Azimuth selection for sea level measurements using geodetic GPS receivers

NASA Astrophysics Data System (ADS)

Wang, Xiaolei; Zhang, Qin; Zhang, Shuangcheng

2018-03-01

Based on analysis of Global Positioning System (GPS) multipath signals recorded by a geodetic GPS receiver, GPS Reflectometry (GPS-R) has demonstrated unique advantages in relation to sea level monitoring. Founded on multipath reflectometry theory, sea level changes can be measured by GPS-R through spectral analysis of recorded signal-to-noise ratio data. However, prior to estimating multipath parameters, it is necessary to define azimuth and elevation angle mask to ensure the reflecting zones are on water. Here, a method is presented to address azimuth selection, a topic currently under active development in the field of GPS-R. Data from three test sites: the Kachemak Bay GPS site PBAY in Alaska (USA), Friday Harbor GPS site SC02 in the San Juan Islands (USA), and Brest Harbor GPS site BRST in Brest (France) are analyzed. These sites are located in different multipath environments, from a rural coastal area to a busy harbor, and they experience different tidal ranges. Estimates by the GPS tide gauges at azimuths selected by the presented method are compared with measurements from physical tide gauges and acceptable correspondence found for all three sites.

NAVIGATION PERFORMANCE IN HIGH EARTH ORBITS USING NAVIGATOR GPS RECEIVER

NASA Technical Reports Server (NTRS)

Bamford, William; Naasz, Bo; Moreau, Michael C.

2006-01-01

NASA GSFC has developed a GPS receiver that can acquire and track GPS signals with sensitivity significantly lower than conventional GPS receivers. This opens up the possibility of using GPS based navigation for missions in high altitude orbit, such as Geostationary Operational Environmental Satellites (GOES) in a geostationary orbit, and the Magnetospheric MultiScale (MMS) Mission, in highly eccentric orbits extending to 12 Earth radii and higher. Indeed much research has been performed to study the feasibility of using GPS navigation in high Earth orbits and the performance achievable. Recently, GSFC has conducted a series of hardware in-the-loop tests to assess the performance of this new GPS receiver in various high Earth orbits of interest. Tracking GPS signals to down to approximately 22-25 dB-Hz, including signals from the GPS transmitter side-lobes, steady-state navigation performance in a geostationary orbit is on the order of 10 meters. This paper presents the results of these tests, as well as sensitivity analysis to such factors as ionosphere masks, use of GPS side-lobe signals, and GPS receiver sensitivity.

Does burnout among doctors affect their involvement in patients' mental health problems? A study of videotaped consultations.

PubMed

Zantinge, Else M; Verhaak, Peter F M; de Bakker, Dinny H; van der Meer, Klaas; Bensing, Jozien M

2009-08-26

General practitioners' (GPs') feelings of burnout or dissatisfaction may affect their patient care negatively, but it is unknown if these negative feelings also affect their mental health care. GPs' available time, together with specific communication tools, are important conditions for providing mental health care. We investigated if GPs who feel burnt out or dissatisfied with the time available for their patients, are less inclined to encourage their patients to disclose their distress, and have shorter consultations, in order to gain time and energy. This may result in less psychological evaluations of patients' complaints. We used 1890 videotaped consultations from a nationally representative sample of 126 Dutch GPs to analyse GPs' communication and the duration of their consultations. Burnout was subdivided into emotional exhaustion, depersonalisation and reduced accomplishment. Multilevel regression analyses were used to investigate which subgroups of GPs differed significantly. GPs with feelings of exhaustion or dissatisfaction with the available time have longer consultations compared to GPs without these feelings. Exhausted GPs, and GPs with feelings of depersonalisation, talk more about psychological or social topics in their consultations. GPs with feelings of reduced accomplishment are an exception: they communicate less affectively, are less patient-centred and have less eye contact with their patients compared to GPs without reduced accomplishment.We found no relationship between GPs' feelings of burnout or dissatisfaction with the available time and their psychological evaluations of patients' problems. GPs' feelings of burnout or dissatisfaction with the time available for their patients do not obstruct their diagnosis and awareness of patients' psychological problems. On the contrary, GPs with high levels of exhaustion or depersonalisation, and GPs who are dissatisfied with the available time, sometimes provide more opportunities to discuss mental health problems. This increases the chance that appropriate care will be found for patients with mental health problems. On the other hand, these GPs are themselves more likely to retire, or risk burnout, because of their dissatisfaction. Therefore these GPs may benefit from training or personal coaching to decrease the chance that the process of burnout will get out of hand.

A Real-Time Capable Software-Defined Receiver Using GPU for Adaptive Anti-Jam GPS Sensors

PubMed Central

Seo, Jiwon; Chen, Yu-Hsuan; De Lorenzo, David S.; Lo, Sherman; Enge, Per; Akos, Dennis; Lee, Jiyun

2011-01-01

Due to their weak received signal power, Global Positioning System (GPS) signals are vulnerable to radio frequency interference. Adaptive beam and null steering of the gain pattern of a GPS antenna array can significantly increase the resistance of GPS sensors to signal interference and jamming. Since adaptive array processing requires intensive computational power, beamsteering GPS receivers were usually implemented using hardware such as field-programmable gate arrays (FPGAs). However, a software implementation using general-purpose processors is much more desirable because of its flexibility and cost effectiveness. This paper presents a GPS software-defined radio (SDR) with adaptive beamsteering capability for anti-jam applications. The GPS SDR design is based on an optimized desktop parallel processing architecture using a quad-core Central Processing Unit (CPU) coupled with a new generation Graphics Processing Unit (GPU) having massively parallel processors. This GPS SDR demonstrates sufficient computational capability to support a four-element antenna array and future GPS L5 signal processing in real time. After providing the details of our design and optimization schemes for future GPU-based GPS SDR developments, the jamming resistance of our GPS SDR under synthetic wideband jamming is presented. Since the GPS SDR uses commercial-off-the-shelf hardware and processors, it can be easily adopted in civil GPS applications requiring anti-jam capabilities. PMID:22164116

A real-time capable software-defined receiver using GPU for adaptive anti-jam GPS sensors.

PubMed

Seo, Jiwon; Chen, Yu-Hsuan; De Lorenzo, David S; Lo, Sherman; Enge, Per; Akos, Dennis; Lee, Jiyun

2011-01-01

Due to their weak received signal power, Global Positioning System (GPS) signals are vulnerable to radio frequency interference. Adaptive beam and null steering of the gain pattern of a GPS antenna array can significantly increase the resistance of GPS sensors to signal interference and jamming. Since adaptive array processing requires intensive computational power, beamsteering GPS receivers were usually implemented using hardware such as field-programmable gate arrays (FPGAs). However, a software implementation using general-purpose processors is much more desirable because of its flexibility and cost effectiveness. This paper presents a GPS software-defined radio (SDR) with adaptive beamsteering capability for anti-jam applications. The GPS SDR design is based on an optimized desktop parallel processing architecture using a quad-core Central Processing Unit (CPU) coupled with a new generation Graphics Processing Unit (GPU) having massively parallel processors. This GPS SDR demonstrates sufficient computational capability to support a four-element antenna array and future GPS L5 signal processing in real time. After providing the details of our design and optimization schemes for future GPU-based GPS SDR developments, the jamming resistance of our GPS SDR under synthetic wideband jamming is presented. Since the GPS SDR uses commercial-off-the-shelf hardware and processors, it can be easily adopted in civil GPS applications requiring anti-jam capabilities.

GPs' opinions of public and industrial information regarding drugs: a cross-sectional study

PubMed Central

2011-01-01

Background General Practitioners {GP} in Sweden prescribe more than 50% of all prescriptions. Scientific knowledge on the opinions of GPs regarding drug information has been sparse. Such knowledge could be valuable when designing evidence-based drug information to GPs. GPs' opinions on public- and industry-provided drug information are presented in this article. Methods A cross-sectional study using a questionnaire was answered by 368 GPs at 97 primary-health care centres {PHCC}. The centres were invited to participate by eight out of 29 drug and therapeutic committees {DTCs}. A multilevel model was used to analyse associations between opinions of GPs regarding drug information and whether the GPs worked in public sector or in a private enterprise, their age, sex, and work experience. PHCC and geographical area were included as random effects. Results About 85% of the GPs perceived they received too much information from the industry, that the quality of public information was high and useful, and that the main task of public authorities was to increase the GPs' knowledge of drugs. Female GPs valued information from public authorities to a much greater extent than male GPs. Out of the GPs, 93% considered the main task of the industry was to promote sales. Differences between the GPs' opinions between PHCCs were generally more visible than differences between areas. Conclusions Some kind of incentives could be considered for PHCCs that actively reduce drug promotion from the industry. That female GPs valued information from public authorities to a much greater extent than male GPs should be taken into consideration when designing evidence-based drug information from public authorities to make implementation easier. PMID:21867497

Totally laparoscopic gallbladder-preserving surgery: A minimally invasive and favorable approach for cholelithiasis.

PubMed

Gao, DE-Kang; Wei, Shao-Hua; Li, Wei; Ren, Jie; Ma, Xiao-Ming; Gu, Chun-Wei; Wu, Hao-Rong

2015-02-01

The aim of the present study was to investigate the effectiveness of laparoscopic gallbladder-preserving surgery (L-GPS) for cholelithiasis and the feasibility and value of totally laparoscopic GPS (TL-GPS). A total of 517 patients underwent L-GPS, including 365 cases of laparoscopy-assisted GPS (LA-GPS), 143 cases of TL-GPS (preservation rate, 98.3%) and nine conversions to laparoscopic cholecystectomy. The surgeries were all performed by one medical team and the mean operating time was 72 min. All macroscopic calculi were removed through endoscopy. The number of calculi observed in the patients was between one and several dozen; diameters ranged between 0.1 and 2.5 cm. Only three cases of incisional infection were noted in the LA-GPS group and long-term follow-up showed a low recurrence rate of 1.2%. L-GPS is, therefore, an excellent approach to cure cholelithiasis and TL-GPS is a feasible and effective option that could avoid incisional complications.

More counselling for end-of-life decisions by GPs with own advance directives: A postal survey among German general practitioners.

PubMed

Schnakenberg, Rieke; Radbruch, Lukas; Kersting, Christine; Frank, Friederike; Wilm, Stefan; Becka, Denise; Weckbecker, Klaus; Bleckwenn, Markus; Just, Johannes M; Pentzek, Michael; Weltermann, Birgitta

2018-12-01

Although general practitioners (GPs) are among the preferred contact persons for discussing end-of-life issues including advance directives (ADs), there is little data on how GPs manage such consultations. This postal survey asked German GPs about their counselling for end-of-life decisions. In 2015, a two-sided questionnaire was mailed to 959 GPs. GPs were asked for details of their consultations on ADs: frequency, duration, template use, and whether they have own ADs. Statistical analysis evaluated physician characteristics associated with an above-average number of consultations on AD. The participation rate was 50.3% (n = 482), 70.5% of the GPs were male; the average age was 54 years. GPs had an average of 18 years of professional experience, and 61.4% serve more than 900 patients per three months. Most (96.9%) GPs perform consultations on living wills (LW) and/or powers of attorney (PA), mainly in selected patients (72.3%). More than 20 consultations each on LWs and PAs are performed by 60% and 50% of GPs, respectively. The estimated mean duration of consultations was 21 min for LWs and 16 min for PAs. Predefined templates were used in 72% of the GPs, 50% of GPs had their ADs. A statistical model showed that GPs with ADs and/or a qualification in palliative medicine were more likely to counsel ≥20 patients per year for each document. The study confirmed that nearly all German GPs surveyed provide counselling on ADs. Physicians with ADs counsel more frequently than those without such documents.

Variation in general practitioners' information-seeking behaviour - a cross-sectional study on the influence of gender, age and practice form.

PubMed

Le, Jette V; Pedersen, Line B; Riisgaard, Helle; Lykkegaard, Jesper; Nexøe, Jørgen; Lemmergaard, Jeanette; Søndergaard, Jens

2016-12-01

To assess general practitioners' (GPs') information-seeking behaviour and perceived importance of sources of scientific medical information and to investigate associations with GP characteristics. A national cross-sectional survey was distributed electronically in December 2013. Danish general practice. A population of 3440 GPs (corresponding to approximately 96% of all Danish GPs). GPs' use and perceived importance of information sources. Multilevel mixed-effects logit models were used to investigate associations with GP characteristics after adjusting for relevant covariates. A total of 1580 GPs (46.4%) responded to the questionnaire. GPs' information-seeking behaviour is associated with gender, age and practice form. Single-handed GPs use their colleagues as an information source significantly less than GPs working in partnership practices and they do not use other sources more frequently. Compared with their younger colleagues, GPs aged above 44 years are less likely to seek information from colleagues, guidelines and websites, but more likely to seek information from medical journals. Male and female GPs seek information equally frequently. However, whereas male GPs are more likely than female GPs to find that pharmaceutical sales representative and non-refundable CME meetings are important, they are less likely to find that colleagues, refundable CME meetings, guidelines and websites are important. Results from this study indicate that GP characteristics should be taken into consideration when disseminating scientific medical information, to ensure that patients receive medically updated, high-quality care. KEY POINTS Research indicates that information-seeking behaviour is associated with GP characteristics. Further insights could provide opportunities for targeting information dissemination strategies. Single-handed GPs seek information from colleagues less frequently than GPs in partnerships and do not use other sources more frequently. GPs aged above 44 years do not seek information as frequently as their younger colleagues and prefer other information sources. Male and female GPs seek information equally frequently, but do not consider information sources equally important in keeping medically updated.

Benefits of Software GPS Receivers for Enhanced Signal Processing

DTIC Science & Technology

2000-01-01

1 Published in GPS SOLUTIONS 4(1) Summer, 2000, pages 56-66. Benefits of Software GPS Receivers for Enhanced Signal Processing Alison Brown...Diego, CA 92110-3127 Number of Pages: 24 Number of Figures: 20 ABSTRACT In this paper the architecture of a software GPS receiver is described...and an analysis is included of the performance of a software GPS receiver when tracking the GPS signals in challenging environments. Results are

GPS Usage in a Population of Low-Vision Drivers.

PubMed

Cucuras, Maria; Chun, Robert; Lee, Patrick; Jay, Walter M; Pusateri, Gregg

2017-01-01

We surveyed bioptic and non-bioptic low-vision drivers in Illinois, USA, to determine their usage of global positioning system (GPS) devices. Low-vision patients completed an IRB-approved phone survey regarding driving demographics and usage of GPS while driving. Participants were required to be active drivers with an Illinois driver's license, and met one of the following criteria: best-corrected visual acuity (BCVA) less than or equal to 20/40, central or significant peripheral visual field defects, or a combination of both. Of 27 low-vision drivers, 10 (37%) used GPS while driving. The average age for GPS users was 54.3 and for non-users was 77.6. All 10 drivers who used GPS while driving reported increased comfort or safety level. Since non-GPS users were significantly older than GPS users, it is likely that older participants would benefit from GPS technology training from their low-vision eye care professionals.

General practitioners' knowledge and concern about electromagnetic fields.

PubMed

Berg-Beckhoff, Gabriele; Breckenkamp, Jürgen; Larsen, Pia Veldt; Kowall, Bernd

2014-12-01

Our aim is to explore general practitioners' (GPs') knowledge about EMF, and to assess whether different knowledge structures are related to the GPs' concern about EMF. Random samples were drawn from lists of GPs in Germany in 2008. Knowledge about EMF was assessed by seven items. A latent class analysis was conducted to identify latent structures in GPs' knowledge. Further, the GPs' concern about EMF health risk was measured using a score comprising six items. The association between GPs' concern about EMF and their knowledge was analysed using multiple linear regression. In total 435 (response rate 23.3%) GPs participated in the study. Four groups were identified by the latent class analysis: 43.1% of the GPs gave mainly correct answers; 23.7% of the GPs answered low frequency EMF questions correctly; 19.2% answered only the questions relating EMF with health risks, and 14.0% answered mostly "don't know". There was no association between GPs' latent knowledge classes or between the number of correct answers given by the GPs and their EMF concern, whereas the number of incorrect answers was associated with EMF concern. Greater EMF concern in subjects with more incorrect answers suggests paying particular attention to misconceptions regarding EMF in risk communication.

Office of Space Flight standard spaceborne Global Positioning System user equipment project

NASA Technical Reports Server (NTRS)

Saunders, Penny E.

1991-01-01

The Global Positioning System (GPS) provides users autonomous, real-time navigation capability. A vehicle equipped with GPS user equipment can receive and process signals transmitted by a constellation of GPS satellites and derive from the resulting measurements the vehicle's position and velocity. Specified accuracies range from 16 to 76 meters and 0.1 to 1.0 meters/second for position and velocity, respectively. In a rendezvous and docking scenario, the use of a technique called relative GPS can provide range and range rate accuracies on the order of 1 meter and 0.01 meters/second, respectively. Relative GPS requires both vehicles to be equipped with GPS user equipment and a data communication link for transmission of GPS data and GPS satellite selection coordination information. Through coordinated satellite selection, GPS measurement errors common to both users are cancelled and improved relative position and velocity accuracies are achieved. The background, the design approach, the expected performance and capabilities, the development plan, and the project status are described. In addition, a description of relative GPS, the possible GPS hardware and software configurations, and its application to automated rendezvous and capture are presented.

Working together--primary care doctors' and nurses' attitudes to collaboration.

PubMed

Hansson, Anders; Arvemo, Tobias; Marklund, Bertil; Gedda, Birgitta; Mattsson, Bengt

2010-02-01

Multidisciplinary teamwork is recommended for various disorders and it has been suggested that it is a way to meet the new challenges and demands facing general practitioners (GPs) in modern society. Attempts to introduce the method in primary care have failed partly due to GPs' unwillingness to participate. The aim of this study was to measure attitudes towards collaboration among GPs and district nurses (DN) and to investigate whether there is a correlation between a positive attitude toward collaboration and high self-esteem in the professional role. The Jefferson Scale of Attitudes toward Physician Nurse Collaboration and the Professional Self-Description Form (PSDF) was used to study a cohort of 600 GPs and DNs in Västra Götaland region. The purpose was to map differences and correlations of attitude between DNs and GPs, between male and female GPs, and between older and younger DNs and GPs. Four hundred and one answers were received. DNs (mean 51.7) were significantly more positive about collaboration than GPs (mean 49.4). There was no difference between younger and older, male and female GPs. DNs scored higher on the PSDF-scale than GPs. DNs were slightly more positive about collaboration than GPs. A positive attitude towards collaboration did not seem to be a part of the GPs' professional role to the same extent as it is for DNs. Professional norms seem to have more influence on attitudes than do gender roles. DNs seem more confident in their profession than GPs.

General practitioners' experiences with sickness certification: a comparison of survey data from Sweden and Norway

PubMed Central

2012-01-01

Background In most countries with sickness insurance systems, general practitioners (GPs) play a key role in the sickness-absence process. Previous studies have indicated that GPs experience several tasks and situations related to sickness certification consultations as problematic. The fact that the organization of primary health care and social insurance systems differ between countries may influence both GPs' experiences and certification. The aim of the present study was to gain more knowledge of GPs' experiences of sickness certification, by comparing data from Sweden and Norway, regarding frequencies and aspects of sickness certification found to be problematic. Methods Statistical analyses of cross-sectional survey data of sickness certification by GPs in Sweden and Norway. In Sweden, all GPs were included, with 3949 (60.6%) responding. In Norway, a representative sample of GPs was included, with 221 (66.5%) responding. Results Most GPs reported having consultations involving sickness certification at least once a week; 95% of the GPs in Sweden and 99% of the GPs in Norway. A majority found such tasks problematic; 60% of the GPs in Sweden and 53% in Norway. In a logistic regression, having a higher frequency of sickness certification consultations was associated with a higher risk of experiencing them as problematic, in both countries. A higher rate of GPs in Sweden than in Norway reported meeting patients wanting a sickness certification without a medical reason. GPs in Sweden found it more problematic to discuss the advantages and disadvantages of sick leave with patients and to issue a prolongation of a sick-leave period initiated by another physician. GPs in Norway more often worried that patients would go to another physician if they did not issue a certificate, and a higher proportion of Norwegian GPs found it problematic to handle situations where they and their patient disagreed on the need for sick leave. Conclusions The study confirms that many GPs experience sickness absence consultations as problematic. However, there were differences between the two countries in GPs' experiences, which may be linked to differences in social security regulations and the organization of GP services. Possible causes and consequences of national differences should be addressed in future studies. PMID:22375615

Feasibility and Acceptability of Global Positioning System (GPS) Methods to Study the Spatial Contexts of Substance Use and Sexual Risk Behaviors among Young Men Who Have Sex with Men in New York City: A P18 Cohort Sub-Study

PubMed Central

Duncan, Dustin T.; Kapadia, Farzana; Regan, Seann D.; Goedel, William C.; Levy, Michael D.; Barton, Staci C.; Friedman, Samuel R.; Halkitis, Perry N.

2016-01-01

Background No global positioning system (GPS) technology study has been conducted among a sample of young gay, bisexual, and other men who have sex with men (YMSM). As such, the purpose of this study was to evaluate the feasibility and acceptability of using GPS methods to understand the spatial context of substance use and sexual risk behaviors among a sample of YMSM in New York City, a high-risk population. Methods Data came from a subsample of the ongoing P18 Cohort Study (n = 75). GPS feasibility and acceptability among participants was measured with: 1) a pre- and post-survey and 2) adherence to the GPS protocol which included returning the GPS device, self-report of charging and carrying the GPS device as well as objective data analyzed from the GPS devices. Analyses of the feasibility surveys were treated as repeated measures as each participant had a pre- and post-feasibility survey. When comparing the similar GPS survey items asked at baseline and at follow-up, we present percentages and associated p-values based on chi-square statistics. Results Participants reported high ratings of pre-GPS acceptability, ease of use, and low levels of wear-related concerns in addition to few concerns related to safety, loss, or appearance, which were maintained after baseline GPS feasibility data collection. The GPS return rate was 100%. Most participants charged and carried the GPS device on most days. Of the total of 75 participants with GPS data, 75 (100%) have at least one hour of GPS data for one day and 63 (84%) had at least one hour on all 7 days. Conclusions Results from this pilot study demonstrate that utilizing GPS methods among YMSM is feasible and acceptable. GPS devices may be used in spatial epidemiology research in YMSM populations to understand place-based determinants of health such as substance use and sexual risk behaviors. PMID:26918766

A GIANT SAMPLE OF GIANT PULSES FROM THE CRAB PULSAR

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

Mickaliger, M. B.; McLaughlin, M. A.; Lorimer, D. R.

2012-11-20

We observed the Crab pulsar with the 43 m telescope in Green Bank, WV over a timespan of 15 months. In total we obtained 100 hr of data at 1.2 GHz and seven hours at 330 MHz, resulting in a sample of about 95,000 giant pulses (GPs). This is the largest sample, to date, of GPs from the Crab pulsar taken with the same telescope and backend and analyzed as one data set. We calculated power-law fits to amplitude distributions for main pulse (MP) and interpulse (IP) GPs, resulting in indices in the range of 2.1-3.1 for MP GPs atmore » 1.2 GHz and in the range of 2.5-3.0 and 2.4-3.1 for MP and IP GPs at 330 MHz. We also correlated the GPs at 1.2 GHz with GPs from the Robert C. Byrd Green Bank Telescope (GBT), which were obtained simultaneously at a higher frequency (8.9 GHz) over a span of 26 hr. In total, 7933 GPs from the 43 m telescope at 1.2 GHz and 39,900 GPs from the GBT were recorded during these contemporaneous observations. At 1.2 GHz, 236 (3%) MP GPs and 23 (5%) IP GPs were detected at 8.9 GHz, both with zero chance probability. Another 15 (4%) low-frequency IP GPs were detected within one spin period of high-frequency IP GPs, with a chance probability of 9%. This indicates that the emission processes at high and low radio frequencies are related, despite significant pulse profile shape differences. The 43 m GPs were also correlated with Fermi {gamma}-ray photons to see if increased pair production in the magnetosphere is the mechanism responsible for GP emission. A total of 92,022 GPs and 393 {gamma}-ray photons were used in this correlation analysis. No significant correlations were found between GPs and {gamma}-ray photons. This indicates that increased pair production in the magnetosphere is likely not the dominant cause of GPs. Possible methods of GP production may be increased coherence of synchrotron emission or changes in beaming direction.« less

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.

Performance Analysis of Several GPS/Galileo Precise Point Positioning Models

PubMed Central

Afifi, Akram; El-Rabbany, Ahmed

2015-01-01

This paper examines the performance of several precise point positioning (PPP) models, which combine dual-frequency GPS/Galileo observations in the un-differenced and between-satellite single-difference (BSSD) modes. These include the traditional un-differenced model, the decoupled clock model, the semi-decoupled clock model, and the between-satellite single-difference model. We take advantage of the IGS-MGEX network products to correct for the satellite differential code biases and the orbital and satellite clock errors. Natural Resources Canada’s GPSPace PPP software is modified to handle the various GPS/Galileo PPP models. A total of six data sets of GPS and Galileo observations at six IGS stations are processed to examine the performance of the various PPP models. It is shown that the traditional un-differenced GPS/Galileo PPP model, the GPS decoupled clock model, and the semi-decoupled clock GPS/Galileo PPP model improve the convergence time by about 25% in comparison with the un-differenced GPS-only model. In addition, the semi-decoupled GPS/Galileo PPP model improves the solution precision by about 25% compared to the traditional un-differenced GPS/Galileo PPP model. Moreover, the BSSD GPS/Galileo PPP model improves the solution convergence time by about 50%, in comparison with the un-differenced GPS PPP model, regardless of the type of BSSD combination used. As well, the BSSD model improves the precision of the estimated parameters by about 50% and 25% when the loose and the tight combinations are used, respectively, in comparison with the un-differenced GPS-only model. Comparable results are obtained through the tight combination when either a GPS or a Galileo satellite is selected as a reference. PMID:26102495

The Glasgow Prognostic Score at the Time of Palliative Esophageal Stent Insertion is a Predictive Factor of 30-Day Mortality and Overall Survival.

PubMed

Driver, Robert J; Handforth, Catherine; Radhakrishna, Ganesh; Bennett, Michael I; Ford, Alexander C; Everett, Simon M

2018-03-01

Optimizing the timing of esophageal stent insertion is a challenge, partly due to difficulty predicting survival in advanced malignancy. The Glasgow prognostic score (GPS) is a validated tool for predicting survival in a number of cancers. To assess the utility of the GPS in predicting 30-day mortality and overall survival postesophageal stent insertion. Patients at a tertiary referral center who had received an esophageal stent for palliation of dysphagia were included if they had a measurement of albumin and C-reactive protein (CRP) in the week preceding the procedure (n=209). Patients with both an elevated CRP (>10 mg/L) and hypoalbuminemia (<35 g/L) were given a GPS score of 2 (GPS2). Patients with only one of these abnormalities were assigned as GPS1 and those with normal CRP and albumin were assigned as GPS0. Clinical and pathologic parameters were also collected to assess for potential confounding factors in the survival analysis. Increasing GPS was associated with 30-day mortality; for patients with GPS0, 30-day mortality was 5% (2/43), for GPS1 it was 23% (26/114), and for GPS2 it was 33% (17/52). The adjusted hazard ratio for overall poststent mortality was 1.6 (95% confidence interval, 1.1-2.4; P=0.02) for GPS1 and 2.4 (95% confidence interval, 1.5-3.8; P<0.001) for GPS2 patients compared with GPS0. GPS is an independent prognostic factor of 30-day mortality and overall survival after esophageal stent insertion. It is a potential adjunct to clinical assessment in identifying those patients at high-risk of short-term mortality poststent.

Recovery of surface mass redistribution from a joint inversion of GPS and GRACE data - A methodology and results from the Australian and other continents

NASA Astrophysics Data System (ADS)

Han, S. C.; Tangdamrongsub, N.; Razeghi, S. M.

2017-12-01

We present a methodology to invert a regional set of vertical displacement data from Global Positioning System (GPS) to determine surface mass redistribution. It is assumed that GPS deformation is a result of the Earth's elastic response to the surface mass load of hydrology, atmosphere, and ocean. The identical assumption is made when global geopotential change data from Gravity Recovery And Climate Experiment (GRACE) are used to determine surface mass changes. We developed an algorithm to estimate the spectral information of displacements from "regional" GPS data through regional spherical (Slepian) basis functions and apply the load Love numbers to estimate the mass load. We rigorously examine all systematic errors caused by various truncations (spherical harmonic series and Slepian series) and the smoothing constraint applied to the GPS-only inversion. We demonstrate the technique by processing 16 years of daily vertical motions determined from 114 GPS stations in Australia. The GPS inverted surface mass changes are validated against GRACE data, atmosphere and ocean models, and a land surface model. Seasonal and inter-annual terrestrial mass variations from GPS are in good agreement with GRACE data and the water storage models. The GPS recovery compares better with the water storage model around the smaller coastal basins of Australia than two different GRACE solutions. The sub-monthly mass changes from GPS provide meaningful results agreeing with atmospheric mass changes in central Australia. Finally, we integrate GPS data from different continents with GRACE in the least-square normal equations and solve for the global surface mass changes by jointly inverting GPS and GRACE data. We present the results of surface mass changes from the GPS-only inversion and from the joint GPS-GRACE inversion.

Performance Analysis of Several GPS/Galileo Precise Point Positioning Models.

PubMed

Afifi, Akram; El-Rabbany, Ahmed

2015-06-19

This paper examines the performance of several precise point positioning (PPP) models, which combine dual-frequency GPS/Galileo observations in the un-differenced and between-satellite single-difference (BSSD) modes. These include the traditional un-differenced model, the decoupled clock model, the semi-decoupled clock model, and the between-satellite single-difference model. We take advantage of the IGS-MGEX network products to correct for the satellite differential code biases and the orbital and satellite clock errors. Natural Resources Canada's GPSPace PPP software is modified to handle the various GPS/Galileo PPP models. A total of six data sets of GPS and Galileo observations at six IGS stations are processed to examine the performance of the various PPP models. It is shown that the traditional un-differenced GPS/Galileo PPP model, the GPS decoupled clock model, and the semi-decoupled clock GPS/Galileo PPP model improve the convergence time by about 25% in comparison with the un-differenced GPS-only model. In addition, the semi-decoupled GPS/Galileo PPP model improves the solution precision by about 25% compared to the traditional un-differenced GPS/Galileo PPP model. Moreover, the BSSD GPS/Galileo PPP model improves the solution convergence time by about 50%, in comparison with the un-differenced GPS PPP model, regardless of the type of BSSD combination used. As well, the BSSD model improves the precision of the estimated parameters by about 50% and 25% when the loose and the tight combinations are used, respectively, in comparison with the un-differenced GPS-only model. Comparable results are obtained through the tight combination when either a GPS or a Galileo satellite is selected as a reference.

The age profile of the location decision of Australian general practitioners.

PubMed

Mu, Chunzhou

2015-10-01

The unbalanced distribution of general practitioners (GPs) across geographic areas has been acknowledged as a problem in many countries around the world. Quantitative information regarding GPs' location decision over their lifecycle is essential in developing effective initiatives to address the unbalanced distribution and retention of GPs. This paper describes the age profile of GPs' location decision and relates it to individual characteristics. I use the Medicine in Australia: Balancing Employment and Life (MABEL) survey of doctors (2008-2012) with a sample size of 5810 male and 5797 female GPs. I employ a mixed logit model to estimate GPs' location decision. The results suggest that younger GPs are more prepared to go to rural and remote areas but they tend to migrate back to urban areas as they age. Coming from a rural background increases the likelihood of choosing rural areas, but with heterogeneity: While male GPs from a rural background tend to stay in rural and remote areas regardless of age, female GPs from a rural background are willing to migrate to urban areas as they age. GPs who obtain basic medical degrees overseas are likely to move back to urban areas in the later stage of their careers. Completing a basic medical degree at an older age increases the likelihood of working outside major cities. I also examine factors influencing GPs' location transition patterns and the results further confirm the association of individual characteristics and GPs' location-age profile. The findings can help target GPs who are most likely to practise and remain in rural and remote areas, and tailor policy initiatives to address the undesirable distribution and movement of GPs according to the identified heterogeneous age profile of their location decisions. Copyright © 2015 Elsevier Ltd. All rights reserved.

2006 Precision Strike Technology Symposium

DTIC Science & Technology

2006-10-19

s Navy Unique Joint system 14 A/C Unique Components Framework JMPS Common Components Crypto Key GCCS-M Interface Carrier Intel Feed Carrier...210 GPS Prediction CUPC GPS Crypto Key TAMMAC SLAM-ER GPS Almanac ETIRMS PMA-281 NGMS PMA-209 Boeing PMA-201 Raytheon ESC (USAF) Hill AFB PMA-234 PMA...242 F/A-18 UPC GPS Prediction CUPC GPS Crypto Key TAMMAC SLAM-ER GPS Almanac HARM WASP Framework ARC-210 ETIRMS PMA-281 Integration/Test/ Support TLAM

The GPS Space Service Volume

NASA Technical Reports Server (NTRS)

Bauer, F. H.; Moreau, M. C.; Dahle-Melsaether, M. E.; Petrofski, W. P.; Stanton, B. J.; Thomason, S.; Harris, G. A.; Sena, R. P.; Temple, L. Parker, III

2006-01-01

Prior to the advent of artificial satellites, the concept of navigating in space and the desire to understand and validate the laws of planetary and satellite motion dates back centuries. At the initiation of orbital flight in 1957, space navigation was dominated by inertial and groundbased tracking methods, underpinned by the laws of planetary motion. It was early in the 1980s that GPS was first explored as a system useful for refining the position, velocity, and timing (PVT) of other spacecraft equipped with GPS receivers. As a result, an entirely new GPS utility was developed beyond its original purpose of providing PVT services for land, maritime, and air applications. Spacecraft both above and below the GPS constellation now receive the GPS signals, including the signals that spill over the limb of the Earth. The use of radionavigation satellite services for space navigation in High Earth Orbits is in fact a capability unique to GPS. Support to GPS space applications is being studied and planned as an important improvement to GPS. This paper discusses the formalization of PVT services in space as part of an overall GPS improvement effort. It describes the GPS Space Service Volume (SSV) and compares it to the Terrestrial Service Volume (TSV). It also discusses SSV coverage with the current GPS constellation, coverage characteristics as a function of altitude, expected power levels, and coverage figures of merit.

Evaluating elk habitat interactions with GPS collars

Treesearch

Mark A. Rumble; Lakhdar Benkobi; Fredrick Lindzey; R. Scott Gamo

2001-01-01

Global positioning systems (GPS) are likely to revolutionize animal telemetry studies. GPS collars allow biologists to collect systematically scheduled data when VHF telemetry data is difficult or impossible to collect. Past studies have shown that the success of GPS telemetry is greater when animals are standing, or in open habitats. To make effective use of GPS...

US Coast Guard GPS Information Center (GPSIC) and its function within the Civil GPS Service (CGS)

NASA Technical Reports Server (NTRS)

1993-01-01

In 1987, the U.S. Department of Defense (DOD) formally requested that the U.S. Department of Transportation (DOT) take responsibility for providing an office that would respond to nonmilitary user needs for GPS information, data, and assistance. DOT accepted this responsibility and in February 1989, named the Coast Guard as their lead agency for the project. Since that time, the U.S. Coast Guard has worked with the U.S. Space Command to develop requirements and implement a plan for providing the requested interface with the civil GPS community. The Civil GPS Service (CGS) consists of four main elements: GPS Information Center (GPSIC) - provides GPS status information to civilian users of the system: Civil GPS Service Interface Committee (CGSIC) - established to identify civil GPS user technical information needs in support of the CGS program; Differential GPS (DGPS) - Coast Guard Research and Development Project; and PPS Program Office (PPSPO) - (Under development) will administer the program allowing qualified civil users to have access to the PPS signal. Details about the services these organizations provide are described.

Caring for cancer survivors: perspectives of oncologists, general practitioners and patients in Italy.

PubMed

Puglisi, Fabio; Agostinetto, Elisa; Gerratana, Lorenzo; Bozza, Claudia; Cancian, Maurizio; Iannelli, Elisabetta; Ratti, Giovanni; Cinieri, Saverio; Numico, Gianmauro

2017-02-01

The present survey investigates the views of medical oncologists, general practitioners (GPs) and patients about the various surveillance strategies. An online survey was conducted in Italy on a population of 329 medical oncologists, 380 GPs and 350 patients. Most of GPs (n = 291; 76%) claim that follow-up should be provided by the collaboration between GPs and medical oncologists. Most medical oncologists report to have a poor relationship with GPs (n = 151; 46%) or no relationships at all (n = 14; 4%). Most patients believe there is no real collaboration between medical oncologists and GPs (n = 138; 54%). GPs, medical oncologists and patients share the idea that the collaboration between oncologists and GPs for surveillance of cancer survivors is poor and should be improved.

"We're certainly not in our comfort zone": a qualitative study of GPs' dementia-care educational needs.

PubMed

Foley, Tony; Boyle, Siobhán; Jennings, Aisling; Smithson, W Henry

2017-05-22

Rising dementia prevalence rates rise combined with the policy objective of enabling people with dementia to remain living at home, means that there will be a growing demand for dementia care in the community setting. However, GPs are challenged by dementia care and have identified it as an area in which further training is needed. Previous studies of GPs dementia care educational needs have explored the views of GPs alone, without taking the perspectives of people with dementia and family carers into account. The aim of the study was to explore GPs' dementia care educational needs, as viewed from multiple perspectives, in order to inform the design and delivery of an educational programme for GPs. A qualitative study of GPs, people with dementia and family carers in a community setting was undertaken. Face-to-face interviews were performed with GPs, people with dementia and with family carers. Interviews were audio-recorded, transcribed verbatim and thematically analysed. Thirty-one people were interviewed, consisting of fourteen GPs, twelve family carers and five people with dementia. GPs expressed a wish for further education, preferentially through small group workshops. Five distinct educational needs emerged from the interviews, namely, diagnosis, disclosure, signposting of local services, counselling and the management of behavioural and psychological symptoms (BPSD). While GPs focused on diagnosis, disclosure and BPSD in particular, people with dementia and family carers emphasised the need for GPs to engage in counselling and signposting of local services. The triangulation of data from multiple relevant sources revealed a broader range of GPs' educational needs, incorporating both medical and social aspects of dementia care. The findings of this study will inform the content and delivery of a dementia educational programme for GPs that is practice-relevant, by ensuring that the curriculum meets the needs of GPs, patients and their families.

A RCT of three training and support strategies to encourage implementation of screening and brief alcohol intervention by general practitioners.

PubMed

Kaner, E F; Lock, C A; McAvoy, B R; Heather, N; Gilvarry, E

1999-09-01

Providing doctors with new research findings or clinical guidelines is rarely sufficient to promote changes in clinical practice. An implementation strategy is required to provide clinicians with the skills and encouragement needed to alter established routines. To evaluate the effectiveness and cost-effectiveness of different training and support strategies in promoting implementation of screening and brief alcohol intervention (SBI) by general practitioners (GPs). Subjects were 128 GPs, one per practice, from the former Northern and Yorkshire Regional Health Authority, who agreed to use the 'Drink-Less' SBI programme in an earlier dissemination trial. GPs were stratified by previous marketing conditions and randomly allocated to three intensities of training and support: controls (n = 43) received the programme with written guidelines only, trained GPs (n = 43) received the programme plus practice-based training in programme usage, trained and supported GPs (n = 42) received the programme plus practice-based training and a support telephone call every two weeks. GPs were requested to use the programme for three months. Outcome measures included proportions of GPs implementing the programme and numbers of patients screened and intervened with. Seventy-three (57%) GPs implemented the programme and screened 11,007 patients for risk drinking. Trained and supported GPs were significantly more likely to implement the programme (71%) than controls (44%) or trained GPs (56%); they also screened, and intervened with, significantly more patients. Costs per patient screened were: trained and supported GPs, 1.05 Pounds; trained GPs, 1.08 Pounds; and controls, 1.47 Pounds. Costs per patient intervened with were: trained and supported GPs, 5.43 Pounds; trained GPs, 6.02 Pounds; and controls, 8.19 Pounds. Practice-based training plus support telephone calls was the most effective and cost-effective strategy to encourage implementation of SBI by GPs.

General practitioners using complementary and alternative medicine differ from general practitioners using conventional medicine in their view of the risks of electromagnetic fields: a postal survey from Germany.

PubMed

Kowall, Bernd; Breckenkamp, Jürgen; Berg-Beckhoff, Gabriele

2015-01-01

General practitioners (GPs) play a key role in consulting patients worried about health effects of electromagnetic fields (EMF). We compared GPs using conventional medicine (COM) with GPs using complementary and alternative medicine (CAM) concerning their perception of EMF risks. Moreover, we assessed whether the kind of alternative medicine has an influence on the results. A total of 2795 GPs drawn randomly from lists of German GPs were sent an either long or short self-administered postal questionnaire on EMF-related topics. Adjusted logistic regression models were fitted to assess the association of an education in alternative medicine with various aspects of perceiving EMF risks. Concern about EMF, misconceptions about EMF, and distrust toward scientific organizations are more prevalent in CAM-GPs. CAM-GPs more often falsely believed that mobile phone use can lead to head warming of more than 1°C (odds ratio [OR] = 2.2, 95% confidence interval [CI] = 1.5-3.3), more often distrusted the Federal Office for Radiation Protection (OR = 2.2, 95% CI = 1.4-3.6), were more often concerned about mobile phone base stations (OR = 2.4, 95% CI = 1.6-3.6), more often attributed own health complaints to EMF (OR = 3.2, 95% CI = 1.8-5.6), and more often reported at least 1 EMF consultation (OR = 2.5, 95% CI = 1.6-3.9). GPs using homeopathy perceived EMF as more risky than GPs using acupuncture or naturopathic treatment. Concern about common EMF sources is highly prevalent among German GPs. CAM-GPs perceive stronger associations between EMF and health problems than COM-GPs. There is a need for evidence-based information about EMF risks for GPs and particularly for CAM-GPs. This is the precondition that GPs can inform patients about EMF and health in line with current scientific knowledge. © The Author(s) 2014.

Understanding quit decisions in primary care: a qualitative study of older GPs.

PubMed

Sansom, Anna; Calitri, Raff; Carter, Mary; Campbell, John

2016-02-19

To investigate the reasons behind intentions to quit direct patient care among experienced general practitioners (GPs) aged 50-60 years. Qualitative study based on semistructured interviews with GPs in the South West region of England. Transcribed interviews were analysed thematically. 23 GPs aged 50-60 years: 3 who had retired from direct patient care before age 60, and 20 who intended to quit direct patient care within the next 5 years. The analysis identified four key themes: early retirement is a viable option for many GPs; GPs have employment options other than undertaking direct patient care; GPs report feeling they are doing an (almost) undoable job; and GPs may have other aspirations that pull them away from practice. Findings from this study confirmed those from earlier research, with high workload, ageing and health, family and domestic life, and organisational change all influencing GPs' decisions about when to retire/quit direct patient care. However, in addition, GPs expressed feelings of insecurity and uncertainty regarding the future of general practice, low morale, and issues regarding accountability (appraisal and revalidation) and governance. Suggestions about how to help retain GPs within the active clinical workforce were offered, covering individual, practice and organisational levels. This research highlights aspects of the current professional climate for GPs that are having an impact on retirement decisions. Any future changes to policy or practice to help retain experienced GPs will benefit from this informed understanding of GPs' views. Key factors to take into account include: making the GP workload more manageable; managing change sympathetically; paying attention to GPs' own health; improving confidence in the future of general practice; and improving GP morale. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Multi-technique combination of space geodesy observations: Impact of the Jason-2 satellite on the GPS satellite orbits estimation

NASA Astrophysics Data System (ADS)

Zoulida, Myriam; Pollet, Arnaud; Coulot, David; Perosanz, Félix; Loyer, Sylvain; Biancale, Richard; Rebischung, Paul

2016-10-01

In order to improve the Precise Orbit Determination (POD) of the GPS constellation and the Jason-2 Low Earth Orbiter (LEO), we carry out a simultaneous estimation of GPS satellite orbits along with Jason-2 orbits, using GINS software. Along with GPS station observations, we use Jason-2 GPS, SLR and DORIS observations, over a data span of 6 months (28/05/2011-03/12/2011). We use the Geophysical Data Records-D (GDR-D) orbit estimation standards for the Jason-2 satellite. A GPS-only solution is computed as well, where only the GPS station observations are used. It appears that adding the LEO GPS observations results in an increase of about 0.7% of ambiguities fixed, with respect to the GPS-only solution. The resulting GPS orbits from both solutions are of equivalent quality, agreeing with each other at about 7 mm on Root Mean Square (RMS). Comparisons of the resulting GPS orbits to the International GNSS Service (IGS) final orbits show the same level of agreement for both the GPS-only orbits, at 1.38 cm in RMS, and the GPS + Jason2 orbits at 1.33 cm in RMS. We also compare the resulting Jason-2 orbits with the 3-technique Segment Sol multi-missions d'ALTimétrie, d'orbitographie et de localisation précise (SSALTO) POD products. The orbits show good agreement, with 2.02 cm of orbit differences global RMS, and 0.98 cm of orbit differences RMS on the radial component.

Persuasion and types of enticements offered by pharmaceutical companies to Gold Coast general practitioners in an attempt to encourage a health website recommendation.

PubMed

Usher, Wayne; Skinner, James

2010-01-01

This study was undertaken to determine if pharmaceutical companies persuade and offer enticements to Gold Coast (Queensland, Australia) general practitioners (GPs), in an attempt to encourage them to recommend health websites to the health consumer. A survey instrument consisting of seven single response questions was mailed to 250 (61%) out of 410 GPs. Questions were designed to measure the percentages (%) and proportions associated with levels of persuasion and types of enticements pharmaceutical companies are offering GPs, in an attempt to encourage them to recommend health websites to the health consumer. The survey instrument allowed participants to indicate their (1) gender, (2) age and (3) years of experience (less experienced or= 10 years). One hundred and eight (43%) of the 250 GPs returned a completed survey. The return rate for male GPs was 72 (40%) and for female GPs, it was 36 (33%). Sixty-eight (63%) GPs indicated that they actively recommend health websites to their patients [male GPs--48 (71%), female GPs--20 (29%)]. This study highlights that female GPs (80%), those aged between 31 and 40 (77%) and GPs with < 10 years experience (72%) were more frequently targeted by pharmaceutical companies. This study reports that pharmaceutical companies are offering various types of enticements in an attempt to persuade Gold Coast GPs to recommend specific health websites to the health consumer. Further research should explore if similar levels of persuasion and types of enticements are being offered to GPs across Australia.

GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey.

PubMed

Cottrell, Elizabeth; Foster, Nadine E; Porcheret, Mark; Rathod, Trishna; Roddy, Edward

2017-06-17

The aim of this study was to investigate general practitioners' (GPs) attitudes, beliefs and behaviours regarding the use of exercise for patients with chronic knee pain (CKP) attributable to osteoarthritis. Primary care GPs in the UK. 5000 GPs, randomly selected from Binley's database, were mailed a cross-sectional questionnaire survey. GPs' attitudes and beliefs were investigated using attitude statements, and reported behaviours were identified using vignette-based questions. GPs were invited to report barriers experienced when initiating exercise with patients with CKP RESULTS: 835 (17%) GPs responded. Overall, GPs were positive about general exercise for CKP. 729 (87%) reported using exercise, of which, 538 (74%) reported that they would use both general and local (lower limb) exercises. However, only 92 (11% of all responding) GPs reported initiating exercise in ways aligning with best-evidence recommendations. 815 (98%) GPs reported barriers in using exercise for patients with CKP, most commonly, insufficient time in consultations (n=419; 51%) and insufficient expertise (n=337; 41%). While GPs' attitudes and beliefs regarding exercise for CKP were generally positive, initiation of exercise was often poorly aligned with current recommendations, and barriers and uncertainties were reported. GPs' use of exercise may be improved by addressing the key barriers of time and expertise, by developing a pragmatic approach that supports GPs to initiate individualised exercise, and/or by other professionals taking on this role. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Time aspects of the European Complement to GPS: Continental and transatlantic experimental phases

NASA Technical Reports Server (NTRS)

Uhrich, Pierre J. M.; Juompan, B.; Tourde, R.; Brunet, M.; Dutrey, J.-F.

1995-01-01

The CNES project of a European Complement to GPS (CE-GPS) is conceived to fulfill the needs of Civil Aviation for a non-precise approach phase with GPS as sole navigation means. This generates two missions: a monitoring mission - alarm of failure - ,and a navigation mission - generating a GPS-like signal on board the geostationary satellites. The host satellites will be the Inmarsat constellation. The CE-GPS missions lead to some time requirements, mainly the accuracy of GPS time restitution and of monitoring clock synchronization. To demonstrate that the requirements of the CE-GPS could be achieved, including the time aspects, an experiment has been scheduled over the Last two years, using a part of the Inmarsat II F-2 payload and specially designed ground stations based on 10 channels GPS receivers. This paper presents a review of the results obtained during the continental phase of the CE-GPS experiment with two stations in France, along with some experimental results obtained during the transatlantic phase (three stations in France, French Guyana, and South Africa). It describes the synchronization of the monitoring clocks using the GPS Common-view or the C- to L-Band transponder of the Inmarsat satellite, with an estimated accuracy better than 10 ns (1 sigma).

Identification of nutrition communication styles and strategies: a qualitative study among Dutch GPs.

PubMed

van Dillen, Sonja M E; Hiddink, Gerrit J; Koelen, Maria A; de Graaf, Cees; van Woerkum, Cees M J

2006-10-01

The objectives of this study were to identify nutrition communication styles of Dutch GPs, their strategies regarding nutrition communication and nutrition information seeking behaviours. Another aim is to provide a hypothetical model for nutrition communication style, including psycho-social and socio-demographic variables. Nine focus groups with 81 GPs were used to obtain GPs' perceptions of nutrition communication. Data were analysed with the computer software program NUD*IST. Five nutrition communication styles were identified, namely informational, reference, motivational, confrontational and holistic style. Referring to a dietician, providing advice according to Dietary Guidelines, and offering written education materials were mentioned as strategies regarding nutrition communication. GPs sought nutrition information in scientific studies, specialist literature, and postgraduate training courses. The informational style of nutrition communication was dominant among Dutch GPs. GPs hardly provided maintenance advice for nutrition behaviour. Many GPs referred patients to dieticians, who were viewed as colleagues. GPs tried to get basic information about nutrition by scanning the literature, but they were seldom actively involved in seeking specific nutrition information. Although GPs felt that patients expect expert nutrition information, they perceived their nutrition knowledge as restricted. We advise to raise self-efficacy of GPs regarding nutrition communication and to build good collaboration with dieticians.

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 timing products - Naval Oceanography Portal

Science.gov Websites

section Advanced Search... Sections Home Time Earth Orientation Astronomy Meteorology Oceanography Ice You are here: Home › USNO › Precise Time › GPS USNO Logo USNO Navigation Master Clock GPS Display Clocks TWSTT Telephone Time NTP Info GPS timing products USNO monitors the GPS constellation and provides

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.

Ideas for Future GPS Timing Improvements

NASA Technical Reports Server (NTRS)

Hutsell, Steven T.

1996-01-01

Having recently met stringent criteria for full operational capability (FOC) certification, the Global Positioning System (GPS) now has higher customer expectations than ever before. In order to maintain customer satisfaction, and the meet the even high customer demands of the future, the GPS Master Control Station (MCS) must play a critical role in the process of carefully refining the performance and integrity of the GPS constellation, particularly in the area of timing. This paper will present an operational perspective on several ideas for improving timing in GPS. These ideas include the desire for improving MCS - US Naval Observatory (USNO) data connectivity, an improved GPS-Coordinated Universal Time (UTC) prediction algorithm, a more robust Kalman Filter, and more features in the GPS reference time algorithm (the GPS composite clock), including frequency step resolution, a more explicit use of the basic time scale equation, and dynamic clock weighting. Current MCS software meets the exceptional challenge of managing an extremely complex constellation of 24 navigation satellites. The GPS community will, however, always seek to improve upon this performance and integrity.

Simulation and analysis of differential GPS

NASA Astrophysics Data System (ADS)

Denaro, R. P.

NASA is conducting a research program to evaluate differential Global Positioning System (GPS) concepts for civil helicopter navigation. It is pointed out that the civil helicopter community will probably be an early user of GPS because of the unique mission operations in areas where precise navigation aids are not available. However, many of these applications involve accuracy requirements which cannot be satisfied by conventional GPS. Such applications include remote area search and rescue, offshore oil platform approach, remote area precision landing, and other precise navigation operations. Differential GPS provides a promising approach for meeting very demanding accuracy requirements. The considered procedure eliminates some of the common bias errors experienced by conventional GPS. This is done by making use of a second GPS receiver. A simulation process is developed as a tool for analyzing various scenarios of GPS-referenced civil aircraft navigation.

Spaceborne GPS: Current Status and Future Visions

NASA Technical Reports Server (NTRS)

Bauer, Frank H.; Hartman, Kate; Lightsey, E. Glenn

1998-01-01

The Global Positioning System (GPS), developed by the Department of Defense is quickly revolutionizing the architecture of future spacecraft and spacecraft systems. Significant savings in spacecraft life cycle cost, in power, and in mass can be realized by exploiting GPS technology in spaceborne vehicles. These savings are realized because GPS is a systems sensor--it combines the ability to sense space vehicle trajectory, attitude, time, and relative ranging between vehicles into one package. As a result, a reduced spacecraft sensor complement can be employed and significant reductions in space vehicle operations cost can be realized through enhanced on-board autonomy. This paper provides an overview of the current status of spaceborne GPS, a description of spaceborne GPS receivers available now and in the near future, a description of the 1997-2000 GPS flight experiments, and the spaceborne GPS team's vision for the future.

Call Admission Control on Single Node Networks under Output Rate-Controlled Generalized Processor Sharing (ORC-GPS) Scheduler

NASA Astrophysics Data System (ADS)

Hanada, Masaki; Nakazato, Hidenori; Watanabe, Hitoshi

Multimedia applications such as music or video streaming, video teleconferencing and IP telephony are flourishing in packet-switched networks. Applications that generate such real-time data can have very diverse quality-of-service (QoS) requirements. In order to guarantee diverse QoS requirements, the combined use of a packet scheduling algorithm based on Generalized Processor Sharing (GPS) and leaky bucket traffic regulator is the most successful QoS mechanism. GPS can provide a minimum guaranteed service rate for each session and tight delay bounds for leaky bucket constrained sessions. However, the delay bounds for leaky bucket constrained sessions under GPS are unnecessarily large because each session is served according to its associated constant weight until the session buffer is empty. In order to solve this problem, a scheduling policy called Output Rate-Controlled Generalized Processor Sharing (ORC-GPS) was proposed in [17]. ORC-GPS is a rate-based scheduling like GPS, and controls the service rate in order to lower the delay bounds for leaky bucket constrained sessions. In this paper, we propose a call admission control (CAC) algorithm for ORC-GPS, for leaky-bucket constrained sessions with deterministic delay requirements. This CAC algorithm for ORC-GPS determines the optimal values of parameters of ORC-GPS from the deterministic delay requirements of the sessions. In numerical experiments, we compare the CAC algorithm for ORC-GPS with one for GPS in terms of schedulable region and computational complexity.

Indoor/Outdoor Seamless Positioning Using Lighting Tags and GPS Cellular Phones for Personal Navigation

NASA Astrophysics Data System (ADS)

Namie, Hiromune; Morishita, Hisashi

The authors focused on the development of an indoor positioning system which is easy to use, portable and available for everyone. This system is capable of providing the correct position anywhere indoors, including onboard ships, and was invented in order to evaluate the availability of GPS indoors. Although the performance of GPS is superior outdoors, there has been considerable research regarding indoor GPS involving sensitive GPS, pseudolites (GPS pseudo satellite), RFID (Radio Frequency IDentification) tags, and wireless LAN .However, the positioning rate and the precision are not high enough for general use, which is the reason why these technologies have not yet spread to personal navigation systems. In this regard, the authors attempted to implement an indoor positioning system using cellular phones with built-in GPS and infrared light data communication functionality, which are widely used in Japan. GPS is becoming increasingly popular, where GPGGS sentences of the NMEA outputted from the GPS receiver provide spatiotemporal information including latitude, longitude, altitude, and time or ECEF xyz coordinates. As GPS applications grow rapidly, spatiotemporal data becomes key to the ubiquitous outdoor and indoor seamless positioning services at least for the entire area of Japan, as well as to becoming familiar with satellite positioning systems (e.g. GPS). Furthermore, the authors are also working on the idea of using PDAs (Personal Digital Assistants), as cellular phones with built-in GPS and PDA functionality are also becoming increasingly popular.

Carrier-phase time transfer.

PubMed

Larson, K M; Levine, J

1999-01-01

We have conducted several time-transfer experiments using the phase of the GPS carrier rather than the code, as is done in current GPS-based time-transfer systems. Atomic clocks were connected to geodetic GPS receivers; we then used the GPS carrier-phase observations to estimate relative clock behavior at 6-minute intervals. GPS carrier-phase time transfer is more than an order of magnitude more precise than GPS common view time transfer and agrees, within the experimental uncertainty, with two-way satellite time-transfer measurements for a 2400 km baseline. GPS carrier-phase time transfer has a stability of 100 ps, which translates into a frequency uncertainty of about two parts in 10(-15) for an average time of 1 day.

GPS Eye-in-the-Sky Software Takes Closer Look Below

NASA Technical Reports Server (NTRS)

2006-01-01

At NASA, GPS is a vital resource for scientific research aimed at understanding and protecting Earth. The Agency employs the band of GPS satellites for such functions as mapping Earth s ionosphere and developing earthquake-prediction tools. Extending this worldly wisdom beyond Earth, NASA researchers are even discussing the possibility of developing global positioning satellites around Mars, in anticipation of future manned missions. Despite all of its terrestrial accomplishments, traditional GPS still has its limitations. The Space Agency is working to address these with many new advances, including a "Global Differential GPS" technology that instantaneously provides a position to within 4 inches horizontally and 8 inches vertically, anywhere on Earth. According to NASA's Jet Propulsion Laboratory, no other related system provides the same combination of accuracy and coverage. Furthermore, traditional GPS cannot communicate beyond latitudes of 75deg. That means that most of Greenland and Antarctica cannot receive GPS signals. The Global Differential GPS technology approaches this area of the world using several different GPS signals. These signals overlap to compensate for the gaps in coverage. Now, scientists working in the extreme northernmost and southernmost areas of the world can have access to the same GPS technology that other scientists around the world rely on.

[What Makes Happy Doctors? Job Satisfaction of General Practitioners in Mecklenburg-Western Pomerania - a Representative Cross-sectional Study].

PubMed

Löffler, C; Höck, J; Hornung, A; Kundt, G; Drewelow, E; Völker, S; Kreiser, B; Riedel, J; Altiner, A

2015-12-01

Studies provide evidence for the importance of general practitioners (GPs) job satisfaction for a secure and high quality health care provision. This study focuses on job satisfaction of GPs in Mecklenburg-Western Pomerania (MV), a rural area threatened by a lack of GPs. We investigate how satisfied GPs are with their job and which factors influence their job satisfaction. All 1 133 GPs working in MV in December 2011 were asked to complete a 57-item-questionnaire. The response rate reached 50.1%. The sample is representative for GPs in MV. Levels of job satisfaction are high and correlate with age and sex: females and GPs below 50 years of age are more satisfied. Factors contributing to high job satisfaction include a good doctor-patient relationship, fair pay, and the variety of reasons for doctor-patient consultations in primary care. Although all GPs were dissatisfied with bureaucracy, this factor has little impact on GPs' overall job satisfaction. In light of the imminent lack of GPs, in future it will be important to improve factors that have been demonstrated to increase job satisfaction. © Georg Thieme Verlag KG Stuttgart · New York.

Combining GPS, GIS, and accelerometry: methodological issues in the assessment of location and intensity of travel behaviors.

PubMed

Oliver, Melody; Badland, Hannah; Mavoa, Suzanne; Duncan, Mitch J; Duncan, Scott

2010-01-01

Global positioning systems (GPS), geographic information systems (GIS), and accelerometers are powerful tools to explain activity within a built environment, yet little integration of these tools has taken place. This study aimed to assess the feasibility of combining GPS, GIS, and accelerometry to understand transport-related physical activity (TPA) in adults. Forty adults wore an accelerometer and portable GPS unit over 7 consecutive days and completed a demographics questionnaire and 7-day travel log. Accelerometer and GPS data were extracted for commutes to/from workplace and integrated into a GIS database. GIS maps were generated to visually explore physical activity intensity, GPS speeds and routes traveled. GPS, accelerometer, and survey data were collected for 37 participants. Loss of GPS data was substantial due to a range of methodological issues, such as low battery life, signal drop out, and participant noncompliance. Nonetheless, greater travel distances and significantly higher speeds were observed for motorized trips when compared with TPA. Pragmatic issues of using GPS monitoring to understand TPA behaviors and methodological recommendations for future research were identified. Although methodologically challenging, the combination of GPS monitoring, accelerometry and GIS technologies holds promise for understanding TPA within the built environment.

Do GPs record the occupation of their patients?

PubMed

Richards-Taylor, A; Keay, J; Thorley, K

2013-03-01

General practitioners (GPs) have a central role in providing advice about fitness for work, yet there are concerns about their understanding of the relationship between work and health. To assess whether GPs in one Cornish practice record the occupation of patients of working age and to quantify how important GPs in Cornwall consider recording of occupation in working-age patients. An audit of the notes of 300 working-age patients in one practice, a search of the computer records at a different practice and a questionnaire survey of 202 GPs in practices in Cornwall. Occupation was recorded in 50 (17%) of the 300 patient notes audited. The questionnaire response rate was 31%. Few (8%) respondents reported training in occupational medicine. Most (65%) of GPs recorded their patients' occupation some of the time. A third (32%) of GPs did not consider it important to record patients' occupations. GPs in two Cornish practices recorded the occupation of working-age patients infrequently, but over two-thirds of GPs in Cornwall believe it is important to do so. If these results reflect the practice of UK GPs, the new 'e-fit note' may be of limited value in monitoring and analysing sickness absence.

Case-specific colleague guidance for general practitioners' management of sickness absence.

PubMed

Nordhagen, H P; Harvey, S B; Rosvold, E O; Bruusgaard, D; Blonk, R; Mykletun, A

2017-12-02

General practitioners (GPs) report sickness absence certification as challenging. They express need for support with functional assessment beyond guidelines and reforms. Case-specific collegial one-to-one guidance for other clinical topics has proved popular with GPs and may be an acceptable and effective way to improve GPs skills and competence in sickness absence certification. To present a new model of case-specific colleague guidance focusing on the management of long-term sickness absence and to describe its feasibility in terms of application and reception among GPs, and also GPs' self-reports of effects on their practice. Randomly selected GPs received case-specific collegial guidance over a 12-month period, in two Norwegian trials, delivered by former GPs employed by the social security administration. We measured reception and perceived effects by GPs' self-report and registered participation and withdrawal rates. The participation rate (n = 165) was 94%, and no GPs withdrew during training. Among the 116 GPs responding to the survey (70%), 112 (97%; 95% CI 92-99) stated they would recommend it to their colleagues. Considerable benefit from the guidance was reported by 68 (59%; 95% CI 50-68). The GPs self-reported other effects on their sickness absence certification, specifically an increased use of part-time sickness absence (Fit-Note equivalent). This model of case-specific colleague guidance to aid GPs' management of long-term sickness absence is feasible and was popular. This type of guidance was perceived by GPs to be somewhat beneficial and to alter their sickness absence certification behaviour, though the true impact requires further testing in controlled trials. © The Author 2017. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com

Application of global positioning system methods for the study of obesity and hypertension risk among low-income housing residents in New York City: a spatial feasibility study

PubMed Central

Duncan, Dustin T.; Regan, Seann D.; Shelley, Donna; Day, Kristen; Ruff, Ryan R.; Al-Bayan, Maliyhah; Elbel, Brian

2016-01-01

The purpose of this study was to evaluate the feasibility of using global positioning system (GPS) methods to understand the spatial context of obesity and hypertension risk among a sample of low-income housing residents in New York City (n = 120). GPS feasibility among participants was measured with a pre- and post-survey as well as adherence to a protocol which included returning the GPS device as well as objective data analysed from the GPS devices. We also conducted qualitative interviews with 21 of the participants. Most of the sample was overweight (26.7%) or obese (40.0%). Almost one-third (30.8%) was pre-hypertensive and 39.2% was hypertensive. Participants reported high ratings of GPS acceptability, ease of use and low levels of wear-related concerns in addition to few concerns related to safety, loss or appearance, which were maintained after the baseline GPS feasibility data collection. Results show that GPS feasibility increased over time. The overall GPS return rate was 95.6%. Out of the total of 114 participants with GPS, 112 (98.2%) delivered at least one hour of GPS data for one day and 84 (73.7%) delivered at least one hour on 7 or more days. The qualitative interviews indicated that overall, participants enjoyed wearing the GPS devices, that they were easy to use and charge and that they generally forgot about the GPS device when wearing it daily. Findings demonstrate that GPS devices may be used in spatial epidemiology research in low-income and potentially other key vulnerable populations to understand geospatial determinants of obesity, hypertension and other diseases that these populations disproportionately experience. PMID:25545926

Glasgow Prognostic Score is a predictor of perioperative and long-term outcome in patients with only surgically treated esophageal cancer.

PubMed

Vashist, Yogesh K; Loos, Julian; Dedow, Josephine; Tachezy, Michael; Uzunoglu, Guentac; Kutup, Asad; Yekebas, Emre F; Izbicki, Jakob R

2011-04-01

Systemic inflammation (SI) plays a pivotal role in cancer. C-reactive protein (CRP) and albumin as parameters of SI form the Glasgow Prognostic Score (GPS). The purpose of the study was to evaluate the potential prognostic role of GPS in a homogeneous population of esophageal cancer (EC) patients undergoing only resection. GPS was evaluated on the basis of admission blood sample taken before surgery. Patients with a CRP < 10 mg/L and albumin > 35 g/L were allocated to GPS0 group. If only CRP was increased or albumin decreased patients were allocated to the GPS1 and patients in whom CRP was ≥10 mg/L and albumin level ≤35 g/L were classified as GPS2. GPS was correlated to clinicopathological parameters and clinical outcome. Increasing GPS significantly correlated with more aggressive tumor biology in terms of tumor size (P < 0.001), presence of regional (P = 0.01) and nonregional lymph node metastasis (P = 0.02), and higher tumor recurrence rate (P < 0.001). Furthermore, GPS was identified as an independent prognosticator of perioperative morbidity (odds ratio 1.9; P = 0.03). In addition, a gradual decrease in disease-free and overall survival was evident between the three GPS subgroups. Survival differences between the GPS groups remained apparent even after stratification of the study population to underlying tumor type and nodal status. GPS was identified as a strong prognosticator of tumor recurrence (hazard ratio 2.5; P < 0.001) and survival (hazard ratio 3.0; P < 0.001) in EC. GPS represents a strong prognosticator of perioperative morbidity and long-term outcome in resected EC patients without neoadjuvant or adjuvant treatment.

Combined GPS/GLONASS Precise Point Positioning with Fixed GPS Ambiguities

PubMed Central

Pan, Lin; Cai, Changsheng; Santerre, Rock; Zhu, Jianjun

2014-01-01

Precise point positioning (PPP) technology is mostly implemented with an ambiguity-float solution. Its performance may be further improved by performing ambiguity-fixed resolution. Currently, the PPP integer ambiguity resolutions (IARs) are mainly based on GPS-only measurements. The integration of GPS and GLONASS can speed up the convergence and increase the accuracy of float ambiguity estimates, which contributes to enhancing the success rate and reliability of fixing ambiguities. This paper presents an approach of combined GPS/GLONASS PPP with fixed GPS ambiguities (GGPPP-FGA) in which GPS ambiguities are fixed into integers, while all GLONASS ambiguities are kept as float values. An improved minimum constellation method (MCM) is proposed to enhance the efficiency of GPS ambiguity fixing. Datasets from 20 globally distributed stations on two consecutive days are employed to investigate the performance of the GGPPP-FGA, including the positioning accuracy, convergence time and the time to first fix (TTFF). All datasets are processed for a time span of three hours in three scenarios, i.e., the GPS ambiguity-float solution, the GPS ambiguity-fixed resolution and the GGPPP-FGA resolution. The results indicate that the performance of the GPS ambiguity-fixed resolutions is significantly better than that of the GPS ambiguity-float solutions. In addition, the GGPPP-FGA improves the positioning accuracy by 38%, 25% and 44% and reduces the convergence time by 36%, 36% and 29% in the east, north and up coordinate components over the GPS-only ambiguity-fixed resolutions, respectively. Moreover, the TTFF is reduced by 27% after adding GLONASS observations. Wilcoxon rank sum tests and chi-square two-sample tests are made to examine the significance of the improvement on the positioning accuracy, convergence time and TTFF. PMID:25237901

Practice variation in surgical procedures and IUD-insertions among general practitioners in Norway - a longitudinal study.

PubMed

Pahle, Andreas Saxlund; Sørli, Daniel; Kristiansen, Ivar Sønbø; Deraas, Trygve S; Halvorsen, Peder A

2017-01-21

Studies of Primary Health Care (PHC) reveal considerable practice variations in terms of the range of services provided. In Norway, general practitioners (GPs) are traditionally expected to perform IUD-insertions and several surgical procedures as a part of comprehensive PHC. We aimed to investigate variation in the provision of surgical procedures and IUD-insertions across GPs and over time and explore determinants of such variation. Retrospective registry study of Norwegian GPs. From a comprehensive database of GPs' reimbursement claims, we obtained procedure codes and GP characteristics such as age, gender, list size and municipality characteristics from 2006 through 2013. Multivariable logistic regression models were fitted to explore determinants of practice variation. We extracted data from 4,828 GPs. In 2013, 91.0, 76.1 and 74.8% were reimbursed at least once for minor and major surgical procedures and IUD-insertion, respectively. Female GPs had lower odds for performing major surgical procedures (OR 0.38, 95% CI 0.32-0.45) and higher odds for performing IUD-insertions (OR 6.28, 95% CI 4.47-8.82) than male GPs. Older GPs and GPs with shorter patient lists were less likely to perform surgical procedures. GPs with longer patient lists had higher odds for performing IUD-insertions. The proportion of GPs performing surgical procedures increased over time, while the proportion decreased for IUD-insertions. The number of IUD-insertions in specialist care increased from 12,575 in 2011 to 15 216 (+21.0%) in 2014. We observed a large variation in the provision of surgical procedures and IUD-insertions amongst GPs in Norway. The GPs' age, gender, list size and size of municipality were associated with performing the procedures. Our findings suggest a shift of IUD-insertions from primary to specialist care.

Nausea in pregnancy: attitudes among pregnant women and general practitioners on treatment and pregnancy care.

PubMed

Heitmann, Kristine; Svendsen, Hans Christian; Sporsheim, Ingvild H; Holst, Lone

2016-01-01

Nausea and vomiting during pregnancy (NVP) is very common, and may have great impact on a woman's life. The aim of this study was to explore thoughts and attitudes among Norwegian pregnant women and GPs on treatment of NVP and pregnancy care. Focus-group study. Separate focus-group discussions were conducted with pregnant women and GPs. Two focus-group discussions were conducted with pregnant women and two with GPs. The GPs thought it was important to normalize NVP symptoms. However, the women felt their distress due to NVP was trivialized by the GPs. The women were sceptical towards the use of medicines while pregnant, and avoidance was sought despite being ill. The GPs appeared uncertain with respect to medical treatment of NVP, which was stated to be considered only after progression to quite severe symptoms. Sick leave seemed to be an important part of the treatment regime applied by the GPs. The women had good experiences with graded sick leave. This Norwegian study identifies attitudes among GPs and pregnant women that may act as obstacles to appropriate care for women with NVP. The pregnant women and the GPs seemed to talk at cross-purposes; GPs' normalization of the symptoms made the women feel that their distress due to NVP was trivialized by the GPs. Our results indicate that pregnant women with NVP requiring medical treatment probably need comprehensive and reassuring information about treatment options before considering using any medicines. Nausea and vomiting during pregnancy (NVP) is very common, and considered to be of clinical significance for 35% of women. While the GPs agreed on the importance of normalizing the symptoms, the women felt their distress was trivialized, and missed being properly evaluated. Both the GPs and the women showed a reluctant attitude to medical treatment of NVP. The GPs gave the impression of considering medical treatment only after progression of symptoms to becoming quite severe.

The work hours of GPs: survey of English GPs.

PubMed

Gravelle, Hugh; Hole, Arne Risa

2007-02-01

There is no current information about the hours worked by English GPs. To compare the reported hours worked by GPs with that of other professions and to explain the variation in GP hours worked and on call. National postal survey of 1871 GPs in February 2004. English general practice. Multiple regression analyses of part-time versus full-time status, hours worked, and hours on call. Full-time male GPs report more hours worked (49.6; 95% CI [confidence interval] = 48.9 to 50.2) than males in other professional occupations (47.9; 95% CI = 47.6 to 48.1) and male managers (49.1; 95% CI = 48.8 to 49.5). Full-time female GPs report fewer hours (43.2; 95% CI = 42.0 to 44.3) than females in other professional occupations (44.7; 95% CI = 44.4 to 45.0) and female managers (44.1; 95% CI = 43.7 to 44.5). The number of hours worked decreased with practice list size, and increased with the number of patients per GP. GPs work longer hours in practices with older patients and with a higher proportion of patients in nursing homes. Fewer hours are worked in practices with higher 'additional needs' payments. Having children under 18 years of age increased the probability that female GPs work part-time but has no effect on the probability of male GPs working part-time. Given full-time/part-time status, having children under 18 years of age reduces the hours of male and female GPs. Male English GPs report longer hours worked than other professional groups and managers. The sex differences between GPs in hours worked are mostly attributable to the differential impact of family circumstances, particularly the number of children they have. Perversely, 'additional needs' payments are higher in practices where GPs work fewer hours.

Gender differences among general practitioners in smoking cessation counseling practices.

PubMed

O'Loughlin, Jennifer; Makni, Héla; Tremblay, Michèle; Karp, Igor

2007-01-01

To describe gender differences in smoking cessation counseling practices among general practitioners (GPs), and to investigate the association between training for cessation counseling and counseling practices according to gender. Data were collected in two cross-sectional mail surveys conducted in independent random samples of GPs in Montreal, the first in 1998, and the second in 2000. Respondents included 653 GPs (71% of 916 eligible). All indicators of smoking cessation counseling practices were more favorable among female GPs. Higher proportions of female GPs had received training (28% vs. 17%, p=0.002), and were aware of mailed print educational materials related to cessation counseling (81% vs. 57%, p<0.0001). Training among male GPs was associated with higher scores for ascertainment of smoking status (odds ratio (OR) (95% confidence interval)=1.69 (0.97, 2.96)), provision of advice (OR=2.20 (1.23, 3.95)), and provision of adjunct support (OR=2.86 (1.58, 5.16)). Training was not associated with counseling practices among female GPs. Female GPs may not benefit from formal cessation counseling training to the same extent as male GPs, possibly because they read and integrate the content of (easily available) print educational materials into their clinical practice to a greater extent than male GPs. The gender-specific impact of print educational material and formal training on cessation counseling should be evaluated among GPs.

Applications of GPS technologies to field sports.

PubMed

Aughey, Robert J

2011-09-01

Global positioning system (GPS) technology was made possible after the invention of the atomic clock. The first suggestion that GPS could be used to assess the physical activity of humans followed some 40 y later. There was a rapid uptake of GPS technology, with the literature concentrating on validation studies and the measurement of steady-state movement. The first attempts were made to validate GPS for field sport applications in 2006. While GPS has been validated for applications for team sports, some doubts continue to exist on the appropriateness of GPS for measuring short high-velocity movements. Thus, GPS has been applied extensively in Australian football, cricket, hockey, rugby union and league, and soccer. There is extensive information on the activity profile of athletes from field sports in the literature stemming from GPS, and this includes total distance covered by players and distance in velocity bands. Global positioning systems have also been applied to detect fatigue in matches, identify periods of most intense play, different activity profiles by position, competition level, and sport. More recent research has integrated GPS data with the physical capacity or fitness test score of athletes, game-specific tasks, or tactical or strategic information. The future of GPS analysis will involve further miniaturization of devices, longer battery life, and integration of other inertial sensor data to more effectively quantify the effort of athletes.

The Glasgow Prognostic Score as a significant predictor of diffuse large B cell lymphoma treated with R-CHOP in China.

PubMed

Li, Xiaoyang; Zhang, Yunxiang; Zhao, Weili; Liu, Zhao; Shen, Yang; Li, Junmin; Shen, Zhixiang

2015-01-01

The Glasgow Prognostic Score (GPS) incorporates C-reactive protein and albumin as clinically useful markers of tumor behavior and shows significant prognostic value in several types of solid tumors. The accuracy of the GPS in predicting outcomes in diffuse large B cell lymphoma (DLBCL) remains unknown. We performed this study to evaluate the prognostic significance of the GPS in DLBCL in China. We retrospectively analyzed 160 patients with newly diagnosed DLBCL at the Shanghai Ruijin Hospital (China). The prognostic value of the GPS was evaluated and compared with that of the International Prognostic Index (IPI) and immunohistochemical subtyping. The GPS was defined as follows: GPS-0, C-reactive protein (CRP) ≤10 mg/L and albumin ≥35 g/L; GPS-1, CRP >10 mg/L or albumin <35 g/L; and GPS-2, CRP >10 mg/L and albumin <35 g/L. Patients with lower GPS tended to have better outcomes including progression-free survival (PFS, P < 0.001) and overall survival (OS, P < 0.001). Multivariate analysis demonstrated that high GPS and high IPI score were independent adverse predictors of OS. Similar to several other tumors, GPS is a reliable predictor of survival outcomes in DLBCL patients treated with R-CHOP therapy. Inflammatory responses are implicated in the progression and survival of patients with DLBCL.

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.

Wireless inertial measurement unit with GPS (WIMU-GPS)--wearable monitoring platform for ecological assessment of lifespace and mobility in aging and disease.

PubMed

Boissy, Patrick; Brière, Simon; Hamel, Mathieu; Jog, Mandar; Speechley, Mark; Karelis, Antony; Frank, James; Vincent, Claude; Edwards, Rodrick; Duval, Christian

2011-01-01

This paper proposes an innovative ambulatory mobility and activity monitoring approach based on a wearable datalogging platform that combines inertial sensing with GPS tracking to assess the lifespace and mobility profile of individuals in their home and community environments. The components, I/O architecture, sensors and functions of the WIMU-GPS are presented. Outcome variables that can be measured with it are described and illustrated. Data on the power usage, operating autonomy of the WIMU-GPS and the GPS tracking performances and time to first fix of the unit are presented. The study of lifespace and mobility with the WIMU-GPS can potentially provide unique insights into intrapersonal and environmental factors contributing to mobility restriction. On-going studies are underway to establish the validity and reliability of the WIMU-GPS in characterizing the lifespace and mobility profile of older adults.

Spaceborne GPS Current Status and Future Visions

NASA Technical Reports Server (NTRS)

Bauer, Frank H.; Hartman, Kate; Lightsey, E. Glenn

1998-01-01

The Global Positioning System (GPS), developed by the Department of Defense, is quickly revolutionizing the architecture of future spacecraft and spacecraft systems. Significant savings in spacecraft life cycle cost, in power, and in mass can be realized by exploiting Global Positioning System (GPS) technology in spaceborne vehicles. These savings are realized because GPS is a systems sensor-it combines the ability to sense space vehicle trajectory, attitude, time, and relative ranging between vehicles into one package. As a result, a reduced spacecraft sensor complement can be employed on spacecraft and significant reductions in space vehicle operations cost can be realized through enhanced on- board autonomy. This paper provides an overview of the current status of spaceborne GPS, a description of spaceborne GPS receivers available now and in the near future, a description of the 1997-1999 GPS flight experiments and the spaceborne GPS team's vision for the future.

The International GPS Service: A Global Resource for GPS Applications and Research

NASA Technical Reports Server (NTRS)

Neilan, Ruth E.; Zumberge, James F.; Beutler, Gerhard; Kouba, Jan

1997-01-01

Since June, 1992, the International GPS service has been coordinating a global civilian GPS infrastructure in order to support numerous GPS applications and research activities. A key aspect of the IGS is the reliability and quality of the analysis products that have been made available over the past five years through the IGS Analysis Centers and the Analysis Center Coordinator.

78 FR 57672 - 91st Meeting: RTCA Special Committee 159, Global Positioning Systems (GPS)

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-19

... include the following: Working Group Sessions October 7 Working Group 2C, GPS/Inertial, ARINC & A4A Rooms October 8 Working Group 2, GPS/WAAS, McIntosh-NBAA Room and Colson Board Room October 9 Working Group 2, GPS/WAAS, ARINC & A4A Rooms, Afternoon, 1:00 p.m.-5:00 p.m., Working Group 4, GPS/Precision Landing...

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.

The Performance Analysis of a Real-Time Integrated INS/GPS Vehicle Navigation System with Abnormal GPS Measurement Elimination

PubMed Central

Chiang, Kai-Wei; Duong, Thanh Trung; Liao, Jhen-Kai

2013-01-01

The integration of an Inertial Navigation System (INS) and the Global Positioning System (GPS) is common in mobile mapping and navigation applications to seamlessly determine the position, velocity, and orientation of the mobile platform. In most INS/GPS integrated architectures, the GPS is considered to be an accurate reference with which to correct for the systematic errors of the inertial sensors, which are composed of biases, scale factors and drift. However, the GPS receiver may produce abnormal pseudo-range errors mainly caused by ionospheric delay, tropospheric delay and the multipath effect. These errors degrade the overall position accuracy of an integrated system that uses conventional INS/GPS integration strategies such as loosely coupled (LC) and tightly coupled (TC) schemes. Conventional tightly coupled INS/GPS integration schemes apply the Klobuchar model and the Hopfield model to reduce pseudo-range delays caused by ionospheric delay and tropospheric delay, respectively, but do not address the multipath problem. However, the multipath effect (from reflected GPS signals) affects the position error far more significantly in a consumer-grade GPS receiver than in an expensive, geodetic-grade GPS receiver. To avoid this problem, a new integrated INS/GPS architecture is proposed. The proposed method is described and applied in a real-time integrated system with two integration strategies, namely, loosely coupled and tightly coupled schemes, respectively. To verify the effectiveness of the proposed method, field tests with various scenarios are conducted and the results are compared with a reliable reference system. PMID:23955434

A Forward GPS Multipath Simulator Based on the Vegetation Radiative Transfer Equation Model

PubMed Central

Wu, Xuerui; Jin, Shuanggen; Xia, Junming

2017-01-01

Global Navigation Satellite Systems (GNSS) have been widely used in navigation, positioning and timing. Nowadays, the multipath errors may be re-utilized for the remote sensing of geophysical parameters (soil moisture, vegetation and snow depth), i.e., GPS-Multipath Reflectometry (GPS-MR). However, bistatic scattering properties and the relation between GPS observables and geophysical parameters are not clear, e.g., vegetation. In this paper, a new element on bistatic scattering properties of vegetation is incorporated into the traditional GPS-MR model. This new element is the first-order radiative transfer equation model. The new forward GPS multipath simulator is able to explicitly link the vegetation parameters with GPS multipath observables (signal-to-noise-ratio (SNR), code pseudorange and carrier phase observables). The trunk layer and its corresponding scattering mechanisms are ignored since GPS-MR is not suitable for high forest monitoring due to the coherence of direct and reflected signals. Based on this new model, the developed simulator can present how the GPS signals (L1 and L2 carrier frequencies, C/A, P(Y) and L2C modulations) are transmitted (scattered and absorbed) through vegetation medium and received by GPS receivers. Simulation results show that the wheat will decrease the amplitudes of GPS multipath observables (SNR, phase and code), if we increase the vegetation moisture contents or the scatters sizes (stem or leaf). Although the Specular-Ground component dominates the total specular scattering, vegetation covered ground soil moisture has almost no effects on the final multipath signatures. Our simulated results are consistent with previous results for environmental parameter detections by GPS-MR. PMID:28587255

Integrating GPS, GYRO, vehicle speed sensor, and digital map to provide accurate and real-time position in an intelligent navigation system

NASA Astrophysics Data System (ADS)

Li, Qingquan; Fang, Zhixiang; Li, Hanwu; Xiao, Hui

2005-10-01

The global positioning system (GPS) has become the most extensively used positioning and navigation tool in the world. Applications of GPS abound in surveying, mapping, transportation, agriculture, military planning, GIS, and the geosciences. However, the positional and elevation accuracy of any given GPS location is prone to error, due to a number of factors. The applications of Global Positioning System (GPS) positioning is more and more popular, especially the intelligent navigation system which relies on GPS and Dead Reckoning technology is developing quickly for future huge market in China. In this paper a practical combined positioning model of GPS/DR/MM is put forward, which integrates GPS, Gyro, Vehicle Speed Sensor (VSS) and digital navigation maps to provide accurate and real-time position for intelligent navigation system. This model is designed for automotive navigation system making use of Kalman filter to improve position and map matching veracity by means of filtering raw GPS and DR signals, and then map-matching technology is used to provide map coordinates for map displaying. In practical examples, for illustrating the validity of the model, several experiments and their results of integrated GPS/DR positioning in intelligent navigation system will be shown for the conclusion that Kalman Filter based GPS/DR integrating position approach is necessary, feasible and efficient for intelligent navigation application. Certainly, this combined positioning model, similar to other model, can not resolve all situation issues. Finally, some suggestions are given for further improving integrated GPS/DR/MM application.

Immunization-based scores as independent prognostic predictors in soft tissue sarcoma patients

PubMed Central

Jiang, Shan-Shan; Jiang, Long; Weng, De-Sheng; Li, Yuan-fang; Pan, Qiu-Zhong; Zhao, Jing-Jing; Tang, Yan; Zhou, Zhi-Wei; Xia, Jian-Chuan

2017-01-01

Background: The purpose of this study was to examine and compare the prognostic value of different immunization-based scoring systems in patients with soft tissue sarcoma (STS). Methods: We conducted a retrospective study evaluating a cohort of 165 patients diagnosed with STS between July 2007 and July 2014. The relative Glasgow prognostic score (GPS) of these patients was calculated using 3 different systems: the traditional GPS system (tGPS), the modified GPS system 1 (m1GPS), and the modified GPS system 2 (m2GPS). Then, we evaluated the relationships between each GPS system and clinicopathological characteristics. The mean follow-up for survivors in the cohort was 73.7 months as of March 2015. Results: The most favorable overall survival (OS) rate was associated with the score 0 groups, and the poorest progression-free survival (PFS) rate was associated with the score 2 groups, regardless of which system was used to calculate the score. Specifically, the m1GPS provided the greatest accuracy in predicting OS and PFS. Moreover, the same effect was observed in a separate analysis restricted to patients with metastases. Remarkably, in patients with a score of 2 as measured by all 3 systems, local treatment resulted in a poorer prognosis compared to patients with a score of 2 who did not receive local treatment. Conclusion: The GPS is a valuable prognostic marker and has the capability to predict the appropriate treatment strategy for STS patients with metastases. The modified GPS systems demonstrated superior prognostic and predictive value compared with the traditional GPS system. PMID:28367240

Seeing through the glass darkly? A qualitative exploration of GPs' drinking and their alcohol intervention practices.

PubMed

Kaner, Eileen; Rapley, Tim; May, Carl

2006-08-01

Brief alcohol intervention is influenced by patients' personal characteristics as well as their clinical risk. Risk-drinkers from higher social-status groups are less likely to receive brief intervention from GPs than those from lower social-status groups. Thus GPs' perception of social similarity or distance may influence brief intervention. To explore the role that GPs' drinking behaviour plays in their recognition of alcohol-related risk in patients. A qualitative interview study with 29 GPs recruited according to maximum variation sampling. All interviews were audio-recorded and transcribed verbatim. Analysis was inductive with constant comparison within and between themes plus deviant case analysis. Analysis developed until category saturation was reached. GPs described a range of personal drinking practices that broadly mirrored population drinking patterns. Many saw themselves as part of mainstream society, sharing in culturally sanctioned behaviour. For some GPs, shared drinking practices could increase empathy for patients who drank, and facilitate discussion about alcohol. However, several GPs regarded themselves as distinct from 'others', separating their own drinking from that of patients. Several GPs described a form of bench-marking, wherein only patients who drank more, or differently, to themselves were felt to be 'at risk'. Alcohol is clearly a complex and emotive health and social issue and GPs are not immune to its effects. For some GPs' shared drinking behaviour can act as a window of opportunity enabling insight on alcohol issues and facilitating discussion. However, other GPs may see through the glass more darkly and selectively recognize risk only in those patients who are least like them.

Development of GPS survey data management protocols/policy.

DOT National Transportation Integrated Search

2010-08-01

This project developed a statewide policy and criteria for collecting, analyzing, and managing global position system (GPS) survey data. The research project determined the needs of the Department in adopting the GPS real time kinetic (GPS RTK) stake...

GPS/GNSS Antenna Characterization : GPS-ABC Workshop V RTCA Washington, DC October 14, 2016.

DOT National Transportation Integrated Search

2016-10-14

One component of the Department of Transportations GPS Adjacent Band : Compatibility Study is the characterization of GPS/GNSS receiver antennas : Such characterization is needed to: : Compare radiated and conducted (wired) test result...

Comparison of Glasgow prognostic score and prognostic index in patients with advanced non-small cell lung cancer.

PubMed

Jiang, Ai-Gui; Chen, Hong-Lin; Lu, Hui-Yu

2015-03-01

Previous studies have shown that Glasgow prognostic score (GPS) and prognostic index (PI) are also powerful prognostic tool for patients with advanced non-small cell lung cancer (NSCLC). The aim of this study was to compare the prognostic value between GPS and PI. We enrolled consecutive patients with advanced NSCLC in this prospective cohort. GPS and PI were calculated before the onset of chemotherapy. The prognosis outcomes included 1-, 3-, and 5-year progression-free survival and overall survival (OS). The performance of two scores in predicting prognosis was analyzed regarding discrimination and calibration. 138 patients were included in the study. The area under the receiver operating characteristic curve for GPS predicting 1-year DFS was 0.62 (95 % confidence interval (CI) 0.56-0.68, P < 0.05), and the area under curve for PI predicting 1-year DFS was 0.57 (95 % CI 0.52-0.63). Delong's test showed that GPS was more accurate than PI in predicting 1-year DFS (P < 0.05). Similar results of discriminatory power were found for predicting 3-year DFS, 1-year OS, and 3-year OS. The predicted 1-year DFS by GPS 0, GPS 1, and GPS 2 were 62.5, 42.1, and 23.1 %, respectively, while actual 1-year DFS by GPS 0, GPS 1, and GPS 2 were 61.1, 43.8, and 27.2 %, respectively. Calibration of the Hosmer and Lemeshow statistic showed good fit of the predicted 1-year DFS to the actual 1-year DFS by GPS (χ(2) = 4.326, P = 0.462), while no fit was found between the predicted 1-year DFS and the actual 1-year DFS by PI (χ(2) = 15.234, P = 0.091). Similar results of calibration power were found for predicting 3-year DFS, 5-year DFS, 1-year OS, 3-year OS, and 5-year OS by GPS and PI. GPS is more accurate than PI in predicting prognosis for patients with advanced NSCLC. GPS can be used as a useful and simple tool for predicting prognosis in patients with NSCLC. However, GPS only can be used for preliminary assessment because of low predicting accuracy.

CORRELATION OF CHANDRA PHOTONS WITH THE RADIO GIANT PULSES FROM THE CRAB PULSAR

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

Bilous, A. V.; McLaughlin, M. A.; Kondratiev, V. I.

2012-04-10

No apparent correlation was found between giant pulses (GPs) and X-ray photons from the Crab pulsar during 5.4 hr of simultaneous observations with the Green Bank Telescope at 1.5 GHz and Chandra X-Ray Observatory primarily in the energy range of 1.5-4.5 keV. During the Crab pulsar periods with GPs, the X-ray flux in radio emission phase windows does not change more than by {+-}10% for main pulse (MP) GPs and {+-}30% for interpulse (IP) GPs. During GPs themselves, the X-ray flux does not change by more than two times for MP GPs and five times for IP GPs. All limitsmore » quoted are compatible with 2{sigma} fluctuations of the X-ray flux around the sets of false GPs with random arrival times. The results speak in favor of changes in plasma coherence as the origin of GPs. However, the results do not rule out variations in the rate of particle creation if the particles that emit coherent radio emission are mostly at the lowest Landau level.« less

Two laboratory methods for the calibration of GPS speed meters

NASA Astrophysics Data System (ADS)

Bai, Yin; Sun, Qiao; Du, Lei; Yu, Mei; Bai, Jie

2015-01-01

The set-ups of two calibration systems are presented to investigate calibration methods of GPS speed meters. The GPS speed meter calibrated is a special type of high accuracy speed meter for vehicles which uses Doppler demodulation of GPS signals to calculate the measured speed of a moving target. Three experiments are performed: including simulated calibration, field-test signal replay calibration, and in-field test comparison with an optical speed meter. The experiments are conducted at specific speeds in the range of 40-180 km h-1 with the same GPS speed meter as the device under calibration. The evaluation of measurement results validates both methods for calibrating GPS speed meters. The relative deviations between the measurement results of the GPS-based high accuracy speed meter and those of the optical speed meter are analyzed, and the equivalent uncertainty of the comparison is evaluated. The comparison results justify the utilization of GPS speed meters as reference equipment if no fewer than seven satellites are available. This study contributes to the widespread use of GPS-based high accuracy speed meters as legal reference equipment in traffic speed metrology.

A Simple Method to Improve Autonomous GPS Positioning for Tractors

PubMed Central

Gomez-Gil, Jaime; Alonso-Garcia, Sergio; Gómez-Gil, Francisco Javier; Stombaugh, Tim

2011-01-01

Error is always present in the GPS guidance of a tractor along a desired trajectory. One way to reduce GPS guidance error is by improving the tractor positioning. The most commonly used ways to do this are either by employing more precise GPS receivers and differential corrections or by employing GPS together with some other local positioning systems such as electronic compasses or Inertial Navigation Systems (INS). However, both are complex and expensive solutions. In contrast, this article presents a simple and low cost method to improve tractor positioning when only a GPS receiver is used as the positioning sensor. The method is based on placing the GPS receiver ahead of the tractor, and on applying kinematic laws of tractor movement, or a geometric approximation, to obtain the midpoint position and orientation of the tractor rear axle more precisely. This precision improvement is produced by the fusion of the GPS data with tractor kinematic control laws. Our results reveal that the proposed method effectively reduces the guidance GPS error along a straight trajectory. PMID:22163917

The application of GPS precise point positioning technology in aerial triangulation

NASA Astrophysics Data System (ADS)

Yuan, Xiuxiao; Fu, Jianhong; Sun, Hongxing; Toth, Charles

In traditional GPS-supported aerotriangulation, differential GPS (DGPS) positioning technology is used to determine the 3-dimensional coordinates of the perspective centers at exposure time with an accuracy of centimeter to decimeter level. This method can significantly reduce the number of ground control points (GCPs). However, the establishment of GPS reference stations for DGPS positioning is not only labor-intensive and costly, but also increases the implementation difficulty of aerial photography. This paper proposes aerial triangulation supported with GPS precise point positioning (PPP) as a way to avoid the use of the GPS reference stations and simplify the work of aerial photography. Firstly, we present the algorithm for GPS PPP in aerial triangulation applications. Secondly, the error law of the coordinate of perspective centers determined using GPS PPP is analyzed. Thirdly, based on GPS PPP and aerial triangulation software self-developed by the authors, four sets of actual aerial images taken from surveying and mapping projects, different in both terrain and photographic scale, are given as experimental models. The four sets of actual data were taken over a flat region at a scale of 1:2500, a mountainous region at a scale of 1:3000, a high mountainous region at a scale of 1:32000 and an upland region at a scale of 1:60000 respectively. In these experiments, the GPS PPP results were compared with results obtained through DGPS positioning and traditional bundle block adjustment. In this way, the empirical positioning accuracy of GPS PPP in aerial triangulation can be estimated. Finally, the results of bundle block adjustment with airborne GPS controls from GPS PPP are analyzed in detail. The empirical results show that GPS PPP applied in aerial triangulation has a systematic error of half-meter level and a stochastic error within a few decimeters. However, if a suitable adjustment solution is adopted, the systematic error can be eliminated in GPS-supported bundle block adjustment. When four full GCPs are emplaced in the corners of the adjustment block, then the systematic error is compensated using a set of independent unknown parameters for each strip, the final result of the bundle block adjustment with airborne GPS controls from PPP is the same as that of bundle block adjustment with airborne GPS controls from DGPS. Although the accuracy of the former is a little lower than that of traditional bundle block adjustment with dense GCPs, it can still satisfy the accuracy requirement of photogrammetric point determination for topographic mapping at many scales.

78 FR 37454 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-21

... National, RNAV (GPS) RWY 20, Amdt 1 Osceola, WI, L O Simenstad Muni, RNAV (GPS) RWY 10, Orig Osceola, WI, L... June 2013 Klawock, AK, Klawock, RNAV (GPS) RWY 2, Orig * * * Effective 25 July 2013 Mesa, AZ, Falcon Fld, RNAV (GPS) RWY 4R, Amdt 1A Ontario, CA, Ontario Intl, RNAV (GPS) Y RWY 8L, Amdt 1C Meriden, CT...

Techniques for monitoring and controlling yaw attitude of a GPS satellite

NASA Technical Reports Server (NTRS)

Lichten, Stephen M. (Inventor); Bar-Sever, Yoaz (Inventor); Zumberge, James (Inventor); Bertiger, William I. (Inventor); Muellerschoen, Ronald J. (Inventor); Wu, Sien-Chong (Inventor); Hurst, Kenneth (Inventor); Blewitt, Geoff (Inventor); Yunck, Thomas (Inventor); Thornton, Catherine (Inventor)

2001-01-01

Techniques for monitoring and controlling yawing of a GPS satellite in an orbit that has an eclipsing portion out of the sunlight based on the orbital conditions of the GPS satellite. In one embodiment, a constant yaw bias is generated in the attitude control system of the GPS satellite to control the yawing of the GPS satellite when it is in the shadow of the earth.

Navigation: National Plans; NAVSTAR-GPS; Laser Gyros

DTIC Science & Technology

1982-08-31

REFERENC-~CP STER . TECHNICAL REPORT ! "NO. 12686,-’-. - NAVIGATION: NATIONAL PLANS ; NAVSTAR-GPS; LASER GYROS CONTRACT NO. DAAK30-80-C-0073 31 AUGUST...Technical ReportAW Ng. riiNational Plans ; Navstar-GPS; S... : NavstarGPS; a3 Sept 1980 - 31 Aug 1982 ....Lasr Gyros. 6. PERFORMING ORG. REPORT NUMBER PRA...identify by block number) Navigation Navigation Satellites Laser Gyros Position-Location . NAVSTAR-GPS Fiberoptic Gyros Planning Global Positioning System

Evaluation of a Mobile Phone for Aircraft GPS Interference

NASA Technical Reports Server (NTRS)

Nguyen, Truong X.

2004-01-01

Measurements of spurious emissions from a mobile phone are conducted in a reverberation chamber for the Global Positioning System (GPS) radio frequency band. This phone model was previously determined to have caused interference to several aircraft GPS receivers. Interference path loss (IPL) factors are applied to the emission data, and the outcome compared against GPS receiver susceptibility. The resulting negative safety margins indicate there are risks to aircraft GPS systems. The maximum emission level from the phone is also shown to be comparable with some laptop computer's emissions, implying that laptop computers can provide similar risks to aircraft GPS receivers.

Application of GPS tracking techniques to orbit determination for TDRS

NASA Technical Reports Server (NTRS)

Haines, B. J.; Lichten, S. M.; Malla, R. P.; Wu, S. C.

1993-01-01

In this paper, we evaluate two fundamentally different approaches to TDRS orbit determination utilizing Global Positioning System (GPS) technology and GPS-related techniques. In the first, a GPS flight receiver is deployed on the TDRSS spacecraft. The TDRS ephemerides are determined using direct ranging to the GPS spacecraft, and no ground network is required. In the second approach, the TDRSS spacecraft broadcast a suitable beacon signal, permitting the simultaneous tracking of GPS and TDRSS satellites from a small ground network. Both strategies can be designed to meet future operational requirements for TDRS-2 orbit determination.

A review of GPS-based tracking techniques for TDRS orbit determination

NASA Technical Reports Server (NTRS)

Haines, B. J.; Lichten, S. M.; Malla, R. P.; Wu, S.-C.

1993-01-01

This article evaluates two fundamentally different approaches to the Tracking and Data Relay Satellite (TDRS) orbit determination utilizing Global Positioning System (GPS) technology and GPS-related techniques. In the first, a GPS flight receiver is deployed on the TDRS. The TDRS ephemerides are determined using direct ranging to the GPS spacecraft, and no ground network is required. In the second approach, the TDRS's broadcast a suitable beacon signal, permitting the simultaneous tracking of GPS and Tracking and Data Relay Satellite System satellites by ground receivers. Both strategies can be designed to meet future operational requirements for TDRS-II orbit determination.

Altimetry Using GPS-Reflection/Occultation Interferometry

NASA Technical Reports Server (NTRS)

Cardellach, Estel; DeLaTorre, Manuel; Hajj, George A.; Ao, Chi

2008-01-01

A Global Positioning System (GPS)- reflection/occultation interferometry was examined as a means of altimetry of water and ice surfaces in polar regions. In GPS-reflection/occultation interferometry, a GPS receiver aboard a satellite in a low orbit around the Earth is used to determine the temporally varying carrier- phase delay between (1) one component of a signal from a GPS transmitter propagating directly through the atmosphere just as the GPS transmitter falls below the horizon and (2) another component of the same signal, propagating along a slightly different path, reflected at glancing incidence upon the water or ice surface.

Use and Protection of GPS Sidelobe Signals for Enhanced Navigation Performance in High Earth Orbit

NASA Technical Reports Server (NTRS)

Parker, Joel J. K.; Valdez, Jennifer E.; Bauer, Frank H.; Moreau, Michael C.

2016-01-01

The application of the Global Positioning System (GPS) for navigation of spacecraft in High and Geosynchronous Earth Orbit (HEO/GEO) has crossed a threshold and is now being employed in operational missions. Utilizing advanced GPS receivers optimized for these missions, space users have made extensive use of the sidelobe transmissions from the GPS satellites to realize navigation performance that far exceeds that predicted by pre-launch simulations. Unfortunately, the official specification for the GPS Space Service Volume (SSV), developed in 2006, assumes that only signals emanating from the main beam of the GPS transmit antenna are useful for navigation, which greatly under-estimates the number of signals available for navigation purposes. As a result, future high-altitude space users may be vulnerable to any GPS design changes that suppress the sidelobe transmissions, beginning with Block III space vehicles (SVs) 11-32. This paper presents proposed changes to the GPS system SSV requirements, as informed by data from recent experiments in the SSV and new mission applications that are enabled by GPS navigation in HEO/GEO regimes. The NASA/NOAA GOES-R series satellites are highlighted as an example of a mission that relies on this currently-unspecified GPS system performance to meet mission requirements.

What is the problem with medically unexplained symptoms for GPs? A meta-synthesis of qualitative studies.

PubMed

Johansen, May-Lill; Risor, Mette Bech

2017-04-01

To gain a deeper understanding of challenges faced by GPs when managing patients with MUS. We used meta-ethnography to synthesize qualitative studies on GPs' perception and management of MUS. The problem with MUS for GPs is the epistemological incongruence between dominant disease models and the reality of meeting patients suffering from persistent illness. GPs have used flexible approaches to manage the situation, yet patients and doctors have had parallel negative experiences of being stuck, untrustworthy and helpless. In the face of cognitive incongruence, GPs have strived to achieve relational congruence with their patients. This has led to parallel positive experiences of mutual trust and validation. With more experience, some GPs seem to overcome the incongruences, and later studies point towards a reframing of the MUS problem. For GPs, the challenge with MUS is most importantly at an epistemological level. Hence, a full reframing of the problem of MUS for GPs (and for patients) implies broad changes in basic medical knowledge and education. Short-term: Improve management of patients with MUS by transferring experience-based, reality-adjusted knowledge from senior GPs to juniors. Long-term: Work towards new models of disease that integrate knowledge from all relevant disciplines. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

GPs opinions and perceptions of chiropractic in Sweden and Norway: a descriptive survey

PubMed Central

2013-01-01

Background In Sweden, chiropractic is not included in mainstream health care. In Norway chiropractic is a recognized health care profession. The aim of this study was to explore the perceptions of chiropractic among Swedish and Norwegian General Practitioners (GPs). Methods Eight hundred surveys in each country were distributed randomly by post to Swedish and Norwegian GPs offices. The survey contained two main sections: Experiences and opinions about chiropractic and referral patterns. The data were then described and compared between the countries. Results In Sweden the response rate was 44.8% and in Norway 45.3%. More than half of the Swedish GPs participating in this study stated that they had poor knowledge about chiropractic, while just a tenth of Norwegian GPs stated the same. Nearly all Norwegian GPs had some experience of chiropractic treatment whilst a fairly large number of the Swedish GPs said that they had no experience at all of chiropractic. It was twice as common for GPs in Norway to refer patients to a chiropractor as compared to Sweden. However, Swedish and Norwegian GPs agreed that chiropractors were competent to treat musculo-skeletal conditions with an adequate education to be part of mainstream medicine. Conclusions Swedish and Norwegian GPs agree that chiropractors are competent to treat musculoskeletal conditions. However, there are many differences in GPs perceptions of chiropractic between the two countries and the overall picture indicates that chiropractic is more accepted and recognised as a health care profession in Norway. PMID:24128386

Immigrant general practitioners in Norway: a special resource? A qualitative study.

PubMed

Díaz, Esperanza; Hjörleifsson, Stefán

2011-05-01

To explore whether and how immigrant general practitioners (GPs) in two major cities in Norway think that their own ethnic background affects their practices and their work. Qualitative focus group and individual interviews with seven immigrant GPs, five men and two women, age 36-65 years. Their clinical experience in Norwegian primary health care ranged from four to 30 years. Analysis was conducted by systematic text condensation. First, immigrant GPs described a gradual process of becoming bicultural: the GPs communicate with immigrant patients on their own terms and draw upon their special knowledge from abroad to help selected patients, while also adapting to Norwegian cultural expectations of the GP's role. Second, the GPs described being aware of cultural issues in consultations with immigrant and Norwegian patients, but rarely making these issues explicit. The GPs ventured that cultural awareness, together with their personal experience in their own countries and as immigrants in Norway, made them able to sometimes help immigrant patients better than Norwegian GPs. Third, immigrant GPs experienced a big workload related to immigrant patients, but they accepted this as a natural part of their work. Fourth, immigrant GPs felt that they had to work harder and be more careful than their Norwegian colleagues in order to avoid complaints from patients, and to be accepted by colleagues. Immigrant GPs express broad cultural competence and keen cultural awareness in their consultations. The immigrant background of these GPs could be considered as a special resource for clinical practice.

GPS Recovery of Daily Hydrologic and Atmospheric Mass Variation: A Methodology and Results From the Australian Continent

NASA Astrophysics Data System (ADS)

Han, Shin-Chan; Razeghi, S. Mahdiyeh

2017-11-01

We present a methodology to invert a regional set of vertical displacement data from Global Positioning System (GPS) to determine the surface mass redistribution. It is assumed that GPS deformation is a result of the Earth's elastic response to the surface mass load of hydrology, atmosphere, and/or ocean. We develop an algorithm to estimate the spectral information of displacements from "regional" GPS data through regional spherical (Slepian) basis functions and apply the load Love numbers to estimate the mass load. The same approach is applied to determine global mass changes from "global" geopotential change data of Gravity Recovery and Climate Experiment (GRACE). We rigorously examine all systematic errors caused by various truncations (spherical harmonic series and Slepian series) and the smoothing constraint applied to the GPS inversion. We demonstrate the technique by processing 16 years of daily vertical motions determined from 114 GPS stations in Australia. The GPS-inverted surface mass changes are validated against GRACE data, atmosphere and ocean models, and a land surface model. Seasonal and interannual terrestrial mass variations from GPS are in good agreement with GRACE data and the water storage models. The GPS recovery compares better with the water storage model around the smaller coastal basins than two different GRACE solutions. The submonthly mass changes from GPS provide meaningful results agreeing with atmospheric mass changes in central Australia. Finally, it is suggested to integrate GPS and GRACE data to draw a comprehensive picture of daily mass changes on different continents.

Salaried contracts in UK general practice: a study of job satisfaction and stress.

PubMed

Gosden, Toby; Williams, Jacky; Petchey, Roland; Leese, Brenda; Sibbald, Bonnie

2002-01-01

To compare job satisfaction and stress levels of general practitioners (GPs) employed on salaried contracts with GPs on a 'standard' performance-related contract paid by fee-for-service and capitation. Job satisfaction and stress levels were assessed using data from two postal surveys of GPs: a national survey of 'standard' contract GPs carried out in 1998; and a survey of salaried GPs and their non-salaried GP employers in 1999. Differences in satisfaction and stress scores were assessed by t-tests; regression analysis was used to control for confounding factors and possible selection bias. We achieved a response rate of 77% in the 1999 survey of salaried and non-salaried GPs; 48% of 'standard' contract GPs responded in the 1998 survey. We found that salaried GPs were as satisfied overall as both non-salaried GP employers and GPs on the 'standard' contract, even after controlling for confounding factors and selection bias. Salaried GPs were more satisfied with their remuneration, working hours and the recognition they got for their work. They experienced more stress with two factors but less stress with 19 factors compared with the 'standard' contract GPs. Overall job satisfaction levels among salaried doctors were similar to those of doctors on contracts paid by mixed fee-for-service and capitation. Future studies of job satisfaction levels under different doctor payment systems need to take account of the extent to which doctors have preferences for different types of contract if they are to derive unbiased results.

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

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.

Consulting room computers and their effect on general practitioner-patient communication.

PubMed

Noordman, Janneke; Verhaak, Peter; van Beljouw, Ilse; van Dulmen, Sandra

2010-12-01

in the western medical world, computers form part of the standard equipment in the consulting rooms of most GPs. As the use of a computer requires time and attention from GPs, this may well interfere with the communication process. Yet, the information accessed on the computer may also enhance communication. the present study affords insight into the relationship between computer use and GP-patient communication recorded by the same GPs over two periods. videotaped GP consultations collected in 2001 and 2008 were used to observe computer use and GP-patient communication. In addition, patients questionnaires about their experiences with communication by the GP were analysed using multilevel models with patients (Level 1) nested within GPs (Level 2). both in 2008 and in 2001, GPs used their computer in almost every consultation. Still, our study showed a change in computer use by the GPs over time. In addition, the results indicate that computer use is negatively related to some communication aspects: the patient-directed gaze of the GP and the amount of information given by GPs. There is also a negative association between computer use and the body posture of the GP. Computer use by GPs is not associated with other (analysed) non-verbal and verbal behaviour of GPs and patients. Moreover, computer use is scarcely related to patients' experiences with the communication behaviour of the GP. GPs show greater reluctance to use computers in 2008 compared to 2001. Computer use can indeed affect the communication between GPs and patients. Therefore, GPs ought to remain aware of their computer use during consultations and at the same time keep the interaction with the patient alive.

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.

Evaluation of micro-GPS receivers for tracking small-bodied mammals

PubMed Central

Shipley, Lisa A.; Forbey, Jennifer S.; Olsoy, Peter J.

2017-01-01

GPS telemetry markedly enhances the temporal and spatial resolution of animal location data, and recent advances in micro-GPS receivers permit their deployment on small mammals. One such technological advance, snapshot technology, allows for improved battery life by reducing the time to first fix via postponing recovery of satellite ephemeris (satellite location) data and processing of locations. However, no previous work has employed snapshot technology for small, terrestrial mammals. We evaluated performance of two types of micro-GPS (< 20 g) receivers (traditional and snapshot) on a small, semi-fossorial lagomorph, the pygmy rabbit (Brachylagus idahoensis), to understand how GPS errors might influence fine-scale assessments of space use and habitat selection. During stationary tests, microtopography (i.e., burrows) and satellite geometry had the largest influence on GPS fix success rate (FSR) and location error (LE). There was no difference between FSR while animals wore the GPS collars above ground (determined via light sensors) and FSR generated during stationary, above-ground trials, suggesting that animal behavior other than burrowing did not markedly influence micro-GPS errors. In our study, traditional micro-GPS receivers demonstrated similar FSR and LE to snapshot receivers, however, snapshot receivers operated inconsistently due to battery and software failures. In contrast, the initial traditional receivers deployed on animals experienced some breakages, but a modified collar design consistently functioned as expected. If such problems were resolved, snapshot technology could reduce the tradeoff between fix interval and battery life that occurs with traditional micro-GPS receivers. Our results suggest that micro-GPS receivers are capable of addressing questions about space use and resource selection by small mammals, but that additional techniques might be needed to identify use of habitat structures (e.g., burrows, tree cavities, rock crevices) that could affect micro-GPS performance and bias study results. PMID:28301495

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.

Limited potential of genetic predisposition scores to predict muscle mass and strength performance in Flemish Caucasians between 19 and 73 years of age.

PubMed

Charlier, Ruben; Caspers, Maarten; Knaeps, Sara; Mertens, Evelien; Lambrechts, Diether; Lefevre, Johan; Thomis, Martine

2017-03-01

Since both muscle mass and strength performance are polygenic in nature, the current study compared four genetic predisposition scores (GPS) in their ability to predict these phenotypes. Data were gathered within the framework of the first-generation Flemish Policy Research Centre "Sport, Physical Activity and Health" (2002-2004). Results are based on muscle characteristics data of 565 Flemish Caucasians (19-73 yr, 365 men). Skeletal muscle mass was determined from bioelectrical impedance. The Biodex dynamometer was used to measure isometric (PT static120° ) and isokinetic strength (PT dynamic60° and PT dynamic240° ), ballistic movement speed (S 20% ), and muscular endurance (Work) of the knee extensors. Genotyping was done for 153 gene variants, selected on the basis of a literature search and the expression quantitative trait loci of selected genes. Four GPS were designed: a total GPS (based on the sum of all 153 variants, each favorable allele = score 1), a data-driven and weighted GPS [respectively, the sum of favorable alleles of those variants with significant b-coefficients in stepwise regression (GPS dd ), and the sum of these variants weighted with their respective partial r 2 (GPS w )], and an elastic net GPS (based on the variants that were selected by an elastic net regularization; GPS en ). It was found that four different models for a GPS were able to significantly predict up to ~7% of the variance in strength performance. GPS en made the best prediction of SMM and Work. However, this was not the case for the remaining strength performance parameters, where best predictions were made by GPS dd and GPS w . Copyright © 2017 the American Physiological Society.

Factors influencing recording of drug misuse in primary care: a qualitative study of GPs in England.

PubMed

Davies-Kershaw, Hilary; Petersen, Irene; Nazareth, Irwin; Stevenson, Fiona

2018-04-01

Drug misuse is a serious public health problem. Evidence from previous epidemiological studies show that GPs are recording drug misuse in electronic patient records (EPR). However, although the recording trends are similar to national surveys, recording rates are much lower. To explore the factors that influence GPs to record drug misuse in the EPR, and to gain a clearer understanding of the gap between the amount of drug misuse recorded in primary care and that in national surveys and other studies. A semi-structured qualitative interview study of GPs working in general practices across England. Purposive sampling was employed to recruit 12 GPs, both with and without a special interest in drug misuse, from across England. Semi-structured face-to-face interviews were conducted to consider whether and why GPs record drug misuse, which methods GPs use for recording, GPs' actions if a patient asks for the information not to be recorded, and GPs' actions if they think a patient misuses drugs but does not disclose the information. Resulting data were analysed using a combination of inductive and deductive thematic analysis. The complexity of asking about drug misuse preceded GPs' decision to record. They described how the context of the general practice protocols, interaction between GP and patient, and the questioning process affected whether, how, and in which circumstances they asked about drug use. This led to GPs making a clinical decision on whether, who, and how to record in the EPR. When making decisions about whether or not to record drug misuse, GPs face complex choices. Aside from their own views, they reported feelings of pressure from the general practice environment in which they worked and their clinical commissioning group, as well as government policies. © British Journal of General Practice 2018.

Understanding quit decisions in primary care: a qualitative study of older GPs

PubMed Central

Sansom, Anna; Calitri, Raff; Carter, Mary; Campbell, John

2016-01-01

Objective To investigate the reasons behind intentions to quit direct patient care among experienced general practitioners (GPs) aged 50–60 years. Design and setting Qualitative study based on semistructured interviews with GPs in the South West region of England. Transcribed interviews were analysed thematically. Participants 23 GPs aged 50–60 years: 3 who had retired from direct patient care before age 60, and 20 who intended to quit direct patient care within the next 5 years. Results The analysis identified four key themes: early retirement is a viable option for many GPs; GPs have employment options other than undertaking direct patient care; GPs report feeling they are doing an (almost) undoable job; and GPs may have other aspirations that pull them away from practice. Findings from this study confirmed those from earlier research, with high workload, ageing and health, family and domestic life, and organisational change all influencing GPs’ decisions about when to retire/quit direct patient care. However, in addition, GPs expressed feelings of insecurity and uncertainty regarding the future of general practice, low morale, and issues regarding accountability (appraisal and revalidation) and governance. Suggestions about how to help retain GPs within the active clinical workforce were offered, covering individual, practice and organisational levels. Conclusions This research highlights aspects of the current professional climate for GPs that are having an impact on retirement decisions. Any future changes to policy or practice to help retain experienced GPs will benefit from this informed understanding of GPs’ views. Key factors to take into account include: making the GP workload more manageable; managing change sympathetically; paying attention to GPs’ own health; improving confidence in the future of general practice; and improving GP morale. PMID:26895989

General practitioners' perceptions of pharmacists' new services in New Zealand.

PubMed

Hatah, Ernieda; Braund, Rhiannon; Duffull, Stephen; Tordoff, June

2012-04-01

In recent years, the pharmacy profession has moved towards more patient-oriented services. Some examples are medication review, screening and monitoring for disease, and prescribing. The new services are intended to be in close collaboration with general practitioners (GPs) yet little is known of how GPs in New Zealand perceive these new services. Objective To examine GPs' perceptions of pharmacists' new services. Study was undertaken at GPs' practices in two localities in New Zealand. Qualitative, face to face, semi-structured interviews were undertaken of 18 GPs. The cohort included GPs with less/more than 20 years of practice, and GPs who had experience of working in localities where some patients had undergone a medication review (Medicines Use Review, MUR) by community pharmacists. GPs were asked to share their perceptions about pharmacists providing some new services. Data were thematically analysed with constant comparison using NVivo 8 software. Using a business strategic planning approach, themes were further analysed and interpreted as the services' potential Strengths, Weaknesses, Opportunities and Threats (SWOTs). GPs' perceptions of pharmacists' new services. GPs were more supportive of pharmacists' playing active roles in medication review and less supportive of pharmacists practising screening-monitoring and prescribing. Discussions Pharmacists' knowledge and skills in medication use and the perceived benefits of the services to patients were considered the potential strengths of the services. Weaknesses centred around potential patient confusion and harm, conflict and irritation to GPs' practice, and the potential to fragment patient-care. Opportunities were the possibilities of improving communication, and having a close collaboration and integration with GPs' practice. Apparent threats were the GPs' perceptions of a related, and not renumerated, increase in their workloads, and the perception of limited benefit to patients. Pharmacists should exploit their own strengths and the potential opportunities for these services, and reduce any weaknesses and threats. A possible strategic plan should include increased effective communication, piloting services, and the integration of some services into medical practices.

A Low-Cost GPS GSM/GPRS Telemetry System: Performance in Stationary Field Tests and Preliminary Data on Wild Otters (Lutra lutra)

PubMed Central

Quaglietta, Lorenzo; Martins, Bruno Herlander; de Jongh, Addy; Mira, António; Boitani, Luigi

2012-01-01

Background Despite the increasing worldwide use of global positioning system (GPS) telemetry in wildlife research, it has never been tested on any freshwater diving animal or in the peculiar conditions of the riparian habitat, despite this latter being one of the most important habitat types for many animal taxa. Moreover, in most cases, the GPS devices used have been commercial and expensive, limiting their use in low-budget projects. Methodology/Principal Findings We have developed a low-cost, easily constructed GPS GSM/GPRS (Global System for Mobile Communications/General Packet Radio Service) and examined its performance in stationary tests, by assessing the influence of different habitat types, including the riparian, as well as water submersion and certain climatic and environmental variables on GPS fix-success rate and accuracy. We then tested the GPS on wild diving animals, applying it, for the first time, to an otter species (Lutra lutra). The rate of locations acquired during the stationary tests reached 63.2%, with an average location error of 8.94 m (SD = 8.55). GPS performance in riparian habitats was principally affected by water submersion and secondarily by GPS inclination and position within the riverbed. Temporal and spatial correlations of location estimates accounted for some variation in the data sets. GPS-tagged otters also provided accurate locations and an even higher GPS fix-success rate (68.2%). Conclusions/Significance Our results suggest that GPS telemetry is reliably applicable to riparian and even diving freshwater animals. They also highlight the need, in GPS wildlife studies, for performing site-specific pilot studies on GPS functioning as well as for taking into account eventual spatial and temporal correlation of location estimates. The limited price, small dimensions, and high performance of the device presented here make it a useful and cost-effective tool for studies on otters and other aquatic or terrestrial medium-to-large-sized animals. PMID:22242163

Prognostic value of the Glasgow Prognostic Score for glioblastoma multiforme patients treated with radiotherapy and temozolomide.

PubMed

Topkan, Erkan; Selek, Ugur; Ozdemir, Yurday; Yildirim, Berna A; Guler, Ozan C; Ciner, Fuat; Mertsoylu, Huseyin; Tufan, Kadir

2018-04-25

To evaluate the prognostic value of the Glasgow Prognostic Score (GPS), the combination of C-reactive protein (CRP) and albumin, in glioblastoma multiforme (GBM) patients treated with radiotherapy (RT) and concurrent plus adjuvant temozolomide (GPS). Data of newly diagnosed GBM patients treated with partial brain RT and concurrent and adjuvant TMZ were retrospectively analyzed. The patients were grouped into three according to the GPS criteria: GPS-0: CRP < 10 mg/L and albumin > 35 g/L; GPS-1: CRP < 10 mg/L and albumin < 35 g/L or CRP > 10 mg/L and albumin > 35 g/L; and GPS-2: CRP > 10 mg/L and albumin < 35 g/L. Primary end-point was the association between the GPS groups and the overall survival (OS) outcomes. A total of 142 patients were analyzed (median age: 58 years, 66.2% male). There were 64 (45.1%), 40 (28.2%), and 38 (26.7%) patients in GPS-0, GPS-1, and GPS-2 groups, respectively. At median 15.7 months follow-up, the respective median and 5-year OS rates for the whole cohort were 16.2 months (95% CI 12.7-19.7) and 9.5%. In multivariate analyses GPS grouping emerged independently associated with the median OS (P < 0.001) in addition to the extent of surgery (P = 0.032), Karnofsky performance status (P = 0.009), and the Radiation Therapy Oncology Group recursive partitioning analysis (RTOG RPA) classification (P < 0.001). The GPS grouping and the RTOG RPA classification were found to be strongly correlated in prognostic stratification of GBM patients (correlation coefficient: 0.42; P < 0.001). The GPS appeared to be useful in prognostic stratification of GBM patients into three groups with significantly different survival durations resembling the RTOG RPA classification.

Time series evaluation of an intervention to increase statin tablet splitting by general practitioners.

PubMed

Polinski, Jennifer M; Schneeweiss, Sebastian; Maclure, Malcolm; Marshall, Blair; Ramsden, Samuel; Dormuth, Colin

2011-02-01

Tablet splitting, in which a higher-dose tablet is split to get 2 doses, reduces patients' drug costs. Statins can be split safely. General practitioners (GPs) may not direct their patients to split statins because of safety concerns or unawareness of costs. Medical chart inserts provide cost-effective education to physicians. The aim of this study was to assess whether providing GPs with statin-splitting chart inserts would increase splitting rates, and to identify predictors of splitting. In 2005 and 2006, we faxed a statin chart insert to British Columbia GPs with a request for a telephone interview. Consenting GPs were mailed 3 statin chart inserts and interviewed by phone (the intervention). In an interrupted time series, we compared monthly rates of statin-splitting prescriptions among intervention and nonintervention GPs before, during, and after the intervention. In multivariate logistic regressions accounting for patient clustering, predictors of splitting included physician and patient demographics and the specific statin prescribed. Of 5051 GPs reached, 282 (6%) agreed to the intervention. Before the intervention, GPs' splitting rate was 2.6%; after intervention, GPs' splitting rate was 7.5%. The rate for the nonintervention GPs was 4.4%. Intervention GPs were 1.68 (95% CI, 1.12-2.53) times more likely to prescribe splitting after the intervention than were nonintervention GPs. Other predictors were a patient's female sex (odds ratio [OR] = 1.26; 95% CI, 1.18-1.34), lower patient income (OR = 1.33; 95% CI, 1.18-1.34), and a lack of drug insurance (OR = 1.89; 95% CI, 1.69-2.04). An inexpensive intervention was effective in producing a sustained increase in GPs' splitting rate during 22 months of observed follow-up. Expanding statin-splitting education to all GPs might reduce prescription costs for many patients and payors. Copyright © 2011 Elsevier HS Journals, Inc. All rights reserved.

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.

A low-cost GPS GSM/GPRS telemetry system: performance in stationary field tests and preliminary data on wild otters (Lutra lutra).

PubMed

Quaglietta, Lorenzo; Martins, Bruno Herlander; de Jongh, Addy; Mira, António; Boitani, Luigi

2012-01-01

Despite the increasing worldwide use of global positioning system (GPS) telemetry in wildlife research, it has never been tested on any freshwater diving animal or in the peculiar conditions of the riparian habitat, despite this latter being one of the most important habitat types for many animal taxa. Moreover, in most cases, the GPS devices used have been commercial and expensive, limiting their use in low-budget projects. We have developed a low-cost, easily constructed GPS GSM/GPRS (Global System for Mobile Communications/General Packet Radio Service) and examined its performance in stationary tests, by assessing the influence of different habitat types, including the riparian, as well as water submersion and certain climatic and environmental variables on GPS fix-success rate and accuracy. We then tested the GPS on wild diving animals, applying it, for the first time, to an otter species (Lutra lutra). The rate of locations acquired during the stationary tests reached 63.2%, with an average location error of 8.94 m (SD = 8.55). GPS performance in riparian habitats was principally affected by water submersion and secondarily by GPS inclination and position within the riverbed. Temporal and spatial correlations of location estimates accounted for some variation in the data sets. GPS-tagged otters also provided accurate locations and an even higher GPS fix-success rate (68.2%). Our results suggest that GPS telemetry is reliably applicable to riparian and even diving freshwater animals. They also highlight the need, in GPS wildlife studies, for performing site-specific pilot studies on GPS functioning as well as for taking into account eventual spatial and temporal correlation of location estimates. The limited price, small dimensions, and high performance of the device presented here make it a useful and cost-effective tool for studies on otters and other aquatic or terrestrial medium-to-large-sized animals.

Recap and Program Plan Update [GPS Adjacent Band Compatibility Assessment Workshop IV RTCA - Washington, DC

DOT National Transportation Integrated Search

2015-10-02

Initial WorkshopI held on September 18, 2014 at the Volpe Center; Overview of DOT GPS Adjacent Band Compatibility Assessment Plan and plans/timeline for implementation; Presentation on GPS use cases and list of representative GPS receivers; Descri...

Spacecraft applications of advanced global positioning system technology

NASA Technical Reports Server (NTRS)

1988-01-01

This is the final report on the Texas Instruments Incorporated (TI) simulations study of Spacecraft Application of Advanced Global Positioning System (GPS) Technology. This work was conducted for the NASA Johnson Space Center (JSC) under contract NAS9-17781. GPS, in addition to its baselined capability as a highly accurate spacecraft navigation system, can provide traffic control, attitude control, structural control, and uniform time base. In Phase 1 of this program, another contractor investigated the potential of GPS in these four areas and compared GPS to other techniques. This contract was for the Phase 2 effort, to study the performance of GPS for these spacecraft applications through computer simulations. TI had previously developed simulation programs for GPS differential navigation and attitude measurement. These programs were adapted for these specific spacecraft applications. In addition, TI has extensive expertise in the design and production of advanced GPS receivers, including space-qualified GPS receivers. We have drawn on this background to augment the simulation results in the system level overview, which is Section 2 of this report.

Applications of Clocks to Space Navigation & "Planetary GPS"

NASA Technical Reports Server (NTRS)

Lichten, Stephen M.

2004-01-01

The ability to fly atomic clocks on GPS satellites has profoundly defined the capabilities and limitations of GPS in near-Earth applications. It is likely that future infrastructure for Lunar and Mars applications will be constrained by financial factors. The development of a low cost, small, high performance space clock -- or ultrahigh performance space clocks -- could revolutionize and drive the entire approach to GPS-like systems at the Moon (or Mars), and possibly even change the future of GPS at Earth. Many system trade studies are required. The performance of future GPS-like tracking systems at the Moon or Mars will depend critically on clock performance, availability of inertial sensors, and constellation coverage. Example: present-day GPS carry 10(exp -13) clocks and require several updates per day. With 10(exp -15) clocks, a constellation at Mars could operate autonomously with updates just once per month. Use of GPS tracking at the Moon should be evaluated in a technical study.

Rationalising prescribing: Evidence, marketing and practice-relevant knowledge.

PubMed

Wadmann, Sarah; Bang, Lia E

2015-06-01

Initiatives in the name of 'rational pharmacotherapy' have been launched to alter what is seen as 'inappropriate' prescribing practices of physicians. Based on observations and interviews with 20 general practitioners (GPs) in 2009-2011, we explored how attempts to rationalise prescribing interact with chronic care management in Denmark. We demonstrate how attempts to rationalise prescribing by informing GPs about drug effects, adverse effects and price do not satisfy GPs' knowledge needs. We argue that, for GPs, 'rational' prescribing cannot be understood in separation from the processes that enable patients to use medication. Therefore, GPs do much more to obtain knowledge about medications than seek advice on 'rational pharmacotherapy'. For instance, GPs also seek opportunities to acquaint themselves with the material objects of medication and medical devices. We conceptualise the knowledge needs of GPs as a need for practice-relevant knowledge and argue that industry sales representatives are granted opportunity to access general practice because they understand this need of GPs. Copyright © 2015 Elsevier Ltd. All rights reserved.

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.

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.

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

Kishi, Takahiro; Matsuo, Yukinori, E-mail: ymatsuo@kuhp.kyoto-u.ac.jp; Ueki, Nami

Purpose: This study aimed to evaluate the prognostic significance of the modified Glasgow Prognostic Score (mGPS) in patients with non-small cell lung cancer (NSCLC) who received stereotactic body radiation therapy (SBRT). Methods and Materials: Data from 165 patients who underwent SBRT for stage I NSCLC with histologic confirmation from January 1999 to September 2010 were collected retrospectively. Factors, including age, performance status, histology, Charlson comorbidity index, mGPS, and recursive partitioning analysis (RPA) class based on sex and T stage, were evaluated with regard to overall survival (OS) using the Cox proportional hazards model. The impact of the mGPS on causemore » of death and failure patterns was also analyzed. Results: The 3-year OS was 57.9%, with a median follow-up time of 3.5 years. A higher mGPS correlated significantly with poor OS (P<.001). The 3-year OS of lower mGPS patients was 66.4%, whereas that of higher mGPS patients was 44.5%. On multivariate analysis, mGPS and RPA class were significant factors for OS. A higher mGPS correlated significantly with lung cancer death (P=.019) and distant metastasis (P=.013). Conclusions: The mGPS was a significant predictor of clinical outcomes for SBRT in NSCLC patients.« less

Determining GPS average performance metrics

NASA Technical Reports Server (NTRS)

Moore, G. V.

1995-01-01

Analytic and semi-analytic methods are used to show that users of the GPS constellation can expect performance variations based on their location. Specifically, performance is shown to be a function of both altitude and latitude. These results stem from the fact that the GPS constellation is itself non-uniform. For example, GPS satellites are over four times as likely to be directly over Tierra del Fuego than over Hawaii or Singapore. Inevitable performance variations due to user location occur for ground, sea, air and space GPS users. These performance variations can be studied in an average relative sense. A semi-analytic tool which symmetrically allocates GPS satellite latitude belt dwell times among longitude points is used to compute average performance metrics. These metrics include average number of GPS vehicles visible, relative average accuracies in the radial, intrack and crosstrack (or radial, north/south, east/west) directions, and relative average PDOP or GDOP. The tool can be quickly changed to incorporate various user antenna obscuration models and various GPS constellation designs. Among other applications, tool results can be used in studies to: predict locations and geometries of best/worst case performance, design GPS constellations, determine optimal user antenna location and understand performance trends among various users.

Inflammation-based prognostic score and number of lymph node metastases are independent prognostic factors in esophageal squamous cell carcinoma.

PubMed

Kobayashi, Takashi; Teruya, Masanori; Kishiki, Tomokazu; Kaneko, Susumu; Endo, Daisuke; Takenaka, Yoshiharu; Miki, Kenji; Kobayashi, Kaoru; Morita, Koji

2010-08-01

Few studies have investigated whether the Glasgow Prognostic Score (GPS), an inflammation-based prognostic score, is useful for postoperative prognosis of esophageal squamous cell carcinoma. GPS was calculated on the basis of admission data as follows: patients with elevated C-reactive protein level (>10 mg/l) and hypoalbuminemia (<35 g/l) were assigned to GPS2. Patients with one or no abnormal value were assigned to GPS1 or GPS0. A new scoring system was constructed using independent prognostic variables and was evaluated on whether it could be used to dictate the choice of clinical options. 65 patients with esophageal squamous cell carcinoma were enrolled. GPS and the number of lymph node metastases were found to be independent prognostic variables. The scoring system comprising GPS and the number of lymph node metastases was found to be effective in the prediction of a long-term outcome (p < 0.0001). Preoperative GPS may be useful for postoperative prognosis of patients with esophageal squamous cell carcinoma. GPS and the number of lymph node metastases could be used to identify a subgroup of patients with esophageal squamous cell carcinoma who are eligible for radical resection but show poor prognosis.

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.

The GPS Topex/Poseidon precise orbit determination experiment - Implications for design of GPS global networks

NASA Technical Reports Server (NTRS)

Lindqwister, Ulf J.; Lichten, Stephen M.; Davis, Edgar S.; Theiss, Harold L.

1993-01-01

Topex/Poseidon, a cooperative satellite mission between United States and France, aims to determine global ocean circulation patterns and to study their influence on world climate through precise measurements of sea surface height above the geoid with an on-board altimeter. To achieve the mission science aims, a goal of 13-cm orbit altitude accuracy was set. Topex/Poseidon includes a Global Positioning System (GPS) precise orbit determination (POD) system that has now demonstrated altitude accuracy better than 5 cm. The GPS POD system includes an on-board GPS receiver and a 6-station GPS global tracking network. This paper reviews early GPS results and discusses multi-mission capabilities available from a future enhanced global GPS network, which would provide ground-based geodetic and atmospheric calibrations needed for NASA deep space missions while also supplying tracking data for future low Earth orbiters. Benefits of the enhanced global GPS network include lower operations costs for deep space tracking and many scientific and societal benefits from the low Earth orbiter missions, including improved understanding of ocean circulation, ocean-weather interactions, the El Nino effect, the Earth thermal balance, and weather forecasting.

A comparison of mapped and measured total ionospheric electron content using global positioning system and beacon satellite observations

NASA Technical Reports Server (NTRS)

Lanyi, Gabor E.; Roth, Titus

1988-01-01

Total ionospheric electron contents (TEC) were measured by global positioning system (GPS) dual-frequency receivers developed by the Jet Propulsion Laboratory. The measurements included P-code (precise ranging code) and carrier phase data for six GPS satellites during multiple five-hour observing sessions. A set of these GPS TEC measurements were mapped from the GPS lines of sight to the line of sight of a Faraday beacon satellite by statistically fitting the TEC data to a simple model of the ionosphere. The mapped GPS TEC values were compared with the Faraday rotation measurements. Because GPS transmitter offsets are different for each satellite and because some GPS receiver offsets were uncalibrated, the sums of the satellite and receiver offsets were estimated simultaneously with the TEC in a least squares procedure. The accuracy of this estimation procedure is evaluated indicating that the error of the GPS-determined line of sight TEC can be at or below 1 x 10 to the 16th el/sq cm. Consequently, the current level of accuracy is comparable to the Faraday rotation technique; however, GPS provides superior sky coverage.

Users' and GPs' causal attributions of illegal substance use: an exploratory interview study.

PubMed

Wynn, Rolf; Karlsen, Kjetil; Lorntzsen, Bianca; Bjerke, Trond Nergaard; Bergvik, Svein

2009-08-01

There is a need to explore the beliefs regarding the causes of illegal substance use of the people who themselves use the substances (SU) and their GPs. Increased knowledge about such beliefs--often referred to as causal attributions--may improve mutual understanding and communication between SU and GPs. Eight SU and five GPs were interviewed about the causes of illegal substance use. They also talked about how substance use was discussed in consultations. Data were analysed qualitatively. Both the SU and the GPs believed that several factors usually were important in each case of illegal substance use. The SU more often than the GPs emphasised the positive aspects of illegal substance use. We discerned five main causes: biological, social, lack of self-control, positive experiences, and chance. Several of the SU and GPs emphasised that it was difficult to communicate about substance use. The GPs and the SU believed illegal substance use is caused by many factors, including biological, social, and lack of self-control. Communicating about illegal substance use is challenging. GPs should be aware of the clinical importance of causal attributions and should explore beliefs held by SU about the causes of their substance use.

Wave Measurements Using GPS Velocity Signals

PubMed Central

Doong, Dong-Jiing; Lee, Beng-Chun; Kao, Chia Chuen

2011-01-01

This study presents the idea of using GPS-output velocity signals to obtain wave measurement data. The application of the transformation from a velocity spectrum to a displacement spectrum in conjunction with the directional wave spectral theory are the core concepts in this study. Laboratory experiments were conducted to verify the accuracy of the inversed displacement of the surface of the sea. A GPS device was installed on a moored accelerometer buoy to verify the GPS-derived wave parameters. It was determined that loss or drifting of the GPS signal, as well as energy spikes occurring in the low frequency band led to erroneous measurements. Through the application of moving average skill and a process of frequency cut-off to the GPS output velocity, correlations between GPS-derived, and accelerometer buoy-measured significant wave heights and periods were both improved to 0.95. The GPS-derived one-dimensional and directional wave spectra were in agreement with the measurements. Despite the direction verification showing a 10° bias, this exercise still provided useful information with sufficient accuracy for a number of specific purposes. The results presented in this study indicate that using GPS output velocity is a reasonable alternative for the measurement of ocean waves. PMID:22346618

Predicting educational achievement from DNA

PubMed Central

Selzam, S; Krapohl, E; von Stumm, S; O'Reilly, P F; Rimfeld, K; Kovas, Y; Dale, P S; Lee, J J; Plomin, R

2017-01-01

A genome-wide polygenic score (GPS), derived from a 2013 genome-wide association study (N=127,000), explained 2% of the variance in total years of education (EduYears). In a follow-up study (N=329,000), a new EduYears GPS explains up to 4%. Here, we tested the association between this latest EduYears GPS and educational achievement scores at ages 7, 12 and 16 in an independent sample of 5825 UK individuals. We found that EduYears GPS explained greater amounts of variance in educational achievement over time, up to 9% at age 16, accounting for 15% of the heritable variance. This is the strongest GPS prediction to date for quantitative behavioral traits. Individuals in the highest and lowest GPS septiles differed by a whole school grade at age 16. Furthermore, EduYears GPS was associated with general cognitive ability (~3.5%) and family socioeconomic status (~7%). There was no evidence of an interaction between EduYears GPS and family socioeconomic status on educational achievement or on general cognitive ability. These results are a harbinger of future widespread use of GPS to predict genetic risk and resilience in the social and behavioral sciences. PMID:27431296

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.

[On the front line: survey on shared responsibility. General practitioners and schizophrenia].

PubMed

Stip, Emmanuel; Boyer, Richard; Sepehry, Amir Ali; Rodriguez, Jean Pierre; Umbricht, Daniel; Tempier, Adrien; Simon, Andor E

2007-01-01

General practitioners (GP) play a preponderant role in the treatment of patients suffering of schizophrenia. Discovering the number of patients with schizophrenia who are treated by GPs ; the needs and attitudes of GPs, their knowledge concerning diagnosis, and the treatment they provide. A postal survey was conducted with Quebec GPs who were randomly chosen. A total of 1003 GPs have participated in the survey. Among them, a small percentage have to treat an early onset schizophrenia and the GPs have expressed their wish to be more informed on the accessibility of specialized services. Results pertaining to questions on diagnoses and knowledge on treatments are inconsistent. The majority of GPs treat the first psychotic episodes with antipsychotic medication. Only a third of GPs surveyed propose maintaining the treatment after a first psychotic episode, in accordance with international recommendations and the recent Canadian guidelines on practices that recommends at least 6 to 12 months of treatment after a partial or complete clinical response. Time given by male GPs to a first contact varies between 10 and 20 minutes, while 80 % of female GPs spend at least 20 minutes. The adverse effects of antipsychotic medication that raise most concern is weight gain before neurological signs. some of this survey's data should be considered by various professional and governmental associations, in order to improve the place of GPs in a health plan destined to treat schizophrenia.

Determination of GPS orbits to submeter accuracy

NASA Technical Reports Server (NTRS)

Bertiger, W. I.; Lichten, S. M.; Katsigris, E. C.

1988-01-01

Orbits for satellites of the Global Positioning System (GPS) were determined with submeter accuracy. Tests used to assess orbital accuracy include orbit comparisons from independent data sets, orbit prediction, ground baseline determination, and formal errors. One satellite tracked 8 hours each day shows rms error below 1 m even when predicted more than 3 days outside of a 1-week data arc. Differential tracking of the GPS satellites in high Earth orbit provides a powerful relative positioning capability, even when a relatively small continental U.S. fiducial tracking network is used with less than one-third of the full GPS constellation. To demonstrate this capability, baselines of up to 2000 km in North America were also determined with the GPS orbits. The 2000 km baselines show rms daily repeatability of 0.3 to 2 parts in 10 to the 8th power and agree with very long base interferometry (VLBI) solutions at the level of 1.5 parts in 10 to the 8th power. This GPS demonstration provides an opportunity to test different techniques for high-accuracy orbit determination for high Earth orbiters. The best GPS orbit strategies included data arcs of at least 1 week, process noise models for tropospheric fluctuations, estimation of GPS solar pressure coefficients, and combine processing of GPS carrier phase and pseudorange data. For data arc of 2 weeks, constrained process noise models for GPS dynamic parameters significantly improved the situation.

The usefulness of GPS bicycle tracking data for evaluating the impact of infrastructure change on cycling behaviour.

PubMed

Heesch, Kristiann C; Langdon, Michael

2016-02-01

Issue addressed A key strategy to increase active travel is the construction of bicycle infrastructure. Tools to evaluate this strategy are limited. This study assessed the usefulness of a smartphone GPS tracking system for evaluating the impact of this strategy on cycling behaviour. Methods Cycling usage data were collected from Queenslanders who used a GPS tracking app on their smartphone from 2013-2014. 'Heat' and volume maps of the data were reviewed, and GPS bicycle counts were compared with surveillance data and bicycle counts from automatic traffic-monitoring devices. Results Heat maps broadly indicated that changes in cycling occurred near infrastructure improvements. Volume maps provided changes in counts of cyclists due to these improvements although errors were noted in geographic information system (GIS) geo-coding of some GPS data. Large variations were evident in the number of cyclists using the app in different locations. These variations limited the usefulness of GPS data for assessing differences in cycling across locations. Conclusion Smartphone GPS data are useful in evaluating the impact of improved bicycle infrastructure in one location. Using GPS data to evaluate differential changes in cycling across multiple locations is problematic when there is insufficient traffic-monitoring devices available to triangulate GPS data with bicycle traffic count data. So what? The use of smartphone GPS data with other data sources is recommended for assessing how infrastructure improvements influence cycling behaviour.

Stressed and overworked? A cross-sectional study of the working situation of urban and rural general practitioners in Austria in the framework of the QUALICOPC project

PubMed Central

Hoffmann, Kathryn; Wojczewski, Silvia; George, Aaron; Schäfer, Willemijn L. A.; Maier, Manfred

2015-01-01

Aim To assess the workload of general practitioners (GPs) in Austria, with a focus on identifying the differences between GPs working in urban and rural areas. Methods Within the framework of the Quality and Costs of Primary Care in Europe (QUALICOPC) study, data were collected from a stratified sample of GPs using a standardized questionnaire between November 2011 and May 2012. Data analysis included descriptive statistics and regression analysis. Results The analysis included data from 173 GPs. GPs in rural areas reported an average of 49.3 working hours per week, plus 23.7 on-call duties per 3 months and 26.2 out-of-office care services per week. Compared to GPs working in urban areas, even in the fully adjusted regression model, rural GPs had significantly more working hours (B 7.00; P = 0.002) and on-call duties (B 18.91; P < 0.001). 65.8% of all GPs perceived their level of stress as high and 84.6% felt they were required to do unnecessary administrative work. Conclusion Our findings show a high workload among Austrian GPs, particularly those working in rural areas. Since physicians show a diminishing interest to work as GPs, there is an imperative to improve this situation. PMID:26321030

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

General practitioners' and primary care nurses' care for people with disabilities: quality of communication and awareness of supportive services.

PubMed

Storms, Hannelore; Marquet, Kristel; Claes, Neree

2017-01-01

General practitioners (GPs) and primary-care nurses (PCNs) often feel inexperienced or inadequately educated to address unmet needs of people with disabilities (PDs). In this research, GPs' and PCNs' communication with PDs and health care professionals, as well as their awareness of supportive measures relevant to PDs (sensory disabilities excluded), was examined. An electronic questionnaire was sent out to 545 GPs and 1,547 PCNs employed in Limburg (Belgium). GPs and PCNs self-reported about both communication with parties involved in care for PDs (scale very good, good, bad, very bad) and their level of awareness of supportive measures relevant for PDs (scale unaware, inadequately aware, adequately aware). Of the questionnaire recipients, 6.6% (36 of 545) of GPs and 37.6% (588 of 1,547) of PCNs participated: 68.8% of 32 GPs and 45.8% of 443 PCNs categorized themselves as communicating well with PDs, and attributed miscommunication to limited intellectual capacities of PDs. GPs and PCNs reported communicating well with other health care professionals. Inadequate awareness was reported for tools to communicate (88.3% of GPs, 89% of PCNs) and benefits for PDs (44.1% of GPs, 66.9% of PCNs). GPs' and PCNs' lacking awareness of communication aids is problematic. Involvement in a multidisciplinary, expert network might bypass inadequate awareness of practical and social support measures.

[Change in service provision and availability under the list patient system reform].

PubMed

Grytten, Jostein; Skau, Irene; Sørensen, Rune; Aasland, Olaf G

2004-02-05

In this article, we analyse the relationship between length of patient lists and general practitioners' (GPs') service provision in order to investigate whether the list patient system reform has led to reduced accessibility and/or supplier inducement. The data were collected from a comprehensive questionnaire survey among GPs in the list patient system in 2002 (2306 GPs) and from the National Insurance Administration in 2001 (1637 GPs). The relationship between length of patient lists and service provision was analysed using regression analysis. The relationship between length of patient lists and number of consultations per GP was almost proportional, as was the relationship between length of patient list and number of consultations initiated by GPs. GPs who wanted more patients on their list had fewer consultations than those who were satisfied with the length of their lists and they did not compensate by taking more laboratory tests per consultation. Analysis of the two independent sets of data gave almost identical results. Patients' access to their GPs is independent of the length of his or her patient list. Even GPs with long lists do not ration consultations. This probably reflects efficient organisation of the practice. Our results do not support the theory that GPs induce demand for their services; one explanation is that GPs with short lists have chosen to have precisely that and have no need to induce demand.

Infant gastro-oesophageal reflux disease (GORD): Australian GP attitudes and practices.

PubMed

Kirby, Catherine N; Segal, Ahuva Y; Hinds, Rupert; Jones, Kay M; Piterman, Leon

2016-01-01

The aim of this study was to evaluate the attitudes and practices of Australian general practitioners (GPs) regarding infant gastro-oesophageal reflux disease (GORD) diagnosis and management. A national cross-sectional survey, involving a random sample of currently practising Australian GPs (n = 2319) was undertaken between July and September 2011. GPs attitudes and management of infant GORD were surveyed via an online and paper-based 41-item questionnaire. In total, 400 responses were analysed (17.24% response rate). The majority of GPs employed empirical trials of acid-suppression medication and/or lifestyle modifications to diagnose infant GORD. GPs frequently recommended dietary modification despite the belief that they were only moderately effective at best. In addition, GPs frequently prescribed acid-suppression medication, despite concerns regarding their safety in the infant population. Other GP concerns included the lack of clinical guidelines and education for GPs about infant GORD, as well as the level of evidence available for the safety and efficacy of diagnostic tests and treatments. Despite the important role Australian GPs play in the diagnosis and management of infant GORD, high-level evidence-based guidelines for GPs are lacking. Consequently, GPs engage in diagnostic and management practices despite their concerns regarding the safety and effectiveness. © 2015 The Authors. Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Prepared for commissioning? A qualitative study into the views of recently qualified GPs.

PubMed

Sabey, Abby; Hardy, Holly

2013-09-01

Expectations of the latest manifestation of GPled commissioning, in delivering cost-savings and improved services, are considerable. However, previous models suggest clinical engagement and other factors may hinder its success. It is timely to explore the views of the newest generation of GPs about involvement in commissioning, to inform plans for preparing the future workforce. To explore the views of recently qualified GPs about their future role in commissioning health services. A qualitative study with GPs qualifying with Severn Deanery between 2007 and 2010. Semi-structured interviews with 18 GPs between November 2011 and April 2012. These GPs lack understanding of roles and skills required for commissioning. Readiness is related to experience as a GP and of how services are financed and run, making timeliness for becoming involved important. Not all GPs feel motivated for commissioning and readiness is further hindered by feelings of conflict and uncertainty about how commissioning will work. There is optimism around working differently and better representing patients, but caution around risks and for some, cynicism about motives, will need addressing. While there is some optimism among these GPs about representing patients, leading reform and working differently with colleagues, there are concerns. GPs need to better understand the processes involved, experience and skills needed, and roles they can take. They can be helped through education and mentoring by established GPs to be ready for a role in commissioning.

The role of GPs in increasing compliance to colorectal cancer screening: a randomised controlled trial (Italy).

PubMed

Federici, Antonio; Giorgi Rossi, Paolo; Bartolozzi, Francesco; Farchi, Sara; Borgia, Piero; Guastcchi, Gabriella

2006-02-01

To assess the effect of the provider (GPs versus hospital) on the compliance in returning the faecal occult blood test. To analyse the characteristics of the GP associated with high compliance among his beneficiaries. A questionnaire about screening attitudes was mailed to the 1192 GPs working in 13 districts of the Lazio region. We asked the GPs to participate in a randomised trial, we sampled 130 GPs and about 1/10 of the GPs' 50-75 year old beneficiaries (n = 3657) were invited to be screened at the GP office and 1/10 (3675) at the nearest gastroenterology centre. 58.5% of the GPs completed the questionnaire and 22.7% agreed to participate in the trial. The compliance in the GP arm was 50%, in the hospital arm 16% (RR 3.4; 95% CI: 3.13-3.70). There was a high variability in the compliance obtained by the GPs. GPs with more than 25 patients visited/day and those incorrectly recommended screening of colorectal cancer obtained a lower compliance (OR 0.74, 95% CI: 0.57-0.95 and OR 0.76, 95% CI: 0.59-0.97, respectively). The involvement of GPs in colorectal cancer screening can be very effective to enhance the compliance, but the effectiveness is dependent on their willingness to be involved.

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 Space Service Volume: Ensuring Consistent Utility Across GPS Design Builds for Space Users

NASA Technical Reports Server (NTRS)

Bauer, Frank H.; Parker, Joel Jefferson Konkl; Valdez, Jennifer Ellen

2015-01-01

GPS availability and signal strength originally specified for users on or near surface of Earth with transmitted power levels specified at edge-of-Earth, 14.3 degrees. Prior to the SSV specification, on-orbit performance of GPS varied from block build to block build (IIA, IIRM, IIF) due to antenna gain and beam width variances. Unstable on-orbit performance results in significant risk to space users. Side-lobe signals, although not specified, were expected to significantly boost GPS signal availability for users above the constellation. During GPS III Phase A, NASA noted significant discrepancies in power levels specified in GPS III specification documents, and measured on-orbit performance. To stabilize the signal for high altitude space users, NASA DoD team in 2003-2005 led the creation of new Space Service Volume (SSV) definition and specifications.

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.

Comparison with IRI-PLUS and IRI-2012-TEC values of GPS-TEC values

NASA Astrophysics Data System (ADS)

Atıcı, Ramazan; Saǧır, Selçuk

2016-07-01

This study presents a comparison with IRI-PLUS and IRI-2012 Total Electron Content (TEC) values of Total Electron Content (TEC) values obtained from Ankara station (39,7 N; 32,76 E) of Global Position System (GPS) of Turkey on equinox and solstice days of 2009 year. For all days, it is observed that GPS-TEC values are greater than IRI-2012-TEC values, while IRI-PLUS-TEC values are very close to GPS-TEC values. When GPS-TEC values for both equinoxes are compared, it is seen that TEC values on September equinox are greater than one on March equinox. However, it is observed that GPS-TEC values on June solstice are greater than one on December solstice. Also, the relationship between GPS-TEC values and geomagnetic indexes is investigated.

Consistency of GPS and strong-motion records: case study of the Mw9.0 Tohoku-Oki 2011 earthquake

NASA Astrophysics Data System (ADS)

Psimoulis, Panos; Houlié, Nicolas; Michel, Clotaire; Meindl, Michael; Rothacher, Markus

2014-05-01

High-rate GPS data are today commonly used to supplement seismic data for the Earth surface motions focusing on earthquake characterisation and rupture modelling. Processing of GPS records using Precise Point Positioning (PPP) can provide real-time information of seismic wave propagation, tsunami early-warning and seismic rupture. Most studies have shown differences between the GPS and seismic systems at very long periods (e.g. >100sec) and static displacements. The aim of this study is the assessment of the consistency of GPS and strong-motion records by comparing their respective displacement waveforms for several frequency bands. For this purpose, the records of the GPS (GEONET) and the strong-motion (KiK-net and K-NET) networks corresponding to the Mw9.0 Tohoku 2011 earthquake were analysed. The comparison of the displacement waveforms of collocated (distance<100m) GPS and strong-motion sites show that the consistency between the two datasets depends on the frequency of the excitation. Differences are mainly due to the GPS noise at relatively short-periods (<3-4 s) and the saturation of the strong-motion sensors for relatively long-periods (40-80 s). Furthermore the agreement between the GPS and strong-motion records also depends on the direction of the excitation signal and the distance from the epicentre. In conclusion, velocities and displacements recovered from GPS and strong-motion records are consistent for long-periods (3-100 s), proving that GPS networks can contribute to the real-time estimation of the long-period ground motion map of an earthquake.

Accuracy of velocities from repeated GPS surveys: relative positioning is concerned

NASA Astrophysics Data System (ADS)

Duman, Huseyin; Ugur Sanli, D.

2016-04-01

Over more than a decade, researchers have been interested in studying the accuracy of GPS positioning solutions. Recently, reporting the accuracy of GPS velocities has been added to this. Researchers studying landslide motion, tectonic motion, uplift, sea level rise, and subsidence still report results from GPS experiments in which repeated GPS measurements from short sessions are used. This motivated some other researchers to study the accuracy of GPS deformation rates/velocities from various repeated GPS surveys. In one of the efforts, the velocity accuracy was derived from repeated GPS static surveys using short observation sessions and Precise Point Positioning mode of GPS software. Velocities from short GPS sessions were compared with the velocities from 24 h sessions. The accuracy of velocities was obtained using statistical hypothesis testing and quantifying the accuracy of least squares estimation models. The results reveal that 45-60 % of the horizontal and none of the vertical solutions comply with the results from 24 h solutions. We argue that this case in which the data was evaluated using PPP should also apply to the case in which the data belonging to long GPS base lengths is processed using fundamental relative point positioning. To test this idea we chose the two IGS stations ANKR and NICO and derive their velocities from the reference stations held fixed in the stable EURASIAN plate. The University of Bern's GNSS software BERNESE was used to produce relative positioning solutions, and the results are compared with those of GIPSY/OASIS II PPP results. First impressions indicate that it is worth designing a global experiment and test these ideas in detail.

A cross sectional survey of the barriers for implementing rapid HIV testing among French general practitioners.

PubMed

Fraisse, Thibaut; Fourcade, Camille; Brazes-Sanz, Julie; Koumar, Yatrika; Lavigne, Jean Philippe; Sotto, Albert; Laureillard, Didier

2016-10-01

In France, almost 30,000 people are unaware of their HIV-positive status. Innovative screening strategies are essential to reach this population. The aim of this study was to describe the acceptability of rapid HIV testing (RHT) among French general practitioners (GPs) working in the south of France and barriers for implementing this strategy. We analysed an anonymous questionnaire sent by mail to GPs about demographic data, routine practice, knowledge of RHT and barriers to its use. Between 1 April and 30 September 2013, out of the 165 GPs contacted, 78 returned the questionnaires. The GPs' mean age was 52 years; 49 were men. Fifty-one GPs reported that their registered patients included at least one HIV-infected person and 70 GPs reported taking care of high-risk patients. Sixty-three percent of GPs reported being interested in using RHT in their daily practice. The main reasons reported by uninterested GPs were: greater confidence in standard HIV testing, difficulties including RHT during the routine consultation, difficulties to screen for other sexually transmitted infections simultaneously, and difficulties to deliver a positive result. French National Authorities for Health propose to screen the population at least once in their lifetime and high-risk people at least once a year. In order to achieve this aim, RHT should be included in the GPs' arsenal for HIV testing. We showed a high acceptability of RHT by GPs. If specific and adapted training is developed, and if solutions to barriers reported by GPs are found, RHT could be implemented in to their routine activity. © The Author(s) 2016.

Navigating the Return Trip from the Moon Using Earth-Based Ground Tracking and GPS

NASA Technical Reports Server (NTRS)

Berry, Kevin; Carpenter, Russell; Moreau, Michael C.; Lee, Taesul; Holt, Gregg N.

2009-01-01

NASA s Constellation Program is planning a human return to the Moon late in the next decade. From a navigation perspective, one of the most critical phases of a lunar mission is the series of burns performed to leave lunar orbit, insert onto a trans-Earth trajectory, and target a precise re-entry corridor in the Earth s atmosphere. A study was conducted to examine sensitivity of the navigation performance during this phase of the mission to the type and availability of tracking data from Earth-based ground stations, and the sensitivity to key error sources. This study also investigated whether GPS measurements could be used to augment Earth-based tracking data, and how far from the Earth GPS measurements would be useful. The ability to track and utilize weak GPS signals transmitted across the limb of the Earth is highly dependent on the configuration and sensitivity of the GPS receiver being used. For this study three GPS configurations were considered: a "standard" GPS receiver with zero dB antenna gain, a "weak signal" GPS receiver with zero dB antenna gain, and a "weak signal" GPS receiver with an Earth-pointing direction antenna (providing 10 dB additional gain). The analysis indicates that with proper selection and configuration of the GPS receiver on the Orion spacecraft, GPS can potentially improve navigation performance during the critical final phases of flight prior to Earth atmospheric entry interface, and may reduce reliance on two-way range tracking from Earth-based ground stations.

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.

GPs' management strategies for patients with insomnia: a survey and qualitative interview study.

PubMed

Everitt, Hazel; McDermott, Lisa; Leydon, Geraldine; Yules, Harvey; Baldwin, David; Little, Paul

2014-02-01

Patients frequently experience sleep problems and present to primary care. However, information is limited regarding the management strategies that GPs employ. To gain an understanding of current GP management strategies for insomnia. A postal questionnaire survey and qualitative interviews with GPs in the south of England. A postal survey of 296 GPs and qualitative interviews were carried out with 23 of the GPs. The survey response rate was 56% (166/296). GPs look for signs of depression and anxiety in patients and if present treat these first. 'Sleep hygiene' advice is provided by 88% (147/166) of GPs but often seems insufficient and they feel under pressure to prescribe. Benzodiazepines and Z drugs are prescribed, often reluctantly, for short periods, because of known problems with dependence and tolerance. Many GPs prescribe low-dose amitriptyline for insomnia although it is not licensed for this indication. For insomnia 95% (157/166) of survey responders 'ever prescribe' amitriptyline, with 31% (52/166) stating they do so commonly. Most GPs perceived amitriptyline to be effective and a longer-term option for those with ongoing sleep problems. GPs report a lack of knowledge and confidence in the provision and use of psychological therapies, such as cognitive behavioural therapy (CBT), in the management of insomnia. GPs often find 'sleep hygiene' advice is insufficient for managing insomnia and report frequently prescribing medication, including amitriptyline (off licence), which is often based on perceived patient pressure for a prescription. Patients are rarely offered psychological therapies such as CBT for insomnia, despite evidence suggesting its potential effectiveness.

Gender differences in French GPs' activity: the contribution of quantile regressions.

PubMed

Dumontet, Magali; Franc, Carine

2015-05-01

In any fee-for-service system, doctors may be encouraged to increase the number of services (private activity) they provide to receive a higher income. Studying private activity determinants helps to predict doctors' provision of care. In the context of strong feminization and heterogeneity in general practitioners' (GP) behavior, we first aim to measure the effects of the determinants of private activity. Second, we study the evolution of these effects along the private activity distribution. Third, we examine the differences between male and female GPs. From an exhaustive database of French GPs working in private practice in 2008, we performed an ordinary least squares (OLS) regression and quantile regressions (QR) on the GPs' private activity. Among other determinants, we examined the trade-offs within the GPs' household considering his/her marital status, spousal income, and children. While the OLS results showed that female GPs had less private activity than male GPs (-13%), the QR results emphasized a private activity gender gap that increased significantly in the upper tail of the distribution. We also find gender differences in the private activity determinants, including family structure, practice characteristics, and case-mix variables. For instance, having a youngest child under 12 years old had a positive effect on the level of private activity for male GPs and a negative effect for female GPs. The results allow us to understand to what extent the supply of care differs between male and female GPs. In the context of strong feminization, this is essential to consider for organizing and forecasting the GPs' supply of care.

The Evolution of Global Positioning System (GPS) Technology.

ERIC Educational Resources Information Center

Kumar, Sameer; Moore, Kevin B.

2002-01-01

Describes technological advances in the Global Positioning System (GPS), which is also known as the NAVSTAR GPS satellite constellation program developed in 1937, and changes in the nature of our world by GPS in the areas of agriculture, health, military, transportation, environment, wildlife biology, surveying and mapping, space applications, and…

77 FR 56254 - 89th Meeting: RTCA Special Committee 159, Global Positioning Systems (GPS)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-12

... 159, Global Positioning Systems (GPS). SUMMARY: The FAA is issuing this notice to advise the public of the eighty-ninth meeting of the RTCA Special Committee 159, Global Positioning Systems (GPS). DATES... 159, Global Positioning Systems (GPS) AGENCY: Federal Aviation Administration (FAA), U.S. Department...

78 FR 13396 - 90th Meeting: RTCA Special Committee 159, Global Positioning Systems (GPS)

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-27

... 159, Global Positioning Systems (GPS) SUMMARY: The FAA is issuing this notice to advise the public of the eighty-ninth meeting of the RTCA Special Committee 159, Global Positioning Systems (GPS). DATES... 159, Global Positioning Systems (GPS) AGENCY: Federal Aviation Administration (FAA), U.S. Department...

76 FR 33022 - Eighty-Sixth Meeting: RTCA Special Committee 159: Global Positioning System (GPS)

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-07

... Committee 159: Global Positioning System (GPS) AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of RTCA Special Committee 159 meeting: Global Positioning System (GPS). SUMMARY: The FAA is...), notice is hereby given for a Special Committee 159: Global Positioning System (GPS) meeting. The agenda...

78 FR 63459 - GPS Satellite Simulator Control Working Group Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-24

... DEPARTMENT OF DEFENSE Air Force GPS Satellite Simulator Control Working Group Meeting AGENCY... and DoD contractors, that the GPS Directorate will host a GPS Satellite Simulator Control Working Group (SSCWG) meeting on 1 November 2013 from 0900-1300 PST at Los Angeles Air Force Base. The purpose...

Results of an Internet-Based Dual-Frequency Global Differential GPS System

NASA Technical Reports Server (NTRS)

Muellerschoen, R.; Bertiger, W.; Lough, M.

2000-01-01

Observables from a global network of 18 GPS receivers are returned in real-time to JPL over the open Internet. 30 - 40 cm RSS global GPS orbits and precise dual-frequency GPS clocks are computed in real-time with JPL's Real Time Gipsy (RTG) software.

33 CFR 164.43 - Automatic Identification System Shipborne Equipment-Prince William Sound.

Code of Federal Regulations, 2011 CFR

2011-07-01

...GPS) receiver; (2) Marine band Non-Directional Beacon receiver capable of receiving dGPS error... frequency; and (4) Control unit. (b) An AISSE must have the following capabilities: (1) Use dGPS to sense... Recommended Standards for Differential NAVSTAR GPS Service in determining the required information; (3...

GPS-ABC radiated chamber testing overview and results : GPS-ABC Workshop VI : RTCA Washington, DC, March 30, 2017.

DOT National Transportation Integrated Search

2017-03-30

This presentation, which was given during the GPS-ABC Workshop VI in Washington, DC on March 30, 2017 details the authors' radiated testing protocols and results. GPS receiver testing was carried out April 25-29, 2016 at the Army : Research Laborator...

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...

GPS-based system for satellite tracking and geodesy

NASA Technical Reports Server (NTRS)

Bertiger, Willy I.; Thornton, Catherine L.

1989-01-01

High-performance receivers and data processing systems developed for GPS are reviewed. The GPS Inferred Positioning System (GIPSY) and the Orbiter Analysis and Simulation Software (OASIS) are described. The OASIS software is used to assess GPS system performance using GIPSY for data processing. Consideration is given to parameter estimation for multiday arcs, orbit repeatability, orbit prediction, daily baseline repeatability, agreement with VLBI, and ambiguity resolution. Also, the dual-frequency Rogue receiver, which can track up to eight GPS satellites simultaneously, is discussed.

USNO GPS program

NASA Technical Reports Server (NTRS)

Putkovich, K.

1981-01-01

Initial test results indicated that the Global Positioning System/Time Transfer Unit (GPS/TTU) performed well within the + or - 100 nanosecond range required by the original system specification. Subsequent testing involved the verification of GPS time at the master control site via portable clocks and the acquisition and tracking of as many passes of the space vehicles currently in operation as possible. A description and discussion of the testing, system modifications, test results obtained, and an evaluation of both GPS and the GPS/TTU are presented.

The 1992 activities of the International GPS Geodynamics Service (IGS).

NASA Astrophysics Data System (ADS)

Beutler, G.

The primary goal of the International GPS Geodynamics Service (IGS) is to give the scientific community high quality GPS orbits (and related information like earth orientation parameters) to perform regional or local GPS analyses without further orbit improvement. The declared goal of the three month 1992 IGS Test Campaign was the routine production of accurate GPS orbits using the observations of about 30 globally distributed IGS Core Sites. IGS Epoch Campaigns will be organized about every second year.

Orbiter global positioning system design and Ku-band problem investigations, exhibit B, revision 1

NASA Technical Reports Server (NTRS)

Lindsey, W. C.

1983-01-01

The hardware, software, and interface between them was investigated for a low dynamics, nonhostile environment, low cost GPS receiver (GPS Z set). The set is basically a three dimensional geodetic and way point navigator with GPS time, ground speed, and ground track as possible outputs in addition to the usual GPS receiver set outputs. Each functional module comprising the GPS set is described, enumerating its functional inputs and outputs, leading to the interface between hardware and software of the set.

Autonomous Spacecraft Navigation Using Above-the-Constellation GPS Signals

NASA Technical Reports Server (NTRS)

Winternitz, Luke

2017-01-01

GPS-based spacecraft navigation offers many performance and cost benefits, and GPS receivers are now standard GNC components for LEO missions. Recently, more and more high-altitude missions are taking advantage of the benefits of GPS navigation as well. High-altitude applications pose challenges, however, because receivers operating above the GPS constellations are subject to reduced signal strength and availability, and uncertain signal quality. This presentation will present the history and state-of-the-art in high-altitude GPS spacecraft navigation, including early experiments, current missions and receivers, and efforts to characterize and protect signals available to high-altitude users. Recent results from the very-high altitude MMS mission are also provided.

GPS=A Good Candidate for Data Assimilation?

NASA Technical Reports Server (NTRS)

Poli, P.; Joiner, J.; Kursinski, R.; Einaudi, Franco (Technical Monitor)

2000-01-01

The Global Positioning System (GPS) enables positioning anywhere about our planet. The microwave signals sent by the 24 transmitters are sensitive to the atmosphere. Using the radio occultation technique, it is possible to perform soundings, with a Low Earth Orbiter (700 km) GPS receiver. The insensitiveness to clouds and aerosols, the relatively high vertical resolution (1.5 km), the self-calibration and stability of the GPS make it a priori a potentially good observing system candidate for data assimilation. A low-computing cost simple method to retrieve both temperature and humidity will be presented. Comparisons with radiosonde show the capability of the GPS to resolve the tropopause. Options for using GPS for data assimilation and remaining issues will be discussed.

GPS Position Time Series @ JPL

NASA Technical Reports Server (NTRS)

Owen, Susan; Moore, Angelyn; Kedar, Sharon; Liu, Zhen; Webb, Frank; Heflin, Mike; Desai, Shailen

2013-01-01

Different flavors of GPS time series analysis at JPL - Use same GPS Precise Point Positioning Analysis raw time series - Variations in time series analysis/post-processing driven by different users. center dot JPL Global Time Series/Velocities - researchers studying reference frame, combining with VLBI/SLR/DORIS center dot JPL/SOPAC Combined Time Series/Velocities - crustal deformation for tectonic, volcanic, ground water studies center dot ARIA Time Series/Coseismic Data Products - Hazard monitoring and response focused center dot ARIA data system designed to integrate GPS and InSAR - GPS tropospheric delay used for correcting InSAR - Caltech's GIANT time series analysis uses GPS to correct orbital errors in InSAR - Zhen Liu's talking tomorrow on InSAR Time Series analysis

GPS water vapor project associated to the ESCOMPTE programme: description and first results of the field experiment

NASA Astrophysics Data System (ADS)

Bock, O.; Doerflinger, E.; Masson, F.; Walpersdorf, A.; Van-Baelen, J.; Tarniewicz, J.; Troller, M.; Somieski, A.; Geiger, A.; Bürki, B.

A dense network of 17 dual frequency GPS receivers has been operated for two weeks during June 2001 within a 20 km × 20 km area around Marseille, France, as part of the ESCOMPTE field campaign ([Cros et al., 2004. The ESCOMPTE program: an overview. Atmos. Res. 69, 241-279]; http://medias.obs-mip.fr/escompte). The goal of this GPS experiment was to provide GPS data allowing for tomographic inversions and their validation within a well-documented observing period (the ESCOMPTE campaign). Simultaneous water vapor radiometer, solar spectrometer, Raman lidar and radiosonde data are used for comparison and validation. In this paper, we highlight the motivation, issues and describe the GPS field experiment. Some first results of integrated water vapor retrievals from GPS and the other sensing techniques are presented. The strategies for GPS data processing and tomographic inversions are discussed.

Sensing Human Activity: GPS Tracking

PubMed Central

van der Spek, Stefan; van Schaick, Jeroen; de Bois, Peter; de Haan, Remco

2009-01-01

The enhancement of GPS technology enables the use of GPS devices not only as navigation and orientation tools, but also as instruments used to capture travelled routes: as sensors that measure activity on a city scale or the regional scale. TU Delft developed a process and database architecture for collecting data on pedestrian movement in three European city centres, Norwich, Rouen and Koblenz, and in another experiment for collecting activity data of 13 families in Almere (The Netherlands) for one week. The question posed in this paper is: what is the value of GPS as ‘sensor technology’ measuring activities of people? The conclusion is that GPS offers a widely useable instrument to collect invaluable spatial-temporal data on different scales and in different settings adding new layers of knowledge to urban studies, but the use of GPS-technology and deployment of GPS-devices still offers significant challenges for future research. PMID:22574061

Single-Frequency GPS Relative Navigation in a High Ionosphere Orbital Environment

NASA Technical Reports Server (NTRS)

Conrad, Patrick R.; Naasz, Bo J.

2007-01-01

The Global Positioning System (GPS) provides a convenient source for space vehicle relative navigation measurements, especially for low Earth orbit formation flying and autonomous rendezvous mission concepts. For single-frequency GPS receivers, ionospheric path delay can be a significant error source if not properly mitigated. In particular, ionospheric effects are known to cause significant radial position error bias and add dramatically to relative state estimation error if the onboard navigation software does not force the use of measurements from common or shared GPS space vehicles. Results from GPS navigation simulations are presented for a pair of space vehicles flying in formation and using GPS pseudorange measurements to perform absolute and relative orbit determination. With careful measurement selection techniques relative state estimation accuracy to less than 20 cm with standard GPS pseudorange processing and less than 10 cm with single-differenced pseudorange processing is shown.

Prescribing of psychotropic medication for nursing home residents with dementia: a general practitioner survey.

PubMed

Cousins, Justin M; Bereznicki, Luke Re; Cooling, Nick B; Peterson, Gregory M

2017-01-01

The aim of this study was to identify factors influencing the prescribing of psychotropic medication by general practitioners (GPs) to nursing home residents with dementia. GPs with experience in nursing homes were recruited through professional body newsletter advertising, while 1,000 randomly selected GPs from southeastern Australia were invited to participate, along with a targeted group of GPs in Tasmania. An anonymous survey was used to collect GPs' opinions. A lack of nursing staff and resources was cited as the major barrier to GPs recommending non-pharmacological techniques for behavioral and psychological symptoms of dementia (BPSD; cited by 55%; 78/141), and increasing staff levels at the nursing home ranked as the most important factor to reduce the usage of psychotropic agents (cited by 60%; 76/126). According to GPs, strategies to reduce the reliance on psychotropic medication by nursing home residents should be directed toward improved staffing and resources at the facilities.

Comparison of observed and modeled seasonal crustal vertical displacements derived from multi-institution GPS and GRACE solutions

NASA Astrophysics Data System (ADS)

Gu, Yanchao; Fan, Dongming; You, Wei

2017-07-01

Eleven GPS crustal vertical displacement (CVD) solutions for 110 IGS08/IGS14 core stations provided by the International Global Navigation Satellite Systems Service Analysis Centers are compared with seven Gravity Recovery and Climate Experiment (GRACE)-modeled CVD solutions. The results of the internal comparison of the GPS solutions from multiple institutions imply large uncertainty in the GPS postprocessing. There is also evidence that GRACE solutions from both different institutions and different processing approaches (mascon and traditional spherical harmonic coefficients) show similar results, suggesting that GRACE can provide CVD results of good internal consistency. When the uncertainty of the GPS data is accounted for, the GRACE data can explain as much as 50% of the actual signals and more than 80% of the GPS annual signals. Our study strongly indicates that GRACE data have great potential to correct the nontidal loading in GPS time series.

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.

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.

GPS/REFSAT definition study report for low-cost terminals

NASA Technical Reports Server (NTRS)

1980-01-01

A relay transponder, located either on a satellite in geostationary orbit or on a local tower to relay acquisition-aiding data, ephemerides, etc, from a ground-based remote control station to a GPS civil user terminal located on a ship or land-transportation vehicle is described. Termed REFSAT (Reference Satellite), this concept reduces the circuit complexity and cost of user terminals. The various systems needed to implement the REFSAT concept for low-cost, GPS civil terminals are defined. The GPS/REFSAT system compatible with the NAVSTAR GPS system consists of a geostationary relay satellite, civil user terminals, and the central facility which performs operations common to all users for relay via the space segment. A GPS/REFSAT system utilizing a local tower for the relay transponder is described, results of a study of civil user requirements are presented, and specifications for the GPS/REFSAT system and its individual segments are included.

Operation of a single-channel, sequential Navstar GPS receiver in a helicopter mission environment

NASA Technical Reports Server (NTRS)

Edwards, F. G.; Hamlin, J. R.

1984-01-01

It is pointed out that the future utilization of the Navstar Global Positioning System (GPS) by civil helicopters will provide an enhanced performance not obtainable with current navigations systems. GPS will supply properly equipped users with extremely accurate three-dimensional position and velocity information anywhere in the world. Preliminary studies have been conducted to investigate differential GPS concept mechanizations and cost, and to theoretically predict navigation performance and the impact of degradation of the GPS C/A code for national security considerations. The obtained results are encouraging, but certain improvements are needed. As a second step in the program, a single-channel sequential GPS navigator was installed and operated in the NASA SH-3G helicopter. A series of flight tests were conducted. It is found that performance of the Navstar GPS Z-set is quite acceptable to support area navigation and nonprecision approach operations.

Design of a Prototype Autonomous Amphibious WHEGS(Trademark) Robot for Surf-Zone Operations

DTIC Science & Technology

2005-06-01

Control Loop ........................................................................ 9 Figure 7. Physical Layout (without GPS bracket ...12 Figure 8. Side View showing GPS Bracket ........................................................ 13 Figure 9...without GPS bracket ) 13 Figure 8. Side View showing GPS Bracket 1. Body Construction The design of the robot body for this thesis was made to

76 FR 67019 - Eighty-Seventh: RTCA Special Committee 159: Global Positioning System (GPS)

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-28

... Committee 159: Global Positioning System (GPS) 87th meeting. DATES: The meeting will be held November 14-18... Committee 159, Global Positioning System (GPS). The agenda will include the following: November 14-17, 2011... Committee 159: Global Positioning System (GPS) AGENCY: Federal Aviation Administration (FAA), U.S...

76 FR 8353 - Positioning Systems Directorate Will Be Hosting an Interface Control Working Group (ICWG) Meeting...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-14

... an Interface Control Working Group (ICWG) Meeting for Document ICD-GPS-870 AGENCY: Interface Control Working Group (ICWG) meeting for document ICD-GPS-870. ACTION: Meeting Notice. SUMMARY: This notice... Working Group (ICWG) meeting for document ICD-GPS-870, Navstar Next Generation GPS Operational Control...

A study of ionospheric grid modification technique for BDS/GPS receiver

NASA Astrophysics Data System (ADS)

Liu, Xuelin; Li, Meina; Zhang, Lei

2017-07-01

For the single-frequency GPS receiver, ionospheric delay is an important factor affecting the positioning performance. There are many kinds of ionospheric correction methods, common models are Bent model, IRI model, Klobuchar model, Ne Quick model and so on. The US Global Positioning System (GPS) uses the Klobuchar coefficients transmitted in the satellite signal to correct the ionospheric delay error for a single frequency GPS receiver, but this model can only reduce the ionospheric error of about 50% in the mid-latitudes. In the Beidou system, the accuracy of the correction delay is higher. Therefore, this paper proposes a method that using BD grid information to correct GPS ionospheric delay to improve the ionospheric delay for the BDS/GPS compatible positioning receiver. In this paper, the principle of ionospheric grid algorithm is introduced in detail, and the positioning accuracy of GPS system and BDS/GPS compatible positioning system is compared and analyzed by the real measured data. The results show that the method can effectively improve the positioning accuracy of the receiver in a more concise way.

A demonstration of centimeter-level monitoring of polar motion with the Global Positioning System

NASA Technical Reports Server (NTRS)

Lindqwister, U. J.; Freedman, A. P.; Blewitt, G.

1992-01-01

Daily estimates of the Earth's pole position were obtained with the Global Positioning System (GPS) by using measurements obtained during the GPS IERS (International Earth Rotation Service) and Geodynamics (GIG'91) experiment from 22 Jan. to 13 Feb. 1991. Data from a globally distributed network consisting of 21 Rogue GPS receivers were chosen for the analysis. A comparison of the GPS polar motion series with nine 24-hour very long baseline interferometry (VLBI) estimates yielded agreement in the day-to-day pole position of about 1.5 cm for both X and Y polar motion. A similar comparison of GPS and satellite laser ranging (SLR) data showed agreement to about 1.0 cm. These preliminary results indicate that polar motion can be determined by GPS independent of, and at a level comparable to, that which is obtained from either VLBI or SLR. Furthermore, GPS can provide these data with a daily frequency that neither alternative technique can readily achieve. Thus, GPS promises to be a powerful tool for determining high-frequency platform parameter variation, essential for the ultraprecise spacecraft-tracking requirements of the coming years.

Estimation of total electron content (TEC) using spaceborne GPS measurements

NASA Astrophysics Data System (ADS)

Choi, Key-Rok; Lightsey, E. Glenn

2008-09-01

TerraSAR-X (TSX), a high-resolution interferometric Synthetic Aperture Radar (SAR) mission from DLR (German Aerospace Center, Deutsches Zentrum für Luft-und Raumfahrt), was successfully launched into orbit on June 15, 2007. It includes a dual-frequency GPS receiver called IGOR (Integrated GPS Occultation Receiver), which is a heritage NASA/JPL BlackJack receiver. The software for the TSX IGOR receiver was specially-modified software developed at UT/CSR. This software was upgraded to provide enhanced occultation capabilities. This paper describes total electron content (TEC) estimation using simulation data and onboard GPS data of TerraSAR-X. The simulated GPS data were collected using the IGOR Engineering Model (EM) in the laboratory and the onboard GPS data were collected from the IGOR Flight Model (FM) on TSX. To estimate vertical total electron content (vTEC) for the simulation data, inter-frequency biases (IFB) were estimated using the "carrier to code leveling process." For the onboard GPS data, IFBs of GPS satellites were retrieved from the navigation message and applied to the measurements.

Extraction, characterization and antioxidant activity of polysaccharides of spent mushroom compost of Ganoderma lucidum.

PubMed

Zhang, Jianjun; Meng, Guangyuan; Zhai, Guoyin; Yang, Yongheng; Zhao, Huajie; Jia, Le

2016-01-01

To contribute toward effective exploitation and utilization of spent mushroom compost (SMC) of Ganoderma lucidum (SMC-G), a water-soluble polysaccharide of GPS was extracted, and then two fractions (GPS-1 and GPS-2) were purified from SMC-G. The optimum conditions for GPS extraction were optimized by the central composite design (CCD) and the GPS yield reached 3.84% at a ratio of water to material of 34.5, a precipitation time of 19.82h, and pH of 7.88. Characteristic analysis showed that GPS-1 and GPS-2 were heteropolysaccharides, and had glycosidic structures (OH, CH, CO and COC). Both GPS and its fractions showed potential antioxidant activities by scavenging hydroxyl and 1,1-diphenyl-2-picrylhydrazyl (DPPH) radicals, and increasing the reducing power in vitro; and by improving the CAT activities, and lowing the LPO and MDA contents in vivo, respectively. The results provided a reference for the exploitation of SMC-G which would be significant to sustainable development of industry and agriculture, environmental protection and full utilization of resources. Copyright © 2015 Elsevier B.V. All rights reserved.

GPS Navigation Above 76,000 km for the MMS Mission

NASA Technical Reports Server (NTRS)

Winternitz, Luke; Bamford, Bill; Price, Samuel; Long, Anne; Farahmand, Mitra; Carpenter, Russell

2016-01-01

NASA's MMS mission, launched in March of 2015,consists of a controlled formation of four spin-stabilized spacecraft in similar highly elliptic orbits reaching apogee at radial distances of 12and 25 Earth radii in the first and second phases of the mission. Navigation for MMS is achieved independently onboard each spacecraft by processing GPS observables using NASA GSFC's Navigator GPS receiver and the Goddard Enhanced Onboard Navigation System (GEONS) extended Kalman filter software. To our knowledge, MMS constitutes, by far, the highest-altitude operational use of GPS to date and represents the culmination of over a decade of high-altitude GPS navigation research and development at NASA GSFC. In this paper we will briefly describe past and ongoing high-altitude GPS research efforts at NASA GSFC and elsewhere, provide details on the design of the MMS GPS navigation system, and present on-orbit performance data. We extrapolate these results to predict performance in the Phase 2b mission orbit, and conclude with a discussion of the implications of the MMS results for future high-altitude GPS navigation, which we believe to be broad and far-reaching.

SUPL support for mobile devices

NASA Astrophysics Data System (ADS)

Narisetty, Jayanthi; Soghoyan, Arpine; Sundaramurthy, Mohanapriya; Akopian, David

2012-02-01

Conventional Global Positioning System (GPS) receivers operate well in open-sky environments. But their performance degrades in urban canyons, indoors and underground due to multipath, foliage, dissipation, etc. To overcome such situations, several enhancements have been suggested such as Assisted GPS (A-GPS). Using this approach, orbital parameters including ephemeris and almanac along with reference time and coarse location information are provided to GPS receivers to assist in acquisition of weak signals. To test A-GPS enabled receivers high-end simulators are used, which are not affordable by many academic institutions. This paper presents an economical A-GPS supplement for inexpensive simulators which operates on application layer. Particularly proposed solution is integrated with National Instruments' (NI) GPS Simulation Toolkit and implemented using NI's Labview environment. This A-GPS support works for J2ME and Android platforms. The communication between the simulator and the receiver is in accordance with the Secure User Plane Location (SUPL) protocol encapsulated with Radio Resource Location Protocol (RRLP) applies to Global System for Mobile Communications (GSM) and Universal Mobile Telecommunications System (UMTS) cellular networks.

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.

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.

Diagnosis of cognitive impairment and the assessment of driving safety: a survey of Canterbury GPs.

PubMed

Hoggarth, Petra A

2013-12-13

To assess how GPs in Canterbury determine the driving ability of their older patients with cognitive impairment. A 10-item questionnaire was sent to 514 Canterbury GPs via the mail system of three Primary Health Organisations. GPs could either post or fax back responses anonymously and were also able to add their own comments. 185 GPs returned completed questionnaires (36% response rate). Six of 10 items were rated in the middle of the response range, indicating a middling level of agreement. All but three GPs reported using a cognitive screening test and most talked to their patients about the need to plan for driving cessation. GPs did not frequently report referring for on-road driving assessments and many commented they would appreciate a more structured guideline with specific recommendations. There is room for improvement in the amount of information provided to GPs about how to best assess older patients with cognitive impairment for fitness to drive. Recommendations of specific cognitive screens and a flowchart format would be a valuable addition.

GPS-SNO: computational prediction of protein S-nitrosylation sites with a modified GPS algorithm.

PubMed

Xue, Yu; Liu, Zexian; Gao, Xinjiao; Jin, Changjiang; Wen, Longping; Yao, Xuebiao; Ren, Jian

2010-06-24

As one of the most important and ubiquitous post-translational modifications (PTMs) of proteins, S-nitrosylation plays important roles in a variety of biological processes, including the regulation of cellular dynamics and plasticity. Identification of S-nitrosylated substrates with their exact sites is crucial for understanding the molecular mechanisms of S-nitrosylation. In contrast with labor-intensive and time-consuming experimental approaches, prediction of S-nitrosylation sites using computational methods could provide convenience and increased speed. In this work, we developed a novel software of GPS-SNO 1.0 for the prediction of S-nitrosylation sites. We greatly improved our previously developed algorithm and released the GPS 3.0 algorithm for GPS-SNO. By comparison, the prediction performance of GPS 3.0 algorithm was better than other methods, with an accuracy of 75.80%, a sensitivity of 53.57% and a specificity of 80.14%. As an application of GPS-SNO 1.0, we predicted putative S-nitrosylation sites for hundreds of potentially S-nitrosylated substrates for which the exact S-nitrosylation sites had not been experimentally determined. In this regard, GPS-SNO 1.0 should prove to be a useful tool for experimentalists. The online service and local packages of GPS-SNO were implemented in JAVA and are freely available at: http://sno.biocuckoo.org/.

The March 1985 demonstration of the fiducial network concept for GPS geodesy: A preliminary report

NASA Technical Reports Server (NTRS)

Davidson, J. M.; Thornton, C. L.; Dixon, T. H.; Vegos, C. J.; Young, L. E.; Yunck, T. P.

1986-01-01

The first field tests in preparation for the NASA Global Positioning System (GPS) Caribbean Initiative were conducted in late March and Early April of 1985. The GPS receivers were located at the POLARIS Very Long Base Interferometry (VLBI) stations at Westford, Massachusetts; Richmond, Florida; and Ft. Davis, Texas; and at the Mojave, Owens Valley, and Hat Creek VLBI stations in California. Other mobile receivers were placed near Mammoth Lakes, California; Pt. Mugu, California; Austin, Texas; and Dahlgren, Virginia. These sites were equipped with a combination of GPS receiver types, including SERIES-X, TI-4100 and AFGL dual frequency receivers. The principal objectives of these tests were the demonstration of the fiducial network concept for precise GPS geodesy, the performance assessment of the participating GPS receiver types, and to conduct the first in a series of experiments to monitor ground deformation in the Mammoth Lakes-Long Valley caldera region in California. Other objectives included the testing of the water vapor radiometers for the calibration of GPS data, the development of efficient procedures for planning and coordinating GPS field exercise, the establishment of institutional interfaces for future cooperating ventures, the testing of the GPS Data Analysis Software (GIPSY, for GPS Inferred Positioning SYstem), and the establishment of a set of calibration baselines in California. Preliminary reports of the success of the field tests, including receiver performance and data quality, and on the status of the data analysis software are given.

Negotiating refusal in primary care consultations: a qualitative study.

PubMed

Walter, Alex; Chew-Graham, Carolyn; Harrison, Stephen

2012-08-01

How GPs negotiate patient requests is vital to their gatekeeper role but also a source of potential conflict, practitioner stress and patient dissatisfaction. Difficulties may arise when demands of shared decision-making conflict with resource allocation, which may be exacerbated by new commissioning arrangements, with GPs responsible for available services. To explore GPs' accounts of negotiating refusal of patient requests and their negotiation strategies. A qualitative design was employed with two focus groups of GPs and GP registrars followed by 20 semi-structured interviews. Participants were sampled by gender, experience, training/non-training, principal versus salaried or locum. Thematic content analysis proceeded in parallel with interviews and further sampling. The setting was GP practices within an English urban primary care trust. Sickness certification, antibiotics and benzodiazepines were cited most frequently as problematic patient requests. GP trainees reported more conflict within interactions than experienced GPs. Negotiation strategies, such as blaming distant third parties such as the primary care organization, were designed to prevent conflict and preserve the doctor-patient relationship. GPs reported patients' expectations being strongly influenced by previous encounters with other health care professionals. The findings reiterate the prominence of the doctor-patient relationship in GPs' accounts. GPs' relationships with colleagues and the wider National Health Service (NHS) are particular of relevance in light of provisions in the Health and Social Care Bill for clinical commissioning consortia. The ability of GPs to offset blame for rationing decisions to third parties will be undermined if the same GPs commission services.

A qualitative study of GPs' and PCO stakeholders' views on the importance and influence of cost on prescribing.

PubMed

Prosser, Helen; Walley, Tom

2005-03-01

With prescribing expenditure rising and evidence of prescribing costs variation, general practitioners (GPs) in the UK are under increasing pressure to contain spending. The introduction of cash-limited, unified budgets and increased monitoring of prescribing within Primary Care Organizations (PCO) are intended to increase efficiency and enhance GPs financial responsibility. Whilst GPs regularly receive data on the costs of their prescribing and also performance against a set prescribing budget, little is known about the extent to which GPs take cost into account in their prescribing decisions. This study undertook a qualitative exploration of the attitudes of various stakeholders on the relative importance and influence of cost on general practice prescribing. In order to explore a plurality of perspectives, data were obtained from focus groups and a series of individual semi-structured interviews with GPs and key PCO stakeholders. The data suggest that although almost all GPs believed costs should be taken into account when prescribing, there was great variation in the extent to which this was applied and to how sensitive GPs were to costs. Cost was secondary to clinical effectiveness and safety, whilst individual patient need was emphasized above other forms of rationality or notions of opportunity costs. Conflict was apparent between a PCO policy of cost-containment and GPs' resistance to cost-cutting. GPs largely applied simple cost-minimization while cost-consideration was undermined by contextual factors. Implications for research and policy are discussed.

GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey

PubMed Central

Foster, Nadine E; Porcheret, Mark; Rathod, Trishna; Roddy, Edward

2017-01-01

Objectives The aim of this study was to investigate general practitioners’ (GPs) attitudes, beliefs and behaviours regarding the use of exercise for patients with chronic knee pain (CKP) attributable to osteoarthritis. Setting Primary care GPs in the UK. Participants 5000 GPs, randomly selected from Binley’s database, were mailed a cross-sectional questionnaire survey. Outcome measures GPs’ attitudes and beliefs were investigated using attitude statements, and reported behaviours were identified using vignette-based questions. GPs were invited to report barriers experienced when initiating exercise with patients with CKP Results 835 (17%) GPs responded. Overall, GPs were positive about general exercise for CKP. 729 (87%) reported using exercise, of which, 538 (74%) reported that they would use both general and local (lower limb) exercises. However, only 92 (11% of all responding) GPs reported initiating exercise in ways aligning with best-evidence recommendations. 815 (98%) GPs reported barriers in using exercise for patients with CKP, most commonly, insufficient time in consultations (n=419; 51%) and insufficient expertise (n=337; 41%). Conclusions While GPs’ attitudes and beliefs regarding exercise for CKP were generally positive, initiation of exercise was often poorly aligned with current recommendations, and barriers and uncertainties were reported. GPs’ use of exercise may be improved by addressing the key barriers of time and expertise, by developing a pragmatic approach that supports GPs to initiate individualised exercise, and/or by other professionals taking on this role. PMID:28624759

The lesser evil? Initiating a benzodiazepine prescription in general practice: a qualitative study on GPs' perspectives.

PubMed

Anthierens, Sibyl; Habraken, Hilde; Petrovic, Mirko; Christiaens, Thierry

2007-12-01

Chronic benzodiazepine (BZD) use is widespread and linked with adverse effects. There is consensus concerning the importance of initiating BZD as a crucial moment. Nevertheless specific research in this field is lacking. This paper addresses the views of GPs on why they start prescribing BZDs to first-time users. Qualitative study with five focus groups analysed using a systematic content analysis. Regions of Ghent and Brussels in Belgium. A total of 35 general practitioners. The GPs' perspective on their initiating of BZD prescribing. GPs reported that they are cautious in initiating BZD usage. At the same time, GPs feel overwhelmed by the psychosocial problems of their patients. They show empathy by prescribing. They feel in certain situations there are no other solutions and they experience BZDs as the lesser evil. They admit to resorting to BZDs because of time restraint and lack of alternatives. GPs do not perceive the addictive nature of BZD consumption as a problem with first-time users. GPs do not specifically mention patients' demand as an element for starting. The main concern of GPs is to help the patient. GPs should be aware of the addictive nature of BZD even in low doses and a non-pharmacological approach should be seen as the best first approach. If GPs decide to prescribe a BZD they should make plain to the patient that the medication is only a "temporary" solution with clear agreements with regard to medication withdrawal.

Feature Orientation and Positional Accuracy Assessment of Digital Orthophoto and Line Map for Large Scale Mapping: the Case Study on Bahir Dar Town, Ethiopia

NASA Astrophysics Data System (ADS)

Sisay, Z. G.; Besha, T.; Gessesse, B.

2017-05-01

This study used in-situ GPS data to validate the accuracy of horizontal coordinates and orientation of linear features of orthophoto and line map for Bahir Dar city. GPS data is processed using GAMIT/GLOBK and Lieca GeoOfice (LGO) in a least square sense with a tie to local and regional GPS reference stations to predict horizontal coordinates at five checkpoints. Real-Time-Kinematic GPS measurement technique is used to collect the coordinates of road centerline to test the accuracy associated with the orientation of the photogrammetric line map. The accuracy of orthophoto was evaluated by comparing with in-situ GPS coordinates and it is in a good agreement with a root mean square error (RMSE) of 12.45 cm in x- and 13.97 cm in y-coordinates, on the other hand, 6.06 cm with 95 % confidence level - GPS coordinates from GAMIT/GLOBK. Whereas, the horizontal coordinates of the orthophoto are in agreement with in-situ GPS coordinates at an accuracy of 16.71 cm and 18.98 cm in x and y-directions respectively and 11.07 cm with 95 % confidence level - GPS data is processed by LGO and a tie to local GPS network. Similarly, the accuracy of linear feature is in a good fit with in-situ GPS measurement. The GPS coordinates of the road centerline deviates from the corresponding coordinates of line map by a mean value of 9.18 cm in x- direction and -14.96 cm in y-direction. Therefore, it can be concluded that, the accuracy of the orthophoto and line map is within the national standard of error budget ( 25 cm).

Modified Glasgow Prognostic Score is Associated With Risk of Recurrence in Bladder Cancer Patients After Radical Cystectomy: A Multicenter Experience.

PubMed

Ferro, Matteo; De Cobelli, Ottavio; Buonerba, Carlo; Di Lorenzo, Giuseppe; Capece, Marco; Bruzzese, Dario; Autorino, Riccardo; Bottero, Danilo; Cioffi, Antonio; Matei, Deliu Victor; Caraglia, Michele; Borghesi, Marco; De Berardinis, Ettore; Busetto, Gian Maria; Giovannone, Riccardo; Lucarelli, Giuseppe; Ditonno, Pasquale; Perdonà, Sisto; Bove, Pierluigi; Castaldo, Luigi; Hurle, Rodolfo; Musi, Gennaro; Brescia, Antonio; Olivieri, Michele; Cimmino, Amelia; Altieri, Vincenzo; Damiano, Rocco; Cantiello, Francesco; Serretta, Vincenzo; De Placido, Sabino; Mirone, Vincenzo; Sonpavde, Guru; Terracciano, Daniela

2015-10-01

Recently, many studies explored the role of inflammation parameters in the prognosis of urinary cancers, but the results were not consistent. The modified Glasgow Prognostic Score (mGPS), a systemic inflammation marker, is a prognostic marker in various types of cancers. The aim of the present study was to investigate the usefulness of the preoperative mGPS as predictor of recurrence-free (RFS), overall (OS), and cancer-specific (CSS) survivals in a large cohort of urothelial bladder cancer (UBC) patients.A total of 1037 patients with UBC were included in this study with a median follow-up of 22 months (range 3-60 months). An mGPS = 0 was observed in 646 patients (62.3%), mGPS = 1 in 297 patients (28.6 %), and mGPS = 2 in 94 patients (9.1%).In our study cohort, subjects with an mGPS equal to 2 had a significantly shorter median RFS compared with subjects with mGPS equal to 1 (16 vs 19 months, hazard ratio [HR] 1.54, 95% CI 1.31-1.81, P < 0.001) or with subjects with mGPS equal to 0 (16 vs 29 months, HR 2.38, 95% CI 1.86-3.05, P < 0.001). The association between mGPS and RFS was confirmed by weighted multivariate Cox model. Although in univariate analysis higher mGPS was associated with lower OS and CSS, this association disappeared in multivariate analysis where only the presence of lymph node-positive bladder cancer and T4 stage were predictors of worse prognosis for OS and CSS.In conclusion, the mGPS is an easily measured and inexpensive prognostic marker that was significantly associated with RFS in UBC patients.

Threats or violence from patients was associated with turnover intention among foreign-born GPs - a comparison of four workplace factors associated with attitudes of wanting to quit one's job as a GP.

PubMed

Eneroth, Mari; Gustafsson Sendén, Marie; Schenck Gustafsson, Karin; Wall, Maja; Fridner, Ann

2017-06-01

General practitioners (GPs) are crucial in medical healthcare, but there is currently a shortage of GPs in Sweden and elsewhere. Recruitment of GPs from abroad is essential, but foreign-born physicians face difficulties at work that may be related to turnover intention, i.e. wanting to quit one's job. The study aims to explore the reasons to why foreign-born GPs may intend to quit their job. Survey data were used to compare four work-related factors that can be associated with turnover intentions; patient-related stress, threats or violence from patients, control of work pace, and empowering leadership, among native-born and foreign-born GPs. These work-related factors were subsequently examined in relation to turnover intention among the foreign-born GPs by means of linear hierarchical regression analyses. The questionnaire consisted of items from the QPS Nordic and items constructed by the authors. A primary care setting in a central area of Sweden. Native-born (n = 208) and foreign-born GPs (n = 73). Turnover intention was more common among foreign-born GPs (19.2% compared with 14.9%), as was the experience of threats or violence from patients (22% compared with 3% of the native-born GPs). Threats or violence was also associated with increased turnover intention. Control of work pace and an empowering leadership was associated with reduced turnover intention. The organisations need to recognise that foreign-born GPs may face increased rates of threats and/or violence from patients, which may ultimately cause job turnover and be harmful to the exposed individual.

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.

What are GPs' preferences for financial and non-financial incentives in cancer screening? Evidence for breast, cervical, and colorectal cancers.

PubMed

Sicsic, Jonathan; Krucien, Nicolas; Franc, Carine

2016-10-01

General practitioners (GPs) play a key role in the delivery of preventive and screening services for breast, cervical, and colorectal cancers. In practice, GPs' involvement varies considerably across types of cancer and among GPs, raising important questions about the determinants of GPs' implication in screening activities: what is the relative impact of financial and non-financial incentives? Are GPs' preferences for financial and non-financial incentives cancer-specific? Is there preference heterogeneity and how much does it differ according to the screening context? This study investigates the determinants of GPs' involvement in cancer screening activities using the discrete choice experiment (DCE) methodology. A representative sample of 402 GPs' was recruited in France between March and April 2014. Marginal rates of substitution were used to compare GPs' preferences for being involved in screening activities across three types of cancers: breast, cervical, and colorectal. Variability of preferences was investigated using Hierarchical Bayes mixed logit models. The results indicate that GPs are sensitive to both financial and non-financial incentives, such as a compensated training and systematic transmission of information about screened patients, aimed to facilitate communication between doctors and patients. There is also evidence that the level and variability of preferences differ across screening contexts, although the variations are not statistically significant on average. GPs appear to be relatively more sensitive to financial incentives for being involved in colorectal cancer screening, whereas they have higher and more heterogeneous preferences for non-financial incentives in breast and cervical cancers. Our study provides new findings for policymakers interested in prioritizing levers to increase the supply of cancer screening services in general practice. Copyright © 2016 Elsevier Ltd. All rights reserved.

Development And Test of A Digitally Steered Antenna Array for The Navigator GPS Receiver

NASA Technical Reports Server (NTRS)

Pinto, Heitor David; Valdez, Jennifer E.; Winternitz, Luke M. B.; Hassouneh, Munther A.; Price, Samuel R.

2012-01-01

Global Positioning System (GPS)-based navigation has become common for low-Earth orbit spacecraft as the signal environment is similar to that on the Earth s surface. The situation changes abruptly, however, for spacecraft whose orbital altitudes exceed that of the GPS constellation. Visibility is dramatically reduced and signals that are present may be very weak and more susceptible to interference. GPS receivers effective at these altitudes require increased sensitivity, which often requires a high-gain antenna. Pointing such an antenna can pose a challenge. One efficient approach to mitigate these problems is the use of a digitally steered antenna array. Such an antenna can optimally allocate gain toward desired signal sources and away from interferers. This paper presents preliminary results in the development and test of a digitally steered antenna array for the Navigator GPS research program at NASA s Goddard Space Flight Center. In particular, this paper highlights the development of an array and front-end electronics, the development and test of a real-time software GPS receiver, and implementation of three beamforming methods for combining the signals from the array. Additionally, this paper discusses the development of a GPS signal simulator which produces digital samples of the GPS L1C/A signals as they would be received by an arbitrary antenna array configuration. The simulator models transmitter and receiver dynamics, near-far and multipath interference, and has been a critical component in both the development and test of the GPS receiver. The GPS receiver system was tested with real and simulated GPS signals. Preliminary results show that performance improvement was achieved in both the weak signal and interference environments, matching analytical predictions. This paper summarizes our initial findings and discusses the advantages and limitations of the antenna array and the various beamforming methods.

GPS PPP-derived precipitable water vapor retrieval based on Tm/Ps from multiple sources of meteorological data sets in China

NASA Astrophysics Data System (ADS)

Zhang, Hongxing; Yuan, Yunbin; Li, Wei; Ou, Jikun; Li, Ying; Zhang, Baocheng

2017-04-01

Weighted mean temperature (Tm) and pressure (Ps) are two parameters of great relevance to precipitable water vapor (PWV) retrieval from global positioning system (GPS) data. However, information about the Tm and Ps cannot be available for those GPS stations that are not colocated with meteorological sensors. To investigate the optimal GPS-PWV retrieval method for China, two enhanced Tm models, GM-Tm (temperature dependent) and GH-Tm (temperature independent), are developed. Additionally, the potentials of the Ps data from the two reanalysis data sets, the National Centers for Environmental Prediction (NCEP)-Department of Energy (DOE) Reanalysis II (NCEP II) and ERA-Interim, and from the empirical model GPT2w for GPS-PWV retrieval are investigated over China. To evaluate the performances of multisources Tm and Ps data for GPS-PWV retrieval, GPS data (2011-2013) collected from 22 stations of the Crustal Movement Observation Network of China (CMONOC) were processed by using the precise point positioning (PPP) technique, estimating the zenith tropospheric delay (ZTD) so as to be subsequently converted to GPS-PWV. The retrieved GPS-PWVs are compared with their counterparts derived from NCEP II and radiosonde data over China. The results show that (1) the GM-Tm model consistently shows the highest accuracy (with root mean square error of 2.3 K), and the GH-Tm model should be selected when temperature observations are not available, and that (2) the performances of Ps from NCEP II and ERA-Interim differ marginally for GPS-PWV retrieval, and significant seasonal variations are found in the agreement between the GPS-PWVs and the PWVs derived from NCEP II and radiosonde data over China.

Threats or violence from patients was associated with turnover intention among foreign-born GPs – a comparison of four workplace factors associated with attitudes of wanting to quit one’s job as a GP

PubMed Central

Eneroth, Mari; Gustafsson Sendén, Marie; Schenck Gustafsson, Karin; Wall, Maja; Fridner, Ann

2017-01-01

Objective General practitioners (GPs) are crucial in medical healthcare, but there is currently a shortage of GPs in Sweden and elsewhere. Recruitment of GPs from abroad is essential, but foreign-born physicians face difficulties at work that may be related to turnover intention, i.e. wanting to quit one’s job. The study aims to explore the reasons to why foreign-born GPs may intend to quit their job. Design Survey data were used to compare four work-related factors that can be associated with turnover intentions; patient-related stress, threats or violence from patients, control of work pace, and empowering leadership, among native-born and foreign-born GPs. These work-related factors were subsequently examined in relation to turnover intention among the foreign-born GPs by means of linear hierarchical regression analyses. The questionnaire consisted of items from the QPS Nordic and items constructed by the authors. Setting A primary care setting in a central area of Sweden. Subjects Native-born (n = 208) and foreign-born GPs (n = 73). Results Turnover intention was more common among foreign-born GPs (19.2% compared with 14.9%), as was the experience of threats or violence from patients (22% compared with 3% of the native-born GPs). Threats or violence was also associated with increased turnover intention. Control of work pace and an empowering leadership was associated with reduced turnover intention. Practice implications The organisations need to recognise that foreign-born GPs may face increased rates of threats and/or violence from patients, which may ultimately cause job turnover and be harmful to the exposed individual. PMID:28587508

Australian GPs' perceptions about child and adolescent overweight and obesity the Weight of Opinion study

PubMed Central

King, Lesley A; Loss, Julika HM; Wilkenfeld, Rachel L; Pagnini, Deanna L; Booth, Michael L; Booth, Susan L

2007-01-01

Background GPs can potentially play a significant role in assessing weight status, providing advice, and making referrals to address overweight and obesity and its consequences among children and adolescents. Aim To investigate the perceptions of GPs about overweight and obesity in children and adolescents, including the extent to which they perceive it as a concern, the factors they see as causal, what actions they consider might be needed, and their sense of responsibility and self-efficacy. Design of study A cross-sectional qualitative study of GPs' perceptions. Setting General practice and primary health care services in the state of New South Wales, Australia. Method Focus groups using a structured protocol were conducted with samples of GPs. Groups comprised a mix of male and female GPs from a range of cultural backgrounds and working in practices in low, medium and high socioeconomic areas. Data were recorded and transcribed. Content analysis was used to identify key themes. Results Many GPs are concerned about the increasing prevalence of childhood overweight and obesity. They are committed to dealing with the medical consequences, but are aware of the broad range of social causes. GPs perceived that parents are sensitive about this topic, making it difficult for them to raise the issue directly in clinical practice, unless they use lateral strategies. GPs were confident about providing advice, with some managing the problem independently, while others preferred to refer to specialised services. GPs perceived that there were significant barriers to patient compliance with advice. Conclusion Whereas some GPs manage patients' lifestyle change directly, including children's weight management, others prefer to refer. Programmes, service delivery systems, and resources to support both approaches are required. PMID:17263929

General practitioners' participation in cancer treatment in Norway.

PubMed

Holtedahl, Knut; Scheel, Benedicte I; Johansen, May-Lill

2018-05-01

General practitioners (GPs) participate in a patient's cancer care to different extents at different times, from prevention and diagnosis to treatment and end-of-life care. Traditionally, the GP has had a minor role in cancer treatment. However, oncological and surgical services frequently delegate limited cancer treatment tasks to GPs, especially in rural areas far from hospitals. The aim of this study was to explore the extent of GPs' participation in cancer treatment in Norway. This study was an observational questionnaire study. In 2007, the chief municipal medical officer in all 93 municipalities in North Norway and a 25% random sample (85 municipalities) in South Norway was asked to identify up to five GPs who had recently participated in local treatment of cancer patients, and to forward a patient questionnaire to them. Seventy-eight GPs in 49 municipalities returned completed questionnaires for 118 patients, most of them with progressive disease and living in rural areas. All the GPs reported substantial participation in therapeutic tasks for this select group of patients. Not counting palliative treatment, 64% of the GPs participated in cancer treatment either directly, or indirectly through referrals. Twenty patients received chemotherapy; they belonged to no particular diagnostic category. Eighty-eight percent of the GPs prescribed some kind of palliative medicine, such as analgesic, antiemetic, anxiolytic or antidepressant. Morphine was prescribed equally often by GPs and hospitals. Eighty-one percent of GPs reported having had a thorough conversation with the patient about the patient's condition and circumstances. In this group of GPs, participation rates were high for most of the therapeutic and communicative tasks suggested in the questionnaire. GP participation is feasible not only in palliative care, but also in some aspects of oncological treatment and in clinical follow-up. Communication with both patient and hospital seemed good in this local setting. GPs are important helpers for some cancer patients.

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.

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.

Decisions on sick leave certifications for acute airways infections based on vignettes: A cross-sectional survey of GPs in Norway and Poland

PubMed Central

Halvorsen, Peder A.; Wennevold, Katrine; Fleten, Nils; Muras, Magdalena; Kowalczyk, Anna; Godycki-Cwirko, Maciek; Melbye, Hasse

2011-01-01

Objective To explore whether frequency and duration of sick-leave certification for acute airway infections differ between general practitioners (GPs) in Poland and Norway. Design Cross-sectional survey. Setting Educational courses for GPs. Intervention We used a questionnaire with four vignettes presenting patients with symptoms consistent with pneumonia, sinusitis, common cold, and exacerbation of chronic obstructive pulmonary disease (COPD), respectively. For each vignette GPs were asked whether they would offer a sick-leave note, and if so, for how many days. Subjects Convenience samples of GPs in Poland (n = 216) and Norway (n = 171). Main outcome measures Proportion of GPs offering a sick-leave certificate. Duration of sick-leave certification. Results In Poland 100%, 95%, 87%, and 94% of GPs would offer sick leave for pneumonia, sinusitis, common cold, and exacerbation of COPD, respectively. Corresponding figures in Norway were 97%, 83%, 60%, and 90%. Regression analysis adjusting for the GPs' sex, speciality, experience, and workload indicated that relative risks for offering sick leave (Poland versus Norway) were 1.16 (95% CI 1.07–1.26) for sinusitis and 1.50 (1.28–1.75) for common cold. Among GPs who offered sick leave for pneumonia, sinusitis, common cold, and exacerbation of COPD, mean duration was 8.9, 7.5, 5.1, and 6.9 days (Poland) versus 6.6, 4.3, 3.1, and 6.1 days (Norway), respectively. In regression analyses the differences between the Polish and Norwegian samples in duration of sick leave were statistically significant for all vignettes. A pattern of offering sick leave for three, five, seven, 10, or 14 days was observed in both countries. Conclusion In the Polish sample GPs were more likely to offer sick-leave notes for sinusitis and common cold. GPs in Poland offered sick leaves of longer duration for pneumonia, sinusitis, common colds, and exacerbation of COPD compared with GPs in the Norwegian sample. PMID:21323635

Effects of the diagnostic label 'schizophrenia', actively used or passively accepted, on general practitioners' views of this disorder.

PubMed

Magliano, Lorenza; Strino, Antonella; Punzo, Rosanna; Acone, Roberta; Affuso, Gaetana; Read, John

2017-05-01

General practitioners (GPs) play a key role in the care of somatic and psychiatric problems in people diagnosed with schizophrenia (PWS). It is probable that, like other health professionals, GPs are not all free of prejudices toward PWS. In clinical practice, GPs sometimes interact with clients diagnosed with schizophrenia by specialists, passively accepting this diagnosis. Other times, GPs interact with clients having symptoms of schizophrenia but who have not been diagnosed. In this case, GPs are expected to actively make a diagnosis. Giving the key role of GPs in the process of care, it is worthwhile examining whether passive acceptance and active usage of the diagnosis schizophrenia have differential effects on GPs' attitudes toward people with this disorder. To investigate GPs' views of schizophrenia and whether they were influenced by a 'schizophrenia' label, passively accepted or actively used. A total of 430 randomly selected GPs were invited to complete a questionnaire about their views of schizophrenia, either after reading a description of this disorder and making a diagnosis, or without being provided with a description but passively accepting the label 'schizophrenia' given in the questionnaire. The GPs who passively accepted the label schizophrenia ( n = 195) and those who actively identified schizophrenia from the description ( n = 127) had similar views. Compared to the GPs who did not identify schizophrenia in the description ( n = 65), those who used the diagnosis, actively or passively: more frequently reported heredity and less frequently psychosocial factors as causes of the disorder; were more skeptical about recovery; were more convinced of the need for long-term pharmacotherapies; believed more strongly that PWS should be discriminated against when in medical hospital; and perceived PWS as more dangerous and as kept at greater social distance. The diagnosis 'schizophrenia', however used, is associated with pessimistic views. Stigma education should be provided to GPs.

A Comparison of Systemic Inflammation-Based Prognostic Scores in Patients on Regular Hemodialysis

PubMed Central

Kato, Akihiko; Tsuji, Takayuki; Sakao, Yukitoshi; Ohashi, Naro; Yasuda, Hideo; Fujimoto, Taiki; Takita, Takako; Furuhashi, Mitsuyoshi; Kumagai, Hiromichi

2013-01-01

Background/Aims Systemic inflammation-based prognostic scores have prognostic power in patients with cancer, independently of tumor stage and site. Although inflammatory status is associated with mortality in hemodialysis (HD) patients, it remains to be determined as to whether these composite scores are useful in predicting clinical outcomes. Methods We calculated the 6 prognostic scores [Glasgow prognostic score (GPS), modified GPS (mGPS), neutrophil-lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), prognostic index (PI) and prognostic nutritional index (PNI), which have been established as a useful scoring system in cancer patients. We enrolled 339 patients on regular HD (age: 64 ± 13 years; time on HD: 129 ± 114 months; males/females = 253/85) and followed them for 42 months. The area under the receiver-operating characteristics curve was used to determine which scoring system was more predictive of mortality. Results Elevated GPS, mGPS, NLR, PLR, PI and PNI were all associated with total mortality, independent of covariates. If GPS was raised, mGPS, NLR, PLR and PI were also predictive of all-cause mortality and/or hospitalization. GPS and PNI were associated with poor nutritional status. Using overall mortality as an endpoint, the area under the curve (AUC) was significant for a GPS of 0.701 (95% CI: 0.637-0.765; p < 0.01) and for a PNI of 0.616 (95% CI: 0.553-0.768; p = 0.01). However, AUC for hypoalbuminemia (<3.5 g/dl) was comparable to that of GPS (0.695, 95% CI: 0.632-0.759; p < 0.01). Conclusion GPS, based on serum albumin and highly sensitive C-reactive protein, has the most prognostic power for mortality prediction among the prognostic scores in HD patients. However, as the determination of serum albumin reflects mortality similarly to GPS, other composite combinations are needed to provide additional clinical utility beyond that of albumin alone in HD patients. PMID:24403910

Conserved properties of human and bovine prion strains on transmission to guinea pigs

PubMed Central

Safar, Jiri G.; Giles, Kurt; Lessard, Pierre; Letessier, Frederic; Patel, Smita; Serban, Ana; DeArmond, Stephen J.; Prusiner, Stanley B.

2011-01-01

The first transmissions of human prion diseases to rodents used guinea pigs (Gps, Cavia porcellus). Later, transgenic (Tg) mice expressing human or chimeric human/mouse PrP replaced Gps, but the small size of the mouse limits some investigations. To investigate the fidelity of strain-specific prion transmission to Gps, we inoculated “type 1” and “type 2” prion strains into Gps: we measured the incubation times and determined the strain-specified size of the unglycosylated, protease-resistant (r) PrPSc fragment. Prions passaged once in Gps from cases of sporadic (s) Creutzfeldt–Jakob disease (CJD) and Gerstmann-Sträussler-Scheinker (GSS) disease caused by the P102L mutation were used as well as human prions from a variant (v) CJD case, bovine prions from bovine spongiform encephalopathy (BSE), and mouse-passaged scrapie prions. Variant CJD and BSE prions transmitted to all the inoculated Gps with incubation times of 367 ± 4 d and 436 ± 28 d, respectively. On second passage in Gps, vCJD and BSE prions caused disease in 287 ± 4 d and 310 ± 4 d, while sCJD and GSS prions transmitted in 237 ± 4 d and 279 ± 19 d, respectively. Although hamster Sc237 prions transmitted to 2 of 3 Gps after 574 and 792 d, mouse-passaged RML and 301V prion strains, the latter derived from BSE prions, failed to transmit disease to Gps. Those Gps inoculated with vCJD or BSE prions exhibited “type 2” unglycosylated, rPrPSc (19 kDa) while those receiving sCJD or GSS prions displayed “type 1” prions (21 kDa), as determined by Western blotting. Such strain-specific properties were maintained in Gps as well as mice expressing a chimeric human/mouse transgene. Gps may prove particularly useful in further studies of novel human prions such as those causing vCJD. PMID:21727894

Attitudes of Slovene general practitioners towards generic drug prescribing and comparison with international studies.

PubMed

Kersnik, J; Peklar, J

2006-12-01

Over the recent years there has been a steady 7% yearly increase in prescribing costs, which accounts for 17% of the Slovene national health care budget. Substitution of branded products by generic equivalents can offer savings. General practitioners (GPs) are often concerned about the quality of generic products and possible legal liabilities associated with their use. We wanted to examine the attitudes of GPs in Slovenia towards generic drug prescribing. We conducted a postal survey of a random sample of 200 out of 800 GPs in Slovenia from the National Health Insurance Institute database. GPs were asked 21 questions regarding their knowledge on generic drugs, awareness of prescribing costs, prices of generic drugs relative to brand name drugs and their attitude towards use of generic drugs. The 117 (58.5%) replies we received represent 15% of the GP population in Slovenia. 66.1% of GPs considered rising costs of medicines to be a serious problem for the health care budget. Each week, over 50% of GPs experienced demands from patients for specific drugs and the majority of GPs usually met their patients' demands or requests from hospital consultants for branded products. 38.3% of GPs did not take price into consideration when prescribing drugs. The majority of GPs (88.9%) perceived generics to have the same effectiveness as branded drugs. One quarter of GPs would prescribe more generics if additional clinical trials were presented. 37.3% would follow advice of academic detailers and 30.3% expected the generics to be even cheaper than they were. Independent detailing was welcomed by 63.8% of GPs because of the big influence of the pharmaceutical industry on the prescribing habits. 15.5% thought that the industry had a tremendous impact on their prescribing patterns. Slovene GPs are aware of the cost of prescribed drugs. They are willing to accept independent academic detailing to improve their prescribing and are willing to increase generic drugs under certain conditions.

GPs' mental wellbeing and psychological resources: a cross-sectional survey.

PubMed

Murray, Marylou Anna; Cardwell, Chris; Donnelly, Michael

2017-08-01

The negative impact of work has been the traditional focus of GP surveys. We know little about GP positive mental health and psychological resources. To profile and contextualise GP positive mental health and personal psychological resources. Cross-sectional survey of GPs working in Northern Ireland (NI). A questionnaire comprising the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS) and measures of resilience, optimism, self-efficacy, and hope, and sociodemographic information was posted to 400 GPs randomly selected from a publicly available GP register. The response rate was 55% (n = 221 out of 400). Mean value for GP wellbeing (WEMWBS) was 50.2 (standard deviation [SD] 8) compared to UK vets 48.8 (SD 9), UK teachers 47.2 (SD 9), and the population of NI 50.8 (SD 9). After adjustment for confounding, mean WEMWBS was 2.4 units (95% CI = 0.02 to 4.7) higher in female GPs than males ( P = 0.05), and 4.0 units (95% CI = 0.8 to 7.3) higher in GPs ≥55 years than GPs ≤44 years ( P = 0.02). Optimism was 1.1 units higher in female GPs than male GPs (95% CI = 0.1 to 2.0), and 1.56 units higher in GPs ≥55 years (95% CI = 0.2 to 2.9) than in those ≤44 years. Hope was 3 units higher in GPs ≥55 years (95% CI = 0.4 to 5.7) than in those aged 45-54 years. Correlation between WEMWBS and psychological resources was highest with hope ( r = 0.65, P < 0.001). GPs have levels of positive mental health that are comparable to the local population and better than other occupational groups, such as vets and teachers. Male and younger GPs may have most to gain from wellbeing interventions. © British Journal of General Practice 2017.

Validation of ionospheric electron density profiles inferred from GPS occultation observations of the GPS/MET experiment

NASA Astrophysics Data System (ADS)

Kawakami, Todd Mori

In April of 1995, the launch of the GPS Meteorology Experiment (GPS/MET) onboard the Orbview-1 satellite, formerly known as Microlab-1, provided the first technology demonstration of active limb sounding of the Earth's atmosphere with a low Earth orbiting spacecraft utilizing the signals transmitted by the satellites of the Global Positioning System (GPS). Though the experiment's primary mission was to probe the troposphere and stratosphere, GPS/MET was also capable of making radio occultation observations of the ionosphere. The application of the GPS occultation technique to the upper atmosphere created a unique opportunity to conduct ionospheric research with an unprecedented global distribution of observations. For operational support requirements, the Abel transform could be employed to invert the horizontal TEC profiles computed from the L1 and L2 phase measurements observed by GPS/MET into electron density profiles versus altitude in near real time. The usefulness of the method depends on how effectively the TEC limb profiles can be transformed into vertical electron density profiles. An assessment of GPS/MET's ability to determine electron density profiles needs to be examined to validate the significance of the GPS occultation method as a new and complementary ionospheric research tool to enhance the observational databases and improve space weather modeling and forecasting. To that end, simulations of the occultation observations and their inversions have been conducted to test the Abel transform algorithm and to provide qualitative information about the type and range of errors that might be experienced during the processing of real data. Comparisons of the electron density profiles inferred from real GPS/MET observations are then compared with coincident in situ measurements from the satellites of Defense Meteorological Satellite Program (DMSP) and ground-based remote sensing from digisonde and incoherent scatter radar facilities. The principal focus of this study is the validation of the electron density profiles inferred from GPS occultation observations using the Abel transform.

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

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.

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.

The relationship between Glasgow Prognostic Score and serum tumor markers in patients with advanced non-small cell lung cancer.

PubMed

Jiang, Ai-Gui; Chen, Hong-Lin; Lu, Hui-Yu

2015-05-10

Glasgow Prognostic Score (GPS) has been reported as a powerful prognostic tool for patients with advanced non-small cell lung cancer (NSCLC). The aim of this study was to assess the relationship between GPS and prognosis related tumor markers in patients with advanced NSCLC. We included 138 advanced NSCLC patients and twenty healthy controls in the study. GPS was calculated by combined serum C-reactive protein (CRP) and albumin. Three serum tumor markers, which included cytokeratin 19 fragment antigen 21-1 (CYFRA21-1), carcinoembryonic antigen (CEA) and tissue polypeptide specific antigen (TPS), were detected by enzyme-linked immunosorbent assay (ELISA). GPS and tumor markers were all assessed before chemotherapy. All patients received at least 2 courses of cisplatin-based chemotherapy. After that, 2 to 5 years follow-up was conducted. Median levels of CYFRA21-1 were 1.5 ng/ml (0.1-3.1 ng/ml) in healthy controls, and 4.6 ng/ml (0.7-35.2 ng/ml) in GPS 0 advanced NSCLC, 11.2 ng/ml (0.4-89.2) ng/ml in GPS 1 advanced NSCLC, and 15.7 ng/ml (2.9-134.6 ng/ml) in GPS 2 advanced NSCLC, respectively. Median levels of CYFRA21-1 were higher in NSCLC patients than in healthy controls, and CYFRA21-1 increased gradually according to GPS category in NSCLC patients (P< 0.05). Similar results were found for median levels of CEA and TPS in healthy controls and NSCLC patients (P < 0.05). In NSCLC patients, positive correlations were found between CYFRA21-1 and GPS, CEA and GPS, TPS and GPS. The Spearman's rank correlation coefficient were 0.67 (P < 0.05), 0.61 (P < 0.05) and 0.55 (P < 0.05), respectively. Survival analyses showed GPS was an independent prognostic factor for advanced NSCLC. CYFRA21-1(>3.3 ng/ml) and TPS (>80 U/l) were related with the prognosis of advanced NSCLC by univariate analyses, but multivariate analyses showed CYFRA21-1, TPS and CEA were not the independent prognostic factors for advanced NSCLC. Our results showed GPS were positive correlated with CYFRA21-1, CEA and TPS in patients with advanced NSCLC. However, GPS was more efficient in predicting prognosis of advanced NSCLC than these three single prognosis related tumor markers.

75 FR 22215 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-28

..., RNAV (GPS) RWY 35, Orig Chatham, MA, Chatham Muni, NDB-A, Amdt 1 Chatham, MA, Chatham Muni, RNAV (GPS)-B, Orig Stow, MA, Minute Man Airfield, NDB-A, Amdt 8 Stow, MA, Minute Man Airfield, RNAV (GPS) RWY 21, Orig Westfield/Springfield, MA, Barnes Muni, GPS RWY 2, Orig-B, CANCELLED Westfield/Springfield...

Accuracy of Tracking Forest Machines with GPS

Treesearch

M.W. Veal; S.E. Taylor; T.P. McDonald; D.K. McLemore; M.R. Dunn

2001-01-01

This paper describes the results of a study that measured the accuracy of using GPS to track movement offorest machines. Two different commercially available GPS receivers (Trimble ProXR and GeoExplorer II) were used to track wheeled skidders under three different canopy conditions at two different vehicle speeds. Dynamic GPS data were compared to position data...

GPS radio collar 3D performance as influenced by forest structure and topography

Treesearch

R. Scott Gamo; Mark A. Rumble; Fred Lindzey; Matt Stefanich

2000-01-01

Global Positioning System (GPS) telemetry enables biologists to obtain accurate and systematic locations of animals. Vegetation can block signals from satellites to GPS radio collars. Therefore, a vegetation dependent bias to telemetry data may occur which if quantified, could be accounted for. We evaluated the performance of GPS collars in 6 structural stage...

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.

77 FR 12106 - 88th Meeting: RTCA Special Committee 159, Global Positioning System (GPS)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-28

... 159, Global Positioning System (GPS) AGENCY: Federal Aviation Administration (FAA), U.S. Department of Transportation (DOT). ACTION: Notice of RTCA Special Committee 159, Global Positioning System (GPS). SUMMARY: The..., Global Positioning System (GPS). DATES: The meeting will be held March 13-16, 2012, from 9 a.m.-4:30 p.m...

78 FR 7650 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-04

... complex nature and the need for a special format make publication in the Federal Register expensive and..., RNAV (GPS) RWY 27, Orig Beverly, MA, Beverly Muni, RNAV (GPS) RWY 34, Orig Eveleth, MN, Eveleth-Virginia Muni, GPS RWY 27, Amdt 1A, CANCELED Eveleth, MN, Eveleth-Virginia Muni, RNAV (GPS) RWY 27, Orig...

Detection of VHF lightning from GPS orbit

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

Suszcynsky, D. M.

2003-01-01

Satellite-based VHF' lightning detection is characterized at GPS orbit by using a VHF receiver system recently launched on the GPS SVN 54 satellite. Collected lightning triggers consist of Narrow Bipolar Events (80%) and strong negative return strokes (20%). The results are used to evaluate the performance of a future GPS-satellite-based VHF global lightning monitor.

Terrain-Moisture Classification Using GPS Surface-Reflected Signals

NASA Technical Reports Server (NTRS)

Grant, Michael S.; Acton, Scott T.; Katzberg, Stephen J.

2006-01-01

In this study we present a novel method of land surface classification using surface-reflected GPS signals in combination with digital imagery. Two GPS-derived classification features are merged with visible image data to create terrain-moisture (TM) classes, defined here as visibly identifiable terrain or landcover classes containing a surface/soil moisture component. As compared to using surface imagery alone, classification accuracy is significantly improved for a number of visible classes when adding the GPS-based signal features. Since the strength of the reflected GPS signal is proportional to the amount of moisture in the surface, use of these GPS features provides information about the surface that is not obtainable using visible wavelengths alone. Application areas include hydrology, precision agriculture, and wetlands mapping.

Modular Software for Spacecraft Navigation Using the Global Positioning System (GPS)

NASA Technical Reports Server (NTRS)

Truong, S. H.; Hartman, K. R.; Weidow, D. A.; Berry, D. L.; Oza, D. H.; Long, A. C.; Joyce, E.; Steger, W. L.

1996-01-01

The Goddard Space Flight Center Flight Dynamics and Mission Operations Divisions have jointly investigated the feasibility of engineering modular Global Positioning SYSTEM (GPS) navigation software to support both real time flight and ground postprocessing configurations. The goals of this effort are to define standard GPS data interfaces and to engineer standard, reusable navigation software components that can be used to build a broad range of GPS navigation support applications. The paper discusses the GPS modular software (GMOD) system and operations concepts, major requirements, candidate software architecture, feasibility assessment and recommended software interface standards. In additon, ongoing efforts to broaden the scope of the initial study and to develop modular software to support autonomous navigation using GPS are addressed,

Medical errors and uncertainty in primary healthcare: A comparative study of coping strategies among young and experienced GPs

PubMed Central

Kuikka, Liisa; Pitkälä, Kaisu

2014-01-01

Abstract Objective. To study coping differences between young and experienced GPs in primary care who experience medical errors and uncertainty. Design. Questionnaire-based survey (self-assessment) conducted in 2011. Setting. Finnish primary practice offices in Southern Finland. Subjects. Finnish GPs engaged in primary health care from two different respondent groups: young (working experience ≤ 5years, n = 85) and experienced (working experience > 5 years, n = 80). Main outcome measures. Outcome measures included experiences and attitudes expressed by the included participants towards medical errors and tolerance of uncertainty, their coping strategies, and factors that may influence (positively or negatively) sources of errors. Results. In total, 165/244 GPs responded (response rate: 68%). Young GPs expressed significantly more often fear of committing a medical error (70.2% vs. 48.1%, p = 0.004) and admitted more often than experienced GPs that they had committed a medical error during the past year (83.5% vs. 68.8%, p = 0.026). Young GPs were less prone to apologize to a patient for an error (44.7% vs. 65.0%, p = 0.009) and found, more often than their more experienced colleagues, on-site consultations and electronic databases useful for avoiding mistakes. Conclusion. Experienced GPs seem to better tolerate uncertainty and also seem to fear medical errors less than their young colleagues. Young and more experienced GPs use different coping strategies for dealing with medical errors. Implications. When GPs become more experienced, they seem to get better at coping with medical errors. Means to support these skills should be studied in future research. PMID:24914458

Accuracy of Single Frequency GPS Observations Processing In Near Real-time With Use of Code Predicted Products

NASA Astrophysics Data System (ADS)

Wielgosz, P. A.

In this year, the system of active geodetic GPS permanent stations is going to be estab- lished in Poland. This system should provide GPS observations for a wide spectrum of users, especially it will be a great opportunity for surveyors. Many of surveyors still use cheaper, single frequency receivers. This paper focuses on processing of single frequency GPS observations only. During processing of such observations the iono- sphere plays an important role, so we concentrated on the influence of the ionosphere on the positional coordinates. Twenty consecutive days of GPS data from 2001 year were processed to analyze the accuracy of a derived three-dimensional relative vec- tor position between GPS stations. Observations from two Polish EPN/IGS stations: BOGO and JOZE were used. In addition to, a new test station - IGIK was created. In this paper, the results of single frequency GPS observations processing in near real- time are presented. Baselines of 15, 27 and 42 kilometers and sessions of 1, 2, 3, 4, and 6 hours long were processed. While processing we used CODE (Centre for Orbit De- termination in Europe, Bern, Switzerland) predicted products: orbits and ionosphere info. These products are available in real-time and enable near real-time processing. Software Bernese v. 4.2 for Linux and BPE (Bernese Processing Engine) mode were used. These results are shown with a reference to dual frequency weekly solution (the best solution). Obtained GPS positional time and GPS baseline length dependency accuracy is presented for single frequency GPS observations.

How to overcome hurdles in opiate substitution treatment? A qualitative study with general practitioners in Belgium.

PubMed

Fraeyman, Jessica; Symons, Linda; Van Royen, Paul; Van Hal, Guido; Peremans, Lieve

2016-06-01

Opiate substitution treatment (OST) is the administration of opioids (methadone or buprenorphine) under medical supervision for opiate addiction. Several studies indicate a large unmet need for OST in general practice in Antwerp, Belgium. Some hurdles remain before GPs engage in OST prescribing. Formulate recommendations to increase engagement of GPs in OST, applicable to Belgium and beyond. In 2009, an exploratory qualitative research was performed using focus group discussions and interviews with GPs. During data collection and analysis, purposive sampling, open and axial coding was applied. The script was composed around the advantages, disadvantages and conditions of engaging in OST in general practice. We conducted six focus groups and two interviews, with GPs experienced in prescribing OST (n = 13), inexperienced GPs (n = 13), and physicians from addiction centres (n = 5). Overall, GPs did not seem very willing to prescribe OST for opiate users. A lack of knowledge about OST and misbehaving patients creates anxiety and makes the GPs reluctant to learn more about OST. The GPs refer to a lack of collaboration with the addiction centres and a need of support (from either addiction centres or experienced GP-colleagues for advice). Important conditions for OST are acceptance of only stable opiate users and more support in emergencies. Increasing GPs' knowledge about OST and improving collaboration with addiction centres are essential to increase the uptake of OST in general practice. Special attention could be paid to the role of more experienced colleagues who can act as advising physicians for inexperienced GPs.

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.

Medical engagement and organizational characteristics in general practice.

PubMed

Ahnfeldt-Mollerup, Peder; dePont Christensen, René; Halling, Anders; Kristensen, Troels; Lykkegaard, Jesper; Nexøe, Jørgen; Barwell, Fred; Spurgeon, Peter; Søndergaard, Jens

2016-02-01

Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by Applied Research Ltd (2008) on the basis of emerging evidence that medical engagement is critical for implementing radical improvements. To study the importance of medical engagement in general practice and to analyse patterns of association with individual and organizational characteristics. A cross-sectional study using a sampled survey questionnaire and the official register from the Danish General Practitioners' Organization comprising all registered Danish GPs. The Danish version of the MES Questionnaire was distributed and the survey results were analysed in conjunction with the GP register data. Statistically adjusted analyses revealed that the GPs' medical engagement varied substantially. GPs working in collaboration with colleagues were more engaged than GPs from single-handed practices, older GPs were less engaged than younger GPs and female GPs had higher medical engagement than their male colleagues. Furthermore, GPs participating in vocational training of junior doctors were more engaged than GPs not participating in vocational training. Medical engagement in general practice varies a great deal and this is determined by a complex interaction between both individual and organizational characteristics. Working in collaboration, having staff and being engaged in vocational training of junior doctors are all associated with enhanced levels of medical engagement among GPs. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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.

Evaluation of an inflammation-based prognostic score (GPS) in patients undergoing resection for colon and rectal cancer.

PubMed

McMillan, Donald C; Crozier, Joseph E M; Canna, Khalid; Angerson, Wilson J; McArdle, Colin S

2007-08-01

The aim of the study was to examine the value of the combination of an elevated C-reactive protein and hypoalbuminaemia (GPS) in predicting cancer-specific survival after resection for colon and rectal cancer. The GPS was constructed as follows: Patients with both an elevated C-reactive protein (>10 mg/l) and hypoalbuminaemia (<35 g/l) were allocated a score of 2. Patients in whom only one or none of these biochemical abnormalities was present were allocated a score of 1 or 0, respectively. A GPS of 1 (n = 109) was mainly due to an elevated C-reactive protein concentration and the remainder due to hypoalbuminaemia. In those patients with a GPS of 1 due to hypoalbuminaemia (n = 16), the 3-year overall survival rate was 94% compared with 62% in those patients with a GPS of 1 due to an elevated C-reactive protein concentration (n = 93, p = 0.0094). Therefore, the GPS was modified such that patients with hypoalbuminaemia were assigned a score of 0 in the absence of an elevated C-reactive protein. On univariate analysis of those patients with colon and rectal cancer, the modified GPS (p < 0.0001) was significantly associated with overall and cancer specific survival. On univariate survival analysis of those patients with Dukes B colon and rectal cancer, the modified GPS (p < 0.01) was significantly associated with overall and cancer specific survival. The results of the present study indicate that the GPS, before surgery, predicts overall and cancer-specific survival after resection of colon and rectal cancer.

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.

Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review.

PubMed

Stead, Martine; Angus, Kathryn; Holme, Ingrid; Cohen, David; Tait, Gayle

2009-09-01

Smoking cessation advice by GPs is an effective and cost-effective intervention, but is not implemented as widely as it could be. This wide-ranging Europe-wide literature review, part of the European Union (EU) PESCE (General Practitioners and the Economics of Smoking Cessation in Europe) project, explored the extent of GPs' engagement in smoking cessation and the factors that influence their engagement. Two searches were conducted, one for grey literature, across all European countries, and one for academic studies. Data from eligible studies published from 1990 onwards were synthesised and reported under four categories of influencing factors: GP characteristics, patient characteristics, structural factors, and cessation-specific knowledge and skills. The literature showed that most GPs in Europe question the smoking status of all new patients but fewer routinely ask this of regular patients, or advise smokers to quit. The proportion offering intensive interventions or prescribing treatments is lower still. Factors influencing GPs' engagement in smoking cessation include GPs' own smoking status and their attitudes towards giving smoking cessation advice; whether patients present with smoking-related symptoms, are pregnant, or heavy smokers; time, training, and reimbursement are important structural factors; and some GPs lack knowledge and skills regarding the use of specific cessation methods and treatments, or have limited awareness of specialist cessation services. No single factor or category of factors explains the variations in GPs' engagement in smoking cessation. Strategies to improve the frequency and quality of GPs' engagement in smoking cessation need to address the multifaceted influences on GPs' practice and to reflect the widely differing contexts across Europe.

General practitioners' perceptions of COPD treatment: thematic analysis of qualitative interviews.

PubMed

Molin, Katrine Rutkær; Egerod, Ingrid; Valentiner, Laura Staun; Lange, Peter; Langberg, Henning

2016-01-01

In Denmark, the treatment of COPD is mainly managed by general practitioners (GPs). Pulmonary rehabilitation (PR) is available to patients with COPD in the local community by GP referral, but in practice, many patients do not participate in rehabilitation. The aim of our study was to explore 1) GPs' perceptions of their role and responsibility in the rehabilitation of patients with COPD, and 2) GPs' perceptions of how patients manage their COPD. The study was based on a qualitative design with semi-structured key-informant interviews with GPs. Investigator triangulation was applied during data generation, and analysis was done using thematic analysis methodology. Our main findings were that GPs relied on patients themselves to take the initiative to make clinic appointments and on professionals at health centers to provide the PR including consultations on lifestyle changes. The GPs experienced that patients chose to come to the clinic when they were in distress and that patients either declined or had poor adherence to rehabilitation when offered. The GPs were relieved that the health centers had taken over the responsibility of rehabilitation as GPs lacked the resources to discuss rehabilitation and follow up on individual plans. Our study suggested a potential self-reinforcing problem with the treatment of COPD being mainly focused on medication rather than on PR. Neither GPs nor patients used a proactive approach. Further, GPs were not fully committed to discuss non-pharmacological treatment and perceived the patients as unmotivated for PR. As such, there is a need for optimizing non-pharmacological treatment of COPD and in particular the referral process to PR.

How is the high vaginal swab used to investigate vaginal discharge in primary care and how do GPs' expectations of the test match the tests performed by their microbiology services?

PubMed

Noble, H; Estcourt, C; Ison, C; Goold, P; Tite, L; Carter, Y H

2004-06-01

To describe the management of vaginal discharge in general practice, with particular regard to the use of the high vaginal swab (HVS), and to compare GPs' expectations of this test with the processing and reporting undertaken by different laboratories. A postal questionnaire survey of 2146 GPs in the North Thames area and postal questionnaire study of the 22 laboratories serving the same GPs were carried out. GPs were asked how they would manage a young woman with vaginal discharge and what information they would like on an HVS report. Laboratories were asked how they would process and report on the HVS sample from the same patient. Response rate was 26%. 72% of GPs would take an HVS and 62% would refer on to a genitourinary medicine (GUM) clinic. 45% would offer empirical therapy and 47% of these would treat for candida initially. 75% of GPs routinely request "M,C&S" on HVS samples but 55% only want to be informed about specific pathogens. Routine processing of HVS samples varies widely between laboratories and 86% only report specific pathogens. 78% of GPs would like to be offered a suggested diagnosis on HVS reports, and 74% would like a suggested treatment. 43% of laboratories ever provide a diagnosis, and 14% provide a suggested treatment. GPs frequently manage vaginal discharge and most of them utilise the HVS. GPs' expectations of the test are not well matched to laboratory processing or reporting of the samples.

Psychosocial stress factors and intention to leave job: differences between foreign-born and Finnish-born general practitioners.

PubMed

Kuusio, Hannamaria; Heponiemi, Tarja; Vänskä, Jukka; Aalto, Anna-Mari; Ruskoaho, Juho; Elovainio, Marko

2013-06-01

Physicians' high dropout rate is a significant problem in primary care in many countries. One solution to this issue is to recruit internationally mobile physicians. This study explores the role of psychosocial factors in explaining intention to leave among GPs including potential differences between foreign-born and Finnish GPs. A cross-sectional questionnaire was sent to randomly-selected Finnish physicians (n = 7000) and all foreign-born physicians (n = 1297) living in Finland in the year 2010. The questionnaire was returned by 4333 physicians, of whom 832 were GPs. Of those 176 were foreign-born GPs. Intention to leave was more common among foreign-born GPs (59%) than among Finnish GPs (52%). High job demands were associated with higher intention to leave from primary care both in foreign-born (OR 1.90) and Finnish GPs (OR 2.20). This association remained among foreign-born GPs after adjusted the model for the country of origin or the reason for migration (OR 1.80, 1.82). Lack of job control, patient-related stress, and stresses related to teamwork were associated with higher intention to leave only among Finnish GPs (ORs 0.45, 1.75 and 1.99). There may be cultural differences in the psychosocial factors that enhance or prevent job involvement among physicians. Thus, novel thinking is needed in organizational development of GP work in order to better understand foreign-born physicians' specific needs in a target country. This study also suggests that lightening workload could help to attract more GPs, both foreign-born and Finnish, to primary care.

General practitioners' views on leadership roles and challenges in primary health care: a qualitative study.

PubMed

Spehar, Ivan; Sjøvik, Hege; Karevold, Knut Ivar; Rosvold, Elin Olaug; Frich, Jan C

2017-03-01

To explore general practitioners' (GPs) views on leadership roles and leadership challenges in general practice and primary health care. We conducted focus groups (FGs) with 17 GPs. Norwegian primary health care. 17 GPs who attended a 5 d course on leadership in primary health care. Our study suggests that the GPs experience a need for more preparation and formal training for the leadership role, and that they experienced tensions between the clinical and leadership role. GPs recognized the need to take on leadership roles in primary care, but their lack of leadership training and credentials, and the way in which their practices were organized and financed were barriers towards their involvement. GPs experience tensions between the clinical and leadership role and note a lack of leadership training and awareness. There is a need for a more structured educational and career path for GPs, in which doctors are offered training and preparation in advance. KEY POINTS Little is known about doctors' experiences and views about leadership in general practice and primary health care. Our study suggests that: There is a lack of preparation and formal training for the leadership role. GPs experience tensions between the clinical and leadership role. GPs recognize leadership challenges at a system level and that doctors should take on leadership roles in primary health care.

A small unconditional non-financial incentive suggests an increase in survey response rates amongst older general practitioners (GPs): a randomised controlled trial study

PubMed Central

2013-01-01

Background Few studies have investigated the effect of small unconditional non-monetary incentives on survey response rates amongst GPs or medical practitioners. This study assessed the effectiveness of offering a small unconditional non-financial incentive to increase survey response rates amongst general practitioners within a randomised controlled trial (RCT). Methods An RCT was conducted within a general practice survey that investigated how to prolong working lives amongst ageing GPs in Australia. GPs (n = 125) were randomised to receive an attractive pen or no pen during their first invitation for participation in a survey. GPs could elect to complete the survey online or via mail. Two follow up reminders were sent without a pen to both groups. The main outcome measure was response rates. Results The response rate for GPs who received a pen was higher in the intervention group (61.9%) compared to the control group (46.8%). This study did not find a statistically significant effect of a small unconditional non-financial incentive (in the form of a pen) on survey response rates amongst GPs (Odds ratio, 95% confidence interval: 1.85 (0.91 to 3.77). No GPs completed the online version. Conclusion A small unconditional non-financial incentives, in the form of a pen, may improve response rates for GPs. PMID:23899116

A small unconditional non-financial incentive suggests an increase in survey response rates amongst older general practitioners (GPs): a randomised controlled trial study.

PubMed

Pit, Sabrina Winona; Hansen, Vibeke; Ewald, Dan

2013-07-30

Few studies have investigated the effect of small unconditional non-monetary incentives on survey response rates amongst GPs or medical practitioners. This study assessed the effectiveness of offering a small unconditional non-financial incentive to increase survey response rates amongst general practitioners within a randomised controlled trial (RCT). An RCT was conducted within a general practice survey that investigated how to prolong working lives amongst ageing GPs in Australia. GPs (n = 125) were randomised to receive an attractive pen or no pen during their first invitation for participation in a survey. GPs could elect to complete the survey online or via mail. Two follow up reminders were sent without a pen to both groups. The main outcome measure was response rates. The response rate for GPs who received a pen was higher in the intervention group (61.9%) compared to the control group (46.8%). This study did not find a statistically significant effect of a small unconditional non-financial incentive (in the form of a pen) on survey response rates amongst GPs (Odds ratio, 95% confidence interval: 1.85 (0.91 to 3.77). No GPs completed the online version. A small unconditional non-financial incentives, in the form of a pen, may improve response rates for GPs.

General practitioners’ views on leadership roles and challenges in primary health care: a qualitative study

PubMed Central

Spehar, Ivan; Sjøvik, Hege; Karevold, Knut Ivar; Rosvold, Elin Olaug; Frich, Jan C.

2017-01-01

Objective To explore general practitioners’ (GPs) views on leadership roles and leadership challenges in general practice and primary health care. Design We conducted focus groups (FGs) with 17 GPs. Setting Norwegian primary health care. Subjects 17 GPs who attended a 5 d course on leadership in primary health care. Results Our study suggests that the GPs experience a need for more preparation and formal training for the leadership role, and that they experienced tensions between the clinical and leadership role. GPs recognized the need to take on leadership roles in primary care, but their lack of leadership training and credentials, and the way in which their practices were organized and financed were barriers towards their involvement. Conclusions GPs experience tensions between the clinical and leadership role and note a lack of leadership training and awareness. There is a need for a more structured educational and career path for GPs, in which doctors are offered training and preparation in advance. Key points Little is known about doctors’ experiences and views about leadership in general practice and primary health care. Our study suggests that: There is a lack of preparation and formal training for the leadership role. GPs experience tensions between the clinical and leadership role. GPs recognize leadership challenges at a system level and that doctors should take on leadership roles in primary health care. PMID:28277051

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.

'Heads you win, tails I lose': a critical incident study of GPs' decisions about emergency admission referrals.

PubMed

Dempsey, Owen P; Bekker, Hilary L

2002-12-01

Acute hospital Trusts' inability to cope with the numbers of emergency admissions has led to the production of guidelines by the Department of Health aimed at reducing inappropriate admissions by GPs. There is a paucity of research describing GPs' decisions to (not) admit patients and it is unclear how effective these guidelines are in changing these practices. To describe GPs' decision-making about referrals for emergency hospital admissions. Observational design using the critical incident technique to elicit data. Eight GPs in West Yorkshire recorded details of memorable emergency admission decisions, both prospective and retrospective consultations. The transcript data were classified by theme using NUD*IST. Forty prospective and 8 retrospective consultations were analysed. Factors affecting GPs' decisions were:Identification of all consequences for all stakeholders in the decision. Emotional impact on the GP of managing these conflicting needs. 'Peer review' of the GP's professionalism about the decision. Contextual pressures limiting effectiveness of GPs' decision-making. Referral decisions require the evaluation of several conflicting consequences for many stakeholders in time-pressured and peer-reviewed situations. These factors encourage the use of heuristics, i.e. GPs' judgements will be influenced more by the social context of the choice than information about the patient's condition. Emergency referral guidelines provide more information to evaluate from another stakeholder; introducing guidelines is likely to increase GPs' use of heuristics and the making of less optimal decisions.

Spaceborne GPS remote sensing for atmospheric research

NASA Astrophysics Data System (ADS)

Feng, Dasheng; Herman, Benjamin M.; Exner, M. L.; Schreiner, B.; Anthes, Richard A.; Ware, Randolph H.

1995-11-01

The global positioning system (GPS) is based on a constellation of 24 transmitter satellites orbiting the earth at approximately 21,000 km altitude. The original goal of the GPS was to provide global and all-weather precision positioning and navigation for the military. Since this original concept was developed, several civilian applications have been conceived that are making use of these satellites. GPS/MET is one such application. GPS/MET is sponsored by NSF, FAA, NOAA, and NASA. The goal of GPS/MET is to demonstrate the feasibility of recovering atmospheric temperature profiles from occulting radio signals from one of the 24 GPS transmitters. On April 3, 1995, a small radio receiver was launched into a 750 km low- earth orbit and 70 degree inclination. As this receiver orbits, occultations occur when the radio link between any one of the 24 GPS transmitters and the low-earth orbiting (LEO) receiver progressively descends or ascends through the earth's atmosphere. With the current constellation of GPS transmitters, approximately 500 such occultations occur in each 24-hour period per LEO receiver. Several hundred occultations have been analyzed to date, where some type of confirmational data has been available (i.e., radiosonde, satellite, numerical analysis gridded data). In this paper, we present a brief outline of the method followed by a few typical temperature soundings that have been obtained.

Evaluation of GPS Coverage for the X-33 Michael-6 Trajectory

NASA Technical Reports Server (NTRS)

Lundberg, John B.

1998-01-01

The onboard navigational system for the X-33 test flights will be based on the use of measurements collected from the Embedded Global Positioning System (GPS)/INS system. Some of the factors which will affect the quality of the GPS contribution to the navigational solution will be the number of pseudorange measurements collected at any instant in time, the distribution of the GPS satellites within the field of view, and the inherent noise level of the GPS receiver. The distribution of GPS satellites within the field of view of the receiver's antenna will depend on the receiver's position, the time of day, pointing direction of the antenna, and the effective cone angle of the antenna. The number of pseudorange measurements collected will depend upon these factors as well as the time required to lock onto a GPS satellite signal once the GPS satellite comes into the field of view of the antenna and the number of available receiver channels. The objective of this study is to evaluate the GPS coverage resulting from the proposed antenna pointing directions, the proposed antenna cone angles, and the effects due to the time of day for the X-33 Michael-6 trajectory from launch at Edwards AFB, California, to the start of the Terminal Area Energy Management (TAEM) phase on approach to Michael AAF, Utah.

The influence of prior training on GPs' attitudes to sickness absence certification post-fit note.

PubMed

Money, Annemarie; Hann, Mark; Turner, Susan; Hussey, Louise; Agius, Raymond

2015-09-01

Aim To investigate the attitudes to health and work of general practitioners (GPs) with training in occupational medicine (OM) compared with non-OM trained GPs, since the introduction of the fit note. Changes to the UK sickness certification system since 2010 and the introduction of the fit note required GPs to change their focus to what patients can do, rather than what they cannot do in relation to work. In an effort to reduce the UK sickness absence burden, GPs completion of the fit note should help to keep people in work, or assist patients to return to work as quickly as possible after a period of absence. Questionnaire data were collected via the 7th National General Practitioner Worklife Survey. Findings Results indicate that responses from GPs who had undertaken training in OM, and GPs having received some form of work and health training in the 12-month period before the study were associated with significantly more positive attitudes to patients' returning to work and to the fit note. This study reveals evidence of a difference between trained and non-trained GPs in their attitude to the fit note, and to work and health generally. Further work investigating the effect of specific training in OM on the management and recognition of ill-health by GPs is recommended.

Kinematic-PPP using Single/Dual Frequency Observations from (GPS, GLONASS and GPS/GLONASS) Constellations for Hydrography

NASA Astrophysics Data System (ADS)

Farah, Ashraf

2018-03-01

Global Positioning System (GPS) technology is ideally suited for inshore and offshore positioning because of its high accuracy and the short observation time required for a position fix. Precise point positioning (PPP) is a technique used for position computation with a high accuracy using a single GNSS receiver. It relies on highly accurate satellite position and clock data that can be acquired from different sources such as the International GNSS Service (IGS). PPP precision varies based on positioning technique (static or kinematic), observations type (single or dual frequency) and the duration of observations among other factors. PPP offers comparable accuracy to differential GPS with safe in cost and time. For many years, PPP users depended on GPS (American system) which considered the solely reliable system. GLONASS's contribution in PPP techniques was limited due to fail in maintaining full constellation. Yet, GLONASS limited observations could be integrated into GPS-based PPP to improve availability and precision. As GLONASS reached its full constellation early 2013, there is a wide interest in PPP systems based on GLONASS only and independent of GPS. This paper investigates the performance of kinematic PPP solution for the hydrographic applications in the Nile river (Aswan, Egypt) based on GPS, GLONASS and GPS/GLONASS constellations. The study investigates also the effect of using two different observation types; single-frequency and dual frequency observations from the tested constellations.

76 FR 21232 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-15

..., AL, Jack Edwards, ILS OR LOC RWY 27, Amdt 1 Gulf Shores, AL, Jack Edwards, RNAV (GPS) RWY 9, Amdt 3 Gulf Shores, AL, Jack Edwards, RNAV (GPS) RWY 27, Amdt 2 Montgomery, AL, Montgomery Rgnl (Dannelly... Williams Memorial, RNAV (GPS) RWY 24, Amdt 1 Vineyard Haven, MA, Marthas Vineyard, RNAV (GPS) RWY 6, Amdt 1...

Advanced GPS Technologies (AGT)

DTIC Science & Technology

2015-05-01

Distribution A GPS Ill Developmental Optical Clock Deployable Antenna Concept 3 \\.J Science and Technology for GPS •:• Spacecraft • AFRL has funded a...Digital Waveform Generators New antenna concepts Supporting electronics Algorithms and new signal combining methods Satellite bus technologies...GPS Military High Gain Antenna Developing Options for Ground Testing 1) Deployable phased array • Low profile element • High efficiency phase

75 FR 35629 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-23

... West Union, IA, George L Scott Muni, GPS RWY 17, Orig, CANCELLED West Union, IA, George L Scott Muni, GPS RWY 35, Orig, CANCELLED West Union, IA, George L Scott Muni, RNAV (GPS) RWY 17, Orig West Union, IA, George L Scott Muni, RNAV (GPS) RWY 35, Orig West Union, IA, George L Scott Muni, Takeoff...

78 FR 10058 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-13

...: Effective 7 MARCH 2013 Tatitlek, AK, Tatitlek, RNAV (GPS) RWY 31, Orig-A Jonesboro, AR, Jonesboro Muni, RNAV (GPS) RWY 5, Amdt 1 Jonesboro, AR, Jonesboro Muni, RNAV (GPS) RWY 23, Amdt 1 Jonesboro, AR, Jonesboro Muni, RNAV (GPS) RWY 31, Amdt 1 Jonesboro, AR, Jonesboro Muni, Takeoff Minimums and Obstacle DP, Amdt 3...

Retained satellite information influences performance of GPS devices in a forested ecosystem

Treesearch

Katie M. Moriarty; Clinton W. Epps

2015-01-01

Global Positioning System (GPS) units used in animal telemetry often suffer from nonrandom data loss and location error. GPS units use stored satellite information to estimate locations, including almanac and ephemeris data reflecting satellite positions at weekly and at <4-hr temporal scales, respectively. Using the smallest GPS collars (45–51 g) available for...

76 FR 43580 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-21

..., Raleigh Exec Jetport at Sanford-Lee County, Takeoff Minimums and Obstacle DP, Amdt 1 Rugby, ND, Rugby Muni, GPS RWY 12, Orig, CANCELLED Rugby, ND, Rugby Muni, GPS RWY 30, Orig-B, CANCELLED Rugby, ND, Rugby Muni, RNAV (GPS) RWY 12, Orig Rugby, ND, Rugby Muni, RNAV (GPS) RWY 30, Orig Rugby, ND, Rugby Muni, Takeoff...

Knowledge and Attitude of General Practitioners regarding Autism in Karachi, Pakistan

ERIC Educational Resources Information Center

Rahbar, Mohammad Hossein; Ibrahim, Khalid; Assassi, Parisa

2011-01-01

General practitioners (GPs) could have an important role in early diagnosis of autism. There have been no studies evaluating the knowledge of GPs regarding autism in Pakistan. We aimed to fill that gap by assessing knowledge and attitude of GPs in Karachi regarding autism. We conducted a cross-sectional survey of 348 GPs; only 148 (44.6%) had…

Strategies for Near Real Time Estimates of Precipitable Water Vapor from GPS Ground Receivers

NASA Technical Reports Server (NTRS)

Y., Bar-Sever; Runge, T.; Kroger, P.

1995-01-01

GPS-based estimates of precipitable water vapor (PWV) may be useful in numerical weather models to improve short-term weather predictions. To be effective in numerical weather prediction models, GPS PWV estimates must be produced with sufficient accuracy in near real time. Several estimation strategies for the near real time processing of GPS data are investigated.

Using GPS to evaluate productivity and performance of forest machine systems

Treesearch

Steven E. Taylor; Timothy P. McDonald; Matthew W. Veal; Ton E. Grift

2001-01-01

This paper reviews recent research and operational applications of using GPS as a tool to help monitor the locations, travel patterns, performance, and productivity of forest machines. The accuracy of dynamic GPS data collected on forest machines under different levels of forest canopy is reviewed first. Then, the paper focuses on the use of GPS for monitoring forest...

PiVoT GPS Receiver

NASA Technical Reports Server (NTRS)

Wennersten, Miriam; Banes, Vince; Boegner, Greg; Clagnett, Charles; Dougherty, Lamar; Edwards, Bernard; Roman, Joe; Bauer, Frank H. (Technical Monitor)

2001-01-01

NASA Goddard Space Flight Center has built an open architecture, 24 channel spaceflight Global Positioning System (GPS) receiver. The compact PCI PiVoT GPS receiver card is based on the Mitel/GEC Plessey Builder 2 board. PiVoT uses two Plessey 2021 correlators to allow tracking of up to 24 separate GPS SV's on unique channels. Its four front ends can support four independent antennas, making it a useful card for hosting GPS attitude determination algorithms. It has been built using space quality, radiation tolerant parts. The PiVoT card works at a lower signal to noise ratio than the original Builder 2 board. It also hosts an improved clock oscillator. The PiVoT software is based on the original Piessey Builder 2 software ported to the Linux operating system. The software is posix compliant and can be easily converted to other posix operating systems. The software is open source to anyone with a licensing agreement with Plessey. Additional tasks can be added to the software to support GPS science experiments or attitude determination algorithms. The next generation PiVoT receiver will be a single radiation hardened compact PCI card containing the microprocessor and the GPS receiver optimized for use above the GPS constellation.

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.

Tilt aftereffect following adaptation to translational Glass patterns

PubMed Central

Pavan, Andrea; Hocketstaller, Johanna; Contillo, Adriano; Greenlee, Mark W.

2016-01-01

Glass patterns (GPs) consist of randomly distributed dot pairs (dipoles) whose orientations are determined by specific geometric transforms. We assessed whether adaptation to stationary oriented translational GPs suppresses the activity of orientation selective detectors producing a tilt aftereffect (TAE). The results showed that adaptation to GPs produces a TAE similar to that reported in previous studies, though reduced in amplitude. This suggests the involvement of orientation selective mechanisms. We also measured the interocular transfer (IOT) of the GP-induced TAE and found an almost complete IOT, indicating the involvement of orientation selective and binocularly driven units. In additional experiments, we assessed the role of attention in TAE from GPs. The results showed that distraction during adaptation similarly modulates the TAE after adapting to both GPs and gratings. Moreover, in the case of GPs, distraction is likely to interfere with the adaptation process rather than with the spatial summation of local dipoles. We conclude that TAE from GPs possibly relies on visual processing levels in which the global orientation of GPs has been encoded by neurons that are mostly binocularly driven, orientation selective and whose adaptation-related neural activity is strongly modulated by attention. PMID:27005949

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.

The place of information and communication technology-mediated consultations in primary care: GPs' perspectives.

PubMed

Hanna, Lisa; May, Carl; Fairhurst, Karen

2012-06-01

New information and communication technologies such as email and text messaging have been shown to be useful in some aspects of primary care service delivery. Little is known about Scottish GPs' attitudes towards the adoption of these technologies as routine consultation tools. To explore GPs' perceptions of the potential place of new non-face-to-face consultation technologies in the routine delivery of primary care; to explore GPs' perceived barriers to the introduction of these technologies and to identify the processes by which GPs feel that new consultation technologies could be incorporated into routine primary care. Qualitative interview study: 20 in-depth semi-structured interviews carried out with maximum variation sample of GPs across Scotland. Whilst the face-to-face consultation was seen as central to much of the clinical and diagnostic work of primary care, many GPs were conditionally willing to consider using new technologies in the future, particularly to carry out administrative or less complex tasks and therefore maximize practice efficiency and patient convenience. Key considerations were access to appropriate training, IT support and medico-legal guidance. GPs are conditionally willing to use new consultation media if clinically appropriate and if medico-legal and technical support is available.

Attitudes and behaviours in smoking cessation among general practitioners in Finland 2001.

PubMed

Barengo, Noël C; Sandström, H Patrick; Jormanainen, Vesa J; Myllykangas, Markku T

2005-01-01

To investigate whether smoking by general practitioners (GPs) and gender influence smoking cessation advice. A self-administered questionnaire, originally developed by the WHO and modified according to the Finnish health care system was sent by mail to physicians who were members of the Finnish Medical Association (FMA). Participants were restricted to those who were living in Finland and were younger than 65 years. Numbers of participants was 3,057 and the response rate 69%. Smoking male GPs gave less smoking cessation advice only to patients with a stomach ulcer or patients using oral contraceptive pills compared with their non-smoking colleagues. Male GPs gave less smoking cessation advice to pregnant patients or patients using contraceptive pills than female GPs. Female smoking GPs less likely advised patients who were pregnant or who were using oral contraceptive pills to stop smoking than non-smoking female GPs (p <0.001). The percentage of GPs who have never distributed smoking cessation information was lower in men (41%) than in women (45%; p-value: 0.052). Minor differences in anti-smoking advice to patients between smoking and non-smoking general practitioners were found. The little involvement of GPs in health promotion activities regarding tobacco control is of concern.

The need for GPS standardization

NASA Technical Reports Server (NTRS)

Lewandowski, Wlodzimierz W.; Petit, Gerard; Thomas, Claudine

1992-01-01

A desirable and necessary step for improvement of the accuracy of Global Positioning System (GPS) time comparisons is the establishment of common GPS standards. For this reason, the CCDS proposed the creation of a special group of experts with the objective of recommending procedures and models for operational time transfer by GPS common-view method. Since the announcement of the implementation of Selective Availability at the end of last spring, action has become much more urgent and this CCDS Group on GPS Time Transfer Standards has now been set up. It operates under the auspices of the permanent CCDS Working Group on TAI and works in close cooperation with the Sub-Committee on Time of the Civil GPS Service Interface Committee (CGSIC). Taking as an example the implementation of SA during the first week of July 1991, this paper illustrates the need to develop urgently at least two standardized procedures in GPS receiver software: monitoring GPS tracks with a common time scale and retaining broadcast ephemeris parameters throughout the duration of a track. Other matters requiring action are the adoption of common models for atmospheric delay, a common approach to hardware design and agreement about short-term data processing. Several examples of such deficiencies in standardization are presented.

GPs' Perceptions of Cardiovascular Risk and Views on Patient Compliance: A Qualitative Interview Study.

PubMed

Barfoed, Benedicte Lind; Jarbøl, Dorte Ejg; Paulsen, Maja Skov; Christensen, Palle Mark; Halvorsen, Peder Andreas; Nielsen, Jesper Bo; Søndergaard, Jens

2015-01-01

Objective. General practitioners' (GPs') perception of risk is a cornerstone of preventive care. The aims of this interview study were to explore GPs' professional and personal attitudes and experiences regarding treatment with lipid-lowering drugs and their views on patient compliance. Methods. The material was drawn from semistructured qualitative interviews. We sampled GPs purposively from ten selected practices, ensuring diversity of demographic, professional, and personal characteristics. The GPs were encouraged to describe examples from their own practices and reflect on them and were informed that the focus was their personal attitudes and experiences. Systematic text condensation was applied for analysis in order to uncover the concepts and themes. Results. The analysis revealed the following 3 main themes: (1) use of cardiovascular guidelines and risk assessment tools, (2) strategies for managing patient compliance, and (3) GPs' own risk management. There were substantial differences in the attitudes concerning all three themes. Conclusions. The substantial differences in the GPs' personal and professional risk perceptions may be a key to understanding why GPs do not always follow cardiovascular guidelines. The impact on daily clinical practice, personal consultation style, and patient behaviour with regard to prevention is worth studying further.

Balancing - an equilibrium act between different positions: an exploratory study on general practitioners' comprehension of their professional role.

PubMed

Hansson, Anders; Gunnarsson, Ronny; Mattsson, Bengt

2007-06-01

There is a call to make the duties and working conditions of the GP more transparent. The aim of this study was to explore practising GPs' personal experiences of their professional role and what they regard to be its salient characteristics. An exploratory and descriptive study was undertaken by interviewing GPs and by performing a focus-group study of experienced GPs. The interviews were transcribed and analysed, and the text was categorized according to content analysis. The practice of the interviewed GPs. Seven GPs in individual interviews and a focus group of experienced GPs. A major theme, Balancing, was identified. It was derived from a number of opposing concepts to which different features were related. "The good shepherd" versus "The medical expert"; "Curing" versus "Caring"; "Short visits" versus "Long consultations"; "The personal doctor" versus "The society's doctor". In many consultations the GP has to contemplate how to stay in focus between these diverse roles. General practice requires a balance to be achieved between a number of opposing conditions. In their clinical work GPs have to adjust to and integrate alternative perspectives. Problems of recruiting new GPs might be associated with dilemmas in this balancing act.

GPs' Perceptions of Cardiovascular Risk and Views on Patient Compliance: A Qualitative Interview Study

PubMed Central

Barfoed, Benedicte Lind; Jarbøl, Dorte Ejg; Paulsen, Maja Skov; Christensen, Palle Mark; Halvorsen, Peder Andreas; Nielsen, Jesper Bo; Søndergaard, Jens

2015-01-01

Objective. General practitioners' (GPs') perception of risk is a cornerstone of preventive care. The aims of this interview study were to explore GPs' professional and personal attitudes and experiences regarding treatment with lipid-lowering drugs and their views on patient compliance. Methods. The material was drawn from semistructured qualitative interviews. We sampled GPs purposively from ten selected practices, ensuring diversity of demographic, professional, and personal characteristics. The GPs were encouraged to describe examples from their own practices and reflect on them and were informed that the focus was their personal attitudes and experiences. Systematic text condensation was applied for analysis in order to uncover the concepts and themes. Results. The analysis revealed the following 3 main themes: (1) use of cardiovascular guidelines and risk assessment tools, (2) strategies for managing patient compliance, and (3) GPs' own risk management. There were substantial differences in the attitudes concerning all three themes. Conclusions. The substantial differences in the GPs' personal and professional risk perceptions may be a key to understanding why GPs do not always follow cardiovascular guidelines. The impact on daily clinical practice, personal consultation style, and patient behaviour with regard to prevention is worth studying further. PMID:26495143

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.

Measuring precise sea level from a buoy using the Global Positioning System

NASA Technical Reports Server (NTRS)

Rocken, Christian; Kelecy, Thomas M.; Born, George H.; Young, Larry E.; Purcell, George H., Jr.; Wolf, Susan Kornreich

1990-01-01

The feasibility of using the Global Positioning System (GPS) for accurate sea surface positioning was examined. An experiment was conducted on the Scripps pier at La Jolla, California from December 13-15, 1989. A GPS-equipped buoy was deployed about 100 m off the pier. Two fixed reference GPS receivers, located on the pier and about 80 km away on Monument Peak, were used to estimate the relative position of the floater. Kinematic GPS processing software, developed at the National Geodetic Survey, and the Jet Propulsion Laboratory's GPS Infrared Processing System software were used to determine the floater position relative to land-fixing receivers. Calculations were made of sea level and ocean wave spectra from GPS measurements. It is found that the GPS sea level for the short 100 m baseline agrees with the PPT sea level at the 1 cm level and has an rms variation of 5 mm over a period of 4 hours.

Water vapour tomography using GPS phase observations: Results from the ESCOMPTE experiment

NASA Astrophysics Data System (ADS)

Nilsson, T.; Gradinarsky, L.; Elgered, G.

2007-10-01

Global Positioning System (GPS) tomography is a technique for estimating the 3-D structure of the atmospheric water vapour using data from a dense local network of GPS receivers. Several current methods utilize estimates of slant wet delays between the GPS satellites and the receivers on the ground, which are difficult to obtain with millimetre accuracy from the GPS observations. We present results of applying a new tomographic method to GPS data from the Expériance sur site pour contraindre les modèles de pollution atmosphérique et de transport d'emissions (ESCOMPTE) experiment in southern France. This method does not rely on any slant wet delay estimates, instead it uses the GPS phase observations directly. We show that the estimated wet refractivity profiles estimated by this method is on the same accuracy level or better compared to other tomographic methods. The results are in agreement with earlier simulations, for example the profile information is limited above 4 km.

SLR tracking of GPS-35

NASA Technical Reports Server (NTRS)

Pavlis, Erricos C.

1994-01-01

An experiment was designed to launch a corner cube retroreflector array on one of the Global Positioning Satellites (GPS). The launch on Aug. 31, 1993 ushered in the era of SLR tracking of GPS spacecraft. Once the space operations group finished the check-out procedures for the new satellite, the agreed upon SLR sites were allowed to track it. The first site to acquire GPS-35 was the Russian system at Maidanak and closely after the MLRS system at McDonald Observatory, Texas. The laser tracking network is currently tracking the GPS spacecraft known as GPS-35 or PRN 5 with great success. From the NASA side there are five stations that contribute data regularly and nearly as many from the international partners. Upcoming modifications to the ground receivers will allow for a further increase in the tracking capabilities of several additional sites and add some desperately needed southern hemisphere tracking. We are analyzing the data and are comparing SLR-derived orbits to those determined on the basis of GPS radiometric data.

Application of GPS attitude determination to gravity gradient stabilized spacecraft

NASA Technical Reports Server (NTRS)

Lightsey, E. G.; Cohen, Clark E.; Parkinson, Bradford W.

1993-01-01

Recent advances in the Global Positioning System (GPS) technology have initiated a new era in aerospace navigation and control. GPS receivers have become increasingly compact and affordable, and new developments have made attitude determination using subcentimeter positioning among two or more antennas feasible for real-time applications. GPS-based attitude control systems will become highly portable packages which provide time, navigation, and attitude information of sufficient accuracy for many aerospace needs. A typical spacecraft application of GPS attitude determination is a gravity gradient stabilized satellite in low Earth orbit that employs a GPS receiver and four body mounted patch antennas. The coupled, linearized equations of motion enable complete position and attitude information to be extracted from only two antennas. A discussion of the various error sources for spaceborne GPS attitude measurement systems is included. Attitude determination of better than 0.3 degrees is possible for 1 meter antenna separation. Suggestions are provided to improve the accuracy of the attitude solution.

Insights and Concerns of Patients and GPs Regarding Introduction of Universal Health Insurance in Ireland.

PubMed

Breen, N; MacEoin, S; Loy, A; O'Shea, B; Darker, C

2015-10-01

The implementation of a universal health insurance (UHI) model is a key political policy in Ireland. The objective here was to determine the understanding of general practitioners (GPs) and patients regarding UHI, its implementation and impact on both sets of stakeholders. Postal questionnaire to GPs, and opportunistic survey sampling of patients in two different GP practices were carried out. Response rates were 92.5% (patients) and 78% (GPs). 79.4% of patients (n = 418) and 96.7% of GPs (n = 149) have a 'poor' understanding of how UHI will be implemented. 89% (n = 493) of patients and 98.7% (n = 153) of GPs feel government communication about UHI has been 'poor'. 98.1% of GPs (n = 152) and 77.3% of patients (n = 383) are not confident that 'UHI will be ready for implementation by 2015'. Neither stakeholder group is confident in the government's ability to deliver UHI within the given timeframe. There is a lack of knowledge and consultation on proposals for its implementation.

Utilisation of co-testing 
(human papillomavirus DNA testing and cervical cytology) after treatment of CIN: - a survey of GPs' awareness and knowledge.

PubMed

Munro, Aime; Codde, Jim; Semmens, James; Leung, Yee; Spilsbury, Katrina; Williams, Vincent; Steel, Nerida; Cohen, Paul; Pavicic, Heidi; Westoby, Vicki; O'Leary, Peter

2015-01-01

Patients have an increased risk of persistent/recurrent cervical disease if they received treatment for a high-grade squamous intraepithelial lesion (HSIL). Consequently, understanding whether co-testing (human papillomavirus [HPV] DNA testing and cervical cytology) is fully utilised by general practitioners (GPs) is paramount. After consultation with key stakeholders, an anonymous, self-completion questionnaire was developed and disseminated to GPs who had provided cervical cytology. Responses were received from 745 GPs (30.9% response rate). A significant number (34.3%) of GPs were unaware of the use of co-testing (HPV DNA testing and cervical cytology) for the management of patients after HSIL treatment. Additionally, the majority of GPs reported they did not 'always' receive a clear follow-up plan for patients after treatment of an HSIL. GPs require further support and education to ensure successful adoption of co-testing (HPV DNA testing and cervical cytology), specifically, for patients treated for an HSIL.

A Leo Satellite Navigation Algorithm Based on GPS and Magnetometer Data

NASA Technical Reports Server (NTRS)

Deutschmann, Julie; Harman, Rick; Bar-Itzhack, Itzhack

2001-01-01

The Global Positioning System (GPS) has become a standard method for low cost onboard satellite orbit determination. The use of a GPS receiver as an attitude and rate sensor has also been developed in the recent past. Additionally, focus has been given to attitude and orbit estimation using the magnetometer, a low cost, reliable sensor. Combining measurements from both GPS and a magnetometer can provide a robust navigation system that takes advantage of the estimation qualities of both measurements. Ultimately, a low cost, accurate navigation system can result, potentially eliminating the need for more costly sensors, including gyroscopes. This work presents the development of a technique to eliminate numerical differentiation of the GPS phase measurements and also compares the use of one versus two GPS satellites.

Operational aspects of CASA UNO '88-The first large scale international GPS geodetic network

NASA Technical Reports Server (NTRS)

Neilan, Ruth E.; Dixon, T. H.; Meehan, Thomas K.; Melbourne, William G.; Scheid, John A.; Kellogg, J. N.; Stowell, J. L.

1989-01-01

For three weeks, from January 18 to February 5, 1988, scientists and engineers from 13 countries and 30 international agencies and institutions cooperated in the most extensive GPS (Global Positioning System) field campaign, and the largest geodynamics experiment, in the world to date. This collaborative eperiment concentrated GPS receivers in Central and South America. The predicted rates of motions are on the order of 5-10 cm/yr. Global coverage of GPS observations spanned 220 deg of longitude and 125 deg of latitude using a total of 43 GPS receivers. The experiment was the first civilian effort at implementing an extended international GPS satellite tracking network. Covariance analyses incorporating the extended tracking network predicted significant improvement in precise orbit determination, allowing accurate long-baseline geodesy in the science areas.

GPS for low-cost attitude determination. A review of concepts, in-flight experiences, and current developments

NASA Astrophysics Data System (ADS)

Chu, Q. P.; Van Woerkom, P. Th. L. M.

The Global Positioning System or GPS has been developed for the purpose of enabling accurate positioning and navigation anywhere on or near the surface of the Earth. In addition to the US system GPS-NAVSTAR, the Russian GLONASS system is also in place and operational. Other such systems are under study. The key measurement involved is the time of travel of signals from a particular GPS spacecraft to the navigating receiver. Navigation accuracies of the order of tenths of meters are achievable, and accuracies at the centimeter level can also be obtained with special enhancement techniques. In recent years spacecraft have already been exploring the use of GPS for in-orbit navigation. As the receiver is solid state, rugged, power-lean, and cheap, GPS for autonomous navigation will be an objective even for low-cost spacecraft of only modest sophistication. When the GPS receiver is equipped with multiple antennas with baselines even as low as about one meter, it can also give attitude information. In this case, the position of the spacecraft needs to be known with only very moderate accuracy. However, the phase differences between signals received by the different antennas now constitute the key measurements. In this case a centimeter level accuracy of range difference can be obtained. Receivers carrying out the processing of such measurements are already on the market, even in space-qualified versions. For spacecraft maneuvering at low rates, accuracies of the order of tenths of a degree are achievable. There are reasons for maintaining classical attitude sensor suites on a spacecraft even when a GPS receiver is added. In this case the classical sensors may be allowed to be of modest quality only, as subsequent fusion of their data with those from the GPS receiver may restore the accuracy of the final estimate again to an acceptable level. Hence, low-cost attitude sensors combined with a low-cost GPS receiver can still satisfy non-trivial attitude reconstitution accuracy requirements. As carrier phase difference measurements are ambiguous because of the unknown number of GPS signal cycles received, the estimated attitude is in principle ambiguous as well. Therefore, resolution of the GPS signal cycle ambiguity becomes a necessary task before determining the attitude for a stand-alone GPS attitude sensing system. This problem may be solved by introducing additional low-cost reference attitude sensors like three-axis magnetometers. This is also one of the advantages of integrated sensor systems. The paper is organized as follows. Global Positioning System and GPS observables are described in the first two sections. The main attitude determination concepts are presented in the next section. For small spacecraft, GPS integrated with other low-cost attitude sensors results in a data fusion concept, to be discussed next. The last section highlights experiences and on-going projects related to the spacecraft attitude determination using GPS.

[GPs' self-perception of their own role compared with hospital, ambulatory, academic, and health organisation physicians].

PubMed

Daghio, Maria Monica; Gaglianò, Giuseppe; Bevini, Massimo; Cadioli, Tiziano; Delvecchio, Carlo; Guidetti, Patrizia; Lorenzetti, Manuela; Fattori, Giuseppe; Ciardullo, Anna Vittoria

2005-05-01

Aim of the present study was to explore how the 76 general practitioners (GPs) - serving Carpi district (90,000 residents) - value their own role compared with the hospital, ambulatory, academic, and health organisation physicians'. GPs had a positive self-image only in comparison with health organisation doctors (7 vs 7 grades). GPs disappointed with themselves when comparing their role with ambulatory (-1.6 grades), academic (-1.9 grades) and hospital doctors (-2.2 grades). Secondarily, GPs perceived patients' valuing their professional role mostly 'subordinate' to the other physicians', except health organisation colleagues'.

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.

Test results of the STI GPS time transfer receiver

NASA Technical Reports Server (NTRS)

Hall, D. L.; Handlan, J.; Wheeler, P.

1983-01-01

Global time transfer, or synchronization, between a user clock and USNO UTC time can be performed using the Global Positioning System (GPS), and commercially available time transfer receivers. This paper presents the test results of time transfer using the GPS system and a Stanford Telecommunications, Inc. (STI) Time Transfer System (TTS) Model 502. Tests at the GPS Master Control Site (MCS) in Vandenburg, California and at the United States Naval Observatory (USNO) in Washington, D.C. are described. An overview of GPS, and the STI TTS 502 is presented. A discussion of the time transfer process and test concepts is included.

Autonomous navigation system based on GPS and magnetometer data

NASA Technical Reports Server (NTRS)

Julie, Thienel K. (Inventor); Richard, Harman R. (Inventor); Bar-Itzhack, Itzhack Y. (Inventor)

2004-01-01

This invention is drawn to an autonomous navigation system using Global Positioning System (GPS) and magnetometers for low Earth orbit satellites. As a magnetometer is reliable and always provides information on spacecraft attitude, rate, and orbit, the magnetometer-GPS configuration solves GPS initialization problem, decreasing the convergence time for navigation estimate and improving the overall accuracy. Eventually the magnetometer-GPS configuration enables the system to avoid costly and inherently less reliable gyro for rate estimation. Being autonomous, this invention would provide for black-box spacecraft navigation, producing attitude, orbit, and rate estimates without any ground input with high accuracy and reliability.

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

Precise Point Positioning Based on BDS and GPS Observations

NASA Astrophysics Data System (ADS)

Gao, ZhouZheng; Zhang, Hongping; Shen, Wenbin

2014-05-01

BeiDou Navigation Satellite System (BDS) has obtained the ability applying initial navigation and precise point services for the Asian-Pacific regions at the end of 2012 with the constellation of 5 Geostationary Earth Orbit (GEO), 5 Inclined Geosynchronous Orbit (IGSO) and 4 Medium Earth Orbit (MEO). Till 2020, it will consist with 5 GEO, 3 IGSO and 27 MEO, and apply global navigation service similar to GPS and GLONASS. As we known, GPS precise point positioning (PPP) is a powerful tool for crustal deformation monitoring, GPS meteorology, orbit determination of low earth orbit satellites, high accuracy kinematic positioning et al. However, it accuracy and convergence time are influenced by the quality of pseudo-range observations and the observing geometry between user and Global navigation satellites system (GNSS) satellites. Usually, it takes more than 30 minutes even hours to obtain centimeter level position accuracy for PPP while using GPS dual-frequency observations only. In recent years, many researches have been done to solve this problem. One of the approaches is smooth pseudo-range by carrier-phase observations to improve pseudo-range accuracy. By which can improve PPP initial position accuracy and shorten PPP convergence time. Another sachems is to change position dilution of precision (PDOP) with multi-GNSS observations. Now, BDS has the ability to service whole Asian-Pacific regions, which make it possible to use GPS and BDS for precise positioning. In addition, according to researches on GNSS PDOP distribution, BDS can improve PDOP obviously. Therefore, it necessary to do some researches on PPP performance using both GPS observations and BDS observations, especially in Asian-Pacific regions currently. In this paper, we focus on the influences of BDS to GPS PPP mainly in three terms including BDS PPP accuracy, PDOP improvement and convergence time of PPP based on GPS and BDS observations. Here, the GPS and BDS two-constellation data are collected from BeiDou experimental tracking stations (BETS) built by Wuhan University. And BDS precise orbit and precise clock products are applied by GNSS center, Wuhan University. After an introduction about GPS+BDS PPP mathematical and the error correction modes, we analyze the influence of BDS to GPS PPP carefully with calculating results. The statistics results show that BDS PPP can reach centimeter level and BDS can improve PDOP obviously. Moreover, the convergence time and position stability of GPS+BDS PPP is better than that of GPS PPP.

Use of action planning to increase provision of smoking cessation care by general practitioners: role of plan specificity and enactment.

PubMed

Verbiest, Marjolein E A; Presseau, Justin; Chavannes, Niels H; Scharloo, Margreet; Kaptein, Ad A; Assendelft, Willem J J; Crone, Mathilde R

2014-12-30

Strategies are needed to help general practitioners (GPs) promote smoking cessation as recommended by guidelines. This study examines whether the quality of action planning among GPs improves their provision of smoking cessation care. The effectiveness of a 1-h training programme was examined in a cluster randomised controlled trial in which 49 GPs participated. GPs who followed the training (intervention group; n = 25) formulated action plans related to i) enquiring about smoking, ii) advising to quit smoking, and iii) arranging follow-up for smokers motivated to quit. GPs also formulated a coping plan for encountering smokers not motivated to quit. The quality of these plans (plan specificity) was rated and, 6 weeks after the training, GPs reported on the performance of these plans (plan enactment). Multilevel regression analyses were used to examine the effects of plan specificity and plan enactment on patient-reported smoking cessation activities of the GPs in the intervention group (n = 1,632 patients) compared with the control group (n = 1,769 patients). Compared to the control group, GPs who formulated a highly specific action plan during the training asked their patients about smoking more often after the training compared to prior to the training (OR 2.11, 95% CI 1.51-2.95). GPs were most likely to have asked patients about smoking after the training compared to prior to the training when they had enacted a highly specific formulated action plan (OR 3.08, 95% CI 2.04-4.64). The effects of GP plan specificity and plan enactment on asking patient about smoking were most prominent among GPs who, at baseline, intended to provide smoking cessation care. A highly specific action plan formulated by a GP on when, how, and by whom patients will be asked about smoking had a positive effect on GPs' asking patients about smoking, especially when these professionals also reported to have enacted this plan. This effect was most prominent among GPs who intended to provide smoking cessation care prior to the intervention. Training in devising personalised coping plans is recommended to further increase GPs' provision of advice to quit smoking and arranging follow-up support to quit smoking.

Comparison of QuikSCAT and GPS-Derived Ocean Surface Winds

NASA Technical Reports Server (NTRS)

Axelrad, Penina

2001-01-01

The Colorado Center for Astrodynamics has completed a study comparing ocean surface winds derived from GPS bistatic measurements with QuikSCAT wind fields. We have also compiled an extensive database of the bistatic GPS flight data collected by NASA Langley Research Center over the last several years. The GPS data are augmented with coincident data from QuikSCAT, buoys, TOPEX, and ERS.

Nearshore Sea Clutter Measurements from a Fixed Platform

DTIC Science & Technology

2012-04-01

Water (MLL W) datum. 7. GPS Two differential GPS units, Magellan ProMark 3.0, were utilized to determine precise differences in position between the...8 Figure 8. (a) Trihedral configuration on the small boat and position of the GPS and IMU sensors. (b) Profile view of...SIO Miniature Directional Wave Buoys The Scripps Institution of Oceanography designs and manufactures GPS -based miniature directional wave buoys

GPS: Public Utility or Software Platform

DTIC Science & Technology

2016-09-01

major occurrences that could interrupt GPS’s operation for an extended period of time . Despite these safeguards, the U.S. government has...in the event of a GPS interruption .178 2. GPS Infrastructure is designed to Prevent and Minimize Disruption Like a public utility, GPS is designed ...production and distribution while at the same time minimizing the likelihood of signal interruptions . Each of GPS’s operational satellites are

GPS-UTC Time Synchronization

DTIC Science & Technology

1989-11-01

GPS-UTC TIME SYNCHRONIZATION C. H. MCKENZIE W. A. FEESS R, H. LUCAS H. HOLTZ A. L. SATIN The Aerospace Corporation El Segundo, California...Abstract Two automatic algorithms for synchronizing the GPS time standard to the UTC time standard are evaluated. Both algorithms control GPS-UTC...is required to synchronize its broadcast time standard to within one microsecond o f the time standard maintained by the US Naval Observatory

77 FR 3100 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-23

... on 8260-15A. The large number of SIAPs, Takeoff Minimums and ODPs, in addition to their complex... 31, Amdt 14 CANCELLED Cook, MN, Cook Muni, RNAV (GPS) RWY 13, Orig Cook, MN, Cook Muni, RNAV (GPS) RWY 31, Amdt 1 Ely, MN, Ely Muni, RNAV (GPS) RWY 12, Amdt 1 Ely, MN, Ely Muni, RNAV (GPS) RWY 30, Amdt...

GPS Lessons Learned from the International Space Station, Space Shuttle and X-38

NASA Technical Reports Server (NTRS)

Goodman, John L.

2005-01-01

This document is a collection of writings concerning the application of Global Positioning System (GPS) technology to the International Space Station (ISS), Space Shuttle, and X-38 vehicles. An overview of how GPS technology was applied is given for each vehicle, including rationale behind the integration architecture, and rationale governing the use (or non-use) of GPS data during flight.

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.

Age-related differences in working hours among male and female GPs: an SMS-based time use study.

PubMed

van Hassel, Daniël; van der Velden, Lud; de Bakker, Dinny; Batenburg, Ronald

2017-12-19

In several countries, the number of hours worked by general practitioners (GPs) has decreased, raising concern about current and impending workforce shortages. This shorter working week has been ascribed both to the feminisation of the workforce and to a younger generation of GPs who prefer more flexible working arrangements. There is, however, limited insight into how the impact of these determinants interact. We investigated the relative importance of differences in GPs' working hours in relation to gender, age, and employment position. An analysis was performed on real-time monitoring data collected by sending SMS text messages to 1051 Dutch GPs, who participated during a 1-week time use study. We used descriptive statistics, independent sample t-tests, and one-way ANOVA analysis to compare the working time of different GP groups. A path analysis was conducted to examine the difference in working time by gender, age, employment position, and their combinations. Female GPs worked significantly fewer hours than their male peers. GPs in their 50s worked the highest number of hours, followed by GPs age 60 and older. GPs younger than 40 worked the lowest number of hours. This relationship between working hours and age was not significantly different for women and men. As shown by path analysis, female GPs consistently worked fewer hours than their male counterparts, regardless of their age and employment position. The relationship between age and working hours was largely influenced by gender and employment position. The variation in working hours among GPs can be explained by the combination of gender, age, and employment position. Gender appears to be the most important predictor as the largest part of the variation in working hours is explained by a direct effect of this variable. It has previously been reported that the difference in working hours between male and female GPs had decreased over time. However, our findings suggest that gender remains a critical factor for variation in time use and for policy instruments such as health workforce planning.

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

The role of the general practitioner in multidisciplinary teams: a qualitative study in elderly care.

PubMed

Grol, Sietske M; Molleman, Gerard R M; Kuijpers, Anne; van der Sande, Rob; Fransen, Gerdine A J; Assendelft, Willem J J; Schers, Henk J

2018-03-10

In the western world, a growing number of the older people live at home. In the Netherlands, GPs are expected to play a pivotal role in the organization of integrated care for this patient group. However, little is known about how GPs can play this role best. Our aim for this study was to unravel how GPs can play a successful role in elderly care, in particular in multidisciplinary teams, and to define key concepts for success. A mixed qualitative research model in four multidisciplinary teams for elderly care in the Netherlands was used. With these four teams, consisting of 46 health care and social service professionals, we carried out two rounds of focus-group interviews. Moreover, we performed semi-structured interviews with four GPs. We analysed data using a hybrid inductive/deductive thematic analysis. According to the health care and social service professionals in our study, the role of GPs in multidisciplinary teams for elderly care was characterized by the ability to 'see the bigger picture'. We identified five key activities that constitute a successful GP role: networking, facilitating, team building, integrating care elements, and showing leadership. Practice setting and phase of multidisciplinary team development influenced the way in which GPs fulfilled their roles. According to team members, GPs were the central professionals in care services for older people. The opinions of GPs about their own roles were diverse. GPs took an important role in successful care settings for older people. Five key concepts seemed to be important for best practices in care for frail older people: networking (community), facilitating (organization), team building (professional), integrating care elements (patient), and leadership (personal). Team members from primary care and social services indicated that GPs had an indispensable role in such teams. It would be advantageous for GPs to be aware of this attributed role. Attention to leadership competencies and to the diversity of roles in multidisciplinary teams in GP training programmes seems useful. The challenge is to convince GPs to take a lead, also when they are not inclined to take this role in organizing multidisciplinary teams for older people.

Responding to GPs' information resource needs: implementation and evaluation of a complementary medicines information resource in Queensland general practice

PubMed Central

2011-01-01

Background Australian General Practitioners (GPs) are in the forefront of primary health care and in an excellent position to communicate with their patients and educate them about Complementary Medicines (CMs) use. However previous studies have demonstrated that GPs lack the knowledge required about CMs to effectively communicate with patients about their CMs use and they perceive a need for information resources on CMs to use in their clinical practice. This study aimed to develop, implement, and evaluate a CMs information resource in Queensland (Qld) general practice. Methods The results of the needs assessment survey of Qld general practitioners (GPs) informed the development of a CMs information resource which was then put through an implementation and evaluation cycle in Qld general practice. The CMs information resource was a set of evidence-based herbal medicine fact sheets. This resource was utilised by 100 Qld GPs in their clinical practice for four weeks and was then evaluated. The evaluation assessed GPs' (1) utilisation of the resource (2) perceived quality, usefulness and satisfaction with the resource and (3) perceived impact of the resource on their knowledge, attitudes, and practice of CMs. Results Ninety two out of the 100 GPs completed the four week evaluation of the fact sheets and returned the post-intervention survey. The herbal medicine fact sheets produced by this study were well accepted and utilised by Qld GPs. The majority of GPs perceived that the fact sheets were a useful resource for their clinical practice. The fact sheets improved GPs' attitudes towards CMs, increased their knowledge of those herbal medicines and improved their communication with their patients about those specific herbs. Eighty-six percent of GPs agreed that if they had adequate resources on CMs, like the herbal medicine fact sheets, then they would communicate more to their patients about their use of CMs. Conclusion Further educational interventions on CMs need to be provided to GPs to increase their knowledge of CMs and to improve their communication with patients about their CMs use. PMID:21933434

Rural GPs’ attitudes toward participating in emergency medicine: a qualitative study

PubMed Central

Hjortdahl, Magnus; Halvorsen, Peder; Risør, Mette Bech

2016-01-01

Objective Health authorities want to increase general practitioner (GP) participation in emergency medicine, but the role of the GP in this context controversial. We explored GPs’ attitudes toward emergency medicine and call outs. Design Thematic analysis of focus group interviews. Setting Four rural casualty clinics in Norway. Participants GPs with experience ranging from one to 32 years. Results The GPs felt that their role had changed from being the only provider of emergency care to being one of many. In particular, the emergency medical technician teams (EMT) have evolved and often manage well without a physician. Consequently, the GPs get less experience and feel more uncertain when encountering emergencies. Nevertheless, the GPs want to participate in call outs. They believed that their presence contributes to better patient care, and the community appreciates it. Taking part in call outs is seen as being vital to maintaining skills. The GPs had difficulties explaining how to decide whether to participate in call outs. Decisions were perceived as difficult due to insufficient information. The GPs assessed factors, such as distance from the patient and crowding at the casualty clinic, differently when discussing participation in call outs. Conclusion Although their role may have changed, GPs argue that they still play a part in emergency medicine. The GPs claim that by participating in call outs, they maintain their skills and improve patient care, but further research is needed to help policy makers and clinicians decide when the presence of a GP really counts. Norwegian health authorities want to increase participation by general practitioners (GPs) in emergency medicine, but the role of the GP in this context is controversial. KEY POINTSThe role of the GP has changed, but GPs argue that they still play an important role in emergency medicine.GPs believe that their presence on call outs improve patient care, but they find it defensible that patients are tended to by emergency medical technicians (EMTs) only.GPs offered different assessments regarding whether to participate in call outs in seemingly similar cases. PMID:27827547

Using GPS Imaging to Unravel Vertical Land Motions in the Interior Pacific Northwest

NASA Astrophysics Data System (ADS)

Overacker, J.; Hammond, W. C.; Kraner, M.; Blewitt, G.

2017-12-01

GPS Imaging uses robust trends in time series of GPS positions to create a velocity field that can reveal rates and patterns of vertical motions that would be otherwise difficult to detect. We have constructed an image of vertical land velocities within the interior Pacific Northwest region of the United States using GPS Imaging. The image shows a 50-250 km wide swath of approximately 2 mm/yr of subsidence seemingly unrelated to topographic features of the region. The extent of the signal roughly corresponds to the Juan de Fuca plate subduction latitudes and longitude of the Cascade arc. This suggests that the signal could be associated with ongoing crustal deformation possibly related to plate-scale geodynamic forces arising from interseismic coupling, long term plate boundary tractions, volcanic loading, and/or mantle flow. However, hydrological loading from accumulating precipitation in the Cascades and in the region's groundwater basins, and possible effects from Glacial Isostatic Adjustment (GIA) near its hinge line cannot be discounted as potential contributors to the observed subsidence signal. Here we attempt to unravel the contributions of hydrological loading and GIA to the vertical GPS signal observed within the interior Pacific Northwest. In order to determine the non-tectonic contributions to the observed vertical GPS Image, we will examine how the subsidence rate changes over time using early and late period comparisons. GPS, GRACE, and climatic data will be used in conjunction to disentangle the hydrological effect from the GPS Image. GIA models of the Western Cordillera will be compared with the patterns in the GPS Image to assess whether the signal can be explained with current models of GIA. Our presentation will document the signals, uncertainties, and hypotheses for the possible mechanisms behind this subsidence and attempt to quantify their relation and contribution to the observed deformation signal. Figure 1: Pacific Northwest GPS Imaging result of vertical velocity field plotted over topographic relief map. Red is up, blue is down. GPS station locations are shown in green. Greatest amount of subsidence shown by GPS Imaging appear uncorrelated with topographic features.

The intention of Dutch general practitioners to offer vaccination against pneumococcal disease, herpes zoster and pertussis to people aged 60 years and older.

PubMed

Lehmann, Birthe A; Eilers, Renske; Mollema, Liesbeth; Ferreira, José; de Melker, Hester E

2017-06-07

Increasing life expectancy results in a larger proportion of older people susceptible to vaccine preventable diseases (VPDs). In the Netherlands, influenza vaccination is routinely offered to people aged 60 years and older. Vaccination against pneumococcal disease, herpes zoster and pertussis is rarely used. These vaccines will be evaluated by the Dutch Health Council and might be routinely offered to older people in the near future. Possible expansion of the program depends partly on the willingness of general practitioners (GPs) to endorse additional vaccinations. In this study, we assessed predictors of GPs' attitude and intention to vaccinate people aged 60 years and older. GPs (N = 12.194) were invited to fill in an online questionnaire consisting of questions about social cognitive factors that can influence the willingness of GPs to vaccinate people aged 60 years and older, including underlying beliefs, practical considerations of adding more vaccines to the national program, demographics, and GPs' patient population characteristics. The questionnaire was filled in by 732 GPs. GPs were positive both about vaccination as a preventive tool and the influenza vaccination program, but somewhat less positive about expanding the current program. Prediction analysis showed that the intention of GPs to offer additional vaccination was predicted by their attitude towards offering additional vaccination, towards vaccination as a preventive tool, towards offering vaccination during an outbreak and on GPs opinion regarding suitability to offer additional vaccination (R 2  = 0.60). The attitude of GPs towards offering additional vaccination was predicted by the perceived severity of herpes zoster and pneumonia, as well as the perceived incidence of herpes zoster. Severity of diseases was ranked as important argument to recommend vaccination, followed by effectiveness and health benefits of vaccines. Providing GPs with evidence-based information about the severity and prevalence of diseases, and effectiveness and health benefits of the vaccines, together with an active role of GPs in informing older people about vaccines, could modify the intention towards additional vaccination of people 60 years and older.

Children's GPS-determined versus self-reported transport in leisure time and associations with parental perceptions of the neighborhood environment.

PubMed

Vanwolleghem, Griet; Schipperijn, Jasper; Gheysen, Freja; Cardon, Greet; De Bourdeaudhuij, Ilse; Van Dyck, Delfien

2016-05-05

This study aimed to examine both GPS-determined and self-reported walking, cycling and passive transport in leisure time during week- and weekend-days among 10 to 12-year old children. Comparisons between GPS-determined and self-reported transport in leisure time were investigated. Second, associations between parental perceptions of the neighborhood environment and GPS-determined walking, cycling and passive transport in leisure time were studied. Children (10 to 12-years old; n = 126) wore a GPS device and an accelerometer for 7 consecutive days to assess objectively measured transport in leisure time and filled out a diary to assess self-reported transport in leisure time. Parents completed a questionnaire to assess parental perceptions of the neighborhood environment. Pearson correlations and t-tests were used to test for concurrent validity and differences between GPS-determined and self-reported transport in leisure time. Generalized linear models were used to determine the associations between the parental perceptions of the neighborhood environment and GPS-determined transport in leisure time. Overall, children under-reported their walking and cycling in leisure time, compared to GPS-determined measures (all p values <0.001). However, children reported their passive transport in leisure time during weekend days quite accurate. GPS-determined measures revealed that children walked most during weekdays (M = 3.96 trips/day; 26.10 min/day) and used passive transport more frequently during weekend days (M = 2.12 trips/day; 31.39 min/day). Only a few parental perceived environmental attributes of the neighborhood (i.e. residential density, land use mix access, quality and availability of walking and cycling facilities, and aesthetics) were significantly associated with children's GPS-determined walking, cycling or passive transport in leisure time. To accurately assess children's active transport in leisure time, GPS measures are recommended over self-reports. More research using GPS with a focus on children's transport in leisure time and investigating the associations with parental perceptions of the neighborhood environment is needed to confirm the results of the present study.

Comparison of GPS derived TEC with the TEC predicted by IRI 2012 model in the southern Equatorial Ionization Anomaly crest within the Eastern Africa region

NASA Astrophysics Data System (ADS)

Sulungu, Emmanuel D.; Uiso, Christian B. S.; Sibanda, Patrick

2018-04-01

We have compared the TEC obtained from the IRI-2012 model with the GPS derived TEC data recorded within southern crest of the EIA in the Eastern Africa region using the monthly means of the 5 international quiet days for equinoxes and solstices months for the period of 2012 - 2013. GPS-derived TEC data have been obtained from the Africa array and IGS network of ground based dual-frequency GPS receivers from four stations (Kigali (1.95°S, 30.09°E; Geom. Lat. 11.63°S), Malindi (2.99°S, 40.19°E; Geom. Lat. 12.42°S), Mbarara (0.60°S, 30.74°E; Geom. Lat. 10.22°S) and Nairobi (1.22°S, 36.89°E; Geom. Lat. 10.69°S)) located within the EIA crest in this region. All the three options for topside Ne of IRI-2012 model and ABT-2009 for bottomside thickness have been used to compute the IRI TEC. Also URSI coefficients were considered in this study. These results are compared with the TEC estimated from GPS measurements. Correlation Coefficients between the two sets of data, the Root-Mean Square Errors (RMSE) of the IRI-TEC from the GPS-TEC, and the percentage RMSE of the IRI-TEC from the GPS-TEC have been computed. Our general results show that IRI-2012 model with all three options overestimates the GPS-TEC for all seasons and at all stations, and IRI-2001 overestimates GPS-TEC more compared with other options. IRI-Neq and IRI-01-corr are closely matching in most of the time. The observation also shows that, GPS TEC are underestimated by TEC from IRI model during noon hours, especially during equinoctial months. Further, GPS-TEC values and IRI-TEC values using all the three topside Ne options show very good correlation (above 0.8). On the other hand, the TEC using IRI-Neq and IRI-01- corr had smaller deviations from the GPS-TEC compared to the IRI-2001.

Why do GPs leave direct patient care and what might help to retain them? A qualitative study of GPs in South West England.

PubMed

Sansom, Anna; Terry, Rohini; Fletcher, Emily; Salisbury, Chris; Long, Linda; Richards, Suzanne H; Aylward, Alex; Welsman, Jo; Sims, Laura; Campbell, John L; Dean, Sarah G

2018-01-10

To identify factors influencing general practitioners' (GPs') decisions about whether or not to remain in direct patient care in general practice and what might help to retain them in that role. Qualitative, in-depth, individual interviews exploring factors related to GPs leaving, remaining in and returning to direct patient care. South West England, UK. 41 GPs: 7 retired; 8 intending to take early retirement; 11 who were on or intending to take a career break; 9 aged under 50 years who had left or were intending to leave direct patient care and 6 who were not intending to leave or to take a career break. Plus 19 stakeholders from a range of primary care-related professional organisations and roles. Reasons for leaving direct patient care were complex and based on a range of job-related and individual factors. Three key themes underpinned the interviewed GPs' thinking and rationale: issues relating to their personal and professional identity and the perceived value of general practice-based care within the healthcare system; concerns regarding fear and risk, for example, in respect of medical litigation and managing administrative challenges within the context of increasingly complex care pathways and environments; and issues around choice and volition in respect of personal social, financial, domestic and professional considerations. These themes provide increased understanding of the lived experiences of working in today's National Health Service for this group of GPs. Future policies and strategies aimed at retaining GPs in direct patient care should clarify the role and expectations of general practice and align with GPs' perception of their own roles and identity; demonstrate to GPs that they are valued and listened to in planning delivery of the UK healthcare; target GPs' concerns regarding fear and risk, seeking to reduce these to manageable levels and give GPs viable options to support them to remain in direct patient care. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Evaluating GPS biologging technology for studying spatial ecology of large constricting snakes

USGS Publications Warehouse

Smith, Brian; Hart, Kristen M.; Mazzotti, Frank J.; Basille, Mathieu; Romagosa, Christina M.

2018-01-01

Background: GPS telemetry has revolutionized the study of animal spatial ecology in the last two decades. Until recently, it has mainly been deployed on large mammals and birds, but the technology is rapidly becoming miniaturized, and applications in diverse taxa are becoming possible. Large constricting snakes are top predators in their ecosystems, and accordingly they are often a management priority, whether their populations are threatened or invasive. Fine-scale GPS tracking datasets could greatly improve our ability to understand and manage these snakes, but the ability of this new technology to deliver high-quality data in this system is unproven. In order to evaluate GPS technology in large constrictors, we GPS-tagged 13 Burmese pythons (Python bivittatus) in Everglades National Park and deployed an additional 7 GPS tags on stationary platforms to evaluate habitat-driven biases in GPS locations. Both python and test platform GPS tags were programmed to attempt a GPS fix every 90 min.Results: While overall fix rates for the tagged pythons were low (18.1%), we were still able to obtain an average of 14.5 locations/animal/week, a large improvement over once-weekly VHF tracking. We found overall accuracy and precision to be very good (mean accuracy = 7.3 m, mean precision = 12.9 m), but a very few imprecise locations were still recorded (0.2% of locations with precision > 1.0 km). We found that dense vegetation did decrease fix rate, but we concluded that the low observed fix rate was also due to python microhabitat selection underground or underwater. Half of our recovered pythons were either missing their tag or the tag had malfunctioned, resulting in no data being recovered.Conclusions: GPS biologging technology is a promising tool for obtaining frequent, accurate, and precise locations of large constricting snakes. We recommend future studies couple GPS telemetry with frequent VHF locations in order to reduce bias and limit the impact of catastrophic failures on data collection, and we recommend improvements to GPS tag design to lessen the frequency of these failures.

GPS or travel diary: Comparing spatial and temporal characteristics of visits to fast food restaurants and supermarkets

PubMed Central

Vernez Moudon, Anne; Hurvitz, Philip M.; Aggarwal, Anju; Drewnowski, Adam

2017-01-01

To assess differences between GPS and self-reported measures of location, we examined visits to fast food restaurants and supermarkets using a spatiotemporal framework. Data came from 446 participants who responded to a survey, filled out travel diaries of places visited, and wore a GPS receiver for seven consecutive days. Provided by Public Health Seattle King County, addresses from food permit data were matched to King County tax assessor parcels in a GIS. A three-step process was used to verify travel-diary reported visits using GPS records: (1) GPS records were temporally matched if their timestamps were within the time window created by the arrival and departure times reported in the travel diary; (2) the temporally matched GPS records were then spatially matched if they were located in a food establishment parcel of the same type reported in the diary; (3) the travel diary visit was then GPS-sensed if the name of food establishment in the parcel matched the one reported in the travel diary. To account for errors in reporting arrival and departure times, GPS records were temporally matched to three time windows: the exact time, +/- 10 minutes, and +/- 30 minutes. One third of the participants reported 273 visits to fast food restaurants; 88% reported 1,102 visits to supermarkets. Of these, 77.3 percent of the fast food and 78.6 percent supermarket visits were GPS-sensed using the +/-10-minute time window. At this time window, the mean travel-diary reported fast food visit duration was 14.5 minutes (SD 20.2), 1.7 minutes longer than the GPS-sensed visit. For supermarkets, the reported visit duration was 23.7 minutes (SD 18.9), 3.4 minutes longer than the GPS-sensed visit. Travel diaries provide reasonably accurate information on the locations and brand names of fast food restaurants and supermarkets participants report visiting. PMID:28388619

Usefulness of commercially available GPS data-loggers for tracking human movement and exposure to dengue virus

PubMed Central

2009-01-01

Background Our understanding of the effects of human movement on dengue virus spread remains limited in part due to the lack of precise tools to monitor the time-dependent location of individuals. We determined the utility of a new, commercially available, GPS data-logger for long-term tracking of human movements in Iquitos, Peru. We conducted a series of evaluations focused on GPS device attributes key to reliable use and accuracy. GPS observations from two participants were later compared with semi-structured interview data to assess the usefulness of GPS technology to track individual mobility patterns. Results Positional point and line accuracy were 4.4 and 10.3 m, respectively. GPS wearing mode increased spatial point error by 6.9 m. Units were worn on a neck-strap by a carpenter and a moto-taxi driver for 14-16 days. The application of a clustering algorithm (I-cluster) to the raw GPS positional data allowed the identification of locations visited by each participant together with the frequency and duration of each visit. The carpenter moved less and spent more time in more fixed locations than the moto-taxi driver, who visited more locations for a shorter period of time. GPS and participants' interviews concordantly identified 6 common locations, whereas GPS alone identified 4 locations and participants alone identified 10 locations. Most (80%) of the locations identified by participants alone were places reported as visited for less than 30 minutes. Conclusion The present study demonstrates the feasibility of a novel, commercially available GPS data-logger for long-term tracking of humans and shows the potential of these units to quantify mobility patterns in relationship with dengue virus transmission risk in a tropical urban environment. Cost, battery life, size, programmability and ease of wear are unprecedented from previously tested units, proving the usefulness of GPS-dataloggers for linking movement of individuals and transmission risk of dengue virus and other infectious agents, particularly in resource-poor settings. PMID:19948034

Radio-tracking large wilderness mammals: integration of GPS and Argos technologies

USGS Publications Warehouse

Schwartz, Charles C.; Arthur, Steve M.

1999-01-01

We tested 30 prototype global positioning system (GPS) radiocollars on brown bears (Ursus arctos) over a 3-year period on the Kenai Peninsula, Alaska. Collars were of 2 design types: GPS units with an Argos (Argos Data collection and Location System) satellite uplink (n = 19) and GPS units where the data were stored on board (n = 10) for retrieval at a later date. All units also contained a conventional VHF (very high frequency) transmitter and weighed 1.7 kg. GPS-Argos units obtained 10-82% of expected GPS fixes, and fix rate declined significantly (P < 0.05) with time after deployment. Argos uplink success (proportion of successful transmissions of stored data) was linearly related to GPS fix rate (r = 0.91, P < 0.001). Storeon-board units obtained significantly more successful fixes when compared with the GPS-Argos units (t = -4.009, P < 0.001). Fix success rate for deployed store-on-board collars ranged from 13-96%; because of the increased number of attempted fixes per day, these collars obtained fixes on 97% of days deployed. Accuracy of the GPS units was less than predicted by the NAVSTAR GPS technology using the course acquisition code. Reduced accuracy was likely a result of the proportion of 2-dimensional versus 3-dimensional fixes obtained, although we could not determine this statistic from recorded data. Increased overstory closure was the only variable measured that partially explained the reduced likelihood of a successful fix. Stem density, stem diameter, and overstory height measured within 3 m of the collar did not affect fix success. GPS fix success rates for collars attached to bears varied more and were lower than fix rates for stationary collars placed in various vegetation types, suggesting that the bear, terrain, and movement all influence both fix and uplink success rate. Application of this new technology to grizzly and brown bear research and comparisons to studies with moose (Alces alces) are discussed.

Preliminary Results of the GPS Flight Experiment on the High Earth Orbit AMSAT-OSCAR 40 Spacecraft

NASA Technical Reports Server (NTRS)

Moreau, Michael C.; Bauer, Frank H.; Carpenter, J. Russell; Davis, Edward P.; Davis, George W.; Jackson, Larry A.

2002-01-01

The GPS flight experiment on the High Earth Orbit (HEO) AMSAT-OSCAR 40 (AO-40) spacecraft was activated for a period of approximately six weeks between 25 September and 2 November, 2001, and the initial results have exciting implications for using GPS as a low-cost orbit determination sensor for future HEO missions. AO-40, an amateur radio satellite launched November 16, 2000, is currently in a low inclination, 1000 by 58,800 km altitude orbit. Although the GPS receiver was not initialized in any way, it regularly returned GPS observations from points all around the orbit. Raw signal to noise levels as high as 9 AMUs (Trimble Amplitude Measurement Units) or approximately 48 dB-Hz have been recorded at apogee, when the spacecraft was close to 60,000 km in altitude. On several occasions when the receiver was below the GPS constellation (below 20,000 krn altitude), observations were reported for GPS satellites tracked through side lobe transmissions. Although the receiver has not returned any point solutions, there has been at least one occasion when four satellites were tracked simultaneously, and this short arc of data was used to compute point solutions after the fact. These results are encouraging, especially considering the spacecraft is currently in a spin-stabilized attitude mode that narrows the effective field of view of the receiving antennas and adversely affects GPS tracking. Already AO-40 has demonstrated the feasibility of recording GPS observations in HEO using an unaided receiver. Furthermore, it is providing important information about the characteristics of GPS signals received by a spacecraft in a HEO, which has long been of interest to many in the GPS community. Based on the data returned so far, the tracking performance is expected to improve when the spacecraft is transitioned to a three axis stabilized, nadir pointing attitude in Summer, 2002.

NASA's global differential GPS system and the TDRSS augmentation service for satellites

NASA Technical Reports Server (NTRS)

Bar-Sever, Yoaz; Young, Larry; Stocklin, Frank; Rush, John

2004-01-01

NASA is planning to launch a new service for Earth satellites providing them with precise GPS differential corrections and other ancillary information enabling decimeter level orbit determination accuracy, and nanosecond time-transfer accuracy, onboard, in real-time. The TDRSS Augmentation Service for Satellites (TASS) will broadcast its message on the S-band multiple access channel of NASA's Tracking and Data Relay Satellite System (TDRSS). The satellite's phase array antenna has been configured to provide a wide beam, extending coverage up to 1000 km altitude over the poles. Global coverage will be ensured with broadcast from three or more TDRSS satellites. The GPS differential corrections are provided by the NASA Global Differential GPS (GDGPS) System, developed and operated by NASA's Jet Propulsion Laboratory. The GDGPS System employs a global ground network of more than 70 GPS receivers to monitor the GPS constellation in real time. The system provides real-time estimates of the GPS satellite states, as well as many other real-time products such as differential corrections, global ionospheric maps, and integrity monitoring. The unique multiply redundant architecture of the GDGPS System ensures very high reliability, with 99.999% demonstrated since the inception of the system in Early 2000. The estimated real time GPS orbit and clock states provided by the GDGPS system are accurate to better than 20 cm 3D RMS, and have been demonstrated to support sub-decimeter real time positioning and orbit determination for a variety of terrestrial, airborne, and spaceborne applications. In addition to the GPS differential corrections, TASS will provide real-time Earth orientation and solar flux information that enable precise onboard knowledge of the Earth-fixed position of the spacecraft, and precise orbit prediction and planning capabilities. TASS will also provide 5 seconds alarms for GPS integrity failures based on the unique GPS integrity monitoring service of the GDGPS System.

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.

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.

Triterpenoid herbal saponins enhance beneficial bacteria, decrease sulfate-reducing bacteria, modulate inflammatory intestinal microenvironment and exert cancer preventive effects in ApcMin/+ mice

PubMed Central

Chen, Lei; Brar, Manreetpal S.; Leung, Frederick C. C.; Hsiao, W. L. Wendy

2016-01-01

Saponins derived from medicinal plants have raised considerable interest for their preventive roles in various diseases. Here, we investigated the impacts of triterpenoid saponins isolated from Gynostemma pentaphyllum (GpS) on gut microbiome, mucosal environment, and the preventive effect on tumor growth. Six-week old ApcMin/+ mice and their wild-type littermates were fed either with vehicle or GpS daily for the duration of 8 weeks. The fecal microbiome was analyzed by enterobacterial repetitive intergenic consensus (ERIC)-PCR and 16S rRNA gene pyrosequencing. Study showed that GpS treatment significantly reduced the number of intestinal polyps in a preventive mode. More importantly, GpS feeding strikingly reduced the sulfate-reducing bacteria lineage, which are known to produce hydrogen sulfide and contribute to damage the intestinal epithelium or even promote cancer progression. Meanwhile, GpS also boosted the beneficial microbes. In the gut barrier of the ApcMin/+ mice, GpS treatment increased Paneth and goblet cells, up-regulated E-cadherin and down-regulated N-cadherin. In addition, GpS decreased the pro-oncogenic β-catenin, p-Src and the p-STAT3. Furthermore, GpS might also improve the inflamed gut epithelium of the ApcMin/+ mice by upregulating the anti-inflammatory cytokine IL-4, while downregulating pro-inflammatory cytokines TNF-β, IL-1β and IL-18. Intriguingly, GpS markedly stimulated M2 and suppressed M1 macrophage markers, indicating that GpS altered mucosal cytokine profile in favor of the M1 to M2 macrophages switching, facilitating intestinal tissue repair. In conclusion, GpS might reverse the host's inflammatory phenotype by increasing beneficial bacteria, decreasing sulfate-reducing bacteria, and alleviating intestinal inflammatory gut environment, which might contribute to its cancer preventive effects. PMID:27121311

A randomized trial of three marketing strategies to disseminate a screening and brief alcohol intervention programme to general practitioners.

PubMed

Lock, C A; Kaner, E F; Heather, N; McAvoy, B R; Gilvarry, E

1999-09-01

Research findings are of little benefit to patients or society if they do not reach the audience they are intended to influence. A dissemination strategy is needed to target new findings at its user group and encourage a process of consideration and adoption or rejection. To evaluate the effectiveness and cost-effectiveness of different marketing strategies for the dissemination of a screening and brief alcohol intervention (SBI) programme to general practitioners (GPs). Seven hundred and twenty-nine GPs, one per practice, from the former Northern and Yorkshire Regional Health Authority were randomly assigned to one of three marketing strategies: postal marketing (mailing a promotional brochure to GPs), telemarketing (following a script to market the programme over the telephone), and personal marketing (following the same script during face-to-face marketing at GPs' practices). GPs who took up the programme were asked if they would agree to use it. Outcome measures included the proportions of GPs who took up the programme and agreement to use it. Of the 614 GPs eligible for the study, 321 (52%) took the programme. There was a significant difference in the proportions of GPs from the three marketing strategies who took the programme (82% telemarketing, 68% personal marketing, and 22% postal marketing). Of the 315 GPs who took the programme and were eligible to use it, 128 (41%) agreed to use the programme for three months. GPs in the postal marketing group were more likely to agree to use the programme (55% postal marketing, 44% personal marketing, and 34% telemarketing). Personal marketing was the most effective overall dissemination strategy; however, economic analysis revealed that telemarketing was the most cost-effective strategy. Costs for dissemination per GP were: 13 Pounds telemarketing, 15 Pounds postal marketing, and 88 Pounds personal marketing. Telemarketing appeared to be the most cost-effective strategy for dissemination of SBI to GPs.

Radiotracking large wilderness mammals: Integration of GPS and Argos technology

USGS Publications Warehouse

Schwartz, Charles C.; Arthur, Steve M.

1999-01-01

We tested 30 prototype global positioning system (GPS) radiocollars on brown bears (Ursus arctos) over a 3-year period on the Kenai Peninsula, Alaska. Collars were of 2 design types: GPS with an Argos (Argos Data collection and Location System) satellite uplink (n=19) and GPS unites where the data were stored on board (n=10) for retrieval at a later date. All units also contained a conventional VHF (very high frequency) transmitter and weighed 1.7 kg. GPS-Argos united obtained 10-82% of expected GPS fixes, and fix rate declined significantly (P<0.05) with time after deployment. Argos uplink success (proportion of successful transmissions of stored data) was linearly related to GPS fix rate (r=0.91, P<0.001). Store-on-board units obtained significantly more successful fixes when compared with the GPS-Argos units (t=-4.009, P<0.001). Fix success rate for deployed store-on-board collars ranged from 13-96%; because of the increased number of attempted fixes per day, these collars obtained fixes on 97% of days deployed. Accuracy of the GPS units was less than predicted by the NAVSTAR GPS technology using the course acquisition code. Reduced accuracy was likely a result of the proportion of 2-dimensional versus 3-dimensional fixes obtained, although we could not determine this statistic from recorded data. Increased overstory closure was the only variable measured that partially explained the reduced likelihood of a successful fix. Stem density, stem diameter, and overstory height measured within 3 m of the collar did not affect fix success. GPS fix success rates for collars attached to bears varied more and were lower than fix rates for stationary collars placed in various vegetation types, suggesting that the bear, terrain, and movement all influence both fix and uplink success rate. Application of this new technology to grizzly and brown bear research and comparisons to studies with moose (Alces alces) are discussed.

GPS or travel diary: Comparing spatial and temporal characteristics of visits to fast food restaurants and supermarkets.

PubMed

Scully, Jason Y; Vernez Moudon, Anne; Hurvitz, Philip M; Aggarwal, Anju; Drewnowski, Adam

2017-01-01

To assess differences between GPS and self-reported measures of location, we examined visits to fast food restaurants and supermarkets using a spatiotemporal framework. Data came from 446 participants who responded to a survey, filled out travel diaries of places visited, and wore a GPS receiver for seven consecutive days. Provided by Public Health Seattle King County, addresses from food permit data were matched to King County tax assessor parcels in a GIS. A three-step process was used to verify travel-diary reported visits using GPS records: (1) GPS records were temporally matched if their timestamps were within the time window created by the arrival and departure times reported in the travel diary; (2) the temporally matched GPS records were then spatially matched if they were located in a food establishment parcel of the same type reported in the diary; (3) the travel diary visit was then GPS-sensed if the name of food establishment in the parcel matched the one reported in the travel diary. To account for errors in reporting arrival and departure times, GPS records were temporally matched to three time windows: the exact time, +/- 10 minutes, and +/- 30 minutes. One third of the participants reported 273 visits to fast food restaurants; 88% reported 1,102 visits to supermarkets. Of these, 77.3 percent of the fast food and 78.6 percent supermarket visits were GPS-sensed using the +/-10-minute time window. At this time window, the mean travel-diary reported fast food visit duration was 14.5 minutes (SD 20.2), 1.7 minutes longer than the GPS-sensed visit. For supermarkets, the reported visit duration was 23.7 minutes (SD 18.9), 3.4 minutes longer than the GPS-sensed visit. Travel diaries provide reasonably accurate information on the locations and brand names of fast food restaurants and supermarkets participants report visiting.

Identification of AR(I)MA processes for modelling temporal correlations of GPS observations

NASA Astrophysics Data System (ADS)

Luo, X.; Mayer, M.; Heck, B.

2009-04-01

In many geodetic applications observations of the Global Positioning System (GPS) are routinely processed by means of the least-squares method. However, this algorithm delivers reliable estimates of unknown parameters und realistic accuracy measures only if both the functional and stochastic models are appropriately defined within GPS data processing. One deficiency of the stochastic model used in many GPS software products consists in neglecting temporal correlations of GPS observations. In practice the knowledge of the temporal stochastic behaviour of GPS observations can be improved by analysing time series of residuals resulting from the least-squares evaluation. This paper presents an approach based on the theory of autoregressive (integrated) moving average (AR(I)MA) processes to model temporal correlations of GPS observations using time series of observation residuals. A practicable integration of AR(I)MA models in GPS data processing requires the determination of the order parameters of AR(I)MA processes at first. In case of GPS, the identification of AR(I)MA processes could be affected by various factors impacting GPS positioning results, e.g. baseline length, multipath effects, observation weighting, or weather variations. The influences of these factors on AR(I)MA identification are empirically analysed based on a large amount of representative residual time series resulting from differential GPS post-processing using 1-Hz observation data collected within the permanent SAPOS® (Satellite Positioning Service of the German State Survey) network. Both short and long time series are modelled by means of AR(I)MA processes. The final order parameters are determined based on the whole residual database; the corresponding empirical distribution functions illustrate that multipath and weather variations seem to affect the identification of AR(I)MA processes much more significantly than baseline length and observation weighting. Additionally, the modelling results of temporal correlations using high-order AR(I)MA processes are compared with those by means of first order autoregressive (AR(1)) processes and empirically estimated autocorrelation functions.

GPs’ mental wellbeing and psychological resources: a cross-sectional survey

PubMed Central

Murray, Marylou Anna; Cardwell, Chris; Donnelly, Michael

2017-01-01

Background The negative impact of work has been the traditional focus of GP surveys. We know little about GP positive mental health and psychological resources. Aim To profile and contextualise GP positive mental health and personal psychological resources. Design and setting Cross-sectional survey of GPs working in Northern Ireland (NI). Method A questionnaire comprising the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS) and measures of resilience, optimism, self-efficacy, and hope, and sociodemographic information was posted to 400 GPs randomly selected from a publicly available GP register. Results The response rate was 55% (n = 221 out of 400). Mean value for GP wellbeing (WEMWBS) was 50.2 (standard deviation [SD] 8) compared to UK vets 48.8 (SD 9), UK teachers 47.2 (SD 9), and the population of NI 50.8 (SD 9). After adjustment for confounding, mean WEMWBS was 2.4 units (95% CI = 0.02 to 4.7) higher in female GPs than males (P = 0.05), and 4.0 units (95% CI = 0.8 to 7.3) higher in GPs ≥55 years than GPs ≤44 years (P = 0.02). Optimism was 1.1 units higher in female GPs than male GPs (95% CI = 0.1 to 2.0), and 1.56 units higher in GPs ≥55 years (95% CI = 0.2 to 2.9) than in those ≤44 years. Hope was 3 units higher in GPs ≥55 years (95% CI = 0.4 to 5.7) than in those aged 45–54 years. Correlation between WEMWBS and psychological resources was highest with hope (r = 0.65, P < 0.001). Conclusion GPs have levels of positive mental health that are comparable to the local population and better than other occupational groups, such as vets and teachers. Male and younger GPs may have most to gain from wellbeing interventions. PMID:28716997

Female genital cosmetic surgery: a cross-sectional survey exploring knowledge, attitude and practice of general practitioners.

PubMed

Simonis, M; Manocha, R; Ong, J J

2016-09-26

To explore general practitioner's (GP) knowledge, attitudes and practice regarding female genital cosmetic surgery (FGCS) in Australia. Cross-sectional survey. Australia. GPs who attended a women's health seminar and GPs who subscribed to a non-governmental, national health professional organisation database that provides education to primary care professionals. A national online survey of GPs was conducted for the 10-week period, starting 1 week prior and 2 months after a Women's Health seminar was held in Perth on 8 August 2015. 31 questions prompted GPs' knowledge, attitudes and practice in managing patients asking about FGCS. The survey was fully completed by 443 GPs; 54% had seen patients requesting FGCS. Overall, 75% (95% CI 71% to 79%) of GPs rated their knowledge of FGCS as inadequate and 97% (95% CI 94% to 99%) had been asked by women of all ages about genital normality. Of those who had seen patients requesting FGCS, nearly half (44%, 95% CI 38% to 51%) reported they had insufficient knowledge of risks of FGCS procedures and 35% (95% CI 29% to 41%) reported seeing females younger than 18 years of age requesting FGCS. Just over half (56%, 95% CI 51% to 60%) of the GPs felt that women should be counselled before making a referral for FGCS. More than half the GPs suspected psychological disturbances in their patients requesting FGCS such as depression, anxiety, relationship difficulties and body dysmorphic disorder. GPs see women of all ages presenting with genital anatomy concerns and in those who request FGCS, GPs often suspected a range of mental health difficulties. GPs require greater education to support their patients who request FGCS. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Decision making process and factors contributing to research participation among general practitioners: A grounded theory study.

PubMed

Tong, Seng Fah; Ng, Chirk Jenn; Lee, Verna Kar Mun; Lee, Ping Yein; Ismail, Irmi Zarina; Khoo, Ee Ming; Tahir, Noor Azizah; Idris, Iliza; Ismail, Mastura; Abdullah, Adina

2018-01-01

The participation of general practitioners (GPs) in primary care research is variable and often poor. We aimed to develop a substantive and empirical theoretical framework to explain GPs' decision-making process to participate in research. We used the grounded theory approach to construct a substantive theory to explain the decision-making process of GPs to participate in research activities. Five in-depth interviews and four focus group discussions were conducted among 21 GPs. Purposeful sampling followed by theoretical sampling were used to attempt saturation of the core category. Data were collected using semi-structured open-ended questions. Interviews were recorded, transcribed verbatim and checked prior to analysis. Open line-by-line coding followed by focus coding were used to arrive at a substantive theory. Memoing was used to help bring concepts to higher abstract levels. The GPs' decision to participate in research was attributed to their inner drive and appreciation for primary care research and their confidence in managing their social and research environments. The drive and appreciation for research motivated the GPs to undergo research training to enhance their research knowledge, skills and confidence. However, the critical step in the GPs' decision to participate in research was their ability to align their research agenda with priorities in their social environment, which included personal life goals, clinical practice and organisational culture. Perceived support for research, such as funding and technical expertise, facilitated the GPs' participation in research. In addition, prior experiences participating in research also influenced the GPs' confidence in taking part in future research. The key to GPs deciding to participate in research is whether the research agenda aligns with the priorities in their social environment. Therefore, research training is important, but should be included in further measures and should comply with GPs' social environments and research support.

General Practitioners' Attitudes towards Essential Competencies in End-of-Life Care: A Cross-Sectional Survey.

PubMed

Giezendanner, Stéphanie; Jung, Corinna; Banderet, Hans-Ruedi; Otte, Ina Carola; Gudat, Heike; Haller, Dagmar M; Elger, Bernice S; Zemp, Elisabeth; Bally, Klaus

2017-01-01

Identifying essential competencies in end-of-life care, as well as general practitioners' (GPs) confidence in these competencies, is essential to guide training and quality improvement efforts in this domain. To determine which competencies in end-of-life care are considered important by GPs, to assess GPs' confidence in these competencies in a European context and their reasons to refer terminally ill patients to a specialist. Cross-sectional postal survey involving a stratified random sample of 2000 GPs in Switzerland in 2014. Survey development was informed by a previous qualitative exploration of relevant end-of-life GP competencies. Main outcome measures were GPs' assessment of the importance of and confidence in 18 attributes of end-of-life care competencies, and reasons for transferring care of terminally-ill patients to a specialist. GP characteristics associated with main outcome measures were tested using multivariate regression models. The response rate was 31%. Ninety-nine percent of GPs considered the recognition and treatment of pain as important, 86% felt confident about it. Few GPs felt confident in cultural (16%), spiritual (38%) and legal end-of-life competencies such as responding to patients seeking assisted suicide (35%) although more than half of the respondents regarded these competencies as important. Most frequent reasons to refer terminally ill patients to a specialist were lack of time (30%), better training of specialists (23%) and end-of-life care being incompatible with other duties (19%). In multiple regression analyses, confidence in end-of-life care was positively associated with GPs' age, practice size, home visits and palliative training. GPs considered non-somatic competencies (such as spiritual, cultural, ethical and legal aspects) nearly as important as pain and symptom control. Yet, few GPs felt confident in these non-somatic competencies. These findings should inform training and quality improvement efforts in this domain, in particular for younger, less experienced GPs.

Usefulness of commercially available GPS data-loggers for tracking human movement and exposure to dengue virus.

PubMed

Vazquez-Prokopec, Gonzalo M; Stoddard, Steven T; Paz-Soldan, Valerie; Morrison, Amy C; Elder, John P; Kochel, Tadeusz J; Scott, Thomas W; Kitron, Uriel

2009-11-30

Our understanding of the effects of human movement on dengue virus spread remains limited in part due to the lack of precise tools to monitor the time-dependent location of individuals. We determined the utility of a new, commercially available, GPS data-logger for long-term tracking of human movements in Iquitos, Peru. We conducted a series of evaluations focused on GPS device attributes key to reliable use and accuracy. GPS observations from two participants were later compared with semi-structured interview data to assess the usefulness of GPS technology to track individual mobility patterns. Positional point and line accuracy were 4.4 and 10.3 m, respectively. GPS wearing mode increased spatial point error by 6.9 m. Units were worn on a neck-strap by a carpenter and a moto-taxi driver for 14-16 days. The application of a clustering algorithm (I-cluster) to the raw GPS positional data allowed the identification of locations visited by each participant together with the frequency and duration of each visit. The carpenter moved less and spent more time in more fixed locations than the moto-taxi driver, who visited more locations for a shorter period of time. GPS and participants' interviews concordantly identified 6 common locations, whereas GPS alone identified 4 locations and participants alone identified 10 locations. Most (80%) of the locations identified by participants alone were places reported as visited for less than 30 minutes. The present study demonstrates the feasibility of a novel, commercially available GPS data-logger for long-term tracking of humans and shows the potential of these units to quantify mobility patterns in relationship with dengue virus transmission risk in a tropical urban environment. Cost, battery life, size, programmability and ease of wear are unprecedented from previously tested units, proving the usefulness of GPS-dataloggers for linking movement of individuals and transmission risk of dengue virus and other infectious agents, particularly in resource-poor settings.

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.

Implementing GPS into Pave-IR.

DOT National Transportation Integrated Search

2009-03-01

To further enhance the capabilities of the Pave-IR thermal segregation detection system developed at the Texas Transportation Institute, researchers incorporated global positioning system (GPS) data collection into the thermal profiles. This GPS capa...

Explanation and relations. How do general practitioners deal with patients with persistent medically unexplained symptoms: a focus group study

PubMed Central

olde Hartman, Tim C; Hassink-Franke, Lieke J; Lucassen, Peter L; van Spaendonck, Karel P; van Weel, Chris

2009-01-01

Background Persistent presentation of medically unexplained symptoms (MUS) is troublesome for general practitioners (GPs) and causes pressure on the doctor-patient relationship. As a consequence, GPs face the problem of establishing an ongoing, preferably effective relationship with these patients. This study aims at exploring GPs' perceptions about explaining MUS to patients and about how relationships with these patients evolve over time in daily practice. Methods A qualitative approach, interviewing a purposive sample of twenty-two Dutch GPs within five focus groups. Data were analyzed according to the principles of constant comparative analysis. Results GPs recognise the importance of an adequate explanation of the diagnosis of MUS but often feel incapable of being able to explain it clearly to their patients. GPs therefore indicate that they try to reassure patients in non-specific ways, for example by telling patients that there is no disease, by using metaphors and by normalizing the symptoms. When patients keep returning with MUS, GPs report the importance of maintaining the doctor-patient relationship. GPs describe three different models to do this; mutual alliance characterized by ritual care (e.g. regular physical examination, regular doctor visits) with approval of the patient and the doctor, ambivalent alliance characterized by ritual care without approval of the doctor and non-alliance characterized by cutting off all reasons for encounter in which symptoms are not of somatic origin. Conclusion GPs feel difficulties in explaining the symptoms. GPs report that, when patients keep presenting with MUS, they focus on maintaining the doctor-patient relationship by using ritual care. In this care they meticulously balance between maintaining a good doctor-patient relationship and the prevention of unintended consequences of unnecessary interventions. PMID:19775481

Different views of dentists and general medical practitioners on dental care for patients with diabetes mellitus and coronary heart diseases: results of a questionnaire-based survey in a district of Germany.

PubMed

Ziebolz, Dirk; Reiss, Lucie; Schmalz, Gerhard; Krause, Felix; Haak, Rainer; Mausberg, Rainer F

2018-06-01

The aim of this questionnaire-based study was to evaluate the views of dentists (Ds) and general medical practitioners (GPs) on different aspects of dental care for patients with diabetes mellitus (DM) or coronary heart disease (CHD). Reliable and comparable questionnaires for Ds and GPs, with 23 questions, were sent to 1,000 randomly selected Ds and 1,000 randomly selected GPs. Questions were asked about patients with DM or CHD regarding their dental care and potentially related issues (e.g. antibiotic prophylaxis). The responses received within 12 weeks were evaluated and statistically analysed using chi-square and Mann-Whitney U tests (P < 0.05). The response rate was 39% (n = 391) for Ds and 18% (n = 181) for GPs. Both groups stated that they used the medical history as well as patient interviews to assess patients. However, only 55% of Ds assumed correct identification of every at-risk patient compared with 100% of GPs (P < 0.01). Furthermore, Ds speculated that they inform their patients more often about their at-risk status than do GPs (P < 0.01). Neither Ds nor GPs appeared to be confident in their knowledge about adequate antibiotic prophylaxis. Interdisciplinary collaboration was considered insufficient, although Ds had a higher rate of regular collaboration (68% for Ds vs. 40% for GPs; P < 0.01). Ds and GPs have differing views on dental care of patients with DM or CHD, and Ds showed more interest in this issue. These results might partially explain the insufficient collaboration between Ds and GPs. © 2017 FDI World Dental Federation.

Participation of general practitioners in disease management: experiences from The Netherlands.

PubMed

Steuten, L M G; Vrijhoef, H J M; Spreeuwenberg, C; Van Merode, G G

2002-01-01

To investigate the extent to which GPs in The Netherlands participate in disease management and how personal opinions, impeding and promoting incentives as well as physician characteristics influence their attitude towards disease management. The attitude-model of Fishbein and Ajzen was used to describe the attitude of GPs towards disease management and main influencing factors. After interviewing seventeen representatives of the GPs and testing a questionnaire, the final questionnaire was sent to all GPs in The Netherlands (7680 GPs) barring those involved in the testing of the questionnaire. At least 10.4% of all Dutch GPs are active in disease management. The main factors predicting a positive attitude towards disease management are the following: GPs' opinion that they are improving quality and efficiency of care when executing disease management, presence of a good quality network between actors involved prior to the start of disease management, working in a health centre, and performing sideline activities besides their daily activities as GPs. The main factors predicting a negative attitude are: GPs' opinion that the investment-time is too high, lack of reimbursement for disease management activities, working in a solo practice, and not performing any sideline activities beside their daily activities as GP. The factors predicting a negative attitude of Dutch GPs towards disease management dominate the factors predicting a positive attitude. The arguments in favour of disease management are matters of belief, for example concerning improvements in the quality of care, while arguments against are more concrete barriers e.g. high workload and financial reimbursement. Placed on the innovation timeline, the 10.4% participation might be taken to represent the start of a trend.

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.

Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review

PubMed Central

Stead, Martine; Angus, Kathryn; Holme, Ingrid; Cohen, David; Tait, Gayle

2009-01-01

Background Smoking cessation advice by GPs is an effective and cost-effective intervention, but is not implemented as widely as it could be. Aim This wide-ranging Europe-wide literature review, part of the European Union (EU) PESCE (General Practitioners and the Economics of Smoking Cessation in Europe) project, explored the extent of GPs' engagement in smoking cessation and the factors that influence their engagement. Method Two searches were conducted, one for grey literature, across all European countries, and one for academic studies. Data from eligible studies published from 1990 onwards were synthesised and reported under four categories of influencing factors: GP characteristics, patient characteristics, structural factors, and cessation-specific knowledge and skills. Results The literature showed that most GPs in Europe question the smoking status of all new patients but fewer routinely ask this of regular patients, or advise smokers to quit. The proportion offering intensive interventions or prescribing treatments is lower still. Factors influencing GPs' engagement in smoking cessation include GPs' own smoking status and their attitudes towards giving smoking cessation advice; whether patients present with smoking-related symptoms, are pregnant, or heavy smokers; time, training, and reimbursement are important structural factors; and some GPs lack knowledge and skills regarding the use of specific cessation methods and treatments, or have limited awareness of specialist cessation services. No single factor or category of factors explains the variations in GPs' engagement in smoking cessation. Conclusion Strategies to improve the frequency and quality of GPs' engagement in smoking cessation need to address the multifaceted influences on GPs' practice and to reflect the widely differing contexts across Europe. PMID:19674514

Detection of the Equatorial Ionospheric Irregularities Using the POD GPS Measurements

NASA Astrophysics Data System (ADS)

Zakharenkova, I.; Astafyeva, E.; Cherniak, I.

2015-12-01

By making use of GPS measurements from Precise Orbit Determination (POD) GPS antenna onboard Low Earth Orbit (LEO) satellites we present results of the equatorial irregularities/plasma bubbles detection. For a given research we use data from a multi-satellite constellation consisting of the three Swarm satellites and the TerraSAR-X satellite. The major advantage of such LEO constellation is rather similar orbit altitude of ~500 km. The GPS-based indices, characterizing the occurrence and the strength of the ionospheric irregularities, were derived from the LEO GPS observations of a zenith-looking onboard GPS antenna. To study GPS fluctuation activity at the topside equatorial ionosphere we used TEC-based indices ROT (rate of TEC change) and ROTI (rate of TEC Index), proposed by Pi et al. (1997). We demonstrate a successful implementation of this technique for several case studies of the equatorial plasma bubbles occurrence in the post-midnight and morning LT hours during the year 2014. The ionospheric irregularities detected with GPS technique in Swarm/TerrasSAR-X data are consistent with the in situ plasma density variations registered by the three Swarm satellites (PLP measurements), as well as by three DMSP satellites at ~840 km orbital height, which indicate a large altitudinal extent of the observed phenomenon. Also we analyzed the global/seasonal distribution of the ionospheric irregularities at the topside equatorial region caused the phase fluctuations in GPS measurements onboard LEO satellite. We demonstrate that ROT/ROTI technique can be applied to LEO GPS data for geomagnetically quiet and disturbed conditions, as well as detection of the storm-induced equatorial irregularities in the morning local time.

They go straight home - don't they? Using global positioning systems to assess adolescent school-travel patterns.

PubMed

Voss, Christine; Winters, Meghan; Frazer, Amanda D; McKay, Heather A

2014-12-01

Active travel to school is a potential source of physical activity for adolescents, but its assessments often rely on assumptions around travel patterns. Global positioning system (GPS) and accelerometry provide an objective assessment of physical activity from school-travel and the context in which it occurs (where, when, how long). To describe school-travel patterns of adolescents and to compare estimates of physical activity during the hour before/after school - a commonly used proxy for school-travel time - with physical activity accrued during school trips identified through GPS ('GPS-trips'). Adolescents ( n =49, 13.3±0.7 years, 37% female) from Downtown Vancouver wore an accelerometer (GT3X+) and GPS (Qstarz) for 7 days (October 2012). Minutes of moderate-to-vigorous physical activity (MVPA) during the hour before/after school and during GPS-trips were calculated for the n =130 school-trips made by 43 students. We used multilevel linear regression to assess the association between MVPA during GPS-trips and MVPA during the hour/before school. Only 55% of school-trips were from/to home and within the hour before/after school ('normal'). Estimates of MVPA during the hour before/after school were higher than during GPS-trips (12.0 vs. 8.0 min). On average, MVPA during GPS-trips was linearly associated with MVPA during the hour before/after school, suggesting that physical activity levels during the hour before/after school are broadly reflective of physical activity from school-travel. GPS and accelerometry provide context-rich information relating to school-travel. The hour before/after school may - on average - provide a simple means to crudely estimate physical activity from school-travel when GPS are not available.

They go straight home – don’t they? Using global positioning systems to assess adolescent school-travel patterns

PubMed Central

Voss, Christine; Winters, Meghan; Frazer, Amanda D.; McKay, Heather A.

2015-01-01

Background Active travel to school is a potential source of physical activity for adolescents, but its assessments often rely on assumptions around travel patterns. Global positioning system (GPS) and accelerometry provide an objective assessment of physical activity from school-travel and the context in which it occurs (where, when, how long). Purpose To describe school-travel patterns of adolescents and to compare estimates of physical activity during the hour before/after school – a commonly used proxy for school-travel time – with physical activity accrued during school trips identified through GPS (‘GPS-trips’). Methods Adolescents (n=49, 13.3±0.7 years, 37% female) from Downtown Vancouver wore an accelerometer (GT3X+) and GPS (Qstarz) for 7 days (October 2012). Minutes of moderate-to-vigorous physical activity (MVPA) during the hour before/after school and during GPS-trips were calculated for the n=130 school-trips made by 43 students. We used multilevel linear regression to assess the association between MVPA during GPS-trips and MVPA during the hour/before school. Results Only 55% of school-trips were from/to home and within the hour before/after school (‘normal’). Estimates of MVPA during the hour before/after school were higher than during GPS-trips (12.0 vs. 8.0 min). On average, MVPA during GPS-trips was linearly associated with MVPA during the hour before/after school, suggesting that physical activity levels during the hour before/after school are broadly reflective of physical activity from school-travel. Conclusion GPS and accelerometry provide context-rich information relating to school-travel. The hour before/after school may – on average – provide a simple means to crudely estimate physical activity from school-travel when GPS are not available. PMID:26793437

General practitioners' satisfaction with and attitudes to out-of-hours services.

PubMed

van Uden, Caro J T; Nieman, Fred H M; Voss, Gemma B W E; Wesseling, Geertjan; Winkens, Ron A G; Crebolder, Harry F J M

2005-03-31

In recent years, Dutch general practitioner (GP) out-of-hours service has been reorganised into large-scale GP cooperatives. Until now little is known about GPs' experiences with working at these cooperatives for out-of-hours care. The purpose of this study is to gain insight into GPs' satisfaction with working at GP cooperatives for out-of-hours care in separated and integrated cooperatives. A GP cooperative separate from the hospital Accident and Emergency (A&E) department, and a GP cooperative integrated within the A&E department of another hospital. Both cooperatives are situated in adjacent geographic regions in the South of The Netherlands. One hundred GPs were interviewed by telephone; fifty GPs working at the separated GP cooperative and fifty GPs from the integrated GP cooperative. Opinions on different aspects of GP cooperatives for out-of-hours care were measured, and regression analysis was performed to investigate if these could be related to GP satisfaction with out-of-hours care organisation. GPs from the separated model were more satisfied with the organisation of out-of-hours care than GPs from the integrated model (70 vs. 60 on a scale score from 0 to 100; P = 0.020). Satisfaction about out-of-hours care organisation was related to opinions on workload, guarantee of gatekeeper function, and attitude towards out-of-hours care as being an essential part of general practice. Cooperation with medical specialists was much more appreciated at the integrated model (77 vs. 48; P < 0.001) versus the separated model. GPs in this study appear to be generally satisfied with the organisation of GP cooperatives for out-of-hours care. Furthermore, GPs working at the separated cooperative seem to be more satisfied compared to GPs working at the integrated cooperative.

Why GPS makes distances bigger than they are

PubMed Central

Ranacher, Peter; Brunauer, Richard; Trutschnig, Wolfgang; Van der Spek, Stefan; Reich, Siegfried

2016-01-01

ABSTRACT Global navigation satellite systems such as the Global Positioning System (GPS) is one of the most important sensors for movement analysis. GPS is widely used to record the trajectories of vehicles, animals and human beings. However, all GPS movement data are affected by both measurement and interpolation errors. In this article we show that measurement error causes a systematic bias in distances recorded with a GPS; the distance between two points recorded with a GPS is – on average – bigger than the true distance between these points. This systematic ‘overestimation of distance’ becomes relevant if the influence of interpolation error can be neglected, which in practice is the case for movement sampled at high frequencies. We provide a mathematical explanation of this phenomenon and illustrate that it functionally depends on the autocorrelation of GPS measurement error (C). We argue that C can be interpreted as a quality measure for movement data recorded with a GPS. If there is a strong autocorrelation between any two consecutive position estimates, they have very similar error. This error cancels out when average speed, distance or direction is calculated along the trajectory. Based on our theoretical findings we introduce a novel approach to determine C in real-world GPS movement data sampled at high frequencies. We apply our approach to pedestrian trajectories and car trajectories. We found that the measurement error in the data was strongly spatially and temporally autocorrelated and give a quality estimate of the data. Most importantly, our findings are not limited to GPS alone. The systematic bias and its implications are bound to occur in any movement data collected with absolute positioning if interpolation error can be neglected. PMID:27019610

Glasgow Prognostic Score is superior to ECOG PS as a prognostic factor in patients with gastric cancer with peritoneal seeding.

PubMed

Yuan, Shu-Qiang; Nie, Run-Cong; Chen, Yong-Ming; Qiu, Hai-Bo; Li, Xiao-Ping; Chen, Xiao-Jiang; Xu, Li-Pu; Yang, Li-Fang; Sun, Xiao-Wei; Li, Yuan-Fang; Zhou, Zhi-Wei; Chen, Shi; Chen, Ying-Bo

2018-04-01

The Glasgow Prognostic Score (GPS) has been shown to be associated with survival rates in patients with advanced cancer. The present study aimed to compare the GPS with the Eastern Cooperative Oncology Group Performance Status (ECOG PS) in patients with gastric cancer with peritoneal seeding. For the investigation, a total of 384 gastric patients with peritoneal metastasis were retrospectively analyzed. Patients with elevated C-reactive protein (CRP; >10 mg/l) and hypoalbuminemia (<35 mg/l) were assigned a score of 2. Patients were assigned a score of 1 if presenting with only one of these abnormalities, and a score of 0 if neither of these abnormalities were present. The clinicopathologic characteristics and clinical outcomes of patients with peritoneal seeding were analyzed. The results showed that the median overall survival (OS) of patients in the GPS 0 group was longer, compared with that in the GPS 1 and GPS 2 groups (15.50, vs. 10.07 and 7.97 months, respectively; P<0.001). No significant difference was found between the median OS of patients with a good performance status (ECOG <2) and those with a poor (ECOG ≥2) performance status (13.67, vs. 11.80 months; P=0.076). In the subgroup analysis, the median OS in the GPS 0 group was significantly longer, compared with that in the GPS 1 and GPS 2 groups, for the patients receiving palliative chemotherapy and patients without palliative chemotherapy. Multivariate survival analysis demonstrated that CA19-9, palliative gastrectomy, first-line chemotherapy and GPS were the prognostic factors predicting OS. In conclusion, the GPS was superior to the subjective assessment of ECOG PS as a prognostic factor in predicting the outcome of gastric cancer with peritoneal seeding.

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.

Follow-up after colon cancer treatment in the Netherlands; a survey of patients, GPs, and colorectal surgeons.

PubMed

Wind, J; Duineveld, L A; van der Heijden, R P; van Asselt, K M; Bemelman, W A; van Weert, H C

2013-08-01

Follow-up to detect recurrence is an important feature of care after colon cancer treatment. Currently, follow-up visits are surgeon-led with focus on recurrence. To date, there is increasing interest for general practitioners (GPs) providing this care, as GPs might provide more holistic care. The present study assessed how surgeons, GPs, and patients evaluate current surgeon-led colon cancer follow-up and to list their views on possible future GP-led follow-up. The study consists of a cross-sectional survey including colorectal surgeons, patients who participate or recently finished a follow-up programme, and GPs in the Netherlands. Eighty-seven out of 191 GPs, 113 out of 238 surgeons, and 186 out of 243 patients responded. Patients are satisfied about current surgeon-led follow-up, especially about recurrence detection and identification of physical problems (94% and 85% respectively). However, only 56% and 49% of the patients were satisfied about the identification of psychological and social problems respectively. Only 16% of the patients evaluated future GP-led follow-up positively. Regarding healthcare providers, surgeons were more positive compared to GPs; 49% of the surgeons, and only 30% of the GPs evaluated future GP-led follow-up positively (P = 0.002). Furthermore, several reservations and principle requirements for GP-led follow-up were identified. The results suggest an unfavourable view among patients and healthcare providers, especially GPs, regarding a central role for GPs in colon cancer follow-up. However, low satisfaction on psychosocial aspects in current follow-up points out a lack in care. Therefore, the results provide a justification to explore future GP-led care further. Copyright © 2013 Elsevier Ltd. All rights reserved.

Participation of general practitioners in disease management: experiences from the Netherlands

PubMed Central

Steuten, L.M.G.; Vrijhoef, H.J.M.; Spreeuwenberg, C.; Van Merode, G.G.

2002-01-01

Abstract Objective To investigate the extent to which GPs in the Netherlands participate in disease management and how personal opinions, impeding and promoting incentives as well as physician characteristics influence their attitude towards disease management. Methods The attitude-model of Fishbein and Ajzen was used to describe the attitude of GPs towards disease management and main influencing factors. After interviewing seventeen representatives of the GPs and testing a questionnaire, the final questionnaire was sent to all GPs in the Netherlands (7680 GPs) barring those involved in the testing of the questionnaire. Results At least 10.4% of all Dutch GPs are active in disease management. The main factors predicting a positive attitude towards disease management are the following: GPs' opinion that they are improving quality and efficiency of care when executing disease management, presence of a good quality network between actors involved prior to the start of disease management, working in a health centre, and performing sideline activities besides their daily activities as GPs. The main factors predicting a negative attitude are: GPs' opinion that the investment-time is too high, lack of reimbursement for disease management activities, working in a solo practice, and not performing any sideline activities beside their daily activities as GP. Conclusions The factors predicting a negative attitude of Dutch GPs towards disease management dominate the factors predicting a positive attitude. The arguments in favour of disease management are matters of belief, for example concerning improvements in the quality of care, while arguments against are more concrete barriers e.g. high workload and financial reimbursement. Placed on the innovation timeline, the 10.4% participation might be taken to represent the start of a trend. PMID:16896373

Accuracy assessment of high-rate GPS measurements for seismology

NASA Astrophysics Data System (ADS)

Elosegui, P.; Davis, J. L.; Ekström, G.

2007-12-01

Analysis of GPS measurements with a controlled laboratory system, built to simulate the ground motions caused by tectonic earthquakes and other transient geophysical signals such as glacial earthquakes, enables us to assess the technique of high-rate GPS. The root-mean-square (rms) position error of this system when undergoing realistic simulated seismic motions is 0.05~mm, with maximum position errors of 0.1~mm, thus providing "ground truth" GPS displacements. We have acquired an extensive set of high-rate GPS measurements while inducing seismic motions on a GPS antenna mounted on this system with a temporal spectrum similar to real seismic events. We found that, for a particular 15-min-long test event, the rms error of the 1-Hz GPS position estimates was 2.5~mm, with maximum position errors of 10~mm, and the error spectrum of the GPS estimates was approximately flicker noise. These results may however represent a best-case scenario since they were obtained over a short (~10~m) baseline, thereby greatly mitigating baseline-dependent errors, and when the number and distribution of satellites on the sky was good. For example, we have determined that the rms error can increase by a factor of 2--3 as the GPS constellation changes throughout the day, with an average value of 3.5~mm for eight identical, hourly-spaced, consecutive test events. The rms error also increases with increasing baseline, as one would expect, with an average rms error for a ~1400~km baseline of 9~mm. We will present an assessment of the accuracy of high-rate GPS based on these measurements, discuss the implications of this study for seismology, and describe new applications in glaciology.

Review of guidance on recurrence risk management for general practitioners in breast cancer, colorectal cancer and melanoma guidelines.

PubMed

Spronk, Inge; Korevaar, Joke C; Burgers, Jako S; Albreht, Tit; Schellevis, François G

2017-04-01

General practitioners (GPs) will face cancer recurrences more frequently due to the rising number of cancer survivors and greater involvement of GPs in the follow-up care. Currently, GPs are uncertain about managing recurrence risks and may need more guidance. To explore what guidance is available for GPs on managing recurrence risks for breast cancer, colorectal cancer and melanoma, and to examine whether recurrence risk management differs between these tumour types. Breast cancer, colorectal cancer and melanoma clinical practice guidelines were identified via searches on internet and the literature, and experts were approached to identify guidelines. Guidance on recurrence risk management that was (potentially) relevant for GPs was extracted and summarized into topics. We included 24 breast cancer, 21 colorectal cancer and 15 melanoma guidelines. Identified topics on recurrence risk management were rather similar among the three tumour types. The main issue in the guidelines was recurrence detection through consecutive diagnostic testing. Guidelines agree on both routine and nonroutine tests, but, recommended frequencies for follow-up are inconsistent, except for mammography screening for breast cancer. Only six guidelines provided targeted guidance for GPs. This inventory shows that recurrence risk management has overlapping areas between tumour types, making it more feasible for GPs to provide this care. However, few guidance on recurrence risk management is specific for GPs. Recommendations on time intervals of consecutive diagnostic tests are inconsistent, making it difficult for GPs to manage recurrence risks and illustrating the need for more guidance targeted for GPs. © The Author 2017. 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.

Remote monitoring of primates using automated GPS technology in open habitats.

PubMed

Markham, A Catherine; Altmann, Jeanne

2008-05-01

Automated tracking using a satellite global position system (GPS) has major potential as a research tool in studies of primate ecology. However, implementation has been limited, at least partly because of technological difficulties associated with the dense forest habitat of many primates. In contrast, primates inhabiting relatively open environments may provide ideal subjects for use of GPS collars, yet no empirical tests have evaluated this proposition. Here, we used an automated GPS collar to record the locations, approximate body surface temperature, and activity for an adult female baboon during 90 days in the savannah habitat of Amboseli, Kenya. Given the GPS collar's impressive reliability, high spatial accuracy, other associated measurements, and low impact on the study animal, our results indicate the great potential of applying GPS technology to research on wild primates. © 2008 Wiley-Liss, Inc.

Height Accuracy Based on Different Rtk GPS Method for Ultralight Aircraft Images

NASA Astrophysics Data System (ADS)

Tahar, K. N.

2015-08-01

Height accuracy is one of the important elements in surveying work especially for control point's establishment which requires an accurate measurement. There are many methods can be used to acquire height value such as tacheometry, leveling and Global Positioning System (GPS). This study has investigated the effect on height accuracy based on different observations which are single based and network based GPS methods. The GPS network is acquired from the local network namely Iskandar network. This network has been setup to provide real-time correction data to rover GPS station while the single network is based on the known GPS station. Nine ground control points were established evenly at the study area. Each ground control points were observed about two and ten minutes. It was found that, the height accuracy give the different result for each observation.

Cesium and Rubidium Frequency Standards Status and Performance on the GPS Program

NASA Technical Reports Server (NTRS)

VanMelle, M. J.

1996-01-01

This paper is an update of the on-orbit operational performance of the frequency standards on the last Block 1 Navstar satellite (GPS-10), the complete Block 2 Navstar satellites (GPS-13 to 21) and the Block 2A Navstar (GPS-22 to 40) satellites. Since the status of the GPS constellation is now at full operational capability (FOC), a minimum of twenty-four satellites are in position with all the necessary tests successfully completed. The evolution of frequency standards on board the GPS vehicles will be presented with corresponding results. Various methods and techniques will be presented to show on-orbit life time, down time, state of health telemetry, on-orbit trending and characterization of all the frequency standards. Other topics such as reliability, stability, clock quirks and idiosyncrasies of each vehicle will be covered.

Collaboration between general practitioners and occupational physicians: a comparison of the results of two national surveys in France.

PubMed

Verger, Pierre; Ménard, Colette; Richard, Jean-Baptiste; Demortière, Gérard; Beck, François

2014-02-01

To study the perceptions that general practitioners (GPs) and occupational physicians (OPs) have of GPs' role in occupational health and their willingness to work together to prevent the exclusion of patients with disabilities from the workplace. Cross-sectional telephone survey of two randomly selected national samples of GPs and OPs was conducted. The majority of GPs and OPs are in favor of cooperation, especially to prevent exclusion from the workplace. However, some GPs lack trust in OPs' independence, an attitude associated negatively with the practice of GP referral to OPs to anticipate disability-related problems likely to occur when returning to work after a prolonged sick leave. There are some barriers to cooperation, on the part of both OPs and GPs. Initiatives are needed to encourage cooperation between these two types of physicians.

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.

Using GPS radio occultation data in the study of tropical cyclogenesis

NASA Astrophysics Data System (ADS)

Didlake, A. C., Jr.; Kuo, Y. B.; Metcalfe, T.

2005-12-01

Numerous studies have examined atmospheric conditions and patterns in tropical cyclogenesis. Although much has been accomplished, a complete understanding of tropical cyclogenesis is hindered by the lack of data in the regions where formation occurs. The GPS (Global Positioning System) radio occultation technique can provide valuable data in key areas. In GPS radio occultation, GPS satellites emit radio signals through the atmosphere that are received by another satellite in a low Earth orbit. Various atmospheric properties are calculated based on the alteration of the signal. This study assessed the value of GPS radio occultation data in the study of tropical cyclogenesis by examining storms of the 2002 Western North Pacific typhoon season. The signature of precursor disturbances to tropical cyclogenesis was determined by analyzing composites of data from the NCEP Aviation (AVN) analysis over four days. Similar composites of GPS radio occultation data were produced. The AVN analysis showed strong signals of precursor disturbances in the low-level wind fields and atmospheric refractivity. The GPS radio occultation data detected similarly increased refractivity values in corresponding regions, but had sizeable measurement differences with the AVN analysis. These differences were attributed to AVN analysis error due to the lack of input observational data and the high accuracy of GPS radio occultation measurements. Further comparisons showed that with the limited quantity of data currently available, GPS radio occultation by itself was not sufficient to detect precursor disturbances. It can best be used in data assimilation to improve the analysis and forecasts of tropical storms.

A Newly Reanalyzed Dataset of GPS-determined Antarctic Vertical Rates

NASA Astrophysics Data System (ADS)

Thomas, I.; King, M.; Clarke, P. J.; Penna, N. T.; Lavallee, D. A.; Whitehouse, P.

2010-12-01

Accurate and precise measurements of vertical crustal motion offer useful constraints on glacial isostatic adjustment (GIA) models. Here we present a newly reprocessed data set of GPS-determined vertical rates for Antarctica. We give details of the global reanalysis of 15-years of GPS data, the overarching aim of which is to achieve homogeneous station coordinate time series, and hence surface velocities, for GPS receivers that are in regions of GIA interest in Antarctica. The means by which the reference frame is realized is crucial to obtaining accurate rates. Considerable effort has been spent on achieving a good global distribution of GPS stations, using data from IGS and other permanently recording stations, as well as a number of episodic campaigns in Antarctica. Additionally, we have focused on minimizing the inevitable imbalance in the number of sites in the northern and southern hemispheres. We align our daily non-fiducial solutions to ITRF2005, i.e. a CM frame. We present the results of investigations into the reference frame realization, and also consider a GPS-derived realization of the frame, and its effect on the vertical velocities. Vertical velocities are obtained for approximately 40 Antarctic locations. We compare our GPS derived Antarctic vertical rates with those predicted by the Ivins and James and ICE-5G models, after converting to a CE frame. We also compare to previously published GPS rates. Our GPS velocities are being used to help tune, and bound errors of, a new GIA model also presented in this session.

Work-related sickness absence negotiations: GPs' qualitative perspectives

PubMed Central

Money, Annemarie; Hussey, Louise; Thorley, Kevan; Turner, Susan; Agius, Raymond

2010-01-01

Background GPs can find their role as issuers of sickness certification problematic, particularly in trying to maintain a balance between certifying absence and preserving the doctor–patient relationship. Little research has been published on consultations in which sickness absence has been certified. Aim To explore negotiations between GPs and patients in sickness absence certification, including how occupational health training may affect this process. Method A qualitative study was undertaken with GPs trained in occupational health who also participate in a UKwide surveillance scheme studying work-related ill-health. Telephone interviews were conducted with 31 GPs who had reported cases with associated sickness absence. Results Work-related sickness absence and patients' requests for a ‘sick note’ vary by diagnosis. Some GPs felt their role as patient advocate was of utmost importance, and issue certificates on a patient’s request, whereas others offer more resistance through a greater understanding of issues surrounding work and health aquired through occupational health training. GPs felt that their training helped them to challenge beliefs about absence from work being beneficial to patients experiencing ill-health; they felt better equipped to consider patients’ fitness for work, and issued fewer certificates as a result of this. Conclusion Complex issues surround GPs' role in the sickness-certification process, particularly when determining the patient's ability to work while maintaining a healthy doctor–patient relationship. This study demonstrates the potential impact of occupational health training for GPs, particularly in light of changes to the medical statement introduced in 2010. PMID:20883621

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.

Trend-Residual Dual Modeling for Detection of Outliers in Low-Cost GPS Trajectories.

PubMed

Chen, Xiaojian; Cui, Tingting; Fu, Jianhong; Peng, Jianwei; Shan, Jie

2016-12-01

Low-cost GPS (receiver) has become a ubiquitous and integral part of our daily life. Despite noticeable advantages such as being cheap, small, light, and easy to use, its limited positioning accuracy devalues and hampers its wide applications for reliable mapping and analysis. Two conventional techniques to remove outliers in a GPS trajectory are thresholding and Kalman-based methods, which are difficult in selecting appropriate thresholds and modeling the trajectories. Moreover, they are insensitive to medium and small outliers, especially for low-sample-rate trajectories. This paper proposes a model-based GPS trajectory cleaner. Rather than examining speed and acceleration or assuming a pre-determined trajectory model, we first use cubic smooth spline to adaptively model the trend of the trajectory. The residuals, i.e., the differences between the trend and GPS measurements, are then further modeled by time series method. Outliers are detected by scoring the residuals at every GPS trajectory point. Comparing to the conventional procedures, the trend-residual dual modeling approach has the following features: (a) it is able to model trajectories and detect outliers adaptively; (b) only one critical value for outlier scores needs to be set; (c) it is able to robustly detect unapparent outliers; and (d) it is effective in cleaning outliers for GPS trajectories with low sample rates. Tests are carried out on three real-world GPS trajectories datasets. The evaluation demonstrates an average of 9.27 times better performance in outlier detection for GPS trajectories than thresholding and Kalman-based techniques.

Calibration of GPS based high accuracy speed meter for vehicles

NASA Astrophysics Data System (ADS)

Bai, Yin; Sun, Qiao; Du, Lei; Yu, Mei; Bai, Jie

2015-02-01

GPS based high accuracy speed meter for vehicles is a special type of GPS speed meter which uses Doppler Demodulation of GPS signals to calculate the speed of a moving target. It is increasingly used as reference equipment in the field of traffic speed measurement, but acknowledged standard calibration methods are still lacking. To solve this problem, this paper presents the set-ups of simulated calibration, field test signal replay calibration, and in-field test comparison with an optical sensor based non-contact speed meter. All the experiments were carried out on particular speed values in the range of (40-180) km/h with the same GPS speed meter. The speed measurement errors of simulated calibration fall in the range of +/-0.1 km/h or +/-0.1%, with uncertainties smaller than 0.02% (k=2). The errors of replay calibration fall in the range of +/-0.1% with uncertainties smaller than 0.10% (k=2). The calibration results justify the effectiveness of the two methods. The relative deviations of the GPS speed meter from the optical sensor based noncontact speed meter fall in the range of +/-0.3%, which validates the use of GPS speed meter as reference instruments. The results of this research can provide technical basis for the establishment of internationally standard calibration methods of GPS speed meters, and thus ensures the legal status of GPS speed meters as reference equipment in the field of traffic speed metrology.

Joint Far-field and Near-field GPS Observations to Modified the Fault Slip Models of 2011 Tohoku-Oki Earthquake (Mw 9.0)

NASA Astrophysics Data System (ADS)

Yang, J.; Yi, S.; Sun, W.

2016-12-01

Signification displacements caused by the 2011 Tohoku-Oki earthquake (Mw9.0) can be detected by GPS observations on the north and northeast of Asian continent which comes from Crustal Movement Observation Network of China (CMONOC). Obviously horizontal displacement which can be detected with many GPS stations reaches to almost 3cm and 2cm and most of those extend eastward pointing to the epicenter of this earthquake. Those data can be acquired rapidly after the earthquake from CMONOC. Here, we will discuss how to calculate the seismic moment with those far-field GPS observations. The far field displacement can constrain the pattern of finite slip model and seismic moment using spherically stratified Earth model (PREM). We give a general rule of thumb to show how far-field GPS observations are affected by the earthquake parameters. In the worldwide, after 1990 there are 27 large earthquakes (the magnitude more than Mw 8.0) which most are subduction types with low rake angle. Their far-field GPS observations are mainly controlled by the component of Y22. Far-field GPS observations are potential to constrain one or two components of the focal mechanisms. When we joint far-field and near-field GPS data to get the 2011 Tohoku-Oki earthquake, we can get a more accurately finite slip model. The article shows a new mothed using far-field GPS data to constrain the fault slip model.

Work-related sickness absence negotiations: GPs' qualitative perspectives.

PubMed

Money, Annemarie; Hussey, Louise; Thorley, Kevan; Turner, Susan; Agius, Raymond

2010-10-01

GPs can find their role as issuers of sickness certification problematic, particularly in trying to maintain a balance between certifying absence and preserving the doctor-patient relationship. Little research has been published on consultations in which sickness absence has been certified. To explore negotiations between GPs and patients in sickness absence certification, including how occupational health training may affect this process. A qualitative study was undertaken with GPs trained in occupational health who also participate in a UK wide surveillance scheme studying work-related ill-health. Telephone interviews were conducted with 31 GPs who had reported cases with associated sickness absence. Work-related sickness absence and patients' requests for a 'sick note' vary by diagnosis. Some GPs felt their role as patient advocate was of utmost importance, and issue certificates on a patient's request, whereas others offer more resistance through a greater understanding of issues surrounding work and health acquired through occupational health training. GPs felt that their training helped them to challenge beliefs about absence from work being beneficial to patients experiencing ill-health; they felt better equipped to consider patients' fitness for work, and issued fewer certificates as a result of this. Complex issues surround GPs' role in the sickness-certification process, particularly when determining the patient's ability to work while maintaining a healthy doctor-patient relationship. This study demonstrates the potential impact of occupational health training for GPs, particularly in light of changes to the medical statement introduced in 2010.

General Practitioners' Perceptions of Heat Health Impacts on the Elderly in the Face of Climate Change-A Qualitative Study in Baden-Württemberg, Germany.

PubMed

Herrmann, Alina; Sauerborn, Rainer

2018-04-24

Heat health impacts (HHI) on the elderly are a growing concern in the face of climate change and aging populations. General practitioners (GPs) have an important role in health care for the elderly. To inform the development of effective prevention measures, it is important to investigate GPs’ perceptions of HHI. Twenty four qualitative expert interviews were conducted with GPs and analyzed using the framework approach. GPs were generally aware of heat health impacts, focusing on cardiovascular morbidity and volume imbalances. Perceptions of mortality and for instance impacts on respiratory diseases or potentially risky drugs in heat waves partly diverged from findings in literature. GPs judged the current relevance of HHI differently depending on their attitudes towards: (i) sensitivity of the elderly, (ii) status of nursing care and (iii) heat exposure in Baden-Württemberg. Future relevance of HHI was perceived to be increasing by most GPs. The main cause identified for this was population aging, while impacts of climate change were judged as uncertain by many. GPs’ perceptions, partly diverging from literature, show that GPs’ knowledge and awareness on HHI and climate change needs to be strengthened. However, they also emphasize the need for more research on HHI in the ambulant health care setting. Furthermore, GPs perceptions suggest that strong nursing care and social networks for elderly are major elements of a climate resilient health system.

Diagnosing dementia in Dutch general practice: a qualitative study of GPs’ practices and views

PubMed Central

Prins, Agnes; Hemke, Feia; Pols, Jeannette; van Charante, Eric P Moll

2016-01-01

Background GPs play an important role in recognising the symptoms of dementia; however, little is known about how they perceive their actual and future role in diagnosing dementia. Aim To explore Dutch GPs’ perceptions of their current position in diagnosing dementia, their reasons for referral to secondary care, and views on the future diagnostic role of GPs. Design and setting A qualitative study among Dutch GPs. Method Eighteen GPs participated in a semi-structured interview that ranged from 20 to 60 minutes. Interviews were transcribed verbatim and thematic analysis was performed. Results GPs reported that their role in the diagnostic phase of identifying people with suspected dementia is limited to recognising cognitive problems and deciding whether a patient needs to be referred for further investigation, or whether care could be organised without specialist diagnosis. GPs indicated that they were likely to refer patients if patients/caregivers or dementia case managers requested it, or if they thought it could have consequences for treatment. Typically, GPs do not see the need for referral when their patients are very old and declining slowly. GPs would welcome a more prominent role in diagnosing dementia in their own practice. Conclusion Diagnosing dementia involves a complex balance between patient and carer preferences, the consequences for treatment and care, and the burden of referral. Dutch GPs favour a stronger involvement in diagnosing dementia provided that both resources and diagnostic algorithms are improved. PMID:27114209

Foundation and Development of Local Trimble User Groups: Perspectives from the Beginning

NASA Technical Reports Server (NTRS)

Duncan, Brean W.

1996-01-01

Trimble Navigation was one of the original contractors building military grade GPS receivers and has been a dominant manufacturer in the civilian market. Two Trimble user groups have been formed. By participating in GPS user groups, members become more aware of GPS capabilities and opportunities, meet people with similar interests and needs, expand business opportunities, and provide Trimble with valuable information needed to engineer better GPS equipment.

Velocity Noise in Space Shuttle and ISS GPS from the Ionosphere

NASA Technical Reports Server (NTRS)

Kramer, Leonard

2004-01-01

A viewgraph presentation on the noise velocity effects on the Space Shuttle and International Space Station (ISS) Global Positioning System (GPS) from the ionosphere is shown. The topics include: Scintillation in MAGR/S GPS used for Shuttle; 2) Geographic Distribution of Scintillation; 3) Diurnal Variability; 4) Feynman's interpretation of interference; 5) Angle between line of sight and S/C velocity; and 6) Space Station GPS

Miniaturized GPS/MEMS IMU integrated board

NASA Technical Reports Server (NTRS)

Lin, Ching-Fang (Inventor)

2012-01-01

This invention documents the efforts on the research and development of a miniaturized GPS/MEMS IMU integrated navigation system. A miniaturized GPS/MEMS IMU integrated navigation system is presented; Laser Dynamic Range Imager (LDRI) based alignment algorithm for space applications is discussed. Two navigation cameras are also included to measure the range and range rate which can be integrated into the GPS/MEMS IMU system to enhance the navigation solution.

An improved grey model for the prediction of real-time GPS satellite clock bias

NASA Astrophysics Data System (ADS)

Zheng, Z. Y.; Chen, Y. Q.; Lu, X. S.

2008-07-01

In real-time GPS precise point positioning (PPP), real-time and reliable satellite clock bias (SCB) prediction is a key to implement real-time GPS PPP. It is difficult to hold the nuisance and inenarrable performance of space-borne GPS satellite atomic clock because of its high-frequency, sensitivity and impressionable, it accords with the property of grey model (GM) theory, i. e. we can look on the variable process of SCB as grey system. Firstly, based on limits of quadratic polynomial (QP) and traditional GM to predict SCB, a modified GM (1,1) is put forward to predict GPS SCB in this paper; and then, taking GPS SCB data for example, we analyzed clock bias prediction with different sample interval, the relationship between GM exponent and prediction accuracy, precision comparison of GM to QP, and concluded the general rule of different type SCB and GM exponent; finally, to test the reliability and validation of the modified GM what we put forward, taking IGS clock bias ephemeris product as reference, we analyzed the prediction precision with the modified GM, It is showed that the modified GM is reliable and validation to predict GPS SCB and can offer high precise SCB prediction for real-time GPS PPP.

A Data Cleaning Method for Big Trace Data Using Movement Consistency

PubMed Central

Tang, Luliang; Zhang, Xia; Li, Qingquan

2018-01-01

Given the popularization of GPS technologies, the massive amount of spatiotemporal GPS traces collected by vehicles are becoming a new kind of big data source for urban geographic information extraction. The growing volume of the dataset, however, creates processing and management difficulties, while the low quality generates uncertainties when investigating human activities. Based on the conception of the error distribution law and position accuracy of the GPS data, we propose in this paper a data cleaning method for this kind of spatial big data using movement consistency. First, a trajectory is partitioned into a set of sub-trajectories using the movement characteristic points. In this process, GPS points indicate that the motion status of the vehicle has transformed from one state into another, and are regarded as the movement characteristic points. Then, GPS data are cleaned based on the similarities of GPS points and the movement consistency model of the sub-trajectory. The movement consistency model is built using the random sample consensus algorithm based on the high spatial consistency of high-quality GPS data. The proposed method is evaluated based on extensive experiments, using GPS trajectories generated by a sample of vehicles over a 7-day period in Wuhan city, China. The results show the effectiveness and efficiency of the proposed method. PMID:29522456

Performance of GPS-devices for environmental exposure assessment.

PubMed

Beekhuizen, Johan; Kromhout, Hans; Huss, Anke; Vermeulen, Roel

2013-01-01

Integration of individual time-location patterns with spatially resolved exposure maps enables a more accurate estimation of personal exposures to environmental pollutants than using estimates at fixed locations. Current global positioning system (GPS) devices can be used to track an individual's location. However, information on GPS-performance in environmental exposure assessment is largely missing. We therefore performed two studies. First, a commute-study, where the commute of 12 individuals was tracked twice, testing GPS-performance for five transport modes and two wearing modes. Second, an urban-tracking study, where one individual was tracked repeatedly through different areas, focused on the effect of building obstruction on GPS-performance. The median error from the true path for walking was 3.7 m, biking 2.9 m, train 4.8 m, bus 4.9 m, and car 3.3 m. Errors were larger in a high-rise commercial area (median error=7.1 m) compared with a low-rise residential area (median error=2.2 m). Thus, GPS-performance largely depends on the transport mode and urban built-up. Although ~85% of all errors were <10 m, almost 1% of the errors were >50 m. Modern GPS-devices are useful tools for environmental exposure assessment, but large GPS-errors might affect estimates of exposures with high spatial variability.

PiVoT GPS Receiver

NASA Technical Reports Server (NTRS)

Wennersten, Miriam Dvorak; Banes, Anthony Vince; Boegner, Gregory J.; Dougherty, Lamar; Edwards, Bernard L.; Roman, Joseph; Bauer, Frank H. (Technical Monitor)

2001-01-01

NASA Goddard Space Flight Center has built an open architecture, 24 channel space flight GPS receiver. The CompactPCI PiVoT GPS receiver card is based on the Mitel/GEC Plessey Builder-2 board. PiVoT uses two Plessey 2021 correlators to allow tracking of up to 24 separate GPS SV's on unique channels. Its four front ends can support four independent antennas, making it a useful card for hosting GPS attitude determination algorithms. It has been built using space quality, radiation tolerant parts. The PiVoT card will track a weaker signal than the original Builder 2 board. It also hosts an improved clock oscillator. The PiVoT software is based on the original Plessey Builder 2 software ported to the Linux operating system. The software is POSIX complaint and can easily be converted to other POSIX operating systems. The software is open source to anyone with a licensing agreement with Plessey. Additional tasks can be added to the software to support GPS science experiments or attitude determination algorithms. The next generation PiVoT receiver will be a single radiation hardened CompactPCI card containing the microprocessor and the GPS receiver optimized for use above the GPS constellation. PiVoT was flown successfully on a balloon in July, 2001, for its first non-simulated flight.

Integrating GPS with GLONASS for high-rate seismogeodesy

NASA Astrophysics Data System (ADS)

Geng, Jianghui; Jiang, Peng; Liu, Jingnan

2017-04-01

High-rate GPS is a precious seismogeodetic tool to capture coseismic displacements unambiguously and usually improved by sidereal filtering to mitigate multipath effects dominating the periods of tens of seconds to minutes. We further introduced GLONASS (Globalnaya navigatsionnaya sputnikovaya sistema) data into high-rate GPS to deliver over 2000 24 h displacements at 99 stations in Europe. We find that the major displacement errors induced by orbits and atmosphere on the low-frequency band that are not characterized by sidereal repeatabilities can be amplified markedly by up to 40% after GPS sidereal filtering. In contrast, integration with GLONASS can reduce the noise of high-rate GPS significantly and near uniformly over the entire frequency band, especially for the north components by up to 40%, suggesting that this integration is able to mitigate more errors than only multipath within high-rate GPS. Integrating GPS with GLONASS outperforms GPS sidereal filtering substantially in ameliorating displacement noise by up to 60% over a wide frequency band (e.g., 2 s-0.5 days) except a minor portion between 100 and 1000 s. High-rate multi-GNSS (Global Navigation Satellite System) can be enhanced further by sidereal filtering, which should however be carefully implemented to avoid adverse complications of the noise spectrum of displacements.

'And then one day he'd shot himself. Then I was really shocked': general practitioners' reaction to patient suicide.

PubMed

Davidsen, Annette Sofie

2011-10-01

Patients who commit suicide have often seen their GP shortly before the suicide. This study explored the emotional effect of patients' suicides on GPs, and whether this effect was linked to the GPs' propensity to explore suicide risk. Semi-structured interviews were carried out with 14 GPs sampled purposively aiming at maximum variation. Analysis by Interpretative Phenomenological Analysis. Patients' suicides had a substantial emotional effect on all GPs. Some developed a feeling of guilt and of having failed. If patients had contacted the GP about physical symptoms and the suicide ideation had not been diagnosed, this led to considerable self-scrutiny. GPs differed in their propensity to explore suicide ideation, but all were emotionally shaken and struck by guilt, failure, and self-scrutiny if a patient committed suicide. A patient's suicide can be experienced as a 'critical case' that greatly affects all GPs irrespective of other differences among the GPs. The feeling of insufficiency was linked to not having realized during the visit that the patient may have had suicidal thoughts. GPs' need for support in emotionally stressful situations should be investigated, and training should be directed towards discovering suicide ideation masked by vague physical symptoms. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Informal interpreting in general practice: Are interpreters' roles related to perceived control, trust, and satisfaction?

PubMed

Zendedel, Rena; Schouten, Barbara C; van Weert, Julia C M; van den Putte, Bas

2018-06-01

The aim of this observational study was twofold. First, we examined how often and which roles informal interpreters performed during consultations between Turkish-Dutch migrant patients and general practitioners (GPs). Second, relations between these roles and patients' and GPs' perceived control, trust in informal interpreters and satisfaction with the consultation were assessed. A coding instrument was developed to quantitatively code informal interpreters' roles from transcripts of 84 audio-recorded interpreter-mediated consultations in general practice. Patients' and GPs' perceived control, trust and satisfaction were assessed in a post consultation questionnaire. Informal interpreters most often performed the conduit role (almost 25% of all coded utterances), and also frequently acted as replacers and excluders of patients and GPs by asking and answering questions on their own behalf, and by ignoring and omitting patients' and GPs' utterances. The role of information source was negatively related to patients' trust and the role of GP excluder was negatively related to patients' perceived control. Patients and GPs are possibly insufficiently aware of the performed roles of informal interpreters, as these were barely related to patients' and GPs' perceived trust, control and satisfaction. Patients and GPs should be educated about the possible negative consequences of informal interpreting. Copyright © 2018 Elsevier B.V. All rights reserved.

Modelling local GPS/levelling geoid undulations using artificial neural networks

NASA Astrophysics Data System (ADS)

Kavzoglu, T.; Saka, M. H.

2005-04-01

The use of GPS for establishing height control in an area where levelling data are available can involve the so-called GPS/levelling technique. Modelling of the GPS/levelling geoid undulations has usually been carried out using polynomial surface fitting, least-squares collocation (LSC) and finite-element methods. Artificial neural networks (ANNs) have recently been used for many investigations, and proven to be effective in solving complex problems represented by noisy and missing data. In this study, a feed-forward ANN structure, learning the characteristics of the training data through the back-propagation algorithm, is employed to model the local GPS/levelling geoid surface. The GPS/levelling geoid undulations for Istanbul, Turkey, were estimated from GPS and precise levelling measurements obtained during a field study in the period 1998-99. The results are compared to those produced by two well-known conventional methods, namely polynomial fitting and LSC, in terms of root mean square error (RMSE) that ranged from 3.97 to 5.73 cm. The results show that ANNs can produce results that are comparable to polynomial fitting and LSC. The main advantage of the ANN-based surfaces seems to be the low deviations from the GPS/levelling data surface, which is particularly important for distorted levelling networks.

Robust Real-Time Wide-Area Differential GPS Navigation

NASA Technical Reports Server (NTRS)

Yunck, Thomas P. (Inventor); Bertiger, William I. (Inventor); Lichten, Stephen M. (Inventor); Mannucci, Anthony J. (Inventor); Muellerschoen, Ronald J. (Inventor); Wu, Sien-Chong (Inventor)

1998-01-01

The present invention provides a method and a device for providing superior differential GPS positioning data. The system includes a group of GPS receiving ground stations covering a wide area of the Earth's surface. Unlike other differential GPS systems wherein the known position of each ground station is used to geometrically compute an ephemeris for each GPS satellite. the present system utilizes real-time computation of satellite orbits based on GPS data received from fixed ground stations through a Kalman-type filter/smoother whose output adjusts a real-time orbital model. ne orbital model produces and outputs orbital corrections allowing satellite ephemerides to be known with considerable greater accuracy than from die GPS system broadcasts. The modeled orbits are propagated ahead in time and differenced with actual pseudorange data to compute clock offsets at rapid intervals to compensate for SA clock dither. The orbital and dock calculations are based on dual frequency GPS data which allow computation of estimated signal delay at each ionospheric point. These delay data are used in real-time to construct and update an ionospheric shell map of total electron content which is output as part of the orbital correction data. thereby allowing single frequency users to estimate ionospheric delay with an accuracy approaching that of dual frequency users.

Update on GPS-Acoustics Measurements on the Continental Slope of the Cascadia Subduction Zone

NASA Astrophysics Data System (ADS)

Chadwell, C. D.

2017-12-01

Land-based GPS measurements suggest the megathrust is locked offshore along the Cascadia Subduction Zone. However, land-based data alone lack geometric resolution to constrain the how the slip is distributed. GPS-Acoustic measurements can provide these constraints, but using traditional GPS-Acoustic approaches employing a ship is costly. Wave Gliders, a wave- and solar-powered, remotely-piloted sea surface platform, provide a low cost method for collecting GPS-A data. We have adapted GPS-Acoustic technology to the Wave Glider and in 2016 began annual measurements at three sites in the Cascadia Subduction Zone (CSZ). Here, we review positioning results collected during summer 2017 at two sites on the continental slope of the Cascadia Subduction Zone: One site is approximately 45 NM offshore central Oregon and the other approximately 50 NM offshore central Washington State. A third site is approximately 90 NM offshore central Oregon on the incoming Juan de Fuca plate. We will report on initial results of the GPS-A data collection and operational experiences of the missions in 2016 and 2017. Wave Glider based GPS-A measurement have the potential to significantly increase the number and frequency of measurements of strain accumulation in Cascadia Subduction Zone and elsewhere.

Analysis of Adverse Events in Identifying GPS Human Factors Issues

NASA Technical Reports Server (NTRS)

Adams, Catherine A.; Hwoschinsky, Peter V.; Adams, Richard J.

2004-01-01

The purpose of this study was to analyze GPS related adverse events such as accidents and incidents (A/I), Aviation Safety Reporting System (ASRS) reports and Pilots Deviations (PDs) to create a framework for developing a human factors risk awareness program. Although the occurrence of directly related GPS accidents is small the frequency of PDs and ASRS reports indicated there is a growing problem with situational awareness in terminal airspace related to different types of GPs operational issues. This paper addresses the findings of the preliminary research and a brief discussion of some of the literature on related GPS and automation issues.

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.

Phase Correction for GPS Antenna with Nonunique Phase Center

NASA Technical Reports Server (NTRS)

Fink, Patrick W.; Dobbins, Justin

2005-01-01

A method of determining the position and attitude of a body equipped with a Global Positioning System (GPS) receiver includes an accounting for the location of the nonunique phase center of a distributed or wraparound GPS antenna. The method applies, more specifically, to the case in which (1) the GPS receiver utilizes measurements of the phases of GPS carrier signals in its position and attitude computations and (2) the body is axisymmetric (e.g., spherical or round cylindrical) and wrapped at its equator with a single- or multiple-element antenna, the radiation pattern of which is also axisymmetric with the same axis of symmetry as that of the body.

GPS in ten years

DOT National Transportation Integrated Search

1997-09-16

What will GPS look like in ten years? This paper discusses improvements to the overall GPS system planned over the next ten years and examines their impact on system performance for several applications. The Presidential Decision Directive (PDD) rele...

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...

Recap and Program Plan Update

DOT National Transportation Integrated Search

2015-03-12

Initial Workshop-I held on September 18, 2014 at the Volpe Center - Overview of DOT GPS Adjacent Band Compatibility Assessment Plan and plans/timeline for implementation - Presentation on GPS use cases and list of representative GPS receivers - Descr...

Characteristics and limitations of GPS L1 observations from submerged antennas - Theoretical investigation in snow, ice, and freshwater and practical observations within a freshwater layer

NASA Astrophysics Data System (ADS)

Steiner, Ladina; Meindl, Michael; Geiger, Alain

2018-05-01

Observations from a submerged GNSS antenna underneath a snowpack need to be analyzed to investigate its potential for snowpack characterization. The magnitude of the main interaction processes involved in the GPS L1 signal propagation through different layers of snow, ice, or freshwater is examined theoretically in the present paper. For this purpose, the GPS signal penetration depth, attenuation, reflection, refraction as well as the excess path length are theoretically investigated. Liquid water exerts the largest influence on GPS signal propagation through a snowpack. An experiment is thus set up with a submerged geodetic GPS antenna to investigate the influence of liquid water on the GPS observations. The experimental results correspond well with theory and show that the GPS signal penetrates the liquid water up to three centimeters. The error in the height component due to the signal propagation delay in water can be corrected with a newly derived model. The water level above the submerged antenna could also be estimated.

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).

Profile of English salaried GPs: labour mobility and practice performance.

PubMed

Ding, Alexander; Hann, Mark; Sibbald, Bonnie

2008-01-01

Recent national policy changes have provided greater flexibility in GPs' contracts. One such policy is salaried employment, which offers reduced hours and freedom from out-of-hours and administrative responsibilities, aimed at improving recruitment and retention in a labour market facing regional shortages. To profile salaried GPs and assess their mobility within the labour market. Serial cross-sectional study. All GPs practising in England during the years 1996/1997, 2000/2001, and 2004/2005. Descriptive analyses, logistic regression. Salaried GPs tended to be either younger (<35 years) or older (> or =65 years), female, or overseas-qualified; they favoured part-time working and personal medical services contracts. Salaried GPs were more mobile than GP principals, and have become increasingly so, despite a trend towards reduced overall mobility in the GP workforce. Practices with salaried GPs scored more Quality and Outcomes Framework points and were located in slightly more affluent areas. Salaried status appears to have reduced limitations in the labour market, leading to better workforce deployment from a GP's perspective. However, there is no evidence to suggest it has relieved inequalities in GP distribution.

Exploring the Limits of High Altitude GPS for Future Lunar Missions

NASA Technical Reports Server (NTRS)

Ashman, Benjamin W.; Parker, Joel J.; Bauer, Frank H.; Esswein, Michael

2018-01-01

An increasing number of spacecraft are relying on the Global Positioning System (GPS) for navigation at altitudes near or above the GPS constellation itself - the region known as the Space Service Volume (SSV). While the formal definition of the SSV ends at geostationary altitude, the practical limit of high-altitude space usage is not known, and recent missions have demonstrated that signal availability is sufficient for operational navigation at altitudes halfway to the moon. This paper presents simulation results based on a high-fidelity model of the GPS constellation, calibrated and validated through comparisons of simulated GPS signal availability and strength with flight data from recent high-altitude missions including the Geostationary Operational Environmental Satellite 16 (GOES-16) and the Magnetospheric Multiscale (MMS) mission. This improved model is applied to the transfer to a lunar near-rectilinear halo orbit (NRHO) of the class being con- sidered for the international Deep Space Gateway concept. The number of GPS signals visible and their received signal strengths are presented as a function of receiver altitude in order to explore the practical upper limit of high-altitude space usage of GPS.

The prescribing of specialist medicines: what factors influence GPs' decision making?

PubMed

Crowe, Sarah; Tully, Mary P; Cantrill, Judith A

2009-08-01

As Governments worldwide strive to integrate efficient health care delivery across the primary-secondary care divide, particular significance has been placed on the need to understand GPs' prescribing of specialist drugs. To explore the factors which influence GPs' decision-making process when requested to prescribe specialist drugs. A qualitative approach was used to explore the perspectives of a wide range of practice-, primary care trust-, strategic health authority-level staff and other relevant stakeholders in the North-West of England. All semi-structured interviews (n = 47) were analysed comprehensively using the five-stage 'framework' approach. Six diverse factors were identified as having a crucial bearing on how GPs evaluate initial requests and subsequently decide whether or not to prescribe. These include GPs' lack of knowledge and expertise in using specialist drugs, the shared care arrangement, the influence of a locally agreed advisory list, financial and resource considerations, patient convenience and understanding and GPs' specific areas of interest. This exploration of GPs' decision-making process is needed to support future integrated health care delivery.

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

NASA Technical Reports Server (NTRS)

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

2005-01-01

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.

Primary care perceptions of neurology and neurology services.

PubMed

Loftus, Angela M; Wade, Carrie; McCarron, Mark O

2016-06-01

Neurophobia (fear of neural sciences) and evaluation of independent sector contracts in neurology have seldom been examined among general practitioners (GPs). A questionnaire determined GPs' perceptions of neurology compared with other medical specialties. GP experiences of neurology services with independent sector companies and the local National Health Service (NHS) were compared. Areas of potential improvement in NHS neurology services were recorded from thematic analyses. Among 76 GPs neurology was perceived to be as interesting as other medical specialties. GPs reported less knowledge, more difficulty and less confidence in neurology compared with other medical specialties. There was a preference for a local NHS neurology service (p<0.001), which was easier to contact (p<0.001) and provided better follow-up. GPs reported that local neurology services provided better patient satisfaction. GPs prefer local NHS neurology services to independent sector contracts. GPs' evaluations should inform commissioning of neurology services. Combating neurophobia should be an integral part of responsive commissioning. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Exploring the Limits of High Altitude GPS for Future Lunar Missions

NASA Technical Reports Server (NTRS)

Ashman, Benjamin W.; Parker, Joel J. K.; Bauer, Frank H.; Esswein, Michael

2018-01-01

An increasing number of spacecraft are relying on the Global Positioning System (GPS) for navigation at altitudes near or above the GPS constellation itself - the region known as the Space Service Volume (SSV). While the formal definition of the SSV ends at geostationary altitude, the practical limit of high-altitude space usage is not known, and recent missions have demonstrated that signal availability is sufficient for operational navigation at altitudes halfway to the moon. This paper presents simulation results based on a high-fidelity model of the GPS constellation, calibrated and validated through comparisons of simulated GPS signal availability and strength with flight data from recent high-altitude missions including the Geostationary Operational Environmental Satellite 16 (GOES-16) and the Magnetospheric Multiscale (MMS) mission. This improved model is applied to the transfer to a lunar near-rectilinear halo orbit (NRHO) of the class being considered for the international Deep Space Gateway concept. The number of GPS signals visible and their received signal strengths are presented as a function of receiver altitude in order to explore the practical upper limit of high-altitude space usage of GPS.

A 10-Year Comparison of Water Levels Measured with a Geodetic GPS Receiver Versus a Conventional Tide Gauge

NASA Technical Reports Server (NTRS)

Larson, Kristine M.; Ray, Richard D.; Williams, Simon D. P.

2017-01-01

A standard geodetic GPS receiver and a conventional Aquatrak tide gauge, collocated at Friday Harbor, Washington, are used to assess the quality of 10 years of water levels estimated from GPS sea surface reflections.The GPS results are improved by accounting for (tidal) motion of the reflecting sea surface and for signal propagation delay by the troposphere. The RMS error of individual GPS water level estimates is about 12 cm. Lower water levels are measured slightly more accurately than higher water levels. Forming daily mean sea levels reduces the RMS difference with the tide gauge data to approximately 2 cm. For monthly means, the RMS difference is 1.3 cm. The GPS elevations, of course, can be automatically placed into a well-defined terrestrial reference frame. Ocean tide coefficients, determined from both the GPS and tide gauge data, are in good agreement, with absolute differences below 1 cm for all constituents save K1 and S1. The latter constituent is especially anomalous, probably owing to daily temperature-induced errors in the Aquatrak tide gauge

Sickness certification difficulties in Ireland--a GP focus group study.

PubMed

Foley, M; Thorley, K; Von Hout, M-C

2013-07-01

Sickness certification causes problems for general practitioners (GPs). Difficulty with the assessment of capacity to work, conflict with patients and other non-medical factors have been shown to influence GPs' decision-making. Inadequate leadership and management of certification issues add to GPs' difficulties. To explore problems associated with sickness certification, as part of a larger mixed method research project exploring GPs' experiences and perceptions of sickness certification in Ireland. A qualitative study in an urban region of Ireland. A focus group of four male and four female GPs explored problems encountered by GPs in certifying sickness absence. Thematic data analysis was used. Three major themes emerged: perception of the sickness certification system, organization of health care and cultural factors in sickness absence behaviour. Employment structures in public and private sectors and lack of communication with other health care providers and employers were identified as complicating sickness certification. GPs encounter a complexity of issues in sick certification and are dissatisfied with their role in certifying sickness absence. Our results open the debate for policy change and development in Ireland.

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.

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.

NAVSTAR GPS Simulation and Analysis Program (Interim Report)

DOT National Transportation Integrated Search

1983-10-01

This study assesses the capability of the planned NAVSTAR Global Positioning System (GPS) to meet civil navigation requirements. When it becomes operational in about 1983, NAVSTAR GPS will provide accurate two-dimensional and three-dimensional servic...

USGS Earthquake Program GPS Use Case : Earthquake Early Warning

DOT National Transportation Integrated Search

2015-03-12

USGS GPS receiver use case. Item 1 - High Precision User (federal agency with Stafford Act hazard alert responsibilities for earthquakes, volcanoes and landslides nationwide). Item 2 - Description of Associated GPS Application(s): The USGS Eart...

Anti-Jam GPS Antennas for Wearable Dismounted Soldier Navigation Systems

DTIC Science & Technology

2016-06-01

in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents. Citation...Approaches for the design and fabrication of a wearable anti-jam global positioning system (GPS) antenna are explored to support accurate and uninterrupted...including GPS antenna element and array designs , and algorithms for jammer mitigation, and the candidate technologies best fit for wearable anti-jam GPS

76 FR 37265 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-27

..., Springerville Muni, RNAV (GPS) RWY 21, Amdt 1 Big Bear City, CA, Big Bear City, RNAV (GPS) RWY 26, Orig-A Marina... Baltimore, MD, Martin State, RNAV (GPS) RWY 15, Amdt 1 Great Falls, MT, Great Falls Intl, GPS RWY 21, Orig-A, CANCELLED Great Falls, MT, Great Falls Intl, ILS OR LOC/DME RWY 3, ILS RWY 3 (SA CAT I), ILS RWY 3 (CAT II...

The MAGTF’s Reliance on the Global Positioning System: A Critical Vulnerability

DTIC Science & Technology

2013-05-02

Reference&ItemId=+++1 499015&Pubabbrev=JC4IJ 45 “AURA Mobile Communications GPS/ WiFi Jammer”, Jane’s Police and Homeland Security Equipment, last...securityaffairs.co/wordpress/2845/ hacking /gps-spoofing- old-threat-and-new-problems.html 52“GPS Spoofing, Old Threat and New Problems”, Pierluigi...Paganini, Security Affairs, last modified February 23, 2012, http://securityaffairs.co/wordpress/2845/ hacking /gps-spoofing- old-threat-and-new

Post-Correlation Semi-Coherent Integration for High-Dynamic and Weak GPS Signal Acquisition (Preprint)

DTIC Science & Technology

2008-06-01

provide the coverage. To enable weak GPS signal acquisition , one known technique at the receiver end is to extend the signal integration time...Han, “Block Accumulating Coherent Integration Over Extended Interval (BACIX) for Weak GPS Signal Acquisition ,” Proc. of ION-GNSS’06, Ft. Worth, TX...AFRL-RY-WP-TP-2008-1158 POST-CORRELATION SEMI-COHERENT INTEGRATION FOR HIGH-DYNAMIC AND WEAK GPS SIGNAL ACQUISITION (PREPRINT) Chun Yang

Towards 10(exp 9) GPS geodesy: Vector baselines, Earth rotation and reference frames

NASA Technical Reports Server (NTRS)

Schutz, Bob E.

1994-01-01

Effort during the period form January 1, 1993 to December 31, 1993 were in the following areas: GPS orbit accuracy assessments and efforts to improve the accuracy; analysis and effects of GPS receiver antenna phase center variation; analysis of global GPS data being collected for the IGS campaign; and analysis of regional (south west Pacific) campaign data. A brief summary of each of the above activities is presented.

Calibration of the BEV GPS Receiver by Using TWSTFT

DTIC Science & Technology

2008-12-01

40th Annual Precise Time and Time Interval (PTTI) Meeting 543 CALIBRATION OF THE BEV GPS RECEIVER BY USING TWSTFT A. Niessner1, W...a calibration of the BEV reference GPS time receiver by using Two-way Satellite Time and Frequency Transfer ( TWSTFT ). Due to antenna changes, a new...calibration of the BEV receiver was necessary. This receiver is the first GPS receiver with calibration through TWSTFT and used for UTC computation

Calibrating GPS With TWSTFT For Accurate Time Transfer

DTIC Science & Technology

2008-12-01

40th Annual Precise Time and Time Interval (PTTI) Meeting 577 CALIBRATING GPS WITH TWSTFT FOR ACCURATE TIME TRANSFER Z. Jiang1 and...primary time transfer techniques are GPS and TWSTFT (Two-Way Satellite Time and Frequency Transfer, TW for short). 83% of UTC time links are...Calibrating GPS With TWSTFT For Accurate Time Transfer 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT

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.

Localization system for use in GPS denied environments

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

Trueblood, J. J.

The military uses to autonomous platforms to complete missions to provide standoff for the warfighters. However autonomous platforms rely on GPS to provide their global position. In many missions spaces the autonomous platforms may encounter GPS denied environments which limits where the platform operates and requires the warfighters to takes its place. GPS denied environments can occur due to tall building, trees, canyon wall blocking the GPS satellite signals or a lack of coverage. An Inertial Navigation System (INS) uses sensors to detect the vehicle movement and direction its traveling to calculate the vehicle. One of biggest challenges with anmore » INS system is the accuracy and accumulation of errors over time of the sensors. If these challenges can be overcome the INS would provide accurate positioning information to the autonomous vehicle in GPS denied environments and allow them to provide the desired standoff for the warfighters.« less

How and Why to Do VLBI on GPS

NASA Technical Reports Server (NTRS)

Dickey, J. M.

2010-01-01

In order to establish the position of the center of mass of the Earth in the International Celestial Reference Frame, observations of the Global Positioning Satellite (GPS) constellation using the IVS network are important. With a good frame-tie between the coordinates of the IVS telescopes and nearby GPS receivers, plus a common local oscillator reference signal, it should be possible to observe and record simultaneously signals from the astrometric calibration sources and the GPS satellites. The standard IVS solution would give the atmospheric delay and clock offsets to use in analysis of the GPS data. Correlation of the GPS signals would then give accurate orbital parameters of the satellites in the ICRF reference frame, i.e., relative to the positions of the astrometric sources. This is particularly needed to determine motion of the center of mass of the earth along the rotation axis.

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.

Image feature based GPS trace filtering for road network generation and road segmentation

DOE PAGES

Yuan, Jiangye; Cheriyadat, Anil M.

2015-10-19

We propose a new method to infer road networks from GPS trace data and accurately segment road regions in high-resolution aerial images. Unlike previous efforts that rely on GPS traces alone, we exploit image features to infer road networks from noisy trace data. The inferred road network is used to guide road segmentation. We show that the number of image segments spanned by the traces and the trace orientation validated with image features are important attributes for identifying GPS traces on road regions. Based on filtered traces , we construct road networks and integrate them with image features to segmentmore » road regions. Lastly, our experiments show that the proposed method produces more accurate road networks than the leading method that uses GPS traces alone, and also achieves high accuracy in segmenting road regions even with very noisy GPS data.« less

On the issues of probability distribution of GPS carrier phase observations

NASA Astrophysics Data System (ADS)

Luo, X.; Mayer, M.; Heck, B.

2009-04-01

In common practice the observables related to Global Positioning System (GPS) are assumed to follow a Gauss-Laplace normal distribution. Actually, full knowledge of the observables' distribution is not required for parameter estimation by means of the least-squares algorithm based on the functional relation between observations and unknown parameters as well as the associated variance-covariance matrix. However, the probability distribution of GPS observations plays a key role in procedures for quality control (e.g. outlier and cycle slips detection, ambiguity resolution) and in reliability-related assessments of the estimation results. Under non-ideal observation conditions with respect to the factors impacting GPS data quality, for example multipath effects and atmospheric delays, the validity of the normal distribution postulate of GPS observations is in doubt. This paper presents a detailed analysis of the distribution properties of GPS carrier phase observations using double difference residuals. For this purpose 1-Hz observation data from the permanent SAPOS

Surviving an epidemic -- Australian GPs on caring for people with HIV and AIDS in the early years.

PubMed

Newman, Christy E; Reynolds, Robert; Gray, Rebecca; Canavan, Peter; De Wit, John; McMurchie, Marilyn; McCoy, Ronald; Kidd, Michael R

2013-10-01

Although general practitioners (GPs) play a central role in responding to human immunodeficiency virus (HIV) in Australia, the social history of their contribution in the early years has remained largely untold. In-depth interviews were conducted with 21 GPs who provided HIV care between 1982 and 1996. De-identified transcripts were broadly coded in NVivo, then analysed for themes regarding GP experiences during the early years. Participants recalled a time of death, fear and prejudice, with large numbers of patients diagnosed with and dying from a highly stigmatised disease. An enduring emotional legacy resulted, with GPs developing survival strategies such as better managing relationships with patients, seeking mental health support and reducing working hours. These GPs represent the first generation of GPs in Australia caring for people with HIV. Understanding their experiences can inform and inspire the next generation, who inherit a much brighter future for HIV care.

Volcano monitoring using GPS: Developing data analysis strategies based on the June 2007 Kīlauea Volcano intrusion and eruption

USGS Publications Warehouse

Larson, Kristine M.; Poland, Michael; Miklius, Asta

2010-01-01

The global positioning system (GPS) is one of the most common techniques, and the current state of the art, used to monitor volcano deformation. In addition to slow (several centimeters per year) displacement rates, GPS can be used to study eruptions and intrusions that result in much larger (tens of centimeters over hours-days) displacements. It is challenging to resolve precise positions using GPS at subdaily time intervals because of error sources such as multipath and atmospheric refraction. In this paper, the impact of errors due to multipath and atmospheric refraction at subdaily periods is examined using data from the GPS network on Kīlauea Volcano, Hawai'i. Methods for filtering position estimates to enhance precision are both simulated and tested on data collected during the June 2007 intrusion and eruption. Comparisons with tiltmeter records show that GPS instruments can precisely recover the timing of the activity.

Image feature based GPS trace filtering for road network generation and road segmentation

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

Yuan, Jiangye; Cheriyadat, Anil M.

We propose a new method to infer road networks from GPS trace data and accurately segment road regions in high-resolution aerial images. Unlike previous efforts that rely on GPS traces alone, we exploit image features to infer road networks from noisy trace data. The inferred road network is used to guide road segmentation. We show that the number of image segments spanned by the traces and the trace orientation validated with image features are important attributes for identifying GPS traces on road regions. Based on filtered traces , we construct road networks and integrate them with image features to segmentmore » road regions. Lastly, our experiments show that the proposed method produces more accurate road networks than the leading method that uses GPS traces alone, and also achieves high accuracy in segmenting road regions even with very noisy GPS data.« less

GPS Remote Sensing Measurements Using Aerosonde UAV

NASA Technical Reports Server (NTRS)

Grant, Michael S.; Katzberg, Stephen J.; Lawrence, R. W.

2005-01-01

In February 2004, a NASA-Langley GPS Remote Sensor (GPSRS) unit was flown on an Aerosonde unmanned aerial vehicle (UAV) from the Wallops Flight Facility (WFF) in Virginia. Using direct and surface-reflected 1.575 GHz coarse acquisition (C/A) coded GPS signals, remote sensing measurements were obtained over land and portions of open water. The strength of the surface-reflected GPS signal is proportional to the amount of moisture in the surface, and is also influenced by surface roughness. Amplitude and other characteristics of the reflected signal allow an estimate of wind speed over open water. In this paper we provide a synopsis of the instrument accommodation requirements, installation procedures, and preliminary results from what is likely the first-ever flight of a GPS remote sensing instrument on a UAV. The correct operation of the GPSRS unit on this flight indicates that Aerosonde-like UAV's can serve as platforms for future GPS remote sensing science missions.

[Attitudes of general practitioners to pharmaceutical sales representatives in Sousse].

PubMed

Ben Abdelaziz, A; Harrabi, I; Rahmani, S; Ghedira, A; Gaha, K; Ghannem, H

2003-01-01

The therapeutic knowledge of physicians is the corner stone to the rational use of medicines; however information about medicines is generally obtained from the pharmaceutical industry via their sales representatives (reps). We aimed to identify general practitioners' (GPs) attitudes to pharmaceutical reps and the information they provide. We surveyed 140 GPs using a self-administered questionnaire. The response rate was 78% (72 GPs from the public sector and 68 from the private sector). About 10% of the GPs said they received daily visits from pharmaceutical reps; 84% of GPs considered them an efficient source of information and 31% said they might change their therapeutic prescribing following visits from these reps. Because of their positive perception of pharmaceutical reps, GPs are susceptible to the information they provide. Controlling the validity of the therapeutic information imparted by the pharmaceutical industry is thus a fundamental component of the programme for the rational use of medicines.

The influence of grounding on GPS receiver differential code biases

NASA Astrophysics Data System (ADS)

Choi, Byung-Kyu; Lee, Sang Jeong

2018-07-01

The Global Positioning System (GPS) has become an effective tool for estimating ionospheric total electron content (TEC). One of the critical factors affecting ionospheric TEC estimation from GPS data is the differential code biases (DCBs) inherent in both GPS receivers and satellites. To investigate the factor that affects the receiver DCB, we consider the relationship between the receiver DCB and the grounding of an antenna. GPS data from 9 stations in South Korea from three periods (the years 2009, 2014, and 2017) were used in the analysis. It was found that a significant jump (∼8-13 ns, or ∼ 23-37 TECU) in hourly DCB time series occurred simultaneously at the two different sites when an antenna is changed from a grounded to the non-grounded state. Thus, our study clearly identifies that the grounding of GPS equipment is a factor of the receiver DCB changes.

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.

Autonomous Navigation Improvements for High-Earth Orbiters Using GPS

NASA Technical Reports Server (NTRS)

Long, Anne; Kelbel, David; Lee, Taesul; Garrison, James; Carpenter, J. Russell; Bauer, F. (Technical Monitor)

2000-01-01

The Goddard Space Flight Center is currently developing autonomous navigation systems for satellites in high-Earth orbits where acquisition of the GPS signals is severely limited This paper discusses autonomous navigation improvements for high-Earth orbiters and assesses projected navigation performance for these satellites using Global Positioning System (GPS) Standard Positioning Service (SPS) measurements. Navigation performance is evaluated as a function of signal acquisition threshold, measurement errors, and dynamic modeling errors using realistic GPS signal strength and user antenna models. These analyses indicate that an autonomous navigation position accuracy of better than 30 meters root-mean-square (RMS) can be achieved for high-Earth orbiting satellites using a GPS receiver with a very stable oscillator. This accuracy improves to better than 15 meters RMS if the GPS receiver's signal acquisition threshold can be reduced by 5 dB-Hertz to track weaker signals.

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.

Better Aircraft Positioning for Airborne Gravimetry: Results from GRAV-D's "Kinematic GPS Challenge" Issued to the GPS Community

NASA Astrophysics Data System (ADS)

Diehl, T. M.; Mader, G. L.; Preaux, S. A.; Weil, C.

2011-12-01

The National Geodetic Survey's (NGS's) Gravity for the Redefinition of the American Vertical Datum (GRAV-D) program plans to collect airborne gravity data across the entire U.S. and its holdings over the next decade. The goal is to build a geoid accurate to 1-2 cm, for which the airborne gravity data is key. The first phase is underway, with > 13% of data collection already completed across the U.S. To achieve the best airborne gravity data accuracy possible, the GPS position solutions must provide not just accurate positions, but also accurate velocities and accelerations to be used in calculating the gravity corrections. However, to our knowledge, no comparison has been done of available kinematic GPS processing techniques as they pertain to producing accurate airborne gravity results. So, in Fall 2010, NGS issued the "Kinematic GPS Challenge" to the GPS processing community, soliciting position solutions for GPS data of two GRAV-D airborne gravity flights done in Louisiana in 2008. Of the four lines on these two flights, one of the lines on the first flight was noisy (due to excessive turbulence) and was reflown on the second flight. These two flights of data allow the Challenge results to be tested on both good-quality and noisy data, as well as to be compared for repeatability along the reflown line, the assumption being that the solution producing the best fit between the reflown gravity data is the best. Fifteen position results from nine contributors were submitted from the GPS community for each of the two flights. We will present the results of the Kinematic GPS Challenge in an anonymous manner, to provide information to the airborne gravity community while protecting the identities of the GPS contributors while they incorporate the results into their research projects. Initial analyses show that the submitted position solutions are somewhat different, usually by +/- 0.25 m or less in X, Y, and Z. The shape and structure of these differences indicate significant differences in the derived velocities and accelerations. Those differences are easily identifiable in the gravity anomalies calculated with those solutions. Several gravity solutions computed produce differences from the ensemble average of 2-3 mGal in places, though most were within +/- 1 mGal. An additional comparison was done with the current preferred NGS GPS+IMU solution (a loosely-coupled differential GPS+IMU solution from commercial software) versus the Challenge GPS-only solutions. The loosely coupled solution fared better in the noisy flight than the GPS only, but there was less significant difference in the calm weather flight. Our presentation will provide a comprehensive analysis of the Challenge results.

Comparison of Ground Deformation Measurements and Atmospheric Artifacts Using Insar Cosmo-Skymed and GPS Data

NASA Astrophysics Data System (ADS)

Zerbini, S.; Prati, C.; Errico, M.; Novali, F.; Santi, E.

2012-12-01

Integrating and exploiting the synergetic combination of the InSAR and GPS techniques allows overcoming the limitations inherent in the use of each technique alone. GPS-based estimates of tropospheric delays may contribute in obtaining better corrections of the wet tropospheric path delay in InSAR signals. This will enhance the coherence and will allow the application of InSAR in a wider range of applications. The test area chosen for the comparison between InSAR and GPS data is in northeastern Italy, in particular, in the city of Bologna (urbanized area) and in the surroundings of Medicina (agricultural area). In these sites, two permanent GPS stations (EUREF EPN sites) of the University of Bologna are operational since mid 1999 (BOLG) and 1996 (MSEL) respectively. The InSAR data used are the COSMO-SkyMed (CSK) images made available by the Italian Space Agency (ASI). The Permanent Scatterers (PS) technique was applied to a number of repeated CSK strip map SAR images acquired over a 40x40 square km area encompassing the two towns mentioned above. The results of this work demonstrate, on the one hand, the CSK capabilities to operate in a repeated interferometric survey mode for measuring ground deformation with millimeter accuracy in different environments. On the other, the comparison of the differential height between the two stations derived with the GPS and the InSAR data, using both acquisition geometries, is satisfactory. Elevation, ground deformation and atmospheric artifacts were estimated in correspondence of the identified PS and compared with the GPS measurements carried out at the same acquisition time by the permanent stations at Bologna and Medicina. The comparison of the differential height between the two stations shows the sensitivity of the GPS height solution to the length of the observation interval. The vertical dispersion achieved by GPS is higher than that achieved by PS InSAR, as expected; however, a similar linear trend appears in the results of both techniques. For the comparison of differential tropospheric delays, two GPS solutions derived with different session length and data acquisition rate were considered. The InSAR results are those relevant to two PSs located at very close distance from the GPS stations. These are representative of the majority of PSs identified around the two stations. A similar behavior is present in the results achieved by both GPS and PS-InSAR techniques, despite of expected differences due to the almost instantaneous nature of the PS-InSAR estimates compared to the GPS 5-minute averaged results.

Observing crustal deformation and atmospheric signals from COSMO-SKYMED and GPS data

NASA Astrophysics Data System (ADS)

Zerbini, S.; Prati, C.; Cappello, G.; Errico, M.; Novali, F.

2012-04-01

The combined use of InSAR and GPS allows for the full exploitation of the complementary aspects of the two techniques by overcoming the limitations inherent in the use of each technique alone. Additionally, GPS-based estimates of tropospheric delays may contribute in obtaining better corrections of the wet tropospheric path delay in InSAR signals. This will enhance the coherence and will allow the application of InSAR in a wider range of applications. We have compared the InSAR and GPS data at Bologna (urbanized area) and Medicina (agricultural area), in northeastern Italy, where two permanent GPS stations of the University of Bologna are operational since mid 1999 and 1996 respectively. The InSAR data used are the COSMO-SkyMed (CSK) images made available by the Italian Space Agency (ASI) in the framework of the research contract AO-1140. The Permanent Scatterers (PS) technique was applied to a number of repeated CSK strip map SAR images acquired over a 40x40 square km area encompassing the two towns mentioned above. The results of this work demonstrate on the one hand the CSK capabilities to operate in a repeated interferometric survey mode for measuring ground deformation with millimeter accuracy in different environments. On the other, the comparison of the differential height between the two stations derived with the GPS and the InSAR data, using both acquisition geometries, is satisfactory. Elevation, ground deformation and atmospheric artifacts were estimated in correspondence of the identified PS and compared with the GPS measurements carried out at the same acquisition time by the permanent stations at Bologna and Medicina. The comparison of the differential height between the two stations shows the sensitivity of the GPS height solution to the length of the observation interval. The vertical dispersion achieved by GPS is higher than that achieved by PS InSAR, as expected; however, a similar linear trend appears in the results of both techniques. The comparison of differential tropospheric delays has been carried out. Two GPS solutions derived with different session length and data acquisition rate were considered. The InSAR results were those relevant to two PS located at a very close distance from the GPS stations. These are representative of the majority of PSs identified around the two stations. A similar behavior is present in the results achieved by both GPS and PS-InSAR techniques, despite of expected differences due to the almost instantaneous nature of the PS-InSAR estimates compared to the GPS 5-min averaged results.

GPs' experiences with out-of-hours GP cooperatives: a survey study from the Netherlands.

PubMed

Smits, Marleen; Keizer, Ellen; Huibers, Linda; Giesen, Paul

2014-09-01

Out-of-hours primary care has been provided by general practitioner (GP) cooperatives since the year 2000 in the Netherlands. Early studies in countries with similar organizational structures showed positive GP experiences. However, nowadays it is said that GPs experience a high workload at the cooperative and that they outsource a considerable part of their shifts. To examine positive and negative experiences of GPs providing out-of-hours primary care, and the frequency and reasons for outsourcing shifts. A cross-sectional observational survey among 688 GPs connected to six GP cooperatives in the Netherlands, using a web-based questionnaire. The response was 55% (n = 378). The main reasons for working in GP cooperatives were to retain registration as GP (79%) and remain experienced in acute care (74%). GPs considered the peak hours (81%) and the high number of patients (73%) as the most negative aspects. Most GPs chose to provide the out-of-hours shifts themselves: 85% outsourced maximally 25% of their shifts. The percentage of outsourced shifts increased with age. Main reasons for outsourcing were the desire to have more private time (76%); the high workload in daytime practice (71%); and less the workload during out-of-hours (46%). GPs are motivated to work in out-of-hours GP cooperatives, and they outsource few shifts. GPs consider the peak load and the large number of (non-urgent) help requests as the most negative aspects. To motivate and involve GPs for 7 × 24-h primary care, it is important to set limits on their workload.

Attitudes toward Alzheimer's disease: a qualitative study of the role played by social representation on a convenient sample of French general practitioners.

PubMed

Lahjibi-Paulet, Hayat; Dauffy Alain, Agnès; Minard, Aurélien; Gaxatte, Cédric; Saint-Jean, Olivier; Somme, Dominique

2012-08-01

It is commonly thought that Alzheimer's disease (AD) is under-diagnosed and that insufficient numbers of patients are receiving pharmacological treatment. These observations are often attributed to poor management of the disease by general practitioners (GPs) related to their lack of training in identifying cognitive decline. Our hypothesis is that there may be a relation between GPs' perceptions and their attitudes toward AD. We conducted a qualitative study, through semi-directive interviews focusing on their representations, of 25 GPs, masters in training courses, in Paris. Analysis of interviews revealed five general trends. AD is seen by GPs as a "disease of autonomy", without specific medical treatment. Cognitive symptoms are less meaningful in GPs' view than the loss of autonomy. The main thing is to keep the patient at home. For GPs, the family is described as an essential partner in coping with the insufficiencies of available social programs. The use of specialists is less to confirm the diagnosis than to announce the "bad news". GPs declare scepticism as to the efficacy of AD medications, only granting them a certain "care" effect or a social role. The image of AD remains highly negative. The stigma of AD is seen as a barrier to its diagnosis. This study is somewhat preliminary because of sample size. Nevertheless, the social representations of the disease influence GPs' attitudes toward making diagnoses in France. Priority seems to focus more on assisting GPs and families at the social level, rather than diagnosis or access to treatment.

Expansion and Differentiation of Germline-Derived Pluripotent Stem Cells on Biomaterials

PubMed Central

Šarić, Tomo; Denecke, Bernd; Peinkofer, Gabriel; Bovi, Manfred; Groll, Jürgen; Ko, Kinarm; Salber, Jochen; Halbach, Marcel; Schöler, Hans R.; Zenke, Martin; Neuss, Sabine

2013-01-01

Stem cells with broad differentiation potential, such as the recently described germline-derived pluripotent stem cells (gPS cells), are an appealing source for tissue engineering strategies. Biomaterials can inhibit, support, or induce proliferation and differentiation of stem cells. Here we identified (1) polymers that maintain self-renewal and differentiation potential of gPS cells for feeder-free expansion and (2) polymers supporting the cardiomyogenic fate of gPS cells by analyzing a panel of polymers of an established biomaterial bank previously used to assess growth of diverse stem cell types. Identification of cytocompatible gPS cell/biomaterial combinations required analysis of several parameters, including morphology, viability, cytotoxicity, apoptosis, proliferation, and differentiation potential. Pluripotency of gPS cells was visualized by the endogenous Oct4-promoter-driven GFP and by Sox2 and Nanog immunofluorescence. Viability assay, proliferation assay, and flow cytometry showed that gPS cells efficiently adhere and are viable on synthetic polymers, such as Resomer® LR704 (poly(L-lactic-D,L-lactic acid), poly(tetrafluor ethylene) (PTFE), poly(vinylidene fluoride) (PVDF), and on gelatine-coated tissue culture polystyrene. Expansion experiments showed that Resomer LR704 is an alternative substrate for feeder-free gPS cell maintenance. Resomer LR704, PTFE, and PVDF were found to be suitable for gPS cell differentiation. Spontaneous beating in embryoid bodies cultured on Resomer LR704 occurred already on day 8 of differentiation, much earlier compared to the other surfaces. This indicates that Resomer LR704 supports spontaneous cardiomyogenic differentiation of gPS cells, which was also confirmed on molecular, protein and functional level. PMID:23234562

External validation of the modified Glasgow prognostic score for renal cancer

PubMed Central

Tai, Caroline G.; Johnson, Timothy V.; Abbasi, Ammara; Herrell, Lindsey; Harris, Wayne B.; Kucuk, Omer; Canter, Daniel J.; Ogan, Kenneth; Pattaras, John G.; Nieh, Peter T.; Master, Viraj A.

2014-01-01

Purpose: The modified Glasgow prognostic Score (mGPS) incorporates C-reactive protein and albumin as a clinically useful marker of tumor behavior. The ability of the mGPS to predict metastasis in localized renal cell carcinoma (RCC) remains unknown in an external validation cohort. Patients and Methods: Patients with clinically localized clear cell RCC were followed for 1 year post-operatively. Metastases were identified radiologically. Patients were categorized by mGPS score as low-risk (mGPS = 0 points), intermediate-risk (mGPS = 1 point) and high-risk (mGPS = 2 points). Univariate, Kaplan-Meier and multivariate Cox regression analyses examined Recurrence -free survival (RFS) across patient and disease characteristics. Results: Of the 129 patients in this study, 23.3% developed metastases. Of low, intermediate and high risk patients, 10.1%, 38.9% and 89.9% recurred during the study. After accounting for various patient and tumor characteristics in multivariate analysis including stage and grade, only mGPS was significantly associated with RFS. Compared with low-risk patients, intermediate- and high-risk patients experienced a 4-fold (hazard ratios [HR]: 4.035, 95% confidence interval [CI]: 1.312-12.415, P = 0.015) and 7-fold (HR: 7.012, 95% CI: 2.126-23.123 P < 0.001) risk of metastasis, respectively. Conclusions: mGPS is a robust predictor of metastasis following potentially curative nephrectomy for localized RCC. Clinicians may consider mGPS as an adjunct to identify high-risk patients for possible enrollment into clinical trials or for patient counseling PMID:24497679

Contribution of TIGA reprocessing to the ITRF densification

NASA Astrophysics Data System (ADS)

Rudenko, S.; Dähnn, M.; Gendt, G.; Brandt, A.; Nischan, T.

2009-04-01

Analysis of tide gauge measurements with the purpose of sea level change investigations requires a well defined reference frame. Such reference frame can be realized through precise positions of GPS stations located at or near tide gauges (TIGA stations) and analyzed within the IGS GPS Tide Gauge Benchmark Monitoring Pilot Project (TIGA). To tie this reference frame to the International Terrestrial Reference Frame (ITRF), one should process simultaneously GPS data from TIGA and IGS stations included in the ITRF. A time series of GPS station positions has been recently derived by reprocessing GPS data from about 400 GPS stations globally distributed covering totally time span from 1998 till 2008 using EPOS-Potsdam software developed at GFZ and improved in the recent years. The analysis is based on the use of IERS Conventions 2003, ITRF2005 as a priori reference frame, FES2004 ocean tide loading model, absolute phase centre variations for GPS satellite transmit and ground receive antennae and other models. About 220 stations of the solution are IGS ones and about 180 are TIGA GPS stations that are not IGS ones. The solution includes weekly coordinates of GPS stations, daily values of the Earth rotation parameters and their rates, as well as satellite antenna offsets. On the other hand, our new solution can contribute to the ITRF densification by providing positions of about 200 stations being not present in ITRF2005. The solution can be also used for the integration of regional frames. The paper presents the results of the analysis and the comparison of our solution with ITRF2005 and the solutions of other TIGA and IGS Analysis Centres.

General practitioners' perceptions of irritable bowel syndrome: a Q-methodological study.

PubMed

Bradley, Stephen; Alderson, Sarah; Ford, Alexander C; Foy, Robbie

2018-01-16

Irritable bowel syndrome (IBS) is a common disorder that imposes a significant burden upon societies, health care and quality of life, worldwide. While a diverse range of patient viewpoints on IBS have been explored, the opinions of the GPs they ideally need to develop therapeutic partnerships with are less well defined. To explore how GPs perceive IBS, using Q-methodology, which allows quantitative interpretation of qualitative data. A Q-methodological study of GPs in Leeds, UK. Thirty-three GPs completed an online Q-sort in which they ranked their level of agreement with 66 statements. Factor analysis of the Q-sorts was performed to determine the accounts that predominated in understandings of IBS. Ten of the GPs were interviewed in person and responses to the statements recorded to help explain the accounts. Analysis yielded one predominant account shared by all GPs-that IBS was a largely psychological disorder. This account overshadowed a debate represented by a minority, polarized between those who viewed IBS as almost exclusively psychological, versus those who believed IBS had an organic basis, with a psychological component. The overwhelming similarity in responses indicates that all GPs shared a common perspective on IBS. Interviews suggested degrees of uncertainty and discomfort around the aetiology of IBS. There was overwhelming agreement in the way GPs perceived IBS. This contrasts with the range of patient accounts of IBS and may explain why both GPs and their patients face difficult negotiations in achieving therapeutic relationships. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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.

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

Inflammation-based prognostic score, prior to neoadjuvant chemoradiotherapy, predicts postoperative outcome in patients with esophageal squamous cell carcinoma.

PubMed

Kobayashi, Takashi; Teruya, Masanori; Kishiki, Tomokazu; Endo, Daisuke; Takenaka, Yoshiharu; Tanaka, Hozumi; Miki, Kenji; Kobayashi, Kaoru; Morita, Koji

2008-11-01

Recent studies have revealed that Glasgow prognostic score (GPS), an inflammation-based prognostic score, is associated with poor outcome in a variety of tumors. However, few studies have investigated whether GPS measured prior to neoadjuvant chemoradiotherapy (nCRT) is useful for postoperative prognosis of patients with advanced esophageal squamous cell carcinoma (ESCC). GPS was calculated on the basis of admission data as follows: patients with both an elevated C-reactive protein (>10 mg/L) and hypoalbuminaemia (<35 g/L) were allocated a GPS score of 2. Patients in whom only 1 of these biochemical abnormalities was present were allocated a GPS score of 1, and patients with a normal C-reactive protein and albumin were allocated a score of 0. All patients underwent radical en-bloc resection 3-4 weeks after nCRT. A total of 48 patients with clinical TNM stage II/III were enrolled. Univariate analyses revealed that there were significant differences in cancer-specific survival in relation to grade of response to nCRT (P = .004), lymph node status (P = .0065), lymphatic invasion (P = .0002), venous invasion (P = .0001), pathological TNM classification (P = .015), and GPS (P < .0001). GPS classification showed a close relationship with lymphatic invasion, venous invasion, and number of lymph node (P = .0292, .0473, and .0485, respectively). GPS was found to be the only independent predictor of cancer-specific survival (odds ratio, 0.17; 95% confidence interval, 0.06-0.52; P = .0019). GPS, measured prior to nCRT, is an independent novel predictor of postoperative outcome in patients with advanced ESCC.

Expansion and differentiation of germline-derived pluripotent stem cells on biomaterials.

PubMed

Hoss, Mareike; Šarić, Tomo; Denecke, Bernd; Peinkofer, Gabriel; Bovi, Manfred; Groll, Jürgen; Ko, Kinarm; Salber, Jochen; Halbach, Marcel; Schöler, Hans R; Zenke, Martin; Neuss, Sabine

2013-05-01

Stem cells with broad differentiation potential, such as the recently described germline-derived pluripotent stem cells (gPS cells), are an appealing source for tissue engineering strategies. Biomaterials can inhibit, support, or induce proliferation and differentiation of stem cells. Here we identified (1) polymers that maintain self-renewal and differentiation potential of gPS cells for feeder-free expansion and (2) polymers supporting the cardiomyogenic fate of gPS cells by analyzing a panel of polymers of an established biomaterial bank previously used to assess growth of diverse stem cell types. Identification of cytocompatible gPS cell/biomaterial combinations required analysis of several parameters, including morphology, viability, cytotoxicity, apoptosis, proliferation, and differentiation potential. Pluripotency of gPS cells was visualized by the endogenous Oct4-promoter-driven GFP and by Sox2 and Nanog immunofluorescence. Viability assay, proliferation assay, and flow cytometry showed that gPS cells efficiently adhere and are viable on synthetic polymers, such as Resomer(®) LR704 (poly(L-lactic-D,L-lactic acid), poly(tetrafluor ethylene) (PTFE), poly(vinylidene fluoride) (PVDF), and on gelatine-coated tissue culture polystyrene. Expansion experiments showed that Resomer LR704 is an alternative substrate for feeder-free gPS cell maintenance. Resomer LR704, PTFE, and PVDF were found to be suitable for gPS cell differentiation. Spontaneous beating in embryoid bodies cultured on Resomer LR704 occurred already on day 8 of differentiation, much earlier compared to the other surfaces. This indicates that Resomer LR704 supports spontaneous cardiomyogenic differentiation of gPS cells, which was also confirmed on molecular, protein and functional level.

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.

Delayed prescribing for upper respiratory tract infections: a qualitative study of GPs' views and experiences

PubMed Central

Høye, Sigurd; Frich, Jan; Lindbœk, Morten

2010-01-01

Background Delayed prescribing has been promoted as a strategy that meets patients' expectations and helps to avoid unnecessary use of antibiotics in upper respiratory tract infections. Aim To explore GPs' views on and experiences with delayed prescribing in patients with acute upper respiratory tract infections. Design of study Qualitative study involving focus groups. Setting Norwegian general practice. Method Qualitative analysis of data collected from five focus groups comprising 33 GPs who took part in a quality-improvement programme of antibiotic prescribing. Results The views of GPs differed on the usefulness of delayed prescribing. GPs who endorsed the strategy emphasised shared decision making and the creation of opportunities for educating patients, whereas GPs who were negative applied the strategy mainly when being pressed to prescribe. Mild and mainly harmless conditions of a possible bacterial origin, such as acute sinusitis and acute otitis, were considered most suitable for delayed prescribing. A key argument for issuing a wait-and-see prescription was that it helped patients avoid seeking after-hours care. For issuing a wait-and-see prescription, the GPs required that the patient was ‘knowledgeable’, able to understand the indications for antibiotics, and motivated for shared decision making. GPs emphasised that patients should be informed thoroughly when receiving a wait-and-see prescription. Conclusion Not all GPs endorse delayed prescribing; however, it appears to be a feasible approach for managing patients with early symptoms of mild upper respiratory tract infections of a possible bacterial origin. Informing the patients properly while issuing wait-and-see prescriptions is essential. PMID:21144201

Primary care practitioner perceptions and attitudes of complementary medicine: a content analysis of free-text responses from a survey of non-metropolitan Australian general practitioners.

PubMed

Wardle, Jon L; Sibbritt, David W; Adams, Jon

2018-05-01

AimThis study examines GP perceptions, attitudes and knowledge of complementary medicine (CM), and to understand contextual factors that influence these perceptions, attitudes and knowledge. CM use is increasing, and its influence on primary care becoming increasingly significant. Although general practitioners (GPs) often have central primary care gate-keeper roles within health systems, few studies have looked specifically at GPs' perceptions, attitudes and knowledge of CM. A questionnaire was mailed to all 1486 GPs registered as practicing in non-metropolitan areas of New South Wales. The survey included one free-text qualitative question, where respondents were invited to highlight issues associated with CM in their own words. Free-text responses were analyzed qualitatively using thematic analysis.FindingsIn total, 585 GPs responded to the survey (adjusted response rate 40.1%), with 152 (26.0%) filling in the free-text question. Central themes which emerged were risk as a primary concern; opposition to, resistance to and the inappropriateness of complementary therapies; struggles with complexity and ambivalent tolerance. GPs in Australia have a wide variety of perceptions toward CM. A minority of GPs have absolute views on CM, with most GPs having numerous caveats and qualifications of individual CM. Efficacy is only one aspect of CM critically evaluated by GPs when gauging support for individual therapies - risk, alignment with medical principles and an openness to exploring new avenues of treatment where others have failed, all appear to be equally important considerations when GPs form their views around CM.

Comparison of the diagnostic ability of Moorfield’s regression analysis and glaucoma probability score using Heidelberg retinal tomograph III in eyes with primary open angle glaucoma

PubMed Central

Jindal, Shveta; Dada, Tanuj; Sreenivas, V; Gupta, Viney; Sihota, Ramanjit; Panda, Anita

2010-01-01

Purpose: To compare the diagnostic performance of the Heidelberg retinal tomograph (HRT) glaucoma probability score (GPS) with that of Moorfield’s regression analysis (MRA). Materials and Methods: The study included 50 eyes of normal subjects and 50 eyes of subjects with early-to-moderate primary open angle glaucoma. Images were obtained by using HRT version 3.0. Results: The agreement coefficient (weighted k) for the overall MRA and GPS classification was 0.216 (95% CI: 0.119 – 0.315). The sensitivity and specificity were evaluated using the most specific (borderline results included as test negatives) and least specific criteria (borderline results included as test positives). The MRA sensitivity and specificity were 30.61 and 98% (most specific) and 57.14 and 98% (least specific). The GPS sensitivity and specificity were 81.63 and 73.47% (most specific) and 95.92 and 34.69% (least specific). The MRA gave a higher positive likelihood ratio (28.57 vs. 3.08) and the GPS gave a higher negative likelihood ratio (0.25 vs. 0.44).The sensitivity increased with increasing disc size for both MRA and GPS. Conclusions: There was a poor agreement between the overall MRA and GPS classifications. GPS tended to have higher sensitivities, lower specificities, and lower likelihood ratios than the MRA. The disc size should be taken into consideration when interpreting the results of HRT, as both the GPS and MRA showed decreased sensitivity for smaller discs and the GPS showed decreased specificity for larger discs. PMID:20952832

Analysis of orbital configurations for geocenter determination with GPS and low-Earth orbiters

NASA Astrophysics Data System (ADS)

Kuang, Da; Bar-Sever, Yoaz; Haines, Bruce

2015-05-01

We use a series of simulated scenarios to characterize the observability of geocenter location with GPS tracking data. We examine in particular the improvement realized when a GPS receiver in low Earth orbit (LEO) augments the ground network. Various orbital configurations for the LEO are considered and the observability of geocenter location based on GPS tracking is compared to that based on satellite laser ranging (SLR). The distance between a satellite and a ground tracking-site is the primary measurement, and Earth rotation plays important role in determining the geocenter location. Compared to SLR, which directly and unambiguously measures this distance, terrestrial GPS observations provide a weaker (relative) measurement for geocenter location determination. The estimation of GPS transmitter and receiver clock errors, which is equivalent to double differencing four simultaneous range measurements, removes much of this absolute distance information. We show that when ground GPS tracking data are augmented with precise measurements from a GPS receiver onboard a LEO satellite, the sensitivity of the data to geocenter location increases by more than a factor of two for Z-component. The geometric diversity underlying the varying baselines between the LEO and ground stations promotes improved global observability, and renders the GPS technique comparable to SLR in terms of information content for geocenter location determination. We assess a variety of LEO orbital configurations, including the proposed orbit for the geodetic reference antenna in space mission concept. The results suggest that a retrograde LEO with altitude near 3,000 km is favorable for geocenter determination.

Pandora's electronic box: GPs reflect upon email communication with their patients.

PubMed

Goodyear-Smith, Felicity; Wearn, Andy; Everts, Hans; Huggard, Peter; Halliwell, Joan

2005-01-01

Global access to information technology has increased dramatically in the past decade, with electronic health care changing medical practice. One example for general practitioners (GPs) is communication with patients via electronic mail (email). GPs face issues regarding e-communication with patients, including how and when it should it be used. The study aims were to assess the extent that GPs communicate with patients by email and explore their attitudes to this mode of communication. Design--telephone interview survey. Setting--primary care, largest urban and suburban area in New Zealand (NZ). Subjects--randomly selected GPs from the Auckland region. Main outcome measure--description of email use; analysis of issues by telephone survey. Data analysed using SPSS-12 and by thematic content analysis. At data saturation, 80 GPs had been interviewed. The majority (68%) had not used email with patients. Only 4% used it regularly. However, there was strong interest in this method. Perceived advantages were the ability to communicate at a distance and time convenient to both doctor and patient; communication where disability affected traditional methods; information-giving (for example, web links); passing on normal results. Identified problems involved inequity of access; linking of electronic data; security; unsuitability for some topics; medico-legal concerns; time; remuneration. Study sample closely mirrored current NZ GP population. Although few GPs emailed with patients, many might once barriers are addressed. GPs had a collective view of the appropriate boundaries for email communication, routine tasks and the transmission of information. GPs would encourage professional debate regarding guidelines for good practice, managing demand and remuneration.

GPs' experiences of children with anxiety disorders in primary care: a qualitative study.

PubMed

O'Brien, Doireann; Harvey, Kate; Young, Bridget; Reardon, Tessa; Creswell, Cathy

2017-12-01

Anxiety disorders have a median age of onset of 11 years and are the most common emotional disorders in childhood; however, a significant proportion of those affected do not access professional support. In the UK, GPs are often the first medical professional that families see so are in a prime position to support children with anxiety disorders; however, currently there is little research available on GPs' perspectives on and experiences of supporting children with these disorders. To explore the experiences of GPs in relation to identification, management, and access to specialist services for children (<12 years) with anxiety disorders. Twenty semi-structured interviews were conducted with GPs in primary care throughout England. GPs reflected a diverse group in relation to the ethnic and socioeconomic profile of registered patients, GP age, sex, professional status, previous engagement with research, and practice size and location. Purposive sampling was used to recruit GPs until theoretical saturation was reached. Data were analysed using a constant comparative method of thematic analysis. Data from 20 semi-structured interviews were organised into three themes: decision making, responsibility, and emotional response, with an overarching theme of GPs feeling ill equipped. These themes were retrospectively analysed to illustrate their role at different stages in the primary care process (identification, management, and access to specialist services). GPs feel ill equipped to manage and support childhood anxiety disorders, demonstrating a need for medical training to include greater emphasis on children's mental health, as well as potential for greater collaboration between primary and specialist services. © British Journal of General Practice 2017.

Use of Global Positioning Systems to Study Physical Activity and the Environment

PubMed Central

Krenn, Patricia J; Titze, Sylvia; Oja, Pekka; Jones, Andrew; Ogilvie, David

2013-01-01

Context The Global Positioning System (GPS) represents an innovative way to objectively assess the spatial locations of physical activity behavior. Purpose The aim of this systematic review was to determine the capability of GPS to collect high quality data on the location of activities in research on the relationship between physical activity and the environment. Evidence acquisition Published and unpublished articles identified from seven electronic databases, reference lists, bibliographies and websites up to March 2010 were systematically searched for, appraised and analysed in summer 2010. Included studies used GPS to measure the spatial locations of physical activity and some form of environmental analysis related to the GPS data. The capability of GPS was expressed in terms of data quality which in turn was defined as the proportion of GPS data lost in each study. Evidence synthesis 24 studies met the inclusion criteria. Data loss was positively correlated with the measurement period for which participants were asked to wear the GPS device (r=0.81, p<0.001). Major reasons for data loss included signal drop outs, loss of device battery power, and poor adherence of participants to measurement protocols. Data loss did not differ significantly between children and adults or by study sample size, year of publication or GPS device manufacturer. Conclusions GPS is a promising tool for improving our understanding of the spatial context of physical activity. Our findings suggest that the choice of an appropriate device and efforts to maximise participant adherence are key improving data quality, especially over longer study periods. PMID:22011423

Global Trends and Variability in Integrated Water Vapor from Ground-Based GPS Data and Climate Models

NASA Astrophysics Data System (ADS)

Bock, O.; Parracho, A. C.; Bastin, S.; Hourdin, F.

2016-12-01

A high-quality, consistent, global, long-term dataset of integrated water vapor (IWV) was produced from Global Positioning System (GPS) measurements at more than 400 sites over the globe among which 120 sites have more than 15 years of data. The GPS delay data were converted to IWV using surface pressure and weighted mean temperature estimates from ERA-Interim reanalysis. A two-step screening method was developed to detect and remove outliers in the IWV data. It is based on: 1) GPS data processing information and delay formal errors, and 2) inter-comparison with ERA-Interim reanalysis data. The GPS IWV data are also homogenized to correct for offsets due to instrumental changes and other unknown factors. The differential homogenization method uses ERA-Interim IWV as a reference. The resulting GPS data are used to document the mean distribution, the global trends and the variability of IWV over the period 1995-2010, and to assess global climate model simulations extracted from the IPCC AR5 archive. Large coherent spatial patterns of moistening and drying are evidenced but significant discrepancies are also seen between GPS measurements, reanalysis and climate models in various regions. In terms of variability, the monthly mean anomalies are inter-compared. The temporal correlation between GPS and the climate model simulations is overall quite small but the spatial variation of the magnitude of the anomalies is globally well simulated. GPS IWV data prove to be useful to validate global climate model simulations and highlight deficiencies in their representation of the water cycle.

Trend-Residual Dual Modeling for Detection of Outliers in Low-Cost GPS Trajectories

PubMed Central

Chen, Xiaojian; Cui, Tingting; Fu, Jianhong; Peng, Jianwei; Shan, Jie

2016-01-01

Low-cost GPS (receiver) has become a ubiquitous and integral part of our daily life. Despite noticeable advantages such as being cheap, small, light, and easy to use, its limited positioning accuracy devalues and hampers its wide applications for reliable mapping and analysis. Two conventional techniques to remove outliers in a GPS trajectory are thresholding and Kalman-based methods, which are difficult in selecting appropriate thresholds and modeling the trajectories. Moreover, they are insensitive to medium and small outliers, especially for low-sample-rate trajectories. This paper proposes a model-based GPS trajectory cleaner. Rather than examining speed and acceleration or assuming a pre-determined trajectory model, we first use cubic smooth spline to adaptively model the trend of the trajectory. The residuals, i.e., the differences between the trend and GPS measurements, are then further modeled by time series method. Outliers are detected by scoring the residuals at every GPS trajectory point. Comparing to the conventional procedures, the trend-residual dual modeling approach has the following features: (a) it is able to model trajectories and detect outliers adaptively; (b) only one critical value for outlier scores needs to be set; (c) it is able to robustly detect unapparent outliers; and (d) it is effective in cleaning outliers for GPS trajectories with low sample rates. Tests are carried out on three real-world GPS trajectories datasets. The evaluation demonstrates an average of 9.27 times better performance in outlier detection for GPS trajectories than thresholding and Kalman-based techniques. PMID:27916944

Software Defined GPS Receiver for International Space Station

NASA Technical Reports Server (NTRS)

Duncan, Courtney B.; Robison, David E.; Koelewyn, Cynthia Lee

2011-01-01

JPL is providing a software defined radio (SDR) that will fly on the International Space Station (ISS) as part of the CoNNeCT project under NASA's SCaN program. The SDR consists of several modules including a Baseband Processor Module (BPM) and a GPS Module (GPSM). The BPM executes applications (waveforms) consisting of software components for the embedded SPARC processor and logic for two Virtex II Field Programmable Gate Arrays (FPGAs) that operate on data received from the GPSM. GPS waveforms on the SDR are enabled by an L-Band antenna, low noise amplifier (LNA), and the GPSM that performs quadrature downconversion at L1, L2, and L5. The GPS waveform for the JPL SDR will acquire and track L1 C/A, L2C, and L5 GPS signals from a CoNNeCT platform on ISS, providing the best GPS-based positioning of ISS achieved to date, the first use of multiple frequency GPS on ISS, and potentially the first L5 signal tracking from space. The system will also enable various radiometric investigations on ISS such as local multipath or ISS dynamic behavior characterization. In following the software-defined model, this work will create a highly portable GPS software and firmware package that can be adapted to another platform with the necessary processor and FPGA capability. This paper also describes ISS applications for the JPL CoNNeCT SDR GPS waveform, possibilities for future global navigation satellite system (GNSS) tracking development, and the applicability of the waveform components to other space navigation applications.

Deciding if lifestyle is a problem: GP risk assessments or patient evaluations? A conversation analytic study of preventive consultations in general practice

PubMed Central

Guassora, Ann Dorrit; Nielsen, Søren Beck; Reventlow, Susanne

2015-01-01

Objective. The aim of this study is to analyse the interaction between patients and GPs in preventive consultations with an emphasis on how patients answer GPs’ questions about lifestyle, and the conditions these answers impose on the process of establishing agreement about lifestyle as a problem or not. Design. Six general practitioners (GPs) video-recorded 15 annual preventive consultations. From these, 32 excerpts of discussions about lifestyle were analysed using conversation analysis (CA). Results. GPs used an interview format to assess risk in patients’ lifestyles. In some cases patients adhered to this format and answered the GPs’ questions, but in many cases patients gave what we have termed “anticipatory answers”. These answers indicate that the patients anticipate a response from their GPs that would highlight problems with their lifestyle. Typically, in an anticipatory answer, patients bypass the interview format to give their own evaluation of their lifestyle and GPs accept this evaluation. In cases of “no-problem” answers from patients, GPs usually encouraged patients by adding support for current habits. Conclusion. Patients anticipated that GPs might assess their lifestyles as problematic and they incorporated this possibility into their responses. They thereby controlled the definition of their lifestyle as a problem or not. GPs generally did not use the information provided in these answers as a resource for further discussion, but rather relied on standard interview procedures. Staying within the patients’ frame of reference and using the patients’ anticipatory answers might provide GPs with a better point of departure for discussion regarding lifestyle. PMID:26467342

Analysis of meteorological variables in the Australasian region using ground- and space-based GPS techniques

NASA Astrophysics Data System (ADS)

Kuleshov, Yuriy; Choy, Suelynn; Fu, Erjiang Frank; Chane-Ming, Fabrice; Liou, Yuei-An; Pavelyev, Alexander G.

2016-07-01

Results of analysis of meteorological variables (temperature and moisture) in the Australasian region using the global positioning system (GPS) radio occultation (RO) and GPS ground-based observations verified with in situ radiosonde (RS) data are presented. The potential of using ground-based GPS observations for retrieving column integrated precipitable water vapour (PWV) over the Australian continent has been demonstrated using the Australian ground-based GPS reference stations network. Using data from the 15 ground-based GPS stations, the state of the atmosphere over Victoria during a significant weather event, the March 2010 Melbourne storm, has been investigated, and it has been shown that the GPS observations has potential for monitoring the movement of a weather front that has sharp moisture contrast. Temperature and moisture variability in the atmosphere over various climatic regions (the Indian and the Pacific Oceans, the Antarctic and Australia) has been examined using satellite-based GPS RO and in situ RS observations. Investigating recent atmospheric temperature trends over Antarctica, the time series of the collocated GPS RO and RS data were examined, and strong cooling in the lower stratosphere and warming through the troposphere over Antarctica has been identified, in agreement with outputs of climate models. With further expansion of the Global Navigation Satellite Systems (GNSS) system, it is expected that GNSS satellite- and ground-based measurements would be able to provide an order of magnitude larger amount of data which in turn could significantly advance weather forecasting services, climate monitoring and analysis in the Australasian region.

Water vapor over Europe obtained from remote sensors and compared with a hydrostatic NWP model

NASA Astrophysics Data System (ADS)

Johnsen, K.-P.; Kidder, S. Q.

Due to its high-variability water vapor is a crucial parameter in short-term numerical weather prediction. Integrated water vapor (IWV) data obtained from a network of groundbased Global Positioning System (GPS) receivers mainly over Germany and passive microwave measurements of the Advanced Microwave Sounding Unit (AMSU-A) are compared with the high-resolution regional weather forecast model HRM of the Deutscher Wetterdienst (DWD). Time series of the IWV at 74 GPS stations obtained during the first complete year of the GFZ/GPS network between May 2000 and April 2001 are applied together with colocated forecasts of the HRM model. The low bias (0.08 kg/m 2) between the HRM model and the GPS data can mainly be explained by the bias between the ECMWF analysis data used to initilize the HRM model and the GPS data. The IWV standard deviation between the HRM model and the GPS data during that time is about 2.47 kg/ m2. GPS stations equipped with surface pressure sensors show about 0.29 kg/ m2 lower standard deviation compared with GPS stations with interpolated surface pressure from synoptic stations. The NOAA/NESDIS Total Precipitable Water algorithm is applied to obtain the IWV and to validate the model above the sea. While the mean IWV obtained from the HRM model is about 2.1 kg/ m2 larger than from the AMSU-A data, the standard deviations are 2.46 kg/ m2 (NOAA-15) and 2.29 kg/ m2 (NOAA-16) similar to the IWV standard deviation between HRM and GPS data.

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.

'I deal with the small things': the doctor-patient relationship and professional identity in GPs' stories of cancer care.

PubMed

Johansen, May-Lill; Holtedahl, Knut Arne; Davidsen, Annette Sofie; Rudebeck, Carl Edvard

2012-11-01

An important part of GPs' work consists of attending to the everyday and existential conditions of human being. In these life world aspects, biomedicine is often not the relevant theory to guide the GP; nevertheless they are a part of GPs' professional domain. In cancer care, previous studies have shown that GPs with a biomedical perspective on medicine could feel subordinate to specialists, and that doctors with a curative focus could see disease progression as a personal failure. The aim of this study was to explore in depth the experiences of being a GP for people with advanced cancer. Fourteen Norwegian GPs were interviewed about accompanying patients through a cancer illness. Their stories were analysed using a narrative approach. The GPs expressed a strong commitment to these patients, a loyalty which in some cases could be weakened due to judgements of distant specialists. In view of the GPs' close knowledge of their patients' background and history this subordination was a paradox, mirroring a hierarchy of medical knowledge. The GPs had an ideal of honesty and openness about death, which they sometimes failed. To reach the ideal of honesty, clinicians would have to abandon the biomedical ideal of mastering human nature through interventions and acknowledge the fundamental uncertainty and finiteness of human life. GPs may learn from being with their patients that bodily and existential suffering are connected, and thus learn implicitly to overlook the body-mind dualism. This practical wisdom lacks a theoretical anchoring, which is a problem not only for general practice.

The modified glasgow prognostic score is an independent prognostic indicator in neoadjuvantly treated adenocarcinoma of the esophagogastric junction

PubMed Central

Jomrich, Gerd; Hollenstein, Marlene; John, Maximilian; Baierl, Andreas; Paireder, Matthias; Kristo, Ivan; Ilhan-Mutlu, Aysegül; Asari, Reza; Preusser, Matthias; Schoppmann, Sebastian F.

2018-01-01

The modified Glasgow Prognostic Score (mGPS) combines the indicators of decreased plasma albumin and elevated CRP. In a number of malignancies, elevated mGPS is associated with poor survival. Aim of this study was to investigate the prognostic role of mGPS in patients with neoadjuvantly treated adenocarcinomas of the esophagogastric junction 256 patients from a prospective database undergoing surgical resection after neoadjuvant treatment between 2003 and 2014 were evaluated. mGPS was scored as 0, 1, or 2 based on CRP (>1.0 mg/dl) and albumin (<35 g/L) from blood samples taken prior (preNT-mGPS) and after (postNT-mGPS) neoadjuvant therapy. Scores were correlated with clinicopathological patients’ characteristics. From 155 Patients, sufficient data was available. Median follow-up was 63.8 months (33.3–89.5 months). In univariate analysis, Cox proportional hazard model shows significant shorter patients OS (p = 0.04) and DFS (p = 0.02) for increased postNT-mGPS, preNT-hypoalbuminemia (OS: p = 0.003; DFS: p = 0.002) and post-NT-CRP (OS: p = 0.03; DFS: p = 0.04). Elevated postNT-mGPS and preNT-hypoalbuminemia remained significant prognostic factors in multivariate analysis for OS (p = 0.02; p = 0.005,) and DFS (p = 0.02, p = 0.004) with tumor differentiation and tumor staging as significant covariates. PostNT-mGPS and preNT-hypoalbuminemia are independent prognostic indicators in patients with neoadjuvantly treated adenocarcinomas of the esophagogastric junction and significantly associated with diminished OS and DFS. PMID:29467943

[Child protection system: Knowledge and role of the general practitioners in Ille-et-Vilaine].

PubMed

Balençon, M; Arrieta, A; You, C A; Brun, J-F; Federico-Desgranges, M; Roussey, M

2016-01-01

On 5 March 2007 the law concerning the child protection system was reformed. Since this date, child protection services are responsible for child abuse and neglect. Child protection services are now attempting to determine the rightful place for parents. Asking for child protection is now easier for the general practitioner (GP), who can submit a "preoccupying information (PI)" form. The aim of this study was to review GPs' knowledge on this issue 6 years after the passage of this new law. Prospective postal investigation between 04/01/2013 and 06/01/2013. A total of 298 (113 women) of the 899 GPs of the Ille-et-Vilaine area in Brittany answered a few questions about their activity and their knowledge on child abuse and neglect. The sample's mean age, sex, and practice was representative of the GPs in this area. Only 25.5% of the GPs had any knowledge of this new law. The term "preoccupying information" was unfamiliar to 70.1% of the GPs and what to do with the PI was unknown to 77.2%. The GPs did not know which type of letter to send nor where to send it between legal child protection and social protection services. Only 5% of the GPs had child protection training on PI. The main problem informing the child protection services was the lack of training. Consequently, 91.9% of the GPs would like training. The GPs in the Ille-et-Vilaine area in Brittany are unfamiliar with the child protection updates and need special training. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Mapping the Coastline Limits of the Mexican State Sinaloa Using GPS

NASA Astrophysics Data System (ADS)

Vazquez, G. E.

2007-12-01

This research work presents the delimitation of the coastline limits of Sinaloa (one of the richest states of northwestern Mexico). In order to achieve this big task, it was required to use GPS (Global Positioning System) together with leveling spirit measurements. Based on the appropriate selection of the cited measurement techniques, the objective was to map the Sinaloa's state coastline to have the cartography of approximate 1600 km of littoral. The GPS measurements were performed and referred with respect to a GPS network located across the state. This GPS network consists of at least one first-order-site at each of the sixteen counties that constitute the state, and three to four second-order-sites of the ten counties of the state surrounded by sea. The leveling spirit measurements were referred to local benchmarks pre-established by the Mexican agency SEMARNAT (SEcretaría Del Medio Ambiente y Recursos NATurales). Within the main specifications of the GPS measurements and equipment, we used geodetic-dual-frequency GPS receivers in kinematic mode for both base stations (first and second order sites of the GPS state network) and rover stations (points forming the state littoral) with 5-sec log-rate interval and 10 deg cut-off angle. The GPS data processing was performed using the commercial software Trimble Geomatics Office (TGO) with Double Differences (DD) in post-processing mode. To this point, the field measurements had been totally covered including the cartography (scale 1:1000) and this includes the specifications and appropriate labeling according to the Mexican norm NOM-146-SEMARNAT-2005.

The never ending road: improving, adapting and refining a needs-based model to estimate future general practitioner requirements in two Australian states.

PubMed

Laurence, Caroline O; Heywood, Troy; Bell, Janice; Atkinson, Kaye; Karnon, Jonathan

2018-03-27

Health workforce planning models have been developed to estimate the future health workforce requirements for a population whom they serve and have been used to inform policy decisions. To adapt and further develop a need-based GP workforce simulation model to incorporate current and estimated geographic distribution of patients and GPs. A need-based simulation model that estimates the supply of GPs and levels of services required in South Australia (SA) was adapted and applied to the Western Australian (WA) workforce. The main outcome measure was the differences in the number of full-time equivalent (FTE) GPs supplied and required from 2013 to 2033. The base scenario estimated a shortage of GPs in WA from 2019 onwards with a shortage of 493 FTE GPs in 2033, while for SA, estimates showed an oversupply over the projection period. The WA urban and rural models estimated an urban shortage of GPs over this period. A reduced international medical graduate recruitment scenario resulted in estimated shortfalls of GPs by 2033 for WA and SA. The WA-specific scenarios of lower population projections and registrar work value resulted in a reduced shortage of FTE GPs in 2033, while unfilled training places increased the shortfall of FTE GPs in 2033. The simulation model incorporates contextual differences to its structure that allows within and cross jurisdictional comparisons of workforce estimations. It also provides greater insights into the drivers of supply and demand and the impact of changes in workforce policy, promoting more informed decision-making.

Accuracy of tracking forest machines with GPS

Treesearch

M.W. Veal; S.E. Taylor; T.P. McDonald; D.K. McLemore; M.R. Dunn

2001-01-01

This paper describes the results of a study that measured the accuracy of using GPS to track movement of forest machines. Two different commercially available GPS receivers (Trimble ProXR and GeoExplorer II) were used to track\\r\

NAVSTAR GPS Marine Receiver Performance Analysis

DOT National Transportation Integrated Search

1984-09-01

This report is an analysis and comparison of the capability of several NAVSTAR GPS receiver configurations to provide accurate position data to the civil marine user. The NAVSTAR GPS system itself has the potential to provide civil marine users with ...

The GPS odograph user's guide

DOT National Transportation Integrated Search

The GPS-based Odograph Prototype (GOP or GPS Odograph) was developed in an effort sponsored by The Federal Highway Administration (FHWA). The purpose of this effort was to develop a means of using inexpensive commercial off-the-self laptop (or notebo...

New empirically-derived solar radiation pressure model for GPS satellites

NASA Technical Reports Server (NTRS)

Bar-Sever, Y.; Kuang, D.

2003-01-01

Solar radiation pressure force is the second largest perturbation acting on GPS satellites, after the gravitational attraction from the Earth, Sun, and Moon. It is the largest error source in the modeling of GPS orbital dynamics.

Recap, One-on-One Discussions, and Moving Forward

DOT National Transportation Integrated Search

2014-12-04

Recap. Initial WorkshopI held on September 18, 2014 at the Volpe Center. Overview of DOT GPS Adjacent Band Compatibility Assessment Plan and plans/timeline for implementation. Presentation on GPS use cases and list of representative GPS receivers....

75 FR 61818 - Eighty-Third Meeting: RTCA Special Committee 159: Global Positioning System (GPS).

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-06

... & Hilton-ATA Room. All Day, Working Group 7, GPS/Antennas, ARINC Room. Friday, October 29 Plenary Session...) GPS/Antennas (WG-7) Review of EUROCAE Activities. Nav and ADS-B Out Equipment Requirements--Discussion...

The world after SA : benefits to GPS integrity.

DOT National Transportation Integrated Search

2000-03-01

The Presidential Decision Directive (PDD) on the Global Positioning System (GPS) recommends that selective availability (SA) be removed by 2006. The question remains: if SA were to be turned off, how significant are the benefits to the GPS community?...

How general practitioners perceive and assess self-care in patients with multiple chronic conditions: a qualitative study.

PubMed

Kristensen, Mads Aage Toft; Hølge-Hazelton, Bibi; Waldorff, Frans Boch; Guassora, Ann Dorrit

2017-12-22

It is not known how general practitioners (GPs) perceive the concept of self-care and how they assess self-care ability in patients with multiple chronic conditions. As a part of the strategy to improve the care of people living with chronic conditions, disease management programs in Denmark require GPs and other health care workers to assess and support patients' self-care ability. The aim of the present study was to explore GPs' perceptions and assessment of self-care ability in patients with multiple chronic conditions who have difficulty following a given treatment. A qualitative study conducted through in-depth, semi-structured interviews with a purposive sample of 12 GPs in rural areas of Denmark with economically disadvantaged populations. The interviews involved 36 complex patient cases selected by the GPs themselves. Our analysis followed the principles of systematic text condensation. Most GPs in our study had a health-related perception of self-care, but some had a broader perception encompassing the situational context of the patient's life. The GPs' assessments of patients' self-care ability were based on information from the ongoing and often long-term relationships with the patients. GPs identified four major factors that influenced patients' self-care ability, which accumulated and fluctuated over time: multimorbidity, cognitive resources, material resources, and the patients' social contexts. The GPs in this study had dual perceptions of self-care, related to both the chronic health conditions and to the broader situational contexts of their patients' lives. GPs' assessments of self-care ability depended largely on their experiences from the doctor-patient relationship, and they emphasized that the factors affecting self-care ability were highly dynamic over the patient's lifetime. However, these findings might be resisted by the Danish disease management programs, which tend to have a static and more narrow, health-related view of patient self-care. The Danish programs require GPs to assess self-care ability upfront at the beginning of treatment and do not consider whether a relationship with the patient is established. If GPs' perceptions and assessments of self-care ability are not included in chronic disease management models, there is a risk that they vill be insufficiently implemented in general practice.

Seasonal Water Storage Variations as Impacted by Water Abstractions: Comparing the Output of a Global Hydrological Model with GRACE and GPS Observations

NASA Astrophysics Data System (ADS)

Döll, Petra; Fritsche, Mathias; Eicker, Annette; Müller Schmied, Hannes

2014-11-01

Better quantification of continental water storage variations is expected to improve our understanding of water flows, including evapotranspiration, runoff and river discharge as well as human water abstractions. For the first time, total water storage (TWS) on the land area of the globe as computed by the global water model WaterGAP (Water Global Assessment and Prognosis) was compared to both gravity recovery and climate experiment (GRACE) and global positioning system (GPS) observations. The GRACE satellites sense the effect of TWS on the dynamic gravity field of the Earth. GPS reference points are displaced due to crustal deformation caused by time-varying TWS. Unfortunately, the worldwide coverage of the GPS tracking network is irregular, while GRACE provides global coverage albeit with low spatial resolution. Detrended TWS time series were analyzed by determining scaling factors for mean annual amplitude ( f GRACE) and time series of monthly TWS ( f GPS). Both GRACE and GPS indicate that WaterGAP underestimates seasonal variations of TWS on most of the land area of the globe. In addition, seasonal maximum TWS occurs 1 month earlier according to WaterGAP than according to GRACE on most land areas. While WaterGAP TWS is sensitive to the applied climate input data, none of the two data sets result in a clearly better fit to the observations. Due to the low number of GPS sites, GPS observations are less useful for validating global hydrological models than GRACE observations, but they serve to support the validity of GRACE TWS as observational target for hydrological modeling. For unknown reasons, WaterGAP appears to fit better to GPS than to GRACE. Both GPS and GRACE data, however, are rather uncertain due to a number of reasons, in particular in dry regions. It is not possible to benefit from either GPS or GRACE observations to monitor and quantify human water abstractions if only detrended (seasonal) TWS variations are considered. Regarding GRACE, this is mainly caused by the attenuation of the TWS differences between water abstraction variants due to the filtering required for GRACE TWS. Regarding GPS, station density is too low. Only if water abstractions lead to long-term changes in TWS by depletion or restoration of water storage in groundwater or large surface water bodies, GRACE may be used to support the quantification of human water abstractions.

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.

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.

Travel patterns during pregnancy: comparison between Global Positioning System (GPS) tracking and questionnaire data.

PubMed

Wu, Jun; Jiang, Chengsheng; Jaimes, Guillermo; Bartell, Scott; Dang, Andy; Baker, Dean; Delfino, Ralph J

2013-10-09

Maternal exposures to traffic-related air pollution have been associated with adverse pregnancy outcomes. Exposures to traffic-related air pollutants are strongly influenced by time spent near traffic. However, little is known about women's travel activities during pregnancy and whether questionnaire-based data can provide reliable information on travel patterns during pregnancy. Examine women's in-vehicle travel behavior during pregnancy and examine the difference in travel data collected by questionnaire and global positioning system (GPS) and their potential for exposure error. We measured work-related travel patterns in 56 pregnant women using a questionnaire and one-week GPS tracking three times during pregnancy (<20 weeks, 20-30 weeks, and >30 weeks of gestation). We compared self-reported activities with GPS-derived trip distance and duration, and examined potentially influential factors that may contribute to differences. We also described in-vehicle travel behavior by pregnancy periods and influences of demographic and personal factors on daily travel times. Finally, we estimated personal exposure to particle-bound polycyclic aromatic hydrocarbon (PB-PAH) and examined the magnitude of exposure misclassification using self-reported vs. GPS travel data. Subjects overestimated both trip duration and trip distance compared to the GPS data. We observed moderately high correlations between self-reported and GPS-recorded travel distance (home to work trips: r = 0.88; work to home trips: r = 0.80). Better agreement was observed between the GPS and the self-reported travel time for home to work trips (r = 0.77) than work to home trips (r = 0.64). The subjects on average spent 69 and 93 minutes traveling in vehicles daily based on the GPS and self-reported data, respectively. Longer daily travel time was observed among participants in early pregnancy, and during certain pregnancy periods in women with higher education attainment, higher income, and no children. When comparing self-reported vs. GPS data, we found that estimated personal exposure to PB-PAH did not differ remarkably at the population level, but the difference was large at an individual level. Self-reported home-to-work data overestimated both trip duration and trip distance compared to GPS data. Significant differences in PAH exposure estimates were observed at individual level using self-reported vs. GPS data, which has important implications in air pollution epidemiological studies.

Aspects of work-life balance of Australian general practitioners: determinants and possible consequences.

PubMed

Shrestha, Durga; Joyce, Catherine M

2011-01-01

The Australian general practitioner (GP) workforce, especially younger generation GPs and female GPs, increasingly prioritises work-life balance (WLB). Good WLB is associated with decreased interest of medical students in general practice as a speciality choice as well as good health and wellbeing, and decisions of GPs to retire early. Therefore, understanding the role played by different factors in achieving WLB is crucial to ensure a sufficient GP workforce necessary to meet the rising demands of health care. There is a dearth of empirical, quantitative, large, population-based studies assessing the level of WLB in the Australian GP population as well as contributing and consequent factors. Our study fills this identified gap in the current literature. This study aimed to investigate the extent, determinants and possible consequences of WLB of Australian GPs. Data for this study come from the baseline cohort of the Medicine in Australia: Balancing Employment and Life (MABEL) longitudinal, population-level survey. Questionnaires tailored specifically for GPs and GP registrars were sent to all clinically active GPs registered in the Australian Medical Publishing Co. (AMPCo) database (n=22137), with a choice of completing either a paper or online version. Data were collected between June and December 2008. STATA (10.0) was used for conducting weighted data analyses. Regression methods were applied for assessing the associations between dependent and independent variables. Of the 3906 GPs (17.6%) who responded, 53% reported that the balance between their personal and professional commitments was about right. Generation X GPs and females reported a better WLB than baby boomers and males respectively. However, those reporting good WLB also worked significantly fewer hours than those reporting poor WLB. GPs who reported good opportunities for leisure activities and perceived that they have good health also reported better WLB. Contrastingly, those reporting difficulty in taking time off when wanted, working unpredictable and longer hours reported poor WLB. Importantly, poor WLB was associated with increased intention to reduce total hours worked by GPs. Several factors relating to family and social circumstances were not significantly associated with WLB of GPs in this study. Only half of the GP workforce reported good WLB. Flexibility of work hours, opportunities for leisure activities and good health of GPs have the potential to enhance the WLB and hence promote greater GP participation in the workforce.

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

The limits of direct satellite tracking with the Global Positioning System (GPS)

NASA Technical Reports Server (NTRS)

Bertiger, W. I.; Yunck, T. P.

1988-01-01

Recent advances in high precision differential Global Positioning System-based satellite tracking can be applied to the more conventional direct tracking of low earth satellites. To properly evaluate the limiting accuracy of direct GPS-based tracking, it is necessary to account for the correlations between the a-priori errors in GPS states, Y-bias, and solar pressure parameters. These can be obtained by careful analysis of the GPS orbit determination process. The analysis indicates that sub-meter accuracy can be readily achieved for a user above 1000 km altitude, even when the user solution is obtained with data taken 12 hours after the data used in the GPS orbit solutions.

MINOS Timing and GPS Precise Point Positioning

DTIC Science & Technology

2012-01-01

Minos Timing Spec • Neutrinos created in bunches separated by 19 ns • ~ 1 neutrino/day detected in Soudan Mine – 2 milliseconds travel time...calibration – No low-cost Fermilab to Soudan Mine connections known – Not yet tested for operational time transfer Clock Options • High-Performance... UNDERGROUND LABORATORY •;, ~ (((ft.F ~’: · GPS PRECISE POINT POSITIONING A Brief Overview What is GPS PPP? • GPS PPP is a way to use precise ephemerides

Briefing Highlights Vulnerability of GPS to Adverse Space Weather

NASA Astrophysics Data System (ADS)

Balcerak, Ernie

2011-08-01

Through its effects on GPS and other technologies, space weather can affect a variety of industries, including agriculture, commercial air travel, and emergency response. Speakers focused on these topics at a 22 June briefing on Capitol Hill in Washington, D. C. Solar flares can produce radio bursts that directly interfere with GPS signals. Solar activity can also cause ionospheric disturbances that produce distortions and delays in GPS signals, degrading the accuracy of positioning and navigation systems.

Method and apparatus for relative navigation using reflected GPS signals

NASA Technical Reports Server (NTRS)

Cohen, Ian R. (Inventor); Boegner, Jr., Gregory J. (Inventor)

2010-01-01

A method and system to passively navigate an orbiting moving body towards an orbiting target using reflected GPS signals. A pair of antennas is employed to receive both direct signals from a plurality of GPS satellites and a second antenna to receive GPS signals reflected off an orbiting target. The direct and reflected signals are processed and compared to determine the relative distance and position of the orbiting moving body relative to the orbiting target.

Evaluation of the Time and Frequency Transfer Capabilities of a Network of GNSS Receivers Located in Timing Laboratories

DTIC Science & Technology

2009-11-01

metrology, different techniques are used for time and frequency transfer, basically TWSTFT (Two-Way Satellite Time and Frequency Transfer), GPS CV (Common...traditional GPS/GLONASS CV/AV receivers and TWSTFT equipment. Time and frequency transfer using GPS code and carrier-phase is an important...or mixing GPS geodetic results with other independent techniques, such as the TWSTFT . 41 st Annual Precise Time and Time Interval (PTTI

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 Use of Mobile Phone and Medical Apps among General Practitioners in Hangzhou City, Eastern China.

PubMed

Liu, Ying; Ren, Wen; Qiu, Yan; Liu, Juanjuan; Yin, Pei; Ren, Jingjing

2016-05-24

Mobile phones and mobile phone apps have expanded new forms of health professionals' work. There are many studies on the use of mobile phone apps for different specialists. However, there are no studies on the current use of mobile phone apps among general practitioners (GPs). The objective of the study was to investigate the extent to which GPs own smartphones with apps and use them to aid their clinical activities. A questionnaire survey of GPs was undertaken in Hangzhou, Eastern China. Data probing GPs' current use of medical apps in their clinical activities and factors influencing app use were collected and analyzed 125 GPs participated in the survey. 90.4% of GPs owned a mobile phone, with 48.7% owning an iPhone and 47.8% owning an Android phone. Most mobile phone owners had 1-3 medical-related apps, with very few owning more than 4. There was no difference in number of apps between iPhone and Android owners (χ(2)=1.388, P=0.846). 36% of GPs reported using medical-related apps on a daily basis. The majority of doctors reported using apps to aid clinical activities less than 30 minutes per day. A high level of mobile phone ownership and usage among GPs was found in this study, but few people chose medical-related apps to support their clinical practice.

The influential role of personal advice networks on general practitioners' performance: a social capital perspective.

PubMed

Calciolari, Stefano; González-Ortiz, Laura G; Lega, Federico

2017-08-08

In several health systems of advanced countries, reforms have changed primary care in the last two decades. The literature has assessed the effects of a variety of interventions and individual factors on the behavior of general practitioners (GPs). However, there has been a lack of investigation concerning the influence of the resources embedded in the GPs' personal advice networks (i.e., social capital) on GPs' capacity to meet defined objectives. The present study has two goals: (a) to assess the GPs' personal advice networks according to the social capital framework and (b) to test the influence of such relationships on GPs' capacity to accomplish organizational goals. The data collection relied on administrative data provided by an Italian local health authority (LHA) and a survey administered to the GPs of the selected LHA. The GPs' personal advice networks were assessed through an ad-hoc instrument and interpreted as egocentric networks. Multivariate regression analyses assessed two different performance measures. Social capital may influence the GPs' capacity to meet targets, though the influence differs according to the objective considered. In particular, the higher the professional heterogeneity of a GP personal advice network, the lower her/his capacity is to meet targets of prescriptive appropriateness. Our findings might help to design more effective primary care reforms depending on the pursued goals. However, further research is needed.

Briefing highlights space weather risks to GPS

NASA Astrophysics Data System (ADS)

Tretkoff, Ernie

2011-07-01

Solar storms, which are expected to increase as the Sun nears the most active phase of the solar cycle, can disrupt a variety of technologies on which society relies. Speakers at a 22 June briefing on Capitol Hill in Washington, D. C., focused on how space weather can affect the Global Positioning System (GPS), which is used in a wide range of industries, including commercial air travel, agriculture, national security, and emergency response. Rocky Stone, chief technical pilot for United Airlines, noted that GPS allows more aircraft to be in airspace, saves fuel, and helps aircraft move safely on runways. “Improvements in space weather forecasting need to be pursued,” he said. Precision GPS has also “changed the whole nature of farming,” said Ron Hatch, Director of Navigation Systems, NavCom Technology/John Deere. GPS makes it possible for tractors to be driven in the most efficient paths and for fertilizer and water to be applied precisely to the areas that most need them. Space weather-induced degradation of GPS signals can cause significant loss to farms that rely on GPS. Elizabeth Zimmerman, Deputy Associate Administrator for the Office of Response and Recovery at the Federal Emergency Management Agency (FEMA), described how FEMA relies on GPS for disaster recovery. The agency is developing an operations plan for dealing with space weather, she said.

Implementation of a low-cost, commercial orbit determination system

NASA Technical Reports Server (NTRS)

Corrigan, Jim

1994-01-01

This paper describes the implementation and potential applications of a workstation-based orbit determination system developed by Storm Integration, Inc. called the Precision Orbit Determination System (PODS). PODS is offered as a layered product to the commercially-available Satellite Tool Kit (STK) produced by Analytical Graphics, Inc. PODS also incorporates the Workstation/Precision Orbit Determination (WS/POD) product offered by Van Martin System, Inc. The STK graphical user interface is used to access and invoke the PODS capabilities and to display the results. WS/POD is used to compute a best-fit solution to user-supplied tracking data. PODS provides the capability to simultaneously estimate the orbits of up to 99 satellites based on a wide variety of observation types including angles, range, range rate, and Global Positioning System (GPS) data. PODS can also estimate ground facility locations, Earth geopotential model coefficients, solar pressure and atmospheric drag parameters, and observation data biases. All determined data is automatically incorporated into the STK data base, which allows storage, manipulation and export of the data to other applications. PODS is offered in three levels: Standard, Basic GPS and Extended GPS. Standard allows processing of non-GPS observation types for any number of vehicles and facilities. Basic GPS adds processing of GPS pseudo-ranging data to the Standard capabilities. Extended GPS adds the ability to process GPS carrier phase data.

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.

Evaluation of the Glasgow Prognostic Score in patients receiving chemoradiotherapy for stage III and IV esophageal cancer.

PubMed

Kimura, J; Kunisaki, C; Makino, H; Oshima, T; Ota, M; Oba, M; Takagawa, R; Kosaka, T; Ono, H A; Akiyama, H; Endo, I

2016-11-01

High Glasgow Prognostic scores (GPSs) have been associated with poor outcomes in various tumors, but the values of GPS and modified GPS (mGPS) in patients with advanced esophageal cancer receiving chemoradiotherapy (CRT) has not yet been reported. We have evaluated these with respect to predicting responsiveness to CRT and long-term survival. Between January 2002 and December 2011, tumor responses in 142 esophageal cancer patients (131 men and 11 women) with stage III (A, B and C) and IV receiving CRT were assessed. We assessed the value of the GPS as a predictor of a response to definitive CRT and also as a prognostic indicator in patients with esophageal cancer receiving CRT. We found that independent predictors of CRT responsiveness were Eastern Cooperative Oncology Group (ECOG) performance status, GPS and cTNM stage. Independent prognostic factors were ECOG performance status and GPS for progression-free survival and ECOG performance status, GPS and cTNM stage IV for disease-specific survival. GPS may be a novel predictor of CRT responsiveness and a prognostic indicator for progression-free and disease-specific survival in patients with advanced esophageal cancer. However, a multicenter study as same regime with large number of patients will be needed to confirm these outcomes. © 2015 International Society for Diseases of the Esophagus.

General practitioners’ and primary care nurses’ care for people with disabilities: quality of communication and awareness of supportive services

PubMed Central

Storms, Hannelore; Marquet, Kristel; Claes, Neree

2017-01-01

Background General practitioners (GPs) and primary-care nurses (PCNs) often feel inexperienced or inadequately educated to address unmet needs of people with disabilities (PDs). In this research, GPs’ and PCNs’ communication with PDs and health care professionals, as well as their awareness of supportive measures relevant to PDs (sensory disabilities excluded), was examined. Materials and methods An electronic questionnaire was sent out to 545 GPs and 1,547 PCNs employed in Limburg (Belgium). GPs and PCNs self-reported about both communication with parties involved in care for PDs (scale very good, good, bad, very bad) and their level of awareness of supportive measures relevant for PDs (scale unaware, inadequately aware, adequately aware). Results Of the questionnaire recipients, 6.6% (36 of 545) of GPs and 37.6% (588 of 1,547) of PCNs participated: 68.8% of 32 GPs and 45.8% of 443 PCNs categorized themselves as communicating well with PDs, and attributed miscommunication to limited intellectual capacities of PDs. GPs and PCNs reported communicating well with other health care professionals. Inadequate awareness was reported for tools to communicate (88.3% of GPs, 89% of PCNs) and benefits for PDs (44.1% of GPs, 66.9% of PCNs). Conclusion GPs’ and PCNs’ lacking awareness of communication aids is problematic. Involvement in a multidisciplinary, expert network might bypass inadequate awareness of practical and social support measures. PMID:29033579

Ethical principles and the rationing of health care: a qualitative study in general practice

PubMed Central

Berney, Lee; Kelly, Moira; Doyal, Len; Feder, Gene; Griffiths, Chris; Jones, Ian Rees

2005-01-01

Background Researching sensitive topics, such as the rationing of treatments and denial of care, raises a number of ethical and methodological problems. Aim To describe the methods and findings from a number of focus group discussions that examined how GPs apply ethical principles when allocating scarce resources. Design of study A small-scale qualitative study involving purposive sampling, semi-structured interviews and focus groups. Setting Twenty-four GPs from two contrasting areas of London: one relatively affluent and one relatively deprived. Method Initial interviews asked GPs to identify key resource allocation issues. The interviews were transcribed and themes were identified. A number of case studies, each illustrative of an ethical issue related to rationing, were written up in the form of vignettes. In focus group discussions, GPs were given a number of these vignettes to debate. Results With respect to the ethical basis for decision making, the findings from this part of the study emphasised the role of social and psychological factors, the influence of the quality of the relationship between GPs and patients and confusion among GPs about their role in decision making. Conclusion The use of vignettes developed from prior interviews with GPs creates a non-threatening environment to discuss sensitive or controversial issues. The acceptance by GPs of general moral principles does not entail clarity of coherence of the application of these principles in practice. PMID:16105371

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].

Ionospheric earthquake effects detection based on Total Electron Content (TEC) GPS Correlation

NASA Astrophysics Data System (ADS)

Sunardi, Bambang; Muslim, Buldan; Eka Sakya, Andi; Rohadi, Supriyanto; Sulastri; Murjaya, Jaya

2018-03-01

Advances in science and technology showed that ground-based GPS receiver was able to detect ionospheric Total Electron Content (TEC) disturbances caused by various natural phenomena such as earthquakes. One study of Tohoku (Japan) earthquake, March 11, 2011, magnitude M 9.0 showed TEC fluctuations observed from GPS observation network spread around the disaster area. This paper discussed the ionospheric earthquake effects detection using TEC GPS data. The case studies taken were Kebumen earthquake, January 25, 2014, magnitude M 6.2, Sumba earthquake, February 12, 2016, M 6.2 and Halmahera earthquake, February 17, 2016, M 6.1. TEC-GIM (Global Ionosphere Map) correlation methods for 31 days were used to monitor TEC anomaly in ionosphere. To ensure the geomagnetic disturbances due to solar activity, we also compare with Dst index in the same time window. The results showed anomalous ratio of correlation coefficient deviation to its standard deviation upon occurrences of Kebumen and Sumba earthquake, but not detected a similar anomaly for the Halmahera earthquake. It was needed a continous monitoring of TEC GPS data to detect the earthquake effects in ionosphere. This study giving hope in strengthening the earthquake effect early warning system using TEC GPS data. The method development of continuous TEC GPS observation derived from GPS observation network that already exists in Indonesia is needed to support earthquake effects early warning systems.

Improving the Quality of Low-Cost GPS Receiver Data for Monitoring Using Spatial Correlations

NASA Astrophysics Data System (ADS)

Zhang, Li; Schwieger, Volker

2016-06-01

The investigations on low-cost single frequency GPS receivers at the Institute of Engineering Geodesy (IIGS) show that u-blox LEA-6T GPS receivers combined with Trimble Bullet III GPS antennas containing self-constructed L1-optimized choke rings can already obtain an accuracy in the range of millimeters which meets the requirements of geodetic precise monitoring applications (see [27]). However, the quality (accuracy and reliability) of low-cost GPS receiver data, particularly in shadowing environment, should still be improved, since the multipath effects are the major error for the short baselines. For this purpose, several adjoined stations with low-cost GPS receivers and antennas were set up next to the metal wall on the roof of the IIGS building and measured statically for several days. The time series of three-dimensional coordinates of the GPS receivers were analyzed. Spatial correlations between the adjoined stations, possibly caused by multipath effect, will be taken into account. The coordinates of one station can be corrected using the spatial correlations of the adjoined stations, so that the quality of the GPS measurements is improved. The developed algorithms are based on the coordinates and the results will be delivered in near-real-time (in about 30 minutes), so that they are suitable for structural health monitoring applications.

Effects of graphene plates' adoption on the microstructure, mechanical properties, and in vivo biocompatibility of calcium silicate coating.

PubMed

Xie, Youtao; Li, Hongqin; Ding, Chuanxian; Zheng, Xuebin; Li, Kai

2015-01-01

Calcium silicate (CS) ceramic is a good coating candidate for biomedical implants to improve biocompatibility and accelerate early osseointegration. However, the poor fracture toughness and wear resistance of this ceramic material restricts the long-term performance of implants. In this study, graphene plates (GPs) were used as reinforcement to improve the mechanical properties of CS coating. Composite coating containing 1.5 weight % GPs was prepared by vacuum plasma spraying technology. The good survival of the GPs in the composite coating was demonstrated by Raman analysis, although the defects of the GPs were increased after plasma spraying. Effects of the GPs' adoption on the microstructure of the coating were studied by scanning electron microscopy and transmission electron microscopy. Results showed that the GPs were homogenously distributed in the CS grains interface or enwrapped on the particles, and exhibited good wetting behavior with the CS matrix. The wear properties of the composite coating were obviously enhanced by the reinforcement of GPs. The reinforcement mechanism was attributed to the enhanced micro-hardness and interfacial bonding of the particles in the coating. In vivo experiments demonstrated that the composite coating possessed similarly good biocompatibility compared to pure CS coating. The bone-implant contact ratio reached 84.3%±7.4% for GPs/CS coating and 79.6%±9.4% for CS coating after 3 months' implantation.

National aerospace meeting of the Institute of Navigation

NASA Astrophysics Data System (ADS)

Fell, Patrick

The program for this year's aerospace meeting of The Institute of Navigation addressed developments in the evolving Global Positioning System (GPS) of navigation satellites, inertial navigation systems, and other electronic navigation systems and their applications. Also included in the program were a limited number of papers addressing the geodetic use of the GPS system.The Global Positioning System is a constellation of 18 navigation satellites being developed by the Department of Defense to provide instantaneous worldwide navigation. The system will support a multitude of military applications. The first paper by Jacobson reviewed the engineering development of GPS navigation receivers stressing the use of common hardware and software modules. A later paper by Ould described the mechanization of a digital receiver for GPS applications designed for faster acquisition of the spread spectrum satellite transmissions than analog receivers. The paper by Brady discussed the worldwide coverage that is provided by the limited number of satellites that will constitute the GPS constellation through 1983. The capability provided by the satellites presently on orbit would support a variety of experiments at almost any location. Tables of multiple satellite availability are provided for numerous worldwide locations. For civil aviation applications, Vogel addressed the satellite geometry considerations for low cost GPS user equipment, Esposito described the Federal Aviation Administration acceptance tests of a GPS navigation receiver, and Hopkins discussed the design and capability of an integrated GPS strapdown attitude and heading reference system for avionics.

Drug reimbursement and GPs' prescribing decisions: a randomized case-vignette study about the pharmacotherapy of obesity associated with type 2 diabetes: how GPs react to drug reimbursement.

PubMed

Verger, Pierre; Rolland, Sophie; Paraponaris, Alain; Bouvenot, Julien; Ventelou, Bruno

2010-08-01

This study sought to identify the effect of drug reimbursability--a decision made in France by the National Authority for Health--on physicians' prescribing practices for a diet drug such as rimonabant, approved for obese or overweight patients with type-2 diabetes. A cross-sectional survey of French general practitioners (GPs) presented a case-vignette about a patient for whom this drug is indicated in two alternative versions, differing only in its reimbursability, to two separate randomized subsamples of GPs in early 2007, before any decision was made about reimbursement. The results indicate that (i) more than 20% of GPs in private practice would be willing to prescribe a non-reimbursed diet drug for patients with obesity complicated by type 2 diabetes; (ii) the number of GPs willing to prescribe it would increase by 47.6% if the drug were reimbursed, and (iii) such a drug would be adopted at a higher rate by GPs who have regular contacts with pharmaceutical sales representatives. In France, unlike most other countries, drug reimbursement status is a signal of quality. However, our results suggest that a significant proportion of GPs would spontaneously adopt anti-obesity drugs even if they were not reimbursed. Decisions about reimbursement of pharmaceutical products should be made taking into account that reimbursement is likely to intensify prescription.

[Comfort and discomfort: the role of emotions in GPs' prescription practices].

PubMed

Henriksen, Kristin; Hansen, Ebba Holme

2005-12-05

The role of emotions in GPs' prescribing has been ignored. The present article describes 20 GPs' reflections about what precedes comfort and discomfort in prescribing situations. In-depth interviews were done with 20 GPs who contributed with examples on an open comfort-discomfort scale. Analysis of the data was inspired by grounded theory. The GPs experienced a broad spectrum of emotions when prescribing. In every prescribing situation, conditions could pull towards both comfort and discomfort. Comfort appeared when the indication was correct and the patient's condition was serious, when the patient experienced the problem as serious, when the situation was acute and the medicine effective, and when the GP experienced himself as competent. Medicines were placed between comfort and discomfort when prescribing was perceived as indifferent, unproblematic and easy, when the GP was concerned about inflicting a sick role on the patients, and when patients were not convinced about the appropriateness of the medication. Discomfort appeared when there was a great risk of dependence, when GPs experienced and gave in to pressure, when they had to convince patients, and when they prescribed addictive medicine regularly. The totality of conditions in the situation determined the emotional state in the prescribing situation. The GPs' emotions reflected how they evaluated the appropriateness of their prescribing. This should be taken advantage of in rational pharmacotherapy. Future interventions should address both the rationality of GPs and their emotions.

Meeting and treating cultural difference in primary care: a qualitative interview study.

PubMed

Wachtler, Caroline; Brorsson, Annika; Troein, Margareta

2006-02-01

Primary care doctors see patients from diverse cultural backgrounds and communication plays an important role in diagnosis and treatment. Communication problems can arise when patient and doctor do not share the same cultural background. The aim of this study was to examine how consultations with immigrant patients are understood by GPs and how GPs manage these consultations. Semi-structured interviews with GPs about their experiences with immigrant patients were recorded on audio-tape, transcribed and analysed using a qualitative thematic analysis methodology. A constructivist approach was taken to analysis and interpretation. Culture is not in focus when GPs meet immigrant patients. The consultation is seen as a meeting between individuals, where cultural difference is just one of many individual factors that influence how well doctor and patient understand each other. However, when mutual understanding is poor and the consultation not successful, cultural differences are central. The GPs try to conduct their consultations with immigrant patients in the same way that they conduct all their consultations. There is no specific focus on culture, instead, GPs tend to avoid addressing even pronounced cultural differences. This study indicates that cultural difference is not treated in GPs consultation with immigrant patients. Learning about cultural difference's effect on mutual understanding between doctor and patient could improve GPs cross-cultural communication. Increased awareness of the culture the doctor brings to the consultation could facilitate management of cross-cultural consultations.

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.

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.

Ionospheric Irregularities Characterization by Ground and Space-based GPS Observations

NASA Astrophysics Data System (ADS)

Zakharenkova, I.; Cherniak, I.; Krankowski, A.

2017-12-01

We present new results on detection and investigation of the topside ionospheric irregularities using GPS measurements from Precise Orbit Determination (POD) GPS antenna onboard Low Earth Orbit satellites. Our investigation is based on the recent ESA's Swarm mission launched on 22 November 2013 and consisted of three identical satellites, two of them fly in a tandem at an orbit altitude of 460 km while the third satellite - at an orbit altitude of 510 km. Each satellite is equipped with a zenith-looking antenna and 8-channel dual-frequency GPS receiver that delivered 1 Hz data for POD purposes, as well as Langmuir Probe instrument for in situ electron density. Additionally, we have analyzed GPS measurements onboard GRACE and TerraSAR-X satellite, which have rather similar to Swarm orbit altitude of 500 km. GPS measurements onboard MetOP-A and MetOP-B satellites (altitude of 840 km) can complement these observations in order to estimate an altitudinal extent of the ionospheric irregularities penetrating to higher altitudes. We demonstrate that space-based GPS observations can be effectively used for monitoring of the topside ionospheric irregularities occurrence in both high-latitude and equatorial regions and may essentially contribute to the multi-instrumental analysis of the ground-based and in situ data. Climatological characteristics of the equatorial ionospheric irregularities occurrence probability are derived from POD GPS measurements for all longitudinal sectors for the years 2013-2016. Several examples of strong geomagnetic storms, including the 2015 St. Patrick's Day storm, were analyzed to demonstrate differences between the climatlogical characteristics in space-based GPS data and storm-induced equatorial irregularities observations (postsunset suppression, night/morning-time occurrence). To support our observations and conclusions, we involve into our analysis in situ plasma density provided by Swarm constellation, GRACE KBR, DMSP satellites, as well as ground-based GNSS and digisonde networks. New International GNSS Service (IGS) product - the Northern Hemisphere GPS-based ROTI (rate of the TEC index) maps - was analyzed to determine similarities and differences in ionospheric irregularities signatures in the ground and space-based GPS observations.

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.

Electronic Prescribing and Medication Management at a Residential Aged Care Facility: Uptake by General Practitioners and Qualitative Evaluation of the Benefits and Barriers.

PubMed

Elliott, Rohan A; Lee, Cik Yin; Hussainy, Safeera Y

2016-01-01

A cloud-based mobile electronic prescribing and medication management system (ePMMS), in which prescribers' orders directly populate residential aged care facility (RACF) medication administration records (MARs) and are communicated electronically to the RACF's pharmacy, may create efficiencies and improve patient safety when compared to the paper-based and hybrid paper-electronic medication management systems used in most Australian RACFs. Little is known about general-practitioners' (GPs'), nurses' and pharmacists' acceptance of, or experiences with, ePMMS. To explore the uptake of an ePMMS by GPs, and the experiences and perceptions of GPs, nurses and pharmacists, at a 90-bed RACF that tested a beta-version ePMMS. Retrospective audit to determine the proportion of medicines ordered by GPs via the ePMMS over a three-month period. Focus groups conducted three-to-four months after implementation: one with GPs (n=5), one with nurses (n=12); in-depth interview/survey of pharmacists (n=2). Qualitative data were analysed thematically. Three of seven GPs used the ePMMS to order medicines; 53/205(25.9%) medicines were ordered via the ePMMS by GPs. Two broad themes were identified: benefits of the ePMMS, and barriers/limitations. Benefits related to patient safety and workforce efficiency, and included GPs' ability to access and modify residents' MARs remotely, no need for nurses to fax orders to the pharmacy, and no need for pharmacy transcription of GPs' handwritten orders to create electronic MARs. Barriers and limitations related to inefficiency, low GP uptake and training/support, and included slower prescribing compared to written orders, the need for GP-signed paper copies of the MAR, lack of integration with GP clinic software, and low GP motivation to use the system, especially GPs with few patients at the RACF. GPs, nurses and pharmacists felt the ePMMS improved medication-safety and workforce-efficiency, however a number of barriers were identified that contributed to low GP-uptake and limited the benefits.