High Temperature Life Testing of 80Ni-20Cr Wire in a Simulated Mars Atmosphere for the Sample Analysis at Mars (SAM) Instrument Suite Gas Processing System (GPS) Carbon Dioxide Scrubber

NASA Technical Reports Server (NTRS)

Hoffman, Christopher; Munoz, Bruno; Gundersen, Cynthia; Thomas, Walter, III; Stephenson, Timothy

2008-01-01

In support of the GPS for the SAM instrument suite built by NASA/GSFC, a life test facility was developed to test the suitability of 80Ni-20Cr alloy wire, 0.0142 cm diameter, for use as a heater element for the carbon dioxide scrubber. The element would be required to operate at 1000 C in order to attain the 800 C required for regeneration of the getter. The element also would need to operate in the Mars atmosphere, which consists mostly of CO2 at pressures between 4 and 12 torr. Data on the high temperature degradation mechanism of 80Ni- 20Cr in low pressure CO2, coupled with the effects of thermal cycling, were unknown. In addition, the influence of work hardening of the wire during assembly and the potential for catastrophic grain growth also were unknown. Verification of the element reliability as defined by the mission goals required the construction of a test facility that would accurately simulate the duty cycles in a simulated Mars atmosphere. The experimental set-up, along with the test protocol and results will be described.

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

NASA Astrophysics Data System (ADS)

Vasudevan, Rajagopalan

2012-07-01

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

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.

Development and evaluation of an educational intervention for general practitioners and staff caring for people with dementia living in residential facilities.

PubMed

Beer, Christopher; Lowry, Rachel; Horner, Barbara; Almeida, Osvaldo P; Scherer, Samuel; Lautenschlager, Nicola T; Bretland, Nick; Flett, Penelope; Schaper, Frank; Flicker, Leon

2011-03-01

Despite high levels of participation in dementia education, general practitioners (GPs) and residential care facility (RCF) staff report perceived learning needs. Small group education, which is flexible, individualized, practical and case-based, is sought. We aimed to develop educational interventions for GPs and RCF staff tailored to meet their perceived educational needs. We used a consultative process to develop education programs. A flexible program for RCF staff was developed in 30-minute blocks, which could be combined in sessions of different lengths. The RCF program aimed to facilitate sustainable change by engaging local "Dementia Champions". For GPs, face-to-face and self-directed packages were developed. We collected participant feedback to evaluate the program. GPs and RCF staff were recruited as part of a larger intervention study. Sixteen of the 27 GPs who were offered the dementia education participated. Two of the 16 GPs participated in both learning packages. A total of 45 GP feedback responses were received from 16 GPs: 28 out of 45 GPs (62%) reported that the participants' learning needs were entirely met. Eighteen of 19 facilities offered the intervention participated and 326 RCF staff attended one or more of the 94 RCF education sessions. Feedback was collected from 93 sessions: 1013 out of 1067 RCF staff feedback responses (95%) reported that the session met the participants' learning needs. Qualitative feedback was also strongly positive. Participants perceived the education programs as meeting their needs. Despite explicit attempts to provide flexible delivery options, overall participation rates remained low.

Simulation Facilities and Test Beds for Galileo

NASA Astrophysics Data System (ADS)

Schlarmann, Bernhard Kl.; Leonard, Arian

2002-01-01

Galileo is the European satellite navigation system, financed by the European Space Agency (ESA) and the European Commission (EC). The Galileo System, currently under definition phase, will offer seamless global coverage, providing state-of-the-art positioning and timing services. Galileo services will include a standard service targeted at mass market users, an augmented integrity service, providing integrity warnings when fault occur and Public Regulated Services (ensuring a continuity of service for the public users). Other services are under consideration (SAR and integrated communications). Galileo will be interoperable with GPS, and will be complemented by local elements that will enhance the services for specific local users. In the frame of the Galileo definition phase, several system design and simulation facilities and test beds have been defined and developed for the coming phases of the project, respectively they are currently under development. These are mainly the following tools: Galileo Mission Analysis Simulator to design the Space Segment, especially to support constellation design, deployment and replacement. Galileo Service Volume Simulator to analyse the global performance requirements based on a coverage analysis for different service levels and degrades modes. Galileo System Simulation Facility is a sophisticated end-to-end simulation tool to assess the navigation performances for a complete variety of users under different operating conditions and different modes. Galileo Signal Validation Facility to evaluate signal and message structures for Galileo. Galileo System Test Bed (Version 1) to assess and refine the Orbit Determination &Time Synchronisation and Integrity algorithms, through experiments relying on GPS space infrastructure. This paper presents an overview on the so called "G-Facilities" and describes the use of the different system design tools during the project life cycle in order to design the system with respect to availability, continuity and integrity requirements. It gives more details on two of these system design tools: the Galileo Signal Validation Facility (GSVF) and the Galileo System Simulation Facility (GSSF). It will describe the operational use of these facilities within the complete set of design tools and especially the combined use of GSVF and GSSF will be described. Finally, this paper presents also examples and results obtained with these tools.

A Low Cost GPS System for Real-Time Tracking of Sounding Rockets

NASA Technical Reports Server (NTRS)

Markgraf, M.; Montenbruck, O.; Hassenpflug, F.; Turner, P.; Bull, B.; Bauer, Frank (Technical Monitor)

2001-01-01

This paper describes the development as well as the on-ground and the in-flight evaluation of a low cost Global Positioning System (GPS) system for real-time tracking of sounding rockets. The flight unit comprises a modified ORION GPS receiver and a newly designed switchable antenna system composed of a helical antenna in the rocket tip and a dual-blade antenna combination attached to the body of the service module. Aside from the flight hardware a PC based terminal program has been developed to monitor the GPS data and graphically displays the rocket's path during the flight. In addition an Instantaneous Impact Point (IIP) prediction is performed based on the received position and velocity information. In preparation for ESA's Maxus-4 mission, a sounding rocket test flight was carried out at Esrange, Kiruna, on 19 Feb. 2001 to validate existing ground facilities and range safety installations. Due to the absence of a dedicated scientific payload, the flight offered the opportunity to test multiple GPS receivers and assess their performance for the tracking of sounding rockets. In addition to the ORION receiver, an Ashtech G12 HDMA receiver and a BAE (Canadian Marconi) Allstar receiver, both connected to a wrap-around antenna, have been flown on the same rocket as part of an independent experiment provided by the Goddard Space Flight Center. This allows an in-depth verification and trade-off of different receiver and antenna concepts.

Techniques for Updating Pedestrian Network Data Including Facilities and Obstructions Information for Transportation of Vulnerable People

PubMed Central

Park, Seula; Bang, Yoonsik; Yu, Kiyun

2015-01-01

Demand for a Pedestrian Navigation Service (PNS) is on the rise. To provide a PNS for the transportation of vulnerable people, more detailed information of pedestrian facilities and obstructions should be included in Pedestrian Network Data (PND) used for PNS. Such data can be constructed efficiently by collecting GPS trajectories and integrating them with the existing PND. However, these two kinds of data have geometric differences and topological inconsistencies that need to be addressed. In this paper, we provide a methodology for integrating pedestrian facilities and obstructions information with an existing PND. At first we extracted the significant points from user-collected GPS trajectory by identifying the geometric difference index and attributes of each point. Then the extracted points were used to make an initial solution of the matching between the trajectory and the PND. Two geometrical algorithms were proposed and applied to reduce two kinds of errors in the matching: on dual lines and on intersections. Using the final solution for the matching, we reconstructed the node/link structure of PND including the facilities and obstructions information. Finally, performance was assessed with a test site and 79.2% of the collected data were correctly integrated with the PND. PMID:26404307

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.

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.

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

NASA Astrophysics Data System (ADS)

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

2013-12-01

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

Development of a High Precision Displacement Measurement System by Fusing a Low Cost RTK-GPS Sensor and a Force Feedback Accelerometer for Infrastructure Monitoring.

PubMed

Koo, Gunhee; Kim, Kiyoung; Chung, Jun Yeon; Choi, Jaemook; Kwon, Nam-Yeol; Kang, Doo-Young; Sohn, Hoon

2017-11-28

A displacement measurement system fusing a low cost real-time kinematic global positioning system (RTK-GPS) receiver and a force feedback accelerometer is proposed for infrastructure monitoring. The proposed system is composed of a sensor module, a base module and a computation module. The sensor module consists of a RTK-GPS rover and a force feedback accelerometer, and is installed on a target structure like conventional RTK-GPS sensors. The base module is placed on a rigid ground away from the target structure similar to conventional RTK-GPS bases, and transmits observation messages to the sensor module. Then, the initial acceleration, velocity and displacement responses measured by the sensor module are transmitted to the computation module located at a central monitoring facility. Finally, high precision and high sampling rate displacement, velocity, and acceleration are estimated by fusing the acceleration from the accelerometer, the velocity from the GPS rover, and the displacement from RTK-GPS. Note that the proposed displacement measurement system can measure 3-axis acceleration, velocity as well as displacement in real time. In terms of displacement, the proposed measurement system can estimate dynamic and pseudo-static displacement with a root-mean-square error of 2 mm and a sampling rate of up to 100 Hz. The performance of the proposed system is validated under sinusoidal, random and steady-state vibrations. Field tests were performed on the Yeongjong Grand Bridge and Yi Sun-sin Bridge in Korea, and the Xihoumen Bridge in China to compare the performance of the proposed system with a commercial RTK-GPS sensor and other data fusion techniques.

GPS Metric Tracking Unit

NASA Technical Reports Server (NTRS)

2008-01-01

As Global Positioning Satellite (GPS) applications become more prevalent for land- and air-based vehicles, GPS applications for space vehicles will also increase. The Applied Technology Directorate of Kennedy Space Center (KSC) has developed a lightweight, low-cost GPS Metric Tracking Unit (GMTU), the first of two steps in developing a lightweight, low-cost Space-Based Tracking and Command Subsystem (STACS) designed to meet Range Safety's link margin and latency requirements for vehicle command and telemetry data. The goals of STACS are to improve Range Safety operations and expand tracking capabilities for space vehicles. STACS will track the vehicle, receive commands, and send telemetry data through the space-based asset, which will dramatically reduce dependence on ground-based assets. The other step was the Low-Cost Tracking and Data Relay Satellite System (TDRSS) Transceiver (LCT2), developed by the Wallops Flight Facility (WFF), which allows the vehicle to communicate with a geosynchronous relay satellite. Although the GMTU and LCT2 were independently implemented and tested, the design collaboration of KSC and WFF engineers allowed GMTU and LCT2 to be integrated into one enclosure, leading to the final STACS. In operation, GMTU needs only a radio frequency (RF) input from a GPS antenna and outputs position and velocity data to the vehicle through a serial or pulse code modulation (PCM) interface. GMTU includes one commercial GPS receiver board and a custom board, the Command and Telemetry Processor (CTP) developed by KSC. The CTP design is based on a field-programmable gate array (FPGA) with embedded processors to support GPS functions.

Measuring mechanisms for quality assurance in primary care systems in transition: test of a new instrument in Slovenia and Uzbekistan.

PubMed

Kringos, Dionne Sofia; Boerma, Wienke; Pellny, Martina

2009-01-01

This World Health Organization (WHO) study aimed to develop and field test an instrument to assess the availability of structures and mechanisms for managing quality in primary care in countries in transition. The instrument is based on a literature study, consensus meetings with experts, and observations in these countries. It consists of three parts: a semi-structured questionnaire on national policies and mechanisms; a structured questionnaire for general practitioners (GPs); and a structured questionnaire for use with managers of primary care facilities. The instrument has been field tested in 2007 in Slovenia and Uzbekistan. In Slovenia, leadership on quality improvement was weak and local managers reported few incentives and resources to control quality. There was a lack of external support for quality improvement activities. Availability and use of clinical guidelines for GPs were not optimal. GPs found teamwork and communication with patients inadequate. In Uzbekistan, primary care quality and standards in health centres were extensively regulated and laid down in numerous manuals, instructions and other documents. Managers, however, indicated the need for more financial and non-financial levers for quality improvement and they wanted to know more about modern healthcare management. GPs reported strong involvement in activities such as peer review and clinical audit, and reported frequent use of clinical guidelines. Overall, the information gathered with the provisional instrument has resulted in policy recommendations. At the same time, the pilot resulted in improvements to the instrument. Application of the instrument helps decision makers to identify improvement areas in the infrastructure for managing the quality of primary care.

Geodesy and the UNAVCO Consortium: Three Decades of Innovations

NASA Astrophysics Data System (ADS)

Rowan, L. R.; Miller, M. M.; Meertens, C. M.; Mattioli, G. S.

2015-12-01

UNAVCO, a non-profit, university consortium that supports geoscience research using geodesy, began with the ingenious recognition that the nascent Global Positioning System constellation (GPS) could be used to investigate earth processes. The consortium purchased one of the first commercially available GPS receivers, Texas Instrument's TI-4100 NAVSTAR Navigator, in 1984 to measure plate deformation. This early work was highlighted in a technology magazine, GPSWorld, in 1990. Over a 30-year period, UNAVCO and the community have helped advance instrument design for mobility, flexibility, efficiency and interoperability, so research could proceed with higher precision and under ever challenging conditions. Other innovations have been made in data collection, processing, analysis, management and archiving. These innovations in tools, methods and data have had broader impacts as they have found greater utility beyond research for timing, precise positioning, safety, communication, navigation, surveying, engineering and recreation. Innovations in research have expanded the utility of geodetic tools beyond the solid earth science through creative analysis of the data and the methods. For example, GPS sounding of the atmosphere is now used for atmospheric and space sciences. GPS reflectrometry, another critical advance, supports soil science, snow science and ecological research. Some research advances have had broader impacts for society by driving innovations in hazards risk reduction, hazards response, resource management, land use planning, surveying, engineering and other uses. Furthermore, the geodetic data is vital for the design of space missions, testing and advancing communications, and testing and dealing with interference and GPS jamming. We will discuss three decades (and counting) of advances by the National Science Foundation's premiere geodetic facility, consortium and some of the many geoscience principal investigators that have driven innovations in research, instrumentation, data management, cyberinfrastructure and other applications.

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.

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.

Operational field evaluation of the PAC-MAG man-portable magnetometer array

NASA Astrophysics Data System (ADS)

Keranen, Joe; Topolosky, Zeke; Schultz, Gregory; Miller, Jonathan

2013-06-01

Detection and discrimination of unexploded ordnance (UXO) in areas of prior conflict is of high importance to the international community and the United States government. For humanitarian applications, sensors and processing methods need to be robust, reliable, and easy to train and implement using indigenous UXO removal personnel. This paper describes system characterization, system testing, and a continental United States (CONUS) Operational Field Evaluations (OFE) of the PAC-MAG man-portable UXO detection system. System testing occurred at a government test facility in June, 2010 and December, 2011 and the OFE occurred at the same location in June, 2012. NVESD and White River Technologies personnel were present for all testing and evaluation. The PAC-MAG system is a manportable magnetometer array for the detection and characterization of ferrous UXO. System hardware includes four Cesium vapor magnetometers for detection, a Real-time Kinematic Global Position System (RTK-GPS) for sensor positioning, an electronics module for merging array data and WiFi communications and a tablet computer for transmitting and logging data. An odometer, or "hipchain" encoder, provides position information in GPS-denied areas. System software elements include data logging software and post-processing software for detection and characterization of ferrous anomalies. The output of the post-processing software is a dig list containing locations of potential UXO(s), formatted for import into the system GPS equipment for reacquisition of anomalies. Results from system characterization and the OFE will be described.

Performance Assessment of Two GPS Receivers on Space Shuttle

NASA Technical Reports Server (NTRS)

Schroeder, Christine A.; Schutz, Bob E.

1996-01-01

Space Shuttle STS-69 was launched on September 7, 1995, carrying the Wake Shield Facility (WSF-02) among its payloads. The mission included two GPS receivers: a Collins 3M receiver onboard the Endeavour and an Osborne flight TurboRogue, known as the TurboStar, onboard the WSF-02. Two of the WSF-02 GPS Experiment objectives were to: (1) assess the ability to use GPS in a relative satellite positioning mode using the receivers on Endeavour and WSF-02; and (2) assess the performance of the receivers to support high precision orbit determination at the 400 km altitude. Three ground tests of the receivers were conducted in order to characterize the respective receivers. The analysis of the tests utilized the Double Differencing technique. A similar test in orbit was conducted during STS-69 while the WSF-02 was held by the Endeavour robot arm for a one hour period. In these tests, biases were observed in the double difference pseudorange measurements, implying that biases up to 140 m exist which do not cancel in double differencing. These biases appear to exist in the Collins receiver, but their effect can be mitigated by including measurement bias parameters to accommodate them in an estimation process. An additional test was conducted in which the orbit of the combined Endeavour/WSF-02 was determined independently with each receiver. These one hour arcs were based on forming double differences with 13 TurboRogue receivers in the global IGS network and estimating pseudorange biases for the Collins. Various analyses suggest the TurboStar overall orbit accuracy is about one to two meters for this period, based on double differenced phase residuals of 34 cm. These residuals indicate the level of unmodeled forces on Endeavour produced by gravitational and nongravitational effects. The rms differences between the two independently determined orbits are better than 10 meters, thereby demonstrating the accuracy of the Collins-determined orbit at this level as well as the accuracy of the relative positioning using these two receivers.

Launch vehicle tracking enhancement through Global Positioning System Metric Tracking

NASA Astrophysics Data System (ADS)

Moore, T. C.; Li, Hanchu; Gray, T.; Doran, A.

United Launch Alliance (ULA) initiated operational flights of both the Atlas V and Delta IV launch vehicle families in 2002. The Atlas V and Delta IV launch vehicles were developed jointly with the US Air Force (USAF) as part of the Evolved Expendable Launch Vehicle (EELV) program. Both Launch Vehicle (LV) families have provided 100% mission success since their respective inaugural launches and demonstrated launch capability from both Vandenberg Air Force Base (VAFB) on the Western Test Range and Cape Canaveral Air Force Station (CCAFS) on the Eastern Test Range. However, the current EELV fleet communications, tracking, & control architecture & technology, which date back to the origins of the space launch business, require support by a large and high cost ground footprint. The USAF has embarked on an initiative known as Future Flight Safety System (FFSS) that will significantly reduce Test Range Operations and Maintenance (O& M) cost by closing facilities and decommissioning ground assets. In support of the FFSS, a Global Positioning System Metric Tracking (GPS MT) System based on the Global Positioning System (GPS) satellite constellation has been developed for EELV which will allow both Ranges to divest some of their radar assets. The Air Force, ULA and Space Vector have flown the first 2 Atlas Certification vehicles demonstrating the successful operation of the GPS MT System. The first Atlas V certification flight was completed in February 2012 from CCAFS, the second Atlas V certification flight from VAFB was completed in September 2012 and the third certification flight on a Delta IV was completed October 2012 from CCAFS. The GPS MT System will provide precise LV position, velocity and timing information that can replace ground radar tracking resource functionality. The GPS MT system will provide an independent position/velocity S-Band telemetry downlink to support the current man-in-the-loop ground-based commanded destruct of an anomalous flight- The system utilizes a 50 channel digital receiver capable of navigating in high dynamic environments and high altitudes fed by antennas mounted diametrically opposed on the second stage airframe skin. To enhance cost effectiveness, the GPS MT System design implemented existing commercial parts and common environmental and interface requirements for both EELVs. The EELV GPS MT System design is complete, successfully qualified and has demonstrated that the system performs as simulated. This paper summarizes the current development status, system cost comparison, and performance capabilities of the EELV GPS MT System.

A Closed-Loop Hardware Simulation of Decentralized Satellite Formation Control

NASA Technical Reports Server (NTRS)

Ebimuma, Takuji; Lightsey, E. Glenn; Baur, Frank (Technical Monitor)

2002-01-01

In recent years, there has been significant interest in the use of formation flying spacecraft for a variety of earth and space science missions. Formation flying may provide smaller and cheaper satellites that, working together, have more capability than larger and more expensive satellites. Several decentralized architectures have been proposed for autonomous establishment and maintenance of satellite formations. In such architectures, each satellite cooperatively maintains the shape of the formation without a central supervisor, and processing only local measurement information. The Global Positioning System (GPS) sensors are ideally suited to provide such local position and velocity measurements to the individual satellites. An investigation of the feasibility of a decentralized approach to satellite formation flying was originally presented by Carpenter. He extended a decentralized linear-quadratic-Gaussian (LQG) framework proposed by Speyer in a fashion similar to an extended Kalman filter (EKE) which processed GPS position fix solutions. The new decentralized LQG architecture was demonstrated in a numerical simulation for a realistic scenario that is similar to missions that have been proposed by NASA and the U.S. Air Force. Another decentralized architecture was proposed by Park et al. using carrier differential-phase GPS (CDGPS). Recently, Busse et al demonstrated the decentralized CDGPS architecture in a hardware-in-the-loop simulation on the Formation Flying TestBed (FFTB) at Goddard Space Flight Center (GSFC), which features two Spirent Cox 16 channel GPS signal generator. Although representing a step forward by utilizing GPS signal simulators for a spacecraft formation flying simulation, only an open-loop performance, in which no maneuvers were executed based on the real-time state estimates, was considered. In this research, hardware experimentation has been extended to include closed-loop integrated guidance and navigation of multiple spacecraft formations using GPS receivers and real-time vehicle telemetry. A hardware closed-loop simulation has been performed using the decentralized LQG architecture proposed by Carpenter in the GPS test facility at the Center for Space Research (CSR). This is the first presentation using this type of hardware for demonstration of closed-loop spacecraft formation flying.

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.

Wakeshield WSF-02 GPS Experiment

NASA Technical Reports Server (NTRS)

Schutz, B. E.; Abusali, P. A. M.; Schroeder, Christine; Tapley, Byron; Exner, Michael; Mccloskey, rick; Carpenter, Russell; Cooke, Michael; Mcdonald, samantha; Combs, Nick;

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 Relationship Analysis between Motorcycle Emission and Road Facilities under Heterogeneous Traffic Situation

NASA Astrophysics Data System (ADS)

Ramli, M. I.; Hanami, Z. A.; Aly, S. H.; Pasra, M.; Hustim, M.

2018-04-01

Motor vehicles have long been a source of pollution in many major cities in the world, including Indonesia. The increasing of the motor vehicle on the road leads to the rising of air pollution that exhausted by the vehicles as consequently. This research is intended to analyze the relationship between motorcycle emission and road facilities for each kind of road facilities in four different arterial road types. This study is quantitative research in which data collection is done directly in 4 types of road such as 2/1 UD, 4/1 UD, 4/2 D, and 6/2 UD in Makassar using motorcycle the Gas Analyzer Portable Measurement System and GPS emission test for speed tracking. The results are the emission tend to increase in road facilities where JS3TB (unsignalized junction) has the highest amount of CO and CO2 emission compared to other types.

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...

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.

Vehicle manoeuvers as surrogate safety measures: Extracting data from the gps-enabled smartphones of regular drivers.

PubMed

Stipancic, Joshua; Miranda-Moreno, Luis; Saunier, Nicolas

2018-06-01

Network screening is a key element in identifying and prioritizing hazardous sites for engineering treatment. Traditional screening methods have used observed crash frequency or severity ranking criteria and statistical modelling approaches, despite the fact that crash-based methods are reactive. Alternatively, surrogate safety measures (SSMs) have become popular, making use of new data sources including video and, more rarely, GPS data. The purpose of this study is to examine vehicle manoeuvres of braking and accelerating extracted from a large quantity of GPS data collected using the smartphones of regular drivers, and to explore their potential as SSMs through correlation with historical collision frequency and severity across different facility types. GPS travel data was collected in Quebec City, Canada in 2014. The sample for this study contained over 4000 drivers and 21,000 trips. Hard braking (HBEs) and accelerating events (HAEs) were extracted and compared to historical crash data using Spearman's correlation coefficient and pairwise Kolmogorov-Smirnov tests. Both manoeuvres were shown to be positively correlated with crash frequency at the link and intersection levels, though correlations were much stronger when considering intersections. Locations with more braking and accelerating also tend to have more collisions. Concerning severity, higher numbers of vehicle manoeuvres were also related to increased collision severity, though this relationship was not always statistically significant. The inclusion of severity testing, which is an independent dimension of safety, represents a substantial contribution to the existing literature. Future work will focus on developing a network screening model that incorporates these SSMs. Copyright © 2018 Elsevier Ltd. All rights reserved.

Decadal GPS Time Series and Velocity Fields Spanning the North American Continent and Beyond: New Data Products, Cyberinfrastructure and Case Studies from the EarthScope Plate Boundary Observatory (PBO) and Other Regional Networks

NASA Astrophysics Data System (ADS)

Phillips, D. A.; Herring, T.; Melbourne, T. I.; Murray, M. H.; Szeliga, W. M.; Floyd, M.; Puskas, C. M.; King, R. W.; Boler, F. M.; Meertens, C. M.; Mattioli, G. S.

2017-12-01

The Geodesy Advancing Geosciences and EarthScope (GAGE) Facility, operated by UNAVCO, provides a diverse suite of geodetic data, derived products and cyberinfrastructure services to support community Earth science research and education. GPS data and products including decadal station position time series and velocities are provided for 2000+ continuous GPS stations from the Plate Boundary Observatory (PBO) and other networks distributed throughout the high Arctic, North America, and Caribbean regions. The position time series contain a multitude of signals in addition to the secular motions, including coseismic and postseismic displacements, interseismic strain accumulation, and transient signals associated with hydrologic and other processes. We present our latest velocity field solutions, new time series offset estimate products, and new time series examples associated with various phenomena. Position time series, and the signals they contain, are inherently dependent upon analysis parameters such as network scaling and reference frame realization. The estimation of scale changes for example, a common practice, has large impacts on vertical motion estimates. GAGE/PBO velocities and time series are currently provided in IGS (IGb08) and North America (NAM08, IGb08 rotated to a fixed North America Plate) reference frames. We are reprocessing all data (1996 to present) as part of the transition from IGb08 to IGS14 that began in 2017. New NAM14 and IGS14 data products are discussed. GAGE/PBO GPS data products are currently generated using onsite computing clusters. As part of an NSF funded EarthCube Building Blocks project called "Deploying MultiFacility Cyberinfrastructure in Commercial and Private Cloud-based Systems (GeoSciCloud)", we are investigating performance, cost, and efficiency differences between local computing resources and cloud based resources. Test environments include a commercial cloud provider (Amazon/AWS), NSF cloud-like infrastructures within XSEDE (TACC, the Texas Advanced Computing Center), and in-house cyberinfrastructures. Preliminary findings from this effort are presented. Web services developed by UNAVCO to facilitate the discovery, customization and dissemination of GPS data and products are also presented.

Geo-Caching: Place-Based Discovery of Virginia State Parks and Museums

ERIC Educational Resources Information Center

Gray, Howard Richard

2007-01-01

The use of Global Positioning Systems (GPS) units has exploded in recent years along with the computer technology to access this data-based information. Geo-caching is an exciting game using GPS that provides place-based information regarding the public lands, facilities and cultural heritage programs within the Virginia Parks and Museum 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.

NASA Johnson Space Center: Mini AERCam Testing with GSS6560

NASA Technical Reports Server (NTRS)

Cryant, Scott P.

2004-01-01

This slide presentation reviews the testing of the Miniature Autonomous Extravehicular Robotic Camera (Mini AERCam) with the GPS/SBAS simulation system, GSS6560. There is a listing of several GPS based programs at NASA Johnson, including the testing of Shuttle testing of the GPS system. Including information about Space Integrated GPS/INS (SIGI) testing. There is also information about the standalone ISS SIGI test,and testing of the SIGI for the Crew Return Vehicle. The Mini AERCam is a small, free-flying camera for remote inspections of the ISS, it uses precise relative navigation with differential carrier phase GPS to provide situational awareness to operators. The closed loop orbital testing with and without the use of the GSS6550 system of the Mini AERCam system is reviewed.

The benefits of co-location in primary care practices: the perspectives of general practitioners and patients in 34 countries.

PubMed

Bonciani, M; Schäfer, W; Barsanti, S; Heinemann, S; Groenewegen, P P

2018-02-21

There is no clear evidence as to whether the co-location of primary care professionals in the same facility positively influences their way of working and the quality of healthcare as perceived by patients. The aim of this study was to identify the relationships between general practitioner (GP) co-location with other GPs and/or other professionals and the GP outcomes and patients' experiences. We wanted to test whether GP co-location is related to a broader range of services provided, the use of clinical governance tools and inter-professional collaboration, and whether the patients of co-located GPs perceive a better quality of care in terms of accessibility, comprehensiveness and continuity of care with their GPs. The source of data was the QUALICOPC study (Quality and Costs of Primary Care in Europe), which involved surveys of GPs and their patients in 34 countries, mostly in Europe. In order to study the relationships between GP co-location and both GPs' outcomes and patients' experience, multilevel linear regression analysis was carried out. The GP questionnaire was filled in by 7183 GPs and the patient experience questionnaire by 61,931 patients. Being co-located with at least one other professional is the most common situation of the GPs involved in the study. Compared with single-handed GP practices, GP co-location are positively associated with the GP outcomes. Considering the patients' perspective, comprehensiveness of care has the strongest negative relationship of GP co-location of all the dimensions of patient experiences analysed. The paper highlights that GP mono- and multi-disciplinary co-location is related to positive outcomes at a GP level, such as a broader provision of technical procedures, increased collaboration among different providers and wider coordination with secondary care. However, GP co-location, particularly in a multidisciplinary setting, is related to less positive patient experiences, especially in countries with health systems characterised by a weak primary care structure.

Undergraduate teaching modules featuring geodesy data applied to critical social topics (GETSI: GEodetic Tools for Societal Issues)

NASA Astrophysics Data System (ADS)

Pratt-Sitaula, B. A.; Walker, B.; Douglas, B. J.; Charlevoix, D. J.; Miller, M. M.

2015-12-01

The GETSI project, funded by NSF TUES, is developing and disseminating teaching and learning materials that feature geodesy data applied to critical societal issues such as climate change, water resource management, and natural hazards (serc.carleton.edu/getsi). It is collaborative between UNAVCO (NSF's geodetic facility), Mt San Antonio College, and Indiana University. GETSI was initiated after requests by geoscience faculty for geodetic teaching resources for introductory and majors-level students. Full modules take two weeks but module subsets can also be used. Modules are developed and tested by two co-authors and also tested in a third classroom. GETSI is working in partnership with the Science Education Resource Center's (SERC) InTeGrate project on the development, assessment, and dissemination to ensure compatibility with the growing number of resources for geoscience education. Two GETSI modules are being published in October 2015. "Ice mass and sea level changes" includes geodetic data from GRACE, satellite altimetry, and GPS time series. "Imaging Active Tectonics" has students analyzing InSAR and LiDAR data to assess infrastructure earthquake vulnerability. Another three modules are in testing during fall 2015 and will be published in 2016. "Surface process hazards" investigates mass wasting hazard and risk using LiDAR data. "Water resources and geodesy" uses GRACE, vertical GPS, and reflection GPS data to have students investigating droughts in California and the High Great Plains. "GPS, strain, and earthquakes" helps students learn about infinitesimal and coseismic strain through analysis of horizontal GPS data and includes an extension module on the Napa 2014 earthquake. In addition to teaching resources, the GETSI project is compiling recommendations on successful development of geodesy curricula. The chief recommendations so far are the critical importance of including scientific experts in the authorship team and investing significant resources in data preparation (student interns can be excellent for this). GETSI also includes a research element on the way instructors adapt or adopt the resources. After publication, 4 additional testers will be recruited per module. They will provide feedback on how they choose to use the module elements in their courses.

Integrating Space Systems Operations at the Marine Expeditionary Force Level

DTIC Science & Technology

2015-06-01

Electromagnetic Interference ENVI Environment for Visualizing Images EW Electronic Warfare xvi FA40 Space Operations Officer FEC Fires and Effects...Information Facility SFE Space Force Enhancement SIGINT Signals Intelligence SSA Space Situational Awareness SSE Space Support Element STK Systems...April 23, 2015. 65 • GPS Interference and Navigation Tool (GIANT) for providing GPS accuracy prediction reports • Systems Toolkit ( STK ) Analysis

Assessment of injection practice in primary health care facilities of Shiraz, Iran.

PubMed

Mclaws, Mary-Louise; Ghahramani, Sulmaz; Palenik, Charles John; Keshtkar, Vahid; Askarian, Mehrdad

2014-03-01

Occupational risk for several bloodborne viruses is attributable to unsafe injection practices. To understand injection frequency and safety, we surveyed injection rates and factors influencing injection prescription in primary health care facilities and associated health clinics in Shiraz, Iran. We used both quantitative and qualitative approaches to study the frequency and safety of injections delivered in 27 primary health care facilities. We used observations and 3 data collecting tools. Patterns of 600 general practice physicians' (GPs) prescriptions were also reviewed. In-depth interviews to elicit the factors contributing to injection prescriptions were conducted. The annual per capita injection rate was 3.12. Corticosteroids were prescribed more frequently than antibiotics (P < .001). Knowledge of participants concerning transmission risks for 3 of the most common bloodborne infections (BBIs) was less than 75%. Factors affecting use of injections by GPs included strong patient preference for injections over oral medications and financial benefit for GPs, especially those in private practice settings. Frequency of therapeutic injections in the participating facilities in Shiraz was high. Sociocultural factors in the patient community and their beliefs in the effectiveness of injections exerted influence on GP prescribing practices. Programs for appropriate and safe injection practices should target GP and injection providers, as well as patients, informing them about alternative treatments and possible complications of unnecessary and unsafe injections. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.

Estimated cost per HIV infection diagnosed through routine HIV testing offered in acute general medical admission units and general practice settings in England.

PubMed

Ong, K J; Thornton, A C; Fisher, M; Hutt, R; Nicholson, S; Palfreeman, A; Perry, N; Stedman-Bryce, G; Wilkinson, P; Delpech, V; Nardone, A

2016-04-01

Following national guidelines to expand HIV testing in high-prevalence areas in England, a number of pilot studies were conducted in acute general medical admission units (ACUs) and general practices (GPs) to assess the feasibility and acceptability of testing in these settings. The aim of this study was to estimate the cost per HIV infection diagnosed through routine HIV testing in these settings. Resource use data from four 2009/2010 Department of Health pilot studies (two ACUs; two GPs) were analysed. Data from the pilots were validated and supplemented with information from other sources. We constructed possible scenarios to estimate the cost per test carried out through expanded HIV testing in ACUs and GPs, and the cost per diagnosis. In the pilots, cost per test ranged from £8.55 to £13.50, and offer time and patient uptake were 2 minutes and 90% in ACUs, and 5 minutes and 60% in GPs, respectively. In scenario analyses we fixed offer time, diagnostic test cost and uptake rate at 2 minutes, £6 and 80% for ACUs, and 5 minutes, £9.60 and 40% for GPs, respectively. The cost per new HIV diagnosis at a positivity of 2/1000 tests conducted was £3230 in ACUs and £7930 in GPs for tests performed by a Band 3 staff member, and £5940 in ACUs and £18 800 in GPs for tests performed by either hospital consultants or GPs. Expanded HIV testing may be more cost-efficient in ACUs than in GPs as a consequence of a shorter offer time, higher patient uptake, higher HIV positivity and lower diagnostic test costs. As cost per new HIV diagnosis reduces at higher HIV positivity, expanded HIV testing should be promoted in high HIV prevalence areas. © 2015 British HIV Association.

Improving the management of warfarin in aged-care facilities utilising innovative technology: a proof-of-concept study.

PubMed

Bereznicki, Luke R E; Jackson, Shane L; Kromdijk, Wiete; Gee, Peter; Fitzmaurice, Kimbra; Bereznicki, Bonnie J; Peterson, Gregory M

2014-02-01

In aged-care facilities (ACFs) monitoring of warfarin can be logistically challenging and International Normalised Ratio (INR control) is often suboptimal. We aimed to determine whether an integrated information and communications technology system and the use of point-of-care (POC) monitors by nursing staff could improve the INR control of aged-care facility residents who take warfarin. Nursing staff identified residents who were prescribed warfarin in participating ACFs. A computer program (MedePOC) was developed to store and transmit INR results from the ACFs to general practitioners (GPs) for dosage adjustment. Nursing staff received training in the use of the CoaguChek XS point-of-care INR monitor and the MedePOC software. Following a run-in phase, eligible patients were monitored weekly for up to 12 weeks. The primary outcome was the change in the time in therapeutic range (TTR) in the intervention phase compared to the TTR in the 12 months preceding the study. All GPs, nursing staff and patients were surveyed for their experiences and opinions of the project. Twenty-four patients and 19 GPs completed the trial across six ACFs. The mean TTR for all patients improved non-significantly from 58.9 to 60.6% (P=0.79) and the proportion of INR tests in range improved non-significantly from 57.1 to 64.1% (P=0.21). The mean TTR improved in 14 patients (58%) and in these patients the mean absolute improvement in TTR was 23.1%. A post hoc analysis of the INR data using modified therapeutic INR ranges to reflect the dosage adjustment practices of GPs suggested that the intervention did lead to improved INR control. The MedePOC program and POC monitoring was well received by nursing staff. Weekly POC INR monitoring conducted in ACFs and electronic communication of the results and warfarin doses resulted in non-significant improvements in INR control in a small cohort of elderly residents. Further research involving modification to the communication strategy and a longer follow-up period is warranted to investigate whether this strategy can improve INR control and clinical outcomes in this vulnerable population. © 2013 The Authors. IJPP © 2013 Royal Pharmaceutical Society.

GPS Sounding Rocket Developments

NASA Technical Reports Server (NTRS)

Bull, Barton

1999-01-01

Sounding rockets are suborbital launch vehicles capable of carrying scientific payloads several hundred miles in altitude. These missions return a variety of scientific data including; chemical makeup and physical processes taking place In the atmosphere, natural radiation surrounding the Earth, data on the Sun, stars, galaxies and many other phenomena. In addition, sounding rockets provide a reasonably economical means of conducting engineering tests for instruments and devices used on satellites and other spacecraft prior to their use in more expensive activities. The NASA Sounding Rocket Program is managed by personnel from Goddard Space Flight Center Wallops Flight Facility (GSFC/WFF) in Virginia. Typically around thirty of these rockets are launched each year, either from established ranges at Wallops Island, Virginia, Poker Flat Research Range, Alaska; White Sands Missile Range, New Mexico or from Canada, Norway and Sweden. Many times launches are conducted from temporary launch ranges in remote parts of the world requi6ng considerable expense to transport and operate tracking radars. An inverse differential GPS system has been developed for Sounding Rocket. This paper addresses the NASA Wallops Island history of GPS Sounding Rocket experience since 1994 and the development of a high accurate and useful system.

Differential GPS/inertial navigation approach/landing flight test results

NASA Technical Reports Server (NTRS)

Snyder, Scott; Schipper, Brian; Vallot, Larry; Parker, Nigel; Spitzer, Cary

1992-01-01

In November of 1990 a joint Honeywell/NASA-Langley differential GPS/inertial flight test was conducted at Wallops Island, Virginia. The test objective was to acquire a system performance database and demonstrate automatic landing using an integrated differential GPS/INS (Global Positioning System/inertial navigation system) with barometric and radar altimeters. The flight test effort exceeded program objectives with over 120 landings, 36 of which were fully automatic differential GPS/inertial landings. Flight test results obtained from post-flight data analysis are discussed. These results include characteristics of differential GPS/inertial error, using the Wallops Island Laser Tracker as a reference. Data on the magnitude of the differential corrections and vertical channel performance with and without radar altimeter augmentation are provided.

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.

Unstructured Facility Navigation by Applying the NIST 4D/RCS Architecture

DTIC Science & Technology

2006-07-01

control, and the planner); wire- less data and emergency stop radios; GPS receiver; inertial navigation unit; dual stereo cameras; infrared sensors...current Actuators Wheel motors, camera controls Scale & filter signals status commands commands commands GPS Antenna Dual stereo cameras...used in the sensory processing module include the two pairs of stereo color cameras, the physical bumper and infrared bumper sensors, the motor

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

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.

The PSA testing dilemma: GPs' reports of consultations with asymptomatic men: a qualitative study.

PubMed

Clements, Alison; Watson, Eila; Rai, Tanvi; Bukach, Colleen; Shine, Brian; Austoker, Joan

2007-06-25

The National Health Service Prostate Cancer Risk Management Programme (PCRMP) has recommended that screening for prostate cancer is available for asymptomatic men, on the understanding that they have been provided with full and balanced information about the advantages and limitations of the prostate-specific antigen (PSA) test. Guidance has been distributed to all GPs in England and Wales to assist in the provision of information to men. This study aimed to elicit GPs' accounts of their discussions with asymptomatic men who consult with concerns about prostate cancer in order to identify the degree to which the PCRMP guidance was reflected in these consultations. Qualitative interview study. Semi-structured telephone interviews with 21 GPs from 18 GP practices in Oxfordshire. All GPs reported undertaking some discussion with asymptomatic men about the PSA test. They described focussing most of the discussion on the false-positive and false-negative rates of the test, and the risks associated with a prostate biopsy. They reported less discussion of the potential for diagnosing indolent cancers, the dilemmas regarding treatment options for localised prostate cancer and the potential benefits of testing. Considerable variation existed between GPs in their accounts of the degree of detail given, and GP's presentation of information appeared to be affected by their personal views of the PSA test. The GPs in this study appear to recognise the importance of discussions regarding PSA testing; however, a full and balanced picture of the associated advantages and limitations does not seem to be consistently conveyed. Factors specific to PSA testing which appeared to have an impact on the GPs' discussions were the GP's personal opinions of the PSA test, and the need to counter men's primarily positive views of the benefits of PSA testing. Awareness of the impact of their views on the consultations may help GPs give men a more balanced presentation of the benefits and limitations of the PSA test.

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.

On-site drugs of abuse urinary screening tests for the management of opiate-addicted patients: a survey among French general practitioners.

PubMed

Dupouy, Julie; Bismuth, Serge; Oustric, Stéphane; Lapeyre-Mestre, Maryse

2012-01-01

In France, opiate-addicted patients are mainly managed by general practitioners (GPs). Because on-site abuse drugs urinary screening tests (ODUTs) are now on the market, we investigated French GPs' knowledge and practices concerning drug tests with a focus on ODUTs. We conducted a descriptive cross-sectional study in ambulatory practice. Postal questionnaires were sent to a random sample of GPs in the Midi-Pyrénées area of France in December 2009. Of the 482 GPs in the sample, 116 (24.1%) regularly treated opiate- addicted patients. Only 31 of them (26.7%) used drug tests and 4 of them (3.4%) performed ODUTs in their consultation rooms. Most of the GPs did not perform ODUTs because they were unaware of whether such tests were reliable or available. Many French GPs treating opiate-addicted patients regularly did not perform ODUTs and lacked knowledge of them. Copyright © 2012 S. Karger AG, Basel.

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

PubMed

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

2017-10-01

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

An evaluation of the benefits and challenges of video consulting between general practitioners and residential aged care facilities.

PubMed

Wade, Victoria; Whittaker, Frank; Hamlyn, Jeremy

2015-12-01

This research evaluated a project that provided video consultations between general practitioners (GPs) and residential aged care facilities (RACFs), with the aim of enabling faster access to medical care and avoidance of unnecessary hospital transfers. GPs were paid for video consultations at a rate equivalent to existing insurance reimbursement for supporting telehealth services. Evaluation data were gathered by direct observation at the project sites, semi-structured interviews and video call data from the technical network. Three pairs of general practices and RACFs were recruited to the project. 40 video consultations eligible for payment occurred over a 6 month period, three of which were judged to have avoided hospital attendance. The process development and change management aspects of the project required substantially more effort than was anticipated. This was due to problems with RACF technical infrastructure, the need for repeated training and awareness raising in RACFs, the challenge of establishing new clinical procedures, the short length of the project and broader difficulties in the relationships between GPs and RACFs. Video consulting between GPs and RACFs was clinically useful and avoided hospital attendance on a small scale, but further focus on process development is needed to embed this as a routine method of service delivery. © The Author(s) 2015.

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.

Volpe Center Acoustics Facility time-space-position-information system differential global positioning system user's guide, version 1.2

DOT National Transportation Integrated Search

2000-07-01

This document is a users guide for the VolpeCenter AcousticsFacilitys(VCAF)Time-Space-Position-Information : (TSPI) System. The VCAF TSPI system is a differential global positioning system (dGPS) which may be utilized : for highly accurate vehi...

Space Based Communications

NASA Technical Reports Server (NTRS)

Simpson, James; Denson, Erik; Valencia, Lisa; Birr, Richard

2003-01-01

Current space lift launches on the Eastern and Western Range require extensive ground-based real-time tracking, communications and command/control systems. These are expensive to maintain and operate and cover only limited geographical areas. Future spaceports will require new technologies to provide greater launch and landing opportunities, support simultaneous missions, and offer enhanced decision support models and simulation capabilities. These ranges must also have lower costs and reduced complexity while continuing to provide unsurpassed safety to the public, flight crew, personnel, vehicles and facilities. Commercial and government space-based assets for tracking and communications offer many attractive possibilities to help achieve these goals. This paper describes two NASA proof-of-concept projects that seek-to exploit the advantages of a space-based range: Iridium Flight Modem and Space-Based Telemetry and Range Safety (STARS). Iridium Flight Modem uses the commercial satellite system Iridium for extremely low cost, low rate two-way communications and has been successfully tested on four aircraft flights. A sister project at Goddard Space Flight Center's (GSFC) Wallops Flight Facility (WFF) using the Globalstar system has been tested on one rocket. The basic Iridium Flight Modem system consists of a L1 carrier Coarse/Acquisition (C/A)-Code Global Positioning System (GPS) receiver, an on-board computer, and a standard commercial satellite modem and antennas. STARS uses the much higher data rate NASA owned Tracking and Data Relay Satellite System (TDRSS), a C/A-Code GPS receiver, an experimental low-power transceiver, custom built command and data handler processor, and digitized flight termination system (FTS) commands. STARS is scheduled to fly on an F-15 at Dryden Flight Research Center in the spring of 2003, with follow-on tests over the next several years.

Flight Test Results of an Angle of Attack and Angle of Sideslip Calibration Method Using Output-Error Optimization

NASA Technical Reports Server (NTRS)

Siu, Marie-Michele; Martos, Borja; Foster, John V.

2013-01-01

As part of a joint partnership between the NASA Aviation Safety Program (AvSP) and the University of Tennessee Space Institute (UTSI), research on advanced air data calibration methods has been in progress. This research was initiated to expand a novel pitot-static calibration method that was developed to allow rapid in-flight calibration for the NASA Airborne Subscale Transport Aircraft Research (AirSTAR) facility. This approach uses Global Positioning System (GPS) technology coupled with modern system identification methods that rapidly computes optimal pressure error models over a range of airspeed with defined confidence bounds. Subscale flight tests demonstrated small 2-s error bounds with significant reduction in test time compared to other methods. Recent UTSI full scale flight tests have shown airspeed calibrations with the same accuracy or better as the Federal Aviation Administration (FAA) accepted GPS 'four-leg' method in a smaller test area and in less time. The current research was motivated by the desire to extend this method for inflight calibration of angle of attack (AOA) and angle of sideslip (AOS) flow vanes. An instrumented Piper Saratoga research aircraft from the UTSI was used to collect the flight test data and evaluate flight test maneuvers. Results showed that the output-error approach produces good results for flow vane calibration. In addition, maneuvers for pitot-static and flow vane calibration can be integrated to enable simultaneous and efficient testing of each system.

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.

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.

An Environmental for Hardware-in-the-Loop Formation Navigation and Control

NASA Technical Reports Server (NTRS)

Burns, Rich; Naasz, Bo; Gaylor, Dave; Higinbotham, John

2004-01-01

Recent interest in formation flying satellite systems has spurred a considerable amount of research in the relative navigation and control of satellites. Development in this area has included new estimation and control algorithms as well as sensor and actuator development specifically geared toward the relative control problem. This paper describes a simulation facility, the Formation Flying Test Bed (FFTB) at NASA Goddard Space Flight Center, which allows engineers to test new algorithms for the formation flying problem with relevant GN&C hardware in a closed loop simulation. The FFTB currently supports the inclusion of GPS receiver hardware in the simulation loop. Support for satellite crosslink ranging technology is at a prototype stage. This closed-loop, hardware inclusive simulation capability permits testing of navigation and control software in the presence of the actual hardware with which the algorithms must interact. This capability provides the navigation or control developer with a perspective on how the algorithms perform as part of the closed-loop system. In this paper, the overall design and evolution of the FFTB are presented. Each component of the FFTB is then described. Interfaces between the components of the FFTB are shown and the interfaces to and between navigation and control software are described. Finally, an example of closed-loop formation control with GPS receivers in the loop is presented.

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...

Statement of Work for Volpe Center Execution of DOT GPS Adjacent Band Compatibility Testing Program

DOT National Transportation Integrated Search

2015-01-01

DOT should cause GPS firms to produce to Volpe for testing the following devices: The ten (10) top selling device models in the United States for the calendar year 2014. In addition GPS manufacturers will provide Volpe with the identities of their to...

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

NASA Astrophysics Data System (ADS)

Pavlis, E. C.

2002-12-01

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

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.

Flight Performance Evaluation of Three GPS Receivers for Sounding Rocket Tracking

NASA Technical Reports Server (NTRS)

Bull, Barton; Diehl, James; Montenbruck, Oliver; Markgraf, Markus; Bauer, Frank (Technical Monitor)

2001-01-01

In preparation for the European Space Agency Maxus-4 mission, a sounding rocket test flight was carried out at Esrange,, near Kiruna, Sweden on February 19, 2001 to validate existing ground facilities and range safety installations. Due to the absence of a dedicated scientific payload, the flight offered the opportunity to test multiple GPS receivers and assess their performance for the tracking of sounding rockets. The receivers included an Ashtech G12 HDMA receiver, a BAE (Canadian Marconi) Allstar receiver and a Mitel Orion receiver. All of them provide CIA code tracking on the L1 frequency to determine the user position and make use of Doppler measurements to derive the instantaneous velocity. Among the receivers, the G12 has been optimized for use under highly dynamic conditions and has earlier been flown successfully on NASA sounding rockets [Bull, ION-GPS-2000]. The Allstar is representative of common single frequency receivers for terrestrial applications and received no particular modification, except for the disabling of the common altitude and velocity constraints that would otherwise inhibit its use for space application. The Orion receiver, finally, employs the same Mitel chipset as the Allstar, but has received various firmware modifications by DLR to safeguard it against signal losses and improve its tracking performance [Montenbruck et al., ION-GPS-2000]. While the two NASA receivers were driven by a common wrap-around antenna, the DLR experiment made use of a switchable antenna system comprising a helical antenna in the tip of the rocket and two blade antennas attached to the body of the vehicle. During the boost a peak acceleration of roughly 17g's was achieved which resulted in a velocity of about 1100 m/s at the end of the burn. At apogee, the rocket reached a maximum altitude of over 80 km. A detailed analysis of the attained flight data will be given in the paper together with a evaluation of different receiver designs and antenna concepts.

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.

GPS test range mission planning

NASA Astrophysics Data System (ADS)

Roberts, Iris P.; Hancock, Thomas P.

The principal features of the Test Range User Mission Planner (TRUMP), a PC-resident tool designed to aid in deploying and utilizing GPS-based test range assets, are reviewed. TRUMP features time history plots of time-space-position information (TSPI); performance based on a dynamic GPS/inertial system simulation; time history plots of TSPI data link connectivity; digital terrain elevation data maps with user-defined cultural features; and two-dimensional coverage plots of ground-based test range assets. Some functions to be added during the next development phase are discussed.

General practitioner views on the determinants of test ordering: a theory-based qualitative approach to the development of an intervention to improve immunoglobulin requests in primary care.

PubMed

Cadogan, S L; McHugh, S M; Bradley, C P; Browne, J P; Cahill, M R

2016-07-19

Research suggests that variation in laboratory requesting patterns may indicate unnecessary test use. Requesting patterns for serum immunoglobulins vary significantly between general practitioners (GPs). This study aims to explore GP's views on testing to identify the determinants of behaviour and recommend feasible intervention strategies for improving immunoglobulin test use in primary care. Qualitative semi-structured interviews were conducted with GPs requesting laboratory tests at Cork University Hospital or University Hospital Kerry in the South of Ireland. GPs were identified using a Health Service Executive laboratory list of GPs in the Cork-Kerry region. A random sample of GPs (stratified by GP requesting patterns) was generated from this list. GPs were purposively sampled based on the criteria of location (urban/rural); length of time qualified; and practice size (single-handed/group). Interviews were carried out between December 2014 and February 2015. Interviews were transcribed verbatim using NVivo 10 software and analysed using the framework analysis method. Emerging themes were mapped to the theoretical domains framework (TDF), which outlines 12 domains that can enable or inhibit behaviour change. The behaviour change wheel and behaviour change technique (BCT) taxonomy were then used to identify potential intervention strategies. Sixteen GPs were interviewed (ten males and six females). Findings suggest that intervention strategies should specifically target the key barriers to effective test ordering, while considering the context of primary care practice. Seven domains from the TDF were perceived to influence immunoglobulin test ordering behaviours and were identified as 'mechanisms for change' (knowledge, environmental context and resources, social/professional role and identity, beliefs about capabilities, beliefs about consequences, memory, attention and decision-making processes and behavioural regulation). Using these TDF domains, seven BCTs emerged as feasible 'intervention content' for targeting GPs' ordering behaviour. These included instructions on how to effectively request the test (how to perform behaviour), information on GPs' use of the test (feedback on behaviour), information about patient consequences resulting from not doing the test (information about health consequences), laboratory/consultant-based advice/education (credible source), altering the test ordering form (restructuring the physical environment), providing guidelines (prompts/cues) and adding interpretive comments to the results (adding objects to the environment). These BCTs aligned to four intervention functions: education, persuasion, environmental restructuring and enablement. This study has effectively applied behaviour change theory to identify feasible strategies for improving immunoglobulin test use in primary care using the TDF, 'behaviour change wheel' and BCT taxonomy. The identified BCTs will form the basis of a theory-based intervention to improve the use of immunoglobulin tests among GPs. Future research will involve the development and evaluation of this intervention.

Detection test of wireless network signal strength and GPS positioning signal in underground pipeline

NASA Astrophysics Data System (ADS)

Li, Li; Zhang, Yunwei; Chen, Ling

2018-03-01

In order to solve the problem of selecting positioning technology for inspection robot in underground pipeline environment, the wireless network signal strength and GPS positioning signal testing are carried out in the actual underground pipeline environment. Firstly, the strength variation of the 3G wireless network signal and Wi-Fi wireless signal provided by China Telecom and China Unicom ground base stations are tested, and the attenuation law of these wireless signals along the pipeline is analyzed quantitatively and described. Then, the receiving data of the GPS satellite signal in the pipeline are tested, and the attenuation of GPS satellite signal under underground pipeline is analyzed. The testing results may be reference for other related research which need to consider positioning in pipeline.

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

GPS World, Innovation: Autonomous Navigation at High Earth Orbits

NASA Technical Reports Server (NTRS)

Bamford, William; Winternitz, Luke; Hay, Curtis

2005-01-01

Calculating a spacecraft's precise location at high orbital altitudes-22,000 miles (35,800 km) and beyond-is an important and challenging problem. New and exciting opportunities become possible if satellites are able to autonomously determine their own orbits. First, the repetitive task of periodically collecting range measurements from terrestrial antennas to high altitude spacecraft becomes less important-this lessens competition for control facilities and saves money by reducing operational costs. Also, autonomous navigation at high orbital altitudes introduces the possibility of autonomous station keeping. For example, if a geostationary satellite begins to drift outside of its designated slot it can make orbit adjustments without requiring commands from the ground. Finally, precise onboard orbit determination opens the door to satellites flying in formation-an emerging concept for many scientific space applications. The realization of these benefits is not a trivial task. While the navigation signals broadcast by GPS satellites are well suited for orbit and attitude determination at lower altitudes, acquiring and using these signals at geostationary (GEO) and highly elliptical orbits is much more difficult. The light blue trace describes the GPS orbit at approximately 12,550 miles (20,200 km) altitude. GPS satellites were designed to provide navigation signals to terrestrial users-consequently the antenna array points directly toward the earth. GEO and HE0 orbits, however, are well above the operational GPS constellation, making signal reception at these altitudes more challenging. The nominal beamwidth of a Block II/IIA GPS satellite antenna array is approximately 42.6 degrees. At GEO and HE0 altitudes, most of these primary beam transmissions are blocked by the Earth, leaving only a narrow region of nominal signal visibility near opposing limbs of the earth. This region is highlighted in gray. If GPS receivers at GEO and HE0 orbits were designed to use these higher power signals only, precise orbit determination would not be practical. Fortunately, the GPS satellite antenna array also produces side lobe signals at much lower power levels. NASA has designed and tested the Navigator, a new GPS receiver that can acquire and track these weaker signals, thereby dramatically increasing the signal visibility at these altitudes. While using much weaker signals is a fundamental requirement for a high orbital altitude GPS receiver, it is certainly not the only challenge. There are other unique characteristics of this application that must also be considered. For example, Position Dilution of Precision (PDOP) figures are much higher at GEO and HE0 altitudes because visible GPS satellites are concentrated in a much smaller area with respect to the spacecraft antenna. These poor PDOP values contribute considerable error to the point solutions calculated by the spacecraft GPS receiver. Finally, spacecraft GPS receivers must be designed to withstand a variety of extreme environmental conditions. Variations in acceleration between launch and booster separation are extreme. Temperature gradients in the space environment are also severe. Furthermore, radiation effects are a major concern-spacecraft-borne GPS receivers must be designed with radiation-hardened electronics to guard against this phenomenon, otherwise they simply will not work. Perhaps most importantly, there are no opportunities to repair or modify any space-borne GPS receiver after it has been launched. Great care must be taken to ensure all performance characteristics have been analyzed prior to liftoff.

Measuring and testing for gender discrimination in physician pay: English family doctors.

PubMed

Gravelle, Hugh; Hole, Arne Risa; Santos, Rita

2011-07-01

In 2008 the income of female GPs was 70%, and their wages (income per hour) were 89%, of those of male GPs. We estimate Oaxaca decompositions using OLS models of wages and 2SLS models of income and propose a set of new direct tests for within workplace gender discrimination. The direct tests are based on a comparison of the differences in income of female and male GPs in practices with varying proportions of female GPs and with female or male senior partners. These tests provide only weak evidence for discrimination. We also propose a set of indirect tests for discrimination, including a comparison of a GP's actual income with the income they report as an acceptable reward for their job. The indirect tests provide no evidence for gender discrimination within practices. Copyright © 2011 Elsevier B.V. All rights reserved.

Results from a GPS Shuttle Training Aircraft flight test

NASA Technical Reports Server (NTRS)

Saunders, Penny E.; Montez, Moises N.; Robel, Michael C.; Feuerstein, David N.; Aerni, Mike E.; Sangchat, S.; Rater, Lon M.; Cryan, Scott P.; Salazar, Lydia R.; Leach, Mark P.

1991-01-01

A series of Global Positioning System (GPS) flight tests were performed on a National Aeronautics and Space Administration's (NASA's) Shuttle Training Aircraft (STA). The objective of the tests was to evaluate the performance of GPS-based navigation during simulated Shuttle approach and landings for possible replacement of the current Shuttle landing navigation aid, the Microwave Scanning Beam Landing System (MSBLS). In particular, varying levels of sensor data integration would be evaluated to determine the minimum amount of integration required to meet the navigation accuracy requirements for a Shuttle landing. Four flight tests consisting of 8 to 9 simulation runs per flight test were performed at White Sands Space Harbor in April 1991. Three different GPS receivers were tested. The STA inertial navigation, tactical air navigation, and MSBLS sensor data were also recorded during each run. C-band radar aided laser trackers were utilized to provide the STA 'truth' trajectory.

Performance and Accuracy of Lightweight and Low-Cost GPS Data Loggers According to Antenna Positions, Fix Intervals, Habitats and Animal Movements

PubMed Central

Forin-Wiart, Marie-Amélie; Hubert, Pauline; Sirguey, Pascal; Poulle, Marie-Lazarine

2015-01-01

Recently developed low-cost Global Positioning System (GPS) data loggers are promising tools for wildlife research because of their affordability for low-budget projects and ability to simultaneously track a greater number of individuals compared with expensive built-in wildlife GPS. However, the reliability of these devices must be carefully examined because they were not developed to track wildlife. This study aimed to assess the performance and accuracy of commercially available GPS data loggers for the first time using the same methods applied to test built-in wildlife GPS. The effects of antenna position, fix interval and habitat on the fix-success rate (FSR) and location error (LE) of CatLog data loggers were investigated in stationary tests, whereas the effects of animal movements on these errors were investigated in motion tests. The units operated well and presented consistent performance and accuracy over time in stationary tests, and the FSR was good for all antenna positions and fix intervals. However, the LE was affected by the GPS antenna and fix interval. Furthermore, completely or partially obstructed habitats reduced the FSR by up to 80% in households and increased the LE. Movement across habitats had no effect on the FSR, whereas forest habitat influenced the LE. Finally, the mean FSR (0.90 ± 0.26) and LE (15.4 ± 10.1 m) values from low-cost GPS data loggers were comparable to those of built-in wildlife GPS collars (71.6% of fixes with LE < 10 m for motion tests), thus confirming their suitability for use in wildlife studies. PMID:26086958

Comparison of Three Wind Measuring Systems for Flight Test

NASA Technical Reports Server (NTRS)

Teets, Edward H., Jr.; Harvey, Philip O.

2000-01-01

A preliminary field test of the accuracy of wind velocity measurements obtained using global positioning system-tracked rawinsonde balloons has been performed. Wind comparisons have been conducted using global positioning system (GPS) and radio automatic theodolite sounder (RATS) rawinsondes and a high-precision range instrumentation radar-tracked reflector. Wind velocity differences between the GPS rawinsondes and the radar were significantly less than between the RATS rawinsondes and the radar. These limited test results indicate a root-mean-square wind velocity difference from 4.98 kn (2.56 m/sec) for the radar and RATS to 1.09 kn (0.56 m/sec) for the radar and GPS. Differences are influenced by user reporting requirements, data processing techniques, and the inherent tracking accuracies of the system. This brief field test indicates that the GPS sounding system tracking data are more precise than the RATS system. When high-resolution wind data are needed, use of GPS rawinsonde systems can reduce the burden on range radar operations.

Global Positioning System Time Transfer Receiver (GPS/TTR) prototype design and initial test evaluation

NASA Technical Reports Server (NTRS)

Oaks, J.; Frank, A.; Falvey, S.; Lister, M.; Buisson, J.; Wardrip, C.; Warren, H.

1982-01-01

Time transfer equipment and techniques used with the Navigation Technology Satellites were modified and extended for use with the Global Positioning System (GPS) satellites. A prototype receiver was built and field tested. The receiver uses the GPS L1 link at 1575 MHz with C/A code only to resolve a measured range to the satellite. A theoretical range is computed from the satellite ephemeris transmitted in the data message and the user's coordinates. Results of user offset from GPS time are obtained by differencing the measured and theoretical ranges and applying calibration corrections. Results of the first field test evaluation of the receiver are presented.

Testing of the International Space Station and X-38 Crew Return Vehicle GPS Receiver

NASA Technical Reports Server (NTRS)

Simpson, James; Campbell, Chip; Carpenter, Russell; Davis, Ed; Kizhner, Semion; Lightsey, E. Glenn; Davis, George; Jackson, Larry

1999-01-01

This paper discusses the process and results of the performance testing of the GPS receiver planned for use on the International Space Station (ISS) and the X-38 Crew Return Vehicle (CRV). The receiver is a Force-19 unit manufactured by Trimble Navigation and modified in software by the NASA Goddard Space Flight Center (GSFC) to perform navigation and attitude determination in space. The receiver is the primary source of navigation and attitude information for ISS and CRV. Engineers at GSFC have developed and tested the new receiver with a Global Simulation Systems Ltd (GSS) GPS Signal Generator (GPSSG). This paper documents the unique aspects of ground testing a GPS receiver that is designed for use in space. A discussion of the design of tests using the GPSSG, documentation, data capture, data analysis, and lessons learned will precede an overview of the performance of the new receiver. A description of the challenges that were overcome during this testing exercise will be presented. Results from testing show that the receiver will be within or near the specifications for ISS attitude and navigation performance. The process for verifying other requirements such as Time to First Fix, Time to First Attitude, selection/deselection of a specific GPS satellite vehicles (SV), minimum signal strength while still obtaining attitude and navigation, navigation and attitude output coverage, GPS week rollover, and Y2K requirements are also given in this paper.

Testing of the International Space Station and X-38 Crew Return Vehicle GPS Receiver

NASA Technical Reports Server (NTRS)

Simpson, James; Campbell, Chip; Carpenter, Russell; Davis, Ed; Kizhner, Semion; Lightsey, E. Glenn; Davis, George; Jackson, Larry

1999-01-01

This paper discusses the process and results of the performance testing of the GPS receiver planned for use on the International Space Station (ISS) and the X-38 Crew Return Vehicle (CRV). The receiver is a Force-19 unit manufactured by Trimble Navigation and Modified in software by the NASA Goddard Space Flight Center (GSFC) to perform navigation and attitude determination in space. The receiver is the primary source of navigation and attitude information for ISS and CRV. Engineers at GSFC have developed and tested the new receiver with a Global Simulation Systems Ltd (GSS) GPS Signal Generator (GPSSG). This paper documents the unique aspects of ground testing a GPS receiver that is designed for use in space. A discussion of the design and tests using the GPSSG, documentation, data capture, data analysis, and lessons learned will precede an overview of the performance of the new receiver. A description of the challenges of that were overcome during this testing exercise will be presented. Results from testing show that the receiver will be within or near the specifications for ISS attitude and navigation performance. The process for verifying other requirements such as Time to First Fix, Time to First Attitude, selection/deselection of a specific GPS satellite vehicles (SV), minimum signal strength while still obtaining attitude and navigation, navigation and attitude output coverage, GPS week rollover, and Y2K requirements are also given in this paper.

Testing of the International Space Station and X-38 Crew Return Vehicle GPS Receiver

NASA Technical Reports Server (NTRS)

Simpson, James; Lightsey, Glenn; Campbell, Chip; Carpenter, Russell; Davis, George; Jackson, Larry; Davis, Ed; Kizhner, Semion

1999-01-01

This paper discusses the process and results of the performance testing of the GPS receiver planned for use on the International Space Station (ISS) and the X- 38CrewReturnVehicle(CRV). The receiver is a Force-19 unit manufactured by Trimble Navigation and modified in software by NASA:s Goddard Space Flight Center (GSFC) to perform navigation and attitude determination in space. The receiver is the primary source of navigation and attitude information for ISS and CRV. Engineers at GSFC have developed and tested the new receiver with a Global Simulation Systems Ltd (GSS) GPS Signal Generator (GPSSG). This paper documents the unique aspects of ground testing a GPS receiver that is designed for use in space. A discussion of the design of tests using the GPSSG, documentation, data capture, data analysis, and lessons learned will precede an overview of the performance of the new receiver. A description of the challenges that were overcome during this testing exercise will be presented. Results from testing show that the receiver will be within or near the specifications for ISS attitude and navigation performance. The process for verifying other requirements such as Time to First Fix, Time to First Attitude, selection/deselection of a specific GPS satellite vehicles (SV), minimum signal strength while still obtaining attitude and navigation, navigation and attitude output coverage, GPS week rollover, and Y2K requirements are also given in this paper.

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...

Spatio-Temporal Pattern Mining on Trajectory Data Using Arm

NASA Astrophysics Data System (ADS)

Khoshahval, S.; Farnaghi, M.; Taleai, M.

2017-09-01

Preliminary mobile was considered to be a device to make human connections easier. But today the consumption of this device has been evolved to a platform for gaming, web surfing and GPS-enabled application capabilities. Embedding GPS in handheld devices, altered them to significant trajectory data gathering facilities. Raw GPS trajectory data is a series of points which contains hidden information. For revealing hidden information in traces, trajectory data analysis is needed. One of the most beneficial concealed information in trajectory data is user activity patterns. In each pattern, there are multiple stops and moves which identifies users visited places and tasks. This paper proposes an approach to discover user daily activity patterns from GPS trajectories using association rules. Finding user patterns needs extraction of user's visited places from stops and moves of GPS trajectories. In order to locate stops and moves, we have implemented a place recognition algorithm. After extraction of visited points an advanced association rule mining algorithm, called Apriori was used to extract user activity patterns. This study outlined that there are useful patterns in each trajectory that can be emerged from raw GPS data using association rule mining techniques in order to find out about multiple users' behaviour in a system and can be utilized in various location-based applications.

Experimenting Galileo on Board the International Space Station

NASA Technical Reports Server (NTRS)

Fantinato, Samuele; Pozzobon, Oscar; Gamba, Giovanni; Chiara, Andrea Dalla; Montagner, Stefano; Giordano, Pietro; Crisci, Massimo; Enderle, Werner; Chelmins, David T.; Sands, Obed S.;

Anthropogenic resource subsidies determine space use by Australian arid zone dingoes: an improved resource selection modelling approach.

PubMed

Newsome, Thomas M; Ballard, Guy-Anthony; Dickman, Christopher R; Fleming, Peter J S; Howden, Chris

2013-01-01

Dingoes (Canis lupus dingo) were introduced to Australia and became feral at least 4,000 years ago. We hypothesized that dingoes, being of domestic origin, would be adaptable to anthropogenic resource subsidies and that their space use would be affected by the dispersion of those resources. We tested this by analyzing Resource Selection Functions (RSFs) developed from GPS fixes (locations) of dingoes in arid central Australia. Using Generalized Linear Mixed-effect Models (GLMMs), we investigated resource relationships for dingoes that had access to abundant food near mine facilities, and for those that did not. From these models, we predicted the probability of dingo occurrence in relation to anthropogenic resource subsidies and other habitat characteristics over ∼ 18,000 km(2). Very small standard errors and subsequent pervasively high P-values of results will become more important as the size of data sets, such as our GPS tracking logs, increases. Therefore, we also investigated methods to minimize the effects of serial and spatio-temporal correlation among samples and unbalanced study designs. Using GLMMs, we accounted for some of the correlation structure of GPS animal tracking data; however, parameter standard errors remained very small and all predictors were highly significant. Consequently, we developed an alternative approach that allowed us to review effect sizes at different spatial scales and determine which predictors were sufficiently ecologically meaningful to include in final RSF models. We determined that the most important predictor for dingo occurrence around mine sites was distance to the refuse facility. Away from mine sites, close proximity to human-provided watering points was predictive of dingo dispersion as were other landscape factors including palaeochannels, rocky rises and elevated drainage depressions. Our models demonstrate that anthropogenically supplemented food and water can alter dingo-resource relationships. The spatial distribution of such resources is therefore critical for the conservation and management of dingoes and other top predators.

Measurement of shallow sea floor motion with GPS on a rigid buoy: system design and synthetic analysis

NASA Astrophysics Data System (ADS)

Dixon, T. H.; Xie, S.; Malservisi, R.; Lembke, C.; Iannaccone, G.; Law, J.; Rodgers, M.; Russell, R.; Voss, N. K.

2017-12-01

A GPS-buoy system has been built and is currently undergoing test to measure precise 3D sea floor motion in the shallow (less than 200 m) continental shelf environment. Offshore deformation is undersampled in most subduction zones. In Cascadia, the shallow shelf environment constitutes roughly 20%-25% of the offshore area between the coastline and the trench. In the system being tested, the GPS receiver at the top of the buoy is connected to the sea floor through a rigid structure supported by a float. A similar design has been used by INGV (Italy) to measure vertical deformation on the sea floor near the Campi Flegrei caldera. Synthetic analysis shows that by adding a 3-axis digital compass to measure heading and tilt, along with kinematic GPS measurements, position of the anchor can be recovered to an accuracy of several centimeters or better, depending on water depth and GPS baseline length. Synthetic resolution tests show that our ability to detect shallow slow slip events on subduction plate boundaries can be greatly improved by adding offshore GPS-buoy sites.

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.

Use of a 17-Gene Prognostic Assay in Contemporary Urologic Practice: Results of an Interim Analysis in an Observational Cohort.

PubMed

Eure, Gregg; Germany, Raymond; Given, Robert; Lu, Ruixiao; Shindel, Alan W; Rothney, Megan; Glowacki, Richard; Henderson, Jonathan; Richardson, Tim; Goldfischer, Evan; Febbo, Phillip G; Denes, Bela S

2017-09-01

To study the impact of genomic testing in shared decision making for men with clinically low-risk prostate cancer (PCa). Patients with clinically low-risk PCa were enrolled in a prospective, multi-institutional study of a validated 17-gene tissue-based reverse transcription polymerase chain reaction assay (Genomic Prostate Score [GPS]). In this paper we report on outcomes in the first 297 patients enrolled in the study with valid 17-gene assay results and decision-change data. The primary end points were shared decision on initial management and persistence on active surveillance (AS) at 1 year post diagnosis. AS utilization and persistence were compared with similar end points in a group of patients who did not have genomic testing (baseline cohort). Secondary end points included perceived utility of the assay and patient decisional conflict before and after testing. One-year results were available on 258 patients. Shift between initial recommendation and shared decision occurred in 23% of patients. Utilization of AS was higher in the GPS-tested cohort than in the untested baseline cohort (62% vs 40%). The proportion of men who selected and persisted on AS at 1 year was 55% and 34% in the GPS and baseline cohorts, respectively. Physicians reported that GPS was useful in 90% of cases. Mean decisional conflict scores declined in patients after GPS testing. Patients who received GPS testing were more likely to select and persist on AS for initial management compared with a matched baseline group. These data indicate that GPS help guide shared decisions in clinically low-risk PCa. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

The geophysical processor system: Automated analysis of ERS-1 SAR imagery

NASA Technical Reports Server (NTRS)

Stern, Harry L.; Rothrock, D. Andrew; Kwok, Ronald; Holt, Benjamin

1994-01-01

The Geophysical Processor System (GPS) at the Alaska (U.S.) SAR (Synthetic Aperture Radar) Facility (ASF) uses ERS-1 SAR images as input to generate three types of products: sea ice motion, sea ice type, and ocean wave spectra. The GPS, operating automatically with minimal human intervention, delivers its output to the Archive and Catalog System (ACS) where scientists can search and order the products on line. The GPS has generated more than 10,000 products since it became operational in Feb. 1992, and continues to deliver 500 new products per month to the ACS. These products cover the Beaufort and Chukchi Seas and the western portion of the central Arctic Ocean. More geophysical processing systems are needed to handle the large volumes of data from current and future satellites. Images must be routinely and consistently analyzed to yield useful information for scientists. The current GPS is a good, working prototype on the way to more sophisticated systems.

Design and flight test of a differential GPS/inertial navigation system for approach/landing guidance

NASA Technical Reports Server (NTRS)

Vallot, Lawrence; Snyder, Scott; Schipper, Brian; Parker, Nigel; Spitzer, Cary

1991-01-01

NASA-Langley has conducted a flight test program evaluating a differential GPS/inertial navigation system's (DGPS/INS) utility as an approach/landing aid. The DGPS/INS airborne and ground components are based on off-the-shelf transport aircraft avionics, namely a global positioning/inertial reference unit (GPIRU) and two GPS sensor units (GPSSUs). Systematic GPS errors are measured by the ground GPSSU and transmitted to the aircraft GPIRU, allowing the errors to be eliminated or greatly reduced in the airborne equipment. Over 120 landings were flown; 36 of these were fully automatic DGPS/INS landings.

Is the role as gatekeeper still feasible? A survey among Dutch general practitioners.

PubMed

Wammes, Joost Johan Godert; Jeurissen, Patrick Paulus Theodoor; Verhoef, Lise Maria; Assendelft, Willem J J; Westert, Gert P; Faber, Marjan J

2014-10-01

In the 2012 International Health Policy Survey by the Commonwealth Fund, 57% of Dutch GPs indicated that Dutch patients receive too much health care. This is an unexpected finding, given the clear gatekeeper role of Dutch GPs and recent efforts strengthening this role. The study aims to explore where perceived overuse of care prevails and to identify factors associated with too much care at the entry point of Dutch health care. An American survey exploring perceptions of the amount of care among primary care providers was modified for relevance to the Dutch health system. We further included additional factors possibly related to overuse based on 12 interviews with Dutch GPs. The survey was sent to a random sample of 600 GPs. Dutch GPs (N = 157; response rate 26.2%) indicated that patients receive (much) too much care in general hospitals, primary care, GP cooperatives as well as private clinics. The Dutch responding GPs showed a relatively demand-satisfying attitude, which contributed to the delivery of too much care, often leading to deviation from guidelines and professional norms. The increasing availability of diagnostic facilities was identified as an additional factor contributing to the provision of unnecessary care. Finally, funding gaps between primary care and hospitals impede cooperation and coordination, provoking unnecessary care. Our results--most notably regarding the demand-satisfying attitude of responding GPs--call into question the classical view of the guidance and gatekeeper role of GPs in the Dutch health care system. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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.

Flight Test Results from Real-Time Relative Global Positioning System Flight Experiment on STS-69

NASA Technical Reports Server (NTRS)

Park, Young W.; Brazzel, Jack P., Jr.; Carpenter, J. Russell; Hinkel, Heather D.; Newman, James H.

1996-01-01

A real-time global positioning system (GPS) Kalman filter has been developed to support automated rendezvous with the International Space Station (ISS). The filter is integrated with existing Shuttle rendezvous software running on a 486 laptop computer under Windows. In this work, we present real-time and postflight results achieved with the filter on STS-69. The experiment used GPS data from an Osborne/Jet propulsion Laboratory TurboRouge receiver carried on the Wake Shield Facility (WSF) free flyer and a Rockwell Collins 3M receiver carried on the Orbiter. Real time filter results, processed onboard the Shuttle and replayed in near-time on the ground, are based on single vehicle mode operation and on 5 to 20 minute snapshots of telemetry provided by WSF for dual-vehicle mode operation. The Orbiter and WSF state vectors calculated using our filter compare favorably with precise reference orbits determined by the University of Texas Center for Space Research. The lessons learned from this experiment will be used in conjunction with future experiments to mitigate the technology risk posed by automated rendezvous and docking to the ISS.

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

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

Gravity field error analysis: Applications of GPS receivers and gradiometers on low orbiting platforms

NASA Technical Reports Server (NTRS)

Schrama, E.

1990-01-01

The concept of a Global Positioning System (GPS) receiver as a tracking facility and a gradiometer as a separate instrument on a low orbiting platform offers a unique tool to map the Earth's gravitational field with unprecedented accuracies. The former technique allows determination of the spacecraft's ephemeris at any epoch to within 3 to 10 cm, the latter permits the measurement of the tensor of second order derivatives of the gravity field to within 0.01 to 0.0001 Eotvos units depending on the type of gradiometer. First, a variety of error sources in gradiometry where emphasis is placed on the rotational problem pursuing as well a static as a dynamic approach is described. Next, an analytical technique is described and applied for an error analysis of gravity field parameters from gradiometer and GPS observation types. Results are discussed for various configurations proposed on Topex/Poseidon, Gravity Probe-B, and Aristoteles, indicating that GPS only solutions may be computed up to degree and order 35, 55, and 85 respectively, whereas a combined GPS/gradiometer experiment on Aristoteles may result in an acceptable solution up to degree and order 240.

Statistical inference in comparing DInSAR and GPS data in fault areas

NASA Astrophysics Data System (ADS)

Barzaghi, R.; Borghi, A.; Kunzle, A.

2012-04-01

DInSAR and GPS data are nowadays currently used in geophysical investigation, e.g. for estimating slip rate over the fault plane in seismogenic areas. This analysis is usually done by mapping the surface deformation rates as estimated by GPS and DInSAR over the fault plane using suitable geophysical models (e.g. the Okada model). Usually, DInSAR vertical velocities and GPS horizontal velocities are used for getting an integrated slip estimate. However, it is sometimes critical to merge the two kinds of information since they may reflect a common undergoing geophysical signal plus different disturbing signals that are not related to the fault dynamic. In GPS and DInSAR data analysis, these artifacts are mainly connected to signal propagation in the atmosphere and to hydrological phenomena (e.g. variation in the water table). Thus, some coherence test between the two information must be carried out in order to properly merge the GPS and DInSAR velocities in the inversion procedure. To this aim, statistical tests have been studied to check for the compatibility of the two deformation rate estimates coming from GPS and DInSAR data analysis. This has been done according both to standard and Bayesian testing methodology. The effectiveness of the proposed inference methods has been checked with numerical simulations in the case of a normal fault. The fault structure is defined following the Pollino fault model and both GPS and DInSAR data are simulated according to real data acquired in this area.

Human factors evaluation of TSO-C129A GPS receivers

DOT National Transportation Integrated Search

1998-10-22

This report documents an evaluation of the usability of TSO-C129a-certified Global Positioning System (GPS) receivers. Bench and flight tests were conducted on six GPS receivers. The evaluations covered 23 flight tasks. Both subjective and objective ...

An ice-motion tracking system at the Alaska SAR facility

NASA Technical Reports Server (NTRS)

Kwok, Ronald; Curlander, John C.; Pang, Shirley S.; Mcconnell, Ross

1990-01-01

An operational system for extracting ice-motion information from synthetic aperture radar (SAR) imagery is being developed as part of the Alaska SAR Facility. This geophysical processing system (GPS) will derive ice-motion information by automated analysis of image sequences acquired by radars on the European ERS-1, Japanese ERS-1, and Canadian RADARSAT remote sensing satellites. The algorithm consists of a novel combination of feature-based and area-based techniques for the tracking of ice floes that undergo translation and rotation between imaging passes. The system performs automatic selection of the image pairs for input to the matching routines using an ice-motion estimator. It is designed to have a daily throughput of ten image pairs. A description is given of the GPS system, including an overview of the ice-motion-tracking algorithm, the system architecture, and the ice-motion products that will be available for distribution to geophysical data users.

Sea ice type maps from Alaska synthetic aperture radar facility imagery: An assessment

NASA Technical Reports Server (NTRS)

Fetterer, Florence M.; Gineris, Denise; Kwok, Ronald

1994-01-01

Synthetic aperture radar (SAR) imagery received at the Alaskan SAR Facility is routinely and automatically classified on the Geophysical Processor System (GPS) to create ice type maps. We evaluated the wintertime performance of the GPS classification algorithm by comparing ice type percentages from supervised classification with percentages from the algorithm. The root mean square (RMS) difference for multiyear ice is about 6%, while the inconsistency in supervised classification is about 3%. The algorithm separates first-year from multiyear ice well, although it sometimes fails to correctly classify new ice and open water owing to the wide distribution of backscatter for these classes. Our results imply a high degree of accuracy and consistency in the growing archive of multiyear and first-year ice distribution maps. These results have implications for heat and mass balance studies which are furthered by the ability to accurately characterize ice type distributions over a large part of the Arctic.

25th Space Simulation Conference. Environmental Testing: The Earth-Space Connection

NASA Technical Reports Server (NTRS)

Packard, Edward

2008-01-01

Topics covered include: Methods of Helium Injection and Removal for Heat Transfer Augmentation; The ESA Large Space Simulator Mechanical Ground Support Equipment for Spacecraft Testing; Temperature Stability and Control Requirements for Thermal Vacuum/Thermal Balance Testing of the Aquarius Radiometer; The Liquid Nitrogen System for Chamber A: A Change from Original Forced Flow Design to a Natural Flow (Thermo Siphon) System; Return to Mercury: A Comparison of Solar Simulation and Flight Data for the MESSENGER Spacecraft; Floating Pressure Conversion and Equipment Upgrades of Two 3.5kw, 20k, Helium Refrigerators; Affect of Air Leakage into a Thermal-Vacuum Chamber on Helium Refrigeration Heat Load; Special ISO Class 6 Cleanroom for the Lunar Reconnaissance Orbiter (LRO) Project; A State-of-the-Art Contamination Effects Research and Test Facility Martian Dust Simulator; Cleanroom Design Practices and Their Influence on Particle Counts; Extra Terrestrial Environmental Chamber Design; Contamination Sources Effects Analysis (CSEA) - A Tool to Balance Cost/Schedule While Managing Facility Availability; SES and Acoustics at GSFC; HST Super Lightweight Interchangeable Carrier (SLIC) Static Test; Virtual Shaker Testing: Simulation Technology Improves Vibration Test Performance; Estimating Shock Spectra: Extensions beyond GEVS; Structural Dynamic Analysis of a Spacecraft Multi-DOF Shaker Table; Direct Field Acoustic Testing; Manufacture of Cryoshroud Surfaces for Space Simulation Chambers; The New LOTIS Test Facility; Thermal Vacuum Control Systems Options for Test Facilities; Extremely High Vacuum Chamber for Low Outgassing Processing at NASA Goddard; Precision Cleaning - Path to Premier; The New Anechoic Shielded Chambers Designed for Space and Commercial Applications at LIT; Extraction of Thermal Performance Values from Samples in the Lunar Dust Adhesion Bell Jar; Thermal (Silicon Diode) Data Acquisition System; Aquarius's Instrument Science Data System (ISDS) Automated to Acquire, Process, Trend Data and Produce Radiometric System Assessment Reports; Exhaustive Thresholds and Resistance Checkpoints; Reconfigurable HIL Testing of Earth Satellites; FPGA Control System for the Automated Test of MicroShutters; Ongoing Capabilities and Developments of Re-Entry Plasma Ground Tests at EADS-ASTRIUM; Operationally Responsive Space Standard Bus Battery Thermal Balance Testing and Heat Dissipation Analysis; Galileo - The Serial-Production AIT Challenge; The Space Systems Environmental Test Facility Database (SSETFD), Website Development Status; Simulated Reentry Heating by Torching; Micro-Vibration Measurements on Thermally Loaded Multi-Layer Insulation Samples in Vacuum; High Temperature Life Testing of 80Ni-20Cr Wire in a Simulated Mars Atmosphere for the Sample Analysis at Mars (SAM) Instrument Suit Gas Processing System (GPS) Carbon Dioxide Scrubber; The Planning and Implementation of Test Facility Improvements; and Development of a Silicon Carbide Molecular Beam Nozzle for Simulation Planetary Flybys and Low-Earth Orbit.

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.

Evaluation of Mobile Phone Interference With Aircraft GPS Navigation Systems

NASA Technical Reports Server (NTRS)

Pace, Scott; Oria, A. J.; Guckian, Paul; Nguyen, Truong X.

2004-01-01

This report compiles and analyzes tests that were conducted to measure cell phone spurious emissions in the Global Positioning System (GPS) radio frequency band that could affect the navigation system of an aircraft. The cell phone in question had, as reported to the FAA (Federal Aviation Administration), caused interference to several GPS receivers on-board a small single engine aircraft despite being compliant with data filed at the time with the FCC by the manufacturer. NASA (National Aeronautics and Space Administration) and industry tests show that while there is an emission in the 1575 MHz GPS band due to a specific combination of amplifier output impedance and load impedance that induces instability in the power amplifier, these spurious emissions (i.e., not the intentional transmit signal) are similar to those measured on non-intentionally transmitting devices such as, for example, laptop computers. Additional testing on a wide sample of different commercial cell phones did not result in any emission in the 1575 MHz GPS Band above the noise floor of the measurement receiver.

Enhancing Doctors' Competencies in Communication With and Activation of Older Patients: The Promoting Active Aging (PRACTA) Computer-Based Intervention Study.

PubMed

Wlodarczyk, Dorota; Chylińska, Joanna; Lazarewicz, Magdalena; Rzadkiewicz, Marta; Jaworski, Mariusz; Adamus, Miroslawa; Haugan, Gørill; Lillefjell, Monica; Espnes, Geir Arild

2017-02-22

Demographic changes over the past decades call for the promotion of health and disease prevention for older patients, as well as strategies to enhance their independence, productivity, and quality of life. Our objective was to examine the effects of a computer-based educational intervention designed for general practitioners (GPs) to promote active aging. The Promoting Active Aging (PRACTA) study consisted of a baseline questionnaire, implementation of an intervention, and a follow-up questionnaire that was administered 1 month after the intervention. A total of 151 primary care facilities (response rate 151/767, 19.7%) and 503 GPs (response rate 503/996, 50.5%) agreed to participate in the baseline assessment. At the follow-up, 393 GPs filled in the questionnaires (response rate, 393/503, 78.1%), but not all of them took part in the intervention. The final study group of 225 GPs participated in 3 study conditions: e-learning (knowledge plus skills modelling, n=42), a pdf article (knowledge only, n=89), and control (no intervention, n=94). We measured the outcome as scores on the Patients Expectations Scale, Communication Scale, Attitude Toward Treatment and Health Scale, and Self-Efficacy Scale. GPs participating in e-learning demonstrated a significant rise in their perception of older patients' expectations for disease explanation (Wald χ 2 =19.7, P<.001) and in perception of motivational aspect of older patients' attitude toward treatment and health (Wald χ 2 =8.9, P=.03) in comparison with both the control and pdf article groups. We observed additional between-group differences at the level of statistical trend. GPs participating in the pdf article intervention demonstrated a decline in self-assessed communication, both at the level of global scoring (Wald χ 2 =34.5, P<.001) and at the level of 20 of 26 specific behaviors (all P<.05). Factors moderating the effects of the intervention were the number of patients per GP and the facility's organizational structure. Both methods were suitable, but in different areas and under different conditions. The key benefit of the pdf article intervention was raising doctors' reflection on limitations in their communication skills, whereas e-learning was more effective in changing their perception of older patients' proactive attitude, especially among GPs working in privately owned facilities and having a greater number of assigned patients. Although we did not achieve all expected effects of the PRACTA intervention, both its forms seem promising in terms of enhancing the competencies of doctors in communication with and activation of older patients. ©Dorota Wlodarczyk, Joanna Chylińska, Magdalena Lazarewicz, Marta Rzadkiewicz, Mariusz Jaworski, Miroslawa Adamus, Gørill Haugan, Monica Lillefjell, Geir Arild Espnes. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 22.02.2017.

Navigation Flight Test Results from the Low Power Transceiver Communications and Navigation Demonstration on Shuttle (CANDOS) Experiment

NASA Technical Reports Server (NTRS)

Haas, Lin; Massey, Christopher; Baraban, Dmitri

2003-01-01

This paper presents the Global Positioning System (GPS) navigation results from the Communications and Navigation Demonstration on Shuttle (CANDOS) experiment flown on STS-107. This experiment was the initial flight of a Low Power Transceiver (LPT) that featured high capacity space- space and space-ground communications and GPS- based navigation capabilities. The LPT also hosted the GPS Enhanced Orbit Determination Experiment (GEODE) orbit determination software. All CANDOS test data were recovered during the mission using LPT communications links via the Tracking and Data Relay Satellite System (TDRSS). An overview of the LPT s navigation software and the GPS experiment timeline is presented, along with comparisons of test results to the NASA Johnson Space Center (JSC) real-time ground navigation vectors and Best Estimate of Trajectory (BET).

Differential GPS for air transport: Status

NASA Technical Reports Server (NTRS)

Hueschen, Richard M.

1993-01-01

The presentation presents background on what the Global Navigation Satellite System (GNSS) is, desired target dates for initial GNSS capabilities for aircraft operations, and a description of differential GPS (Global Positioning System). The presentation also presents an overview of joint flight tests conducted by LaRC and Honeywell on an integrated differential GPS/inertial reference unit (IRU) navigation system. The overview describes the system tested and the results of the flight tests. The last item presented is an overview of a current grant with Ohio University from LaRC which has the goal of developing a precision DGPS navigation system based on interferometry techniques. The fundamentals of GPS interferometry are presented and its application to determine attitude and heading and precision positioning are shown. The presentation concludes with the current status of the grant.

Seasonal and Surface Hydrologic Loading Signals at GPS Stations Processed by the GAGE Facility

NASA Astrophysics Data System (ADS)

Puskas, C. M.; Meertens, C. M.; Phillips, D.

2017-12-01

UNAVCO is now producing hydrologic displacement model time series at GPS station coordinates in the Geodesy Advancing Geosciences and EarthScope (GAGE) Facility, including the Plate Boundary Observatory (PBO). The surface loads are obtained from global and national land data assimilation systems (GLDAS and NLDAS, respectively) land surface models produced by the Goddard Earth Sciences Data and Information Services Center (GES DISC). The land surface models are available as monthly files of environmental parameters documenting water, pressure, temperature, and other measures mass/energy transfer on a grid at the Earth's surface. Grids are 1º for the global GLDAS models and 0.125º for the NLDAS models in the conterminous US. UNAVCO extracts the soil moisture, snowpack, and water stored in vegetation parameters and calculates displacements in an elastic half-space at selected points, i.e., GPS station locations. UNAVCO has recently upgraded its hydrologic data products from GLDAS version 1 to version 2 and added NLDAS-based models, and the new data products are now available from the UNAVCO ftp server (ftp://data-out.unavco.org/pub/products/hydro) and will soon be available through web services. The GLDAS v2 models supersede those based on v1, which will no longer be updated. UNAVCO updates its hydrologic products on a quarterly basis. Seasonal signals in the GAGE GPS position time series have amplitudes on the order of several millimeters, which vary across the PBO network depending on local climate and geology. The signals are thought to be a combination of elastic displacement from surface loading and poroelastic displacement from groundwater depletion and recharge. We present a description of the hydrologic displacement modeling and provide examples of loading and resulting displacement. The GLDAS and NLDAS models are compared with each other and with GPS position time series at selected stations in different geographic regions.

Autonomous Flight Safety System Road Test

NASA Technical Reports Server (NTRS)

Simpson, James C.; Zoemer, Roger D.; Forney, Chris S.

2005-01-01

On February 3, 2005, Kennedy Space Center (KSC) conducted the first Autonomous Flight Safety System (AFSS) test on a moving vehicle -- a van driven around the KSC industrial area. A subset of the Phase III design was used consisting of a single computer, GPS receiver, and UPS antenna. The description and results of this road test are described in this report.AFSS is a joint KSC and Wallops Flight Facility project that is in its third phase of development. AFSS is an independent subsystem intended for use with Expendable Launch Vehicles that uses tracking data from redundant onboard sensors to autonomously make flight termination decisions using software-based rules implemented on redundant flight processors. The goals of this project are to increase capabilities by allowing launches from locations that do not have or cannot afford extensive ground-based range safety assets, to decrease range costs, and to decrease reaction time for special situations.

"It Is Not Easy": Challenges for Provider-Initiated HIV Testing and Counseling in Flanders, Belgium

ERIC Educational Resources Information Center

Manirankunda, Lazare; Loos, Jasna; Debackaere, Pieterjan; Nostlinger, Christiana

2012-01-01

This study identified physicians' HIV testing practices and their barriers toward implementing provider-initiated HIV testing and counseling (PITC) for Sub-Saharan African migrants (SAM) in Flanders, Belgium. In-depth interviews were conducted on a purposive sample of 20 physicians (ten GPs and ten internists). GPs performed mainly…

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.

Design and test of a hybrid foot force sensing and GPS system for richer user mobility activity recognition.

PubMed

Zhang, Zelun; Poslad, Stefan

2013-11-01

Wearable and accompanied sensors and devices are increasingly being used for user activity recognition. However, typical GPS-based and accelerometer-based (ACC) methods face three main challenges: a low recognition accuracy; a coarse recognition capability, i.e., they cannot recognise both human posture (during travelling) and transportation mode simultaneously, and a relatively high computational complexity. Here, a new GPS and Foot-Force (GPS + FF) sensor method is proposed to overcome these challenges that leverages a set of wearable FF sensors in combination with GPS, e.g., in a mobile phone. User mobility activities that can be recognised include both daily user postures and common transportation modes: sitting, standing, walking, cycling, bus passenger, car passenger (including private cars and taxis) and car driver. The novelty of this work is that our approach provides a more comprehensive recognition capability in terms of reliably recognising both human posture and transportation mode simultaneously during travel. In addition, by comparing the new GPS + FF method with both an ACC method (62% accuracy) and a GPS + ACC based method (70% accuracy) as baseline methods, it obtains a higher accuracy (95%) with less computational complexity, when tested on a dataset obtained from ten individuals.

Outreach on a National Scale: The Critical Role of Facilities

NASA Astrophysics Data System (ADS)

Bartel, B. A.; Charlevoix, D. J.

2015-12-01

Facilities provide infrastructure for science that would not be feasible at a single institution. Facilities are also a resource for development of outreach products and activities that reach a national audience of diverse stakeholders. UNAVCO manages the NSF geodetic facility GAGE (Geodesy Advancing Geosciences and Earthscope). Staff at UNAVCO with expertise in education, outreach, and communication translate the science and supporting infrastructure into materials consumable by a wide array of users including teachers, students, museum attendees, emergency managers, park interpreters, and members of the general public. UNAVCO has the ability to distribute materials to a national and international audience, thereby greatly increasing the impact of the science and increasing the value of the investment by the National Science Foundation. In 2014 and 2015, UNAVCO produced multiple print products focused on the Plate Boundary Observatory (PBO), the geodetic component of EarthScope. Products include a deck of playing cards featuring PBO GPS stations, a poster featuring GPS velocities of the Western United States, and another poster focused on GPS velocities in Alaska. We are distributing these products to a broad audience, including teachers, station permit holders, and community members. The Tectonics of the Western United States poster was distributed this year in the American Geosciences Institute Earth Science Week kit for teachers, reaching 16,000 educators around the country. These posters and the PBO playing cards (PBO-52) were distributed to more than 100 teachers through workshops led by UNAVCO, the EarthScope National Office, the Southern California Earthquake Center (SCEC), and more. Additionally, these cards serve as a way to engage landowners who host these scientific stations on their property. This presentation will address the strategies for creating nationally relevant materials and the tools used for dissemination of materials to a broad audience. We will outline the process of our planning strategy as well as share ways in which we evaluate impact of particular outreach products and the overall outreach program.

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.

Potential interference to GPS from UWB transmitters : phase II test results

DOT National Transportation Integrated Search

2001-03-16

In 1999, the U.S. Department of Transportation (DOT") approached Stanford University to research the compatibility of UWB and GPS and to conduct tests to help quantify any interference problems. This is the second report from Stanford to the Departme...

Sea Level, Tectonics, Environmental Monitoring and Altimeter Calibration in Eastern Mediterranean

NASA Astrophysics Data System (ADS)

Pavlis, E. C.; Mertikas, S. P.; Evans, K.

2003-12-01

The Eastern Mediterranean area is one of great interest for its intense tectonic activity as well as for its regional oceanography. Recent observations convincingly demonstrated the importance of the area for regional meteorological and climatologic changes. Monitoring tide-gauge locations with continuous GPS on the other hand removes the uncertainties introduced by local tectonics that contaminate the observed sea level variations. Such a global tide-gauge network with long historical records is already used to calibrate satellite altimeters (e.g. on TOPEX/POSEIDON, GFO, JASON-1, ENVISAT, etc.), at present, a common IOC-GLOSS-IGS effort --TIGA. Crete hosts two of the oldest tide-gauges in the regional network, at Souda Bay and Heraklion. We recently completed the instrumentation of a third, state-of-the-art mean sea level (MSL) monitoring facility in southwestern Crete, on the isle of Gavdos, the southernmost European parcel of land. Our project (GAVDOS) further expands the regional tide gauge network to the south, and contributes to TIGA and MedGLOSS. The presentation will focus on the altimeter calibration aspect of the facility, in particular, its application to the JASON-1 mission. Another component of the "GAVDOS" project is the repeated occupation of the older tide-gauges at Souda Bay and Heraklion, and their tie to the new facility. We will present results from positioning of these sites and some of the available tidal records. The Gavdos facility is situated under a ground-track crossing point of the original T/P and present JASON-1 orbits, allowing two calibration observations per cycle. It is an ideal site if the tectonic motions are monitored precisely and continuously. The facility hosts in addition to two tide gauges, multiple GPS receivers, a DORIS beacon for positioning and orbit control, a transponder for direct calibration, and is visited periodically by water vapor radiometers and solar spectrometers, GPS-laden buoys, and airborne surveys with gravimeters and laser profiling lidars. The French transportable laser ranging system (FTLRS) completed recently a co-location campaign at Chania, Crete, for improved orbit control over the site, and to ensure the best possible and most reliable results.

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.

Estimated saving of antibiotics in pharyngitis and lower respiratory tract infections if general practitioners used rapid tests and followed guidelines.

PubMed

Llor, Carles; Moragas, Ana; Cots, Josep M; López-Valcárcel, Beatriz González

General practitioners (GP) in Spain do not have access to rapid tests and adherence to guidelines is usually suboptimal. The aim of the study is to evaluate the estimated number of antibiotics that could have been saved if GPs had appropriately used these tests and had followed the guidelines. Observational study. Primary care centres from eight Autonomous Communities in Spain. GPs who had not participated in previous studies on rational use of antibiotics. GPs registered all the cases of pharyngitis and lower respiratory tract infections (LRTI) during 15 working days in 2015, by means of a 47-item audit. Actual GPs' antibiotic prescription and estimated number of antibiotics that could have been saved according to recent guidelines. A total of 126 GPs registered 1012 episodes of pharyngitis and 1928 LRTIs. Antibiotics were given or patients were referred in 497 patients with pharyngitis (49.1%) and 963 patients with LRTI (49.9%). If GPs had appropriately used rapid antigen detection tests and C-reactive protein tests and had strictly followed current guidelines, antibiotics would have been given to 7.6% and 15.1%, respectively, with an estimated saving of 420 antibiotics in patients with sore throat (estimated saving of 84.5%; 95% CI: 81.1-87.4%) and 672 antibiotics in LRTIs (estimated saving of 69.8%,95% CI: 67.1-72.5%). GP adherence to guidelines and a correct introduction of rapid tests in clinical practice in Spain could result in a considerable saving of unnecessary prescription of antibiotics in pharyngitis and LRTIs. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

Effects of selenizing angelica polysaccharide and selenizing garlic polysaccharide on immune function of murine peritoneal macrophage.

PubMed

Gao, Zhenzhen; Liu, Kuanhui; Tian, Weijun; Wang, Hongchao; Liu, Zhenguang; Li, Youying; Li, Entao; Liu, Cui; Li, Xiuping; Hou, Ranran; Yue, Chanjuan; Wang, Deyun; Hu, Yuanliang

2015-07-01

The effects of two selenizing polysaccharides (sCAP2 and sGPS6) on immune function of murine peritoneal macrophages taking two non-selenizing polysaccharides (CAP and GPS) and modifier Na2SeO3 as control. In vitro test, the changes of selenizing polysaccharides, non-selenizing polysaccharides and Na2SeO3 on murine macrophages function were evaluated by phagocytosis and nitric oxide (NO) secretion tests. In vivo test, the mice were injected respectively with 0.2, 0.4 and 0.6 mg of sCAP2, sGPS6, CAP and GPS, or Na2SeO3 80 μg or normal saline 0.4 mL. The peritoneal macrophages were collected and cultured to determine the contents of TNF-α, IL-6 and IL-10 in supernatants by enzyme-linked immunosorbent assay. The results showed that sCAP2 and sGPS6 could significantly promote the phagocytosis and secretion of NO and three cytokines of macrophages in comparison with CAP and GPS. sCAP2 possessed the strongest activity. This indicates that selenylation modification can further improve the immune-enhancing activity of polysaccharide, and sCAP2 could be as a new immunopotentiator. Copyright © 2015 Elsevier B.V. All rights reserved.

Who tests whom? A comprehensive overview of Chlamydia trachomatis test practices in a Dutch region among different STI care providers for urogenital, anorectal and oropharyngeal sites in young people: a cross-sectional study.

PubMed

den Heijer, Casper D J; van Liere, G A F S; Hoebe, C J P A; van Bergen, J E A M; Cals, J W L; Stals, F S; Dukers-Muijrers, N H T M

2016-05-01

To evaluate and compare Chlamydia trachomatis (CT) diagnostic test practices of different sexually transmitted infection (STI) care providers in 16-29 year olds from one defined geographic Dutch region (280,000 inhabitants). Both number and proportion of positive CT tests (ie, test positivity) were assessed, and factors associated with these outcomes. Data on laboratory testing and diagnosis of urogenital, anorectal and oropharyngeal CT between 2006 and 2010 were retrieved from general practitioners (GPs), gynaecologists, an STI clinic and a population-based chlamydia screening programme. Multivariable regression analyses explored associations between age, sex, test year, socio-economic status (SES) and STI care provider and the outcomes being the number of tests and test positivity. Overall, 22,831 tests were performed (1868 positive; 8.2%). Extragenital (ie, anorectal and oropharyngeal) tests accounted for 4% of all tests (7.5% positive) and were almost exclusively (99%) performed by the STI clinic. STI clinics tested most men (37.2% of all tested men), whereas GPs tested most women (29.9% of all tested women). GPs and STI clinics accounted for 73.3% (1326/1808) of urogenital CT diagnoses. In women, the number of tests increased with age, whereas test positivity decreased for all STI care providers. Lower SES was associated with higher test positivity in GP and gynaecology patients. STI clinics performed most CT tests in men, whereas GPs performed most CT tests in women. GPs and STI clinics accounted for the majority of positives. Extragenital CT testing is rarely performed outside the STI clinic and needs to be promoted, especially in men who have sex with men. 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/

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

PubMed Central

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

2009-01-01

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

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.

The Phenomenology of the Diagnostic Process: A Primary Care-Based Survey.

PubMed

Donner-Banzhoff, Norbert; Seidel, Judith; Sikeler, Anna Maria; Bösner, Stefan; Vogelmeier, Maria; Westram, Anja; Feufel, Markus; Gaissmaier, Wolfgang; Wegwarth, Odette; Gigerenzer, Gerd

2017-01-01

While dichotomous tasks and related cognitive strategies have been extensively researched in cognitive psychology, little is known about how primary care practitioners (general practitioners [GPs]) approach ill-defined or polychotomous tasks and how valid or useful their strategies are. To investigate cognitive strategies used by GPs for making a diagnosis. In a cross-sectional study, we videotaped 282 consultations, irrespective of presenting complaint or final diagnosis. Reflective interviews were performed with GPs after each consultation. Recordings of consultations and GP interviews were transcribed verbatim and analyzed using a coding system that was based on published literature and systematically checked for reliability. In total, 134 consultations included 163 diagnostic episodes. Inductive foraging (i.e., the initial, patient-guided search) could be identified in 91% of consultations. It contributed an average 31% of cues obtained by the GP in 1 consultation. Triggered routines and descriptive questions occurred in 38% and 84% of consultations, respectively. GPs resorted to hypothesis testing, the hallmark of the hypothetico-deductive method, in only 39% of consultations. Video recordings and interviews presumably interfered with GPs' behavior and accounts. GPs might have pursued more hypotheses and collected more information than usual. The testing of specific disease hypotheses seems to play a lesser role than previously thought. Our data from real consultations suggest that GPs organize their search for information in a skillfully adapted way. Inductive foraging, triggered routines, descriptive questions, and hypotheses testing are essential building blocks to make a diagnosis in the generalist setting. © The Author(s) 2016.

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.

Bathymetric surveying with GPS and heave, pitch, and roll compensation

USGS Publications Warehouse

Work, P.A.; Hansen, M.; Rogers, W.E.

1998-01-01

Field and laboratory tests of a shipborne hydrographic survey system were conducted. The system consists of two 12-channel GPS receivers (one on-board, one fixed on shore), a digital acoustic fathometer, and a digital heave-pitch-roll (HPR) recorder. Laboratory tests of the HPR recorder and fathometer are documented. Results of field tests of the isolated GPS system and then of the entire suite of instruments are presented. A method for data reduction is developed to account for vertical errors introduced by roll and pitch of the survey vessel, which can be substantial (decimeters). The GPS vertical position data are found to be reliable to 2-3 cm and the fathometer to 5 cm in the laboratory. The field test of the complete system in shallow water (<2 m) indicates absolute vertical accuracy of 10-20 cm. Much of this error is attributed to the fathometer. Careful surveying and equipment setup can minimize systematic error and yield much smaller average errors.

Development and Flight Test of a Robust Optical-Inertial Navigation System Using Low-Cost Sensors

DTIC Science & Technology

2008-03-01

for this test. Though, marketed as a GPS/INS, it was in fact used simply as an IMU for this test. The raw inertial measurement data (from the...Performance Evaluation of Low Cost MEMS-Based IMU Integrated With GPS for Land Vehicle Navigation Application. MS Thesis, UCGE Reports Number

Doctors' perspectives on PSA testing illuminate established differences in prostate cancer screening rates between Australia and the UK: a qualitative study

PubMed Central

Pickles, Kristen; Carter, Stacy M; Rychetnik, Lucie; Entwistle, Vikki A

2016-01-01

Objectives To examine how general practitioners (GPs) in the UK and GPs in Australia explain their prostate-specific antigen (PSA) testing practices and to illuminate how these explanations are similar and how they are different. Design A grounded theory study. Setting Primary care practices in Australia and the UK. Participants 69 GPs in Australia (n=40) and the UK (n=29). We included GPs of varying ages, sex, clinical experience and patient populations. All GPs interested in participating in the study were included. Results GPs' accounts revealed fundamental differences in whether and how prostate cancer screening occurred in their practice and in the broader context within which they operate. The history of prostate screening policy, organisational structures and funding models appeared to drive more prostate screening in Australia and less in the UK. In Australia, screening processes and decisions were mostly at the discretion of individual clinicians, and varied considerably, whereas the accounts of UK GPs clearly reflected a consistent, organisationally embedded approach based on local evidence-based recommendations to discourage screening. Conclusions The GP accounts suggested that healthcare systems, including historical and current organisational and funding structures and rules, collectively contribute to how and why clinicians use the PSA test and play a significant role in creating the mindlines that GPs employ in their clinic. Australia's recently released consensus guidelines may support more streamlined and consistent care. However, if GP mindlines and thus routine practice in Australia are to shift, to ultimately reduce unnecessary or harmful prostate screening, it is likely that other important drivers at all levels of the screening process will need to be addressed. PMID:27920082

An Environment for Hardware-in-the-Loop Formation Navigation and Control Simulation

NASA Technical Reports Server (NTRS)

Burns, Rich

2004-01-01

Recent interest in formation flying satellite systems has spurred a considerable amount of research in the relative navigation and control of satellites. Development in this area has included new estimation and control algorithms as well as sensor and actuator development specifically geared toward the relative control problem. This paper describes a simulation facility, the Formation Flying Testbed (FFTB) at NASA's Goddard Space Flight Center, which allows engineers to test new algorithms for the formation flying problem with relevant GN&C hardware in a closed loop simulation. The FFTB currently supports the injection of GPS receiver hardware into the simulation loop, and support for satellite crosslink ranging technology is at a prototype stage. This closed-loop, hardware inclusive simulation capability permits testing of navigation and control software in the presence of the actual hardware with which the algorithms must interact. This capability provides the navigation or control developer with a perspective on how the algorithms perform as part of the closed-loop system. In this paper, the overall design and evolution of the FFTB are presented. Each component of the FFTB is then described in detail. Interfaces between the components of the FFTB are shown and the interfaces to and between navigation and control software are described in detail. Finally, an example of closed-loop formation control with GPS receivers in the loop is presented and results are analyzed.

IT Infrastructure for Biomedical Research in North-West Germany.

PubMed

Seeger, Insa; Zeleke, Atinkut; Freitag, Michael; Röhrig, Rainer

2017-01-01

The efficient use of routine data for biomedical research presupposes an IT infrastructure designed for health care facilities. The objective of this study was to analyse which IT infrastructure is used in hospitals and by general practitioners' (GP) practices in the region Oldenburg-Bremen and to examine how well this supports research projects. To this end, IT managers and GPs were interviewed. The usage of hospital information systems (HIS) and data warehouse systems (DWS) in hospitals is of major importance for the study. Over 90 % use DWS for administration, 42 % for clinical research. None of the hospitals implemented consent for the use of routine data for research. Only a third of the GPs have participated in studies. The GPs' offices based EHR systems in use offer virtually no support for research projects. The study results demonstrate that technical and organisational measures are required for the further usage of routine data in the region.

Generalized polarizabilities of the nucleon in baryon chiral perturbation theory

NASA Astrophysics Data System (ADS)

Lensky, Vadim; Pascalutsa, Vladimir; Vanderhaeghen, Marc

2017-02-01

The nucleon generalized polarizabilities (GPs), probed in virtual Compton scattering (VCS), describe the spatial distribution of the polarization density in a nucleon. They are accessed experimentally via the process of electron-proton bremsstrahlung (ep→ epγ ) at electron-beam facilities, such as MIT-Bates, CEBAF (Jefferson Lab), and MAMI (Mainz). We present the calculation of the nucleon GPs and VCS observables at next-to-leading order in baryon chiral perturbation theory (Bχ PT), and confront the results with the empirical information. At this order our results are predictions, in the sense that all the parameters are well known from elsewhere. Within the relatively large uncertainties of our calculation we find good agreement with the experimental observations of VCS and the empirical extractions of the GPs. We find large discrepancies with previous chiral calculations - all done in heavy-baryon χ PT (HBχ PT) - and discuss the differences between Bχ PT and HBχ PT responsible for these discrepancies.

Applicable Testing and Associated Challenges

DOT National Transportation Integrated Search

2014-12-04

NovAtel Context to Set 1 GPS L1 Only - NovAtel receivers are wideband, at a minimum of 20MHz to adequately capture the full L1 CA main lobe - To achieve 4 cm code and 0.5 mm carrier phase measurements on GPS L1 - GPS L1 only users are typically a SW ...

Differential GPS/inertial navigation approach/landing flight test results

NASA Technical Reports Server (NTRS)

Snyder, Scott; Schipper, Brian; Vallot, Larry; Parker, Nigel; Spitzer, Cary

1992-01-01

Results of a joint Honeywell/NASA-Langley differential GPS/inertial flight test conducted in November 1990 are discussed focusing on postflight data analysis. The test was aimed at acquiring a system performance database and demonstrating automatic landing based on an integrated differential GPS/INS with barometric and radar altimeters. Particular attention is given to characteristics of DGPS/inertial error and the magnitude of the differential corrections and vertical channel performance with and without altimeter augmentation. It is shown that DGPS/inertial integrated with a radar altimeter is capable of providing a precision approach and autoland guidance of manned return space vehicles within the Space Shuttle accuracy requirements.

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

Cleaning HI Spectra Contaminated by GPS RFI

NASA Astrophysics Data System (ADS)

Sylvia, Kamin; Hallenbeck, Gregory L.; Undergraduate ALFALFA Team

2016-01-01

The NUDET systems aboard GPS satellites utilize radio waves to communicate information regarding surface nuclear events. The system tests appear in spectra as RFI (radio frequency interference) at 1381MHz, which contaminates observations of extragalactic HI (atomic hydrogen) signals at 50-150 Mpc. Test durations last roughly 20-120 seconds and can occur upwards of 30 times during a single night of observing. The disruption essentially renders the corresponding HI spectra useless.We present a method that automatically removes RFI in HI spectra caused by these tests. By capitalizing on the GPS system's short test durations and predictable frequency appearance we are able to devise a method of identifying times containing compromised data records. By reevaluating the remaining data, we are able to recover clean spectra while sacrificing little in terms of sensitivity to extragalactic signals. This method has been tested on 500+ spectra taken by the Undergraduate ALFALFA Team (UAT), in which it successfully identified and removed all sources of GPS RFI. It will also be used to eliminate RFI in the upcoming Arecibo Pisces-Perseus Supercluster Survey (APPSS).This work has been supported by NSF grant AST-1211005.

A spatial analysis of variations in health access: linking geography, socio-economic status and access perceptions

PubMed Central

2011-01-01

Background This paper analyses the relationship between public perceptions of access to general practitioners (GPs) surgeries and hospitals against health status, car ownership and geographic distance. In so doing it explores the different dimensions associated with facility access and accessibility. Methods Data on difficulties experienced in accessing health services, respondent health status and car ownership were collected through an attitudes survey. Road distances to the nearest service were calculated for each respondent using a GIS. Difficulty was related to geographic distance, health status and car ownership using logistic generalized linear models. A Geographically Weighted Regression (GWR) was used to explore the spatial non-stationarity in the results. Results Respondent long term illness, reported bad health and non-car ownership were found to be significant predictors of difficulty in accessing GPs and hospitals. Geographic distance was not a significant predictor of difficulty in accessing hospitals but was for GPs. GWR identified the spatial (local) variation in these global relationships indicating locations where the predictive strength of the independent variables was higher or lower than the global trend. The impacts of bad health and non-car ownership on the difficulties experienced in accessing health services varied spatially across the study area, whilst the impacts of geographic distance did not. Conclusions Difficulty in accessing different health facilities was found to be significantly related to health status and car ownership, whilst the impact of geographic distance depends on the service in question. GWR showed how these relationships were varied across the study area. This study demonstrates that the notion of access is a multi-dimensional concept, whose composition varies with location, according to the facility being considered and the health and socio-economic status of the individual concerned. PMID:21787394

Static Evaluation of a NAVSTAR GPS (Magnavox Z-Set) Receiver - May-September 1979

DOT National Transportation Integrated Search

1980-05-01

The report documents the results of the static testing of a NAVSTAR Global Positioning System (GPS) single channel sequential receiver (Magnavox Z-Set). These tests were performed at the Coast Guard District 11 office in Long Beach, CA from May to Se...

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.

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.

Static evaluation of a NAVSTAR Global Positioning System (GPS) (Magnavox Z-Set) receiver, May-September, 1979

DOT National Transportation Integrated Search

1980-05-01

The report documents the results of the static testing of a NAVSTAR Global Positioning System (GPS) single channel sequential receiver (Magnavox Z-Set). These tests were performed at the Coast Guard District 11 office in Long Beach, CA from May to Se...

The Performance Analysis of a 3d Map Embedded Ins/gps Fusion Algorithm for Seamless Vehicular Navigation in Elevated Highway Environments

NASA Astrophysics Data System (ADS)

Lee, Y. H.; Chiang, K. W.

2012-07-01

In this study, a 3D Map Matching (3D MM) algorithm is embedded to current INS/GPS fusion algorithm for enhancing the sustainability and accuracy of INS/GPS integration systems, especially the height component. In addition, this study propose an effective solutions to the limitation of current commercial vehicular navigation systems where they fail to distinguish whether the vehicle is moving on the elevated highway or the road under it because those systems don't have sufficient height resolution. To validate the performance of proposed 3D MM embedded INS/GPS integration algorithms, in the test area, two scenarios were considered, paths under the freeways and streets between tall buildings, where the GPS signal is obstacle or interfered easily. The test platform was mounted on the top of a land vehicle and also systems in the vehicle. The IMUs applied includes SPAN-LCI (0.1 deg/hr gyro bias) from NovAtel, which was used as the reference system, and two MEMS IMUs with different specifications for verifying the performance of proposed algorithm. The preliminary results indicate the proposed algorithms are able to improve the accuracy of positional components in GPS denied environments significantly with the use of INS/GPS integrated systems in SPP mode.

Design and Test of a Hybrid Foot Force Sensing and GPS System for Richer User Mobility Activity Recognition

PubMed Central

Zhang, Zelun; Poslad, Stefan

2013-01-01

Wearable and accompanied sensors and devices are increasingly being used for user activity recognition. However, typical GPS-based and accelerometer-based (ACC) methods face three main challenges: a low recognition accuracy; a coarse recognition capability, i.e., they cannot recognise both human posture (during travelling) and transportation mode simultaneously, and a relatively high computational complexity. Here, a new GPS and Foot-Force (GPS + FF) sensor method is proposed to overcome these challenges that leverages a set of wearable FF sensors in combination with GPS, e.g., in a mobile phone. User mobility activities that can be recognised include both daily user postures and common transportation modes: sitting, standing, walking, cycling, bus passenger, car passenger (including private cars and taxis) and car driver. The novelty of this work is that our approach provides a more comprehensive recognition capability in terms of reliably recognising both human posture and transportation mode simultaneously during travel. In addition, by comparing the new GPS + FF method with both an ACC method (62% accuracy) and a GPS + ACC based method (70% accuracy) as baseline methods, it obtains a higher accuracy (95%) with less computational complexity, when tested on a dataset obtained from ten individuals. PMID:24189333

Gypenosides ameliorate memory deficits in MPTP-lesioned mouse model of Parkinson's disease treated with L-DOPA.

PubMed

Zhao, Ting Ting; Kim, Kyung Sook; Shin, Keon Sung; Park, Hyun Jin; Kim, Hyun Jeong; Lee, Kyung Eun; Lee, Myung Koo

2017-09-06

Previous studies have revealed that gypenosides (GPS) improve the symptoms of anxiety disorders in a 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-lesioned rat model of Parkinson's disease (PD). The present study aimed to investigate the effects of GPS on memory deficits in an MPTP-lesioned mouse model of PD treated with L-3,4-dihydroxyphenylalanine (L-DOPA). MPTP (30 mg/kg/day, 5 days)-lesioned mice were treated with GPS (50 mg/kg) and/or L-DOPA (10 and 25 mg/kg) for 21 days. After the final treatments, behavioral changes were assessed in all mice using passive avoidance and elevated plus-maze tests. We then evaluated the biochemical influences of GPS treatment on levels of tyrosine hydroxylase (TH), dopamine, N-methyl-D-aspartate (NMDA) receptors, extracellular signal-regulated kinase (ERK1/2), and cyclic AMP-response element binding protein (CREB) phosphorylation. MPTP-lesioned mice exhibited deficits associated with habit learning and spatial memory, which were further aggravated by treatment with L-DOPA (25 mg/kg). However, treatment with GPS (50 mg/kg) ameliorated memory deficits. Treatment with GPS (50 mg/kg) also improved L-DOPA (25 mg/kg)-treated MPTP lesion-induced decreases in retention latency on the passive avoidance test, as well as levels of TH-immunopositive cells and dopamine in the substantia nigra and striatum. GPS treatment also attenuated increases in retention transfer latency on the elevated plus-maze test and in NMDA receptor expression, as well as decreases in the phosphorylation of ERK1/2 and CREB in the hippocampus. Treatment with L-DOPA (10 mg/kg) also ameliorated deficits in habit learning and spatial memory in MPTP-lesioned mice, and this effect was further enhanced by treatment with GPS (50 mg/kg). GPS ameliorate deficits in habit learning and spatial memory by modulating the dopaminergic neuronal and N-methyl-D-aspartate receptor-mediated signaling systems in MPTP-lesioned mice treated with L-DOPA. GPS may serve as an adjuvant therapeutic agent for memory deficits in patients with PD receiving L-DOPA.

General practitioner attitudes to direct-to-consumer genetic testing in New Zealand.

PubMed

Ram, Sanyogita; Russell, Bruce; Gubb, Mary; Taylor, Rebekah; Butler, Cassandra; Khan, Imran; Shelling, Andrew

2012-10-26

The aim of the study was to explore the attitudes of general practitioners (GPs) towards direct to consumer (DTC) genetic testing and elicit their perceptions of the risks and benefits associated with DTC genetic testing. A postal questionnaire was mailed to a national random sample of 300 registered GPs from a list provided by the New Zealand Medical Council. Non-responders were followed up with an abridged survey questionnaire. Responses were received from 38% of the GPs contacted. This consisted of 113 responses from the full questionnaire. The proportion of respondents who had heard about DTC genetic testing was 47.8%. Respondents considered convenience to be the greatest benefit for the individual requesting DTC genetic testing. Misunderstanding of results and inadequate provision of information were perceived to be the greatest risks associated. Lack of knowledge, experience and time were all considered barriers to GPs providing genetic counselling, and a genetic specialist was highlighted as the most appropriate to provide this. Respondents thought advertising of DTC genetic testing should be regulated in a similar manner to DTC advertising of prescription medicines. Clinical validity of tests and counselling were thought to be the most important aspects to be regulated. As public access to DTC genetic testing increases, the role of GPs knowledge and training to reflect this growth will become increasingly more important. The 'Patient-Doctor-Counsellor Model of Delivery of Genetic Services' may be more appropriate for the provision of this service than the current model of direct access by patients. The involvement of health professionals in the DTC genetic testing process will aid patients in making informed health decisions, and ensure increased benefit from recent advances in genetic information.

Access to point-of-care tests reduces the prescription of antibiotics among antibiotic-requesting subjects with respiratory tract infections.

PubMed

Llor, Carl; Bjerrum, Lars; Munck, Anders; Cots, Josep M; Hernández, Silvia; Moragas, Ana

2014-12-01

General practitioners (GPs) often feel uncomfortable when patients request an antibiotic when there is likely little benefit. This study evaluates the effect of access to point-of-care tests on decreasing the prescription of antibiotics in respiratory tract infections in subjects who explicitly requested an antibiotic prescription. Spanish GPs registered all cases of respiratory tract infections over a 3-week period before and after an intervention undertaken in 2008 and 2009. Patients with acute sinusitis, pneumonia, and exacerbations of COPD were excluded. Two types of interventions were performed: the full intervention group received prescriber feedback with discussion of the results of the first registry, courses for GPs, guidelines, patient information leaflets, workshops, and access to point-of-care tests (rapid streptococcal antigen detection test and C-reactive protein test); and the partial intervention group underwent all of the above interventions except for the workshop and access to point-of-care tests. A total of 210 GPs were assigned to the full intervention group and 71 to the partial intervention group. A total of 25,479 subjects with respiratory tract infections were included, of whom 344 (1.4%) requested antibiotic prescribing. Antibiotics were more frequently prescribed to subjects requesting them compared with those who did not (49.1% vs 18.5%, P < .001). In the group of GPs assigned to the partial intervention group, 53.1% of subjects requesting antibiotics received a prescription before and 60% after the intervention, without statistical differences being observed. In the group of GPs assigned to the full intervention group, the percentages were 55.1% and 36.2%, respectively, with a difference of 18.9% (95% CI: 6.4%-30.6%, P < .05). Access to point-of-care tests reduces antibiotic use in subjects who explicitly request an antibiotic prescription. Copyright © 2014 by Daedalus Enterprises.

Effect of forest canopy on GPS-based movement data

Treesearch

Nicholas J. DeCesare; John R. Squires; Jay A. Kolbe

2005-01-01

The advancing role of Global Positioning System (GPS) technology in ecology has made studies of animal movement possible for larger and more vagile species. A simple field test revealed that lengths of GPS-based movement data were strongly biased (P<0.001) by effects of forest canopy. Global Positioning System error added an average of 27.5% additional...

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

Spatial Structure of Large-Scale Plasma Density Perturbations HF-Induced in the Ionospheric F 2 Region

NASA Astrophysics Data System (ADS)

Frolov, V. L.; Komrakov, G. P.; Glukhov, Ya. V.; Andreeva, E. S.; Kunitsyn, V. E.; Kurbatov, G. A.

2016-07-01

We consider the experimental results obtained by studying the large-scale structure of the HF-disturbed ionospheric region. The experiments were performed using the SURA heating facility. The disturbed ionospheric region was sounded by signals radiated by GPS navigation satellite beacons as well as by signals of low-orbit satellites (radio tomography). The results of the experiments show that large-scale plasma density perturbations induced at altitudes higher than the F2 layer maximum can contribute significantly to the measured variations of the total electron density and can, with a certain arrangement of the reception points, be measured by the GPS sounding method.

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.

Evaluating the use of crowdsourcing as a data collection method for bicycle performance measures and identification of facility improvement needs.

DOT National Transportation Integrated Search

2015-08-01

This research developed a smartphone application called ORcycle to collect cyclists routes, users, and : comfort levels. ORcycle combines GPS revealed route data collection with new questionnaires that try : to elicit cyclists attitudes as well...

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

PubMed

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

2007-03-01

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

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.

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.

Using pathology-specific laboratory profiles in clinical pathology to reduce inappropriate test requesting: two completed audit cycles.

PubMed

Baricchi, Roberto; Zini, Michele; Nibali, Maria Grazia; Vezzosi, Walter; Insegnante, Vincenzo; Manfuso, Clotilde; Polese, Alessandra; Costoli, Valmer; Spelti, Antonio; Formisano, Debora; Orlandini, Danilo; Nicolini, Fausto; Poli, Antonio

2012-07-03

Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo né Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo nè Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs' request forms. Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (p < 0.001); 2) the provisional diagnosis on the request forms was 52.8% in the trial district and 42% in the control district (P < 0.001); 3) the decrease of the number of tests on each request form was much more marked in the trial district (8.73 vs. 10.77; p < 0.001). The first audit cycle showed a significant decrease in the number of tests ordered only in the trial district. The combined strategy used in this study improved the prescriptive compliance of most of the GPs involved. The presence of the clinical pathologist is seen as an added value.

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

NASA Astrophysics Data System (ADS)

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

2014-12-01

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

GPS Signal Feature Analysis to Detect Volcanic Plume on Mount Etna

NASA Astrophysics Data System (ADS)

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

2014-05-01

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

GPs views and understanding of PSA testing, screening and early detection; survey.

PubMed

Sutton, J; Melia, J; Kirby, M; Graffy, J; Moss, S

2016-05-01

There is currently no national prostate cancer screening programme in the UK. However, patients 50 years and older are entitled to a prostate specific antigen (PSA) test, if informed on the advantages and disadvantages of testing and their risk of cancer. The Prostate Cancer Risk Management Programme (PCRMP) provides this guidance. The aim of this study was to access GPs' views and understanding of PSA testing, prostate cancer screening and early detection. A total of 708 questionnaires were returned by GPs across two English regions in 2013 and the GP questionnaire responses were quantitatively analysed. In the 699 completed questionnaires, the majority of GPs were well informed about PSA testing, screening and early detection. Only 32% used guidelines for referral, 14% knew all age-specific PSA referral levels, 71% that Black men have a higher prostate cancer risk than White men (22% correctly answered threefold increase) and 82% that family history is a risk factor. A further 78% thought electronic prompts during consultation would encourage PCRMP guideline usage and 75% had never been offered a PSA test and prostate cancer educational course, of which 73% would like to attend a course. Only 23% were aware of the latest PSA screening evidence and 94% would like an update. Participating GPs seem to be well informed but need more information and tools to help follow recommended guidance. In particular, increased awareness of PCRMP guidelines especially by automated methods, further educational courses and evidence updates would be beneficial. © 2016 John Wiley & Sons Ltd.

Multistate outbreak of Salmonella enterica serotype enteritidis infection associated with pet guinea pigs.

PubMed

Bartholomew, Michael L; Heffernan, Richard T; Wright, Jennifer G; Klos, Rachel F; Monson, Timothy; Khan, Sofiya; Trees, Eija; Sabol, Ashley; Willems, Robert A; Flynn, Raymond; Deasy, Marshall P; Jones, Benjamen; Davis, Jeffrey P

2014-06-01

Salmonella causes about one million illnesses annually in the United States. Although most infections result from foodborne exposures, animal contact is an important mode of transmission. We investigated a case of Salmonella enterica serotype Enteritidis (SE) sternal osteomyelitis in a previously healthy child who cared for two recently deceased guinea pigs (GPs). A case was defined as SE pulsed-field gel electrophoresis (PFGE) XbaI pattern JEGX01.0021, BlnI pattern JEGA26.0002 (outbreak strain) infection occurring during 2010 in a patient who reported GP exposure. To locate outbreak strain isolates, PulseNet and the US Department of Agriculture National Veterinary Service Laboratories (NVSL) databases were queried. Outbreak strain isolates underwent multilocus variable-number tandem repeat analysis (MLVA). Traceback and environmental investigations were conducted at homes, stores, and breeder or broker facilities. We detected 10 cases among residents of eight states and four NVSL GP outbreak strain isolates. One patient was hospitalized; none died. The median patient age was 9.5 (range, 1-61) years. Among 10 patients, two purchased GPs at independent stores, and three purchased GPs at different national retail chain (chain A) store locations; three were chain A employees and two reported GP exposures of unknown characterization. MLVA revealed four related patterns. Tracebacks identified four distributors and 92 sources supplying GPs to chain A, including one breeder potentially supplying GPs to all case-associated chain A stores. All environmental samples were Salmonella culture-negative. A definitive SE-contaminated environmental source was not identified. Because GPs can harbor Salmonella, consumers and pet industry personnel should be educated regarding risks.

The presence of resuscitation equipment and influencing factors at General Practitioners' offices in Denmark: a cross-sectional study.

PubMed

Niegsch, Mark L; Krarup, Nikolaj T; Clausen, Niels Erikstrup

2014-01-01

Automated external defibrillators (AEDs) have proven effective when used by GPs. Despite this and the latest guidelines from the European Resuscitation Council, there are no recommendations for Danish GPs regarding proper equipment to treat cardiac arrest. Currently, there are no published data on the distribution of AEDs among GPs in Denmark. To assess the prevalence of resuscitation equipment and educated staff among Danish GPs and the parameters influencing the absence of AEDs at GP offices. A cross-sectional questionnaire-based survey among the 2030 GPs registered in Denmark. Questions concerned demographics, occurrence of resuscitation equipment and attitude towards acquisition of an AED. With a response rate >70%, we found that the prevalence of AEDs in GP offices is low (31.7%). Limited financial possibilities and relevant treatment by ambulance personnel were stated as the primary causes for not having an AED. In general, Danish primary care physicians believe that AEDs should be governmentally sponsored. Positive influential factors on the acquisition of an AED were education, number of physicians in the GP office and previous experience of cardiac arrest. Danish primary care physicians are generally not equipped with AEDs despite the proven effect of AEDs in GP offices. The main reasons for not acquiring an AED are financial considerations and believing that response time by ambulance services and nearby health facilities are the optimal treatment. We recommend better education and information in order to facilitate future acquisition of AEDs among GPs. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Real-time synthetic vision cockpit display for general aviation

NASA Astrophysics Data System (ADS)

Hansen, Andrew J.; Smith, W. Garth; Rybacki, Richard M.

1999-07-01

Low cost, high performance graphics solutions based on PC hardware platforms are now capable of rendering synthetic vision of a pilot's out-the-window view during all phases of flight. When coupled to a GPS navigation payload the virtual image can be fully correlated to the physical world. In particular, differential GPS services such as the Wide Area Augmentation System WAAS will provide all aviation users with highly accurate 3D navigation. As well, short baseline GPS attitude systems are becoming a viable and inexpensive solution. A glass cockpit display rendering geographically specific imagery draped terrain in real-time can be coupled with high accuracy (7m 95% positioning, sub degree pointing), high integrity (99.99999% position error bound) differential GPS navigation/attitude solutions to provide both situational awareness and 3D guidance to (auto) pilots throughout en route, terminal area, and precision approach phases of flight. This paper describes the technical issues addressed when coupling GPS and glass cockpit displays including the navigation/display interface, real-time 60 Hz rendering of terrain with multiple levels of detail under demand paging, and construction of verified terrain databases draped with geographically specific satellite imagery. Further, on-board recordings of the navigation solution and the cockpit display provide a replay facility for post-flight simulation based on live landings as well as synchronized multiple display channels with different views from the same flight. PC-based solutions which integrate GPS navigation and attitude determination with 3D visualization provide the aviation community, and general aviation in particular, with low cost high performance guidance and situational awareness in all phases of flight.

Precision GPS orbit determination strategies for an earth orbiter and geodetic tracking system

NASA Technical Reports Server (NTRS)

Lichten, Stephen M.; Bertiger, Willy I.; Border, James S.

1988-01-01

Data from two 1985 GPS field tests were processed and precise GPS orbits were determined. With a combined carrier phase and pseudorange, the 1314-km repeatability improves substantially to 5 parts in 10 to the 9th (0.6 cm) in the north and 2 parts in 10 to the 8th (2-3 cm) in the other components. To achieve these levels of repeatability and accuracy, it is necessary to fine-tune the GPS solar radiation coefficients and ground station zenith tropospheric delays.

The inflammation-based Glasgow Prognostic Score predicts survival in patients with cervical cancer.

PubMed

Polterauer, Stephan; Grimm, Christoph; Seebacher, Veronika; Rahhal, Jasmin; Tempfer, Clemens; Reinthaller, Alexander; Hefler, Lukas

2010-08-01

The Glasgow Prognostic Score (GPS) is known to reflect the degree of tumor-associated cachexia and inflammation and is associated with survival in various malignancies. We investigated the value of the GPS in patients with cervical cancer. We included 244 consecutive patients with cervical cancer in our study. The pretherapeutic GPS was calculated as follows: patients with elevated C-reactive protein serum levels (>10 mg/L) and hypoalbuminemia (<35 g/L) were allocated a score of 2, and patients with 1 or no abnormal value were allocated a score of 1 or 0, respectively. The association between GPS and survival was evaluated by univariate log-rank tests and multivariate Cox regression models. The GPS was correlated with clinicopathologic parameters as shown by performing chi2 tests. In univariate analyses, GPS (P < 0.001, P < 0.001), International Federation of Gynecology and Obstetrics (FIGO) stage (P < 0.001, P < 0.001), and lymph node involvement (P < 0.001, P < 0.001), but not patients' age (P = 0.2, P = 0.07), histological grade (P = 0.08, P = 0.1), and histological type (P = 0.8, P = 0.9), were associated with disease-free and overall survival, respectively. In a multivariate analysis GPS (P = 0.03, P = 0.04), FIGO stage (P = 0.006, P = 0.006), and lymph node involvement (P = 0.003, P = 0.002), but not patients' age (P = 0.5, P = 0.5), histological grade (P = 0.7, P = 0.6), and histological type (P = 0.4, P = 0.6) were associated with disease-free and overall survival, respectively. The GPS was associated with FIGO stage (P < 0.001) and histological grade (P = 0.02). The GPS can be used as an inflammation-based predictor for survival in patients with cervical cancer.

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

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

Chen, Shiaoguo

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

Test and Evaluation of an Image-Matching Navigation System for a UAS Operating in a GPS-Denied Environment

DTIC Science & Technology

2017-09-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS TEST AND EVALUATION OF AN IMAGE-MATCHING NAVIGATION SYSTEM FOR A UAS OPERATING IN A GPS-DENIED...INTENTIONALLY LEFT BLANK ii Approved for public release. Distribution is unlimited. TEST AND EVALUATION OF AN IMAGE-MATCHING NAVIGATION SYSTEM FOR A UAS... Evaluation Setup and Procedures 39 4.1 Test Equipment and Data Collection Procedures . . . . . . . . . . . . 39 4.2 Actual Flight Data Collection

Guidance simulation and test support for differential GPS flight experiment

NASA Technical Reports Server (NTRS)

Geier, G. J.; Loomis, P. V. W.; Cabak, A.

1987-01-01

Three separate tasks which supported the test preparation, test operations, and post test analysis of the NASA Ames flight test evaluation of the differential Global Positioning System (GPS) are presented. Task 1 consisted of a navigation filter design, coding, and testing to optimally make use of GPS in a differential mode. The filter can be configured to accept inputs from external censors such as an accelerometer and a barometric or radar altimeter. The filter runs in real time onboard a NASA helicopter. It processes raw pseudo and delta range measurements from a single channel sequential GPS receiver. The Kalman filter software interfaces are described in detail, followed by a description of the filter algorithm, including the basic propagation and measurement update equations. The performance during flight tests is reviewed and discussed. Task 2 describes a refinement performed on the lateral and vertical steering algorithms developed on a previous contract. The refinements include modification of the internal logic to allow more diverse inflight initialization procedures, further data smoothing and compensation for system induced time delays. Task 3 describes the TAU Corp participation in the analysis of the real time Kalman navigation filter. The performance was compared to that of the Z-set filter in flight and to the laser tracker position data during post test analysis. This analysis allowed a more optimum selection of the parameters of the filter.

Primary goals, information-giving and men's understanding: a qualitative study of Australian and UK doctors' varied communication about PSA screening.

PubMed

Pickles, Kristen; Carter, Stacy M; Rychetnik, Lucie; McCaffery, Kirsten; Entwistle, Vikki A

2018-01-23

(1) To characterise variation in general practitioners' (GPs') accounts of communicating with men about prostate cancer screening using the prostate-specific antigen (PSA) test, (2) to characterise GPs' reasons for communicating as they do and (3) to explain why and under what conditions GP communication approaches vary. A grounded theory study. We interviewed 69 GPs consulting in primary care practices in Australia (n=40) and the UK (n=29). GPs explained their communication practices in relation to their primary goals. In Australia, three different communication goals were reported: to encourage asymptomatic men to either have a PSA test, or not test, or alternatively, to support men to make their own decision. As well as having different primary goals, GPs aimed to provide different information (from comprehensive to strongly filtered) and to support men to develop different kinds of understanding, from population-level to 'gist' understanding. Taking into account these three dimensions (goals, information, understanding) and building on Entwistle et al' s Consider an Offer framework, we derived four overarching approaches to communication: Be screened , Do not be screened , Analyse and choose , and As you wish . We also describe ways in which situational and relational factors influenced GPs' preferred communication approach. GPs' reported approach to communicating about prostate cancer screening varies according to three dimensions-their primary goal, information provision preference and understanding sought-and in response to specific practice situations. If GP communication about PSA screening is to become more standardised in Australia, it is likely that each of these dimensions will require attention in policy and practice support interventions. © 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.

Missed opportunities for diabetes prevention: post-pregnancy follow-up of women with gestational diabetes mellitus in England

PubMed Central

Pierce, Mary; Modder, Jo; Mortagy, Iman; Springett, Anna; Hughes, Heather; Baldeweg, Stephanie

2011-01-01

Background Women with gestational diabetes mellitus (GDM) should be followed-up to exclude ongoing diabetes and for prevention of type 2 diabetes. The National Institute for Health and Clinical Excellence (NICE) diabetes in pregnancy guideline recommends checking fasting plasma glucose (FPG) at 6 weeks postpartum (short term), and annually thereafter (long term). Aim To examine the reported practice regarding GDM follow-up. Design and setting Nationwide postal survey in England 2008-2009. Method Questionnaires were distributed to a consultant diabetologist and obstetrician in all maternity units, and to a random sample of general practices (approximately 1 in 5). Results Response rates were: 60% (915/1532) GPs, 93% (342/368) specialists; 80% of GPs and 98% of specialists reported women with GDM had short-term follow-up. More GPs (55%) than specialists (13%) used a FPG test to exclude ongoing diabetes; 26% of GPs versus 89% of specialists thought the hospital was responsible for ordering the test. Twenty per cent of GPs had difficulty in discovering women had been diagnosed with GDM in secondary care. Seventy-three per cent of specialists recommended long-term follow-up; only 39% of GPs recalled women with GDM for this. A minority of GPs and specialists had joint follow-up protocols Conclusion Follow-up of GDM in England diverged from national guidance. Despite consensus that short-term follow-up occurred, primary and secondary care doctors disagreed about the tests and responsibility for follow-up. There was lack of long-term follow-up. Agreement about the NICE guideline, its promotion and effective implementation by primary and secondary care, and the systematic recall of women with GDM for long-term follow-up is required. PMID:22152832

Doctors' perspectives on PSA testing illuminate established differences in prostate cancer screening rates between Australia and the UK: a qualitative study.

PubMed

Pickles, Kristen; Carter, Stacy M; Rychetnik, Lucie; Entwistle, Vikki A

2016-12-05

To examine how general practitioners (GPs) in the UK and GPs in Australia explain their prostate-specific antigen (PSA) testing practices and to illuminate how these explanations are similar and how they are different. A grounded theory study. Primary care practices in Australia and the UK. 69 GPs in Australia (n=40) and the UK (n=29). We included GPs of varying ages, sex, clinical experience and patient populations. All GPs interested in participating in the study were included. GPs' accounts revealed fundamental differences in whether and how prostate cancer screening occurred in their practice and in the broader context within which they operate. The history of prostate screening policy, organisational structures and funding models appeared to drive more prostate screening in Australia and less in the UK. In Australia, screening processes and decisions were mostly at the discretion of individual clinicians, and varied considerably, whereas the accounts of UK GPs clearly reflected a consistent, organisationally embedded approach based on local evidence-based recommendations to discourage screening. The GP accounts suggested that healthcare systems, including historical and current organisational and funding structures and rules, collectively contribute to how and why clinicians use the PSA test and play a significant role in creating the mindlines that GPs employ in their clinic. Australia's recently released consensus guidelines may support more streamlined and consistent care. However, if GP mindlines and thus routine practice in Australia are to shift, to ultimately reduce unnecessary or harmful prostate screening, it is likely that other important drivers at all levels of the screening process will need to be addressed. 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/.

AF Ni-Cd cell qualification program

NASA Technical Reports Server (NTRS)

Hall, Steve; Brown, Harry; Collins, G.; Hwang, Warren

1994-01-01

The present status of the USAF NiCd cell qualification program, which is underway at the Naval Surface Warfare Center-Crane Division, is summarized. The following topics are discussed: overview; background; purpose; stress tests; results for super Ni-Cd; results for SAFT cells; GPS stress test; GPS simulated orbit; and results for gates cells. The discussion is presented in viewgraph format.

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.

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.

Tracking the sources of polybrominated diphenyl ethers in birds: Foraging in waste management facilities results in higher DecaBDE exposure in males

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

Gentes, Marie-Line, E-mail: gentes.marie_line@courrier.uqam.ca; Mazerolle, Marc J., E-mail: Marc.Mazerolle@uqat.ca; Giroux, Jean-François, E-mail: giroux.jean-francois@uqam.ca

Differences in feeding ecology are now recognized as major determinants of inter-individual variations in contaminant profiles of free-ranging animals, but exceedingly little attention has been devoted to the role of habitat use. Marked inter-individual variations and high levels of polybrominated diphenyl ethers (PBDEs) (e.g., DecaBDE) have previously been documented in ring-billed gulls (Larus delawarensis) breeding in a colony near Montreal (QC, Canada). However, the environmental sources of these compounds, and thus the reasons causing these large inter-individual variations remain unidentified. In the present study, we used GPS-based telemetry (±5 to 10 m precision) to track ring-billed gulls from this colonymore » to reconstruct their movements at the landscape level. We related habitat use of individual gulls (n=76) to plasma concentrations (ng/g ww) and relative contributions (percentages) to Σ{sub 38}PBDEs of major congeners in the internationally restricted PentaBDE and current-use DecaBDE mixtures. Male gulls that visited waste management facilities (WMFs; i.e., landfills, wastewater treatment plants and related facilities; 25% of all GPS-tracked males) exhibited greater DecaBDE (concentrations and percentages) and lower PentaBDE (percentages) relative to those that did not. In contrast, no such relationships were found in females. Moreover, in males, DecaBDE (concentrations and percentages) increased with percentages of time spent in WMFs (i.e., ~5% of total foraging time), while PentaBDE (percentages) decreased. No relationships between percentages of time spent in other habitats (i.e., urban areas, agriculture fields, and St. Lawrence River) were found in either sex. These findings suggest that animals breeding in the vicinity of WMFs as well as mobile species that only use these sites for short stopovers to forage, could be at risk of enhanced DecaBDE exposure. - Highlights: • The study was conducted on breeding gulls with high levels of flame retardants. • Ring-billed gulls were GPS-tracked to associate habitat use with plasma PBDEs. • Males that visited waste management facilities had greater DecaBDE. • DecaBDE also increased with time spent in waste management facilities in males. • No relationships between habitat use and PBDEs were found in females.« less

Insightful practice: a reliable measure for medical revalidation

PubMed Central

Guthrie, Bruce; Sullivan, Frank M; Mercer, Stewart W; Russell, Andrew; Bruce, David A

2012-01-01

Background Medical revalidation decisions need to be reliable if they are to reassure on the quality and safety of professional practice. This study tested an innovative method in which general practitioners (GPs) were assessed on their reflection and response to a set of externally specified feedback. Setting and participants 60 GPs and 12 GP appraisers in the Tayside region of Scotland, UK. Methods A feedback dataset was specified as (1) GP-specific data collected by GPs themselves (patient and colleague opinion; open book self-evaluated knowledge test; complaints) and (2) Externally collected practice-level data provided to GPs (clinical quality and prescribing safety). GPs' perceptions of whether the feedback covered UK General Medical Council specified attributes of a ‘good doctor’ were examined using a mapping exercise. GPs' professionalism was examined in terms of appraiser assessment of GPs' level of insightful practice, defined as: engagement with, insight into and appropriate action on feedback data. The reliability of assessment of insightful practice and subsequent recommendations on GPs' revalidation by face-to-face and anonymous assessors were investigated using Generalisability G-theory. Main outcome measures Coverage of General Medical Council attributes by specified feedback and reliability of assessor recommendations on doctors' suitability for revalidation. Results Face-to-face assessment proved unreliable. Anonymous global assessment by three appraisers of insightful practice was highly reliable (G=0.85), as were revalidation decisions using four anonymous assessors (G=0.83). Conclusions Unlike face-to-face appraisal, anonymous assessment of insightful practice offers a valid and reliable method to decide GP revalidation. Further validity studies are needed. PMID:22653078

Performances of different global positioning system devices for time-location tracking in air pollution epidemiological studies.

PubMed

Wu, Jun; Jiang, Chengsheng; Liu, Zhen; Houston, Douglas; Jaimes, Guillermo; McConnell, Rob

2010-11-23

People's time-location patterns are important in air pollution exposure assessment because pollution levels may vary considerably by location. A growing number of studies are using global positioning systems (GPS) to track people's time-location patterns. Many portable GPS units that archive location are commercially available at a cost that makes their use feasible for epidemiological studies. We evaluated the performance of five portable GPS data loggers and two GPS cell phones by examining positional accuracy in typical locations (indoor, outdoor, in-vehicle) and factors that influence satellite reception (building material, building type), acquisition time (cold and warm start), battery life, and adequacy of memory for data storage. We examined stationary locations (eg, indoor, outdoor) and mobile environments (eg, walking, traveling by vehicle or bus) and compared GPS locations to highly-resolved US Geological Survey (USGS) and Digital Orthophoto Quarter Quadrangle (DOQQ) maps. The battery life of our tested instruments ranged from <9 hours to 48 hours. The acquisition of location time after startup ranged from a few seconds to >20 minutes and varied significantly by building structure type and by cold or warm start. No GPS device was found to have consistently superior performance with regard to spatial accuracy and signal loss. At fixed outdoor locations, 65%-95% of GPS points fell within 20-m of the corresponding DOQQ locations for all the devices. At fixed indoor locations, 50%-80% of GPS points fell within 20-m of the corresponding DOQQ locations for all the devices except one. Most of the GPS devices performed well during commuting on a freeway, with >80% of points within 10-m of the DOQQ route, but the performance was significantly impacted by surrounding structures on surface streets in highly urbanized areas. All the tested GPS devices had limitations, but we identified several devices which showed promising performance for tracking subjects' time location patterns in epidemiological studies.

Performances of Different Global Positioning System Devices for Time-Location Tracking in Air Pollution Epidemiological Studies

PubMed Central

Wu, Jun; Jiang, Chengsheng; Liu, Zhen; Houston, Douglas; Jaimes, Guillermo; McConnell, Rob

2010-01-01

Background: People’s time-location patterns are important in air pollution exposure assessment because pollution levels may vary considerably by location. A growing number of studies are using global positioning systems (GPS) to track people’s time-location patterns. Many portable GPS units that archive location are commercially available at a cost that makes their use feasible for epidemiological studies. Methods: We evaluated the performance of five portable GPS data loggers and two GPS cell phones by examining positional accuracy in typical locations (indoor, outdoor, in-vehicle) and factors that influence satellite reception (building material, building type), acquisition time (cold and warm start), battery life, and adequacy of memory for data storage. We examined stationary locations (eg, indoor, outdoor) and mobile environments (eg, walking, traveling by vehicle or bus) and compared GPS locations to highly-resolved US Geological Survey (USGS) and Digital Orthophoto Quarter Quadrangle (DOQQ) maps. Results: The battery life of our tested instruments ranged from <9 hours to 48 hours. The acquisition of location time after startup ranged from a few seconds to >20 minutes and varied significantly by building structure type and by cold or warm start. No GPS device was found to have consistently superior performance with regard to spatial accuracy and signal loss. At fixed outdoor locations, 65%–95% of GPS points fell within 20-m of the corresponding DOQQ locations for all the devices. At fixed indoor locations, 50%–80% of GPS points fell within 20-m of the corresponding DOQQ locations for all the devices except one. Most of the GPS devices performed well during commuting on a freeway, with >80% of points within 10-m of the DOQQ route, but the performance was significantly impacted by surrounding structures on surface streets in highly urbanized areas. Conclusions: All the tested GPS devices had limitations, but we identified several devices which showed promising performance for tracking subjects’ time location patterns in epidemiological studies. PMID:21151593

Primary health care teams put to the test a cross-sectional study from Austria within the QUALICOPC project.

PubMed

Hoffmann, Kathryn; George, Aaron; Dorner, Thomas E; Süß, Katharina; Schäfer, Willemijn L A; Maier, Manfred

2015-11-16

Multidisciplinary Primary Health Care Teams (PHCT) provide a comprehensive approach to address the social and health needs of communities. It was the aim of this analysis to assess the number of PHCT in Austria, a country with a weak PHC system, and to compare preventive activities, psychosocial care, and work satisfaction between GPs who work and those who do not work in PHCT. Within the QUALICOPC study, data collection was performed between November 2011 and May 2012, utilizing a standardized questionnaire for GPs. A stratified sample of GPs from across Austria was invited. Statistical analyses included descriptive statistics and tests. Data from 171 GPs questionnaires were used for this analysis. Of these, 61.1 % (n = 113) had a mono-disciplinary office, 26.3 % (n = 45) worked in an office consisting of GP, receptionist and one additional primary care profession, and 7.6 % (n = 13) worked in a larger PHCT. GPs that worked in larger PHCT were younger and more involved in psychosocial and preventive care. No differences were found with regard to work satisfaction or workload. This study gives insight into the structures of PHC in Austria. The results indicate a low number of PHCT; however, the overall return rate in our sample was low with more male GPs, more GPs from urban areas and more GPs working in offices together with other physicians than the national average. Younger GPs demonstrate a greater tendency to implement this primary care practice model in their practices, which seems to be associated with an emphasis in psychosocial and preventive care. If Austria is to increase the number of PHC teams, the country should embrace the work of young GPs and should offer relevant support for PHCT. Future developments could be guided by considering effective models of good practice and governmental support as in other countries.

Comparison of methods to estimate water access: a pilot study of a GPS-based approach in low resource settings.

PubMed

Pearson, Amber L

2016-09-20

Most water access studies involve self-reported measures such as time spent or simple spatial measures such as Euclidean distance from home to source. GPS-based measures of access are often considered actual access and have shown little correlation with self-reported measures. One main obstacle to widespread use of GPS-based measurement of access to water has been technological limitations (e.g., battery life). As such, GPS-based measures have been limited by time and in sample size. The aim of this pilot study was to develop and test a novel GPS unit, (≤4-week battery life, waterproof) to measure access to water. The GPS-based method was pilot-tested to estimate number of trips per day, time spent and distance traveled to source for all water collected over a 3-day period in five households in south-western Uganda. This method was then compared to self-reported measures and commonly used spatial measures of access for the same households. Time spent collecting water was significantly overestimated using a self-reported measure, compared to GPS-based (p < 0.05). In contrast, both the GIS Euclidean distances to nearest and actual primary source significantly underestimated distances traveled, compared to the GPS-based measurement of actual travel paths to water source (p < 0.05). Households did not consistently collect water from the source nearest their home. Comparisons between the GPS-based measure and self-reported meters traveled were not made, as respondents did not feel that they could accurately estimate distance. However, there was complete agreement between self-reported primary source and GPS-based. Reliance on cross-sectional self-reported or simple GIS measures leads to misclassification in water access measurement. This new method offers reductions in such errors and may aid in understanding dynamic measures of access to water for health studies.

Definition study of land/sea civil user navigational location monitoring systems for NAVSTAR GPS: User requirements and systems concepts

NASA Technical Reports Server (NTRS)

Devito, D. M.

1981-01-01

A low-cost GPS civil-user mobile terminal whose purchase cost is substantially an order of magnitude less than estimates for the military counterpart is considered with focus on ground station requirements for position monitoring of civil users requiring this capability and the civil user navigation and location-monitoring requirements. Existing survey literature was examined to ascertain the potential users of a low-cost NAVSTAR receiver and to estimate their number, function, and accuracy requirements. System concepts are defined for low cost user equipments for in-situ navigation and the retransmission of low data rate positioning data via a geostationary satellite to a central computing facility.

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

Enhancing Doctors’ Competencies in Communication With and Activation of Older Patients: The Promoting Active Aging (PRACTA) Computer-Based Intervention Study

PubMed Central

Chylińska, Joanna; Lazarewicz, Magdalena; Rzadkiewicz, Marta; Jaworski, Mariusz; Adamus, Miroslawa; Haugan, Gørill; Lillefjell, Monica; Espnes, Geir Arild

2017-01-01

Background Demographic changes over the past decades call for the promotion of health and disease prevention for older patients, as well as strategies to enhance their independence, productivity, and quality of life. Objective Our objective was to examine the effects of a computer-based educational intervention designed for general practitioners (GPs) to promote active aging. Methods The Promoting Active Aging (PRACTA) study consisted of a baseline questionnaire, implementation of an intervention, and a follow-up questionnaire that was administered 1 month after the intervention. A total of 151 primary care facilities (response rate 151/767, 19.7%) and 503 GPs (response rate 503/996, 50.5%) agreed to participate in the baseline assessment. At the follow-up, 393 GPs filled in the questionnaires (response rate, 393/503, 78.1%), but not all of them took part in the intervention. The final study group of 225 GPs participated in 3 study conditions: e-learning (knowledge plus skills modelling, n=42), a pdf article (knowledge only, n=89), and control (no intervention, n=94). We measured the outcome as scores on the Patients Expectations Scale, Communication Scale, Attitude Toward Treatment and Health Scale, and Self-Efficacy Scale. Results GPs participating in e-learning demonstrated a significant rise in their perception of older patients’ expectations for disease explanation (Wald χ2=19.7, P<.001) and in perception of motivational aspect of older patients’ attitude toward treatment and health (Wald χ2=8.9, P=.03) in comparison with both the control and pdf article groups. We observed additional between-group differences at the level of statistical trend. GPs participating in the pdf article intervention demonstrated a decline in self-assessed communication, both at the level of global scoring (Wald χ2=34.5, P<.001) and at the level of 20 of 26 specific behaviors (all P<.05). Factors moderating the effects of the intervention were the number of patients per GP and the facility’s organizational structure. Conclusions Both methods were suitable, but in different areas and under different conditions. The key benefit of the pdf article intervention was raising doctors’ reflection on limitations in their communication skills, whereas e-learning was more effective in changing their perception of older patients’ proactive attitude, especially among GPs working in privately owned facilities and having a greater number of assigned patients. Although we did not achieve all expected effects of the PRACTA intervention, both its forms seem promising in terms of enhancing the competencies of doctors in communication with and activation of older patients. PMID:28228370

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.

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.

[The practice guideline 'The STD consultation' from the Dutch College of General Practitioners; a response from the perspective of dermatology].

PubMed

Neumann, H A M

2005-08-06

Sexually transmitted diseases (STDs) constitute an important health problem in the Netherlands. Although there are several STD outpatient clinics, such facilities remain unavailable outside the larger cities. The members of the Dutch College of General Practitioners, who published the practice guideline on STD consultation, provide the majority of STD care. An important aspect of this guideline is the fact that GPs are able to assess the risk by taking a sexual history and then determine their own policy on additional investigations. This prevents the omission of investigations that would exclude an STD, but carries the risk, at least theoretically, that it may be missed. It is noteworthy that scabies is not discussed in these guidelines. The most important difference between the guidelines followed by dermatological/STD clinics throughout the Netherlands is the level of triage practiced by GPs. It seems that GPs have a well-thought out and responsible policy, which also merits attention from dermatologists/venereologists.

The new versatile general purpose surface-muon instrument (GPS) based on silicon photomultipliers for μSR measurements on a continuous-wave beam

NASA Astrophysics Data System (ADS)

Amato, A.; Luetkens, H.; Sedlak, K.; Stoykov, A.; Scheuermann, R.; Elender, M.; Raselli, A.; Graf, D.

2017-09-01

We report on the design and commissioning of a new spectrometer for muon-spin relaxation/rotation studies installed at the Swiss Muon Source (SμS) of the Paul Scherrer Institute (PSI, Switzerland). This new instrument is essentially a new design and replaces the old general-purpose surface-muon (GPS) instrument that has been for long the workhorse of the μSR user facility at PSI. By making use of muon and positron detectors made of plastic scintillators read out by silicon photomultipliers, a time resolution of the complete instrument of about 160 ps (standard deviation) could be achieved. In addition, the absence of light guides, which are needed in traditionally built μSR instrument to deliver the scintillation light to photomultiplier tubes located outside magnetic fields applied, allowed us to design a compact instrument with a detector set covering an increased solid angle compared with the old 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.

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

PubMed

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

2018-06-20

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

Evaluation of Stiffness Changes in a High-Rise Building by Measurements of Lateral Displacements Using GPS Technology

PubMed Central

Choi, Se Woon; Kim, Ill Soo; Park, Jae Hwan; Kim, Yousok; Sohn, Hong Gyoo; Park, Hyo Seon

2013-01-01

The outrigger truss system is one of the most frequently used lateral load resisting structural systems. However, little research has been reported on the effect of installation of outrigger trusses on improvement of lateral stiffness of a high-rise building through full-scale measurements. In this paper, stiffness changes of a high-rise building due to installation of outrigger trusses have been evaluated by measuring lateral displacements using a global positioning system (GPS). To confirm the error range of the GPS measurement system used in the full-scale measurement tests, the GPS displacement monitoring system is investigated through a free vibration test of the experimental model. Then, for the evaluation of lateral stiffness of a high-rise building under construction, the GPS displacement monitoring system is applied to measurements of lateral displacements of a 66-story high-rise building before and after installation of outrigger truss. The stiffness improvement of the building before and after the installation is confirmed through the changes of the natural frequencies and the ratios of the base shear forces to the roof displacements. PMID:24233025

Disciplined rubidium oscillator with GPS selective availability

NASA Technical Reports Server (NTRS)

Dewey, Wayne P.

1993-01-01

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

GPS Field Test Data Analysis

DOT National Transportation Integrated Search

1996-12-01

This report discusses the analysis of GPS measurement data gathered under the joint sponsorship of the Defense Mapping Agency (DMA) and the National Oceanic and Atmospheric Administration (NOAA). The DMA/NOAA data have been made available to TSC in s...

GPS interferometric attitude and heading determination: Initial flight test results

NASA Technical Reports Server (NTRS)

Vangraas, Frank; Braasch, Michael

1991-01-01

Attitude and heading determination using GPS interferometry is a well-understood concept. However, efforts have been concentrated mainly in the development of robust algorithms and applications for low dynamic, rigid platforms (e.g., shipboard). This paper presents results of what is believed by the authors to be the first realtime flight test of a GPS attitude and heading determination system. The system is installed in Ohio University's Douglas DC-3 research aircraft. Signals from four antennas are processed by an Ashtech 3DF 24-channel GPS receiver. Data from the receiver are sent to a microcomputer for storage and further computations. Attitude and heading data are sent to a second computer for display on a software generated artificial horizon. Demonstration of this technique proves its candidacy for augmentation of aircraft state estimation for flight control and navigation as well as for numerous other applications.

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.

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.

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.

GPS Spoofing Attack Characterization and Detection in Smart Grids

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

Blum, Rick S.; Pradhan, Parth; Nagananda, Kyatsandra

The problem of global positioning system (GPS) spoofing attacks on smart grids endowed with phasor measurement units (PMUs) is addressed, taking into account the dynamical behavior of the states of the system. First, it is shown how GPS spoofing introduces a timing synchronization error in the phasor readings recorded by the PMUs and alters the measurement matrix of the dynamical model. Then, a generalized likelihood ratio-based hypotheses testing procedure is devised to detect changes in the measurement matrix when the system is subjected to a spoofing attack. Monte Carlo simulations are performed on the 9-bus, 3-machine test grid to demonstratemore » the implication of the spoofing attack on dynamic state estimation and to analyze the performance of the proposed hypotheses test.« less

General practice and residential aged care: A qualitative study of barriers to access to care and the role of remuneration.

PubMed

Burgess, Stephen; Davis, Jenny; Morgans, Amee

2015-01-01

More than 169,000 people live in residential aged care facilities (RACFs). As people age they use health services, particularly general practitioner (GP) services, more frequently but many GPs do not attend patients in RACFs. To examine GPs' perceptions of barriers to providing care to patients in RACFs. This study was conducted in June 2014 in the Bayside Medicare Local (BML) region in Victoria, Australia; all participants were drawn from this region. Two focus groups (FGs) were conducted. One was for GPs (n=5) that have a specific interest in practicing in RACFs, the other with RACF staff (n=8) representing public, private, and not-for-profit aged care providers. Results were presented to the Royal Australian College of General Practitioners (RACGP) National Standing Committee for General Practice Advocacy and Support for feedback and validation of the findings against national perspectives of the effect of remuneration on the provision of GP services in RACFs. Remuneration problems are a barrier to the provision of GP services to patients in RACFs. These problems can be grouped into: direct remuneration, opportunity cost, additional administrative burden, and unremunerated work. GPs' perceptions of the effects of these problems on willingness to practice in RACFs are described. Innovative models of remuneration for GPs attending RACFs are needed to ameliorate the problems identified. Such models need to capture and pay for activities that are time consuming but often unremunerated.

Validation of GOME-2/Metop total column water vapour with ground-based and in situ measurements

NASA Astrophysics Data System (ADS)

Kalakoski, Niilo; Kujanpää, Jukka; Sofieva, Viktoria; Tamminen, Johanna; Grossi, Margherita; Valks, Pieter

2016-04-01

The total column water vapour product from the Global Ozone Monitoring Experiment-2 on board Metop-A and Metop-B satellites (GOME-2/Metop-A and GOME-2/Metop-B) produced by the Satellite Application Facility on Ozone and Atmospheric Chemistry Monitoring (O3M SAF) is compared with co-located radiosonde observations and global positioning system (GPS) retrievals. The validation is performed using recently reprocessed data by the GOME Data Processor (GDP) version 4.7. The time periods for the validation are January 2007-July 2013 (GOME-2A) and December 2012-July 2013 (GOME-2B). The radiosonde data are from the Integrated Global Radiosonde Archive (IGRA) maintained by the National Climatic Data Center (NCDC). The ground-based GPS observations from the COSMIC/SuomiNet network are used as the second independent data source. We find a good general agreement between the GOME-2 and the radiosonde/GPS data. The median relative difference of GOME-2 to the radiosonde observations is -2.7 % for GOME-2A and -0.3 % for GOME-2B. Against the GPS, the median relative differences are 4.9 % and 3.2 % for GOME-2A and B, respectively. For water vapour total columns below 10 kg m-2, large wet biases are observed, especially against the GPS retrievals. Conversely, at values above 50 kg m-2, GOME-2 generally underestimates both ground-based observations.

A Space Based Internet Protocol System for Sub-Orbital Tracking and Control

NASA Technical Reports Server (NTRS)

Bull, Barton; Grant, Charles; Morgan, Dwayne; Streich, Ron; Bauer, Frank (Technical Monitor)

2001-01-01

Personnel from the Goddard Space Flight Center Wallops Flight Facility (GSFC/WFF) in Virginia are responsible for the overall management of the NASA Sounding Rocket Program. Payloads are generally in support of NASA's Space Science Enterprise's missions and return a variety of scientific data as well as providing a reasonably economical means of conducting engineering tests for instruments and devices used on satellites and other spacecraft. The fifteen types of sounding rockets used by NASA can carry payloads of various weights to altitudes from 50 km to more than 1,300 km. Launch activities are conducted not only from established missile ranges, but also from remote locations worldwide requiring mobile tracking and command equipment to be transported and set up at considerable expense. The advent of low earth orbit (LEO) commercial communications satellites provides an opportunity to dramatically reduce tracking and control costs of launch vehicles and Unpiloted Aerial Vehicles (UAVs) by reducing or eliminating this ground infrastructure. Additionally, since data transmission is by packetized Internet Protocol (IP), data can be received and commands initiated from practically any location. A low cost Commercial Off The Shelf (COTS) system is currently under development for sounding rockets which also has application to UAVs and scientific balloons. Due to relatively low data rate (9600 baud) currently available, the system will first be used to provide GPS data for tracking and vehicle recovery. Range safety requirements for launch vehicles usually stipulate at least two independent tracking sources. Most sounding rockets flown by NASA now carry GPS receivers that output position data via the payload telemetry system to the ground station. The Flight Modem can be configured as a completely separate link thereby eliminating requirement for tracking radar. The system architecture which integrates antennas, GPS receiver, commercial satellite packet data modem, and a single board computer with custom software is described along with the technical challenges and the plan for their resolution. These include antenna development, high Doppler rates, reliability, environmental ruggedness, hand over between satellites and data security. An aggressive test plan is included which in addition to environmental testing measures bit error rate, latency and antenna patterns. Actual flight tests are planned for the near future on aircraft, long duration balloons and sounding rockets and these results as well as the current status of the project are reported.

Deriving a GPS Monitoring Time Recommendation for Physical Activity Studies of Adults.

PubMed

Holliday, Katelyn M; Howard, Annie Green; Emch, Michael; Rodríguez, Daniel A; Rosamond, Wayne D; Evenson, Kelly R

2017-05-01

Determining locations of physical activity (PA) is important for surveillance and intervention development, yet recommendations for using location recording tools like global positioning system (GPS) units are lacking. Specifically, no recommendation exists for the number of days study participants should wear a GPS to reliably estimate PA time spent in locations. This study used data from participants (N = 224, age = 18-85 yr) in five states who concurrently wore an ActiGraph GT1M accelerometer and a Qstarz BT-Q1000X GPS for three consecutive weeks to construct monitoring day recommendations through variance partitioning methods. PA bouts ≥10 min were constructed from accelerometer counts, and the location of GPS points was determined using a hand-coding protocol. Monitoring day recommendations varied by the type of location (e.g., participant homes vs parks) and the intensity of PA bouts considered (low and medium cut point moderate to vigorous PA [MVPA] bouts or high cut point vigorous PA [VPA] bouts). In general, minutes of all PA intensities spent in a given location could be measured with ≥80% reliability using 1-3 d of GPS monitoring for fitness facilities, schools, and footpaths. MVPA bout minutes in parks and roads required longer monitoring periods of 5-12 d. PA in homes and commercial areas required >19 d of monitoring. Twelve days of monitoring was found to reliably estimate minutes in both low and medium threshold MVPA as well as VPA bouts for many important built environment locations that can be targeted to increase PA at the population level. Minutes of PA in the home environment and commercial locations may be best assessed through other means given the lengthy estimated monitoring time required.

Diagnostic triage and the role of natriuretic peptide testing and echocardiography for suspected heart failure: an appropriateness ratings evaluation by UK GPs

PubMed Central

Campbell, Stephen M; Fuat, Ahmet; Summerton, Nick; Lancaster, Neil; Hobbs, FD Richard

2011-01-01

Background Some UK GPs are acquiring access to natriuretic peptide (NP) testing or echocardiography as diagnostic tests for heart failure. This study developed appropriateness ratings for the diagnostic application of these tests in routine general practice. Aim To develop appropriateness ratings for the diagnostic application of NP testing or echocardiography for heart failure in general practice. Design and setting An appropriateness ratings evaluation in UK general practice. Method Four presenting symptoms (cough, bilateral ankle swelling, dyspnoea, fatigue), three levels of risk of cardiovascular disease (low, intermediate, high), and dichotomous categorisations of cardiovascular/chest examination and electrocardiogram result, were used to create 540 appropriateness scenarios for patients in whom NP testing or echocardiography might be considered. These were rated by a 10-person expert panel, consisting of GPs and GPs with specialist interests in cardiology, in a two-round RAND Appropriateness Method. Results Onward referral for NP testing or echocardiography was rated as an appropriate next step in 217 (40.2%) of the 540 scenarios; in 194 (35.9%) it was rated inappropriate. The ratings also show where NP testing or echocardiography were ranked as equivalent next steps and when one test was seen as the more appropriate than the other. Conclusion NP testing should be the routine test for suspected heart failure where referral for diagnostic testing is considered appropriate. An abnormal electrocardiogram status makes referral to echocardiography an accompanying, or more appropriate, next step alongside NP testing, especially in the presence of dyspnoea. Abnormal NP testing should subsequently be followed up with referral for echocardiography. PMID:21722451

Tracking domestic ducks: A novel approach for documenting poultry market chains in the context of avian influenza transmission

USGS Publications Warehouse

Choi, Chang-Yong; Takekawa, John Y.; Xiong, Yue; Wikelski, Martin; Heine, George; Prosser, Diann J.; Newman, Scott H.; Edwards, John; Guo, Fusheng; Xiao, Xiangming

2016-01-01

Agro-ecological conditions associated with the spread and persistence of highly pathogenic avian influenza (HPAI) are not well understood, but the trade of live poultry is suspected to be a major pathway. Although market chains of live bird trade have been studied through indirect means including interviews and questionnaires, direct methods have not been used to identify movements of individual poultry. To bridge the knowledge gap on quantitative movement and transportation of poultry, we introduced a novel approach for applying telemetry to document domestic duck movements from source farms at Poyang Lake, China. We deployed recently developed transmitters that record Global Positioning System (GPS) locations and send them through the Groupe Spécial Mobile (GSM) cellular telephone system. For the first time, we were able to track individually marked ducks from 3 to 396 km from their origin to other farms, distribution facilities, or live bird markets. Our proof of concept test showed that the use of GPS-GSM transmitters may provide direct, quantitative information to document the movement of poultry and reveal their market chains. Our findings provide an initial indication of the complexity of source-market network connectivity and highlight the great potential for future telemetry studies in poultry network analyses.

Testing the Dependence of Airborne Gravity Results on Three Variables in Kinematic GPS Processing

NASA Astrophysics Data System (ADS)

Weil, C.; Diehl, T. M.

2011-12-01

The National Geodetic Survey'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 completed in: parts of Alaska, parts of California, most of the Gulf Coast, Puerto Rico, and the Virgin Islands. Obtaining accurate airborne gravity survey results depends on the quality of the GPS/IMU position solution used in the processing. There are many factors that could have an influence on the positioning results. First, we will investigate how an increased data sampling rate for the GPS/IMU affects the position solution and accelerations derived from those positions. Second we will test the hypothesis that, for differential kinematic processing a better solution is obtained using both a base and a rover GPS unit that contain an additional rubidium clock that is reported to sync better with GPS time. Finally, we will look at a few different GPS+IMU processing methods available in commercial software. This includes comparing GPS-only solutions with loosely coupled GPS/IMU solutions from the Applanix POSAV-510 system and tightly coupled solutions with our newly-acquired NovAtel SPAN system (micro-IRS IMU). Differential solutions are compared with PPP (Precise Point Positioning) solutions along with multi-pass and advanced tropospheric corrections available with the NovAtel Inertial Explorer software. Based on preliminary research, we expect that the tightly-coupled solutions with either better troposphere and/or multi-pass solutions will provide superior position (and gravity) results.

Future potential country doctor: the perspectives of German GPs.

PubMed

Natanzon, Iris; Szecsenyi, Joachim; Ose, Dominik; Joos, Stefanie

2010-01-01

There is a shortage of general practitioners (GPs) in many countries, especially in rural areas. There are several reasons for this shortage. Over the last decade, fewer medical students in Germany have decided to work in patient care, even fewer in general practice and fewer still in general practice in rural areas. The aim of this study was to explore the 'pros and cons' of GPs' work in rural areas and to identify from GPs' perspective possible measures for counteracting future GP shortages. Within a qualitative approach, 16 semi-structured interviews were conducted with GPs. Data analysis was carried out using qualitative content analysis. The results were categorized into three main inductively-derived categories: personal, professional and regional/structural level. A higher level of self-confidence and a higher 'feel-good' factor due to GPs originating from rural areas were positive aspects at the personal level. Regarding the professional level, a low level of competition and varied work made a GP's profession attractive in rural areas. Negative aspects were mostly apparent at the regional/structural level, such a low earnings and few leisure facilities. Measures to counter the lack of GPs in rural areas were explored on all three levels: on the personal level, more optimism and resulting satisfaction on the part of doctors in rural areas could be improved by enhancing the benefits of being a doctor in a rural area. Regarding the professional level, more group practices are required to make working as a GP in a rural area more attractive. At a regional/structural level, young physicians who originate from rural areas should be recruited to work in rural areas. Financial incentives are regarded as not sufficient to attract enough young physicians to open practices in rural areas. Future action will be required at the personal, professional and regional/structural levels. The origin of medical students (urban or rural) should be considered a relevant predicting factor for recruitment.

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.

[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).

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.

Societal challenges-oriented data-rich undergraduate teaching resources for geoscience classrooms and field courses

NASA Astrophysics Data System (ADS)

Pratt-Sitaula, B. A.; Walker, B.; Douglas, B. J.; Crosby, B. T.; Charlevoix, D. J.; Crosby, C. J.; Shervais, K.

2016-12-01

The NSF-funded GEodesy Tools for Societal Issues (GETSI) project is developing modules for use in introductory and majors-level courses that emphasize a broad range of geodetic data and quantitative skills applied to societally important issues of climate change, natural hazards, and water resources (serc.carleton.edu/getsi). The modules fill gaps in existing undergraduate curricula, which seldom include geodetic methods. Published modules are "Ice mass and sea level changes", "Imaging active tectonics with LiDAR and InSAR", "Measuring water resources with GPS, gravity, and traditional methods", "Surface process hazards", and "GPS, strain, and earthquakes". The GETSI Field Collection features geodetic field techniques. The field-oriented module "Analyzing high resolution topography with terrestrial laser scanning (TLS) and structure from motion (SfM)" is already published and "High precision positioning with static and kinematic GPS" will be published in 2017. Modules are 1-3 weeks long and include student exercises, data analysis, and extensive supporting materials. For field modules, prepared data sets are provided for courses that cannot collect field data directly. All modules were designed and developed by teams of faculty and content experts and underwent rigorous review and classroom testing. Collaborating institutions are UNAVCO (which runs NSF's Geodetic Facility), Indiana University, Mt San Antonio College, and Idaho State University. Science Education Resource Center (SERC) is providing assessment and evaluation expertise. If future funding is successful, the topic range will be expanded (e.g., volcanic hazards, more water resources, and ecological applications of geodesy). Funding to date has been provided by NSF's TUES (Transforming Undergraduate Education in STEM) and IUSE (Improving Undergraduate STEM Education).

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

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

New approach to detect seismic surface waves in 1Hz-sampled GPS time series

PubMed Central

Houlié, N.; Occhipinti, G.; Blanchard, T.; Shapiro, N.; Lognonné, P.; Murakami, M.

2011-01-01

Recently, co-seismic seismic source characterization based on GPS measurements has been completed in near- and far-field with remarkable results. However, the accuracy of the ground displacement measurement inferred from GPS phase residuals is still depending of the distribution of satellites in the sky. We test here a method, based on the double difference (DD) computations of Line of Sight (LOS), that allows detecting 3D co-seismic ground shaking. The DD method is a quasi-analytically free of most of intrinsic errors affecting GPS measurements. The seismic waves presented in this study produced DD amplitudes 4 and 7 times stronger than the background noise. The method is benchmarked using the GEONET GPS stations recording the Hokkaido Earthquake (2003 September 25th, Mw = 8.3). PMID:22355563

Automated analysis of heidelberg retina tomograph optic disc images by glaucoma probability score.

PubMed

Coops, Annemiek; Henson, David Barry; Kwartz, Anna J; Artes, Paul Habib

2006-12-01

To compare the diagnostic performance of the Heidelberg Retinal Tomograph's (HRT; Heidelberg Engineering GmbH, Dossenheim, Germany) glaucoma probability score (GPS), an automated, contour line-independent method of optic disc analysis with that of the Moorfields regression analysis (MRA). HRT images were obtained from one eye of 121 patients with glaucoma (median age, 70.2 years; median mean deviation [MD], -3.6 dB, range, +2.0 to -9.9 dB) and 95 healthy control subjects (median age, 59.7 years; median MD -0.1 dB, range +2.5 to -3.7). The diagnostic performances of GPS and MRA were evaluated by including borderline classifications, either as test negatives (most specific criteria) or as test positives (least specific criteria). Agreement between global and sectoral data of both analyses was established. Logistic regression analyses were performed to evaluate the effect of covariates such as optic disc size and age on the classification outcomes of both the GPS and the MRA. In 8 (7%) patients with glaucoma and 10 (11%) control subjects, the GPS failed to provide a complete global and sectoral optic disc classification. Although we could not identify a single distinct cause of this failure in the glaucoma group, failures in the control subjects occurred most often (7/10) with small and crowded optic discs. In subjects who were successfully classified at least globally by the GPS (117 patients with glaucoma, 88 control subjects), the diagnostic performances of GPS and MRA were similar (areas under the receiver operating characteristic [ROC] curve of 0.78 and 0.77, respectively; P > 0.1). With the GPS, sensitivity and specificity were 59% and 91% (most specific criteria) and 78% and 63% (least specific criteria), respectively. Combining GPS and MRA did not increase diagnostic performance significantly (ROC area of combined classifiers, 0.81). Both GPS and MRA were affected by disc size. In patients with glaucoma as well as healthy control subjects, the odds of a positive GPS classification (borderline or outside normal limits) increased by 21% (95% confidence interval [CI], 12%-30%) for each 0.1 mm2 increase in optic disc area. With the MRA, the corresponding increase was 15% (95% CI, 7%-23%). Optic disc area alone accounted for approximately 30% and 22% of the explained variance with the GPS and MRA, respectively (P < 0.001). The proportional-odds logistic regression confirmed that optic disc size affected mainly the tradeoff between true- and false-positive classifications (criterion) rather than the absolute performance of the analyses (area under the ROC curve). There was some evidence of an age effect with the MRA, which showed a 53% (95% CI, 16%-102%) increase in the odds of a positive test (borderline or outside normal limits) associated with each decade of age (P = 0.002), but no age effects were observed with the GPS (P > 0.1). The diagnostic performance of the contour line-independent GPS analysis is similar to that of the MRA. However, clinicians should be aware of the strong size dependence of both GPS and MRA. In large optic discs, both GPS and MRA are likely to produce many false-positive classifications. Correspondingly, the sensitivity to early damage is likely to be low in small optic discs. There is a need for automated classification systems that explicitly address the size dependence of current analyses.

Performance trends of rehabilitated AC pavements

DOT National Transportation Integrated Search

2000-10-01

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

Positioning System Accuracy Assessment for the Runway Incursion Prevention System Flight Test at the Dallas/Ft. Worth International Airport

NASA Technical Reports Server (NTRS)

Quach, Cuong C.

2004-01-01

NASA/Langley Research Center collaborated with the Federal Aviation Administration (FAA) to test a Runway Incursion Prevention System (RIPS) at the Dallas Fort Worth International Airport (DFW) in October 2000. The RIPS combines airborne and ground sensor data with various cockpit displays to improve pilots' awareness of traffic conditions on the airport surface. The systems tested at DFW involved surface radar and data systems that gather and send surface traffic information to a research aircraft outfitted with the RIPS software, cockpit displays, and data link transceivers. The data sent to the airborne systems contained identification and GPS location of traffic. This information was compared with the own-ship location from airborne GPS receivers to generate incursion alerts. A total of 93 test tracks were flown while operating RIPS. This report compares the accuracy of the airborne GPS systems that gave the own-ship position of the research aircraft for the 93 test tracks.

GPS Moving Vehicle Experiment

NASA Technical Reports Server (NTRS)

Oaks, O. J.; Reid, Wilson; Wright, James; Duffey, Christopher; Williams, Charles; Warren, Hugh; Zeh, Tom; Buisson, James

1996-01-01

The Naval Research Laboratory (NRL) in the development of timing systems for remote locations, had a technical requirement for a Y code (SA/AS) Global Positioning System (GPS) precise time transfer receiver (TTR) which could be used both in a stationary mode or mobile mode. A contract was awarded to the Stanford Telecommunication Corporation (STEL) to build such a device. The Eastern Range (ER) als had a requirement for such a receiver and entered into the contract with NRL for the procurement of additional receivers. The Moving Vehicle Experiment (MVE) described in this paper is the first in situ test of the STEL Model 5401C Time Transfer System in both stationary and mobile operations. The primary objective of the MVE was to test the timing accuracy of the newly developed GPS TTR aboard a moving vessel. To accomplish this objective, a joint experiment was performed with personnel from NRL and the er at the Atlantic Undersea Test and Evaluation Center (AUTEC) test range at Andros Island. Results and discussion of the test are presented in this paper.

Case-finding for hepatitis C in primary care: a mixed-methods service evaluation.

PubMed

Datta, Shivani; Horwood, Jeremy; Hickman, Matthew; Sharp, Debbie

2014-02-01

Hepatitis C is often asymptomatic, presenting with liver failure and cancer decades after infection. People who inject drugs (PWID) and immigrant populations from countries with a moderate-to-high prevalence of hepatitis C virus (HCV) are the main risk groups. Deaths and hospital admissions due to HCV cirrhosis tripled between 1998 and 2010, but the majority of people with chronic HCV are unaware of it. To identify patients at risk of developing hepatitis C using routine GP data, to determine the proportion not tested, and to explore GPs' views regarding testing. Mixed-methods service evaluation (density-based selection of PWID) in six NHS practices in Bristol. Patients at risk of HCV were identified. The Health Protection Agency laboratory (now part of Public Health England) provided test results. Semi-structured interviews with 17 GPs were audiorecorded and thematic analyses conducted on anonymised transcripts. Of 3765 patients identified as being at risk of developing hepatitis C, 3051 (81%) had no test result, including 53% of PWID and 93% of the 'ethnicity' group. All GPs said they usually test PWID. Most GPs test for HIV and hepatitis B in immigrants more often than they test for HCV. Barriers to testing included not questioning patients about risk factors, competing priorities, the chaotic lifestyle of PWID, difficulty extracting information from computerised records, and forgetting to address HCV. Computer prompts and GP education on whom to test are warranted. Ensuring that country of origin and drug use is included on the new-patient questionnaire might also aid case-finding for HCV.

Accurate aircraft wind measurements using the global positioning system (GPS)

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

Dobosy, R.J.; Crawford, T.L., McMillen, R.T., Dumas, E.J.

1996-11-01

High accuracy measurements of the spatial distribution of wind speed are required in the study of turbulent exchange between the atmosphere and the earth. The use of a differential global positioning system (GPS) to determine the sensor velocity vector component of wind speed is discussed in this paper. The results of noise and rocking testing are summarized, and fluxes obtained from the GPS-based methods are compared to those measured from systems on towers and airplanes. The GPS-based methods provided usable measurements that compared well with tower and aircraft data at a significantly lower cost. 21 refs., 1 fig., 2 tabs.

Business ethics of private general practitioners in KwaDukuza, KwaZulu-Natal

PubMed Central

Morris, Gary

2010-01-01

ABSTRACT Background Private general practitioners (GPs) have been criticised by the lay press citing unethical practice and the acceptance of kickbacks. In 2003, the Ethics Institute of South Africa conducted a national study of all doctors and also accused private GPs of unethical practice. In countries such as South Africa, with a practice of fee-for-service payments, there may be a temptation to put material interests above the best interests of patients. Private GPs, on the other hand, are of the opinion that the press and the Ethics Institute publication have unfairly singled them out. Objective To detect whether private GPs in KwaDukuza perceive their colleagues to be practising ethically. Method The study entailed a cross-sectional descriptive study design, in which all 30 private GPs based in KwaDukuza, KwaZulu-Natal, were asked to complete a self-administered questionnaire during 2003. The survey was done on a voluntary basis and anonymity and confidentiality was maintained. Results Twenty-five doctors returned completed questionnaires (an 83.3% response rate). Seventy per cent perceived their peers to be practicing ethically, while 48% (12/25) reported that they did not observe any medical misconduct by their colleagues. The majority of the respondents (76%) reported that they did not know of any colleague who supplemented his or her income through the over-servicing of patients. The majority of the respondents (84%) also reported that their colleagues never accepted cash payments that were not declared for income tax purposes. Medically unnecessary tests are a form of unethical behaviour pertaining to over-servicing, and 64% of the respondents reported that medically unnecessary tests to satisfy patient requests were not an important reason for performing these tests. The doctors expressed high stress levels from multiple stressors in their occupation. Conclusion GPs in KwaDukuza indicated that they were under stress, but still practised ethically. The GPs emphasised the need for more training in medical ethics at all levels of the medical career. The majority of GPs of KwaDukuza perceive their colleagues to be practising ethically.

Lightweight GPS-tags, one giant leap for wildlife tracking? An assessment approach.

PubMed

Recio, Mariano R; Mathieu, Renaud; Denys, Paul; Sirguey, Pascal; Seddon, Philip J

2011-01-01

Recent technological improvements have made possible the development of lightweight GPS-tagging devices suitable to track medium-to-small sized animals. However, current inferences concerning GPS performance are based on heavier designs, suitable only for large mammals. Lightweight GPS-units are deployed close to the ground, on species selecting micro-topographical features and with different behavioural patterns in comparison to larger mammal species. We assessed the effects of vegetation, topography, motion, and behaviour on the fix success rate for lightweight GPS-collar across a range of natural environments, and at the scale of perception of feral cats (Felis catus). Units deployed at 20 cm above the ground in sites of varied vegetation and topography showed that trees (native forest) and shrub cover had the largest influence on fix success rate (89% on average); whereas tree cover, sky availability, number of satellites and horizontal dilution of position (HDOP) were the main variables affecting location error (±39.5 m and ±27.6 m before and after filtering outlier fixes). Tests on HDOP or number of satellites-based screening methods to remove inaccurate locations achieved only a small reduction of error and discarded many accurate locations. Mobility tests were used to simulate cats' motion, revealing a slightly lower performance as compared to the fixed sites. GPS-collars deployed on 43 cats showed no difference in fix success rate by sex or season. Overall, fix success rate and location error values were within the range of previous tests carried out with collars designed for larger species. Lightweight GPS-tags are a suitable method to track medium to small size species, hence increasing the range of opportunities for spatial ecology research. However, the effects of vegetation, topography and behaviour on location error and fix success rate need to be evaluated prior to deployment, for the particular study species and their habitats.

Evaluation of EGM2008 Earth Gravitational Model in Algeria using gravity and GPS/levelling data

NASA Astrophysics Data System (ADS)

Benahmed Daho, S. A.

2009-04-01

The present work focuses on the evaluation of the EGM2008 geopotential model that was recently released by the NGA (National Geospatial-Intelligence Agency, U.S)/EGM-development team, in Algeria using the free air gravity anomalies supplied by BGI and GETECH, some of the precise GPS data collected from the international TYRGEONET (TYRhenian GEOdynamical NETwork) and ALGEONET (ALGerian GEOdynamical NETwork) projects and the last Algerian local gravimetric geoid model. Additional comparisons of the terrestrial point data with the corresponding values obtained from other geopotential models were made. Five global geopotential models were used in this comparison: the Preliminary Earth Gravitational Model PGM2007A, the combined CHAMP and GRACE model EIGEN-CG01C, the combined GRACE and LAGEOS model EIGEN-GL04C, OSU91A and EGM96. The study shows that all tested models are an improvement over OSU91A geopotential model used in all previous Algerian geoid computations and that new released combined model (EGM2008) is relatively superior to other tested models in the Algerian region. According to our numerical results, the new EGM2008 model fits better the observed values used in this investigation. Its standard deviations fit with GPS/levelling data are 21.4cm and 18.7cm before and after fitting using four-parameters transformation model. We strongly recommend the use of this new model in the remove-restore technique for the computation of the improved geoid for Algeria. In addition to these more general investigations, special GPS campaign has been performed for altimetric auscultation of a storage tank in which we wanted to test the possibilities to replace levelling by GPS measurements. The evaluation revealed promising results but also that much attention has to be paid on the GPS evaluation method. Key words: Geopotential model, TYRGEONET and ALGEONET projects, GPS/levelling data.

Management of shoulder pain by UK general practitioners (GPs): a national survey

PubMed Central

Artus, Majid; van der Windt, Danielle A; Afolabi, Ebenezer K; Buchbinder, Rachelle; Chesterton, Linda S; Hall, Alison; Roddy, Edward; Foster, Nadine E

2017-01-01

Objectives Studies in Canada, the USA and Australia suggested low confidence among general practitioners (GPs) in diagnosing and managing shoulder pain, with frequent use of investigations. There are no comparable studies in the UK; our objective was to describe the diagnosis and management of shoulder pain by GPs in the UK. Methods A national survey of a random sample of 5000 UK GPs collected data on shoulder pain diagnosis and management using two clinical vignettes that described primary care presentations with rotator cuff tendinopathy (RCT) and adhesive capsulitis (AdhC). Results Seven hundred and fourteen (14.7%) responses were received. 56% and 83% of GPs were confident in their diagnosis of RCT and AdhC, respectively, and a wide range of investigations and management options were reported. For the RCT presentation, plain radiographs of the shoulder were most common (60%), followed by blood tests (42%) and ultrasound scans (USS) (38%). 19% of those who recommended a radiograph and 76% of those who recommended a USS did so ‘to confirm the diagnosis’. For the AdhC presentation, the most common investigations were blood tests (60%), plain shoulder radiographs (58%) and USS (31%). More than two-thirds of those recommending a USS did so ‘to confirm the diagnosis’. The most commonly recommended treatment for both presentations was physiotherapy (RCT 77%, AdhC 71%) followed by non-steroidal anti-inflammatory drugs (RCT 58%, AdhC 74%). 17% opted to refer the RCT to secondary care (most often musculoskeletal interface service), compared with 31% for the AdhC. Conclusions This survey of GPs in the UK highlights reliance on radiographs and blood tests in the management of common shoulder pain presentations. GPs report referring more than 7 out of 10 patients with RCT and AdhC to physiotherapists. These findings need to be viewed in the context of low response to the survey and, therefore, potential non-response bias. PMID:28637737

Fix success and accuracy of GPS radio collars in old-growth temperate coniferous forests

USGS Publications Warehouse

Sager-Fradkin, Kimberly A.; Jenkins, Kurt J.; Hoffman, Robert L.; Happe, P.; Beecham, J.; Wright, R.G.

2007-01-01

Global Positioning System (GPS) telemetry is used extensively to study animal distribution and resource selection patterns but is susceptible to biases resulting from data omission and spatial inaccuracies. These data errors may cause misinterpretation of wildlife habitat selection or spatial use patterns. We used both stationary test collars and collared free-ranging American black bears (Ursus americanus) to quantify systemic data loss and location error of GPS telemetry in mountainous, old-growth temperate forests of Olympic National Park, Washington, USA. We developed predictive models of environmental factors that influence the probability of obtaining GPS locations and evaluated the ability of weighting factors derived from these models to mitigate data omission biases from collared bears. We also examined the effects of microhabitat on collar fix success rate and examined collar accuracy as related to elevation changes between successive fixes. The probability of collars successfully obtaining location fixes was positively associated with elevation and unobstructed satellite view and was negatively affected by the interaction of overstory canopy and satellite view. Test collars were 33% more successful at acquiring fixes than those on bears. Fix success rates of collared bears varied seasonally and diurnally. Application of weighting factors to individual collared bear fixes recouped only 6% of lost data and failed to reduce seasonal or diurnal variation in fix success, suggesting that variables not included in our model contributed to data loss. Test collars placed to mimic bear bedding sites received 16% fewer fixes than randomly placed collars, indicating that microhabitat selection may contribute to data loss for wildlife equipped with GPS collars. Horizontal collar errors of >800 m occurred when elevation changes between successive fixes were >400 m. We conclude that significant limitations remain in accounting for data loss and error inherent in using GPS telemetry in coniferous forest ecosystems and that, at present, resource selection patterns of large mammals derived from GPS telemetry should be interpreted cautiously.

Reconstruction of 3d Objects of Assets and Facilities by Using Benchmark Points

NASA Astrophysics Data System (ADS)

Baig, S. U.; Rahman, A. A.

2013-08-01

Acquiring and modeling 3D geo-data of building assets and facility objects is one of the challenges. A number of methods and technologies are being utilized for this purpose. Total station, GPS, photogrammetric and terrestrial laser scanning are few of these technologies. In this paper, points commonly shared by potential facades of assets and facilities modeled from point clouds are identified. These points are useful for modeling process to reconstruct 3D models of assets and facilities stored to be used for management purposes. These models are segmented through different planes to produce accurate 2D plans. This novel method improves the efficiency and quality of construction of models of assets and facilities with the aim utilize in 3D management projects such as maintenance of buildings or group of items that need to be replaced, or renovated for new services.

Evaluation of mobile micro-sensing devices for GPS-based personal exposure monitoring of heat and particulate matter - a matter of context

NASA Astrophysics Data System (ADS)

Ueberham, Maximilian; Schlink, Uwe; Weiland, Ulrike

2017-04-01

The application of mobile micro-sensing devices (MSDs) for human health and personal exposure monitoring (PEM) is an emerging topic of interest in urban air quality research. In the context of climate change, urban population growth and related anthropogenic activities, an increase is expected for the intensity of citizens' exposure to heat and particulate matter (PM). Therefore more focus on the small-scale perspective of spatio-temporal distribution of air quality parameters is important to complement fixed-monitoring site data. Mobile sensors for PEM are useful for both, the investigation of the local distribution of air quality and the personal exposure profiles of individuals moving within their activity spaces. An evaluation of MSDs' accuracy is crucial, before their sophisticated application in measurement campaigns. To detect variations of exposure at small scales, it is even more important to consider the accuracy of Global Positioning System (GPS) devices within different urban structure types (USTs). We present an assessment of the performance of GPS-based MSDs under indoor laboratory conditions and outdoor testing within different USTs. The aim was to evaluate the accuracy of several GPS devices and MSDs for heat and PM 2.5 in relation to reliable standard sensing devices as part of a PhD-project. The performance parameters are summary measures (mean value, standard deviation), correlation (Pearson r), difference measures (mean bias error, mean absolute error, index of agreement) and Bland-Altman plots. The MSDs have been tested in a climate chamber under constant temperature and relative humidity. For temperature MSDs reaction time was tested because of its relevance to detect temperature variations during mobile measurements. For interpretation of the results we considered the MSDs design and technology (e.g. passive vs. active ventilation). GPS-devices have been tested within low/high dense urban residential areas and low/high dense urban green areas and have been compared according to their deviation from the original test route and according to their technology (GPS, A-GPS, GSM, WLAN). In result the performance of the MSDs varies spatially and temporally. Variations mainly depend on the USTs, meteorological conditions, device design and technology. However, the sensors' variation for GPS (3-7m) temperature (1-1.3°C) and PM (800-1100 particles/cu ft) is quite stable over the whole range of value records. Difference measures can be used to consider and correct for mean errors. Furthermore we show that smartphone based GPS-tracking in combination with connected MSDs are a reliable easy-to-use method for PEM. In conclusion our evaluation underpins the applicability of MSDs in combination with GPS for PEM. We observed that especially relative changes in the environmental conditions can be well detected by the devices. Nevertheless, data quality of MSDs remains a relevant concern that needs more investigation especially for applications in citizen science. Eventually the usefulness of mobile MSDs mainly needs to be evaluated depending on the context of application.

Screening and managing cannabis use: comparing GP's and nurses' knowledge, beliefs, and behavior.

PubMed

Norberg, Melissa M; Gates, Peter; Dillon, Paul; Kavanagh, David J; Manocha, Ramesh; Copeland, Jan

2012-07-24

General practitioners (GPs) and nurses are ideally placed to address the significant unmet demand for the treatment of cannabis-related problems given the numbers of people who regularly seek their care. The aim of this study was to evaluate differences between GPs and nurses' perceived knowledge, beliefs, and behaviors toward cannabis use and its screening and management. This study involved 161 nurses and 503 GPs who completed a survey distributed via conference satchels to delegates of Healthed seminars focused on topics relevant to women and children's health. Differences between GPs and nurses were analyzed using χ(2)- tests and two-sample t-tests, while logistic regression examined predictors of service provision. GPs were more likely than nurses to have engaged in cannabis-related service provision, but also more frequently reported barriers related to time, interest, and having more important issues to address. Nurses reported less knowledge, skills, and role legitimacy. Perceived screening skills predicted screening and referral to alcohol and other drug (AOD) services, while knowing a regular user increased the likelihood of referrals only. Approaches to increase cannabis-related screening and intervention may be improved by involving nurses, and by leveraging the relationship between nurses and doctors, in primary care.

A GPS based fawn saving system using relative distance and angle determination

NASA Astrophysics Data System (ADS)

Ascher, A.; Eberhardt, M.; Lehner, M.; Biebl, E.

2016-09-01

Active UHF RFID systems are often used for identifying, tracking and locating objects. In the present publication a GPS- based localization system for saving fawns during pasture mowing was introduced and tested. Fawns were first found by a UAV before mowing began. They were then tagged with small active RFID transponders, and an appropriate reader was installed on a mowing machine. Conventional direction-of-arrival approaches require a large antenna array with multiple elements and a corresponding coherent receiver, which introduces a large degree of complexity on the reader-side. Instead, our transponders were equipped with a small GPS module, allowing a transponder to determine its own position on request from the reader. A UHF link was used to transmit the location to a machine- mounted reader, where a second GPS receiver was installed. Using information from this second position and a machine- mounted magnetometer for determining the relative north direction of a vehicle, relative distance, and angle between GPS receivers can be calculated. The accuracy and reliability of this novel method were tested under realistic operating conditions, considering critical factors such as the height of grass, the lying position of a fawn, humidity and geographical area.

An analysis on combined GPS/COMPASS data quality and its effect on single point positioning accuracy under different observing conditions

NASA Astrophysics Data System (ADS)

Cai, Changsheng; Gao, Yang; Pan, Lin; Dai, Wujiao

2014-09-01

With the rapid development of the COMPASS system, it is currently capable of providing regional navigation services. In order to test its data quality and performance for single point positioning (SPP), experiments have been conducted under different observing conditions including open sky, under trees, nearby a glass wall, nearby a large area of water, under high-voltage lines and under a signal transmitting tower. To assess the COMPASS data quality, the code multipath, cycle slip occurrence rate and data availability were analyzed and compared to GPS data. The datasets obtained from the experiments have also been utilized to perform combined GPS/COMPASS SPP on an epoch-by-epoch basis using unsmoothed single-frequency code observations. The investigation on the regional navigation performance aims at low-accuracy applications and all tests are made in Changsha, China, using the “SOUTH S82-C” GPS/COMPASS receivers. The results show that adding COMPASS observations can significantly improve the positioning accuracy of single-frequency GPS-only SPP in environments with limited satellite visibility. Since the COMPASS system is still in an initial operational stage, all results are obtained based on a fairly limited amount of data.

Coarse initial orbit determination for a geostationary satellite using single-epoch GPS measurements.

PubMed

Kim, Ghangho; Kim, Chongwon; Kee, Changdon

2015-04-01

A practical algorithm is proposed for determining the orbit of a geostationary orbit (GEO) satellite using single-epoch measurements from a Global Positioning System (GPS) receiver under the sparse visibility of the GPS satellites. The algorithm uses three components of a state vector to determine the satellite's state, even when it is impossible to apply the classical single-point solutions (SPS). Through consideration of the characteristics of the GEO orbital elements and GPS measurements, the components of the state vector are reduced to three. However, the algorithm remains sufficiently accurate for a GEO satellite. The developed algorithm was tested on simulated measurements from two or three GPS satellites, and the calculated maximum position error was found to be less than approximately 40 km or even several kilometers within the geometric range, even when the classical SPS solution was unattainable. In addition, extended Kalman filter (EKF) tests of a GEO satellite with the estimated initial state were performed to validate the algorithm. In the EKF, a reliable dynamic model was adapted to reduce the probability of divergence that can be caused by large errors in the initial state.

Coarse Initial Orbit Determination for a Geostationary Satellite Using Single-Epoch GPS Measurements

PubMed Central

Kim, Ghangho; Kim, Chongwon; Kee, Changdon

2015-01-01

A practical algorithm is proposed for determining the orbit of a geostationary orbit (GEO) satellite using single-epoch measurements from a Global Positioning System (GPS) receiver under the sparse visibility of the GPS satellites. The algorithm uses three components of a state vector to determine the satellite’s state, even when it is impossible to apply the classical single-point solutions (SPS). Through consideration of the characteristics of the GEO orbital elements and GPS measurements, the components of the state vector are reduced to three. However, the algorithm remains sufficiently accurate for a GEO satellite. The developed algorithm was tested on simulated measurements from two or three GPS satellites, and the calculated maximum position error was found to be less than approximately 40 km or even several kilometers within the geometric range, even when the classical SPS solution was unattainable. In addition, extended Kalman filter (EKF) tests of a GEO satellite with the estimated initial state were performed to validate the algorithm. In the EKF, a reliable dynamic model was adapted to reduce the probability of divergence that can be caused by large errors in the initial state. PMID:25835299

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

PubMed

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

2006-06-01

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

The use of publicly available quality information when choosing a hospital or health-care provider: the role of the GP.

PubMed

Doering, Nora; Maarse, Hans

2015-12-01

Patients barely use publicly available quality information for making a decision concerning secondary health care, but instead rely on information coming from their general practitioner (GP). An intermediate role of GPs has been suggested concerning the use of publicly available quality information. The aim of the study is to quantify and explore GPs' use of publicly available quality information when referring patients or suggesting secondary health-care provider to them. In this cross-sectional study, an invitation to an electronic questionnaire was sent to 858 GPs in the south of the Netherlands. GPs were asked about their use of and perception towards publicly available quality information through closed-ended and open-ended questions. Differences among subgroups were tested for significance using Pearson's chi-square tests. The majority of respondents (89.5%) never or rarely use publicly available quality information. They perceive them as invalid and unreliable. Distance to the hospital, prior experiences and personal contacts with specialists guide them when advising and referring. Almost 90% of respondents never or rarely suggest quality information as support for decision making to their patients. No significant differences between subgroups were observed. This study is among the firsts exploring and quantifying GPs' use of publicly available quality information. The results suggest that publicly available quality information appears in its current format and application not useful for GPs. GPs have to be aware of their influential role in patients' decision making and possibly have to take more responsibility in guiding them through the jungle of quality information. © 2014 John Wiley & Sons Ltd.

GNSS receiver use-case development GPS-ABC workshop VI RTCA Washington, DC March 30, 2017.

DOT National Transportation Integrated Search

2017-03-30

The purpose of this workshop was to discuss the results from testing of various categories of GPS/Global Navigation Satellite System (GNSS) receivers to include aviation (non-certified), cellular, general location/navigation, high precision and netwo...

Shallow Water UXO Technology Demonstration Site, Scoring Record No. 4 (CTC, FEREX DLG-GPS), MAG)

DTIC Science & Technology

2008-04-01

Detection and Discrimination Demonstration of a Fluxgate Vertical Gradient Magnetometer at the Aberdeen Shallow Water Test Site. Submitted in...TECHNOLOGY TYPE/PLATFORM: FEREX DLG-GPS MAGNETOMETER SYSTEM PREPARED BY: U.S. ARMY ABERDEEN TEST CENTER ABERDEEN PROVING GROUND, MD 21005...efforts of Concurrent Technologies Corporation (CTC) to detect and discriminate inert unexploded ordnance (UXO) using a FEREX DLG- magnetometer with a

Improving communication in general practice when mental health issues appear: piloting a set of six evidence-based skills.

PubMed

Stensrud, Tonje Lauritzen; Gulbrandsen, Pål; Mjaaland, Trond Arne; Skretting, Sidsel; Finset, Arnstein

2014-04-01

To test a communication skills training program teaching general practitioners (GPs) a set of six evidence-based mental health related skills. A training program was developed and tested in a pilot test-retest study with 21 GPs. Consultations were videotaped and actors used as patients. A coding scheme was created to assess the effect of training on GP behavior. Relevant utterances were categorized as examples of each of the six specified skills. The GPs' self-perceived learning needs and self-efficacy were measured with questionnaires. The mean number of GP utterances related to the six skills increased from 13.3 (SD 6.2) utterances before to 23.6 (SD 7.2) utterances after training; an increase of 77.4% (P<0.001). Effect sizes varied from 0.23 to 1.37. Skills exploring emotions, cognitions and resources, and the skill Promote coping, increased significantly. Self-perceived learning needs and self-efficacy did not change significantly. The results from this pilot test are encouraging. GPs enhanced their use on four out of six mental health related communication skills significantly, and the effects were medium to large. This training approach appears to be an efficacious approach to mental health related communication skills training in general practice. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Saving Space and Time: The Tractor That Einstein Built

NASA Technical Reports Server (NTRS)

2006-01-01

In 1984, NASA initiated the Gravity Probe B (GP-B) program to test two unverified predictions of Albert Einstein s theory of general relativity, hypotheses about the ways space, time, light, and gravity relate to each other. To test these predictions, the Space Agency and researchers at Stanford University developed an experiment that would check, with extreme precision, tiny changes in the spin direction of four gyroscopes contained in an Earth satellite orbiting at a 400-mile altitude directly over the Earth s poles. When the program first began, the researchers assessed using Global Positioning System (GPS) technology to control the attitude of the GP-B spacecraft accurately. At that time, the best GPS receivers could only provide accuracy to nearly 1 meter, but the GP-B spacecraft required a system 100 times more accurate. To address this concern, researchers at Stanford designed high-performance, attitude-determining hardware that used GPS signals, perfecting a high-precision form of GPS called Carrier-Phase Differential GPS that could provide continuous real-time position, velocity, time, and attitude sensor information for all axes of a vehicle. The researchers came to the realization that controlling the GP-B spacecraft with this new system was essentially no different than controlling an airplane. Their thinking took a new direction: If this technology proved successful, the airlines and the Federal Aviation Administration (FAA) were ready commercial markets. They set out to test the new technology, the "Integrity Beacon Landing System," using it to automatically land a commercial Boeing 737 over 100 times successfully through Real-Time Kinematic (RTK) GPS technology. The thinking of the researchers shifted again, from automatically landing aircraft, to automating precision farming and construction equipment.

GPS for structural health monitoring - case study on the Basarab overpass cable-stayed bridge

NASA Astrophysics Data System (ADS)

Lepadatu, Alexandru; Tiberius, Christian

2014-04-01

The Basarab cable-stayed bridge is a newly built structure in Bucharest, Romania, which was inaugurated in June 2011. Before the oficial opening, in order to assure its qualification for trafic, it had to pass several loading tests with convoys of trucks and trams. For this, besides a priori evaluation using the Finite Element Method (FEM), levelling and acceleration measurements were made to identify vertical displacements, as well as vibration frequencies of the bridge. The three-day loading trial of the bridge represented a good opportunity for setting-up a GPS campaign for structural monitoring of the Basarab bridge. Taking advantage of the redundancy obtained via simultaneous multi-sensor measurements, it was possible to compare and validate the GPS estimated displacements with both FEM and levelling. Moreover, the dynamic behaviour of the bridge during a dynamic loading test was evaluated using a 20 Hz GPS observation rate and validated afterwards with vibration frequency estimates from acceleration time series. Along with simulations (FEM) and laboratory tests, the in situ monitoring of a structure has a particular importance in establishing the safety of a newly-built structure. Furthermore, in some cases permanent monitoring is needed for safety and economic reasons, especially for strategic structures such as dams and bridges. GPS technology can satisfy this request due to its real-time processing capability and thus it can be looked upon as a new and promising tool for dynamic evaluation of engineering structures. In this contribution we have also assessed the performance of GPS with regard to accuracy and false alarm probability demands for the continuous monitoring of the Basarab cable-stayed bridge.

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

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

NASA Astrophysics Data System (ADS)

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

2010-05-01

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

Operational Use of GPS Navigation for Space Shuttle Entry

NASA Technical Reports Server (NTRS)

Goodman, John L.; Propst, Carolyn A.

2008-01-01

The STS-118 flight of the Space Shuttle Endeavour was the first shuttle mission flown with three Global Positioning System (GPS) receivers in place of the three legacy Tactical Air Navigation (TACAN) units. This marked the conclusion of a 15 year effort involving procurement, missionization, integration, and flight testing of a GPS receiver and a parallel effort to formulate and implement shuttle computer software changes to support GPS. The use of GPS data from a single receiver in parallel with TACAN during entry was successfully demonstrated by the orbiters Discovery and Atlantis during four shuttle missions in 2006 and 2007. This provided the confidence needed before flying the first all GPS, no TACAN flight with Endeavour. A significant number of lessons were learned concerning the integration of a software intensive navigation unit into a legacy avionics system. These lessons have been taken into consideration during vehicle design by other flight programs, including the vehicle that will replace the Space Shuttle, Orion.

sUAS Position Estimation and Fusion in GPS-Degraded and GPS-Denied Environments using an ADS-B Transponder and Local Area Multilateration

NASA Astrophysics Data System (ADS)

Larson, Robert Sherman

An Unmanned Aerial Vehicle (UAV) and a manned aircraft are tracked using ADS-B transponders and the Local Area Multilateration System (LAMS) in simulated GPS-degraded and GPS-denied environments. Several position estimation and fusion algorithms are developed for use with the Autonomous Flight Systems Laboratory (AFSL) TRansponder based Position Information System (TRAPIS) software. At the lowest level, these estimation and fusion algorithms use raw information from ADS-B and LAMS data streams to provide aircraft position estimates to the ground station user. At the highest level, aircraft position is estimated using a discrete time Kalman filter with real-time covariance updates and fusion involving weighted averaging of ADS-B and LAMS positions. Simulation and flight test results are provided, demonstrating the feasibility of incorporating an ADS-B transponder on a commercially-available UAS and maintaining situational awareness of aircraft positions in GPS-degraded and GPS-denied environments.

Asymmetric information and user orientation in general practice: Exploring the agency relationship in a best-worst scaling study.

PubMed

Pedersen, Line Bjørnskov; Hess, Stephane; Kjær, Trine

2016-12-01

This study uses a best-worst scaling experiment to test whether general practitioners (GPs) act as perfect agents for the patients in the consultation; and if not, whether this is due to asymmetric information and/or other motivations than user orientation. Survey data were collected from 775 GPs and 1379 Danish citizens eliciting preferences for a consultation. Sequential models allowing for within-person preference heterogeneity and heteroskedasticity between best and worst choices were estimated. We show that GPs do not always act as perfect agents and that this non-alignment stems from GPs being both unable and unwilling to do so. Unable since GPs have imperfect information about patients' preferences, and unwilling since they are also motivated by other factors than user orientation. Our findings highlight the need for multi-pronged strategies targeting different motivational factors to ensure that GPs act in correspondence with patients' preferences in areas where alignment is warranted. Copyright © 2016 Elsevier B.V. All rights reserved.

GPS-aided gravimetry at 30 km altitude from a balloon-borne platform

NASA Technical Reports Server (NTRS)

Lazarewicz, Andrew R.; Evans, Alan G.

1989-01-01

A balloon-borne experiment, flown at 30 km altitude over New Mexico, was used to test dynamic differential Global Positioning System (GPS) tracking in support of gravimetry at high-altitudes. The experiment package contained a gravimeter (Vibrating String Accelerometer), a full complement of inertial instruments, a TI-4100 GPS receiver and a radar transponder. The flight was supported by two GPS receivers on the ground near the flight path. From the 8 hour flight, about a forty minute period was selected for analysis. Differential GPS phase measurements were used to estimate changes in position over the sample time interval, or average velocity. In addition to average velocity, differential positions and numerical averages of acceleration were obtained in three components. Gravitational acceleration was estimated by correcting for accelerations due to translational motion, ignoring all rotational effects.

Mixed-method exploratory study of general practitioner and nurse perceptions of a new community based nurse-led heart failure service.

PubMed

MacKenzie, Emma; Smith, Amanda; Angus, Neil; Menzies, Sue; Brulisauer, Franz; Leslie, Stephen J

2010-01-01

The treatment of patients with chronic heart failure (CHF) remains sub-optimal. Specialist CHF nurses are proven to improve care and reduce admission but developing such services, especially in remote areas, can be difficult. This study aimed: first, to assess the perceived acceptability and effectiveness of a new community based nurse-led heart failure service by general practitioners (GPs) in an area with a dispersed population; second, to assess the knowledge and learning needs of GPs; and third, to assess perceptions of the use of national guidelines and telehealth on heart failure management. The study was conducted in the Scottish Highlands, a large geographical area in the north of the UK which includes both rural and urban populations. The area has a total population of 240 000, approximately 60% of whom are within 1 hour travel time of the largest urban centre. A postal survey of all GPs (n = 260) and structured email survey of all CHF specialist nurses (n = 3) was performed. All responses were entered into a Microsoft Excel spreadsheet, summarised and subjected to thematic analysis. Differences between GPs in 'rural', 'urban' or both 'urban & rural' was investigated using an F-test for continuous variables and a three-sample test for equality of proportions for nominal data. Questionnaires were returned from 83 GPs (32%) and all three CHF specialist nurses. In this sample there were only a few differences between GPs from 'rural', 'urban' and 'urban & rural'. There also appeared to be little difference in responses between those who had the experience of the CHF nurse service and those who had not. Overall, 32 GPs (39%) wished better, local access to echocardiography, while 63 (76%) wished access to testing for brain natriuretic peptide (BNP). Only 27 GPs (33%) referred all patients with CHF to hospital. A number of GPs stated that this was dependant on individual circumstances and the patient's ability to travel. The GPs were confident to initiate standard heart failure drugs although only 54 (65%) were confident in the initiation of beta-blockers. Most GPs (69%) had had experience of the CHF specialist nurse service and the responses were mixed. The GPs who had experienced the service appeared less confident that it would lead to reduced admission of patients to hospital (51% vs 77%, p = 0.046). Three main themes emerged from the nurse responses: service planning, communication and attitudinal changes after service embedment. This study demonstrates that a community based heart failure nurse service was not universally valued. Differences between urban and rural localities (communication) suggest that models of care derived from evidence based practice in urban areas may not be directly transferable to remote areas. Clearly, good communication among staff groups at all stages of implementation is important; however, despite best efforts and clinical trial evidence, specialist nurse services will not be welcomed by all doctors. Service providers and commissioners should be cognisant of the different roles of urban and rural GPs when designing such services. Among GPs there was a high degree of confidence with initiation and titration of drugs for heart failure with the exception of beta-blockers so clearly this is an area of ongoing educational need and support. Education and support should focus on ensuring that all doctors who care for patients with CHF have the skills and confidence to use medical therapies and specialist services as appropriate.

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.

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.

Precise orbit determination for the shuttle radar topography mission using a new generation of GPS receiver

NASA Technical Reports Server (NTRS)

Bertiger, W.; Bar-Sever, Y.; Desai, S.; Duncan, C.; Haines, B.; Kuang, D.; Lough, M.; Reichert, A.; Romans, L.; Srinivasan, J.;

Schoolyard physical activity in 14-year-old adolescents assessed by mobile GPS and heart rate monitoring analysed by GIS.

PubMed

Fjørtoft, Ingunn; Löfman, Owe; Halvorsen Thorén, Kine

2010-11-01

Environmental settings seem to influence the activity patterns of children in neighbourhoods and schoolyards, the latter being an important arena to promote physical activity (PA) in school children. New technology has made it possible to describe free-living PA in interaction with the environment. This study focused on how schoolyard environments influenced the activity patterns and intensity levels in 14-year-old children and whether PA levels in adolescents complied with official recommendations. Another objective was to introduce methodology of using a mobile global positioning system (GPS) device with synchronous heart rate (HR) recordings as a proxy for PA level and a geographical information system (GIS) for spatial analyses. The sample constituted of 81 children (aged 14 years) from two schools. Movement patterns and activity levels were recorded during lunch break applying a GPS Garmin Forerunner 305 with combined HR monitoring and analysed in a GIS by an overlaid grid and kriging interpolation. Spatial data from GPS recordings showed particular movement patterns in the schoolyards. Low activity levels (mean HR < 120 bpm) dominated in both schools with no gender differences. Activities located to a handball goal area showed the highest monitored HR (>160 bpm) with higher intensity in girls than in boys. Movement patterns and PA generated in GIS for visualisation and analysis enabled direct and realistic description of utilising of schoolyard facilities and activity levels. Linking GPS data and PA levels to spatial structures made it possible to visualise the environmental interaction with PA and which environments promoted low or high PA.

Link calibration against receiver calibration: an assessment of GPS time transfer uncertainties

NASA Astrophysics Data System (ADS)

Rovera, G. D.; Torre, J.-M.; Sherwood, R.; Abgrall, M.; Courde, C.; Laas-Bourez, M.; Uhrich, P.

2014-10-01

We present a direct comparison between two different techniques for the relative calibration of time transfer between remote time scales when using the signals transmitted by the Global Positioning System (GPS). Relative calibration estimates the delay of equipment or the delay of a time transfer link with respect to reference equipment. It is based on the circulation of some travelling GPS equipment between the stations in the network, against which the local equipment is measured. Two techniques can be considered: first a station calibration by the computation of the hardware delays of the local GPS equipment; second the computation of a global hardware delay offset for the time transfer between the reference points of two remote time scales. This last technique is called a ‘link’ calibration, with respect to the other one, which is a ‘receiver’ calibration. The two techniques require different measurements on site, which change the uncertainty budgets, and we discuss this and related issues. We report on one calibration campaign organized during Autumn 2013 between Observatoire de Paris (OP), Paris, France, Observatoire de la Côte d'Azur (OCA), Calern, France, and NERC Space Geodesy Facility (SGF), Herstmonceux, United Kingdom. The travelling equipment comprised two GPS receivers of different types, along with the required signal generator and distribution amplifier, and one time interval counter. We show the different ways to compute uncertainty budgets, leading to improvement factors of 1.2 to 1.5 on the hardware delay uncertainties when comparing the relative link calibration to the relative receiver calibration.

Using pathology-specific laboratory profiles in Clinical Pathology to reduce inappropriate test requesting: two completed audit cycles

PubMed Central

2012-01-01

Background Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo né Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Methods Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo nè Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs’ request forms. Results Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (p < 0.001); 2) the provisional diagnosis on the request forms was 52.8% in the trial district and 42% in the control district (P < 0.001); 3) the decrease of the number of tests on each request form was much more marked in the trial district (8.73 vs. 10.77; p < 0.001). Conclusions The first audit cycle showed a significant decrease in the number of tests ordered only in the trial district. The combined strategy used in this study improved the prescriptive compliance of most of the GPs involved. The presence of the clinical pathologist is seen as an added value. PMID:22759353

Some tests of wet tropospheric calibration for the CASA Uno Global Positioning System experiment

NASA Technical Reports Server (NTRS)

Dixon, T. H.; Wolf, S. Kornreich

1990-01-01

Wet tropospheric path delay can be a major error source for Global Positioning System (GPS) geodetic experiments. Strategies for minimizing this error are investigted using data from CASA Uno, the first major GPS experiment in Central and South America, where wet path delays may be both high and variable. Wet path delay calibration using water vapor radiometers (WVRs) and residual delay estimation is compared with strategies where the entire wet path delay is estimated stochastically without prior calibration, using data from a 270-km test baseline in Costa Rica. Both approaches yield centimeter-level baseline repeatability and similar tropospheric estimates, suggesting that WVR calibration is not critical for obtaining high precision results with GPS in the CASA region.

GPS antenna designs

NASA Technical Reports Server (NTRS)

Laube, Samuel J. P.

1987-01-01

Application of the current GPS NAVSTAR system to civilian service requires that a right hand, circularly polarized, -160 dBW spread spectrum signal be received from an orbiting satellite, where the antenna environment is also moving. This presents a design challenge when inexpensive antennas are desired. The intent of this survey is to provide information on the antennas mentioned and to construct and test prototypes to determine whether the choice made by the industry, the quadrifilar helix, is the best. The helix antenna is currently the low cost standard for GPS. Prototype versions were constructed using 12 gauge wire and subminiature coaxial hardline. The constructed antennas were tested using a signal generator and a reference turnstile. A spectrum analyzer was used to measure the level of the received signal.

GPS-based precision orbit determination - A Topex flight experiment

NASA Technical Reports Server (NTRS)

Melbourne, William G.; Davis, Edgar S.

1988-01-01

Plans for a Topex/Poseiden flight experiment to test the accuracy of using GPS data for precision orbit determination of earth satellites are presented. It is expected that the GPS-based precision orbit determination will provide subdecimeter accuracies in the radial component of the Topex orbit when the extant gravity model is tuned for wavelengths longer than about 1000 kms. The concept, design, flight receiver, antenna system, ground processing, and data processing of GPS are examined. Also, an accurate quasi-geometric orbit determination approach called nondynamic or reduced dynamic tracking which relies on the use of the pseudorange and the carrier phase measurements to reduce orbit errors arising from mismodeled dynamics is discussed.

Telemetry Tracking & Control (TT&C) - First TDRSS, then Commercial GEO & Big LEO and Now Through LEO

NASA Technical Reports Server (NTRS)

Morgan, Dwayne R.; Streich, Ron G.; Bull, Barton; Grant, Chuck; Power, Edward I. (Technical Monitor)

2001-01-01

The advent of low earth orbit (LEO) commercial communication satellites provides an opportunity to dramatically reduce Telemetry, Tracking and Control (TT&C) costs of launch vehicles, Unpiloted Aerial Vehicles (UAVs), Research Balloons and spacecraft by reducing or eliminating ground infrastructure. Personnel from the Goddard Space Flight Center's Wallops Flight Facility (GSFC\\WFF) have successfully used commercial Geostationary Earth Orbit (GEO) and Big LEO communications satellites for Long Duration Balloon Flight TT&C. The Flight Modem is a GSFC\\WFF Advanced Range Technology initiative (ARTI) designed to streamline TT&C capability in the user community of these scientific data gathering platforms at low cost. Making use of existing LEO satellites and adapting and ruggedized commercially available components; two-way, over the horizon communications may be established with these vehicles at great savings due to reduced infrastructure. Initially planned as a means for permitting GPS data for tracking and recovery of sounding rocket and balloon payloads, expectations are that the bandwidth can soon be expanded to allow more comprehensive data transfer. The system architecture which integrates antennas, GPS receiver, commercial satellite packet data modem and a single board computer with custom software is described and technical challenges are discussed along with the plan for their resolution. A three-phase testing and development plan is outlined and the current results are reported. Results and status of ongoing flight tests on aircraft and sounding rockets are reported. Future applications on these platforms and the potential for satellite support are discussed along with an analysis of cost effectiveness of this method vs. other tracking and data transmission schemes.

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.

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.

Effectiveness of two types of intervention on antibiotic prescribing in respiratory tract infections in Primary Care in Spain. Happy Audit Study.

PubMed

Llor, Carles; Cots, Josep Maria; Hernández, Silvia; Ortega, Jesús; Arranz, Javier; Monedero, María José; Alcántara, Juan de Dios; Pérez, Carolina; García, Guillermo; Gómez, Manuel; Guerra, Gloria; Cid, Marina; Cigüenza, María Luisa; Pineda, Vicenta; Paredes, José; Burgazzoli, Juan Luis; Munck, Anders; Cordoba-Currea, Gloria; Bjerrum, Lars

2014-11-01

To evaluate the effectiveness of two types of intervention in reducing antibiotic prescribing in respiratory tract infections (RTI). Before-after audit-based study. Primary Care centres in Spain. General practitioners (GPs) registered all patients with RTIs for 15 days in winter 2008 (pre-intervention), and again in winter 2009 (post-intervention). Intervention activities included meetings, with the presentation and discussion of the results, and several training meetings on RTI guidelines, information brochures for patients, workshops on point-of-care tests - rapid antigen detection tests and C-reactive protein rapid test - and provision of these tests in the clinic. All GPs, with the exception of those in Catalonia, made up the full intervention group (FIG); conversely, Catalan doctors underwent the same intervention, except for the workshop on rapid tests (partial intervention group, PIG). Multilevel logistic regression was performed taking the prescription of antibiotics as the dependent variable. Out of a total of 309 GPs involved in the first register, 281 completed the intervention and the second register (90.9%), of which 210 were assigned to the FIG, and 71 to the PIG. The odds ratio of antibiotic prescribing after the intervention was 0.99 (95% CI: 0.89-1.10) among GPs assigned to PIG, and 0.50 (95% CI: 0.44-0.57, p<0.001) among those who were allocated to FIG. The reduction in antibiotic prescribing in FIG was more marked in flu infection, common cold, acute pharyngitis, acute tonsillitis, and acute bronchitis. Active participation of GPs with the performance of point-of-care tests in the clinic is accompanied by a drastic reduction of antibiotic use in RTIs, primarily in infections considered as mainly viral. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

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

NASA Astrophysics Data System (ADS)

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

2013-05-01

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

A suborbital IMU test mission

NASA Astrophysics Data System (ADS)

Lawman, Adam; Straub, Jeremy; Kerlin, Scott

2015-05-01

This paper presents work conducted in preparation for a suborbital test flight to test an inertial measurement unit's (IMU's) ability to serve as a position determination mechanism in a GPS-denied environment. Because the IMU could potentially be used at several points during flight, it is not guaranteed that a GPS fix can be used to reset the IMU after the stresses of launch. Due to this, the specific goal of this work is to characterize whether a rocket launch disrupts the IMU-based position knowledge to the extent that it is unusable. This paper discusses preparations for a sub-orbital launch mission to this end. It include a description of the hardware and software used. A discussion of the data logging mechanism and the onboard and post-flight processing which is required to compare the GPS fixes and IMU-generated positions is also presented. Finally, the utility of an IMU capable of maintaining position awareness during launch is discussed.

Influence of point-of-care C-reactive protein testing on antibiotic prescription habits in primary care in the Netherlands.

PubMed

Schuijt, Tim J; Boss, David S; Musson, Ruben E A; Demir, Ayse Y

2018-03-27

Bacterial resistance to antibiotics represents a serious global challenge that is associated with high morbidity and mortality. One of the most important causes of this threat is antibiotic overuse. The Dutch College of General Practitioners (DCGP) recommends the use of point-of-care (POC) testing for C-reactive protein (CRP) in two guidelines ('Acute Cough' and 'Diverticulitis') to achieve a more sensible prescription pattern of antibiotics. To evaluate the use of POC-CRP testing in light of the DCGP guidelines and the effect of CRP measurements on antibiotic prescription policy in primary care. In a prospective observational study, which included 1756 patients, general practitioners (GPs) were asked to complete a questionnaire after every POC-CRP testing, stating the indication for performing the test, the CRP result and their decision whether or not to prescribe antibiotics. Indications were verified against the DCGP guidelines and categorized. Antibiotic prescription was evaluated in relation to CRP concentrations. Indications to perform POC-CRP test and the prescription pattern of antibiotics based on CRP value varied considerably between GPs. Differences in antibiotic prescription rate were most obvious in patients who presented with CRP values between 20 and 100 mg/l, and could in part be explained by the indication for performing POC-CRP test and patient age. Most GPs followed the DCGP guidelines and used low CRP values to underpin their decision to refrain from antibiotic prescription. Peer-based reflection on differences in POC-CRP usage and antibiotic prescription rate amongst GPs may further nourish a more critical approach to prescription of antibiotics.

Hardware in-the-Loop Demonstration of Real-Time Orbit Determination in High Earth Orbits

NASA Technical Reports Server (NTRS)

Moreau, Michael; Naasz, Bo; Leitner, Jesse; Carpenter, J. Russell; Gaylor, Dave

2005-01-01

This paper presents results from a study conducted at Goddard Space Flight Center (GSFC) to assess the real-time orbit determination accuracy of GPS-based navigation in a number of different high Earth orbital regimes. Measurements collected from a GPS receiver (connected to a GPS radio frequency (RF) signal simulator) were processed in a navigation filter in real-time, and resulting errors in the estimated states were assessed. For the most challenging orbit simulated, a 12 hour Molniya orbit with an apogee of approximately 39,000 km, mean total position and velocity errors were approximately 7 meters and 3 mm/s respectively. The study also makes direct comparisons between the results from the above hardware in-the-loop tests and results obtained by processing GPS measurements generated from software simulations. Care was taken to use the same models and assumptions in the generation of both the real-time and software simulated measurements, in order that the real-time data could be used to help validate the assumptions and models used in the software simulations. The study makes use of the unique capabilities of the Formation Flying Test Bed at GSFC, which provides a capability to interface with different GPS receivers and to produce real-time, filtered orbit solutions even when less than four satellites are visible. The result is a powerful tool for assessing onboard navigation performance in a wide range of orbital regimes, and a test-bed for developing software and procedures for use in real spacecraft applications.

A novel behavioral model of the pasture-based dairy cow from GPS data using data mining and machine learning techniques.

PubMed

Williams, M L; Mac Parthaláin, N; Brewer, P; James, W P J; Rose, M T

2016-03-01

A better understanding of the behavior of individual grazing dairy cattle will assist in improving productivity and welfare. Global positioning systems (GPS) applied to cows could provide a means of monitoring grazing herds while overcoming the substantial efforts required for manual observation. Any model of behavioral prediction using GPS needs to be accurate and robust by accounting for inter-cow variation as well as atmospheric effects. We evaluated the performance using a series of machine learning algorithms on GPS data collected from 40 pasture-based dairy cows over 4 mo. A feature extraction step was performed on the collected raw GPS data, which resulted in 43 different attributes. The evaluated behaviors were grazing, resting, and walking. Classifier learners were built using 10 times 10-fold cross validation and tested on an independent test set. Results were evaluated using a variety of statistical significance tests across all parameters. We found that final model selection depended upon level of performance and model complexity. The classifier learner deemed most suitable for this particular problem was JRip, a rule-based learner (classification accuracy=0.85; false positive rate=0.10; F-measure=0.76; area under the receiver operating curve=0.87). This model will be used in further studies to assess the behavior and welfare of pasture-based dairy cows. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

A new global approach to obtain three-dimensional displacement maps by integrating GPS and DInSAR data

NASA Astrophysics Data System (ADS)

Guglielmino, F.; Nunnari, G.; Puglisi, G.; Spata, A.

2009-04-01

We propose a new technique, based on the elastic theory, to efficiently produce an estimate of three-dimensional surface displacement maps by integrating sparse Global Position System (GPS) measurements of deformations and Differential Interferometric Synthetic Aperture Radar (DInSAR) maps of movements of the Earth's surface. The previous methodologies known in literature, for combining data from GPS and DInSAR surveys, require two steps: the first, in which sparse GPS measurements are interpolated in order to fill in GPS displacements at the DInSAR grid, and the second, to estimate the three-dimensional surface displacement maps by using a suitable optimization technique. One of the advantages of the proposed approach is that both these steps are unified. We propose a linear matrix equation which accounts for both GPS and DInSAR data whose solution provide simultaneously the strain tensor, the displacement field and the rigid body rotation tensor throughout the entire investigated area. The mentioned linear matrix equation is solved by using the Weighted Least Square (WLS) thus assuring both numerical robustness and high computation efficiency. The proposed methodology was tested on both synthetic and experimental data, these last from GPS and DInSAR measurements carried out on Mt. Etna. The goodness of the results has been evaluated by using standard errors. These tests also allow optimising the choice of specific parameters of this algorithm. This "open" structure of the method will allow in the near future to take account of other available data sets, such as additional interferograms, or other geodetic data (e.g. levelling, tilt, etc.), in order to achieve even higher accuracy.

Out-of-Hours Care Collaboration between General Practitioners and Hospital Emergency Departments in the Netherlands.

PubMed

van Gils-van Rooij, Elisabeth Sybilla Johanna; Yzermans, Christoffel Joris; Broekman, Sjoerd Michael; Meijboom, Berthold Rudy; Welling, Gerben Paul; de Bakker, Dingenus Herman

2015-01-01

In the Netherlands, general practitioners (GPs) and emergency departments (EDs) collaborate increasingly in what is called an Urgent Care Collaboration (UCC). In UCCs, GPs and EDs share 1 combined entrance and joint triage. The objective of this study was to determine if GPs treat a larger proportion of out-of-hours patients in the UCC system, and how this relates to patient characteristics. This observational study compared patients treated within UCCs with patients treated in the usual care setting, that is, GPs and EDs operating separately. Data on the characteristics of the patients, their consultations, and their health problems were derived from electronic medical records. We performed χ(2) tests, independent sample t tests, and multiple logistic regression analyses. A significantly higher proportion of patients attended their on-call GP within the UCC system. The proportion of ED patients was 22% smaller in UCCs compared to the usual care setting. Controlled for patient and health problem characteristics the difference remained statistically significant (OR=0.69; CI 0.66-0.72) but there were substantial differences between regions. Especially patients with trauma were treated more by general practitioners. Controlled for case mix, patients in the largest UCC-region were 1.2 times more likely to attend a GP than the reference group. When GPs and EDs collaborate, GPs take a substantially higher proportion of all out-of-hours patients. © Copyright 2015 by the American Board of Family Medicine.

Ionospheric Remote Sensing using GPS Radio Occultation and Ultraviolet Photometry aboard the ISS

NASA Astrophysics Data System (ADS)

Budzien, S. A.; Powell, S. P.; O'Hanlon, B.; Humphreys, T.; Bishop, R. L.; Stephan, A. W.; Gross, J.; Chakrabarti, S.

2017-12-01

The GPS Radio Occultation and Ultraviolet Photometer Co-located (GROUP-C) experiment launched to the International Space Station (ISS) on February 19, 2017 as part of the Space Test Program Houston #5 payload (STP-H5). After early orbit testing, GROUP-C began routine science operations in late April. GROUP-C includes a high-sensitivity far-ultraviolet photometer measuring horizontal nighttime ionospheric gradients and an advanced software-defined GPS receiver providing ionospheric electron density profiles, scintillation measurements, and lower atmosphere profiles. GROUP-C and a companion experiment, the Limb-Imaging Ionospheric and Thermospheric Extreme-Ultraviolet Spectrograph (LITES), offer a unique capability to study spatial and temporal variability of the thermosphere and ionosphere using multi-sensor approaches, including ionospheric tomography. Data are collected continuously across low- and mid-latitudes as the ISS orbit precesses through all local times every 60 days. The GROUP-C GPS sensor routinely collects dual-frequency GPS occultations, makes targeted raw signal captures of GPS and Galileo occultations, and includes multiple antennas to characterize multipath in the ISS environment. The UV photometer measures the 135.6 nm ionospheric recombination airglow emision along the nightside orbital track. We present the first analysis of ionospheric observations, discuss the challenges and opportunities of remote sensing from the ISS platform, and explore how these new data help address questions regarding the complex and dynamic features of the low and middle latitude ionosphere-thermosphere relevant to the upcoming GOLD and ICON missions.

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).

77 FR 1015 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-09

... navigational facilities, adding new obstacles, or changing air traffic requirements. These changes are designed..., VOR RWY 26L, Amdt 32 Houston, TX, Sugar Land Rgnl, ILS OR LOC RWY 35, Amdt 4 Houston, TX, Sugar Land Rgnl, RNAV (GPS) RWY 35, Amdt 2 Houston, TX, Sugar Land Rgnl, VOR/DME-A, Amdt 2 Marshall, TX, Harrison...

Location-only and use-availability data: analysis methods converge

USGS Publications Warehouse

McDonald, Lyman; Manly, Bryan; Huettmann, Falk; Thogmartin, Wayne

2013-01-01

by the availability of geographical information systems (GIS), global positioning system (GPS) radiotelemetry and public online data access initiatives (e.g. global biodiversity information facility). The papers in this Special Feature are intended to present the state of the methodological art in their subject area, with particular attention paid to contrasting the advantages and disadvantages of alternative methods of analysis for data.

Genome-Wide Polygenic Scores Predict Reading Performance Throughout the School Years.

PubMed

Selzam, Saskia; Dale, Philip S; Wagner, Richard K; DeFries, John C; Cederlöf, Martin; O'Reilly, Paul F; Krapohl, Eva; Plomin, Robert

2017-07-04

It is now possible to create individual-specific genetic scores, called genome-wide polygenic scores (GPS). We used a GPS for years of education ( EduYears ) to predict reading performance assessed at UK National Curriculum Key Stages 1 (age 7), 2 (age 12) and 3 (age 14) and on reading tests administered at ages 7 and 12 in a UK sample of 5,825 unrelated individuals. EduYears GPS accounts for up to 5% of the variance in reading performance at age 14. GPS predictions remained significant after accounting for general cognitive ability and family socioeconomic status. Reading performance of children in the lowest and highest 12.5% of the EduYears GPS distribution differed by a mean growth in reading ability of approximately two school years. It seems certain that polygenic scores will be used to predict strengths and weaknesses in education.

Scintillation-Hardened GPS Receiver

NASA Technical Reports Server (NTRS)

Stephens, Donald R.

2015-01-01

CommLargo, Inc., has developed a scintillation-hardened Global Positioning System (GPS) receiver that improves reliability for low-orbit missions and complies with NASA's Space Telecommunications Radio System (STRS) architecture standards. A software-defined radio (SDR) implementation allows a single hardware element to function as either a conventional radio or as a GPS receiver, providing backup and redundancy for platforms such as the International Space Station (ISS) and high-value remote sensing platforms. The innovation's flexible SDR implementation reduces cost, weight, and power requirements. Scintillation hardening improves mission reliability and variability. In Phase I, CommLargo refactored an open-source GPS software package with Kalman filter-based tracking loops to improve performance during scintillation and also demonstrated improved navigation during a geomagnetic storm. In Phase II, the company generated a new field-programmable gate array (FPGA)-based GPS waveform to demonstrate on NASA's Space Communication and Navigation (SCaN) test bed.

Genome-Wide Polygenic Scores Predict Reading Performance Throughout the School Years

PubMed Central

Selzam, Saskia; Dale, Philip S.; Wagner, Richard K.; DeFries, John C.; Cederlöf, Martin; O’Reilly, Paul F.; Krapohl, Eva; Plomin, Robert

2017-01-01

ABSTRACT It is now possible to create individual-specific genetic scores, called genome-wide polygenic scores (GPS). We used a GPS for years of education (EduYears) to predict reading performance assessed at UK National Curriculum Key Stages 1 (age 7), 2 (age 12) and 3 (age 14) and on reading tests administered at ages 7 and 12 in a UK sample of 5,825 unrelated individuals. EduYears GPS accounts for up to 5% of the variance in reading performance at age 14. GPS predictions remained significant after accounting for general cognitive ability and family socioeconomic status. Reading performance of children in the lowest and highest 12.5% of the EduYears GPS distribution differed by a mean growth in reading ability of approximately two school years. It seems certain that polygenic scores will be used to predict strengths and weaknesses in education. PMID:28706435

GPS baseline configuration design based on robustness analysis

NASA Astrophysics Data System (ADS)

Yetkin, M.; Berber, M.

2012-11-01

The robustness analysis results obtained from a Global Positioning System (GPS) network are dramatically influenced by the configurationof the observed baselines. The selection of optimal GPS baselines may allow for a cost effective survey campaign and a sufficiently robustnetwork. Furthermore, using the approach described in this paper, the required number of sessions, the baselines to be observed, and thesignificance levels for statistical testing and robustness analysis can be determined even before the GPS campaign starts. In this study, wepropose a robustness criterion for the optimal design of geodetic networks, and present a very simple and efficient algorithm based on thiscriterion for the selection of optimal GPS baselines. We also show the relationship between the number of sessions and the non-centralityparameter. Finally, a numerical example is given to verify the efficacy of the proposed approach.

Management of behavioural change in patients presenting with a diagnosis of dementia: a video vignette study with Australian general practitioners.

PubMed

Jiwa, Moyez; Nichols, Pam; Magin, Parker; Pagey, Georgina; Meng, Xingqiong; Parsons, Richard; Pillai, Vinita

2014-09-25

To test the impact of feedback on the proposed management of standardised patients presenting with behavioural change with a diagnosis of dementia in Australian primary care. A video vignette study was performed with Australian general practitioners (GPs) in 2013. Participants viewed six pairs of matched videos depicting people presenting changed behaviour in the context of a dementia diagnosis in two phases. In both phases GPs indicated their diagnosis and management. After phase 1, GPs were offered feedback on management strategies for the patients depicted. Analyses focused on identification of change in management between the two phases of the study. Factors impacting on the intention to coordinate care for such patients were tested in a questionnaire based on the Theory of Planned Behaviour. Forty-five GPs completed the study. There was significant improvement in the proposed management of three of the six scenarios after the intervention. Older GPs were more likely to refer appropriately (OR=1.11 (1.01 to 1.23), p=0.04.). Overall referral to support agencies was more likely after the intervention (OR=2.52 (1.53 to 4.14), p<0.001). Older GPs were less likely to intend to coordinate care for such patients (OR=0.89 (0.81 to 0.98) p=0.02). Participants who felt confident about their ability to coordinate care were more likely to do so (OR=3.79 (1.08 to 13.32) p=0.04). The intervention described in this study promoted multidisciplinary management of patients with behavioural problems with a diagnosis of dementia. Increasing practitioner confidence in their ability to coordinate care may increase the proportion of GPs who will respond to patients and carers in this context. Older GPs may benefit in particular. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Management of behavioural change in patients presenting with a diagnosis of dementia: a video vignette study with Australian general practitioners

PubMed Central

Jiwa, Moyez; Nichols, Pam; Magin, Parker; Pagey, Georgina; Meng, Xingqiong; Parsons, Richard; Pillai, Vinita

2014-01-01

Objective To test the impact of feedback on the proposed management of standardised patients presenting with behavioural change with a diagnosis of dementia in Australian primary care. Materials and methods A video vignette study was performed with Australian general practitioners (GPs) in 2013. Participants viewed six pairs of matched videos depicting people presenting changed behaviour in the context of a dementia diagnosis in two phases. In both phases GPs indicated their diagnosis and management. After phase 1, GPs were offered feedback on management strategies for the patients depicted. Analyses focused on identification of change in management between the two phases of the study. Factors impacting on the intention to coordinate care for such patients were tested in a questionnaire based on the Theory of Planned Behaviour. Results Forty-five GPs completed the study. There was significant improvement in the proposed management of three of the six scenarios after the intervention. Older GPs were more likely to refer appropriately (OR=1.11 (1.01 to 1.23), p=0.04.). Overall referral to support agencies was more likely after the intervention (OR=2.52 (1.53 to 4.14), p<0.001). Older GPs were less likely to intend to coordinate care for such patients (OR=0.89 (0.81 to 0.98) p=0.02). Participants who felt confident about their ability to coordinate care were more likely to do so (OR=3.79 (1.08 to 13.32) p=0.04). Conclusions The intervention described in this study promoted multidisciplinary management of patients with behavioural problems with a diagnosis of dementia. Increasing practitioner confidence in their ability to coordinate care may increase the proportion of GPs who will respond to patients and carers in this context. Older GPs may benefit in particular. PMID:25256189

Transition of NOAA's GPS-Met Data Acquisition and Processing System to the Commercial Sector

NASA Astrophysics Data System (ADS)

Jackson, M. E.; Holub, K.; Callahan, W.; Blatt, S.

2014-12-01

In April of 2014, NOAA/OAR/ESRL Global Systems Division (GSD) and Trimble, in collaboration with Earth Networks, Inc. (ENI) signed a Cooperative Research and Development Agreement (CRADA) to transfer the existing NOAA GPS-Met Data Acquisition and Processing System (GPS-Met DAPS) technology to a commercial Trimble/ENI partnership. NOAA's GPS-Met DAPS is currently operated in a pseudo-operational mode but has proven highly reliable and running at over 95% uptime. The DAPS uses the GAMIT software to ingest dual frequency carrier phase GPS/GNSS observations and ancillary information such as real-time satellite orbits to estimate the zenith-scaled tropospheric (ZTD) signal delays and, where surface MET data are available, retrieve integrated precipitable water vapor (PWV). The NOAA data and products are made available to end users in near real-time. The Trimble/ENI partnership will use the Trimble Pivot™ software with the Atmosphere App to calculate zenith tropospheric (ZTD), tropospheric slant delay, and integrated precipitable water vapor (PWV). Evaluation of the Trimble software is underway starting with a comparison of ZTD and PWV values determined from GPS stations located near NOAA Radiosonde Observation (Upper-Air Observation) launch sites. A success metric was established that requires Trimble's PWV estimates to match ESRL/GSD's to within 1.5 mm 95% of the time, which corresponds to a ZTD uncertainty of less than 10 mm 95% of the time. Initial results indicate that Trimble/ENI data meet and exceed the ZTD metric, but for some stations PWV estimates are out of specification. These discrepancies are primarily due to how offsets between MET and GPS stations are handled and are easily resolved. Additional test networks are proposed that include low terrain/high moisture variability stations, high terrain/low moisture variability stations, as well as high terrain/high moisture variability stations. We will present results from further testing along with a timeline for the transition of the GPS-Met DAPS to an operational commercial service.

A Qualitative Inquiry Into the Challenges of Medical Education for Retention of General Practitioners in Rural and Underserved Areas of Iran

PubMed Central

2016-01-01

Objectives General practitioners (GPs) retention in rural and underserved areas highly effects on accessibility of healthcare facilities across the country. Education seems to be a critical factor that affects GPs retention. Thus, the present study aimed at inquiry into medical education challenges that limit their retention in rural and underserved areas. Methods A qualitative approach was applied for the aim of this study. Data were gathered via 28 semi-structured interviews with experts at different levels of Iran’s health system as well as GPs who retained and refused to retain working in rural settings. Interviews mainly were performed face-to-face and in some cases via telephone during 2015 and then coded and analyzed using content analysis approach. Results Iran’s medical education is faced with several challenges that were categorized in four main themes including student selection, medical students’ perception about their field of study, education setting and approach, curriculum of medical education. According to experts this challenges could results in making GP graduates disinterested for practicing in rural and underserved areas. Conclusions Challenges that were found could have negative effects on retention. Modification in student’s perception about rural practice could be done via changing education setting and approach and curriculum. These modifications could improve GPs retention in rural and underserved areas. PMID:27951631

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.

Antibiotics in urinary-tract infections. Sustained change in prescribing habits by practice test and self-reflection: a mixed methods before-after study.

PubMed

Kuehlein, T; Goetz, K; Laux, G; Gutscher, A; Szecsenyi, J; Joos, S

2011-06-01

BACKGROUND The German guideline recommends trimethoprim (TMP) for the treatment of uncomplicated lower-urinary-tract infections (uLUTI) in primary care. In the authors' research network, the participating general practitioners (GPs) were asked why they prescribe mostly quinolones instead. The GPs stated the perception of a high rate of therapy failure of TMP and strongly rejected the guideline. OBJECTIVE To examine prescribing behaviour for uLUTI and whether a practice test of TMP might effect a change in prescribing habits. METHODS The study was conducted using observational and qualitative elements. A first focus-group (n=6) assessed reasons for current prescribing behaviour. In a 3-month practice test, patients with uLUTI were prescribed TMP (150 mg twice for 3 days). In a second focus group, the GPs (n=12) were presented with the results of the practice test. RESULTS The first focus group revealed that prescribing was mainly driven by former hospital training and what was perceived as common therapy. GPs felt no need to change a successful regimen. In the practice test, TMP had a success rate of 94% (84 episodes of uLUTI). The second focus group revealed that the practice test had strongly changed opinions in favour of TMP. Self-reflection and ownership of data acquisition were seen as major contributions for change in prescribing. After the test period, TMP remained the antibiotic most often prescribed. CONCLUSION Internal evidence and peer-group opinion are strong determinants for clinical decisions. A self-conducted practice test, together with self-reflection in a peer group, strongly supports the process of change.

"Academic drug-detailing": from project to practice in a Swedish urban area.

PubMed

Lundborg, C S; Hensjö, L O; Gustafsson, L L

1997-01-01

To develop and test the long-term feasibility of an interdisciplinary independent drug information service providing both written and oral drug information to physicians in an urban area of Sweden (> 400,000 inhabitants). A drug information service was developed encouraging a cooperative approach between a department of clinical pharmacology, general practitioners (GPs), pharmacists, and Drug and Therapeutic Committees. Scientifically-based drug information was condensed and interpreted by a team and presented in both written and oral form. In one part of the area, both oral and written information was provided, while in another part of the area, only written information was distributed. Questionnaires and one prescription survey were performed to elucidate the knowledge and attitudes of the GPs regarding drug treatment of one condition (urinary tract infection, UTI, and norfloxacin were used as examples), as well as their opinion of our services. Over a period of 10 years, 75 issues of a drug bulletin (2000 copies) were distributed. Oral producer-independent drug information, provided jointly by a GP and a pharmacist, was given on 16 occasions in each of 30 health centres (150 GPs). Around 80% of the GPs participated in the meetings. Of these GPs, 75% found the service important for their daily work. A majority of the GPs had prescribed the test drug, norfloxacin, not a first-line drug according to local recommendations, 1 year after approval. A significantly lower proportion of prescribers were observed in the area where the GPs had been provided with both written and oral information regarding recommended treatment (including first-line drugs) for uncomplicated cystitis. The approximate cost for this service in 1995 was SEK 0.685 million (USD 0.1 million); the prescribing costs of the 150 GPs were estimated at SEK 255 million per year. This means that the cost of the service per GP is only around 0.3% of normal prescribing costs. Over a period of 10 years the information/education method described here has proven sustainable and feasible in terms of providing the information, regarding participation of the target group GPs in the oral sessions, and regarding integration of the service into the existing health care system.

Effects of sample size and sampling frequency on studies of brown bear home ranges and habitat use

USGS Publications Warehouse

Arthur, Steve M.; Schwartz, Charles C.

1999-01-01

We equipped 9 brown bears (Ursus arctos) on the Kenai Peninsula, Alaska, with collars containing both conventional very-high-frequency (VHF) transmitters and global positioning system (GPS) receivers programmed to determine an animal's position at 5.75-hr intervals. We calculated minimum convex polygon (MCP) and fixed and adaptive kernel home ranges for randomly-selected subsets of the GPS data to examine the effects of sample size on accuracy and precision of home range estimates. We also compared results obtained by weekly aerial radiotracking versus more frequent GPS locations to test for biases in conventional radiotracking data. Home ranges based on the MCP were 20-606 km2 (x = 201) for aerial radiotracking data (n = 12-16 locations/bear) and 116-1,505 km2 (x = 522) for the complete GPS data sets (n = 245-466 locations/bear). Fixed kernel home ranges were 34-955 km2 (x = 224) for radiotracking data and 16-130 km2 (x = 60) for the GPS data. Differences between means for radiotracking and GPS data were due primarily to the larger samples provided by the GPS data. Means did not differ between radiotracking data and equivalent-sized subsets of GPS data (P > 0.10). For the MCP, home range area increased and variability decreased asymptotically with number of locations. For the kernel models, both area and variability decreased with increasing sample size. Simulations suggested that the MCP and kernel models required >60 and >80 locations, respectively, for estimates to be both accurate (change in area <1%/additional location) and precise (CV < 50%). Although the radiotracking data appeared unbiased, except for the relationship between area and sample size, these data failed to indicate some areas that likely were important to bears. Our results suggest that the usefulness of conventional radiotracking data may be limited by potential biases and variability due to small samples. Investigators that use home range estimates in statistical tests should consider the effects of variability of those estimates. Use of GPS-equipped collars can facilitate obtaining larger samples of unbiased data and improve accuracy and precision of home range estimates.

Screening and managing cannabis use: comparing GP’s and nurses’ knowledge, beliefs, and behavior

PubMed Central

2012-01-01

Background General practitioners (GPs) and nurses are ideally placed to address the significant unmet demand for the treatment of cannabis-related problems given the numbers of people who regularly seek their care. The aim of this study was to evaluate differences between GPs and nurses’ perceived knowledge, beliefs, and behaviors toward cannabis use and its screening and management. Methods This study involved 161 nurses and 503 GPs who completed a survey distributed via conference satchels to delegates of Healthed seminars focused on topics relevant to women and children’s health. Differences between GPs and nurses were analyzed using χ2- tests and two-sample t-tests, while logistic regression examined predictors of service provision. Results GPs were more likely than nurses to have engaged in cannabis-related service provision, but also more frequently reported barriers related to time, interest, and having more important issues to address. Nurses reported less knowledge, skills, and role legitimacy. Perceived screening skills predicted screening and referral to alcohol and other drug (AOD) services, while knowing a regular user increased the likelihood of referrals only. Conclusions Approaches to increase cannabis-related screening and intervention may be improved by involving nurses, and by leveraging the relationship between nurses and doctors, in primary care. PMID:22827931

Efficacy of communication skills training on colorectal cancer screening by GPs: a cluster randomised controlled trial.

PubMed

Aubin-Auger, I; Laouénan, C; Le Bel, J; Mercier, A; Baruch, D; Lebeau, J P; Youssefian, A; Le Trung, T; Peremans, L; Van Royen, P

2016-01-01

Colorectal cancer (CRC) mass screening has been implemented in France since 2008. Participation rates remain too low. The objective of this study was to test if the implementation of a training course focused on communication skills among general practitioners (GP) would increase the delivery of gaiac faecal occult blood test and CRC screening participation among the target population of each participating GP. A cluster randomised controlled trial was conducted with GP's practice as a cluster unit. GPs from practices in the control group were asked to continue their usual care. GPs of the intervention group received a 4-h educational training, built with previous qualitative data on CRC screening focusing on doctor-patient communication with a follow-up of 7 months for both groups. The primary outcome measure was the patients' participation rate in the target population for each GP. Seventeen GPs (16 practices) in intervention group and 28 GPs (19 practices) in control group participated. The patients' participation rate in the intervention group were 36.7% vs. 24.5% in the control group (P = 0.03). Doctor-patient communication should be developed and appear to be one of the possible targets of improvement patients adherence and participation rate in the target population for CRC mass screening. © 2015 John Wiley & Sons Ltd.

A new local GPS water vapor tomography imaging technique using spectral functions w.r.t space and time: initial tests and results for the Tahiti Island case (French Polynesia)

NASA Astrophysics Data System (ADS)

Sichoix, L.; Barriot, J.; Fadil, A.; Ortega, P.

2009-12-01

In this study, we present the initial tests and validation results performed on a newly-developed GPS water vapor tomography inversion code based on a spectral approach tailored to coarse networks of GPS stations. Our work is mainly motivated by the lack of dense GPS coverage in Tahiti Island. Firstly, we use the GAMIT software to estimate the tropospheric slant wet delays (SWD) from a single GPS ground-based receiver to each visible satellite. SWD values are our model input. Secondly, the refractivity along ray paths is written as 3D Zernike radial and spherical harmonic series as well as sinusoidal time series and then inserted into the Radon transform linking slant delays and refractivity. This approach is in contrast with usual previous approaches where the atmosphere is divided into voxels (3D pixels). These approaches may exhibit instabilities as a voxel is crossed by more than one ray. Thirdly, we overcome the ill-posedness of the Radon transform by adding a priori constraints in the form of a full covariance matrix of the atmospheric refractivity taking into account the transport and mixing processes in the atmosphere.

Relationship between nutritional status and the Glasgow Prognostic Score in patients with colorectal cancer.

PubMed

Maurício, Sílvia Fernandes; da Silva, Jacqueline Braga; Bering, Tatiana; Correia, Maria Isabel Toulson Davisson

2013-04-01

The association between nutritional status and inflammation was assessed in patients with colorectal cancer and to verify their association with complications during anticancer treatment. The agreement between the Subjective Global Assessment (SGA) and different nutritional assessment methods was also evaluated. A cross-sectional, prospective, and descriptive study was performed. The nutritional status was defined by the SGA and the severity of inflammation was defined by the Glasgow Prognostic Score (GPS). The complications were classified using the Common Toxicity Criteria, version 3. Anthropometric measurements such as body mass index, triceps skinfold, midarm circumference, midarm muscle area, and adductor pollicis muscle thickness were also performed, as were handgrip strength and phase angle. The chi-square test, Fisher exact test, Spearman correlation coefficient, independent t test, analysis of variance, Gabriel test, and κ index were used for the statistical analysis. P < 0.05 was considered statistically significant. Seventy patients with colorectal cancer (60.4 ± 14.3 y old) were included. The nutritional status according to the SGA was associated with the GPS (P < 0.05), but the SGA and GPS were not related to the presence of complications. When comparing the different nutritional assessment methods with the SGA, there were statistically significant differences. Malnutrition is highly prevalent in patients with colorectal cancer. The nutritional status was associated with the GPS. Copyright © 2013 Elsevier Inc. All rights reserved.

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.

Precise GPS ephemerides from DMA and NGS tested by time transfer

NASA Technical Reports Server (NTRS)

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

1992-01-01

It was shown that the use of the Defense Mapping Agency's (DMA) precise ephemerides brings a significant improvement to the accuracy of GPS time transfer. At present a new set of precise ephemerides produced by the National Geodetic Survey (NGS) has been made available to the timing community. This study demonstrates that both types of precise ephemerides improve long-distance GPS time transfer and remove the effects of Selective Availability (SA) degradation of broadcast ephemerides. The issue of overcoming SA is also discussed in terms of the routine availability of precise ephemerides.

Strategies for high-precision Global Positioning System orbit determination

NASA Technical Reports Server (NTRS)

Lichten, Stephen M.; Border, James S.

1987-01-01

Various strategies for the high-precision orbit determination of the GPS satellites are explored using data from the 1985 GPS field test. Several refinements to the orbit determination strategies were found to be crucial for achieving high levels of repeatability and accuracy. These include the fine tuning of the GPS solar radiation coefficients and the ground station zenith tropospheric delays. Multiday arcs of 3-6 days provided better orbits and baselines than the 8-hr arcs from single-day passes. Highest-quality orbits and baselines were obtained with combined carrier phase and pseudorange solutions.

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.

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.

Community assets and capabilities to recruit and retain GPs: the Community Apgar Questionnaire in rural Victoria.

PubMed

Terry, Daniel R; Baker, Ed; Schmitz, David F

2016-01-01

Rural communities continue to experience significant challenges recruiting and retaining physicians. The Community Apgar Questionnaire (CAQ) was developed in Idaho in the USA to comprehensively assess the characteristics associated with successful recruitment and retention of rural physicians. The CAQ has been utilised and validated across the USA; however, its value in rural Australia has not been examined. The objective of this study was to use the CAQ in rural Australia to examine its utility and develop a greater understanding of the community factors that impact general practitioner (GP) recruitment and retention. The project conducted structured face-to-face interviews with hospital chief executive officers (CEOs) and directors of clinical services (DCSs) from 14 of the 21 (76%) health services that agreed to participate in rural north-eastern Victoria, Australia. The interviews were undertaken to complete the CAQ, which contains 50 questions centred on factors that influence physician recruitment and retention. Once completed, CAQs were scored by assigning quantitative values to a community's strengths and challenges including the level of importance placed on each factor. As such, the most important factors in physician recruitment, whether they are advantages or challenges for that community, were then weighed for their relative importance. Scores were then combined to create a CAQ score. To ensure reliability and validity of the results, three additional CAQs were purposefully administered to key general practices within the region. The 14 rural communities exhibited cumulative CAQ scores ranging from a high of 387 to a low score of 61. This suggests the tool was sensitive enough to differentiate between communities that were high and low performers in terms of physician recruitment. The groups of factors that had the greatest impact on recruitment and retention were ranked highest to lowest and included medical support, hospital/community support, economic, scope of practice and geographic factors. Overall, the highest individual factors to impact recruitment and retention were perception of quality, hospital leadership, nursing workforce and transfer arrangements. Conversely, the lowest factors and challenges to recruitment and retention were family related, specifically spousal satisfaction and access to schools. Hume, in rural Victoria, was the first international site to implement the CAQ to differentially diagnose a community's relative strengths and challenges in recruiting and retaining GPs, while supporting health facilities to prioritise achievable goals to improve long-term retention strategies. It provided each community with a tailored gap analysis, while confidentially sharing best practices of other health facilities. Within Hume, open communication and trust between GPs and health facility leadership and nursing staff ensures that GPs can feel valued and supported. Possible solutions for GP recruitment and retention must consider the social, employment and educational opportunities that are available for spouses and children. Participation in the program was useful as it helped health facilities ascertain how they were performing while highlighting areas for improvement.

GPS Auto-Navigation Design for Unmanned Air Vehicles

NASA Technical Reports Server (NTRS)

Nilsson, Caroline C. A.; Heinzen, Stearns N.; Hall, Charles E., Jr.; Chokani, Ndaona

2003-01-01

A GPS auto-navigation system is designed for Unmanned Air Vehicles. The objective is to enable the air vehicle to be used as a test-bed for novel flow control concepts. The navigation system uses pre-programmed GPS waypoints. The actual GPS position, heading, and velocity are collected by the flight computer, a PC104 system running in Real-Time Linux, and compared with the desired waypoint. The navigator then determines the necessity of a heading correction and outputs the correction in the form of a commanded bank angle, for a level coordinated turn, to the controller system. This controller system consists of 5 controller! (pitch rate PID, yaw damper, bank angle PID, velocity hold, and altitude hold) designed for a closed loop non-linear aircraft model with linear aerodynamic coefficients. The ability and accuracy of using GPS data, is validated by a GPS flight. The autopilots are also validated in flight. The autopilot unit flight validations show that the designed autopilots function as designed. The aircraft model, generated on Matlab SIMULINK is also enhanced by the flight data to accurately represent the actual aircraft.

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

NASA Astrophysics Data System (ADS)

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

2017-12-01

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

Joint Toxicity of Arsenic, Copper and Glyphosate on Behavior, Reproduction and Heat Shock Protein Response in Caenorhabditis elegans.

PubMed

Wang, Yunbiao; Ezemaduka, Anastasia N; Li, Zhuheng; Chen, Zhanyan; Song, Chuantao

2017-04-01

The soil nematode Caenorhabditis elegans was used in 24-h acute exposures to arsenic (As), copper (Cu) and glyphosate (GPS) and to mixtures of As/Cu and As/GPS to investigate the effects of mixture exposures in the worms. A synergistic type of interaction was observed for acute toxicity with the As/Cu and As/GPS mixtures. Sublethal 24-h exposures of 1/1000, 1/100 and 1/10 of the LC50 concentrations for As, Cu and GPS individually and for As/Cu and As/GPS mixtures were conducted to observe responses in locomotory behavior (head thrashing), reproduction, and heat shock protein expression. Head thrash frequency and reproduction exhibited concentration dependent decreases in both individual and combined exposures to the tested chemical stressors, and showed synergistic interactions even at micromolar concentrations. Furthermore, the HSP70 protein level was significantly increased following exposure to individual and combined chemical stressors in wild-type C. elegans. Our findings establish for the first time the effects of exposure to As/GPS and As/Cu mixtures in C. elegans.

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.

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.

Validity and Reliability of 10-Hz Global Positioning System to Assess In-line Movement and Change of Direction.

PubMed

Nikolaidis, Pantelis T; Clemente, Filipe M; van der Linden, Cornelis M I; Rosemann, Thomas; Knechtle, Beat

2018-01-01

The objectives of the present study were to examine the validity and reliability of the 10 Hz Johan GPS unit in assessing in-line movement and change of direction. The validity was tested against the criterion measure of 200 m track-and-field (track-and-field athletes, n = 8) and 20 m shuttle run endurance test (female soccer players, n = 20). Intra-unit and inter-unit reliability was tested by intra-class correlation coefficient (ICC) and coefficient of variation (CV), respectively. An analysis of variance examined differences between the GPS measurement and five laps of 200 m at 15 km/h, and t -test examined differences between the GPS measurement and 20 m shuttle run endurance test. The difference between the GPS measurement and 200 m distance ranged from -0.13 ± 3.94 m (95% CI -3.42; 3.17) in the first lap to 2.13 ± 2.64 m (95% CI -0.08; 4.33) in the fifth lap. A good intra-unit reliability was observed in 200 m (ICC = 0.833, 95% CI 0.535; 0.962). Inter-unit CV ranged from 1.31% (fifth lap) to 2.20% (third lap). The difference between the GPS measurement and 20 m shuttle run endurance test ranged from 0.33 ± 4.16 m (95% CI -10.01; 10.68) in 11.5 km/h to 9.00 ± 5.30 m (95% CI 6.44; 11.56) in 8.0 km/h. A moderate intra-unit reliability was shown in the second and third stage of the 20 m shuttle run endurance test (ICC = 0.718, 95% CI 0.222;0.898) and good reliability in the fifth, sixth, seventh and eighth (ICC = 0.831, 95% CI -0.229;0.996). Inter-unit CV ranged from 2.08% (11.5 km/h) to 3.92% (8.5 km/h). Based on these findings, it was concluded that the 10 Hz Johan system offers an affordable valid and reliable tool for coaches and fitness trainers to monitor training and performance.

Factors influencing the development of primary care data collection projects from electronic health records: a systematic review of the literature.

PubMed

Gentil, Marie-Line; Cuggia, Marc; Fiquet, Laure; Hagenbourger, Camille; Le Berre, Thomas; Banâtre, Agnès; Renault, Eric; Bouzille, Guillaume; Chapron, Anthony

2017-09-25

Primary care data gathered from Electronic Health Records are of the utmost interest considering the essential role of general practitioners (GPs) as coordinators of patient care. These data represent the synthesis of the patient history and also give a comprehensive picture of the population health status. Nevertheless, discrepancies between countries exist concerning routine data collection projects. Therefore, we wanted to identify elements that influence the development and durability of such projects. A systematic review was conducted using the PubMed database to identify worldwide current primary care data collection projects. The gray literature was also searched via official project websites and their contact person was emailed to obtain information on the project managers. Data were retrieved from the included studies using a standardized form, screening four aspects: projects features, technological infrastructure, GPs' roles, data collection network organization. The literature search allowed identifying 36 routine data collection networks, mostly in English-speaking countries: CPRD and THIN in the United Kingdom, the Veterans Health Administration project in the United States, EMRALD and CPCSSN in Canada. These projects had in common the use of technical facilities that range from extraction tools to comprehensive computing platforms. Moreover, GPs initiated the extraction process and benefited from incentives for their participation. Finally, analysis of the literature data highlighted that governmental services, academic institutions, including departments of general practice, and software companies, are pivotal for the promotion and durability of primary care data collection projects. Solid technical facilities and strong academic and governmental support are required for promoting and supporting long-term and wide-range primary care data collection projects.

Managing work-related psychological complaints by general practitioners, in coordination with occupational physicians: a pilot study.

PubMed

Buijs, Peter C; van Dijk, Frank J H; Evers, Marÿe; vd Klink, Jacques J L; Anema, Han

2007-01-01

Increasingly, workers have psychological work-related complaints, endangering their work ability and causing considerable economic losses. Many employees consult their general practitioner (GP). He, however, often pays insufficient attention to work-relatedness or to coordination with occupational physicians (OPs). Appropriate guidelines are missing. Consequently, we developed a GP guideline to handle these problems in coordination with OPs, and tested it in a pilot, using an explorative, evaluative study design. 23 GPs were trained to include employed patients and to test the guideline. Patients received questionnaires after 0, 4, 10 and 30 wk, GPs after 4 and 30 wk. The result was a new guideline, regarding problem orientation, diagnosis and advice, meant to avoid contradictory GP-OP advice and to activate patient responsibility. It included a GP-OP-patient communication form concerning information exchange and harmonization of insight/advice. Implementing GPs concluded that the guideline promotes recovery and work resumption and OP-GP contact benefits patients, prevents conflicting advice and promotes agreement on task division. They judged guideline efficiency and OP commitment less positively. Patients were positive, especially about GP-OP contact. Accordingly, an improved guideline, when tested for its effectiveness in a Randomized Controlled Trial, can help GPs to cope with a growing, complex problem, in collaboration with their occupational colleagues.

Peptide- and Amine-Modified Glucan Particles for the Delivery of Therapeutic siRNA

PubMed Central

Aouadi, Myriam; Vangala, Pranitha; Tencerova, Michaela; Amano, Shinya U.; Nicoloro, Sarah M.; Yawe, Joseph C.; Czech, Michael P.

2016-01-01

Translation of siRNA technology into the clinic is limited by the need for improved delivery systems that target specific cell types. Macrophages are particularly attractive targets for RNAi therapy because they promote pathogenic inflammatory responses in a number of important human diseases. We previously demonstrated that a multi-component formulation of β-1,3-D-glucan-encapsulated siRNA particles (GeRPs) can specifically and potently silence genes in mouse macrophages. A major advance would be to simplify the GeRP system by reducing the number of delivery components, thus enabling more facile manufacturing and future commercialization. Here we report the synthesis and evaluation of a simplified glucan-based particle (GP) capable of delivering siRNA in vivo to selectively silence macrophage genes. Covalent attachment of small-molecule amines and short peptides containing weak bases to GPs facilitated electrostatic interaction of the particles with siRNA and aided in the endosomal release of siRNA by the proton-sponge effect. Modified GPs were non-toxic and were efficiently internalized by macrophages in vitro. When injected intraperitoneally (i.p.), several of the new peptide-modified GPs were found to efficiently deliver siRNA to peritoneal macrophages in lean, healthy mice. In an animal model of obesity-induced inflammation, i.p. administration of one of the peptide-modified GPs (GP-EP14) bound to siRNA selectively reduced the expression of target inflammatory cytokines in the visceral adipose tissue macrophages. Decreasing adipose tissue inflammation resulted in an improvement of glucose metabolism in these metabolically challenged animals. Thus, modified GPs represent a promising new simplified system for the efficient delivery of therapeutic siRNAs specifically to phagocytic cells in vivo for modulation of inflammation responses. PMID:26815386

GOCE Precise Science Orbits for the Entire Mission and their Use for Gravity Field Recovery

NASA Astrophysics Data System (ADS)

Jäggi, Adrian; Bock, Heike; Meyer, Ulrich; Weigelt, Matthias

The Gravity field and steady-state Ocean Circulation Explorer (GOCE), ESA's first Earth Explorer Core Mission, was launched on March 17, 2009 into a sun-synchronous dusk-dawn orbit and re-entered into the Earth's atmosphere on November 11, 2013. It was equipped with a three-axis gravity gradiometer for high-resolution recovery of the Earth's gravity field, as well as with a 12-channel, dual-frequency Global Positioning System (GPS) receiver for precise orbit determination (POD), instrument time-tagging, and the determination of the long wavelength part of the Earth’s gravity field. A precise science orbit (PSO) product was provided during the entire mission by the GOCE High-level Processing Facility (HPF) from the GPS high-low Satellite-to-Satellite Tracking (hl-SST) data. We present the reduced-dynamic and kinematic PSO results for the entire mission period. Orbit comparisons and validations with independent Satellite Laser Ranging (SLR) measurements demonstrate the high quality of both orbit products being close to 2 cm 1-D RMS, but also reveal a correlation between solar activity, GPS data availability, and the quality of the orbits. We use the 1-sec kinematic positions of the GOCE PSO product for gravity field determination and present GPS-only solutions covering the entire mission period. The generated gravity field solutions reveal severe systematic errors centered along the geomagnetic equator, which may be traced back to the GPS carrier phase observations used for the kinematic orbit determination. The nature of the systematic errors is further investigated and reprocessed orbits free of systematic errors along the geomagnetic equator are derived. Eventually, the potential of recovering time variable signals from GOCE kinematic positions is assessed.

Support of EarthScope GPS Campaigns at the UNAVCO Facility

NASA Astrophysics Data System (ADS)

Boyce, E.; Blume, F.; Normandeau, J.

2008-12-01

In order to support portable GPS deployments funded by the NSF's EarthScope Science panel, PBO has purchased 100 campaign GPS systems. Based Topcon GB-1000 equipment, the systems have been designed for stand-alone temporary or semi-permanent deployment that will be used for densifying areas not sufficiently covered by continuous GPS, and responding to volcanic and tectonic crises. UNAVCO provides support for all aspects of these projects, including proposal and budget development, project planning, equipment design, field support, and data archiving. Ten of the 100 systems have been equipped with real-time kinematic (RTK) capability requiring additional radio and data logging equipment. RTK systems can be used to rapidly map fault traces and profile fault escarpments and collect precise position information for GIS based geologic mapping. Each portable self-contained campaign systems include 18 Ah batteries, a regulated 32 watt solar charging system, and a low-power dual frequency GPS receiver and antenna in a waterproof case with security enhancements. The receivers have redundant memory sufficient for storing over a year's worth of data as well as IP and serial communications capabilities for longer-term deployments. Monumentation options are determined on a project-by-project basis, with options including Tech2000 masts, low-profile spike mounts, and traditional tripods and optical tribrachs. Drilled-braced monuments or masts can be installed for "semi- permanent" style occupations. The systems have been used to support several projects to date, including the University of Washington's 30-unit deployment to monitor the Episodic Tremor and Slip event in November, 2005 and the ongoing Rio Grande Rift experiment, run by the Universities of Colorado, Utah State, and New Mexico, which has seen the construction of 25 permanent monuments in 2006 and 2007 and a 26-site campaign reoccupation in 2008.

Support of EarthScope GPS Campaigns at the UNAVCO Facility

NASA Astrophysics Data System (ADS)

Boyce, E.; Blume, F.; Normandeau, J.

2007-12-01

In order to support portable GPS deployments funded by the NSF's EarthScope Science panel, PBO has purchased 100 campaign GPS systems. Based Topcon GB-1000 equipment, the systems have been designed for stand-alone temporary or semi-permanent deployment that will be used for densifying areas not sufficiently covered by continuous GPS, and responding to volcanic and tectonic crises. UNAVCO provides support for all aspects of these projects, including proposal and budget development, project planning, equipment design, field support, and data archiving. Ten of the 100 systems will be purchased with real-time kinematic (RTK) capability requiring additional radio and data logging equipment. RTK systems can be used to rapidly map fault traces and profile fault escarpments and collect precise position information for GIS based geologic mapping. Each portable self-contained campaign systems include 18 Ah batteries, a regulated 32 watt solar charging system, and a low-power dual frequency GPS receiver and antenna in a waterproof case with security enhancements. The receivers have redundant memory sufficient for storing over a year's worth of data as well as IP and serial communications capabilities for longer-term deployments. Monumentation options are determined on a project-by-project basis, with options including Tech2000 masts, low-profile spike mounts, and traditional tripods and optical tribrachs. Drilled-braced monuments or masts can be installed for "semi-permanent" style occupations. The systems have been used to support several projects to date, including the University of Washington's 30- unit deployment to monitor the Episodic Tremor and Slip event in November, 2005 and the ongoing Rio Grande Rift experiment, run by the Universities of Colorado, Utah State, and New Mexico, which has seen the construction of 25 permanent monuments in 2006 and 2007.

Development and testing of an assessment instrument for the formative peer review of significant event analyses.

PubMed

McKay, J; Murphy, D J; Bowie, P; Schmuck, M-L; Lough, M; Eva, K W

2007-04-01

To establish the content validity and specific aspects of reliability for an assessment instrument designed to provide formative feedback to general practitioners (GPs) on the quality of their written analysis of a significant event. Content validity was quantified by application of a content validity index. Reliability testing involved a nested design, with 5 cells, each containing 4 assessors, rating 20 unique significant event analysis (SEA) reports (10 each from experienced GPs and GPs in training) using the assessment instrument. The variance attributable to each identified variable in the study was established by analysis of variance. Generalisability theory was then used to investigate the instrument's ability to discriminate among SEA reports. Content validity was demonstrated with at least 8 of 10 experts endorsing all 10 items of the assessment instrument. The overall G coefficient for the instrument was moderate to good (G>0.70), indicating that the instrument can provide consistent information on the standard achieved by the SEA report. There was moderate inter-rater reliability (G>0.60) when four raters were used to judge the quality of the SEA. This study provides the first steps towards validating an instrument that can provide educational feedback to GPs on their analysis of significant events. The key area identified to improve instrument reliability is variation among peer assessors in their assessment of SEA reports. Further validity and reliability testing should be carried out to provide GPs, their appraisers and contractual bodies with a validated feedback instrument on this aspect of the general practice quality agenda.

Obstacles to colorectal screening in general practice: a qualitative study of GPs and patients.

PubMed

Aubin-Auger, Isabelle; Mercier, Alain; Lebeau, Jean-Pierre; Baumann, Laurence; Peremans, Lieve; Van Royen, Paul

2011-12-01

The faecal occult blood test (FOBT) has proven efficiency at screening populations for an average risk of colorectal cancer. Mortality related to this cancer decreases by 15-18% among adults, 50-74 years old, tested every 2 years. A participation rate of at least 50% is desirable. This rate has not yet been reached in most French regions. To explore the obstacles to mass colorectal screening in France. In 2009, five focus groups were conducted in different areas to explore physicians' obstacles to FOBT screening. The patients' obstacles were assessed in semi-structured interviews. A purposive sampling had been carried out for both GPs and patients. The focus groups were coded using Nvivo 8(®) software by three researchers; the interviews manually coded by two researchers. GPs reported insufficient training and some doubted the relevance of screening. They expressed concern of having insufficient time for the test during a consultation, as well as practical and administrative obstacles. Some GPs experienced difficulty persuading patients who had no signs of colorectal disease. Obstacles for patients were mainly difficulties in doing screening themselves and a perception of health care that didn't match with screening. Information and organization were also important points to improve. The screening process was considered complex both by GPs and by patients. Numerous obstacles to colorectal screening, from both the physicians' and the patients' perspectives, were found. The major goal to improve mass screening may be to increase awareness and understanding of both physicians and patients regarding this process.

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

NASA Astrophysics Data System (ADS)

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

2005-12-01

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

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.

Discrepancies between qualitative and quantitative evaluation of randomised controlled trial results: achieving clarity through mixed methods triangulation.

PubMed

Tonkin-Crine, Sarah; Anthierens, Sibyl; Hood, Kerenza; Yardley, Lucy; Cals, Jochen W L; Francis, Nick A; Coenen, Samuel; van der Velden, Alike W; Godycki-Cwirko, Maciek; Llor, Carl; Butler, Chris C; Verheij, Theo J M; Goossens, Herman; Little, Paul

2016-05-12

Mixed methods are commonly used in health services research; however, data are not often integrated to explore complementarity of findings. A triangulation protocol is one approach to integrating such data. A retrospective triangulation protocol was carried out on mixed methods data collected as part of a process evaluation of a trial. The multi-country randomised controlled trial found that a web-based training in communication skills (including use of a patient booklet) and the use of a C-reactive protein (CRP) point-of-care test decreased antibiotic prescribing by general practitioners (GPs) for acute cough. The process evaluation investigated GPs' and patients' experiences of taking part in the trial. Three analysts independently compared findings across four data sets: qualitative data collected view semi-structured interviews with (1) 62 patients and (2) 66 GPs and quantitative data collected via questionnaires with (3) 2886 patients and (4) 346 GPs. Pairwise comparisons were made between data sets and were categorised as agreement, partial agreement, dissonance or silence. Three instances of dissonance occurred in 39 independent findings. GPs and patients reported different views on the use of a CRP test. GPs felt that the test was useful in convincing patients to accept a no-antibiotic decision, but patient data suggested that this was unnecessary if a full explanation was given. Whilst qualitative data indicated all patients were generally satisfied with their consultation, quantitative data indicated highest levels of satisfaction for those receiving a detailed explanation from their GP with a booklet giving advice on self-care. Both qualitative and quantitative data sets indicated higher patient enablement for those in the communication groups who had received a booklet. Use of CRP tests does not appear to engage patients or influence illness perceptions and its effect is more centred on changing clinician behaviour. Communication skills and the patient booklet were relevant and useful for all patients and associated with increased patient satisfaction. A triangulation protocol to integrate qualitative and quantitative data can reveal findings that need further interpretation and also highlight areas of dissonance that lead to a deeper insight than separate analyses.

An Electronic Clinical Decision Support Tool to Assist Primary Care Providers in Cardiovascular Disease Risk Management: Development and Mixed Methods Evaluation

PubMed Central

Joshi, Rohina; Webster, Ruth J; Groenestein, Patrick; Usherwood, Tim P; Heeley, Emma; Turnbull, Fiona M; Lipman, Alexandra; Patel, Anushka A

2009-01-01

Background Challenges remain in translating the well-established evidence for management of cardiovascular disease (CVD) risk into clinical practice. Although electronic clinical decision support (CDS) systems are known to improve practitioner performance, their development in Australian primary health care settings is limited. Objectives Study aims were to (1) develop a valid CDS tool that assists Australian general practitioners (GPs) in global CVD risk management, and (2) preliminarily evaluate its acceptability to GPs as a point-of-care resource for both general and underserved populations. Methods CVD risk estimation (based on Framingham algorithms) and risk-based management advice (using recommendations from six Australian guidelines) were programmed into a software package. Tool validation: Data from 137 patients attending a physician’s clinic were analyzed to compare the tool’s risk scores with those obtained from an independently programmed algorithm in a separate statistics package. The tool’s management advice was compared with a physician’s recommendations based on a manual review of the guidelines. Field test: The tool was then tested with 21 GPs from eight general practices and three Aboriginal Medical Services. Customized CDS-based recommendations were generated for 200 routinely attending patients (33% Aboriginal) using information extracted from the health record by a research assistant. GPs reviewed these recommendations during each consultation. Changes in CVD risk factor measurement and management were recorded. In-depth interviews with GPs were conducted. Results Validation testing: The tool’s risk assessment algorithm correlated very highly with the independently programmed version in the separate statistics package (intraclass correlation coefficient 0.999). For management advice, there were only two cases of disagreement between the tool and the physician. Field test: GPs found 77% (153/200) of patient outputs easy to understand and agreed with screening and prescribing recommendations in 72% and 64% of outputs, respectively; 26% of patients had their CVD risk factor history updated; 73% had at least one CVD risk factor measured or tests ordered. For people assessed at high CVD risk (n = 82), 10% and 9%, respectively, had lipid-lowering and BP-lowering medications commenced or dose adjustments made, while 7% newly commenced anti-platelet medications. Three key qualitative findings emerged: (1) GPs found the tool enabled a systematic approach to care; (2) the tool greatly influenced CVD risk communication; (3) successful implementation into routine care would require integration with practice software, minimal data entry, regular revision with updated guidelines, and a self-auditing feature. There were no substantive differences in study findings for Aboriginal Medical Services GPs, and the tool was generally considered appropriate for use with Aboriginal patients. Conclusion A fully-integrated, self-populating, and potentially Internet-based CDS tool could contribute to improved global CVD risk management in Australian primary health care. The findings from this study will inform a large-scale trial intervention. PMID:20018588

An electronic clinical decision support tool to assist primary care providers in cardiovascular disease risk management: development and mixed methods evaluation.

PubMed

Peiris, David P; Joshi, Rohina; Webster, Ruth J; Groenestein, Patrick; Usherwood, Tim P; Heeley, Emma; Turnbull, Fiona M; Lipman, Alexandra; Patel, Anushka A

2009-12-17

Challenges remain in translating the well-established evidence for management of cardiovascular disease (CVD) risk into clinical practice. Although electronic clinical decision support (CDS) systems are known to improve practitioner performance, their development in Australian primary health care settings is limited. Study aims were to (1) develop a valid CDS tool that assists Australian general practitioners (GPs) in global CVD risk management, and (2) preliminarily evaluate its acceptability to GPs as a point-of-care resource for both general and underserved populations. CVD risk estimation (based on Framingham algorithms) and risk-based management advice (using recommendations from six Australian guidelines) were programmed into a software package. Tool validation: Data from 137 patients attending a physician's clinic were analyzed to compare the tool's risk scores with those obtained from an independently programmed algorithm in a separate statistics package. The tool's management advice was compared with a physician's recommendations based on a manual review of the guidelines. Field test: The tool was then tested with 21 GPs from eight general practices and three Aboriginal Medical Services. Customized CDS-based recommendations were generated for 200 routinely attending patients (33% Aboriginal) using information extracted from the health record by a research assistant. GPs reviewed these recommendations during each consultation. Changes in CVD risk factor measurement and management were recorded. In-depth interviews with GPs were conducted. Validation testing: the tool's risk assessment algorithm correlated very highly with the independently programmed version in the separate statistics package (intraclass correlation coefficient 0.999). For management advice, there were only two cases of disagreement between the tool and the physician. Field test: GPs found 77% (153/200) of patient outputs easy to understand and agreed with screening and prescribing recommendations in 72% and 64% of outputs, respectively; 26% of patients had their CVD risk factor history updated; 73% had at least one CVD risk factor measured or tests ordered. For people assessed at high CVD risk (n = 82), 10% and 9%, respectively, had lipid-lowering and BP-lowering medications commenced or dose adjustments made, while 7% newly commenced anti-platelet medications. Three key qualitative findings emerged: (1) GPs found the tool enabled a systematic approach to care; (2) the tool greatly influenced CVD risk communication; (3) successful implementation into routine care would require integration with practice software, minimal data entry, regular revision with updated guidelines, and a self-auditing feature. There were no substantive differences in study findings for Aboriginal Medical Services GPs, and the tool was generally considered appropriate for use with Aboriginal patients. A fully-integrated, self-populating, and potentially Internet-based CDS tool could contribute to improved global CVD risk management in Australian primary health care. The findings from this study will inform a large-scale trial intervention.

CALCM: The untold story of the weapon used to start the Gulf war

NASA Astrophysics Data System (ADS)

Nielson, John T.

1994-07-01

The Conventional Air Launched Cruise Missile (CALCM) was developed from the strategic ALCM, AGM-86, by integrating GPS navigation into the missile in place of terrain correlation (TERCOM). In addition, the nuclear warhead was replaced by conventional explosives. The CALCM was developed, tested, and fielded in a single year (mid-1986 - mid-1987) by the Boeing Company where the author was then employed. Although the GPS technology used, a Rockwell single channel aided receiver, has been eclipsed by newer receivers with additional capabilities and newer technology, many innovative things were done in completing the CALCM integration: the external loading of almanac data along with other mission data, three satellite navigation capability, and the use of a single channel receiver in a dynamic flight environment. This effort demonstrated that GPS outputs can be integrated quickly into an existing weapon system using the traditional loosely coupled 'cascaded filter' approach. Although this approach is not as ideal as a tightly coupled integration using raw GPS data, the use of cascaded filters resulted in a weapon that was able to be rapidly fielded. The Air Force had sufficient confidence in the missile, that after four years of operational testing, 35 of these missiles were targeted at key sites at the start of the Gulf War in 1991. This effort, which was declassified in 1992, resulted in the first weapon in the DoD inventory to be operational using GPS navigation. The effort deserves consideration as a model as to how GPS integration can be performed.

Accuracy, intra- and inter-unit reliability, and comparison between GPS and UWB-based position-tracking systems used for time-motion analyses in soccer.

PubMed

Bastida Castillo, Alejandro; Gómez Carmona, Carlos D; De la Cruz Sánchez, Ernesto; Pino Ortega, José

2018-05-01

There is interest in the accuracy and inter-unit reliability of position-tracking systems to monitor players. Research into this technology, although relatively recent, has grown exponentially in the last years, and it is difficult to find professional team sport that does not use Global Positioning System (GPS) technology at least. The aim of this study is to know the accuracy of both GPS-based and Ultra Wide Band (UWB)-based systems on a soccer field and their inter- and intra-unit reliability. A secondary aim is to compare them for practical applications in sport science. Following institutional ethical approval and familiarization, 10 healthy and well-trained former soccer players (20 ± 1.6 years, 1.76 ± 0.08 cm, and 69.5 ± 9.8 kg) performed three course tests: (i) linear course, (ii) circular course, and (iii) a zig-zag course, all using UWB and GPS technologies. The average speed and distance covered were compared with timing gates and the real distance as references. The UWB technology showed better accuracy (bias: 0.57-5.85%), test-retest reliability (%TEM: 1.19), and inter-unit reliability (bias: 0.18) in determining distance covered than the GPS technology (bias: 0.69-6.05%; %TEM: 1.47; bias: 0.25) overall. Also, UWB showed better results (bias: 0.09; ICC: 0.979; bias: 0.01) for mean velocity measurement than GPS (bias: 0.18; ICC: 0.951; bias: 0.03).

Comparison of Water Vapor Measurements from Ground-based and Space-based GPS Atmospheric Remote Sensing Techniques

NASA Astrophysics Data System (ADS)

Colon-Pagan, Ian; Kuo, Ying-Hwa

2008-10-01

In this study, we compare precipitable water vapor (PWV) values from ground-based GPS water vapor sensing and COSMIC radio occultation (RO) measurements over the Caribbean Sea, Gulf of Mexico, and United States regions as well as global analyses from NCEP and ECMWF models. The results show good overall agreement; however, the PWV values estimated by ground-based GPS receivers tend to have a slight dry bias for low PWV values and a slight wet bias for higher PWV values, when compared with GPS RO measurements and global analyses. An application of a student T-test indicates that there is a significant difference between both ground- and space-based GPS measured datasets. The dry bias associated with space-based GPS is attributed to the missing low altitude data, where the concentration of water vapor is large. The close agreements between space-based and global analyses are due to the fact that these global analyses assimilate space-based GPS RO data from COSMIC, and the retrieval of water vapor profiles from space-based technique requires the use of global analyses as the first guess. This work is supported by UCAR SOARS and a grant from the National Oceanic and Atmospheric Administration, Educational Partnership Program under the cooperative agreement NA06OAR4810187.

Strategies for diagnosing leg oedema in primary care: a qualitative study of GPs' approaches.

PubMed

Diederich, Judith; Hartel, Simone; Baum, Erika; Bösner, Stefan

2014-12-01

The symptom leg oedema represents a broad range of possible underlying aetiologies. The background of leg oedema is multifactorial and usually the GP is the first contact point for patients presenting with this symptom. GPs rely on patient history and physical examination as their main diagnostic tools. To identify GPs' diagnostic approaches and heuristics in patients presenting with leg oedema. Interviews with 15 GPs (20-30 min) using a semi-structured interview-guideline were conducted. GPs described their individual diagnostic strategies concerning all patients presenting with leg oedema they had prospectively identified during the previous four weeks. Interviews were taped and transcribed verbatim. Qualitative analysis was conducted by two independent raters. GPs applied a variety of diagnostic approaches, which can be grouped in active and passive strategies. Active strategies comprised the use of decision rules and guidelines, Bayesian arguing, problem dichotomisation and discrepancy heuristics. Passive approaches included test of time, therapy as diagnosis, and taking patient assumptions into account. When dealing with leg oedema, GPs use prior information of individual patients in a specific way. There is a broad variety of diagnostic approaches that can be grouped in 'active' and 'passive' behaviour. Approaches mostly match with established diagnostic strategies in primary care.

A Kalman Filter Implementation for Precision Improvement in Low-Cost GPS Positioning of Tractors

PubMed Central

Gomez-Gil, Jaime; Ruiz-Gonzalez, Ruben; Alonso-Garcia, Sergio; Gomez-Gil, Francisco Javier

2013-01-01

Low-cost GPS receivers provide geodetic positioning information using the NMEA protocol, usually with eight digits for latitude and nine digits for longitude. When these geodetic coordinates are converted into Cartesian coordinates, the positions fit in a quantization grid of some decimeters in size, the dimensions of which vary depending on the point of the terrestrial surface. The aim of this study is to reduce the quantization errors of some low-cost GPS receivers by using a Kalman filter. Kinematic tractor model equations were employed to particularize the filter, which was tuned by applying Monte Carlo techniques to eighteen straight trajectories, to select the covariance matrices that produced the lowest Root Mean Square Error in these trajectories. Filter performance was tested by using straight tractor paths, which were either simulated or real trajectories acquired by a GPS receiver. The results show that the filter can reduce the quantization error in distance by around 43%. Moreover, it reduces the standard deviation of the heading by 75%. Data suggest that the proposed filter can satisfactorily preprocess the low-cost GPS receiver data when used in an assistance guidance GPS system for tractors. It could also be useful to smooth tractor GPS trajectories that are sharpened when the tractor moves over rough terrain. PMID:24217355

An internet based approach to improve general practitioners' knowledge and practices: the development and pilot testing of the "ABC's of vitamin D" program.

PubMed

Bonevski, B; Magin, P; Horton, G; Bryant, J; Randell, M; Kimlin, M G

2015-06-01

Online continuing medical education (CME) offers a number of advantages for physicians including flexibility with regards to location and timing of use. In order to effect physician practices and improve patient outcomes, it is important that the development of online CME is theory and evidence-based. This paper aims to describe the development of an online CME program for practising general practitioners (GPs) on vitamin D and sun health called "The ABC's of Vitamin D for GPs" using elements of design principles for physician-education web sites as a framework. The paper will also report the program's usability and acceptability pilot test results. The ABC's of Vitamin D program was developed following nine principles: needs assessment; evidence-based content development; multimodal program and modularisation; clinical cases; tailoring and interactivity; audit and feedback; credibility of the web site host; patient education materials; ease of use and navigation. Among the 20 GPs invited, acceptability and useability was tested with 12 GPs (60%) who agreed to participate and were interviewed following use of the program. The study was conducted between 2011 and 2013. An online CME program consisting of eight modules was constructed. Of the 12 participating GPs, most (n=11) reported that the program was clear and easy to understand, logical, easy to navigate, and took a reasonable amount of time (estimated between 1 and 3h) to complete. Eleven of 12 participants said they would use the program as an accredited CME activity and all participants indicated that the program was 'very or somewhat' likely to lead to changes in the advice patients are given. This study found that a theory and evidence based approach for the development of an online CME program for GPs was acceptable to users. Further research is needed to examine whether the online CME program is effective at changing GP practices and improving patient outcomes. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

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

GPS Navigation Results from the Low Power Transceiver CANDOS Experiment on STS-107

NASA Technical Reports Server (NTRS)

Haas, Lin; Massey, Chris; Baraban, Dmitri; Kelbel, David; Lee, Taesul; Long, Anne; Carpenter, J. Russell

2003-01-01

This paper presents the Global Positioning System (GPS) navigation results from the Communications and Savigation Demonstration on Shuttle (CANDOS) experiment flown on STS- 107. The CAkDOS experiment consisted of the Low Power Transceiver (LPT) that hosted the GPS Enhanced Orbit Determination Experiment (GEODE) orbit determination software. All CANDOS test data were recovered during the mission using the LPT's Tracking and Data Relay Satellite System (TDRSS) uplinh'downlink communications capabilit! . An overview of the LPT's navigation software and the GPS experiment timeline is presented. In addition. this paper discusses GEODE performance results. including comparisons ibith the Best Estimate of Trajectory (BET). N.ASA Johnson Space Center (JSC) real-time ground navigation vectors. and post-processed solutions using the Goddard Trajectory Determination System (GTDS).

Analyzing JAVAD TR-G2 GPS Receiver's Sensitivities to SLS Trajectory

NASA Technical Reports Server (NTRS)

Schuler, Tristan

2017-01-01

Automated guidance and navigation systems are an integral part to successful space missions. Previous researchers created Python tools to receive and parse data from a JAVAD TR-G2 space-capable GPS receiver. I improved the tool by customizing the output for plotting and comparing several simulations. I analyzed position errors, data loss, and signal loss by comparing simulated receiver data from an IFEN GPS simulator to ‘truth data’ from a proposed trajectory. By adjusting the trajectory simulation’s gain, attitude, and start time, NASA can assess the best time to launch the SLS, where to position the antennas on the Block 1-B, and which filter to use. Some additional testing has begun with the Novatel SpaceQuestGPS receiver as well as a GNSS SDR receiver.

Vertically Aligned Co9 S8 Nanotube Arrays onto Graphene Papers as High-Performance Flexible Electrodes for Supercapacitors.

PubMed

Xiong, Dongbin; Li, Xifei; Bai, Zhimin; Li, Jianwei; Han, Yan; Li, Dejun

2018-02-16

Paper-like electrodes are emerging as a new category of advanced electrodes for flexible supercapacitors (SCs). Graphene, a promising two-dimensional material with high conductivity, can be easily processed into papers. Here, we report a rational design of flexible architecture with Co 9 S 8 nanotube arrays (NAs) grown onto graphene paper (GP) via a facile two-step hydrothermal method. When employed as flexible free-standing electrode for SCs, the proposed architectured Co 9 S 8 /GPs exhibits superior electrochemical performance with ultrahigh capacitance and outstanding rate capability (469 F g -1 at 10 A g -1 ). These results demonstrate that the new nanostructured Co 9 S 8 /GPs can be potentially applied in high performance flexible supercapacitors. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

The scheme of LLSST based on inter-satellite link for planet gravity field measurement in deep-space mission

NASA Astrophysics Data System (ADS)

Yang, Yikang; Li, Xue; Liu, Lei

2009-12-01

Gravity field measurement for the interested planets and their moos in solar system, such as Luna and Mars, is one important task in the next step of deep-space mission. In this paper, Similar to GRACE mission, LLSST and DOWR technology of common-orbit master-slave satellites around task planet is inherited in this scheme. Furthermore, by intersatellite 2-way UQPSK-DSSS link, time synchronization and data processing are implemented autonomously by masterslave satellites instead of GPS and ground facilities supporting system. Conclusion is derived that the ISL DOWR based on 2-way incoherent time synchronization has the same precise level to GRACE DOWR based on GPS time synchronization. Moreover, because of inter-satellite link, the proposed scheme is rather autonomous for gravity field measurement of the task planet in deep-space mission.

Investigation of Models and Estimation Techniques for GPS Attitude Determination

NASA Technical Reports Server (NTRS)

Garrick, J.

1996-01-01

Much work has been done in the Flight Dynamics Analysis Branch (FDAB) in developing algorithms to met the new and growing field of attitude determination using the Global Positioning SYstem (GPS) constellation of satellites. Flight Dynamics has the responsibility to investigate any new technology and incorporate the innovations in the attitude ground support systems developed to support future missions. The work presented here is an investigative analysis that will produce the needed adaptation to allow the Flight Dynamics Support System (FDSS) to incorporate GPS phase measurements and produce observation measurements compatible with the FDSS. A simulator was developed to produce the necessary measurement data to test the models developed for the different estimation techniques used by FDAB. This paper gives an overview of the current modeling capabilities of the simulator models and algorithms for the adaptation of GPS measurement data and results from each of the estimation techniques. Future analysis efforts to evaluate the simulator and models against inflight GPS measurement data are also outlined.

Rubidium atomic frequency standards for GPS Block IIR

NASA Technical Reports Server (NTRS)

Riley, William J.

1990-01-01

The Rubidium Atomic Frequency Standards (RAFS) were provided for the GPS Block IIR NAVSTAR satellites. These satellites will replenish and upgrade the space segment of the Global Positioning System in the mid 1990s. The GPS RAFS Rb clocks are the latest generation of the high-performance rubidium frequency standards. They offer an aging rate in the low pp 10(exp 14)/day range and a drift-corrected 1-day stability in the low pp 10(exp 14) range. The Block IIR version of these devices will have improved performance, higher reliability, smaller size, and greater radiation hardness. The GPS Block IIR atomic clocks have a natural frequency configuration whereby they output a frequency of about 13.4 MHz that is a submultiple of the atomic resonance of Rb (or Cs). The RAFS operates at a low, fixed C-field for increased stability. The GPS Block IIR RAFS design, including the changes and improvements made, and the test results obtained are described.

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.

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.

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.

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.

The kinematic response of Petermann Glacier, Greenland to ice shelf perturbation

NASA Astrophysics Data System (ADS)

Hubbard, A.; Box, J. E.; Bates, R.; Nick, F.; Luckman, A. J.; van de Wal, R.; Doyle, S. H.

2010-12-01

The acceleration and dynamic thinning of interior zones of the polar ice sheets due to outlet/ice shelf retreat has been identified as a factor hastening their demise and contribution to global sea-level rise. The detachment of a 275 square km area of the Petermann Glacier ice shelf in August, 2010 presents a natural experiment to investigate the timing, mechanisms and efficacy of upstream dynamic feedbacks resulting from a singular but potentially significant frontal perturbation. In 2009, a permanent geodetic/differential GPS strain network logging every 10 seconds was deployed along a 200 km longitudinal profile from the ice front across the grounding line extending into the interior of Petermann Glacier to characterize the system’s state before, during and after any such event. We present an overview of the geophysical measurements conducted and analyze the kinematics of the shelf detachment in relation to local environmental forcing. Finally, we discuss the postulated instantaneous and ongoing evolution in force-balance and concomitant dynamic response resulting from the perturbation along with its implications for Petermann's ongoing stability. Petermann Glacier GNSS base & telemetric GPS facility: community AA & rehab meet point. On ice geodetic-GPS station flat out & reading 0 Volts

GPS tracking data of Lesser Black-backed Gulls and Herring Gulls breeding at the southern North Sea coast.

PubMed

Stienen, Eric W M; Desmet, Peter; Aelterman, Bart; Courtens, Wouter; Feys, Simon; Vanermen, Nicolas; Verstraete, Hilbran; de Walle, Marc Van; Deneudt, Klaas; Hernandez, Francisco; Houthoofdt, Robin; Vanhoorne, Bart; Bouten, Willem; Buijs, Roland-Jan; Kavelaars, Marwa M; Müller, Wendt; Herman, David; Matheve, Hans; Sotillo, Alejandro; Lens, Luc

2016-01-01

In this data paper, Bird tracking - GPS tracking of Lesser Black-backed Gulls and Herring Gulls breeding at the southern North Sea coast is described, a species occurrence dataset published by the Research Institute for Nature and Forest (INBO). The dataset (version 5.5) contains close to 2.5 million occurrences, recorded by 101 GPS trackers mounted on 75 Lesser Black-backed Gulls and 26 Herring Gulls breeding at the Belgian and Dutch coast. The trackers were developed by the University of Amsterdam Bird Tracking System (UvA-BiTS, http://www.uva-bits.nl). These automatically record and transmit bird movements, which allows us and others to study their habitat use and migration behaviour in great detail. Our bird tracking network is operational since 2013. It is funded for LifeWatch by the Hercules Foundation and maintained in collaboration with UvA-BiTS and the Flanders Marine Institute (VLIZ). The recorded data are periodically released in bulk as open data (http://dataset.inbo.be/bird-tracking-gull-occurrences), and are also accessible through CartoDB and the Global Biodiversity Information Facility (GBIF).

Time Study of Harvesting Equipment Using GPS-Derived Positional Data

Treesearch

Tim McDonald

1999-01-01

The objectives in this study were to develop and test a data analysis system for calculating machine productivity from GPS-derived positional information alone. A technique was used where positions were `filtered' initially to locate specific events that were independent of what actually traveled the path, then these events were combined using user-specified rules...

Portable device to assess dynamic accuracy of global positioning systems (GPS) receivers used in agricultural aircraft

USDA-ARS?s Scientific Manuscript database

A device was designed to test the dynamic accuracy of Global Positioning System (GPS) receivers used in aerial vehicles. The system works by directing a sun-reflected light beam from the ground to the aircraft using mirrors. A photodetector is placed pointing downward from the aircraft and circuitry...

A generalized development model for testing GPS user equipment

NASA Technical Reports Server (NTRS)

Hemesath, N.

1978-01-01

The generalized development model (GDM) program, which was intended to establish how well GPS user equipment can perform under a combination of jamming and dynamics, is described. The systems design and the characteristics of the GDM are discussed. The performance aspects of the GDM are listed and the application of the GDM to civil aviation is examined.

Shuttle GPS R/PA configuration and specification study

NASA Technical Reports Server (NTRS)

Booth, R. W. D.

1979-01-01

Changes in the technical specifications for a global positioning system (GPS) receiving system dedicated to space shuttle use are presented. Various hardware functions including acquisition, tracking, and measurement are emphasized. The anti-jam performance of the baseline GPS systems are evaluated. Other topics addressed include: the impact on R/PA design of the use of ground based transmitters; problems involved with the use of single channel tests sets; utility of various R/PA antenna interconnections topologies; the choice of the averaging interval for delta range measurements; and the use of interferometry techniques for the computation of orbiter attitude were undertaken.

An Autonomous, Low Cost Platform for Seafloor Geodetic Observations

NASA Astrophysics Data System (ADS)

Ericksen, T.; Foster, J. H.; Bingham, B. S.; Oshiro, J.

2014-12-01

The Pacific GPS Facility and the Field Robotics Laboratory at the University of Hawaii have developed an approach to significantly reduce costs below ship based methods of accurately measuring short-term vertical motions of the seafloor and maintaining a continuous long-term record of seafloor pressure. Our goal has been to reduce the primary barrier preventing us from acquiring the observations we need to understand geodetic processes, and the hazards they present, at subduction zones, submarine volcanoes, and subsea landslides. To this end, we have designed a payload package for one of the University of Hawaii Wave Gliders which incorporates an acoustic telemetry package, a dual frequency geodetic-grade Global Positioning System (GPS) receiver, meteorological sensors, processing computer, and cellular communications. The Wave Glider will interrogate high accuracy pressure sensors on the seafloor to maintain a near-continuous stream of pressure and temperature data. The seafloor geodetic monument seats a sensor capable of recording pressure, temperature, and sound velocity for a deployment duration of over 5 years with an acoustic modem for communications, and an integral acoustic release for recovery and replacement of batteries. The design of the geodetic monument allows for precise repositioning of the sensor to extend the pressure record beyond a single 5+ year deployment, and includes the capability to install a mobile pressure recorder for calibration of the linear drift of the continuous pressure sensor. We will present the design of the Wave Glider payload and seafloor geodetic monument, as well as a discussion of nearshore and offshore field tests and operational procedures. An assessment of our ability to determine cm-scale vertical seafloor motions will be made by integrating the seafloor pressure measurements recovered during field testing with independent measurements of sea surface pressure and sea surface height made by the sea surface payload.

Inflammation-based prognostic score is a novel predictor of postoperative outcome in patients with colorectal cancer.

PubMed

Ishizuka, Mitsuru; Nagata, Hitoshi; Takagi, Kazutoshi; Horie, Toru; Kubota, Keiichi

2007-12-01

To investigate the significance of preoperative Glasgow prognostic score (GPS) for postoperative prognostication of patients with colorectal cancer. Recent studies have revealed that the GPS, an inflammation-based prognostic score that includes only C-reactive protein (CRP) and albumin, is a useful tool for predicting postoperative outcome in cancer patients. However, few studies have investigated the GPS in the field of colorectal surgery. The GPS was calculated on the basis of admission data as follows: patients with an elevated level of both CRP (>10 mg/L) and hypoalbuminemia (Alb <35 g/L) were allocated a score of 2, and patients showing 1 or none of these blood chemistry abnormalities were allocated a score of 1 or 0, respectively. Prognostic significance was analyzed by univariate and multivariate analyses. A total of 315 patients were evaluated. Kaplan-Meier analysis and log-rank test revealed that a higher GPS predicted a higher risk of postoperative mortality (P < 0.01). Univariate analyses revealed that postoperative TNM was the most sensitive predictor of postoperative mortality (odds ratio, 0.148; 95% confidence interval, 0.072-0.304; P < 0.0001). Multivariate analyses using factors such as age, sex, tumor site, serum carcinoembryonic antigen, CA19-9, CA72-4, CRP, albumin, and GPS revealed that GPS (odds ratio, 0.165; 95% confidence interval, 0.037-0.732; P = 0.0177) was associated with postoperative mortality. Preoperative GPS is considered to be a useful predictor of postoperative mortality in patients with colorectal cancer.

Comparison of GOME-2/Metop total column water vapour with ground-based and in situ measurements

NASA Astrophysics Data System (ADS)

Kalakoski, N.; Kujanpää, J.; Sofieva, V.; Tamminen, J.; Grossi, M.; Valks, P.

2014-12-01

Total column water vapour product from the Global Ozone Monitoring Experiment-2 on board Metop-A and Metop-B satellites (GOME-2/Metop-A and GOME-2/Metop-B) produced by the Satellite Application Facility on Ozone and Atmospheric Chemistry Monitoring (O3M SAF) is compared with co-located radiosonde and Global Positioning System (GPS) observations. The comparisons are performed using recently reprocessed data by the GOME Data Processor (GDP) version 4.7. The comparisons are performed for the period of January 2007-July 2013 (GOME-2A) and from December 2012 to July 2013 (GOME-2B). Radiosonde data are from the Integrated Global Radiosonde Archive (IGRA) maintained by National Climatic Data Center (NCDC) and screened for soundings with incomplete tropospheric column. Ground-based GPS observations from COSMIC/SuomiNet network are used as the second independent data source. Good general agreement between GOME-2 and the ground-based observations is found. The median relative difference of GOME-2 to radiosonde observations is -2.7% for GOME-2A and -0.3% for GOME-2B. Against GPS observations, the median relative differences are 4.9 and 3.2% for GOME-2A and B, respectively. For water vapour total columns below 10 kg m-2, large wet biases are observed, especially against GPS observations. Conversely, at values above 50 kg m-2, GOME-2 generally underestimates both ground-based observations.

Performance Analysis on Carrier Phase-Based Tightly-Coupled GPS/BDS/INS Integration in GNSS Degraded and Denied Environments

PubMed Central

Han, Houzeng; Wang, Jian; Wang, Jinling; Tan, Xinglong

2015-01-01

The integration of Global Navigation Satellite Systems (GNSS) carrier phases with Inertial Navigation System (INS) measurements is essential to provide accurate and continuous position, velocity and attitude information, however it is necessary to fix ambiguities rapidly and reliably to obtain high accuracy navigation solutions. In this paper, we present the notion of combining the Global Positioning System (GPS), the BeiDou Navigation Satellite System (BDS) and low-cost micro-electro-mechanical sensors (MEMS) inertial systems for reliable navigation. An adaptive multipath factor-based tightly-coupled (TC) GPS/BDS/INS integration algorithm is presented and the overall performance of the integrated system is illustrated. A twenty seven states TC GPS/BDS/INS model is adopted with an extended Kalman filter (EKF), which is carried out by directly fusing ambiguity fixed double-difference (DD) carrier phase measurements with the INS predicted pseudoranges to estimate the error states. The INS-aided integer ambiguity resolution (AR) strategy is developed by using a dynamic model, a two-step estimation procedure is applied with adaptively estimated covariance matrix to further improve the AR performance. A field vehicular test was carried out to demonstrate the positioning performance of the combined system. The results show the TC GPS/BDS/INS system significantly improves the single-epoch AR reliability as compared to that of GPS/BDS-only or single satellite navigation system integrated strategy, especially for high cut-off elevations. The AR performance is also significantly improved for the combined system with adaptive covariance matrix in the presence of low elevation multipath related to the GNSS-only case. A total of fifteen simulated outage tests also show that the time to relock of the GPS/BDS signals is shortened, which improves the system availability. The results also indicate that TC integration system achieves a few centimeters accuracy in positioning based on the comparison analysis and covariance analysis, even in harsh environments (e.g., in urban canyons), thus we can see the advantage of positioning at high cut-off elevations that the combined GPS/BDS brings. PMID:25875191

Performance analysis on carrier phase-based tightly-coupled GPS/BDS/INS integration in GNSS degraded and denied environments.

PubMed

Han, Houzeng; Wang, Jian; Wang, Jinling; Tan, Xinglong

2015-04-14

The integration of Global Navigation Satellite Systems (GNSS) carrier phases with Inertial Navigation System (INS) measurements is essential to provide accurate and continuous position, velocity and attitude information, however it is necessary to fix ambiguities rapidly and reliably to obtain high accuracy navigation solutions. In this paper, we present the notion of combining the Global Positioning System (GPS), the BeiDou Navigation Satellite System (BDS) and low-cost micro-electro-mechanical sensors (MEMS) inertial systems for reliable navigation. An adaptive multipath factor-based tightly-coupled (TC) GPS/BDS/INS integration algorithm is presented and the overall performance of the integrated system is illustrated. A twenty seven states TC GPS/BDS/INS model is adopted with an extended Kalman filter (EKF), which is carried out by directly fusing ambiguity fixed double-difference (DD) carrier phase measurements with the INS predicted pseudoranges to estimate the error states. The INS-aided integer ambiguity resolution (AR) strategy is developed by using a dynamic model, a two-step estimation procedure is applied with adaptively estimated covariance matrix to further improve the AR performance. A field vehicular test was carried out to demonstrate the positioning performance of the combined system. The results show the TC GPS/BDS/INS system significantly improves the single-epoch AR reliability as compared to that of GPS/BDS-only or single satellite navigation system integrated strategy, especially for high cut-off elevations. The AR performance is also significantly improved for the combined system with adaptive covariance matrix in the presence of low elevation multipath related to the GNSS-only case. A total of fifteen simulated outage tests also show that the time to relock of the GPS/BDS signals is shortened, which improves the system availability. The results also indicate that TC integration system achieves a few centimeters accuracy in positioning based on the comparison analysis and covariance analysis, even in harsh environments (e.g., in urban canyons), thus we can see the advantage of positioning at high cut-off elevations that the combined GPS/BDS brings.

Precise mean sea level measurements using the Global Positioning System

NASA Technical Reports Server (NTRS)

Kelecy, Thomas M.; Born, George H.; Parke, Michael E.; Rocken, Christian

1994-01-01

This paper describes the results of a sea level measurement test conducted off La Jolla, California, in November of 1991. The purpose of this test was to determine accurate sea level measurements using a Global Positioning System (GPS) equipped buoy. These measurements were intended to be used as the sea level component for calibration of the ERS 1 satellite altimeter. Measurements were collected on November 25 and 28 when the ERS 1 satellite overflew the calibration area. Two different types of buoys were used. A waverider design was used on November 25 and a spar design on November 28. This provided the opportunity to examine how dynamic effects of the measurement platform might affect the sea level accuracy. The two buoys were deployed at locations approximately 1.2 km apart and about 15 km west of a reference GPS receiver located on the rooftop of the Institute of Geophysics and Planetary Physics at the Scripps Institute of Oceanography. GPS solutions were computed for 45 minutes on each day and used to produce two sea level time series. An estimate of the mean sea level at both locations was computed by subtracting tide gage data collected at the Scripps Pier from the GPS-determined sea level measurements and then filtering out the high-frequency components due to waves and buoy dynamics. In both cases the GPS estimate differed from Rapp's mean altimetric surface by 0.06 m. Thus, the gradient in the GPS measurements matched the gradient in Rapp's surface. These results suggest that accurate sea level can be determined using GPS on widely differing platforms as long as care is taken to determine the height of the GPS antenna phase center above water level. Application areas include measurement of absolute sea level, of temporal variations in sea level, and of sea level gradients (dominantly the geoid). Specific applications would include ocean altimeter calibration, monitoring of sea level in remote regions, and regional experiments requiring spatial and temporal resolution higher than that available from altimeter data.

Teaching young GPs to cope with psychosocial consultations without prescribing: a durable impact of an e-module on determinants of benzodiazepines prescribing.

PubMed

Creupelandt, Hanne; Anthierens, Sibyl; Habraken, Hilde; Declercq, Tom; Sirdifield, Coral; Siriwardena, Aloysius Niroshan; Christiaens, Thierry

2017-12-19

Despite guidelines and campaigns to change prescribing behavior, General Practitioners (GPs) continue to overprescribe benzodiazepines (BZDs). New approaches to improve prescribing are needed. Using behavior change techniques and tailoring interventions to user characteristics are vital to promote behavior change. This study evaluated the impact of an e-module on factors known to determine BZD prescribing practice. A tailored e-module that focuses on avoiding initial BZD prescriptions (and using psychological interventions as an alternative) was developed and offered to GPs in vocational training. Three self-report assessments took place: at baseline, immediately after the module (short term) and at least six months after completion (long term). Assessed determinants include GPs' attitudes concerning treatment options, perceptions of the patient and self-efficacy beliefs. Readiness to adhere to prescribing guidelines was evaluated through assessing motivation, self-efficacy and implementability of non-pharmacological interventions. Changes in determinants were analyzed using the Wilcoxon signed-rank test. Changes in readiness to adhere to guidelines was analyzed using the nonparametric McNemar Bowker test. A desirable, significant and durable impact on determinants of BZD prescribing was observed. GPs (n = 121) underwent desirable changes in their attitudes, perceptions and self-efficacy beliefs and these changes remained significant months after the intervention. Barriers to using a non-pharmacological approach often cited in literature remained absent and were not highlighted by the intervention. Furthermore a significant impact on GPs' readiness to adhere to guidelines was observed. Participants reported change in their ability to cope with psychosocial consultations and to have tried using non-pharmacological interventions. Tailoring an e-intervention to target group (GPs) characteristics appears to be successful in promoting behavioral change in GPs undertaking vocational training. Significant and lasting changes were observed in determinants of prescribing BZDs. The e-intervention resulted in a positive impact on participants' readiness to adhere to BZD prescribing guidance and their coping with psychosocial consultations. Investigating which mechanisms of change are responsible for the observed effectiveness could help to refine and improve future interventions.

Inflammation-based prognostic score is a useful predictor of postoperative outcome in patients with extrahepatic cholangiocarcinoma.

PubMed

Oshiro, Yukio; Sasaki, Ryoko; Fukunaga, Kiyoshi; Kondo, Tadashi; Oda, Tatsuya; Takahashi, Hideto; Ohkohchi, Nobuhiro

2013-03-01

Recent studies have revealed that the Glasgow prognostic score (GPS), an inflammation-based prognostic score, is useful for predicting outcome in a variety of cancers. This study sought to investigate the significance of GPS for prognostication of patients who underwent surgery with extrahepatic cholangiocarcinoma. We retrospectively analyzed a total of 62 patients who underwent resection for extrahepatic cholangiocarcinoma. We calculated the GPS as follows: patients with both an elevated C-reactive protein (>10 mg/L) and hypoalbuminemia (<35 g/L) were allocated a score of 2; patients with one or none of these abnormalities were allocated a s ore of 1 or 0, respectively. Prognostic significance was analyzed by the log-rank test and a Cox proportional hazards model. Overall survival rate was 25.5 % at 5 years for all 62 patients. Venous invasion (p = 0.01), pathological primary tumor category (p = 0.013), lymph node metastasis category (p < 0.001), TNM stage (p < 0.001), and GPS (p = 0.008) were significantly associated with survival by univariate analysis. A Cox model demonstrated that increased GPS was an independent predictive factor with poor prognosis. The preoperative GPS is a useful predictor of postoperative outcome in patients with extrahepatic cholangiocarcinoma.

Phylloplane bacteria increase seedling emergence, growth and yield of field-grown groundnut (Arachis hypogaea L.).

PubMed

Kishore, G K; Pande, S; Podile, A R

2005-01-01

To isolate and characterize groundnut-associated bacterial isolates for growth promotion of groundnut in field. Three hundred and ninety-three groundnut-associated bacteria, representing the geocarposphere, phylloplane and rhizosphere, and endophytes were applied as seed treatment in greenhouse. Maximum increase in plant biomass (up to 26%) was observed following treatment with a rhizosphere isolate identified as Bacillus firmis GRS 123, and two phylloplane isolates Bacillus megaterium GPS 55 and Pseudomonas aeruginosa GPS 21. There was no correlation between the production of L-tryptophan-derived auxins and growth promotion by the test isolates. Actively growing cells and peat formulations of GRS 123 and GPS 55, and actively growing cells of GPS 21, significantly increased the plant growth and pod yield (up to 19%) in field. Rifampicin-resistant mutants of GRS 123 and GPS 21 colonized the ecto- and endorhizospheres of groundnut, respectively, up to 100 days after sowing (DAS), whereas GPS 55 was recovered from both the habitats at 100 DAS. Seed bacterization with phylloplane isolates promoted groundnut growth indicating the possibility of isolating rhizosphere beneficial bacteria from different habitats. Identification of phylloplane bacteria as effective plant growth-promoting rhizobacteria (PGPR) broadens the spectrum of PGPR available for field application.

The Integration, Testing and Flight of the EO-1 GPS

NASA Technical Reports Server (NTRS)

Quinn, David A.; Sanneman, Paul A.; Shulman, Seth E.; Sager, Jennifer A.

2001-01-01

The Global Positioning System has long been hailed as the wave of the future for autonomous on-board navigation of low Earth orbiting spacecraft despite the fact that relatively few spacecraft have actually employed it for this purpose. While several missions operated out of the Goddard Space Flight Center have flown GPS receivers on board, the New Millenium Program (NMP) Earth Orbiting-1 (EO-1) spacecraft is the first to employ GPS for active, autonomous on-board navigation. Since EO-1 was designed to employ GPS as its primary source of the navigation ephemeris, special care had to be taken during the integration phase of spacecraft construction to assure proper performance. This paper is a discussion of that process: a brief overview of how the GPS works, how it fits into the design of the EO-1 Attitude Control System (ACS), the steps taken to integrate the system into the EO-1 spacecraft, the ultimate on-orbit performance during launch and early operations of the EO-1 mission and the performance of the on-board GPS ephemeris versus the ground based ephemeris. Conclusions will include a discussion of the lessons learned.

HIV testing in dermatology - a national audit.

PubMed

Esson, Gavin A; Holme, S A

2018-05-01

Forty percent of individuals have late-stage HIV at the time of diagnosis, resulting in increased morbidity. Identifying key diseases which may indicate HIV infection can prompt clinicians to trigger testing, which may result in more timely diagnosis. The British HIV Association has published guidelines on such indicator diseases in dermatology. We audited the practice of HIV testing in UK dermatologists and General Practitioners (GPs) and compared results with the national guidelines. This audit showed that HIV testing in key indicator diseases remains below the standard set out by the national guidelines, and that GPs with special interest in dermatology have a lower likelihood for testing, and lower confidence when compared to consultants, registrars and associate specialists. Large proportions of respondents believed further training in HIV testing would be beneficial.

STS-77 Flight Day 6

NASA Technical Reports Server (NTRS)

1996-01-01

On this sixth day of the STS-77 mission, the flight crew, Cmdr. John H. Casper, Pilot Curtis L. Brown, Jr., and Mission Specialists Andrew S.W. Thomas, Ph.D., Daniel W. Bursch, Mario Runco, Jr., and Marc Garneau, Ph.D., spend some time relaxing, then go back to working in the Spacehab module and preparing to revisit a small cylindrical satellite that they deployed on the mission's third day. Commander John Casper and Pilot Curt Brown monitor Endeavour's systems. Mission Specialist Mario Runco tests an attitude determination system using the GPS attitude and navigation experiment called GANE. The remaining crew members, Mission Specialists Andy Thomas, Dan Bursch and Marc Garneau monitor the health of experiments ongoing in the Spacehab and on the middeck of the orbiter. The crew also conduct a health check of the Aquatic Research Facility (ARF) which contains starfish, mussels and sea urchins.

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.

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.

The combination of platelet count and neutrophil lymphocyte ratio is a predictive factor in patients with esophageal squamous cell carcinoma.

PubMed

Feng, Ji-Feng; Huang, Ying; Chen, Qi-Xun

2014-10-01

The prognostic value of inflammation indexes in esophageal cancer was not established. In this study, therefore, both prognostic values of Glasgow prognostic score (GPS) and combination of platelet count and neutrophil lymphocyte ratio (COP-NLR) in patients with esophageal squamous cell carcinoma (ESCC) were investigated and compared. This retrospective study included 375 patients who underwent esophagectomy for ESCC. The cancer-specific survival (CSS) was calculated by the Kaplan-Meier method, and the difference was assessed by the log-rank test. The GPS was calculated as follows: patients with elevated C-reactive protein (> 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, respectively. The COP-NLR was calculated as follows: patients with elevated platelet count (> 300 × 10(9)/l) and neutrophil lymphocyte ratio (> 3) were assigned to COP-NLR2. Patients with one or no abnormal value were assigned to COP-NLR1 or COP-NLR0, respectively. The 5-year CSS in patients with GPS0, 1, and 2 was 50.0%, 27.0%, and 12.5%, respectively (P < .001). The 5-year CSS in patients with COP-NLR0, 1, and 2 was 51.8%, 27.0%, and 11.6%, respectively (P < .001). Multivariate analysis showed that both GPS (P = .003) and COP-NLR (P = .003) were significant predictors in such patients. In addition, our study demonstrated a similar hazard ratio (HR) between COP-NLR and GPS (HR = 1.394 vs HR = 1.367). COP-NLR is an independent predictive factor in patients with ESCC. We conclude that COP-NLR predicts survival in ESCC similar to GPS.

Precise Positioning of Uavs - Dealing with Challenging Rtk-Gps Measurement Conditions during Automated Uav Flights

NASA Astrophysics Data System (ADS)

Zimmermann, F.; Eling, C.; Klingbeil, L.; Kuhlmann, H.

2017-08-01

For some years now, UAVs (unmanned aerial vehicles) are commonly used for different mobile mapping applications, such as in the fields of surveying, mining or archeology. To improve the efficiency of these applications an automation of the flight as well as the processing of the collected data is currently aimed at. One precondition for an automated mapping with UAVs is that the georeferencing is performed directly with cm-accuracies or better. Usually, a cm-accurate direct positioning of UAVs is based on an onboard multi-sensor system, which consists of an RTK-capable (real-time kinematic) GPS (global positioning system) receiver and additional sensors (e.g. inertial sensors). In this case, the absolute positioning accuracy essentially depends on the local GPS measurement conditions. Especially during mobile mapping applications in urban areas, these conditions can be very challenging, due to a satellite shadowing, non-line-of sight receptions, signal diffraction or multipath effects. In this paper, two straightforward and easy to implement strategies will be described and analyzed, which improve the direct positioning accuracies for UAV-based mapping and surveying applications under challenging GPS measurement conditions. Based on a 3D model of the surrounding buildings and vegetation in the area of interest, a GPS geometry map is determined, which can be integrated in the flight planning process, to avoid GPS challenging environments as far as possible. If these challenging environments cannot be avoided, the GPS positioning solution is improved by using obstruction adaptive elevation masks, to mitigate systematic GPS errors in the RTK-GPS positioning. Simulations and results of field tests demonstrate the profit of both strategies.

On Fast Post-Processing of Global Positioning System Simulator Truth Data and Receiver Measurements and Solutions Data

NASA Technical Reports Server (NTRS)

Kizhner, Semion; Day, John H. (Technical Monitor)

2000-01-01

Post-Processing of data related to a Global Positioning System (GPS) simulation is an important activity in qualification of a GPS receiver for space flight. Because a GPS simulator is a critical resource it is desirable to move off the pertinent simulation data from the simulator as soon as a test is completed. The simulator data files are usually moved to a Personal Computer (PC), where the post-processing of the receiver logged measurements and solutions data and simulated data is performed. Typically post-processing is accomplished using PC-based commercial software languages and tools. Because of commercial software systems generality their general-purpose functions are notoriously slow and more than often are the bottleneck problem even for short duration experiments. For example, it may take 8 hours to post-process data from a 6-hour simulation. There is a need to do post-processing faster, especially in order to use the previous test results as feedback for a next simulation setup. This paper demonstrates that a fast software linear interpolation algorithm is applicable to a large class of engineering problems, like GPS simulation data post-processing, where computational time is a critical resource and is one of the most important considerations. An approach is developed that allows to speed-up post-processing by an order of magnitude. It is based on improving the post-processing bottleneck interpolation algorithm using apriori information that is specific to the GPS simulation application. The presented post-processing scheme was used in support of a few successful space flight missions carrying GPS receivers. A future approach to solving the post-processing performance problem using Field Programmable Gate Array (FPGA) technology is described.

GPS FOM Chimney Analysis using Generalized Extreme Value Distribution

NASA Technical Reports Server (NTRS)

Ott, Rick; Frisbee, Joe; Saha, Kanan

2004-01-01

Many a time an objective of a statistical analysis is to estimate a limit value like 3-sigma 95% confidence upper limit from a data sample. The generalized Extreme Value Distribution method can be profitably employed in many situations for such an estimate. . .. It is well known that according to the Central Limit theorem the mean value of a large data set is normally distributed irrespective of the distribution of the data from which the mean value is derived. In a somewhat similar fashion it is observed that many times the extreme value of a data set has a distribution that can be formulated with a Generalized Distribution. In space shuttle entry with 3-string GPS navigation the Figure Of Merit (FOM) value gives a measure of GPS navigated state accuracy. A GPS navigated state with FOM of 6 or higher is deemed unacceptable and is said to form a FOM 6 or higher chimney. A FOM chimney is a period of time during which the FOM value stays higher than 5. A longer period of FOM of value 6 or higher causes navigated state to accumulate more error for a lack of state update. For an acceptable landing it is imperative that the state error remains low and hence at low altitude during entry GPS data of FOM greater than 5 must not last more than 138 seconds. I To test the GPS performAnce many entry test cases were simulated at the Avionics Development Laboratory. Only high value FoM chimneys are consequential. The extreme value statistical technique is applied to analyze high value FOM chimneys. The Maximum likelihood method is used to determine parameters that characterize the GEV distribution, and then the limit value statistics are estimated.

Survey of Spanish general practitioners' attitudes toward management of sore throat: an internet-based questionnaire study.

PubMed

Llor, Carl; Vilaseca, Isabel; Lehrer-Coriat, Eduardo; Boleda, Xavier; Cañada, José L; Moragas, Ana; Cots, Josep M

2017-02-14

The management of sore throat varies widely in Europe. The objective of this study was to gain insight into clinicians' perceptions on the current management of sore throat in Spain. Cross-sectional, internet-based questionnaire study answered from July to September 2013. General practitioners (GPs) affiliated with the two largest scientific societies of primary care were invited to participate in the study. Questions were asked about physician knowledge, the use of current national guidelines for sore throat management, and management in two clinical scenarios, depicting a young adult with sore throat and: 1. cough, coriza with or without fever, and 2. fever without cough and coriza. The questionnaire was completed by 1476 GPs (5%) and 12.7% declared using rapid antigen detection tests. Antibiotics were considered by 18.8% of the GPs in the first scenario and by 32% in the second scenario (p < 0.001). The antibiotics most commonly mentioned by GPs were amoxicillin and amoxicillin + clavulanate (52.7 and 31.2%, respectively) whereas penicillin V was only prescribed in 11.9% of the cases. The drugs most commonly considered in both scenarios were analgesics and anti-inflammatory drugs. Antitussives, decongestants and expectorants were more commonly prescribed in cases of suspected viral infection (p < 0.001). GPs have misconceptions as to the indications for using rapid antigen detection tests and prescribing drugs in the management of sore throat. These results suggest that guidelines are seldom followed since one in five GPs declared giving antibiotics for patients with a suspected viral infection and the use of second-choice antibiotics seems considerable.

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

PubMed

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

2007-02-01

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

GPS and Galileo Developments on Board the International Space Station With the Space Communications and Navigation (SCaN) Testbed

NASA Technical Reports Server (NTRS)

Pozzobon, Oscar; Fantinato, Samuele; Dalla Chiara, Andrea; Gamba, Giovanni; Crisci, Massimo; Giordana, Pietro; Enderle, Werner; Chelmins, David; Sands, Obed S.; Clapper, Carolyn J.;

A RLS-SVM Aided Fusion Methodology for INS during GPS Outages

PubMed Central

Yao, Yiqing; Xu, Xiaosu

2017-01-01

In order to maintain a relatively high accuracy of navigation performance during global positioning system (GPS) outages, a novel robust least squares support vector machine (LS-SVM)-aided fusion methodology is explored to provide the pseudo-GPS position information for the inertial navigation system (INS). The relationship between the yaw, specific force, velocity, and the position increment is modeled. Rather than share the same weight in the traditional LS-SVM, the proposed algorithm allocates various weights for different data, which makes the system immune to the outliers. Field test data was collected to evaluate the proposed algorithm. The comparison results indicate that the proposed algorithm can effectively provide position corrections for standalone INS during the 300 s GPS outage, which outperforms the traditional LS-SVM method. Historical information is also involved to better represent the vehicle dynamics. PMID:28245549

A RLS-SVM Aided Fusion Methodology for INS during GPS Outages.

PubMed

Yao, Yiqing; Xu, Xiaosu

2017-02-24

In order to maintain a relatively high accuracy of navigation performance during global positioning system (GPS) outages, a novel robust least squares support vector machine (LS-SVM)-aided fusion methodology is explored to provide the pseudo-GPS position information for the inertial navigation system (INS). The relationship between the yaw, specific force, velocity, and the position increment is modeled. Rather than share the same weight in the traditional LS-SVM, the proposed algorithm allocates various weights for different data, which makes the system immune to the outliers. Field test data was collected to evaluate the proposed algorithm. The comparison results indicate that the proposed algorithm can effectively provide position corrections for standalone INS during the 300 s GPS outage, which outperforms the traditional LS-SVM method. Historical information is also involved to better represent the vehicle dynamics.

Relativity in the Global Positioning System.

PubMed

Ashby, Neil

2003-01-01

The Global Positioning System (GPS) uses accurate, stable atomic clocks in satellites and on the ground to provide world-wide position and time determination. These clocks have gravitational and motional frequency shifts which are so large that, without carefully accounting for numerous relativistic effects, the system would not work. This paper discusses the conceptual basis, founded on special and general relativity, for navigation using GPS. Relativistic principles and effects which must be considered include the constancy of the speed of light, the equivalence principle, the Sagnac effect, time dilation, gravitational frequency shifts, and relativity of synchronization. Experimental tests of relativity obtained with a GPS receiver aboard the TOPEX/POSEIDON satellite will be discussed. Recently frequency jumps arising from satellite orbit adjustments have been identified as relativistic effects. These will be explained and some interesting applications of GPS will be discussed.

Modeling studies on the formation of Hurricane Helene: the impact of GPS dropwindsondes from the NAMMA 2006 field campaign

NASA Astrophysics Data System (ADS)

Folmer, Michael J.; Pasken, Robert W.; Chiao, Sen; Dunion, Jason; Halverson, Jeffrey

2016-12-01

Numerical simulations, using the weather research and forecasting (WRF) model in concert with GPS dropwindsondes released during the NASA African Monsoon Multidisciplinary Analyses 2006 Field Campaign, were conducted to provide additional insight on SAL-TC interaction. Using NCEP Final analysis datasets to initialize the WRF, a sensitivity test was performed on the assimilated (i.e., observation nudging) GPS dropwindsondes to understand the effects of individual variables (i.e., moisture, temperature, and winds) on the simulation and determine the extent of improvement when compared to available observations. The results suggested that GPS dropwindsonde temperature data provided the most significant difference in the simulated storm organization, storm strength, and synoptic environment, but all of the variables assimilated at the same time give a more representative mesoscale and synoptic picture.

Low hepatitis B testing among migrants: a cross-sectional study in a UK city.

PubMed

Evlampidou, Iro; Hickman, Matthew; Irish, Charles; Young, Nick; Oliver, Isabel; Gillett, Sophie; Cochrane, Alexandra

2016-06-01

In 2012, hepatitis B virus (HBV) testing of people born in a country with a prevalence of ≥2% was recommended in the UK. Implementation of this recommendation requires an understanding of prior HBV testing practice and coverage, for which there are limited data. To estimate the proportion of migrants tested for HBV and explore GP testing practices and barriers to testing. A cross-sectional study of (a) migrants for whom testing was recommended under English national guidance, living in Bristol, and registered with a GP in 2006-2013, and (b) GPs practising in Bristol. NHS patient demographic data and HBV laboratory surveillance data were linked. A person was defined as 'HBV-tested' if a laboratory result was available. An online GP survey was undertaken, using a structured questionnaire. Among 82 561 migrants for whom HBV testing was recommended, 9627 (12%) were 'HBV-tested'. The HBV testing coverage was: Eastern Africa 20%; Western Africa 15%; South Eastern Asia 9%; Eastern Asia 5%. Of 19 GPs, the majority did not use guidelines to inform HBV testing in migrants and did not believe routine testing of migrants was indicated; 12/17 GPs stated that workload and lack of human, and financial resources were the most significant barriers to increased testing. The majority of migrants to a multicultural UK city from medium-/high-prevalence regions have no evidence of HBV testing. Much greater support for primary care in the UK and increased GP awareness of national guidance are required to achieve adherence to current testing guidance. © British Journal of General Practice 2016.

Testing releasable GPS radiocollars on wolves and white-tailed deer

USGS Publications Warehouse

Merrill, Samuel B.; Adams, Layne G.; Nelson, Michael E.; Mech, L. David

1999-01-01

We tested prototype GPS collars on 8 free-ranging wolves (Canis lupus) and 3 white-tailed deer (Odocoileus virginianus) for varying periods between February and August 1997. We programmed the 920-gm collars to make a location attempt 6-96 times per day. The collars were designed to be remotely released from the animal and the data were then downloaded to a desktop computer. The collars produced 47-1,549 locations each during 11-41 days; locations were successful in 26-95% of the attempts (x̄ = 70%). Eight collars released successfully. Three collar-release failures were caused by condensation. Two collars had GPS antennas that were improperly attached and did not collect data. Life was as long as, or longer than, expected in 4 collars, less than expected in 5 collars, and unknown in 2 collars. Limitations of this type of collar include brief life if programmed at short location-attempt intervals (≤1 hr) and possible drop-off failure. Nevertheless, the large volume of data we collected with no field telemetry effort demonstrates the potential for this type of GPS collar to answer questions about movements of medium-sized mammals.

GPS vertical axis performance enhancement for helicopter precision landing approach

NASA Technical Reports Server (NTRS)

Denaro, Robert P.; Beser, Jacques

1986-01-01

Several areas were investigated for improving vertical accuracy for a rotorcraft using the differential Global Positioning System (GPS) during a landing approach. Continuous deltaranging was studied and the potential improvement achieved by estimating acceleration was studied by comparing the performance on a constant acceleration turn and a rough landing profile of several filters: a position-velocity (PV) filter, a position-velocity-constant acceleration (PVAC) filter, and a position-velocity-turning acceleration (PVAT) filter. In overall statistics, the PVAC filter was found to be most efficient with the more complex PVAT performing equally well. Vertical performance was not significantly different among the filters. Satellite selection algorithms based on vertical errors only (vertical dilution of precision or VDOP) and even-weighted cross-track and vertical errors (XVDOP) were tested. The inclusion of an altimeter was studied by modifying the PVAC filter to include a baro bias estimate. Improved vertical accuracy during degraded DOP conditions resulted. Flight test results for raw differential results excluding filter effects indicated that the differential performance significantly improved overall navigation accuracy. A landing glidepath steering algorithm was devised which exploits the flexibility of GPS in determining precise relative position. A method for propagating the steering command over the GPS update interval was implemented.

Testing global positioning system telemetry to study wolf predation on deer fawns

USGS Publications Warehouse

Demma, D.J.; Barber-Meyer, S. M.; Mech, L.D.

2007-01-01

We conducted a pilot study to test the usefulness of Global Positioning System (GPS) collars for investigating wolf (Canis lupus) predation on white-tailed deer (Odocoileus virginianus) fawns. Using GPS collars with short location-attempt intervals on 5 wolves and 5 deer during summers 2002-2004 in northeastern Minnesota, USA, demonstrated how this approach could provide new insights into wolf hunting behavior of fawns. For example, a wolf traveled ???1.5-3.0 km and spent 20-22 hours in the immediate vicinity of known fawn kill sites and ???0.7 km and 8.3 hours at scavenging sites. Wolf travel paths indicated that wolves intentionally traveled into deer summer ranges, traveled ???0.7-4.2 km in such ranges, and spent <1-22 hours per visit. Each pair of 3 GPS-collared wolf pack members were located together for ???6% of potential locations. From GPS collar data, we estimated that each deer summer range in a pack territory containing 5 wolves ???1 year old and hunting individually would be visited by a wolf on average every 3-5 days. This approach holds great potential for investigating summer hunting behavior of wolves in areas where direct observation is impractical or impossible.

How do general practitioners put preventive care recommendations into practice? A cross-sectional study in Switzerland and France.

PubMed

Sebo, Paul; Cerutti, Bernard; Fournier, Jean-Pascal; Rat, Cédric; Rougerie, Fabien; Senn, Nicolas; Haller, Dagmar M; Maisonneuve, Hubert

2017-10-06

We previously identified that general practitioners (GPs) in French-speaking regions of Europe had a variable uptake of common preventive recommendations. In this study, we describe GPs' reports of how they put different preventive recommendations into practice. Cross-sectional study conducted in 2015 in Switzerland and France. 3400 randomly selected GPs were asked to complete a postal (n=1100) or online (n=2300) questionnaire. GPs who exclusively practiced complementary and alternative medicine were not eligible for the study. 764 GPs (response rate: postal 47%, online 11%) returned the questionnaire (428 in Switzerland and 336 in France). We investigated how the GPs performed five preventive practices (screening for dyslipidaemia, colorectal and prostate cancer, identification of hazardous alcohol consumption and brief intervention), examining which age group they selected, the screening frequency, the test they used, whether they favoured shared decision for prostate cancer screening and their definition of hazardous alcohol use. A large variability was observed in the way in which GPs provide these practices. 41% reported screening yearly for cholesterol, starting and stopping at variable ages. 82% did not use any test to identify hazardous drinking. The most common responses for defining hazardous drinking were, for men, ≥21 drinks/week (24%) and ≥4 drinks/occasion for binge drinking (20%), and for women, ≥14 drinks/week (28%) and ≥3 drinks/occasion (21%). Screening for colorectal cancer, mainly with colonoscopy in Switzerland (86%) and stool-based tests in France (93%), was provided every 10 years in Switzerland (65%) and 2 years in France (91%) to patients between 50 years (87%) and 75 years (67%). Prostate cancer screening, usually with shared decision (82%), was provided yearly (62%) to patients between 50 years (74%) and 75-80 years (32%-34%). The large diversity in the way these practices are provided needs to be addressed, as it could be related to some misunderstandingof the current guidelines, to barriers for guideline uptake or, more likely, to the absence of agreement between the various recommendations. © 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.

Development of a System to Generate Near Real Time Tropospheric Delay and Precipitable Water Vapor in situ at Geodetic GPS Stations, to Improve Forecasting of Severe Weather Events

NASA Astrophysics Data System (ADS)

Moore, A. W.; Bock, Y.; Geng, J.; Gutman, S. I.; Laber, J. L.; Morris, T.; Offield, D. G.; Small, I.; Squibb, M. B.

2012-12-01

We describe a system under development for generating ultra-low latency tropospheric delay and precipitable water vapor (PWV) estimates in situ at a prototype network of geodetic GPS sites in southern California, and demonstrating their utility in forecasting severe storms commonly associated with flooding and debris flow events along the west coast of North America through infusion of this meteorological data at NOAA National Weather Service (NWS) Forecast Offices and the NOAA Earth System Research Laboratory (ESRL). The first continuous geodetic GPS network was established in southern California in the early 1990s and much of it was converted to real-time (latency <1s) high-rate (1Hz) mode over the following decades. GPS stations are multi-purpose and can also provide estimates of tropospheric zenith delays, which can be converted into mm-accuracy PWV using collocated pressure and temperature measurements, the basis for GPS meteorology (Bevis et al. 1992, 1994; Duan et al. 1996) as implemented by NOAA with a nationwide distribution of about 300 GPS-Met stations providing PW estimates at subhourly resolution currently used in operational weather forecasting in the U.S. We improve upon the current paradigm of transmitting large quantities of raw data back to a central facility for processing into higher-order products. By operating semi-autonomously, each station will provide low-latency, high-fidelity and compact data products within the constraints of the narrow communications bandwidth that often occurs in the aftermath of natural disasters. The onsite ambiguity-resolved precise point positioning solutions are enabled by a power-efficient, low-cost, plug-in Geodetic Module for fusion of data from in situ sensors including GPS and a low-cost MEMS meteorological sensor package. The decreased latency (~5 minutes) PW estimates will provide the detailed knowledge of the distribution and magnitude of PW that NWS forecasters require to monitor and predict severe winter storms, landfalling atmospheric rivers, and summer thunderstorms associated with the North American monsoon. On the national level, the ESRL will evaluate the utility of ultra-low resolution GNSS observations to improve NOAA's warning and forecast capabilities. The overall objective is to better forecast, assess, and mitigate natural hazards through the flow of information from multiple geodetic stations to scientists, mission planners, decision makers, and first responders.

Precision assessment of the orthometric heights determination in northern part of Algeria by combining the GPS data and the local geoid model

NASA Astrophysics Data System (ADS)

Benahmed Daho, Sid Ahmed

2010-02-01

The main purpose of this article is to discuss the use of GPS positioning together with a gravimetrically determined geoid, for deriving orthometric heights in the North of Algeria, for which a limited number of GPS stations with known orthometric heights are available, and to check, by the same opportunity, the possibility of substituting the classical spirit levelling. For this work, 247 GPS stations which are homogeneously distributed and collected from the international TYRGEONET project, as well as the local GPS/Levelling surveys, have been used. The GPS/Levelling geoidal heights are obtained by connecting the points to the levelling network while gravimetric geoidal heights were interpolated from the geoid model computed by the Geodetic Laboratory of the National Centre of Spatial Techniques from gravity data supplied by BGI. However, and in order to minimise the discordances, systematic errors and datum inconsistencies between the available height data sets, we have tested two parametric models of corrector surface: a four parameter transformation and a third polynomial model are used to find the adequate functional representation of the correction that should be applied to the gravimetric geoid. The comparisons based on these GPS campaigns prove that a good fit between the geoid model and GPS/levelling data has been reached when the third order polynomial was used as corrector surface and that the orthometric heights can be deducted from GPS observations with an accuracy acceptable for the low order levelling network densification. In addition, the adopted methodology has been also applied for the altimetric auscultation of a storage reservoir situated at 40 km from the town of Oran. The comparison between the computed orthometric heights and observed ones allowed us to affirm that the alternative of levelling by GPS is attractive for this auscultation.

Mapping stream habitats with a global positioning system: Accuracy, precision, and comparison with traditional methods

USGS Publications Warehouse

Dauwalter, D.C.; Fisher, W.L.; Belt, K.C.

2006-01-01

We tested the precision and accuracy of the Trimble GeoXT??? global positioning system (GPS) handheld receiver on point and area features and compared estimates of stream habitat dimensions (e.g., lengths and areas of riffles and pools) that were made in three different Oklahoma streams using the GPS receiver and a tape measure. The precision of differentially corrected GPS (DGPS) points was not affected by the number of GPS position fixes (i.e., geographic location estimates) averaged per DGPS point. Horizontal error of points ranged from 0.03 to 2.77 m and did not differ with the number of position fixes per point. The error of area measurements ranged from 0.1% to 110.1% but decreased as the area increased. Again, error was independent of the number of position fixes averaged per polygon corner. The estimates of habitat lengths, widths, and areas did not differ when measured using two methods of data collection (GPS and a tape measure), nor did the differences among methods change at three stream sites with contrasting morphologies. Measuring features with a GPS receiver was up to 3.3 times faster on average than using a tape measure, although signal interference from high streambanks or overhanging vegetation occasionally limited satellite signal availability and prolonged measurements with a GPS receiver. There were also no differences in precision of habitat dimensions when mapped using a continuous versus a position fix average GPS data collection method. Despite there being some disadvantages to using the GPS in stream habitat studies, measuring stream habitats with a GPS resulted in spatially referenced data that allowed the assessment of relative habitat position and changes in habitats over time, and was often faster than using a tape measure. For most spatial scales of interest, the precision and accuracy of DGPS data are adequate and have logistical advantages when compared to traditional methods of measurement. ?? 2006 Springer Science+Business Media, Inc.

Comparison of Heidelberg Retina Tomograph-3 glaucoma probability score and Moorfields regression analysis of optic nerve head in glaucoma patients and healthy individuals.

PubMed

Caglar, Çagatay; Gul, Adem; Batur, Muhammed; Yasar, Tekin

2017-01-01

To compare the sensitivity and specificity of Moorfields regression analysis (MRA) and glaucoma probability score (GPS) between healthy and glaucomatous eyes with Heidelberg Retinal Tomograph 3 (HRT-3). The study included 120 eyes of 75 glaucoma patients and 138 eyes of 73 normal subjects, for a total of 258 eyes of 148 individuals. All measurements were performed with the HRT-3. Diagnostic test criteria (sensitivity, specificity, etc.) were used to evaluate how efficiently GPS and MRA algorithms in the HRT-3 discriminated between the glaucoma and control groups. The GPS showed 88 % sensitivity and 66 % specificity, whereas MRA had 71.5 % sensitivity and 82.5 % specificity. There was 71 % agreement between the final results of MRA and GPS in the glaucoma group. Excluding borderline patients from both analyses resulted in 91.6 % agreement. In the control group the level of agreement between MRA and GPS was 64 % including borderline patients and 84.1 % after excluding borderline patients. The accuracy rate is 92 % for MRA and 91 % for GPS in the glaucoma group excluding borderline patients. The difference was nor statistically different. In both cases, agreement was higher between MRA and GPS in the glaucoma group. We found that both sensitivity and specificity increased with disc size for MRA, while the sensitivity increased and specificity decreased with larger disc sizes for GPS. HRT is able to quantify and clearly reveal structural changes in the ONH and RNFL in glaucoma.

Hazard Monitoring in a Spectrum-Challenged Future: US Department of Transportation Adjacent Band Compatibility Assessment of Interference on High-Precision GNSS Receivers

NASA Astrophysics Data System (ADS)

Blume, F.; Berglund, H. T.

2016-12-01

In 2012 the Federal Communications Commission (FCC) reversed its decision to allow communications company LightSquared to use GPS-adjacent spectrum for a ground based network after testing demonstrated harmful interference to GPS receivers. Now rebranded as Ligado, they have submitted modified application to use a smaller portion of the L-band spectrum at much lower power. Many GPS community stakeholders, including the hazard monitoring and EEW communities remain concerned that Ligado's proposed use could still cause harmful interference, causing signal degradation, real-time positioning errors, and total failure of GNSS hardware in widespread use in hazard monitoring networks. The Department of Transportation (DoT) has conducted hardware tests to determine adjacent-band transmitter power limit criteria that would prevent harmful interference from Ligado's operations. We present preliminary results produced from the data collected by the three UNAVCO receiver types tested: Trimble NetRS, Trimble NetR9, and Septentrio PolaRx5. In the first round of testing, simulated GNSS signals were broadcast in an anechoic chamber (pictured below) while interfering signals are broadcast simultaneously with varying amplitude and frequency. The older GPS-only NetRS receiver showed smaller reductions in SNR at frequencies adjacent to GPS L1 as compared to the other receivers, suggesting narrower L1 filter bandwidth in the RF frontend. The NetR9 showed greater decreases in observed SNR in the 1615 to 1625 MHz range when compared to the other two receivers. This suggests that the NetR9's L1 filter bandwidth has been increased to accommodate GNSS signals. Linearity tests were conducted to better relate SNR measurements between receiver types. The PolaRx5 receiver showed less SNR variation between tracking channels than both Trimble receivers. Our results show the power levels at which adjacent-band interference begins degrading receiver performance and eventually disables tracking. As the demand for spectrum for mobile applications increases, operators of hazard networks may need to consider the impact of RF interference on data quality and continuity. UNAVCO's participation ensures that our high precision GNSS community interests are represented in the future spectrum allocation decisions.

GPS synchronized power system phase angle measurements

NASA Astrophysics Data System (ADS)

Wilson, Robert E.; Sterlina, Patrick S.

1994-09-01

This paper discusses the use of Global Positioning System (GPS) synchronized equipment for the measurement and analysis of key power system quantities. Two GPS synchronized phasor measurement units (PMU) were installed before testing. It was indicated that PMUs recorded the dynamic response of the power system phase angles when the northern California power grid was excited by the artificial short circuits. Power system planning engineers perform detailed computer generated simulations of the dynamic response of the power system to naturally occurring short circuits. The computer simulations use models of transmission lines, transformers, circuit breakers, and other high voltage components. This work will compare computer simulations of the same event with field measurement.

Improved treatment of global positioning system force parameters in precise orbit determination applications

NASA Technical Reports Server (NTRS)

Vigue, Y.; Lichten, S. M.; Muellerschoen, R. J.; Blewitt, G.; Heflin, M. B.

1993-01-01

Data collected from a worldwide 1992 experiment were processed at JPL to determine precise orbits for the satellites of the Global Positioning System (GPS). A filtering technique was tested to improve modeling of solar-radiation pressure force parameters for GPS satellites. The new approach improves orbit quality for eclipsing satellites by a factor of two, with typical results in the 25- to 50-cm range. The resultant GPS-based estimates for geocentric coordinates of the tracking sites, which include the three DSN sites, are accurate to 2 to 8 cm, roughly equivalent to 3 to 10 nrad of angular measure.

Is GPS telemetry location error screening beneficial?

USGS Publications Warehouse

Ironside, Kirsten E.; Mattson, David J.; Arundel, Terry; Hansen, Jered R.

2017-01-01

The accuracy of global positioning system (GPS) locations obtained from study animals tagged with GPS monitoring devices has been a concern as to the degree it influences assessments of movement patterns, space use, and resource selection estimates. Many methods have been proposed for screening data to retain the most accurate positions for analysis, based on dilution of precision (DOP) measures, and whether the position is a two dimensional or three dimensional fix. Here we further explore the utility of these measures, by testing a Telonics GEN3 GPS collar's positional accuracy across a wide range of environmental conditions. We found the relationship between location error and fix dimension and DOP metrics extremely weak (r2adj ∼ 0.01) in our study area. Environmental factors such as topographic exposure, canopy cover, and vegetation height explained more of the variance (r2adj = 15.08%). Our field testing covered sites where sky-view was so limited it affected GPS performance to the degree fix attempts failed frequently (fix success rates ranged 0.00–100.00% over 67 sites). Screening data using PDOP did not effectively reduce the location error in the remaining dataset. Removing two dimensional fixes reduced the mean location error by 10.95 meters, but also resulted in a 54.50% data reduction. Therefore screening data under the range of conditions sampled here would reduce information on animal movement with minor improvements in accuracy and potentially introduce bias towards more open terrain and vegetation.

Airborne Laser/GPS Mapping of Assateague National Seashore Beach

NASA Technical Reports Server (NTRS)

Kradill, W. B.; Wright, C. W.; Brock, John C.; Swift, R. N.; Frederick, E. B.; Manizade, S. S.; Yungel, J. K.; Martin, C. F.; Sonntag, J. G.; Duffy, Mark;

Effects of distance learning on clinical management of LUTS in primary care: a randomised trial.

PubMed

Wolters, René; Wensing, Michel; Klomp, Maarten; Lagro-Jansen, Toine; Weel, Chris van; Grol, Richard

2005-11-01

To determine the effect of a distance learning programme on general practice management of men with lower urinary tract symptoms (LUTS). A cluster randomised controlled trial was performed. General practitioners (GPs) were randomised to a distance learning programme accompanied with educational materials or to a control group only receiving mailed clinical guidelines on LUTS. Clinical management was considered as outcome. Sixty-three GPs registered care management of 187 patients older than 50 years attending the practice because of LUTS. The intervention group showed a lower referral rate to a urologist (OR: 0.08 (95% CI: 0.02-0.40)), but no effect on PSA testing or prescription of medication. PSA testing tended to be requested more frequently by intervention group GPs. Secondary analysis showed patients in the intervention group received more educational materials (OR: 75.6 (95% CI: 13.60-419.90)). The educational programme had impact on clinical management without changing PSA testing. Distance learning is an promising method for continuing education. Activating distance learning packages are a potentially effective method for improving professional performance. Emotional matters as PSA testing probably need a more complex approach.

GPS Device Testing Based on User Performance Metrics

DOT National Transportation Integrated Search

2015-10-02

1. Rationale for a Test Program Based on User Performance Metrics ; 2. Roberson and Associates Test Program ; 3. Status of, and Revisions to, the Roberson and Associates Test Program ; 4. Comparison of Roberson and DOT/Volpe Programs

Visualizing TZVOLCANO GNSS Data with Grafana via the EarthCube Cyberinfrastructure CHORDS: an Example of Dashboard Creation for the Geosciences

NASA Astrophysics Data System (ADS)

Nguyen, T. T.; Stamps, D. S.

2017-12-01

Visualizing societally relevant data in easy to comprehend formats is necessary for making informed decisions by non-scientist stakeholders. Despite scientists' efforts to inform the public, there continues to be a disconnect in information between stakeholders and scientists. Closing the gap in knowledge requires increased communication between the two groups facilitated by models and data visualizations. In this work we use real-time streaming data from TZVOLCANO, a network of GNSS/GPS sensors that monitor the active volcano Ol Doinyo Lengai in Tanzania, as a test-case for visualizing societally relevant data. Real-time data from TZVOLCANO is streamed into the US NSF Geodesy Facility UNAVCO archive (www.unavco.org) from which data are made available through the EarthCube cyberinfrastructure CHORDS (Cloud-Hosted Real-Time Data Services for the geosciences). CHORDS uses InfluxDB to make streaming data accessible in Grafana: an open source software that specializes in the display of time series analysis. With over 350 downloadable "dashboards", Grafana serves as an emerging software for data visualizations. Creating user-friendly visualizations ("dashboards") for the TZVOLCANO GNSS/GPS data in Tanzania can help scientists and stakeholders communicate effectively so informed decisions can be made about volcanic hazards during a time-sensitive crisis. Our use of Grafana's dashboards for one specific case-study provides an example for other geoscientists to develop analogous visualizations with the objectives of increasing the knowledge of the general public and facilitating a more informed decision-making process.

GreenCube and RocketCube: Low-Resource Sensorcraft for Atmospheric and Ionospheric Science

NASA Astrophysics Data System (ADS)

Bracikowski, P. J.; Lynch, K. A.; Slagle, A. K.; Fagin, M. H.; Currey, S. R.; Siddiqui, M. U.

2009-12-01

In situ atmospheric and ionospheric studies benefit greatly from the ability to separate variations in space from variations in time. Arrays of many probes are a method of doing this, but because of the technical character and expense of developing large arrays, so far probe arrays have been the domain of well-funded science missions. CubeSats and low-resource craft (``Picosats") are an avenue for bringing array-based studies of the atmosphere and ionosphere into the mainstream. The Lynch Rocket Lab at Dartmouth College is attempting to develop the instruments, experience, and heritage to implement arrays of many low-resource sensorcraft while doing worthwhile science in the development process. We are working on two CubeSat projects to reach this goal: GreenCube for atmospheric studies and RocketCube for ionospheric studies. GreenCube is an undergraduate student-directed high-altitude balloon-borne 3U CubeSat. GreenCube I was a bus, telemetry, and mechanical system development project. GreenCube I flew in the fall of 2008. The flight was successfully recovered and tracked over the 97km range and through the 29km altitude rise. GreenCube I carried six thermal housekeeping sensors, a GPS, a magnetometer, and a HAM radio telemetry system with a reporting rate of once every 30 seconds. The velocity profile obtained from the GPS data implies the presence of atmospheric gravity waves during the flight. GreenCube II flew in August 2009 with the science goal of detecting atmospheric gravity waves over the White Mountains of New Hampshire. Two balloons with identical payloads were released 90 seconds apart to make 2-point observations. Each payload carried a magnetometer, 5 thermistors for ambient temperature readings, a GPS, and an amateur radio telemetry system with a 7 second reporting cadence. A vertically oriented video camera on one payload and a horizontally oriented video camera on the other recorded the characteristics of gravity waves in the nearby clouds. We expect to be able to detect atmospheric gravity waves from the GPS-derived position and velocity of the two balloons and the ambient temperature profiles. Preliminary analysis of the temperature data shows indications of atmospheric gravity waves. RocketCube is a graduate student-designed low-resource sensorcraft development project being designed for future ionospheric multi-point missions. The FPGA-based bus system, based on GreenCube’s systems, will be able to control and digitize analog data from any low voltage instrument and telemeter that data. RocketCube contains a GPS and high-resolution magnetometer for position and orientation information. The Lynch Rocket Lab's initial interest in developing RocketCube is to investigate the k-spectrum of density irregularities in the auroral ionosphere. To this end, RocketCube will test a new Petite retarding potential analyzer Ion Probe (PIP) for examining subsonic and supersonic thermal ion populations in the ionosphere. The tentatively planned launch will be from a Wallops Flight Facility sounding rocket test flight in 2011. RocketCube serves as a step toward a scientific auroral sounding rocket mission that will feature an array of subpayloads to study the auroral ionosphere.

Road Traffic Anomaly Detection via Collaborative Path Inference from GPS Snippets

PubMed Central

Wang, Hongtao; Wen, Hui; Yi, Feng; Zhu, Hongsong; Sun, Limin

2017-01-01

Road traffic anomaly denotes a road segment that is anomalous in terms of traffic flow of vehicles. Detecting road traffic anomalies from GPS (Global Position System) snippets data is becoming critical in urban computing since they often suggest underlying events. However, the noisy and sparse nature of GPS snippets data have ushered multiple problems, which have prompted the detection of road traffic anomalies to be very challenging. To address these issues, we propose a two-stage solution which consists of two components: a Collaborative Path Inference (CPI) model and a Road Anomaly Test (RAT) model. CPI model performs path inference incorporating both static and dynamic features into a Conditional Random Field (CRF). Dynamic context features are learned collaboratively from large GPS snippets via a tensor decomposition technique. Then RAT calculates the anomalous degree for each road segment from the inferred fine-grained trajectories in given time intervals. We evaluated our method using a large scale real world dataset, which includes one-month GPS location data from more than eight thousand taxicabs in Beijing. The evaluation results show the advantages of our method beyond other baseline techniques. PMID:28282948

Are biochemistry interpretative comments helpful? Results of a general practitioner and nurse practitioner survey.

PubMed

Barlow, Ian M

2008-01-01

Adding or incorporating clinical interpretative comments on biochemistry results is widespread in UK laboratories; although this consumes considerable human resource, there is still little evidence to suggest that it is either effective or appreciated by our clinical colleagues. I therefore decided to survey our local general practitioners (GPs) and nurse practitioners to analyse whether they found biochemistry comments on reports helpful. A simple questionnaire was designed and sent to 159 GPs and 81 nurse practitioners asking them whether they found this activity useful for the limited range of test groups that we routinely comment on and also whether they would like to see commenting on more groups of tests. Overall, 49.6% of questionnaires were returned. Of these, there was overwhelming support for commenting on reports and 77% would like to see comments on a greater range of tests. Although adding clinical interpretative comments is very time-consuming for senior laboratory staff, there is overwhelming support of this activity among our GPs and nurse practitioner users; therefore, our local policy of routinely adding clinical comments will remain for the foreseeable future.

Real-time differential GPS/GLONASS trials in Europe using all-in-view 20-channel receivers

NASA Astrophysics Data System (ADS)

Capaccio, S.; Lowe, D.; Walsh, D. M. A.; Daly, P.

Following the initial development of 20-channel, all-in-view Global Navigation Satellite System (GNSS), GPS/GLONASS/Inmarsat-3, receivers at the Institute of Satellite Navigation (ISN), University of Leeds, a modification programme has been undertaken to allow real-time differential corrections to be sent from one 20-channel receiver to another identical receiver using a serial link between them. The differential correction software incorporates the RTCM SC-104 and RTCA DO-217 format developed specifically for GPS and adjusted by the ISN to allow simultaneous GLONASS operation.After successful laboratory testing, real-time differential GNSS tests were successfully completed in static mode between Aberdeen and Leeds via the SkyFix differential data-link, and in dynamic mode at DTEO Boscombe Down using a C-band data-link between the ground and a receiver on board the DRA BAC 1-11 aircraft. The aims of the tests were, (i) to demonstrate real-time differential GNSS position-fixing, (ii) to establish the accuracy improvements brought about, and (iii) to examine the effects of data-link latency and satellite PDOP on the solution accuracy.

2002 Airborne Geophysical Survey at Pueblo of Laguna Bombing Targets, New Mexico. Revision 3

DTIC Science & Technology

2005-10-01

conducted and results evaluated. The eight cesium magnetometers , GPS systems (positioning and attitude), fluxgate magnetometers , data recording...Accurate positioning requires a correction for this lag. Time lags between the magnetometers , fluxgate magnetometer , and GPS signals were measured by...between magnetometers and fluxgate ); An initial check flight after installation. Under the category of data QA/QC: An extensive test flight to

Genome-Wide Polygenic Scores Predict Reading Performance throughout the School Years

ERIC Educational Resources Information Center

Selzam, Saskia; Dale, Philip S.; Wagner, Richard K.; DeFries, John C.; Cederlöf, Martin; O'Reilly, Paul F.; Krapohl, Eva; Plomin, Robert

2017-01-01

It is now possible to create individual-specific genetic scores, called genome-wide polygenic scores (GPS). We used a GPS for years of education ("EduYears") to predict reading performance assessed at UK National Curriculum Key Stages 1 (age 7), 2 (age 12) and 3 (age 14) and on reading tests administered at ages 7 and 12 in a UK sample…

Geographic Information System Data Analysis

NASA Technical Reports Server (NTRS)

Billings, Chad; Casad, Christopher; Floriano, Luis G.; Hill, Tracie; Johnson, Rashida K.; Locklear, J. Mark; Penn, Stephen; Rhoulac, Tori; Shay, Adam H.; Taylor, Antone;

Expansion of Enterprise Requirements and Acquisition Model

DTIC Science & Technology

2012-06-04

upgrades in technology that made it more lethal with a smaller force. Computer technology, GPS, and stealth are just a few examples that allowed...The facility consists of banks of networked computers , large displays all built around a centralized workspace. It can be seen in Figure 3. The...first was to meet a gap in UHF satellite communciations for the Navy. This was satisfied as a Tier-1 program by purchasing additional bandwidth

Identifying walking trips from GPS and accelerometer data in adolescent females

PubMed Central

Rodriguez, Daniel; Cho, GH; Elder, John; Conway, Terry; Evenson, Kelly R; Ghosh-Dastidar, Bonnie; Shay, Elizabeth; Cohen, Deborah A; Veblen-Mortenson, Sarah; Pickrell, Julie; Lytle, Leslie

2013-01-01

Background Studies that have combined accelerometers and global positioning systems (GPS) to identify walking have done so in carefully controlled conditions. This study tested algorithms for identifying walking trips from accelerometer and GPS data in free-living conditions. The study also assessed the accuracy of the locations where walking occurred compared to what participants reported in a diary. Methods A convenience sample of high school females was recruited (N=42) in 2007. Participants wore a GPS unit and an accelerometer, and recorded their out-of-school travel for six days. Split-sample validation was used to examine agreement in the daily and total number of walking trips with Kappa statistics and count regression models, while agreement in locations visited by walking was examined with geographic information systems. Results Agreement varied based on the parameters of the algorithm, with algorithms exhibiting moderate to substantial agreement with self-reported daily (Kappa = 0.33–0.48) and weekly (Kappa = 0.41–0.64) walking trips. Comparison of reported locations reached by walking and GPS data suggest that reported locations are accurate. Conclusions The use of GPS and accelerometers is promising for assessing the number of walking trips and the walking locations of adolescent females. PMID:21934163

General practitioners' judgment of their elderly patients' cognitive status.

PubMed

Pentzek, Michael; Fuchs, Angela; Wiese, Birgitt; Cvetanovska-Pllashniku, Gabriela; Haller, Franziska; Maier, Wolfgang; Riedel-Heller, Steffi G; Angermeyer, Matthias C; Bickel, Horst; Mösch, Edelgard; Weyerer, Siegfried; Werle, Jochen; van den Bussche, Hendrik; Eisele, Marion; Kaduszkiewicz, Hanna

2009-12-01

General practitioners (GP) play an important role in detecting cognitive impairment among their patients. To explore factors associated with GPs' judgment of their elderly patients' cognitive status. Cross-sectional data from an observational cohort study (AgeCoDe study); General practice surgeries in six German metropolitan study centers; home visits by interviewers. 138 GPs, 3,181 patients (80.13 +/- 3.61 years, 65.23% female). General practitioner questionnaire for each patient: familiarity with the patient, patient morbidity, judgment of cognitive status. Home visits by trained interviewers: sociodemographic and clinical data, psychometric test performance. Multivariate regression analysis was used to identify independent associations with the GPs' judgment of "cognitively impaired" vs. "cognitively unimpaired." Less familiar patients (adjusted odds ratio [aOR] 2.42, 95% CI 1.35-4.32, for poor vs. very high familiarity), less mobile patients (aOR 1.29, 95% CI 1.13-1.46), patients with impaired hearing (aOR 5.46, 95% CI 2.35-12.67 for serious vs. no problems), and patients with greater comorbidity (aOR 1.15, 95% CI 1.08-1.22) were more likely to be rated as "cognitively impaired" by their GPs. The associations between GPs' assessments of cognitive impairment and their familiarity with their patients and patients' mobility, hearing, and morbidity provide important insights into how GPs make their judgments.

Gender-related differences in general practice preferences: longitudinal evidence from the Netherlands 1982-2001.

PubMed

Mayorova, Tanja; Stevens, Fred; Scherpbier, Albert; van der Velden, Lud; van der Zee, Jouke

2005-04-01

The proportion of female doctors is increasing. Yet, there is little evidence that demonstrates changing career preferences over a long period, nor do we know the long-term impact of changing male-female ratios in medicine. We explored this within the GP profession. By means of a longitudinal cohort study (postal questionnaires) among all graduated GPs in the Netherlands between 1982 and 2001 we explored trends in career preferences and investigated whether practice preferences of men and women differ over the years. Preference of becoming a GP has significantly decreased among men. GPs prefer group practice more than solo practice. Female doctors were more likely to prefer a small practice and to associate. Men prefer to take over an established practice. Main reasons to abstain from practicing as a GP for men were having found another job or not having found a practice according to their preferences. Main reasons for women were having decided for another job and family life. We conclude that male and female GPs select differently on practice setting. Preferences change through the years but tend to converge. Gender differences are likely due to the circumstance that career choices for men are more influenced by fluctuating labour markets, while female choices are more based on family circumstances. We expect that as more women will become a GP the demand for small group practices will increase. Also, as many female GPs abstain from practicing after having finished a vocational GP training program it will be essential to create work facilities to keep them available for the GP labour market.

Comparison of GPS and Quaternary slip rates: Insights from a new Quaternary fault database for Central Asia

NASA Astrophysics Data System (ADS)

Mohadjer, Solmaz; Ehlers, Todd; Bendick, Rebecca; Mutz, Sebastian

2016-04-01

Previous studies related to the kinematics of deformation within the India-Asia collision zone have relied on slip rate data for major active faults to test kinematic models that explain the deformation of the region. The slip rate data, however, are generally disputed for many of the first-order faults in the region (e.g., Altyn Tagh and Karakorum faults). Several studies have also challenged the common assumption that geodetic slip rates are representative of Quaternary slip rates. What has received little attention is the degree to which geodetic slip rates relate to Quaternary slip rates for active faults in the India-Asia collision zone. In this study, we utilize slip rate data from a new Quaternary fault database for Central Asia to determine the overall relationship between Quaternary and GPS-derived slip rates for 18 faults. The preliminary analysis investigating this relationship uses weighted least squares and a re-sampling analysis to test the sensitivity of this relationship to different data point attributes (e.g., faults associated with data points and dating methods used for estimating Quaternary slip rates). The resulting sample subsets of data points yield a maximum possible Pearson correlation coefficient of ~0.6, suggesting moderate correlation between Quaternary and GPS-derived slip rates for some faults (e.g., Kunlun and Longmen Shan faults). Faults with poorly correlated Quaternary and GPS-derived slip rates were identified and dating methods used for the Quaternary slip rates were examined. Results indicate that a poor correlation between Quaternary and GPS-derived slip rates exist for the Karakorum and Chaman faults. Large differences between Quaternary and GPS slip rates for these faults appear to be connected to qualitative dating of landforms used in the estimation of the Quaternary slip rates and errors in the geomorphic and structural reconstruction of offset landforms (e.g., offset terrace riser reconstructions for Altyn Tagh fault). Other factors such as a low density in the GPS network (e.g., GPS rate based on data from a single station for the Karakorum fault) appear to also contribute to the mismatch observed between the slip rates. Taken together, these results suggest that GPS-derived slip rates are often (but not always) representative of Quaternary slip rates and that the dating methods and sampling approaches used to identify transients in a fault slip rate history should be heavily scrutinized before interpreting the seismic hazards for a region.

Primary care consultations about medically unexplained symptoms: how do patients indicate what they want?

PubMed

Salmon, Peter; Ring, Adele; Humphris, Gerry M; Davies, John C; Dowrick, Christopher F

2009-04-01

Patients with medically unexplained physical symptoms (MUS) are often thought to deny psychological needs when they consult general practitioners (GPs) and to request somatic intervention instead. We tested predictions from the contrasting theory that they are transparent in communicating their psychological and other needs. To test predictions that what patients tell GPs when they consult about MUS is related transparently to their desire for (1) emotional support, (2) symptom explanation and (3) somatic intervention. Prospective naturalistic study. Before consultation, patients indicated what they wanted from it using a self-report questionnaire measuring patients' desire for: emotional support, explanation and reassurance, and physical investigation and treatment. Their speech during consultation was audio-recorded, transcribed and coded utterance-by-utterance. Multilevel regression analysis tested relationships between what patients sought and what they said. Patients (N = 326) consulting 33 GPs about symptoms that the GPs designated as MUS. Patients who wanted emotional support spoke more about psychosocial problems, including psychosocial causes of symptoms and their need for psychosocial help. Patients who wanted explanation and reassurance suggested more physical explanations, including diseases, but did not overtly request explanation. Patients' wish for somatic intervention was associated only with their talk about details of such interventions and not with their requests for them. In general, patients with medically unexplained symptoms provide many cues to their desire for emotional support. They are more indirect or guarded in communicating their desire for explanation and somatic intervention.

Tightly coupled low cost 3D RISS/GPS integration using a mixture particle filter for vehicular navigation.

PubMed

Georgy, Jacques; Noureldin, Aboelmagd

2011-01-01

Satellite navigation systems such as the global positioning system (GPS) are currently the most common technique used for land vehicle positioning. However, in GPS-denied environments, there is an interruption in the positioning information. Low-cost micro-electro mechanical system (MEMS)-based inertial sensors can be integrated with GPS and enhance the performance in denied GPS environments. The traditional technique for this integration problem is Kalman filtering (KF). Due to the inherent errors of low-cost MEMS inertial sensors and their large stochastic drifts, KF, with its linearized models, has limited capabilities in providing accurate positioning. Particle filtering (PF) was recently suggested as a nonlinear filtering technique to accommodate for arbitrary inertial sensor characteristics, motion dynamics and noise distributions. An enhanced version of PF called the Mixture PF is utilized in this study to perform tightly coupled integration of a three dimensional (3D) reduced inertial sensors system (RISS) with GPS. In this work, the RISS consists of one single-axis gyroscope and a two-axis accelerometer used together with the vehicle's odometer to obtain 3D navigation states. These sensors are then integrated with GPS in a tightly coupled scheme. In loosely-coupled integration, at least four satellites are needed to provide acceptable GPS position and velocity updates for the integration filter. The advantage of the tightly-coupled integration is that it can provide GPS measurement update(s) even when the number of visible satellites is three or lower, thereby improving the operation of the navigation system in environments with partial blockages by providing continuous aiding to the inertial sensors even during limited GPS satellite availability. To effectively exploit the capabilities of PF, advanced modeling for the stochastic drift of the vertically aligned gyroscope is used. In order to benefit from measurement updates for such drift, which are loosely-coupled updates, a hybrid loosely/tightly coupled solution is proposed. This solution is suitable for downtown environments because of the long natural outages or degradation of GPS. The performance of the proposed 3D Navigation solution using Mixture PF for 3D RISS/GPS integration is examined by road test trajectories in a land vehicle and compared to the KF counterpart.

Tightly Coupled Low Cost 3D RISS/GPS Integration Using a Mixture Particle Filter for Vehicular Navigation

PubMed Central

Georgy, Jacques; Noureldin, Aboelmagd

2011-01-01

Satellite navigation systems such as the global positioning system (GPS) are currently the most common technique used for land vehicle positioning. However, in GPS-denied environments, there is an interruption in the positioning information. Low-cost micro-electro mechanical system (MEMS)-based inertial sensors can be integrated with GPS and enhance the performance in denied GPS environments. The traditional technique for this integration problem is Kalman filtering (KF). Due to the inherent errors of low-cost MEMS inertial sensors and their large stochastic drifts, KF, with its linearized models, has limited capabilities in providing accurate positioning. Particle filtering (PF) was recently suggested as a nonlinear filtering technique to accommodate for arbitrary inertial sensor characteristics, motion dynamics and noise distributions. An enhanced version of PF called the Mixture PF is utilized in this study to perform tightly coupled integration of a three dimensional (3D) reduced inertial sensors system (RISS) with GPS. In this work, the RISS consists of one single-axis gyroscope and a two-axis accelerometer used together with the vehicle’s odometer to obtain 3D navigation states. These sensors are then integrated with GPS in a tightly coupled scheme. In loosely-coupled integration, at least four satellites are needed to provide acceptable GPS position and velocity updates for the integration filter. The advantage of the tightly-coupled integration is that it can provide GPS measurement update(s) even when the number of visible satellites is three or lower, thereby improving the operation of the navigation system in environments with partial blockages by providing continuous aiding to the inertial sensors even during limited GPS satellite availability. To effectively exploit the capabilities of PF, advanced modeling for the stochastic drift of the vertically aligned gyroscope is used. In order to benefit from measurement updates for such drift, which are loosely-coupled updates, a hybrid loosely/tightly coupled solution is proposed. This solution is suitable for downtown environments because of the long natural outages or degradation of GPS. The performance of the proposed 3D Navigation solution using Mixture PF for 3D RISS/GPS integration is examined by road test trajectories in a land vehicle and compared to the KF counterpart. PMID:22163846

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

PubMed

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

2012-12-01

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

Report On Fiducial Points At The Space Geodesy Based Cagliari Astronomical Observatory

NASA Astrophysics Data System (ADS)

Banni, A.; Buffa, F.; Falchi, E.; Sanna, G.

At the present time two research groups are engaged to space-geodesy activities in Sardinia: a staff belonging to the Stazione Astronomica of Cagliari (SAC) and the To- pography Section of the Dipartimento di Ingegneria Strutturale (DIST) of the Cagliari University. The two groups have a share in international campaigns and services. The local structure, consists of permanent stations of satellite observation both on radio and laser techniques. Particularly in the Cagliari Observatory a Satellite Laser Ranging system runs with nearly daily, low, medium and high orbit satellite tracking capability (e. g. Topex, Ajisai, Lageos1/2, Glonass); up to this time the Cagliari laser station has contributed towards the following international campaigns/organizations. Besides in the Observatory's site a fixed GPS system, belonging the Italian Space Agency GPS- Network and to the IGS-Network; and a GPS+GLONASS system, acquired by DIST and belonging to the IGLOS are installed and managed. All the above stations are furnished with meteorological sensors with RINEX format data dissemination avail- ability. Moreover a new 64 meters dish radio telescope (Sardinian Radio Telescope), geodetic VLBI equipped, is under construction not long away from the Observatory. The poster fully shows the facilities and furnishes a complete report on the mark- ers eccentricities, allowing co-location of the different space techniques operating in Sardinia.

Creation of the new industry-standard space test of laser retroreflectors for the GNSS and LAGEOS

NASA Astrophysics Data System (ADS)

Dell'Agnello, S.; Delle Monache, G. O.; Currie, D. G.; Vittori, R.; Cantone, C.; Garattini, M.; Boni, A.; Martini, M.; Lops, C.; Intaglietta, N.; Tauraso, R.; Arnold, D. A.; Pearlman, M. R.; Bianco, G.; Zerbini, S.; Maiello, M.; Berardi, S.; Porcelli, L.; Alley, C. O.; McGarry, J. F.; Sciarretta, C.; Luceri, V.; Zagwodzki, T. W.

2011-03-01

We built a new experimental apparatus (the “Satellite/lunar laser ranging Characterization Facility”, SCF) and created a new test procedure (the SCF-Test) to characterize and model the detailed thermal behavior and the optical performance of cube corner laser retroreflectors in space for industrial and scientific applications. The primary goal of these innovative tools is to provide critical design and diagnostic capabilities for Satellites Laser Ranging (SLR) to Galileo and other GNSS (Global Navigation Satellite System) constellations. The capability will allow us to optimize the design of GNSS laser retroreflector payloads to maximize ranging efficiency, to improve signal-to-noise conditions in daylight and to provide pre-launch validation of retroreflector performance under laboratory-simulated space conditions. Implementation of new retroreflector designs being studied will help to improve GNSS orbits, which will then increase the accuracy, stability, and distribution of the International Terrestrial Reference Frame (ITRF), to provide better definition of the geocenter (origin) and the scale (length unit).Our key experimental innovation is the concurrent measurement and modeling of the optical Far Field Diffraction Pattern (FFDP) and the temperature distribution of the SLR retroreflector payload under thermal conditions produced with a close-match solar simulator. The apparatus includes infrared cameras for non-invasive thermometry, thermal control and real-time movement of the payload to experimentally simulate satellite orientation on orbit with respect to both solar illumination and laser interrogation beams. These unique capabilities provide experimental validation of the space segment for SLR and Lunar Laser Ranging (LLR).We used the SCF facility and the SCF-Test to perform a comprehensive, non-invasive space characterization of older generation, back-coated retroreflectors of the GIOVE-A and -B (Galileo In-Orbit Validation Elements) and the GPS-35 and -36 designs. First, using a full GPS flight model at laser wavelengths of 532 and 632 nm, we found its “effective optical cross section” in air, under isothermal conditions, to be six times lower than the Retroreflector Standard for GNSS satellites (100 × 106 m2 at 20,000 km altitude for GPS and 180 × 106 m2 for Galileo at 23,200 km altitude), issued by the International Laser Ranging Service (ILRS). Under the simulated thermal and space conditions of the SCF, we also showed that in some space configurations the “effective optical cross section” is further reduced, by the thermal degradation of the FFDP. Using the same SCF-Test configuration on an individual GIOVE prototype cube, we measured severe thermal degradation in optical performance, which appears to be caused by the retroreflector metal coating and the non-optimized thermal conductance of the mounting.Uncoated retroreflectors with proper mounting can minimize thermal degradation and significantly increase the optical performance, and as such, are emerging as the recommended design for modern GNSS satellites. The COMPASS-M1, GLONASS-115 GNSS satellites use uncoated cubes. They provide better efficiency than those on GPS and GIOVE, including better daylight ranging performance. However, these retroreflectors were not characterized in the laboratory under space conditions prior to launch, so we have no basis to evaluate how well they were optimized for future GNSS satellites. SCF-Testing, under a non-disclosure agreement between INFN-LNF and the European Space Agency (ESA), of prototype uncoated cubes for the first four Galileo satellites to be launched (named “IOV”, In-Orbit Validation satellites) is a major step forward. An SCF-Test performed on a LAGEOS (LAser GEOdynamics Satellite) engineering model retroreflector array provided by NASA, showed the good space performance on what is now a reference ILRS payload standard. The IOV and LAGEOS measurements demonstrated the effectiveness of the SCF-Test as an LRA diagnostic, optimization and validation tool in use by NASA, ESA and ASI.

Evaluating the Impact of Sea Level Rise and Coastal Flooding on NASA Centers and Facilities by Implementing Terrestrial Laser Scanning Surveys to Improve Coastal Digital Elevation and Inundation Models

NASA Astrophysics Data System (ADS)

Bell, L. J.; Nerem, R. S.; Williams, K.; Meertens, C.; Lestak, L.; Masters, D.

2014-12-01

Sea level is rising in response to climate change. Currently the global mean rate is a little over 3 mm/year, but it is expected to accelerate significantly over this century. This will have a profound impact on coastal populations and infrastructure, including NASA centers and facilities. A detailed study proposed by the University of Colorado's Center for Astrodynamics Research on the impact of sea level rise on several of NASA's most vulnerable facilities was recently funded by NASA. Individual surveys at several high-risk NASA centers were conducted and used as case studies for a broader investigation that needs to be done for coastal infrastructure around the country. The first two years of this study included implementing and conducting a terrestrial laser scanning (TLS) and GPS survey at Kennedy Space Center, Cape Canaveral, Florida, Wallops Flight Facility, Wallops Island, Virginia, Langley Research Center, Hampton, Virginia, and Ames Research Center, Moffett Field, California. We are currently using airborne LiDAR (Light Detection and Ranging) data and TLS (Terrestrial Laser Scanning) data to construct detailed digital elevation models (DEMs) of the facilities that we have assessed. The TLS data acquired at each center provides a very dense point cloud that is being used to improve the detail and accuracy of the digital elevation models currently available. We are also using GPS data we acquired at each center to assess the rate of vertical land movement at the facilities and to tie the DEM to tide gauges and other reference points. With completed, detailed DEMs of the topography and facilities at each center, a series of simple inundation models will then be applied to each area. We will use satellite altimeter data from TOPEX, Jason-1, and Jason-2 to assess the sea level changes observed near these NASA facilities over the last 20 years along with sea level projections from global climate models (GCMs) and semi-empirical projections to make detailed maps of sea level inundation through and up to the years 2050 and 2100 for varying amounts of sea level rise. We will also work with other selected investigators to assess the effects of tidal variations and storm surge when coupled with changes in mean sea level, as storm surge is likely when initial damage due to sea level rise will occur.

Precise science orbits for the Swarm satellite constellation

NASA Astrophysics Data System (ADS)

van den IJssel, Jose; Encarnação, João; Doornbos, Eelco; Visser, Pieter

2015-09-01

The European Space Agency (ESA) Swarm mission was launched on 22 November 2013 to study the dynamics of the Earth's magnetic field and its interaction with the Earth system. The mission consists of three identical satellites, flying in carefully selected near polar orbits. Two satellites fly almost side-by-side at an initial altitude of about 480 km, and will descend due to drag to around 300 km during the mission lifetime. The third satellite was placed in a higher orbit of about 530 km altitude, and therefore descends much more slowly. To geolocate the Swarm observations, each satellite is equipped with an 8-channel, dual-frequency GPS receiver for Precise Orbit Determination (POD). Onboard laser retroreflectors provide the opportunity to validate the orbits computed from the GPS observations using Satellite Laser Ranging (SLR) data. Precise Science Orbits (PSOs) for the Swarm satellites are computed by the Faculty of Aerospace Engineering at Delft University of Technology in the framework of the Swarm Satellite Constellation Application and Research Facility (SCARF). The PSO product consists of both a reduced-dynamic and a kinematic orbit solution. After a short description of the Swarm GPS data characteristics, the adopted POD strategy for both orbit types is explained and first PSO results from more than one year of Swarm GPS data are presented. Independent SLR validation shows that the reduced-dynamic Swarm PSOs have an accuracy of better than 2 cm, while the kinematic orbits have a slightly reduced accuracy of about 4-5 cm. Orbit comparisons indicate that the consistency between the reduced-dynamic and kinematic Swarm PSO for most parts of the Earth is at the 4-5 cm level. Close to the geomagnetic poles and along the geomagnetic equator, however, the kinematic orbits show larger errors, which are probably due to ionospheric scintillations that affect the Swarm GPS receivers over these areas.

Acceptability and Feasibility of Using a Novel Geospatial Method to Measure Neighborhood Contexts and Mobility Among Transgender Women in New York City

PubMed Central

Goedel, William C.; Reisner, Sari L.; Janssen, Aron C.; Poteat, Tonia C.; Regan, Seann D.; Kreski, Noah T.; Confident, Gladyne; Duncan, Dustin T.

2017-01-01

Abstract Purpose: To date, no studies utilizing global positioning system (GPS) technologies to measure mobility and environmental exposures have been conducted among a sample of transgender women despite the potential salient role neighborhood contexts may play in the health of this population. As such, the purpose of this study was to assess the acceptability and feasibility of a weeklong GPS protocol among a sample of transgender women in New York City. Methods: A sample of 14 transgender women residing in the New York City metropolitan area were recruited through community based methods to wear and charge a GPS device for 7 days to measure daily mobility. The acceptability of these methods was assessed using a pre- and postprotocol survey and their feasibility was measured using objective data derived from the GPS device. Pre- and postprotocol survey measures were compared using McNemar's test. Results: Participants reported high ratings of preprotocol acceptability, as well as few concerns regarding safety, appearance, and losing the device, all of which were maintained after completing the protocol. All 14 devices that were distributed were returned. In addition, all 14 participants had GPS data for at least 1 h on 1 day, and nine participants (64.3%) had at least 8 h of GPS data on all days. Conclusion: The findings of this pilot study demonstrate that the GPS methods are both acceptable and feasible among this sample of transgender women. GPS devices may be used in research among transgender women to understand neighborhood determinants of HIV and other STIs. PMID:29082330

Antibiotic prescribing behavior among general practitioners - a questionnaire-based study in Germany.

PubMed

Salm, Florian; Schneider, Sandra; Schmücker, Katja; Petruschke, Inga; Kramer, Tobias S; Hanke, Regina; Schröder, Christin; Heintze, Christoph; Schwantes, Ulrich; Gastmeier, Petra; Gensichen, Jochen

2018-05-04

This study investigates the barriers and facilitators of the use of antibiotics in acute respiratory tract infections by general practitioners (GPs) in Germany. A multidisciplinary team designed and pre-tested a written questionnaire addressing the topics awareness of antimicrobial resistance (7 items), use of antibiotics (9 items), guidelines/sources of information (9 items) and sociodemographic factors (7 items), using a five-point-Likert-scale ("never" to "very often"). The questionnaire was mailed by postally to 987 GPs with registered practices in eastern Germany in May 2015. 34% (340/987) of the GPs responded to this survey. Most of the participants assumed a multifactorial origin for the rise of multidrug resistant organisms. In addition, 70.2% (239/340) believed that their own prescribing behavior influenced the drug-resistance situation in their area. GPs with longer work experience (> 25 years) assumed less individual influence on drug resistance than their colleagues with less than 7 years experience as practicing physicians (Odds Ratio [OR] 0.32, 95% Confidence Interval [CI] 0.17-0.62; P < 0.001). 99.1% (337/340) of participants were familiar with the "delayed prescription" strategy to reduce antibiotic prescriptions. However, only 29.4% (74/340) answered that they apply it "often" or "very often". GPs working in rural areas were less likely than those working in urban areas to apply delayed prescription. The knowledge on factors causing antimicrobial resistance in bacteria is good among GPs in eastern Germany. However measures to improve rational prescription are not widely implemented yet. Further efforts have to be made in order to improve rational prescription of antibiotic among GPs. Nevertheless, there is a strong awareness of antimicrobial resistance among the participating GPs.

Flight test evaluation of the Stanford University/United Airlines differential GPS Category 3 automatic landing system

NASA Technical Reports Server (NTRS)

Kaufmann, David N.; Ncnally, B. David

1995-01-01

Test flights were conducted to evaluate the capability of Differential Global Positioning System (DGPS) to provide the accuracy and integrity required for International Civil Aviation Organization (ICAO) Category (CAT) 3 precision approach and landings. These test flights were part of a Federal Aviation Administration (FAA) program to evaluate the technical feasibility of using DGPS based technology for CAT 3 precision approach and landing applications. A United Airlines Boeing 737-300 (N304UA) was equipped with DGPS receiving equipment and additional computing capability provided by Stanford University. The test flights were conducted at NASA Ames Research Center's Crows Landing Flight Facility, Crows Landing, California. The flight test evaluation was based on completing 100 approaches and autolandings; 90 touch and go, and 10 terminating with a full stop. Two types of accuracy requirements were evaluated: 1) Total system error, based on the Required Navigation Performance (RNP), and 2) Navigation sensor error, based on ICAO requirements for the Microwave Landing System (MLS). All of the approaches and autolandings were evaluated against ground truth reference data provided by a laser tracker. Analysis of these approaches and autolandings shows that the Stanford University/United Airlines system met the requirements for a successful approach and autolanding 98 out of 100 approaches and autolandings, based on the total system error requirements as specified in the FAA CAT 3 Level 2 Flight Test Plan.

The Global Positioning System (GPS) and attitude determination: Applications and activities in the Flight Dynamics Division

NASA Technical Reports Server (NTRS)

Ketchum, Eleanor; Garrick, Joe

1995-01-01

The application of GPS to spacecraft attitude determination is a new and growing field. Although the theoretical literature is extensive, space flight testing is currently sparse and inadequate. As an operations organization, the Flight Dynamics Division (FDD) has the responsibility to investigate this new technology, and determine how best to implement the innovation to provide adequate support for future missions. This paper presents some of the current efforts within FDD with regard to GPS attitude determination. This effort specifically addresses institutional capabilities to accommodate a new type of sensor, critically evaluating the literature for recent advancements, and in examining some available -albeit crude- flight data.

A feasibility study of a theory-based intervention to improve appropriate polypharmacy for older people in primary care.

PubMed

Cadogan, Cathal A; Ryan, Cristín; Gormley, Gerard J; Francis, Jill J; Passmore, Peter; Kerse, Ngaire; Hughes, Carmel M

2018-01-01

A general practitioner (GP)-targeted intervention aimed at improving the prescribing of appropriate polypharmacy for older people was previously developed using a systematic, theory-based approach based on the UK Medical Research Council's complex intervention framework. The primary intervention component comprised a video demonstration of a GP prescribing appropriate polypharmacy during a consultation with an older patient. The video was delivered to GPs online and included feedback emphasising the positive outcomes of performing the behaviour. As a complementary intervention component, patients were invited to scheduled medication review consultations with GPs. This study aimed to test the feasibility of the intervention and study procedures (recruitment, data collection). GPs from two general practices were given access to the video, and reception staff scheduled consultations with older patients receiving polypharmacy (≥4 medicines). Primary feasibility study outcomes were the usability and acceptability of the intervention to GPs. Feedback was collected from GP and patient participants using structured questionnaires. Clinical data were also extracted from recruited patients' medical records (baseline and 1 month post-consultation). The feasibility of applying validated assessment of prescribing appropriateness (STOPP/START criteria, Medication Appropriateness Index) and medication regimen complexity (Medication Regimen Complexity Index) to these data was investigated. Data analysis was descriptive, providing an overview of participants' feedback and clinical assessment findings. Four GPs and ten patients were recruited across two practices. The intervention was considered usable and acceptable by GPs. Some reservations were expressed by GPs as to whether the video truly reflected resource and time pressures encountered in the general practice working environment. Patient feedback on the scheduled consultations was positive. Patients welcomed the opportunity to have their medications reviewed. Due to the short time to follow-up and a lack of detailed clinical information in patient records, it was not feasible to detect any prescribing changes or to apply the assessment tools to patients' clinical data. The findings will help to further refine the intervention and study procedures (including time to follow-up) which will be tested in a randomised pilot study that will inform the design of a definitive trial to evaluate the intervention's effectiveness. ISRCTN18176245.

Communication skills training for general practitioners to promote patient coping: the GRIP approach.

PubMed

Mjaaland, Trond A; Finset, Arnstein

2009-07-01

To develop, perform and test the effects of a communication skills training program for general practitioners (GPs). The program specifically addresses the patients' coping and resources despite more or less severe psychological or physical illness. A training model was developed, based on cognitive therapy and solution-focused therapy. The training was given the acronym GRIP after its main content: Get a measure of the patient's subjective complaints and illness attributions. Respond to the patient's understanding of the complaints. Identify resources and solutions. Promote positive coping. The study involved a quasi-experimental design in which 266 consultations with 25 GPs were video recorded. Forty hours of communication skills training were given to the intervention group. Consultation duration, patient age and distress determined the frequency of the GRIP communication. There was a significant effect of training on four particular subcategories of the GRIP techniques. The effect of the training was most evident in a subgroup of GPs who used little or no resource-oriented communication before training. This pilot training model may help change the GPs' communicative pattern with patients in some situations. Communication skills training programmes that emphasize patient attributions and personal resources should be developed further and tested in general practice settings with an aim to promote patient coping.

New constraints on slip rates and locking depths of the San Andreas Fault System from Sentinel-1A InSAR and GAGE GPS observations

NASA Astrophysics Data System (ADS)

Ward, L. A.; Smith-Konter, B. R.; Higa, J. T.; Xu, X.; Tong, X.; Sandwell, D. T.

2017-12-01

After over a decade of operation, the EarthScope (GAGE) Facility has now accumulated a wealth of GPS and InSAR data, that when successfully integrated, make it possible to image the entire San Andreas Fault System (SAFS) with unprecedented spatial coverage and resolution. Resulting surface velocity and deformation time series products provide critical boundary conditions needed for improving our understanding of how faults are loaded across a broad range of temporal and spatial scales. Moreover, our understanding of how earthquake cycle deformation is influenced by fault zone strength and crust/mantle rheology is still developing. To further study these processes, we construct a new 4D earthquake cycle model of the SAFS representing the time-dependent 3D velocity field associated with interseismic strain accumulation, co-seismic slip, and postseismic viscoelastic relaxation. This high-resolution California statewide model, spanning the Cerro Prieto fault to the south to the Maacama fault to the north, is constructed on a 500 m spaced grid and comprises variable slip and locking depths along 42 major fault segments. Secular deep slip is prescribed from the base of the locked zone to the base of the elastic plate while episodic shallow slip is prescribed from the historical earthquake record and geologic recurrence intervals. Locking depths and slip rates for all 42 fault segments are constrained by the newest GAGE Facility geodetic observations; 3169 horizontal GPS velocity measurements, combined with over 53,000 line-of-sight (LOS) InSAR velocity observations from Sentinel-1A, are used in a weighted least-squares inversion. To assess slip rate and locking depth sensitivity of a heterogeneous rheology model, we also implement variations in crustal rigidity throughout the plate boundary, assuming a coarse representation of shear modulus variability ranging from 20-40 GPa throughout the (low rigidity) Salton Trough and Basin and Range and the (high rigidity) Central Valley and ocean lithosphere.

Localization of Physical Activity in Primary School Children Using Accelerometry and Global Positioning System.

PubMed

Bürgi, Rahel; Tomatis, Laura; Murer, Kurt; de Bruin, Eling D

2015-01-01

Ecological approaches have highlighted the importance of the built environment as a factor affecting physical activity. However, knowledge on children's activity patterns is still incomplete. Particularly, data on the spatial context of physical activity is limited, which limits the potential to design location-based interventions effectively. Using global positioning system (GPS) and accelerometry, this study aimed to identify locations where children engage in moderate-vigorous physical activity (MVPA). Participants included 119 children (11-14 years, 57% girls) from public schools in Winterthur, Switzerland. During a regular school week between February and April 2013, children wore an accelerometer and GPS sensor for seven consecutive days. Time-matched accelerometer and GPS data was mapped with a geographic information system and each data point was assigned to one of seven defined activity settings. Both the absolute amount of MVPA and proportion of time in MVPA were calculated for every setting. Multilevel analyses accounting for the hierarchical structure of the data were conducted to investigate any gender differences. Children achieved most MVPA on streets (34.5%) and on school grounds (33.4%). The proportion children spent in MVPA was highest in recreational facilities (19.4%), at other schools (19.2%) and on streets (18.6%). Boys accumulated significantly more MVPA overall and on other school grounds (p < 0.05) and showed a significantly higher proportion of time in MVPA at own school and outside of Winterthur (p < 0.05). The results indicate the importance of streets and school grounds as activity-promoting environments. The high use of streets may be an indicator for active transportation, which appears to contribute to an active lifestyle in both genders. In contrast, the school setting is more likely to encourage physical activity in boys. Recreational facilities seem to be conducive for MVPA among both genders, although infrequently visited during the week of measurement.

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.

Enabling UAV Navigation with Sensor and Environmental Uncertainty in Cluttered and GPS-Denied Environments

PubMed Central

Vanegas, Fernando; Gonzalez, Felipe

2016-01-01

Unmanned Aerial Vehicles (UAV) can navigate with low risk in obstacle-free environments using ground control stations that plan a series of GPS waypoints as a path to follow. This GPS waypoint navigation does however become dangerous in environments where the GPS signal is faulty or is only present in some places and when the airspace is filled with obstacles. UAV navigation then becomes challenging because the UAV uses other sensors, which in turn generate uncertainty about its localisation and motion systems, especially if the UAV is a low cost platform. Additional uncertainty affects the mission when the UAV goal location is only partially known and can only be discovered by exploring and detecting a target. This navigation problem is established in this research as a Partially-Observable Markov Decision Process (POMDP), so as to produce a policy that maps a set of motion commands to belief states and observations. The policy is calculated and updated on-line while flying with a newly-developed system for UAV Uncertainty-Based Navigation (UBNAV), to navigate in cluttered and GPS-denied environments using observations and executing motion commands instead of waypoints. Experimental results in both simulation and real flight tests show that the UAV finds a path on-line to a region where it can explore and detect a target without colliding with obstacles. UBNAV provides a new method and an enabling technology for scientists to implement and test UAV navigation missions with uncertainty where targets must be detected using on-line POMDP in real flight scenarios. PMID:27171096

Enabling UAV Navigation with Sensor and Environmental Uncertainty in Cluttered and GPS-Denied Environments.

PubMed

Vanegas, Fernando; Gonzalez, Felipe

2016-05-10

Unmanned Aerial Vehicles (UAV) can navigate with low risk in obstacle-free environments using ground control stations that plan a series of GPS waypoints as a path to follow. This GPS waypoint navigation does however become dangerous in environments where the GPS signal is faulty or is only present in some places and when the airspace is filled with obstacles. UAV navigation then becomes challenging because the UAV uses other sensors, which in turn generate uncertainty about its localisation and motion systems, especially if the UAV is a low cost platform. Additional uncertainty affects the mission when the UAV goal location is only partially known and can only be discovered by exploring and detecting a target. This navigation problem is established in this research as a Partially-Observable Markov Decision Process (POMDP), so as to produce a policy that maps a set of motion commands to belief states and observations. The policy is calculated and updated on-line while flying with a newly-developed system for UAV Uncertainty-Based Navigation (UBNAV), to navigate in cluttered and GPS-denied environments using observations and executing motion commands instead of waypoints. Experimental results in both simulation and real flight tests show that the UAV finds a path on-line to a region where it can explore and detect a target without colliding with obstacles. UBNAV provides a new method and an enabling technology for scientists to implement and test UAV navigation missions with uncertainty where targets must be detected using on-line POMDP in real flight scenarios.

Autonomous Flight Safety System - Phase III

NASA Technical Reports Server (NTRS)

2008-01-01

The Autonomous Flight Safety System (AFSS) is a joint KSC and Wallops Flight Facility project that uses tracking and attitude data from onboard Global Positioning System (GPS) and inertial measurement unit (IMU) sensors and configurable rule-based algorithms to make flight termination decisions. AFSS objectives are to increase launch capabilities by permitting launches from locations without range safety infrastructure, reduce costs by eliminating some downrange tracking and communication assets, and reduce the reaction time for flight termination decisions.

Inertial aided cycle slip detection and identification for integrated PPP GPS and INS.

PubMed

Du, Shuang; Gao, Yang

2012-10-25

The recently developed integrated Precise Point Positioning (PPP) GPS/INS system can be useful to many applications, such as UAV navigation systems, land vehicle/machine automation and mobile mapping systems. Since carrier phase measurements are the primary observables in PPP GPS, cycle slips, which often occur due to high dynamics, signal obstructions and low satellite elevation, must be detected and repaired in order to ensure the navigation performance. In this research, a new algorithm of cycle slip detection and identification has been developed. With the aiding from INS, the proposed method jointly uses WL and EWL phase combinations to uniquely determine cycle slips in the L1 and L2 frequencies. To verify the efficiency of the algorithm, both tactical-grade and consumer-grade IMUs are tested by using a real dataset collected from two field tests. The results indicate that the proposed algorithm can efficiently detect and identify the cycle slips and subsequently improve the navigation performance of the integrated system.

Request of laboratory liver tests in primary care in Spain: potential savings if appropriateness indicator targets were achieved.

PubMed

Salinas, Maria; López-Garrigós, Maite; Flores, Emilio; Uris, Joaquín; Leiva-Salinas, Carlos

2015-10-01

Liver laboratory tests are used to screen for liver disease, suggest the underlying cause, estimate the severity, assess prognosis, and monitor the efficacy of therapy. The aim of this study was to compare the liver laboratory tests requesting patterns by GPs in Spain, according to geographic and hospital characteristics, to investigate the degree of requesting appropriateness. One hundred and forty-one clinical laboratories were invited to participate from diverse regions across Spain. They filed out the number of laboratory liver tests requested by GPs for the year 2012. Two types of appropriateness indicators were calculated: every test request per 1000 inhabitants or ratios of related tests requests. The indicator results obtained were compared between the different hospitals, according to their setting, location, and management. The savings generated, if each area would have achieved indicator targets, were calculated. We recruited 76 laboratories covering a population of 17,679,195 inhabitants. GPs requested 20,916,780 laboratory liver tests in the year 2012. No differences were obtained according to their setting. Lactate dehydrogenase and direct bilirubin per 1000 inhabitants were significantly higher in institutions with private management. Largest differences were observed between communities. Nine, 31, 0, and 13 laboratories, respectively, achieved the aspartate aminotransferase, lactate dehydrogenase, γ-glutamyl transpeptidase, and total bilirubin-related alanine aminotransferase indicator targets. Reaching ratios would have resulted in savings of €1,028,468. There was a high variability in the request of liver tests. This emphasizes the need to implement interventions to improve appropriate use of liver tests.

Case-finding for hepatitis C in primary care: a mixed-methods service evaluation

PubMed Central

Datta, Shivani; Horwood, Jeremy; Hickman, Matthew; Sharp, Debbie

2014-01-01

Background Hepatitis C is often asymptomatic, presenting with liver failure and cancer decades after infection. People who inject drugs (PWID) and immigrant populations from countries with a moderate-to-high prevalence of hepatitis C virus (HCV) are the main risk groups. Deaths and hospital admissions due to HCV cirrhosis tripled between 1998 and 2010, but the majority of people with chronic HCV are unaware of it. Aim To identify patients at risk of developing hepatitis C using routine GP data, to determine the proportion not tested, and to explore GPs’ views regarding testing. Design and setting Mixed-methods service evaluation (density-based selection of PWID) in six NHS practices in Bristol. Method Patients at risk of HCV were identified. The Health Protection Agency laboratory (now part of Public Health England) provided test results. Semi-structured interviews with 17 GPs were audiorecorded and thematic analyses conducted on anonymised transcripts. Results Of 3765 patients identified as being at risk of developing hepatitis C, 3051 (81%) had no test result, including 53% of PWID and 93% of the ‘ethnicity’ group. All GPs said they usually test PWID. Most GPs test for HIV and hepatitis B in immigrants more often than they test for HCV. Barriers to testing included not questioning patients about risk factors, competing priorities, the chaotic lifestyle of PWID, difficulty extracting information from computerised records, and forgetting to address HCV. Conclusion Computer prompts and GP education on whom to test are warranted. Ensuring that country of origin and drug use is included on the new-patient questionnaire might also aid case-finding for HCV. PMID:24567619

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.

GPS-ABC Workshop Wired (Conducted) Test Results : GPS‐ABC Workshop V RTCA Washington, DC October 14, 2016.

DOT National Transportation Integrated Search

2016-10-14

Overview: -Tests executed week of 25 July with 14 GNSS receivers ; -Representative set of equipment from chamber testing from each receiver category (except space) ; -Receivers tested were USG provided ; -Same test instrumentation for wired as with r...

Receiver Test Selection Criteria

DOT National Transportation Integrated Search

2015-03-12

The DOT requests that GPS manufacturers submit receivers for test in the following TWG categories: - Aviation (non-certified), cellular, general location/navigation, high precision, timing, networks, and space-based receivers - Each receiver should b...

Overcoming urban GPS navigation challenges through the use of MEMS inertial sensors and proper verification of navigation system performance

NASA Astrophysics Data System (ADS)

Vinande, Eric T.

This research proposes several means to overcome challenges in the urban environment to ground vehicle global positioning system (GPS) receiver navigation performance through the integration of external sensor information. The effects of narrowband radio frequency interference and signal attenuation, both common in the urban environment, are examined with respect to receiver signal tracking processes. Low-cost microelectromechanical systems (MEMS) inertial sensors, suitable for the consumer market, are the focus of receiver augmentation as they provide an independent measure of motion and are independent of vehicle systems. A method for estimating the mounting angles of an inertial sensor cluster utilizing typical urban driving maneuvers is developed and is able to provide angular measurements within two degrees of truth. The integration of GPS and MEMS inertial sensors is developed utilizing a full state navigation filter. Appropriate statistical methods are developed to evaluate the urban environment navigation improvement due to the addition of MEMS inertial sensors. A receiver evaluation metric that combines accuracy, availability, and maximum error measurements is presented and evaluated over several drive tests. Following a description of proper drive test techniques, record and playback systems are evaluated as the optimal way of testing multiple receivers and/or integrated navigation systems in the urban environment as they simplify vehicle testing requirements.

Open-Loop Flight Testing of COBALT GN&C Technologies for Precise Soft Landing

NASA Technical Reports Server (NTRS)

Carson, John M., III; Amzajerdian, Farzin; Seubert, Carl R.; Restrepo, Carolina I.

2017-01-01

A terrestrial, open-loop (OL) flight test campaign of the NASA COBALT (CoOperative Blending of Autonomous Landing Technologies) platform was conducted onboard the Masten Xodiac suborbital rocket testbed, with support through the NASA Advanced Exploration Systems (AES), Game Changing Development (GCD), and Flight Opportunities (FO) Programs. The COBALT platform integrates NASA Guidance, Navigation and Control (GN&C) sensing technologies for autonomous, precise soft landing, including the Navigation Doppler Lidar (NDL) velocity and range sensor and the Lander Vision System (LVS) Terrain Relative Navigation (TRN) system. A specialized navigation filter running onboard COBALT fuzes the NDL and LVS data in real time to produce a precise navigation solution that is independent of the Global Positioning System (GPS) and suitable for future, autonomous planetary landing systems. The OL campaign tested COBALT as a passive payload, with COBALT data collection and filter execution, but with the Xodiac vehicle Guidance and Control (G&C) loops closed on a Masten GPS-based navigation solution. The OL test was performed as a risk reduction activity in preparation for an upcoming 2017 closed-loop (CL) flight campaign in which Xodiac G&C will act on the COBALT navigation solution and the GPS-based navigation will serve only as a backup monitor.

Symptom attribution after a plane crash: comparison between self-reported symptoms and GP records.

PubMed Central

Donker, G A; Yzermans, C J; Spreeuwenberg, P; van der Zee, J

2002-01-01

BACKGROUND: On 4 October 1992, an El Al Boeing 747-F cargo aeroplane crashed on two apartment buildings in Amsterdam. Thirty-nine residents on the ground and the four crew members of the plane died. In the years after, a gradually increasing number of people attributed physical signs and symptoms to their presence at the disaster scene. AIM: To investigate the consistency between patients' symptoms attributed to the crash and GPs' diagnoses and perception of the association with the crash. DESIGN OF STUDY: Comparison between self-reported symptoms to a call centre and GPs' medical records on onset and type of symptoms, diagnoses, and GPs' perception of association with the disaster, assessed by questionnaire. SETTING: Consenting patients (n = 621) contacting the call centre and their GPs. METHOD: Patients were interviewed by the call centre staff and interview data were recorded on a database. Questionnaires were sent to the consenting patients' GPs, requesting their opinions on whether or not their patients' symptoms were attributable to the effects of disaster. Baseline differences and differences in reported symptoms between interviewed patients and their GP records were tested using the chi2 test. RESULTS: The 553 responders reported on average 4.3 symptoms to the call centre. The majority of these symptoms (74%) were reported to the GP. Of the ten most commonly reported symptoms, fatigue, skin complaints, feeling anxious or nervous, dyspnoea, and backache featured in 80% of symptoms reported to the GP. One out of four symptoms was either reported to the GP before the disaster took place, or six or more years after (1998/1999, during a period of much media attention). Depression (7%), post-traumatic stress disorder (PTSD) (5%) and eczema (5%) were most frequently diagnosed by GPs. They related 6% of all reported symptoms to the disaster. CONCLUSIONS: Most of the symptoms attributed to a disaster by patients have been reported to their GP, who related only a small proportion of these to the disaster. PMID:12434961

Symptom attribution after a plane crash: comparison between self-reported symptoms and GP records.

PubMed

Donker, G A; Yzermans, C J; Spreeuwenberg, P; van der Zee, J

2002-11-01

On 4 October 1992, an El Al Boeing 747-F cargo aeroplane crashed on two apartment buildings in Amsterdam. Thirty-nine residents on the ground and the four crew members of the plane died. In the years after, a gradually increasing number of people attributed physical signs and symptoms to their presence at the disaster scene. To investigate the consistency between patients' symptoms attributed to the crash and GPs' diagnoses and perception of the association with the crash. Comparison between self-reported symptoms to a call centre and GPs' medical records on onset and type of symptoms, diagnoses, and GPs' perception of association with the disaster, assessed by questionnaire. Consenting patients (n = 621) contacting the call centre and their GPs. Patients were interviewed by the call centre staff and interview data were recorded on a database. Questionnaires were sent to the consenting patients' GPs, requesting their opinions on whether or not their patients' symptoms were attributable to the effects of disaster. Baseline differences and differences in reported symptoms between interviewed patients and their GP records were tested using the chi2 test. The 553 responders reported on average 4.3 symptoms to the call centre. The majority of these symptoms (74%) were reported to the GP. Of the ten most commonly reported symptoms, fatigue, skin complaints, feeling anxious or nervous, dyspnoea, and backache featured in 80% of symptoms reported to the GP. One out of four symptoms was either reported to the GP before the disaster took place, or six or more years after (1998/1999, during a period of much media attention). Depression (7%), post-traumatic stress disorder (PTSD) (5%) and eczema (5%) were most frequently diagnosed by GPs. They related 6% of all reported symptoms to the disaster. Most of the symptoms attributed to a disaster by patients have been reported to their GP, who related only a small proportion of these to the disaster.

Milestones Since Last Workshop [Global Positioning System Adjacent Band Compatibility Assessment Workshop V, 10/14/2016

DOT National Transportation Integrated Search

2016-10-14

Milestones Since Last Workshop - Finalized GPS/GNSS receiver test plan and test procedures - Coordinated government and manufacturer participation and executed Non-Disclosure Agreements (NDAs) - Developed/validated radiated RF test environment - Carr...

Quantifying Spatial Misclassification in Exposure to Noise Complaints Among Low-Income Housing Residents Across New York City Neighborhoods: A Global Positioning System (GPS) Study

PubMed Central

Duncan, Dustin T.; Tamura, Kosuke; Regan, Seann D.; Athens, Jessica; Elbel, Brian; Meline, Julie; Al-Ajlouni, Yazan A.; Chaix, Basile

2016-01-01

Purpose To examine if there was spatial misclassification in exposure to neighborhood noise complaints among a sample of low-income housing residents in New York City, comparing home-based spatial buffers and Global Positioning Systems (GPS) daily path buffers. Methods Data came from the community-based NYC Low-Income Housing, Neighborhoods and Health Study, where GPS tracking of the sample was conducted for a week (analytic n=102). We created a GPS daily path buffer (a buffering zone drawn around GPS tracks) of 200-meters and 400-meters. We also used home-based buffers of 200-meters and 400-meters. Using these “neighborhoods” (or exposure areas) we calculated neighborhood exposure to noisy events from 311 complaints data (analytic n=143,967). Friedman tests (to compare overall differences in neighborhood definitions) were applied. Results There were differences in neighborhood noise complaints according to the selected neighborhood definitions (p<0.05). For example, the mean neighborhood noise complaint count was 1196 per square kilometer for the 400-meter home-based and 812 per square kilometer for the 400-meter activity space buffer, illustrating how neighborhood definition influences the estimates of exposure to neighborhood noise complaints. Conclusions These analyses suggest that, whenever appropriate, GPS neighborhood definitions can be used in spatial epidemiology research in spatially mobile populations to understand people's lived experience. PMID:28063754

Investigation of a L1-optimized choke ring ground plane for a low-cost GPS receiver-system

NASA Astrophysics Data System (ADS)

Zhang, Li; Schwieger, Volker

2018-01-01

Besides the geodetic dual-frequency GNSS receivers-systems (receiver and antenna), there are also low-cost single-frequency GPS receiver-systems. The multipath effect is a limiting factor of accuracy for both geodetic dual-frequency and low-cost single-frequency GPS receivers. And the multipath effect is for the short baselines dominating error (typical for the monitoring in Engineering Geodesy). So accuracy and reliability of GPS measurement for monitoring can be improved by reducing the multipath signal. In this paper, the self-constructed L1-optimized choke ring ground plane (CR-GP) is applied to reduce the multipath signal. Its design will be described and its performance will be investigated. The results show that the introduced low-cost single-frequency GPS receiver-system, which contains the Ublox LEA-6T single-frequency GPS receiver and Trimble Bullet III antenna with a self-constructed L1-optimized CR-GP, can reach standard deviations of 3 mm in east, 5 mm in north and 9 mm in height in the test field which has many reflectors. This accuracy is comparable with the geodetic dual-frequency GNSS receiver-system. The improvement of the standard deviation of the measurement using the CR-GP is about 50 % and 35 % compared to the used antenna without shielding and with flat ground plane respectively.

Refine of Regional Ocean Tide Model Using GPS Data

NASA Astrophysics Data System (ADS)

Wang, F.; Zhang, P.; Sun, Z.; Jiang, Z.; Zhang, Q.

2018-04-01

Due to lack of regional data constraints, all global ocean tide models are not accuracy enough in offshore areas around China, also the displacements predicted by different models are not consistency. The ocean tide loading effects have become a major source of error in the high precision GPS positioning. It is important for high precision GPS applications to build an appropriate regional ocean tide model. We first process the four offshore GPS tracking station's observation data which located in Guangdong province of China by using PPP aproach to get the time series. Then use the spectral inversion method to acquire eigenvalues of the Ocean Tidal Loading. We get the estimated value of not only 12hour period tide wave (M2, S2, N2, K2) but also 24hour period tide wave (O1, K1, P1, Q1) which has not been got in presious studies. The contrast test shows that GPS estimation value of M2, K1 is consistent with the result of five famous glocal ocean load tide models, but S2, N2, K2, O1, P1, Q1 is obviously larger.

Modeling Geodetic Processes with Levy α-Stable Distribution and FARIMA

NASA Astrophysics Data System (ADS)

Montillet, Jean-Philippe; Yu, Kegen

2015-04-01

Over the last years the scientific community has been using the auto regressive moving average (ARMA) model in the modeling of the noise in global positioning system (GPS) time series (daily solution). This work starts with the investigation of the limit of the ARMA model which is widely used in signal processing when the measurement noise is white. Since a typical GPS time series consists of geophysical signals (e.g., seasonal signal) and stochastic processes (e.g., coloured and white noise), the ARMA model may be inappropriate. Therefore, the application of the fractional auto-regressive integrated moving average (FARIMA) model is investigated. The simulation results using simulated time series as well as real GPS time series from a few selected stations around Australia show that the FARIMA model fits the time series better than other models when the coloured noise is larger than the white noise. The second fold of this work focuses on fitting the GPS time series with the family of Levy α-stable distributions. Using this distribution, a hypothesis test is developed to eliminate effectively coarse outliers from GPS time series, achieving better performance than using the rule of thumb of n standard deviations (with n chosen empirically).

A beaded collar for dual micro GPS/VHF transmitter attachment to nutria

USGS Publications Warehouse

Haramis, G.M.; White, T.S.

2011-01-01

We report on the development of an approximately 85-g beaded collar for dual micro GPS/VHF transmitter attachment to semi-aquatic nutria (Myocastor coypus). Prototype collars were tested on captive nutria and refined during field trials. Central to the design was novel use of the VHF transmitter antenna as a collar. A circular collar was formed by passing the 44-cm antenna cable through a pre-made hole in the transmitter, leaving an approximately 16-cm upright antenna. GPS units were mounted separately via a hole in the base of each unit. For good satellite contact, GPS units (28 g) were maintained at the nape of the neck by counterbalance of the heavier VHF transmitters (50 g) positioned under the neck. To reduce friction, we lined the collar with alternate-sized plastic and, later, more durable nylon beads. The final collar configuration was worn for approximately 1 month deployments with only minor neck abrasion; one collar was worn successfully for 5 months. Foot entanglement remained the greatest risk of injury from the collar. By fitting collars tightly, we reduced the incidence of foot entanglement to 2 of 33 deployments (6%). Successful GPS tracks were acquired on 29 of 33 deployments (88%).

Road Traffic Anomaly Detection via Collaborative Path Inference from GPS Snippets.

PubMed

Wang, Hongtao; Wen, Hui; Yi, Feng; Zhu, Hongsong; Sun, Limin

2017-03-09

Road traffic anomaly denotes a road segment that is anomalous in terms of traffic flow of vehicles. Detecting road traffic anomalies from GPS (Global Position System) snippets data is becoming critical in urban computing since they often suggest underlying events. However, the noisy ands parse nature of GPS snippets data have ushered multiple problems, which have prompted the detection of road traffic anomalies to be very challenging. To address these issues, we propose a two-stage solution which consists of two components: a Collaborative Path Inference (CPI) model and a Road Anomaly Test (RAT) model. CPI model performs path inference incorporating both static and dynamic features into a Conditional Random Field (CRF). Dynamic context features are learned collaboratively from large GPS snippets via a tensor decomposition technique. Then RAT calculates the anomalous degree for each road segment from the inferred fine-grained trajectories in given time intervals. We evaluated our method using a large scale real world dataset, which includes one-month GPS location data from more than eight thousand taxi cabs in Beijing. The evaluation results show the advantages of our method beyond other baseline techniques.

General practitioner understanding of abbreviations used in hospital discharge letters.

PubMed

Chemali, Mark; Hibbert, Emily J; Sheen, Adrian

2015-08-03

To determine the incidence of abbreviation use in electronic hospital discharge letters (eDLs) and general practitioner understanding of abbreviations used in eDLsDesign, setting and participants: Retrospective audit of abbreviation use in 200 sequential eDLs was conducted at Nepean Hospital, Sydney, a tertiary referral centre, from 18 December to 31 December 2012. The 15 most commonly used abbreviations and five clinically important abbreviations were identified from the audit. A survey questionnaire using these abbreviations in context was then mailed to 240 GPs in the area covered by the Nepean Blue Mountains Local Health District to determine their understanding of these abbreviations. Number of abbreviations and frequency of their use in eDLs, and GPs' understanding of abbreviations used in the survey. 321 abbreviations were identified in the eDL audit; 48.6% were used only once. Fifty five per cent of GPs (132) responded to the survey. No individual abbreviation was correctly interpreted by all GPs. Six abbreviations were misinterpreted by more than a quarter of GPs. These were SNT (soft non-tender), TTE (transthoracic echocardiogram), EST (exercise stress test), NKDA (no known drug allergies), CTPA (computed tomography pulmonary angiogram), ORIF (open reduction and internal fixation). These abbreviations were interpreted incorrectly by 47.0% (62), 33.3% (44), 33.3% (44) 32.6% (43), 31.1% (41) and 28.0% (37) of GPs, respectively. Abbreviations used in hospital eDLs are not well understood by the GPs who receive them. This has potential to adversely affect patient care in the transition from hospital to community care.

Intervention against excessive alcohol consumption in primary health care: a survey of GPs' attitudes and practices in England 10 years on.

PubMed

Wilson, Graeme B; Lock, Catherine A; Heather, Nick; Cassidy, Paul; Christie, Marilyn M; Kaner, Eileen F S

2011-01-01

To ascertain the views of general practitioners (GPs) regarding the prevention and management of alcohol-related problems in practice, together with perceived barriers and incentives for this work; to compare our findings with a comparable survey conducted 10 years earlier. In total, 282 (73%) of 419 GPs surveyed in East Midlands, UK, completed a postal questionnaire, measuring practices and attitudes, including the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ). GPs reported lower levels of post-graduate education or training on alcohol-related issues (<4 h for the majority) than in 1999 but not significantly so (P = 0.031). In the last year, GPs had most commonly requested more than 12 blood tests and managed 1-6 patients for alcohol. Reports of these preventive practices were significantly increased from 1999 (P < 0.001). Most felt that problem or dependent drinkers' alcohol issues could be legitimately (88%, 87%) and adequately (78%, 69%) addressed by GPs. However, they had low levels of motivation (42%, 35%), task-related self-esteem (53%, 49%) and job satisfaction (15%, 12%) for this. Busyness (63%) and lack of training (57%) or contractual incentives (48%) were key barriers. Endorsement for government policies on alcohol was very low. Among GPs, there still appears to be a gap between actual practice and potential for preventive work relating to alcohol problems; they report little specific training and a lack of support. Translational work on understanding the evidence-base supporting screening and brief intervention could incentivize intervention against excessive drinking and embedding it into everyday primary care practice.

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

DTIC Science & Technology

2016-07-14

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

An overview of autonomous rendezvous and docking system technology development at General Dynamics

NASA Technical Reports Server (NTRS)

Kuenzel, Fred

1991-01-01

The Centaur avionics suite is undergoing a dramatic modernization for the commercial, DoD Atlas and Titan programs. The system has been upgraded to the current state-of-the-art in ring laser gyro inertial sensors and Mil-Std-1750A processor technology. The Cruise Missile avionic system has similarly been evolving for many years. Integration of GPS into both systems has been underway for over five years with a follow-on cruise missile system currently in flight test. Rendezvous and Docking related studies have been conducted for over five years in support of OMV, CTV, and Advanced Upper Stages, as well as several other internal IR&D's. The avionics system and AR&D simulator demonstrated to the SATWG in November 1990 has been upgraded considerably under two IR&D programs in 1991. The Centaur modern avionics system is being flown in block upgrades which started in July of 1990. The Inertial Navigation Unit will fly in November of 1991. The Cruise Missile avionics systems have been fully tested and operationally validated in combat. The integrated AR&D system for space vehicle applications has been under development and testing since 1990. A Joint NASA / GD ARD&L System Test Program is currently being planned to validate several aspects of system performance in three different NASA test facilities in 1992.

Contractor point of view for system development and test program

NASA Technical Reports Server (NTRS)

Koide, F. K.; Ringer, D. E.; Earl, C. E.

1981-01-01

Industry's practice of testing space qualified hardware is examined. An overview of the Global Positioning System (GPS) Test Program is discussed from the component level to the sub-system compatibility tests with the space vehicle and finally to the launch site tests, all related to the Rubidium clock.

Finding a segue into sex: young men's views on discussing sexual health with a GP.

PubMed

Latreille, Sarah; Collyer, Archibald; Temple-Smith, Meredith

2014-04-01

Young men are vulnerable in regard to sexual health. Despite knowing how GPs feel about bringing up sexual health in an unrelated consultation, we know little about how young men feel about GPs bringing up sexual health. This study explores the research question 'Do young Victorian males feel comfortable talking about sexual health with a GP?'. One-on-one semi-structured interviews were conducted with 31 young male students aged 16-25 years. All interviews were au-dio-recorded, transcribed and thematically analysed. Interviews took 10-46 minutes. Young men were generally happy for GPs, preferably a young male GP, to bring up sexual health in an unrelated consultation. Young men are vulnerable in regard to sexual health for multiple reasons, including lack of knowledge, apathy and immaturity. GPs should raise sexual health issues with young men wherever possible. They should broach the topic in a sensitive manner, offer a screening test and some brief sexual health education.

Improving CAR Navigation with a Vision-Based System

NASA Astrophysics Data System (ADS)

Kim, H.; Choi, K.; Lee, I.

2015-08-01

The real-time acquisition of the accurate positions is very important for the proper operations of driver assistance systems or autonomous vehicles. Since the current systems mostly depend on a GPS and map-matching technique, they show poor and unreliable performance in blockage and weak areas of GPS signals. In this study, we propose a vision oriented car navigation method based on sensor fusion with a GPS and in-vehicle sensors. We employed a single photo resection process to derive the position and attitude of the camera and thus those of the car. This image georeferencing results are combined with other sensory data under the sensor fusion framework for more accurate estimation of the positions using an extended Kalman filter. The proposed system estimated the positions with an accuracy of 15 m although GPS signals are not available at all during the entire test drive of 15 minutes. The proposed vision based system can be effectively utilized for the low-cost but high-accurate and reliable navigation systems required for intelligent or autonomous vehicles.

Improving Car Navigation with a Vision-Based System

NASA Astrophysics Data System (ADS)

Kim, H.; Choi, K.; Lee, I.

2015-08-01

The real-time acquisition of the accurate positions is very important for the proper operations of driver assistance systems or autonomous vehicles. Since the current systems mostly depend on a GPS and map-matching technique, they show poor and unreliable performance in blockage and weak areas of GPS signals. In this study, we propose a vision oriented car navigation method based on sensor fusion with a GPS and in-vehicle sensors. We employed a single photo resection process to derive the position and attitude of the camera and thus those of the car. This image georeferencing results are combined with other sensory data under the sensor fusion framework for more accurate estimation of the positions using an extended Kalman filter. The proposed system estimated the positions with an accuracy of 15 m although GPS signals are not available at all during the entire test drive of 15 minutes. The proposed vision based system can be effectively utilized for the low-cost but high-accurate and reliable navigation systems required for intelligent or autonomous vehicles.

Investigation of the 16-year and 18-year ZTD Time Series Derived from GPS Data Processing

NASA Astrophysics Data System (ADS)

Bałdysz, Zofia; Nykiel, Grzegorz; Figurski, Mariusz; Szafranek, Karolina; KroszczyńSki, Krzysztof

2015-08-01

The GPS system can play an important role in activities related to the monitoring of climate. Long time series, coherent strategy, and very high quality of tropospheric parameter Zenith Tropospheric Delay (ZTD) estimated on the basis of GPS data analysis allows to investigate its usefulness for climate research as a direct GPS product. This paper presents results of analysis of 16-year time series derived from EUREF Permanent Network (EPN) reprocessing performed by the Military University of Technology. For 58 stations Lomb-Scargle periodograms were performed in order to obtain information about the oscillations in ZTD time series. Seasonal components and linear trend were estimated using Least Square Estimation (LSE) and Mann—Kendall trend test was used to confirm the presence of a linear trend designated by LSE method. In order to verify the impact of the length of time series on trend value, comparison between 16 and 18 years were performed.

Celiac disease diagnosis: impact of guidelines on medical prescription in France.

PubMed

Pham, Bach Nga; Musset, Lucile; Chyderiotis, Georges; Olsson, Nils Olivier; Fabien, Nicole

2014-08-01

Celiac disease is a complex autoimmune disease affecting patients of any age, who may present a wide variety of clinical manifestations. Different guidelines for the diagnosis and management of celiac disease have been recently published. The aim of this study was to determine whether the recommendations issued in these guidelines have been adopted by physicians in France when celiac disease was suspected. A total of 5521 physicians were asked to fill in a detailed questionnaire on diagnosing celiac disease to evaluate their medical practice, as to the type of symptoms leading to the suspicion of celiac disease, the prescription of duodenal biopsy or serological tests, the type of serological tests (anti-tissue transglutaminase, anti-endomysium, anti-gliadin and anti-reticulin antibodies, total immunoglobulin A measurement) prescribed to diagnose celiac disease. The analysis of the responses of 256 general practitioners (GPs), 221 gastroenterologists and 227 pediatricians showed that the protean clinical presentations of celiac disease might be better recognized by gastroenterologists and pediatricians than by GPs. Gastroenterologists asked for duodenal biopsy much more often than GPs and pediatricians when celiac disease was suspected. Serological testing and knowledge of critical markers, prescribed to diagnose celiac disease, differed among GPs, gastroenterologists and pediatricians. Analysis of medical prescriptions showed that the recommendations for celiac disease diagnosis are not necessarily followed by physicians, emphasizing the fact that the impact of national or international guidelines on medical behavior should be evaluated. © 2014 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

Demonstration of coherent Doppler lidar for navigation in GPS-denied environments

NASA Astrophysics Data System (ADS)

Amzajerdian, Farzin; Hines, Glenn D.; Pierrottet, Diego F.; Barnes, Bruce W.; Petway, Larry B.; Carson, John M.

2017-05-01

A coherent Doppler lidar has been developed to address NASA's need for a high-performance, compact, and cost-effective velocity and altitude sensor onboard its landing vehicles. Future robotic and manned missions to solar system bodies require precise ground-relative velocity vector and altitude data to execute complex descent maneuvers and safe, soft landing at a pre-designated site. This lidar sensor, referred to as a Navigation Doppler Lidar (NDL), meets the required performance of the landing missions while complying with vehicle size, mass, and power constraints. Operating from up to four kilometers altitude, the NDL obtains velocity and range precision measurements reaching 2 cm/sec and 2 meters, respectively, dominated by the vehicle motion. Terrestrial aerial vehicles will also benefit from NDL data products as enhancement or replacement to GPS systems when GPS is unavailable or redundancy is needed. The NDL offers a viable option to aircraft navigation in areas where the GPS signal can be blocked or jammed by intentional or unintentional interference. The NDL transmits three laser beams at different pointing angles toward the ground to measure range and velocity along each beam using a frequency modulated continuous wave (FMCW) technique. The three line-of-sight measurements are then combined in order to determine the three components of the vehicle velocity vector and its altitude relative to the ground. This paper describes the performance and capabilities that the NDL demonstrated through extensive ground tests, helicopter flight tests, and onboard an autonomous rocket-powered test vehicle while operating in closedloop with a guidance, navigation, and control (GN and C) system.

A short note on the assimilation of collocated and concurrent GPS and ionosonde data into the Electron Density Assimilative Model

NASA Astrophysics Data System (ADS)

Angling, M. J.; Jackson-Booth, N. K.

2011-12-01

The Electron Density Assimilative Model (EDAM) has been developed to provide real-time characterizations of the ionosphere by assimilating diverse data sets into a background model. Techniques have been developed to assimilate virtual height ionogram traces rather than relying on true height inversions. A test assimilation has been conducted using both GPS and ionosonde data as input. Postassimilation analysis shows that foF2 residuals can be degraded when only GPS data are assimilated. It has also been demonstrated that by using both data types it is possible to have low total electron content and foF2 residuals and that this is achieved by modifying the ionospheric slab thickness.

Results from Navigator GPS Flight Testing for the Magnetospheric MultiScale Mission

NASA Technical Reports Server (NTRS)

Lulich, Tyler D.; Bamford, William A.; Wintermitz, Luke M. B.; Price, Samuel R.

2012-01-01

The recent delivery of the first Goddard Space Flight Center (GSFC) Navigator Global Positioning System (GPS) receivers to the Magnetospheric MultiScale (MMS) mission spacecraft is a high water mark crowning a decade of research and development in high-altitude space-based GPS. Preceding MMS delivery, the engineering team had developed receivers to support multiple missions and mission studies, such as Low Earth Orbit (LEO) navigation for the Global Precipitation Mission (GPM), above the constellation navigation for the Geostationary Operational Environmental Satellite (GOES) proof-of-concept studies, cis-Lunar navigation with rapid re-acquisition during re-entry for the Orion Project and an orbital demonstration on the Space Shuttle during the Hubble Servicing Mission (HSM-4).

Autonomous microsystems for ground observation (AMIGO)

NASA Astrophysics Data System (ADS)

Laou, Philips

2005-05-01

This paper reports the development of a prototype autonomous surveillance microsystem AMIGO that can be used for remote surveillance. Each AMIGO unit is equipped with various sensors and electronics. These include passive infrared motion sensor, acoustic sensor, uncooled IR camera, electronic compass, global positioning system (GPS), and spread spectrum wireless transceiver. The AMIGO unit was configured to multipoint (AMIGO units) to point (base station) communication mode. In addition, field trials were conducted with AMIGO in various scenarios. These scenarios include personnel and vehicle intrusion detection (motion or sound) and target imaging; determination of target GPS position by triangulation; GPS position real time tracking; entrance event counting; indoor surveillance; and aerial surveillance on a radio controlled model plane. The architecture and test results of AMIGO will be presented.

Gap-induced reductions of evoked potentials in the auditory cortex: A possible objective marker for the presence of tinnitus in animals.

PubMed

Berger, Joel I; Owen, William; Wilson, Caroline A; Hockley, Adam; Coomber, Ben; Palmer, Alan R; Wallace, Mark N

2018-01-15

Animal models of tinnitus are essential for determining the underlying mechanisms and testing pharmacotherapies. However, there is doubt over the validity of current behavioural methods for detecting tinnitus. Here, we applied a stimulus paradigm widely used in a behavioural test (gap-induced inhibition of the acoustic startle reflex GPIAS) whilst recording from the auditory cortex, and showed neural response changes that mirror those found in the behavioural tests. We implanted guinea pigs (GPs) with electrocorticographic (ECoG) arrays and recorded baseline auditory cortical responses to a startling stimulus. When a gap was inserted in otherwise continuous background noise prior to the startling stimulus, there was a clear reduction in the subsequent evoked response (termed gap-induced reductions in evoked potentials; GIREP), suggestive of a neural analogue of the GPIAS test. We then unilaterally exposed guinea pigs to narrowband noise (left ear; 8-10 kHz; 1 h) at one of two different sound levels - either 105 dB SPL or 120 dB SPL - and recorded the same responses seven-to-ten weeks following the noise exposure. Significant deficits in GIREP were observed for all areas of the auditory cortex (AC) in the 120 dB-exposed GPs, but not in the 105 dB-exposed GPs. These deficits could not simply be accounted for by changes in response amplitudes. Furthermore, in the contralateral (right) caudal AC we observed a significant increase in evoked potential amplitudes across narrowband background frequencies in both 105 dB and 120 dB-exposed GPs. Taken in the context of the large body of literature that has used the behavioural test as a demonstration of the presence of tinnitus, these results are suggestive of objective neural correlates of the presence of noise-induced tinnitus and hyperacusis. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Flight test evaluation of the E-systems Differential GPS category 3 automatic landing system

NASA Technical Reports Server (NTRS)

Kaufmann, David N.; Mcnally, B. David

1995-01-01

Test flights were conducted to evaluate the capability of Differential Global Positioning System (DGPS) to provide the accuracy and integrity required for International Civil Aviation Organization (ICAO) Category (CAT) III precision approach and landings. These test flights were part of a Federal Aviation Administration (FAA) program to evaluate the technical feasibility of using DGPS based technology for CAT III precision approach and landing applications. An IAI Westwind 1124 aircraft (N24RH) was equipped with DGPS receiving equipment and additional computing capability provided by E-Systems. The test flights were conducted at NASA Ames Research Center's Crows Landing Flight Facility, Crows Landing, California. The flight test evaluation was based on completing 100 approaches and landings. The navigation sensor error accuracy requirements were based on ICAO requirements for the Microwave Landing System (MLS). All of the approaches and landings were evaluated against ground truth reference data provided by a laser tracker. Analysis of these approaches and landings shows that the E-Systems DGPS system met the navigation sensor error requirements for a successful approach and landing 98 out of 100 approaches and landings, based on the requirements specified in the FAA CAT III Level 2 Flight Test Plan. In addition, the E-Systems DGPS system met the integrity requirements for a successful approach and landing or stationary trial for all 100 approaches and landings and all ten stationary trials, based on the requirements specified in the FAA CAT III Level 2 Flight Test Plan.

When general practitioners don't feel appreciated by their patients: prospective effects on well-being and work-family conflict in a Swiss longitudinal study.

PubMed

Meier, Laurenz L; Tschudi, Peter; Meier, Cornelia A; Dvorak, Charles; Zeller, Andreas

2015-04-01

Impaired well-being and high work-family conflict are critical issues among GPs. This research examined an understudied psychosocial risk factor for these outcomes, namely GPs' perception that they invest more in the relationship with their patients than what they receive in return (i.e. lack of reward in their relationship with patients). To test the effect of lack of reward as a risk factor for poor well-being and work-family conflict among GPs. Longitudinal study (12 months time lag). 272 GPs in Switzerland [mean age 54.5 (SD = 8.3), 73% male] volunteered to participate in the study. 270 participants completed the baseline survey and 252 completed the follow-up survey. Of these, six retired between the baseline and the follow-up survey, resulting in a sample size of 246 participants at t2. Outcome measures were burnout, sleep problems, self-perceived health and work-family conflict. Strength and direction of prospective effects were tested using cross-lagged models. Lack of reward was related to an increase in emotional exhaustion (β = 0.15), sleep problems (β = 0.16) and work-family conflict (β = 0.19) and a decrease in self-perceived health (β = -0.17). Effects on depersonalization and personal accomplishment were not significant. Regarding reversed effects of impaired well-being on lack of reward, emotional exhaustion (β = 0.14) and self-perceived health (β = -0.13) predicted future level of lack of reward. Lack of reward by patients is a risk factor in GPs' mental health. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Criterion validity and accuracy of global positioning satellite and data logging devices for wheelchair tennis court movement

PubMed Central

Sindall, Paul; Lenton, John P.; Whytock, Katie; Tolfrey, Keith; Oyster, Michelle L.; Cooper, Rory A.; Goosey-Tolfrey, Victoria L.

2013-01-01

Purpose To compare the criterion validity and accuracy of a 1 Hz non-differential global positioning system (GPS) and data logger device (DL) for the measurement of wheelchair tennis court movement variables. Methods Initial validation of the DL device was performed. GPS and DL were fitted to the wheelchair and used to record distance (m) and speed (m/second) during (a) tennis field (b) linear track, and (c) match-play test scenarios. Fifteen participants were monitored at the Wheelchair British Tennis Open. Results Data logging validation showed underestimations for distance in right (DLR) and left (DLL) logging devices at speeds >2.5 m/second. In tennis-field tests, GPS underestimated distance in five drills. DLL was lower than both (a) criterion and (b) DLR in drills moving forward. Reversing drill direction showed that DLR was lower than (a) criterion and (b) DLL. GPS values for distance and average speed for match play were significantly lower than equivalent values obtained by DL (distance: 2816 (844) vs. 3952 (1109) m, P = 0.0001; average speed: 0.7 (0.2) vs. 1.0 (0.2) m/second, P = 0.0001). Higher peak speeds were observed in DL (3.4 (0.4) vs. 3.1 (0.5) m/second, P = 0.004) during tennis match play. Conclusions Sampling frequencies of 1 Hz are too low to accurately measure distance and speed during wheelchair tennis. GPS units with a higher sampling rate should be advocated in further studies. Modifications to existing DL devices may be required to increase measurement precision. Further research into the validity of movement devices during match play will further inform the demands and movement patterns associated with wheelchair tennis. PMID:23820154

Safer Prescribing and Care for the Elderly (SPACE): feasibility of audit and feedback plus practice mail-out to patients with high-risk prescribing.

PubMed

Wallis, Katharine; Tuckey, Rebecca

2017-06-01

INTRODUCTION High-risk prescribing in general practice is common and places patients at increased risk of adverse events. AIM The Safer Prescribing and Care for the Elderly (SPACE) intervention, comprising audit and feedback plus practice mail-out to patients with high-risk prescribing, was designed to promote medicines review and support safer prescribing. This study aims to test the SPACE intervention feasibility in general practice. METHODS This feasibility study involved an Auckland Primary Health Organisation (PHO), a clinical advisory pharmacist, two purposively sampled urban general practices, and seven GPs. The acceptability and utility of the SPACE intervention were assessed by semi- structured interviews involving study participants, including 11 patients with high-risk prescribing. Interviews were audio-recorded, transcribed verbatim and analysed using a general inductive approach to identify emergent themes. RESULTS The pharmacist said the SPACE intervention facilitated communication with GPs, and provided a platform for their clinical advisory role at no extra cost to the PHO. GPs said the feedback session with the pharmacist was educational but added to time pressures. GPs selected 29 patients for the mail-out. Some GPs were concerned the mail-out might upset patients, but patients said they felt cared for. Some patients intended to take the letter to their next appointment and discuss their medicines with their GP; others said there were already many things to discuss and not enough time. Some patients were confused by the medicines information brochure. DISCUSSION The SPACE intervention is feasible in general practice. The medicines information brochure needs simplification. Further research is needed to test the effect of SPACE on high-risk prescribing.

General Practitioners' Clinical Impression in the Screening for Frailty: Data From the FAP Study Pilot.

PubMed

Fougère, Bertrand; Sirois, Marie-Josée; Carmichael, Pierre-Hugues; Batomen-Kuimi, Brice-Lionel; Chicoulaa, Bruno; Escourrou, Emile; Nourhashémi, Fati; Oustric, Stéphane; Vellas, Bruno

2017-02-01

The progression of frailty is marked by an increased risk of adverse health outcomes in the elderly including falls, physical and/or cognitive disability, hospitalizations, and mortality. In primary care, the general practitioner's (GP's) clinical impression about their elderly patients' frailty state seems to be a key point in identifying frail individuals in their clinical practice. The aim of this article is to examine if GPs' clinical impressions regarding frailty concurs with objective measures of the gold standard frailty phenotype as described by Fried in community-dwelling older persons. Cross-sectional study in 14 primary care GP offices in the Toulouse area from May 1st to October 31st, 2015. Fourteen GPs screened their patients ≥70 years old. GPs' "frailty impression" was based on the Gérontopôle Frailty Screening Tool. "Objective measures of the five Fried frailty criteria" were obtained by a geriatric nurse through standardized testing. The capacity of the GPs' clinical impression to detect participants objectively measured as frail was examined with diagnostic values of observed sensitivity (Se), specificity (Sp), positive predictive value (PPV), and negative predictive value (NPV). A total of 268 participants were screened by GPs and assessed by a nurse. Mean age was 81 years and 62.3% were female. According to the objective measures of Fried's criteria, frailty (three to five criteria) and pre-frailty (one to two criteria) states were identified in 31% and 45.2% of participants, respectively. The Se of the GPs' impression was good (80.39%; 95% confidence interval [CI], 74.27%-85.61%), and the Sp was moderate (64.06%; 95% CI, 5.10%-75.68%). The overall PPV of the GPs' impression was 87.70% (95% CI, 82.12%-92.04%), and the NPV was 50.51% (95% CI, 39.27%-61.91%). Although the PPV increased with age reaching 93.33% (95% CI, 85.12%-97.80%) among patients ≥ 85 years old, the NPV decreased accordingly to a minimal 21.43% (95% CI, 4.66%-50.80%) in that subgroup. The present study highlights the importance of the GPs' clinical impression on frailty as a fair means to identify this syndrome in community-dwelling older patients in primary care. This clinical impression may not be sufficient, however, and some objective tests could be added to improve the accuracy of frailty detection in older patients in primary care. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

A primary care Web-based Intervention Modeling Experiment replicated behavior changes seen in earlier paper-based experiment.

PubMed

Treweek, Shaun; Francis, Jill J; Bonetti, Debbie; Barnett, Karen; Eccles, Martin P; Hudson, Jemma; Jones, Claire; Pitts, Nigel B; Ricketts, Ian W; Sullivan, Frank; Weal, Mark; MacLennan, Graeme

2016-12-01

Intervention Modeling Experiments (IMEs) are a way of developing and testing behavior change interventions before a trial. We aimed to test this methodology in a Web-based IME that replicated the trial component of an earlier, paper-based IME. Three-arm, Web-based randomized evaluation of two interventions (persuasive communication and action plan) and a "no intervention" comparator. The interventions were designed to reduce the number of antibiotic prescriptions in the management of uncomplicated upper respiratory tract infection. General practitioners (GPs) were invited to complete an online questionnaire and eight clinical scenarios where an antibiotic might be considered. One hundred twenty-nine GPs completed the questionnaire. GPs receiving the persuasive communication did not prescribe an antibiotic in 0.70 more scenarios (95% confidence interval [CI] = 0.17-1.24) than those in the control arm. For the action plan, GPs did not prescribe an antibiotic in 0.63 (95% CI = 0.11-1.15) more scenarios than those in the control arm. Unlike the earlier IME, behavioral intention was unaffected by the interventions; this may be due to a smaller sample size than intended. A Web-based IME largely replicated the findings of an earlier paper-based study, providing some grounds for confidence in the IME methodology. Copyright © 2016 Elsevier Inc. All rights reserved.

[Use of Rapid Antigen Detection Test (RADT) among general practitioner teachers at the Paris Descartes University: 2005-2007].

PubMed

Cornaglia, C; Robinet, J; Partouche, H

2009-06-01

The distribution of the Rapid Antigen Detection Test (RADT) and the National Health Insurance's information campaign should efficiently reduce the unjustified use antibiotic. However, a preliminary survey among GP trainers at the Paris Descartes University indicated that the RADT was seldom used. This study had for aim to describe the RADT use trend among trainers since 2005 and the main obstacles to its widespread use, and to assess the Mac Isaac score use and antibiotic prescriptions. Between February and May 2007, a survey was carried out among 66 GPs who were required to report their first ten patients over three years of age presenting with pharyngitis. RADT use and antibiotic prescriptions were compared with those of the 2005 survey. RADT use had decreased (52.5% [48.2-56.8] versus 57.5% [52.1-68.8], p<0.05). GPs did not use the RADT because they considered it "useless in decision making". Clinical findings were sufficient in most cases. The Mac Isaac score was not widely used by GPs (28.3%) and antibiotic prescription had increased except for macrolides which had decreased (10% vs 15%). Among patients with a negative RADT, 11.9% (vs 10.5% en 2005, p<0.001) were prescribed antibiotics. The RADT use decreased in two years among GP trainers. GPs still prescribe treatment according to clinical findings, most without using diagnostic tools.

Accuracy Enhancement of Inertial Sensors Utilizing High Resolution Spectral Analysis

PubMed Central

Noureldin, Aboelmagd; Armstrong, Justin; El-Shafie, Ahmed; Karamat, Tashfeen; McGaughey, Don; Korenberg, Michael; Hussain, Aini

2012-01-01

In both military and civilian applications, the inertial navigation system (INS) and the global positioning system (GPS) are two complementary technologies that can be integrated to provide reliable positioning and navigation information for land vehicles. The accuracy enhancement of INS sensors and the integration of INS with GPS are the subjects of widespread research. Wavelet de-noising of INS sensors has had limited success in removing the long-term (low-frequency) inertial sensor errors. The primary objective of this research is to develop a novel inertial sensor accuracy enhancement technique that can remove both short-term and long-term error components from inertial sensor measurements prior to INS mechanization and INS/GPS integration. A high resolution spectral analysis technique called the fast orthogonal search (FOS) algorithm is used to accurately model the low frequency range of the spectrum, which includes the vehicle motion dynamics and inertial sensor errors. FOS models the spectral components with the most energy first and uses an adaptive threshold to stop adding frequency terms when fitting a term does not reduce the mean squared error more than fitting white noise. The proposed method was developed, tested and validated through road test experiments involving both low-end tactical grade and low cost MEMS-based inertial systems. The results demonstrate that in most cases the position accuracy during GPS outages using FOS de-noised data is superior to the position accuracy using wavelet de-noising.

VHF Transceiver Emissions in the GPS L1 Band

DOT National Transportation Integrated Search

1995-02-27

VHF transceiver tests described in this report were performed at the Volpe National Transportation Systems Center under Federal Aviation Administration (FAA) sponsorship. Laboratory tests were performed on ten different panel-mount type, General Avia...

KSC-98pc775

NASA Image and Video Library

1998-06-25

KENNEDY SPACE CENTER, FLA. -- NASA's Huey UH-1 helicopter lands at the Shuttle Landing Facility to pick up Kennedy Space Center (KSC) Security personnel who operate the Forward Looking Infrared Radar (FLIR) installed on board. The helicopter has also been outfitted with a portable global positioning satellite (GPS) system to support Florida's Division of Forestry as they fight the brush fires which have been plaguing the state as a result of extremely dry conditions and lightning storms. The FLIR includes a beach ball-sized infrared camera that is mounted on the helicopter's right siderail and a real-time television monitor and recorder installed inside. While the FLIR collects temperature data and images, the GPS system provides the exact coordinates of the fires being observed and transmits the data to the firefighters on the ground. KSC's security team routinely uses the FLIR equipment prior to Shuttle launch and landing activities to ensure that the area surrounding the launch pad and runway are clear of unauthorized personnel. KSC's Base Operations Contractor, EG&G Florida, operates the NASA-owned helicopter

Recent Observations of Increased Thinning of the Greenland Ice Sheet Measured by Aircraft GPS and Laser Altimetry

NASA Technical Reports Server (NTRS)

Krabill, William B.

2004-01-01

The Arctic Ice Mapping group (Project AIM) at the NASA Goddard Space Flight Center Wallops Flight Facility has been conducting systematic topographic surveys of the Greenland Ice Sheet (GIs) since 1993, using scanning airborne laser altimeters combined with Global Positioning System (GPS) technology onboard NASA's P-3 aircraft. Flight lines have covered all major ice drainage basins, with repeating surveys after a 5-year interval during the decade of the 90's. Analysis of this data documented significant thinning in many areas near the ice sheet margins and an overall negative mass balance of the GIS (Science, 2000). In 2001, 2002, and 2003 many of these flight lines were re-surveyed, providing evidence of continued or accelerated thinning in all observed areas around the margin of the GIs. Additionally, however, a highly-anomalous snowfall was observed between 2002 and 2003 in SE Greenland - perhaps an indicator of a shift in the regional climate?

DAQ: Software Architecture for Data Acquisition in Sounding Rockets

NASA Technical Reports Server (NTRS)

Ahmad, Mohammad; Tran, Thanh; Nichols, Heidi; Bowles-Martinez, Jessica N.

2011-01-01

A multithreaded software application was developed by Jet Propulsion Lab (JPL) to collect a set of correlated imagery, Inertial Measurement Unit (IMU) and GPS data for a Wallops Flight Facility (WFF) sounding rocket flight. The data set will be used to advance Terrain Relative Navigation (TRN) technology algorithms being researched at JPL. This paper describes the software architecture and the tests used to meet the timing and data rate requirements for the software used to collect the dataset. Also discussed are the challenges of using commercial off the shelf (COTS) flight hardware and open source software. This includes multiple Camera Link (C-link) based cameras, a Pentium-M based computer, and Linux Fedora 11 operating system. Additionally, the paper talks about the history of the software architecture's usage in other JPL projects and its applicability for future missions, such as cubesats, UAVs, and research planes/balloons. Also talked about will be the human aspect of project especially JPL's Phaeton program and the results of the launch.

The hospital anxiety and depression rating scale: A cross-sectional study of psychometrics and case finding abilities in general practice

PubMed Central

Olssøn, Ingrid; Mykletun, Arnstein; Dahl, Alv A

2005-01-01

Background General practitioners' (GPs) diagnostic skills lead to underidentification of generalized anxiety disorders (GAD) and major depressive episodes (MDE). Supplement of brief questionnaires could improve the diagnostic accuracy of GPs for these common mental disorders. The aims of this study were to examine the usefulness of The Hospital Anxiety and Depression Rating Scale (HADS) for GPs by: 1) Examining its psychometrics in the GPs' setting; 2) Testing its case-finding properties compared to patient-rated GAD and MDE (DSM-IV); and 3) Comparing its case finding abilities to that of the GPs using Clinical Global Impression-Severity (CGI-S) rating. Methods In a cross-sectional survey study 1,781 patients in three consecutive days in September 2001 attended 141 GPs geographically spread in Norway. Sensitivity, specificity, optimal cut off score, and Area under the curve (AUC) for the HADS and the CGI-S were calculated with Generalized Anxiety Questionnaire (GAS-Q) as reference standard for GAD, and Depression Screening Questionnaire (DSQ) for MDE. Results The HADS-A had optimal cut off ≥8 (sensitivity 0.89, specificity 0.75), AUC 0.88 and 76% of patients were correctly classified in relation to GAD. The HADS-D had by optimal cut off ≥8 (sensitivity 0.80 and specificity 0.88) AUC 0.93 and 87% of the patients were correctly classified in relation to MDE. Proportions of the total correctly classified at the CGI-S optimal cut-off ≥3 were 83% of patients for GAD and 81% for MDE. Conclusion The results indicate that addition of the patients' HADS scores to GPs' information could improve their diagnostic accuracy of GAD and MDE. PMID:16351733

The impact of GPS receiver modifications and ionospheric activity on Swarm baseline determination

NASA Astrophysics Data System (ADS)

Mao, X.; Visser, P. N. A. M.; van den IJssel, J.

2018-05-01

The European Space Agency (ESA) Swarm mission is a satellite constellation launched on 22 November 2013 aiming at observing the Earth geomagnetic field and its temporal variations. The three identical satellites are equipped with high-precision dual-frequency Global Positioning System (GPS) receivers, which make the constellation an ideal test bed for baseline determination. From October 2014 to August 2016, a number of GPS receiver modifications and a new GPS Receiver Independent Exchange Format (RINEX) converter were implemented. Moreover, the on-board GPS receiver performance has been influenced by the ionospheric scintillations. The impact of these factors is assessed for baseline determination of the pendulum formation flying Swarm-A and -C satellites. In total 30 months of data - from 15 July 2014 to the end of 2016 - is analyzed. The assessment includes analysis of observation residuals, success rate of GPS carrier phase ambiguity fixing, a consistency check between the so-called kinematic and reduced-dynamic baseline solution, and validations of orbits by comparing with Satellite Laser Ranging (SLR) observations. External baseline solutions from The German Space Operations Center (GSOC) and Astronomisches Institut - Universität Bern (AIUB) are also included in the comparison. Results indicate that the GPS receiver modifications and RINEX converter changes are effective to improve the baseline determination. This research eventually shows a consistency level of 9.3/4.9/3.0 mm between kinematic and reduced-dynamic baselines in the radial/along-track/cross-track directions. On average 98.3% of the epochs have kinematic solutions. Consistency between TU Delft and external reduced-dynamic baseline solutions is at a level of 1 mm level in all directions.

Linking GPS and travel diary data using sequence alignment in a study of children's independent mobility

PubMed Central

2011-01-01

Background Global positioning systems (GPS) are increasingly being used in health research to determine the location of study participants. Combining GPS data with data collected via travel/activity diaries allows researchers to assess where people travel in conjunction with data about trip purpose and accompaniment. However, linking GPS and diary data is problematic and to date the only method has been to match the two datasets manually, which is time consuming and unlikely to be practical for larger data sets. This paper assesses the feasibility of a new sequence alignment method of linking GPS and travel diary data in comparison with the manual matching method. Methods GPS and travel diary data obtained from a study of children's independent mobility were linked using sequence alignment algorithms to test the proof of concept. Travel diaries were assessed for quality by counting the number of errors and inconsistencies in each participant's set of diaries. The success of the sequence alignment method was compared for higher versus lower quality travel diaries, and for accompanied versus unaccompanied trips. Time taken and percentage of trips matched were compared for the sequence alignment method and the manual method. Results The sequence alignment method matched 61.9% of all trips. Higher quality travel diaries were associated with higher match rates in both the sequence alignment and manual matching methods. The sequence alignment method performed almost as well as the manual method and was an order of magnitude faster. However, the sequence alignment method was less successful at fully matching trips and at matching unaccompanied trips. Conclusions Sequence alignment is a promising method of linking GPS and travel diary data in large population datasets, especially if limitations in the trip detection algorithm are addressed. PMID:22142322

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

NASA Astrophysics Data System (ADS)

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

2009-04-01

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

Chang’E-5T Orbit Determination Using Onboard GPS Observations

PubMed Central

Su, Xing; Geng, Tao; Li, Wenwen; Zhao, Qile; Xie, Xin

2017-01-01

In recent years, Global Navigation Satellite System (GNSS) has played an important role in Space Service Volume, the region enclosing the altitudes above 3000 km up to 36,000 km. As an in-flight test for the feasibility as well as for the performance of GNSS-based satellite orbit determination (OD), the Chinese experimental lunar mission Chang’E-5T had been equipped with an onboard high-sensitivity GNSS receiver with GPS and GLONASS tracking capability. In this contribution, the 2-h onboard GPS data are evaluated in terms of tracking performance as well as observation quality. It is indicated that the onboard receiver can track 7–8 GPS satellites per epoch on average and the ratio of carrier to noise spectral density (C/N0) values are higher than 28 dB-Hz for 90% of all the observables. The C1 code errors are generally about 4.15 m but can be better than 2 m with C/N0 values over 36 dB-Hz. GPS-based Chang’E-5T OD is performed and the Helmert variance component estimation method is investigated to determine the weights of code and carrier phase observations. The results reveal that the orbit consistency is about 20 m. OD is furthermore analyzed with GPS data screened out according to different C/N0 thresholds. It is indicated that for the Chang’E-5T, the precision of OD is dominated by the number of observed satellite. Although increased C/N0 thresholds can improve the overall data quality, the available number of GPS observations is greatly reduced and the resulting orbit solution is poor. PMID:28587174

Chang'E-5T Orbit Determination Using Onboard GPS Observations.

PubMed

Su, Xing; Geng, Tao; Li, Wenwen; Zhao, Qile; Xie, Xin

2017-06-01

In recent years, Global Navigation Satellite System (GNSS) has played an important role in Space Service Volume, the region enclosing the altitudes above 3000 km up to 36,000 km. As an in-flight test for the feasibility as well as for the performance of GNSS-based satellite orbit determination (OD), the Chinese experimental lunar mission Chang'E-5T had been equipped with an onboard high-sensitivity GNSS receiver with GPS and GLONASS tracking capability. In this contribution, the 2-h onboard GPS data are evaluated in terms of tracking performance as well as observation quality. It is indicated that the onboard receiver can track 7-8 GPS satellites per epoch on average and the ratio of carrier to noise spectral density (C/N0) values are higher than 28 dB-Hz for 90% of all the observables. The C1 code errors are generally about 4.15 m but can be better than 2 m with C/N0 values over 36 dB-Hz. GPS-based Chang'E-5T OD is performed and the Helmert variance component estimation method is investigated to determine the weights of code and carrier phase observations. The results reveal that the orbit consistency is about 20 m. OD is furthermore analyzed with GPS data screened out according to different C/N0 thresholds. It is indicated that for the Chang'E-5T, the precision of OD is dominated by the number of observed satellite. Although increased C/N0 thresholds can improve the overall data quality, the available number of GPS observations is greatly reduced and the resulting orbit solution is poor.

Effects of gypenosides on anxiety disorders in MPTP-lesioned mouse model of Parkinson's disease.

PubMed

Shin, Keon Sung; Zhao, Ting Ting; Choi, Hyun Sook; Hwang, Bang Yeon; Lee, Chong Kil; Lee, Myung Koo

2014-06-03

Ethanol extract (GP-EX) of Gynostemma pentaphyllum (GP) ameliorates chronic stress-induced anxiety in mice. The present study investigated the effects of gypenoside-enriched components (GPS), GP-EX and water extract of GP (GP-WX) on MPTP lesion-induced affective disorders in C57BL/6 mice. GPS (50mg/kg) and GP-EX (50mg/kg) for 21 day-treatment period improved the symptom of anxiety disorders in the MPTP-lesioned mouse model of PD with or without L-DOPA treatment, which was examined by the elevated plus-maze and marble burying tests. In these states, treatments with GPS (50mg/kg) and GP-EX (50mg/kg) significantly increased the brain levels of dopamine and serotonin in the MPTP-lesioned mouse model of PD with or without l-DOPA treatment. In addition, treatments with GPS (50mg/kg) and GP-EX (50mg/kg) showed protective effects on dopaminergic neurons in MPTP-lesioned mouse model of PD with or without L-DOPA treatment. In contrast, GPS (30 mg/kg) and GP-WX (50mg/kg) showed anxiolytic effects in the same animal models, but it was not significant. These results suggest that GPS (50mg/kg) and GP-EX (50mg/kg) showed anxiolytic effects on affective disorders and protective effects on dopaminergic neurons by modulating the brain levels of dopamine and serotonin in the MPTP-lesioned mouse model of PD with or without l-DOPA treatment. Clinical trials of GPS and GP-EX need to be conducted further so as to develop adjuvant therapeutic agents for PD patients. Copyright © 2014 Elsevier B.V. All rights reserved.

GPs’ opinions of health assessment instruments for people with intellectual disabilities: a qualitative study

PubMed Central

Bakker-van Gijssel, Esther J; Hartman, Tim C olde; Lucassen, Peter LBJ; van den Driessen Mareeuw, Francine; Dees, Marianne K; Assendelft, Willem JJ; van Schrojenstein Lantman-de Valk, Henny MJ

2017-01-01

Background GPs provide health care to people with intellectual disabilities (ID). People with ID find it difficult to express themselves concerning health-related matters. Applying health assessments is an effective method to reveal health needs, and can play a role in prevention and health promotion. Aim The aim of this qualitative study was to explore GPs’ considerations about applying a health assessment for people with ID. Design and setting This focus group study was conducted among a selection of Dutch GPs. Method An interview guide was developed. All discussions were audiorecorded and transcribed. Analysis was performed using the framework analysis approach. Two researchers independently applied open coding and identified a thematic framework. This framework and the summaries of views per theme were discussed in the research team. Results After four focus groups, with 23 GPs, saturation was reached. Three main themes evolved: health assessments in relation to GPs’ responsibility; the usefulness and necessity of health assessments; and barriers to using health assessments on people with ID. A health assessment instrument for people with ID can help GPs to focus on certain issues that are not so common in the general population. GPs are motivated to use such a tool if it is scientifically tested, and results in significant health gains. However, GPs identify barriers at the level of GP, patient, and organisation. Conclusion Most GPs in the focus groups consider providing medical care to people with ID their responsibility and indicate that a health assessment instrument could be a valuable tool. In order to deliver good care, they need education and support. Many barriers need to be overcome before a health assessment instrument can be implemented. PMID:27993898

Walking Objectively Measured: Classifying Accelerometer Data with GPS and Travel Diaries

PubMed Central

Kang, Bumjoon; Moudon, Anne V.; Hurvitz, Philip M.; Reichley, Lucas; Saelens, Brian E.

2013-01-01

Purpose This study developed and tested an algorithm to classify accelerometer data as walking or non-walking using either GPS or travel diary data within a large sample of adults under free-living conditions. Methods Participants wore an accelerometer and a GPS unit, and concurrently completed a travel diary for 7 consecutive days. Physical activity (PA) bouts were identified using accelerometry count sequences. PA bouts were then classified as walking or non-walking based on a decision-tree algorithm consisting of 7 classification scenarios. Algorithm reliability was examined relative to two independent analysts’ classification of a 100-bout verification sample. The algorithm was then applied to the entire set of PA bouts. Results The 706 participants’ (mean age 51 years, 62% female, 80% non-Hispanic white, 70% college graduate or higher) yielded 4,702 person-days of data and had a total of 13,971 PA bouts. The algorithm showed a mean agreement of 95% with the independent analysts. It classified physical activity into 8,170 (58.5 %) walking bouts and 5,337 (38.2%) non-walking bouts; 464 (3.3%) bouts were not classified for lack of GPS and diary data. Nearly 70% of the walking bouts and 68% of the non-walking bouts were classified using only the objective accelerometer and GPS data. Travel diary data helped classify 30% of all bouts with no GPS data. The mean duration of PA bouts classified as walking was 15.2 min (SD=12.9). On average, participants had 1.7 walking bouts and 25.4 total walking minutes per day. Conclusions GPS and travel diary information can be helpful in classifying most accelerometer-derived PA bouts into walking or non-walking behavior. PMID:23439414

Primary care physicians' educational needs and learning preferences in end of life care: A focus group study in the UK.

PubMed

Selman, Lucy Ellen; Brighton, Lisa Jane; Robinson, Vicky; George, Rob; Khan, Shaheen A; Burman, Rachel; Koffman, Jonathan

2017-03-09

Primary care physicians (General Practitioners (GPs)) play a pivotal role in providing end of life care (EoLC). However, many lack confidence in this area, and the quality of EoLC by GPs can be problematic. Evidence regarding educational needs, learning preferences and the acceptability of evaluation methods is needed to inform the development and testing of EoLC education. This study therefore aimed to explore GPs' EoLC educational needs and preferences for learning and evaluation. A qualitative focus group study was conducted with qualified GPs and GP trainees in the UK. Audio recordings were transcribed and analysed thematically. Expert review of the coding frame and dual coding of transcripts maximised rigour. Twenty-eight GPs (10 fully qualified, 18 trainees) participated in five focus groups. Four major themes emerged: (1) why education is needed, (2) perceived educational needs, (3) learning preferences, and (4) evaluation preferences. EoLC was perceived as emotionally and clinically challenging. Educational needs included: identifying patients for palliative care; responsibilities and teamwork; out-of-hours care; having difficult conversations; symptom management; non-malignant conditions; and paediatric palliative care. Participants preferred learning through experience, working alongside specialist palliative care staff, and discussion of real cases, to didactic methods and e-learning. 360° appraisals and behavioural assessment using videoing or simulated interactions were considered problematic. Self-assessment questionnaires and patient and family outcome measures were acceptable, if used and interpreted correctly. GPs require education and support in EoLC, particularly the management of complex clinical care and counselling. GPs value mentoring, peer-support, and experiential learning alongside EoLC specialists over formal training.

Examination of level of knowledge in Italian general practitioners attending an education session on diagnosis and management of the early stage of Alzheimer's disease: pass or fail?

PubMed

Veneziani, Federica; Panza, Francesco; Solfrizzi, Vincenzo; Capozzo, Rosa; Barulli, Maria Rosaria; Leo, Antonio; Lozupone, Madia; Fontana, Andrea; Arcuti, Simona; Copetti, Massimiliano; Cardinali, Valentina; Grasso, Alessandra; Tursi, Marianna; Iurillo, Annalisa; Imbimbo, Bruno Pietro; Seripa, Davide; Logroscino, Giancarlo

2016-07-01

We detected the general level of knowledge about the early diagnosis of Alzheimer's disease (AD) and subsequent care in general practitioners (GPs) from Southern Italy. We explored also the GP perception about their knowledge and training on diagnosis and management of AD. On a sample of 131 GPs, we administered two questionnaires: the GP-Knowledge, evaluating GPs' expertise about AD epidemiology, differential diagnosis, and available treatments, and the GP-QUestionnaire on Awareness of Dementia (GP-QUAD), assessing the GPs' attitudes, awareness, and practice regarding early diagnosis of dementia. Specific screening tests or protocols to diagnose and manage dementia were not used by 53% of our GPs. The training on the recognition of early AD signs and symptoms was considered inadequate by 55% of the participants. Females were more likely to consider their training insufficient (58%) compared to males (53%). Female GPs were less likely to prescribe antipsychotic drugs to control neuropsychiatric symptoms (NPS) and suggest specialist advice in late stage of cognitive impairment. Multiple Correspondence Analysis (MCA) performed only on GP-QUAD suggested two dimensions explaining 26.1% ("GP attitude") and 20.1% ("GP knowledge") of the inertia for a total of 46.2%, In our survey on GP clinical practice, several problems in properly recognizing early AD symptoms and subsequently screening patients to be referred to secondary/tertiary care centers for diagnosis confirmation have emerged. In the future, specific training programs and educational projects for GPs should be implemented also in Italy to improve detection rates and management of dementia in primary care.

Long-term effect of a practice-based intervention (HAPPY AUDIT) aimed at reducing antibiotic prescribing in patients with respiratory tract infections.

PubMed

Llor, Carl; Bjerrum, Lars; Molero, José M; Moragas, Ana; González López-Valcárcel, Beatriz; Monedero, M José; Gómez, Manuel; Cid, Marina; Alcántara, Juan de Dios; Cots, Josep M; Ribas, Joana M; García, Guillermo; Ortega, Jesús; Pineda, Vicenta; Guerra, Gloria; Munuera, Susana

2018-04-27

Few studies have evaluated the long-term effects of educational interventions on antibiotic prescription and the results are controversial. This study was aimed at assessing the effect of a multifaceted practice-based intervention carried out 6 years earlier on current antibiotic prescription for respiratory tract infections (RTIs). The 210 general practitioners (GPs) who completed the first two registrations in 2008 and 2009 were invited to participate in a third registration. The intervention held before the second registration consisted of discussion about the first registration of results, appropriate use of antibiotics for RTIs, patient brochures, a workshop and the provision of rapid tests. As in the previous registrations, GPs were instructed to complete a template for all the patients with RTIs during 15 working days in 2015. A new group of GPs from the same areas was also invited to participate and acted as controls. A multilevel logistic regression analysis was performed considering the prescription of antibiotics as the dependent variable. A total of 121 GPs included in the 2009 intervention (57.6%) and 117 control GPs registered 22 247 RTIs. On adjustment for covariables, compared with the antibiotic prescription observed just after the intervention, GPs assigned to intervention prescribed slightly more antibiotics 6 years later albeit without statistically significant differences (OR 1.08, 95% CI 0.89-1.31, P = 0.46), while GPs in the control group prescribed significantly more antibiotics (OR 2.74, 95% CI 2.09-3.59, P < 0.001). This study shows that a single multifaceted intervention continues to reduce antibiotic prescribing 6 years later.

GPS Imaging of Time-Dependent Seasonal Strain in Central California

NASA Astrophysics Data System (ADS)

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

2016-12-01

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

Do general practitioners recognize mild cognitive impairment in their patients?

PubMed

Kaduszkiewicz, H; Zimmermann, T; Van den Bussche, H; Bachmann, C; Wiese, B; Bickel, H; Mösch, E; Romberg, H-P; Jessen, F; Cvetanovska-Pllashniku, G; Maier, W; Riedel-Heller, S G; Luppa, M; Sandholzer, H; Weyerer, S; Mayer, M; Hofmann, A; Fuchs, A; Abholz, H-H; Pentzek, M

2010-10-01

The need for recognition of mild cognitive impairment (MCI) in primary care is increasingly discussed because MCI is a risk factor for dementia. General Practitioners (GPs) could play an important role in the detection of MCI since they have regular and long-term contact with the majority of the elderly population. Thus the objective of this study is to find out how well GPs recognize persons with MCI in their practice population. Cross-sectional study. Primary care chart registry sample. 3,242 non-demented GP patients aged 75-89 years. GPs assessed the cognitive status of their patients on the Global Deterioration Scale (GDS). Thereafter, trained interviewers collected psychometric data by interviewing the patients at home. The interview data constitute the basis for the definition of MCI cases (gold standard). The sensitivity of GPs to detect MCI was very low (11-12%) whereas their specificity amounts to 93-94%. Patients with MCI with a middle or high level of education more often got a false negative assignment than patients with a low educational level. The risk of a false positive assignment rose with the patients' degree of comorbidity. GPs were better at detecting MCI when memory or two and more MCI-domains were impaired. The results show that GPs recognise MCI in a very limited number of cases when based on clinical impression only. A further development of the MCI concept and its operationalisation is necessary. Emphasis should be placed on validated, reliable and standardised tests for routine use in primary care encompassing other than only cognitive domains and on case finding approaches rather than on screening. Then a better attention and qualification of GPs with regard to the recognition of MCI might be achievable.

Pneumocafé project: an inquiry on current COPD diagnosis and management among General Practitioners in Italy through a novel tool for professional education.

PubMed

Sanguinetti, Claudio M; De Benedetto, Fernando; Donner, Claudio F; Nardini, Stefano; Visconti, Alberto

2014-01-01

Symptoms of COPD are frequently disregarded by patients and also by general practitioners (GPs) in early stages of the disease, that consequently is diagnosed when already at an advanced grade of severity. Underdiagnosis and undertreatment of COPD and scarce use of spirometry are widely recurrent, while a better knowledge of the disease and a wider use of spirometry would be critical to diagnose more patients still neglected, do it at an earlier stage and properly treat established COPD. The aim of Pneumocafè project is to improve, through an innovative approach, the diagnosis and management of COPD at primary care level increasing the awareness of issues pertaining to early diagnosis, adequate prevention and correct treatment of the disease. Pneumocafè is based on informal meetings between GPs of various geographical zones of Italy and their reference respiratory specialist (RS), aimed at discussing the current practice in comparison to suggestions of official guidelines, analyzing the actual problems in diagnosing and managing COPD patients and sharing the possible solution at the community level. In these meetings RSs faced many issues including patho-physiological mechanisms of bronchial obstruction, significance of clinical symptoms, patients' phenotyping, and clinical approach to diagnosis and long-term treatment, also reinforcing the importance of a timely diagnosis, proper long term treatment and the compliance to treatment. At the end of each meeting GPs had to fill in a questionnaire arranged by the scientific board of the Project that included 18 multiple-choice questions concerning their approach to COPD management. The results of the analysis of these questionnaires are here presented. 1, 964 questionnaires were returned from 49 RSs. 1,864 questionnaires out of those received (94.91% of the total) resulted properly compiled and form the object of the present analysis. The 49 RSs, 37 males and 12 females, were distributed all over the Italian country and practiced their profession both in public and private hospitals and in territorial sanitary facilities. GPs were 1,330 males (71.35%) and 534 females (28.64%), mean age 56,29 years (range 27-70 yrs). Mean duration of general practice was 25.56 years (range: 0,5-40 yrs) with a mean of 1,302.43 patients assisted by each GP and 2,427,741 patients assisted in all. The majority of GPs affirmed that in their patients COPD has a mean-to-great prevalence and a mean/high impact on their practice, preceded only by diabetes and heart failure. Three-quarters of GPs refer to COPD guidelines and most of them believe that a screening on their assisted patients at risk would enhance early diagnosis of COPD. Tobacco smoking is the main recognized cause of COPD but the actions carried out by GPs to help a patient to give up smoking result still insufficient. The majority of GPs recognize spirometry as necessary to early COPD diagnosis, but the main obstacle pointed out to its wider use was the too long time for the spirometry to be performed. GPs' main reason for prescribing a bronchodilator is dyspnea and bronchodilators preferably prescribed are LABA and LAMA. Control of patient's adherence to therapy is mainly carried out by GPs checking the number of drugs annually prescribed or asking the patient during a control visit. Finally, about how many COPD patients GPs believe are in their group of assisted patients, a mean range of 25-40 patients was reported, that is consistently below the forecast based on epidemiological data and number of patients assisted by each GP. The results obtained with this project confirm the validity of this informal approach to professional education. Furthermore, this inquiry provided important insights about the general management of COPD and the process of integration between RS and GPs activities on this disease condition in the long run.

Quantifying spatial misclassification in exposure to noise complaints among low-income housing residents across New York City neighborhoods: a Global Positioning System (GPS) study.

PubMed

Duncan, Dustin T; Tamura, Kosuke; Regan, Seann D; Athens, Jessica; Elbel, Brian; Meline, Julie; Al-Ajlouni, Yazan A; Chaix, Basile

2017-01-01

To examine if there was spatial misclassification in exposure to neighborhood noise complaints among a sample of low-income housing residents in New York City, comparing home-based spatial buffers and Global Positioning System (GPS) daily path buffers. Data came from the community-based NYC Low-Income Housing, Neighborhoods and Health Study, where GPS tracking of the sample was conducted for a week (analytic n = 102). We created a GPS daily path buffer (a buffering zone drawn around GPS tracks) of 200 m and 400 m. We also used home-based buffers of 200 m and 400 m. Using these "neighborhoods" (or exposure areas), we calculated neighborhood exposure to noisy events from 311 complaints data (analytic n = 143,967). Friedman tests (to compare overall differences in neighborhood definitions) were applied. There were differences in neighborhood noise complaints according to the selected neighborhood definitions (P < .05). For example, the mean neighborhood noise complaint count was 1196 per square kilometer for the 400-m home-based and 812 per square kilometer for the 400-m activity space buffer, illustrating how neighborhood definition influences the estimates of exposure to neighborhood noise complaints. These analyses suggest that, whenever appropriate, GPS neighborhood definitions can be used in spatial epidemiology research in spatially mobile populations to understand people's lived experience. Copyright © 2016 Elsevier Inc. All rights reserved.

Real-time single-frequency GPS/MEMS-IMU attitude determination of lightweight UAVs.

PubMed

Eling, Christian; Klingbeil, Lasse; Kuhlmann, Heiner

2015-10-16

In this paper, a newly-developed direct georeferencing system for the guidance, navigation and control of lightweight unmanned aerial vehicles (UAVs), having a weight limit of 5 kg and a size limit of 1.5 m, and for UAV-based surveying and remote sensing applications is presented. The system is intended to provide highly accurate positions and attitudes (better than 5 cm and 0.5°) in real time, using lightweight components. The main focus of this paper is on the attitude determination with the system. This attitude determination is based on an onboard single-frequency GPS baseline, MEMS (micro-electro-mechanical systems) inertial sensor readings, magnetic field observations and a 3D position measurement. All of this information is integrated in a sixteen-state error space Kalman filter. Special attention in the algorithm development is paid to the carrier phase ambiguity resolution of the single-frequency GPS baseline observations. We aim at a reliable and instantaneous ambiguity resolution, since the system is used in urban areas, where frequent losses of the GPS signal lock occur and the GPS measurement conditions are challenging. Flight tests and a comparison to a navigation-grade inertial navigation system illustrate the performance of the developed system in dynamic situations. Evaluations show that the accuracies of the system are 0.05° for the roll and the pitch angle and 0.2° for the yaw angle. The ambiguities of the single-frequency GPS baseline can be resolved instantaneously in more than 90% of the cases.

The influence of workload and health behavior on job satisfaction of general practitioners.

PubMed

Goetz, Katja; Musselmann, Berthold; Szecsenyi, Joachim; Joos, Stefanie

2013-02-01

Workload, personal health behavior, and job satisfaction of the physicians are crucial aspects for the quality of care they provide. The aim of our study was to identify influencing factors on job satisfaction with regard to general practitioners' (GPs) characteristics such as age, gender, health behavior, body mass index (BMI), and workload. A cross-sectional survey with a sample of 1,027 German GPs was used. Job satisfaction was measured according to a modified version of the Warr-Cook-Wall job satisfaction scale. Further, we collected data about health behavior and BMI of GPs and demographic data. Group comparison was evaluated using ANOVA with Bonferroni correction for post-hoc tests. A linear regression analysis was performed in which each of the job satisfaction items were handled as a dependent variable. The response rate was 34.0%. GPs were rather satisfied with their job with the exception of "hours of work," "physical working condition," and "income." GPs working in cities had less working hours per week, less number of patients per day, longer consultation times, and a higher proportion of privately insured patients compared to GPs working in rural areas. Being female, a higher age, a good health behavior, a lower BMI, and a high proportion of privately insured patients were positively associated with job satisfaction. Our results suggest that job satisfaction depends on different aspects of working conditions and individual characteristics. Therefore, strategies to improve job satisfaction should target improving working conditions and activating physicians' health resources.

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

PubMed Central

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

Background 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. Aim 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. Design and Setting Cross-sectional postal survey involving a stratified random sample of 2000 GPs in Switzerland in 2014. Method 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. Results 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. Conclusions 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. PMID:28146566

The Knowledge of the Role of Papillomavirus—Related Head and Neck Pathologies among General Practitioners, Otolaryngologists and Trainees. A Survey-Based Study

PubMed Central

Jackowska, Joanna; Bartochowska, Anna; Karlik, Michał; Wichtowski, Mateusz; Tokarski, Maciej; Wierzbicka, Małgorzata

2015-01-01

Objectives The aim of the survey was to introduce knowledge of HPV's role in head and neck pathologies to general physicians (GPs), otorhinolaryngologists (ENTs) and newly graduated doctors, as well as to promote HPV-related diseases prevention. Study Design Cross-sectional study. Methods Self-designed questionnaire was sent to 2100 doctors. A total of 404 doctors, including 144 ENTs, 192 GPs and 68 trainees, responded. Results The majority of ENTs (86.8%) had contact with recurrent respiratory papillomatosis (RRP) and oropharyngeal cancers (OPCs) patients; in contrast, the majority of GPs (55.7%) did not (p = 0.00). The knowledge of HPV aetiology of cervical cancer versus OPCs and RRP was statistically higher. 7% of ENTs, 20% of GPs and 10% of trainees had not heard about HPV in oropharyngeal diseases. Women had greater knowledge than men. Both in the group of GPs and ENTs, 100% of respondents had heard about the impact of vaccination on the reduction of cervical cancer incidence. Only 39.11% of respondents had heard about the possibility of using vaccination against HPV in RRP—ENT doctors significantly more often than GPs and trainees (p = 0.00). Only 28.96% of physicians had heard about the potential value of HPV vaccination in preventing OPCs, including 44.44% of ENT doctors, 23.44% of GPs and 11.76% of trainees (p = 0.00). The doctors from district hospitals showed lower level of knowledge compared with clinicians (p = 0.04). Conclusions The different levels of knowledge and awareness of HPV issues highlight the need for targeted awareness strategies in Poland with implementation of HPV testing and vaccination. The information should be accessible especially to those with lower education levels: ENTs from small, provincial wards, GPs from cities of < 200 000 inhabitants and older physicians. The incorporation of HPV issues into the studies curriculum would be fruitful in terms of improving the knowledge of trainees. PMID:26501885

Responses to concerns about child maltreatment: a qualitative study of GPs in England

PubMed Central

Woodman, Jenny; Gilbert, Ruth; Allister, Janice; Glaser, Danya; Brandon, Marian

2013-01-01

Objectives To provide a rich description of current responses to concerns related to child maltreatment among a sample of English general practitioners (GPs). Design In-depth, face-to-face interviews (November 2010 to September 2011). Participants selected and discussed families who had prompted ‘maltreatment-related concerns’. Thematic analysis of data. Setting 4 general practices in England. Participants 14 GPs, 2 practice nurses and 2 health visitors from practices with at least 1 ‘expert’ GP (expertise in child safeguarding/protection). Results The concerns about neglect and emotional abuse dominated the interviews. GPs described intense and long-term involvement with families with multiple social and medical problems. Narratives were distilled into seven possible actions that GPs took in response to maltreatment-related concerns. These were orientated towards whole families (monitoring and advocating), the parents (coaching) and children (opportune healthcare), and included referral to or working with other services and recording concerns. Facilitators of the seven actions were: trusting relationships between GPs and parents, good working relationships with health visitors and framing the problem/response as ‘medical’. Narratives indicated significant time and energy spent building facilitating relationships with parents with the aim of improving the child's well-being. Conclusions These GPs used core general practice skills for on-going management of families who prompted concerns about neglect and emotional abuse. Policy and research focus should be broadened to include strategies for direct intervention and on-going involvement by GPs, such as using their core skills during consultations and practice systems for monitoring families and encouraging presentation to general practice. Exemplars of current practice, such as those identified in our study, should be evaluated for feasibility and acceptability in representative general practice settings as well as tested for efficacy, safety and cost. The seven actions could form the basis for the ‘lead professional’ role in general practice as proposed in the 2013 version of ‘Working Together ’guidance. PMID:24302506

Novel Hybrid of LS-SVM and Kalman Filter for GPS/INS Integration

NASA Astrophysics Data System (ADS)

Xu, Zhenkai; Li, Yong; Rizos, Chris; Xu, Xiaosu

Integration of Global Positioning System (GPS) and Inertial Navigation System (INS) technologies can overcome the drawbacks of the individual systems. One of the advantages is that the integrated solution can provide continuous navigation capability even during GPS outages. However, bridging the GPS outages is still a challenge when Micro-Electro-Mechanical System (MEMS) inertial sensors are used. Methods being currently explored by the research community include applying vehicle motion constraints, optimal smoother, and artificial intelligence (AI) techniques. In the research area of AI, the neural network (NN) approach has been extensively utilised up to the present. In an NN-based integrated system, a Kalman filter (KF) estimates position, velocity and attitude errors, as well as the inertial sensor errors, to output navigation solutions while GPS signals are available. At the same time, an NN is trained to map the vehicle dynamics with corresponding KF states, and to correct INS measurements when GPS measurements are unavailable. To achieve good performance it is critical to select suitable quality and an optimal number of samples for the NN. This is sometimes too rigorous a requirement which limits real world application of NN-based methods.The support vector machine (SVM) approach is based on the structural risk minimisation principle, instead of the minimised empirical error principle that is commonly implemented in an NN. The SVM can avoid local minimisation and over-fitting problems in an NN, and therefore potentially can achieve a higher level of global performance. This paper focuses on the least squares support vector machine (LS-SVM), which can solve highly nonlinear and noisy black-box modelling problems. This paper explores the application of the LS-SVM to aid the GPS/INS integrated system, especially during GPS outages. The paper describes the principles of the LS-SVM and of the KF hybrid method, and introduces the LS-SVM regression algorithm. Field test data is processed to evaluate the performance of the proposed approach.

Local effects of redundant terrestrial and GPS-based tie vectors in ITRF-like combinations

NASA Astrophysics Data System (ADS)

Abbondanza, Claudio; Altamimi, Zuheir; Sarti, Pierguido; Negusini, Monia; Vittuari, Luca

2009-11-01

Tie vectors (TVs) between co-located space geodetic instruments are essential for combining terrestrial reference frames (TRFs) realised using different techniques. They provide relative positioning between instrumental reference points (RPs) which are part of a global geodetic network such as the international terrestrial reference frame (ITRF). This paper gathers the set of very long baseline interferometry (VLBI)-global positioning system (GPS) local ties performed at the observatory of Medicina (Northern Italy) during the years 2001-2006 and discusses some important aspects related to the usage of co-location ties in the combinations of TRFs. Two measurement approaches of local survey are considered here: a GPS-based approach and a classical approach based on terrestrial observations (i.e. angles, distances and height differences). The behaviour of terrestrial local ties, which routinely join combinations of space geodetic solutions, is compared to that of GPS-based local ties. In particular, we have performed and analysed different combinations of satellite laser ranging (SLR), VLBI and GPS long term solutions in order to (i) evaluate the local effects of the insertion of the series of TVs computed at Medicina, (ii) investigate the consistency of GPS-based TVs with respect to space geodetic solutions, (iii) discuss the effects of an imprecise alignment of TVs from a local to a global reference frame. Results of ITRF-like combinations show that terrestrial TVs originate the smallest residuals in all the three components. In most cases, GPS-based TVs fit space geodetic solutions very well, especially in the horizontal components (N, E). On the contrary, the estimation of the VLBI RP Up component through GPS technique appears to be awkward, since the corresponding post fit residuals are considerably larger. Besides, combination tests including multi-temporal TVs display local effects of residual redistribution, when compared to those solutions where Medicina TVs are added one at a time. Finally, the combination of TRFs turns out to be sensitive to the orientation of the local tie into the global frame.

Adaptive Resampling Particle Filters for GPS Carrier-Phase Navigation and Collision Avoidance System

NASA Astrophysics Data System (ADS)

Hwang, Soon Sik

This dissertation addresses three problems: 1) adaptive resampling technique (ART) for Particle Filters, 2) precise relative positioning using Global Positioning System (GPS) Carrier-Phase (CP) measurements applied to nonlinear integer resolution problem for GPS CP navigation using Particle Filters, and 3) collision detection system based on GPS CP broadcasts. First, Monte Carlo filters, called Particle Filters (PF), are widely used where the system is non-linear and non-Gaussian. In real-time applications, their estimation accuracies and efficiencies are significantly affected by the number of particles and the scheduling of relocating weights and samples, the so-called resampling step. In this dissertation, the appropriate number of particles is estimated adaptively such that the error of the sample mean and variance stay in bounds. These bounds are given by the confidence interval of a normal probability distribution for a multi-variate state. Two required number of samples maintaining the mean and variance error within the bounds are derived. The time of resampling is determined when the required sample number for the variance error crosses the required sample number for the mean error. Second, the PF using GPS CP measurements with adaptive resampling is applied to precise relative navigation between two GPS antennas. In order to make use of CP measurements for navigation, the unknown number of cycles between GPS antennas, the so called integer ambiguity, should be resolved. The PF is applied to this integer ambiguity resolution problem where the relative navigation states estimation involves nonlinear observations and nonlinear dynamics equation. Using the PF, the probability density function of the states is estimated by sampling from the position and velocity space and the integer ambiguities are resolved without using the usual hypothesis tests to search for the integer ambiguity. The ART manages the number of position samples and the frequency of the resampling step for real-time kinematics GPS navigation. The experimental results demonstrate the performance of the ART and the insensitivity of the proposed approach to GPS CP cycle-slips. Third, the GPS has great potential for the development of new collision avoidance systems and is being considered for the next generation Traffic alert and Collision Avoidance System (TCAS). The current TCAS equipment, is capable of broadcasting GPS code information to nearby airplanes, and also, the collision avoidance system using the navigation information based on GPS code has been studied by researchers. In this dissertation, the aircraft collision detection system using GPS CP information is addressed. The PF with position samples is employed for the CP based relative position estimation problem and the same algorithm can be used to determine the vehicle attitude if multiple GPS antennas are used. For a reliable and enhanced collision avoidance system, three dimensional trajectories are projected using the estimates of the relative position, velocity, and the attitude. It is shown that the performance of GPS CP based collision detecting algorithm meets the accuracy requirements for a precise approach of flight for auto landing with significantly less unnecessary collision false alarms and no miss alarms.

Flight Performance Evaluation of Three GPS Receivers for Sounding Rocket Tracking

NASA Technical Reports Server (NTRS)

Bull, Barton; Diehl, James; Montenbruck, Oliver; Markgraf, Markus; Bauer, Frank (Technical Monitor)

2002-01-01

In preparation for the European Space Agency Maxus-4 mission, a sounding rocket test flight was carried out at Esrange, near Kiruna, Sweden on February 19, 2001 to validate existing ground facilities and range safety installations. Due to the absence of a dedicated scientific payload, the flight offered the opportunity to test multiple GPS receivers and assess their performance for the tracking of sounding rockets. The receivers included an Ashtech G12 HDMA receiver, a BAE (Canadian Marconi) Allstar receiver and a Mitel Orion receiver. All of them provide C/A code tracking on the L1 frequency to determine the user position and make use of Doppler measurements to derive the instantaneous velocity. Among the receivers, the G12 has been optimized for use under highly dynamic conditions and has earlier been flown successfully on NASA sounding rockets. The Allstar is representative of common single frequency receivers for terrestrial applications and received no particular modification, except for the disabling of the common altitude and velocity constraints that would otherwise inhibit its use for space application. The Orion receiver, finally, employs the same Mitel chipset as the Allstar, but has received various firmware modifications by DLR to safeguard it against signal losses and improve its tracking performance. While the two NASA receivers were driven by a common wrap-around antenna, the DLR experiment made use of a switchable antenna system comprising a helical antenna in the tip of the rocket and two blade antennas attached to the body of the vehicle. During the boost a peak acceleration of roughly l7g's was achieved which resulted in a velocity of about 1100 m/s at the end of the burn. At apogee, the rocket reached an altitude of over 80 km. A detailed analysis of the attained flight data is given together with a evaluation of different receiver designs and antenna concepts.

PAVECHECK : training material updated user's manual including GPS.

DOT National Transportation Integrated Search

2009-01-01

PAVECHECK is a software package used to integrate nondestructive test data from various testing systems to provide the pavement engineer with a comprehensive evaluation of both surface and subsurface conditions. This User's Manual is intended to demo...

Reliability and validity of a GPS-enabled iPhone "app" to measure physical activity.

PubMed

Benson, Amanda Clare; Bruce, Lyndell; Gordon, Brett Ashley

2015-01-01

This study assessed the validity and reliability of an iPhone "app" and two sport-specific global positioning system (GPS) units to monitor distance, intensity and contextual physical activity. Forty (23 female, 17 male) 18-55-year-olds completed two trials of six laps around a 400-m athletics track wearing GPSports Pro and WiSpi units (5 and 1 Hz) and an iPhone(TM) with a Motion X GPS(TM) "app" that used the inbuilt iPhone location services application programming interface to obtain its sampling rate (which is likely to be ≤1 Hz). Overall, the statistical agreement, assessed using t-tests and Bland-Altman plots, indicated an underestimation of the known track distance (2.400 km) and average speed by the Motion X GPS "app" and GPSports Pro while the GPSports WiSpi(TM) device overestimated these outcomes. There was a ≤3% variation between trials for distance and average speed when measured by any of the GPS devices. Thus, the smartphone "app" trialled could be considered as an accessible alternative to provide high-quality contextualised data to enable ubiquitous monitoring and modification of programmes to ensure appropriate intensity and type of physical activity is prescribed and more importantly adhered to.

Implementation and Performance of a GPS/INS Tightly Coupled Assisted PLL Architecture Using MEMS Inertial Sensors

PubMed Central

Tawk, Youssef; Tomé, Phillip; Botteron, Cyril; Stebler, Yannick; Farine, Pierre-André

2014-01-01

The use of global navigation satellite system receivers for navigation still presents many challenges in urban canyon and indoor environments, where satellite availability is typically reduced and received signals are attenuated. To improve the navigation performance in such environments, several enhancement methods can be implemented. For instance, external aid provided through coupling with other sensors has proven to contribute substantially to enhancing navigation performance and robustness. Within this context, coupling a very simple GPS receiver with an Inertial Navigation System (INS) based on low-cost micro-electro-mechanical systems (MEMS) inertial sensors is considered in this paper. In particular, we propose a GPS/INS Tightly Coupled Assisted PLL (TCAPLL) architecture, and present most of the associated challenges that need to be addressed when dealing with very-low-performance MEMS inertial sensors. In addition, we propose a data monitoring system in charge of checking the quality of the measurement flow in the architecture. The implementation of the TCAPLL is discussed in detail, and its performance under different scenarios is assessed. Finally, the architecture is evaluated through a test campaign using a vehicle that is driven in urban environments, with the purpose of highlighting the pros and cons of combining MEMS inertial sensors with GPS over GPS alone. PMID:24569773

Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study.

PubMed

Mjaaland, Trond A; Finset, Arnstein

2009-07-01

There is increasing focus on patient-centred communicative approaches in medical consultations, but few studies have shown the extent to which patients' positive coping strategies and psychological assets are addressed by general practitioners (GPs) on a regular day at the office. This study measures the frequency of GPs' use of questions and comments addressing their patients' coping strategies or resources. Twenty-four GPs were video-recorded in 145 consultations. The consultations were coded using a modified version of the Roter Interaction Analysis System. In this study, we also developed four additional coding categories based on cognitive therapy and solution-focused therapy: attribution, resources, coping, and solution-focused techniques.The reliability between coders was established, a factor analysis was applied to test the relationship between the communication categories, and a tentative validating exercise was performed by reversed coding. Cohen's kappa was 0.52 between coders. Only 2% of the utterances could be categorized as resource or coping oriented. Six GPs contributed 59% of these utterances. The factor analysis identified two factors, one task oriented and one patient oriented. The frequency of communication about coping and resources was very low. Communication skills training for GPs in this field is required. Further validating studies of this kind of measurement tool are warranted.

Detection of ground motions using high-rate GPS time-series

NASA Astrophysics Data System (ADS)

Psimoulis, Panos A.; Houlié, Nicolas; Habboub, Mohammed; Michel, Clotaire; Rothacher, Markus

2018-05-01

Monitoring surface deformation in real-time help at planning and protecting infrastructures and populations, manage sensitive production (i.e. SEVESO-type) and mitigate long-term consequences of modifications implemented. We present RT-SHAKE, an algorithm developed to detect ground motions associated with landslides, sub-surface collapses, subsidences, earthquakes or rock falls. RT-SHAKE detects first transient changes in individual GPS time series before investigating for spatial correlation(s) of observations made at neighbouring GPS sites and eventually issue a motion warning. In order to assess our algorithm on fast (seconds to minute), large (from 1 cm to meters) and spatially consistent surface motions, we use the 1 Hz GEONET GNSS network data of the Tohoku-Oki MW9.0 2011 as a test scenario. We show the delay of detection of seismic wave arrival by GPS records is of ˜10 seconds with respect to an identical analysis based on strong-motion data and this time delay depends on the level of the time-variable noise. Nevertheless, based on the analysis of the GPS network noise level and ground motion stochastic model, we show that RT-SHAKE can narrow the range of earthquake magnitude, by setting a lower threshold of detected earthquakes to MW6.5-7, if associated with a real-time automatic earthquake location system.

Orion Exploration Flight Test-1 Post-Flight Navigation Performance Assessment Relative to the Best Estimated Trajectory

NASA Technical Reports Server (NTRS)

Gay, Robert S.; Holt, Greg N.; Zanetti, Renato

2016-01-01

This paper details the post-flight navigation performance assessment of the Orion Exploration Flight Test-1 (EFT-1). Results of each flight phase are presented: Ground Align, Ascent, Orbit, and Entry Descent and Landing. This study examines the on-board Kalman Filter uncertainty along with state deviations relative to the Best Estimated Trajectory (BET). Overall the results show that the Orion Navigation System performed as well or better than expected. Specifically, the Global Positioning System (GPS) measurement availability was significantly better than anticipated at high altitudes. In addition, attitude estimation via processing GPS measurements along with Inertial Measurement Unit (IMU) data performed very well and maintained good attitude throughout the mission.

Integration of X-band SAR interferometry, continuous and periodic D-GPS and in-place inclinometers to characterize and monitor a deep-seated earthslide in the Dolomites (Italy)

NASA Astrophysics Data System (ADS)

Mulas, Marco; Corsini, Alessandro; Soldati, Mauro; Marcato, Gianluca; Pasuto, Alessandro; Crespi, Mattia; Mazzoni, Augusto; Benedetti, Elisa; Branzanti, Mara; Manunta, Michele; Ojha, Chandrakanta; Chinellato, Giulia; Cuozzo, Giovanni; Costa, Armin; Monsorno, Roberto; Thiebes, Benni; Piantelli, Elena; Magnani, Massimo; Meroni, Marco; Mair, Volkmar

2015-04-01

The Corvara landslide is an active, large-scale, deep-seated and slow moving earthslide of about 30 Mm3 located in the Dolomites (Italy). It is frequently damaging a national road and, occasionally, isolated buildings and recreational ski facilities. Since the mid '90s it has been mapped, dated and monitored thanks to field surveys, boreholes, radiocarbon dating, inclinometers, piezometers and periodic D-GPS measurements, carried out by the Geology and the Forestry Planning offices of the Autonomous Province of Bolzano, the Municipality of Corvara in Badia, the University of Modena and Reggio Emilia, the IRPI-CNR of Padua. In 2013, a new phase of characterization and monitoring has started which also involves the EURAC's Institute for Applied Remote Sensing, the geodesy group of University La Sapienza, the CNR-IREA of Naples and the Leica Geosystems office in Italy. This new phase of characterization and monitoring is meant to investigate the opportunities of innovative SAR interferometry, D-GPS and in-place inclinometers techniques to provide for a high frequency monitoring of the study site in support to the analysis of the investigation of forcing factors leading unsteady, nonuniform landslide motion through different seasons of the year. Monitoring results are also expected to provide a validation of innovative interferometric techniques so to fully evaluate their conformity to be used as a long-term monitoring system in land-use planning and risk management procedures. The monitoring infrastructure now integrates: 16 Corner Reflector for satellite X-Band SAR interferometric products, 13 benchmarks for D-GPS periodic surveys, three on-site GPS receivers for continuous positioning and remote ftp data pushing, two in-place inclinometers and a pressure transducer to record pore-pressure variations. The coupling of SAR-based products with GPS records is achieved using especially designed Corner Reflectors having an appendix dedicated to hold Dual-Frequency GPS antennas. COSMO-SkyMed X-Band SAR acquisitions started on October 2013 and are ongoing with a temporal resolution of 16 days using STRIPMAP (HIMAGE) measuring mode. Discontinuous D-GPS Fast-Static surveys are scheduled with a triple frequency: annual for 24 points outside recent activation areas, monthly for 13 points in the active zone and a bi-weekly for 6 points located in the most active zone. Displacement high-frequency data are acquired thank to the installation of 3 Dual-Frequency GPS in permanent acquisition that have been located in the accumulation, track and source zone of the active portion of the landslide. High frequency data are also obtained by the two inclinometers operating in continuous acquisition located across the main slide surface at 48 m depth into a 90 m borehole drilled in the accumulation zone. A piezometer installed in the source zone and the meteorological station of Piz La Ila (3 km far away) of the Autonomous Province of Bolzano complete the system. The poster presents the infrastructural details of the monitoring network, the technical characteristics of data acquisition systems, the data processing procedures and the latest ongoing results.

Lamp reliability studies for improved satellite rubidium frequency standard

NASA Technical Reports Server (NTRS)

Frueholz, R. P.; Wun-Fogle, M.; Eckert, H. U.; Volk, C. H.; Jones, P. F.

1982-01-01

In response to the premature failure of Rb lamps used in Rb atomic clocks onboard NAVSTAR GPS satellites experimental and theoretical investigations into their failure mechanism were initiated. The primary goal of these studies is the development of an accelerated life test for future GPS lamps. The primary failure mechanism was identified as consumption of the lamp's Rb charge via direct interaction between Rb and the lamp's glass surface. The most effective parameters to accelerate the interaction between the Rb and the glass are felt to be RF excitation power and lamp temperature. Differential scanning calorimetry is used to monitor the consumption of Rb within a lamp as a function of operation time. This technique yielded base line Rb consumption data for GPS lamps operating under normal conditions.

A processing centre for the CNES CE-GPS experimentation

NASA Technical Reports Server (NTRS)

Suard, Norbert; Durand, Jean-Claude

1994-01-01

CNES is involved in a GPS (Global Positioning System) geostationary overlay experimentation. The purpose of this experimentation is to test various new techniques in order to select the optimal station synchronization method, as well as the geostationary spacecraft orbitography method. These new techniques are needed to develop the Ranging GPS Integrity Channel services. The CNES experimentation includes three transmitting/receiving ground stations (manufactured by IN-SNEC), one INMARSAT 2 C/L band transponder and a processing center named STE (Station de Traitements de l'Experimentation). Not all the techniques to be tested are implemented, but the experimental system has to include several functions; part of the future system simulation functions, such as a servo-loop function, and in particular a data collection function providing for rapid monitoring of system operation, analysis of existing ground station processes, and several weeks of data coverage for other scientific studies. This paper discusses system architecture and some criteria used in its design, as well as the monitoring function, the approach used to develop a low-cost and short-life processing center in collaboration with a CNES sub-contractor (ATTDATAID), and some results.

Scanning Raman lidar for tropospheric water vapor profiling and GPS path delay correction

NASA Astrophysics Data System (ADS)

Tarniewicz, Jerome; Bock, Olivier; Pelon, Jacques R.; Thom, Christian

2002-01-01

The design of a ground based and transportable combined Raman elastic-backscatter lidar for the remote sensing of lower tropospheric water vapor and nitrogen concentration is described. This lidar is intended to be used for an external calibration of the wet path delay of GPS signals. A description of the method used to derive water vapor and nitrogen profiles in the lower troposphere is given. The instrument has been tested during the ESCOMPTE campaign in June 2001 and first measurements are presented.

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

NASA Technical Reports Server (NTRS)

Hodge, W. F.

1980-01-01

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

Space shuttle navigation analysis

NASA Technical Reports Server (NTRS)

Jones, H. L.; Luders, G.; Matchett, G. A.; Sciabarrasi, J. E.

1976-01-01

A detailed analysis of space shuttle navigation for each of the major mission phases is presented. A covariance analysis program for prelaunch IMU calibration and alignment for the orbital flight tests (OFT) is described, and a partial error budget is presented. The ascent, orbital operations and deorbit maneuver study considered GPS-aided inertial navigation in the Phase III GPS (1984+) time frame. The entry and landing study evaluated navigation performance for the OFT baseline system. Detailed error budgets and sensitivity analyses are provided for both the ascent and entry studies.