data imply a summit magma chamber volume of ˜20 km3, consistent with recent estimates from seismic tomography. Continuous deformation measurements can be used to image the spatiotemporal evolution of propagating dikes and to reveal quantitative information about the volcanic plumbing systems.

Tightly-coupled real-time analysis of GPS and accelerometer data for translational and rotational ground motions and application to earthquake and tsunami early warning

NASA Astrophysics Data System (ADS)

Geng, J.; Bock, Y.; Melgar, D.; Hasse, J.; Crowell, B. W.

2013-12-01

High-rate GPS can play an important role in earthquake early warning (EEW) systems for large (>M6) events by providing permanent displacements immediately as they are achieved, to be used in source inversions that can be repeatedly updated as more information becomes available. This is most valuable to implement at a site very near the potential source rupture, where broadband seismometers are likely to clip, and accelerometer data cannot be objectively integrated to produce reliable displacements in real time. At present, more than 525 real-time GPS stations have been established in western North America, which are being integrated into EEW systems. Our analysis technique relies on a tightly-coupled combination of GPS and accelerometer data, an extension of precise point positioning with ambiguity resolution (PPP-AR). We operate a PPP service based on North American stations available through the IGS and UNAVCO/PBO. The service provides real-time satellite clock and fractional-cycle bias products that allow us to position individual client stations in the zone of deformation. The service reference stations are chosen to be further than 200 km from the primary zones of tectonic deformation in the western U.S. to avoid contamination of the satellite products during a large seismic event. At client stations, accelerometer data are applied as tight constraints on the positions between epochs in PPP-AR, which improves cycle-slip repair and rapid ambiguity resolution after GPS outages. Furthermore, we estimate site displacements, seismic velocities, and coseismic ground tilts to facilitate the analysis of ground motion characteristics and the inversion for source mechanisms. The seismogeodetic displacement and velocity waveforms preserves the detection of P wave arrivals, and provides P-wave arrival displacement that is key new information for EEW. Our innovative solution method for coseismic tilts mitigates an error source that has continually plagued strong motion data analysis, and has a resolution of about 0.01 degrees. At present, there are few collocations of GPS and accelerometers in western North America (the exception being the BARD network in northern California) so we have developed a cost-effective way to upgrade existing real-time GPS stations with low-cost MEMS accelerometers; fifteen PBO and SCIGN stations in southern California have already been upgraded. We demonstrate our method of recovering broadband displacement and tilt waveforms using 13 experiments from the single-axis George E. Brown Jr. Network for Earthquake Engineering Simulation Large High-Performance Outdoor Shake Table at the University of California San Diego. Then we apply the method to data from the 2010 Mw 7.2 El Mayor-Cucapah earthquake and the 2011 Mw 9.0 Tohoku-oki earthquake to illustrate the improvement over standard base-line correction acceleration techniques and to demonstrate the order of magnitude of tilt errors present in typical observations.

Comparison of five influenza surveillance systems during the 2009 pandemic and their association with media attention

PubMed Central

2013-01-01

Background During the 2009 influenza pandemic period, routine surveillance of influenza-like-illness (ILI) was conducted in The Netherlands by a network of sentinel general practitioners (GPs). In addition during the pandemic period, four other ILI/influenza surveillance systems existed. For pandemic preparedness, we evaluated the performance of the sentinel system and the others to assess which of the four could be useful additions in the future. We also assessed whether performance of the five systems was influenced by media reports during the pandemic period. Methods The trends in ILI consultation rates reported by sentinel GPs from 20 April 2009 through 3 January 2010 were compared with trends in data from the other systems: ILI cases self-reported through the web-based Great Influenza Survey (GIS); influenza-related web searches through Google Flu Trends (GFT); patients admitted to hospital with laboratory-confirmed pandemic influenza, and detections of influenza virus by laboratories. In addition, correlations were determined between ILI consultation rates of the sentinel GPs and data from the four other systems. We also compared the trends of the five surveillance systems with trends in pandemic-related newspaper and television coverage and determined correlation coefficients with and without time lags. Results The four other systems showed similar trends and had strong correlations with the ILI consultation rates reported by sentinel GPs. The number of influenza virus detections was the only system to register a summer peak. Increases in the number of newspaper articles and television broadcasts did not precede increases in activity among the five surveillance systems. Conclusions The sentinel general practice network should remain the basis of influenza surveillance, as it integrates epidemiological and virological information and was able to maintain stability and continuity under pandemic pressure. Hospital and virological data are important during a pandemic, tracking the severity, molecular and phenotypic characterization of the viruses and confirming whether ILI incidence is truly related to influenza virus infections. GIS showed that web-based, self-reported ILI can be a useful addition, especially if virological self-sampling is added and an epidemic threshold could be determined. GFT showed negligible added value. PMID:24063523

The weight of a storm: what observations of Earth surface deformation can tell us about Hurricane Harvey

NASA Astrophysics Data System (ADS)

Borsa, A. A.; Mencin, D.; van Dam, T. M.

2017-12-01

Hurricane Harvey was the first major hurricane to impact the USA in over a decade, making landfall southwest of Houston, TX on August 26, 2017. Although Harvey was downgraded to a tropical storm shortly after landfall, it dropped a record amount of rain and was responsible for epic flooding across much of southeast Texas. While precipitation from a large storm like Harvey can be estimated from in-situ rain gages and Doppler radar, the accompanying surface water changes that lead to flooding are imperfectly observed due to the limited coverage of existing stream and lake level gages and because floodwaters inundate areas that are typically unmonitored. Earth's response to changes in surface loading provides an opportunity to observe the local hydrological response to Hurricane Harvey, specifically the dramatic changes in water storage coincident with and following the storm. Continuous GPS stations in southeastern Texas observed an average drop in land surface elevations of 1.8 cm following Harvey's landfall, followed by a gradual recovery to pre-storm levels over the following month. We interpret this surface motion as Earth's elastic response to the weight of cumulative rainfall during the storm, followed by rebound as that weight was removed by runoff and evapotranspiration (ET). Using observations of surface displacements from GPS stations in the HoustonNET and Plate Boundary Observatory networks, we model the daily water storage changes across Texas and Louisiana associated with Harvey. Because Harvey's barometric pressure low caused surface uplift at the cm level which temporarily obscured the subsidence signal due to precipitation, we model and remove the effect of atmospheric loading from the GPS data prior to our analysis. We also consider the effect on GPS position time series of non-tidal ocean loading due to the hurricane storm surge, which at the coast was an order of magnitude larger than loads due to precipitation alone. Finally, we use our results to estimate 1) the total precipitation load from the storm, 2) the spatial distribution of flooding, and 3) the runoff/ET component of water storage changes (incorporating independent estimates of precipitation).

Quantifying deformation in North Borneo with GPS

NASA Astrophysics Data System (ADS)

Mustafar, Mohamad Asrul; Simons, Wim J. F.; Tongkul, Felix; Satirapod, Chalermchon; Omar, Kamaludin Mohd; Visser, Pieter N. A. M.

2017-10-01

The existence of intra-plate deformation of the Sundaland platelet along its eastern edge in North Borneo, South-East Asia, makes it an interesting area that still is relatively understudied. In addition, the motion of the coastal area of North-West Borneo is directed toward a frontal fold-and-thrust belt and has been fueling a long debate on the possible geophysical sources behind it. At present this fold-and-thrust belt is not generating significant seismic activity and may also not be entirely active due to a decreasing shelfal extension from south to north. Two sets of Global Positioning System (GPS) data have been used in this study; the first covering a time period from 1999 until 2004 (ending just before the Giant Sumatra-Andaman earthquake) to determine the continuous Sundaland tectonic plate motion, and the second from 2009 until 2011 to investigate the current deformations of North Borneo. Both absolute and relative positioning methods were carried out to investigate horizontal and vertical displacements. Analysis of the GPS results indicates a clear trend of extension along coastal regions of Sarawak and Brunei in North Borneo. On the contrary strain rate tensors in Sabah reveal that only insignificant and inconsistent extension and compression occurs throughout North-West Borneo. Moreover, station velocities and rotation rate tensors on the northern part of North Borneo suggest a clockwise (micro-block) rotation. The first analysis of vertical displacements recorded by GPS in North-West Borneo points to low subsidence rates along the western coastal regions of Sabah and inconsistent trends between the Crocker and Trusmadi mountain ranges. These results have not been able to either confirm or reject the hypothesis that gravity sliding is the main driving force behind the local motions in North Borneo. The ongoing Sundaland-Philippine Sea plate convergence may also still play an active role in the present-day deformation (crustal shortening) in North Borneo and the possible clockwise rotation of the northern part of North Borneo as a micro-block. However, more observations need to be collected to determine if the northern part of North Borneo indeed is (slowly) moving independently.

Retirement intentions of general practitioners aged 45-65 years.

PubMed

Brett, Thomas D; Arnold-Reed, Diane E; Hince, Dana A; Wood, Ian K; Moorhead, Robert G

2009-07-20

To ascertain the retirement intentions of a cohort of Australian general practitioners. Postal questionnaire survey of members of four Divisions of General Practice in Western Australia, sent out November 2007 - January 2008. A sample of 178 GPs aged 45-65 years. Intention to work in general practice until retirement; reasons for retiring before age 65 years; factors that might encourage working beyond chosen retirement age; and perceived obstacles to working in general practice. 63% of GPs intended to work to at least age 65 years, with men more likely to retire early. Of 63 GPs intending to retire early, 46% gave pressure of work, exhaustion and burnout as reasons for early retirement. Better remuneration, better staffing levels and more general support were incentives to continue working for 46% of the 64 GPs who responded to the question about incentives, and more flexible working hours, part-time work and reduced workload for 41%. Of 169 participants, 65% gave increasing bureaucracy, poor job satisfaction and disillusionment with the medical system or Medicare as obstacles to working in general practice in Australia, whereas workforce shortage, increasing patient demands and diminishing lifestyle through overwork were obstacles named by 48%. Many GPs are planning to retire early, reflecting an emerging trend among professionals and society generally. Declining job satisfaction, falling workforce numbers, excessive workload and increasing bureaucracy were recurrent concerns of older WA GPs considering premature retirement.

What factors determine Belgian general practitioners' approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model.

PubMed

Ketterer, Frederic; Symons, Linda; Lambrechts, Marie-Claire; Mairiaux, Philippe; Godderis, Lode; Peremans, Lieve; Remmen, Roy; Vanmeerbeek, Marc

2014-06-14

General practitioners (GPs) are considered to play a major role in detecting and managing substance abuse. However, little is known about how or why they decide to manage it. This study investigated the factors that influence GP behaviours with regard to the abuse of alcohol, illegal drugs, hypnotics, and tranquilisers among working Belgians. Twenty Belgian GPs were interviewed. De Vries' Integrated Change Model was used to guide the interviews and qualitative data analyses. GPs perceived higher levels of substance abuse in urban locations and among lower socioeconomic groups. Guidelines, if they existed, were primarily used in Flanders. Specific training was unevenly applied but considered useful. GPs who accepted abuse management cited strong interpersonal skills and available multidisciplinary networks as facilitators.GPs relied on their clinical common sense to detect abuse or initiate management. Specific patients' situations and their social, psychological, or professional dysfunctions were cited as cues to action.GPs were strongly influenced by their personal representations of abuse, which included the balance between their professional responsibilities toward their patients and the patients' responsibilities in managing their own health as well the GPs' abilities to cope with unsatisfying patient outcomes without reaching professional exhaustion. GPs perceived substance abuse along a continuum ranging from a chronic disease (whose management was part of their responsibility) to a moral failing of untrustworthy people. Alcohol and cannabis were more socially acceptable than other drugs. Personal experiences of emotional burdens (including those regarding substance abuse) increased feelings of empathy or rejection toward patients.Multidisciplinary practices and professional experiences were cited as important factors with regard to engaging GPs in substance abuse management. Time constraints and personal investments were cited as important barriers.Satisfaction with treatment was rare. Motivational factors, including subjective beliefs not supported by the literature, were central in deciding whether to manage cases of substance abuse. A lack of theoretical knowledge and training were secondary to personal attitudes and motivation. Personal development, emotional health, self-awareness, and self-care should be taught to and fostered among GPs to help them maintain a patient-centred focus. Health authorities should support collaborative care.

The Integration of TLS and Continuous GPS to Study Landslide Deformation: A Case Study at the El Yunque National Forest, Puerto Rico

NASA Astrophysics Data System (ADS)

Phillips, D. A.; Wang, G.; Joyce, J.; Rivera, F. O.; Galan, G.; Meertens, C. M.

2010-12-01

Terrestrial Laser Scanning (TLS) and Global Positioning System (GPS) technologies provide comprehensive information of landslide deformation in the both spatial and temporal domains, which are critical to study the dynamics and kinematics of landslides. TLS allows the generation of a precise 3D model of a landslide surface by deriving spatial deformation from consecutive TLS campaigns. Continuous GPS (CGPS) monitoring allows the generation of the displacement time series of single points. Integrated TLS and CGPS datasets were collected at the base of a 500-600 meter long landslide on a steep mountain slope in the El Yunque National Rainforest in Puerto Rico. Major movements of this landslide in 2004 and 2005 caused the closing of one of three remaining access roads to the national forest. A retaining wall was constructed to restrain the landslide and allow the road reopen. Prior to termination of the wall a significant portion of the northwest end of the wall failed. This portion was repaired but prior to final termination in August 2009 significant soil displacements behind the failed section thwarted final grading efforts. Geologic investigation indicated that the landslide extended much further upslope than indicated and involved bedrock as well as overlying residual soils. Striations along flank escarpments indicated displacement of the entire landslide to the northwest but active displacement could only be certified in the lower most portions behind the retaining wall. The northwest portion of the wall continued to show flexural deformation until it finally burst in July 2010. The size and displacement magnitude of the presently moving mass has become a major focus of investigation. To precisely identify the present boundaries and displacement magnitude of the lower portions of the landslide, we performed two TLS campaigns at the landslide site in May and August 2010. A continuous GPS array consisting of 3 stations was also installed at the site, one of which was located outside of the landslide as a stable reference point. Topcon GB-1000 dual frequency receivers and PG-A1 antennas were used to collect the GPS data. GPS data were processed using Topcon software. A Riegl VZ-400 laser scanner, provided by UNAVCO, was used to collect the TLS data. This scanner provides high resolution, high-speed data acquisition using a narrow infrared laser beam and a fast scanning mechanism. Centimeter-level scans from 12 scan positions were performed during each TLS campaign. TLS data acquisition and global registration were performed using RIEGL RiSCAN-PRO software. The Generic Mapping Tools (GMT, http://gmt.soest.hawaii.edu), a software package widely utilized in the geophysical community, was used for data post processing and map plotting. Our TLS and GPS results have clearly identified the boundaries, the rate and direction of displacement, and the volume change of the lower portions of presently sliding mass. Rainfall data from a local USGS weather station were also integrated to this study. Our results indicate close correlation between landslide movements and rainfall.

A new algorithm for automatic Outlier Detection in GPS Time Series

NASA Astrophysics Data System (ADS)

Cannavo', Flavio; Mattia, Mario; Rossi, Massimo; Palano, Mimmo; Bruno, Valentina

2010-05-01

Nowadays continuous GPS time series are considered a crucial product of GPS permanent networks, useful in many geo-science fields, such as active tectonics, seismology, crustal deformation and volcano monitoring (Altamimi et al. 2002, Elósegui et al. 2006, Aloisi et al. 2009). Although the GPS data elaboration software has increased in reliability, the time series are still affected by different kind of noise, from the intrinsic noise (e.g. thropospheric delay) to the un-modeled noise (e.g. cycle slips, satellite faults, parameters changing). Typically GPS Time Series present characteristic noise that is a linear combination of white noise and correlated colored noise, and this characteristic is fractal in the sense that is evident for every considered time scale or sampling rate. The un-modeled noise sources result in spikes, outliers and steps. These kind of errors can appreciably influence the estimation of velocities of the monitored sites. The outlier detection in generic time series is a widely treated problem in literature (Wei, 2005), while is not fully developed for the specific kind of GPS series. We propose a robust automatic procedure for cleaning the GPS time series from the outliers and, especially for long daily series, steps due to strong seismic or volcanic events or merely instrumentation changing such as antenna and receiver upgrades. The procedure is basically divided in two steps: a first step for the colored noise reduction and a second step for outlier detection through adaptive series segmentation. Both algorithms present novel ideas and are nearly unsupervised. In particular, we propose an algorithm to estimate an autoregressive model for colored noise in GPS time series in order to subtract the effect of non Gaussian noise on the series. This step is useful for the subsequent step (i.e. adaptive segmentation) which requires the hypothesis of Gaussian noise. The proposed algorithms are tested in a benchmark case study and the results confirm that the algorithms are effective and reasonable. Bibliography - Aloisi M., A. Bonaccorso, F. Cannavò, S. Gambino, M. Mattia, G. Puglisi, E. Boschi, A new dyke intrusion style for the Mount Etna May 2008 eruption modelled through continuous tilt and GPS data, Terra Nova, Volume 21 Issue 4 , Pages 316 - 321, doi: 10.1111/j.1365-3121.2009.00889.x (August 2009) - Altamimi Z., Sillard P., Boucher C., ITRF2000: A new release of the International Terrestrial Reference frame for earth science applications, J Geophys Res-Solid Earth, 107 (B10): art. no.-2214, (Oct 2002) - Elósegui, P., J. L. Davis, D. Oberlander, R. Baena, and G. Ekström , Accuracy of high-rate GPS for seismology, Geophys. Res. Lett., 33, L11308, doi:10.1029/2006GL026065 (2006) - Wei W. S., Time Series Analysis: Univariate and Multivariate Methods, Addison Wesley (2 edition), ISBN-10: 0321322169 (July, 2005)

Recovering Total Megathrust Slip Across the Seismic Cycle: Results from Two Decades of Study at the Nicoya Seismic Cycle Observatory (NSCO)

NASA Astrophysics Data System (ADS)

Newman, A. V.; Kyriakopoulos, C.

2015-12-01

Unlike most subduction environments that exist mostly or entirely offshore, the Nicoya Peninsula's location allows for unique land-based observations of the entire down-dip extent of coupling and failure along the seismogenic megathrust. Because of this geometry and approximately 50-year repeat cycle of mid-magnitude 7 earthquakes there, numerous geophysical studies were focused on the peninsula. Most notably of these are the dense seismic and GPS networks cooperatively operated by UC Santa Cruz, Georgia Tech, U. South Florida, and OVSICORI, collectively called the Nicoya Seismic Cycle Observatory (NSCO). The megathrust environment beneath Nicoya is additionally characterized by strong along-strike transitions in oceanic crust origin and geometries, including massive subducted seamounts, and a substantial crustal suture well documented in recent work by Kyriakopoulos et al. [JGR, 2015]. Using GPS data collected from campaign and continuous sites going back approximately 20 years, a number of studies have imaged components of the seismic cycle, including late-interseismic coupling, frequent slow-slip events, coseismic rupture of a moment magnitude 7.6 earthquake in 2012, and early postseismic response. The derived images of interface locking and slip behavior published for each of these episodes use different model geometries, different weighting schemes, and modeling algorithms limiting their use for fully characterizing the transitions between zones. Here, we report the first unified analysis of the full continuum of slip using the new locally defined 3D plate interface model. We focus on evaluating how transitions in plate geometry control observed locking, slip, and quantifying how well pre-seismic images of megathrust locking and slow-slip events dictate coseismic and postseismic behavior. Without the long-term and continuous geodetic observations made by the NSCO, this work would not have been possible.

Geodetically inferred coseismic and postseismic slip due to the M 5.4 31 October 2007 Alum Rock earthquake

USGS Publications Warehouse

Murray-Moraleda, J. R.; Simpson, R.W.

2009-01-01

On 31 October 2007 the M 5.4 Alum Rock earthquake occurred near the junction between the Hayward and Calaveras faults in the San Francisco Bay Area, producing coseismic and postseismic displacements recorded by 10 continuously operating Global Positioning System (GPS) instruments. The cumulative postseismic displacements over the four months following the earthquake are linearly related to the cumulative number of aftershocks and are comparable in magnitude to the coseis mic displacements. The postseismic signal suggests that, in addition to afterslip at seismogenic depths, localized right-lateral/reverse slip occurred on dipping shallow fault surfaces southwest of the Calaveras. The spatial distribution of slip inferred by inverting the GPS data is compatible with a model in which moderate Calaveras fault earthquakes rupture locked patches surrounded by areas of creep, afterslip, and microseismicity (Oppenheimer et al., 1990). If this model and existing Calaveras fault slip rate estimates are correct, a slip deficit remains on the 2007 Alum Rock rupture patch that may be made up by aseismic slip or slip in larger earthquakes. Recent studies (e.g., Manaker et al., 2005) suggest that at depth the Hayward and central Calaveras faults connect via a simple continuous surface illuminated by the Mission Seismic Trend (MST), implying that a damaging earthquake rupture could involve both faults (Graymer et al., 2008). If this geometry is correct, the combined coseismic and postseismic slip we infer for the 2007 Alum Rock event predicts static Coulomb stress increases of ???0:6 bar on the MST surface and on the northern Calaveras fault ???5 km northwest of the Alum Rock hypocenter.

Tightly coupled low cost 3D RISS/GPS integration using a mixture particle filter for vehicular navigation.

PubMed

Georgy, Jacques; Noureldin, Aboelmagd

2011-01-01

Satellite navigation systems such as the global positioning system (GPS) are currently the most common technique used for land vehicle positioning. However, in GPS-denied environments, there is an interruption in the positioning information. Low-cost micro-electro mechanical system (MEMS)-based inertial sensors can be integrated with GPS and enhance the performance in denied GPS environments. The traditional technique for this integration problem is Kalman filtering (KF). Due to the inherent errors of low-cost MEMS inertial sensors and their large stochastic drifts, KF, with its linearized models, has limited capabilities in providing accurate positioning. Particle filtering (PF) was recently suggested as a nonlinear filtering technique to accommodate for arbitrary inertial sensor characteristics, motion dynamics and noise distributions. An enhanced version of PF called the Mixture PF is utilized in this study to perform tightly coupled integration of a three dimensional (3D) reduced inertial sensors system (RISS) with GPS. In this work, the RISS consists of one single-axis gyroscope and a two-axis accelerometer used together with the vehicle's odometer to obtain 3D navigation states. These sensors are then integrated with GPS in a tightly coupled scheme. In loosely-coupled integration, at least four satellites are needed to provide acceptable GPS position and velocity updates for the integration filter. The advantage of the tightly-coupled integration is that it can provide GPS measurement update(s) even when the number of visible satellites is three or lower, thereby improving the operation of the navigation system in environments with partial blockages by providing continuous aiding to the inertial sensors even during limited GPS satellite availability. To effectively exploit the capabilities of PF, advanced modeling for the stochastic drift of the vertically aligned gyroscope is used. In order to benefit from measurement updates for such drift, which are loosely-coupled updates, a hybrid loosely/tightly coupled solution is proposed. This solution is suitable for downtown environments because of the long natural outages or degradation of GPS. The performance of the proposed 3D Navigation solution using Mixture PF for 3D RISS/GPS integration is examined by road test trajectories in a land vehicle and compared to the KF counterpart.

Tightly Coupled Low Cost 3D RISS/GPS Integration Using a Mixture Particle Filter for Vehicular Navigation

PubMed Central

Georgy, Jacques; Noureldin, Aboelmagd

2011-01-01

Satellite navigation systems such as the global positioning system (GPS) are currently the most common technique used for land vehicle positioning. However, in GPS-denied environments, there is an interruption in the positioning information. Low-cost micro-electro mechanical system (MEMS)-based inertial sensors can be integrated with GPS and enhance the performance in denied GPS environments. The traditional technique for this integration problem is Kalman filtering (KF). Due to the inherent errors of low-cost MEMS inertial sensors and their large stochastic drifts, KF, with its linearized models, has limited capabilities in providing accurate positioning. Particle filtering (PF) was recently suggested as a nonlinear filtering technique to accommodate for arbitrary inertial sensor characteristics, motion dynamics and noise distributions. An enhanced version of PF called the Mixture PF is utilized in this study to perform tightly coupled integration of a three dimensional (3D) reduced inertial sensors system (RISS) with GPS. In this work, the RISS consists of one single-axis gyroscope and a two-axis accelerometer used together with the vehicle’s odometer to obtain 3D navigation states. These sensors are then integrated with GPS in a tightly coupled scheme. In loosely-coupled integration, at least four satellites are needed to provide acceptable GPS position and velocity updates for the integration filter. The advantage of the tightly-coupled integration is that it can provide GPS measurement update(s) even when the number of visible satellites is three or lower, thereby improving the operation of the navigation system in environments with partial blockages by providing continuous aiding to the inertial sensors even during limited GPS satellite availability. To effectively exploit the capabilities of PF, advanced modeling for the stochastic drift of the vertically aligned gyroscope is used. In order to benefit from measurement updates for such drift, which are loosely-coupled updates, a hybrid loosely/tightly coupled solution is proposed. This solution is suitable for downtown environments because of the long natural outages or degradation of GPS. The performance of the proposed 3D Navigation solution using Mixture PF for 3D RISS/GPS integration is examined by road test trajectories in a land vehicle and compared to the KF counterpart. PMID:22163846

A Teachable Moment in Earth Deformation: An Undergraduate Strain Module Incorporating GPS Measurement of the August 24, 2014 M6.0 South Napa Earthquake

NASA Astrophysics Data System (ADS)

Resor, P. G.; Cronin, V. S.; Hammond, W. C.; Pratt-Sitaula, B.; Olds, S. E.

2014-12-01

The August 24, 2014 M 6.0 South Napa Earthquake was the largest earthquake to occur in the San Francisco Bay Area, home to more than 7 million people, in almost 25 years. The event occurred within an area of dense GPS instrumentation including continuous stations from the EarthScope Plate Boundary Observatory, Bay Area Regional Deformation Network and other networks. Coseismic displacements of up to 3 cm were rapidly estimated within one day after the event, providing a map of Earth shape change at over one hundred stations around the epicenter. The earthquake thus presets as an excellent "teachable moment" to introduce students to basic geoscience concepts, modern geophysical methods, and the state of knowledge in earthquake science. We have developed an example exercise that uses GPS-derived interseismic velocities and coseismic offsets to explore deformation in the vicinity of the earthquake rupture. This exercise builds on the UNAVCO education resource "Infinitesimal Strain Analysis Using GPS Data" (http://www.unavco.org/education/resources/educational-resources/lesson/majors-gps-strain/majors-gps-strain.html), a module designed to introduce undergraduate geoscience majors to concepts of crustal deformation using GPS velocity data. In the module students build their intuition about infinitesimal strain through manipulation of physical models, apply this intuition to interpret maps of GPS velocity vectors, and ultimately calculate the instantaneous deformation rate of triangles on the Earth's surface defined by three GPS sites. The South Napa data sets provide an example with clear societal relevance that can be used to explore the basic concepts of deformation, but may also be extended to explore topics such as strain accumulation, release, and transfer associated with the earthquake cycle. The UNAVCO module could be similarly extended to create additional exercises in response to future events with clear geodetic signals.

Present-Day Strain and Rotation in the Lebanese Restraining Bend of the Dead Sea Fault System Based on Analysis of GPS Velocities

NASA Astrophysics Data System (ADS)

Gomez, F.; Jaafar, R.; Abdallah, C.; Karam, G.

2012-12-01

The Lebanese Restraining Bend (LRB) is a ~200-km-long bend in the central part of the Dead Sea Fault system (DSFS). As with other large restraining bends, this part of the transform is characterized by more complicated structure than other parts. Additionally, results from recent GPS studies have documented slower velocities north of the LRB than are observed along the southern DSFS to the south. In an effort to understand how strain is transferred through the LRB, this study analyzes improved GPS velocities within the central DSFS based on new data and additional stations. Despite relatively modest rates of seismicity, the Dead Sea Fault system (DSFS) has a historically documented record of producing large and devastating earthquakes. Hence, geodetic measurements of crustal deformation may provide key constraints on processes of strain accumulation that may not be evident in instrumentally recorded seismicity. Within the LRB, the transform splays into two prominent strike-slip faults: The through-going Yammouneh fault and the Serghaya fault. The latter appears to terminate in the Anti-Lebanon Mountains. Additionally, some oblique plate motion is accommodated by thrusting along the coast of Lebanon. This study used GPS observations from survey-mode GPS sites, as well as continuous GPS stations in the region. In total, 22 GPS survey sites have been measured in Lebanon between 2002 and 2010, along with GPS data from the adjacent area. Elastic models are used for initial assessment of fault slip rates. Incorporating two major strike-slip faults, as well as an offshore thrust fault, this modeling suggests left-lateral slip rates of 3.8 mm/yr and 1.1 mm/yr for the Yammouneh and Serghaya faults, respectively. The GPS survey network has sufficient density for analyzing velocity gradients in an effort to quantify tectonic strains and rotations. The velocity gradients suggest that differential rotations play a role in accommodating some plate motion.

Using GPS-enabled cell phones to track the travel patterns of adolescents.

PubMed

Wiehe, Sarah E; Carroll, Aaron E; Liu, Gilbert C; Haberkorn, Kelly L; Hoch, Shawn C; Wilson, Jeffery S; Fortenberry, J Dennis

2008-05-21

Few tools exist to directly measure the microsocial and physical environments of adolescents in circumstances where participatory observation is not practical or ethical. Yet measuring these environments is important as they are significantly associated with adolescent health-risk. For example, health-related behaviors such as cigarette smoking often occur in specific places where smoking may be relatively surreptitious. We assessed the feasibility of using GPS-enabled cell phones to track adolescent travel patterns and gather daily diary data. We enrolled 15 adolescent women from a clinic-based setting and asked them to carry the phones for 1 week. We found that these phones can accurately and reliably track participant locations, as well as record diary information on adolescent behaviors. Participants had variable paths extending beyond their immediate neighborhoods, and denied that GPS-tracking influenced their activity. GPS-enabled cell phones offer a feasible and, in many ways, ideal modality of monitoring the location and travel patterns of adolescents. In addition, cell phones allow space- and time-specific interaction, probing, and intervention which significantly extends both research and health promotion beyond a clinical setting. Future studies can employ GPS-enabled cell phones to better understand adolescent environments, how they are associated with health-risk behaviors, and perhaps intervene to change health behavior.

GP and pharmacist inter-professional learning - a grounded theory study.

PubMed

Cunningham, David E; Ferguson, Julie; Wakeling, Judy; Zlotos, Leon; Power, Ailsa

2016-05-01

Practice Based Small Group Learning (PBSGL) is an established learning resource for primary care clinicians in Scotland and is used by one-third of general practitioners (GPs). Scottish Government and UK professional bodies have called for GPs and pharmacists to work more closely together to improve care. To gain GPs' and pharmacists' perceptions and experiences of learning together in an inter-professional PBSGL pilot. Qualitative research methods involving established GP PBSGL groups in NHS Scotland recruiting one or two pharmacists to join them. A grounded theory method was used. GPs were interviewed in focus groups by a fellow GP, and pharmacists were interviewed individually by two researchers, neither being a GP or a pharmacist. Interviews were audio-recorded, transcribed and analysed using grounded theory methods. Data saturation was achieved and confirmed. Three themes were identified: GPs' and pharmacists' perceptions and experiences of inter-professional learning; Inter-professional relationships and team-working; Group identity and purpose of existing GP groups. Pharmacists were welcomed into GP groups and both professions valued inter-professional PBSGL learning. Participants learned from each other and both professions gained a wider perspective of the NHS and of each others' roles in the organisation. Inter-professional relationships, communication and team-working were strengthened and professionals regarded each other as peers and friends.

Benefits of combined GPS/GLONASS with low-cost MEMS IMUs for vehicular urban navigation.

PubMed

Angrisano, Antonio; Petovello, Mark; Pugliano, Giovanni

2012-01-01

The integration of Global Navigation Satellite Systems (GNSS) with Inertial Navigation Systems (INS) has been very actively researched for many years due to the complementary nature of the two systems. In particular, during the last few years the integration with micro-electromechanical system (MEMS) inertial measurement units (IMUs) has been investigated. In fact, recent advances in MEMS technology have made possible the development of a new generation of low cost inertial sensors characterized by small size and light weight, which represents an attractive option for mass-market applications such as vehicular and pedestrian navigation. However, whereas there has been much interest in the integration of GPS with a MEMS-based INS, few research studies have been conducted on expanding this application to the revitalized GLONASS system. This paper looks at the benefits of adding GLONASS to existing GPS/INS(MEMS) systems using loose and tight integration strategies. The relative benefits of various constraints are also assessed. Results show that when satellite visibility is poor (approximately 50% solution availability) the benefits of GLONASS are only seen with tight integration algorithms. For more benign environments, a loosely coupled GPS/GLONASS/INS system offers performance comparable to that of a tightly coupled GPS/INS system, but with reduced complexity and development time.

Instantaneous BeiDou-GPS attitude determination: A performance analysis

NASA Astrophysics Data System (ADS)

Nadarajah, Nandakumaran; Teunissen, Peter J. G.; Raziq, Noor

2014-09-01

The advent of modernized and new global navigation satellite systems (GNSS) has enhanced the availability of satellite based positioning, navigation, and timing (PNT) solutions. Specifically, it increases redundancy and yields operational back-up or independence in case of failure or unavailability of one system. Among existing GNSS, the Chinese BeiDou system (BDS) is being developed and will consist of geostationary (GEO) satellites, inclined geosynchronous orbit (IGSO) satellites, and medium-Earth-orbit (MEO) satellites. In this contribution, a BeiDou-GPS robustness analysis is carried out for instantaneous, unaided attitude determination. Precise attitude determination using multiple GNSS antennas mounted on a platform relies on the successful resolution of the integer carrier phase ambiguities. The constrained Least-squares AMBiguity Decorrelation Adjustment (C-LAMBDA) method has been developed for the quadratically constrained GNSS compass model that incorporates the known baseline length. In this contribution the method is used to analyse the attitude determination performance when using the GPS and BeiDou systems. The attitude determination performance is evaluated using GPS/BeiDou data sets from a real data campaign in Australia spanning several days. The study includes the performance analyses of both stand-alone and mixed constellation (GPS/BeiDou) attitude estimation under various satellite deprived environments. We demonstrate and quantify the improved availability and accuracy of attitude determination using the combined constellation.

Using GPS-enabled cell phones to track the travel patterns of adolescents

PubMed Central

Wiehe, Sarah E; Carroll, Aaron E; Liu, Gilbert C; Haberkorn, Kelly L; Hoch, Shawn C; Wilson, Jeffery S; Fortenberry, J Dennis

2008-01-01

Background Few tools exist to directly measure the microsocial and physical environments of adolescents in circumstances where participatory observation is not practical or ethical. Yet measuring these environments is important as they are significantly associated with adolescent health-risk. For example, health-related behaviors such as cigarette smoking often occur in specific places where smoking may be relatively surreptitious. Results We assessed the feasibility of using GPS-enabled cell phones to track adolescent travel patterns and gather daily diary data. We enrolled 15 adolescent women from a clinic-based setting and asked them to carry the phones for 1 week. We found that these phones can accurately and reliably track participant locations, as well as record diary information on adolescent behaviors. Participants had variable paths extending beyond their immediate neighborhoods, and denied that GPS-tracking influenced their activity. Conclusion GPS-enabled cell phones offer a feasible and, in many ways, ideal modality of monitoring the location and travel patterns of adolescents. In addition, cell phones allow space- and time-specific interaction, probing, and intervention which significantly extends both research and health promotion beyond a clinical setting. Future studies can employ GPS-enabled cell phones to better understand adolescent environments, how they are associated with health-risk behaviors, and perhaps intervene to change health behavior. PMID:18495025

Segmenting a general practitioner market to improve recruitment outcomes.

PubMed

Hemphill, Elizabeth; Kulik, Carol T

2011-05-01

Recruitment is an ongoing challenge in the health industry with general practitioner (GP) shortages in many areas beyond rural and Indigenous communities. This paper suggests a marketing solution that identifies different segments of the GP market for recruitment strategy development. In February 2008, 96 GPs in Australia responded to a mail questionnaire (of which 85 questionnaires were useable). A total of 350 GPs were sent the questionnaire. Respondents considered small sets of attributes in the decision to accept a new job at a general practice and selected the most and least important attribute from each set. We identified latent class clusters (cohorts) of GPs from the most-least important data. Three cohorts were found in the GP market, distinguishing practitioners who emphasised job, family or practice attributes in their decision to join a practice. Few significant demographic differences exist between the cohorts. A segmented GP market suggests two alternative recruitment strategies. One option is for general practices to target members of a single cohort (family-, job-, or practice-focussed GPs). The other option is for general practices to diversify their recruitment strategies to target all three cohorts (family-, job- and practice-focussed GPs). A single brand (practice) can have multiple advertising strategies with each strategy involving advertising activities targeting a particular consumer segment.

Fast Integer Ambiguity Resolution for GPS Attitude Determination

NASA Technical Reports Server (NTRS)

Lightsey, E. Glenn; Crassidis, John L.; Markley, F. Landis

1999-01-01

In this paper, a new algorithm for GPS (Global Positioning System) integer ambiguity resolution is shown. The algorithm first incorporates an instantaneous (static) integer search to significantly reduce the search space using a geometric inequality. Then a batch-type loss function is used to check the remaining integers in order to determine the optimal integer. This batch function represents the GPS sightline vectors in the body frame as the sum of two vectors, one depending on the phase measurements and the other on the unknown integers. The new algorithm has several advantages: it does not require an a-priori estimate of the vehicle's attitude; it provides an inherent integrity check using a covariance-type expression; and it can resolve the integers even when coplanar baselines exist. The performance of the new algorithm is tested on a dynamic hardware simulator.

Perceived future career prospects in general practice: quantitative results from questionnaire surveys of UK doctors

PubMed Central

Lambert, Trevor W; Smith, Fay; Goldacre, Michael J

2016-01-01

Background There are more studies of current job satisfaction among GPs than of their views about their future career prospects, although both are relevant to commitment to careers in general practice. Aim To report on the views of GPs compared with clinicians in other specialties about their future career prospects. Design and setting Questionnaire surveys were sent to UK medical doctors who graduated in selected years between 1974 and 2008. Method Questionnaires were sent to the doctors at different times after graduation, ranging from 3 to 24 years. Results Based on the latest survey of each graduation year of the 20 940 responders, 66.2% of GPs and 74.2% of hospital doctors were positive about their prospects and 9.7% and 8.3%, respectively, were negative. However, with increasing time since graduation and increasing levels of seniority, GPs became less positive about their prospects; by contrast, over time, surgeons became more positive. Three to 5 years after graduation, 86.3% of those training in general practice were positive about their prospects compared with 52.9% of surgical trainees: in surveys conducted 12–24 years after graduation, 60.2% of GPs and 76.6% of surgeons were positive about their prospects. Conclusion GPs held broadly positive views of their career prospects, as did other doctors. However, there was an increase in negativity with increasing time since graduation that was not seen in hospital doctors. Research into the causes of this negativity and policy measures to ameliorate it would contribute to the continued commitment of GPs and may help to reduce attrition. PMID:27578813

Comparison of GPS and GRACE hydrological loading signatures in Myanmar, India, Bangladesh, and Bhutan

NASA Astrophysics Data System (ADS)

Materna, K.; Feng, L.; Lindsey, E. O.; Hill, E.; Burgmann, R.

2017-12-01

The elastic response of the lithosphere to surface mass redistributions produces significant deformation that can be observed in geodetic time series. This deformation is especially pronounced in Southeast Asia, where the annual monsoon produces large-amplitude hydrological loads. The MIBB network of 20 continuous GPS stations in Myanmar, India, Bangladesh, and Bhutan, operational since 2012, provides an opportunity to study the earth's response to these loads. In this study, we use GRACE gravity products as an estimate of surface water distribution, and input these estimates into an elastic loading calculation. We compare the predicted deformation with that observed with GPS. We find that elastic loading from the GRACE gravity field is able to explain the phase and the peak-to-peak amplitude (typically 2-3 cm) of the vertical GPS oscillations in northeast India and central Myanmar. GRACE-based corrections reduce the RMS scatter of the GPS data by 30%-45% in these regions. However, this approach does not capture all of the variation in central Bangladesh and southern Myanmar. Local hydrological effects, non-tidal ocean loads, poroelastic deformation, or differences in elastic properties may explain discrepancies between the GPS and GRACE signals in these places. The results of our calculations have practical implications for campaign GPS measurements in Myanmar, which make up the majority of geodetic measurements at this point. We may be able to reduce errors in campaign measurements and increase the accuracy of velocity estimates by correcting for hydrologic signals with GRACE data. The results also have potential implications for crustal rheology in Southeast Asia.

Views of newly-qualified GPs about their training and preparedness: lessons for extended generalist training.

PubMed

Sabey, Abigail; Hardy, Holly

2015-04-01

General practice is becoming increasingly complex due to an ageing population with multiple morbidities and the shift of services from secondary to primary care, yet GP training remains largely the same. Extended training is now recommended, initially proposed as a fourth GP specialty trainee year, but more recently as a broad-based 4-year specialty training programme. To explore the views of newly-qualified GPs about their training and preparedness for specific aspects of the GP's role. Qualitative study with newly-qualified GPs who qualified with Severn Deanery between 2007 and 2010. Semi-structured interviews with 18 GPs between November 2011 and April 2012. Gaining experience in a variety of primary care environments widens insight into patient populations as well as helping GPs develop adaptability and confidence, although this is not routinely part of GP training. However, alongside variety, having continuity with patients in practice remains important. Opportunities to be involved in the management of a practice or to take on substantial leadership roles also vary widely and this may limit preparedness and development of generalist skills. Extended training could help prepare GPs for the current challenges of general practice. It could ensure all trainees are exposed to a greater variety of primary care settings including those outside GP practice, as well as experience of business, finance, and leadership roles. Collectively, these changes have the potential to produce GPs with both generalist and enhanced skills, who are better prepared to work collaboratively across the organisational boundaries between primary, secondary, and community care. © British Journal of General Practice 2015.

Horizontal Displacement Vector Analysis in Ujong Muloh GPS Station (UMLH) Sumatra Island on March 27 – April 25, 2012

NASA Astrophysics Data System (ADS)

Pamungkas, S. S.; Koesuma, S.; Legowo, Budi

2018-03-01

Sumatra Island is an area that has high tectonic activities. This is because the island of Sumatra is located in two major plates of the world, the Indo-Australian plate and the Eurasia plate. The subduction zone causes Sumatra to deform from time to time. The deformation of Sumatra Island can be observed by continuous recording coordinates using the GPS Station. Continous-GPS (C-GPS) in Sumatra Island is named Sumatran GPS Array (SuGAr), one of them named UMLH. The UMLH GPS station used to observe the displacement in the Aceh City of Sumatra Island, is located in Ujung Muloh. The changes of GPS coordinate recording data can represent the deformation pattern that occurred in Sumatra. On April 11, 2012, according to USGS data, there had been an earthquake in the city of Aceh about 8.6 at coordinates of 2.433°N, 93.072°E. The purpose of this research is to analyze the horizontal displacement due to the occurrence of the earthquake. Data processing is carried out using software GAMIT/GLOBK. The magnitude of the displacement of Sumatra Island before the earthquake, during the earthquake, and after the quake on component X were respectively: 0.04 mm/day, 56.63 mm/day, and 8.28 mm/day; while on component Y were respectively: 0.03 mm/day, 23.78 mm/day, and 1.22 mm/day. The direction of displacement was 253.8° towards Southwest with the assumption that 0° was in the North.

Improving long-term adherence to statin therapy: a qualitative study of GPs' experiences in primary care.

PubMed

Krüger, Karen; Leppkes, Niklas; Gehrke-Beck, Sabine; Herrmann, Wolfram; Algharably, Engi A; Kreutz, Reinhold; Heintze, Christoph; Filler, Iris

2018-06-01

Statins substantially reduce the risk of cardiovascular disease when taken regularly. Though statins are generally well tolerated, current studies show that one-third of patients discontinue use of statins within 2 years. A qualitative approach may improve the understanding of attitudes and behaviours towards statins, the mechanisms related to discontinuation, and how they are managed in primary care. To identify factors related to statin discontinuation and approaches for long-term statin adherence. A qualitative study of German GPs' experiences with statin therapy in rural and urban settings in primary care. Semi-structured interviews ( n = 16) with purposefully recruited GPs were recorded, transcribed, and analysed using qualitative content analysis. Sociodemographic patient factors, the nocebo effect, patient attitudes towards primary prevention, and negative media coverage had significant impacts on statin therapy according to GPs. To overcome these barriers, GPs described useful strategies combining patient motivation and education with person-centred care. GPs used computer programs for individual risk-benefit analyses in the context of shared decision making. They encouraged patients with strong concerns or perceived side effects to continue therapy with a modified medication regimen combined with individual therapy goals. GPs should be aware of barriers to statin therapy and useful approaches to overcome them. They could be supported by guideline recommendations that are more closely aligned to primary care as well as comprehensible patient information about lipid-lowering therapy. Future studies, exploring patients' specific needs and involving them in improving adherence behaviour, are recommended. © British Journal of General Practice 2018.

Collaboration between general practitioners (GPs) and mental healthcare professionals within the context of reforms in Quebec

PubMed Central

2012-01-01

Background In the context of the high prevalence and impact of mental disorders worldwide, and less than optimal utilisation of services and adequacy of care, strengthening primary mental healthcare should be a leading priority. This article assesses the state of collaboration among general practitioners (GPs), psychiatrists and psychosocial mental healthcare professionals, factors that enable and hinder shared care, and GPs’ perceptions of best practices in the management of mental disorders. A collaboration model is also developed. Methods The study employs a mixed-method approach, with emphasis on qualitative investigation. Drawing from a previous survey representative of the Quebec GP population, 60 GPs were selected for further investigation. Results Globally, GPs managed mental healthcare patients in solo practice in parallel or sequential follow-up with mental healthcare professionals. GPs cited psychologists and psychiatrists as their main partners. Numerous hindering factors associated with shared care were found: lack of resources (either professionals or services); long waiting times; lack of training, time and incentives for collaboration; and inappropriate GP payment modes. The ideal practice model includes GPs working in multidisciplinary group practice in their own settings. GPs recommended expanding psychosocial services and shared care to increase overall access and quality of care for these patients. Conclusion As increasing attention is devoted worldwide to the development of optimal integrated primary care, this article contributes to the discussion on mental healthcare service planning. A culture of collaboration has to be encouraged as comprehensive services and continuity of care are key recovery factors of patients with mental disorders. PMID:23730332

Surface deformation analysis over Vrancea seismogenic area through radar and GPS geospatial data

NASA Astrophysics Data System (ADS)

Zoran, Maria A.; Savastru, Roxana S.; Savastru, Dan M.; Serban, Florin S.; Teleaga, Delia M.; Mateciuc, Doru N.

2017-10-01

Time series analysis of GPS (Global Positioning Systems) and InSAR (Interferometric Synthetic Aperture Radar) data are important tools for Earth's surface deformation assessment, which can result from a wide range of geological phenomena like as earthquakes, landslides or ground water level changes. The aim of this paper was to identify several types of earthquake precursors that might be observed from geospatial data in Vrancea seismogenic region in Romania. Continuous GPS Romanian network stations and few field campaigns data recorded between 2005-2012 years revealed a displacement of about 5 or 6 millimeters per year in horizontal direction relative motion, and a few millimeters per year in vertical direction. In order to assess possible deformations due to earthquakes and respectively for possible slow deformations, have been used also time series Sentinel 1 satellite data available for Vrancea zone during October 2014 till October 2016 to generate two types of interferograms (short-term and medium- term). During investigated period were not recorded medium or strong earthquakes, so interferograms over test area revealed small displacements on vertical direction (subsidence or uplifts) of 5-10 millimeters per year. Based on GPS continuous network data and satellite Sentinel 1 results, different possible tectonic scenarios were developed. The localization of horizontal and vertical motions, fault slip, and surface deformation of the continental blocks provides new information, in support of different geodynamic models for Vrancea tectonic active region in Romania and Europe.

Consumer satisfaction among patients and their general practitioners about involving nurse specialists in primary care for patients with urinary incontinence.

PubMed

Albers-Heitner, Pytha; Winkens, Ron; Berghmans, Bary; Joore, Manuela; Nieman, Fred; Severens, Johan; Lagro-Janssen, Toine

2013-06-01

Urinary incontinence (UI) is a very common problem, but existing guidelines on UI are not followed. To bring care in line with guidelines, we planned an intervention to involve nurse specialists on UI in primary care and assessed this in a randomised controlled trial. Alongside this intervention, we assessed consumer satisfaction among patients and general practitioners (GPs). Patients' satisfaction with the care provided by either nurse specialists (intervention group) or GPs (control group), respectively, was measured with a self-completed questionnaire. GPs' views on the involvement of nurse specialists were measured in a structured telephone interview. The patient satisfaction score on the care offered by nurse specialists was 8.4 (scale 1-10), vs. 6.7 for care-as-usual by GPs. Over 85% of patients would recommend nurse specialist care to their best friends and 77% of the GPs considered the role of the nurse specialist to be beneficial, giving it a mean score of 7.2. Although the sample was relatively small and the stability of the results only provisionally established, substituting UI care from GP to nurse specialist appears to be welcomed by both patients and GPs. Small changes like giving additional UI-specific information and devoting more attention to UI (which had been given little attention before) would provide a simple instrument to stimulate patients to change their behaviour in the right direction. © 2012 Nordic College of Caring Science.

First Results of GPS Time Transfer to Australia

NASA Technical Reports Server (NTRS)

Mck.luck, J.; Woodger, J. R.; Wells, J. E.; Churchill, P. N.; Clements, P. A.

1984-01-01

A global positioning system (GPS) time transfer unit was installed at Tidbinbilla Deep Space Communications Complex of the DSN in June 1983. It was used to estimate the relationship to UTC(USNO MC) of the Tidbinbilla frequency and time system TID(FTS) based on a hydrogen maser, and to estimate the performance of the Australian free-running time scale UTC(AUS). Data from the first 3 months were analyzed three ways: by two-hop common view using JPL as intermediary; by long-arc interpolation of measurements against space vehicle clocks; and by long arc interpolation of GPS-Time results. Residuals from a single quadratic fit through 3 months of UTC(USNO MC) -TID(FTS) results were white noise with standard error 15 ns, and a flying clock measurement gave 70 ns agreement. A straight line fit through results UTC(USNO MC) - UTC(AUS) gave 90 ns standard error and 120 ns agreement. It is proposed to use the GPS measurements to steer UTC(AUS) to UTC(BIH), and to rename the existing time scale TA(AUS).

A Java-based tool for creating KML files from GPS waypoints

NASA Astrophysics Data System (ADS)

Kinnicutt, P. G.; Rivard, C.; Rimer, S.

2008-12-01

Google Earth provides a free tool with powerful capabilities for visualizing geoscience images and data. Commercial software tools exist for doing sophisticated digitizing and spatial modeling , but for the purposes of presentation, visualization and overlaying aerial images with data Google Earth provides much of the functionality. Likewise, with current technologies in GPS (Global Positioning System) systems and with Google Earth Plus, it is possible to upload GPS waypoints, tracks and routes directly into Google Earth for visualization. However, older technology GPS units and even low-cost GPS units found today may lack the necessary communications interface to a computer (e.g. no Bluetooth, no WiFi, no USB, no Serial, etc.) or may have an incompatible interface, such as a Serial port but no USB adapter available. In such cases, any waypoints, tracks and routes saved in the GPS unit or recorded in a field notebook must be manually transferred to a computer for use in a GIS system or other program. This presentation describes a Java-based tool developed by the author which enables users to enter GPS coordinates in a user-friendly manner, then save these coordinates in a Keyhole MarkUp Language (KML) file format, for visualization in Google Earth. This tool either accepts user-interactive input or accepts input from a CSV (Comma Separated Value) file, which can be generated from any spreadsheet program. This tool accepts input in the form of lat/long or UTM (Universal Transverse Mercator) coordinates. This presentation describes this system's applicability through several small case studies. This free and lightweight tool simplifies the task of manually inputting GPS data into Google Earth for people working in the field without an automated mechanism for uploading the data; for instance, the user may not have internet connectivity or may not have the proper hardware or software. Since it is a Java application and not a web- based tool, it can be installed on one's field laptop and the GPS data can be manually entered without the need for internet connectivity. This tool provides a table view of the GPS data, but lacks a KML viewer to view the data overlain on top of an aerial view, as this viewer functionality is provided in Google Earth. The tool's primary contribution lies in its more convenient method for entering the GPS data manually when automated technologies are not available.

A survey of access to medical services in nursing and residential homes in England.

PubMed Central

Glendinning, Caroline; Jacobs, Sally; Alborz, Alison; Hann, Mark

2002-01-01

BACKGROUND: Residential and nursing homes make major demands on NHS services. AIM: To investigate patterns of access to medical services for residents in homes for older people. DESIGN OF STUDY: Telephone survey. SETTING: All nursing and dual registered homes and one in four residential homes located in a stratified random sample of 72 English primary care group/trust (PCG/T) areas. METHOD: A structured questionnaire investigating home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. RESULTS: There were wide variations in the numbers of GPs providing services to individual homes; this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes (33%) than residential homes (odds ratio [OR] = 10.82, [95% CI = 4.48 to 26.13], P<0.001) and larger homes (OR for a ten-bed increase = 1.51 [95% CI = 1.28 to 1.79], P<0.001). Larger homes were more likely to encourage residents to register with a 'home' GP (OR for a ten-bed increase = 1.16 [95% CI = 1.04 to 1.31], P = 0.009). Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. CONCLUSION: Extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community. PMID:12120725

A survey of access to medical services in nursing and residential homes in England.

PubMed

Glendinning, Caroline; Jacobs, Sally; Alborz, Alison; Hann, Mark

2002-07-01

Residential and nursing homes make major demands on NHS services. To investigate patterns of access to medical services for residents in homes for older people. Telephone survey. All nursing and dual registered homes and one in four residential homes located in a stratified random sample of 72 English primary care group/trust (PCG/T) areas. A structured questionnaire investigating home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. There were wide variations in the numbers of GPs providing services to individual homes; this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes (33%) than residential homes (odds ratio [OR] = 10.82, [95% CI = 4.48 to 26.13], P<0.001) and larger homes (OR for a ten-bed increase = 1.51 [95% CI = 1.28 to 1.79], P<0.001). Larger homes were more likely to encourage residents to register with a 'home' GP (OR for a ten-bed increase = 1.16 [95% CI = 1.04 to 1.31], P = 0.009). Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. Extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community.

Perception of teratogenic and foetotoxic risk by health professionals: a survey in Midi-Pyrenees area.

PubMed

Damase-Michel, Christine; Pichereau, Juliette; Pathak, Atul; Lacroix, Isabelle; Montastruc, Jean Louis

2008-01-01

Counselling or prescribing drugs during pregnancy requires health professionals to assess risk/benefit ratio for women and their baby. A misperception of the risk may lead to inappropriate decisions for pregnancy outcomes. The aim of the present study was to assess teratogenic and/or foetotoxic risk perception of common medications by general practitioners (GPs) and community pharmacists (CPs) from the Midi-Pyrenees area. 103 GPs and 104 CPs were interviewed. For 21 given drugs, a visual-analogue scale was used to evaluate the risk to give birth to a malformed infant if the mother had taken the drug during first trimester of pregnancy. For 9 drugs, health professionals had to say if they thought there was a potential foetotoxic and/or neonatal risk when drugs were administered during late pregnancy. 97% and 91% of GPs and CPs respectively thought that isotretinoin and thalidomide are teratogenic and more than 80% thought that amoxicillin and acetaminophen are safe in early pregnancy. However, 19% of the GPs and 33% of CPs answered there were no teratogenic risk for valproate. Around 11% of both GPs and CPs said that warfarin was safe during pregnancy. For 22% of GPs and for 13% and 27% of CPs respectively, ibuprofen and enalapril were safe on late pregnancy. For each drug, mean value of perceived teratogenic risk by health professionals was higher than values that can be found in scientific references. Concerning isotretinoin, thalidomide and metoclopramide, perceived teratogenic risk was higher for CPs. These data show that the potential teratogenic and foetotoxic risk of several commonly used drugs is unknown by health professionals. Conversely, GPs and CPs who think that a risk exists, overestimate it. This misperception can lead to inappropriate decisions for pregnancy outcomes.

GPS Tomography: Water Vapour Monitoring for Germany

NASA Astrophysics Data System (ADS)

Bender, Michael; Dick, Galina; Wickert, Jens; Raabe, Armin

2010-05-01

Ground based GPS atmosphere sounding provides numerous atmospheric quantities with a high temporal resolution for all weather conditions. The spatial resolution of the GPS observations is mainly given by the number of GNSS satellites and GPS ground stations. The latter could considerably be increased in the last few years leading to more reliable and better resolved GPS products. New techniques such as the GPS water vapour tomography gain increased significance as data from large and dense GPS networks become available. The GPS tomography has the potential to provide spatially resolved fields of different quantities operationally, i. e. the humidity or wet refractivity as required for meteorological applications or the refraction index which is important for several space based observations or for precise positioning. The number of German GPS stations operationally processed by the GFZ in Potsdam was recently enlarged to more than 300. About 28000 IWV observations and more than 1.4 millions of slant total delay data are now available per day with a temporal resolution of 15 min and 2.5 min, respectively. The extended network leads not only to a higher spatial resolution of the tomographically reconstructed 3D fields but also to a much higher stability of the inversion process and with that to an increased quality of the results. Under these improved conditions the GPS tomography can operate continuously over several days or weeks without applying too tight constraints. Time series of tomographically reconstructed humidity fields will be shown and different initialisation strategies will be discussed: Initialisation with a simple exponential profile, with a 3D humidity field extrapolated from synoptic observations and with the result of the preceeding reconstruction. The results are compared to tomographic reconstructions initialised with COSMO-DE analyses and to the corresponding model fields. The inversion can be further stabilised by making use of independent adequately weighted observations, such as synoptic observations or IWV data. The impact of such observations on the quality of the tomographic reconstruction will be discussed together with different alternatives for weighting different types of observations.

Why do GPs hesitate to refer diabetes patients to a self-management education program: a qualitative study.

PubMed

Sunaert, Patricia; Vandekerckhove, Marie; Bastiaens, Hilde; Feyen, Luc; Bussche, Piet Vanden; De Maeseneer, Jan; De Sutter, An; Willems, Sara

2011-09-08

Self-management support is seen as a cornerstone of good diabetes care and many countries are currently engaged in initiatives to integrate self-management support in primary care. Concerning the organisation of these programs, evidence is growing that engagement of health care professionals, in particular of GPs, is critical for successful application. This paper reports on a study exploring why a substantial number of GPs was (initially) reluctant to refer patients to a self-management education program in Belgium. Qualitative analysis of semi-structured face-to-face interviews with a purposive sample of 20 GPs who were not regular users of the service. The Greenhalgh diffusion of innovation framework was used as background and organising framework. Several barriers, linked to different components of the Greenhalgh model, emerged from the interview data. One of the most striking ones was the limited readiness for innovation among GPs. Feelings of fear of further fragmentation of diabetes care and frustration and insecurity regarding their own role in diabetes care prevented them from engaging in the innovation process. GPs needed time to be reassured that the program respects their role and has an added value to usual care. Once GPs considered referring patients, it was not clear enough which of their patients would benefit from the program. Some GPs expressed the need for training in motivational skills, so that they could better motivate their patients to participate. A practical but often mentioned barrier was the distance to the centre where the program was delivered. Further, uncertainty about continuity interfered with the uptake of the offer. The study results contribute to a better understanding of the reasons why GPs hesitate to refer patients to a self-management education program. First of all, the role of GPs and other health care providers in diabetes care needs to be clarified before introducing new functions. Feelings of security and a basic trust of providers in the health system are a prerequisite for participation in care innovation. Moreover, some important lessons regarding the implementation of an education program in primary care have been learned from the study.

Why do GPs hesitate to refer diabetes patients to a self-management education program: a qualitative study

PubMed Central

2011-01-01

Background Self-management support is seen as a cornerstone of good diabetes care and many countries are currently engaged in initiatives to integrate self-management support in primary care. Concerning the organisation of these programs, evidence is growing that engagement of health care professionals, in particular of GPs, is critical for successful application. This paper reports on a study exploring why a substantial number of GPs was (initially) reluctant to refer patients to a self-management education program in Belgium. Methods Qualitative analysis of semi-structured face-to-face interviews with a purposive sample of 20 GPs who were not regular users of the service. The Greenhalgh diffusion of innovation framework was used as background and organising framework. Results Several barriers, linked to different components of the Greenhalgh model, emerged from the interview data. One of the most striking ones was the limited readiness for innovation among GPs. Feelings of fear of further fragmentation of diabetes care and frustration and insecurity regarding their own role in diabetes care prevented them from engaging in the innovation process. GPs needed time to be reassured that the program respects their role and has an added value to usual care. Once GPs considered referring patients, it was not clear enough which of their patients would benefit from the program. Some GPs expressed the need for training in motivational skills, so that they could better motivate their patients to participate. A practical but often mentioned barrier was the distance to the centre where the program was delivered. Further, uncertainty about continuity interfered with the uptake of the offer. Conclusions The study results contribute to a better understanding of the reasons why GPs hesitate to refer patients to a self-management education program. First of all, the role of GPs and other health care providers in diabetes care needs to be clarified before introducing new functions. Feelings of security and a basic trust of providers in the health system are a prerequisite for participation in care innovation. Moreover, some important lessons regarding the implementation of an education program in primary care have been learned from the study. PMID:21902832

Development of a Competency Framework for Quality Improvement in Family Medicine: A Qualitative Study

ERIC Educational Resources Information Center

Czabanowska, Katarzyna; Klemenc-Ketis, Zalika; Potter, Amanda; Rochfort, Andree; Tomasik, Tomasz; Csiszar, Judit; Van den Bussche, Piet

2012-01-01

Objective: The aim of this study was to develop a comprehensive framework of quality improvement competencies for use in continuing professional development (CPD) and continuing medical education (CME) for European general practice/family medicine physicians (GPs/FDs). Methods: The study was carried out in three phases: literature review,…

GPS coordinate time series measurements in Ontario and Quebec, Canada

NASA Astrophysics Data System (ADS)

Samadi Alinia, Hadis; Tiampo, Kristy F.; James, Thomas S.

2017-06-01

New precise network solutions for continuous GPS (cGPS) stations distributed in eastern Ontario and western Québec provide constraints on the regional three-dimensional crustal velocity field. Five years of continuous observations at fourteen cGPS sites were analyzed using Bernese GPS processing software. Several different sub-networks were chosen from these stations, and the data were processed and compared to in order to select the optimal configuration to accurately estimate the vertical and horizontal station velocities and minimize the associated errors. The coordinate time series were then compared to the crustal motions from global solutions and the optimized solution is presented here. A noise analysis model with power-law and white noise, which best describes the noise characteristics of all three components, was employed for the GPS time series analysis. The linear trend, associated uncertainties, and the spectral index of the power-law noise were calculated using a maximum likelihood estimation approach. The residual horizontal velocities, after removal of rigid plate motion, have a magnitude consistent with expected glacial isostatic adjustment (GIA). The vertical velocities increase from subsidence of almost 1.9 mm/year south of the Great Lakes to uplift near Hudson Bay, where the highest rate is approximately 10.9 mm/year. The residual horizontal velocities range from approximately 0.5 mm/year, oriented south-southeastward, at the Great Lakes to nearly 1.5 mm/year directed toward the interior of Hudson Bay at stations adjacent to its shoreline. Here, the velocity uncertainties are estimated at less than 0.6 mm/year for the horizontal component and 1.1 mm/year for the vertical component. A comparison between the observed velocities and GIA model predictions, for a limited range of Earth models, shows a better fit to the observations for the Earth model with the smallest upper mantle viscosity and the largest lower mantle viscosity. However, the pattern of horizontal deformation is not well explained in the north, along Hudson Bay, suggesting that revisions to the ice thickness history are needed to improve the fit to observations.

The dynamic radiation environment assimilation model (DREAM)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Reeves, Geoffrey D; Koller, Josef; Tokar, Robert L

2010-01-01

The Dynamic Radiation Environment Assimilation Model (DREAM) is a 3-year effort sponsored by the US Department of Energy to provide global, retrospective, or real-time specification of the natural and potential nuclear radiation environments. The DREAM model uses Kalman filtering techniques that combine the strengths of new physical models of the radiation belts with electron observations from long-term satellite systems such as GPS and geosynchronous systems. DREAM includes a physics model for the production and long-term evolution of artificial radiation belts from high altitude nuclear explosions. DREAM has been validated against satellites in arbitrary orbits and consistently produces more accurate resultsmore » than existing models. Tools for user-specific applications and graphical displays are in beta testing and a real-time version of DREAM has been in continuous operation since November 2009.« less

I don't think general practice should be the front line: Experiences of general practitioners working with refugees in South Australia

PubMed Central

Johnson, David R; Ziersch, Anna M; Burgess, Teresa

2008-01-01

Introduction Many refugees arrive in Australia with complex health needs. In South Australia (SA), providing initial health care to refugees is the responsibility of General Practitioners (GPs) in private practice. Their capacity to perform this work effectively for current newly arrived refugees is uncertain. The aim of this study was to document the challenges faced by GPs in private practice in SA when providing initial care to refugees and to discuss the implications of this for policy relating to optimising health care services for refugees. Methods Semi-structured interviews with twelve GPs in private practice and three Medical Directors of Divisions of General Practice. Using a template analysis approach the interviews were coded and analysed thematically. Results Multiple challenges providing care to refugees were found including those related to: (1) refugee health issues; (2) the GP-refugee interaction; and (3) the structure of general practice. The Divisions also reported challenges assisting GPs to provide effective care related to a lack of funding and awareness of which GPs required support. Although respondents suggested a number of ways that GPs could be assisted to provide better initial care to refugees, strong support was voiced for the initial care of refugees to be provided via a specialist refugee health service. Conclusion GPs in this study were under-resourced, at both an individual GP level as well as a structural level, to provide effective initial care for refugees. In SA, there are likely to be a number of challenges attempting to increase the capacity of GPs in private practice to provide initial care. An alternative model is for refugees with multiple and complex health care needs as well as those with significant resettlement challenges to receive initial health care via the existing specialist refugee health service in Adelaide. PMID:18687150

What's good and bad about contraceptive products?: a best-worst attribute experiment comparing the values of women consumers and GPs.

PubMed

Knox, Stephanie A; Viney, Rosalie C; Street, Deborah J; Haas, Marion R; Fiebig, Denzil G; Weisberg, Edith; Bateson, Deborah

2012-12-01

In the past decade, the range of contraceptives available has increased dramatically. There are limited data on the factors that determine women's choices on contraceptive alternatives or what factors providers consider most important when recommending contraceptive products to women. Our objectives were to compare women's (consumers') preferences and GPs' (providers') views in relation to existing and new contraceptive methods, and particularly to examine what factors increase the acceptability of different contraceptive products. A best-worst attribute stated-choice experiment was completed online. Participants (Australian women of reproductive age and Australian GPs) completed questions on 16 contraceptive profiles. 200 women of reproductive age were recruited through a commercial panel. GPs from all states of Australia were randomly sampled and approached by phone; 162 GPs agreed to participate. Participants chose the best and worst attribute levels of hypothetical but realistic prescribed contraceptive products. Best and worst choices were modelled using multinomial logit and product features were ranked from best to worst according to the size of model coefficients. The most attractive feature of the contraceptive products for both GPs and women consumers were an administration frequency of longer than 1 year and light or no bleeding. Women indicated that the hormonal vaginal ring was the least attractive mode of administration. Women and GPs agree that longer-acting methods with less bleeding are important features in preferred methods of contraception; however, women are also attracted to products involving less invasive modes of administration. While the vaginal ring may fill the niche in Australia for a relatively non-invasive, moderately long-acting and effective contraceptive, the results of this study indicate that GPs will need to promote the benefits of the vaginal ring to overcome negative perceptions about this method among women who may benefit from using it.

Transition of NOAA's GPS-Met Data Acquisition and Processing System to the Commercial Sector

NASA Astrophysics Data System (ADS)

Jackson, M. E.; Holub, K.; Callahan, W.; Blatt, S.

2014-12-01

In April of 2014, NOAA/OAR/ESRL Global Systems Division (GSD) and Trimble, in collaboration with Earth Networks, Inc. (ENI) signed a Cooperative Research and Development Agreement (CRADA) to transfer the existing NOAA GPS-Met Data Acquisition and Processing System (GPS-Met DAPS) technology to a commercial Trimble/ENI partnership. NOAA's GPS-Met DAPS is currently operated in a pseudo-operational mode but has proven highly reliable and running at over 95% uptime. The DAPS uses the GAMIT software to ingest dual frequency carrier phase GPS/GNSS observations and ancillary information such as real-time satellite orbits to estimate the zenith-scaled tropospheric (ZTD) signal delays and, where surface MET data are available, retrieve integrated precipitable water vapor (PWV). The NOAA data and products are made available to end users in near real-time. The Trimble/ENI partnership will use the Trimble Pivot™ software with the Atmosphere App to calculate zenith tropospheric (ZTD), tropospheric slant delay, and integrated precipitable water vapor (PWV). Evaluation of the Trimble software is underway starting with a comparison of ZTD and PWV values determined from GPS stations located near NOAA Radiosonde Observation (Upper-Air Observation) launch sites. A success metric was established that requires Trimble's PWV estimates to match ESRL/GSD's to within 1.5 mm 95% of the time, which corresponds to a ZTD uncertainty of less than 10 mm 95% of the time. Initial results indicate that Trimble/ENI data meet and exceed the ZTD metric, but for some stations PWV estimates are out of specification. These discrepancies are primarily due to how offsets between MET and GPS stations are handled and are easily resolved. Additional test networks are proposed that include low terrain/high moisture variability stations, high terrain/low moisture variability stations, as well as high terrain/high moisture variability stations. We will present results from further testing along with a timeline for the transition of the GPS-Met DAPS to an operational commercial service.

Efficacy of communication skills training on colorectal cancer screening by GPs: a cluster randomised controlled trial.

PubMed

Aubin-Auger, I; Laouénan, C; Le Bel, J; Mercier, A; Baruch, D; Lebeau, J P; Youssefian, A; Le Trung, T; Peremans, L; Van Royen, P

2016-01-01

Colorectal cancer (CRC) mass screening has been implemented in France since 2008. Participation rates remain too low. The objective of this study was to test if the implementation of a training course focused on communication skills among general practitioners (GP) would increase the delivery of gaiac faecal occult blood test and CRC screening participation among the target population of each participating GP. A cluster randomised controlled trial was conducted with GP's practice as a cluster unit. GPs from practices in the control group were asked to continue their usual care. GPs of the intervention group received a 4-h educational training, built with previous qualitative data on CRC screening focusing on doctor-patient communication with a follow-up of 7 months for both groups. The primary outcome measure was the patients' participation rate in the target population for each GP. Seventeen GPs (16 practices) in intervention group and 28 GPs (19 practices) in control group participated. The patients' participation rate in the intervention group were 36.7% vs. 24.5% in the control group (P = 0.03). Doctor-patient communication should be developed and appear to be one of the possible targets of improvement patients adherence and participation rate in the target population for CRC mass screening. © 2015 John Wiley & Sons Ltd.

General practitioners’ experiences using cognitive behavioural therapy in general practice: A qualitative study

PubMed Central

Aschim, Bente; Lundevall, Sverre; Martinsen, Egil W.; Frich, Jan C.

2011-01-01

Objective To explore GPs’ experiences using cognitive behavioural therapy (CBT), with a focus on factors that promote or limit the use of CBT in general practice. Design Qualitative study using data from written evaluation reports and focus-group interviews. Setting Norwegian general practice. Subjects GPs who participated in a longitudinal CBT course in the continuous medical education (CME) programme for GPs in Norway, of whom 19 filled in evaluation forms and 15 participated in focus-group interviews. Main outcome measures Experiences with the use of CBT in general practice. Results GPs used CBT mainly in the treatment of patients with anxiety disorders and depression. Factors that promoted the use of CBT in general practice were structured supervision and group counselling, receiving feedback on individual video-recorded consultations, and experiencing that one mastered the therapeutic techniques. Limiting factors were that it took some time before one mastered the techniques, lack of eligible patients, constraints related to attending group supervision during office hours, and the lack of financial incentives to use CBT in general practice. Conclusion Tailored training programmes in CBT for GPs may contribute to more frequent use of CBT in general practice. A formal recognition of CBT in the reimbursement scheme for GPs might counter limiting factors to an increased use of CBT in general practice. PMID:21861599

Exploring the nature of power distance on general practitioner and community pharmacist relations in a chronic disease management context.

PubMed

Rieck, Allison Margaret

2014-09-01

To improve collaboration in Australian primary health care, there is a need to understand aspects of the general practitioner (GP)/community pharmacist relationship, its influence on collaborative chronic disease management (CDM) and if this influence can be explained by a pre-existing theory or concept. Adopting a grounded theory approach, 22 GP and 22 community pharmacist semi-structured interviews were undertaken. Analysis of the transcripts identified common themes regarding the GP/community pharmacist relationship. Trustworthiness of the themes identified was tested through negative case analysis and member checking. Hofstede's (in 1980) phenomenon of power distance was employed to illuminate the nature of GP/community pharmacist relations. The majority of GPs and community pharmacists described the characteristics of this phenomenon. The power distance was based on knowledge and expertise and was shown to be a barrier to collaboration between GPs and community pharmacists because GPs perceived that community pharmacists did not have the required expertise to improve CDM above what the GP could deliver alone. Power distance exists within the GP/community pharmacist relationship and has a negative influence on GP/community pharmacist collaborative CDM. Understanding and improving GP awareness of community pharmacist expertise has important implications for the future success of collaborative CDM.

Impact of Swarm GPS receiver updates on POD performance

NASA Astrophysics Data System (ADS)

van den IJssel, Jose; Forte, Biagio; Montenbruck, Oliver

2016-05-01

The Swarm satellites are equipped with state-of-the-art Global Positioning System (GPS) receivers, which are used for the precise geolocation of the magnetic and electric field instruments, as well as for the determination of the Earth's gravity field, the total electron content and low-frequency thermospheric neutral densities. The onboard GPS receivers deliver high-quality data with an almost continuous data rate. However, the receivers show a slightly degraded performance when flying over the geomagnetic poles and the geomagnetic equator, due to ionospheric scintillation. Furthermore, with only eight channels available for dual-frequency tracking, the amount of collected GPS tracking data is relatively low compared with various other missions. Therefore, several modifications have been implemented to the Swarm GPS receivers. To optimise the amount of collected GPS data, the GPS antenna elevation mask has slowly been reduced from 10° to 2°. To improve the robustness against ionospheric scintillation, the bandwidths of the GPS receiver tracking loops have been widened. Because these modifications were first implemented on Swarm-C, their impact can be assessed by a comparison with the close flying Swarm-A satellite. This shows that both modifications have a positive impact on the GPS receiver performance. The reduced elevation mask increases the amount of GPS tracking data by more than 3 %, while the updated tracking loops lead to around 1.3 % more observations and a significant reduction in tracking losses due to severe equatorial scintillation. The additional observations at low elevation angles increase the average noise of the carrier phase observations, but nonetheless slightly improve the resulting reduced-dynamic and kinematic orbit accuracy as shown by independent satellite laser ranging (SLR) validation. The more robust tracking loops significantly reduce the large carrier phase observation errors at the geomagnetic poles and along the geomagnetic equator and do not degrade the observations at midlatitudes. SLR validation indicates that the updated tracking loops also improve the reduced-dynamic and kinematic orbit accuracy. It is expected that the Swarm gravity field recovery will benefit from the improved kinematic orbit quality and potentially also from the expected improvement of the kinematic baseline determination and the anticipated reduction in the systematic gravity field errors along the geomagnetic equator. Finally, other satellites that carry GPS receivers that encounter similar disturbances might also benefit from this analysis.

Assessing the precision of a time-sampling-based study among GPs: balancing sample size and measurement frequency.

PubMed

van Hassel, Daniël; van der Velden, Lud; de Bakker, Dinny; van der Hoek, Lucas; Batenburg, Ronald

2017-12-04

Our research is based on a technique for time sampling, an innovative method for measuring the working hours of Dutch general practitioners (GPs), which was deployed in an earlier study. In this study, 1051 GPs were questioned about their activities in real time by sending them one SMS text message every 3 h during 1 week. The required sample size for this study is important for health workforce planners to know if they want to apply this method to target groups who are hard to reach or if fewer resources are available. In this time-sampling method, however, standard power analyses is not sufficient for calculating the required sample size as this accounts only for sample fluctuation and not for the fluctuation of measurements taken from every participant. We investigated the impact of the number of participants and frequency of measurements per participant upon the confidence intervals (CIs) for the hours worked per week. Statistical analyses of the time-use data we obtained from GPs were performed. Ninety-five percent CIs were calculated, using equations and simulation techniques, for various different numbers of GPs included in the dataset and for various frequencies of measurements per participant. Our results showed that the one-tailed CI, including sample and measurement fluctuation, decreased from 21 until 3 h between one and 50 GPs. As a result of the formulas to calculate CIs, the increase of the precision continued and was lower with the same additional number of GPs. Likewise, the analyses showed how the number of participants required decreased if more measurements per participant were taken. For example, one measurement per 3-h time slot during the week requires 300 GPs to achieve a CI of 1 h, while one measurement per hour requires 100 GPs to obtain the same result. The sample size needed for time-use research based on a time-sampling technique depends on the design and aim of the study. In this paper, we showed how the precision of the measurement of hours worked each week by GPs strongly varied according to the number of GPs included and the frequency of measurements per GP during the week measured. The best balance between both dimensions will depend upon different circumstances, such as the target group and the budget available.

Physical applications of GPS geodesy: a review.

PubMed

Bock, Yehuda; Melgar, Diego

2016-10-01

Geodesy, the oldest science, has become an important discipline in the geosciences, in large part by enhancing Global Positioning System (GPS) capabilities over the last 35 years well beyond the satellite constellation's original design. The ability of GPS geodesy to estimate 3D positions with millimeter-level precision with respect to a global terrestrial reference frame has contributed to significant advances in geophysics, seismology, atmospheric science, hydrology, and natural hazard science. Monitoring the changes in the positions or trajectories of GPS instruments on the Earth's land and water surfaces, in the atmosphere, or in space, is important for both theory and applications, from an improved understanding of tectonic and magmatic processes to developing systems for mitigating the impact of natural hazards on society and the environment. Besides accurate positioning, all disturbances in the propagation of the transmitted GPS radio signals from satellite to receiver are mined for information, from troposphere and ionosphere delays for weather, climate, and natural hazard applications, to disturbances in the signals due to multipath reflections from the solid ground, water, and ice for environmental applications. We review the relevant concepts of geodetic theory, data analysis, and physical modeling for a myriad of processes at multiple spatial and temporal scales, and discuss the extensive global infrastructure that has been built to support GPS geodesy consisting of thousands of continuously operating stations. We also discuss the integration of heterogeneous and complementary data sets from geodesy, seismology, and geology, focusing on crustal deformation applications and early warning systems for natural hazards.

Does the proportion of pay linked to performance affect the job satisfaction of general practitioners?

PubMed

Allen, Thomas; Whittaker, William; Sutton, Matt

2017-01-01

There is concern that pay-for-performance (P4P) can negatively affect general practitioners (GPs) by reducing their autonomy, increasing their wage dispersion or eroding their intrinsic motivation. This is especially a concern for the Quality and Outcomes Framework (QOF), a highly powered P4P scheme for UK GPs. The QOF affected all GPs but the exposure of their income to P4P varied. GPs did not know their level of exposure before the QOF was introduced and could not choose or manage it. We examine whether changes in GPs' job satisfaction before and after the introduction of the QOF in 2004 were correlated with the proportion of their income that became exposed to P4P. We use data on 1920 GPs observed at three time points spanning the introduction of the QOF; 2004, 2005 and 2008. We estimate the effect of exposure to P4P using a continuous difference-in-differences model. We find no significant effects of P4P exposure on overall job satisfaction or 12 additional measures of working lives in either the short or longer term. The level of exposure to P4P does not harm job satisfaction or other aspects of working lives. Policies influencing the exposure of income to P4P are unlikely to alter GP job satisfaction subject to final income remaining constant. Copyright © 2016 Elsevier Ltd. All rights reserved.

Ionospheric Remote Sensing using GPS Radio Occultation and Ultraviolet Photometry aboard the ISS

NASA Astrophysics Data System (ADS)

Budzien, S. A.; Powell, S. P.; O'Hanlon, B.; Humphreys, T.; Bishop, R. L.; Stephan, A. W.; Gross, J.; Chakrabarti, S.

2017-12-01

The GPS Radio Occultation and Ultraviolet Photometer Co-located (GROUP-C) experiment launched to the International Space Station (ISS) on February 19, 2017 as part of the Space Test Program Houston #5 payload (STP-H5). After early orbit testing, GROUP-C began routine science operations in late April. GROUP-C includes a high-sensitivity far-ultraviolet photometer measuring horizontal nighttime ionospheric gradients and an advanced software-defined GPS receiver providing ionospheric electron density profiles, scintillation measurements, and lower atmosphere profiles. GROUP-C and a companion experiment, the Limb-Imaging Ionospheric and Thermospheric Extreme-Ultraviolet Spectrograph (LITES), offer a unique capability to study spatial and temporal variability of the thermosphere and ionosphere using multi-sensor approaches, including ionospheric tomography. Data are collected continuously across low- and mid-latitudes as the ISS orbit precesses through all local times every 60 days. The GROUP-C GPS sensor routinely collects dual-frequency GPS occultations, makes targeted raw signal captures of GPS and Galileo occultations, and includes multiple antennas to characterize multipath in the ISS environment. The UV photometer measures the 135.6 nm ionospheric recombination airglow emision along the nightside orbital track. We present the first analysis of ionospheric observations, discuss the challenges and opportunities of remote sensing from the ISS platform, and explore how these new data help address questions regarding the complex and dynamic features of the low and middle latitude ionosphere-thermosphere relevant to the upcoming GOLD and ICON missions.

What constitutes a high quality discharge summary? A comparison between the views of secondary and primary care doctors.

PubMed

Yemm, Rowan; Bhattacharya, Debi; Wright, David; Poland, Fiona

2014-07-05

This study aimed to identify any differences in opinion between UK hospital junior doctors and community General Practitioners (GPs) with respect to the ideal content and characteristics of discharge summaries, and to explore junior doctors' training for and awareness of post-discharge requirements of GPs. A piloted anonymous survey was posted to 74 junior doctors at a UK general hospital and 153 local GPs. Doctors were asked to rank discharge summary key content and characteristics in order of importance. GP discharge summary preferences and junior doctor training were also investigated. Non-respondents, identified by non-receipt of a separate participation card, were followed up once. Thirty-six (49%) junior doctors and 42 (28%) GPs returned completed questionnaires. Accuracy was a priority with 24 (72%) GPs and 28 (88%) junior doctors ranking it most important. Details of medication changes were considered most important by 13 (39%) GPs and 4 (12%) junior doctors. Inadequate training in discharge summary writing was reported by 13 (36%) junior doctors. Although based on small sample sizes from one location, the level and range of differences in perceived importance of reporting medication changes suggests that many discharge summaries may not currently fulfil GP requirements for managing continuity of care. Results indicate that over a third of junior doctors felt inadequately prepared for writing discharge summaries. There may therefore be both a need and professional support for further training in discharge summary writing, requiring confirmatory research.

The impact of geo-tagging on the photo industry and creating revenue streams

NASA Astrophysics Data System (ADS)

Richter, Rolf; Böge, Henning; Weckmann, Christoph; Schloen, Malte

2010-02-01

Internet geo and mapping services like Google Maps, Google Earth and Microsoft Bing Maps have reinvented the use of geographical information and have reached an enormous popularity. Besides that, location technologies like GPS have become affordable and are now being integrated in many camera phones. GPS is also available for standalone cameras as add on products or integrated in cameras. These developments are the enabler for new products for the photo industry or they enhance existing products. New commercial opportunities have been identified in the areas of photo hardware, internet/software and photo finishing.

"Academic drug-detailing": from project to practice in a Swedish urban area.

PubMed

Lundborg, C S; Hensjö, L O; Gustafsson, L L

1997-01-01

To develop and test the long-term feasibility of an interdisciplinary independent drug information service providing both written and oral drug information to physicians in an urban area of Sweden (> 400,000 inhabitants). A drug information service was developed encouraging a cooperative approach between a department of clinical pharmacology, general practitioners (GPs), pharmacists, and Drug and Therapeutic Committees. Scientifically-based drug information was condensed and interpreted by a team and presented in both written and oral form. In one part of the area, both oral and written information was provided, while in another part of the area, only written information was distributed. Questionnaires and one prescription survey were performed to elucidate the knowledge and attitudes of the GPs regarding drug treatment of one condition (urinary tract infection, UTI, and norfloxacin were used as examples), as well as their opinion of our services. Over a period of 10 years, 75 issues of a drug bulletin (2000 copies) were distributed. Oral producer-independent drug information, provided jointly by a GP and a pharmacist, was given on 16 occasions in each of 30 health centres (150 GPs). Around 80% of the GPs participated in the meetings. Of these GPs, 75% found the service important for their daily work. A majority of the GPs had prescribed the test drug, norfloxacin, not a first-line drug according to local recommendations, 1 year after approval. A significantly lower proportion of prescribers were observed in the area where the GPs had been provided with both written and oral information regarding recommended treatment (including first-line drugs) for uncomplicated cystitis. The approximate cost for this service in 1995 was SEK 0.685 million (USD 0.1 million); the prescribing costs of the 150 GPs were estimated at SEK 255 million per year. This means that the cost of the service per GP is only around 0.3% of normal prescribing costs. Over a period of 10 years the information/education method described here has proven sustainable and feasible in terms of providing the information, regarding participation of the target group GPs in the oral sessions, and regarding integration of the service into the existing health care system.

University of Oregon: GPS-based Precipitable Water Vapor (PWV)

DOE Data Explorer

Vignola, F.; Andreas, A.

2013-08-22

A partnership with the University of Oregon and U.S. Department of Energy's National Renewable Energy Laboratory (NREL) to collect Precipitable Water Vapor (PWV) data to compliment existing resource assessment data collection by the university.

Attitude determination for small satellites using GPS signal-to-noise ratio

NASA Astrophysics Data System (ADS)

Peters, Daniel

An embedded system for GPS-based attitude determination (AD) using signal-to-noise (SNR) measurements was developed for CubeSat applications. The design serves as an evaluation testbed for conducting ground based experiments using various computational methods and antenna types to determine the optimum AD accuracy. Raw GPS data is also stored to non-volatile memory for downloading and post analysis. Two low-power microcontrollers are used for processing and to display information on a graphic screen for real-time performance evaluations. A new parallel inter-processor communication protocol was developed that is faster and uses less power than existing standard protocols. A shorted annular patch (SAP) antenna was fabricated for the initial ground-based AD experiments with the testbed. Static AD estimations with RMS errors in the range of 2.5° to 4.8° were achieved over a range of off-zenith attitudes.

Diffusion of knowledge of Helicobacter pylori and its practical application by Nordic clinicians.

PubMed

Martin, P; Thomsen, A S; Rautanen, K; Hjalt, C A; Jónsson, A; Löfroth, G

1999-10-01

The knowledge uptake by physicians in five Nordic countries about Helicobacter pylori and gastrointestinal disease was studied. Questionnaires were sent to 1832 general practitioners (GP) and gastroenterologists (GE), and central persons were interviewed in Norway, Sweden, Denmark, Finland, and Iceland. Half the GEs had heard of H. pylori by 1987 and had begun eradication treatment before 1991, and half the GPs had by 1989 and 1992, respectively. By 1996 this applied to more than 90% of both groups. The most important information sources were national journals for GPs and international journals and conferences for GEs. More than 80% of respondents considered H. pylori causative for peptic ulcer, less than 50% for stomach cancer, and 10% for non-ulcer dyspepsia. Variations between countries were mostly small. GPs and GEs in the Nordic countries have knowledge of H. pylori, and there is broad agreement on diagnosis and treatment, although some differences exist.

Detailed Test Objectives (DTOs) and Detailed Supplementary Objectives (DSOs)

NASA Technical Reports Server (NTRS)

2002-01-01

The purpose of this experiment is to demonstrate the performance and operations of the GPS during orbiter ascent, entry and landing phases utilizing a modified military GPS receiver processor and the existing orbiter GPS antennas. The purpose of this experiment is to demonstrate the capability to perform a manually controlled landing in the presence of a crosswind. Changes in gastrointestinal function and physiology as a result of spaceflight affect drug absorption and the bioavailability of oral medications, which can compromise therapeutic effectiveness. This DSO will lead to the design and development of effective pharmocological countermeasures and therapeutic adjustments for spaceflight. A previous observation suggested that discordant sensory stimuli caused by an unusual motion environment disrupted spatial orientation and balance control in a returning crewmember by triggering a state change in central vestibular processing. The findings of the current investigation are expected to demonstrate the degree to which challenging motion environments may affect post-flight (re)adaptation to gravity.

The Science and technology Behind Galileo - Europes GPS

NASA Astrophysics Data System (ADS)

Saaj, C.; Underwood, C. I.; Noakes, C.; Park, D. W. G.; Moore, T.

Over recent years, the public has become increasingly aware of the existence of global satellite positioning systems, such as the American Global Positioning System (GPS), for which the generic term is Global Navigation Satellite System (GNSS). This is primarily due to high-profile use in various military conflicts, the acceptance of the technology by the leisure market (hill walking, yachting, etc) and the rapid development of mass-market applications (such as in-vehicle navigation). However, the public is still largely unaware of how GNSS is currently being utilized by researchers across a wide range of scientific applications. The aim of this paper is to provide answers to public's basic questions on GNSS and thereby raise public awareness on the science and technology behind the nascent Galileo project; a European initiative to design, build and deploy a global satellite positioning system similar to the GPS.

Non-GPS full position and angular orientation onboard sensors for moving and stationary platforms

NASA Astrophysics Data System (ADS)

Dhadwal, Harbans S.; Rastegar, Jahangir; Feng, Dake; Kwok, Philip; Pereira, Carlos M.

2016-05-01

Angular orientation of both mobile and stationary objects continues to be an ongoing topic of interest for guidance and control as well as for non-GPS based solutions for geolocations of assets in any environment. Currently available sensors, which include inertia devices such as accelerometers and gyros; magnetometers; surface mounted antennas; radars; GPS; and optical line of sight devices, do not provide an acceptable solution for many applications, particularly for gun-fired munitions and for all-weather and all environment scenarios. A robust onboard full angular orientation sensor solution, based on a scanning polarized reference source and a polarized geometrical cavity orientation sensor, is presented. The full position of the object, in the reference source coordinate system, is determined by combining range data obtained using established time-of-flight techniques, with the angular orientation information.

Space Weather Effects on Aircraft Navigation

NASA Astrophysics Data System (ADS)

Stanley, J. C.; Cade, W. B.

2012-12-01

Many aircraft today use satellites for GPS navigation, arrival and departure to and from airspaces, and for "shooting" non-precision and precision Instrument Approaches into airports. Also in development is an Air Traffic Control system based on satellite technology that seeks to modernize current air traffic control and improve safety, eventually phasing out radar (though not yet in the very near future). Due to the general, commercial, and military aviation fields all becoming more and more reliant on satellite and GPS technologies, the effects of space weather events on these systems is of paramount concern to militaries, airlines, private pilots, and other aviation operators. In this study we analyze data from airlines and other resources regarding effects on satellite and GPS systems, which is crucial to the conduct of safe flight operations now and improving systems for future and continued use.

Egnos Limitations over Central and Eastern Poland - Results of Preliminary Tests of Egnos-Eupos Integration Project

NASA Astrophysics Data System (ADS)

Jaworski, Leszek; Swiatek, Anna; Zdunek, Ryszard

2013-09-01

The problem of insufficient accuracy of EGNOS correction for the territory of Poland, located at the edge of EGNOS range is well known. The EEI PECS project (EGNOS EUPOS Integration) assumes improving the EGNOS correction by using the GPS observations from Polish ASG-EUPOS stations. One of the EEI project tasks was the identification of EGNOS performance limitations over Poland and services for EGNOSS-EUPOS combination. The two sets of data were used for those goals: statistical, theoretical data obtained using the SBAS simulator software, real data obtained during the measurements. The real measurements were managed as two types of measurements: static and dynamic. Static measurements are continuously managing using Septentrio PolaRx2 receiver. The SRC permanent station works in IMAGE/PERFECT project. Dynamic measurements were managed using the Mobile GPS Laboratory (MGL). Receivers (geodetic and navigation) were working in two modes: determining navigation position from standalone GPS, determining navigation position from GPS plus EGNOS correction. The paper presents results of measurements' analyses and conclusions based on which the next tasks in EEI project are completed

Worldwide differential GPS for Space Shuttle landing operations

NASA Technical Reports Server (NTRS)

Loomis, Peter V. W.; Denaro, Robert P.; Saunders, Penny

1990-01-01

Worldwide differential Global Positioning System (WWDGPS) is viewed as an effective method of offering continuous high-quality navigation worldwide. The concept utilizes a network with as few as 33 ground stations to observe most of the error sources of GPS and provide error corrections to users on a worldwide basis. The WWDGPS real-time GPS tracking concept promises a threefold or fourfold improvement in accuracy for authorized dual-frequency users, and in addition maintains an accurate and current ionosphere model for single-frequency users. A real-time global tracking network also has the potential to reverse declarations of poor health on marginal satellites, increasing the number of satellites in the constellation and lessening the probability of GPS navigation outage. For Space Shuttle operations, the use of WWDGPS-aided P-code equipment promises performance equal to or better than other current landing guidance systems in terms of accuracy and reliability. This performance comes at significantly less cost to NASA, which will participate as a customer in a system designed as a commercial operation serving the global civil navigation community.

GPs’ perceptions of workload in England: a qualitative interview study

PubMed Central

Croxson, Caroline HD; Ashdown, Helen F; Hobbs, FD Richard

2017-01-01

Background GPs report the lowest levels of morale among doctors, job satisfaction is low, and the GP workforce is diminishing. Workload is frequently cited as negatively impacting on commitment to a career in general practice, and many GPs report that their workload is unmanageable. Aim To gather an in-depth understanding of GPs’ perceptions and attitudes towards workload. Design and setting All GPs working within NHS England were eligible. Advertisements were circulated via regional GP e-mail lists and national social media networks in June 2015. Of those GPs who responded, a maximum-variation sample was selected until data saturation was reached. Method Semi-structured, qualitative interviews were conducted. Data were analysed thematically. Results In total, 171 GPs responded, and 34 were included in this study. GPs described an increase in workload over recent years, with current working days being long and intense, raising concerns over the wellbeing of GPs and patients. Full-time partnership was generally not considered to be possible, and many participants felt workload was unsustainable, particularly given the diminishing workforce. Four major themes emerged to explain increased workload: increased patient needs and expectations; a changing relationship between primary and secondary care; bureaucracy and resources; and the balance of workload within a practice. Continuity of care was perceived as being eroded by changes in contracts and working patterns to deal with workload. Conclusion This study highlights the urgent need to address perceived lack of investment and clinical capacity in general practice, and suggests that managing patient expectations around what primary care can deliver, and reducing bureaucracy, have become key issues, at least until capacity issues are resolved. PMID:28093422

Mental health problems of undocumented migrants in the Netherlands: A qualitative exploration of recognition, recording, and treatment by general practitioners.

PubMed

Teunissen, Erik; Van Bavel, Eric; Van Den Driessen Mareeuw, Francine; Macfarlane, Anne; Van Weel-Baumgarten, Evelyn; Van Den Muijsenbergh, Maria; Van Weel, Chris

2015-06-01

To explore the views and experiences of general practitioners (GPs) in relation to recognition, recording, and treatment of mental health problems of undocumented migrants (UMs), and to gain insight in the reasons for under-registration of mental health problems in the electronic medical records. Qualitative study design with semi-structured interviews using a topic guide. Sixteen GPs in the Netherlands with clinical expertise in the care of UMs. GPs recognized many mental health problems in UMs. Barriers that prevented them from recording these problems and from delivering appropriate care were their low consultation rates, physical presentation of mental health problems, high number of other problems, the UM's lack of trust towards health care professionals, and cultural differences in health beliefs and language barriers. Referrals to mental health care organizations were often seen as problematic by GPs. To overcome these barriers, GPs provided personalized care as far as possible, referred to other primary care professionals such as social workers or mental health care nurses in their practice, and were a little less restrictive in prescribing psychotropics than guidelines recommended. GPs experienced a variety of barriers in engaging with UMs when identifying or suspecting mental health problems. This explains why there is a gap between the high recognition of mental health problems and the low recording of these problems in general practice files. It is recommended that GPs address mental health problems more actively, strive for continuity of care in order to gain trust of the UMs, and look for opportunities to provide mental care that is accessible and acceptable for UMs.

Evaluation of Advanced Access in the National Primary Care Collaborative

PubMed Central

Pickin, Mark; O'Cathain, Alicia; Sampson, Fiona C; Dixon, Simon

2004-01-01

Background: An aim of the National Primary Care Collaborative is to improve quality and access for patients in primary care using principles of Advanced Access. Aims: To determine whether Advanced Access led to improved availability of appointments with general practitioners (GPs) and to examine GPs' views of the process. Design: Observational study. Setting: Four hundred and sixty-two general practices in England participating in four waves of the collaborative during 2000 and 2001. Method: Regression analysis of the collaborative's monthly data on the availability of GP appointments for the 352 practices in waves 1–3, and a postal survey of lead GPs in all four waves. The main outcome measures were the change in mean time to the third available appointment with GPs, and the proportion of GPs thinking it worthwhile participating in the collaborative. Results: The time to the third available appointment improved from a mean of 3.6 to 1.9 days, difference = 1.7 days, 95% confidence interval (CI) = 1.4 to 2.0 days. It improved in two-thirds of practices (66% [219/331]), remained the same in 16% (53/331), and worsened in 18% (59/331). The majority of GPs in all four waves, 83% (308/371, 95% CI = 79 to 87), felt that it was worthwhile participating in the collaborative, although one in 12 practices would not recommend it. One-fifth of GPs cited a lack of resources as a constraint, and some expressed concerns about the trade-off between immediate access and continuity of care. Conclusion: Advanced Access helped practices to improve availability of GP appointments, and was well received by the majority of practices. PMID:15113514

Long-term effect of a practice-based intervention (HAPPY AUDIT) aimed at reducing antibiotic prescribing in patients with respiratory tract infections.

PubMed

Llor, Carl; Bjerrum, Lars; Molero, José M; Moragas, Ana; González López-Valcárcel, Beatriz; Monedero, M José; Gómez, Manuel; Cid, Marina; Alcántara, Juan de Dios; Cots, Josep M; Ribas, Joana M; García, Guillermo; Ortega, Jesús; Pineda, Vicenta; Guerra, Gloria; Munuera, Susana

2018-04-27

Few studies have evaluated the long-term effects of educational interventions on antibiotic prescription and the results are controversial. This study was aimed at assessing the effect of a multifaceted practice-based intervention carried out 6 years earlier on current antibiotic prescription for respiratory tract infections (RTIs). The 210 general practitioners (GPs) who completed the first two registrations in 2008 and 2009 were invited to participate in a third registration. The intervention held before the second registration consisted of discussion about the first registration of results, appropriate use of antibiotics for RTIs, patient brochures, a workshop and the provision of rapid tests. As in the previous registrations, GPs were instructed to complete a template for all the patients with RTIs during 15 working days in 2015. A new group of GPs from the same areas was also invited to participate and acted as controls. A multilevel logistic regression analysis was performed considering the prescription of antibiotics as the dependent variable. A total of 121 GPs included in the 2009 intervention (57.6%) and 117 control GPs registered 22 247 RTIs. On adjustment for covariables, compared with the antibiotic prescription observed just after the intervention, GPs assigned to intervention prescribed slightly more antibiotics 6 years later albeit without statistically significant differences (OR 1.08, 95% CI 0.89-1.31, P = 0.46), while GPs in the control group prescribed significantly more antibiotics (OR 2.74, 95% CI 2.09-3.59, P < 0.001). This study shows that a single multifaceted intervention continues to reduce antibiotic prescribing 6 years later.

Detection of Geomagnetic Pulsations of the Earth Using GPS-TEC Data

NASA Astrophysics Data System (ADS)

Koroglu, Ozan; Arikan, Feza; Köroǧlu, Meltem; Sabri Ozkazanc, Yakup

2016-07-01

The magnetosphere of the Earth is made up of both magnetic fields and plasma. In this layer, plasma waves propagate as Ultra Low Frequency (ULF) waves having mHz scale frequencies. ULF waves are produced due to complicated solar-geomagnetic interactions. In the literature, these ULF waves are defined as pulsations. The geomagnetic pulsations are classified into main two groups as continuous pulsations (Pc) and irregular pulsations (Pi). These pulsations can be determined by ionospheric parameters due to the complex lithosphere-ionosphere-magnetosphere coupling processes. Total Electron Content (TEC) is one of the most important parameters for investigating the variability of ionosphere. Global Positioning System (GPS) provides a cost-effective means for estimating TEC from GPS satellite orbital height of 20,000 km to the ground based receivers. Therefore, the time series of GPS-TEC inherently contains the above mentioned ULF waves. In this study, time series analysis of GPS-TEC is carried out by applying periodogram method to the mid-latitude annual TEC data. After the analysis of GPS-TEC data obtained for GPS stations located in Central Europe and Turkey for 2011, it is observed that some of the fundamental frequencies that are indicators of Pc waves, diurnal and semi-diurnal periodicity and earth-free oscillations can be identified. These results will be used in determination of low frequency trend structure of magnetosphere and ionosphere. Further investigation of remaining relatively low magnitude frequencies, all Pi and Pc can be identified by using time and frequency domain techniques such as wavelet analysis. This study is supported by the joint TUBITAK 115E915 and joint TUBITAK114E092 and AS CR 14/001 projects.

The Plate Boundary Observatory Student Field Assistant Program in Southern California

NASA Astrophysics Data System (ADS)

Seider, E. L.

2007-12-01

Each summer, UNAVCO hires students as part of the Plate Boundary Observatory (PBO) Student Field Assistant Program. PBO, the geodetic component of the NSF-funded EarthScope project, involves the reconnaissance, permitting, installation, documentation, and maintenance of 880 permanent GPS stations in five years. During the summer 2007, nine students from around the US and Puerto Rico were hired to assist PBO engineers during the busy summer field season. From June to September, students worked closely with PBO field engineers to install and maintain permanent GPS stations in all regions of PBO, including Alaska. The PBO Student Field Assistant Program provides students with professional hands-on field experience as well as continuing education in the geosciences. It also gives students a glimpse into the increasing technologies available to the science community, the scope of geophysical research utilizing these technologies, and the field techniques necessary to complete this research. Students in the PBO Field Assistant Program are involved in all aspects of GPS support, including in-warehouse preparation and in-field installations and maintenance. Students are taught practical skills such as drilling, wiring, welding, hardware configuration, documentation, and proper field safety procedures needed to construct permanent GPS stations. These real world experiences provide the students with technical and professional skills that are not always available to them in a classroom, and will benefit them greatly in their future studies and careers. The 2007 summer field season in Southern California consisted of over 35 GPS permanent station installations. To date, the Southern California region of PBO has installed over 190 GPS stations. This poster presentation will highlight the experiences gained by the Southern California student field assistants, while supporting PBO- Southern California GPS installations in the Mohave Desert and the Inyo National Forest.

3-component time-dependent crustal deformation in Southern California from Sentinel-1 and GPS

NASA Astrophysics Data System (ADS)

Tymofyeyeva, E.; Fialko, Y. A.

2017-12-01

We combine data from the Sentinel-1 InSAR mission collected between 2014-2017 with continuous GPS measurements to calculate the three components of the interseismic surface velocity field in Southern California at the resolution of InSAR data ( 100 m). We use overlapping InSAR tracks with two different look geometries (descending tracks 71, 173, and 144, and ascending tracks 64 and 166) to obtain the 3 orthogonal components of surface motion. Because of the under-determined nature of the problem, we use the local azimuth of the horizontal velocity vector as an additional constraint. The spatially variable azimuths of the horizontal velocity are obtained by interpolating data from the continuous GPS network. We estimate both secular velocities and displacement time series. The latter are obtained by combining InSAR time series from different lines of sight with time-dependent azimuths computed using continuous GPS time series at every InSAR epoch. We use the CANDIS method [Tymofyeyeva and Fialko, 2015], a technique based on iterative common point stacking, to correct the InSAR data for tropospheric and ionospheric artifacts when calculating secular velocities and time series, and to isolate low-amplitude deformation signals in our study region. The obtained horizontal (East and North) components of secular velocity exhibit long-wavelength patterns consistent with strain accumulation on major faults of the Pacific-North America plate boundary. The vertical component of velocity reveals a number of localized uplift and subsidence anomalies, most likely related to hydrologic effects and anthropogenic activity. In particular, in the Los Angeles basin we observe localized uplift of about 10-15mm/yr near Anaheim, Long Beach, and Redondo Beach, as well as areas of rapid subsidence near Irvine and Santa Monica, which are likely caused by the injection of water in the oil fields, and the pumping and recharge cycles of the aquifers in the basin.

Does an activity based remuneration system attract young doctors to general practice?

PubMed Central

2012-01-01

Background The use of increasingly complex payment schemes in primary care may represent a barrier to recruiting general practitioners (GP). The existing Norwegian remuneration system is fully activity based - 2/3 fee-for-service and 1/3 capitation. Given that the system has been designed and revised in close collaborations with the medical association, it is likely to correspond - at least to some degree - with the preferences of current GPs (men in majority). The objective of this paper was to study which preferences that young doctors (women in majority), who are the potential entrants to general practice have for activity based vs. salary based payment systems. Methods In November-December 2010 all last year medical students and all interns in Norway (n = 1.562) were invited to participate in an online survey. The respondents were asked their opinion on systems of remuneration for GPs; inclination to work as a GP; risk attitude; income preferences; work pace tolerance. The data was analysed using one-way ANOVA and multinomial logistic regression analysis. Results A total of 831 (53%) responded. Nearly half the sample (47%) did not consider the remuneration system to be important for their inclination to work as GP; 36% considered the current system to make general practice more attractive, while 17% considered it to make general practice less attractive. Those who are attracted by the existing system were men and those who think high income is important, while those who are deterred by the system are risk averse and less happy with a high work pace. On the question of preferred remuneration system, half the sample preferred a mix of salary and activity based remuneration (the median respondent would prefer a 50/50 mix). Only 20% preferred a fully activity based system like the existing one. A salary system was preferred by women, and those less concerned with high income, while a fully activity based system was preferred by men, and those happy with a high work pace. Conclusions Given a concern about low recruitment to general practice in Norway, and the fact that an increasing share of medical students is women, we were interested in the extent to which the current Norwegian remuneration system correspond with the preferences of potential GPs. This study suggests that an existing remuneration mechanism has a selection effect on who would like to become a GP. Those most attracted are income motivated men. Those deterred are risk averse, and less happy with a high work pace. More research is needed on the extent to which experienced GPs differ along the questions we asked potential GPs, as well as studying the relative importance of other attributes than payment schemes. PMID:22433750

CALCM: The untold story of the weapon used to start the Gulf war

NASA Astrophysics Data System (ADS)

Nielson, John T.

1994-07-01

The Conventional Air Launched Cruise Missile (CALCM) was developed from the strategic ALCM, AGM-86, by integrating GPS navigation into the missile in place of terrain correlation (TERCOM). In addition, the nuclear warhead was replaced by conventional explosives. The CALCM was developed, tested, and fielded in a single year (mid-1986 - mid-1987) by the Boeing Company where the author was then employed. Although the GPS technology used, a Rockwell single channel aided receiver, has been eclipsed by newer receivers with additional capabilities and newer technology, many innovative things were done in completing the CALCM integration: the external loading of almanac data along with other mission data, three satellite navigation capability, and the use of a single channel receiver in a dynamic flight environment. This effort demonstrated that GPS outputs can be integrated quickly into an existing weapon system using the traditional loosely coupled 'cascaded filter' approach. Although this approach is not as ideal as a tightly coupled integration using raw GPS data, the use of cascaded filters resulted in a weapon that was able to be rapidly fielded. The Air Force had sufficient confidence in the missile, that after four years of operational testing, 35 of these missiles were targeted at key sites at the start of the Gulf War in 1991. This effort, which was declassified in 1992, resulted in the first weapon in the DoD inventory to be operational using GPS navigation. The effort deserves consideration as a model as to how GPS integration can be performed.

Postseismic Deformation after the 1964 Great Alaskan Earthquake: Collaborative Research with Goddard Space Flight Center

NASA Technical Reports Server (NTRS)

Freymueller, Jeffrey T.

1999-01-01

The purpose of this project was to carry out GPS observations on the Kenai Peninsula, southern Alaska, in order to study the postseismic and contemporary deformation following the 1964 Alaska earthquake. All of the research supported in this grant was carried out in collaboration with Dr. Steven Cohen of Goddard Space Flight Center. The research funding from this grant primarily supported GPS fieldwork, along with the acquisition of computer equipment to allow analysis and modeling of the GPS data. A minor amount of salary support was provided by the PI, but the great majority of the salary support was provided by the Geophysical Institute. After the expiration of this grant, additional funding was obtained from the National Science Foundation to continue the work. This grant supported GPS field campaigns in August 1995, June 1996, May-June and September 1997, and May-June 1998. We initially began the work by surveying leveling benchmarks on the Kenai peninsula that had been surveyed after the 1964 earthquake. Changes in height from the 1964 leveling data to the 1995+ GPS data, corrected for the geoid-ellipsoid separation, give the total elevation change since the earthquake. Beginning in 1995, we also identified or established sites that were suitable for long-term surveying using GPS. In the subsequent annual GPS campaigns, we made regular measurements at these GPS marks, and steadily enhanced our set of points for which cumulative postseismic uplift data were available. From 4 years of Global Positioning System (GPS) measurements, we find significant spatial variations in present-day deformation between the eastern and western Kenai peninsula, Alaska. Sites in the eastern Kenai peninsula and Prince William Sound move to the NNW relative to North America, in the direction of Pacific-North America relative plate motion. Velocities decrease in magnitude from nearly the full plate rate in southern Prince William Sound to about 30 mm/yr at Seward and to about 5 mm/yr near Anchorage. In contrast, sites in the western Kenai peninsula move to the SW, in a nearly trenchward direction, with a velocity of about 20 mm/yr. The data are consistent with the shallow plate interface offshore and beneath the eastern Kenai and Prince William Sound being completely locked or nearly so, with elastic strain accumulation resulting in rapid motion in the direction of relative plate motion of sites in the overriding plate. The velocities of sites in the western Kenai, along strike to the southwest, are opposite in sign with those predicted from elastic strain accumulation. These data are incompatible with a significant locked region in this segment of the plate boundary. Trenchward velocities are found also for some sites in the Anchorage area. We interpret the trenchward velocities as being caused by a continuing postseismic transient from the 1964 great Alaska earthquake.

General practitioners' opinions on the intake of painkillers among patients.

PubMed

Latalski, Maciej; Skórzyńska, Hanna; Pacian, Anna

2002-01-01

The goal of this paper is to evaluate the consumption of painkillers among patients on the basis of the opinions of general practitioners. The most frequent ailments including pain symptoms were the cases of long-continued pain (64.3%); less frequent were acute pain syndromes in the course of a disease (35.7%). The phenomenon of the excessive use of painkillers among patients with long-continued pain syndromes is observed by the GPs. Uncontrolled self-treatment is possible owing to an easy access to this type of medicaments. The excessive use of analgesic medicines in therapy frequently results from the lack of simultaneous application of other methods of pain treatment e.g., in physiotherapy, psychotherapy. Long lasting use of various types of painkillers can lead to drug addiction. This problem is observed by over a half of the GPs (67.1%).

Magmatic sill intrusions beneath El Hierro Island following the 2011-2012 submarine eruption

NASA Astrophysics Data System (ADS)

Benito-Saz, María Á.; Sigmundsson, Freysteinn; Parks, Michelle M.; García-Cañada, Laura; Domínguez Cerdeña, Itahiza

2016-04-01

El Hierro, the most southwestern island of Canary Islands, Spain, is a volcano rising from around 3600 m above the ocean floor and up to of 1500 m above sea level. A submarine eruption occurred off the coast of El Hierro in 2011-2012, which was the only confirmed eruption in the last ~ 600 years. Activity continued after the end of the eruption with six magmatic intrusions occurring between 2012-2014. Each of these intrusions was characterized by hundreds of earthquakes and 3-19 centimeters of observed ground deformation. Ground displacements at ten continuous GPS sites were initially inverted to determine the optimal source parameters (location, geometry, volume/pressure change) that best define these intrusions from a geodetic point of view. Each intrusive period appears to be associated with the formation of a separate sill, with inferred volumes between 0.02 - 0.3 km3. SAR images from the Canadian RADARSAT-2 satellite and the Italian Space Agency COSMO-SkyMed constellation have been used to produce high-resolution detailed maps of line-of-sight displacements for each of these intrusions. These data have been combined with the continuous GPS observations and a joint inversion undertaken to gain further constraints on the optimal source parameters for each of these separate intrusive events. The recorded activity helps to understand how an oceanic intraplate volcanic island grows through repeated sill intrusions; well documented by seismic, GPS and InSAR observations in the case of the El Hierro activity.

Status of NGS CORS Network and Its Contribution to the GGOS Infrastructure

NASA Astrophysics Data System (ADS)

Choi, K. K.; Haw, D.; Sun, L.

2017-12-01

Recent advancement of Satellite Geodesy techniques can now contribute to the global frame realization needed to improve worldwide accuracies. These techniques rely on coordinates computed using continuously observed GPS data and corresponding satellite orbits. The GPS-based reference system continues to depend on the physical stability of a ground-based network of points as the primary foundation for these observations. NOAA's National Geodetic Survey (NGS) has been operating Continuously Operating Reference Stations (CORS) to provide direct access to the National Spatial Reference System (NSRS). By virtue of NGS' scientific reputation and leadership in national and international geospatial issues, NGS has determined to increase its participation in the maintenance of the U.S. component of the global GPS tracking network in order to realize a long-term stable national terrestrial reference frame. NGS can do so by leveraging its national leadership role coupled with NGS' scientific expertise, in designating and upgrading a subset of the current tracking network for this purpose. This subset of stations must have the highest operational standards to serve the dual functions: being the U.S. contribution to the international frame, along with providing the link to the national datum. These stations deserve special attention to ensure that the highest possible levels of quality and stability are maintained. To meet this need, NGS is working with the international scientific groups to add and designate these reference stations based on scientific merit such as: colocation with other geodetic techniques, geographic area, and monumentation stability.

Continuous monitoring of surface deformation at Long Valley Caldera, California, with GPS

USGS Publications Warehouse

Dixon, T.H.; Mao, A.; Bursik, M.; Heflin, M.; Langbein, J.; Stein, R.; Webb, F.

1997-01-01

Continuous Global Positioning System (GPS) measurements at Long Valley Caldera, an active volcanic region in east central California, have been made on the south side of the resurgent dome since early 1993. A site on the north side of the dome was added in late 1994. Special adaptations for autonomous operation in remote regions and enhanced vertical precision were made. The data record ongoing volcanic deformation consistent with uplift and expansion of the surface above a shallow magma chamber. Measurement precisions (1 standard error) for "absolute" position coordinates, i.e., relative to a global reference frame, are 3-4 mm (north), 5-6 mm (east), and 10-12 mm (vertical) using 24 hour solutions. Corresponding velocity uncertainties for a 12 month period are about 2 mm/yr in the horizontal components and 3-4 mm/yr in the vertical component. High precision can also be achieved for relative position coordinates on short (<10 km) baselines using broadcast ephemerides and observing times as short as 3 hours, even when data are processed rapidly on site. Comparison of baseline length changes across the resurgent dome between the two GPS sites and corresponding two-color electronic distance measurements indicates similar extension rates within error (???2 mm/yr) once we account for a random walk noise component in both systems that may reflect spurious monument motion. Both data sets suggest a pause in deformation for a 3.5 month period in mid-1995, when the extension rate across the dome decreased essentially to zero. Three dimensional positioning data from the two GPS stations suggest a depth (5.8??1.6 km) and location (west side of the resurgent dome) of a major inflation center, in agreement with other geodetic techniques, near the top of a magma chamber inferred from seismic data. GPS systems similar to those installed at Long Valley can provide a practical method for near real-time monitoring and hazard assessment on many active volcanoes.

Significant strain accumulation between the deformation front and landward out-of-sequence thrusts in accretionary wedge of SW Taiwan revealed by cGPS and SAR interferometry

NASA Astrophysics Data System (ADS)

Tsai, M. C.

2017-12-01

High strain accumulation across the fold-and-thrust belt in Southwestern Taiwan are revealed by the Continuous GPS (cGPS) and SAR interferometry. This high strain is generally accommodated by the major active structures in fold-and-thrust belt of western Foothills in SW Taiwan connected to the accretionary wedge in the incipient are-continent collision zone. The active structures across the high strain accumulation include the deformation front around the Tainan Tableland, the Hochiali, Hsiaokangshan, Fangshan and Chishan faults. Among these active structures, the deformation pattern revealed from cGPS and SAR interferometry suggest that the Fangshan transfer fault may be a left-lateral fault zone with thrust component accommodating the westward differential motion of thrust sheets on both side of the fault. In addition, the Chishan fault connected to the splay fault bordering the lower-slope and upper-slope of the accretionary wedge which could be the major seismogenic fault and an out-of-sequence thrust fault in SW Taiwan. The big earthquakes resulted from the reactivation of out-of-sequence thrusts have been observed along the Nankai accretionary wedge, thus the assessment of the major seismogenic structures by strain accumulation between the frontal décollement and out-of-sequence thrusts is a crucial topic. According to the background seismicity, the low seismicity and mid-crust to mantle events are observed inland and the lower- and upper- slope domain offshore SW Taiwan, which rheologically implies the upper crust of the accretionary wedge is more or less aseimic. This result may suggest that the excess fluid pressure from the accretionary wedge not only has significantly weakened the prism materials as well as major fault zone, but also makes the accretionary wedge landward extension, which is why the low seismicity is observed in SW Taiwan area. Key words: Continuous GPS, SAR interferometry, strain rate, out-of-sequence thrust.

[Exploring the prospects for general practitioners over 55 years old from three counties of western France].

PubMed

Robino, Stéphane; Buis, Hélène; Delansorne, Fanny; Tomas, Josiane; Huez, Jean-François; La Combe, Antoine; Fanello, Serge

2009-01-01

Medical demography and the practice of medicine will be influenced by the personal plans of GPs and their decisions to stop practicing in the coming years. This study aims to understand the events that could potentially worsen the medical demography in terms of shortages of GPs for primary care in the short term. 455 GPs (all aged over 55 years) practicing in three districts of western France were selected to participate in this prospective study. 258 valid and complete questionnaires (56%) were received. With the use of a special programme, SPSS version 1.5, an overall comprehensive analysis and one by geographical sub-regional groups were performed. When queried about their plans or wishes for their practice between the present time and their age of 65, of the responding physicians, 27% wanted to continue working under the same conditions, 10% were undecided, and 63% wanted to stop or adjust their professional activity before age 65. The main reasons and factors motivating these plans were their current time constraints, the workload related to administrative tasks and the continuity of care; moreover, GPs noted the demands and expectations of patients, professional burnout and difficulties in obtaining a healthy work-life balance as factors contributing to these plans. Physicians who wanted to stop practicing (30%) were the least satisfied with their work and seem to have anticipated this plan of action given that they reduced their number of hours in the office and on-call. Those who wish to adapt their work time (33%) are for the most part satisfied even if they work more, but 70% want to reduce their work hours. The impact of these projects is a potentially heavy one, especially since two of the counties concerned have a low medical density and high rate of practicing physicians. Government measures currently proposed do not seem to respond to the evolution of private practice expected by GPs over 55 years.

General practitioner turnover and migration in England 1990-94.

PubMed Central

Taylor, D H; Leese, B

1998-01-01

BACKGROUND: In tandem with fears about a GP workforce crisis, increasing attention is being focused on the supply and distribution of primary care services: on general practitioners in particular. Differential turnover and migration across health authority boundaries could lead to a maldistribution of GPs, yet comprehensive studies of GP turnover are non-existent. AIM: To quantify general practitioner (GP) turnover and migration in England from 1990 to 1994. METHOD: Yearly data from 1 October 1990 to 1 October 1994 were collected on GPs in England practising full time, including average yearly turnover, rates of entry to and exit from general practice, and net migration among GPs. All were calculated at the family health service authority (now the new health authorities) level. RESULTS: Average yearly GP turnover ranges from 2.9% in Shropshire to 7.8% in Kensington, Chelsea and Westminster; turnover is associated with deprivation and high-need areas. Migration of GPs across health authority borders was rare. Entry and exit rates were also positively related to measures of deprivation and need. Relatively underprovided health authorities lost 23 GPs over the study period as a result of migration; relatively overprovided ones gained three. CONCLUSION: Turnover is driven primarily by exits from general practice and is related to deprivation and high need. Retention appears to be the main problem in ensuring an adequate GP supply in relatively deprived and underprovided health authorities. PMID:9624750

Retrieval and Validation of Zenith and Slant Path Delays From the Irish GPS Network

NASA Astrophysics Data System (ADS)

Hanafin, Jennifer; Jennings, S. Gerard; O'Dowd, Colin; McGrath, Ray; Whelan, Eoin

2010-05-01

Retrieval of atmospheric integrated water vapour (IWV) from ground-based GPS receivers and provision of this data product for meteorological applications has been the focus of a number of Europe-wide networks and projects, most recently the EUMETNET GPS water vapour programme. The results presented here are from a project to provide such information about the state of the atmosphere around Ireland for climate monitoring and improved numerical weather prediction. Two geodetic reference GPS receivers have been deployed at Valentia Observatory in Co. Kerry and Mace Head Atmospheric Research Station in Co. Galway, Ireland. These two receivers supplement the existing Ordnance Survey Ireland active network of 17 permanent ground-based receivers. A system to retrieve column-integrated atmospheric water vapour from the data provided by this network has been developed, based on the GPS Analysis at MIT (GAMIT) software package. The data quality of the zenith retrievals has been assessed using co-located radiosondes at the Valentia site and observations from a microwave profiling radiometer at the Mace Head site. Validation of the slant path retrievals requires a numerical weather prediction model and HIRLAM (High-Resolution Limited Area Model) version 7.2, the current operational forecast model in use at Met Éireann for the region, has been used for this validation work. Results from the data processing and comparisons with the independent observations and model will be presented.

Earthquake Rupture Process Inferred from Joint Inversion of 1-Hz GPS and Strong Motion Data: The 2008 Iwate-Miyagi Nairiku, Japan, Earthquake

NASA Astrophysics Data System (ADS)

Yokota, Y.; Koketsu, K.; Hikima, K.; Miyazaki, S.

2009-12-01

1-Hz GPS data can be used as a ground displacement seismogram. The capability of high-rate GPS to record seismic wave fields for large magnitude (M8 class) earthquakes has been demonstrated [Larson et al., 2003]. Rupture models were inferred solely and supplementarily from 1-Hz GPS data [Miyazaki et al., 2004; Ji et al., 2004; Kobayashi et al., 2006]. However, none of the previous studies have succeeded in inferring the source process of the medium-sized (M6 class) earthquake solely from 1-Hz GPS data. We first compared 1-Hz GPS data with integrated strong motion waveforms for the 2008 Iwate-Miyagi Nairiku, Japan, earthquake. We performed a waveform inversion for the rupture process using 1-Hz GPS data only [Yokota et al., 2009]. We here discuss the rupture processes inferred from the inversion of 1-Hz GPS data of GEONET only, the inversion of strong motion data of K-NET and KiK-net only, and the joint inversion of 1-Hz GPS and strong motion data. The data were inverted to infer the rupture process of the earthquake using the inversion codes by Yoshida et al. [1996] with the revisions by Hikima and Koketsu [2005]. In the 1-Hz GPS inversion result, the total seismic moment is 2.7×1019 Nm (Mw: 6.9) and the maximum slip is 5.1 m. These results are approximately equal to 2.4×1019 Nm and 4.5 m from the inversion of strong motion data. The difference in the slip distribution on the northern fault segment may come from long-period motions possibly recorded only in 1-Hz GPS data. In the joint inversion result, the total seismic moment is 2.5×1019 Nm and the maximum slip is 5.4 m. These values also agree well with the result of 1-Hz GPS inversion. In all the series of snapshots that show the dynamic features of the rupture process, the rupture propagated bilaterally from the hypocenter to the south and north. The northern rupture speed is faster than the northern one. These agreements demonstrate the ability of 1-Hz GPS data to infer not only static, but also dynamic features of a medium-sized (M6 class) earthquake, although some details, such as the shallow extension of the southern asperity, are missing, due possibly to their limitations such as the sampling interval of 1 s and the sparse GPS stations distiribution in the near field of the earthquake. The result of the joint inversion indiates that these minor discrepancies can be reduced by the introduction of strong motion data. Continuous GPS monitoring at a much higher rate (e.g., 10 Hz) will also be helpful for reducing the minor discrepancies.

Accuracy and reliability of multi-GNSS real-time precise positioning: GPS, GLONASS, BeiDou, and Galileo

NASA Astrophysics Data System (ADS)

Li, Xingxing; Ge, Maorong; Dai, Xiaolei; Ren, Xiaodong; Fritsche, Mathias; Wickert, Jens; Schuh, Harald

2015-06-01

In this contribution, we present a GPS+GLONASS+BeiDou+Galileo four-system model to fully exploit the observations of all these four navigation satellite systems for real-time precise orbit determination, clock estimation and positioning. A rigorous multi-GNSS analysis is performed to achieve the best possible consistency by processing the observations from different GNSS together in one common parameter estimation procedure. Meanwhile, an efficient multi-GNSS real-time precise positioning service system is designed and demonstrated by using the multi-GNSS Experiment, BeiDou Experimental Tracking Network, and International GNSS Service networks including stations all over the world. The statistical analysis of the 6-h predicted orbits show that the radial and cross root mean square (RMS) values are smaller than 10 cm for BeiDou and Galileo, and smaller than 5 cm for both GLONASS and GPS satellites, respectively. The RMS values of the clock differences between real-time and batch-processed solutions for GPS satellites are about 0.10 ns, while the RMS values for BeiDou, Galileo and GLONASS are 0.13, 0.13 and 0.14 ns, respectively. The addition of the BeiDou, Galileo and GLONASS systems to the standard GPS-only processing, reduces the convergence time almost by 70 %, while the positioning accuracy is improved by about 25 %. Some outliers in the GPS-only solutions vanish when multi-GNSS observations are processed simultaneous. The availability and reliability of GPS precise positioning decrease dramatically as the elevation cutoff increases. However, the accuracy of multi-GNSS precise point positioning (PPP) is hardly decreased and few centimeter are still achievable in the horizontal components even with 40 elevation cutoff. At 30 and 40 elevation cutoffs, the availability rates of GPS-only solution drop significantly to only around 70 and 40 %, respectively. However, multi-GNSS PPP can provide precise position estimates continuously (availability rate is more than 99.5 %) even up to 40 elevation cutoff (e.g., in urban canyons).

Calibration of Envisat radar altimeter over Lake Issykkul

NASA Astrophysics Data System (ADS)

Crétaux, J.-F.; Bergé-Nguyen, M.; Calmant, S.; Romanovski, V. V.; Meyssignac, B.; Perosanz, F.; Tashbaeva, S.; Arsen, A.; Fund, F.; Martignago, N.; Bonnefond, P.; Laurain, O.; Morrow, R.; Maisongrande, P.

2013-04-01

This study presents the results of calibration/validation (C/V) of Envisat satellite radar altimeter over Lake Issykkul located in Kyrgyzstan, which was chosen as a dedicated radar altimetry C/V site in 2004. The objectives are to estimate the absolute altimeter bias of Envisat and its orbit based on cross-over analysis with TOPEX/Poseidon (T/P), Jason-1 and Jason-2 over the ocean. We have used a new method of GPS data processing in a kinematic mode, developed at the Groupe de Recherche de Geodesie Spatiale (GRGS), which allows us to calculate the position of the GPS antenna without needing a GPS reference station. The C/V is conducted using various equipments: a local GPS network, a moving GPS antenna along the satellites tracks over Lake Issykkul, In Situ level gauges and weather stations. The absolute bias obtained for Envisat from field campaigns conducted in 2009 and 2010 is between 62.1 and 63.4 ± 3.7 cm, using the Ice-1 retracking algorithm, and between 46.9 and 51.2 cm with the ocean retracking algorithm. These results differ by about 10 cm from previous studies, principally due to improvement of the C/V procedure. Apart from the new algorithm for GPS data processing and the orbit error reduction, more attention has been paid to the GPS antenna height calculation, and we have reduced the errors induced by seiche over Lake Issykkul. This has been assured using cruise data along the Envisat satellite track at the exact date of the pass of the satellite for the two campaigns. The calculation of the Envisat radar altimeter bias with respect to the GPS levelling is essential to allow the continuity of multi-mission data on the same orbit, with the expected launch of SARAL/Altika mission in 2012. Implications for hydrology in particular, will be to produce long term homogeneous and reliable time series of lake levels worldwide.

Wakeshield WSF-02 GPS Experiment

NASA Technical Reports Server (NTRS)

Schutz, B. E.; Abusali, P. A. M.; Schroeder, Christine; Tapley, Byron; Exner, Michael; Mccloskey, rick; Carpenter, Russell; Cooke, Michael; Mcdonald, samantha; Combs, Nick;

Toward shared care for people with cancer: developing the model with patients and GPs.

PubMed

Hall, Susan J; Samuel, Leslie M; Murchie, Peter

2011-10-01

The number of people surviving cancer for extended periods is increasing. Consequently, due to workload and quality issues, there is considerable interest in alternatives to traditional secondary care-led cancer follow-up. To explore the views of potential recipients of shared follow-up of cancer. To conduct a modelling exercise for shared follow-up and to explore the opinions and experiences of both the patients and GPs involved. Semi-structured audio-taped telephone or face-to-face interviews were conducted with 18 patients with a range of cancers currently attending for structured follow-up in secondary care. Six GPs and five patients (four with melanoma and one with stable metastatic colorectal cancer) took part in a shared follow-up modelling exercise. During the modelling exercise, the GPs attended 4 review meetings, which included brief training seminars, and at the conclusion 10 individuals took part in semi-structured audio-taped telephone or face-to-face interviews. Many rural patients, and some urban patients, would appreciate follow-up being available nearer to home with the associated benefits of time saved and easier parking and continuity of care. Patients have concerns related to the level of extra training received by the GP and loss of contact with their consultant. GPs have concerns about gaining and maintaining the clinical skills needed to conduct follow-up, especially if the numbers of patients seen are small. They also have concerns about lack of support from other GPs, and some administrative and organizational issues. Many patients would be willing to have GPs share their cancer follow-up with the caveat that they had received extra training and were appropriately supported by secondary care specialists. Patients attending shared care clinics appreciated a local service and longer appointment times. GPs stress the importance of maintaining their own clinical skills and reliable clinical and administrative support from secondary care.

Novel Hybrid of LS-SVM and Kalman Filter for GPS/INS Integration

NASA Astrophysics Data System (ADS)

Xu, Zhenkai; Li, Yong; Rizos, Chris; Xu, Xiaosu

Integration of Global Positioning System (GPS) and Inertial Navigation System (INS) technologies can overcome the drawbacks of the individual systems. One of the advantages is that the integrated solution can provide continuous navigation capability even during GPS outages. However, bridging the GPS outages is still a challenge when Micro-Electro-Mechanical System (MEMS) inertial sensors are used. Methods being currently explored by the research community include applying vehicle motion constraints, optimal smoother, and artificial intelligence (AI) techniques. In the research area of AI, the neural network (NN) approach has been extensively utilised up to the present. In an NN-based integrated system, a Kalman filter (KF) estimates position, velocity and attitude errors, as well as the inertial sensor errors, to output navigation solutions while GPS signals are available. At the same time, an NN is trained to map the vehicle dynamics with corresponding KF states, and to correct INS measurements when GPS measurements are unavailable. To achieve good performance it is critical to select suitable quality and an optimal number of samples for the NN. This is sometimes too rigorous a requirement which limits real world application of NN-based methods.The support vector machine (SVM) approach is based on the structural risk minimisation principle, instead of the minimised empirical error principle that is commonly implemented in an NN. The SVM can avoid local minimisation and over-fitting problems in an NN, and therefore potentially can achieve a higher level of global performance. This paper focuses on the least squares support vector machine (LS-SVM), which can solve highly nonlinear and noisy black-box modelling problems. This paper explores the application of the LS-SVM to aid the GPS/INS integrated system, especially during GPS outages. The paper describes the principles of the LS-SVM and of the KF hybrid method, and introduces the LS-SVM regression algorithm. Field test data is processed to evaluate the performance of the proposed approach.

Tightly-Coupled Integration of Multi-GNSS Single-Frequency RTK and MEMS-IMU for Enhanced Positioning Performance

PubMed Central

Li, Tuan; Zhang, Hongping; Niu, Xiaoji; Gao, Zhouzheng

2017-01-01

Dual-frequency Global Positioning System (GPS) Real-time Kinematics (RTK) has been proven in the past few years to be a reliable and efficient technique to obtain high accuracy positioning. However, there are still challenges for GPS single-frequency RTK, such as low reliability and ambiguity resolution (AR) success rate, especially in kinematic environments. Recently, multi-Global Navigation Satellite System (multi-GNSS) has been applied to enhance the RTK performance in terms of availability and reliability of AR. In order to further enhance the multi-GNSS single-frequency RTK performance in terms of reliability, continuity and accuracy, a low-cost micro-electro-mechanical system (MEMS) inertial measurement unit (IMU) is adopted in this contribution. We tightly integrate the single-frequency GPS/BeiDou/GLONASS and MEMS-IMU through the extended Kalman filter (EKF), which directly fuses the ambiguity-fixed double-differenced (DD) carrier phase observables and IMU data. A field vehicular test was carried out to evaluate the impacts of the multi-GNSS and IMU on the AR and positioning performance in different system configurations. Test results indicate that the empirical success rate of single-epoch AR for the tightly-coupled single-frequency multi-GNSS RTK/INS integration is over 99% even at an elevation cut-off angle of 40°, and the corresponding position time series is much more stable in comparison with the GPS solution. Besides, GNSS outage simulations show that continuous positioning with certain accuracy is possible due to the INS bridging capability when GNSS positioning is not available. PMID:29077070

Tightly-Coupled Integration of Multi-GNSS Single-Frequency RTK and MEMS-IMU for Enhanced Positioning Performance.

PubMed

Li, Tuan; Zhang, Hongping; Niu, Xiaoji; Gao, Zhouzheng

2017-10-27

Dual-frequency Global Positioning System (GPS) Real-time Kinematics (RTK) has been proven in the past few years to be a reliable and efficient technique to obtain high accuracy positioning. However, there are still challenges for GPS single-frequency RTK, such as low reliability and ambiguity resolution (AR) success rate, especially in kinematic environments. Recently, multi-Global Navigation Satellite System (multi-GNSS) has been applied to enhance the RTK performance in terms of availability and reliability of AR. In order to further enhance the multi-GNSS single-frequency RTK performance in terms of reliability, continuity and accuracy, a low-cost micro-electro-mechanical system (MEMS) inertial measurement unit (IMU) is adopted in this contribution. We tightly integrate the single-frequency GPS/BeiDou/GLONASS and MEMS-IMU through the extended Kalman filter (EKF), which directly fuses the ambiguity-fixed double-differenced (DD) carrier phase observables and IMU data. A field vehicular test was carried out to evaluate the impacts of the multi-GNSS and IMU on the AR and positioning performance in different system configurations. Test results indicate that the empirical success rate of single-epoch AR for the tightly-coupled single-frequency multi-GNSS RTK/INS integration is over 99% even at an elevation cut-off angle of 40°, and the corresponding position time series is much more stable in comparison with the GPS solution. Besides, GNSS outage simulations show that continuous positioning with certain accuracy is possible due to the INS bridging capability when GNSS positioning is not available.

Collecting, processing, and integrating GPS data into GIS

DOT National Transportation Integrated Search

2002-01-01

A vast storehouse of information exists on nearly every subject of concern to highway : administrators and engineers. Much of this information has resulted from both research : and the successful application of solutions to the problems faced by prac...

Ionospheric corrections to precise time transfer using GPS

NASA Technical Reports Server (NTRS)

Snow, Robert W.; Osborne, Allen W., III; Klobuchar, John A.; Doherty, Patricia H.

1994-01-01

The free electrons in the earth's ionosphere can retard the time of reception of GPS signals received at a ground station, compared to their time in free space, by many tens of nanoseconds, thus limiting the accuracy of time transfer by GPS. The amount of the ionospheric time delay is proportional to the total number of electrons encountered by the wave on its path from each GPS satellite to a receiver. This integrated number of electrons is called Total Electron Content, or TEC. Dual frequency GPS receivers designed by Allen Osborne Associates, Inc. (AOA) directly measure both the ionospheric differential group delay and the differential carrier phase advance for the two GPS frequencies and derive from this the TEC between the receiver and each GPS satellite in track. The group delay information is mainly used to provide an absolute calibration to the relative differential carrier phase, which is an extremely precise measure of relative TEC. The AOA Mini-Rogue ICS-4Z and the AOA TurboRogue ICS-4000Z receivers normally operate using the GPS P code, when available, and switch to cross-correlation signal processing when the GPS satellites are in the Anti-Spoofing (A-S) mode and the P code is encrypted. An AOA ICS-Z receiver has been operated continuously for over a year at Hanscom AFB, MA to determine the statistics of the variability of the TEC parameter using signals from up to four different directions simultaneously. The 4-channel ICS-4Z and the 8-channel ICS-4000Z, have proven capabilities to make precise, well calibrated, measurements of the ionosphere in several directions simultaneously. In addition to providing ionospheric corrections for precise time transfer via satellite, this dual frequency design allows full code and automatic codeless operation of both the differential group delay and differential carrier phase for numerous ionospheric experiments being conducted. Statistical results of the data collected from the ICS-4Z during the initial year of ionospheric time delay in the northeastern U.S., and initial results with the ICS-4000Z, will be presented.

High rate GPS positioning , JASON altimetry and marine gravimetry : monitoring the Antarctic Circumpolar Current (ACC) through the DRAKE campaigns.

NASA Astrophysics Data System (ADS)

Melachroinos, S. A.; Biancale, R.; Menard, Y.; Sarrailh, M.

2008-12-01

The Drake campaign which took place from Jan 14, 2006 - 08 Feb, 2006 has been a very successful mission in collecting a wide range of GPS and marine gravity data all along JASON altimetry ground track n° 104. The same campaign will be repeated in 2009 along 028 and 104 JASON-2 ground track. The Drake Passage (DP) chokepoint is not only well suited geographically, as the Antarctic Circumpolar Current (ACC) is constricted to its narrowest extent of 700 km, but observations and models suggest that dynamical balances are particular effective in this area. Furthermore the space geodesy observations and their products provided from several altimetry missions (currently operating ENVISAT, JASON 1 and 2, GFO, ERS and other plannified for the future such as Altika, SWOT) require the cross comparison with independent geodetic techniques at the DP. The current experiment comprises a kinematic GPS and marine gravimetry Cal/Val geodetic approach and it aims to : validate with respect to altimetry data and surface models such a kinematic high frequency GPS technique for measuring sea state and sea surface height (SSH), compare the GPS SSH profiles with altimetry mean dynamic topography (MDT) and mean sea surface (MSS) models, give recommendations for future "offshore" Cal/Val activities on the ground tracks of altimeter satellites such as JASON-2, GFO, Altika using the GNSS technology etc. The GPS observations are collected from GPS antennas installed on a wave-rider buoy , aboard the R/V "Polarstern" and from continuous geodetic reference stations in the proximity. We also analyse problems related to the ship's attitude variations in roll, pitch and yaw and a way to correct them. We also give emphasis on the impact of the ship's acceleration profiles on the so called "squat effect" and ways to deal with it. The project will in particular benefit the GOCE mission by proposing to integrate GOCE in the ocean circulation study and validate GOCE products with our independent geodetic data set. The high rate GPS SSH solutions are derived using two different GPS kinematic software, GINS (CNES) and TRACK (MIT).

Toward Continuous GPS Carrier-Phase Time Transfer: Eliminating the Time Discontinuity at an Anomaly

PubMed Central

Yao, Jian; Levine, Judah; Weiss, Marc

2015-01-01

The wide application of Global Positioning System (GPS) carrier-phase (CP) time transfer is limited by the problem of boundary discontinuity (BD). The discontinuity has two categories. One is “day boundary discontinuity,” which has been studied extensively and can be solved by multiple methods [1–8]. The other category of discontinuity, called “anomaly boundary discontinuity (anomaly-BD),” comes from a GPS data anomaly. The anomaly can be a data gap (i.e., missing data), a GPS measurement error (i.e., bad data), or a cycle slip. Initial study of the anomaly-BD shows that we can fix the discontinuity if the anomaly lasts no more than 20 min, using the polynomial curve-fitting strategy to repair the anomaly [9]. However, sometimes, the data anomaly lasts longer than 20 min. Thus, a better curve-fitting strategy is in need. Besides, a cycle slip, as another type of data anomaly, can occur and lead to an anomaly-BD. To solve these problems, this paper proposes a new strategy, i.e., the satellite-clock-aided curve fitting strategy with the function of cycle slip detection. Basically, this new strategy applies the satellite clock correction to the GPS data. After that, we do the polynomial curve fitting for the code and phase data, as before. Our study shows that the phase-data residual is only ~3 mm for all GPS satellites. The new strategy also detects and finds the number of cycle slips by searching the minimum curve-fitting residual. Extensive examples show that this new strategy enables us to repair up to a 40-min GPS data anomaly, regardless of whether the anomaly is due to a data gap, a cycle slip, or a combination of the two. We also find that interference of the GPS signal, known as “jamming”, can possibly lead to a time-transfer error, and that this new strategy can compensate for jamming outages. Thus, the new strategy can eliminate the impact of jamming on time transfer. As a whole, we greatly improve the robustness of the GPS CP time transfer. PMID:26958451

Improving access and continuity of care for homeless people: how could general practitioners effectively contribute? Results from a mixed study

PubMed Central

Grassineau, Dominique; Balique, Hubert; Loundou, Anderson; Sambuc, Roland; Daguzan, Alexandre; Gentile, Gaetan; Gentile, Stéphanie

2016-01-01

Objectives To analyse the views of general practitioners (GPs) about how they can provide care to homeless people (HP) and to explore which measures could influence their views. Design Mixed-methods design (qualitative –> quantitative (cross-sectional observational) → qualitative). Qualitative data were collected through semistructured interviews and through questionnaires with closed questions. Quantitative data were analysed with descriptive statistical analyses on SPPS; a content analysis was applied on qualitative data. Setting Primary care; views of urban GPs working in a deprived area in Marseille were explored by questionnaires and/or semistructured interview. Participants 19 GPs involved in HP's healthcare were recruited for phase 1 (qualitative); for phase 2 (quantitative), 150 GPs who provide routine healthcare (‘standard’ GPs) were randomised, 144 met the inclusion criteria and 105 responded to the questionnaire; for phase 3 (qualitative), data were explored on 14 ‘standard’ GPs. Results In the quantitative phase, 79% of the 105 GPs already treated HP. Most of the difficulties they encountered while treating HP concerned social matters (mean level of perceived difficulties=3.95/5, IC 95 (3.74 to 4.17)), lack of medical information (mn=3.78/5, IC 95 (3.55 to 4.01)) patient's compliance (mn=3.67/5, IC 95 (3.45 to 3.89)), loneliness in practice (mn=3.45/5, IC 95 (3.18 to 3.72)) and time required for the doctor (mn=3.25, IC 95 (3 to 3.5)). From qualitative analysis we understood that maintaining a stable follow-up was a major condition for GPs to contribute effectively to the care of HP. Acting on health system organisation, developing a medical and psychosocial approach with closer relation with social workers and enhancing the collaboration between tailored and non-tailored programmes were also other key answers. Conclusions If we adapt the conditions of GPs practice, they could contribute to the improvement of HP's health. These results will enable the construction of a new model of primary care organisation aiming to improve access to healthcare for HP. PMID:27903566

GPS Array as a Sensor of Lithosphere, Troposphere and Ionosphere

NASA Astrophysics Data System (ADS)

Heki, K.

2011-12-01

The Japanese dense array of GPS receivers (GEONET) started operation in 1993, and is currently composed of ~1200 stations. GPS (or GNSS in general) receivers can be compared to a Swiss army knife: it could be used not only for positioning (a knife) but also for various purposes, e.g. remote sensing of tropospheric water vapor or ionospheric electrons (screw driver, tin opener etc). Dense GPS arrays have been found extremely useful for variety of geophysical studies. In this lecture, I briefly review their historical achievements, recent highlights, and future perspectives. In Japan, first generation GPS stations were implemented in 1993 (the Kanto-Tokai region) and 1994 (nationwide) by GSI, Japan. Shortly after the launch, they successfully caught coseismic crustal movement of several major earthquakes, the 1994 October Shikotan (Mw8.3), the 1994 December Sanriku (Mw7.6), and the 1995 January Kobe (Mw7.0) earthquakes. These earthquakes accelerated the densification of the GPS network, achieving 1000 in the number of stations within the following 2-3 years. In addition to coseismic jumps, important discoveries continued in 1990s, e.g. large-scale afterslip of interplate thrust earthquakes and slow slip events (SSE). Later it was shown that tilt- and strainmeter can better observe short-term SSEs, and InSAR can draw more detailed maps of coseismic crustal movements. Now GPS array is recognized as a good tool to measure crustal movement with high temporal resolution and stability and with moderate sensitivity and spatial resolution. GPS data are also useful to study hydrosphere. Seasonal crustal movements in Japan mainly reflect changes in hydrological loads. Multipath signatures in GPS data also provide useful information on the environment around the antenna, e.g. soil moisture, snow depth and vegetation. I will compare the snow depth record over a winter inferred by analyzing GPS multipath signatures, and observed by a conventional apparatus. GPS can also measure precipitable water vapor (PWV) of troposphere. After intense feasibility studies of GPS meteorology in 1990s, PWV information from GEONET has been routinely assimilated in the operational mesoscale model of the Japan Meteorological Agency since 2009. It is found useful in predicting localized heavy rainfalls that often attack Japan in summer. It is fairly easy to measure ionospheric total electron content (TEC) by using phase differences between L1 and L2 carriers from GPS satellites. Applications of GPS for upper atmospheric studies started for ionospheric disturbances of space weather origins. In 2003, clear coseismic ionospheric disturbances of the Tokachi-Oki earthquake were found, and the GPS-TEC technique has been extensively used to study ionospheric disturbances of solid earth origins, e.g. earthquakes and volcanic eruptions. There are also several recent examples of artificial ionospheric disturbances caused by rocket launches and passage of ballistic missiles from North Korea above NE Japan. In the last part of the lecture, I summarize what the GPS array saw before, during and after the 2011 Tohoku-Oki earthquake. The topic covers not only pre-, co- and postseismic crustal movements, but also results of high-rate sampling, and possible detection of precursory changes in ionospheric TEC immediately before the earthquake.

Attentional effects on gaze preference for salient loci in traffic scenes.

PubMed

Sakai, Hiroyuki; Shin, Duk; Kohama, Takeshi; Uchiyama, Yuji

2012-01-01

Alerting drivers for self-regulation of attention might decrease crash risks attributable to absent-minded driving. However, no reliable method exists for monitoring driver attention. Therefore, we examined attentional effects on gaze preference for salient loci (GPS) in traffic scenes. In an active viewing (AV) condition requiring endogenous attention for traffic scene comprehension, participants identified appropriate speeds for driving in presented traffic scene images. In a passive viewing (PV) condition requiring no endogenous attention, participants passively viewed traffic scene images. GPS was quantified by the mean saliency value averaged across fixation locations. Results show that GPS was less during AV than during PV. Additionally, gaze dwell time on signboards was shorter for AV than for PV. These results suggest that, in the absence of endogenous attention for traffic scene comprehension, gaze tends to concentrate on irrelevant salient loci in a traffic environment. Therefore, increased GPS can indicate absent-minded driving. The present study demonstrated that, without endogenous attention for traffic scene comprehension, gaze tends to concentrate on irrelevant salient loci in a traffic environment. This result suggests that increased gaze preference for salient loci indicates absent-minded driving, which is otherwise difficult to detect.

The Role of Trust and Interaction in Global Positioning System Related Accidents

NASA Technical Reports Server (NTRS)

Johnson, Chris W.; Shea, Christine; Holloway, C. Michael

2008-01-01

The Global Positioning System (GPS) uses a network of satellites to calculate the position of a receiver over time. This technology has revolutionized a wide range of safety-critical industries and leisure applications. These systems provide diverse benefits; supplementing the users existing navigation skills and reducing the uncertainty that often characterizes many route planning tasks. GPS applications can also help to reduce workload by automating tasks that would otherwise require finite cognitive and perceptual resources. However, the operation of these systems has been identified as a contributory factor in a range of recent accidents. Users often come to rely on GPS applications and, therefore, fail to notice when they develop faults or when errors occur in the other systems that use the data from these systems. Further accidents can stem from the over confidence that arises when users assume automated warnings will be issued when they stray from an intended route. Unless greater attention is paid to the role of trust and interaction in GPS applications then there is a danger that we will see an increasing number of these failures as positioning technologies become integral in the functioning of increasing numbers of applications.

First light from a kilometer-baseline Scintillation Auroral GPS Array.

PubMed

Datta-Barua, S; Su, Y; Deshpande, K; Miladinovich, D; Bust, G S; Hampton, D; Crowley, G

2015-05-28

We introduce and analyze the first data from an array of closely spaced Global Positioning System (GPS) scintillation receivers established in the auroral zone in late 2013 to measure spatial and temporal variations in L band signals at 100-1000 m and subsecond scales. The seven receivers of the Scintillation Auroral GPS Array (SAGA) are sited at Poker Flat Research Range, Alaska. The receivers produce 100 s scintillation indices and 100 Hz carrier phase and raw in-phase and quadrature-phase samples. SAGA is the largest existing array with baseline lengths of the ionospheric diffractive Fresnel scale at L band. With an initial array of five receivers, we identify a period of simultaneous amplitude and phase scintillation. We compare SAGA power and phase data with collocated 630.0 nm all-sky images of an auroral arc and incoherent scatter radar electron precipitation measurements, to illustrate how SAGA can be used in multi-instrument observations for subkilometer-scale studies. A seven-receiver Scintillation Auroral GPS Array (SAGA) is now at Poker Flat, Alaska SAGA is the largest subkilometer array to enable phase/irregularities studies Simultaneous scintillation, auroral arc, and electron precipitation are observed.

First light from a kilometer-baseline Scintillation Auroral GPS Array

PubMed Central

Datta-Barua, S; Su, Y; Deshpande, K; Miladinovich, D; Bust, G S; Hampton, D; Crowley, G

2015-01-01

We introduce and analyze the first data from an array of closely spaced Global Positioning System (GPS) scintillation receivers established in the auroral zone in late 2013 to measure spatial and temporal variations in L band signals at 100–1000 m and subsecond scales. The seven receivers of the Scintillation Auroral GPS Array (SAGA) are sited at Poker Flat Research Range, Alaska. The receivers produce 100 s scintillation indices and 100 Hz carrier phase and raw in-phase and quadrature-phase samples. SAGA is the largest existing array with baseline lengths of the ionospheric diffractive Fresnel scale at L band. With an initial array of five receivers, we identify a period of simultaneous amplitude and phase scintillation. We compare SAGA power and phase data with collocated 630.0 nm all-sky images of an auroral arc and incoherent scatter radar electron precipitation measurements, to illustrate how SAGA can be used in multi-instrument observations for subkilometer-scale studies. Key Points A seven-receiver Scintillation Auroral GPS Array (SAGA) is now at Poker Flat, Alaska SAGA is the largest subkilometer array to enable phase/irregularities studies Simultaneous scintillation, auroral arc, and electron precipitation are observed PMID:26709318

A new voxel-based model for the determination of atmospheric weighted mean temperature in GPS atmospheric sounding

NASA Astrophysics Data System (ADS)

He, Changyong; Wu, Suqin; Wang, Xiaoming; Hu, Andong; Wang, Qianxin; Zhang, Kefei

2017-06-01

The Global Positioning System (GPS) is a powerful atmospheric observing system for determining precipitable water vapour (PWV). In the detection of PWV using GPS, the atmospheric weighted mean temperature (Tm) is a crucial parameter for the conversion of zenith tropospheric delay (ZTD) to PWV since the quality of PWV is affected by the accuracy of Tm. In this study, an improved voxel-based Tm model, named GWMT-D, was developed using global reanalysis data over a 4-year period from 2010 to 2013 provided by the United States National Centers for Environmental Prediction (NCEP). The performance of GWMT-D was assessed against three existing empirical Tm models - GTm-III, GWMT-IV, and GTmN - using different data sources in 2014 - the NCEP reanalysis data, surface Tm data provided by Global Geodetic Observing System and radiosonde measurements. The results show that the new GWMT-D model outperforms all the other three models with a root-mean-square error of less than 5.0 K at different altitudes over the globe. The new GWMT-D model can provide a practical alternative Tm determination method in real-time GPS-PWV remote sensing systems.

Dtection of Sea Level Rise within the Arabian Gulf Using Space Based GNSS Measurements and Insitu Tide Gauge data

NASA Astrophysics Data System (ADS)

Alothman, Abdulaziz; Ayhan, Mehmet

In the 21st century, sea level rise is expected to be about 30 cm or even more (up to 60 cm). Saudi Arabia has very long coasts of about 3400 km and hundreds of islands. Therefore, sea level monitoring may be important in particular along coastal low lands on Red Sea and Arabian Gulf coasts. Arabian Gulf is connected to Indian Ocean and lying along a parallel course in the south-west of the Zagros Trust Belt. We expect vertical land motion within the area due to both tectonic structures of the Arabian Peninsula and oil production activities. Global Navigation Satellite System (GNSS) Continues observations were used to estimate the vertical crustal motion. Bahrain International GPS Service (IGS-GPS) station is the only continuous GPS station accessible in the region, and it is close to the Mina Sulman tide gauge station in Bahrain. The weekly GPS time series of vertical component at Bahrain IGS-GPS station referring to the ITRF97 from 1999.2 to 2008.6 are used in the computation. We fitted a linear trend with an annual signal and a break to the GPS vertical time series and found a vertical land motion rate of 0.46 0.11 mm/yr. To investigate sea level variation within the west of Arabian Gulf, monthly means of sea level at 13 tide gauges along the coast of Saudi Arabia and Bahrain, available in the database of the Permanent Service for Mean Sea Level (PSMSL), are studied. We analyzed separately the monthly mean sea level measurements at each station, and estimated secular sea level rate by a robust linear trend fitting. We computed the average relative sea level rise rate of 1.96 0.21 mm/yr within the west of Arabian Gulf based on 4 stations spanning longer than 19 years. Sea level rates at the stations are first corrected for vertical land motion contamination using the ICE-5G v1.2 VM4 Glacial Isostatic Adjustment (GIA) model, and the average sea level rate is found 2.27 0.21 mm/yr. Assuming the vertical rate at Bahrain IGS-GPS station represents the vertical rate at each of the other tide gauge stations studied here in the region, we computed average sea level rise rate of 2.42 0.21 mm/yr within the west of Arabian Gulf.