Artist's concept of Hadley-Apennine landing site with LRV traverses outlined

NASA Image and Video Library

1971-06-01

S71-33433 (1 July 1971) --- An artist's concept of the Hadley-Apennine landing site, depicting the traverses planned on the Apollo 15 lunar landing mission using the Lunar Roving Vehicle (LRV). The Roman numerals indicate the three periods of extravehicular activity (EVA). The Arabic numbers represent the station stops. This artist's concept was excerpted from "On the Moon with Apollo 15: A Guidebook to Hadley Rille and the Apennine Mountains," by Gene Simmons. The station stops indicated here are keyed to information given in the publication. Artwork by Jerry Elmore.

View of Hadley-Apennine area, looking north, photographed by Apollo 15

NASA Image and Video Library

1971-08-25

S71-44667 (31 July-2 Aug. 1971) --- An oblique view of the Hadley-Apennine area, looking north, as photographed by the Fairchild metric camera in the Scientific Instrumentation Module (SIM) bay of the Apollo 15 Command and Service Modules (CSM) in lunar orbit. Hadley Rille meanders through the lower center of the picture. The Apennine Mountains are at lower right. The Apollo 15 Lunar Module (LM) touchdown point is on the east side of the "chicken beak" of Hadley Rille. The Caucasus Mountains are at upper right. The dark mare area at the extreme upper right is a portion of the Sea of Serenity. The Marsh of Decay is at lower left. The large crater near the horizon is Aristillus, which is about 55 kilometers (34.18 statute miles) in diameter. The crater just to the south of Aristillus is Autolycus, which is about 40 kilometers (25 statute miles) in diameter. The crater Cassini is barely visible on the horizon at upper right. The three-inch mapping camera was one of eight lunar orbital science experiments mounted in the SIM bay.

Projected changes in rainfall and temperature over homogeneous regions of India

NASA Astrophysics Data System (ADS)

Patwardhan, Savita; Kulkarni, Ashwini; Rao, K. Koteswara

2018-01-01

The impact of climate change on the characteristics of seasonal maximum and minimum temperature and seasonal summer monsoon rainfall is assessed over five homogeneous regions of India using a high-resolution regional climate model. Providing REgional Climate for Climate Studies (PRECIS) is developed at Hadley Centre for Climate Prediction and Research, UK. The model simulations are carried out over South Asian domain for the continuous period of 1961-2098 at 50-km horizontal resolution. Here, three simulations from a 17-member perturbed physics ensemble (PPE) produced using HadCM3 under the Quantifying Model Uncertainties in Model Predictions (QUMP) project of Hadley Centre, Met. Office, UK, have been used as lateral boundary conditions (LBCs) for the 138-year simulations of the regional climate model under Intergovernmental Panel on Climate Change (IPCC) A1B scenario. The projections indicate the increase in the summer monsoon (June through September) rainfall over all the homogeneous regions (15 to 19%) except peninsular India (around 5%). There may be marginal change in the frequency of medium and heavy rainfall events (>20 mm) towards the end of the present century. The analysis over five homogeneous regions indicates that the mean maximum surface air temperatures for the pre-monsoon season (March-April-May) as well as the mean minimum surface air temperature for winter season (January-February) may be warmer by around 4 °C towards the end of the twenty-first century.

View of Hadley Delta from top hatch of Apollo 15 Lunar Module after landing

NASA Image and Video Library

1971-07-31

AS15-87-11748 (31 July 1971) --- A view of Hadley Delta, looking southeasterly, as photographed from the top hatch of the Apollo 15 Lunar Module (LM) by astronaut David R. Scott, commander, during his stand-up extravehicular activity (EVA) just after the LM "Falcon" touched down at the Hadley-Apennine landing site. The prominent feature on the horizon in the center of the picture was called Silver Spur by the Apollo 15 crew men. Hadley Delta Mountain rises approximately 4,000 meters (about 13,124 feet) above the plain. While astronauts Scott and James B. Irwin, lunar module pilot, descended in the LM to explore the moon, astronaut Alfred M. Worden, command module pilot, remained with the Command and Service Module's (CSM) in lunar orbit.

View of Hadley Delta from top hatch of Apollo 15 Lunar Module after landing

NASA Technical Reports Server (NTRS)

1971-01-01

A view of Hadley Delta, looking southeasterly, as photographed from the top hatch of the Apollo 15 Lunar Module by Astronaut David R. Scott during his stand-up extravehicular activity just after the Lunar Module 'Falcon' touched down at the Hadly Apennine landing site. The prominent feature on the horizon in the center of the picture was called Silver Spur by the Apollo 15 crewmen. Hadley Delta mountain rises approximately 4,000 meters (about 13,124 feet) above the plain.

Spanning the Pacific Ocean through Voice-Over Internet Protocol Chat with the Hadley School for the Blind--China

ERIC Educational Resources Information Center

Gilson, Christie L.; Rongqiang, Xia

2007-01-01

Founded in 1920, the Hadley School for the Blind is known worldwide for its tuition-free distance-education courses for people who are visually impaired. Hadley's main school in the United States serves more than 9,000 students, and the overseas school in the People's Republic of China provides vital educational services to more than 1,000 Chinese…

Artist's concept of Hadley-Apennine landing site with LRV traverses outlined

NASA Technical Reports Server (NTRS)

1971-01-01

An artist's concept of the Hadley-Apennine landing site, depicting the traverses planned on the Apollo 15 lunar landing mission using the Lunar Roving Vehicle (LRV). The Roman numerals indicate the three periods of extravehicular activity (EVA). The Arabic numbers represent the station stops. Art work by Jerry Elmore.

A Robust Response of the Hadley Circulation to Global Warming

NASA Technical Reports Server (NTRS)

Lau, William K M.; Kim, Kyu-Myong

2014-01-01

Tropical rainfall is expected to increase in a warmer climate. Yet, recent studies have inferred that the Hadley Circulation (HC), which is primarily driven by latent heating from tropical rainfall, is weakened under global warming. Here, we show evidence of a robust intensification of the HC from analyses of 33 CMIP5 model projections under a scenario of 1 per year CO2 emission increase. The intensification is manifested in a deep-tropics squeeze, characterized by a pronounced increase in the zonal mean ascending motion in the mid and upper troposphere, a deepening and narrowing of the convective zone and enhanced rainfall in the deep tropics. These changes occur in conjunction with a rise in the region of maximum outflow of the HC, with accelerated meridional mass outflow in the uppermost branch of the HC away from the equator, coupled to a weakened inflow in the return branches of the HC in the lower troposphere.

The dynamics of the Snowball Earth Hadley circulation for off-equatorial and seasonally varying insolation

NASA Astrophysics Data System (ADS)

Voigt, A.

2013-11-01

I study the Hadley circulation of a completely ice-covered Snowball Earth through simulations with a comprehensive atmosphere general circulation model. Because the Snowball Earth atmosphere is an example of a dry atmosphere, these simulations allow me to test to what extent dry theories and idealized models capture the dynamics of realistic dry Hadley circulations. Perpetual off-equatorial as well as seasonally varying insolation is used, extending a previous study for perpetual on-equatorial (equinox) insolation. Vertical diffusion of momentum, representing the momentum transport of dry convection, is fundamental to the momentum budgets of both the winter and summer cells. In the zonal budget, it is the primary process balancing the Coriolis force. In the meridional budget, it mixes meridional momentum between the upper and the lower branch and thereby decelerates the circulation. Because of the latter, the circulation intensifies by a factor of three when vertical diffusion of momentum is suppressed. For seasonally varying insolation, the circulation undergoes rapid transitions from the weak summer into the strong winter regime. Consistent with previous studies in idealized models, these transitions result from a mean-flow feedback, because of which they are insensitive to the treatment of vertical diffusion of momentum. Overall, the results corroborate previous findings for perpetual on-equatorial insolation. They demonstrate that descriptions of realistic dry Hadley circulations, in particular their strength, need to incorporate the vertical momentum transport by dry convection, a process that is neglected in most dry theories and idealized models. An improved estimate of the strength of the Snowball Earth Hadley circulation will also help to better constrain the climate of a possible Neoproterozoic Snowball Earth and its deglaciation threshold.

The dynamics of the Snowball Earth Hadley circulation for off-equatorial and seasonally-varying insolation

NASA Astrophysics Data System (ADS)

Voigt, A.

2013-08-01

I study the Hadley circulation of a completely ice-covered Snowball Earth through simulations with a comprehensive atmosphere general circulation model. Because the Snowball Earth atmosphere is an example of a dry atmosphere, these simulations allow me to test to what extent dry theories and idealized models capture the dynamics of dry Hadley circulations. Perpetual off-equatorial as well as seasonally-varying insolation is used, extending a previous study for perpetual on-equatorial (equinox) insolation. Vertical diffusion of momentum, representing the momentum transport of dry convection, is fundamental to the momentum budgets of both the winter and summer cells. In the zonal budget, it is the primary process balancing the Coriolis force. In the meridional budget, it mixes meridional momentum between the upper and the lower branch and thereby decelerates the circulation. Because of the latter, the circulation intensifies by a factor of three when vertical diffusion of momentum is suppressed. For seasonally-varying insolation, the circulation undergoes rapid transitions from the weak summer into the strong winter regime. Consistent with previous studies in idealized models, these transitions result from a mean-flow feedback, because of which they are insensitive to the treatment of vertical diffusion of momentum. Overall, the results corroborate previous findings for perpetual on-equatorial insolation. They demonstrate that an appropriate description of dry Hadley circulations, in particular their strength, needs to incorporate the vertical momentum transport by dry convection, a process that is neglected in most dry theories and idealized models. An improved estimate of the strength of the Snowball Earth Hadley circulation will also help to better constrain the climate of a possible Neoproterozoic Snowball Earth and its deglaciation threshold.

Interannual Variability of Regional Hadley Circulation Intensity Over Western Pacific During Boreal Winter and Its Climatic Impact Over Asia-Australia Region

NASA Astrophysics Data System (ADS)

Huang, Ruping; Chen, Shangfeng; Chen, Wen; Hu, Peng

2018-01-01

This study investigates interannual variability of boreal winter regional Hadley circulation over western Pacific (WPHC) and its climatic impacts. A WPHC intensity index (WPHCI) is defined as the vertical shear of the divergent meridional winds. It shows that WPHCI correlates well with the El Niño-Southern Oscillation (ENSO). To investigate roles of the ENSO-unrelated part of WPHCI (WPHCIres), variables that are linearly related to the Niño-3 index have been removed. It reveals that meridional sea surface temperature gradient over the western Pacific plays an essential role in modulating the WPHCIres. The climatic impacts of WPHCIres are further investigated. Below-normal (above-normal) precipitation appears over south China (North Australia) when WPHCIres is stronger. This is due to the marked convergence (divergence) anomalies at the upper troposphere, divergence (convergence) at the lower troposphere, and the accompanied downward (upward) motion over south China (North Australia), which suppresses (enhances) precipitation there. In addition, a pronounced increase in surface air temperature (SAT) appears over south and central China when WPHCIres is stronger. A temperature diagnostic analysis suggests that the increase in SAT tendency over central China is primarily due to the warm zonal temperature advection and subsidence-induced adiabatic heating. In addition, the increase in SAT tendency over south China is primarily contributed by the warm meridional temperature advection. Further analysis shows that the correlation of WPHCIres with the East Asian winter monsoon (EAWM) is weak. Thus, this study may provide additional sources besides EAWM and ENSO to improve understanding of the Asia-Australia climate variability.

View of Commemorative plaque left on moon at Hadley-Apennine landing site

NASA Image and Video Library

1971-08-01

AS15-88-11894 (31 July-2 Aug. 1971) --- A close-up view of a commemorative plaque left on the moon at the Hadley-Apennine landing site in memory of 14 NASA astronauts and USSR cosmonauts, now deceased. Their names are inscribed in alphabetical order on the plaque. The plaque was stuck in the lunar soil by astronauts David R. Scott, commander, and James B. Irwin, lunar module pilot, during their Apollo 15 lunar surface extravehicular activity (EVA). The names on the plaque are Charles A. Bassett II, Pavel I. Belyayev, Roger B. Chaffee, Georgi Dobrovolsky, Theodore C. Freeman, Yuri A. Gagarin, Edward G. Givens Jr., Virgil I. Grissom, Vladimir Komarov, Viktor Patsayev, Elliot M. See Jr., Vladislav Volkov, Edward H. White II, and Clifton C. Williams Jr. The tiny, man-like object represents the figure of a fallen astronaut/cosmonaut. While astronauts Scott and Irwin descended in the Lunar Module (LM) "Falcon" to explore the Hadley-Apennine area of the moon, astronaut Alfred M. Worden, command module pilot, remained with the Command and Service Modules (CSM) in lunar orbit.

The Interplay of Internal and Forced Modes of Hadley Cell Expansion: Lessons from the Global Warming Hiatus

NASA Astrophysics Data System (ADS)

Amaya, D. J.; Siler, N.; Xie, S. P.; Miller, A. J.

2017-12-01

The poleward branches of the Hadley Cells show a robust shift poleward shift during the satellite era, leading to concerns over the possible encroachment of the globe's subtropical dry zones into currently temperate climates. The extent to which this trend is caused by anthropogenic forcing versus internal variability remains the subject of considerable debate. In this study, we us a joint EOF method to identify two distinct modes of Hadley Cell variability: (i) an anthropogenically-forced mode, which we identify using a 20-member simulation of the historical climate, and (ii) an internal mode, which identify using a 1000-year pre-industrial control simulation with a global climate model. The forced mode is found to be closely related to the TOA radiative imbalance and exhibits a long-term trend since 1860, while the internal mode is found to be essentially indistinguishable from the El Niño Southern Oscillation (ENSO). Together these two modes explain an average of 70% of the interannual variability seen in model "edge indices" over the historical period. Since 1980, the superposition of forced and internal modes has resulted in a period of accelerated Hadley Cell expansion and decelerated global warming (i.e., the "hiatus"). A comparison of the change in these modes since 1980 indicates that by 2013 the signal has emerged above the noise of internal variability in the Southern Hemisphere (SH), but not in the Northern Hemisphere (NH), with the latter also exhibiting strong zonal asymmetry, particularly in the North Atlantic. Our results highlight the important interplay of internal and forced modes of Hadley Cell width change and improve our understanding of the interannual variability and long-term trend seen in observations.

Predictions of extreme precipitation and sea-level rise under climate change.

PubMed

Senior, C A; Jones, R G; Lowe, J A; Durman, C F; Hudson, D

2002-07-15

Two aspects of global climate change are particularly relevant to river and coastal flooding: changes in extreme precipitation and changes in sea level. In this paper we summarize the relevant findings of the IPCC Third Assessment Report and illustrate some of the common results found by the current generation of coupled atmosphere-ocean general circulation models (AOGCMs), using the Hadley Centre models. Projections of changes in extreme precipitation, sea-level rise and storm surges affecting the UK will be shown from the Hadley Centre regional models and the Proudman Oceanographic Laboratory storm-surge model. A common finding from AOGCMs is that in a warmer climate the intensity of precipitation will increase due to a more intense hydrological cycle. This leads to reduced return periods (i.e. more frequent occurrences) of extreme precipitation in many locations. The Hadley Centre regional model simulates reduced return periods of extreme precipitation in a number of flood-sensitive areas of the UK. In addition, simulated changes in storminess and a rise in average sea level around the UK lead to reduced return periods of extreme high coastal water events. The confidence in all these results is limited by poor spatial resolution in global coupled models and by uncertainties in the physical processes in both global and regional models, and is specific to the climate change scenario used.

Analysis of bullwhip effect on supply chain with Q model using Hadley-Within approach

NASA Astrophysics Data System (ADS)

Siregar, I.; Nasution, A. A.; Matondang, N.; Persada, M. R.; Syahputri, K.

2018-02-01

This research held on a tapioca flour industry company that uses cassava as raw material to produce tapioca starch product. Problems that occur in this company is inaccurate planning, consequently there is a shortage of variation between the number of requests with the total supply is met, so it is necessary to do research with the formulation of the problem that is how to analyze the Bullwhip Effect on the supply chain using Q model through Hadley-Within approach so as not to disturb the product distribution system at the company. Product distribution system at the company, obtained by the number of requests. The 2015 forecast result is lower than actual demand for distributors and manufactures in 2016 with average percentage difference for Supermarket A distributor, Supermarket B and manufacturing respectively 38.24%, 89.57% and 43.11%. The occurrence of information distortion to the demand of this product can identify the existence of bullwhip effect on the supply chain. The proposed improvement to overcome the bullwhip effect is by doing inventory control policy with Q model using Hadley-Within approach.

View of Commemorative plaque left on moon at Hadley-Apennine landing site

NASA Technical Reports Server (NTRS)

1971-01-01

A close-up view of a commemorative plaque left on the Moon at the Hadley-Apennine landing site in memory of 14 NASA astronauts and USSR cosmonauts, now deceased. Their names are inscribed in alphabetical order on the plaque. The plaque was stuck in the lunar soil by Astronauts David R. Scott and James B. Irwin during their Apollo 15 lunar surface extravehicular activity. The tin, man-like object represents the figure of a fallen astronaut/cosmonaut.

Evidence for Interannual to Decadal Variations in Hadley and Walker Circulations and Links to Water and Energy Fluxes

NASA Technical Reports Server (NTRS)

Robertson, Franklin; Bosilovich, Michael; Miller, Timothy

2007-01-01

Mass and energy transports associated with the Hadley and Walker circulations are important components of the earth s climate system and are strongly linked to hydrologic processes. Interannual to decadal variation in these flows likely signify a combination of natural climate noise as well as a response to anthropgenic forcing. There remains considerable uncertainty in quantifying variations in these flows. Evidence in the surface pressure record supports a weakening of the Walker circulation over the Pacific in recent decades. Conversely the NCEP / NCAR and ERA 40 reanalyses indicate that the Hadley circulation has increased in strength over the last two decades, though these analyses depict significantly different mass circulation changes. Interestingly, the NCEP - II / DOE reanalysis contains essentially no Hadley circulation changes. Most climate model integrations anticipate a weakening of both tropical circulations associated with stronger static stability. Clearly there is much uncertainty not only with the mass transports, but also how they are linked to water and energy balance of the planet through variations in turbulent heat and radiative fluxes and horizontal exports / imports of energy. Here we examine heat and water budget variations from a number of reanalysis products and focus on the linear and nonlinear response of ENSO warm and cold events as opportunities to study budget variations over the past 15-20 years. Our analysis addresses such questions as To what extent do Hadley and Walker Cell variations compensate each other on mass and energy transport? Do static stability adjustments appear to constrain fractional precipitation response vs. fractional water vapor response? We appeal to constraints offered by GPCP precipitation, SSWI ocean evaporation estimates, and ISCCP-FD radiative fluxes, and other satellite data sets to interpret and confirm reanalysis-based diagnostics. Using our findings we also attempt to place in context the recent

Now, Here's the Weather Forecast...

ERIC Educational Resources Information Center

Richardson, Mathew

2013-01-01

The Met Office has a long history of weather forecasting, creating tailored weather forecasts for customers across the world. Based in Exeter, the Met Office is also home to the Met Office Hadley Centre, a world-leading centre for the study of climate change and its potential impacts. Climate information from the Met Office Hadley Centre is used…

Regional Centre of Expertise (RCE) Graz-Styria: A Process of Mobilization Facing Regional Challenges

ERIC Educational Resources Information Center

Mader, Clemens; Zimmermann, Friedrich M.; Steiner, Gerald; Risopoulos, Filippina

2008-01-01

Purpose: The purpose of this paper is to present how the Regional Centres of Expertise (RCE) Graz-Styria as well as RCEs as instruments can contribute to regional development. The RCE Graz-Styria is representing a case study of Central European RCEs. Design/methodology/approach: The paper describes the development process of RCE Graz-Styria.…

On the role of precipitation latent heating in modulating the strength and width of the Hadley circulation

NASA Astrophysics Data System (ADS)

Mathew, Sneha Susan; Kumar, Karanam Kishore

2018-05-01

The latent heat released in the clouds over the tropics plays a vital role in driving the Hadley circulation (HC). The present study discusses the influence of latent heating (LH) on the HC parameters viz., centre, strength and total width by using precipitation LH profiles derived from the space-borne observations of the Precipitation Radar (PR) onboard Tropical Rain Measuring Mission (TRMM) and meridional stream function (MSF) derived from ECMWF-Interim reanalysis. The latitude of peak latent heating, width of the latent heating distribution and the total LH released within the ascending limb of the HC are estimated and their influence on the HC centre, strength and width is quantified, for the first time. The present results show that the latitude of peak LH significantly influences the position of the HC centre with correlation coefficient of 0.90. This high correlation between these two quantities seems to be due to their co-variability with the apparent motion of the Sun across the latitudes. The intensity of the HC in the NH as well as SH shows high correlation with the latitude of peak LH with coefficients - 0.85 and - 0.78, respectively. These results indicate that farther the latitude of peak LH from the equator in the summer hemisphere, stronger is the HC intensity in the winter hemisphere. The present analysis also reveals that the total LH released within the ascending limb of HC substantially influence the total width of the HC, with correlation coefficient 0.52, as compared to the other two LH parameters. This observation can be attributed to the fact that the HC is sensitive to the latent heat release in the mid-tropospheric levels in the tropics. An attempt is also made to investigate the degree of variability of these parameters after deseasonalization and results are discussed in the light of present understanding. The significance of the present study lies in providing the observational evidence for the influence of latent heating on the HC

An Examination of the Hadley Sea-Surface Temperature Time Series for the Nino 3.4 Region

NASA Technical Reports Server (NTRS)

Wilson, Robert M.

2010-01-01

The Hadley sea-surface temperature (HadSST) dataset is investigated for the interval 1871-2008. The purpose of this investigation is to determine the degree of success in identifying and characterizing El Nino (EN) southern (ENSO) extreme events, both EN and La Nina (LN) events. Comparisons are made against both the Southern Oscillation Index for the same time interval and with published values of the Oceanic Nino Index for the interval since 1950. Some 60 ENSO extreme events are identified in the HadSST dataset, consisting of 33 EN and 27 LN events. Also, preferential associations are found to exist between the duration of ENSO extreme events and their maximum anomalous excursion temperatures and between the recurrence rate for an EN event and the duration of the last known EN event. Because the present ongoing EN is a strong event, it should persist 11 months or longer, inferring that the next EN event should not be expected until June 2012 or later. Furthermore, the decadal sum of EN-related months is found to have increased somewhat steadily since the decade of 1920-1929, suggesting that the present decade (2010-2019) possibly will see about 3-4 EN events, totaling about 37 +/- 3 EN-related months (i.e., months that meet the definition for the occurrence of an EN event).

CMIP5 models' shortwave cloud radiative response and climate sensitivity linked to the climatological Hadley cell extent

NASA Astrophysics Data System (ADS)

Lipat, Bernard R.; Tselioudis, George; Grise, Kevin M.; Polvani, Lorenzo M.

2017-06-01

This study analyzes Coupled Model Intercomparison Project phase 5 (CMIP5) model output to examine the covariability of interannual Southern Hemisphere Hadley cell (HC) edge latitude shifts and shortwave cloud radiative effect (SWCRE). In control climate runs, during years when the HC edge is anomalously poleward, most models substantially reduce the shortwave radiation reflected by clouds in the lower midlatitude region (LML; ˜28°S-˜48°S), although no such reduction is seen in observations. These biases in HC-SWCRE covariability are linked to biases in the climatological HC extent. Notably, models with excessively equatorward climatological HC extents have weaker climatological LML subsidence and exhibit larger increases in LML subsidence with poleward HC edge expansion. This behavior, based on control climate interannual variability, has important implications for the CO2-forced model response. In 4×CO2-forced runs, models with excessively equatorward climatological HC extents produce stronger SW cloud radiative warming in the LML region and tend to have larger climate sensitivity values than models with more realistic climatological HC extents.

Trends and variability in the Hadley circulation over the Last Millennium from the proxy record

NASA Astrophysics Data System (ADS)

Horlick, K. A.; Noone, D.; Hakim, G. J.; Tardif, R.; Anderson, D. M.; Perkins, W. A.; Erb, M. P.; Steig, E. J.

2017-12-01

The Hadley circulation (HC) is the dominant atmospheric overturning circulation controlling variability in precipitation distribution in the tropics and subtropics, affecting agricultural production and water resource allocation, among other human civilizational dependencies. A lack of pre-instrumental data-model synthesis has been cited as the barrier to diagnostic analyses of the variability in width, position, and intensity of the HC and its response to anthropogenic forcing. We analyze the HC, and its rising limb associated with the Intertropical Convergence Zone (ITCZ), over the past 1000 years using the Last Millennium Reanalysis (LMR) (Hakim et al. 2016). The LMR systematically blends the dynamical constraints of climate models with a proxy network of coral, tree ring, and ice core records. It allows for a spatiotemporal analysis with robust uncertainty measures. A three dimensional analysis of LMR wind fields shows an centennial-scale circulatory trend over the last 200 years resembling that which might be expected from an ENSO and PDO-like structure. An observed aridification of both the central equatorial Pacific and the southwest United States, a strengthening of the east-west sea surface temperature and sea level pressure gradient in the equatorial Pacific, and a strengthening of the Walker overturning circulation suggest a more "La Niña-like" mean state. This is compared to our statistical description of the centennial-scale mean circulation and variability of the previous millennia. Similarly, precipitation and relative humidity trends suggest expansion and asymmetric meridional movement of the Hadley circulation as a result of asymmetric shifts in mean ITCZ position and intensity. These observations are then compared to free running model simulations, other instrumental reanalysis products, and late-Holocene aerosol, solar, and greenhouse forcings. This LMR reconstruction improves upon previous work by enabling a proxy-consistent, quantitative

It's more than money: policy options to secure medical specialist workforce for regional centres.

PubMed

May, Jennifer; Walker, Judi; McGrail, Mathew; Rolley, Fran

2017-12-01

Objectives Regional centres and their rural hinterlands support significant populations of non-metropolitan Australians. Despite their importance in the settlement hierarchy and the key medical services provided from these centres, little research has focused on their issues of workforce supply and long-term service requirements. In addition, they are a critical component of the recent growth of 'regional' hub-and-spoke specialist models of service delivery. Methods The present study interviewed 62 resident specialists in four regional centres, seeking to explore recruitment and retention factors important to their location decision making. The findings were used to develop a framework of possible evidence-informed policies. Results This article identifies key professional, social and locational factors, several of which are modifiable and amenable to policy redesign, including work variety, workplace culture, sense of community and spousal employment; these factors that can be targeted through initiatives in selection, training and incentives. Conclusions Commonwealth, state and local governments in collaboration with communities and specialist colleges can work synergistically, with a multiplicity of interdigitating strategies, to ensure a positive approach to the maintenance of a critical mass of long-term rural specialists. What is known about the topic? Rural origin increases likelihood of long-term retention to rural locations, with rural clinical school training associated with increased rural intent. Recruitment and retention policy has been directed at general practitioners in rural communities, with little focus on regional centres or medical specialists. What does this study add? Rural origin is associated with regional centre recruitment. Professional, social and locational factors are all moderately important in both recruitment and retention. Specialist medical training for regional centres ideally requires both generalist and subspecialist skills

Audit of tumour histopathology reviewed by a regional oncology centre.

PubMed Central

Prescott, R J; Wells, S; Bisset, D L; Banerjee, S S; Harris, M

1995-01-01

AIMS--To analyse the diagnostic differences in reporting tumour histopathology between a district general hospital and a regional oncology centre. METHODS--Tumour histopathology reports (n = 227) extracted from Bolton General Hospital files between 1988 and 1992 were compared with the corresponding Christie Hospital (oncology centre) reports, the same material having been seen at both hospitals. RESULTS--Diagnostic agreement existed in 77% of all cases. The incidence of major discrepancies was 8.37%. Of the diagnoses, 19 (36%) cases involved major discrepancies and 34 (64%) cases minor discrepancies. Most discrepancies occurred in the lymphoma group and involved subclassification of Hodgkin's and non-Hodgkin's lymphoma. Ki1 anaplastic large cell lymphoma and T cell rich B cell lymphoma were problematic diagnoses. The correct grading of follicle centre cell lymphomas using the Kiel classification was another problem area. In 19 cases certain aspects of immunohistochemistry produced discrepancies. In one case an incorrect diagnosis was made at the oncology centre and in another both centres gave an incorrect diagnosis. CONCLUSIONS--Areas of diagnostic difficulty mainly involve the subclassification of lymphomas. Review of tumour pathology by experts is recommended, at least in certain categories, to ensure correct diagnosis and uniformity in subclassification of tumours. PMID:7730487

Satellite Sounder Observations of Contrasting Tropospheric Moisture Transport Regimes: Saharan Air Layers, Hadley Cells, and Atmospheric Rivers

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

Nalli, Nicholas R.; Barnet, Christopher D.; Reale, Tony

This paper examines the performance of satellite sounder atmospheric vertical moisture proles (AVMP) under tropospheric conditions encompassing moisture contrasts driven by convection and advection transport mechanisms, specifically Atlantic Ocean Saharan air layers (SALs) and Pacific Ocean moisture conveyer belts (MCBs) commonly referred to as atmospheric rivers (ARs), both of these being mesoscale to synoptic meteorological phenomena within the vicinity of subtropical Hadley subsidence zones. Operational AVMP environmental data records retrieved from the Suomi National Polar-orbiting Partnership (SNPP) NOAA-Unique Combined Atmospheric Processing System (NUCAPS) are collocated with dedicated radiosonde observations (RAOBs) obtained from ocean-based intensive field campaigns; these RAOBs provide uniquelymore » independent correlative truth data not assimilated into numerical weather prediction models for satellite sounder validation over open ocean. Using these marine-based data, we empirically assess the performance of the operational NUCAPS AVMP product for detecting and resolving these tropospheric moisture features over otherwise RAOB-sparse regions.« less

Operational flood forecasting system of Umbria Region "Functional Centre

NASA Astrophysics Data System (ADS)

Berni, N.; Pandolfo, C.; Stelluti, M.; Ponziani, F.; Viterbo, A.

2009-04-01

The hydrometeorological alert office (called "Decentrate Functional Centre" - CFD) of Umbria Region, in central Italy, is the office that provides technical tools able to support decisions when significant flood/landslide events occur, furnishing 24h support for the whole duration of the emergency period, according to the national directive DPCM 27 February 2004 concerning the "Operating concepts for functional management of national and regional alert system during flooding and landslide events for civil protection activities purposes" that designs, within the Italian Civil Defence Emergency Management System, a network of 21 regional Functional Centres coordinated by a central office at the National Civil Protection Department in Rome. Due to its "linking" role between Civil Protection "real time" activities and environmental/planning "deferred time" ones, the Centre is in charge to acquire and collect both real time and quasi-static data: quantitative data from monitoring networks (hydrometeorological stations, meteo radar, ...), meteorological forecasting models output, Earth Observation data, hydraulic and hydrological simulation models, cartographic and thematic GIS data (vectorial and raster type), planning studies related to flooding areas mapping, dam managing plans during flood events, non instrumental information from direct control of "territorial presidium". A detailed procedure for the management of critical events was planned, also in order to define the different role of various authorities and institutions involved. Tiber River catchment, of which Umbria region represents the main upper-medium portion, includes also regional trans-boundary issues very important to cope with, especially for what concerns large dam behavior and management during heavy rainfall. The alert system is referred to 6 different warning areas in which the territory has been divided into and based on a threshold system of three different increasing critical levels according

Corrigendum to: It's more than money: policy options to secure medical specialist workforce for regional centres.

PubMed

May, Jennifer; Walker, Judi; McGrail, Mathew; Rolley, Fran

2017-12-01

Objectives Regional centres and their rural hinterlands support significant populations of non-metropolitan Australians. Despite their importance in the settlement hierarchy and the key medical services provided from these centres, little research has focused on their issues of workforce supply and long-term service requirements. In addition, they are a critical component of the recent growth of 'regional' hub-and-spoke specialist models of service delivery. Methods The present study interviewed 62 resident specialists in four regional centres, seeking to explore recruitment and retention factors important to their location decision making. The findings were used to develop a framework of possible evidence-informed policies. Results This article identifies key professional, social and locational factors, several of which are modifiable and amenable to policy redesign, including work variety, workplace culture, sense of community and spousal employment; these factors that can be targeted through initiatives in selection, training and incentives. Conclusions Commonwealth, state and local governments in collaboration with communities and specialist colleges can work synergistically, with a multiplicity of interdigitating strategies, to ensure a positive approach to the maintenance of a critical mass of long-term rural specialists. What is known about the topic? Rural origin increases likelihood of long-term retention to rural locations, with rural clinical school training associated with increased rural intent. Recruitment and retention policy has been directed at general practitioners in rural communities, with little focus on regional centres or medical specialists. What does this study add? Rural origin is associated with regional centre recruitment. Professional, social and locational factors are all moderately important in both recruitment and retention. Specialist medical training for regional centres ideally requires both generalist and subspecialist skills

The El Nino-Southern Oscillation in the second Hadley Centre coupled model and its response to greenhouse warming

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

Collins, M.

This paper describes El Nino-Southern Oscillation (ENSO) interannual variability simulated in the second Handley Centre coupled model under control and greenhouse warming scenarios. The model produces a very reasonable simulation of ENSO in the control experiment--reproducing the amplitude, spectral characteristics, and phase locking to the annual cycle that are observed in nature. The mechanism for the model ENSO is shown to be a mixed SST-ocean dynamics mode that can be interpreted in terms of the ocean recharge paradigm of Jin. In experiments with increased levels of greenhouse gases, no statistically significant changes in ENSO are seen until these levels approachmore » four times preindustrial values. In these experiments, the model ENSO has an approximately 20% larger amplitude, a frequency that is approximately double that of the current ENSO (implying more frequent El Ninos and La Ninas), and phase locks to the annual cycle at a different time of year. It is shown that the increase in the vertical gradient of temperature in the thermocline region, associated with the model's response to increased greenhouse gases, is responsible for the increase in the amplitude of ENSO, while the increase in meridional temperature gradients on either side of the equator, again associated with the models response to increasing greenhouse gases, is responsible for the increased frequency of ENSO events.« less

Saskatchewan's (Canada) Regional Centre of Expertise on Education for Sustainable Development

ERIC Educational Resources Information Center

Dahms, Tanya; McMartin, Dena; Petry, Roger

2008-01-01

Purpose: The purpose of this paper is to describe the unique collaborative process initiated at the University of Regina in Saskatchewan, Canada, to develop a Regional Centre of Expertise (RCE) on Education for Sustainable Development (ESD) through the United Nations University-Institute of Advanced Studies (UNU-IAS). Design/methodology/approach:…

The Effect of Changes in the Hadley Circulation on Oceanic Oxygen Minimum Zones

NASA Astrophysics Data System (ADS)

De La Cruz Tello, G.; Ummenhofer, C.; Karnauskas, K. B.

2014-12-01

Recent research argued that the Hadley circulation (HC) is composed of three regional cells located at the eastern edges of the ocean basins, rather than a single, globe-encircling cell as the classic textbook view suggests. The HC is expected to expand in concert with global warming, which means that the dry regions beneath the descending branches of the HC are projected to become even drier. Changes in the HC are thus likely to impact freshwater resources on land, as well as the underlying ocean in the subtropics. The eastern edges of ocean basins are characterized by oxygen minimum zones (OMZs), which are regions of very low oxygen concentrations. They affect marine life, as many animals cannot handle the stress caused by such conditions. OMZs have expanded and shoaled in the last 50 years, and they are expected to continue to do so as global climate changes. The purpose of this research is to find links between the projected changes in OMZs and the HC. The National Center for Atmospheric Research (NCAR) Community Earth System Model 1.0 (CESM), Representative Concentration Pathways 8.5 (RCP8.5) experiment with a resolution of 0.9 by 1.25 degrees, which formed part of the Coupled Model Intercomparison Project phase 5 (CMIP5), was used for this analysis. Meridional winds and oceanic oxygen concentrations were the primarily analyzed variables. Latitudinal ocean oxygen slices demonstrate the OMZs' location along the eastern edges of ocean basins. Meridional winds overlayed with oxygen concentration are consistent with the idea that surface meridional 'Hadleywise flow' (i.e., towards the equator at the surface and towards the poles aloft) and OMZs are linked through changes in upwelling. Area-averaged time series spanning the historical period through to the end of the 21st century with RCP8.5 confirm that future changes in OMZs and the HC may be connected. Further research could lead to improved understanding of the factors that drive changes in both, which could

WHO Collaborating Centre for Acquired Immunodeficiency Syndrome for the Eastern Mediterranean Regional Office, Faculty of Medicine, Kuwait University, Kuwait.

PubMed

Altawalah, Haya; Al-Nakib, Widad

2014-01-01

In the early 1980s, the World Health Organization (WHO) designated the Virology Unit of the Faculty of Medicine, Health Sciences Centre, Kuwait University, Kuwait, a collaborating centre for AIDS for the Eastern Mediterranean Regional Office (EMRO), recognizing it to be in compliance with WHO guidelines. In this centre, research integral to the efforts of WHO to combat AIDS is conducted. In addition to annual workshops and symposia, the centre is constantly updating and renewing its facilities and capabilities in keeping with current and latest advances in virology. As an example of the activities of the centre, the HIV-1 RNA viral load in plasma samples of HIV-1 patients is determined by real-time PCR using the AmpliPrep TaqMan HIV-1 test v2.0. HIV-1 drug resistance is determined by sequencing the reverse transcriptase and protease regions on the HIV-1 pol gene, using the TRUGENE HIV-1 Genotyping Assay on the OpenGene® DNA Sequencing System. HIV-1 subtypes are determined by sequencing the reverse transcriptase and protease regions on the HIV-1 pol gene using the genotyping assays described above. A fundamental program of Kuwait's WHO AIDS collaboration centre is the national project on the surveillance of drug resistance in human deficiency virus in Kuwait, which illustrates how the centre and its activities in Kuwait can serve the EMRO region of WHO. © 2014 S. Karger AG, Basel.

Three-dimensional baroclinic instability of a Hadley cell for small Richardson number

NASA Technical Reports Server (NTRS)

Antar, B. N.; Fowlis, W. W.

1983-01-01

For the case of a baroclinic flow whose Richardson number, Ri, is of order unity, a three-dimensional linear stability analysis is conducted on the basis of a model for a thin, horizontal, rotating fluid layer which is subjected to horizontal and vertical temperature gradients. The Hadley cell basic state and stability analysis are both based on the Navier-Stokes and energy equations, and perturbations possessing zonal, meridional, and vertical structures are considered. An attempt is made to extend the previous theoretical work on three-dimensional baroclinic instability for small Ri to a more realistic model involving the Prandtl and Ekman numbers, as well as to finite growth rates and a wider range of the zonal wavenumber. In general, it is found that the symmetric modes of maximum growth are not purely symmetric, but have a weak zonal structure.

Regional Centre of Expertise (RCE) Rhine-Meuse: A Cross-Border Network

ERIC Educational Resources Information Center

Rikers, Jos H. A. N.; Hermans, Jos H. C. L. M.

2008-01-01

Purpose: The purpose of this paper is to introduce the case of the cross-border RCE Rhine-Meuse established as the first Regional Centre of Expertise (RCE) on Education for Sustainable Development in Europe. RCE Rhine-Meuse is an initiative of two institutions of higher education in the South of The Netherlands, but reaching out to the German and…

Three-dimensional baroclinic instability of a Hadley cell for small Richardson number

NASA Technical Reports Server (NTRS)

Antar, B. N.; Fowlis, W. W.

1985-01-01

A three-dimensional, linear stability analysis of a baroclinic flow for Richardson number, Ri, of order unity is presented. The model considered is a thin horizontal, rotating fluid layer which is subjected to horizontal and vertical temperature gradients. The basic state is a Hadley cell which is a solution of the complete set of governing, nonlinear equations and contains both Ekman and thermal boundary layers adjacent to the rigid boundaries; it is given in a closed form. The stability analysis is also based on the complete set of equations; and perturbation possessing zonal, meridional, and vertical structures were considered. Numerical methods were developed for the stability problem which results in a stiff, eighth-order, ordinary differential eigenvalue problem. The previous work on three-dimensional baroclinic instability for small Ri was extended to a more realistic model involving the Prandtl number, sigma, and the Ekman number, E, and to finite growth rates and a wider range of the zonal wavenumber.

Hadley circulation strength and width in a wide range of simulated climates

NASA Astrophysics Data System (ADS)

D'Agostino, R.; Adam, O.; Lionello, P.; Schneider, T.

2016-12-01

Understanding how the Hadley circulation (HC) responds to global warming is crucial because it determines climatic features such as the seasonal migration of the ITCZ, the extent of subtropical arid regions and the strength of the monsoons. Here we analyse changes in the HC strength and width in the set of PMIP3 and CMIP5 simulations, spanning a wide range of climate conditions from Last Glacial Maximum to future RCP projections. The large climate change signal emerging from comparing paleoclimate simulations to future scenarios offers the possibility to analyse the corresponding HC change and to investigate its response to large variations of the factors controlling it. The results confirm that the HC generally expands and weakens as the global mean temperature increases, consistent with results from other studies. Furthermore, we find an asymmetric HC response between the northern and southern hemisphere in the rate at which the HC edges shift poleward with global warming. The mid-latitude static stability and meridional temperature gradients affect the HC edges to different degrees in the two hemispheres. In the southern hemisphere the increase in the mid-latitude static stability is associated with a poleward shift of the southern HC edge, while in the northern hemisphere, the reduction in the meridional temperature gradient plays the dominant role in the poleward shift of the northern HC edge. The two hemispheres also exhibit very different changes of HC strength. The HC weakening with global warming occurs primarily in the northern hemisphere, while there is no change, or even a slighter weakening in the southern hemisphere. The HC changes also have pronounced seasonal signatures. The maximum poleward shift of the northern HC edge occurs one month later (from August to September) in future global warming scenarios than when comparing pre-industrial simulations with the Last Glacial Maximum.

Hadley circulation extent and strength in a wide range of simulated climates

NASA Astrophysics Data System (ADS)

D'Agostino, Roberta; Adam, Ori; Lionello, Piero; Schneider, Tapio

2017-04-01

Understanding the Hadley circulation (HC) dynamics is crucial because its changes affect the seasonal migration of the ITCZ, the extent of subtropical arid regions and the strength of the monsoons. Despite decades of study, the factors controlling its strength and extent have remained unclear. Here we analyse how HC strength and extent change over a wide range of climate conditions from the Last Glacial Maximum to future projections. The large climate change between paleoclimate simulations and future scenarios offers the chance to analyse robust HC changes and their link to large-scale factors. The HC shrinks and strengthens in the coldest simulation relative to the warmest. A progressive poleward shift of its edges is evident as the climate warms (at a rate of 0.35°lat./K in each hemisphere). The HC extent and strength both depend on the isentropic slope, which in turn is related to the meridional temperature gradient, subtropical static stability and tropopause height. In multiple robust regression analysis using these as predictors, we find that the tropical tropopause height does not add relevant information to the model beyond surface temperature. Therefore, primarily the static stability and secondarily the meridional temperature contrast together account for the bulk of the almost the total HC variance. However, the regressions leave some of the northern HC edge and southern HC strength variance unexplained. The effectiveness of this analysis is limited by the correlation among the predictors and their relationship with mean temperature. In fact, for all simulations, the tropical temperature explains well the variations of HC except its southern hemisphere intensity. Hence, it can be used as the sole predictor to diagnose the HC response to greenhouse-induced global warming. How to account for the evolution of the southern HC strength remains unclear, because of the large inter-model spread in this quantity.

Potential effects of climate change on ground water in Lansing, Michigan

USGS Publications Warehouse

Croley, T.E.; Luukkonen, C.L.

2003-01-01

Computer simulations involving general circulation models, a hydrologic modeling system, and a ground water flow model indicate potential impacts of selected climate change projections on ground water levels in the Lansing, Michigan, area. General circulation models developed by the Canadian Climate Centre and the Hadley Centre generated meteorology estimates for 1961 through 1990 (as a reference condition) and for the 20 years centered on 2030 (as a changed climate condition). Using these meteorology estimates, the Great Lakes Environmental Research Laboratory's hydrologic modeling system produced corresponding period streamflow simulations. Ground water recharge was estimated from the streamflow simulations and from variables derived from the general circulation models. The U.S. Geological Survey developed a numerical ground water flow model of the Saginaw and glacial aquifers in the Tri-County region surrounding Lansing, Michigan. Model simulations, using the ground water recharge estimates, indicate changes in ground water levels. Within the Lansing area, simulated ground water levels in the Saginaw aquifer declined under the Canadian predictions and increased under the Hadley.

The WMO RA VI Regional Climate Centre Network - a support to users in Europe

NASA Astrophysics Data System (ADS)

Rösner, S.

2012-04-01

Climate, like weather, has no limits. Therefore the World Meteorological Organization (WMO), a specialized United Nations organization, has established a three-level infrastructure to better serve its member countries. This structure comprises Global Producing Centres for Long-range Forecasts (GPCs), Regional Climate Centres (RCCs) and National Meteorological or Hydrometeorological Services (NMHSs), in most cases representing their countries in WMO governance bodies. The elements of this infrastructure are also part of and contribute to the Global Framework for Climate Services (GFCS) agreed to be established by World Climate Conference 3 (WCC-3) and last year's Sixteenth World Meteorological Congress (WMO Cg-XVI). RCCs are the core element of this infrastructure at the regional level and are being establish in all WMO Regional Associations (RAs), i.e. Africa (RA I); Asia (II); South America (III); North America, Central America and the Caribbean (IV); South-West Pacific (V); Europe (VI). Addressing inter-regional areas of common interest like the Mediterranean or the Polar Regions may require inter-regional RCCs. For each region the RCCs follow a user driven approach with regard to governance and structure as well as products generated for the users in the respective region. However, there are common guidelines all RCCs do have to follow. This is to make sure that services are provided based on best scientific standards, are routinely and reliably generated and made available in an operational mode. These guidelines are being developed within WMO and make use of decade-long experience gained in the business of operational weather forecast. Based on the requirements of the 50 member countries of WMO RA VI it was agreed to establish the WMO RCC as a network of centres of excellence that create regional products including long-range forecasts that support regional and national climate activities, and thereby strengthen the capacity of WMO Members in the region to

The interplay of internal and forced modes of Hadley Cell expansion: lessons from the global warming hiatus

NASA Astrophysics Data System (ADS)

Amaya, Dillon J.; Siler, Nicholas; Xie, Shang-Ping; Miller, Arthur J.

2017-09-01

The poleward branches of the Hadley Cells and the edge of the tropics show a robust poleward shift during the satellite era, leading to concerns over the possible encroachment of the globe's subtropical dry zones into currently temperate climates. The extent to which this trend is caused by anthropogenic forcing versus internal variability remains the subject of considerable debate. In this study, we use a Joint EOF method to identify two distinct modes of tropical width variability: (1) an anthropogenically-forced mode, which we identify using a 20-member simulation of the historical climate, and (2) an internal mode, which we identify using a 1000-year pre-industrial control simulation. The forced mode is found to be closely related to the top of the atmosphere radiative imbalance and exhibits a long-term trend since 1860, while the internal mode is essentially indistinguishable from the El Niño Southern Oscillation. Together these two modes explain an average of 70% of the interannual variability seen in model "edge indices" over the historical period. Since 1980, the superposition of forced and internal modes has resulted in a period of accelerated Hadley Cell expansion and decelerated global warming (i.e., the "hiatus"). A comparison of the change in these modes since 1980 indicates that by 2013 the signal has emerged above the noise of internal variability in the Southern Hemisphere, but not in the Northern Hemisphere, with the latter also exhibiting strong zonal asymmetry, particularly in the North Atlantic. Our results highlight the important interplay of internal and forced modes of tropical width change and improve our understanding of the interannual variability and long-term trend seen in observations.

Open Innovation, Triple Helix and Regional Innovation Systems: Exploring CATAPULT Centres in the UK

ERIC Educational Resources Information Center

Kerry, Christopher; Danson, Michael

2016-01-01

Through the lens of UK CATAPULT Centres this conceptual paper presents an examination of the links between open innovation, the Triple Helix model and regional innovation systems. Highlighting the importance of boundary-spanning intermediaries, the combined role of these concepts is explored in detail. A conceptual model is then proposed which…

The trends of burns epidemiology in a tropical regional burns centre.

PubMed

Hwee, Jolie; Song, Christopher; Tan, Kok Chai; Tan, Bien Keem; Chong, Si Jack

2016-05-01

Singapore General Hospital (SGH) is a regional burns centre in Southeast Asia and is the only dedicated burns facility providing specialized burns care in Singapore. A cohort study was performed for burns patients admitted to SGH from 2011 to 2013. We compared our data with earlier studies and observed the trends of burns epidemiology in Singapore. Results were analyzed using the SPSS programme. 655 patients were admitted during this study period, a 35.9% increase from 2003 to 2005. Scalding by water and flame injury remain the top causes of burns and the mean extent of burn is 9.5%. TBSA correlates with the incidence of burn infection, bacteremia and mortality. Patients with ≥20% TBSA are at a higher risk of bacteremia, and ≥ 34% TBSA is a predictor of mortality. 4.9% (n=32) of our patients developed bacteremia. Bacteremia was associated with a surgical duration of ≥80min. Patients with bacteremia incurred longer hospitalization, and had higher mortality rates. Overall mortality rate of our burns patients has decreased from 4.5% to 2.7% (n=18). Key factors of mortality include inhalational injury, bacteremia and ≥20% TBSA. This is a large epidemiology study of a tropical region burns centre. A total of 655 burns cases over a 3-year period were analyzed. We analysed the key factors associated with adverse outcomes including burns infection, bacteremia and mortality, factors associated with mortality, and discussed strategies on the optimization of burns care. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Characteristics of sub-daily precipitation extremes in observed data and regional climate model simulations

NASA Astrophysics Data System (ADS)

Beranová, Romana; Kyselý, Jan; Hanel, Martin

2018-04-01

The study compares characteristics of observed sub-daily precipitation extremes in the Czech Republic with those simulated by Hadley Centre Regional Model version 3 (HadRM3) and Rossby Centre Regional Atmospheric Model version 4 (RCA4) regional climate models (RCMs) driven by reanalyses and examines diurnal cycles of hourly precipitation and their dependence on intensity and surface temperature. The observed warm-season (May-September) maxima of short-duration (1, 2 and 3 h) amounts show one diurnal peak in the afternoon, which is simulated reasonably well by RCA4, although the peak occurs too early in the model. HadRM3 provides an unrealistic diurnal cycle with a nighttime peak and an afternoon minimum coinciding with the observed maximum for all three ensemble members, which suggests that convection is not captured realistically. Distorted relationships of the diurnal cycles of hourly precipitation to daily maximum temperature in HadRM3 further evidence that underlying physical mechanisms are misrepresented in this RCM. Goodness-of-fit tests indicate that generalised extreme value distribution is an applicable model for both observed and RCM-simulated precipitation maxima. However, the RCMs are not able to capture the range of the shape parameter estimates of distributions of short-duration precipitation maxima realistically, leading to either too many (nearly all for HadRM3) or too few (RCA4) grid boxes in which the shape parameter corresponds to a heavy tail. This means that the distributions of maxima of sub-daily amounts are distorted in the RCM-simulated data and do not match reality well. Therefore, projected changes of sub-daily precipitation extremes in climate change scenarios based on RCMs not resolving convection need to be interpreted with caution.

Innovative technology conserves resources and generates savings: a case study from the Sunnybrook Regional Processing Centre.

PubMed

Karim, Abdool Z

2009-01-01

The regional processing centre at Sunnybrook Health Sciences Centre recently faced the substantial challenge of increasing cleaning capacity to meet the current workload and anticipated future demand without increasing its operating budget. The solution, upgrading its cleaning and decontamination system to a highly automated system, met both objectives. An analysis of the impact of the change found that the new system provided additional benefits, including improved productivity and cleaning quality; decreased costs; reduced water, electricity and chemical use; improved worker safety and morale; and decreased overtime. Investing in innovative technology improved key departmental outcomes while meeting institutional environmental and cost savings objectives.

Multi-criteria decision analysis for bioenergy in the Centre Region of Portugal

NASA Astrophysics Data System (ADS)

Esteves, T. C. J.; Cabral, P.; Ferreira, A. J. D.; Teixeira, J. C.

2012-04-01

With the consumption of fossil fuels, the resources essential to Man's survival are being rapidly contaminated. A sustainable future may be achieved by the use of renewable energies, allowing countries without non-renewable energy resources to guarantee energetic sovereignty. Using bioenergy may mean a steep reduction and/or elimination of the external dependency, enhancing the countries' capital and potentially reducing of the negative effects that outcome from the use of fossil fuels, such as loss of biodiversity, air, water, and soil pollution, … This work's main focus is to increase bioenergy use in the centre region of Portugal by allying R&D to facilitate determination of bioenergy availability and distribution throughout the study area.This analysis is essential, given that nowadays this knowledge is still very limited in the study area. Geographic Information Systems (GIS) was the main tool used to asses this study, due to its unseeingly ability to integrate various types of information (such as alphanumerical, statistical, geographical, …) and various sources of biomass (forest, agricultural, husbandry, municipal and industrial residues, shrublands, used vegetable oil and energy crops) to determine the bioenergy potential of the study area, as well as their spatial distribution. By allying GIS with multi-criteria decision analysis, the initial table-like information of difficult comprehension is transformed into tangible and easy to read results: both intermediate and final results of the created models will facilitate the decision making process. General results show that the major contributors for the bioenergy potential in the Centre Region of Portugal are forest residues, which are mostly located in the inner region of the study area. However, a more detailed analysis should be made to analyze the viability to use energy crops. As a main conclusion, we can say that, although this region may not use only this type of energy to be completely

Future Projections of Air Temperature and Precipitation for the CORDEX-MENA Domain by Using RegCM4.3.5

NASA Astrophysics Data System (ADS)

Ozturk, Tugba; Turp, M. Tufan; Türkeş, Murat; Kurnaz, M. Levent

2015-04-01

In this study, the projected changes for the periods of 2016 - 2035, 2046 - 2065, and 2081 - 2100 in the seasonal averages of air temperature and precipitation variables with respect to the reference period of 1981 - 2000 were examined for the Middle East and North Africa region. In this context, Regional Climate Model (RegCM4.3.5) of ICTP (International Centre for Theoretical Physics) was run by using two different global climate models. MPI-ESM-MR global climate model of the Max Planck Institute for Meteorology and HadGEM2 of the Met Office Hadley Centre were dynamically downscaled to 50 km for the CORDEX-MENA domain. The projections were realized according to the RCP4.5 and the RCP8.5 emission scenarios of the IPCC (Intergovernmental Panel of Climate Change).

Outcome of severely injured trauma patients at a designated trauma centre in the Hong Kong Special Administrative Region.

PubMed

Leung, Ka Kit Gilberto; Ho, Wendy; Tong, King Hung Daniel; Yuen, Wai Key

2010-05-20

The Hong Kong Special Administrative Region (HKSAR) of the People's Republic of China (PRC) has seen significant changes in its trauma service over the last ten years including the implementation of a regional trauma system. The author's institution is one of the five trauma centres designated in 2003. This article reports our initial clinical experience. A prospective single-centre trauma registry from January 2004 to December 2008 was reviewed. The primary clinical outcome measure was hospital mortality. The Trauma and Injury Severity Score (TRISS) methodology was used for bench-marking with the North America Major Trauma Outcome Study (MTOS) database. There were 1451 patients. The majority (83.9%) suffered from blunt injury. The overall mortality rate was 7.8%. Severe injury, defined as the Injury Severity Score > 15, occurred in 22.5% of patients, and was associated with a mortality rate of 31.6%. A trend of progressive improvement was noted. The M-statistic was 0.99, indicating comparable case-mix with the MTOS. The Z- and W-statistics of each individual year revealed fewer, but not significantly so, number of survivors than expected. Trauma centre designation was feasible in the HKSAR and was associated with a gradual improvement in patient care. Trauma system implementation may be considered in regions equipped with the necessary socio-economic and organizational set-up.

Effects of unstratified and centre-stratified randomization in multi-centre clinical trials.

PubMed

Anisimov, Vladimir V

2011-01-01

This paper deals with the analysis of randomization effects in multi-centre clinical trials. The two randomization schemes most often used in clinical trials are considered: unstratified and centre-stratified block-permuted randomization. The prediction of the number of patients randomized to different treatment arms in different regions during the recruitment period accounting for the stochastic nature of the recruitment and effects of multiple centres is investigated. A new analytic approach using a Poisson-gamma patient recruitment model (patients arrive at different centres according to Poisson processes with rates sampled from a gamma distributed population) and its further extensions is proposed. Closed-form expressions for corresponding distributions of the predicted number of the patients randomized in different regions are derived. In the case of two treatments, the properties of the total imbalance in the number of patients on treatment arms caused by using centre-stratified randomization are investigated and for a large number of centres a normal approximation of imbalance is proved. The impact of imbalance on the power of the study is considered. It is shown that the loss of statistical power is practically negligible and can be compensated by a minor increase in sample size. The influence of patient dropout is also investigated. The impact of randomization on predicted drug supply overage is discussed. Copyright © 2010 John Wiley & Sons, Ltd.

Climate change projections for Tamil Nadu, India: deriving high-resolution climate data by a downscaling approach using PRECIS

NASA Astrophysics Data System (ADS)

Bal, Prasanta Kumar; Ramachandran, A.; Geetha, R.; Bhaskaran, B.; Thirumurugan, P.; Indumathi, J.; Jayanthi, N.

2016-02-01

In this paper, we present regional climate change projections for the Tamil Nadu state of India, simulated by the Met Office Hadley Centre regional climate model. The model is run at 25 km horizontal resolution driven by lateral boundary conditions generated by a perturbed physical ensemble of 17 simulations produced by a version of Hadley Centre coupled climate model, known as HadCM3Q under A1B scenario. The large scale features of these 17 simulations were evaluated for the target region to choose lateral boundary conditions from six members that represent a range of climate variations over the study region. The regional climate, known as PRECIS, was then run 130 years from 1970. The analyses primarily focus on maximum and minimum temperatures and rainfall over the region. For the Tamil Nadu as a whole, the projections of maximum temperature show an increase of 1.0, 2.2 and 3.1 °C for the periods 2020s (2005-2035), 2050s (2035-2065) and 2080s (2065-2095), respectively, with respect to baseline period (1970-2000). Similarly, the projections of minimum temperature show an increase of 1.1, 2.4 and 3.5 °C, respectively. This increasing trend is statistically significant (Mann-Kendall trend test). The annual rainfall projections for the same periods indicate a general decrease in rainfall of about 2-7, 1-4 and 4-9 %, respectively. However, significant exceptions are noticed over some pockets of western hilly areas and high rainfall areas where increases in rainfall are seen. There are also indications of increasing heavy rainfall events during the northeast monsoon season and a slight decrease during the southwest monsoon season. Such an approach of using climate models may maximize the utility of high-resolution climate change information for impact-adaptation-vulnerability assessments.

100% of the World Ocean Floor Mapped by 2030 - Contribution of the South and West Pacific Regional Data Assembly and Coordination Centre to the Seabed 2030 Initiative

NASA Astrophysics Data System (ADS)

Lamarche, G.; Neil, H.; Stagpoole, V. M.; Greenland, A.; Mackay, K.; Black, J.; Griffin, E.

2017-12-01

The Seabed 2030 SaWPac Centre (South and West Pacific Ocean Regional Data Assembly and Coordination Centre) has been formed to generate new high resolution ocean floor maps of the western and southern Pacific Ocean. The centre is part of the joint Nippon Foundation and the General Bathymetric Chart of the Oceans (GEBCO) initiative to produce a definitive map of the World Ocean floor by 2030, empowering the world to make policy decisions, use the ocean sustainability and undertake scientific research based on detailed bathymetric information of the Earth's seabed. The SaWPac Centre is based at NIWA Wellington (New Zealand) and includes a collaborative partnership with GNS Science and Land Information New Zealand. It is responsible for the region from South America to Australia, north of latitude 50°S to 10° north of the Equator and the western part of the Northern Pacific Ocean to Russia. The region includes the world's deepest trenches and also covers some of the remotest oceans where bathymetric data form existing ship tracks is spaced up to 100 km apart. The challenge for the SaWPac Centre is to collate and combine all the available bathymetric data from the numerous nations that have surveyed in the region. The centre will also promote efforts to collect new data and contribute to map products generated by the Seabed 2030 global mapping project.

Regional Centre of Expertise as Transformational Platform for Sustainability: A Case Study of Universiti Sains Malaysia, Penang

ERIC Educational Resources Information Center

Sanusi, Zainal Abidin; Khelghat-Doost, Hamoon

2008-01-01

Purpose: The purpose of this paper is to share the experience of Universiti Sains Malaysia in promoting the sustainable development agenda through its leadership role in the Regional Centre of Expertise (RCE) Penang using an "inside-out approach". Design/methodology/approach: This paper describes the institutional structure, policies and…

Definitive intensity-modulated radiotherapy concurrent with systemic therapy for oropharyngeal squamous cell carcinoma: Outcomes from an integrated regional Australian cancer centre.

PubMed

Masoud Rahbari, Reza; Winkley, Lauren; Hill, Jacques; Tahir, Abdul Rahim Mohammed; McKay, Michael; Last, Andrew; Shakespeare, Thomas P; Dwyer, Patrick

2016-06-01

Oropharyngeal squamous cell carcinoma (OPSCC) incidence has increased over the past two decades largely because of an increase in human papilloma virus (HPV)-related OPSCC. We report here outcomes of definitive radiation therapy for OPSCC with simultaneous integrated boost intensity-modulated radiotherapy (IMRT) in a regional Australian cancer centre. We retrospectively reviewed electronic medical records (EMR) of all patients treated with IMRT for head and neck cancer. We included patients who received a curative intent IMRT for OPSCC (2010-2014). Of 61 patients, 80% were men, and the median age was 57 years. Ninety percent of our patients received concurrent systemic therapy, and 68% were p16 positive. The median radiotherapy dose received was 70 Gy in 35 fractions. The median follow up for surviving patients was 22 months. Twenty-four month actuarial data show that the loco-regional recurrence free, metastasis-free MFS, cancer-specific (CaSS) and overall survival percentages were 98.3%, 92.6%, 91% and 90.3%, respectively. We did not observe grades 4 or 5 acute or late toxicities, and 10 patients (16.2%) exhibited persistent grade 3 toxicity 6 months after completing the treatment. The results from curative IMRTs for OPSCC delivered in a regional cancer centre are comparable with results published by tertiary referral centres. A long-term follow up of this patient cohort will continue for further analyses and comparisons with tertiary centres. © 2016 The Royal Australian and New Zealand College of Radiologists.

Study of the global and regional climatic impacts of ENSO magnitude using SPEEDY AGCM

NASA Astrophysics Data System (ADS)

Dogar, Muhammad Mubashar; Kucharski, Fred; Azharuddin, Syed

2017-03-01

over the tropical Atlantic and the Indian Ocean through Walker circulation. ENSO-induced negative (positive) NAO-like response and associated changes over Southern Europe and North Africa get significantly strong following increased intensity of El Niño (La Niña) in the northern (southern) hemisphere in the boreal winter (summer) season. We further find that ENSO magnitude significantly impacts Hadley and Walker circulations. The positive phase of ENSO (El Niño) overall strengthens Hadley cell and a reverse is true for the La Niña phase. ENSO-induced strengthening and weakening of Hadley cell induces significant impact over South Asian and African ITCZ convective regions through modification of ITCZ/monsoon circulation system.

Mapping of schistosomiasis and soil-transmitted helminthiasis in the regions of centre, East and West Cameroon.

PubMed

Tchuem Tchuenté, Louis-Albert; Kamwa Ngassam, Romuald Isaka; Sumo, Laurentine; Ngassam, Pierre; Dongmo Noumedem, Calvine; Nzu, Deguy D'or Luogbou; Dankoni, Esther; Kenfack, Christian Mérimé; Gipwe, Nestor Feussom; Akame, Julie; Tarini, Ann; Zhang, Yaobi; Angwafo, Fru Fobuzski

2012-01-01

Schistosomiasis and soil-transmitted helminthiasis (STH) are widely distributed in Cameroon. Although mass drug administration (MDA) of mebendazole is implemented nationwide, treatment with praziquantel was so far limited to the three northern regions and few health districts in the southern part of Cameroon, based on previous mapping conducted 25 years ago. To update the disease distribution map and determine where treatment with praziquantel should be extended, mapping surveys were conducted in three of the seven southern regions of Cameroon, i.e. Centre, East and West. Parasitological surveys were conducted in April-May 2010 in selected schools in all 63 health districts of the three targeted regions, using appropriate research methodologies, i.e. Kato-Katz and urine filtration. The results showed significant variation of schistosomiasis and STH prevalence between schools, villages, districts and regions. Schistosoma mansoni was the most prevalent schistosome species, with an overall prevalence of 5.53%, followed by S. haematobium (1.72%) and S. guineensis (0.14%). The overall prevalence of schistosomiasis across the three regions was 7.31% (95% CI: 6.86-7.77%). The prevalence for Ascaris lumbricoides was 11.48 (95% CI: 10.93-12.04%), Trichuris trichiura 18.22% (95% CI: 17.56-18.90%) and hookworms 1.55% (95% CI: 1.35-1.78%), with an overall STH prevalence of 24.10% (95% CI: 23.36-24.85%) across the three regions. STH was more prevalent in the East region (46.57%; 95% CI: 44.41-48.75%) in comparison to the Centre (25.12; 95% CI: 24.10-26.17%) and West (10.49%; 95% CI: 9.57-11.51%) regions. In comparison to previous data, the results showed an increase of schistosomiasis transmission in several health districts, whereas there was a significant decline of STH infections. Based on the prevalence data, the continuation of annual or bi-annual MDA for STH is recommended, as well as an extension of praziquantel in identified moderate and high risk communities for

Prevention and control of carbapenemase-producing organisms at a regional burns centre.

PubMed

Teare, L; Myers, J; Kirkham, A; Tredoux, T; Martin, R; Boasman, S; Wisbey, A; Charlton, C; Dziewulski, P

2016-06-01

In many parts of the world, carbapenemase-producing organisms (CPOs) are endemic. The transfer of medical patients from such countries to the UK requires us to have control systems in place to avoid onward transmission. This report describes the experience of a regional burns centre challenged by its first four cases of CPO in two separate incidents. Key learning from our experience was the importance of CPOs being considered in empirical antibiotics for any patient from an endemic area. Using contact plates, we demonstrated high bacterial counts after cleaning and we describe a terminal cleaning strategy along with the importance of continuing staff engagement and education. Copyright © 2016. Published by Elsevier Ltd.

Mapping of Schistosomiasis and Soil-Transmitted Helminthiasis in the Regions of Centre, East and West Cameroon

PubMed Central

Tchuem Tchuenté, Louis-Albert; Kamwa Ngassam, Romuald Isaka; Sumo, Laurentine; Ngassam, Pierre; Dongmo Noumedem, Calvine; Nzu, Deguy D'or Luogbou; Dankoni, Esther; Kenfack, Christian Mérimé; Gipwe, Nestor Feussom; Akame, Julie; Tarini, Ann; Zhang, Yaobi; Angwafo, Fru Fobuzski

2012-01-01

Background Schistosomiasis and soil-transmitted helminthiasis (STH) are widely distributed in Cameroon. Although mass drug administration (MDA) of mebendazole is implemented nationwide, treatment with praziquantel was so far limited to the three northern regions and few health districts in the southern part of Cameroon, based on previous mapping conducted 25 years ago. To update the disease distribution map and determine where treatment with praziquantel should be extended, mapping surveys were conducted in three of the seven southern regions of Cameroon, i.e. Centre, East and West. Methodology Parasitological surveys were conducted in April–May 2010 in selected schools in all 63 health districts of the three targeted regions, using appropriate research methodologies, i.e. Kato-Katz and urine filtration. Principal Findings The results showed significant variation of schistosomiasis and STH prevalence between schools, villages, districts and regions. Schistosoma mansoni was the most prevalent schistosome species, with an overall prevalence of 5.53%, followed by S. haematobium (1.72%) and S. guineensis (0.14%). The overall prevalence of schistosomiasis across the three regions was 7.31% (95% CI: 6.86–7.77%). The prevalence for Ascaris lumbricoides was 11.48 (95% CI: 10.93–12.04%), Trichuris trichiura 18.22% (95% CI: 17.56–18.90%) and hookworms 1.55% (95% CI: 1.35–1.78%), with an overall STH prevalence of 24.10% (95% CI: 23.36–24.85%) across the three regions. STH was more prevalent in the East region (46.57%; 95% CI: 44.41–48.75%) in comparison to the Centre (25.12; 95% CI: 24.10–26.17%) and West (10.49%; 95% CI: 9.57–11.51%) regions. Conclusions/Significance In comparison to previous data, the results showed an increase of schistosomiasis transmission in several health districts, whereas there was a significant decline of STH infections. Based on the prevalence data, the continuation of annual or bi-annual MDA for STH is recommended, as well as an

Robust Hadley Circulation Changes and Increasing Global Dryness Due to CO2 Warming from CMIP-5 Model Projections

NASA Technical Reports Server (NTRS)

Lau, William K. M.; Kim, K. M.

2015-01-01

In this paper, we investigate changes in the Hadley Circulation (HC) and their connections to increased global dryness under CO2 warming from CMIP-5 model projections. We find a strengthening of the ascending branch of the HC manifested in a deep-tropics squeeze (DTS), i.e., a deepening and narrowing of the convective zone, increased high clouds, and a rise of the level of maximum meridional mass outflow in the upper troposphere (200-100 hectopascals) of the deep tropics. The DTS induces atmospheric moisture divergence, reduces tropospheric relative humidity in the tropics and subtropics, in conjunction with a widening of the subsiding branches of the HC, resulting in increased frequency of dry events in preferred geographic locations worldwide. Among water cycle parameters examined, global dryness has the highest signal-to-noise ratio. Our results provide scientific bases for inferring that the observed tend of prolonged droughts in recent decades is likely attributable to greenhouse warming.

Occurrence of currently used pesticides in ambient air of Centre Region (France)

NASA Astrophysics Data System (ADS)

Coscollà, Clara; Colin, Patrice; Yahyaoui, Abderrazak; Petrique, Olivier; Yusà, Vicent; Mellouki, Abdelwahid; Pastor, Agustin

2010-10-01

Ambient air samples were collected, from 2006 to 2008 at three rural and two urban sites in Centre Region (France) and analyzed for 56 currently used pesticides (CUPs), of which 41 were detected. The four CUPs most frequently detected were the herbicides trifluralin, acetochlor and pendimethalin and the fungicide chlorothalonil, which were found with frequencies ranging between 52 and 78%, and with average concentrations of 1.93, 1.32, 1.84 and 12.15 ng m -3, respectively. Among the detected pesticides, concentrations of eight fungicides (spiroxamine, fenpropimorph, cyprodinil, tolyfluanid, epoxiconazole, vinchlozolin, fluazinam, fludioxinil), two insecticides (propargite, ethoprophos), and one herbicide (oxyfluorfen) are, to our knowledge, reported for the first time in the literature. The majority of the CUPs showed a seasonal trend, with most of the detections and the highest concentrations occurring during the spring and early summer. The most important pesticides detected were related to arable crops and fruit orchards, the main cultures in this region, highlighting the fact that the main sources come from local applications. Minor differences were found in the profiles of pesticides within rural areas and between rural and urban areas.

Lunar apennine-hadley region: geological inplications of Earth-based radar and infrared measurements.

PubMed

Zisk, S H; Carr, M H; Masursky, H; Shorthill, R W; Thompson, T W

1971-08-27

Recently completed high-resolution radar maps of the moon contain information on the decimeter-scale structure of the surface. When this information is combined with eclipse thermal-enhancement data and with high-resolution Lunar Orbiter photography, the surface morphology is revealed in some detail. A geological history for certain features and subareas can be developed, which provides one possible framework for the interpretation of the findings from the Apollo 15 landing. Frequency of decimeter-and meter-size blocks in and around lunar craters, given by the remote-sensed data, supports a multilayer structure in the Palus Putredinis mare region, as well as a great age for the bordering Apennine Mountains scarp.

Lunar Apennine-Hadley region: Geological implications of earth-based radar and infrared measurements

USGS Publications Warehouse

Zisk, S.H.; Carr, M.H.; Masursky, H.; Shorthill, R.W.; Thompson, T.W.

1971-01-01

Recently completed high-resolution radar maps of the moon contain information on the decimeter-scale structure of the surface. When this information is combined with eclipse thermal-enhancement data and with high-resolution Lunar Orbiter photography, the surface morphology is revealed in some detail. A geological history for certain features and subareas can be developed, which provides one possible framework for the interpretation of the findings from the Apollo 15 landing. Frequency of decimeter- and meter-size blocks in and around lunar craters, given by the remote-sensed data, supports a multilayer structure in the Palus Putredinis mare region, as well as a great age for the bordering Apennins Mountains scarp.

Education for Sustainability-Challenges and Opportunities: The Case of RCEs (Regional Centres of Expertise in Education for Sustainable Development)

ERIC Educational Resources Information Center

Wade, Ros

2016-01-01

This article will focus on the challenges of leadership and management of a key initiative of the 20052014 UN Decade of Education for Sustainable Development (DESD), namely the Regional Centres of Expertise in Education for Sustainability (RCEs). It will argue that in order to achieve sustainability, there is a need to move away from outdated…

Contribution of Kobe University to the Regional Centre of Expertise (RCE) on Education for Sustainable Development (ESD) Hyogo-Kobe

ERIC Educational Resources Information Center

Itoh, Masayuki; Suemoto, Makoto; Matsuoka, Koji; Ito, Atsushi; Yui, Kiyomitsu; Matsuda, Tsuyoshi; Ishikawa, Masanobu

2008-01-01

Purpose: The purpose of this paper is to introduce the Regional Centre of Expertise (RCE) on education for sustainable development (ESD) Hyogo-Kobe, and the contribution of Kobe University as a model case. An attempt to develop and implement a new ESD programme in higher education is also reported. Design/methodology/approach: A brief description…

Research awareness, attitudes and barriers among clinical staff in a regional cancer centre. Part 1: a quantitative analysis.

PubMed

Caldwell, B; Coltart, K; Hutchison, C; McJury, M; Morrison, A; Paterson, C; Thomson, M

2017-09-01

Research is of key importance in delivering high-quality patient care through evidence-based practice. Attitude towards research and barriers to research can have an impact on research activity. A survey was conducted to establish the levels of research awareness and attitudes among clinical staff groups in this regional cancer centre and identify any barriers to participation in research. The survey consisted of 26 questions and was distributed electronically and completed online. The response rate was 22.3% (n = 123). All participants felt that clinical research will help the regional cancer centre develop and progress treatments in the future. A positive attitude towards research was evident and consistent across professional groups. The main identified barriers to research included lacking the required knowledge, skills and training, lacking support from managers, and lack of opportunity or time to be involved in research, in particular for allied health professionals. However, there appears to be the foundation of a healthy research culture for nurses supported by management. The results of the survey support the implementation of an action plan based on the recommendations of this journal article. © 2016 John Wiley & Sons Ltd.

Roles of Regional Centres of Expertise on Education for Sustainable Development: Lessons Learnt in the First Half of the UNDESD

ERIC Educational Resources Information Center

Fadeeva, Zinaida; Mochizuki, Yoko

2010-01-01

As its major contribution to the United Nations Decade of Education for Sustainable Development (UN DESD, 2005-2014), the United Nations University (UNU) has promoted the establishment of Regional Centres of Expertise on education for sustainable development (RCEs) and their net-working to build innovative multistakeholder platforms for ESD…

[Prediction on the changes of forest fire danger rating in Great Xing'an Mountain region of Northeast China in the 21st century under effects of climate change].

PubMed

Yang, Guang; Shu, Li-Fu; Di, Xue-Ying

2012-12-01

Based on the A2a and B2a climatic scenarios for both the baseline period (1961-1990) and the future scenario periods (2010-2039, 2040-2069, and 2070-2099) from the Hadley Centre's General Circulation, and by using Delta method, WGEN downscaling methods, and Canadian Forest Fire Danger Rating System, this paper classified the forest fire dangers in Great Xing' an Mountains region of Heilongjiang Province, Northeast China, predicted the changes of the forest fire danger rating in the period 2010-2099 relative to baseline period (1961-1990), and analyzed the uncertainty of the long-term prediction of forest fire danger rating. It was predicted that under the background of climate warming, the mean annual days of extremely high, very high, and medium forest dangers in study region in the 21st century all showed an increasing trend, while the mean annual days of high and low forest dangers were in adverse. Relative to the baseline period of 1961-1990, the mean annual days of extremely high and very high forest dangers in the 2040-2069 and 2070-2099 under the scenarios of SRES A2a and B2a would be increased by 43 and 36, and 62 and 61, respectively.

Strategic positioning of the ERATOSTHENES Research Centre for atmospheric remote sensing research in the Eastern Mediterranean and Middle East region

NASA Astrophysics Data System (ADS)

Mamouri, Rodanthi-Elisavet; Ansmann, Albert; Hadjimitsis, Diofantos G.; Nisantzi, Argyro; Bühl, Johannes; Michaelides, Silas; Seifert, Patric; Engelmann, Ronny; Wandinger, Ulla; Kontoes, Charalampos; Schreier, Gunter; Komodromos, Georgios; Themistocleous, Kyriacos

2017-10-01

The aim of this article is to present the importance of a permanent state-of-the-art atmospheric remote sensing ground based station in the region of the Eastern Mediterranean and Middle East (EMME). The ERATOSTHENES Research Centre (ERC) with the vision to become a Centre of Excellence for Earth Surveillance and Space-Based Monitoring of the Environment (EXCELSIOR H2020: Teaming project) already operates (within Phase 1) a fully established EARLINETt-Cloudnet supersite at Limassol, Cyprus, for a period of 2 years, in close collaboration with the German Leibniz Institute for Tropospheric Research (TROPOS), The scientific aspects of this prototype-like field campaign CyCARE (Cyprus Cloud Aerosol and Rain Experiment) - a common initiative between the Cyprus University of Technology (CUT), Limassol and TROPOS- are presented in this paper. Cy-CARE has been designed by TROPOS and CUT to fill a gap in the understanding of aerosol-cloud interaction in one of the key regions of climate change and how precipitation formation is influenced by varying aerosol/pollution and meteorological conditions The guiding questions are: How may rain patterns change in future and what may be the consequences of climate change in arid regions such as EMME. EXCELSIOR is a team effort between CUT (acting as the coordinator), the German Aerospace Centre (DLR), the Institute for Astronomy and Astrophysics Space Applications and Remote Sensing of the National Observatory of Athens (NOA), TROPOS and the Cyprus Department of Electronic Communications of the Ministry of Transport, Communications and Works (DEC-MTCW) who will work together to improve the network structures significantly, resulting in Cyprus being regarded as a cornerstone of a European Network of active remote sensing of the atmosphere.

Optimising Regionalisation Techniques: Identifying Centres of Endemism in the Extraordinarily Endemic-Rich Cape Floristic Region

PubMed Central

Bradshaw, Peter L.; Colville, Jonathan F.; Linder, H. Peter

2015-01-01

We used a very large dataset (>40% of all species) from the endemic-rich Cape Floristic Region (CFR) to explore the impact of different weighting techniques, coefficients to calculate similarity among the cells, and clustering approaches on biogeographical regionalisation. The results were used to revise the biogeographical subdivision of the CFR. We show that weighted data (down-weighting widespread species), similarity calculated using Kulczinsky’s second measure, and clustering using UPGMA resulted in the optimal classification. This maximized the number of endemic species, the number of centres recognized, and operational geographic units assigned to centres of endemism (CoEs). We developed a dendrogram branch order cut-off (BOC) method to locate the optimal cut-off points on the dendrogram to define candidate clusters. Kulczinsky’s second measure dendrograms were combined using consensus, identifying areas of conflict which could be due to biotic element overlap or transitional areas. Post-clustering GIS manipulation substantially enhanced the endemic composition and geographic size of candidate CoEs. Although there was broad spatial congruence with previous phytogeographic studies, our techniques allowed for the recovery of additional phytogeographic detail not previously described for the CFR. PMID:26147438

An analysis of infrared emission spectra from the regions near the Galactic Centre

NASA Astrophysics Data System (ADS)

Contini, Marcella

2009-11-01

We present consistent modelling of line and continuum infrared (IR) spectra in the region close to the Galactic Centre. The models account for the coupled effect of shocks and photoionization from an external source. The results show that the shock velocities range between ~65 and 80kms-1 and the pre-shock densities between 1cm-3 in the interstellar medium (ISM) to 200cm-3 in the filamentary structures. The pre-shock magnetic field increases from 5 × 10-6G in the surrounding ISM to ~8 × 10-5G in the arched filaments. The stellar temperatures are ~38000K in the Quintuplet cluster and ~27000K in the Arches Cluster. The ionization parameter is relatively low (<0.01) with the highest values near the clusters, reaching a maximum >0.01 near the Arches Cluster. Depletion from the gaseous phase of Si is found throughout the whole observed region, indicating the presence of silicate dust. Grains including iron are concentrated throughout the arched filaments. The modelling of the continuum spectral energy distribution in the IR range indicates that a component of dust at temperatures of ~100-200K is present in the central region of the Galaxy. Radio emission appears to be thermal bremsstrahlung in the E2-W1 filaments crossing strip; however, a synchrotron component is not excluded. More data are necessary to resolve these questions.

Attribution of the 1995 and 2006 storm surge events in the southern Baltic Sea

NASA Astrophysics Data System (ADS)

Klehmet, K.; Rockel, B.; von Storch, H.

2016-12-01

In November 1995 and 2006, the German Baltic Sea coast experienced severe storm surge conditions. Exceptional water level heights of about 1.8m above mean sea level were measured at German tide gauges. Extreme event attribution poses unique challenges trying to distinguish the role of anthropogenic influence, as e.g. greenhouse gas emissions or land-use changes, from natural variability. This study, which is part of the EUCLEIA project (EUropean CLimate and weather Events: Interpretation and Attribution, www. eucleia.eu), aims to estimate how the contribution of anthropogenic drivers has altered the probability of single extreme events such as the 1995 and 2006 storm surge events. We explore these aspects using two 7-member ensembles of Hadley Centre Global Environmental Model version 3-A (HadGEM3-A), the atmosphere only component of the HadGEM3, provided by the Met Office Hadley Centre. The ensemble of HadGEM3-A consists of two multi-decadal experiments from 1960-2013 - one with anthropogenic forcing factors and natural forcings representing the actual climate. The second experiment represents the natural climate including only natural forcing factors. These two 7-member ensembles of about 60km spatial resolution are used as atmospheric forcing data to drive the regional ocean model TRIM-NP in order to calculate water level in the Baltic Sea in 12.8km spatial resolution. Findings indicate some limitations of the regional model ensemble to reproduce the magnitude of extreme water levels well. It is tested whether increased spatial resolution of atmospheric forcing fields can improve the representation of Baltic Sea extreme water levels along the coast and thus add value in the attribution analysis.

Robust Hadley Circulation changes and increasing global dryness due to CO2 warming from CMIP5 model projections.

PubMed

Lau, William K M; Kim, Kyu-Myong

2015-03-24

In this paper, we investigate changes in the Hadley Circulation (HC) and their connections to increased global dryness (suppressed rainfall and reduced tropospheric relative humidity) under CO2 warming from Coupled Model Intercomparison Project Phase 5 (CMIP5) model projections. We find a strengthening of the HC manifested in a "deep-tropics squeeze" (DTS), i.e., a deepening and narrowing of the convective zone, enhanced ascent, increased high clouds, suppressed low clouds, and a rise of the level of maximum meridional mass outflow in the upper troposphere (200-100 hPa) of the deep tropics. The DTS induces atmospheric moisture divergence and reduces tropospheric relative humidity in the tropics and subtropics, in conjunction with a widening of the subsiding branches of the HC, resulting in increased frequency of dry events in preferred geographic locations worldwide. Among various water-cycle parameters examined, global dryness is found to have the highest signal-to-noise ratio. Our results provide a physical basis for inferring that greenhouse warming is likely to contribute to the observed prolonged droughts worldwide in recent decades.

Pattern of severe electrical injuries in a Nigerian regional burn centre.

PubMed

Opara, K O; Chukwuanukwu, T O G; Ogbonnaya, I S; Nwadinigwe, C U

2006-12-01

Electrical injuries, though uncommon usually have devastating consequences. They are largely preventable. The objectives of the study were to highlight the pattern of severe electrical injuries seen in our environment, the management problems faced here compared with other studies and proffer suggestions for improvement and prevention. A 10-year retrospective study of case files of patients seen with electrical injuries in our centre was carried out from January 1995 to December 2004. Case notes were retrieved and data collated from them were analysed by descriptive statistics. Twenty four (24) case files met the inclusion criteria and were analysed. Electrical burns constituted 2.8% of total burn admissions. Patients' ages ranged from 15 months to 42 years. Male: Female ratio was 4.8:1. Seven (29%) had high voltage injuries, mostly work-related. Sixteen (67%) had low voltage injuries while one (4%) had a lightening injury. Fourteen (58%) presented or were referred more than 24 hours post injury. Fifteen (63%) had a form of surgical treatment with wound debridement (33%) skin grafting (38%) and amputations (29%) being the commonest ones. The mortality was 12.5% with septicaemia as the leading cause of death. Late presentation of patients to specialised centres, inadequate management at the primary centres of treatment, poverty and inadequate facilities even at the specialised centres were the main problems encountered. We recommend re-education of the populace including medical practitioners, enforcement of safety rules in the home and workplaces and upgrading of our health facilities to decrease the menace of severe electrical injuries.

General-circulation-model simulations of future snowpack in the western United States

USGS Publications Warehouse

McCabe, G.J.; Wolock, D.M.

1999-01-01

April 1 snowpack accumulations measured at 311 snow courses in the western United States (U.S.) are grouped using a correlation-based cluster analysis. A conceptual snow accumulation and melt model and monthly temperature and precipitation for each cluster are used to estimate cluster-average April 1 snowpack. The conceptual snow model is subsequently used to estimate future snowpack by using changes in monthly temperature and precipitation simulated by the Canadian Centre for Climate Modeling and Analysis (CCC) and the Hadley Centre for Climate Prediction and Research (HADLEY) general circulation models (GCMs). Results for the CCC model indicate that although winter precipitation is estimated to increase in the future, increases in temperatures will result in large decreases in April 1 snowpack for the entire western US. Results for the HADLEY model also indicate large decreases in April 1 snowpack for most of the western US, but the decreases are not as severe as those estimated using the CCC simulations. Although snowpack conditions are estimated to decrease for most areas of the western US, both GCMs estimate a general increase in winter precipitation toward the latter half of the next century. Thus, water quantity may be increased in the western US; however, the timing of runoff will be altered because precipitation will more frequently occur as rain rather than as snow.

Regional cancer centre demonstrates voluntary conformity with the national Radiation Oncology Practice Standards

PubMed Central

Manley, Stephen; Last, Andrew; Fu, Kenneth; Greenham, Stuart; Kovendy, Andrew; Shakespeare, Thomas P

2015-01-01

Radiation Oncology Practice Standards have been developed over the last 10 years and were published for use in Australia in 2011. Although the majority of the radiation oncology community supports the implementation of the standards, there has been no mechanism for uniform assessment or governance. North Coast Cancer Institute's public radiation oncology service is provided across three main service centres on the north coast of NSW. With a strong focus on quality management, we embraced the opportunity to demonstrate conformity with the Radiation Oncology Practice Standards. The Local Health District's Clinical Governance units were engaged to perform assessments of our conformity with the standards and this was signed off as complete on 16 December 2013. The process of demonstrating conformity with the Radiation Oncology Practice Standards has enhanced the culture of quality in our centres. We have demonstrated that self-assessment utilising trained auditors is a viable method for centres to demonstrate conformity. National implementation of the Radiation Oncology Practice Standards will benefit individual centres and the broader radiation oncology community to improve the service delivered to our patients. PMID:26229680

Regional cancer centre demonstrates voluntary conformity with the national Radiation Oncology Practice Standards.

PubMed

Manley, Stephen; Last, Andrew; Fu, Kenneth; Greenham, Stuart; Kovendy, Andrew; Shakespeare, Thomas P

2015-06-01

Radiation Oncology Practice Standards have been developed over the last 10 years and were published for use in Australia in 2011. Although the majority of the radiation oncology community supports the implementation of the standards, there has been no mechanism for uniform assessment or governance. North Coast Cancer Institute's public radiation oncology service is provided across three main service centres on the north coast of NSW. With a strong focus on quality management, we embraced the opportunity to demonstrate conformity with the Radiation Oncology Practice Standards. The Local Health District's Clinical Governance units were engaged to perform assessments of our conformity with the standards and this was signed off as complete on 16 December 2013. The process of demonstrating conformity with the Radiation Oncology Practice Standards has enhanced the culture of quality in our centres. We have demonstrated that self-assessment utilising trained auditors is a viable method for centres to demonstrate conformity. National implementation of the Radiation Oncology Practice Standards will benefit individual centres and the broader radiation oncology community to improve the service delivered to our patients.

Educational Alliance for a Sustainable Toronto: The University of Toronto and the City's United Nations University (UNU) Regional Centre of Expertise

ERIC Educational Resources Information Center

Stefanovic, Ingrid Leman

2008-01-01

Purpose: The purpose of this paper is to describe the role that the University of Toronto has had in helping to establish a Regional Centre of Expertise (RCE) on Education for Sustainable Development in Toronto, Canada. The way in which the RCE initiative has helped to move forward the university's own five-year plan will also be discussed.…

Regional cancer centre demonstrates voluntary conformity with the national Radiation Oncology Practice Standards

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

Manley, Stephen, E-mail: stephen.manley@ncahs.health.nsw.gov.au; Last, Andrew; Fu, Kenneth

Radiation Oncology Practice Standards have been developed over the last 10 years and were published for use in Australia in 2011. Although the majority of the radiation oncology community supports the implementation of the standards, there has been no mechanism for uniform assessment or governance. North Coast Cancer Institute's public radiation oncology service is provided across three main service centres on the north coast of NSW. With a strong focus on quality management, we embraced the opportunity to demonstrate conformity with the Radiation Oncology Practice Standards. The Local Health District's Clinical Governance units were engaged to perform assessments of ourmore » conformity with the standards and this was signed off as complete on 16 December 2013. The process of demonstrating conformity with the Radiation Oncology Practice Standards has enhanced the culture of quality in our centres. We have demonstrated that self-assessment utilising trained auditors is a viable method for centres to demonstrate conformity. National implementation of the Radiation Oncology Practice Standards will benefit individual centres and the broader radiation oncology community to improve the service delivered to our patients.« less

The increase in September precipitation in the Mediterranean region as a result of changes in atmospheric circulation

NASA Astrophysics Data System (ADS)

Nojarov, Peter

2017-04-01

The study analyzes changes in September precipitation in the Mediterranean region and their possible causes. The research period is 1950-2014. The main finding is that the reduction in aerosol pollution over Europe in the late twentieth century has led to an upward shift of air temperatures in the region, which in turn has reduced the meridional temperature gradient, leading to weakening and shift to the north of the Azores High (the north end of Hadley circulation). This northward shift placed the Mediterranean region in an area with decreasing SLP, which results in an increase in the number or intensity of cyclones, increase in cloudiness and precipitation and a decrease in air temperatures. In the period 1995-2014 the region (especially its eastern part) lies within the boundaries of Inter Tropical Convergence Zone in September.

Understanding the robustness of Hadley cell response to wide variations in ocean heat transport

NASA Astrophysics Data System (ADS)

Rencurrel, M. C.; Rose, B. E. J.

2017-12-01

One important aspect of our climate system is the relationship between surface climate and the poleward energy transport in the atmosphere and ocean. Previous studies have shown that increases in poleward ocean heat transport (OHT) tend to warm the midlatitudes without strongly affecting tropical SSTs, resulting in a reduction in the equator-to-pole temperature gradient. This "tropical thermostat" effect depends crucially on a slowdown of the Hadley circulation (HC), with consequent changes in surface evaporation, atmospheric water vapor, and cloudiness. Here we extend previous studies by considering a wide range of spatial patterns of OHT, which we impose in a suite of slab-ocean aquaplanet GCM simulations. The forcing patterns are idealized but sample a variety of ocean circulation features. We find that the tropical thermostat and HC slowdown effects are relatively robust across all forcing patterns. A 1 PW increase in the amplitude of the prescribed OHT spatial pattern results in a global mean warming and a roughly 5 x 1010 kg/s decrease in HC mass flux, regardless of the detailed spatial structure of the imposed OHT. While the rate of HC slowdown is relatively robust, the mechanisms driving it are less so. Smaller, equator-to-subtropical scale OHT patterns are associated with greater reduced Gross Moist Stability (GMS) than the larger-scale OHT patterns. As the imposed OHT is limited equatorward, the HC becomes less efficient at transporting energy out of the tropics, implying that GMS has a modulating effect on the dynamical response of the cell. These experiments offer some new insights on the interplay between atmospheric dynamics and the radiative and hydrological aspects of global climate.

Regional climate model data used within the SWURVE project - 1: projected changes in seasonal patterns and estimation of PET

NASA Astrophysics Data System (ADS)

Ekström, M.; Jones, P. D.; Fowler, H. J.; Lenderink, G.; Buishand, T. A.; Conway, D.

2007-04-01

Climate data for studies within the SWURVE (Sustainable Water: Uncertainty, Risk and Vulnerability in Europe) project, assessing the risk posed by future climatic change to various hydrological and hydraulic systems were obtained from the regional climate model HadRM3H, developed at the Hadley Centre of the UK Met Office. This paper gives some background to HadRM3H; it also presents anomaly maps of the projected future changes in European temperature, rainfall and potential evapotranspiration (PET, estimated using a variant of the Penman formula). The future simulations of temperature and rainfall, following the SRES A2 emissions scenario, suggest that most of Europe will experience warming in all seasons, with heavier precipitation in winter in much of western Europe (except for central and northern parts of the Scandinavian mountains) and drier summers in most parts of western and central Europe (except for the north-west and the eastern part of the Baltic Sea). Particularly large temperature anomalies (>6°C) are projected for north-east Europe in winter and for southern Europe, Asia Minor and parts of Russia in summer. The projected PET displayed very large increases in summer for a region extending from southern France to Russia. The unrealistically large values could be the result of an enhanced hydrological cycle in HadRM3H, affecting several of the input parameters to the PET calculation. To avoid problems with hydrological modelling schemes, PET was re-calculated, using empirical relationships derived from observational values of temperature and PET.

The European ALMA Regional Centre: a model of user support

NASA Astrophysics Data System (ADS)

Andreani, P.; Stoehr, F.; Zwaan, M.; Hatziminaoglou, E.; Biggs, A.; Diaz-Trigo, M.; Humphreys, E.; Petry, D.; Randall, S.; Stanke, T.; van Kampen, E.; Bárta, M.; Brand, J.; Gueth, F.; Hogerheijde, M.; Bertoldi, F.; Muxlow, T.; Richards, A.; Vlemmings, W.

2014-08-01

The ALMA Regional Centres (ARCs) form the interface between the ALMA observatory and the user community from the proposal preparation stage to the delivery of data and their subsequent analysis. The ARCs provide critical services to both the ALMA operations in Chile and to the user community. These services were split by the ALMA project into core and additional services. The core services are financed by the ALMA operations budget and are critical to the successful operation of ALMA. They are contractual obligations and must be delivered to the ALMA project. The additional services are not funded by the ALMA project and are not contractual obligations, but are critical to achieve ALMA full scientific potential. A distributed network of ARC nodes (with ESO being the central ARC) has been set up throughout Europe at the following seven locations: Bologna, Bonn-Cologne, Grenoble, Leiden, Manchester, Ondrejov, Onsala. These ARC nodes are working together with the central node at ESO and provide both core and additional services to the ALMA user community. This paper presents the European ARC, and how it operates in Europe to support the ALMA community. This model, although complex in nature, is turning into a very successful one, providing a service to the scientific community that has been so far highly appreciated. The ARC could become a reference support model in an age where very large collaborations are required to build large facilities, and support is needed for geographically and culturally diverse communities.

Spatiotemporal reference evapotranspiration changes in humid and semi-arid regions of Iran: past trends and future projections

NASA Astrophysics Data System (ADS)

Nouri, Milad; Homaee, Mehdi; Bannayan, Mohammad

2017-06-01

This study was undertaken to investigate the reference evapotranspiration (ET0) changes in semi-arid and humid regions of Iran during the past (1966-2010) and future (2011-2099). For detecting possible trend in ET0 over 1966-2010, the Mann-Kendall trend test was employed. The outputs of Hadley Centre coupled model version 3 (HadCM3) and the third generation couple global climate model (CGCM3) under A2, B2, and A1B emission scenarios were also used to simulate the future ET0 changes by statistical downscaling model (SDSM). The results indicated upward trends in annual ET0 during 1966-2010 in the most sites. Furthermore, the significant increasing ET0 trends were identified for 54.5, 18.2, 27.3, 22.7, and 36.3% of studied locations during winter, spring, summer, autumn, and entire year, respectively. Positive trends in ET0 were mostly found in northeast, west, and northwest Iran, and insignificant downward ET0 trends were primarily detected in southwestern and southern stations in 1966-2010. The ET0 changes were attributed to wind speed changes in semi-arid regions and mean temperature changes in humid areas in the past period. An increase in ET0 was projected under all scenarios due mainly to temperature rise and declined relative humidity in the investigated regions from 2011 to 2100. Averaged over all stations, the lowest and highest ET0 increment were, respectively, modeled for autumn and summer using CGCM3 outputs and winter and autumn using HadCM3 outputs. Given significant ET0 increase over the twenty-first century, appropriate adaptive measures are required to reduce negative impacts of climate change on water resources and agricultural productions.

Evaluation of a mobile screening service for abdominal aortic aneurysm in Broken Hill, a remote regional centre in far western NSW.

PubMed

Lesjak, Margaret S; Flecknoe-Brown, Stephen C; Sidford, Jan R; Payne, Kerryn; Fletcher, John P; Lyle, David M

2010-04-01

To evaluate the feasibility of a mobile screening service model for abdominal aortic aneurysm (AAA) in a remote population centre in Australia. Screening test evaluation. A remote regional centre (population: 20 000) in far western NSW. Men aged 65-74 years, identified from the Australian Electoral roll. A mobile screening service using directed ultrasonography, a basic health check and post-screening consultation. Attendance at the screening program, occurrence of AAA in the target population and effectiveness of screening processes. A total of 516 men without a previous diagnosis of AAA were screened, an estimated response rate of 60%. Of these, 463 (89.7%) had a normal aortic diameter, 28 (5.4%) ectatic and 25 (4.9%) a small, moderate or significant aneurysm. Two men with AAA were recommended for surgery. Feedback from participants indicated that the use of a personalised letter of invitation helped with recruitment, that the screening process was acceptable and the service valued. It is feasible to organise and operate a mobile AAA screening service from moderate sized rural and remote population centres. This model could be scaled up to provide national coverage for rural and remote residents.

Asymmetric variations in the tropical ascending branches of Hadley circulations and the associated mechanisms and effects

NASA Astrophysics Data System (ADS)

Sun, Bo

2018-03-01

This study investigates the variations in the tropical ascending branches (TABs) of Hadley circulations (HCs) during past decades, using a variety of reanalysis datasets. The northern tropical ascending branch (NTAB) and the southern tropical ascending branch (STAB), which are defined as the ascending branches of the Northern Hemisphere HC and Southern Hemisphere HC, respectively, are identified and analyzed regarding their trends and variability. The reanalysis datasets consistently show a persistent increase in STAB during past decades, whereas they show less consistency in NTAB regarding its decadalto multidecadal variability, which generally features a decreasing trend. These asymmetric trends in STAB and NTAB are attributed to asymmetric trends in the tropical SSTs. The relationship between STAB/NTAB and tropical SSTs is further examined regarding their interannual and decadal- to multidecadal variability. On the interannual time scale, the STAB and NTAB are essentially modulated by the eastern-Pacific type of ENSO, with a strengthened (weakened) STAB (NTAB) under an El Niño condition. On the decadal- to multidecadal time scale, the variability of STAB and NTAB is closely related to the southern tropical SSTs and the meridional asymmetry of global tropical SSTs, respectively. The tropical eastern Pacific SSTs (southern tropical SSTs) dominate the tropical SST-NTAB/STAB relationship on the interannual (decadal- to multidecadal) scale, whereas the NTAB is a passive factor in this relationship. Moreover, a cross-hemispheric relationship between the NTAB/STAB and the HC upper-level meridional winds is revealed.

Recent Trends of the Tropical Hydrological Cycle Inferred from Global Precipitation Climatology Project and International Satellite Cloud Climatology Project data

NASA Technical Reports Server (NTRS)

Zhou, Y. P.; Xu, Kuan-Man; Sud, Y. C.; Betts, A. K.

2011-01-01

Scores of modeling studies have shown that increasing greenhouse gases in the atmosphere impact the global hydrologic cycle; however, disagreements on regional scales are large, and thus the simulated trends of such impacts, even for regions as large as the tropics, remain uncertain. The present investigation attempts to examine such trends in the observations using satellite data products comprising Global Precipitation Climatology Project precipitation and International Satellite Cloud Climatology Project cloud and radiation. Specifically, evolving trends of the tropical hydrological cycle over the last 20-30 years were identified and analyzed. The results show (1) intensification of tropical precipitation in the rising regions of the Walker and Hadley circulations and weakening over the sinking regions of the associated overturning circulation; (2) poleward shift of the subtropical dry zones (up to 2deg/decade in June-July-August (JJA) in the Northern Hemisphere and 0.3-0.7deg/decade in June-July-August and September-October-November in the Southern Hemisphere) consistent with an overall broadening of the Hadley circulation; and (3) significant poleward migration (0.9-1.7deg/decade) of cloud boundaries of Hadley cell and plausible narrowing of the high cloudiness in the Intertropical Convergence Zone region in some seasons. These results support findings of some of the previous studies that showed strengthening of the tropical hydrological cycle and expansion of the Hadley cell that are potentially related to the recent global warming trends.

The contrasting response of Hadley circulation to different meridional structure of sea surface temperature in CMIP5

NASA Astrophysics Data System (ADS)

Feng, Juan; Li, Jianping; Zhu, Jianlei; Li, Yang; Li, Fei

2018-02-01

The response of the Hadley circulation (HC) to the sea surface temperature (SST) is determined by the meridional structure of SST and varies according to the changing nature of this meridional structure. The capability of the models from the phase 5 of the Coupled Model Intercomparison Project (CMIP5) is utilized to represent the contrast response of the HC to different meridional SST structures. To evaluate the responses, the variations of HC and SST were linearly decomposed into two components: the equatorially asymmetric (HEA for HC, and SEA for SST) and equatorially symmetric (HES for HC, and SES for SST) components. The result shows that the climatological features of HC and tropical SST (including the spatial structures and amplitude) are reasonably simulated in all the models. However, the response contrast of HC to different SST meridional structures shows uncertainties among models. This may be due to the fact that the long-term temporal variabilities of HEA, HES, and SEA are limited reproduced in the models, although the spatial structures of their long-term variabilities are relatively reasonably simulated. These results indicate that the performance of the CMIP5 models to simulate long-term temporal variability of different meridional SST structures and related HC variations plays a fundamental role in the successful reproduction of the response of HC to different meridional SST structures.

Redistribution of vegetation zones and populations of Larix sibirica Ledb. and Pinus sylvestris L. in central Siberia in a warming climate

Treesearch

N.M. Tchebakova; G.E. Rehfeldt; E.I. Parfenova

2003-01-01

Evidence for global warming over the past 200 years is overwhelming (Hulme et al. 1999), based on both direct weather observation and indirect physical and biological indicators such as retreating glaciers and snow/ice cover, increasing sea level, and longer growing seasons (IPCC 2001). Recent GCM projections of the Hadley Centre (Gordon et al. 2000) for Siberia show...

The 2014 southeast Brazil austral summer drought: regional scale mechanisms and teleconnections

NASA Astrophysics Data System (ADS)

Coelho, Caio A. S.; de Oliveira, Cristiano Prestrelo; Ambrizzi, Tércio; Reboita, Michelle Simões; Carpenedo, Camila Bertoletti; Campos, José Leandro Pereira Silveira; Tomaziello, Ana Carolina Nóbile; Pampuch, Luana Albertani; Custódio, Maria de Souza; Dutra, Lívia Marcia Mosso; Da Rocha, Rosmeri P.; Rehbein, Amanda

2016-06-01

The southeast region of Brazil experienced in austral summer 2014 a major drought event leading to a number of impacts in water availability for human consumption, agricultural irrigation and hydropower production. This study aims to perform a diagnostic analysis of the observed climate conditions during this event, including an inspection of the occurred precipitation anomalies in the context of previous years, and an investigation of possible relationships with sea surface temperatures and atmospheric circulation patterns. The sea surface temperature analysis revealed that the southwestern South Atlantic Ocean region near the coast of southeast Brazil showed strong negative association with precipitation over southeast Brazil, indicating that increased sea temperatures in this ocean region are consistent with reduced precipitation as observed in summer 2014. The circulation analysis revealed prevailing anti-cyclonic anomalies at lower levels (850 hPa) with northerly anomalies to the west of southeast Brazil, channeling moisture from the Amazon towards Paraguay, northern Argentina and southern Brazil, and drier than normal air from the South Atlantic Ocean towards the southeast region of Brazil. This circulation pattern was found to be part of a large-scale teleconnection wave train linked with the subsidence branch of the Walker circulation in the tropical east Pacific, which in turn was generated by an anomalous tropical heat source in north/northeastern Australia. A regional Hadley circulation with an ascending branch to the south of the subsidence branch of the Walker circulation in the tropical east Pacific was identified as an important component connecting the tropical and extratropical circulation. The ascending branch of this Hadley circulation in the south Pacific coincided with an identified Rossby wave source region, which contributed to establishing the extratropical component of the large-scale wave train connecting the south Pacific and the Atlantic

Settlement Networks in Polish Spatial Development Regional Plans

NASA Astrophysics Data System (ADS)

Sołtys, Jacek

2017-10-01

In 1999, ten years after the great political changes in Poland, 16 self-governed regions (in Polish: voivodeship) were created. According to Polish law, voivodeship spatial development plans, or regional plans in short, determine basic elements of the settlement network. No detailed regulations indicate the specific elements of the settlement network or what features of these elements should be determined. For this reason, centres as elements of the settlement network are variously named in different regions and take the form of various models. The purposes of the research described in this article are: (1) recognition and systematization of settlement network models determined in regional plans; and (2) assessment of the readability of determination in planning and its usefulness in the practice of regional policy. Six models of settlement networks in regional plans have been identified and classified into types and sub-types. Names of specific levels of centres indicate that they were classified according to two criteria: (1) level of services, which concerns only 5 voivodships; and (2) importance in development, which concerns the 11 other voivodships. The hierarchical model referring to the importance of development is less understandable than the one related to services. In the text of most plans, centres of services and centres of development are treated independently from their names. In some plans the functional types of towns and cities are indicated. In some voivodships, specifications in the plan text are too general and seem to be rather useless in the practice of regional policy. The author suggests that regional plans should determine two kinds of centres: hierarchical service centres and non-hierarchical centres of development. These centres should be further distinguished according to: (1) their role in the activation of surroundings; (2) their level of development and the necessity of action for their development; and (3) the types of actions

Professional relationships between general practitioners and pharmacists in health centres.

PubMed Central

Harding, G; Taylor, K M

1990-01-01

The inclusion of pharmacies in health centres has created opportunities for general practitioners to become better acquainted with the potential contribution of pharmacists to health care. A qualitative study has been made to explore the extent to which this potential has been realized. Ten health centres with an integral pharmacy were selected, one from each of the regional health authorities in England which had at least one such health centre. Interviews were conducted with 13 general practitioners and 10 pharmacists working in the health centres. Nine general practitioners working in health centres without pharmacies and 10 community pharmacists were also interviewed. General practitioners' attitudes towards health centre pharmacists appeared to differ markedly from the attitudes of colleagues working in relative isolation from pharmacists. It appears that general practitioners working closely with the pharmacist develop a collaborative approach to health care. PMID:2271280

"Getting Practical" and the National Network of Science Learning Centres

ERIC Educational Resources Information Center

Chapman, Georgina; Langley, Mark; Skilling, Gus; Walker, John

2011-01-01

The national network of Science Learning Centres is a co-ordinating partner in the Getting Practical--Improving Practical Work in Science programme. The principle of training provision for the "Getting Practical" programme is a cascade model. Regional trainers employed by the national network of Science Learning Centres trained the cohort of local…

The Galactic Centre Mini-Spiral with CARMA

NASA Technical Reports Server (NTRS)

Kunneriath, D.; Eckart, A.; Vogel, S. N.; Teuben, P.; Muzic, K.; Schodel. R.; Garcia-Marin, M.; Moultaka, J.; Staguhn, J.; Straubmeier, C.;

The Contribution of OLG Data and Analysis Centre to EPOS

NASA Astrophysics Data System (ADS)

Stangl, Günter; Krauss, Sandro

2013-04-01

OLG (Observatory Lustbuehel Graz) as a joint venture of the Austrian Academy of Sciences and the Federal Office of Metrology and Surveying works as a GNSS data centre and analyses GNSS data for reference maintenance, geokinematics and ionosphere research. Due to the change from epoch to permanent sites regions in Africa, Asia and Europe are investigated since 1995. Presently, observations from about 300 GNSS stations are used for analysis. Most of the stations are public and are retrieved from different global, regional and local data centres. In addition some institutions provide their private data to the OLG. After presenting the main regions Austria, Central Europe, the Eastern Mediterranean and the Western Indian Ocean the question will be how these data and products could be included into EPOS.

Climatic trends over Ethiopia: regional signals and drivers

USGS Publications Warehouse

Jury, Mark R.; Funk, Christopher C.

2013-01-01

This study analyses observed and projected climatic trends over Ethiopia, through analysis of temperature and rainfall records and related meteorological fields. The observed datasets include gridded station records and reanalysis products; while projected trends are analysed from coupled model simulations drawn from the IPCC 4th Assessment. Upward trends in air temperature of + 0.03 °C year−1 and downward trends in rainfall of − 0.4 mm month−1 year−1 have been observed over Ethiopia's southwestern region in the period 1948-2006. These trends are projected to continue to 2050 according to the Geophysical Fluid Dynamics Lab model using the A1B scenario. Large scale forcing derives from the West Indian Ocean where significant warming and increased rainfall are found. Anticyclonic circulations have strengthened over northern and southern Africa, limiting moisture transport from the Gulf of Guinea and Congo. Changes in the regional Walker and Hadley circulations modulate the observed and projected climatic trends. Comparing past and future patterns, the key features spread westward from Ethiopia across the Sahel and serve as an early warning of potential impacts.

The Dutch Birth Centre Study: study design of a programmatic evaluation of the effect of birth centre care in the Netherlands.

PubMed

Hermus, Marieke A A; Wiegers, Therese A; Hitzert, Marit F; Boesveld, Inge C; van den Akker-van Marle, M Elske; Akkermans, Henk A; Bruijnzeels, Marc A; Franx, Arie; de Graaf, Johanna P; Rijnders, Marlies E B; Steegers, Eric A P; van der Pal-de Bruin, Karin M

2015-07-16

Birth centres are regarded as settings where women with uncomplicated pregnancies can give birth, assisted by a midwife and a maternity care assistant. In case of (threatening) complications referral to a maternity unit of a hospital is necessary. In the last decade up to 20 different birth centres have been instituted in the Netherlands. This increase in birth centres is attributed to various reasons such as a safe and easy accessible place of birth, organizational efficiency in integration of care and direct access to obstetric hospital care if needed, and better use of maternity care assistance. Birth centres are assumed to offer increased integration and quality of care and thus to contribute to better perinatal and maternal outcomes. So far there is no evidence for this assumption as no previous studies of birth centres have been carried out in the Netherlands. The aims are 1) Identification of birth centres and measuring integration of organization and care 2) Measuring the quality of birth centre care 3) Effects of introducing a birth centre on regional quality and provision of care 4) Cost-effectiveness analysis 5) In depth longitudinal analysis of the organization and processes in birth centres. Different qualitative and quantitative methods will be used in the different sub studies. The design is a multi-centre, multi-method study, including surveys, interviews, observations, and analysis of registration data and documents. The results of this study will enable users of maternity care, professionals, policy makers and health care financers to make an informed choice about the kind of birth location that is appropriate for their needs and wishes.

Is parenteral chemotherapy safe in rural hospitals? A prospective audit of neutropenic fever in Albany Hospital, a regional West Australian cancer centre.

PubMed

Kennedy, K; Auret, K

2017-02-01

Neutropenic fever is a life-threatening complication of chemotherapy. The widely dispersed population of Australia creates challenges for rural patients in accessing healthcare services. Cancer treatment is particularly, burdensome with patients being forced to relocate to the city for treatment or to endure long and repeated journeys to the city. This study aimed to assess the safety of chemotherapy in a rural centre with a general physician-led model, by analysing neutropenic fever in Albany Hospital, a regional cancer centre in Western Australia. A prospective audit of patients undergoing parenteral chemotherapy was undertaken from March 2014 to March 2015. Cases of neutropenic fever as a consequence of parenteral chemotherapy were analysed and recorded by the Albany Hospital medical registrar. There were 1294 cycles of chemotherapy administered to 192 patients during the study period. There were 19 cases of neutropenic fever in 16 patients, meaning 8.33% of patients undergoing parenteral chemotherapy had their treatment complicated by neutropenic fever (n = 16/192). The incidence of neutropenic fever was 1.47% per cycle of chemotherapy (n = 19/1294). There were no deaths in the study period. As per guidelines, antibiotics were given within 60 min of arrival in 73.68% of cases (n = 14/19). The rate of neutropenic fever observed was similar to rates in other centres worldwide, and the mortality rate was lower than average, with no deaths in the study population. These results provide reassurance with regards to the safe delivery of parenteral chemotherapy in this rural centre with a general physician-led model. © 2016 Royal Australasian College of Physicians.

The effect of regional politics on regional life expectancy in Italy (1980-2010).

PubMed

Jonker, Marcel F; D'Ippolito, Edoardo; Eikemo, Terje A; Congdon, Peter D; Nante, Nicola; Mackenbach, Johan P; Kamphuis, Carlijn B M

2017-03-01

The evidence on the association between politics and health is scarce considering the importance of this topic for population health. Studies that investigated the effect of different political regimes on health outcomes show inconsistent results. Bayesian time-series cross-section analyses are used to examine the overall impact of regional politics on variations in Italian regional life expectancy (LE) at birth during the period 1980-2010. Our analyses control for trends in and unobserved determinants of regional LE, correct for temporal as well as spatial autocorrelation, and employ a flexible specification for the timing of the political effects. In the period from 1980 to 1995, we find no evidence that the communist, left-oriented coalitions and Christian Democratic, centre-oriented coalitions have had an effect on regional LE. In the period from 1995 onwards, after a major reconfiguration of Italy's political regimes and a major healthcare reform, we again find no evidence that the Centre-Left and Centre-Right coalitions have had a significant impact on regional LE. The presented results provide no support for the notion that different regional political regimes in Italy have had a differential effect on regional LE, even though Italian regions have had considerable and increasing autonomy over healthcare and health-related policies and expenditures.

Disaster preparedness of Canadian trauma centres: the perspective of medical directors of trauma

PubMed Central

Gomez, David; Haas, Barbara; Ahmed, Najma; Tien, Homer; Nathens, Avery

2011-01-01

Background Owing to their constant readiness to treat injured patients, trauma centres are essential to regional responses to mass casualty incidents (MCIs). Reviews of recent MCIs suggest that trauma centre preparedness has frequently been limited. We set out to evaluate Canadian trauma centre preparedness and the extent of their integration into a regional response to MCIs. Methods We conducted a survey of Canadian level-1 trauma centres (n = 29) to characterize their existing disaster-response plans and to identify areas where pre-paredness could be improved. The survey was directed to the medical director of trauma at each centre. Descriptive statistics were used to analyze responses. Results Twenty-three (79%) trauma centres in 5 provinces responded. Whereas most (83%) reported the presence of a committee dedicated to disaster preparedness, only half of the medical directors of trauma were members of these committees. Almost half (43%) the institutions had not run any disaster drill in the previous 2 years. Only 70% of trauma centres used communications assets designed to function during MCIs. Additionally, more than half of the trauma directors (59%) did not know if their institutions had the ability to sustain operations for at least 72 hours during MCIs. Conclusion The results of this study suggest important opportunities to better prepare Canadian trauma centers to respond to an MCI. The main areas identified for potential improvement include the need for the standardization of MCI planning and response at a regional level and the implementation of strategies such as stockpiling of resources and novel communication strategies to avoid functional collapse during an MCI. PMID:21251427

Simulated trends of extreme climate indices for the Carpathian basin using outputs of different regional climate models

NASA Astrophysics Data System (ADS)

Pongracz, R.; Bartholy, J.; Szabo, P.; Pieczka, I.; Torma, C. S.

2009-04-01

Regional climatological effects of global warming may be recognized not only in shifts of mean temperature and precipitation, but in the frequency or intensity changes of different climate extremes. Several climate extreme indices are analyzed and compared for the Carpathian basin (located in Central/Eastern Europe) following the guidelines suggested by the joint WMO-CCl/CLIVAR Working Group on climate change detection. Our statistical trend analysis includes the evaluation of several extreme temperature and precipitation indices, e.g., the numbers of severe cold days, winter days, frost days, cold days, warm days, summer days, hot days, extremely hot days, cold nights, warm nights, the intra-annual extreme temperature range, the heat wave duration, the growing season length, the number of wet days (using several threshold values defining extremes), the maximum number of consecutive dry days, the highest 1-day precipitation amount, the greatest 5-day rainfall total, the annual fraction due to extreme precipitation events, etc. In order to evaluate the future trends (2071-2100) in the Carpathian basin, daily values of meteorological variables are obtained from the outputs of various regional climate model (RCM) experiments accomplished in the frame of the completed EU-project PRUDENCE (Prediction of Regional scenarios and Uncertainties for Defining EuropeaN Climate change risks and Effects). Horizontal resolution of the applied RCMs is 50 km. Both scenarios A2 and B2 are used to compare past and future trends of the extreme climate indices for the Carpathian basin. Furthermore, fine-resolution climate experiments of two additional RCMs adapted and run at the Department of Meteorology, Eotvos Lorand University are used to extend the trend analysis of climate extremes for the Carpathian basin. (1) Model PRECIS (run at 25 km horizontal resolution) was developed at the UK Met Office, Hadley Centre, and it uses the boundary conditions from the HadCM3 GCM. (2) Model Reg

Future projections of temperature and precipitation climatology for CORDEX-MENA domain using RegCM4.4

NASA Astrophysics Data System (ADS)

Ozturk, Tugba; Turp, M. Tufan; Türkeş, Murat; Kurnaz, M. Levent

2018-07-01

In this study, we investigate changes in seasonal temperature and precipitation climatology of CORDEX Middle East and North Africa (MENA) region for three periods of 2010-2040, 2040-2070 and 2070-2100 with respect to the control period of 1970-2000 by using regional climate model simulations. Projections of future climate conditions are modeled by forcing Regional Climate Model, RegCM4.4 of the International Centre for Theoretical Physics (ICTP) with two different CMIP5 global climate models. HadGEM2-ES global climate model of the Met Office Hadley Centre and MPI-ESM-MR global climate model of the Max Planck Institute for Meteorology were used to generate 50 km resolution data for the Coordinated Regional Climate Downscaling Experiment (CORDEX) Region 13. We test the seasonal time-scale performance of RegCM4.4 in simulating the observed climatology over domain of the MENA by using the output of two different global climate models. The projection results show relatively high increase of average temperatures from 3 °C up to 9 °C over the domain for far future (2070-2100). A strong decrease in precipitation is projected in almost all parts of the domain according to the output of the regional model forced by scenario outputs of two global models. Therefore, warmer and drier than present climate conditions are projected to occur more intensely over the CORDEX-MENA domain.

Improving mortality outcomes of Stevens Johnson syndrome/toxic epidermal necrolysis: A regional burns centre experience.

PubMed

Nizamoglu, M; Ward, J A; Frew, Q; Gerrish, H; Martin, N; Shaw, A; Barnes, D; Shelly, O; Philp, B; El-Muttardi, N; Dziewulski, P

2018-05-01

Stevens Johnson Syndrome/toxic epidermal necrolysis (SJS/TEN) are rare, potentially fatal desquamative disorders characterised by large areas of partial thickness skin and mucosal loss. The degree of epidermal detachment that occurs has led to SJS/TEN being described as a burn-like condition. These patients benefit from judicious critical care, early debridement and meticulous wound care. This is best undertaken within a multidisciplinary setting led by clinicians experienced in the management of massive skin loss and its sequelae. In this study, we examined the clinical outcomes of SJS/TEN overlap & TEN patients managed by our regional burns service over a 12-year period. We present our treatment model for other burn centres treating SJS/TEN patients. A retrospective case review was performed for all patients with a clinical diagnosis of TEN or SJS/TEN overlap admitted to our paediatric and adult burns centre between June 2004 and December 2016. Patient demographics, percentage total body surface area (%TBSA), mucosal involvement, causation, severity of illness score (SCORTEN), length of stay and survival were appraised with appropriate statistical analysis performed using Graph Pad Prism 7.02 Software. During the study period, 42 patients (M26; F: 16) with TEN (n=32) and SJS/TEN overlap (n=10) were managed within our burns service. Mean %TBSA of cutaneous involvement was 57% (range 10-100%) and mean length of stay (LOS) was 27 days (range 1-144 days). We observed 4 deaths in our series compared to 16 predicted by SCORTEN giving a standardised mortality ratio (SMR) of 24%. Management in our burns service with an aggressive wound care protocol involving debridement of blistered epidermis and wound closure with synthetic and biological dressings seems to have produced benefits in mortality when compared to predicted outcomes. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Report of the First Meeting of the Governing Board, SEAMEO Regional Centre for Education in Science and Mathematics (Penang, Malaysia, October 8-12, 1970). Final Report.

ERIC Educational Resources Information Center

Southeast Asian Ministers of Education Organization (Singapore). Regional Center for Education in Science and Mathematics.

This report details the proceedings of the first meeting of the Governing Board of the SEAMEO Regional Centre for Education in Science and Mathematics held in Penang, Malaysia from October 8-12, 1970. Procedural matters detailed in the report include: (1) the election of officers; (2) the acceptance of the annual report of the events and…

Resource utilisation and cost of ambulatory HIV care in a regional HIV centre in Ireland: a micro-costing study.

PubMed

Brennan, Aline; Jackson, Arthur; Horgan, Mary; Bergin, Colm J; Browne, John P

2015-04-03

It is anticipated that demands on ambulatory HIV services will increase in coming years as a consequence of the increased life expectancy of HIV patients on highly active anti-retroviral therapy (HAART). Accurate cost data are needed to enable evidence based policy decisions be made about new models of service delivery, new technologies and new medications. A micro-costing study was carried out in an HIV outpatient clinic in a single regional centre in the south of Ireland. The costs of individual appointment types were estimated based on staff grade and time. Hospital resources used by HIV patients who attended the ambulatory care service in 2012 were identified and extracted from existing hospital systems. Associations between patient characteristics and costs per patient month, in 2012 euros, were examined using univariate and multivariate analyses. The average cost of providing ambulatory HIV care was found to be €973 (95% confidence interval €938-€1008) per patient month in 2012. Sensitivity analysis, varying the base-case staff time estimates by 20% and diagnostic testing costs by 60%, estimated the average cost to vary from a low of €927 per patient month to a high of €1019 per patient month. The vast majority of costs were due to the cost of HAART. Women were found to have significantly higher HAART costs per patient month while patients over 50 years of age had significantly lower HAART costs using multivariate analysis. This study provides the estimated cost of ambulatory care in a regional HIV centre in Ireland. These data are valuable for planning services at a local level, and the identification of patient factors, such as age and gender, associated with resource use is of interest both nationally and internationally for the long-term planning of HIV care provision.

The Rossby Centre Regional Atmospheric Climate Model part II: application to the Arctic climate.

PubMed

Jones, Colin G; Wyser, Klaus; Ullerstig, Anders; Willén, Ulrika

2004-06-01

The Rossby Centre regional climate model (RCA2) has been integrated over the Arctic Ocean as part of the international ARCMIP project. Results have been compared to observations derived from the SHEBA data set. The standard RCA2 model overpredicts cloud cover and downwelling longwave radiation, during the Arctic winter. This error was improved by introducing a new cloud parameterization, which significantly improves the annual cycle of cloud cover. Compensating biases between clear sky downwelling longwave radiation and longwave radiation emitted from cloud base were identified. Modifications have been introduced to the model radiation scheme that more accurately treat solar radiation interaction with ice crystals. This leads to a more realistic representation of cloud-solar radiation interaction. The clear sky portion of the model radiation code transmits too much solar radiation through the atmosphere, producing a positive bias at the top of the frequent boundary layer clouds. A realistic treatment of the temporally evolving albedo, of both sea-ice and snow, appears crucial for an accurate simulation of the net surface energy budget. Likewise, inclusion of a prognostic snow-surface temperature seems necessary, to accurately simulate near-surface thermodynamic processes in the Arctic.

XMM-Newton observations of the Galactic Centre Region - II. The soft-thermal emission

NASA Astrophysics Data System (ADS)

Heard, V.; Warwick, R. S.

2013-09-01

We have extended our earlier study of the X-ray emission emanating from the central 100 pc × 100 pc region of our Galaxy to an investigation of several features prominent in the soft X-ray (2-4.5 keV) band. We focus on three specific structures: a putative bipolar outflow from the vicinity of Sgr A*; a high surface brightness region located roughly 12 arcmin (25 pc) to the north-east of Sgr A* and a lower surface brightness extended loop feature seen to the south of Sgr A*. We show, unequivocally, that all three structures are thermal in nature and have similar temperatures (kT ≈ 1 keV). The inferred X-ray luminosities lie in the range (2-10) × 1034 erg s-1. In the case of the bipolar feature we suggest that the hot plasma is produced by the shock heating of the winds from massive stars within the Central Cluster, possibly collimated by the Circumnuclear Disc. Alternatively the outflow may be driven by outbursts on Sgr A*, which follow tidal disruption events occurring at a rate of roughly one every 4000 yr. The north-east enhancement is centred on a candidate pulsar wind nebula which has a relatively hard non-thermal X-ray spectrum. We suggest that the coincident soft-thermal emission traces the core of a new thermal-composite supernova remnant, designated as SNR G0.13-0.12. There is no clear evidence for an associated radio shell but such a feature may be masked by the bright emission of the nearby Radio Arc and other filamentary structures. SNR G0.13-0.12 is very likely interacting with the nearby molecular cloud, G0.11-0.11, and linked to the Fermi source, 2FGL J1746.4-2851c. Finally we explore a previous suggestion that the elliptically shaped X-ray loop to the south of Sgr A*, of maximum extent ˜45 pc, represents the shell of a superbubble located in the GC region. Although plausible, the interpretation of this feature in terms a coherent physical structure awaits confirmation.

Effects of Solar Dimming and Brightening on the Terrestrial Carbon Sink

NASA Astrophysics Data System (ADS)

Mercado, L. M.; Bellouin, N.; Sitch, S.; Boucher, O.; Huntingford, C.; Cox, P. M.

2008-12-01

A decrease in total solar radiation (Liepert, 2002, Stanhill and Cohen, 2001, Wild et al., 2005) has been observed at the earth surface over the 1950-1990 period, called solar dimming. Such dimming gradually started to transform into brightening in some regions of the world since the late 1980s (Wild et al. 2005). Both dimming and brightening are likely to be linked to an increase and decrease in cloud cover and scattering and absorption of light by tropospheric and stratospheric aerosols respectively (Kvalevag and Myhre, 2007). Theoretical and observational studies have shown that plant photosynthesis of forest and crop ecosystems is more efficient under diffuse light conditions (Gu et al., 2003, Niyogi et al., 2004, Oliveira et al., 2007, Roderick et al., 2001). However, this effect has not yet been accounted for in global carbon cycle simulations because such models lack the mechanism that includes the diffuse irradiance effects on photosynthesis. The aim of this study is to estimate the impact of changes in radiation during the 1900-2100 period on land productivity and carbon storage. We use an offline version of the land surface scheme of the Hadley centre model (Mercado et al., 2007) which has been modified to account for variations of direct and diffuse radiation on sunlit and shaded canopy photosynthesis. Additionally, we use short wave and photosynthetic active radiation fields reconstructed from the Hadley centre climate model which takes into account the scattering and absorption of light by tropospheric and stratospheric aerosols. We describe the simulation of the land carbon cycle through the dimming-brightening periods, and diagnose the impact that changes in diffuse radiation had on the land carbon sink. We also discuss the implications of these results for the future land carbon-sink, under likely changes in the atmospheric aerosol loading.

Faculty of Dentistry, Kuwait University, designated as a World Health Organization Collaborating Centre for Primary Oral Health Care.

PubMed

Behbehani, J M

2014-01-01

The Faculty of Dentistry, Kuwait University, was designated as a World Health Organization (WHO) Collaborating Centre for Primary Oral Health Care (POHC) in 2011. This article aimed to describe the following: (1) the background for this nomination, (2) the WHO Collaborating Centre for POHC, its terms of reference and 5 activities, (3) the primary health care concept as it was established in Alma-Ata, (4) the oral health situation in Kuwait and in the Middle-East region and, finally, (5) how POHC policy should be implemented in Kuwait and this region. It can be concluded that, because the caries experience is very high in Kuwait and in the other countries of the Eastern Mediterranean region, good POHC programmes should be designed and implemented in this region. The Faculty of Dentistry will strengthen its research tradition and as a WHO Collaborating Centre for POHC will try to collect information and experience from POHC in this region and exchange ideas between POHC experts in this region on how these programmes could be further developed. This will happen according to the terms of reference and activity plans of the WHO Collaborating Centre for POHC approved by the WHO Global Oral Health Programme. © 2014 S. Karger AG, Basel.

Faculty of Dentistry, Kuwait University, Designated as a World Health Organization Collaborating Centre for Primary Oral Health Care

PubMed Central

Behbehani, J.M.

2014-01-01

The Faculty of Dentistry, Kuwait University, was designated as a World Health Organization (WHO) Collaborating Centre for Primary Oral Health Care (POHC) in 2011. This article aimed to describe the following: (1) the background for this nomination, (2) the WHO Collaborating Centre for POHC, its terms of reference and 5 activities, (3) the primary health care concept as it was established in Alma-Ata, (4) the oral health situation in Kuwait and in the Middle-East region and, finally, (5) how POHC policy should be implemented in Kuwait and this region. It can be concluded that, because the caries experience is very high in Kuwait and in the other countries of the Eastern Mediterranean region, good POHC programmes should be designed and implemented in this region. The Faculty of Dentistry will strengthen its research tradition and as a WHO Collaborating Centre for POHC will try to collect information and experience from POHC in this region and exchange ideas between POHC experts in this region on how these programmes could be further developed. This will happen according to the terms of reference and activity plans of the WHO Collaborating Centre for POHC approved by the WHO Global Oral Health Programme. PMID:24504110

Projected Changes in Evapotranspiration Rates over Northeast Brazil

NASA Astrophysics Data System (ADS)

Costa, Alexandre; Guimarães, Sullyandro; Vasconcelos, Francisco, Jr.; Sales, Domingo; da Silva, Emerson

2015-04-01

Climate simulations were performed using a regional model (Regional Atmospheric Modeling System, RAMS 6.0) driven by data from one of the CMIP5 models (Hadley Centre Global Environmental Model, version 2 - Earth System, HadGEM2-ES) over two CORDEX domains (South America and Central America) for the heavy-emission scenario (RCP8.5). Potential evapotranspiraion data from the RCM and from the CMIP5 global models were analyzed over Northeast Brazil, a semiarid region with a short rainy season (usually February to May in its northern portion due to the seasonal shift of the Intertropical Convergence Zone) and over which droughts are frequent. Significant changes in the potential evapotranspiration were found, with most models showing a increasing trend along the 21st century, which are expected to alter the surface water budget, increasing the current water deficit (precipitation is currently much smaller than potential evapotranspiration). Based on the projections from the majority of the models, we expect important impacts over local agriculture and water resources over Northeast Brazil.

Value of Bulk Heat Flux Parameterizations for Ocean SST Prediction

DTIC Science & Technology

2008-03-01

Generalized Digital Environmental Model ( GDEM ) climatology (NAVO- CEANO, 2003). The density difference values were chosen so that the layers tend to...Monthly mean temperature and salinity from the GDEM climatology in August are used to initialize the model. There is a relaxation to monthly mean SSS...and European Remote Sensing Satellite (ERS) data are used in ERA-40. The SST/Ice data set produced by the Hadley Centre and National Oceanic and

Is Student-Centred Learning a Western Concept? Lessons from an Academic Development Programme to Support Student-Centred Learning in Iraq

ERIC Educational Resources Information Center

Jordan, L.; Bovill, C.; Othman, S. M.; Saleh, A. M.; Shabila, N. P.; Watters, N.

2014-01-01

This paper explores the idea that student-centred learning (SCL) is a concept and an approach that is internationally useful and transferable to a range of higher education settings. We present details of a British Council funded collaborative project between Hawler Medical University (HMU), in Erbil in the Kurdistan region of northern Iraq and…

Modeling best practices in chronic disease management: the Arthritis Program at Southlake Regional Health Centre.

PubMed

Bain, Lorna; Mierdel, Sandra; Thorne, Carter

2012-01-01

Researchers, hospital administrators and governments are striving to define competencies in interprofessional care and education, as well as to identify effective models in chronic disease management. For more than 25 years The Arthritis Program (TAP) at Southlake Regional Health Centre in Newmarket, Ontario, has actively practiced within these two interrelated priorities, which are now at the top of the healthcare agenda in Ontario and Canada. The approximately 135 different rheumatic conditions are the primary cause of long-term disability in Canada, affecting those from youth to the senior years, with an economic burden estimated at $4.4 billion (CAD$) annually, and growing. For the benefit of healthcare managers and their clients with chronic conditions, this article discusses TAP's history and demonstrable success, predicated on an educational model of patient self-management and self-efficacy. Also outlined are TAP's contributions in supporting evidence-based best practices in interprofessional collaboration and chronic disease management; approaches that are arguably understudied and under-practiced. Next steps for TAP include a larger role in empirical research in chronic-disease management and integration of a formal training program to benefit health professionals launching or expanding their interprofessional programs using TAP as the dynamic clinical example.

Identifying robust regional precipitation responses to regional aerosol emissions perturbations in three coupled chemistry-climate models

NASA Astrophysics Data System (ADS)

Westervelt, D. M.; Fiore, A. M.; Lamarque, J. F.; Previdi, M. J.; Conley, A. J.; Shindell, D. T.; Mascioli, N. R.; Correa, G. J. P.; Faluvegi, G.; Horowitz, L. W.

2017-12-01

anomalous Hadley cell circulation and a shift of the Intertropical Convergence Zone (ITCZ). GFDL-CM3 and CESM1 each show strong changes in regional precipitation in response to the various regional aerosol emissions perturbations, whereas a more modest response occurs in GISS-E2, owing to a weaker aerosol indirect effect.

Sneeze related area in the medulla: localisation of the human sneezing centre?

PubMed

Seijo-Martínez, M; Varela-Freijanes, A; Grandes, J; Vázquez, F

2006-04-01

Sneezing is a rarely explored symptom in neurological practice. In the cat, a sneeze evoking centre is located in the medulla. The existence of a sneezing centre has not been confirmed in humans. A case with abnormal sneezing secondary to a strategic infarct in the right latero-medullary region is presented. A 66 year old man suddenly presented paroxysmal sneezing followed by ataxia, right sided motor and sensory symptoms, and hoarseness. The application of stimuli to the right nasal fossa did not evoke sneezing nor the wish to sneeze. The same stimuli to the contralateral nasal fossa evoked normal sneezing. The preservation of the superficial sensitivity of the nasal fossa indicates that the lesion was localised in the hypothetical human sneezing centre, very close to the spinal trigeminal tract and nucleus. This centre appears to be bilateral and functionally independent on both sides.

University-Industry Interaction in the Ontario Centres of Excellence.

ERIC Educational Resources Information Center

Bell, Stephen

1996-01-01

The development and enhancement of alliances among universities, industry, and government is widely seen as a prescription for strengthening the competitiveness of regional and national economies. The interaction of university and industrial scientists is examined, and whether the creation of Ontario's Centres of Excellence should serve as a model…

Evidence for triple-junction rifting focussed on local magmatic centres along Parga Chasma, Venus

NASA Astrophysics Data System (ADS)

Graff, J. R.; Ernst, R. E.; Samson, C.

2018-05-01

Parga Chasma is a discontinuous rift system marking the southern boundary of the Beta-Atla-Themis (BAT) region on Venus. Along a 1500 km section of Parga Chasma, detailed mapping of Magellan Synthetic Aperture Radar images has revealed 5 coronae, 11 local rift zones distinct from a regional extension pattern, and 47 graben-fissure systems with radiating (28), linear (12) and circumferential (7) geometries. The magmatic centres of these graben-fissure systems typically coincide with coronae or large volcanoes, although a few lack any central magmatic or tectonic feature (i.e. are cryptic). Some of the magmatic centres are interpreted as the foci of triple-junction rifting that form the 11 local rift zones. Cross-cutting relationships between graben-fissure systems and local rift faults reveal synchronous formation, implying a genetic association. Additionally, cross-cutting relationships show that local rifting events postdate the regional extension along Parga Chasma, further indicating multiple stages of rifting. Evidence for multiple centres of younger magmatism and local rifting against a background of regional extension provides an explanation for the discontinuous morphology of Parga Chasma. Examination of the Atlantic Rift System (prior to ocean opening) on Earth provides an analogue to the rift morphologies observed on Venus.

Acne at the Regional Dermatology Training Centre (RDTC), Tanzania. Clinical, social, and demografic characteristics of patients with focus on severity factors.

PubMed

Amani, U A; Mshana, J; Kiprono, S; Mavura, D; Masenga, E J; Cazzaniga, S; Todd, G; Beltraminelli, H

2018-05-05

Acne is a common dermatosis and is associated with a significant disease burden. Despite this, studies from Sub-Saharan Africa are rare. However, the prevalence of acne vulgaris in developing countries is increasing, eventually due to the adoption of a western life style especially in urban areas. We conducted an analytical, cross-sectional, hospital-based study between September 2012 and February 2013 (6 months) at the Regional Dermatology Training Centre (RDTC) in Moshi, Tanzania. The clinical, social, and demographic characteristics of patients with acne were assessed. The study was approved by the KCMU-CO Ethical Board. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

An Interactive Logistics Centre Information Integration System Using Virtual Reality

NASA Astrophysics Data System (ADS)

Hong, S.; Mao, B.

2018-04-01

The logistics industry plays a very important role in the operation of modern cities. Meanwhile, the development of logistics industry has derived various problems that are urgent to be solved, such as the safety of logistics products. This paper combines the study of logistics industry traceability and logistics centre environment safety supervision with virtual reality technology, creates an interactive logistics centre information integration system. The proposed system utilizes the immerse characteristic of virtual reality, to simulate the real logistics centre scene distinctly, which can make operation staff conduct safety supervision training at any time without regional restrictions. On the one hand, a large number of sensor data can be used to simulate a variety of disaster emergency situations. On the other hand, collecting personnel operation data, to analyse the improper operation, which can improve the training efficiency greatly.

X-ray emission from galaxies - The distribution of low-luminosity X-ray sources in the Galactic Centre region

NASA Astrophysics Data System (ADS)

Heard, Victoria; Warwick, Robert

2012-09-01

We report a study of the extended X-ray emission observed in the Galactic Centre (GC) region based on archival XMM-Newton data. The GC diffuse emission can be decomposed into three distinct components: the emission from low-luminosity point sources; the fluorescence of (and reflection from) dense molecular material; and soft (kT ~1 keV), diffuse thermal plasma emission most likely energised by supernova explosions. Here, we examine the emission due to unresolved point sources. We show that this source component accounts for the bulk of the 6.7-keV and 6.9-keV line emission. We fit the surface brightness distribution evident in these lines with an empirical 2-d model, which we then compare with a prediction derived from a 3-d mass model for the old stellar population in the GC region. We find that the X-ray surface brightness declines more rapidly with angular offset from Sgr A* than the mass-model prediction. One interpretation is that the X-ray luminosity per solar mass characterising the GC source population is increasing towards the GC. Alternatively, some refinement of the mass-distribution within the nuclear stellar disc may be required. The unresolved X-ray source population is most likely dominated by magnetic CVs. We use the X-ray observations to set constraints on the number density of such sources in the GC region. Our analysis does not support the premise that the GC is pervaded by very hot (~ 7.5 keV) thermal plasma, which is truly diffuse in nature.

An operational centre for managing major chemical industrial accidents.

PubMed

Kiranoudis, C T; Kourniotis, S P; Christolis, M; Markatos, N C; Zografos, K G; Giannouli, I M; Androutsopoulos, K N; Ziomas, I; Kosmidis, E; Simeonidis, P; Poupkou, N

2002-01-28

The most important characteristic of major chemical accidents, from a societal perspective, is their tendency to produce off-site effects. The extent and severity of the accident may significantly affect the population and the environment of the adjacent areas. Following an accident event, effort should be made to limit such effects. Management decisions should be based on rational and quantitative information based on the site specific circumstances and the possible consequences. To produce such information we have developed an operational centre for managing large-scale industrial accidents. Its architecture involves an integrated framework of geographical information system (GIS) and RDBMS technology systems equipped with interactive communication capabilities. The operational centre was developed for Windows 98 platforms, for the region of Thriasion Pedion of West Attica, where the concentration of industrial activity and storage of toxic chemical is immense within areas of high population density. An appropriate case study is given in order to illuminate the use and necessity of the operational centre.

Cleavage of hydrogen by activation at a single non-metal centre - towards new hydrogen storage materials.

PubMed

Grabowski, Sławomir J

2015-05-28

Molecular surfaces of non-metal species are often characterized by both positive and negative regions of electrostatic potential (EP) at a non-metal centre. This centre may activate molecular hydrogen which further leads to the addition reaction. The positive EP regions at the non-metal centres correspond to σ-holes; the latter sites are enhanced by electronegative substituents. This is why the following simple moieties; PFH2, SFH, AsFH2, SeFH, BrF3, PF(CH3)2 and AsF(CH3)2, were chosen here to analyze the H2 activation and its subsequent splitting at the P, As, S, Se and Br centres. Also the reverse H-H bond reforming process is analyzed. MP2/aug-cc-pVTZ calculations were performed for systems corresponding to different stages of these processes. The sulphur centre in the SFH moiety is analyzed in detail since the potential barrier height for the addition reaction for this species is the lowest of the moieties analyzed here. The results of calculations show that the SFH + H2 → SFH3 reaction in the gas phase is endothermic but it is exothermic in polar solvents.

RTEMS Centre - Support and Maintenance Centre to RTEMS Operating System

NASA Astrophysics Data System (ADS)

Silva, H.; Constantino, A.; Freitas, D.; Coutinho, M.; Faustino, S.; Mota, M.; Colaço, P.; Sousa, J.; Dias, L.; Damjanovic, B.; Zulianello, M.; Rufino, J.

2009-05-01

RTEMS CENTRE - Support and Maintenance Centre to RTEMS Operating System is a joint ESA/Portuguese Task Force initiative to develop a support and maintenance centre to the Real-Time Executive for Multiprocessor Systems (RTEMS). This paper gives a high level visibility of the progress, the results obtained and the future work in the RTEMS CENTRE [6] and in the RTEMS Improvement [7] projects. RTEMS CENTRE started officially in November 2006, with the RTEMS 4.6.99.2 version. A full analysis of RTEMS operating system was produced. The architecture was analysed in terms of conceptual, organizational and operational concepts. The original objectives [1] of the centre were primarily to create and maintain technical expertise and competences in this RTOS, to develop a website to provide the European Space Community an entry point for obtaining support (http://rtemscentre.edisoft.pt), to design, develop, maintain and integrate some RTEMS support tools (Timeline Tool, Configuration and Management Tools), to maintain flight libraries and Board Support Packages, to develop a strong relationship with the World RTEMS Community and finally to produce some considerations in ARINC-653, DO-178B and ECSS E-40 standards. RTEMS Improvement is the continuation of the RTEMS CENTRE. Currently the RTEMS, version 4.8.0, is being facilitated for a future qualification. In this work, the validation material is being produced following the Galileo Software Standards Development Assurance Level B [5]. RTEMS is being completely tested, errors analysed, dead and deactivated code removed and tests produced to achieve 100% statement and decision coverage of source code [2]. The SW to exploit the LEON Memory Management Unit (MMU) hardware will be also added. A brief description of the expected implementations will be given.

Spatial prediction of soil texture in region Centre (France) from summary data

NASA Astrophysics Data System (ADS)

Dobarco, Mercedes Roman; Saby, Nicolas; Paroissien, Jean-Baptiste; Orton, Tom G.

2015-04-01

Soil texture is a key controlling factor of important soil functions like water and nutrient holding capacity, retention of pollutants, drainage, soil biodiversity, and C cycling. High resolution soil texture maps enhance our understanding of the spatial distribution of soil properties and provide valuable information for decision making and crop management, environmental protection, and hydrological planning. We predicted the soil texture of agricultural topsoils in the Region Centre (France) combining regression and area-to-point kriging. Soil texture data was collected from the French soil-test database (BDAT), which is populated with soil analysis performed by farmers' demand. To protect the anonymity of the farms the data was treated by commune. In a first step, summary statistics of environmental covariates by commune were used to develop prediction models with Cubist, boosted regression trees, and random forests. In a second step the residuals of each individual observation were summarized by commune and kriged following the method developed by Orton et al. (2012). This approach allowed to include non-linear relationships among covariates and soil texture while accounting for the uncertainty on areal means in the area-to-point kriging step. Independent validation of the models was done using data from the systematic soil monitoring network of French soils. Future work will compare the performance of these models with a non-stationary variance geostatistical model using the most important covariates and summary statistics of texture data. The results will inform on whether the later and statistically more-challenging approach improves significantly texture predictions or whether the more simple area-to-point regression kriging can offer satisfactory results. The application of area-to-point regression kriging at national level using BDAT data has the potential to improve soil texture predictions for agricultural topsoils, especially when combined with

Sneeze related area in the medulla: localisation of the human sneezing centre?

PubMed Central

Seijo‐Martínez, M; Varela‐Freijanes, A; Grandes, J; Vázquez, F

2006-01-01

Sneezing is a rarely explored symptom in neurological practice. In the cat, a sneeze evoking centre is located in the medulla. The existence of a sneezing centre has not been confirmed in humans. A case with abnormal sneezing secondary to a strategic infarct in the right latero‐medullary region is presented. A 66 year old man suddenly presented paroxysmal sneezing followed by ataxia, right sided motor and sensory symptoms, and hoarseness. The application of stimuli to the right nasal fossa did not evoke sneezing nor the wish to sneeze. The same stimuli to the contralateral nasal fossa evoked normal sneezing. The preservation of the superficial sensitivity of the nasal fossa indicates that the lesion was localised in the hypothetical human sneezing centre, very close to the spinal trigeminal tract and nucleus. This centre appears to be bilateral and functionally independent on both sides. PMID:16354739

Birth centre confinement at the Queen Victoria Medical Centre. I. Obstetric and neonatal outcome.

PubMed

Campbell, J; Hudson, H; Lumley, J; Morris, N; Rao, J; Spensley, J

1981-10-03

A review of hte first 175 confinements at the Queen Victoria Medical Centre Birth Centre is presented. The design, structure and function of hte Birth Centre is described and the safety of the programme demonstrated. Seventy-four pregnancies (42%) accepted for Birth Centre confinement required transfer because of antepartum or intrapartum complications. There were satisfactory obstetric and neonatal outcomes in all pregnancies. The first year's experience has allowed a reassessment of the risk factors, which will permit greater use of the Birth Centre without any increases risk to mothers or babies.

The Search for Centre

ERIC Educational Resources Information Center

Nunes, April

2006-01-01

This paper acknowledges the importance of a dancer's centre but likewise highlights the problematic nature of the communication of this concept from dance teacher to student. After a brief introduction of orthodox approaches in finding centre, this paper suggests a method of locating centre through the ancient somatic technique.

Person-centred care during prolonged weaning from mechanical ventilation, nurses' views: an interview study.

PubMed

Cederwall, Carl-Johan; Olausson, Sepideh; Rose, Louise; Naredi, Silvana; Ringdal, Mona

2018-06-01

To determine: 1) if the three elements of person-centred care (initiating, working and safeguarding the partnership) were present, and 2) to identify evidence of barriers to person-centred care during prolonged weaning from mechanical ventilation. Secondary analysis of semi structured interviews with 19 critical care nurses using theoretical thematic analysis. This study was conducted in three Swedish intensive care units, one in a regional hospital and two in a university hospital. Three themes and nine subthemes related to person-centred care were identified. The three themes included: 1) 'finding a person behind the patient' related to the 'initiating the partnership' phase, 2) 'striving to restore patient́s sense of control' related to 'working the partnership' phase and 3) 'impact of patient involvement' related to 'safeguarding the partnership' phase of person-centred care'. Additionally a further theme 'barriers to person-centred care' was identified. We found evidence of all three person-centred care routines. Barriers to person-centred care comprised of lack team collaboration and resources. Facilitating patients to actively participate in decision-making during the weaning process may optimise weaning outcomes and warrants further research. Copyright © 2017 Elsevier Ltd. All rights reserved.

Volcano and ship tracks indicate excessive aerosol-induced cloud water increases in a climate model.

PubMed

Toll, Velle; Christensen, Matthew; Gassó, Santiago; Bellouin, Nicolas

2017-12-28

Aerosol-cloud interaction is the most uncertain mechanism of anthropogenic radiative forcing of Earth's climate, and aerosol-induced cloud water changes are particularly poorly constrained in climate models. By combining satellite retrievals of volcano and ship tracks in stratocumulus clouds, we compile a unique observational dataset and confirm that liquid water path (LWP) responses to aerosols are bidirectional, and on average the increases in LWP are closely compensated by the decreases. Moreover, the meteorological parameters controlling the LWP responses are strikingly similar between the volcano and ship tracks. In stark contrast to observations, there are substantial unidirectional increases in LWP in the Hadley Centre climate model, because the model accounts only for the decreased precipitation efficiency and not for the enhanced entrainment drying. If the LWP increases in the model were compensated by the decreases as the observations suggest, its indirect aerosol radiative forcing in stratocumulus regions would decrease by 45%.

Prevalence of intestinal parasitic infections and associated risk factors among schoolchildren in the Plateau Central and Centre-Ouest regions of Burkina Faso.

PubMed

Erismann, Séverine; Diagbouga, Serge; Odermatt, Peter; Knoblauch, Astrid M; Gerold, Jana; Shrestha, Akina; Grissoum, Tarnagda; Kaboré, Aminata; Schindler, Christian; Utzinger, Jürg; Cissé, Guéladio

2016-10-18

Unsafe drinking water, unimproved sanitation and lack of hygiene pose health risks, particularly to children in low- and middle-income countries. This study aimed to assess the prevalence and risk factors of intestinal parasitic infections in school-aged children in two regions of Burkina Faso. A cross-sectional survey was carried out in February 2015 with 385 children aged 8-14 years from eight randomly selected schools in the Plateau Central and Centre-Ouest regions of Burkina Faso. Stool samples were subjected to the Kato-Katz and a formalin-ether concentration method for the diagnosis of helminths and intestinal protozoa infections. Urine samples were examined with a urine filtration technique for Schistosoma haematobium eggs. Water samples from community sources (n = 37), children's households (n = 95) and children's drinking water cups (n = 113) were analysed for contamination with coliform bacteria and faecal streptococci. Data on individual and family-level risk factors were obtained using a questionnaire. Mixed logistic regression models were employed to determine factors associated with intestinal parasitic infections in schoolchildren. Intestinal parasitic infections were highly prevalent; 84.7 % of the children harboured intestinal protozoa, while helminth infections were diagnosed in 10.7 % of the children. We found significantly lower odds of pathogenic intestinal protozoa infection (Entamoeba histolytica/E. dispar and Giardia intestinalis) among children from the Plateau Central, compared to the Centre-Ouest region (P < 0.001). Children from households with "freely roaming domestic animals" (P = 0.008), particularly dogs (P = 0.016) showed higher odds of G. intestinalis, and children reporting exposure to freshwater sources through domestic chores had higher odds of S. haematobium infection compared to children without this water contact activity (P = 0.035). Water quality, household drinking water source and storage

Business Centre Development Model of Airport Area in Supporting Airport Sustainability in Indonesia

NASA Astrophysics Data System (ADS)

Setiawan, MI; Surjokusumo, S.; Ma'soem, DM; Johan, J.; Hasyim, C.; Kurniasih, N.; Sukoco, A.; Dhaniarti, I.; Suyono, J.; Sudapet, IN; Nasihien, RD; Mudjanarko, SW; Wulandari, A.; Ahmar, Ansari S.; Wajdi, MBN

2018-01-01

Airport is expected to play the role in enhancing the economic level of the region, especially the local people around the airport. The Aero City concept in developing an airport might also develop a city centreed in the airport that combining airport oriented business development, business actors and local people around the airport area. This study aims to generate development model of business centre at the airports in Indonesia. This is a mixed method based study. The population includes 296 airports under government management, government subsidiary and military. By using stratified random sampling, there were 151 sample airports. The results show that business centre development in the airport area will be related with the airport management and the commercial property (business centre) growth at the airport. Aero City in Indonesia can be developed by partnership system between government and private sector that consists of construction, development, and implementation of commercial property such as hotel, apartment, retail, office, etc. Based on the result of T-Value test, Airport Performance variable predicted to have significant influence on Gross Regional Domestic Product Central Business District performance.

Evaluating hazardous waste generation in for-profit outpatient haemodialysis centres.

PubMed

García-Vicente, Sergio; Llopis-González, A; González-Steinbauer, C; Morales Suárez-Varela, M

2016-03-01

"Green" haemodialysis management to reduce the environmental impact of haemodialysis is growing. Dealing with hazardous waste production could heighten healthcare professionals' awareness of this problem, and improve their healthcare involvement in environmental sustainability and environmental-friendliness. A list of for-profit outpatient haemodialysis centres in the Valencian Community (E Spain) was compiled. Data on their hazardous waste production from 2008 to 2012 through the annual waste reports issued by official organisations competent in environmental issues were collected. There are 22 for-profit dialysis centres, that managed the treatment for 69.1% of all dialysis patients in the region. Data were collected from 16 centres that collectively offer 350 dialysis places (33.8% of all the places in this region). Mean annual hazardous waste production per dialysis session increased by 14% during the study period: 0.640 kg per session in 2008 vs. 0.740 kg in 2012. As hazardous waste production is high, we must examine the reasons why it is growing. Information about haemodialysis waste production and management is scarce and difficult to access. Having an evaluation of its production would motivate further research, especially as end-stage kidney disease is increasing, and whose main long-term treatment, haemodialysis, produces hazardous waste and employs substantial natural resources. Minimising its environmental impact is not mission impossible. © 2015 European Dialysis and Transplant Nurses Association/European Renal Care Association.

The DIY Digital Medical Centre.

PubMed

Timmis, James Kenneth; Timmis, Kenneth

2017-09-01

Healthcare systems worldwide are confronted with major economic, organizational and logistical challenges. Historic evolution of health care has led to significant healthcare sector fragmentation, resulting in systemic inefficiencies and suboptimal resource exploitation. To attain a sustainable healthcare model, fundamental, system-wide improvements that effectively network, and ensure fulfilment of potential synergies between sectors, and include and facilitate coherent strategic planning and organisation of healthcare infrastructure are needed. Critically, they must be specifically designed to sustainably achieve peak performance within the current policy environment for cost-control, and efficiency and quality improvement for service delivery. We propose creation of a new healthcare cluster, to be embedded in existing healthcare systems. It consists of (i) local 24/7 walk-in virtually autonomous do-it-yourself Digital Medical Centres performing routine diagnosis, monitoring, prevention, treatment and standardized documentation and health outcome assessment/reporting, which are online interfaced with (ii) regional 24/7 eClinician Centres providing on-demand clinical supervision/assistance to Digital Medical Centre patients. Both of these are, in turn, online interfaced with (iii) the National Clinical Informatics Centre, which houses the national patient data centre (cloud) and data analysis units that conduct patient- and population-level, personalized and predictive(-medicine) intervention optimization analyses. The National Clinical Informatics Centre also interfaces with biomedical research and prioritizes and accelerates the translation of new discoveries into clinical practice. The associated Health Policy Innovation and Evaluation Centre rapidly integrates new findings with health policy/regulatory discussions. This new cluster would synergistically link all health system components in a circular format, enable not only access by all arms of the health

Access to yellow fever travel vaccination centres in England, Wales, and Northern Ireland: A geographical study.

PubMed

Petersen, Jakob; Simons, Hilary; Patel, Dipti

More than 700,000 trips were made by residents in England, Wales, and Northern Ireland (EWNI) in 2015 to tropical countries endemic for yellow fever, a potentially deadly, yet vaccine-preventable disease transmitted by mosquitoes. The aim of this study was to map the geographical accessibility of yellow fever vaccination centres (YFVC) in EWNI. The location of 3208 YFVC were geocoded and the average geodetic distance to nearest YFVC was calculated for each population unit. Data on trips abroad and centres were obtained regionally for EWNI and nationally for the World Top20 countries in terms of travel. The mean distance to nearest YFVC was 2.4 km and only 1% of the population had to travel more than 16.1 km to their nearest centre. The number of vaccines administered regionally in EWNI was found correlated with the number of trips to yellow fever countries. The number of centres per 100,000 trips was 6.1 in EWNI, which was below United States (12.1) and above the rest of Top20 countries. The service availability was in line with demand regionally. With the exception of remote, rural areas, yellow fever vaccination services were widely available with only short distances to cover for the travelling public. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

Stakeholder perceptions of a nurse led walk-in centre.

PubMed

Parker, Rhian M; Desborough, Jane L; Forrest, Laura E

2012-11-05

As many countries face primary care medical workforce shortages and find it difficult to provide timely and affordable care they seek to find new ways of delivering first point of contact health care through developing new service models. In common with other areas of rural and regional Australia, the Australian Capital Territory (ACT) is currently experiencing a general practitioner (GP) workforce shortage which impacts significantly on the ability of patients to access GP led primary care services. The introduction of a nurse led primary care Walk-in Centre in the ACT aimed to fulfill an unmet health care need in the community and meet projected demand for health care services as well as relieve pressure on the hospital system. Stakeholders have the potential to influence health service planning and policy, to advise on the potential of services to meet population health needs and to assess how acceptable health service innovation is to key stakeholder groups. This study aimed to ascertain the views of key stakeholders about the Walk-in Centre. Stakeholders were purposively selected through the identification of individuals and organisations which had organisational or professional contact with the Walk-in Centre. Semi structured interviews around key themes were conducted with seventeen stakeholders. Stakeholders were generally supportive of the Walk-in Centre but identified key areas which they considered needed to be addressed. These included the service's systems, full utilisation of the nurse practitioner role and adequate education and training. It was also suggested that a doctor could be available to the Centre as a source of referral for patients who fall outside the nurses' scope of practice. The location of the Centre was seen to impact on patient flows to the Emergency Department. Nurse led Walk-in Centres are one response to addressing primary health care medical workforce shortages. Whilst some stakeholders have reservations about the model others

Malaria and other febrile diseases among travellers: the experience of a reference centre located outside the Brazilian Amazon Region.

PubMed

Dotrário, Andréa Beltrami; Menon, Lucas José Bazzo; Bollela, Valdes Roberto; Martinez, Roberto; de Almeida E Araújo, Daniel Cardoso; da Fonseca, Benedito Antônio Lopes; Santana, Rodrigo de C

2016-05-26

Malaria is endemic in countries located in tropical and sub-tropical regions. The increasing flow of domestic and international travellers has made malaria a relevant health problem even in non-endemic regions. Malaria has been described as the main diagnosis among travellers presenting febrile diseases after returning from tropical countries. In Brazil, malaria transmission occurs mainly in the Amazon region. Outside this area, malaria transmission is of low magnitude. This cross-sectional study aimed to describe the experience in the diagnosis of malaria in a reference centre located outside the Brazilian Amazon Region, emphasizing the differences in clinical and laboratory markers between cases of malaria and those of other febrile diseases (OFD). Medical charts from adult patients (≥18 years) who underwent a thick smear test (TST) for malaria, between January 2001 and December 2014, were retrospectively reviewed. A total of 458 cases referred to perform the TST were included. Malaria was diagnosed in 193 (42 %) episodes. The remaining 265 episodes (58 %) were grouped as OFD. The majority of malaria episodes were acquired in the Brazilian Amazon Region. The median time between the onset of symptoms and the TST was 7 days. Only 53 (11.5 %) episodes were tested within the first 48 h after symptom onset. Comparing malaria with OFD, jaundice, nausea, vomiting, and reports of fever were more prevalent in the malaria group. Low platelet count and elevated bilirubin levels were also related to the diagnosis of malaria. The results indicate that outside the endemic area travellers presenting febrile disease suspected of being malaria underwent diagnostic test after considerable delay. The reporting of fever combined with a recent visit to an endemic area should promptly evoke the hypothesis of malaria. In these cases, specific diagnostic tests for malaria should be a priority. For cases that jump this step, the presence of elevated bilirubin or thrombocytopaenia

Analysis of heat wave occurrences in the Carpathian basin using regional climate model simulations

NASA Astrophysics Data System (ADS)

Bartha, E. B.; Pongracz, R.; Bartholy, J.

2012-04-01

Human health is very likely affected by regional consequences of global warming. One of the most severe impacts is probably associated to temperature-related climatological extremes, such as heat waves. In the coming decades hot conditions in most regions of the world are very likely to occur more frequently and more intensely than in the recent decades. In order to develop adaptation and mitigation strategies on local scale, it is essential to analyze the projected changes related to warming climatic conditions including heat waves. In 2004, a Heat Health Watch Warning System was developed in Hungary on the basis of a retrospective analysis of mortality and meteorological data to anticipate heat waves that may result in a large excess of mortality. In the frame of this recently introduced Health Watch System, three levels of heat wave warning are applied. They are associated to the daily mean temperature values, and defined as follows: - Warning level 1 (advisory for internal use) is issued when the daily mean temperature exceeds 25 °C. - Warning level 2 (heat wave watch) is issued when the daily mean temperature for at least 3 consecutive days exceeds 25 °C. - Warning level 3 (heat wave alert) is issued when the daily mean temperature for at least 3 consecutive days exceeds 27 °C. In the present study, frequency of the above climatic conditions are analyzed using regional climate model (RCM) experiments are analyzed for the recent past and the coming decades (1961-2100) for the Carpathian basin. At the Dept. of Meteorology, Eotvos Lorand University two different RCMs have been adapted: RegCM (with 10 km horizontal resolution, originally developed by Giorgi et al., currently, available from the International Centre for Theoretical Physics, ICTP) and PRECIS (with 25 km horizontal resolution, developed at the UK Met Office, Hadley Centre). Their initial and lateral boundary conditions have been provided by global climate models ECHAM and HadCM3, respectively. For

Comparison of three models of ownership of community health centres in China: a qualitative study.

PubMed

Wei, Xiaolin; Yang, Nan; Gao, Yang; Wong, Samuel Y S; Wong, Martin C S; Wang, Jiaji; Wang, Harry H X; Li, Donald K T; Tang, Jinling; Griffiths, Sian M

2015-07-01

Community health centres are the main form of provision of primary care in China. There are three models: government managed, hospital managed and private. Our aim was to describe and compare primary care under the three ownership models. Four aspects of primary care were studied: services, organization, financing and human resources. Interviews were undertaken with 60 managerial and professional staff in 13 community health centres in the Pearl River Delta region in 2010. Three community health centres were selected in the capital city and two were selected from each of the other five cities. Thematic framework analysis was conducted. Government-managed community health centres received the largest public funding, followed by hospital-managed community health centres, while private community health centres received the least. Private community health centres were the smallest in scale and provided lower quality public health services compared with the other two models. Patient out-of-pocket costs accounted for the majority of the revenue in all models of community health centres despite improved government funding for preventive services. General challenges such as the shortage of public funding, the exclusion of migrants in the funding for preventive services, low capacity in human resources and the separation of clinical and preventive care in community health centres were identified in all three models of community health centres. The ownership and management of a community health centre greatly influence the service it provides. Private community health centres are in a disadvantaged position to deliver high quality clinical and preventive care. © The Author(s) 2015.

Incidence of pituitary dysfunction following traumatic brain injury: A prospective study from a regional neurosurgical centre.

PubMed

Alavi, Seyed Alireza; Tan, Chin Lik; Menon, David K; Simpson, Helen L; Hutchinson, Peter J

2016-06-01

Patients with traumatic brain injury (TBI) may develop pituitary dysfunction. Although, there is now increasing awareness of and investigations into such post-traumatic hypopituitarism (PTHP), the exact prevalence and incidence remain uncertain. Here, we aim to identify the incidence of PTHP in a selected population of TBI patients deemed at risk of PTHP at a regional neurosurgical centre in the UK. A total of 105 patients have been assessed in two cohorts: (i) 58 patients in serial cohort and (ii) 47 patients in cross-sectional late cohort. We found that in serial cohort, 10.3% (6/58) of TBI patients had abnormalities of the pituitary-adrenal axis in the acute phase (Day 0-7 post injury). In comparison, in cross-sectional late cohort, 21.3% (10/47) of the patients developed dysfunction in at least one of their pituitary axes at 6 months or more post-TBI, with hypogonadotrophic hypogonadism being the most common. Twenty-two patients from these two cohorts had their growth hormone assessment at 12 months or more post-TBI and 9.1% (2/22) were found to have growth hormone deficiency. Our results suggest that PTHP is a common condition amongst sufferers of TBI, and appropriate measures should be taken to detect and manage it.

Command and Control Analysis of the South West Provincial Regional Emergency Operations Centre during Vancouver 2010

DTIC Science & Technology

2011-06-01

Venue Site WACC - Whistler Area Command Centre OTHER GPPAG - Government Partners Public Affairs Group 18 ANNEX B. Interview questions...Vancouver Vancouver Richmond WACC Decision Authority Link Information Sharing Link DOC’s 2010 Provincial Games Secretariat GPPAG CCG

Defining and describing birth centres in the Netherlands - a component study of the Dutch Birth Centre Study.

PubMed

Hermus, M A A; Boesveld, I C; Hitzert, M; Franx, A; de Graaf, J P; Steegers, E A P; Wiegers, T A; van der Pal-de Bruin, K M

2017-07-03

During the last decade, a rapid increase of birth locations for low-risk births, other than conventional obstetric units, has been seen in the Netherlands. Internationally some of such locations are called birth centres. The varying international definitions for birth centres are not directly applicable for use within the Dutch obstetric system. A standard definition for a birth centre in the Netherlands is lacking. This study aimed to develop a definition of birth centres for use in the Netherlands, to identify these centres and to describe their characteristics. International definitions of birth centres were analysed to find common descriptions. In July 2013 the Dutch Birth Centre Questionnaire was sent to 46 selected Dutch birth locations that might qualify as birth centre. Questions included: location, reason for establishment, women served, philosophies, facilities that support physiological birth, hotel-facilities, management, environment and transfer procedures in case of referral. Birth centres were visited to confirm the findings from the Dutch Birth Centre Questionnaire and to measure distance and time in case of referral to obstetric care. From all 46 birth locations the questionnaires were received. Based on this information a Dutch definition of a birth centre was constructed. This definition reads: "Birth centres are midwifery-managed locations that offer care to low risk women during labour and birth. They have a homelike environment and provide facilities to support physiological birth. Community midwives take primary professional responsibility for care. In case of referral the obstetric caregiver takes over the professional responsibility of care." Of the 46 selected birth locations 23 fulfilled this definition. Three types of birth centres were distinguished based on their location in relation to the nearest obstetric unit: freestanding (n = 3), alongside (n = 14) and on-site (n = 6). Transfer in case of referral was necessary for all

Student Retention in an Era of Globalization: A Case Study of IGNOU Regional Centre, Mumbai

ERIC Educational Resources Information Center

Rajesh, M.

2011-01-01

Student Retention is a function of a number of factors, the most important among them being--the academic response mechanism of an institution, effectiveness in handling administrative queries, counseling at learner support centres, effectiveness in handling practical session and so on. The current paper is an attempt to study the effectiveness of…

Bubble propagation in Hele-Shaw channels with centred constrictions

NASA Astrophysics Data System (ADS)

Franco-Gómez, Andrés; Thompson, Alice B.; Hazel, Andrew L.; Juel, Anne

2018-04-01

We study the propagation of finite bubbles in a Hele-Shaw channel, where a centred occlusion (termed a rail) is introduced to provide a small axially uniform depth constriction. For bubbles wide enough to span the channel, the system’s behaviour is similar to that of semi-infinite fingers and a symmetric static solution is stable. Here, we focus on smaller bubbles, in which case the symmetric static solution is unstable and the static bubble is displaced towards one of the deeper regions of the channel on either side of the rail. Using a combination of experiments and numerical simulations of a depth-averaged model, we show that a bubble propagating axially due to a small imposed flow rate can be stabilised in a steady symmetric mode centred on the rail through a subtle interaction between stabilising viscous forces and destabilising surface tension forces. However, for sufficiently large capillary numbers Ca, the ratio of viscous to surface tension forces, viscous forces in turn become destabilising thus returning the bubble to an off-centred propagation regime. With decreasing bubble size, the range of Ca for which steady centred propagation is stable decreases, and eventually vanishes through the coalescence of two supercritical pitchfork bifurcations. The depth-averaged model is found to accurately predict all the steady modes of propagation observed experimentally, and provides a comprehensive picture of the underlying steady bifurcation structure. However, for sufficiently large imposed flow rates, we find that initially centred bubbles do not converge onto a steady mode of propagation. Instead they transiently explore weakly unstable steady modes, an evolution which results in their break-up and eventual settling into a steady propagating state of changed topology.

Safety and predictability of conscious sedation in dentistry -- a multi-centre regional audit: South and West Wales experience.

PubMed

Muthukrishnan, A; McGregor, J; Thompson, S

2013-10-01

There are no previously published reports of audits in conscious sedation from a group comprising the general dental services (GDS), community dental services (CDS) and hospital dental services (HDS). The main aim of this audit was to assess current practice within the group in relation to the safety and predictability of dental treatment undertaken with the aid of conscious sedation. A total of nine centres collected data prospectively on 1,037 sedation episodes over the course of one year. Audit standards were locally agreed based on current evidence and local experience. They were set at a completion rate of 90% and an adverse incident rate of 2% or less. Based on the data collected, a completion rate of 92% and a minor adverse incident rate of 2.6% were recorded. The participating centres met the standards set locally for this audit. Current practice in the participating centres was found to be safe and predictable. The audit tool is being refined to improve the quality of data collection. Further research and service evaluation is recommended.

Criteria for EASO-collaborating centres for obesity management.

PubMed

Tsigos, Constantine; Hainer, Vojtech; Basdevant, Arnaud; Finer, Nick; Mathus-Vliegen, Elisabeth; Micic, Dragan; Maislos, Maximo; Roman, Gabriela; Schutz, Yves; Toplak, Hermann; Yumuk, Volkan; Zahorska-Markiewicz, Barbara

2011-01-01

Obesity is recognised as a global epidemic and the most prevalent metabolic disease world-wide. Specialised obesity services, however, are not widely available in Europe, and obesity care can vary enormously across European regions. The European Association for the Study of Obesity (EASO, www.easo.org) has developed these criteria to form a pan-European network of accredited EASO-Collaborating Centres for Obesity Management (EASO-COMs) in accordance with accepted European and academic guidelines. This network will include university, public and private clinics and will ensure that the obese and overweight patient is managed by a holistic team of specialists and receives comprehensive state-ofthe-art clinical care. Furthermore, the participating centres, under the umbrella of EASO, will work closely for quality control, data collection, and analysis as well as for education and research for the advancement of obesity care and obesity science. Copyright © 2011 S. Karger AG, Basel.

Birth centre confinement at the Queen Victoria Medical Centre: four years' experience.

PubMed

Morris, N; Campbell, J; Biro, M A; Lumley, J; Rao, J; Spensley, J

1986-06-09

A review of the first four years of the functioning of the birth centre at the Queen Victoria Medical Centre is presented. In that time, 1040 pregnant women were accepted for confinement there. Of these, 52 withdrew for non-obstetric reasons, while 470 were transferred to alternative obstetrical care--274 because of antepartum complications and 196 because of intrapartum problems. Therefore, 518 women were delivered in the birth centre. The care of the women is entrusted almost entirely to a team of midwives and this review demonstrates an enviable safety record.

Long-term Radiation Budget Variability in the Northern Eurasian Region: Assessing the Interaction with Fire

NASA Astrophysics Data System (ADS)

Stackhouse, P. W.; Soja, A. J.; Zhang, T.; Mikovitz, J. C.

2013-12-01

In terms of global change, boreal regions are particularly important, because significant warming and change are already evident and significant future warming is predicted. Mean global air temperature has increased by 0.74°C in the last century, and temperatures are predicted to increase by 1.8°C to 4°C by 2090, depending on the Inter-governmental Panel on Climate Change (IPCC) scenario. Some of the greatest temperature increases are currently found in the Northern Eurasian winter and spring, which has led to longer growing seasons, increased potential evapotranspiration and extreme fire weather [Groisman et al., 2007]. In the Siberian Sayan, winter temperatures have already exceeded a 2090 Hadley Centre scenario (HadCM3GGa1) [Soja et al., 2007]. There is evidence of climate-induced change across the circumboreal in terms of increased infestations, alterations in vegetation and increased fire regimes (area burned, fire frequency, severity and number of extreme fire seasons). In this paper, we analyzed long-term surface radiation data sets from the NASA/GEWEX (Global Energy and Water Exchanges) Surface Radiation Budget data products, CERES Surface EBAF and SYN data products and also the available surface radiation measurements in the region. First, we show that during overlap years SRB and CERES data products agree very well in terms of anomalies and we'll use this fact to evaluate 30 years of satellite based estimates of the variability of downwelling SW parameters first corresponding to locations of surface measurements and then for the region as a whole. We also show the observed variability of other SW components such as the net SW and the albedo. Next we assess the variability of the downward and LW fluxes over time and compare these to variability observed in the surface temperature and other meteorological measurements. We assess anomalies on various spatial scales. Finally, we assess the correlation of this variability in specific locations to known fire

Geoengineering by stratospheric SO2 injection: results from the Met Office HadGEM2 climate model and comparison with the Goddard Institute for Space Studies ModelE

NASA Astrophysics Data System (ADS)

Jones, A.; Haywood, J.; Boucher, O.; Kravitz, B.; Robock, A.

2010-03-01

We examine the response of the Met Office Hadley Centre's HadGEM2-AO climate model to simulated geoengineering by continuous injection of SO2 into the lower stratosphere, and compare the results with those from the Goddard Institute for Space Studies ModelE. The HadGEM2 simulations suggest that the SO2 injection rate considered here (5 Tg[SO2] yr-1) could defer the amount of global warming predicted under the Intergovernmental Panel on Climate Change's A1B scenario by approximately 30-35 years, although both models indicate rapid warming if geoengineering is not sustained. We find a broadly similar geographic distribution of the response to geoengineering in both models in terms of near-surface air temperature and mean June-August precipitation. The simulations also suggest that significant changes in regional climate would be experienced even if geoengineering was successful in maintaining global-mean temperature near current values.

Volcano and Ship Tracks Indicate Excessive Aerosol-Induced Cloud Water Increases in a Climate Model

NASA Astrophysics Data System (ADS)

Toll, Velle; Christensen, Matthew; Gassó, Santiago; Bellouin, Nicolas

2017-12-01

Aerosol-cloud interaction is the most uncertain mechanism of anthropogenic radiative forcing of Earth's climate, and aerosol-induced cloud water changes are particularly poorly constrained in climate models. By combining satellite retrievals of volcano and ship tracks in stratocumulus clouds, we compile a unique observational data set and confirm that liquid water path (LWP) responses to aerosols are bidirectional, and on average the increases in LWP are closely compensated by the decreases. Moreover, the meteorological parameters controlling the LWP responses are strikingly similar between the volcano and ship tracks. In stark contrast to observations, there are substantial unidirectional increases in LWP in the Hadley Centre climate model, because the model accounts only for the decreased precipitation efficiency and not for the enhanced entrainment drying. If the LWP increases in the model were compensated by the decreases as the observations suggest, its indirect aerosol radiative forcing in stratocumulus regions would decrease by 45%.

A question-answer pair (QAP) database integrated with websites to answer complex questions submitted to the Regional Medicines Information and Pharmacovigilance Centres in Norway (RELIS): a descriptive study.

PubMed

Schjøtt, Jan; Reppe, Linda A; Roland, Pål-Didrik H; Westergren, Tone

2012-01-01

To assess a question-answer pair (QAP) database integrated with websites developed for drug information centres to answer complex questions effectively. Descriptive study with comparison of two subsequent 6-year periods (1995-2000 and 2001-2006). The Regional Medicines Information and Pharmacovigilance Centres in Norway (RELIS). A randomised sample of QAPs from the RELIS database. Answer time in days compared with Mann-Whitney U test. Number of drugs involved (one, two, three or more), complexity (judgemental and/or patient-related or not) and literature search (none, simple or advanced) compared with χ(2) tests. 842 QAPs (312 from 1995 to 2000 and 530 from 2001 to 2006) were compared. The fraction of judgemental and patient-related questions increased (66%-75% and 54%-72%, respectively, p<0.01). Number of drugs and literature search (>50% advanced) was similar in the two periods, but the fraction of answers referring to the RELIS database increased (13%-31%, p<0.01). Median answer time was reduced from 2 days to 1 (p<0.01), although the fraction of complex questions increased from the first to the second period. Furthermore, the mean number of questions per employee per year increased from 66 to 89 from the first to the second period. The authors conclude that RELIS has a potential to efficiently answer complex questions. The model is of relevance for organisation of drug information centres.

The changing interface between district hospital cardiology and the major cardiac centres

PubMed Central

1997-01-01

The national priority for reducing mortality and morbidity from cardiovascular disease, the resulting expansion in the number of consultant cardiologists, and the reforms of the National Health Service have produced significant changes in delivery of care for cardiac patients and in the relations between district general hospitals (DGH) and the old regional cardiac centres. 1.2 The British Cardiac Society, the Medical Royal Colleges of Physicians of London and Edinburgh, and the Royal College of Physicians and Surgeons of Glasgow established a working group to make recommendations on the most appropriate evolution of these changes to secure high quality care in a cost-effective and professionally rewarding environment. The principal conclusions of the working group were: i) The establishment of new cardiac catheterisation laboratories in DGHs remote from a major cardiac centre should be encouraged provided the workload is adequate to ensure efficient use of the facility. ii) Cardiologists working in districts close to a major centre should be encouraged to catheterise their patients at the centre. iii) Close liaison of the district cardiologist with a cardiac surgeon and interventionist is vitally important. iv) The centres will be required to provide tertiary care for emergency and urgent cases from their traditional catchment area, specialised expertise for the management of rare and difficult cases, and angioplasty. Some centres will also offer complex electrophysiology, and ablation techniques. v) The centres must also provide routine cardiology services for their local district, facilities for cardiac catheterisation for DGH cardiologists, and training for doctors, nurses, technicians, and radiographers. vi) Some centres will be linked with paediatric cardiology and paediatric cardiac surgical units. vii) District cardiac centres will be required to provide a full non-invasive diagnostic service and emergency care for patients referred by general practitioners

Air pollution and health implications of regional electricity transfer at generational centre and design of compensation mechanism

NASA Astrophysics Data System (ADS)

Relhan, Nemika

India's electricity generation is primarily from coal. As a result of interconnection of grid and establishment of pithead power plants, there has been increased electricity transfer from one region to the other. This results in imbalance of pollution loads between the communities located in generation vis-a-vis consumption region. There may be some states, which are major power generation centres and hence are facing excessive environmental degradation. On the other hand, electricity importing regions are reaping the benefits without paying proper charges for it because present tariff structure does not include the full externalities in it. The present study investigates the distributional implications in terms of air pollution loads between the electricity generation and consumption regions at the state level. It identifies the major electricity importing and exporting states in India. Next, as a case study, it estimates the health damage as a result of air pollution from thermal power plants (TPPs) located in a critically polluted region that is one of the major generator and exporter of electricity. The methodology used to estimate the health damage is based on impact pathway approach. In this method, air pollution modelling has been performed in order to estimate the gridded Particulate Matter (PM) concentration at various receptor locations in the study domain. The air quality modeling exercise helps to quantify the air pollution concentration in each grid and also apportion the contribution of power plants to the total concentration. The health impacts as a result of PM have been estimated in terms of number of mortality and morbidity cases using Concentration Response Function (CRF's) available in the literature. Mortality has been converted into Years of Life Lost (YOLL) using life expectancy table and age wise death distribution. Morbidity has been estimated in terms of number of cases with respect to various health end points. To convert this health

Traumatic hip dislocation at a regional trauma centre in Nigeria.

PubMed

Onyemaechi, N O C; Eyichukwu, G O

2011-01-01

Traumatic dislocation or fracture-dislocation of the hip is an orthopaedic emergency that is steadily increasing in incidence due to high-speed motor vehicular accidents. These injuries need to be recognized early and promptly treated to prevent morbidity and long-term complications. Some of the fundamental issues in the management of traumatic dislocations of the hip are the critical interval between injury and reduction, the type of reduction most suitable for various types of injury and the duration of immobilization that give the best results. This study was carried out at the National Orthopaedic Hospital Enugu, a regional trauma and orthopaedic centre in South-East Nigeria. The purpose of the study is to describe the pattern of presentation and to identify the factors that determine the long-term outcome in the treatment of traumatic dislocations and fracture-dislocations of the hip at Enugu, Nigeria. The case notes of all the patients that presented with traumatic dislocations and fracture-dislocations of the hip between January 2003 and December 2007 were reviewed. The information extracted and analyzed included the patients' demographics, etiology of injury, time interval before reduction, associated injuries, treatment offered, complications and follow-up. Thompson-Epstein classification was used to grade the posterior hip dislocations. The outcome of treatment was evaluated using the clinical and radiological criteria proposed by Epstein (1974). Three patients with incomplete data and two patients with central fracture dislocation were excluded from this study. Forty-eight patients with 50 hip dislocations were analyzed. The age range was 12 years to 67 years with a mean age of 34.8 years. Thirty-nine patients (81.3%) were males and 9 (18.7%) were females. Road-traffic accident was the leading cause of traumatic hip dislocation in this series, 44 cases (91.6%). Posterior dislocation occurred in 48 hips (96%) while anterior dislocation occurred in 2 hips

U.S. Strategic and Defense Relationships in the Asia-Pacific Region

DTIC Science & Technology

2007-01-22

Question and Answer Session Shangri - La Dialogue, Singapore, June 3, 2006. 102 “New Power Dynamics in Southeast Asia,” Policy Memo, The Stanley...Hadley to the National Bureau of Asian Research Strategic Asia Forum,” Ritz Carleton Hotel Washington, April 5, 2006. 25 The Ministry of Foreign Affairs...Strategic Asia Forum,” Ritz Carleton Hotel Washington, April 5, 2006. 97 “Gathering Steam: India and the United States Extend Military Ties,” South

Simulation of the West African monsoon onset using the HadGEM3-RA regional climate model

NASA Astrophysics Data System (ADS)

Diallo, Ismaïla; Bain, Caroline L.; Gaye, Amadou T.; Moufouma-Okia, Wilfran; Niang, Coumba; Dieng, Mame D. B.; Graham, Richard

2014-08-01

The performance of the Hadley Centre Global Environmental Model version 3 regional climate model (HadGEM3-RA) in simulating the West African monsoon (WAM) is investigated. We focus on performance for monsoon onset timing and for rainfall totals over the June-July-August (JJA) season and on the model's representation of the underlying dynamical processes. Experiments are driven by the ERA-Interim reanalysis and follow the CORDEX experimental protocol. Simulations with the HadGEM3 global model, which shares a common physical formulation with HadGEM3-RA, are used to gain insight into the causes of HadGEM3-RA simulation errors. It is found that HadGEM3-RA simulations of monsoon onset timing are realistic, with an error in mean onset date of two pentads. However, the model has a dry bias over the Sahel during JJA of 15-20 %. Analysis suggests that this is related to errors in the positioning of the Saharan heat low, which is too far south in HadGEM3-RA and associated with an insufficient northward reach of the south-westerly low-level monsoon flow and weaker moisture convergence over the Sahel. Despite these biases HadGEM3-RA's representation of the general rainfall distribution during the WAM appears superior to that of ERA-Interim when using Global Precipitation Climatology Project or Tropical Rain Measurement Mission data as reference. This suggests that the associated dynamical features seen in HadGEM3-RA can complement the physical picture available from ERA-Interim. This approach is supported by the fact that the global HadGEM3 model generates realistic simulations of the WAM without the benefit of pseudo-observational forcing at the lateral boundaries; suggesting that the physical formulation shared with HadGEM3-RA, is able to represent the driving processes. HadGEM3-RA simulations confirm previous findings that the main rainfall peak near 10°N during June-August is maintained by a region of mid-tropospheric ascent located, latitudinally, between the cores of

Identifying Centres of Plant Biodiversity in South Australia

PubMed Central

Guerin, Greg R.; Biffin, Ed; Baruch, Zdravko; Lowe, Andrew J.

2016-01-01

We aimed to identify regional centres of plant biodiversity in South Australia, a sub-continental land area of 983,482 km2, by mapping a suite of metrics. Broad-brush conservation issues associated with the centres were mapped, specifically climate sensitivity, exposure to habitat fragmentation, introduced species and altered fire regimes. We compiled 727,417 plant species records from plot-based field surveys and herbarium records and mapped the following: species richness (all species; South Australian endemics; conservation-dependent species; introduced species); georeferenced weighted endemism, phylogenetic diversity, georeferenced phylogenetic endemism; and measures of beta diversity at local and state-wide scales. Associated conservation issues mapped were: climate sensitivity measured via ordination and non-linear modelling; habitat fragmentation represented by the proportion of remnant vegetation within a moving window; fire prone landscapes assessed using fire history records; invasive species assessed through diversity metrics, species distribution and literature. Compared to plots, herbarium data had higher spatial and taxonomic coverage but records were more biased towards major transport corridors. Beta diversity was influenced by sampling intensity and scale of comparison. We identified six centres of high plant biodiversity for South Australia: Western Kangaroo Island; Southern Mount Lofty Ranges; Anangu Pitjantjatjara Yankunytjatjara lands; Southern Flinders Ranges; Southern Eyre Peninsula; Lower South East. Species composition in the arid-mediterranean ecotone was the most climate sensitive. Fragmentation mapping highlighted the dichotomy between extensive land-use and high remnancy in the north and intensive land-use and low remnancy in the south. Invasive species were most species rich in agricultural areas close to population centres. Fire mapping revealed large variation in frequency across the state. Biodiversity scores were not always

Remedial Investigation Report Cold Regions Research and Engineering Laboratory, Hanover, New Hampshire

DTIC Science & Technology

1992-10-01

older) Wisconsin glacial advance, known in Vermont as the Bennington Glacial Stade, glaciers advanced primarily from the northwest. A glacier lake formed...Internal Report 1088, Hanover, New Hampshire. Hadley, J.B., 1950, Geology of the Bradford-Thetford area, Orange County, Vermont , Bulletin No. 1, Vermont ...CRREL Section No.: 10 Revision No.: 2 Date: October 1992 Lyons, J.B. 1955, Geology of the Hanover Quadrangle, New Hampshire - Vermont , Geological

Perceptual centres in speech - an acoustic analysis

NASA Astrophysics Data System (ADS)

Scott, Sophie Kerttu

Perceptual centres, or P-centres, represent the perceptual moments of occurrence of acoustic signals - the 'beat' of a sound. P-centres underlie the perception and production of rhythm in perceptually regular speech sequences. P-centres have been modelled both in speech and non speech (music) domains. The three aims of this thesis were toatest out current P-centre models to determine which best accounted for the experimental data bto identify a candidate parameter to map P-centres onto (a local approach) as opposed to the previous global models which rely upon the whole signal to determine the P-centre the final aim was to develop a model of P-centre location which could be applied to speech and non speech signals. The first aim was investigated by a series of experiments in which a) speech from different speakers was investigated to determine whether different models could account for variation between speakers b) whether rendering the amplitude time plot of a speech signal affects the P-centre of the signal c) whether increasing the amplitude at the offset of a speech signal alters P-centres in the production and perception of speech. The second aim was carried out by a) manipulating the rise time of different speech signals to determine whether the P-centre was affected, and whether the type of speech sound ramped affected the P-centre shift b) manipulating the rise time and decay time of a synthetic vowel to determine whether the onset alteration was had more affect on P-centre than the offset manipulation c) and whether the duration of a vowel affected the P-centre, if other attributes (amplitude, spectral contents) were held constant. The third aim - modelling P-centres - was based on these results. The Frequency dependent Amplitude Increase Model of P-centre location (FAIM) was developed using a modelling protocol, the APU GammaTone Filterbank and the speech from different speakers. The P-centres of the stimuli corpus were highly predicted by attributes of

Gender and regional differences in perceived job stress across Europe.

PubMed

de Smet, P; Sans, S; Dramaix, M; Boulenguez, C; de Backer, G; Ferrario, M; Cesana, G; Houtman, I; Isacsson, S O; Kittel, F; Ostergren, P O; Peres, I; Pelfrene, E; Romon, M; Rosengren, A; Wilhelmsen, L; Kornitzer, M

2005-10-01

Over the last 20 years stress at work has been found to be predictive of several conditions such as coronary heart disease, high blood pressure and non-specific sick leave. The Karasek demand/control/strain concept has been the most widely used in prospective epidemiological studies. To describe distribution in Karasek's demand/control (DC) dimensions as well as prevalence of strain in samples from different parts of Europe grouped into three regions (South, Middle, Sweden), adjusting for occupation. To describe gender differences in Karasek's DC dimensions along with strain prevalence and assess the regional stability of those differences in different occupational groups. The Job stress, Absenteeism and Coronary heart disease in Europe (JACE) study, a Concerted Action (Biomed I) of the European Union, is a multicentre prospective cohort epidemiological study: 38,019 subjects at work aged 35-59 years were surveyed at baseline. Standardised techniques were used for occupation coding (International Standardised Classification of Occupations) and for the DC model (Karasek scale): five items for the psychological demand and nine items for the control or decision latitude dimensions, respectively. A total of 34,972 subjects had a complete data set. There were important regional differences in the Karasek scales and in prevalence of strain even after adjustment for occupational class. Mean demand and control were higher in the Swedish centres when compared to two centres in Milano and Barcelona (Southern region) and values observed in four centres (Ghent, Brussels, Lille and Hoofddorp) in Middle Europe were closer to those observed in the Southern cities than to those obtained in the Swedish cities. Clerks (ISCO 4) and, more specifically, office clerks (ISCO 41) exhibited the smallest regional variation. In a multivariate model, the factor 'region' explained a small fraction of total variance. In the two Southern centres as well as in the four Middle European centres

Community mental health centres initiated by the South-Eastern Europe Stability Pact: evaluation in seven countries.

PubMed

Priebe, Stefan; Matanov, Aleksandra; Demi, Neli; Blagovcanin Simic, Joka; Jovanovic, Sandra; Gajic, Milena; Radonic, Elizabeta; Bajraktarov, Stojan; Boderscova, Larisa; Konatar, Monika; Nica, Raluca; Muijen, Matthijs

2012-06-01

Eight community mental health care centres (initiated by the South-Eastern Europe Stability Pact) in Albania, Bosnia-Herzegovina, Croatia, Macedonia, Moldova, Montenegro and Romania were evaluated. Characteristics of patients, patient reported outcomes and patient views of care were assessed in 305 psychiatric patients. Patient characteristics varied across centres, with most patients having long term psychotic disorders. Treatment satisfaction and therapeutic relationships were rated favourably. Subjective quality of life mean scores were rather low, with higher satisfaction with health and dissatisfaction with the financial and employment situation. Being unemployed was the only factor associated with poor quality of life and lower treatment satisfaction. Most developing centres target patients with persistent psychotic disorders. Care appears highly valued by the patients. The findings encourage establishing more centres in the region and call for employment schemes for people with mental illnesses.

RTEMS CENTRE- Support and Maintenance CENTRE to RTEMS Operating System

NASA Astrophysics Data System (ADS)

Silva, H.; Constantino, A.; Coutunho, M.; Freitas, D.; Faustino, S.; Mota, M.; Colaço, P.; Zulianello, M.

2008-08-01

RTEMS stands for Real-Time Operating System for Multiprocessor Systems. It is a full featured Real Time Operating System that supports a variety of open APIs and interface standards. It provides a high performance environment for embedded applications, including a fixed-priority preemptive/non-preemptive scheduler, a comprehensive set of multitasking operations and a large range of supported architectures. Support and maintenance CENTRE to RTEMS operating system (RTEMS CENTRE) is a joint initiative of ESA-Portugal Task force, aiming to build a strong technical competence in the space flight (on- board) software, to offer support, maintenance and improvements to RTEMS. This paper provides a high level description of the current and future activities of the RTEMS CENTRE. It presents a brief description of the RTEMS operating system, a description of the tools developed and distributed to the community [1] and the improvements to be made to the operating system, including facilitation for the qualification of RTEMS (4.8.0) [2] for the space missions.

Exploring Dimensions of Social Inclusion among Alternative Learning Centres in the USA

ERIC Educational Resources Information Center

Henderson, Dawn X.; Barnes, Rachelle Redmond

2016-01-01

Increasing disparities in out-of-school suspension and dropout rates have led a number of school districts to develop alternative models of education to include alternative learning centres (ALCs). Using an exploratory mixed methods design, this study explores dimensions of social inclusion among ALCs, located in the southeastern region of the…

Pattern and Epidemiology of Poisoning in the East African Region: A Literature Review

PubMed Central

Chingombe, Patience; Maredza, Mandy

2016-01-01

The establishment and strengthening of poisons centres was identified as a regional priority at the first African regional meeting on the Strategic Approach to International Chemicals Management (SAICM) in June 2006. At this meeting, the possibility of a subregional poisons centre, that is, a centre in one country serving multiple countries, was suggested. The WHO Headquarters following consultation with counterparts at the WHO Regional Office for Africa (AFRO) and the SAICM Africa Regional Focal Point successfully submitted a proposal to the SAICM Quick Start Programme (QSP) Trust Fund Committee for a feasibility study into a subregional poisons centre in the Eastern Africa subregion. However, before such a study could be conducted it was deemed necessary to carry out a literature review on the patterns and epidemiology of poisoning in this region so as to inform the feasibility study. The current paper presents the results of this literature review. The literature search was done in the months of June and July 2012 by two independent reviewers with no language or publication date restrictions using defined search terms on PUBMED. After screening, the eventual selection of articles for review and inclusion in this study was done by a third reviewer. PMID:27882048

The politics of patient-centred care.

PubMed

Kreindler, Sara A

2015-10-01

Despite widespread belief in the importance of patient-centred care, it remains difficult to create a system in which all groups work together for the good of the patient. Part of the problem may be that the issue of patient-centred care itself can be used to prosecute intergroup conflict. This qualitative study of texts examined the presence and nature of intergroup language within the discourse on patient-centred care. A systematic SCOPUS and Google search identified 85 peer-reviewed and grey literature reports that engaged with the concept of patient-centred care. Discourse analysis, informed by the social identity approach, examined how writers defined and portrayed various groups. Managers, physicians and nurses all used the discourse of patient-centred care to imply that their own group was patient centred while other group(s) were not. Patient organizations tended to downplay or even deny the role of managers and providers in promoting patient centredness, and some used the concept to advocate for controversial health policies. Intergroup themes were even more obvious in the rhetoric of political groups across the ideological spectrum. In contrast to accounts that juxtaposed in-groups and out-groups, those from reportedly patient-centred organizations defined a 'mosaic' in-group that encompassed managers, providers and patients. The seemingly benign concept of patient-centred care can easily become a weapon on an intergroup battlefield. Understanding this dimension may help organizations resolve the intergroup tensions that prevent collective achievement of a patient-centred system. © 2013 John Wiley & Sons Ltd.

An Investigation into Why Students from Regional South Australia Choose to Study Business Programs in the Capital City

ERIC Educational Resources Information Center

Sawyer, Janet; Ellis, Bronwyn

2011-01-01

Although Business undergraduate studies are available at the University of South Australia's (UniSA) Centre for Regional Engagement (CRE), both at the Whyalla Campus and the Mount Gambier Regional Centre (MGRC), many students from regional South Australia choose to undertake Business degrees in Adelaide, the state capital, rather than locally.…

Changes of tropical cyclone landfalls in South China throughout the twenty-first century

NASA Astrophysics Data System (ADS)

Lok, Charlie C. F.; Chan, Johnny C. L.

2017-12-01

The nested regional climate/mesoscale modelling system developed by the authors is applied to the Hadley Centre Global Environment Model version 2-Earth System global model outputs to project future changes of landfalling tropical cyclone (TC) activity in the South China region. Results show that the modelling system is capable of reproducing the current TC landfall climatology, although it exhibits a noticeable southward bias of TC activity of in the western North Pacific. Future projections show a continuous northward migration of TC activity in the western North Pacific throughout the twenty-first century. Fewer TCs making landfall in South China are projected in the late century, but these landfalling TCs tend to be more intense. Investigations in the large-scale environment suggest that despite warmer sea surface temperature and weaker vertical wind shear, the drier and less cyclonic lower atmosphere all-season is responsible for the reduced TC activity. However, once a TC is formed, the environment it stays in is as wet as today and so it can intensify further than the present-day TCs. Inter-annual variability is also explored, and the influence of the ENSO variation appears to be smaller.

Modulation of Heavy Rainfall in the Middle East and North Africa by Madden-Julian Oscillation Using High Resolution Atmospheric General Circulation Model

NASA Astrophysics Data System (ADS)

Deng, L.; Stenchikov, G. L.; McCabe, M. F.; Bangalath, H. K.

2014-12-01

Recently, the modulation of subtropical rainfall by the dominant tropical intraseasonal signal of the Madden-Julian Oscillation (MJO), has been explored through the discussion of the MJO-convection-induced Kelvin and Rossby wave related teleconnection patterns. Our study focuses on characterizing the modulation of heavy rainfall in the Middle East and North Africa (MENA) region by the MJO, using the Geophysical Fluid Dynamics Laboratory (GFDL) global High Resolution Atmospheric Model (HIRAM) simulations (25-km; 1979-2012) and a combination of available atmospheric products from satellite, in-situ and reanalysis data. The observed Hadley Centre Global Sea Ice and Sea Surface Temperature (HadISST) and the simulated SST from GFDL's global coupled carbon-climate Earth System Models (ESM2M) are employed in HIRAM to investigate the sensitivity of the simulated heavy rainfall and MJO to SST. The future trend of the extreme rainfalls and their links to the MJO response to climate change are examined using HIRAM simulations of 2012-2050 with the RCP4.5 and RCP 8.5 scenarios to advance the possibility of characterization and forecasting of future extreme rainfall events in the MENA region.

Family-centred care for families living with cystic fibrosis in a rural setting: A qualitative study.

PubMed

Jessup, Melanie; Smyth, Wendy; Abernethy, Gail; Shields, Linda; Douglas, Tonia

2018-02-01

To explore experiences of family-centred care among parents of children with cystic fibrosis living far from tertiary treatment centres and to understand what such distances mean to their care. Australia is a large continent. However, many families with a child with cystic fibrosis live in regional areas, often thousands of kilometres away from the primary treatment centres located in Australia's coastal capital cities. A qualitative, phenomenological design using a Van Manen () approach. Individual, semi-structured interviews were conducted with parents (n = 7) of a child with cystic fibrosis who lived in regional Australia. Thematic content data analysis was used. The essence of the participants' experience was their seeking certainty and continuity in the changeable realm of cystic fibrosis while negotiating a collaborative approach to their child's care. Five core themes and two subthemes were identified: "Daily care: a family affair," including the subtheme "Accessing expert care"; "Family-centred care: seeking inclusion"; "Control versus collaboration: seeking mutual trust," with the subtheme "The team who grows with you"; "Future projections"; and "The CF circle." Some concerns are not unlike those of their city counterparts, but can be intensified by their sense of distance and isolation. Insight into this unique milieu from the parents' perspective is requisite so that care is appropriate to such a challenging environment and incorporates the whole family. © 2017 John Wiley & Sons Ltd.

The digital eczema centre utrecht.

PubMed

van Os-Medendorp, Harmieke; van Veelen, Carien; Hover, Maaike; Eland-de Kok, Petra; Bruijnzeel-Koomen, Carla; Sonnevelt, Gert-Jan; Mensing, Geert; Pasmans, Suzanne

2010-01-01

The University Medical Centre Utrecht (UMC Utrecht) has developed an eczema portal that combines e-consulting, monitoring and self-management training by a dermatology nurse online for patients and parents of young children with atopic dermatitis (AD). Patient satisfaction with the portal was high. It could be extended to become a Digital Eczema Centre for multidisciplinary collaboration between health-care providers from different locations and the patient. Before starting the construction of the Digital Eczema Centre, the feasibility was examined by carrying out a business case analysis. The purposes, strength and weaknesses showed that the Digital Eczema Centre offered opportunities to improve care for patients with AD. The financial analysis resulted in a medium/best case scenario with a positive result of euro50-240,000 over a period of five years. We expect that the Digital Eczema Centre will increase the accessibility and quality of care. The web-based patient record and the digital chain-of-care promote the involvement of patients, parents and multidisciplinary teams as well as the continuity and coordination of care.

Teaching and Learning Centres: Towards Maturation

ERIC Educational Resources Information Center

Challis, Di; Holt, Dale; Palmer, Stuart

2009-01-01

Approximately 70% of Australian Teaching and Learning Centres have been restructured and/or have undergone leadership changes in the last three years. The volatility of this environment reflects the number of significant challenges faced by Teaching and Learning Centres. In determining what makes Centres successful, the issues that are likely to…

Effect of regional trauma centralization on volume, injury severity and outcomes of injured patients admitted to trauma centres.

PubMed

Metcalfe, D; Bouamra, O; Parsons, N R; Aletrari, M O; Lecky, F E; Costa, M L

2014-07-01

Centralization of complex healthcare services into specialist high-volume centres is believed to improve outcomes. For injured patients, few studies have evaluated the centralization of major trauma services. The aim of this study was to evaluate how a regional trauma network affected trends in admissions, case mix, and outcomes of injured patients. A retrospective before-after study was undertaken of severely injured patients attending four hospitals that became major trauma centres (MTCs) in March 2012. Consecutive patients with major trauma were identified from a national registry and divided into two groups according to injury before or after the launch of a new trauma network. The two cohorts were compared for differences in case mix, demand on hospital resources, and outcomes. Patient volume increased from 442 to 1326 (200 per cent), operations from 349 to 1231 (253 per cent), critical care bed-days from 1100 to 3704 (237 per cent), and total hospital bed-days from 7910 to 22,772 (188 per cent). Patient age increased on MTC designation from 45.0  years before March 2012 to 48.2 years afterwards (P = 0.021), as did the proportion of penetrating injuries (1.8 versus 4.1 per cent; P = 0.025). Injury severity fell as measured by median Injury Severity Score (16 versus 14) and Revised Trauma Score (4.1 versus 7.8). Fewer patients required secondary transfer to a MTC from peripheral hospitals (19.9 versus 16.1 per cent; P = 0.100). There were no significant differences in total duration of hospital stay, critical care requirements or mortality. However, there was a significant increase, from 55.5 to 62.3 per cent (P < 0.001), in the proportion of patients coded as having a 'good recovery' at discharge after institution of the trauma network. MTC designation leads to an increased case volume with considerable implications for operating theatre capacity and bed occupancy. Although no mortality benefit was demonstrated within 6 months of

The ICT Centre Model in Andalusia (Spain): Results of a Resolute Educational Policy

ERIC Educational Resources Information Center

Aguaded, J. Ignacio; Fandos, M.; Perez, M. Amor

2009-01-01

This paper displays some results from research carried out in Andalusia (Spain) to evaluate the impact of the educational innovation policy developed by the regional government through widely introducing Information and Communication Technologies (ICT) in primary and secondary schools (ICT Centres). Specifically, it analysed the effect of the…

Small Steps towards Student-Centred Learning

ERIC Educational Resources Information Center

Jacobs, George M.; Toh-Heng, Hwee Leng

2013-01-01

Student centred learning classroom practices are contrasted with those in teacher centred learning classrooms. The discussion focuses on the theoretical underpinnings of the former, and provides nine steps and tips on how to implement student centred learning strategies, with the aim of developing the 21st century skills of self-directed and…

University, Knowledge and Regional Development: Factors Affecting Knowledge Transfer in a Developing Region

ERIC Educational Resources Information Center

Fongwa, Neba Samuel; Marais, Lochner

2016-01-01

The role of knowledge in the current knowledge economy cannot be overly emphasised. Successful regions are continuously being linked to excellence in the production, accumulation, and application of knowledge. Universities have increasingly been at the centre of such knowledge production, application and transfer. Yet, there is little research and…

On the analysis of the double Hopf bifurcation in machining processes via centre manifold reduction

NASA Astrophysics Data System (ADS)

Molnar, T. G.; Dombovari, Z.; Insperger, T.; Stepan, G.

2017-11-01

The single-degree-of-freedom model of orthogonal cutting is investigated to study machine tool vibrations in the vicinity of a double Hopf bifurcation point. Centre manifold reduction and normal form calculations are performed to investigate the long-term dynamics of the cutting process. The normal form of the four-dimensional centre subsystem is derived analytically, and the possible topologies in the infinite-dimensional phase space of the system are revealed. It is shown that bistable parameter regions exist where unstable periodic and, in certain cases, unstable quasi-periodic motions coexist with the equilibrium. Taking into account the non-smoothness caused by loss of contact between the tool and the workpiece, the boundary of the bistable region is also derived analytically. The results are verified by numerical continuation. The possibility of (transient) chaotic motions in the global non-smooth dynamics is shown.

Can Chemistry Teachers' Centres Survive?

ERIC Educational Resources Information Center

Garforth, F. M.

1972-01-01

The difficulties faced by the Hull Chemistry Teachers' Centre in England are discussed. The lack of finances and time, as well as organizational difficulties in relationship with Science Centres and universities are among the problems. (TS)

The Impact of Radiation Changes on the Terrestrial Carbon Sink over the Post Pinatubo Period

NASA Astrophysics Data System (ADS)

Sitch, S.; Mercado, L. M.; Bellouin, N.; Boucher, O.; Huntingford, C.; Cox, P. M.

2008-12-01

The amount of solar radiation reaching the earth surface is one of the major drivers of plant photosynthesis and therefore changes in radiation are likely to indirectly have an effect on the terrestrial carbon cycle. For example, changes in surface radiation that lead to increasing diffuse surface irradiance are reported to enhance plant photosynthesis (Gu et al., 2003, Niyogi et al., 2004, Oliveira et al., 2007, Roderick et al., 2001). Solar radiation reaching the land surface has changed over the industrial era due to aerosols emitted from volcanoes and various anthropogenic sources (Kvalevag and Myhre, 2007). Such changes in total surface radiation are accompanied by changes in direct and diffuse surface solar radiation. Recent major volcanic events include the eruptions of el Chichón in 1986 and Mount Pinatubo in 1991. In this study we estimate the impact of changes in surface radiation on photosynthetic carbon uptake during the Post Pinatubo period. We use an offline version of the Hadley Centre land surface scheme (Mercado et al., 2007) modified to account for variations in direct and diffuse radiation on sunlit and shaded canopy photosynthesis. We use meteorological forcing from the Climate Research Unit Data set. Additionally short wave and photosynthetic active radiation are reconstructed from the Hadley centre climate model, which accounts for the scattering and absorption of light by tropospheric and stratospheric aerosols. We describe the development of the land carbon cycle through the Pinatubo event and diagnose the impact of changes in diffuse radiation on the atmospheric [CO2] growth-rate

Do regions matter in ALICE?. Social relationships and data exchanges in the Grid

NASA Astrophysics Data System (ADS)

Widmer, E. D.; Viry, G.; Carminati, F.; Galli-Carminati, G.

2012-02-01

This study aims at investigating the impact of regional affiliations of centres on the organisation of collaborations within the Distributed Computing ALICE infrastructure, based on social networks methods. A self-administered questionnaire was sent to all centre managers about support, email interactions and wished collaborations in the infrastructure. Several additional measures, stemming from technical observations were collected, such as bandwidth, data transfers and Internet Round Trip Time (RTT) were also included. Information for 50 centres were considered (about 70% response rate). Empirical analysis shows that despite the centralisation on CERN, the network is highly organised by regions. The results are discussed in the light of policy and efficiency issues.

Polyvalent Adult Education Centres. Final Report of the Asian Regional Seminar on Polyvalent Adult Education Centres.

ERIC Educational Resources Information Center

Ministry of Education and Social Welfare, New Delhi (India).

The Asian Regional Seminar on Polyvalent Adult Education Centers, held during September, 1971 in Bombay, was attended by individuals representing United Nations agencies, Afghanistan, Cambodia, India, Indonesia, Iran, Japan, Republic of Korea, Laos, Malaysia, Nepal, Phillippines, Singapore, South Vietnam, and Thailand. Seminar objectives included…

Sensitivity of the Greenland Ice Sheet to Pliocene sea surface temperatures

USGS Publications Warehouse

Hill, Daniel J.; Dolan, Aisling M.; Haywood, Alan M.; Hunter, Stephen J.; Stoll, Danielle K.

2010-01-01

PRISM3).Use of these different SSTswithin theHadley CentreGCM(GeneralCirculationModel) and BASISM (BritishAntarctic Survey Ice Sheet Model), consistently show large reductions of Pliocene Greenland ice volumes compared to modern. The changes in climate introduced by the use of different SST reconstructions do change the predicted ice volumes, mainly through precipitation feedbacks. However, the models show a relatively low sensitivity of modelled Greenland ice volumes to different mid-Piacenzian SST reconstructions, with the largest SST induced changes being 20% of Pliocene ice volume or less than a metre of sea-level rise.

Person-centred web-based support--development through a Swedish multi-case study.

PubMed

Josefsson, Ulrika; Berg, Marie; Koinberg, Ingalill; Hellström, Anna-Lena; Nolbris, Margaretha Jenholt; Ranerup, Agneta; Lundin, Carina Sparud; Skärsäter, Ingela

2013-10-19

Departing from the widespread use of the internet in modern society and the emerging use of web applications in healthcare this project captures persons' needs and expectations in order to develop highly usable web recourses. The purpose of this paper is to outline a multi-case research project focused on the development and evaluation of person-centred web-based support for people with long-term illness. To support the underlying idea to move beyond the illness, we approach the development of web support from the perspective of the emergent area of person-centred care. The project aims to contribute to the ongoing development of web-based supports in health care and to the emerging field of person-centred care. The research design uses a meta-analytical approach through its focus on synthesizing experiences from four Swedish regional and national cases of design and use of web-based support in long-term illness. The cases include children (bladder dysfunction and urogenital malformation), young adults (living close to persons with mental illness), and two different cases of adults (women with breast cancer and childbearing women with type 1 diabetes). All of the cases are ongoing, though in different stages of design, implementation, and analysis. This, we argue, will lead to a synthesis of results on a meta-level not yet described. To allow valid comparisons between the four cases we explore and problematize them in relation to four main aspects: 1) The use of people's experiences and needs; 2) The role of use of theories in the design of person-centred web-based supports; 3) The evaluation of the effects of health outcomes for the informants involved and 4) The development of a generic person-centred model for learning and social support for people with long-term illness and their significant others. Person-centred web-based support is a new area and few studies focus on how web-based interventions can contribute to the development of person-centred care. In

Person-centred web-based support - development through a Swedish multi-case study

PubMed Central

2013-01-01

Background Departing from the widespread use of the internet in modern society and the emerging use of web applications in healthcare this project captures persons’ needs and expectations in order to develop highly usable web recourses. The purpose of this paper is to outline a multi-case research project focused on the development and evaluation of person-centred web-based support for people with long-term illness. To support the underlying idea to move beyond the illness, we approach the development of web support from the perspective of the emergent area of person-centred care. The project aims to contribute to the ongoing development of web-based supports in health care and to the emerging field of person-centred care. Methods/Design The research design uses a meta-analytical approach through its focus on synthesizing experiences from four Swedish regional and national cases of design and use of web-based support in long-term illness. The cases include children (bladder dysfunction and urogenital malformation), young adults (living close to persons with mental illness), and two different cases of adults (women with breast cancer and childbearing women with type 1 diabetes). All of the cases are ongoing, though in different stages of design, implementation, and analysis. This, we argue, will lead to a synthesis of results on a meta-level not yet described. Discussion To allow valid comparisons between the four cases we explore and problematize them in relation to four main aspects: 1) The use of people’s experiences and needs; 2) The role of use of theories in the design of person-centred web-based supports; 3) The evaluation of the effects of health outcomes for the informants involved and 4) The development of a generic person-centred model for learning and social support for people with long-term illness and their significant others. Person-centred web-based support is a new area and few studies focus on how web-based interventions can contribute to the

The O-(Al2) centre in topaz and its relation to the blue colour

NASA Astrophysics Data System (ADS)

da Silva, D. N.; Guedes, K. J.; Pinheiro, M. V. B.; Schweizer, S.; Spaeth, J.-M.; Krambrock, K.

2005-01-01

Colour-enhanced blue topaz is one of the most traded gemstones. Naturally very rare, mostly topaz is irradiated by neutrons, electrons, gamma radiation and combinations of them. The colour centre is still not identified. It was speculated that it is related to a Si dangling bond defect occupied by two electrons with spin S = 0. We investigated natural blue as well as colourless topaz from different regions in Brazil by electron paramagnetic resonance (EPR), optical absorption and Raman spectroscopy. The results are compared with neutron and gamma-irradiated blue topaz. By EPR two paramagnetic defects are identified in all samples: (i) the peroxy radical (O2-) measured at room temperature and (ii) an (O-) hole centre interacting with two equivalent Al neighbours measured at low temperature. Blue samples show an absorption band centred at 620 nm which is responsible for the blue colour. From our investigation we find that the O-(Al2) hole centre has nearly the same thermal stability as the optical absorption band. However, we cannot say whether it is responsible for the absorption band and the blue colour. We suggest that at least it plays a dominant role in the stabilization of the blue colour.

Minister unveils new nanotech centres

NASA Astrophysics Data System (ADS)

Dumé, Belle

2009-06-01

Three new nanotechnology research centres are to be set up in France as part of a €70m government plan to help French companies in the sector. Researchers at the new centres, which will be located in Grenoble, Saclay (near Paris) and Toulouse, will be encouraged to collaborate with industry to develop new nanotech-based products. Dubbed NANO-INNOV, the new plan includes €46m for two new buildings at Saclay, with the rest being used to buy new equipment at the three centres and to fund grant proposals from staff to the French National Research Agency (ANR).

Typology of birth centres in the Netherlands using the Rainbow model of integrated care: results of the Dutch Birth Centre Study.

PubMed

Boesveld, Inge C; Bruijnzeels, Marc A; Hitzert, Marit; Hermus, Marieke A A; van der Pal-de Bruin, Karin M; van den Akker-van Marle, M E; Steegers, Eric A P; Franx, Arie; de Vries, Raymond G; Wiegers, Therese A

2017-06-21

The goal of integrated care is to offer a continuum of care that crosses the boundaries of public health, primary, secondary, and tertiary care. Integrated care is increasingly promoted for people with complex needs and has also recently been promoted in maternity care systems to improve the quality of care. Especially when located near an obstetric unit, birth centres are considered to be ideal settings for the realization of integrated care. At present, however, we know very little about the degree of integration in these centres and we do not know if increased levels of integration improve the quality of the care delivered. The Dutch Birth Centre Study is designed to evaluate birth centres and their contribution to the Dutch maternity care system. The aim of this particular sub-study is to classify birth centres in clusters with similar characteristics based on integration profiles, to support the evaluation of birth centre care. This study is based on the Rainbow Model of Integrated Care. We used a survey followed by qualitative interviews in 23 birth centres in the Netherlands to determine which integration profiles can be distinguished and to describe their discriminating characteristics. Cluster analysis was used to classify the birth centres. Birth centres were classified into three clusters: 1)"Mono-disciplinary-oriented birth centres" (n = 10): which are mainly owned by primary care organizations and established as physical facilities to provide an alternative birthplace for low risk births; 2) "Multi-disciplinary-oriented birth centres" (n = 6): which are mainly multi-disciplinary oriented and can be regarded as facilities to give birth, with a focus on integrated birth care; 3) "Mixed Cluster of birth centres" (n = 7): which have a range of organizational forms that differentiate them from centres in the other clusters. We identified a recognizable classification, with similar characteristics between birth centres in the clusters. The results of

Impacts of tropical deforestation. Part II: The role of large-scale dynamics

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

Zhang, H.; Henderson-Sellers, A.; McGuffie, K.

1996-10-01

This is the second in a pair of papers in which the possible impacts of tropical deforestation are examined using a version of the NCAR CCM1. The emphasis in this paper is on the influence of tropical deforestation on the large-scale climate system. This influence is explored through the examination of the regional moisture budget and through an analysis of the Hadley and Walker circulations. Modification of the model surface parameters to simulate tropical deforestation produces significant modifications of both Hadley and Walker circulations, which result in changes distant from the region of deforestation. A mechanism for propagation to middlemore » and high latitudes of disturbances arising form tropical deforestation is proposed based on Rossby wave propagation mechanisms. These mechanisms, which have also been associated with the extratropical influences of ENSO events, provide a pathway for the dispersion of the tropical disturbances to high latitudes. 27 refs., 20 figs., 1 tab.« less

Patient-centred outcomes research: perspectives of patient stakeholders.

PubMed

Chhatre, Sumedha; Gallo, Joseph J; Wittink, Marsha; Schwartz, J Sanford; Jayadevappa, Ravishankar

2017-11-01

To elicit patient stakeholders' experience and perspectives about patient-centred care. Qualitative. A large urban healthcare system. Four patient stakeholders who are prostate cancer survivors. Experience and perspectives of patient stakeholders regarding patient-centred care and treatment decisions. Our patient stakeholders represented a diverse socio-demographic group. The patient stakeholders identified engagement and dialogue with physicians as crucial elements of patient-centred care model. The degree of patient-centred care was observed to be dependent on the situations. High severity conditions warranted a higher level of patient involvement, compared to mild conditions. They agreed that patient-centred care should not mean that patients can demand inappropriate treatments. An important attribute of patient-centred outcomes research model is the involvement of stakeholders. However, we have limited knowledge about the experience of patient stakeholders in patient-centred outcomes research. Our study indicates that patient stakeholders offer a unique perspective as researchers and policy-makers aim to precisely define patient-centred research and care.

Do regions of ALICE matter? Social relationships and data exchanges in the Grid

NASA Astrophysics Data System (ADS)

Widmer, E. D.; Carminati, F.; Grigoras, C.; Viry, G.; Galli Carminati, G.

2012-06-01

Following a previous publication [1], this study aims at investigating the impact of regional affiliations of centres on the organisation of collaboration within the Distributed Computing ALICE infrastructure, based on social networks methods. A self-administered questionnaire was sent to all centre managers about support, email interactions and wished collaborations in the infrastructure. Several additional measures, stemming from technical observations were produced, such as bandwidth, data transfers and Internet Round Trip Time (RTT) were also included. Information for 50 centres were considered (60% response rate). Empirical analysis shows that despite the centralisation on CERN, the network is highly organised by regions. The results are discussed in the light of policy and efficiency issues.

Armenia as a Regional Centre for Astronomy for Development activities

NASA Astrophysics Data System (ADS)

Mickaelian, A.

2015-03-01

The Byurakan Astrophysical Observatory (BAO, Armenia, http://www.bao.am) are among the candidate IAU Regional Nodes for Astronomy for Development activities. It is one of the main astronomical centers of the former Soviet Union and the Middle East region. At present there are 48 qualified researchers at BAO, including six Doctors of Science and 30 PhDs. Five important observational instruments are installed at BAO, the larger ones being 2.6m Cassegrain (ZTA-2.6) and 1m Schmidt (the one that provided the famous Markarian survey). BAO is regarded as a national scientific-educational center, where a number of activities are being organized, such as: international conferences (4 IAU symposia and 1 IAU colloquium, JENAM-2007, etc.), small workshops and discussions, international summer schools (1987, 2006, 2008 and 2010), and Olympiads. BAO collaborates with scientists from many countries. The Armenian Astronomical Society (ArAS, http://www.aras.am/) is an NGO founded in 2001; it has 93 members and it is rather active in the organization of educational, amateur, popular, promotional and other matters. The Armenian Virtual Observatory (ArVO, http://www.aras.am/Arvo/arvo.htm) is one of the 17 national VO projects forming the International Virtual Observatories Alliance (IVOA) and is the only VO project in the region serving also for educational purposes. A number of activities are planned, such as management, coordination and evaluation of the IAU programs in the area of development and education, establishment of the new IAU endowed lectureship program and organization of seminars and public lectures, coordination and initiation of fundraising activities for astronomy development, organization of regional scientific symposia, conferences and workshops, support to Galileo Teacher Training Program (GTTP), production/publication of educational and promotional materials, etc.

Communicating astronomy by the Unizul Science Centre

NASA Astrophysics Data System (ADS)

Beesham, A.; Beesham, N.

2015-03-01

The University of Zululand, situated along the east coast of KwaZulu-Natal, has a thriving Science Centre (USC) situated in the developing port city of Richards Bay. Over 30 000 learners visit the centre annually, and it consists of an exhibition area, an auditorium, lecture areas and offices. The shows consist of interactive games, science shows, competitions, quizzes and matriculation workshops. Outreach activities take place through a mobile science centre for schools and communities that cannot visit the centre.

Affective Learning in Higher Education: A Regional Perspective

ERIC Educational Resources Information Center

Evans, Nina; Ziaian, Tahereh; Sawyer, Janet; Gillham, David

2013-01-01

A pilot study was conducted in a regional university setting to promote awareness of the value of affective teaching and learning amongst staff and students. Academic staff and students from diverse disciplines at University of South Australia's (UniSA) Centre for Regional Engagement (CRE) were recruited to the study. The research investigated…

The "magic" of tutorial centres in Hong Kong: An analysis of media marketing and pedagogy in a tutorial centre

NASA Astrophysics Data System (ADS)

Koh, Aaron

2014-12-01

Why do more than three-quarters of Hong Kong's senior secondary students flock to tutorial centres like moths to light? What is the "magic" that is driving the popularity of the tutorial centre enterprise? Indeed, looking at the ongoing boom of tutorial centres in Hong Kong (there are almost 1,000 of them), it is difficult not to ask these questions. This paper examines the phenomenon of tutorial centres in Hong Kong and seeks to understand what draws students to these centres. Combining theories of marketing semiotics and emotion studies, the author investigates the pivotal role of media marketing in generating the "magic" of tutorial centres, whose advertising strategy includes, for example, a display of billboard posters featuring stylishly-dressed "celebrity teachers". The author reviews some of the literature available on the subject of tutorial centres. In a case study approach, he then maps out the pedagogy he observed in an English tutorial class, seeking heuristic insights into the kind of teaching students in the study were looking for. He argues that part of the "magical" attraction of what are essentially "cram schools" is their formulaic pedagogy of teaching and reinforcing exam skills. Finally, the paper considers the social implications of the tutorial centre industry in terms of media marketing of education and unequal access to tutorial services.

Regional Consortia for E-Resources: A Case Study of Deals in the South China Region

ERIC Educational Resources Information Center

Chunrong, Luo; Jingfen, Wang; Zhinong, Zhou

2010-01-01

Purpose: The purpose of this paper is to analyse the current situation and the social and economic benefits from the consortia acquisitions of electronic resources by the China Academic Library and Information System (CALIS) South China Regional Centre and to recommend improvements for consortia acquisitions. Design/methodology/approach: Analyses…

The population of planetary nebulae near the Galactic Centre: chemical abundances

NASA Astrophysics Data System (ADS)

Mollá, M.; Cavichia, O.; Costa, R. D. D.; Maciel, W. J.

2017-10-01

In this work, we report physical parameters and abundances derived for a sample of 15 high extinction planetary nebulae located in the inner 2° of the Galactic bulge, based on low dispersion spectroscopy secured at the SOAR telescope using the Goodman spectrograph. The new data allow us to extend our database including older, weaker objects that are at the faint end of the planetary nebulae luminosity function. The data provide chemical compositions for PNe located in this region of the bulge to explore the chemical enrichment history of the central region of the Galactic bulge. The results show that the abundances of our sample are skewed to higher metallicities than previous data in the outer regions of the bulge. This can indicate a faster chemical enrichment taking place at the Galactic centre.

Attribution of extreme precipitation in the lower reaches of the Yangtze River during May 2016

NASA Astrophysics Data System (ADS)

Li, Chunxiang; Tian, Qinhua; Yu, Rong; Zhou, Baiquan; Xia, Jiangjiang; Burke, Claire; Dong, Buwen; Tett, Simon F. B.; Freychet, Nicolas; Lott, Fraser; Ciavarella, Andrew

2018-01-01

May 2016 was the third wettest May on record since 1961 over central eastern China based on station observations, with total monthly rainfall 40% more than the climatological mean for 1961-2013. Accompanying disasters such as waterlogging, landslides and debris flow struck part of the lower reaches of the Yangtze River. Causal influence of anthropogenic forcings on this event is investigated using the newly updated Met Office Hadley Centre system for attribution of extreme weather and climate events. Results indicate that there is a significant increase in May 2016 rainfall in model simulations relative to the climatological period, but this increase is largely attributable to natural variability. El Niño years have been found to be correlated with extreme rainfall in the Yangtze River region in previous studies—the strong El Niño of 2015-2016 may account for the extreme precipitation event in 2016. However, on smaller spatial scales we find that anthropogenic forcing has likely played a role in increasing the risk of extreme rainfall to the north of the Yangtze and decreasing it to the south.

Climate change and forest fires.

PubMed

Flannigan, M D; Stocks, B J; Wotton, B M

2000-11-15

This paper addresses the impacts of climate change on forest fires and describes how this, in turn, will impact on the forests of the United States. In addition to reviewing existing studies on climate change and forest fires we have used two transient general circulation models (GCMs), namely the Hadley Centre and the Canadian GCMs, to estimate fire season severity in the middle of the next century. Ratios of 2 x CO2 seasonal severity rating (SSR) over present day SSR were calculated for the means and maximums for North America. The results suggest that the SSR will increase by 10-50% over most of North America; although, there are regions of little change or where the SSR may decrease by the middle of the next century. Increased SSRs should translate into increased forest fire activity. Thus, forest fires could be viewed as an agent of change for US forests as the fire regime will respond rapidly to climate warming. This change in the fire regime has the potential to overshadow the direct effects of climate change on species distribution and migration.

Variability of extreme rainfall over La Plata Basin and Amazon Basin in South America in model simulations of the 20th century and projections under global warming

NASA Astrophysics Data System (ADS)

Cavalcanti, I. F.

2011-12-01

The two largest river basins in South America are Amazon Basin (AMB) in the tropical region and La Plata Basin (LPB) in subtropical and extratropical regions. Extreme droughts have occurred during this decade in Amazonia region which have affected the transportation, fishing activities with impacts in the local population, and also affecting the forest. Droughts or floods over LPB have impacts on agriculture, hydroelectricity power and social life. Therefore, monthly wet and dry extremes in these two regions have a profound effect on the economy and society. Observed rainfall over Amazon Basin (AMB) and La Plata Basin (LPB) is analyzed in monthly timescale using the Standardized Precipitation Index (SPI), from 1979 to 1999. This period is taken to compare GPCP data with HADCM3 simulations (Hadley Centre) of the 20th century and to analyze reanalyses data which have the contribution of satellite information after 1979. HADCM3 projections using SRES A2 scenario is analyzed in two periods: 2000 to 2020 and 2079 to 2099 to study the extremes frequency in a near future and in a longer timescale. Extreme, severe and moderate cases are identified in the northern and southern sectors of LPB and in the western and eastern sectors of AMB. The main objective is to analyze changes in the frequency of cases, considering the global warming and the associated mechanisms. In the observations for the 20th century, the number of extreme rainy cases is higher than the number of dry cases in both sectors of LPB and AMB. The model simulates this variability in the two sectors of LPB and in the west sector of AMB. In the near future 2000 to 2020 the frequency of wet and dry extremes does not change much in LPB and in the western sector of AMB, but the wet cases increase in the eastern AMB. However, in the period of 2079 to 2099 the projections indicate increase of wet cases in LPB and increase of dry cases in AMB. The influence of large scale features related to Sea Surface Temperature

Resonance Raman spectroscopy of 2H-labelled spheroidenes in petroleum ether and in the Rhodobacter sphaeroides reaction centre.

PubMed

Kok, P; Köhler, J; Groenen, E J; Gebhard, R; van der Hoef, I; Lugtenburg, J; Farhoosh, R; Frank, H A

1997-03-01

As a step towards the structural analysis of the carotenoid spheroidene in the Rhodobacter sphaeroides reaction centre, we present the resonance Raman spectra of 14-2H, 15-2H, 15'-2H, 14'-2H, 14,15'-2H2 and 15-15'-2H2 spheroidenes in petroleum ether and, except for 14,15'-2H2 spheroidene, in the Rb. sphaeroides R26 reaction center (RC). Analysis of the spectral changes upon isotopic substitution allows a qualitative assignment of most of the vibrational bands to be made. For the all-trans spheroidenes in solution the resonance enhancement of the Raman bands is determined by the participation of carbon carbon stretching modes in the centre of the conjugated chain, the C9 to C15' region. For the RC-bound 15,15'-cis spheroidenes, enhancement is determined by the participation of carbon-carbon stretching modes in the centre of the molecule, the C13 to C13' region. Comparison of the spectra in solution and in the RC reveals evidence for an out-of-plane distortion of the RC-bound spheroidene in the central C14 to C14' region of the carotenoid. The characteristic 1240 cm-1 band in the spectrum of the RC-bound spheroidene has been assigned to a normal mode that contains the coupled C12-C13 and C13'-C12' stretch vibrations.

Practice-centred evaluation and the privileging of care in health information technology evaluation.

PubMed

Darking, Mary; Anson, Rachel; Bravo, Ferdinand; Davis, Julie; Flowers, Steve; Gillingham, Emma; Goldberg, Lawrence; Helliwell, Paul; Henwood, Flis; Hudson, Claire; Latimer, Simon; Lowes, Paul; Stirling, Ian

2014-06-05

Our contribution, drawn from our experience of the case study provided, is a protocol for practice-centred, participative evaluation of technology in the clinical setting that privileges care. In this context 'practice-centred' evaluation acts as a scalable, coordinating framework for evaluation that recognises health information technology supported care as an achievement that is contingent and ongoing. We argue that if complex programmes of technology-enabled service innovation are understood in terms of their contribution to patient care and supported by participative, capability-building evaluation methodologies, conditions are created for practitioners and patients to realise the potential of technologies and make substantive contributions to the evidence base underpinning health innovation programmes. Electronic Patient Records (EPRs) and telemedicine are positioned by policymakers as health information technologies that are integral to achieving improved clinical outcomes and efficiency savings. However, evaluating the extent to which these aims are met poses distinct evaluation challenges, particularly where clinical and cost outcomes form the sole focus of evaluation design. We propose that a practice-centred approach to evaluation - in which those whose day-to-day care practice is altered (or not) by the introduction of new technologies are placed at the centre of evaluation efforts - can complement and in some instances offer advantages over, outcome-centric evaluation models. We carried out a regional programme of innovation in renal services where a participative approach was taken to the introduction of new technologies, including: a regional EPR system and a system to support video clinics. An 'action learning' approach was taken to procurement, pre-implementation planning, implementation, ongoing development and evaluation. Participants included clinicians, technology specialists, patients and external academic researchers. Whilst undergoing these

The Sacred Heart Hospice: an Australian centre for palliative medicine.

PubMed

Stuart-Harris, R

1995-09-01

The Sacred Heart Hospice, Sydney, was founded in 1890 and is the largest inpatient palliative-care facility in Australia. Patients with advanced cancer form the predominant patient group, although patients with HIV/AIDS account for approximately 20% of admissions. A community-outreach service, established in 1983, cares for more patients at home than in the Hospice. Recently the Hospice has participated in a number of clinical trials and intends to become a regional centre for palliative-care research, education and training.

The IAU's East Asian Regional Office of Astronomy for Development

NASA Astrophysics Data System (ADS)

de Grijs, Richard

2014-09-01

At the 2012 General Assembly of the International Astronomical Union (IAU), the Office of Astronomy for Development (OAD) programme announced a number of exciting new partnerships to assist with the IAU's decadal strategic plan (2010-2020). These landmark decisions included establishing a new coordinating centre that aims at using astronomy as a tool for development in East Asia. The agreement covers two important functions. One is known as a Regional Node, which entails the coordination of astronomy-for-development activities in countries within the general geographical region of East Asia (in first instance China, Mongolia and the DPRK, but without placing firm geographical limits on the region). The other is known as a Language Expertise Centre which will deal with all aspects relating to (mainly) the Chinese language and culture. The impact of the latter may obviously spread well beyond the geographical region to other parts of the world.

Perspectives on recycling centres and future developments.

PubMed

Engkvist, I-L; Eklund, J; Krook, J; Björkman, M; Sundin, E

2016-11-01

The overall aim of this paper is to draw combined, all-embracing conclusions based on a long-term multidisciplinary research programme on recycling centres in Sweden, focussing on working conditions, environment and system performance. A second aim is to give recommendations for their development of new and existing recycling centres and to discuss implications for the future design and organisation. Several opportunities for improvement of recycling centres were identified, such as design, layout, ease with which users could sort their waste, the work environment, conflicting needs and goals within the industry, and industrialisation. Combining all results from the research, which consisted of different disciplinary aspects, made it possible to analyse and elucidate their interrelations. Waste sorting quality was recognized as the most prominent improvement field in the recycling centre system. The research identified the importance of involving stakeholders with different perspectives when planning a recycling centre in order to get functionality and high performance. Practical proposals of how to plan and build recycling centres are given in a detailed checklist. Copyright © 2016 Elsevier Ltd. All rights reserved.

Patient-centred care: a review for rehabilitative audiologists.

PubMed

Grenness, Caitlin; Hickson, Louise; Laplante-Lévesque, Ariane; Davidson, Bronwyn

2014-02-01

This discussion paper aims to synthesise the literature on patient-centred care from a range of health professions and to relate this to the field of rehabilitative audiology. Through review of the literature, this paper addresses five questions: What is patient-centred care? How is patient-centred care measured? What are the outcomes of patient-centred care? What are the factors contributing to patient-centred care? What are the implications for audiological rehabilitation? Literature review and synthesis. Publications were identified by structured searches in PubMed, Cinahl, Web of Knowledge, and PsychInfo, and by inspecting the reference lists of relevant articles. Few publications from within the audiology profession address this topic and consequently a review and synthesis of literature from other areas of health were used to answer the proposed questions. This paper concludes that patient-centred care is in line with the aims and scope of practice for audiological rehabilitation. However, there is emerging evidence that we still need to inform the conceptualisation of patient-centred audiological rehabilitation. A definition of patient-centred audiological rehabilitation is needed to facilitate studies into the nature and outcomes of it in audiological rehabilitation practice.

Oncology service initiatives and research in regional Australia.

PubMed

Murphy, Caitlin; Sabesan, Sabe; Steer, Christopher; Yates, Patsy; Booms, Anne; Jones, Victoria; Simpson, Alison; Clarke, Kerrie; Eek, Richard; Ashley, David; Goldstein, David; Packer, Chris; Tuthill, Fiona; Boyce, Adam; Underhill, Craig

2015-02-01

This paper reflects on the recent growth of cancer research being conducted through some of Australia's rural centres. It encompasses work being done across the fields of clinical, translational and health services research. This is a collaborative piece with contributions from rural health researchers, clinical and cancer services staff from several different regions. The past decade has seen an expansion in cancer research in rural and regional Australia driven in part by the recognition that cancer patients in remote areas experience poorer outcomes than their metropolitan counterparts. This work has led to the development of more effective cancer networks and new models of care designed to meet the particular needs of the rural cancer patient. It is hoped that the growth of cancer research in regional centres will, in time, reduce the disparity between rural and urban communities and improve outcomes for cancer patients across both populations. © 2015 National Rural Health Alliance Inc.

Centre for Research Infrastructure of Polish GNSS Data - response and possible contribution to EPOS

NASA Astrophysics Data System (ADS)

Araszkiewicz, Andrzej; Rohm, Witold; Bosy, Jaroslaw; Szolucha, Marcin; Kaplon, Jan; Kroszczynski, Krzysztof

2017-04-01

In the frame of the first call under Action 4.2: Development of modern research infrastructure of the science sector in the Smart Growth Operational Programme 2014-2020 in the late of 2016 the "EPOS-PL" project has launched. Following institutes are responsible for the implementation of this project: Institute of Geophysics, Polish Academy of Sciences - Project Leader, Academic Computer Centre Cyfronet AGH University of Science and Technology, Central Mining Institute, the Institute of Geodesy and Cartography, Wrocław University of Environmental and Life Sciences, Military University of Technology. In addition, resources constituting entrepreneur's own contribution will come from the Polish Mining Group. Research Infrastructure EPOS-PL will integrate both existing and newly built National Research Infrastructures (Theme Centre for Research Infrastructures), which, under the premise of the program EPOS, are financed exclusively by the national founds. In addition, the e-science platform will be developed. The Centre for Research Infrastructure of GNSS Data (CIBDG - Task 5) will be built based on the experience and facilities of two institutions: Military University of Technology and Wrocław University of Environmental and Life Sciences. The project includes the construction of the National GNNS Repository with data QC procedures and adaptation of two Regional GNNS Analysis Centres for rapid and long-term geodynamical monitoring.

Entrepreneurship Education in the Arab States. Component II: Regional Synthesis Report

ERIC Educational Resources Information Center

El-Kiswani, Abeer

2013-01-01

The UNEVOC-UNESCO International Centre in cooperation with the Regional Bureau for Education-Beirut published the regional synthesis report on Component II of the regional project on entrepreneurship education in the Arab States (2009-2012). With support from the StratREAL Foundation, the project aimed at supporting Arab countries in the…

Review of CERN Data Centre Infrastructure

NASA Astrophysics Data System (ADS)

Andrade, P.; Bell, T.; van Eldik, J.; McCance, G.; Panzer-Steindel, B.; Coelho dos Santos, M.; Traylen and, S.; Schwickerath, U.

2012-12-01

The CERN Data Centre is reviewing strategies for optimizing the use of the existing infrastructure and expanding to a new data centre by studying how other large sites are being operated. Over the past six months, CERN has been investigating modern and widely-used tools and procedures used for virtualisation, clouds and fabric management in order to reduce operational effort, increase agility and support unattended remote data centres. This paper gives the details on the project's motivations, current status and areas for future investigation.

The contributions of community learning centres (CLCs) to personal and community development in Myanmar

NASA Astrophysics Data System (ADS)

Le, Ai Tam Pham

2018-05-01

Community learning centres (CLCs) have been widely established in the Asia-Pacific region as locally managed institutions that offer non-formal educational opportunities and community development activities. Myanmar officially has more than 3,000 centres, which is one of the highest numbers in the region. This article examines the operation of CLCs and their contributions to personal and community development in Padaung, Myanmar. The author's research is based on six weeks of fieldwork in Myanmar for data collection including semi-structured interviews, focus group discussions and informal conversations. Her findings suggest that CLCs can contribute to the improvement of both individuals' quality of life and communities' social capital, which facilitates mutually beneficial collective action. The findings also support the conclusion that CLCs can provide additional educational opportunities beyond the formal system, especially for adults and members of rural communities, e.g. farmers. However, due to constraints in terms of budget, implementing capacity and socio-economic factors, the outreach of CLC activities is still somewhat limited and has yet to reach its full potential.

The "Magic" of Tutorial Centres in Hong Kong: An Analysis of Media Marketing and Pedagogy in a Tutorial Centre

ERIC Educational Resources Information Center

Koh, Aaron

2014-01-01

Why do more than three-quarters of Hong Kong's senior secondary students flock to tutorial centres like moths to light? What is the "magic" that is driving the popularity of the tutorial centre enterprise? Indeed, looking at the ongoing boom of tutorial centres in Hong Kong (there are almost 1,000 of them), it is difficult not to ask…

Comparison of planned menus and centre characteristics with foods and beverages served in New York City child-care centres.

PubMed

Breck, Andrew; Dixon, L Beth; Kettel Khan, Laura

2016-10-01

The present study evaluated the extent to which child-care centre menus prepared in advance correspond with food and beverage items served to children. The authors identified centre and staff characteristics that were associated with matches between menus and what was served. Menus were collected from ninety-five centres in New York City (NYC). Direct observation of foods and beverages served to children were conducted during 524 meal and snack times at these centres between April and June 2010, as part of a larger study designed to determine compliance of child-care centres with city health department regulations for nutrition. Child-care centres were located in low-income neighbourhoods in NYC. Overall, 87 % of the foods and beverages listed on the menus or allowed as substitutions were served. Menu items matched with foods and beverages served for all major food groups by >60 %. Sweets and water had lower match percentages (40 and 32 %, respectively), but water was served 68 % of the time when it was not listed on the menu. The staff person making the food and purchasing decisions predicted the match between the planned or substituted items on the menus and the foods and beverages served. In the present study, child-care centre menus included most foods and beverages served to children. Menus planned in advance have potential to be used to inform parents about which child-care centre to send their child or what foods and beverages their enrolled children will be offered throughout the day.

Comparison of planned menus and centre characteristics with foods and beverages served in New York City child-care centres

PubMed Central

Breck, Andrew; Dixon, L Beth; Khan, Laura Kettel

2016-01-01

Objective The present study evaluated the extent to which child-care centre menus prepared in advance correspond with food and beverage items served to children. The authors identified centre and staff characteristics that were associated with matches between menus and what was served. Design Menus were collected from ninety-five centres in New York City (NYC). Direct observation of foods and beverages served to children were conducted during 524 meal and snack times at these centres between April and June 2010, as part of a larger study designed to determine compliance of child-care centres with city health department regulations for nutrition. Setting Child-care centres were located in low-income neighbourhoods in NYC. Results Overall, 87% of the foods and beverages listed on the menus or allowed as substitutions were served. Menu items matched with foods and beverages served for all major food groups by > 60%. Sweets and water had lower match percentages (40 and 32%, respectively), but water was served 68% of the time when it was not listed on the menu. The staff person making the food and purchasing decisions predicted the match between the planned or substituted items on the menus and the foods and beverages served. Conclusions In the present study, child-care centre menus included most foods and beverages served to children. Menus planned in advance have potential to be used to inform parents about which child-care centre to send their child or what foods and beverages their enrolled children will be offered throughout the day. PMID:27280341

The illusion of client-centred practice.

PubMed

Gupta, Jyothi; Taff, Steven D

2015-07-01

A critical analysis of occupational therapy practice in the corporate health care culture in a free market economy was undertaken to demonstrate incongruence with the profession's philosophical basis and espoused commitment to client-centred practice. The current practice of occupational therapy in the reimbursement-driven practice arena in the United States is incongruent with the profession's espoused philosophy and values of client-centred practice. Occupational therapy differentiates itself from medicine's expert model aimed at curing disease and remediating impairment, by its claim to client-centred practice focused on restoring health through occupational enablement. Practice focused on impairment and function is at odds with the profession's core tenet, occupation, and minimizes the lasting impact of interventions on health and well-being. The profession cannot unleash the therapeutic power of human occupation in settings where body systems and body functions are not occupation-ready at the requisite levels for occupational participation. Client-centred practice is best embodied by occupation-focused interventions in the natural environment of everyday living. Providing services that are impairment-focused in unfamiliar settings is not a good fit for client-centred practice, which is the unique, authentic, and sustainable orientation for the profession.

The obtaining relative position of lunar centre masses and centre of the figure in selenocentric catalogues

NASA Astrophysics Data System (ADS)

Nefedjev, Yu. A.; Valeev, S. G.; Rizvanov, N. G.; Mikeev, R. R.; Varaksina, N. Yu.

2010-05-01

The relative position of lunar center masses relative to center of the figure in Kazan and Kiev selenocentric catalogues was customized. The expansions by spherical harmonics N=5 degree and order of the lunar function h(λ, β) with using the package ASNI USTU were executed. Module of the expansion of the local area to surfaces to full sphere was used. The parameters of cosmic missions are given for comparison (SAI; Bills, Ferrari). The normalized coefficients from expansions for eight sources hypsometric information are obtained: - Clementine (N=40), - Kazan (N=5), - Kiev (N=5), - SAI (N=10; Chuikova (1975)), - Bills, Ferrari, - Каguуа (Selena, Japan mission), - ULCN (The Uuified Lunaz Control Network 2005). The displacements of the lunar centre figure relative to lunar centre of the masses were defined from equations (Chuikova (1975)). The results of the obtaining relative position of the lunar centre masses and centre of the figure in Kazan selenocentric catalogue give good agreement with modern cosmic mission data.

The East Asian Regional Office of Astronomy for Development

NASA Astrophysics Data System (ADS)

de Grijs, Richard; Zhang, Ziping; He, Jinhua

2016-10-01

At the 2012 General Assembly of the International Astronomical Union (IAU), the Office of Astronomy for Development announced a number of exciting new partnerships to assist with the IAU's decadal strategic plan (2010-2020). These landmark decisions included establishing a new coordinating centre that aims at using astronomy as a tool for development in East Asia. The agreement covers two important functions. One is known as a Regional Node, which entails the coordination of astronomy-for-development activities in countries within the general geographical region of East Asia. The other is known as a Language Expertise Centre which deals with all aspects relating to (mainly) the Chinese language and culture. The impact of the latter may obviously spread well beyond the geographical region to other parts of the world. Here we provide an update of the achievements and aims of the East Asian Office of Astronomy for Development.

The Imperial College Thermophysical Properties Data Centre

NASA Astrophysics Data System (ADS)

Angus, S.; Cole, W. A.; Craven, R.; de Reuck, K. M.; Trengove, R. D.; Wakeham, W. A.

1986-07-01

The IUPAC Thermodynamic Tables Project Centre in London has at its disposal considerable expertise on the production and utilization of high-accuracy equations of state which represent the thermodynamic properties of substances. For some years they have been content to propagate this information by the traditional method of book production, but the increasing use of the computer in industry for process design has shown that an additional method was needed. The setting up of the IUPAC Transport Properties Project Centre, also at Imperial College, whose products would also be in demand by industry, afforded the occasion for a new look at the problem. The solution has been to set up the Imperial College Thermophysical Properties Data Centre, which embraces the two IUPAC Project Centres, and for it to establish a link with the existing Physical Properties Data Service of the Institution of Chemical Engineers, thus providing for the dissemination of the available information without involving the Centres in problems such as those of marketing and advertising. This paper outlines the activities of the Centres and discusses the problems in bringing their products to the attention of industry in suitable form.

Recent Reanalysis Activities at ECMWF: Results from ERA-20C and Plans for ERA5

NASA Astrophysics Data System (ADS)

Dragani, R.; Hersbach, H.; Poli, P.; Pebeuy, C.; Hirahara, S.; Simmons, A.; Dee, D.

2015-12-01

This presentation will provide an overview of the most recent reanalysis activities performed at the European Centre for Medium-Range Weather Forecasts (ECMWF). A pilot reanalysis of the 20th-century (ERA-20C) has recently been completed. Funded through the European FP7 collaborative project ERA-CLIM, ERA-20C is part of a suite of experiments that also includes a model-only integration (ERA-20CM) and a land-surface reanalysis (ERA-20CL). Its data assimilation system is constrained by only surface observations obtained from ISPD (3.2.6) and ICOADS (2.5.1). Surface boundary conditions are provided by the Hadley Centre (HadISST2.1.0.0) and radiative forcing follows CMIP5 recommended data sets. First-guess uncertainty estimates are based on a 10-member ensemble of Data Assimilations, ERA-20C ensemble, run prior to ERA-20C using ten SST and sea-ice realizations from the Hadley Centre. In November 2014, the European Commission entrusted ECMWF to run on its behalf the Copernicus Climate Change Service (C3S) aiming at producing quality-assured information about the past, current and future states of the climate at both European and global scales. Reanalysis will be one of the main components of the C3S portfolio and the first one to be produced is a global modern era reanalysis (ERA5) covering the period from 1979 onwards. Based on a recent version of the ECMWF data assimilation system, ERA5 will replace the widely used ERA-Interim dataset. This new production will benefit from a much improved model, and better characterized and exploited observations compared to its predecessor. The first part of the presentation will focus on the ERA-20C production, provide an overview of its main characteristics and discuss some of the key results from its assessment. The second part of the talk will give an overview of ERA5, and briefly discuss some of its challenges.

Assaults from corrosive substances and medico legal considerations in a large regional burn centre in the United Kingdom: calls for increased vigilance and enforced legislation

PubMed Central

Tan, Alethea; Bharj, Amrit Kaur; Nizamoglu, Metin; Barnes, David; Dziewulski, Peter

2015-01-01

Burn injuries from corrosive substances have been recognised as a common method of assault in low and middle income countries (LMICs) motivated by various factors. Such injuries often leave survivors with severely debilitating physical and psychological injuries and scars. The number of reported cases of acid assaults within the United Kingdom (UK) appears to be on the rise. As one of the largest regional burn centres in the UK, we have reviewed our experience of chemical burns from assault. This study aims to: (1) review the demographics, incidence and patient outcomes; (2) evaluate the long-term psychosocial support provided; and (3) review current criminal litigation proceedings and preventative legislations in the UK specific to assault by corrosive substances. A 15-year retrospective review of 21 burn injuries from assault with corrosive substances presenting to a regional burn unit was conducted. Victims were mostly young men; male perpetrators were more common. The most common motive cited was assault. The most common anatomical region affected was the face and neck. The number of victims who pursue litigation is disproportionately lower than the number of total cases at presentation. In an effort to better understand the legal considerations surrounding such assaults, we also collaborated with lawyers experienced in this particular field. We hope that our work will help educate healthcare professionals regarding the legal assistance and existing laws available to protect these patients. PMID:29799575

Influenza virus isolations at the Government of India Influenza Centre, Coonoor, during 1950-60.

PubMed

VEERARAGHAVAN, N

1961-01-01

In 1950, responding to an invitation by the World Health Organization to all its Member States to establish regional laboratories for the study, in collaboration with the World Influenza Centre, of the distribution and antigenic pattern of influenza viruses, the Government of India set up an Influenza Centre at the Pasteur Institute of Southern India, Coonoor. The author presents a study of the antigenic pattern and variation of the influenza virus strains isolated at the Government of India Influenza Centre during 1950-60. Of the 152 strains isolated, 135 were type A viruses (23 belonging to the A1/Liverpool/50 subtype, 5 to A1/Eire/55, 10 to A1/Ned/56 and 97 to A2/Asia/57), 15 were type B viruses, and 2 were type C viruses. Two striking facts that emerged from this study were the absence of the Scandinavian strains from the area in which the viruses were isolated and the total disappearance of old strains after a new one had appeared.

The nitrogen-vacancy colour centre in diamond

NASA Astrophysics Data System (ADS)

Doherty, Marcus W.; Manson, Neil B.; Delaney, Paul; Jelezko, Fedor; Wrachtrup, Jörg; Hollenberg, Lloyd C. L.

2013-07-01

The nitrogen-vacancy (NV) colour centre in diamond is an important physical system for emergent quantum technologies, including quantum metrology, information processing and communications, as well as for various nanotechnologies, such as biological and sub-diffraction limit imaging, and for tests of entanglement in quantum mechanics. Given this array of existing and potential applications and the almost 50 years of NV research, one would expect that the physics of the centre is well understood, however, the study of the NV centre has proved challenging, with many early assertions now believed false and many remaining issues yet to be resolved. This review represents the first time that the key empirical and ab initio results have been extracted from the extensive NV literature and assembled into one consistent picture of the current understanding of the centre. As a result, the key unresolved issues concerning the NV centre are identified and the possible avenues for their resolution are examined.

Regional Workshop on Strengthening Linkages and Networks through Community Learning Centres (CLCs) (Bandung, Indonesia, September 5-9, 2005)

ERIC Educational Resources Information Center

Online Submission, 2006

2006-01-01

The Community Learning Centre (CLC) Project has been carried out since 1998 within the framework of the Asia Pacific Program of Education for All (APPEAL). CLC is a multi-purpose learning center that serves as a local venue for adults, youth and children to engage in all kinds of learning. After a few years' implementation, some countries have…

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

Lu, Jian; Vecchi, Gabriel A.

The Hadley circulation, a prominent circulation feature characterized by rising air near the Equator and sinking air in the subtropics, defines the position of dry subtropical areas and is a fundamental regulator of the earth’s energy and momentum budgets. The character of the Hadley circulation, and its related precipitation regimes, exhibits variation and change in response to both climate variability and radiative forcing changes. The strength and position of the Hadley circulation change from year to year paced by El Niño and La Niña events. Over the last few decades of the twentieth century, the Hadley cell has expanded polewardmore » in both hemispheres, with changes in atmospheric composition (including stratospheric ozone depletion and greenhouse gas increases) thought to have contributed to its expansion. This article introduces the basic phenomenology and driving mechanism of the Hadley circulation and discusses its variations under both natural and anthropogenic climate forcings.« less

Student-Centred and Teacher-Centred Learning Environment in Pre-Vocational Secondary Education: Psychological Needs, and Motivation

ERIC Educational Resources Information Center

Smit, Karin; de Brabander, Cornelis J.; Martens, Rob L.

2014-01-01

In this study the perception of psychological needs and motivation in a student-centred and a teacher-centred learning environment are compared, using Self Determination Theory as a framework. The self-report Intrinsic Motivation Inventory was completed by 230 students (mean age 16.1 years) in pre-vocational secondary education. School records on…

Counter-Hegemonic Regionalism and Higher Education for All: Venezuela and the ALBA

ERIC Educational Resources Information Center

Muhr, Thomas

2010-01-01

This paper employs new regionalism theory and regulatory regionalism theory in its analysis and theorisation of the Bolivarian Alliance for the Peoples of Our America (ALBA) as a counter-hegemonic Latin American and Caribbean (LAC) regionalism. As (initially) the regionalisation of Venezuela's Bolivarian Revolution, ALBA is centred around the idea…

Deformation-induced structural transition in body-centred cubic molybdenum

PubMed Central

Wang, S. J.; Wang, H.; Du, K.; Zhang, W.; Sui, M. L.; Mao, S. X.

2014-01-01

Molybdenum is a refractory metal that is stable in a body-centred cubic structure at all temperatures before melting. Plastic deformation via structural transitions has never been reported for pure molybdenum, while transformation coupled with plasticity is well known for many alloys and ceramics. Here we demonstrate a structural transformation accompanied by shear deformation from an original <001>-oriented body-centred cubic structure to a <110>-oriented face-centred cubic lattice, captured at crack tips during the straining of molybdenum inside a transmission electron microscope at room temperature. The face-centred cubic domains then revert into <111>-oriented body-centred cubic domains, equivalent to a lattice rotation of 54.7°, and ~15.4% tensile strain is reached. The face-centred cubic structure appears to be a well-defined metastable state, as evidenced by scanning transmission electron microscopy and nanodiffraction, the Nishiyama–Wassermann and Kurdjumov–Sachs relationships between the face-centred cubic and body-centred cubic structures and molecular dynamics simulations. Our findings reveal a deformation mechanism for elemental metals under high-stress deformation conditions. PMID:24603655

Centre-Based Child Care Quality in Urban Australia

ERIC Educational Resources Information Center

Ishimine, Karin; Wilson, Rachel

2009-01-01

This study investigates the quality of childcare centres in urban Australian communities designated according to different bands of Centre Location Demographics (CLD). Childcare centres were assessed using the Early Childhood Environment Rating Scale- Revised Edition (ECERS-R) and the Early Childhood Environment Rating Scale-Extension (ECERS-E).…

Access to Community Living Infrastructure and Its Impact on the Establishment of Community-Based Day Care Centres for Seniors in Rural China.

PubMed

Li, Man; Zhong, Renyao; Zhu, Shanwen; Ramsay, Lauren C; Li, Fen; Coyte, Peter C

2018-06-06

Community-based day care centres play an important role in service delivery for Chinese seniors. Little research has examined how community living infrastructure has influenced the establishment of these day care centres in rural communities. The purposes of this study were: (1) explore regional differences in community living infrastructure; and (2) to examine the impact of such infrastructure on the establishment of day care centres for Chinese seniors in rural communities. The data were derived from “The Fourth Sample Survey on the Living Conditions of Elderly People in Urban and Rural China (2015)”. The establishment of at least one day care centre was the outcome of interest, which was dichotomized at the community level into the establishment of at least one day care centre or the absence of any day care centres. Logistic regression analysis was employed to examine the impact of various community living infrastructural characteristics on the establishment of day care centres. The results showed that of the 4522 rural communities surveyed in 2015, only 10.1% had established at least one day care centre. Community living infrastructural characteristics that were significantly associated with the establishment of day care centres were the availability of cement/asphalt roads, natural gas, tap drinking water, sewage systems, and centralized garbage disposal. Our findings suggest that the significant association between community-level characteristics, especially community living infrastructure, and the establishment of rural day care centre for seniors may inform policy decision making.

Student-Centred Learning (SCL): Roles Changed?

ERIC Educational Resources Information Center

Onurkan Aliusta, Gülen; Özer, Bekir

2017-01-01

This paper addresses the espoused and enacted practices of high school teachers with regard to student-centred learning (SCL). Explanatory mixed-method design, where quantitative strand is followed by qualitative one, is employed. While the quantitative strand aims to explore teachers' perceptions regarding the extent student-centred teacher and…

A person-centred segmentation study in elderly care: towards efficient demand-driven care.

PubMed

Eissens van der Laan, M R; van Offenbeek, M A G; Broekhuis, H; Slaets, J P J

2014-07-01

, therefore, more efficient second triage step. On a local or regional level, this person-centred segmentation provides input information to policymakers and care providers for the demand-driven allocation of resources. Copyright © 2014 Elsevier Ltd. All rights reserved.

Elderly Care Centre

NASA Astrophysics Data System (ADS)

Wagiman, Aliani; Haja Bava Mohidin, Hazrina; Ismail, Alice Sabrina

2016-02-01

The demand for elderly centre has increased tremendously abreast with the world demographic change as the number of senior citizens rose in the 21st century. This has become one of the most crucial problems of today's era. As the world progress into modernity, more and more people are occupied with daily work causing the senior citizens to lose the care that they actually need. This paper seeks to elucidate the best possible design of an elderly care centre with new approach in order to provide the best service for them by analysing their needs and suitable activities that could elevate their quality of life. All these findings will then be incorporated into design solutions so as to enhance the living environment for the elderly especially in Malaysian context.

The Irish Centre for Talented Youth

ERIC Educational Resources Information Center

Gilheany, Sheila

2005-01-01

Conducting potency tests on penicillin, discussing rocket technology with a NASA astronaut, analysing animal bone fragments from medieval times, these are just some of the activities which occupy the time of students at The Irish Centre for Talented Youth. The Centre identifies young students with exceptional academic ability and then provides…

Documentation Centre of the Association of African Universities.

ERIC Educational Resources Information Center

Chateh, Peter

This report presents the results of a study of the Documentation Centre of the Association of African Universities (AAU) undertaken to work out proposals for the rational organization of the Centre, and to explore the possibility of computerizing the Centre and linking it with other centers which provide automated documentation services. The…

The Role of Higher Education Centres in Research and Policy: A Case from a European Periphery

ERIC Educational Resources Information Center

Zgaga, Pavel

2014-01-01

This article focuses on higher education research and policies in small and/or peripheral countries that usually occupy a marginal position in contemporary international debates. The region discussed here is South-eastern Europe and especially the Western Balkans. First, an outline of emerging research centres and the developments in higher…

Seismic vulnerability and damage of Italian historical centres: A case study in the Campania region

NASA Astrophysics Data System (ADS)

Formisano, Antonio; Chieffo, Nicola; Fabbrocino, Francesco; Landolfo, Raffaele

2017-07-01

The preservation of masonry buildings typical of Italian historical centres represents a very pressing dilemma founded on recovery need of the urban fabric original character. In the paper, based on a methodology developed by some of the Authors on building aggregates, the seismic vulnerability estimation of some masonry compounds in the heart of the town of San PotitoSannitico (Caserta, Italy) is presented and compared to the results achieved from applying the basic literature method for isolated constructions. Finally, the damage scenario of inspected buildings has been shown by highlighting clearly the influence of different positions of structural units on the damages that masonry aggregates suffer under different grade earthquakes, leading to individuate the most vulnerable buildings.

[The Adamant, an unusual care centre].

PubMed

Khidichian, Frédéric

2011-01-01

The day care centre of the central Paris area has established itself in an unusual location--a 650 m2 floating building moored on the right bank of the Seine. Patients and caregivers were involved in the design of this original and ecological care centre, which places the emphasis on comfort and safety.

Centre of the Cell: Science Comes to Life.

PubMed

Balkwill, Frances; Chambers, Katie

2015-01-01

Centre of the Cell is a unique biomedical science education centre, a widening participation and outreach project in London's East End. This article describes Centre of the Cell's first five years of operation, the evolution of the project in response to audience demand, and the impact of siting a major public engagement project within a research laboratory.

Detecting pulsars in the Galactic Centre

NASA Astrophysics Data System (ADS)

Rajwade, K. M.; Lorimer, D. R.; Anderson, L. D.

2017-10-01

Although high-sensitivity surveys have revealed a number of highly dispersed pulsars in the inner Galaxy, none have so far been found in the Galactic Centre (GC) region, which we define to be within a projected distance of 1 pc from Sgr A*. This null result is surprising given that several independent lines of evidence predict a sizable population of neutron stars in the region. Here, we present a detailed analysis of both the canonical and millisecond pulsar populations in the GC and consider free-free absorption and multipath scattering to be the two main sources of flux density mitigation. We demonstrate that the sensitivity limits of previous surveys are not sufficient to detect GC pulsar population, and investigate the optimum observing frequency for future surveys. Depending on the degree of scattering and free-free absorption in the GC, current surveys constrain the size of the potentially observable population (I.e. those beaming towards us) to be up to 52 canonical pulsars and 10 000 millisecond pulsars. We find that the optimum frequency for future surveys is in the range of 9-13 GHz. We also predict that future deeper surveys with the Square Kilometre array will probe a significant portion of the existing radio pulsar population in the GC.

Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study.

PubMed

Bammann, K; Gwozdz, W; Lanfer, A; Barba, G; De Henauw, S; Eiben, G; Fernandez-Alvira, J M; Kovács, E; Lissner, L; Moreno, L A; Tornaritis, M; Veidebaum, T; Pigeot, I

2013-02-01

What is already known about this subject Overweight and obesity can be linked to different parental socioeconomic factors already in very young children. In Western developed countries, the association of childhood overweight and obesity and parental socioeconomic status shows a negative gradient. Ambiguous results have been obtained regarding the association between socioeconomic factors and childhood overweight and obesity in different countries and over time. What this study adds European regions show heterogeneous associations between socioeconomic factors and overweight and obesity in a multi-centre study with highly standardized study protocol. The strength of association between SES and overweight and obesity varies across European regions. In our study, the SES gradient is correlated with the regional mean income and the country-specific Human development index indicating a strong influence not only of the family but also of region and country on the overweight and obesity prevalence. To assess the association between different macro- and micro-level socioeconomic factors and childhood overweight. Data from the IDEFICS baseline survey is used to investigate the cross-sectional association between socioeconomic factors, like socioeconomic status (SES), and the prevalence of childhood overweight. Differences and similarities regarding this relationship in eight European regions (located in Belgium, Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden) are explored. 11 994 children (50.9% boys, 49.1% girls) and their parents were included in the analyses. In five of the eight investigated regions (in Belgium, Estonia, Germany, Spain and Sweden), the prevalence of childhood overweight followed an inverse SES gradient. In the other three regions (in Cyprus, Hungary and Italy), no association between SES and childhood overweight was found. The SES-overweight association in a region was best explained by the country-specific human development index and the

Waste management in primary healthcare centres of Iran.

PubMed

Mesdaghinia, Alireza; Naddafi, Kazem; Mahvi, Amir Hossein; Saeedi, Reza

2009-06-01

The waste management practices in primary healthcare centres of Iran were investigated in the present study. A total of 120 primary healthcare centres located across the country were selected using the cluster sampling method and the current situation of healthcare waste management was determined through field investigation. The quantities of solid waste and wastewater generation per outpatient were found to be 60 g outpatient(-1) day(-1) and 26 L outpatient(-1) day(-1), respectively. In all of the facilities, sharp objects were separated almost completely, but separation of other types of hazardous healthcare solid waste was only done in 25% of the centres. The separated hazardous solid waste materials were treated by incineration, temporary incineration and open burning methods in 32.5, 8.3 and 42.5% of the healthcare centres, respectively. In 16.7% of the centres the hazardous solid wastes were disposed of without any treatment. These results indicate that the management of waste materials in primary healthcare centres in Iran faced some problems. Staff training and awareness, separation of healthcare solid waste, establishment of the autoclave method for healthcare solid waste treatment and construction of septic tanks and disinfection units in the centres that were without access to a sewer system are the major measures that are suggested for improvement of the waste management practices.

CO2-MEGAPARIS: Quantification of CO2 emissions from Paris megacity and their spread out to the neightbouring Centre region. (Invited)

NASA Astrophysics Data System (ADS)

Xueref-Remy, I.

2010-12-01

tower). The second method is to assess the anthropogenic emissions from Ile de France using the Radon method based on correlations between the concentrations of Radon 222 (continental tracer) and atmospheric CO2. The third method is to study the propagation of the anthropogenic plume towards the region Centre by applying an atmospheric boundary layer budget at LSCE’s observation site in Orléans forest. The fourth method is to conduct intensive measurements of in-situ CO2 and tracers (CO, potassium, dC13, dC14, ....) in Paris agglomeration to better assess the role and the variability of CO2 sources in Ile-de-France. Especially, a joined campaign with the MEGAPOLI EU-project has been conducted in winter 2010. First results of the CO2-MEGAPARIS project will be presented.

Learner-centred teaching in a non-learner-centred world: An interpretive phenomenological study of the lived experience of clinical nursing faculty.

PubMed

Oyelana, Olabisi; Martin, Donna; Scanlan, Judith; Temple, Beverley

2018-08-01

With the growing complexities in the contemporary health care system, there is a challenge of preparing nurses for the practice demands. To this end, learner-centred teaching has emerged in many nursing curricula in Canada and evidence indicates its effectiveness in developing the essential practice skills in nursing students. It is important to examine the experience of the clinical faculty members who implement learner-centred teaching, as doing so would provide an insight to the factors that may hinder the implementation of learner-centred teaching in the practice settings. This phenomenological study aimed to address two research questions: what does learner-centred teaching mean to clinical nurse faculty? What is the lived experience of clinical nursing faculty who incorporate learner-centred teaching? Ten clinical nurse faculty members who had at least two years of clinical teaching experience volunteered to participate in the study. Data were collected using a semi-structured interview guide and audio recorder. Additional data sources included a demographic survey and a reflective journal. Multiple sub-themes emerged from this study from which three significant themes were consolidated: diversity of meanings, facilitators of LCT, and barriers to LCT. However, an overarching theme of "learner-centred teaching in a non-learner-centred world" was coined from participants' accounts of their experiences of barriers in incorporating LCT in the practice settings. A collaborative effort between faculty and the stakeholders is paramount to a successful implementation of learner-centred teaching in practice settings. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Reconciling evidence‐based medicine and patient‐centred care: defining evidence‐based inputs to patient‐centred decisions

PubMed Central

2015-01-01

Abstract Evidence‐based and patient‐centred health care movements have each enhanced the discussion of how health care might best be delivered, yet the two have evolved separately and, in some views, remain at odds with each other. No clear model has emerged to enable practitioners to capitalize on the advantages of each so actual practice often becomes, to varying degrees, an undefined mishmash of each. When faced with clinical uncertainty, it becomes easy for practitioners to rely on formulas for care developed explicitly by expert panels, or on the tacit ones developed from experience or habit. Either way, these tendencies towards ‘cookbook’ medicine undermine the view of patients as unique particulars, and diminish what might be considered patient‐centred care. The sequence in which evidence is applied in the care process, however, is critical for developing a model of care that is both evidence based and patient centred. This notion derives from a paradigm for knowledge delivery and patient care developed over decades by Dr. Lawrence Weed. Weed's vision enables us to view evidence‐based and person‐centred medicine as wholly complementary, using computer tools to more fully and reliably exploit the vast body of collective knowledge available to define patients’ uniqueness and identify the options to guide patients. The transparency of the approach to knowledge delivery facilitates meaningful practitioner–patient dialogue in determining the appropriate course of action. Such a model for knowledge delivery and care is essential for integrating evidence‐based and patient‐centred approaches. PMID:26456314

Reconciling evidence-based medicine and patient-centred care: defining evidence-based inputs to patient-centred decisions.

PubMed

Weaver, Robert R

2015-12-01

Evidence-based and patient-centred health care movements have each enhanced the discussion of how health care might best be delivered, yet the two have evolved separately and, in some views, remain at odds with each other. No clear model has emerged to enable practitioners to capitalize on the advantages of each so actual practice often becomes, to varying degrees, an undefined mishmash of each. When faced with clinical uncertainty, it becomes easy for practitioners to rely on formulas for care developed explicitly by expert panels, or on the tacit ones developed from experience or habit. Either way, these tendencies towards 'cookbook' medicine undermine the view of patients as unique particulars, and diminish what might be considered patient-centred care. The sequence in which evidence is applied in the care process, however, is critical for developing a model of care that is both evidence based and patient centred. This notion derives from a paradigm for knowledge delivery and patient care developed over decades by Dr. Lawrence Weed. Weed's vision enables us to view evidence-based and person-centred medicine as wholly complementary, using computer tools to more fully and reliably exploit the vast body of collective knowledge available to define patients' uniqueness and identify the options to guide patients. The transparency of the approach to knowledge delivery facilitates meaningful practitioner-patient dialogue in determining the appropriate course of action. Such a model for knowledge delivery and care is essential for integrating evidence-based and patient-centred approaches. © 2015 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons, Ltd.

[Definition of endometriosis expert centres].

PubMed

Chanavaz-Lacheray, I; Darai, E; Descamps, P; Agostini, A; Poilblanc, M; Rousset, P; Bolze, P-A; Panel, P; Collinet, P; Hebert, T; Graesslin, O; Martigny, H; Brun, J-L; Dechaud, H; Mezan De Malartic, C; Piechon, L; Wattiez, A; Chapron, C; Golfier, F

2018-03-01

The Collège national des gynécologues obstétriciens français (CNGOF), in agreement with the Société de chirurgie gynécologique et pelvienne (SCGP), has set up a commission in 2017 to define endometriosis expert centres, with the aim of optimizing endometriosis care in France. The committee included members from university and general hospitals as well as private facilities, representing medical, surgical and radiological aspects of endometriosis care. Opinion of endometriosis patients' associations was obtained prior to writing this work. The final text was presented and unanimously validated by the members of the CNGOF Board of Directors at its meeting of October 13, 2017. Based on analysis of current management of endometriosis and the last ten years opportunities in France, the committee has been able to define the contours of endometriosis expert centres. The objectives, production specifications, mode of operation, missions and funding for these centres were described. The following missions have been specifically defined: territorial organization, global and referral care, communication and teaching as well as research and evaluation. Because of its daily impact for women and its economic burden in France, endometriosis justifies launching of expert centres throughout the country with formal accreditation by health authorities, ideally as part of the National Health Plan. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

The Role of Parents' Educational Level and Centre Type in Parent Satisfaction with Early Childhood Care Centres: A Study in Greece

ERIC Educational Resources Information Center

Kelesidou, Sofia; Chatzikou, Maria; Tsiamagka, Evmorfia; Koutra, Evangelia; Abakoumkin, Georgios; Tseliou, Eleftheria

2017-01-01

This research examines specific facets of parent satisfaction with childcare centres, namely satisfaction with parent-centre communication and the educational services they provide, as well as respective parent beliefs. These were investigated in relation to centre type (private vs public) and parents' education. Parents of different educational…

A Proper Policy in the Permanent Teacher's Training: Key Impulse of the ICT Centre in Andalusia (Spain)

ERIC Educational Resources Information Center

Perez, M. Amor; Fandos, M.; Aguaded, J. Ignacio

2010-01-01

This paper displays some of the results from research carried out in Andalusia (Spain) to evaluate the impact of the educational innovation policy developed by the regional government through widely introducing Information and Communication Technologies (ICT) in primary and secondary schools (ICT Centres). Specifically, the effect of the measures…

Addiction research centres and the nurturing of creativity The Norwegian Centre for Addiction Research (SERAF).

PubMed

Bramness, Jørgen G; Clausen, Thomas; Duckert, Fanny; Ravndal, Edle; Waal, Helge

2011-08-01

The Norwegian Centre for Addiction Research (SERAF) at the University of Oslo is a newly established, clinical addiction research centre. It is located at the Oslo University Hospital and has a major focus on opioid dependency, investigating Norwegian opioid maintenance treatment (OMT), with special interest in OMT during pregnancy, mortality, morbidity and criminality before, during and after OMT and alternatives to OMT, such as the use of naltrexone implants. The well-developed health registries of Norway are core assets that also allow the opportunity for other types of substance abuse research. This research includes health services, abuse of prescription drugs and drugs of abuse in connection with traffic. The centre also focuses upon comorbidity, investigating the usefulness and limitations of psychometric instruments, drug abuse in different psychiatric treatment settings and internet-based interventions for hazardous alcohol consumption. © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction.

Management of febrile children under five years in hospitals and health centres of rural Ghana.

PubMed

Webster, Jayne; Baiden, Frank; Bawah, Justina; Bruce, Jane; Tivura, Mathilda; Delmini, Rupert; Amenga-Etego, Seeba; Chandramohan, Daniel; Owusu-Agyei, Seth

2014-07-09

The case management of febrile children in hospitals' and health centres' pre-roll out of the new WHO policy on parasitological diagnosis was assessed. The delivery of artemisinin combination therapy (ACT) at these two levels of the health system was compared. Structured observations and exit interviews of 1,222 febrile children attending five hospitals and 861 attending ten health centres were conducted in six districts of the Brong Ahafo Region of Ghana. Effectiveness of delivery of case management of malaria was assessed. Proportions of children receiving ACT, anti-malarial monotherapy and antibiotics were described. Predictors of: a febrile child being given an ACT, a febrile child being given an antibiotic and of carers knowing how to correctly administer the ACT were assessed using logistic regression models stratified by hospitals and health centres. The system's effectiveness of delivering an ACT to febrile children diagnosed with malaria (parasitologically or clinically) was 31.4 and 42.4% in hospitals and health centres, respectively. The most ineffective process was that of ensuring that carers knew how to correctly administer the ACT. Overall 278 children who were not given an ACT were treated with anti-malarial monotherapy other than quinine. The majority of these children, 232/278 were given amodiaquine, 139 of these were children attending hospitals and 93 attending health centres. The cadre of health staff conducting consultation was a common predictor of the outcomes of interest. Presenting symptoms and examinations conducted were predictive of being given an ACT in hospitals and antibiotic in hospitals and health centres but not of being given an ACT in health centres. Treatment-seeking factors were predictive of being given an ACT if it was more than seven days since the fever began and an antibiotic in hospitals but not in health centres. Interventions to improve adherence to negative parasitological tests are needed, together with guidance on

Apollo 15 - Extravehicular Activity (EVA) Panorama

NASA Image and Video Library

1971-08-02

S71-43943 (2 Aug. 1971) --- Mosaic photographs which compose a 360-degree panoramic view of the Apollo 15 Hadley-Apennine landing site, taken near the close of the third lunar surface extravehicular activity (EVA) by astronauts David Scott and James Irwin. This group of photographs was designated the Rover "RIP" Pan because the Lunar Roving Vehicle was parked in its final position prior to the two crewmen returning to the Lunar Module. The astronaut taking the pan was standing 325 feet east of the Lunar Module (LM). The Rover was parked about 300 feet east of the LM. This mosaic covers a field of view from about north-northeast to about south. Visible on the horizon from left to right are: Mount Hadley; high peaks of the Apennine Mountains which are farther in the distance than either Mount Hadley or Hadley Delta Mountain; Silver Spur on the Apennine Front; and the eastern portion of Hadley Delta. Note Rover tracks in the foreground. The numbers of the other two views composing the 360-degree pan are S71-43940 and S71-43942.

Estimates of runoff using water-balance and atmospheric general circulation models

USGS Publications Warehouse

Wolock, D.M.; McCabe, G.J.

1999-01-01

The effects of potential climate change on mean annual runoff in the conterminous United States (U.S.) are examined using a simple water-balance model and output from two atmospheric general circulation models (GCMs). The two GCMs are from the Canadian Centre for Climate Prediction and Analysis (CCC) and the Hadley Centre for Climate Prediction and Research (HAD). In general, the CCC GCM climate results in decreases in runoff for the conterminous U.S., and the HAD GCM climate produces increases in runoff. These estimated changes in runoff primarily are the result of estimated changes in precipitation. The changes in mean annual runoff, however, mostly are smaller than the decade-to-decade variability in GCM-based mean annual runoff and errors in GCM-based runoff. The differences in simulated runoff between the two GCMs, together with decade-to-decade variability and errors in GCM-based runoff, cause the estimates of changes in runoff to be uncertain and unreliable.

Practice-centred evaluation and the privileging of care in health information technology evaluation

PubMed Central

2014-01-01

Background Electronic Patient Records (EPRs) and telemedicine are positioned by policymakers as health information technologies that are integral to achieving improved clinical outcomes and efficiency savings. However, evaluating the extent to which these aims are met poses distinct evaluation challenges, particularly where clinical and cost outcomes form the sole focus of evaluation design. We propose that a practice-centred approach to evaluation - in which those whose day-to-day care practice is altered (or not) by the introduction of new technologies are placed at the centre of evaluation efforts – can complement and in some instances offer advantages over, outcome-centric evaluation models. Methods We carried out a regional programme of innovation in renal services where a participative approach was taken to the introduction of new technologies, including: a regional EPR system and a system to support video clinics. An ‘action learning’ approach was taken to procurement, pre-implementation planning, implementation, ongoing development and evaluation. Participants included clinicians, technology specialists, patients and external academic researchers. Whilst undergoing these activities we asked: how can a practice-centred approach be embedded into evaluation of health information technologies? Discussion Organising EPR and telemedicine evaluation around predetermined outcome measures alone can be impractical given the complex and contingent nature of such projects. It also limits the extent to which unforeseen outcomes and new capabilities are recognised. Such evaluations often fail to improve understanding of ‘when’ and ‘under what conditions’ technology-enabled service improvements are realised, and crucially, how such innovation improves care. Summary Our contribution, drawn from our experience of the case study provided, is a protocol for practice-centred, participative evaluation of technology in the clinical setting that privileges care. In

Major trauma: the unseen financial burden to trauma centres, a descriptive multicentre analysis.

PubMed

Curtis, Kate; Lam, Mary; Mitchell, Rebecca; Dickson, Cara; McDonnell, Karon

2014-02-01

This research examines the existing funding model for in-hospital trauma patient episodes in New South Wales (NSW), Australia and identifies factors that cause above-average treatment costs. Accurate information on the treatment costs of injury is needed to guide health-funding strategy and prevent inadvertent underfunding of specialist trauma centres, which treat a high trauma casemix. Admitted trauma patient data provided by 12 trauma centres were linked with financial data for 2008-09. Actual costs incurred by each hospital were compared with state-wide Australian Refined Diagnostic Related Groups (AR-DRG) average costs. Patient episodes where actual cost was higher than AR-DRG cost allocation were examined. There were 16693 patients at a total cost of AU$178.7million. The total costs incurred by trauma centres were $14.7million above the NSW peer-group average cost estimates. There were 10 AR-DRG where the total cost variance was greater than $500000. The AR-DRG with the largest proportion of patients were the upper limb injury categories, many of whom had multiple body regions injured and/or a traumatic brain injury (P<0.001). AR-DRG classifications do not adequately describe the trauma patient episode and are not commensurate with the expense of trauma treatment. A revision of AR-DRG used for trauma is needed. WHAT IS KNOWN ABOUT THIS TOPIC? Severely injured trauma patients often have multiple injuries, in more than one body region and the determination of appropriate AR-DRG can be difficult. Pilot research suggests that the AR-DRG do not accurately represent the care that is required for these patients. WHAT DOES THIS PAPER ADD? This is the first multicentre analysis of treatment costs and coding variance for major trauma in Australia. This research identifies the limitations of the current AR-DRGS and those that are particularly problematic. The value of linking trauma registry and financial data within each trauma centre is demonstrated. WHAT ARE THE

Anatomy of ridge discontinuities, transform fault and overlapping spreading centre, at the slow spreading sedimented Andaman Sea Spreading Centre

NASA Astrophysics Data System (ADS)

Jourdain, A.; Singh, S. C.; Klinger, Y.

2013-12-01

Transform faults are the major discontinuities and define the main segment boundaries along spreading centres but their anatomy is poorly understood because of their complex seafloor morphology, even though they are observed at all types of spreading centres. Here, we present high-resolution seismic reflection images across the sedimented Andaman Sea Transform Fault where the sediments record the faulting and allow studying the evolution of the transform fault both in space and time. Furthermore, sediments allow the imaging of the faults down to the Moho depth that provides insight on the interplay between tectonic and magmatic processes. On the other hand, overlapping spreading centres (OSC) are small-scale discontinuities, possibly transient, and are observed only along fast or intermediate spreading centres. Exceptionally, an overlapping spreading centre is present at the slow spreading Andaman Sea Spreading Centre, which, we suggest, is due to the presence of thick sediments that hamper the efficient hydrothermal circulation allowing magma to stay much longer in the crust at different depths, and up to close to the segment ends, leading to the development of an overlapping spreading. The seismic reflection images across the OSC indicate the presence of large magma bodies in the crust. Seismic images also provide images of active faults allowing to study the link between faulting and magmatism. Interestingly, an earthquake swarm occurred at propagating limb of the OSC in 2006, after the great 2004 Andaman-Sumatra earthquake of Mw=9.3, highlighting the migration of the OSC westward. In this paper, we will show seismic reflection images and interpret these images in the light of bathymetry and earthquake data, and provide the anatomy of the ridge discontinuities along the slow spreading sedimented Andaman Sea Spreading Centre.

Addiction research centres and the nurturing of creativity: The Centre for Addictions Research of British Columbia, Canada

PubMed Central

Stockwell, Tim; Reist, Dan; Macdonald, Scott; Benoit, Cecilia; Jansson, Mikael

2015-01-01

The Centre for Addictions Research of British Columbia (CARBC) was established as a multi-campus and multi-disciplinary research centre administered by the University of Victoria (UVic) in late 2003. Its core funding is provided from interest payments on an endowment of CAD$10.55 million. It is supported by a commitment to seven faculty appointments in various departments at UVic. The Centre has two offices, an administration and research office in Victoria and a knowledge exchange unit in Vancouver. The two offices are collaborating on the implementation of CARBC’s first 5-year plan which seeks to build capacity in British Columbia for integrated multi-disciplinary research and knowledge exchange in the areas substance use, addictions and harm reduction. Present challenges include losses to the endowment caused by the 2008/2009 economic crisis and difficulties negotiating faculty positions with the university administration. Despite these hurdles, to date each year has seen increased capacity for the Centre in terms of affiliated scientists, funding and staffing as well as output in terms of published reports, electronic resources and impacts on policy and practice. Areas of special research interest include: drug testing in the work-place, epidemiological monitoring, substance use and injury, pricing and taxation policies, privatization of liquor monopolies, poly-substance use, health determinants of indigenous peoples, street-involved youth and other vulnerable populations at risk of substance use problems. Further information about the Centre and its activities can be found on http://www.carbc.ca. PMID:20078479

Working in caseload midwifery care: the experience of midwives working in a birth centre in North Queensland.

PubMed

Edmondson, Marissa C; Walker, Sandra B

2014-03-01

Pregnancy, birth and child rearing are significant life events for women and their families. The demand for services that are family friendly, women focused, safe and accessible is increasing. These demands and rights of women have led to increased government and consumer interest in continuity of care and the establishment in Australia of birth centres, and the introduction of caseload midwifery models of care. The aim of this research project was to uncover how birth centre midwives working within a caseload model care constructed their midwifery role in order to maintain a positive work-life balance. A Grounded Theory study using semi-structured individual interviews was undertaken with seven midwives who work at a regional hospital birth centre to ascertain their views as to how they construct their midwifery role while working in a caseload model of care. The results showed that caseload midwifery care enabled the midwives to practice autonomously within hospital policies and guidelines for birth centre midwifery practice and that they did not feel too restricted in regards to the eligibility of women who could give birth at the centre. Work relationships were found to be a key component in being able to construct their birth centre midwifery role. The midwives valued the flexibility that came with working in supportive partnerships with many feeling this enabled them to achieve a good work-life balance. The research contributes to the current body of knowledge surrounding working in a caseload model of care as it shows how the birth centre midwives construct their midwifery role. It provides information for development and improvement of these models of care to ensure that sustainability and quality of care is provided to women and their families. Copyright © 2013 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

A multi-centre evaluation of oral cancer in Southern and Western Nigeria: an African oral pathology research consortium initiative.

PubMed

Omitola, Olufemi Gbenga; Soyele, Olujide Oladele; Sigbeku, Opeyemi; Okoh, Dickson; Akinshipo, Abdulwarith Olaitan; Butali, Azeez; Adeola, Henry Ademola

2017-01-01

Oral cancer is a leading cause of cancer deaths among African populations. Lack of standard cancer registries and under-reporting has inaccurately depicted its magnitude in Nigeria. Development of multi-centre collaborative oral pathology networks such as the African Oral Pathology Research Consortium (AOPRC) facilitates skill and expertise exchange and fosters a robust and systematic investigation of oral diseases across Africa. In this descriptive cross-sectional study, we have leveraged the auspices of the AOPRC to examine the burden of oral cancer in Nigeria, using a multi-centre approach. Data from 4 major tertiary health institutions in Western and Southern Nigeria was generated using a standardized data extraction format and analysed using the SPSS data analysis software (version 20.0; SPSS Inc. Chicago, IL). Of the 162 cases examined across the 4 centres, we observed that oral squamous cell carcinomas (OSCC) occurred mostly in the 6 th and 7 th decades of life and maxillary were more frequent than mandibular OSCC lesions. Regional variations were observed both for location, age group and gender distribution. Significant regional differences was found between poorly, moderately and well differentiated OSCC (p value = 0.0071). A multi-centre collaborative oral pathology research approach is an effective way to achieve better insight into the patterns and distribution of various oral diseases in men of African descent. The wider outlook for AOPRC is to employ similar approaches to drive intensive oral pathology research targeted at addressing the current morbidity and mortality of various oral diseases across Africa.

Energy efficiency in U.K. shopping centres

NASA Astrophysics Data System (ADS)

Mangiarotti, Michela

Energy efficiency in shopping centres means providing comfortable internal environment and services to the occupants with minimum energy use in a cost-effective and environmentally sensitive manner. This research considers the interaction of three factors affecting the energy efficiency of shopping centres: i) performance of the building fabric and services ii) management of the building in terms of operation, control, maintenance and replacement of the building fabric and services, and company's energy policy iii) occupants' expectation for comfort and awareness of energy efficiency. The aim of the investigation is to determine the role of the above factors in the energy consumption and carbon emissions of shopping centres and the scope for reducing this energy usage by changing one or all the three factors. The study also attempts to prioritize the changes in the above factors that are more cost-effective at reducing that energy consumption and identify the benefits and main economic and legal drivers for energy efficiency in shopping centres. To achieve these targets, three case studies have been analysed. Using energy data from bills, the performance of the selected case studies has been assessed to establish trends and current energy consumption and carbon emissions of shopping centres and their related causes. A regression analysis has attempted to break down the energy consumption of the landlords' area by end-use to identify the main sources of energy usage and consequently introduce cost-effective measures for saving energy. A monitoring and occupants' survey in both landlords' and tenants' areas have been carried out at the same time to compare the objective data of the environmental conditions with the subjective impressions of shoppers and shopkeepers. In particular, the monitoring aimed at assessing the internal environment to identify possible causes of discomfort and opportunities for introducing energy saving measures. The survey looked at

SPOT4 Management Centre

NASA Technical Reports Server (NTRS)

Labrune, Yves; Labbe, X.; Roussel, A.; Vielcanet, P.

1994-01-01

In the context of the CNES SPOT4 program CISI is particularly responsible for the development of the SPOT4 Management Centre, part of the SPOT4 ground control system located at CNES Toulouse (France) designed to provide simultaneous control over two satellites. The main operational activities are timed to synchronize with satellite visibilities (ten usable passes per day). The automatic capability of this system is achieved through agenda services (sequence of operations as defined and planned by operator). Therefore, the SPOT4 Management Centre offers limited, efficient and secure human interventions for supervision and decision making. This paper emphasizes the main system characteristics as degree of automation, level of dependability and system parameterization.

The British society for gynaecological endoscopy endometriosis centres project.

PubMed

Saridogan, Ertan; Byrne, Dominic

2013-01-01

Management of advanced endometriosis frequently requires a multidisciplinary team approach and international guidelines suggest treatment in centres of expertise. Due to variability of published outcome data, prospective data collection and standardisation of reporting systems have been suggested to improve our understanding of surgical outcomes. The British Society for Gynaecological Endoscopy (BSGE) Endometriosis Centres were established to manage rectovaginal endometriosis, to collect treatment and outcome data, and to provide these data to patients, clinicians and healthcare commissioners. The BSGE Endometriosis Centres Project works on the principle of voluntary participation. Centres that would like to be recognised or accredited as a BSGE Endometriosis Centre need to fulfil a number of basic requirements including working in appropriate multidisciplinary clinical teams, auditing their outcome and having sufficient workload to maintain their surgical skills. The project has already had an impact on where the patients with advanced endometriosis are treated in the United Kingdom. Patients and healthcare professionals are becoming aware of their presence and more patients with the condition are being referred to these centres. It is also expected that the accredited centre status would be required for funding by healthcare commissioners for this type endometriosis. Copyright © 2013 S. Karger AG, Basel.

Centre d'Observacio de l'Univers: first year of activities

NASA Astrophysics Data System (ADS)

Ribas, S. J.

2011-11-01

The Centre d'Observacio de l'Univers is one of the parts of the Parc Astronomic Montsec (PAM). PAM is an initiative of the Catalan government, through the Consorci del Montsec (Montsec Consortium), to take advantage of the capabilities and potential of the Montsec region to develop scientific research, training, and outreach activities, particularly in the field of astronomy. The choice of the Montsec mountains to install the PAM was motivated by the magnificent conditions for observing the sky at night; the sky above Montsec is the best (natural sky free of light pollution) in Catalonia for astronomical observations. The PAM has two main parts: the Observatori Astronomic del Montsec (OAdM) and the Centre d'Observacio del'Univers (COU). The OAdM is a professional observatory with an 80 cm catadioptric telescope (Joan Oro Telescope). The COU is a large multipurpose center which is intended to become an educational benchmark for teaching and communicate astronomy and other sciences in Catalonia. Since the opening more than 50000 visitors went to this center to enjoy science with Montsec dark skies and an special natural environment.

Addiction research centres and the nurturing of creativity: National Drug Dependence Treatment Centre, India--a profile.

PubMed

Ray, Rajat; Dhawan, Anju; Chopra, Anita

2013-10-01

The National Drug Dependence Treatment Centre (NDDTC) is a part of the All India Institute of Medical Sciences, a premier autonomous medical university in India. This article provides an account of its origin and its contribution to the field of substance use disorder at the national and international levels. Since its establishment, the NDDTC has played a major role in the development of various replicable models of care, the training of post-graduate students of psychiatry, research, policy development and planning. An assessment of the magnitude of drug abuse in India began in the early 1990s and this was followed by a National Survey on Extent, Patterns and Trends of Drug Abuse in 2004. Several models of clinical care have been developed for population subgroups in diverse settings. The centre played an important role in producing data and resource material which helped to scale up opioid substitution treatment in India. A nationwide database on the profile of patients seeking treatment (Drug Abuse Monitoring System) at government drug treatment centres has also been created. The centre has provided valuable inputs for the Government of India's programme planning. Besides clinical studies, research has also focused on pre-clinical studies. Capacity-building is an important priority, with training curricula and resource material being developed for doctors and paramedical staff. Many of these training programmes are conducted in collaboration with other institutions in the country. The NDDTC has received funding from several national and international organizations for research and scientific meetings, and, most recently (2012), it has been designated as a World Health Organization Collaborating Centre on Substance Abuse. © 2012 The Authors, Addiction © 2012 Society for the Study of Addiction.

Mediterranean summer climate and the monsoon regimes

NASA Astrophysics Data System (ADS)

Baldi, M.; Crisci, A.; Dalu, G. A.; Maracchi, G.; Meneguzzo, F.; Pasqui, M.

2003-04-01

The Authors examine the general features of climate of the Mediterranean Region, i.e. its variability and trends in the last 40 years, and the teleconnections between Mediterranean climate and the global climate, using zonal and global indices. In particular they focus the attention on the analysis of the summer Mediterranean climate, and its variability and connection with the summer monsoon regimes. Several subregions can be distinguished in the Mediterranean for each season, and the occurrence of Mediterranean Oscillation is evident between West and East sub-basins. Precipitation and SLP fields in the Eastern basin are shown to be correlated with Mediterranean Oscillation. A total decrease of precipitation has been detected in last few years, although there are some very intense. During winter a fundamental role is played by NAO index, which, influencing the storm tracks coming from the Atlantic and passing over the Mediterranean and North Europe, it has a major role in the precipitation patterns over the Region. Moreover, temperature analysis over the last 40 years in the Mediterranean shows a distinct warming, in agreement with the pattern over North Emisphere and NAO index fluctuations. During summer the Hadley cell extend further northwards, influencing the Mediterranean climate, and there is evidence of a possible teleconnection with the Asian Monsoon, and the Sahel precipitation (and related Hadley cell): the SLP field in the Eastern Mediterranean is inversely correlated with those two precipitation indices, while it is positively correlated with the pressure in the Western Mediterranean. Leading mechanisms of interaction between Mediterranean summer rainfall and SLP patterns and precipitation indices associated with monsoon regimes are stressed out and investigated, as well as the influence of the position and strength of the Hadley cell, by means of both statistical and dynamical analytical arguments. A modeling study has been carried out in order to

Taiwanese maternal health in the postpartum nursing centre.

PubMed

Hung, Chich-Hsiu; Yu, Ching-Yun; Ou, Chu-Chun; Liang, Wei-Wen

2010-04-01

To investigate the association between postpartum stress as well as social support and the general health status of women recently discharged from postpartum nursing centres where the ritual of Tso-Yueh-Tzu is followed. Taiwanese women stay in postpartum nursing centres to take care of their newborn babies and perform the traditional Chinese ritual of Tso-Yueh-Tzu, the custom of a postpartum month-long rest. A non-experimental research design was used in the study. Two hundred and fifty-eight postpartum women who had stayed in postpartum nursing centres for at least 20 days were recruited at eight postpartum nursing centres in the Kaohsiung metropolitan area of southern Taiwan. They were administered the Hung Postpartum Stress Scale, the Social Support Scale and the Chinese Health Questionnaire. Women without minor psychiatric morbidity had higher social support, lower postpartum stress and longer length-of-stays in the postpartum care centre than women with minor psychiatric morbidity. Postpartum stress revolved around changes in body shape. A one-point increase in postpartum stress increased the likelihood that a mother would suffer minor psychiatric morbidity by 1.04 times; while giving birth to a boy decreased that likelihood by 0.51 times. This study found Tso-Yueh-Tzu as practised in postpartum nursing centres gave the postpartum women the opportunity to receive tangible support and, therefore, helped decrease postpartum stress and improved their general health. The greatest source of postpartum stress was concern over negative body changes. The postpartum nursing centre plays an important role in helping postpartum Taiwanese women observe the traditional ritual of Tso-Yueh-Tzu and in improving these women's general health. These centres may want to pay more attention to providing exercise that promotes body toning and relaxation.

Critiquing Child-Centred Pedagogy to Bring Children and Early Childhood Educators into the Centre of a Democratic Pedagogy

ERIC Educational Resources Information Center

Langford, Rachel

2010-01-01

Child-centred pedagogy is both an enduring approach and a revered concept in Western-based teacher preparation. This article weaves together major critiques of child-centred pedagogy that draw on critical feminist, postmodernist and post-structural theories. These critiques have particular relevance for conceptualizing what it can mean to be, and…

Reducing cooling energy consumption in data centres and critical facilities

NASA Astrophysics Data System (ADS)

Cross, Gareth

Given the rise of our everyday reliance on computers in all walks of life, from checking the train times to paying our credit card bills online, the need for computational power is ever increasing. Other than the ever-increasing performance of home Personal Computers (PC's) this reliance has given rise to a new phenomenon in the last 10 years ago. The data centre. Data centres contain vast arrays of IT cabinets loaded with servers that perform millions of computational equations every second. It is these data centres that allow us to continue with our reliance on the internet and the PC. As more and more data centres become necessary due to the increase in computing processing power required for the everyday activities we all take for granted so the energy consumed by these data centres rises. Not only are more and more data centres being constructed daily, but operators are also looking at ways to squeeze more processing from their existing data centres. This in turn leads to greater heat outputs and therefore requires more cooling. Cooling data centres requires a sizeable energy input, indeed to many megawatts per data centre site. Given the large amounts of money dependant on the successful operation of data centres, in particular for data centres operated by financial institutions, the onus is predominantly on ensuring the data centres operate with no technical glitches rather than in an energy conscious fashion. This report aims to investigate the ways and means of reducing energy consumption within data centres without compromising the technology the data centres are designed to house. As well as discussing the individual merits of the technologies and their implementation technical calculations will be undertaken where necessary to determine the levels of energy saving, if any, from each proposal. To enable comparison between each proposal any design calculations within this report will be undertaken against a notional data facility. This data facility will

ENSO relationship to Summer Rainfall Variability and its Potential Predictability over Arabian Peninsula Region

NASA Astrophysics Data System (ADS)

Adnan Abid, Mohammad; Almazroui, Mansour; Kucharski, Fred

2017-04-01

Summer seasonal rainfall falls mainly over the south and southwestern parts of the Arabian Peninsula (AP). The relationship between this mean summer seasonal rainfall pattern and El Niño Southern Oscillation (ENSO) is analyzed with the aid of a 15-member ensemble of simulations using the King Abdulaziz University (KAU) Atmospheric Global Climate Model (AGCM). Each simulation is forced with Hadley Sea Surface Temperature (SST) for the period 1980-2015. The southwestern peninsula rainfall is linked towith the SST anomalies in the central-eastern pacific region. This relation is established through an atmospheric teleconnection which shows an upper-level convergence (divergence) anomalies over the southern Arabian Peninsula compensating the central-eastern Pacific region upper-level divergence (convergence) anomalies for the warm (cold) El Niño Southern Oscillaton (ENSO) phase. The upper-level convergence (divergence) over the southern Arabian Peninsula leads to sinking (rising) motion, low-level divergence (convergence) and consequently to reduced (enhanced) rainfall. The correlation coefficient between the observed area-averged Niño3.4 index and athe South Arabian Rainfall Index (SARI) is -0.54. This indicates that AP receives less rainfall during the warm (El Niño) phase, while the opposite happens in the cold (La Niña) El Niño Southern Oscillaton (ENSO) phase. The lower tropospheric cyclonic circulation anomalies strongly modulate the ENSO-related rainfall in the region. Overall, the model shows a 43% potential predictability (PP) for the Southern Arabian Peninsula Rainfall Index (SARI). Further, the predictability during the warm ENSO (El Niño) events is higher than during cold ENSO (La Niña) events. This is not only because of a stronger signal, but also noise reduction contributes to the increase of the regional PP in El Niño compared to that of La Niña years.

Canadian Educational Development Centre Websites: More Ebb than Flow?

ERIC Educational Resources Information Center

Simmons, Nicola

2010-01-01

This paper examines information portrayed on Canadian educational development (ED) centre websites and, in particular, whether information that corresponds to questions compiled from a literature search of ED centre practices is readily available from centre websites. This study phase is part of a larger national study of Canadian educational…

Need and feasibility of telemedicine in non-urban day care centres.

PubMed

Setia, Monika; DelliFraine, Jami L

2010-01-01

There appear to have been no studies of telemedicine in rural day care centres. We have assessed the feasibility of using telemedicine in eight rural day care centres in Pennsylvania, from the day care centres' perspective. The average number of children in these centres was 76 (range 20-150). The centres sent an average of 4.7 children home each month because of illness. Using telephone and face-to-face interviews, we assessed their perceived need for and familiarity with telemedicine, as well as their openness and preparedness for implementing telemedicine. Most day care centres reported a need for telemedicine and were open to learning how to use it. Some centres were concerned about adequate space for the equipment, but overall, the centres felt that their resources were adequate. Telemedicine in rural day care centres appears to be feasible, and would have the potential to save time and money for parents, as well as perhaps improving health care for children in rural areas.

Very high energy observations of the Galactic Centre: recent results and perspectives with CTA

NASA Astrophysics Data System (ADS)

Terrier, Regis

2016-07-01

The central 300 pc of our Galaxy are a major laboratory for high energy astrophysics. They harbor the closest supermassive black hole (SMBH) and are the site of a sustained star formation activity. The energy released by the supernovae on the ambient medium must be very strong. Similarly, albeit extremely faint nowadays, the SMBH must have experienced episodes of intense activity in the past which can influence significantly the central regions and beyond, e.g. powering the Fermi bubbles. I review observational results at very high energies from the central region and discuss their implications and the questions they leave open. I discuss the perspectives CTA offers for Galactic Centre astrophysics.

Amazonian forest dieback under climate-carbon cycle projections for the 21st century

NASA Astrophysics Data System (ADS)

Cox, P. M.; Betts, R. A.; Collins, M.; Harris, P. P.; Huntingford, C.; Jones, C. D.

The first GCM climate change projections to include dynamic vegetation and an interactive carbon cycle produced a very significant amplification of global warming over the 21st century. Under the IS92a ``business as usual'' emissions scenario CO2 concentrations reached about 980ppmv by 2100, which is about 280ppmv higher than when these feedbacks were ignored. The major contribution to the increased CO2 arose from reductions in soil carbon because global warming is assumed to accelerate respiration. However, there was also a lesser contribution from an alarming loss of the Amazonian rainforest. This paper describes the phenomenon of Amazonian forest dieback under elevated CO2 in the Hadley Centre climate-carbon cycle model.

A certification/accreditation model for Haemophilia Centres in Italy

PubMed Central

Mannucci, Pier Mannuccio; Menichini, Ivana

2014-01-01

Background The Italian Association of Haemophilia Centres has developed a voluntary programme of professional accreditation of Haemophilia Centres, run by its members. Participation in the programme, which aims to foster staff involvement in clinical governance, includes both medical personnel and nurses. Materials and methods Accreditation is awarded provided the candidate Haemophilia Centre is able to adhere to a pre-established set of quality standards and meet a number of clinical and organisational requirements, previously defined on the basis of evidence-based medicine. Self-evaluation is the first step in the programme, followed by a site visit by a team of peer professionals experienced in quality auditing. Results The programme has so far involved 21 Italian Haemophilia Centres. The comparison between self- and peer-evaluation revealed less discrepancies for disease-related than for organisational requirements, the latter being met to a lesser degree by most Haemophilia Centres. Discussion This programme of professional accreditation developed by the Italian Association of Haemophilia Centres has the potential to describe, monitor and improve clinical and organisational performances in the management of patients with haemophilia and allied inherited coagulation disorders. It should also be seen as a contribution to the implementation of the strategy for improving professional governance in Haemophilia Centres. PMID:24922289

Variability and Trends in the Arctic Sea Ice Cover: Results from Different Techniques

NASA Technical Reports Server (NTRS)

Comiso, Josefino C.; Meier, Walter N.; Gersten, Robert

2017-01-01

Variability and trend studies of sea ice in the Arctic have been conducted using products derived from the same raw passive microwave data but by different groups using different algorithms. This study provides consistency assessment of four of the leading products, namely, Goddard Bootstrap (SB2), Goddard NASA Team (NT1), EUMETSAT Ocean and Sea Ice Satellite Application Facility (OSI-SAF 1.2), and Hadley HadISST 2.2 data in evaluating variability and trends in the Arctic sea ice cover. All four provide generally similar ice patterns but significant disagreements in ice concentration distributions especially in the marginal ice zone and adjacent regions in winter and meltponded areas in summer. The discrepancies are primarily due to different ways the four techniques account for occurrences of new ice and meltponding. However, results show that the different products generally provide consistent and similar representation of the state of the Arctic sea ice cover. Hadley and NT1 data usually provide the highest and lowest monthly ice extents, respectively. The Hadley data also show the lowest trends in ice extent and ice area at negative 3.88 percent decade and negative 4.37 percent decade, respectively, compared to an average of negative 4.36 percent decade and negative 4.57 percent decade for all four. Trend maps also show similar spatial distribution for all four with the largest negative trends occurring at the Kara/Barents Sea and Beaufort Sea regions, where sea ice has been retreating the fastest. The good agreement of the trends especially with updated data provides strong confidence in the quantification of the rate of decline in the Arctic sea ice cover.

Reaching the Students that Student-Centred Learning Cannot Reach

ERIC Educational Resources Information Center

Hockings, Christine

2009-01-01

Student-centred learning has the potential to engage a more academically diverse student body than the more conventional teacher-centred approaches. In spite of the evidence in favour of student-centred learning, a recent study showed that it was ineffective for around 30% of undergraduates in a large and diverse group studying business operations…

Investigation of the Moisture Recycling Ratio over South America: A Modelling Approach using HadCM3

NASA Astrophysics Data System (ADS)

Charan Pattnayak, Kanhu; Gloor, Emanuel; Tindall, Julia; Briener, Roel

2017-04-01

It is a well-known fact that precipitation relies on terrestrial evaporation (moisture recycling). This study makes use of new definitions of moisture recycling from van der Ent, et al. 2010 to study the complete process of continental moisture feedback. Earlier studies have shown that there exist many regions over the globe that relies heavily on recycled moisture as well as that supplies moisture. In South America, the Río de la Plata basin depends on evaporation from the Amazon forest for 70% of its water resources. Stable water isotope (δ18O) can be used, as a good proxy for precipitation and it is a better tool to study convective processes and hydrological cycle. Analysing the δ18O would help to identify the moisture source for precipitation. In this study, we try to explain to the relation between δ18O and the moisture recycling ratio using atmospheric component of Hadley Centre Coupled Climate Model (HadCM3). And also we analyse the impact of land cover change on δ18O and the moisture recycling ratio. Further, we will analyse the changes of moisture recycling pattern from pre-industrial to the present scenario.

Potential impacts of climate change on rainfall erosivity and water availability in China in the next 100 years

Treesearch

Ge Sun; Steven G. McNulty; Jennifer Moore; Corey Bunch; Jian Ni

2002-01-01

Soil erosion and water shortages threaten China’s social and economic development in the 21st century. This paper examines how projected climate change could affect soil erosion and water availability across China. We used both historical climate data (1961-1980) and the UKMO Hadley3 climate scenario (1960-2099) to drive regional hydrology and soil erosivity models....

European hospital managers' perceptions of patient-centred care.

PubMed

Taylor, Angelina; Groene, Oliver

2015-01-01

The spotlight has recently been placed on managers' responsibility for patient-centred care as a result of Mid Staffordshire NHS Foundation Trust failings. In previous research, clinicians reported that managers do not have an adequate structured plan for implementing patient-centred care. The purpose of this paper is to assess the perceptions of European hospital management with respect to factors affecting the implementation of a patient-centred approach. In total, 15 semi-structured interviews were conducted with hospital managers (n=10), expert country informants (n=2), patient organisations (n=2) and a user representative (n=1) from around Europe. Participants were purposively and snowball sampled. Interviews were analysed using framework analysis. Most participants felt that current levels of patient-centred care are inadequate, but accounted that there were a number of macro, meso and micro challenges they faced in implementing this approach. These included budget constraints, political and historical factors, the resistance of clinicians and other frontline staff. Organisational culture emerged as a central theme, shaped by these multi-level factors and influencing the way in which patient-centred care was borne out in the hospital. Participants proposed that the needs of patients might be better met through increasing advocacy by patient organisations and greater staff contact with patients. This study is the first of its kind to obtain management views from around Europe. It offers an insight into different models of how patient-centred care is realised by management. It indicates that managers see the value of a patient-centred approach but that they feel restricted by a number of factors at multiple levels.

Influence of induced colour centres on the frequency - angular spectrum of a light bullet of mid-IR radiation in lithium fluoride

NASA Astrophysics Data System (ADS)

Chekalin, S. V.; Kompanets, V. O.; Dormidonov, A. E.; Kandidov, V. P.

2017-04-01

The influence of the occurrence of a structure consisting of long-lived colour centres, formed in an LiF crystal upon filamentation of femtosecond mid-IR radiation, on the supercontinuum characteristics is investigated. With an increase in the number of incident pulses, the length and transverse size of the structure of colour centres induced in LiF increase, and the supercontinuum spectrum in the short-wavelength region is markedly transformed due to the occurrence of the waveguide propagation regime, absorption, and scattering of radiation from the newly formed structure of colour centres. Under these conditions, the intensity of the anti-Stokes wing decreases by two orders of magnitude after several tens of pulses. Spectral components arise in the visible range, the angular divergence of which increases with increasing wavelength.

Regional differences in echocardiography provision in New Zealand--results from the 2013 SCANZ Workforce Survey.

PubMed

Buckley, Belinda A; Poppe, Katrina; Farnworth, Mark J; Whalley, Gillian

2015-01-30

Abstract Healthcare may be unevenly distributed based on geographic location. This study aimed to identify whether regional differences in echocardiography provision exist and, if so, to explore key causes. In March 2013, 18 public hospitals with a sonographer-led echocardiography service were surveyed, all of which provided data. Questions related to characteristics of the sonographer workforce, echocardiogram volumes and workflows. Information on District Health Board (DHB) population was obtained from public access websites. Multivariable linear regression was performed using the following variables: ethnicity, age, socioeconomic status, type of centre, sonographer full-time equivalent (FTE) and number/proportion of trainees to determine their potential contribution to echocardiogram volume. 1748 echocardiograms were performed per 100,000 population (mean) with significant differences seen amongst DHBs but not between tertiary surgical and regional centres (surgical median 1802, regional median 1658, p=0.18). Regional disparity in the population-based cardiac sonographer workforce size was observed and the number of scans performed per sonographer was higher in larger centres. In multivariable modelling, the DHB population-based scan volume was predicted by: socioeconomic status (top two quintiles of deprivation status increased scans by 75 per 100,000 population, p=0.02) and age (age 20 to 65 years increased scans by 131 per 100,000 population, p=0.06). Regional differences in echocardiography services in New Zealand exist as evidenced by marked regional disparity in both population-based echo volumes and cardiac sonographer workforce size.

Promotion in Call Centres: Opportunities and Determinants

ERIC Educational Resources Information Center

Gorjup, Maria Tatiana; Valverde, Mireia; Ryan, Gerard

2008-01-01

Purpose: The purpose of this paper is to examine the quality of jobs in call centres by focusing on the opportunities for promotion in this sector. More specifically, the research questions focus on discovering whether promotion is common practise in the call centre sector and on identifying the factors that affect this.…

Triangles with Given Distances from a Centre

ERIC Educational Resources Information Center

Maloo, Alok K.; Lal, Arbind K.; Singh, Arindama

2002-01-01

There are four Euclidean centres of a triangle--the circumcentre, the centroid, the incentre and the orthocentre. In this article, the authors prove the following: if the centre is the incentre (resp. orthocentre) then there exists a triangle with given distances of its vertices from its incentre (resp. orthocentre). They also consider uniqueness…

Tropical Cyclone Genesis: A Dynamician's Point of View

NASA Astrophysics Data System (ADS)

Bouali, Safieddine; Leys, Jos

The paper focuses the route to the maturity of a cyclone as a twist process of the Hadley cell. The approach is qualified by a "dynamician's viewpoint" since the aerologic mechanism of the cyclone genesis is replicated without the classical tools of the meteorological fluid framework. Indeed, we introduce a pure dynamical model of a 2D vertical rotor of an airparcel to emulate the Hadley cell. Twisted by an appropriate feedback to inject geophysical forcing, the simulation displays two stretched solenoid rolls with clockwise and anticlockwise paths representing the Hadley belts wrapping the Earth. When the forcing parameter is higher, computations simulate overlapped whirlwind funnels revealing strong similarities with the structure of cyclones, hurricanes, and typhoons described in the atmospheric science literature. We conjecture that ocean-atmosphere interactions separate and convert a "slice" of the Hadley rotor into a fully tropical cyclone.

Is a family-centred initiative a family-centred service? A case of a Conductive Education setting for children with cerebral palsy.

PubMed

Schenker, R; Parush, S; Rosenbaum, P; Rigbi, A; Yochman, A

2016-11-01

From the moment a child is diagnosed as having cerebral palsy, families have to cope on a daily basis with the multifaceted challenges of life-long disability management. Family-centred service is embraced as a 'best practice' model because of accumulating evidence supporting its positive influence on parents and children's outcomes. Nevertheless, research comparing parent and provider perspectives on family-centred practices of educational service providers in education settings is scarce. The aims of this study were to compare the extent to which parents and conductors experience the service delivery in Tsad Kadima, the Association for Conductive Education in Israel, as being family-centred, as well as comparing parents' perception of different educational settings as being family-centred. Measurements of family-centeredness, the Israeli Measure of Processes of Care for families (MPOC-20) and for service providers (MPOC-SP), were administrated to 38 teacher conductors and 83 families of children with cerebral palsy (aged 1-14), from different conductive educational settings. Parents and conductors perceive Conductive Education service as being highly family centred in most domains, rating respectful and supportive care the highest and providing general information the lowest, thus indicating an area where improvements should be made. Parents perceived the service they receive to be more family-centred than conductor's perception about their own activities. In addition, educational setting (day care, pre-school and school) was found to be associated with parent's scores. The current study, which is the first to examine family-centred service provision in a conductive special education setting, from the perspectives of both parents and conductors, provides significant evidence for high-quality services in these settings. © 2016 John Wiley & Sons Ltd.

Languages Education in the Asia-Pacific Region: A Response to the 2011 Research Centre for Languages and Cultures RCLC Symposium

ERIC Educational Resources Information Center

Morgan, Anne-Marie

2011-01-01

The Research Centre for Languages and Cultures (RCLC) at the University of South Australia hosts an annual symposium on current issues related to languages and language education. The hallmark of the RCLC symposia is that they intend to raise critical, current issues in the languages field for wider debate, include presenting cutting edge research…

Skin diseases among elderly patients attending skin clinic at the Regional Dermatology Training Centre, Northern Tanzania: a cross-sectional study.

PubMed

Mponda, Kelvin; Masenga, John

2016-02-22

As global population of the elderly continues to rise, a critical need to provide it with health services, including dermatology, will be significant, especially in developing countries like Tanzania. To adequately meet their dermatologic needs, knowledge of local patterns of skin conditions is vital. This study was aimed to describe the spectrum of skin diseases among elderly patients attending skin clinic at the Regional Dermatology Training Centre (RDTC) in Northern Tanzania. A descriptive hospital based cross-sectional study was conducted between January 2013 and April 2013 at RDTC and included all patients aged 55 years and above who consented to be examined. Diagnoses were clinical, diagnostic tests being done only when necessary. Ethical clearance to conduct the study was granted. A total of 142 patients, age ranges 55-99 years, median age of 67.5 years were seen. Eczemas were the leading disease group (43.7%), with unclassified eczemas (33.9%) predominating. Papulosquamous disorders (15.4%) were second with psoriasis (50%) being the leading disease. Infections (11.3% with fungal infections the leading group representing 5.6% of all diseases), tumours (9.8%: Kaposi's sarcoma 4.2%), vascular disorders 9.1% (lymphedema 4.9%), autoimmune disorders 7.7% (connective tissue diseases 4.9%), vitiligo 4.2%, nutritional diseases 2.1% (pellagra 0.7%), urticaria 0.7% and drug reactions 0.7%. Eczemas are the most common group of disorders among elderly patients presenting at RDTC.

Is "Object-Centred Neglect" a Homogeneous Entity?

ERIC Educational Resources Information Center

Gainotti, Guido; Ciaraffa, Francesca

2013-01-01

The nature of object-centred (allocentric) neglect and the possibility of dissociating it from egocentric (subject-centred) forms of neglect are controversial. Originally, allocentric neglect was described by and in patients who reproduced all the elements of a multi-object scene, but left unfinished the left side of one or more of them. More…

UV LED lighting for automated crystal centring

PubMed Central

Chavas, Leonard M. G.; Yamada, Yusuke; Hiraki, Masahiko; Igarashi, Noriyuki; Matsugaki, Naohiro; Wakatsuki, Soichi

2011-01-01

A direct outcome of the exponential growth of macromolecular crystallography is the continuously increasing demand for synchrotron beam time, both from academic and industrial users. As more and more projects entail screening a profusion of sample crystals, fully automated procedures at every level of the experiments are being implemented at all synchrotron facilities. One of the major obstacles to achieving such automation lies in the sample recognition and centring in the X-ray beam. The capacity of UV light to specifically react with aromatic residues present in proteins or with DNA base pairs is at the basis of UV-assisted crystal centring. Although very efficient, a well known side effect of illuminating biological samples with strong UV sources is the damage induced on the irradiated samples. In the present study the effectiveness of a softer UV light for crystal centring by taking advantage of low-power light-emitting diode (LED) sources has been investigated. The use of UV LEDs represents a low-cost solution for crystal centring with high specificity. PMID:21169682

Automatic centring and bonding of lenses

NASA Astrophysics Data System (ADS)

Krey, Stefan; Heinisch, J.; Dumitrescu, E.

2007-05-01

We present an automatic bonding station which is able to center and bond individual lenses or doublets to a barrel with sub micron centring accuracy. The complete manufacturing cycle includes the glue dispensing and UV curing. During the process the state of centring is continuously controlled by the vision software, and the final result is recorded to a file for process statistics. Simple pass or fail results are displayed to the operator at the end of the process.

Distance to invasive heart centre, performance of acute coronary angiography, and angioplasty and associated outcome in out-of-hospital cardiac arrest: a nationwide study.

PubMed

Tranberg, Tinne; Lippert, Freddy K; Christensen, Erika F; Stengaard, Carsten; Hjort, Jakob; Lassen, Jens Flensted; Petersen, Frants; Jensen, Jan Skov; Bäck, Caroline; Jensen, Lisette Okkels; Ravkilde, Jan; Bøtker, Hans Erik; Terkelsen, Christian Juhl

2017-06-01

To evaluate whether the distance from the site of event to an invasive heart centre, acute coronary angiography (CAG)/percutaneous coronary intervention (PCI) and hospital-level of care (invasive heart centre vs. local hospital) is associated with survival in out-of-hospital cardiac arrest (OHCA) patients. Nationwide historical follow-up study of 41 186 unselected OHCA patients, in whom resuscitation was attempted between 2001 and 2013, identified through the Danish Cardiac Arrest Registry. We observed an increase in the proportion of patients receiving bystander CPR (18% in 2001, 60% in 2013, P < 0.001), achieving return of spontaneous circulation (ROSC) (10% in 2001, 29% in 2013, P < 0.001) and being admitted directly to an invasive centre (26% in 2001, 45% in 2013, P < 0.001). Simultaneously, 30-day survival rose from 5% in 2001 to 12% in 2013, P < 0.001. Among patients achieving ROSC, a larger proportion underwent acute CAG/PCI (5% in 2001, 27% in 2013, P < 0.001). The proportion of patients undergoing acute CAG/PCI annually in each region was defined as the CAG/PCI index. The following variables were associated with lower mortality in multivariable analyses: direct admission to invasive heart centre (HR 0.91, 95% CI: 0.89-0.93), CAG/PCI index (HR 0.33, 95% CI: 0.25-0.45), population density above 2000 per square kilometre (HR 0.94, 95% CI: 0.89-0.98), bystander CPR (HR 0.97, 95% CI: 0.95-0.99) and witnessed OHCA (HR 0.87, 95% CI: 0.85-0.89), whereas distance to the nearest invasive centre was not associated with survival. Admission to an invasive heart centre and regional performance of acute CAG/PCI were associated with improved survival in OHCA patients, whereas distance to the invasive centre was not. These results support a centralized strategy for immediate post-resuscitation care in OHCA patients. © The Author 2017. Published on behalf of the European Society of Cardiology.

Characteristics of clients to a suicide prevention centre--an epidemiological analysis of the users over a 10-year period.

PubMed

Qin, Ping; Madsen, Bente Hjorth; Mortensen, Preben Bo

2009-06-01

Suicide prevention centres play an important role on suicide prevention in communities. A better understanding of clients to these centres is essential and informative to suicide prevention. This study aimed to document the referral pattern of clients to a suicide prevention centre over a 10-year period and to capture their characteristics. All suicidal clients during 1996 to 2005 were included and compared with the regional population. Data were retrieved from longitudinal registers. There were in total 4274 contacts from 3505 individuals because of suicide attempt (38%) or suicide ideation (62%). Source of referral included self-initiation or family (25.4%), psychiatric hospitals (23.5%), general practitioners (21.7%), and somatic hospitals (15.1%). The clients were more likely females and persons at young ages. Compared with regional sex-age-matched counterparts, suicidal clients significantly more often had a history of psychiatric contact, were born by young parents, had no recorded link to a mother or father, had lost a parent, and had a parental psychiatric history. Also, they were often frequent movers and residents with a foreign citizenship. This study provided insights about the referral pattern of suicidal clients as well as client characteristics on selected variables at the birth and during upbringing, which may be informative to suicide intervention targeting at this group of population.

Centre vortex removal restores chiral symmetry

NASA Astrophysics Data System (ADS)

Trewartha, Daniel; Kamleh, Waseem; Leinweber, Derek B.

2017-12-01

The influence of centre vortices on dynamical chiral symmetry breaking is investigated through the light hadron spectrum on the lattice. Recent studies of the quark propagator and other quantities have provided evidence that centre vortices are the fundamental objects underpinning dynamical chiral symmetry breaking in {SU}(3) gauge theory. For the first time, we use the chiral overlap fermion action to study the low-lying hadron spectrum on lattice ensembles consisting of Monte Carlo, vortex-removed, and vortex-projected gauge fields. We find that gauge field configurations consisting solely of smoothed centre vortices are capable of reproducing all the salient features of the hadron spectrum, including dynamical chiral symmetry breaking. The hadron spectrum on vortex-removed fields shows clear signals of chiral symmetry restoration at light values of the bare quark mass, while at heavy masses the spectrum is consistent with a theory of weakly interacting constituent quarks.

Comparing the influence of sunspot activity and geomagnetic activity on winter surface climate

NASA Astrophysics Data System (ADS)

Maliniemi, Ville; Mursula, Kalevi; Roy, Indrani; Asikainen, Timo

2017-04-01

We compare here the effect of geomagnetic activity (using the aa index) and sunspot activity on surface climate using sea level pressure dataset from Hadley centre during northern winter. Previous studies using the multiple linear regression method have been limited to using sunspots as a solar activity predictor. Sunspots and total solar irradiance indicate a robust positive influence around the Aleutian Low. This is valid up to a lag of one year. However, geomagnetic activity yields a positive NAM pattern at high to polar latitudes and a positive signal around Azores High pressure region. Interestingly, while there is a positive signal around Azores High for a 2-year lag in sunspots, the strongest signal in this region is found for aa index at 1-year lag. There is also a weak but significant negative signature present around central Pacific for both sunspots and aa index. The combined influence of geomagnetic activity and Quasi Biannual Oscillation (QBO 30 hPa) produces a particularly strong response at mid to polar latitudes, much stronger than the combined influence of sunspots and QBO, which was mostly studied in previous studies so far. This signal is robust and insensitive to the selected time period during the last century. Our results provide a useful way for improving the prediction of winter weather at middle to high latitudes of the northern hemisphere.

Assessment of ART centres in India: client perspectives.

PubMed

Sogarwal, Ruchi; Bachani, Damodar

2009-05-01

Drug adherence and quality of antiretroviral therapy (ART) services are the keys for the successful ART programme. Hence, an attempt has been made to assess ART centres in India from client perspectives that are receiving services from the centres. Data were gathered through exit interviews with 1366 clients from 27 ART centres that were selected on the basis of drug adherence and client load. Analyses revealed that more than 80 per cent of the clients reported overall satisfaction with the services availed from the centre and 60 per cent reported that the quality of life has improved to a great extent after getting ART. Most of the clients strongly demanded to open ART centre in each district for better access as that will increase drug adherence and eventually control the HIV progression. It has been found that as many as 14% of respondents, ever been on ART, reported non-adherence and 70% of them cited distance and economic factors as the reasons for non-adherence. Study concludes that while majority of the clients were satisfied with ART services, shortage of staff, high level of non-drug adherence, long distances and poor referring system are the weak areas requiring attention.

Regional cities in Australia's changing urban system.

PubMed

Beer, A

1995-01-01

"There is evidence that Australia's urban system is changing. Since the mid-1970s there has been growth in the number and total population of regional cities. It is argued that this growth is a product of restructuring and the de-regulation of the Australian economy. Regional cities have become more prominent in the national economy as centres for manufacturing, as a consequence of the growth of tourism and recreation industries, through the decline in some areas of smaller urban settlements and as a result of new mining developments." excerpt

Trauma patient discharge and care transition experiences: Identifying opportunities for quality improvement in trauma centres.

PubMed

Gotlib Conn, Lesley; Zwaiman, Ashley; DasGupta, Tracey; Hales, Brigette; Watamaniuk, Aaron; Nathens, Avery B

2018-01-01

Challenges delivering quality care are especially salient during hospital discharge and care transitions. Severely injured patients discharged from a trauma centre will go either home, to rehabilitation or another acute care hospital with complex management needs. This purpose of this study was to explore the experiences of trauma patients and families treated in a regional academic trauma centre to better understand and improve their discharge and care transition experiences. A qualitative study using inductive thematic analysis was conducted between March and October 2016. Telephone interviews were conducted with trauma patients and/or a family member after discharge from the trauma centre. Data collection and analysis were completed inductively and iteratively consistent with a qualitative approach. Twenty-four interviews included 19 patients and 7 family members. Participants' experiences drew attention to discharge and transfer processes that either (1) Fostered quality discharge or (2) Impeded quality discharge. Fostering quality discharge was ward staff preparation efforts; establishing effective care continuity; and, adequate emotional support. Impeding discharge quality was perceived pressure to leave the hospital; imposed transfer decisions; and, sub-optimal communication and coordination around discharge. Patient-provider communication was viewed to be driven by system, rather than patient need. Inter-facility information gaps raised concern about receiving facilities' ability to care for injured patients. The quality of trauma patient discharge and transition experiences is undermined by system- and ward-level processes that compete, rather than align, in producing high quality patient-centred discharge. Local improvement solutions focused on modifiable factors within the trauma centre include patient-oriented discharge education and patient navigation; however, these approaches alone may be insufficient to enhance patient experiences. Trauma patients

A Generic Ground Framework for Image Expertise Centres and Small-Sized Production Centres

NASA Astrophysics Data System (ADS)

Sellé, A.

2009-05-01

Initiated by the Pleiadas Earth Observation Program, the CNES (French Space Agency) has developed a generic collaborative framework for its image quality centre, highly customisable for any upcoming expertise centre. This collaborative framework has been design to be used by a group of experts or scientists that want to share data and processings and manage interfaces with external entities. Its flexible and scalable architecture complies with the core requirements: defining a user data model with no impact on the software (generic access data), integrating user processings with a GUI builder and built-in APIs, and offering a scalable architecture to fit any preformance requirement and accompany growing projects. The CNES jas given licensing grants for two software companies that will be able to redistribute this framework to any customer.

Psychiatric rehabilitation in community-based day centres: motivation and satisfaction.

PubMed

Eklund, Mona; Tjörnstrand, Carina

2013-11-01

This study investigated attendees' motivation and motives for participation in day centres and their satisfaction with the rehabilitation, while also addressing the influence of day centre orientation (work- or meeting-place orientation), gender and age. Ninety-three Swedish day centre attendees participated in a cross-sectional study and completed questionnaires about motivation, motives, and satisfaction with the rehabilitation. Data were analysed with non-parametric statistics. The participants were highly motivated for going to the day centre and set clear goals for their rehabilitation. Female gender, but not age, was associated with stronger motivation. The strongest motives for going to the day centre were getting structure to the day and socializing. Attendees at work-oriented day centres more often expressed that they went there to get structure to the day and gain social status. Satisfaction with the rehabilitation was high, and the most common wishes for further opportunities concerned earning money and learning new things. The rehabilitation largely seemed to meet the attendees' needs, but the findings indicated that further developments were desired, such as participation in work on the open market and more work-like occupations in the day centre, accompanied by some kind of remuneration.

A SDMS Model: Early Warning Coordination Centres

NASA Astrophysics Data System (ADS)

Santos-Reyes, Jaime

2010-05-01

Following the tsunami disaster in 2004, the General Secretary of the United Nations (UN) Kofi Annan called for a global early warning system for all hazards and for all communities. He also requested the ISDR (International Strategy fort Disaster Reduction) and its UN partners to conduct a global survey of capacities, gaps and opportunities in relation to early warning systems. The produced report, "Global survey of Early Warning Systems", concluded that there are many gaps and shortcomings and that much progress has been made on early warning systems and great capabilities are available around the world. However, it may be argued that an early warning system (EWS) may not be enough to prevent fatalities due to a natural hazard; i.e., it should be seen as part of a ‘wider' or total system. Furthermore, an EWS may work very well when assessed individually but it is not clear whether it will contribute to accomplish the purpose of the ‘total disaster management system'; i.e., to prevent fatalities. For instance, a regional EWS may only work if it is well co-ordinated with the local warning and emergency response systems that ensure that the warning is received, communicated and acted upon by the potentially affected communities. It may be argued that without these local measures being in place, a regional EWS will have little impact in saving lives. Researchers argued that unless people are warned in remote areas, the technology is useless; for instance McGuire [5] argues that: "I have no doubt that the technical element of the warning system will work very well,"…"But there has to be an effective and efficient communications cascade from the warning centre to the fisherman on the beach and his family and the bar owners." Similarly, McFadden [6] states that: "There's no point in spending all the money on a fancy monitoring and a fancy analysis system unless we can make sure the infrastructure for the broadcast system is there,"… "That's going to require a lot

HIV/AIDS clients, privacy and confidentiality; the case of two health centres in the Ashanti Region of Ghana.

PubMed

Dapaah, Jonathan Mensah; Senah, Kodjo A

2016-07-16

While most studies on HIV/AIDS often identify stigmatization and patients' unwillingness to access health care as critical problems in the control of the pandemic, very few studies have focused on the possible consequences of accessing health care by sero-positives. This paper examines the socio-psychological trauma patients experience in their desire to access health care in two health facilities in the Ashanti Region of Ghana. Through participant observation, informal conversation and in-depth interviews, data were collected from health workers and clients of the voluntary counselling (VCT) and antiretroviral therapy units in the two hospitals. The data gathered were analysed and categorized into themes and supported with illustrative quotes obtained from health workers and clients. The study found that the mere presence of a person at the HIV counselling centre or clinic is enough for the person to be labelled as or suspected to be HIV patient. It demonstrates that stigmatization may occur not only in the community but also overtly or covertly, in the health facility itself. Consequently, for many HIV/AIDS patients, access to antiretroviral therapy and treatment of related nosocomial infections are problematic. Besides, the study found that many clients and potential users of services were uncomfortable with the quality of care given by some health workers, especially as they overtly and covertly breached confidentiality about their clients' health status. This has compelled many patients and potential users of the services to adopt a modus vivendi that provides them access to some care services while protecting their identity. The paper argues that by examining issues relating to privacy and confidentiality in the provision of care for and use of services by seropositives, more light will be shed on the whys of the limited uptake of HIV-related health care services in Ghana.

Projected SST trends across the Caribbean Sea based on PRECIS downscaling of ECHAM4, under the SRES A2 and B2 scenarios

NASA Astrophysics Data System (ADS)

Nurse, Leonard A.; Charlery, John L.

2016-01-01

The Caribbean Sea and adjacent land areas are highly sensitive to the projected impacts of global climate change. The countries bordering the Caribbean Sea depend heavily on coastal and marine assets as a major source of livelihood support. Rising sea surface temperatures (SSTs) are known to be associated with coral bleaching, ocean acidification, and other phenomena that threaten livelihoods in the region. The paucity of SST systematic observations in both the Caribbean Sea and adjoining Western Atlantic waters is a limiting factor in the projection of future climate change impacts on the region's marine resources. Remote sensing of SST by satellites began only within the last three decades and although the data collected so far might be insufficient to provide conclusive definitions of long-term SST variations in the Caribbean waters, these data along with the output from climate model simulations provide a useful basis for gaining further insights into plausible SST futures under IPCC SRES scenarios. In this paper, we examine the recent SST records from the NESDIS AVHRR satellite data and NOAA Optimum Interpolation (OI) sea surface temperature V2 and provide a comparative analysis of projected SST changes for the Caribbean Sea up to the end of the twenty-first century, under the SRES A2 and B2 scenarios' simulations of the sea surface skin temperatures (SSsT) using the Hadley Centre's regional model, PRECIS. The implications of these projected SST changes for bleaching of coral reefs, one of the region's most valuable marine resource, and for rainfall are also discussed.

White-centred retinal haemorrhages (Roth spots).

PubMed

Ling, R; James, B

1998-10-01

Roth spots (white-centred retinal haemorrhages) were classically described as septic emboli lodged in the retina of patients with subacute bacterial endocarditis. Indeed many have considered Roth spots pathognomonic for this condition. More recent histological evidence suggests, however, that they are not foci of bacterial abscess. Instead, they are nonspecific and may be found in many other diseases. A review of the histology and the pathogenesis of these white-centred haemorrhages will be provided, along with the work-up of the differential diagnosis.

Family-centred care delivery

PubMed Central

Mayo-Bruinsma, Liesha; Hogg, William; Taljaard, Monica; Dahrouge, Simone

2013-01-01

Abstract Objective To determine whether models of primary care service delivery differ in their provision of family-centred care (FCC) and to identify practice characteristics associated with FCC. Design Cross-sectional study. Setting Primary care practices in Ontario (ie, 35 salaried community health centres, 35 fee-for-service practices, 32 capitation-based health service organizations, and 35 blended remuneration family health networks) that belong to 4 models of primary care service delivery. Participants A total of 137 practices, 363 providers, and 5144 patients. Main outcome measures Measures of FCC in patient and provider surveys were based on the Primary Care Assessment Tool. Statistical analyses were conducted using linear mixed regression models and generalized estimating equations. Results Patient-reported FCC scores were high and did not vary significantly by primary care model. Larger panel size in a practice was associated with lower odds of patients reporting FCC. Provider-reported FCC scores were significantly higher in community health centres than in family health networks (P = .035). A larger number of nurse practitioners and clinical services on-site were both associated with higher FCC scores, while scores decreased as the number of family physicians in a practice increased and if practices were more rural. Conclusion Based on provider and patient reports, primary care reform strategies that encourage larger practices and more patients per family physician might compromise the provision of FCC, while strategies that encourage multidisciplinary practices and a range of services might increase FCC. PMID:24235195

Delineation of Areas Contributing Water to the Dry Brook Public-Supply Well, South Hadley, Massachusetts

USGS Publications Warehouse

Garabedian, Stephen P.; Stone, Janet Radway

2004-01-01

Areas contributing water to the Dry Brook public-supply well in South Hadley, Massachusetts, were delineated with a numerical ground-water-flow model that is based on geologic and hydrologic information for the confined sand and gravel aquifer pumped by the supply well. The study area is along the Connecticut River in central Massachusetts, about 12 miles north of Springfield, Massachusetts. Geologic units in the study area consist of Mesozoic-aged sedimentary and igneous bedrock, late-Pleistocene glaciolacustrine sediments, and recent alluvial deposits of the Connecticut River flood plain. Dry Brook Hill, immediately south of the supply well, is a large subaqueous lacustrine fan and delta formed during the last glacial retreat by sediment deposition into glacial Lake Hitchcock from a meltwater tunnel that was likely near where the Connecticut River cuts through the Holyoke Range. The sediments that compose the aquifer grade from very coarse sand and gravel along the northern flank of the hill, to medium sands in the body of the hill, and to finer-grained sediments along the southern flank of the hill. The interbedded and overlapping fine-grained lacustrine sediments associated with Dry Brook Hill include varved silt and clay deposits. These fine-grained sediments form a confining bed above the coarse-grained aquifer at the supply well and partially extend under the Connecticut River adjacent to the supply well. Ground-water flow in the aquifer supplying water to Dry Brook well was simulated with the U.S. Geological Survey ground-water-flow modeling code MODFLOW. The Dry Brook aquifer model was calibrated to drawdown data collected from 8 observation wells during an aquifer test conducted by pumping the supply well for 10 days at a rate of 122.2 cubic feet per minute (ft3/min; 914 gallons per minute) and to water levels collected from observation wells across the study area. Generally, the largest hydraulic conductivity values used in the model were in the sand and

Centre vortex removal restores chiral symmetry

DOE PAGES

Trewartha, Daniel; Kamleh, Waseem; Leinweber, Derek B.

2017-11-15

The influence of centre vortices on dynamical chiral symmetry breaking is investigated through the light hadron spectrum on the lattice. Recent studies of the quark propagator and other quantities have provided evidence that centre vortices are the fundamental objects underpinning dynamical chiral symmetry breaking in SU(3) gauge theory. For the first time, we use the chiral overlap fermion action to study the low-lying hadron spectrum on lattice ensembles consisting of Monte Carlo, vortex-removed, and vortex-projected gauge fields. We find that gauge field configurations consisting solely of smoothed centre vortices are capable of reproducing all the salient features of the hadronmore » spectrum, including dynamical chiral symmetry breaking. In conclusion, the hadron spectrum on vortex-removed fields shows clear signals of chiral symmetry restoration at light values of the bare quark mass, while at heavy masses the spectrum is consistent with a theory of weakly-interacting constituent quarks.« less

A dynamical model for the formation of gas rings and episodic starbursts near galactic centres

NASA Astrophysics Data System (ADS)

Krumholz, Mark R.; Kruijssen, J. M. Diederik

2015-10-01

We develop a simple dynamical model for the evolution of gas in the centres of barred spiral galaxies, using the Milky Way's Central Molecular Zone (CMZ, i.e. the central few hundred pc) as a case study. We show that, in the presence of a galactic bar, gas in a disc in the central regions of a galaxy will be driven inwards by angular momentum transport induced by acoustic instabilities within the bar's inner Lindblad resonance. This transport process drives turbulence within the gas that temporarily keeps it strongly gravitationally stable and prevents the onset of rapid star formation. However, at some point the rotation curve must transition from approximately flat to approximately solid body, and the resulting reduction in shear reduces the transport rates and causes gas to build up, eventually producing a gravitationally unstable region that is subject to rapid and violent star formation. For the observed rotation curve of the Milky Way, the accumulation happens ˜100 pc from the centre of the Galaxy, in good agreement with the observed location of gas clouds and young star clusters in the CMZ. The characteristic time-scale for gas accumulation and star formation is of the order of 10-20 Myr. We argue that similar phenomena should be ubiquitous in other barred spiral galaxies.

GANP regulates recruitment of AID to immunoglobulin variable regions by modulating transcription and nucleosome occupancy

PubMed Central

Singh, Shailendra Kumar; Maeda, Kazuhiko; Eid, Mohammed Mansour Abbas; Almofty, Sarah Ameen; Ono, Masaya; Pham, Phuong; Goodman, Myron F.; Sakaguchi, Nobuo

2013-01-01

Somatic hypermutation in B cells is initiated by activation-induced cytidine deaminase-catalyzed C→U deamination at immunoglobulin variable regions. Here we investigate the role of the germinal centre-associated nuclear protein (GANP) in enhancing the access of activation-induced cytidine deaminase (AID) to immunoglobulin variable regions. We show that the nuclear export factor GANP is involved in chromatin modification at rearranged immunoglobulin variable loci, and its activity requires a histone acetyltransferase domain. GANP interacts with the transcription stalling protein Spt5 and facilitates RNA Pol-II recruitment to immunoglobulin variable regions. Germinal centre B cells from ganp-transgenic mice showed a higher AID occupancy at the immunoglobulin variable region, whereas B cells from conditional ganp-knockout mice exhibit a lower AID accessibility. These findings suggest that GANP-mediated chromatin modification promotes transcription complex recruitment and positioning at immunoglobulin variable loci to favour AID targeting. PMID:23652018

Cold chain status at immunisation centres in Ethiopia.

PubMed

Berhane, Y; Demissie, M

2000-09-01

Child immunisation is among the most cost-effective ways of preventing premature child deaths, and the potency of vaccines, crucial for vaccine efficacy, is dependent on effective management of the cold chain at all levels of vaccine handling. To assess the status of the cold chain at peripheral vaccine stores in Ethiopia. Institution based cross-sectional survey in two rural and one urban administrative areas were included in the study. Sixty seven health institutions providing static vaccination services were included in the study but cold chain system was assessed fully in only sixty four. Data were collected by interviewing health workers and by directly observing the cold chain equipment and records using structured forms. Conditions of the cold chain system were described based on 64 of the 67 centres visited, three were excluded because of non-functioning cold chain. Complete temperature record was observed in 37 (57.8%) of the centres. Thermometer was not available in four (6.3%) and thermometer reading was found to be outside the optimal range in another seven (10.9%) centres. Vaccine storage in the refrigerator was not proper in 47 (73.4%) centres. Majority of the centres had neither trained personnel nor budget for maintenance of the cold chain. There is a real danger of vaccines losing their potency at these centres even if they were potent on arrival. Relevant training for those handling the cold chain, improving the maintenance conditions of refrigerators and introduction of cold chain monitoring devises are recommended.

The Role of Science Centres and Planetariums

NASA Astrophysics Data System (ADS)

Lomb, Nick

Science centres planetariums and similar places such as visitor centres and public observatories have an essential role to play in school education. Even in states where astronomy is in the curriculum teachers often have a limited knowledge of the subject. Consequently they are happy to bring their students to a place where they can be instructed by professional astronomy educators. Where astronomy is not on the curriculum the centres provide teachers with the opportunity of using the appeal of astronomy to excite students about science. In this paper we will look at a number of examples of what science centres and planetariums provide to school students. Sydney Observatory is open for school visits throughout each school term. Visits are highly structured making use of all the facilities of the observatory in informing the students and exciting them about astronomy. Facilities available include a new interactive 3-D theatre a very small planetarium modern and historic telescopes an exhibition and a lecture room. A planetarium is an invaluable resource for teaching and stimulating the interest of students. Australian planetariums include ones in Melbourne Canberra and Launceston. Some of their experiences in reaching school audiences will be discussed.

Regionally acquired intestinal failure data suggest an underestimate in national service requirements.

PubMed

Barclay, A R; Paxton, C E; Gillett, P; Hoole, D; Livingstone, J; Young, D; Menon, G; Munro, F; Wilson, D C

2009-12-01

OBJECTIVES, SETTING AND PATIENTS: With complete case referral for prolonged parenteral nutrition (PN) beyond term equivalent, serving a stable population of 1.25 million people, we describe the long-term outcome and survival of patients referred to an intestinal failure (IF) nutrition support team over the first 8 years of existence at a regional paediatric centre, and extrapolate to potential numbers of national home parenteral nutrition (HPN) cases and intestinal transplantation data. Retrospective analysis detailing patient demographics, interventions, use of HPN, occurrence of intestinal failure-associated liver disease (IFALD), and outcomes of enteral adaptation, survival, and referral for and receipt of organ transplantation. 23 patients were referred over 8 years, 20 being PN dependent within the neonatal period. Diagnoses included short bowel syndrome (SBS) (18), neuromuscular abnormalities (4) and congenital enterocyte disorder (1). 12 696 days of PN were delivered with 314 confirmed episodes of sepsis at a median of 12 episodes per patient. 144 central venous catheters (CVCs) were required at a median of four per patient. IFALD occurred in 17 (73%) patients, with 10 (44%) referred for transplant assessment. Thirteen (56%) children received HPN. Overall mortality was 44%. A significant predictor for survival in the SBS group was residual bowel >40 cm (82% vs 28%, p = 0.049). Survival for IF at 56% was lower than reported from non-UK supra-regional centres, and nationally collected data, possibly reflecting pre-selected referral populations. Data from regional centres with complete ascertainment may be important both when counselling parents and when planning regional and national HPN and IF specialist services.

Using drama to improve person-centred dementia care.

PubMed

Kontos, Pia C; Mitchell, Gail J; Mistry, Bhavnita; Ballon, Bruce

2010-06-01

We implemented a 12-week drama-based educational intervention to introduce to dementia practitioners person-centred care that emphasizes the notion of embodied selfhood (defined as non-verbal self-expression). Person-centred dementia care guidelines emphasize the assessment of individual needs, and where appropriate, the use of non-pharmacological interventions before resorting to pharmacological management. However, dementia care is not consistent with these guidelines suggesting conceptual limitations and reliance on passive knowledge translation strategies. Focus groups and semi-structured interviews with practitioners (n = 24) in two nursing homes in central Canada were undertaken to assess the effectiveness of the drama-based components of the intervention. Our findings suggest that drama was effective as an educational modality, and helped implement the person-centred approach into practice. Significant practice outcomes included: new awareness that residents' body movements and dispositions can convey meaning; seeking biographical information from families; increased time efficiency; and supporting residents' independence. Our findings make an important contribution to person-centred dementia care by broadening the notion of personhood, and by facilitating implementation using drama. As an enhancement of person-centred care, the support of embodied selfhood may significantly improve residents' quality of life, quality of care, and practitioners' care-giving experience. © 2010 Blackwell Publishing Ltd.

Tests for qualitative treatment-by-centre interaction using a 'pushback' procedure.

PubMed

Ciminera, J L; Heyse, J F; Nguyen, H H; Tukey, J W

1993-06-15

In multicentre clinical trials using a common protocol, the centres are usually regarded as being a fixed factor, thus allowing any treatment-by-centre interaction to be omitted from the error term for the effect of treatment. However, we feel it necessary to use the treatment-by-centre interaction as the error term if there is substantial evidence that the interaction with centres is qualitative instead of quantitative. To make allowance for the estimated uncertainties of the centre means, we propose choosing a reference value (for example, the median of the ordered array of centre means) and converting the individual centre results into standardized deviations from the reference value. The deviations are then reordered, and the results 'pushed back' by amounts appropriate for the corresponding order statistics in a sample from the relevant distribution. The pushed-back standardized deviations are then restored to the original scale. The appearance of opposite signs among the destandardized values for the various centres is then taken as 'substantial evidence' of qualitative interaction. Procedures are presented using, in any combination: (i) Gaussian, or Student's t-distribution; (ii) order-statistic medians or outward 90 per cent points of the corresponding order statistic distributions; (iii) pooling or grouping and pooling the internally estimated standard deviations of the centre means. The use of the least conservative combination--Student's t, outward 90 per cent points, grouping and pooling--is recommended.

The oral food desensitization in the Italian allergy centres.

PubMed

Meglio, P; Caminiti, L; Pajno, G B; Dello Iacono, I; Tripodi, S; Verga, M C; Martelli, A

2015-05-01

Attempts aimed at inducing food tolerance through oral food desensitization (OFD) for the treatment of IgE-mediated food allergies are increasing. In Italy, a number of allergy centres offer this procedure. To collect information on how these centres are organized, how patients are selected, the methods used to administer OFD and how adverse reactions are managed. A questionnaire was e-mailed to all the Italian allergy centres offering OFD. The survey shows a high degree of variability between centres. A correct diagnosis of food allergy is crucial for selecting patients for OFD. In the Italian allergy centres, oral food challenges are mostly open label (84%), but in 16% of cases they are single-blind (8%) or double-blind (8%). A high proportion of allergy centres (83%) offer OFD to children presenting forms of anaphylaxis triggered by traces--or very low doses--of food allergen. The majority of allergy centres (76%) enroll patients over 3 years of age, with 44% enrolling patients above the age of 5. Not-controlled asthma, unreliability of parents in the management of OFD and/or risk of adverse events, are the main reasons for exclusion from the procedure. Although OFD may sometimes be successful and may be considered a valid alternative to an elimination diet, further randomized controlled trials are needed, in order to clarify some controversial points, such as the characteristics of the child undergoing OFD, and the methods of food preparation and administration. Moreover, further studies should further investigate OFD safety, efficacy and costs.

Optimizing Data Centre Energy and Environmental Costs

NASA Astrophysics Data System (ADS)

Aikema, David Hendrik

Data centres use an estimated 2% of US electrical power which accounts for much of their total cost of ownership. This consumption continues to grow, further straining power grids attempting to integrate more renewable energy. This dissertation focuses on assessing and reducing data centre environmental and financial costs. Emissions of projects undertaken to lower the data centre environmental footprints can be assessed and the emission reduction projects compared using an ISO-14064-2-compliant greenhouse gas reduction protocol outlined herein. I was closely involved with the development of the protocol. Full lifecycle analysis and verifying that projects exceed business-as-usual expectations are addressed, and a test project is described. Consuming power when it is low cost or when renewable energy is available can be used to reduce the financial and environmental costs of computing. Adaptation based on the power price showed 10--50% potential savings in typical cases, and local renewable energy use could be increased by 10--80%. Allowing a fraction of high-priority tasks to proceed unimpeded still allows significant savings. Power grid operators use mechanisms called ancillary services to address variation and system failures, paying organizations to alter power consumption on request. By bidding to offer these services, data centres may be able to lower their energy costs while reducing their environmental impact. If providing contingency reserves which require only infrequent action, savings of up to 12% were seen in simulations. Greater power cost savings are possible for those ceding more control to the power grid operator. Coordinating multiple data centres adds overhead, and altering at which data centre requests are processed based on changes in the financial or environmental costs of power is likely to increase this overhead. Tests of virtual machine migrations showed that in some cases there was no visible increase in power use while in others power use

Assuring optimal trauma care: the role of trauma centre accreditation

PubMed Central

Simons, Richard; Kirkpatrick, Andrew

2002-01-01

Optimal care of the injured patient requires the delivery of appropriate, definitive care shortly after injury. Over the last 30 to 40 years, civilian trauma systems and trauma centres have been developed in the United States based on experience gained in military conflicts, particularly in Korea and Vietnam. A similar process is evolving in Canada. National trauma committees in the US and Canada have defined optimal resources to meet the goal of rapid, appropriate care in trauma centres. They have introduced programs (verification or accreditation) to externally audit trauma centre performance based on these guidelines. It is generally accepted that implementing trauma systems results in decreased preventable death and improved survival after trauma. What is less clear is the degree to which each facet of trauma system development contributes to this improvement. The relative importance of national performance guidelines and trauma centre audit as integral steps toward improved outcomes following injury are reviewed. Current Trauma Association of Canada guidelines for trauma centres are presented and the process of trauma centre accreditation is discussed. PMID:12174987

White-centred retinal haemorrhages (Roth spots).

PubMed Central

Ling, R.; James, B.

1998-01-01

Roth spots (white-centred retinal haemorrhages) were classically described as septic emboli lodged in the retina of patients with subacute bacterial endocarditis. Indeed many have considered Roth spots pathognomonic for this condition. More recent histological evidence suggests, however, that they are not foci of bacterial abscess. Instead, they are nonspecific and may be found in many other diseases. A review of the histology and the pathogenesis of these white-centred haemorrhages will be provided, along with the work-up of the differential diagnosis. Images Figure 1 Figure 2 PMID:10211348

Byurakan Astrophysical Observatory as Cultural Centre

NASA Astrophysics Data System (ADS)

Mickaelian, A. M.; Farmanyan, S. V.

2016-12-01

NAS RA V. Ambartsumian Byurakan Astrophysical Observatory is presented as a cultural centre for Armenia and the Armenian nation in general. Besides being scientific and educational centre, the Observatory is famous for its unique architectural ensemble, rich botanical garden and world of birds, as well as it is one of the most frequently visited sightseeing of Armenia. In recent years, the Observatory has also taken the initiative of the coordination of the Cultural Astronomy in Armenia and in this field, unites the astronomers, historians, archaeologists, ethnographers, culturologists, literary critics, linguists, art historians and other experts.

Design Considerations for an Intensive Autism Treatment Centre

ERIC Educational Resources Information Center

Deochand, Neil; Conway, Alissa A.; Fuqua, R. Wayne

2015-01-01

Individuals with autistic spectrum disorder (ASD) who display severe and challenging behaviour sometimes require centre-based intensive applied behaviour analysis (ABA) therapy to meet their health, safety and educational needs. Unfortunately, despite the need for centre-based treatment, there is a paucity of empirical research on building and…

A Survey on Evaluation Practices in Teaching and Learning Centres

ERIC Educational Resources Information Center

Kolomitro, Klodiana; Anstey, Lauren M.

2017-01-01

There is general consensus that teaching and learning centres have a positive impact on promoting and supporting a culture that values teaching and learning, yet there is limited evidence on how centres evaluate their work. For this purpose, a survey was developed and administered to the directors of 88 Canadian centres; 46 of which completed the…

Six essential roles of health promotion research centres: the Atlantic Canada experience

PubMed Central

Langille, Lynn L.; Crowell, Sandra J.; Lyons, Renée F.

2009-01-01

SUMMARY Over the past 20 years, the federal government and universities across Canada have directed resources towards the development of university-based health promotion research centres. Researchers at health promotion research centres in Canada have produced peer-reviewed papers and policy documents based on their work, but no publications have emerged that focus on the specific roles of the health promotion research centres themselves. The purpose of this paper is to propose a framework, based on an in-depth examination of one centre, to help identify the unique roles of health promotion research centres and to clarify the value they add to promoting health and advancing university goals. Considering the shifting federal discourse on health promotion over time and the vulnerability of social and health sciences to changes in research funding priorities, health promotion research centres in Canada and elsewhere may need to articulate their unique roles and contributions in order to maintain a critical focus on health promotion research. The authors briefly describe the Atlantic Health Promotion Research Centre (AHPRC), propose a framework that illustrates six essential roles of health promotion research centres and describe the policy contexts and challenges of health promotion research centres. The analysis of research and knowledge translation activities over 15 years at AHPRC sheds light on the roles that health promotion research centres play in applied research. The conclusion raises questions regarding the value of university-based research centres and challenges to their sustainability. PMID:19171668

Acceleration of petaelectronvolt protons in the Galactic Centre

NASA Astrophysics Data System (ADS)

HESS Collaboration; Abramowski, A.; Aharonian, F.; Benkhali, F. Ait; Akhperjanian, A. G.; Angüner, E. O.; Backes, M.; Balzer, A.; Becherini, Y.; Tjus, J. Becker; Berge, D.; Bernhard, S.; Bernlöhr, K.; Birsin, E.; Blackwell, R.; Böttcher, M.; Boisson, C.; Bolmont, J.; Bordas, P.; Bregeon, J.; Brun, F.; Brun, P.; Bryan, M.; Bulik, T.; Carr, J.; Casanova, S.; Chakraborty, N.; Chalme-Calvet, R.; Chaves, R. C. G.; Chen, A.; Chrétien, M.; Colafrancesco, S.; Cologna, G.; Conrad, J.; Couturier, C.; Cui, Y.; Davids, I. D.; Degrange, B.; Deil, C.; Dewilt, P.; Djannati-Ataï, A.; Domainko, W.; Donath, A.; Drury, L. O'C.; Dubus, G.; Dutson, K.; Dyks, J.; Dyrda, M.; Edwards, T.; Egberts, K.; Eger, P.; Ernenwein, J.-P.; Espigat, P.; Farnier, C.; Fegan, S.; Feinstein, F.; Fernandes, M. V.; Fernandez, D.; Fiasson, A.; Fontaine, G.; Förster, A.; Füßling, M.; Gabici, S.; Gajdus, M.; Gallant, Y. A.; Garrigoux, T.; Giavitto, G.; Giebels, B.; Glicenstein, J. F.; Gottschall, D.; Goyal, A.; Grondin, M.-H.; Grudzińska, M.; Hadasch, D.; Häffner, S.; Hahn, J.; Hawkes, J.; Heinzelmann, G.; Henri, G.; Hermann, G.; Hervet, O.; Hillert, A.; Hinton, J. A.; Hofmann, W.; Hofverberg, P.; Hoischen, C.; Holler, M.; Horns, D.; Ivascenko, A.; Jacholkowska, A.; Jamrozy, M.; Janiak, M.; Jankowsky, F.; Jung-Richardt, I.; Kastendieck, M. A.; Katarzyński, K.; Katz, U.; Kerszberg, D.; Khélifi, B.; Kieffer, M.; Klepser, S.; Klochkov, D.; Kluźniak, W.; Kolitzus, D.; Komin, Nu.; Kosack, K.; Krakau, S.; Krayzel, F.; Krüger, P. P.; Laffon, H.; Lamanna, G.; Lau, J.; Lefaucheur, J.; Lefranc, V.; Lemiére, A.; Lemoine-Goumard, M.; Lenain, J.-P.; Lohse, T.; Lopatin, A.; Lu, C.-C.; Lui, R.; Marandon, V.; Marcowith, A.; Mariaud, C.; Marx, R.; Maurin, G.; Maxted, N.; Mayer, M.; Meintjes, P. J.; Menzler, U.; Meyer, M.; Mitchell, A. M. W.; Moderski, R.; Mohamed, M.; Morå, K.; Moulin, E.; Murach, T.; de Naurois, M.; Niemiec, J.; Oakes, L.; Odaka, H.; Öttl, S.; Ohm, S.; Opitz, B.; Ostrowski, M.; Oya, I.; Panter, M.; Parsons, R. D.; Arribas, M. Paz; Pekeur, N. W.; Pelletier, G.; Petrucci, P.-O.; Peyaud, B.; Pita, S.; Poon, H.; Prokoph, H.; Pühlhofer, G.; Punch, M.; Quirrenbach, A.; Raab, S.; Reichardt, I.; Reimer, A.; Reimer, O.; Renaud, M.; de Los Reyes, R.; Rieger, F.; Romoli, C.; Rosier-Lees, S.; Rowell, G.; Rudak, B.; Rulten, C. B.; Sahakian, V.; Salek, D.; Sanchez, D. A.; Santangelo, A.; Sasaki, M.; Schlickeiser, R.; Schüssler, F.; Schulz, A.; Schwanke, U.; Schwemmer, S.; Seyffert, A. S.; Simoni, R.; Sol, H.; Spanier, F.; Spengler, G.; Spies, F.; Stawarz, Ł.; Steenkamp, R.; Stegmann, C.; Stinzing, F.; Stycz, K.; Sushch, I.; Tavernet, J.-P.; Tavernier, T.; Taylor, A. M.; Terrier, R.; Tluczykont, M.; Trichard, C.; Tuffs, R.; Valerius, K.; van der Walt, J.; van Eldik, C.; van Soelen, B.; Vasileiadis, G.; Veh, J.; Venter, C.; Viana, A.; Vincent, P.; Vink, J.; Voisin, F.; Völk, H. J.; Vuillaume, T.; Wagner, S. J.; Wagner, P.; Wagner, R. M.; Weidinger, M.; Weitzel, Q.; White, R.; Wierzcholska, A.; Willmann, P.; Wörnlein, A.; Wouters, D.; Yang, R.; Zabalza, V.; Zaborov, D.; Zacharias, M.; Zdziarski, A. A.; Zech, A.; Zefi, F.; Żywucka, N.

2016-03-01

Galactic cosmic rays reach energies of at least a few petaelectronvolts (of the order of 1015 electronvolts). This implies that our Galaxy contains petaelectronvolt accelerators (‘PeVatrons’), but all proposed models of Galactic cosmic-ray accelerators encounter difficulties at exactly these energies. Dozens of Galactic accelerators capable of accelerating particles to energies of tens of teraelectronvolts (of the order of 1013 electronvolts) were inferred from recent γ-ray observations. However, none of the currently known accelerators—not even the handful of shell-type supernova remnants commonly believed to supply most Galactic cosmic rays—has shown the characteristic tracers of petaelectronvolt particles, namely, power-law spectra of γ-rays extending without a cut-off or a spectral break to tens of teraelectronvolts. Here we report deep γ-ray observations with arcminute angular resolution of the region surrounding the Galactic Centre, which show the expected tracer of the presence of petaelectronvolt protons within the central 10 parsecs of the Galaxy. We propose that the supermassive black hole Sagittarius A* is linked to this PeVatron. Sagittarius A* went through active phases in the past, as demonstrated by X-ray outburstsand an outflow from the Galactic Centre. Although its current rate of particle acceleration is not sufficient to provide a substantial contribution to Galactic cosmic rays, Sagittarius A* could have plausibly been more active over the last 106-107 years, and therefore should be considered as a viable alternative to supernova remnants as a source of petaelectronvolt Galactic cosmic rays.

Mazingira Centre: A state-of-the-art environmental research infrastructure in Eastern Africa

NASA Astrophysics Data System (ADS)

Merbold, Lutz; Butterbach-Bahl, Klaus; Goopy, John; Mutuo, Paul; Korir, Daniel; Pelster, David; Wanyama, George

2017-04-01

Measurements of greenhouse gases (GHGs), performed in various terrestrial and marine ecosystems have led to a fundamental understanding of the Earth System during the last century. While there are numerous extant long-term measurements of GHGs across the globe, these are mainly located in developed countries of the northern hemisphere, leaving large regions such as Sub-Saharan Africa (SSA) without a consolidated observational network. Moreover, in SSA also infrastructures capable of measuring GHGs following best scientific practice are lacking. The Mazingira Centre - a state-of-the-art environmental laboratory - hosted by the International Livestock Research Institute in Kenya has been established in 2013. The laboratory is equipped with state-of-the-art GHG measurement technology (gas chromatographs, animal respiration chambers, laser absorption spectrometers) and aims at providing fundamental environmental data (e.g. GHGs and auxiliary information) from the most common land-cover types in Eastern Africa and beyond. Thereby a special focus is given to mixed crop-livestock systems managed by smallholders. The first results from the activities of the Mazingira Centre show much lower GHG emissions from manure management and arable systems as commonly assumed using emission factor approaches (EFs). This highlights the need of direct, in-situ measurements from all land-cover types and agricultural systems in Eastern Africa. The Mazingira Centre is furthermore a core training facility for undergraduate and graduate students, technicians as well policy makers that report GHG emissions to the UNFCCC with reliable and accurate emissions factors.

Clarifying the role of mean centring in multicollinearity of interaction effects.

PubMed

Shieh, Gwowen

2011-11-01

Moderated multiple regression (MMR) is frequently employed to analyse interaction effects between continuous predictor variables. The procedure of mean centring is commonly recommended to mitigate the potential threat of multicollinearity between predictor variables and the constructed cross-product term. Also, centring does typically provide more straightforward interpretation of the lower-order terms. This paper attempts to clarify two methodological issues of potential confusion. First, the positive and negative effects of mean centring on multicollinearity diagnostics are explored. It is illustrated that the mean centring method is, depending on the characteristics of the data, capable of either increasing or decreasing various measures of multicollinearity. Second, the exact reason why mean centring does not affect the detection of interaction effects is given. The explication shows the symmetrical influence of mean centring on the corrected sum of squares and variance inflation factor of the product variable while maintaining the equivalence between the two residual sums of squares for the regression of the product term on the two predictor variables. Thus the resulting test statistic remains unchanged regardless of the obvious modification of multicollinearity with mean centring. These findings provide a clear understanding and demonstration on the diverse impact of mean centring in MMR applications. ©2011 The British Psychological Society.

Development and piloting the Woman Centred Care Scale (WCCS).

PubMed

Brady, Susannah; Bogossian, Fiona; Gibbons, Kristen

2017-06-01

In midwifery we espouse a woman centred care approach to practice, yet in midwifery education no valid instrument exists with which to measure the performance of these behaviours in midwifery students. To develop and validate an instrument to measure woman centred care behaviours in midwifery students. We identified four core concepts; woman's sphere, holism, self-determination and the shared power relationship. We mapped 18 individual descriptive care behaviours (from the Australian National Competency Standards for the Midwife) to these concepts to create an instrument to articulate and measure care behaviours that are specifically woman centred. Review by expert midwifery clinicians ensured face, content and construct validity of the scale and predictive validity and reliability were tested in a simulated learning environment. Midwifery students were video recorded performing a clinical skill and the videos were reviewed and rated by two expert clinicians who assessed the woman centred care behaviours demonstrated by the students (n=69). Test and re-test reliability of the instrument was high for each of the individual raters (Kappa 0.946 and 0.849 respectively p<0.001). However, when raters were compared there were differences between their scores suggesting variation in their expectations of woman centred care behaviours (Kappa 0.470, p<0.001). Midwifery students who had repeated exposures to higher levels of simulation fidelity demonstrated higher levels of woman centred care behaviours. The WCCS has implications for education and the wider midwifery profession in recognising and maintaining practice consistent with the underlying philosophy of woman centred care. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Implementing Responsibility Centre Budgeting

ERIC Educational Resources Information Center

Vonasek, Joseph

2011-01-01

Recently, institutes of higher education (universities) have shown a renewed interest in organisational structures and operating methodologies that generate productivity and innovation; responsibility centre budgeting (RCB) is one such process. This paper describes the underlying principles constituting RCB, its origin and structural elements, and…

Vocational Centres in Fiji Schools: A Needs Analysis

ERIC Educational Resources Information Center

McBeath, Clare

2005-01-01

A needs analysis was conducted into the issues facing the Technical and Vocational Education sector in Fiji. Vocational Centre teachers, Principals and an Education Officer were interviewed, and their responses analysed. The survey pointed to the difficulties currently experienced by the Vocational Centres in the face of poor facilities and…

Recognizing a Centre of Excellence in Ontario's Colleges

ERIC Educational Resources Information Center

Litwin, Jeffrey M.

2012-01-01

The term "Centre of Excellence" is increasingly used by Ontario's colleges with the expectation of portraying a superior level of proficiency, expertise, or investment in a particular academic discipline or program cluster. This paper proposes that the term Centre of Excellence should have a clearer definition so that when one of…

P-wave tomography of the Chile Triple Junction region

NASA Astrophysics Data System (ADS)

Miller, M. R.; Priestley, K. F.; Tilmann, F. J.; Iwamori, H.; Bataille, K.

2010-12-01

We investigate the crustal and upper mantle structure of the Aysén region of Chile. This region is situated from 44 to 49oS, a place where the diverging oceanic Nazca and Antarctic plates subduct beneath the South American continent. The Seismic Experiment in the Aysén Region of CHile (SEARCH) project operated a network of up to 60 land-based seismometers in this region between 2004 and 2006, centred over a 6 Ma subducted spreading centre between the oceanic plates. The data is used to examine the P-wave velocity structure beneath the region using relative-arrival teleseismic travel time tomography, using 2534 P-wave residuals from 173 teleseismic earthquakes. It is possible to image the velocity structure beneath the seismic network down to ˜300 km depth. The velocity structure has a maximum resolution of ˜60 km and shows a large difference between the northern and southern parts of the region. To the north, a ˜100 km thick fast anomaly exists which dips away from the subduction trench; this is likely to be related to the subducting Nazca plate. Going to the south, as the age of this plate at the subduction trench decreases, the fast anomaly migrates further from the trench suggesting that the Nazca plate subducts at a low angle over a larger distance before the subduction angle steepens and hence slab tears exist across the fracture zones between parts of the slab of different age. Where the 6 Ma subducted ridge segment is predicted to lie there is a region of lower velocities between ˜200 and ˜100 km depth, and no fast region associated with a subducting slab is present. Instead, the lower velocities indicate the presence of an asthenospheric window between the subducted Nazca and Antarctic plate.

Determining requirements for patient-centred care: a participatory concept mapping study.

PubMed

Ogden, Kathryn; Barr, Jennifer; Greenfield, David

2017-11-28

Recognition of a need for patient-centred care is not new, however making patient-centred care a reality remains a challenge to organisations. We need empirical studies to extend current understandings, create new representations of the complexity of patient-centred care, and guide collective action toward patient-centred health care. To achieve these ends, the research aim was to empirically determine what organisational actions are required for patient-centred care to be achieved. We used an established participatory concept mapping methodology. Cross-sector stakeholders contributed to the development of statements for patient-centred care requirements, sorting statements into groupings according to similarity, and rating each statement according to importance, feasibility, and achievement. The resultant data were analysed to produce a visual concept map representing participants' conceptualisation of patient-centred care requirements. Analysis included the development of a similarity matrix, multidimensional scaling, hierarchical cluster analysis, selection of the number of clusters and their labels, identifying overarching domains and quantitative representation of rating data. The outcome was the development of a conceptual map for the Requirements of Patient-Centred Care Systems (ROPCCS). ROPCCS incorporates 123 statements sorted into 13 clusters. Cluster labels were: shared responsibility for personalised health literacy; patient provider dynamic for care partnership; collaboration; shared power and responsibility; resources for coordination of care; recognition of humanity - skills and attributes; knowing and valuing the patient; relationship building; system review evaluation and new models; commitment to supportive structures and processes; elements to facilitate change; professional identity and capability development; and explicit education and learning. The clusters were grouped into three overarching domains, representing a cross-sectoral approach

Paediatric ECMO at low-volume paediatric cardiac centres in the Nordic countries.

PubMed

Veien, M; Lindberg, L; Tynkkynen, P; Ravn, H B

2015-03-01

Extracorporeal membrane oxygenation (ECMO) is a life-saving resource-intensive technology for patients with respiratory and/or circulatory failure. We aimed to evaluate outcome data from three Nordic paediatric centres comparing with data from the International Registry of the Extracorporeal Life Support Organization (ELSO) and selected high-volume single-centre studies. One-hundred nineteen patients < 19 years from 2002 to 2012 were enrolled. Data on demographics and outcome were collected using a standardised registration form. Outcome data were compared with the ELSO registry and high-volume single-centre studies. Demographics, indications and diagnosis were similar to the ELSO register. Survival after ECMO was similar to outcome data from the ELSO register, apart from paediatric cardiac ECMO, where a significantly better survival to discharge was seen in the Nordic centres (68% vs. 49%; P = 0.03). Comparison with high-volume centres in the period after 2005 demonstrated a significantly better survival after cardiac ECMO in a single high-volume centre study, whereas four studies had significantly lower survival after cardiac ECMO. No significant difference was seen in children receiving respiratory ECMO in the Nordic centres and high-volume centres. Survival after ECMO in three low-volume Nordic centres demonstrated comparable outcome data with ELSO data and data from high-volume centres. We believe regular quality assurance surveys, as the present study, should be performed in order to maintain excellent therapy within the individual ECMO centres. © 2015 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Low-Income Parents' Adult Interactions at Childcare Centres

ERIC Educational Resources Information Center

Reid, Jeanne L.; Martin, Anne; Brooks-Gunn, Jeanne

2017-01-01

Little is known about the extent and nature of low-income parents' interactions with other parents and staff at childcare centres, despite the potential for these interactions to provide emotional, informational, and instrumental support. This study interviewed 51 parents at three childcare centres in low-income neighbourhoods in New York City.…

Investigating Teachers' Views of Student-Centred Learning Approach

ERIC Educational Resources Information Center

Seng, Ernest Lim Kok

2014-01-01

Conventional learning is based on low levels of students' participation where students are rarely expected to ask questions or to challenge the theories of the academic. A paradigm shift in curriculum has resulted in implementing student-centred learning (SCL) approach, putting students as the centre of the learning process. This mode of…

Effects of climate change on daily minimum and maximum temperatures and cloudiness in the Shikoku region: a statistical downscaling model approach

NASA Astrophysics Data System (ADS)

Tatsumi, Kenichi; Oizumi, Tsutao; Yamashiki, Yosuke

2015-04-01

In this study, we present a detailed analysis of the effect of changes in cloudiness (CLD) between a future period (2071-2099) and the base period (1961-1990) on daily minimum temperature (TMIN) and maximum temperature (TMAX) in the same period for the Shikoku region, Japan. This analysis was performed using climate data obtained with the use of the Statistical DownScaling Model (SDSM). We calibrated the SDSM using the National Center for Environmental Prediction (NCEP) reanalysis dataset for the SDSM input and daily time series of temperature and CLD from 10 surface data points (SDP) in Shikoku. Subsequently, we validated the SDSM outputs, specifically, TMIN, TMAX, and CLD, obtained with the use of the NCEP reanalysis dataset and general circulation model (GCM) data against the SDP. The GCM data used in the validation procedure were those from the Hadley Centre Coupled Model, version 3 (HadCM3) for the Special Report on Emission Scenarios (SRES) A2 and B2 scenarios and from the third generation Coupled Global Climate Model (CGCM3) for the SRES A2 and A1B scenarios. Finally, the validated SDSM was run to study the effect of future changes in CLD on TMIN and TMAX. Our analysis showed that (1) the negative linear fit between changes in TMAX and those in CLD was statistically significant in winter while the relationship between the two changes was not evident in summer, (2) the dependency of future changes in TMAX and TMIN on future changes in CLD were more evident in winter than in other seasons with the present SDSM, (3) the diurnal temperature range (DTR) decreased in the southern part of Shikoku in summer in all the SDSM projections while DTR increased in the northern part of Shikoku in the same season in these projections, (4) the dependencies of changes in DTR on changes in CLD were unclear in summer and winter. Results of the SDSM simulations performed for climate change scenarios such as those from this study contribute to local-scale agricultural and

Centre-related variability in hospital admissions of patients with spondyloarthritis.

PubMed

Andrés, Mariano; Sivera, Francisca; Pérez-Vicente, Sabina; Carmona, Loreto; Vela, Paloma

2016-09-01

The aim of this study was to explore the variability in hospital admissions of patients with spondyloarthritis (SpA) in Spain, and the centre factors that may influence that variability. Descriptive cross-sectional study, part of the emAR II study, performed in Spain (2009-2010). Health records of patients with a diagnosis of SpA and at least one visit to the rheumatology units within the previous 2 years were reviewed. Variables related to hospital admissions, to the SpA, and to the patient and centre were collected. A multilevel logistic regression analysis of random intercept with non-random slopes was performed to assess variability between centres. From 45 centres, 1168 patients' health records were reviewed. Main SpA forms were ankylosing spondylitis (55.2 %) and psoriatic arthritis (22.2 %). A total of 248 admissions were registered for 196 patients (19.2 %, n = 1020). An adjusted variability of 17.6 % in hospitalizations between centres was noted. The following hospital-related factors showed a significant association with admissions: the total number of admissions of the centre, the existence of electronic admission, and the availability of ultrasound in rheumatology. However, these factors only explained 42.9 % of the inter-centre variability. The risk of a patient with SpA of being admitted could double (median OR 2.09), depending on the hospital where the patient was being managed. Hospital admissions of patients with SpA varied between hospitals due to centre characteristics. Further studies are needed to ascertain which specific factors may be causing the variation, as studied variables explained less than half of the variability.

Colour centre recovery in yttria-stabilised zirconia: photo-induced versus thermal processes

NASA Astrophysics Data System (ADS)

Costantini, Jean-Marc; Touati, Nadia; Binet, Laurent; Lelong, Gérald; Guillaumet, Maxime; Beuneu, François

2018-05-01

The photo-annealing of colour centres in yttria-stabilised zirconia (YSZ) was studied by electron paramagnetic resonance spectroscopy upon UV-ray or laser light illumination, and compared to thermal annealing. Stable hole centres (HCs) were produced in as-grown YSZ single crystals by UV-ray irradiation at room temperature (RT). The HCs produced by 200-MeV Au ion irradiation, as well as the F+-type centres (? centres involving oxygen vacancies) were left unchanged upon UV illumination. In contrast, a significant photo-annealing of the latter point defects was achieved in 1.4-MeV electron-irradiated YSZ by 553-nm laser light irradiation at RT. Almost complete photo-bleaching was achieved by laser irradiation inside the absorption band of ? centres centred at a wavelength 550 nm. Thermal annealing of these colour centres was also followed by UV-visible absorption spectroscopy showing full bleaching at 523 K. Colour-centre evolutions by photo-induced and thermally activated processes are discussed on the basis of charge exchange processes between point defects.

Science Centres: A Resource for School and Community

ERIC Educational Resources Information Center

Pilo, Miranda; Mantero, Alfonso; Marasco, Antonella

2011-01-01

We present a science centre established in Genoa on an agreement between Municipality of Genoa and Department of Physics of University of Genoa. The aim is to offer children, young people and community an opportunity to approach science in a playful way. The centre staffs guide the visitors through the exhibits, attracting their interests towards…

Maintenance and Variations of Atmospheric Subsidence in the Southeast Pacific

NASA Astrophysics Data System (ADS)

Wang, C.; Lee, S.; Mechoso, C. R.; Enfield, D. B.

2010-12-01

The southeastern tropical Pacific (SEP) is characterized by large-scale subsidence, extensive and persistent stratocumulus cloud, and cold SST. The subtropical high in the South Pacific and subsidence over the SEP during the austral summer are related to the monsoonal heating over South America. Previous studies demonstrate that during the austral summer, Rossby wave response to heating associated with the South American monsoon system interacting with the midlatitude westerlies produces descending motion to the west of the South American heating, i.e., over the SEP. The Sverdrup balance demands the existence of equatorward flow beneath the region of descent, closing off the South Pacific subtropical anticyclone on its eastern flank. During seasons other than the austral summer, when convective activity over South America is weaker, other processes must be responsible for maintaining and varying the subsidence over the SEP. This paper shows that the Atlantic warm pool (AWP) is responsible for the subsidence in the SEP during the austral winter and spring. The AWP is a large body of warm water comprising the Gulf of Mexico, the Caribbean Sea, and the western tropical North Atlantic. AWP variability occurs on seasonal, interannual, and multidecadal timescales. The AWP reaches its maximum size in the boreal late summer and early fall, with large AWPs being almost three times larger than small ones. The warm pool alternates with South America as the seasonal heating source for the Hadley circulation in the Western Hemisphere. During the boreal summer and fall, a strong Hadley circulation emanates from the AWP and forks into the subsidence region of the SEP. The anomalous warm pool index is positively correlated with rainfall anomalies over the SEP where the drizzle under the stratus cloud deck appears. Large (small) warm pools strengthen (weaken) the summer Hadley circulation that emanates from the region of the warm pool into the SEP. This will change the subsidence

From serenity to halcyon birth centre.

PubMed

Gutteridge, Kathryn

2013-01-01

This article follows the journey of Sandwell and West Birmingham Hospitals NHS Trust quest for improving normal birth outcomes for a complex and diverse population. The opportunities that led to commissioning a colocated and freestanding birth centre are explored and how the design was influenced by less clinical beliefs about birth. Through the story of both birth centre developments, Kathryn Gutteridge shows the changes that have been seen in both clinical outcomes and families'comments. From a failing maternity service to a beacon of light where midwifery care and a belief that 'your birth in our home' really matters.

On the relationship between the early spring Indian Ocean's sea surface temperature (SST) and the Tibetan Plateau atmospheric heat source in summer

NASA Astrophysics Data System (ADS)

Ji, Chenxu; Zhang, Yuanzhi; Cheng, Qiuming; Li, Yu; Jiang, Tingchen; San Liang, X.

2018-05-01

In this study, we evaluated the effects of springtime Indian Ocean's sea surface temperature (SST) on the Tibetan Plateau's role as atmospheric heat source (AHS) in summer. The SST data of the National Oceanic and Atmospheric Administration (NOAA), European Centre for Medium-Range Weather Forecasts (ECMWF) and the Hadley Centre Sea Ice and Sea Surface Temperature data set (HadISST) and the reanalysis data of the National Center for Environmental Prediction (NCEP) and National Center for Atmospheric Research (NCAR) for 33 years (from 1979 to 2011) were used to analyze the relationship between the Indian Ocean SST and the Tibetan Plateau's AHS in summer, using the approaches that include correlation analysis, and lead-lag analysis. Our results show that some certain strong oceanic SSTs affect the summer plateau heat, specially finding that the early spring SSTs of the Indian Ocean significantly affect the plateau's ability to serve as a heat source in summer. Moreover, the anomalous atmospheric circulation and transport of water vapor are related to the Plateau heat variation.

Simultaneity of centres in ℤ q -equivariant systems.

PubMed

Giné, Jaume; Llibre, Jaume; Valls, Claudia

2018-05-01

We study the simultaneous existence of centres for two families of planar Z q -equivariant systems. First, we give a short review about Z q -equivariant systems. Next, we present the necessary and sufficient conditions for the simultaneous existence of centres for a Z 2 -equivariant cubic system and for a Z 2 -equivariant quintic system.

Different Images of Science at Nordic Science Centres

ERIC Educational Resources Information Center

Davidsson, Eva; Jakobsson, Anders

2007-01-01

Science centres aim to present science in ways that will attract visitors and enhance public interest in, and knowledge of, science. But what images and different aspects of science are visitors confronted with at Nordic science centres? This study aims to explore the different aspects of science that are displayed and the ways in which these…

Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: results of the Dutch Birth Centre study

PubMed Central

Hermus, Marieke, MAA; Boesveld, Inge, IC; Franx, Arie; van der Pal-de Bruin, Karin, KM; Steegers, Eric, EAP; van den Akker-van Marle, EIske, ME

2017-01-01

Objectives To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. Design Economic evaluation based on a prospective cohort study. Setting 21 Dutch birth centres, 46 hospital locations where midwife-led birth was possible and 110 midwifery practices where home birth was possible. Participants 3455 low-risk women under the care of a community midwife at the start of labour in the Netherlands within the study period 1 July 2013 to 31 December 2013. Main outcome measures Costs and health outcomes of birth for different planned places of birth. Healthcare costs were measured from start of labour until 7 days after birth. The health outcomes were assessed by the Optimality Index-NL2015 (OI) and a composite adverse outcomes score. Results The total adjusted mean costs for births planned in a birth centre, in a hospital and at home under the care of a community midwife were €3327, €3330 and €2998, respectively. There was no difference between the score on the OI for women who planned to give birth in a birth centre and that of women who planned to give birth in a hospital. Women who planned to give birth at home had better outcomes on the OI (higher score on the OI). Conclusions We found no differences in costs and health outcomes for low-risk women under the care of a community midwife with a planned birth in a birth centre and in a hospital. For nulliparous and multiparous low-risk women, planned birth at home was the most cost-effective option compared with planned birth in a birth centre. PMID:28893750

International Seismological Centre

USGS Publications Warehouse

Spall, H.; Hughes, A.

1979-01-01

The International Seismological Centre had its origins when the British seismologist Professor John Milne returned to England from Japan in 1895 to retire at Shide on the Isle of Eight. In cooperation with the British Association for the Advancement of Science, Milne had set up a number of seismographic stations around the world and, while Tokyo, had published a Catalogue of 8,33 Earthquakes Recorded in Japan, 1885-1892. 

Towards a shared service centre for telemedicine: Telemedicine in Denmark, and a possible way forward.

PubMed

Larsen, Simon Bo; Sørensen, Nanna Skovgaard; Petersen, Matilde Grøndahl; Kjeldsen, Gitte Friis

2016-12-01

Although evidence of the effectiveness of telemedicine is accumulating, knowledge of how to make best use of telemedicine is limited. This article presents results from a multi-stakeholder project that developed a new concept, a 'shared service centre' for telemedicine that is envisioned as working across different telemedical initiatives to support the implementation and wider adoption of telemedicine. One year of participatory design and analysis of the shared service centre concept involved stakeholders, such as clinicians, patients, technicians, policy makers, lawyers, economists and information technology architects. More than 100 people contributed to the findings. Most of the ideas generated for potential centre support for telemedicine could be categorised under four service categories. The need for such support services was verified in the cases investigated, and by agreement among stakeholders from regional health authorities, municipalities, and general practice. Therefore, it is probable that a shared service centre could help enable the wider deployment of telemedicine. In this article, we use 'telemedicine' as an umbrella term for all the 'tele-' labels that are sometimes used rather indiscriminately to denote the use of information and technology to support healthcare services, including 'telehealth', 'telemonitoring', 'telehomecare', 'e-health', and so on. As per our definition, telemedicine may be synchronous and/or asynchronous, and may apply to any information and technology-based means of connecting healthcare actors and the patient, such as video communication, e-mail, electronic monitoring equipment, and Internet portals. Furthermore, the term 'telemedical initiative' covers projects in which telemedicine is conducted by a temporary project organisation, as well as self-contained telemedicine services used in daily, clinical practice in existing organisations. © The Author(s) 2015.

A satellite geodetic survey of large-scale deformation of volcanic centres in the central Andes.

PubMed

Pritchard, Matthew E; Simons, Mark

2002-07-11

Surface deformation in volcanic areas usually indicates movement of magma or hydrothermal fluids at depth. Stratovolcanoes tend to exhibit a complex relationship between deformation and eruptive behaviour. The characteristically long time spans between such eruptions requires a long time series of observations to determine whether deformation without an eruption is common at a given edifice. Such studies, however, are logistically difficult to carry out in most volcanic arcs, as these tend to be remote regions with large numbers of volcanoes (hundreds to even thousands). Here we present a satellite-based interferometric synthetic aperture radar (InSAR) survey of the remote central Andes volcanic arc, a region formed by subduction of the Nazca oceanic plate beneath continental South America. Spanning the years 1992 to 2000, our survey reveals the background level of activity of about 900 volcanoes, 50 of which have been classified as potentially active. We find four centres of broad (tens of kilometres wide), roughly axisymmetric surface deformation. None of these centres are at volcanoes currently classified as potentially active, although two lie within about 10 km of volcanoes with known activity. Source depths inferred from the patterns of deformation lie between 5 and 17 km. In contrast to the four new sources found, we do not observe any deformation associated with recent eruptions of Lascar, Chile.

F-actin mechanics control spindle centring in the mouse zygote

NASA Astrophysics Data System (ADS)

Chaigne, Agathe; Campillo, Clément; Voituriez, Raphaël; Gov, Nir S.; Sykes, Cécile; Verlhac, Marie-Hélène; Terret, Marie-Emilie

2016-01-01

Mitotic spindle position relies on interactions between astral microtubules nucleated by centrosomes and a rigid cortex. Some cells, such as mouse oocytes, do not possess centrosomes and astral microtubules. These cells rely only on actin and on a soft cortex to position their spindle off-centre and undergo asymmetric divisions. While the first mouse embryonic division also occurs in the absence of centrosomes, it is symmetric and not much is known on how the spindle is positioned at the exact cell centre. Using interdisciplinary approaches, we demonstrate that zygotic spindle positioning follows a three-step process: (1) coarse centring of pronuclei relying on the dynamics of an F-actin/Myosin-Vb meshwork; (2) fine centring of the metaphase plate depending on a high cortical tension; (3) passive maintenance at the cell centre. Altogether, we show that F-actin-dependent mechanics operate the switch between asymmetric to symmetric division required at the oocyte to embryo transition.

Sustaining the Leaders of Children's Centres: The Role of Leadership Mentoring

ERIC Educational Resources Information Center

John, Karen

2008-01-01

Leadership mentoring is a central component of the National Professional Qualification in Integrated Centre Leadership (NPQICL), which is designed to develop robust, creative and courageous children's centre leaders. Mentoring provides a safe, supportive and confidential space in which leaders can discuss the challenges of leading their centres.…

LUNAR SITE MAP (APOLLO XV) - MSC

NASA Image and Video Library

1971-07-16

S71-40085 (July 1971) --- An enlarged Lunar Orbiter photograph of the Apollo 15 landing area in the Hadley-Apennine region on the nearside of the moon. The overlay indicates the location of the numerous informally-named surface features. These names will facilitate understanding the verbal descriptions from the astronauts during their lunar surface extravehicular activity (EVA). This is an August 1967, Lunar Orbiter V photograph of Site 26.1.

Regional geochemistry Bandung Quadrangle West Java: for environmental and resources studies

NASA Astrophysics Data System (ADS)

Sendjaja, Purnama; Baharuddin

2017-06-01

Geochemical mapping based on the stream sediment method has been carried out in the whole of Java Region by the Centre for Geological Survey. The Regional Geochemistry Bandung Quadrangle as part of West Java Region has been mapped in 1:100.000 scale map, base on the Geological Map of Bandung Quadrangle. About 82 stream sediment samples collected and sieved in the 80 mesh sieve fraction during the field work session at 2011. This fraction was prepared and analysed for 30 elements by X-ray fluorescence spectrometry at the Centre for Geological Survey Laboratory. There are some elements indicating significant anomaly in this region, and it is important to determine the present abundance and spatial distribution of the elements for presuming result from natural product or derived from human activities. The volcanic products (Tangkuban Perahu Volcano, Volcanic Rock Complex and Quarternary Volcanic-Alluvial Deposit) are clearly identified on the distribution of As, Ba, Cl, Cu, Zr and La elements. However Mn, Zn, V and Sr are related to precipitation in the Tertiary Sediments, while the influence of human activities are showing from a geochemical map of Cl, Cr, Cu, Pb and Zn that show scattered anomalies localized close to the cities, farming and industries.

27. PLAN OF STRINGERS TO BE REPLACED (with 'Present Stringers' ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

27. PLAN OF STRINGERS TO BE REPLACED (with 'Present Stringers' written over the word 'stringers' in the original) SOUTH HADLEY FALLS BRIDGE, HOLYOKE, MASS. Scale 11/2' = 1' 1/1/23 P.E. Bond City Engr. - Holyoke Bridge, Spanning Connecticut River, between Holyoke & South Hadley Falls, Holyoke, Hampden County, MA

High Resolution Regional Climate Modeling for Lebanon, Eastern Mediterranean Coast

NASA Astrophysics Data System (ADS)

Katurji, Marwan; Soltanzadeh, Iman; Kuhnlein, Meike; Zawar-Reza, Peyman

2013-04-01

The Eastern Mediterranean coast consists of Lebanon, Palestine, Syria, Israel and a small part of southern Turkey. The region lies between latitudes 30 degrees S and 40 degrees N, which makes its climate affected by westerly propagating wintertime cyclones spinning off mid-latitude troughs (December, January and February), while during summer (June, July and August) the area is strongly affected by the sub-tropical anti-cyclonic belt as a result of the descending air of the Hadley cell circulation system. The area is considered to be in a transitional zone between tropical to mid-latitude climate regimes, and having a coastal topography up to 3000 m in elevation (like in the Western Ranges of Lebanon), which emphasizes the complexity of climate variability in this area under future predictions of climate change. This research incorporates both regional climate numerical simulations, Tropical Rainfall Measuring Mission (TRMM) satellite derived and surface rain gauge rainfall data to evaluate the Regional Climate Model (RegCM) version 4 ability to represent both the mean and variance of observed precipitation in the Eastern Mediterranean Region, with emphasis on the Lebanese coastal terrain and mountain ranges. The adopted methodology involves dynamically down scaling climate data from reanalysis synoptic files through a double nesting procedure. The retrospective analysis of 13 years with both 50 and 10 km spatial resolution allows for the assessment of the model results on both a climate scale and specific high intensity precipitating events. The spatial averaged mean bias error in precipitation rate for the rainy season predicted by RegCM 50 and 10 km resolution grids was 0.13 and 0.004 mm hr-1 respectively. When correlating RegCM and TRMM precipitation rate for the domain covering Lebanon's coastal mountains, the root mean square error (RMSE) for the mean quantities over the 13-year period was only 0.03, while the RMSE for the standard deviation was higher by one

Regional waveform calibration in the Pamir-Hindu Kush region

NASA Astrophysics Data System (ADS)

Zhu, Lupei; Helmberger, Donald V.; Saikia, Chandan K.; Woods, Bradley B.

1997-10-01

Twelve moderate-magnitude earthquakes (mb 4-5.5) in the Pamir-Hindu Kush region are investigated to determine their focal mechanisms and to relocate them using their regional waveform records at two broadband arrays, the Kyrgyzstan Regional Network (KNET), and the 1992 Pakistan Himalayas seismic experiment array (PAKH) in northern Pakistan. We use the "cut-and-paste" source estimation technique to invert the whole broadband waveforms for mechanisms and depths, assuming a one-dimensional velocity model developed for the adjacent Tibetan plateau. For several large events the source mechanisms obtained agree with those available from the Harvard centroid moment tensor (CMT) solutions. An advantage of using regional broadband waveforms is that focal depths can be better constrained either from amplitude ratios of Pnl to surface waves for crustal events or from time separation between the direct P and the shear-coupled P wave (sPn + sPmP) for mantle events. All the crustal events are relocated at shallower depths compared with their International Seismological Centre bulletin or Harvard CMT depths. After the focal depths are established, the events are then relocated horizontally using their first-arrival times. Only minor offsets in epicentral location are found for all mantle events and the bigger crustal events, while rather large offsets (up to 30 km) occur for the smaller crustal events. We also tested the performance of waveform inversion using only two broadband stations, one from the KNET array in the north of the region and one from the PAKH array in the south. We found that this geometry is adequate for determining focal depths and mechanisms of moderate size earthquakes in the Pamir-Hindu Kush region.

Reframing the focus from a family-centred to a child-centred care approach for children's healthcare.

PubMed

Coyne, Imelda; Hallström, Inger; Söderbäck, Maja

2016-05-01

In this article, we argue for a conceptual move from family-centred care (FCC) to a child-centred care approach and the implications for clinical nursing practice. Firstly, we argue that the parents and professional dominance constructs an asymmetric relationship towards the child, which may take away the focus from the child; Secondly, we need to renew efforts to promote the fundamental principles of protection, promotion and participation rights for children and young people according to the United Nations Convention on the Rights of the Child declaration and thirdly, we need to strengthen the child's perspective and to view the child as an agent representing own experiences and wishes to be respected and negotiated. © The Author(s) 2016.

Breast cancer scenario in a regional cancer centre in Eastern India over eight years--still a major public health problem.

PubMed

Datta, Karabi; Choudhuri, Maitrayee; Guha, Subhas; Biswas, Jaydip

2012-01-01

In spite of screening and early diagnostic tests, the upward trend of breast cancer has become a matter of great concern in both developed and developing countries. The data collected by Population Based Cancer Registry in Chittaranjan National Cancer Institute, a regional cancer centre in Kolkata, from 1997 to 2004 gives an insight about the scenario of breast cancer in this part of Eastern India. The total no of female breast cancer cases were steadily increasing from 1997 to 2001 and only slightly lower from 2002 to 2004. and majority were in the 40-49 year old age group during this period. The next most commonly affected age group was 50-59 years. Regarding the distribution according to treatment, the main modality was surgery and radiotherapy followed by combined surgery, chemotherapy and radiotherapy and then combined surgery and chemotherapy. The commonest type was ductal followed by lobular cancer. In this eight year study in CNCI, status of patients on last day of the respective year was assessed. Number of patients alive was 43.5% in 1997. The percentage gradually increased up to 2000 and then gradually decreased to 47.4% in 2004. Also with every passing year, percentage mortality gradually decreased from 25.7% in 1997 to 16.8% in 2004. Better pattern of care (diagnosis and treatment) was reflected in this picture. However, lost to follow up, which also implies non compliance to treatment, increased to 30.8% in 1997 to 35.8% in 2004. Due to the small number of male breast cancers, only female cases were considered. In conclusion, breast cancer continues to be a major problem in Kolkata, India.

Accessibility and use of primary healthcare for immigrants living in the Niagara Region.

PubMed

Lum, Irene D; Swartz, Rebecca H; Kwan, Matthew Y W

2016-05-01

Although the challenges of accessing and using primary healthcare for new immigrants to Canada have been fairly well documented, the focus has primarily been on large cities with significant immigrant populations. The experiences of immigrants living in smaller, less diverse urban centres remain largely unknown. The purpose of this study was to examine the lived experiences of immigrants living in a small urban centre with regards to the primary healthcare system. A total of 13 immigrants living in the Greater Niagara Region participated in semi-structured interviews. All interviews were recorded, transcribed, and then coded and analyzed for emergent themes using NVivo. Five factors were found to impact primary care access and use: lack of social contacts, lack of universal healthcare coverage during their initial arrival, language as a barrier, treatment preferences, and geographic distance to primary care. Overall findings suggest that immigrants moving to smaller areas such as the Niagara Region face similar barriers to primary care as those moving into large cities. Some barriers, however, appear to be specific to the context of smaller urban centres, further exacerbated by living in a small city due to a smaller immigrant population, fewer services for immigrants, and less diversity in practicing physicians. More research is required to understand the contextual factors inhibiting primary care access and use among immigrants moving to smaller urban centres, and determine effective strategies to overcome these barriers. Copyright © 2016 Elsevier Ltd. All rights reserved.

The structural requirements for immunoglobulin aggregates to localize in germinal centres.

PubMed Central

Embling, P H; Evans, H; Guttierez, C; Holborow, E J; Johns, P; Johnson, P M; Papamichail, M; Stanworth, D R

1978-01-01

The capacity of non-heat-aggregated monoclonal human immunoglobulins of different classes, to localize in murine splenic germinal centres within 24 h of intravenous injection has been investigated. It has been shown that at least trimerization of polyclonal IgG must occur before any germinal centre trapping is manifest. Studies of complement fixation by these IgG preparations in vivo, together with studies of the germinal centre trapping of various monoclonal immunoglobulins, have indicated that the sole structural requirement for germinal centre localization of immunoglobulin aggregates is the ability to fix complement. Results suggest that immunoglobulin aggregates are transported to germinal centres via membrane C3 receptors of mobile cells, and then are released with loss of complement to become fixed to dendritic macrophages by a separate mechanism. PMID:363602

Mathematics in Student-­Centred Inquiry Learning: Student Engagement

ERIC Educational Resources Information Center

Calder, Nigel

2013-01-01

This paper examines how mathematical understandings might be facilitated through student-centred inquiry. Data is drawn from a research project on student-centred inquiry learning that situated mathematics within authentic problem-solving contexts and involved students in a collaboratively constructed curriculum. A contemporary interpretive frame…

Byurakan Astrophysical Observatory as Cultural Centre

NASA Astrophysics Data System (ADS)

Mickaelian, A. M.; Farmanyan, S. V.

2017-07-01

NAS RA V. Ambartsumian Byurakan Astrophysical Observatory is presented as a cultural centre for Armenia and the Armenian nation in general. Besides being scientific and educational centre, the Observatory is famous for its unique architectural ensemble, rich botanical garden and world of birds, as well as it is one of the most frequently visited sightseeing of Armenia. In recent years, the Observatory has also taken the initiative of the coordination of the Cultural Astronomy in Armenia and in this field, unites the astronomers, historians, archaeologists, ethnographers, culturologists, literary critics, linguists, art historians and other experts. Keywords: Byurakan Astrophysical Observatory, architecture, botanic garden, tourism, Cultural Astronomy.

Intestinal Parasites in Children from a Day Care Centre in Matanzas City, Cuba

PubMed Central

Cañete, Roberto; Díaz, Mariuska Morales; Avalos García, Roxana; Laúd Martinez, Pedro Miguel; Manuel Ponce, Félix

2012-01-01

Background Intestinal parasitic infections are widely distributed throughout the world and children are the most affected population. Day care centres are environments where children have proven to be more susceptible to acquiring IP. Methods and Principal Findings A cross-sectional study was carried to determine the prevalence of intestinal parasites in stool samples among children who attend to a day care centre in an urban area of Matanzas city, Cuba, from March to June 2012. 104 children under five years old were included on the study after informed consent form was signed by parents or legal guardians. Three fresh faecal samples were collected from each child in different days and were examined by direct wet mount, formalin-ether, and Kato- Katz techniques. Data relating to demography, socioeconomic status, source of drinking water, and personal hygiene habits were also collected using a standardized questionnaire. In total, 71.1% of children harbored at least one type of intestinal parasite and 47 (45.2%) were infected by more than one species. Giardia duodenalis and Blastocystis sp. were the most common parasites found, with prevalence rates of 54.8% and 38.5% respectively. Conclusions Despite public health campaigns, improvement in the level of education, and the availability of and access to medical services in Cuba infections by intestinal protozoan is high in this centre. Almost nothing is published regarding intestinal parasites in Matanzas province during the last 40 years so this work could also be the initial point to carry out other studies to clarify the IP status in this region. PMID:23236493

Thermal Properties of the ESR Centres in Speleothem Samples

NASA Astrophysics Data System (ADS)

Ulusoy, Ü.; Anbar, Gül

2007-04-01

The paramagnetic centres used for ESR (Electron Spin Resonance) dating method should be thermally stable which is the main factor limiting the range of this method. In this work, thermal stabilities of the ESR centres in the cave deposites from the Aladaǧlar Massive and Alanya in Turkey has been investigated. The life times of the dating signal were calculated as about 4.0 and 3.7 years for G06 and G08 samples at the 10 °C depositing temperature. The activation energies of the centres are obtained the same, 0.7eV for both samples.

Face-centred cubic to body-centred cubic phase transformation under [1 0 0] tensile loading

NASA Astrophysics Data System (ADS)

Xie, Hongxian; Yu, Jiayun; Yu, Tao; Yin, Fuxing

2018-06-01

Molecular dynamics simulation was used to verify a speculation of the existence of a certain face-centred cubic (FCC) to body-centred cubic (BCC) phase transformation pathway. Four FCC metals, Ni, Cu, Au and Ag, were stretched along the [1 0 0] direction at various strain rates and temperatures. Under high strain rate and low temperature, and beyond the elastic limit, the bifurcation of the FCC phase occurred with sudden contraction along one lateral direction and expansion along the other lateral direction. When the lattice constant along the expansion direction converged with that of the stretched direction, the FCC phase transformed into an unstressed BCC phase. By reducing the strain rate or increasing the temperature, dislocation or 'momentum-induced melting' mechanisms began to control the plastic deformation of the FCC metals, respectively.

Inquiry-Based Learning: An Educational Reform Based upon Content-Centred Teaching

ERIC Educational Resources Information Center

McLoughlin, M. Padraig M. M.

2009-01-01

The author of this paper posits that inquiry-based learning (IBL) enacted via a modified Moore method (MMM) is a content-driven pedagogy; as such it is content-centred not instructor-centred or student-centred. The MMM is a philosophy of education where student must master material by doing; not simply discussing, reading, or seeing it and that…

Spatiotemporal analysis of projected impacts of climate change on the major C3 and C4 crop yield under representative concentration pathway 4.5: Insight from the coasts of Tamil Nadu, South India.

PubMed

A, Ramachandran; Praveen, Dhanya; R, Jaganathan; D, RajaLakshmi; K, Palanivelu

2017-01-01

India's dependence on a climate sensitive sector like agriculture makes it highly vulnerable to its impacts. However, agriculture is highly heterogeneous across the country owing to regional disparities in exposure, sensitivity, and adaptive capacity. It is essential to know and quantify the possible impacts of changes in climate on crop yield for successful agricultural management and planning at a local scale. The Hadley Centre Global Environment Model version 2-Earth System (HadGEM-ES) was employed to generate regional climate projections for the study area using the Regional Climate Model (RCM) RegCM4.4. The dynamics in potential impacts at the sub-district level were evaluated using the Representative Concentration Pathway 4.5 (RCPs). The aim of this study was to simulate the crop yield under a plausible change in climate for the coastal areas of South India through the end of this century. The crop simulation model, the Decision Support System for Agrotechnology Transfer (DSSAT) 4.5, was used to understand the plausible impacts on the major crop yields of rice, groundnuts, and sugarcane under the RCP 4.5 trajectory. The findings reveal that under the RCP 4.5 scenario there will be decreases in the major C3 and C4 crop yields in the study area. This would affect not only the local food security, but the livelihood security as well. This necessitates timely planning to achieve sustainable crop productivity and livelihood security. On the other hand, this situation warrants appropriate adaptations and policy intervention at the sub-district level for achieving sustainable crop productivity in the future.

Student centred teaching methods in a Chinese setting.

PubMed

Clarke, Janice

2010-01-01

This paper offers a discussion about using Western, student centred teaching methods with Chinese student nurses. There is increasing interest from Chinese nurse educators in student centred learning and an increase in partnerships between Chinese and Western universities. This paper suggests that the assumption that Western teaching methods are superior is now questioned and transferring Western style teaching to China requires a high degree of cultural sensitivity.

Evaluating the Effectiveness of Information Centres and Services

DTIC Science & Technology

1988-09-01

THE EFFECTIVENESS OF INFORMATION CENTRES AND SERVICES Accession For ZTIS GRA&I DTIC TAB Unarnnounoed 0- Justilfication By Distribution/ Availability...Recommending effective ways for the member nations to use their research and development capabilities for the common benefit of the NATO community; - Providing...evaluation is done. It proposes various strategies for altering the centres and services so that effectiveness is improved; in so doing, it covers

Off-Centre Effects in the Triplet Relaxed Excited State of Ga+ Centres in CsBr:Ga Crystal

NASA Astrophysics Data System (ADS)

Kalder, K.; Korrovits, V.; Nagirnyi, V.; Stolovits, A.; Zazubovich, S.; Babin, V.

1997-06-01

Spectra, polarization and decay kinetics of the triplet and singlet emission of Ga+ centres in CsBr:Ga crystals have been studied in the temperature range of 0.1 to 400 K. It has been found that the triplet AX and AT emission bands coincide. Two slow components have been observed in the decay kinetics of each emission at T < 1.5 K and explained by the tunnel splitting of the metastable minima of the corresponding triplet relaxed excited state. It points to the off-centre displacement of a Ga+ ion from a crystal lattice site both in the tetragonal (T) and in the trigonal (X) Jahn-Teller minima.

Global Inventory of Regional and National Qualifications Frameworks. Volume I: Thematic Chapters

ERIC Educational Resources Information Center

Deij, Arjen; Graham, Michael; Bjornavold, Jens; Grm, Slava Pevec; Villalba, Ernesto; Christensen, Hanne; Chakroun, Borhene; Daelman, Katrien; Carlsen, Arne; Singh, Madhu

2015-01-01

The "Global Inventory of Regional and National Qualifications Frameworks," the result of collaborative work between the European Training Foundation (ETF), the European Centre for the Development of Vocational Training (Cedefop), UNESCO [United Nations Educational, Scientific and Cultural Organization] and UIL [UNESCO Institute for…

Report of activities, 1997, Resident Geologist program, southern Ontario regional Resident Geologist`s report: Southeastern and Southwestern districts, Mines and Minerals Information Centre, and Petroleum Resources Centre. Ontario Geological Survey open file report number 5974

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

Sangster, P.J.

1998-10-01

This report reviews activities in the Southeastern and Southwestern Ontario Resident Geologist districts for the year, including mining and exploration activity, mineral property examinations, recommendations for exploration, and Ontario Geological Survey activities and research by others. It also reviews activities at the Ontario Geological Survey Mines and Minerals Information Centre and exploration and development activity in the province`s oil and gas sector.

Organizational and operational capabilities of specialist centres for children with psychomotor disability in Abidjan.

PubMed

Alloh, D; Nandjui, B; Bombo, J; Manou, B; Twoolys, A; Alloukou, R; Ake, N; Konate-Konan, E; Pillah, L; Coulibaly, A

2009-06-01

To describe the organizational and operational capabilities of specialized centres for children with psychomotor disability in Abidjan, Republic of Côte d'Ivoire. This descriptive study was carried out from February to May, 2006 at the various specialized centres for children with psychomotor disability that exist in the district of Abidjan. The procedure comprised a clinical description of the disabled children admitted to these centres and an assessment of the centres' organization and operational capabilities. Six specialist centres for children with psychomotor disability were identified, namely the Infant Guidance Centre, the Awakening and Stimulation Centre for disabled Children, the "Sainte-Magdeleine" Centre, the Medical and Training Institute, the "Page Blanche" institute and the "Colombes Notre Dame de la Paix" Centre. Among the children, 97.15% were day patients, 66.37% were mentally challenged, 30.96% had psychomotor impairment and 2.66% had motor impairments. The level of organization varied but the centres nevertheless had operational administrative, medical and paramedical staff, despite the absence of certain specialties. However, the lack of personnel, equipment and infrastructure is hindering the delivery of adequate services to the children. In Abidjan District, reception centres for children with psychomotor impairments are essentially privately run. Organizational and operational performances were suboptimal, with a low carer-to-patient ratio. Reinforcement of the centres' operational capabilities appears to be necessary.

Developing and testing the patient-centred innovation questionnaire for hospital nurses.

PubMed

Huang, Ching-Yuan; Weng, Rhay-Hung; Wu, Tsung-Chin; Lin, Tzu-En; Hsu, Ching-Tai; Hung, Chiu-Hsia; Tsai, Yu-Chen

2018-03-01

Develop the patient-centred innovation questionnaire for hospital nurses and establish its validity and reliability. Patient-centred care has been adopted by health care managers in their efforts to improve health care quality. It is regarded as a core concept for developing innovation. A cross-sectional study was employed to collect data from hospital nurses in Taiwan. This study was divided into two stages: pilot study and main study. In the main study, 596 valid responses were collected. This study adopted reliability analysis, exploratory factor analysis, confirmatory factor analysis and selected nurse innovation scale as a criterion to test criterion-related validity. Five-dimension patient-centred innovation questionnaire was proposed: access and practicability, co-ordination and communication, sharing power and responsibility, care continuity, family and person focus. Each dimension demonstrated a reliability of 0.89-0.98. All dimensions had acceptable convergent and discriminate validity. The patient-centred innovation questionnaire and nurse innovation scale exhibited a significantly positive correlation. Patient-centred innovation questionnaire not only had a good theoretical basis but also had sufficient reliability and construct validity, and criterion-related validity. Patient-centred innovation questionnaire could give a measure for evaluating the implementation of patient-centred care and could be used as a management tool during the process of nurse innovation. © 2017 John Wiley & Sons Ltd.

The NERC Data Assimilation Research Centre and Envisat

NASA Astrophysics Data System (ADS)

LAHOZ, W. A.

2001-12-01

The NERC Data Assimilation Research Centre (DARC), a Centre of Excellence in Earth Observation, has been recently set up in the UK. DARC is a distributed centre, with participation from the universities of Reading, Oxford, Cambridge and Edinburgh, and the Rutherford Appleton Laboratory. It has strong links with the UK Met Office, and with European data assimilation groups. One of the remits of DARC is the exploitation of research satellite data (e.g. from ESA's Envisat, due to be launched in November 2001). This presentation will describe the participation of DARC in the Envisat programme. This participation involves: (1) the calibration/validation of Envisat data using an NWP assimilation system, and (2) the production of 4-d quality-controlled datasets of temperature, ozone and water vapour from Envisat using an NWP assimilation system.

A Brief History of the J.P. Das Developmental Disabilities Centre

ERIC Educational Resources Information Center

Sobsey, Dick

2008-01-01

The J.P. Das Developmental Disabilities Centre celebrated its 40th anniversary on September 1, 2007, followed by The University of Alberta's 100th anniversary in 2008. The year 2008 also brought the appointment of a new Director for the Centre. As the immediate past Director of the Centre, the author recounts some of the history of the J.P. Das…

Low-Centred Polygons and Alas-Like Basins as Geological Markers of Warming Trends Late in Mars' History

NASA Astrophysics Data System (ADS)

Soare, R. J.; Conway, S. J.; Godin, E.; Osinski, G.; Hawkswell, J.; Bina, A.

2017-12-01

Expansive assemblages of low/high centred (ice-wedge) polygons and (polygonised) flat-floored thermokarst-basins (alases) are ubiquitous on Earth where the permafrost is continuous, metres to decametres-thick and ice rich, i.e. the Tuktoyaktuk Coastlands of northern Canada and the Yamal Peninsula of eastern Russia. These assemblages are geological bellwethers of transient and on occasion, long-term rises of sub-aerial and thaw-generating mean temperatures, for two principal reasons. First, high-centred (ice-wedge) polygons evolve from low-centred (ice-wedge) polygons when ice wedges that have aggraded and uplift overlying sediments above the elevation datum at the polygon centres, degrade, by thaw, and induce the loss of elevation below that datum. Second, thermokarst terrain comprises sediments whose pore volume is exceeded by the presence of water ice. A thermokarst basin (an alas) forms if and only when this ice undergoes thermal destabilisation and where thaw-generated meltwater is lost by evaporation or drainage. Spatially-associated and morphologically-similar assemblages of polygons and basins are commonplace throughout the mid-latitudes of eastern Utopia Planitia (UP), Mars. Under current conditions of extreme aridity, low atmospheric-pressure and frigid mean-temperatures, the widespread formation of ice-rich terrain by freeze-thaw cycling, let alone of near-surface ice-wedges and/or thermokarst basins, seems implausible. Against this environmental backdrop, sublimation seemingly stands alone in being able to revise ice-rich landscapes. However, multiple strands of data point to the possible periglacial-assemblages (PPAs) being youthful but not current in their formation. First, the sub-regional and dark-toned terrain incised by the PPAs is cratered more densely than would be expected. Second, the PPAs reside at a lower relative and absolute elevation than a light-toned and region-wide latitude-dependent mantle that is generally thought to be very recent in

Work experiences among attendees of day centres for people with psychiatric disabilities.

PubMed

Eklund, Mona; Sandlund, Mikael

2015-01-01

It is possible that people with psychiatric disabilities who visit day centres have previous work experiences that may be seen as resources for their current engagement in day centre activities. Research in this respect seems to lack, however. To investigate work experiences among attendees at day centres for people with psychiatric disabilities and relationships with current type of day centre (work-oriented, meeting place-oriented or mixed), engagement in day centre activities, motivation and socio-demographic and health-related factors. Seventy-seven attendees responded to questionnaires. Global Assessment of Functioning, GAF, was also used. Work was categorised into Group I (professionals, semi-professionals), Group II (clerical support, services workers) and Group III (e.g. craft workers, elementary occupations). Almost everyone had previously had open-market employment; more than half for ≥ 10 years. Group I was more common in mixed centres, Group II in meeting place-oriented ones and Group III in work-oriented ones. Group I more frequently had college degree and was rated high on GAF functioning. Women were over-represented in Group II, and men in Group III and in meeting place-oriented centres. Attending mixed centres was more likely when having a college degree, scoring high on GAF functioning and being highly engaged in activities. Attendees at work-oriented day centres were characterised by being motivated for spending time alone and reporting a diagnosis of psychosis. The participants had unused working capacity. No clear-cut relationships were found between work experiences and the investigated correlates.

Cyclic strain rate effects in fatigued face-centred and body-centred cubic metals

NASA Astrophysics Data System (ADS)

Mughrabi, Haël

2013-09-01

The present work deals mainly with the effect and the use of strain rate and temperature changes during cyclic deformation as a means to obtain valuable information on the thermally activated dislocation glide processes, based on the assessment of reversible changes of the thermal effective stress and of transient changes of the athermal stress. The importance of closed-loop testing in true plastic strain control with constant cyclic plastic strain rate throughout the cycle is explained and emphasized, especially with respect to the case of strain rate sensitive materials. Stress responses of face-centred cubic and body-centred cubic (bcc) metals to cyclic strain rate changes are presented to illustrate that the deformation modes of these two classes of materials differ characteristically at temperatures below that the so-called knee temperature of bcc metals. When such tests are performed in cyclic saturation, the temperature and strain rate dependence of bcc metals can be measured very accurately on one and the same specimen, permitting a thorough analysis of thermal activation.

Bureaucracy, professionalization and school centred innovation strategies

NASA Astrophysics Data System (ADS)

Morris, Paul

1990-03-01

This paper examines an attempt to promote a school centred innovation strategy within a highly centralized educational system. The School Based Curriculum Project Scheme, which was introduced into Hong Kong in 1988, is analysed in terms of a professional-bureaucratic dichotomy. It is argued that the operational details of the scheme are designed to satisfy a range of bureaucratic concerns and these are not conducive to promoting the professional work ethic which is required for school centred innovation. Finally the paper identifies the implications which arise for policies designed to promote curriculum innovation.

A transient stochastic weather generator incorporating climate model uncertainty

NASA Astrophysics Data System (ADS)

Glenis, Vassilis; Pinamonti, Valentina; Hall, Jim W.; Kilsby, Chris G.

2015-11-01

Stochastic weather generators (WGs), which provide long synthetic time series of weather variables such as rainfall and potential evapotranspiration (PET), have found widespread use in water resources modelling. When conditioned upon the changes in climatic statistics (change factors, CFs) predicted by climate models, WGs provide a useful tool for climate impacts assessment and adaption planning. The latest climate modelling exercises have involved large numbers of global and regional climate models integrations, designed to explore the implications of uncertainties in the climate model formulation and parameter settings: so called 'perturbed physics ensembles' (PPEs). In this paper we show how these climate model uncertainties can be propagated through to impact studies by testing multiple vectors of CFs, each vector derived from a different sample from a PPE. We combine this with a new methodology to parameterise the projected time-evolution of CFs. We demonstrate how, when conditioned upon these time-dependent CFs, an existing, well validated and widely used WG can be used to generate non-stationary simulations of future climate that are consistent with probabilistic outputs from the Met Office Hadley Centre's Perturbed Physics Ensemble. The WG enables extensive sampling of natural variability and climate model uncertainty, providing the basis for development of robust water resources management strategies in the context of a non-stationary climate.

Evidence of a relational spatial strategy in learning the centre of enclosures in human children (Homo sapiens).

PubMed

Tommasi, Luca; Giuliano, Alda

2014-07-01

Three- to five-year-old children were trained to localize a sensor hidden underneath the floor, in the centre of a square-shaped enclosure (1.5m×1.5m). Walking over the sensor caused a pleasant music to be played in the environment, thus engaging children in a playful spatial search. Children easily learned to find the centre of the training environment starting from random positions. After training, children were tested in enclosures of different size and/or shape: a larger square-shaped enclosure (3m×3m), a rectangle-shaped enclosure (1.5m×3m), an equilateral triangle-shaped enclosure (side 3m) and an isosceles triangle-shaped enclosure (base 1.5m; sides 3m). Children searched in the central region of the enclosures, their precision varying as a function of the similarity of the testing enclosure's shape to the shape of the training enclosure. This suggests that a relational spatial strategy was used, and that it depended on the encoding of geometrical shape. This result highlights a distinctive role of the geometric centre of enclosed spaces in place learning in children, as already observed in nonhuman species. Copyright © 2014 Elsevier B.V. All rights reserved.

Closing the gender leadership gap: a multi-centre cross-country comparison of women in management and leadership in academic health centres in the European Union.

PubMed

Kuhlmann, Ellen; Ovseiko, Pavel V; Kurmeyer, Christine; Gutiérrez-Lobos, Karin; Steinböck, Sandra; von Knorring, Mia; Buchan, Alastair M; Brommels, Mats

2017-01-06

Women's participation in medicine and the need for gender equality in healthcare are increasingly recognised, yet little attention is paid to leadership and management positions in large publicly funded academic health centres. This study illustrates such a need, taking the case of four large European centres: Charité - Universitätsmedizin Berlin (Germany), Karolinska Institutet (Sweden), Medizinische Universität Wien (Austria), and Oxford Academic Health Science Centre (United Kingdom). The percentage of female medical students and doctors in all four countries is now well within the 40-60% gender balance zone. Women are less well represented among specialists and remain significantly under-represented among senior doctors and full professors. All four centres have made progress in closing the gender leadership gap on boards and other top-level decision-making bodies, but a gender leadership gap remains relevant. The level of achieved gender balance varies significantly between the centres and largely mirrors country-specific welfare state models, with more equal gender relations in Sweden than in the other countries. Notably, there are also similar trends across countries and centres: gender inequality is stronger within academic enterprises than within hospital enterprises and stronger in middle management than at the top level. These novel findings reveal fissures in the 'glass ceiling' effects at top-level management, while the barriers for women shift to middle-level management and remain strong in academic positions. The uneven shifts in the leadership gap are highly relevant and have policy implications. Setting gender balance objectives exclusively for top-level decision-making bodies may not effectively promote a wider goal of gender equality. Academic health centres should pay greater attention to gender equality as an issue of organisational performance and good leadership at all levels of management, with particular attention to academic enterprises

Flare forecasting at the Met Office Space Weather Operations Centre

NASA Astrophysics Data System (ADS)

Murray, S. A.; Bingham, S.; Sharpe, M.; Jackson, D. R.

2017-04-01

The Met Office Space Weather Operations Centre produces 24/7/365 space weather guidance, alerts, and forecasts to a wide range of government and commercial end-users across the United Kingdom. Solar flare forecasts are one of its products, which are issued multiple times a day in two forms: forecasts for each active region on the solar disk over the next 24 h and full-disk forecasts for the next 4 days. Here the forecasting process is described in detail, as well as first verification of archived forecasts using methods commonly used in operational weather prediction. Real-time verification available for operational flare forecasting use is also described. The influence of human forecasters is highlighted, with human-edited forecasts outperforming original model results and forecasting skill decreasing over longer forecast lead times.

Seismological investigation of the National Data Centre Preparedness Exercise 2013

NASA Astrophysics Data System (ADS)

Gestermann, Nicolai; Hartmann, Gernot; Ross, J. Ole; Ceranna, Lars

2015-04-01

The Comprehensive Nuclear-Test-Ban Treaty (CTBT) prohibits all kinds of nuclear explosions conducted on Earth - underground, underwater or in the atmosphere. The verification regime of the CTBT is designed to detect any treaty violation. While the data of the International Monitoring System (IMS) is collected, processed and technically analyzed at the International Data Centre (IDC) of the CTBT-Organization, National Data Centres (NDC) of the member states provide interpretation and advice to their government concerning suspicious detections. The NDC Preparedness Exercises (NPE) are regularly performed dealing with fictitious treaty violations to practice the combined analysis of CTBT verification technologies. These exercises should help to evaluate the effectiveness of analysis procedures applied at NDCs and the quality, completeness and usefulness of IDC products for example. The exercise trigger of NPE2013 is a combination of a tempo-spatial indication pointing to a certain waveform event and simulated radionuclide concentrations generated by forward Atmospheric Transport Modelling based on a fictitious release. For the waveform event the date (4 Sept. 2013) is given and the region is communicated in a map showing the fictitious state of "Frisia" at the Coast of the North Sea in Central Europe. The potential connection between the waveform and radionuclide evidence remains unclear for exercise participants. The verification task was to identify the waveform event and to investigate potential sources of the radionuclide findings. The final question was whether the findings are CTBT relevant and justify a request for On-Site-Inspection in "Frisia". The seismic event was not included in the Reviewed Event Bulletin (REB) of the IDC. The available detections from the closest seismic IMS stations lead to a epicenter accuracy of about 24 km which is not sufficient to specify the 1000 km2 inspection area in case of an OSI. With use of data from local stations and

Episodic magmatism and serpentinized mantle exhumation at an ultraslow-spreading centre

NASA Astrophysics Data System (ADS)

Grevemeyer, Ingo; Hayman, Nicholas W.; Peirce, Christine; Schwardt, Michaela; Van Avendonk, Harm J. A.; Dannowski, Anke; Papenberg, Cord

2018-06-01

Mid-ocean ridges spreading at ultraslow rates of less than 20 mm yr-1 can exhume serpentinized mantle to the seafloor, or they can produce magmatic crust. However, seismic imaging of ultraslow-spreading centres has not been able to resolve the abundance of serpentinized mantle exhumation, and instead supports 2 to 5 km of crust. Most seismic crustal thickness estimates reflect the depth at which the 7.1 km s-1 P-wave velocity is exceeded. Yet, the true nature of the oceanic lithosphere is more reliably deduced using the P- to S-wave velocity (Vp/Vs) ratio. Here we report on seismic data acquired along off-axis profiles of older oceanic lithosphere at the ultraslow-spreading Mid-Cayman Spreading Centre. We suggest that high Vp/Vs ratios greater than 1.9 and continuously increasing P-wave velocity, changing from 4 km s-1 at the seafloor to greater than 7.4 km s-1 at 2 to 4 km depth, indicate highly serpentinized peridotite exhumed to the seafloor. Elsewhere, either magmatic crust or serpentinized mantle deformed and uplifted at oceanic core complexes underlies areas of high bathymetry. The Cayman Trough therefore provides a window into mid-ocean ridge dynamics that switch between magma-rich and magma-poor oceanic crustal accretion, including exhumation of serpentinized mantle covering about 25% of the seafloor in this region.

Climate change impacts on crop yield and quality with CO2 fertilization in China

PubMed Central

Erda, Lin; Wei, Xiong; Hui, Ju; Yinlong, Xu; Yue, Li; Liping, Bai; Liyong, Xie

2005-01-01

A regional climate change model (PRECIS) for China, developed by the UK's Hadley Centre, was used to simulate China's climate and to develop climate change scenarios for the country. Results from this project suggest that, depending on the level of future emissions, the average annual temperature increase in China by the end of the twenty-first century may be between 3 and 4 °C. Regional crop models were driven by PRECIS output to predict changes in yields of key Chinese food crops: rice, maize and wheat. Modelling suggests that climate change without carbon dioxide (CO2) fertilization could reduce the rice, maize and wheat yields by up to 37% in the next 20–80 years. Interactions of CO2 with limiting factors, especially water and nitrogen, are increasingly well understood and capable of strongly modulating observed growth responses in crops. More complete reporting of free-air carbon enrichment experiments than was possible in the Intergovernmental Panel on Climate Change's Third Assessment Report confirms that CO2 enrichment under field conditions consistently increases biomass and yields in the range of 5–15%, with CO2 concentration elevated to 550 ppm Levels of CO2 that are elevated to more than 450 ppm will probably cause some deleterious effects in grain quality. It seems likely that the extent of the CO2 fertilization effect will depend upon other factors such as optimum breeding, irrigation and nutrient applications. PMID:16433100

A Cross-Sectional Study of Indoor Tanning in Fitness Centres.

PubMed

Huang, Christina M; Kirchhof, Mark G

Ultraviolet (UV) radiation is a human carcinogen and is associated with the development of skin cancer. The promotion of indoor tanning (IT) at fitness centres is of particular concern as it reinforces the idea that a tan is associated with health and fitness. The purpose of this study was to investigate the prevalence of IT in fitness centres, with an emphasis on determining the financial costs, adherence to regulations, and safety precautions. Ten cities, representing 9 different Canadian provinces, were chosen for the study. From each province, a minimum of 20 and a maximum of 30 fitness centres were randomly selected from the Yellow Pages website. Each fitness centre was contacted by the principal investigator and inquiries were made from a consumer's perspective. Of the 203 gyms surveyed, 43% (88/203) offered tanning facilities. Of these, 10.23% (9/88) were found to be noncompliant with the provincial IT regulations for age and/or time between tanning sessions. Despite the known risks of IT, not all fitness centres are compliant with provincial legislations regarding IT, and some continue to promote tanning access to minors.

Hands-On versus Teacher-Centred Experiments in Soil Ecology

ERIC Educational Resources Information Center

Randler, Christoph; Hulde, Madeleine

2007-01-01

This study focused on differences between teacher-centred and learner-centred experiments in soil ecology. After a pilot study, we selected three experiments simple enough to be carried out by pupils even with little experience in self-determined learning and hands-on practice. The sample comprised 123 fifth and sixth graders from a middle school…

System-centred tobacco management: from 'whole-person' to 'whole-system' change.

PubMed

Bonevski, Billie

2014-01-01

Patient-centred tobacco management is a pragmatic approach for helping smokers achieve their goals in terms of either cessation or harm reduction. However, the success of the approach is dependent on clinicians embracing and delivering it as intended. There are a number of structural and systemic organisational barriers which are limiting clinician-delivered patient-centred tobacco dependence. In response, 'whole system' approaches which help support clinicians in the delivery of patient-centred tobacco management are required. Health system changes to support clinicians and facilitate the delivery of patient-centred tobacco management are worth further investigation, particularly in settings where tobacco smoking rates are high. © 2013 Australasian Professional Society on Alcohol and other Drugs.

Problems and Prospects of Education Resource Centres in Nigeria

ERIC Educational Resources Information Center

Ekanem, Johnson Efiong

2015-01-01

Nigeria has good policies on Education and one of such policies is the establishment of Education Resource Centres in every State of the Federation, including the Federal Capital Territory, Abuja. The need is clearly articulated in the National Policy on Education. Despite the lofty plan, most of the centres are not fulfilling the need for their…

Improving Teaching and Learning in a Regional University Campus through a Focus on the Affective Domain

ERIC Educational Resources Information Center

Sawyer, Janet; Zianian, Tahereh; Evans, Nina; Gillham, David

2012-01-01

This paper describes the research process undertaken in a pilot study conducted at the University of South Australia's Centre for Regional Engagement (CRE), and reports the feedback collected in relation to this process and the project overall. Academic staff and students from CRE's two sites located in the rural and regional cities of Whyalla and…

MtDNA COI-COII marker and drone congregation area: an efficient method to establish and monitor honeybee (Apis mellifera L.) conservation centres.

PubMed

Bertrand, Bénédicte; Alburaki, Mohamed; Legout, Hélène; Moulin, Sibyle; Mougel, Florence; Garnery, Lionel

2015-05-01

Honeybee subspecies have been affected by human activities in Europe over the past few decades. One such example is the importation of nonlocal subspecies of bees which has had an adverse impact on the geographical repartition and subsequently on the genetic diversity of the black honeybee Apis mellifera mellifera. To restore the original diversity of this local honeybee subspecies, different conservation centres were set up in Europe. In this study, we established a black honeybee conservation centre Conservatoire de l'Abeille Noire d'Ile de France (CANIF) in the region of Ile-de-France, France. CANIF's honeybee colonies were intensively studied over a 3-year period. This study included a drone congregation area (DCA) located in the conservation centre. MtDNA COI-COII marker was used to evaluate the genetic diversity of CANIF's honeybee populations and the drones found and collected from the DCA. The same marker (mtDNA) was used to estimate the interactions and the haplotype frequency between CANIF's honeybee populations and 10 surrounding honeybee apiaries located outside of the CANIF. Our results indicate that the colonies of the conservation centre and the drones of the DCA show similar stable profiles compared to the surrounding populations with lower level of introgression. The mtDNA marker used on both DCA and colonies of the conservation centre seems to be an efficient approach to monitor and maintain the genetic diversity of the protected honeybee populations. © 2014 John Wiley & Sons Ltd.

Nurse middle managers contributions to patient-centred care: A 'managerial work' analysis.

PubMed

Lalleman, Pcb; Smid, Gac; Dikken, J; Lagerwey, M D; Schuurmans, M J

2017-10-01

Nurse middle managers are in an ideal position to facilitate patient-centred care. However, their contribution is underexposed in literature due to difficulties to articulate this in practice. This paper explores how nurse middle managers contribute to patient-centred care in hospitals. A combination of time-use analysis and ethnographic work was used to disclose their contribution to patient-centred care at a micro level. Sixteen nurse managers were shadowed for over 560 hours in four hospitals. Some nurse middle managers seldom contribute to patient-centred care. Others are involved in direct patient care, but this does not result in patient-centred practices. At one hospital, the nurse middle managers did contribute to patient-centred care. Here balancing between "organizing work" and "caring work" is seen as a precondition for their patient-centeredness. Other important themes are feedback mechanisms; place matters; with whom to talk and how to frame the issues at stake; and behavioral style. Both "hands-on" and "heads-on" caring work of nurse middle managers enhances their patient-centeredness. This study is the first of its kind to obtain insight in the often difficult to articulate "doings" of nurse middle managers with regard to patient-centred care through combining time-use analysis with ethnographic work. © 2017 John Wiley & Sons Ltd.

[Experience of Regional Vascular Centre in assisting patients with severe cerebrovascular accidents in Novosibirsk].

PubMed

Doronin, B M; Marushak, A A; Popova, T F; Gribacheva, I A; Petrova, E V

2016-01-01

The analysis of the work of the neurological department of the Novosibirsk regional vascular center of City Clinical Hospital #1 for the period from 2013 to 2015 was done. We analyzed the annual reports of the regional vascular center, dynamics of cerebrovascular disease patterns, lethality, about the provision of medical care to patients with stroke, the use of high-tech methods of diagnosis and treatment. Ascertain the progress achieved and the perspectives of further improving the quality of care to patients with stroke due to wider use of methods of rehabilitation in the acute stage of stroke.

The new European Competence Centre for Moor and Climate - A European initiative for practical peat bog and climate protection

NASA Astrophysics Data System (ADS)

Smidt, Geerd; Tänzer, Detlef

2013-04-01

The new European Competence Centre for Moor and Climate (EFMK) is an initiative by different local communities, environmental protection NGOs, agricultural services, and partners from the peat and other industries in Lower Saxony (Germany). The Centre aims to integrate practical peat bog conservation with a focus on green house gas emission after drainage and after water logging activities. Together with our partners we want to break new ground to protect the remaining bogs in the region. Sphagnum mosses will be produced in paludiculture on-site in cooperation with the local peat industry to provide economic and ecologic alternatives for peat products used in horticulture business. Land-use changes are needed in the region and will be stimulated in cooperation with agricultural services via compensation money transfers from environmental protection funds. On a global scale the ideas of Carbon Credit System have to be discussed to protect the peat bogs for climate protection issues. Environmental education is an important pillar of the EFMK. The local society is invited to explore the unique ecosystem and to participate in peat bog protection activities. Future generations will be taught to understand that the health of our peat bogs is interrelated with the health of the local and global climate. Besides extracurricular classes for schools the centre will provide infrastructure for Master and PhD students, as well for senior researchers for applied research in the surrounding moor. International partners in the scientific and practical fields of peat bog ecology, renaturation, green house gas emissions from peat bogs, and environmental policy are invited to participate in the European Competence Center for Moor and Climate.

Meteorological operational services for civil protection in Veneto region (North-eastern Italy).

NASA Astrophysics Data System (ADS)

Barbi, A.; Monai, M.; Zardini, F.

2009-09-01

The Meteorological Centre of Teolo (CMT), part of the Regional Agency for Environmental Prevention and Protection of the North-eastern Italian region Veneto (ARPAV), is the operational regional meteorological service. Since April 2009 the Centre is linked to and supplies meteorological monitoring and forecasting to the recently constituted Functional Centre of the regional civil protection (CFD Veneto), which operates in the framework of National Civil Protection. The CFD Veneto supplies a multi-disciplinary, technical-scientific support to civil protection activities, to early warnings of natural hazards, in particular related to hydrogeological, hydraulic, and avalanches risks. The north-eastern part of Italy is known to be one of the rainiest regions in Europe. The region Veneto, due to its topographic configuration which includes Alpine reliefs, plans and a coast exposed to the Adriatic Sea, is conducive to heavy and long-lasting precipitation events. Also, strong thunderstorm activity with high precipitation rates, hail, wind gusts, and even tornadoes are relatively frequent occurrences. In this contribution two recent examples of different types of extreme events are briefly analysed by means of the ARPAV multi-sensor observing system which includes weather radar and a dense surface network. We show some of the impacts of such weather events on the territory, the services provided by CFD Veneto, in terms of meteorological forecasting and nowcasting products, and hydrogeologic/hydraulic hazard bullettins. The analysis highlights the difficulty of an efficient wheather forecast for civil defence purposes in a complex situation as ours, where many types of different events are possible. Especially cases of rapid convective events with their intense and very localized phenomena are a significant challenge. It is well-known that such events can bring remarkable material damages and serious danger for the people. For this reason an effective warning system which

A macro perspective for client-centred practice in curricula: Critique and teaching methods.

PubMed

Fleming-Castaldy, Rita P

2015-07-01

Client-centred practice is often eclipsed by social, economic, and political inequities. Ignoring these realities obstructs clients' goal attainment. The author advocates for the integration of a macro perspective inclusive of participation barriers and supports in occupational therapy curricula and seeks to motivate educators to adopt teaching approaches that develop students' abilities to address the complexities of client-centred practice. This article integrates a critical analysis of the literature on client-centred practice with reflexivity on disability studies and autoethnography. Educational standards require students to learn about the social, economic, and political contexts that impact on client-centred practice and the need for advocacy to enable participation. Theoretical support of a macro perspective for client-centred practice is strongly evident in the literature. Information on methods for teaching students how to actualize these concepts in practice is scant. Thus, strategies to inform the integration of a macro perspective into curricula and concrete activities to develop students' competencies for empowered client-centred practice are required. Educators have an ethical responsibility to critique their pedagogy to determine whether they are adequately preparing students for client-centred practice. The focus must move from teaching a micro perspective of client-centred practice to a macro perspective that enables occupational justice and empowerment.

Socioeconomic impacts of climate change on U.S. water supplies

USGS Publications Warehouse

Frederick, K.D.; Schwarz, G.E.

1999-01-01

A greenhouse warming would have major effects on water supplies and demands. A framework for examining the socioeconomic impacts associated with changes in the long-term availability of water is developed and applied to the hydrologic implications of the Canadian and British Hadley2 general circulation models (GCMs) for the 18 water resource regions in the conterminous United States. The climate projections of these two GCMs have very different implications for future water supplies and costs. The Canadian model suggests most of the nation would be much drier in the year 2030. Under the least-cost management scenario the drier climate could add nearly $105 billion to the estimated costs of balancing supplies and demands relative to the costs without climate change. Measures to protect instream flows and irrigation could result in significantly higher costs. In contrast, projections based on the Hadley model suggest water supplies would increase throughout much of the nation, reducing the costs of balancing water supplies with demands relative to the no-climate-change case.

How uncertain are climate model projections of water availability indicators across the Middle East?

PubMed

Hemming, Debbie; Buontempo, Carlo; Burke, Eleanor; Collins, Mat; Kaye, Neil

2010-11-28

The projection of robust regional climate changes over the next 50 years presents a considerable challenge for the current generation of climate models. Water cycle changes are particularly difficult to model in this area because major uncertainties exist in the representation of processes such as large-scale and convective rainfall and their feedback with surface conditions. We present climate model projections and uncertainties in water availability indicators (precipitation, run-off and drought index) for the 1961-1990 and 2021-2050 periods. Ensembles from two global climate models (GCMs) and one regional climate model (RCM) are used to examine different elements of uncertainty. Although all three ensembles capture the general distribution of observed annual precipitation across the Middle East, the RCM is consistently wetter than observations, especially over the mountainous areas. All future projections show decreasing precipitation (ensemble median between -5 and -25%) in coastal Turkey and parts of Lebanon, Syria and Israel and consistent run-off and drought index changes. The Intergovernmental Panel on Climate Change (IPCC) Fourth Assessment Report (AR4) GCM ensemble exhibits drying across the north of the region, whereas the Met Office Hadley Centre work Quantifying Uncertainties in Model ProjectionsAtmospheric (QUMP-A) GCM and RCM ensembles show slight drying in the north and significant wetting in the south. RCM projections also show greater sensitivity (both wetter and drier) and a wider uncertainty range than QUMP-A. The nature of these uncertainties suggests that both large-scale circulation patterns, which influence region-wide drying/wetting patterns, and regional-scale processes, which affect localized water availability, are important sources of uncertainty in these projections. To reduce large uncertainties in water availability projections, it is suggested that efforts would be well placed to focus on the understanding and modelling of both

Delegation of GP-home visits to qualified practice assistants: assessment of economic effects in an ambulatory healthcare centre

PubMed Central

2010-01-01

Background Against the background of a decreasing number of general practitioners (GPs) in rural regions in Germany, the AGnES-concept (AGnES = GP-supporting, community-based, e-health-assisted, systemic intervention) supports the delegation of regular GP-home visits to qualified practice assistants. The concept was implemented and evaluated in different model projects in Germany. To explore the economic effects of this concept, the development of the number of home visits in an ambulatory healthcare centre was analysed and compared with the number of home visits in the surrounding county. Methods Information about GP-home visits was derived from reimbursement data of the ambulatory healthcare centre and a statutory health insurance. Information about home visits conducted by AGnES-practice assistants was collected from the project documentation over a time period of 12 consecutive quarter years, four quarter years before the beginning of the project and 8 quarter years while the project was implemented, considering background temporal trends on the population level in the study region. Results Within the ambulatory healthcare centre, the home visits by the GPs significantly decreased, especially the number of medically urgent home visits. However, the overall rate of home visits (conducted by the GPs and the AGnES-practice assistants together) did not change significantly after implementation of the AGnES-concept. In the surrounding county, the home visit rates of the GPs were continuous; the temporal patterns were approximately equal for both usual and urgent home visits. Conclusion The results of the analyses show that the support by AGnES-practice assistants led to a decrease of GP-home visits rather than an induction of additional home visits by the AGnES-practice assistants. The most extended effect is related to the medically urgent home visits rather than to the usual home visits. PMID:20529307

Educational inequalities in patient-centred care: patients' preferences and experiences

PubMed Central

2012-01-01

Background Educational attainment is strongly related to specific health outcomes. The pathway in which individual patient-provider interactions contribute to (re)producing these inequalities has yet to be studied. In this article, the focus is on differences between less and more highly educated patients in their preferences for and experiences with patient-centred care., e.g. shared decision making, receiving understandable explanations and being able to ask questions. Methods Data are derived from several Consumer Quality-index (CQ-index) studies. The CQ-index is a family of standardized instruments which are used in the Netherlands to measure quality of care from the patient’s perspective. Results The educational level of patients is directly related to the degree of importance patients attribute to specific aspects of patient-centred care. It has a minor influence on the experienced level of shared decision making, but not on experiences regarding other aspects of patient-centred care. Conclusions All patients regard patient-centred care as important and report positive experiences. However, there is a discrepancy between patient preferences for patient-centred care on one hand and the care received on the other. Less educated patients might receive ‘too much’, and more highly educated patients ‘too little’ in the domains of communication, information and shared decision making. PMID:22900589

Detection of the Wenchuan aftershock sequence using waveform correlation with a composite regional network

DOE PAGES

Slinkard, Megan; Heck, Stephen; Schaff, David; ...

2016-06-28

Using template waveforms from aftershocks of the Wenchuan earthquake (12 May 2008, M s 8.0) listed in a global bulletin and continuous data from eight regional stations, we detected more than 6000 additional events in the mainshock source region from 1 May to 12 August 2008. These new detections obey Omori’s law, extend the magnitude of completeness downward by 1.1 magnitude units, and lead to a more than fivefold increase in number of known aftershocks compared with the global bulletins published by the International Data Centre and the Inter national Seismological Centre. Moreover, we detected more M > 2 eventsmore » than were listed by the Sichuan Seismograph Network. Several clusters of these detections were then relocated using the double-difference method, yielding locations that reduced travel-time residuals by a factor of 32 compared with the initial bulletin locations. Finally, our results suggest that using waveform correlation on a few regional stations can find aftershock events very effectively and locate them with precision.« less

The impact of study design and diagnostic approach in a large multi-centre ADHD study: Part 2: Dimensional measures of psychopathology and intelligence.

PubMed

Müller, Ueli C; Asherson, Philip; Banaschewski, Tobias; Buitelaar, Jan K; Ebstein, Richard P; Eisenberg, Jaques; Gill, Michael; Manor, Iris; Miranda, Ana; Oades, Robert D; Roeyers, Herbert; Rothenberger, Aribert; Sergeant, Joseph A; Sonuga-Barke, Edmund Js; Thompson, Margaret; Faraone, Stephen V; Steinhausen, Hans-Christoph

2011-04-07

The International Multi-centre ADHD Genetics (IMAGE) project with 11 participating centres from 7 European countries and Israel has collected a large behavioural and genetic database for present and future research. Behavioural data were collected from 1068 probands with ADHD and 1446 unselected siblings. The aim was to describe and analyse questionnaire data and IQ measures from all probands and siblings. In particular, to investigate the influence of age, gender, family status (proband vs. sibling), informant, and centres on sample homogeneity in psychopathological measures. Conners' Questionnaires, Strengths and Difficulties Questionnaires, and Wechsler Intelligence Scores were used to describe the phenotype of the sample. Data were analysed by use of robust statistical multi-way procedures. Besides main effects of age, gender, informant, and centre, there were considerable interaction effects on questionnaire data. The larger differences between probands and siblings at home than at school may reflect contrast effects in the parents. Furthermore, there were marked gender by status effects on the ADHD symptom ratings with girls scoring one standard deviation higher than boys in the proband sample but lower than boys in the siblings sample. The multi-centre design is another important source of heterogeneity, particularly in the interaction with the family status. To a large extent the centres differed from each other with regard to differences between proband and sibling scores. When ADHD probands are diagnosed by use of fixed symptom counts, the severity of the disorder in the proband sample may markedly differ between boys and girls and across age, particularly in samples with a large age range. A multi-centre design carries the risk of considerable phenotypic differences between centres and, consequently, of additional heterogeneity of the sample even if standardized diagnostic procedures are used. These possible sources of variance should be counteracted in

A magnetic torsional wave near the Galactic Centre traced by a 'double helix' nebula.

PubMed

Morris, Mark; Uchida, Keven; Do, Tuan

2006-03-16

The magnetic field in the central few hundred parsecs of the Milky Way has a dipolar geometry and is substantially stronger than elsewhere in the Galaxy, with estimates ranging up to a milligauss (refs 1-6). Characterization of the magnetic field at the Galactic Centre is important because it can affect the orbits of molecular clouds by exerting a drag on them, inhibit star formation, and could guide a wind of hot gas or cosmic rays away from the central region. Here we report observations of an infrared nebula having the morphology of an intertwined double helix about 100 parsecs from the Galaxy's dynamical centre, with its axis oriented perpendicular to the Galactic plane. The observed segment is about 25 parsecs in length, and contains about 1.25 full turns of each of the two continuous, helically wound strands. We interpret this feature as a torsional Alfvén wave propagating vertically away from the Galactic disk, driven by rotation of the magnetized circumnuclear gas disk. The direct connection between the circumnuclear disk and the double helix is ambiguous, but the images show a possible meandering channel that warrants further investigation.

Vertical integration and contractual network in the cardiovascular sector: the experience of the Italian region Emilia Romagna

PubMed Central

Ugolini, Cristina; Nobilio, Lucia

2003-01-01

Abstract Objective We analysed the integrated planning model adopted by the Italian region Emilia Romagna in year 2000 to cover the entire range of treatment of cardiovascular disease. This model, called “hub and spoke”, provides for the transfer of patient care and treatment from peripheral units (the spokes) to central units (the hubs) once a certain complexity threshold has been reached. Methods We examined inter-temporal variations in patients flows for the selection/referral and follow-up phases between cardiac surgery and cardiology units during two periods characterised by different organisational set-ups, in order to reflect on the progress being made in the organisation of the network. The database consisted of regional records of hospital discharges during the 1997–2001 period. Results The investigation pointed to the achievement of a good degree of coordination between structures at different levels of specialisation in the case of cardiac surgery, for which six centres were selected already in 1996. On the other hand, the more recent introduction of a hierarchical system for interventional cardiology points to the prevalence of operations on patients previously treated within the same centre, to admissions by direct access, and to follow-up mainly conducted within the hub providing the initial service. Conclusions Despite the progress made towards the more effective rationalisation of the health care network, there is still room for improvement in relations between different centres, in particular with regard to the clearer definition of the roles and interdependence of those intermediate-level centres located between the hub centres and basic healthcare facilities. PMID:16896380

Vertical integration and contractual network in the cardiovascular sector: the experience of the Italian region Emilia Romagna.

PubMed

Ugolini, Cristina; Nobilio, Lucia

2003-01-01

We analysed the integrated planning model adopted by the Italian region Emilia Romagna in year 2000 to cover the entire range of treatment of cardiovascular disease. This model, called "hub and spoke", provides for the transfer of patient care and treatment from peripheral units (the spokes) to central units (the hubs) once a certain complexity threshold has been reached. We examined inter-temporal variations in patients flows for the selection/referral and follow-up phases between cardiac surgery and cardiology units during two periods characterised by different organisational set-ups, in order to reflect on the progress being made in the organisation of the network. The database consisted of regional records of hospital discharges during the 1997-2001 period. The investigation pointed to the achievement of a good degree of coordination between structures at different levels of specialisation in the case of cardiac surgery, for which six centres were selected already in 1996. On the other hand, the more recent introduction of a hierarchical system for interventional cardiology points to the prevalence of operations on patients previously treated within the same centre, to admissions by direct access, and to follow-up mainly conducted within the hub providing the initial service. Despite the progress made towards the more effective rationalisation of the health care network, there is still room for improvement in relations between different centres, in particular with regard to the clearer definition of the roles and interdependence of those intermediate-level centres located between the hub centres and basic healthcare facilities.

Observations of Martian surface winds at the Viking Lander 1 site

NASA Technical Reports Server (NTRS)

Murphy, James R.; Leovy, Conway B.; Tillman, James E.

1990-01-01

Martian surface winds at the Viking Lander 1 have been reconstructed using signals from partially failed wind instrumentation. Winds during early summer were controlled by regional topography, and then underwent a transition to a regime controlled by the Hadley circulation. Diurnal wind oscillations were controlled primarily by regional topography and boundary layer forcing, although a global mode may have been influencing them during two brief episodes. Semidiurnal wind oscillations were controlled by the westward-propagating semidiurnal tide from sol 210 onward. Comparison of the synoptic variations at the two sites suggests that the same eastward propagating wave trains were present at both sites.

Pacific Northwest regional AGU meeting

NASA Astrophysics Data System (ADS)

Hyndman, Roy

The 27th Annual Pacific Northwest Regional American Geophysical Union Meeting, held September 25 and 26, 1980, was hosted by the Pacific Geoscience Centre at the Institute of Ocean Sciences, near Victoria, British Columbia. A total of 79 papers was presented to the 150 registrants in six general sessions: seismology; electromagnetic induction; general geophysics; volcanology; hydrology; and oceanography, and in three special symposia: ‘The Queen Charlotte-Fairweather fault system and other active faults of the Pacific Northwest’ ‘Coastal circulation in the northeast Pacific’ and ‘Studies of the eruption of Mount St. Helens.’

Evaluation of potential impacts on Great Lakes water resources based on climate scenarios of two GCMs

USGS Publications Warehouse

Lofgren, B.M.; Quinn, F.H.; Clites, A.H.; Assel, R.A.; Eberhardt, A.J.; Luukkonen, C.L.

2002-01-01

The results of general circulation model predictions of the effects of climate change from the Canadian Centre for Climate Modeling and Analysis (model CGCM1) and the United Kingdom Meteorological Office's Hadley Centre (model HadCM2) have been used to derive potential impacts on the water resources of the Great Lakes basin. These impacts can influence the levels of the Great Lakes and the volumes of channel flow among them, thus affecting their value for interests such as riparians, shippers, recreational boaters, and natural ecosystems. On one hand, a hydrological modeling suite using input data from the CGCM1 predicts large drops in lake levels, up to a maximum of 1.38 m on Lakes Michigan and Huron by 2090. This is due to a combination of a decrease in precipitation and an increase in air temperature that leads to an increase in evaporation. On the other hand, using input from HadCM2, rises in lake levels are predicted, up to a maximum of 0.35 m on Lakes Michigan and Huron by 2090, due to increased precipitation and a reduced increase in air temperature. An interest satisfaction model shows sharp decreases in the satisfaction of the interests of commercial navigation, recreational boating, riparians, and hydropower due to lake level decreases. Most interest satisfaction scores are also reduced by lake level increases. Drastic reductions in ice cover also result from the temperature increases such that under the CGCM1 predictions, most of Lake Erie has 96% of its winters ice-free by 2090. Assessment is also made of impacts on the groundwater-dependent region of Lansing, Michigan.

Audit of sweat testing: a first report from Italian Cystic Fibrosis Centres.

PubMed

Cirilli, Natalia; Padoan, Rita; Raia, Valeria

2008-09-01

Cystic Fibrosis diagnosis is confirmed using sweat test. The aim of our study was to evaluate current techniques and methodologies in use at Italian CF Care Centres. A series of questions related to the performance of the sweat test was collected by all CF Care Centres in Italy. Answers were compared with UK and NCCLS guidelines. 39/41 Centres replied to the questionnaire. A good adherence to guidelines was registered for storing samples before analysis in 90.9%, while performing CF diagnosis by at least two sweat tests, and chloride analysis were reported respectively in 100% and 75.7% of Centres. Some inconsistencies were registered for minimum acceptable sweat quantity and time to collect sweat inadequate in respectively 42.5% and 24.2% of Centres, while performing quality control procedures and referring to an external quality assessment scheme were found inadequate in respectively 54.6% and 100%. 57.6% didn't provide any appropriate analytical ranges and only 15.1% of Centres offered proper information to patients/parents. A report form, including sweat quantity, reference ranges and interpretation, was adequate only for 9.4 up to 41.4% of CF Centres. Our study showed areas of inconsistencies in sweat testing current practices in Italy and highlights the need for evidence based national guidelines to improve practice and management strategies.

Psychometric evaluation of the Arabic language person-centred climate questionnaire-staff version.

PubMed

Aljuaid, Mohammed; Elmontsri, Mustafa; Edvardsson, David; Rawaf, Salman; Majeed, Azeem

2018-05-01

To evaluate the psychometric properties of the Arabic language person-centred climate questionnaire-staff version. There have been increasing calls for a person-centred rather than a disease-centred approach to health care. A limited number of tools measure the extent to which care is delivered in a person-centred manner, and none of these tools have been validated for us in Arab settings. The validated form of the person-centred climate questionnaire-staff version was translated into Arabic and distributed to 152 health care staff in teaching and non-teaching hospitals in Saudi Arabia. Statistical estimates of validity and reliability were used for psychometric evaluation. Items on the Arabic form of the person-centred climate questionnaire-staff version had high reliability (Cronbach's alpha .98). Cronbach's alpha values for the three sub-scales (safety, everydayness and community), were .96, .97 and .95 respectively. Internal consistency was also high and measures of validity were very good. Arabic form of the person-centred climate questionnaire-staff version provides a valid and reliable way to measure the degree of perceived person-centredness. The tool can be used for comparing levels of person-centredness between wards, units, and public and private hospitals. The tool can also be used to measure the extent of person-centredness in health care settings in other Arab countries. © 2017 John Wiley & Sons Ltd.

A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial.

PubMed

Edvardsson, David; Sjögren, Karin; Lood, Qarin; Bergland, Ådel; Kirkevold, Marit; Sandman, Per-Olof

2017-01-17

The literature suggests that person-centred care can contribute to quality of life and wellbeing of nursing home residents, relatives and staff. However, there is sparse research evidence on how person-centred care can be operationalised and implemented in practice, and the extent to which it may promote wellbeing and satisfaction. Therefore, the U-Age nursing home study was initiated to deepen the understanding of how to integrate person-centred care into daily practice and to explore the effects and meanings of this. The study aims to evaluate effects and meanings of a person-centred and thriving-promoting intervention in nursing homes through a multi-centre, non-equivalent controlled group before-after trial design. Three nursing homes across three international sites have been allocated to a person-centred and thriving-promoting intervention group, and three nursing homes have been allocated to an inert control group. Staff at intervention sites will participate in a 12-month interactive educational programme that operationalises thriving-promoting and person-centred care three dimensions: 1) Doing a little extra, 2) Developing a caring environment, and 3) Assessing and meeting highly prioritised psychosocial needs. A pedagogical framework will guide the intervention. The primary study endpoints are; residents' thriving, relatives' satisfaction with care and staff job satisfaction. Secondary endpoints are; resident, relative and staff experiences of the caring environment, relatives' experience of visiting their relative and the nursing home, as well as staff stress of conscience and perceived person-centredness of care. Data on study endpoints will be collected pre-intervention, post-intervention, and at a six-month follow up. Interviews will be conducted with relatives and staff to explore experiences and meanings of the intervention. The study is expected to provide evidence that can inform further research, policy and practice development on if and how

Ninety day mortality following pancreatoduodenectomy in England: has the optimum centre volume been identified?

PubMed

Liu, Z; Peneva, I S; Evison, F; Sahdra, S; Mirza, D F; Charnley, R M; Savage, R; Moss, P A; Roberts, K J

2018-06-09

Mortality following pancreatoduodenectomy is related to centre volume although the optimal volume is not defined. Patients undergoing PD between 2001 and 2016 were identified from UK national databases. The effects of patient variables, centre volume and time period upon 90 day mortality were studied. 90 day mortality (970/14,935, 6.5%) was related to advanced age, comorbidity, diagnosis, ethnicity, deprivation, centre volume and time period. Mortality rates fell markedly from 10.0% in 2001-4 to 4.1% in 2013-16. There was no difference in 90 day mortality between high (36 -60 PD per year) and very high volume (>60) centres. However, patients operated upon at very high volume centres were more elderly (66, 58 -73 vs 65, 56 -72; median, IQR; p = 0.006), deprived (38.7 vs 34.6%; p < 0.001) and co morbid (48.9 vs 46.1%; p = 0.027). Although a plateau in the centre volume and mortality relationship appears to have been demonstrated those patients treated at the highest volume centres were at higher risk of mortality. This data suggests therefore that to further understand outcomes from specialist centres characteristics of the patient population should be defined, not just centre volume. Copyright © 2018. Published by Elsevier Ltd.

Birth centres and the national maternity services review: response to consumer demand or compromise?

PubMed

Dahlen, H; Jackson, M; Schmied, V; Tracy, S; Priddis, H

2011-12-01

In February 2009 the Improving Maternity Services in Australia - The Report of the Maternity Services Review (MSR) was released and recommended improving women's access to and availability of birth centres. It was unclear if this was in response to an overwhelming request for birth centres in the submissions received by the commonwealth or a compromise for excluding homebirth from the maternity service reforms. The aim of this paper was to examine what was said in the submissions to the MSR about birth centres. Data for this study comprised 832 submissions to the MSR that are publicly available on the Commonwealth of Australia Department of Health and Ageing website. All 832 submissions were downloaded, and read for any mention of the words 'birth centre', 'birth center'. Content analysis was used to categorise and report the data. Of the 832 submissions to the MSR 197 (24%) mentioned birth centres while 470 (60%) of the submissions mentioned homebirth. Only 31 (4%) of the submissions to the Maternity Review mentioned birth centres without mentioning home birth also. Most of the submissions emphasised that 'everything should be on the menu' when it came to place of birth and care provider. Reasons for choosing a birth centre were identified as: 'the best compromise available, 'the right and natural way' and 'the birth centre as safe'. Women had certain requirements of a birth centre that included: 'continuity of carer', 'midwife led', 'a sanctum from medicalised care', 'resources to cope with demand', 'close to home', and 'flexible guidelines and admission criteria'. Women weighed up a series of requirements when deciding whether to give birth in a birth centre. The recommendation by the MSR to expand birth centres and ignore home birth is at odds with the strong view expressed that 'everything should be on the menu'. The requirements women described of birth centre care are also at odds with current trends. If there is to be an expansion of birth centres, service

Socio-demographic and Clinical Profile of Substance Abusers Attending a Regional Drug De-addiction Centre in Chronic Conflict Area: Kashmir, India.

PubMed

Rather, Yasir Hassan; Bashir, Wiqar; Sheikh, Ajaz Ahmad; Amin, Marya; Zahgeer, Yasir Arafat

2013-05-01

The menace of substance abuse is not only a socially unacceptable reality, but in its entirety is a disease and emerging as a major public health challenge. To study the socio-demographic and clinical profile of patients attending the drug de-addiction centre. A descriptive study was undertaken in a drug de-addiction centre at the Police Hospital in Srinagar, and all patients (198) who were admitted during this period were interviewed. The mean (SD) age of patients was 26.8 years (SD 7.37), and over half (56%) belonged to the lower-middle social class. Poly-substance abuse was seen in 91.9%; medicinal opioids and cannabis were the most common substances abused. Most common age of initiation was 11-20 years (76.8%), with peer pressure and relief from a negative mood state being the most common reasons given for starting the drug(s). Prevalence of a co-morbid psychiatric disorder was high, on the order of 49.5%. A high rate of volatile substance use was observed among adolescents (54.5%). A pattern of poly-substance abuse was found to be quite common in patients, and use of volatile substances at a very young age emerged as a new trend. The dreadful repercussions of substance abuse justify the urgency to evolve a comprehensive strategy.

Socio-demographic and Clinical Profile of Substance Abusers Attending a Regional Drug De-addiction Centre in Chronic Conflict Area: Kashmir, India

PubMed Central

Rather, Yasir Hassan; Bashir, Wiqar; Sheikh, Ajaz Ahmad; Amin, Marya; Zahgeer, Yasir Arafat

2013-01-01

Background: The menace of substance abuse is not only a socially unacceptable reality, but in its entirety is a disease and emerging as a major public health challenge. Objective: To study the socio-demographic and clinical profile of patients attending the drug de-addiction centre. Methods: A descriptive study was undertaken in a drug de-addiction centre at the Police Hospital in Srinagar, and all patients (198) who were admitted during this period were interviewed. Results: The mean (SD) age of patients was 26.8 years (SD 7.37), and over half (56%) belonged to the lower-middle social class. Poly-substance abuse was seen in 91.9%; medicinal opioids and cannabis were the most common substances abused. Most common age of initiation was 11–20 years (76.8%), with peer pressure and relief from a negative mood state being the most common reasons given for starting the drug(s). Prevalence of a co-morbid psychiatric disorder was high, on the order of 49.5%. A high rate of volatile substance use was observed among adolescents (54.5%). Conclusion: A pattern of poly-substance abuse was found to be quite common in patients, and use of volatile substances at a very young age emerged as a new trend. The dreadful repercussions of substance abuse justify the urgency to evolve a comprehensive strategy. PMID:23966822

Laser writing of coherent colour centres in diamond

NASA Astrophysics Data System (ADS)

Chen, Yu-Chen; Salter, Patrick S.; Knauer, Sebastian; Weng, Laiyi; Frangeskou, Angelo C.; Stephen, Colin J.; Ishmael, Shazeaa N.; Dolan, Philip R.; Johnson, Sam; Green, Ben L.; Morley, Gavin W.; Newton, Mark E.; Rarity, John G.; Booth, Martin J.; Smith, Jason M.

2017-02-01

Optically active point defects in crystals have gained widespread attention as photonic systems that could be applied in quantum information technologies. However, challenges remain in the placing of individual defects at desired locations, an essential element of device fabrication. Here we report the controlled generation of single negatively charged nitrogen-vacancy (NV-) centres in diamond using laser writing. Aberration correction in the writing optics allows precise positioning of the vacancies within the diamond crystal, and subsequent annealing produces single NV- centres with a probability of success of up to 45 ± 15%, located within about 200 nm of the desired position in the transverse plane. Selected NV- centres display stable, coherent optical transitions at cryogenic temperatures, a prerequisite for the creation of distributed quantum networks of solid-state qubits. The results illustrate the potential of laser writing as a new tool for defect engineering in quantum technologies, and extend laser processing to the single-defect domain.

Research activities at the Australian Bureau of Meteorology for the regional ionospheric specification and forecasting

NASA Astrophysics Data System (ADS)

Bouya, Zahra; Terkildsen, Michael

2016-07-01

The Australian Space Forecast Centre (ASFC) provides space weather forecasts to a diverse group of customers. Space Weather Services (SWS) within the Australian Bureau of Meteorology is focussed both on developing tailored products and services for the key customer groups, and supporting ASFC operations. Research in SWS is largely centred on the development of data-driven models using a range of solar-terrestrial data. This paper will cover some data requirements , approaches and recent SWS activities for data driven modelling with a focus on the regional Ionospheric specification and forecasting.

Enhanced mesoscale climate projections in TAR and AR5 IPCC scenarios: a case study in a Mediterranean climate (Araucanía Region, south central Chile).

PubMed

Orrego, R; Abarca-Del-Río, R; Ávila, A; Morales, L

2016-01-01

Climate change scenarios are computed on a large scale, not accounting for local variations presented in historical data and related to human scale. Based on historical records, we validate a baseline (1962-1990) and correct the bias of A2 and B2 regional projections for the end of twenty-first century (2070-2100) issued from a high resolution dynamical downscaled (using PRECIS mesoscale model, hereinafter DGF-PRECIS) of Hadley GCM from the IPCC 3rd Assessment Report (TAR). This is performed for the Araucanía Region (Chile; 37°-40°S and 71°-74°W) using two different bias correction methodologies. Next, we study high-resolution precipitations to find monthly patterns such as seasonal variations, rainfall months, and the geographical effect on these two scenarios. Finally, we compare the TAR projections with those from the recent Assessment Report 5 (AR5) to find regional precipitation patterns and update the Chilean `projection. To show the effects of climate change projections, we compute the rainfall climatology for the Araucanía Region, including the impact of ENSO cycles (El Niño and La Niña events). The corrected climate projection from the high-resolution dynamical downscaled model of the TAR database (DGF-PRECIS) show annual precipitation decreases: B2 (-19.19 %, -287 ± 42 mm) and A2 (-43.38 %, -655 ± 27.4 mm per year. Furthermore, both projections increase the probability of lower rainfall months (lower than 100 mm per month) to 64.2 and 72.5 % for B2 and A2, respectively.

Enhanced mesoscale climate projections in TAR and AR5 IPCC scenarios: a case study in a Mediterranean climate (Araucanía Region, south central Chile)

DOE PAGES

Orrego, R.; Abarca-del-Rio, R.; Avila, A.; ...

2016-09-28

Here, climate change scenarios are computed on a large scale, not accounting for local variations presented in historical data and related to human scale. Based on historical records, we validate a baseline (1962–1990) and correct the bias of A2 and B2 regional projections for the end of twenty-first century (2070–2100) issued from a high resolution dynamical downscaled (using PRECIS mesoscale model, hereinafter DGF-PRECIS) of Hadley GCM from the IPCC 3rd Assessment Report (TAR). This is performed for the Araucanía Region (Chile; 37°–40°S and 71°–74°W) using two different bias correction methodologies. Next, we study high-resolution precipitations to find monthly patterns suchmore » as seasonal variations, rainfall months, and the geographical effect on these two scenarios. Finally, we compare the TAR projections with those from the recent Assessment Report 5 (AR5) to find regional precipitation patterns and update the Chilean `projection. To show the effects of climate change projections, we compute the rainfall climatology for the Araucanía Region, including the impact of ENSO cycles (El Niño and La Niña events). The corrected climate projection from the high-resolution dynamical downscaled model of the TAR database (DGF-PRECIS) show annual precipitation decreases: B2 (-19.19 %, -287 ± 42 mm) and A2 (-43.38 %, -655 ± 27.4 mm per year. Furthermore, both projections increase the probability of lower rainfall months (lower than 100 mm per month) to 64.2 and 72.5 % for B2 and A2, respectively.« less

Enhanced mesoscale climate projections in TAR and AR5 IPCC scenarios: a case study in a Mediterranean climate (Araucanía Region, south central Chile)

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

Orrego, R.; Abarca-del-Rio, R.; Avila, A.

Here, climate change scenarios are computed on a large scale, not accounting for local variations presented in historical data and related to human scale. Based on historical records, we validate a baseline (1962–1990) and correct the bias of A2 and B2 regional projections for the end of twenty-first century (2070–2100) issued from a high resolution dynamical downscaled (using PRECIS mesoscale model, hereinafter DGF-PRECIS) of Hadley GCM from the IPCC 3rd Assessment Report (TAR). This is performed for the Araucanía Region (Chile; 37°–40°S and 71°–74°W) using two different bias correction methodologies. Next, we study high-resolution precipitations to find monthly patterns suchmore » as seasonal variations, rainfall months, and the geographical effect on these two scenarios. Finally, we compare the TAR projections with those from the recent Assessment Report 5 (AR5) to find regional precipitation patterns and update the Chilean `projection. To show the effects of climate change projections, we compute the rainfall climatology for the Araucanía Region, including the impact of ENSO cycles (El Niño and La Niña events). The corrected climate projection from the high-resolution dynamical downscaled model of the TAR database (DGF-PRECIS) show annual precipitation decreases: B2 (-19.19 %, -287 ± 42 mm) and A2 (-43.38 %, -655 ± 27.4 mm per year. Furthermore, both projections increase the probability of lower rainfall months (lower than 100 mm per month) to 64.2 and 72.5 % for B2 and A2, respectively.« less

Cardiac patients' perception of patient-centred care: a qualitative study.

PubMed

Esmaeili, Maryam; Cheraghi, Mohammad A; Salsali, Mahvash

2016-03-01

The aim of this study was to explore cardiac patients' perception of patient-centred care. Despite patient's importance in the process of care, less attention has been paid to experiences and expectations of patients in definitions of patient-centred care. As patients are an important element in process of patient-centred care, organizing care programs according to their perceptions and expectations will lead to enhanced quality of care and greater patient satisfaction. This study is a descriptive qualitative study. Content analysis approach was performed for data analysis. Participants were 18 cardiac patients (10 women and 8 men) hospitalized in coronary care units of teaching hospitals affiliated to Tehran University of Medical Sciences. We collected the study data through conducting personal face-to-face semi-structured interviews. The participants' perceptions of patient-centred care fell into three main themes including managing patients uncertainty, providing care with more flexibility and establishing a therapeutic communication. The second theme consisted of two sub-themes: empathizing with patients and having the right to make independent decisions. Receiving patient-centred care is essential for cardiac patients. Attention to priorities and preferences of cardiac patients and making decisions accordingly is among effective strategies for achieving patient-centred care. Cardiac care unit nurses ought to be aware that in spite of technological developments and advances, it is still important to pay attention to patients' needs and expectations in order to achieve patient satisfaction. In planning care programs, they should consider accountability towards patients' needs, flexibility in process of care and establishing medical interactions as an effective strategy for improving quality of care. © 2014 British Association of Critical Care Nurses.

Force-induced chemical reactions on the metal centre in a single metalloprotein molecule.

PubMed

Zheng, Peng; Arantes, Guilherme M; Field, Martin J; Li, Hongbin

2015-06-25

Metalloproteins play indispensable roles in biology owing to the versatile chemical reactivity of metal centres. However, studying their reactivity in many metalloproteins is challenging, as protein three-dimensional structure encloses labile metal centres, thus limiting their access to reactants and impeding direct measurements. Here we demonstrate the use of single-molecule atomic force microscopy to induce partial unfolding to expose metal centres in metalloproteins to aqueous solution, thus allowing for studying their chemical reactivity in aqueous solution for the first time. As a proof-of-principle, we demonstrate two chemical reactions for the FeS4 centre in rubredoxin: electrophilic protonation and nucleophilic ligand substitution. Our results show that protonation and ligand substitution result in mechanical destabilization of the FeS4 centre. Quantum chemical calculations corroborated experimental results and revealed detailed reaction mechanisms. We anticipate that this novel approach will provide insights into chemical reactivity of metal centres in metalloproteins under biologically more relevant conditions.

Force-induced chemical reactions on the metal centre in a single metalloprotein molecule

PubMed Central

Zheng, Peng; Arantes, Guilherme M.; Field, Martin J.; Li, Hongbin

2015-01-01

Metalloproteins play indispensable roles in biology owing to the versatile chemical reactivity of metal centres. However, studying their reactivity in many metalloproteins is challenging, as protein three-dimensional structure encloses labile metal centres, thus limiting their access to reactants and impeding direct measurements. Here we demonstrate the use of single-molecule atomic force microscopy to induce partial unfolding to expose metal centres in metalloproteins to aqueous solution, thus allowing for studying their chemical reactivity in aqueous solution for the first time. As a proof-of-principle, we demonstrate two chemical reactions for the FeS4 centre in rubredoxin: electrophilic protonation and nucleophilic ligand substitution. Our results show that protonation and ligand substitution result in mechanical destabilization of the FeS4 centre. Quantum chemical calculations corroborated experimental results and revealed detailed reaction mechanisms. We anticipate that this novel approach will provide insights into chemical reactivity of metal centres in metalloproteins under biologically more relevant conditions. PMID:26108369

Teachers' Perception on Sustainability of Distance Education in Ghana: Evidence from Ashanti Region

ERIC Educational Resources Information Center

Osei-Owusu, Benedict; Awunyo-Vitor, Dadson

2012-01-01

The study examined the sustainability of distance education in the context of finance, management and availability of support services in Ashanti region of Ghana. Data for the study were obtained from five groups of respondents namely; centre coordinators, educational administrators, facilitators of distance education programme, potential and…

Transitional and Transformational Spaces: Mentoring Young Academics through Writing Centres

ERIC Educational Resources Information Center

Archer, Arlene; Parker, Shabnam

2016-01-01

The effectiveness of writing centre interventions on student writing in higher education has been well-documented in academic literacies studies. This paper changes the focus of investigation from student to consultant and, consequently, explores the way in which an academic writing centre can function as a mentoring environment for young…

Leading an Effective Improvement and Development Programme for Children's Centres

ERIC Educational Resources Information Center

Weston, Gill; Tyler, Mary

2015-01-01

This article reviews the process and achievements of leadership of an improvement and development programme for children's centres in the context of public value and Ofsted inspection. It analyses how the capacity has been developed of children's centre managers to work more strategically and collectively. Distributed leadership theory is applied…

Research Informed Science Enrichment Programs at the Gravity Discovery Centre

ERIC Educational Resources Information Center

Venville, Grady; Blair, David; Coward, David; Deshon, Fred; Gargano, Mark; Gondwe, Mzamose; Heary, Auriol; Longnecker, Nancy; Pitts, Marina; Zadnik, Marjan

2012-01-01

Excursions to museums and science centres generally are great fun for students and teachers. The potential educational benefits beyond enjoyment, however, are rarely realised or analysed for their efficacy. The purpose of this paper is to describe four educational enrichment programs delivered at the Gravity Discovery Centre (GDC), near Gingin,…

Improving the layout of recycling centres by use of lean production principles.

PubMed

Sundin, Erik; Björkman, Mats; Eklund, Mats; Eklund, Jörgen; Engkvist, Inga-Lill

2011-06-01

There has been increased focus on recycling in Sweden during recent years. This focus can be attributed to external environmental factors such as tougher legislation, but also to the potential gains for raw materials suppliers. Recycling centres are important components in the Swedish total recycling system. Recycling centres are manned facilities for waste collection where visitors can bring, sort and discard worn products as well as large-sized, hazardous, and electrical waste. The aim of this paper was to identify and describe the main flows and layout types at Swedish recycling centres. The aim was also to adapt and apply production theory for designing and managing recycling centre operations. More specifically, this means using lean production principles to help develop guidelines for recycling centre design and efficient control. Empirical data for this research was primarily collected through interviews and questionnaires among both visitors and employees at 16 Swedish recycling centres. Furthermore, adapted observation protocols have been used in order to explore visitor activities. There was also close collaboration with a local recycling centre company, which shared their layout experiences with the researchers in this project. The recycling centres studied had a variety of problems such as queues of visitors, overloading of material and improper sorting. The study shows that in order to decrease the problems, the recycling centres should be designed and managed according to lean production principles, i.e. through choosing more suitable layout choices with visible and linear flows, providing better visitor information, and providing suitable technical equipment. Improvements can be achieved through proper planning of the layout and control of the flow of vehicles, with the result of increased efficiency and capacity, shorter visits, and cleaner waste fractions. The benefits of a lean production mindset include increased visitor capacity, waste

The Tehran Book Processing Centre.

ERIC Educational Resources Information Center

Harvey, John F.

Establishment of the Tehran Book Processing Centre (Tebroc) was proposed in the Spring of 1968. This document is a descriptive and historical account of the center, and a description of its contributions to Iranian processing development. The center was modeled, to a certain extent, after Bro-Dart's Alanar in Williamsport, Pennsylvania. Tebroc was…

Potential climate-induced runoff changes and associated uncertainty in four Pacific Northwest estuaries

USGS Publications Warehouse

Steele, Madeline O.; Chang, Heejun; Reusser, Deborah A.; Brown, Cheryl A.; Jung, Il-Won

2012-01-01

As part of a larger investigation into potential effects of climate change on estuarine habitats in the Pacific Northwest, we estimated changes in freshwater inputs into four estuaries: Coquille River estuary, South Slough of Coos Bay, and Yaquina Bay in Oregon, and Willapa Bay in Washington. We used the U.S. Geological Survey's Precipitation Runoff Modeling System (PRMS) to model watershed hydrological processes under current and future climatic conditions. This model allowed us to explore possible shifts in coastal hydrologic regimes at a range of spatial scales. All modeled watersheds are located in rainfall-dominated coastal areas with relatively insignificant base flow inputs, and their areas vary from 74.3 to 2,747.6 square kilometers. The watersheds also vary in mean elevation, ranging from 147 meters in the Willapa to 1,179 meters in the Coquille. The latitudes of watershed centroids range from 43.037 degrees north latitude in the Coquille River estuary to 46.629 degrees north latitude in Willapa Bay. We calibrated model parameters using historical climate grid data downscaled to one-sixteenth of a degree by the Climate Impacts Group, and historical runoff from sub-watersheds or neighboring watersheds. Nash Sutcliffe efficiency values for daily flows in calibration sub-watersheds ranged from 0.71 to 0.89. After calibration, we forced the PRMS models with four North American Regional Climate Change Assessment Program climate models: Canadian Regional Climate Model-(National Center for Atmospheric Research) Community Climate System Model version 3, Canadian Regional Climate Model-Canadian Global Climate Model version 3, Hadley Regional Model version 3-Hadley Centre Climate Model version 3, and Regional Climate Model-Canadian Global Climate Model version 3. These are global climate models (GCMs) downscaled with regional climate models that are embedded within the GCMs, and all use the A2 carbon emission scenario developed by the Intergovernmental Panel on

Molecular Identification of Human Fungal Pathogens

DTIC Science & Technology

2008-03-01

reported this period: Drees M, Wickes BL, Gupta M, Hadley S. Lecythophora mutabilis prosthetic valve endocarditis in a diabetic patient. Med Mycol. (2007...Wickes BL, Gupta M, Hadley S. 2007. Lecythophora mutabilis prosthetic valve endocarditis in a diabetic patient. Med Mycol. 45:463-467. 9...information: http://www.informaworld.com/smpp/title~content=t713694156 Lecythophora mutabilis prosthetic valve endocarditis in a diabetic patient Marci

Examination and Evaluation of Websites of Science Centres in Turkey

ERIC Educational Resources Information Center

Bozdogan, Aykut Emre; Bozdogan, Kerem

2016-01-01

Science centres which have a considerable importance and functions in developed countries are intended to be popularized in Turkey. At this point considering the fact that the first contact between science centres and visitors is usually provided with websites, it is quite important that the content of these websites should be designed and…

Occurrence of transmitted HIV-1 drug resistance among Drug-naïve pregnant women in selected HIV-care centres in Ghana.

PubMed

Martin-Odoom, Alexander; Adiku, Theophilus; Delgado, Elena; Lartey, Margaret; Ampofo, William K

2017-03-01

Access to antiretroviral therapy in Ghana has been scaled up across the country over the last decade. This study sought to determine the occurrence of transmitted HIV-1 drug resistance in pregnant HIV-1 positive women yet to initiate antiretroviral therapy at selected HIV Care Centres in Ghana. Plasma specimens from twenty-six (26) HIV seropositive pregnant women who were less than 28weeks pregnant with their first pregnancy and ART naïve were collected from selected HIV care centres in three (3) regions in Ghana. Genotypic testing was done for the reverse transcriptase gene and the sequences generated were analyzed for HIV-1 drug resistance mutations using the Stanford University HIV Drug Resistance Database. Resistance mutations associated with the reverse transcriptase gene were detected in 4 (15.4%) of the participants. At least one major drug resistance mutation in the reverse transcriptase gene was found in 3 (11.5%) of the women. The detection of transmitted HIV-1 drug resistance in this drug-naïve group in two regional HIV care sites is an indication of the need for renewed action in monitoring the emergence of transmitted HIV-1 drug resistance in Ghana. None declared.

Factors explaining priority setting at community mental health centres: a quantitative analysis of referral assessments.

PubMed

Grepperud, Sverre; Holman, Per Arne; Wangen, Knut Reidar

2014-12-14

Clinicians at Norwegian community mental health centres assess referrals from general practitioners and classify them into three priority groups (high priority, low priority, and refusal) according to need where need is defined by three prioritization criteria (severity, effect, and cost-effectiveness). In this study, we seek to operationalize the three criteria and analyze to what extent they have an effect on clinical-level priority setting after controlling for clinician characteristics and organisational factors. Twenty anonymous referrals were rated by 42 admission team members employed at 14 community mental health centres in the South-East Health Region of Norway. Intra-class correlation coefficients were calculated and logistic regressions were performed. Variation in clinicians' assessments of the three criteria was highest for effect and cost-effectiveness. An ordered logistic regression model showed that all three criteria for prioritization, three clinician characteristics (education, being a manager or not, and "guideline awareness"), and the centres themselves (fixed effects), explained priority decisions. The relative importance of the explanatory factors, however, depended on the priority decision studied. For the classification of all admitted patients into high- and low-priority groups, all clinician characteristics became insignificant. For the classification of patients, into those admitted and non-admitted, one criterion (effect) and "being a manager or not" became insignificant, while profession ("being a psychiatrist") became significant. Our findings suggest that variation in priority decisions can be reduced by: (i) reducing the disagreement in clinicians' assessments of cost-effectiveness and effect, and (ii) restricting priority decisions to clinicians with a similar background (education, being a manager or not, and "guideline awareness").

Developing a Partnership between the Riverina Environmental Education Centre and Charles Sturt University

ERIC Educational Resources Information Center

Boylan, Colin; Collin, Keith

2006-01-01

A collaborative partnership has evolved between the Riverina Environmental Education Centre (REEC) and Charles Sturt University in Wagga Wagga. The Riverina Environmental Education Centre (REEC) is one of 24 Department of Education and Training environmental education centres in New South Wales (see www.reec.nsw.edu.au). As part of this…

A comparative concept analysis of centring vs. opening meditation processes in health care.

PubMed

Birx, Ellen

2013-08-01

To report an analysis and comparison of the concepts centring and opening meditation processes in health care. Centring and opening meditation processes are included in nursing theories and frequently recommended in health care for stress management. These meditation processes are integrated into emerging psychotherapy approaches and there is a rapidly expanding body of neuroscience research distinguishing brain activity associated with different types of meditation. Currently, there is a lack of theoretical and conceptual clarity needed to guide meditation research in health care. A search of healthcare literature between 2006-2011 was conducted using Alt HealthWatch, CINAHL, PsychNET and PubMed databases using the keywords 'centring' and 'opening' alone and in combination with the term 'meditation.' For the concept centring, 10 articles and 11 books and for the concept opening 13 articles and 10 books were included as data sources. Rodgers' evolutionary method of concept analysis was used. Centring and opening are similar in that they both involve awareness in the present moment; both use a gentle, effortless approach; and both have a calming effect. Key differences include centring's focus on the individual's inner experience compared with the non-dual, spacious awareness of opening. Centring and opening are overlapping, yet distinct meditation processes. The term meditation cannot be used in a generic way in health care. The differences between centring and opening have important implications for the further development of unitary-transformative nursing theories. © 2012 Blackwell Publishing Ltd.

Experiences of women who planned birth in a birth centre compared to alternative planned places of birth. Results of the Dutch Birth Centre Study.

PubMed

Hitzert, Marit; Hermus, Marieke A A; Scheerhagen, Marisja; Boesveld, Inge C; Wiegers, Therese A; van den Akker-van Marle, M Elske; van Dommelen, Paula; van der Pal-de Bruin, Karin M; de Graaf, Johanna P

2016-09-01

to assess the experiences with maternity care of women who planned birth in a birth centre and to compare them to alternative planned places of birth, by using the responsiveness concept of the World Health Organization. this study is a cross-sectional study using the ReproQ questionnaire filled out eight to ten weeks after birth. The primary outcome was responsiveness of birth care. Secondary outcomes included overall grades for birth care and experiences with the birth centre services. Regression analyses were performed to compare experiences among the planned places of birth. The study is part of the Dutch Birth Centre Study. the women were recruited by 82 midwifery practices in the Netherlands, within the study period 1 August 2013 and 31 December 2013. a total of 2162 women gave written consent to receive the questionnaire and 1181 (54.6%) women completed the questionnaire. women who planned to give birth at a birth centre: (1) had similar experiences as the women who planned to give birth in a hospital receiving care of a community midwife. (2) had significantly less favourable experiences than the women who planned to give birth at home. Differences during birth were seen on the domains dignity (OR=1.58, 95% CI=1.09-2.27) and autonomy (OR=1.77, 95% CI=1.25-2.51), during the postpartum period on the domains social considerations (OR=1.54, 95% CI=1.06-2.25) and choice and continuity (OR=1.43, 95% CI=1.00-2.03). (3) had significantly better experiences than the women who planned to give birth in a hospital under supervision of an obstetrician. Differences during birth were seen on the domains dignity (OR=0.51, 95% CI=0.31-0.81), autonomy (OR=0.59, 95% CI=0.35-1.00), confidentiality (OR=0.57, 95% CI=0.36-0.92) and social considerations (OR=0.47, 95% CI=0.28-0.79). During the postpartum period differences were seen on the domains dignity (OR=0.61, 95% CI=0.38-0.98), autonomy (OR=0.52, 95% CI=0.31-0.85) and basic amenities (OR=0.52, 95% CI=0.30-0.88). More than 80

Assuring measurement quality in person-centred healthcare

NASA Astrophysics Data System (ADS)

Pendrill, L. R.

2018-03-01

Is it realistic to aspire to the same kind of quality-assurance of measurement in person-centred care, currently being implemented in healthcare globally, as is established in the physical sciences and engineering? Ensuring metrological comparability (‘traceability’) and reliably declaring measurement uncertainty when assessing patient ability or increased social capital are however challenging for subjective measurements often characterised by large dispersion. Drawing simple analogies between ‘instruments’ in the social sciences—questionnaires, ability tests, etc—and engineering instruments such as thermometers does not go far enough. A possible way forward, apparently equally applicable to both physical and social measurement, seems to be to model inferences in terms of performance metrics of a measurement system. Person-centred care needs person-centred measurement and a full picture of the measurement process when man acts as a measurement instrument is given in the present paper. This complements previous work by presenting the process, step by step, from the observed indication (e.g. probability of success, P success, of achieving a task), through restitution with Rasch measurement theory, to the measurand (e.g. task difficulty). Rasch invariant measure theory can yield quantities—‘latent’ (or ‘explanatory’) variables such as task challenge or person ability—with characteristics akin to those of physical quantities. Metrological references for comparability via traceability and reliable estimates of uncertainty and decision risks are then in reach even for perceptive measurements (and other qualitative properties). As a case study, the person-centred measurement of cognitive ability is examined, as part of the EU project EMPIR 15HLT04 NeuroMet, for Alzheimer’s, where better analysis of correlations with brain atrophy is enabled thanks to the Rasch metrological approach.

Active mode-locked operation of a diode pumped colour-centre laser

NASA Astrophysics Data System (ADS)

Mazighi, K.; Doualan, J. L.; Hamel, J.; Margerie, J.; Mounier, D.; Ostrovsky, A.

1991-09-01

The cw laser diode pumping of an (F +2) ∗ colour centre laser has been recently demonstrated in our laboratory. The intensity of the pumping diode can easily be hf modulated. We present here the first experiments in which the colour centre laser is synchronously pumped at the mode spacing frequency, resulting in the emission of clean, regularly spaced pulses. The opto-electronic feedback is a very promising method of obtaining such a pulsed operation of a diode pumped colour centre laser without the use of an external hf oscillator.

Comparison of aerosol optical properties above clouds between POLDER and AeroCom models over the South East Atlantic Ocean during the fire season

NASA Astrophysics Data System (ADS)

Peers, F.; Bellouin, N.; Waquet, F.; Ducos, F.; Goloub, P.; Mollard, J.; Myhre, G.; Skeie, R. B.; Takemura, T.; Tanré, D.; Thieuleux, F.; Zhang, K.

2016-04-01

Aerosol properties above clouds have been retrieved over the South East Atlantic Ocean during the fire season 2006 using satellite observations from POLDER (Polarization and Directionality of Earth Reflectances). From June to October, POLDER has observed a mean Above-Cloud Aerosol Optical Thickness (ACAOT) of 0.28 and a mean Above-Clouds Single Scattering Albedo (ACSSA) of 0.87 at 550 nm. These results have been used to evaluate the simulation of aerosols above clouds in five Aerosol Comparisons between Observations and Models (Goddard Chemistry Aerosol Radiation and Transport (GOCART), Hadley Centre Global Environmental Model 3 (HadGEM3), European Centre Hamburg Model 5-Hamburg Aerosol Module 2 (ECHAM5-HAM2), Oslo-Chemical Transport Model 2 (OsloCTM2), and Spectral Radiation-Transport Model for Aerosol Species (SPRINTARS)). Most models do not reproduce the observed large aerosol load episodes. The comparison highlights the importance of the injection height and the vertical transport parameterizations to simulate the large ACAOT observed by POLDER. Furthermore, POLDER ACSSA is best reproduced by models with a high imaginary part of black carbon refractive index, in accordance with recent recommendations.

Evaluation of telemedicine centres in Madhya Pradesh, Central India.

PubMed

Bali, Surya; Gupta, Arti; Khan, Asif; Pakhare, Abhijit

2016-04-01

In a developing country such as India, there is substantial inequality in health care distribution. Telemedicine facilities were established in Madhya Pradesh in 2007-2008. The purpose of this study was to evaluate the infrastructure, equipment, manpower, and functional status of Indian Space and Research Organisation (ISRO) telemedicine nodes in Madhya Pradesh. All district hospitals and medical colleges with nodes were visited by a team of three members. The study was conducted from December 2013-January 2014. The team recorded the structural facility situation and physical conditions on a predesigned pro forma. The team also conducted interviews with the nodal officers, data entry operator and other relevant people at these centres. Of the six specialist nodes, four were functional and two were non-functional. Of 10 patient nodes, two nodes were functional, four were semi-functional and four were non-functional. Most of the centres were not working due to a problem with their satellite modem. The overall condition of ISRO run telemedicine centres in Madhya Pradesh was found to be poor. Most of these centres failed to provide telemedicine consultations. We recommend replacing this system with another cost effective system available in the state wide area network (SWAN). We suggest the concept of the virtual out-patient department. © The Author(s) 2015.

Evaluation of the Training Centre Infrastructure Fund (TCIF). Final Report

ERIC Educational Resources Information Center

Human Resources and Skills Development Canada, 2009

2009-01-01

The Training Centre Infrastructure Fund (TCIF) was initially announced in Budget 2004 and represented an immediate measure of the broader Workplace Skills Strategy. TCIF was a three-year $25 million pilot project, designed to address the growing need for union-employer training centres to replace aging equipment and simulators that were not up to…

The UK Haemophilia Doctors Organisation triennial audit of UK Comprehensive Care Haemophilia Centres.

PubMed

Wilde, J T

2012-07-01

Under the auspices of the United Kingdom Haemophilia Doctors Organisation (UKHCDO) the UK Comprehensive Care Haemophilia Centres (CCCs) have undergone a three yearly formal audit assessment since 1993. This report describes the evolution of the audit process and details the findings of the most recent audit round, the sixth since inception. The audit reports from the 2009 audit round were reviewed by the audit organizing group and a structured analysis of the data was compiled. CCCs in the UK offer a high standard of comprehensive care services. The main areas of concern were the state of the premises (seven centres), lack of dental services (seven centres), physiotherapy (seven centres) and social work support (11 centres). Major concerns were identified at eight centres requiring a formal letter from the chairman of UKHCDO to the chief executive of the host trust. Since inception of the triennial audit process centre report recommendations have resulted in major improvements in the services available at UK CCCs. The audit process is considered to be a highly effective means of improving the quality of care for patients with bleeding disorders and can be used as a model for the introduction of a similar process in other countries. © 2012 Blackwell Publishing Ltd.

First results of the Nordic and Baltic GNSS Analysis Centre

NASA Astrophysics Data System (ADS)

Lahtinen, Sonja; Pasi, Häkli; Jivall, Lotti; Kempe, Christina; Kollo, Karin; Kosenko, Ksenija; Pihlak, Priit; Prizginiene, Dalia; Tangen, Oddvar; Weber, Mette; Paršeliūnas, Eimuntas; Baniulis, Rimvydas; Galinauskas, Karolis

2018-03-01

The Nordic Geodetic Commission (NKG) has launched a joint NKG GNSS Analysis Centre that aims to routinely produce high qualityGNSS solutions for the common needs of the NKG and the Nordic and Baltic countries. A consistent and densified velocity field is needed for the constraining of the gla-cial isostatic adjustment (GIA) modelling that is a key component of maintaining the national reference frame realisations in the area. We described the methods of the NKG GNSS Analysis Centre including the defined processing setup for the local analysis centres (LAC) and for the combination centres.We analysed the results of the first 2.5 years (2014.5-2016). The results showed that different subnets were consistent with the combined solution within 1-2 mm level. We observed the so called network effect affecting our reference frame alignment. However, the accuracy of the reference frame alignment was on a few millimetre level in the area of the main interest (Nordic and Baltic Countries). TheNKGGNSS AC was declared fully operational in April 2017.

Decadal-timescale changes of the Atlantic overturning circulation and climate in a coupled climate model with a hybrid-coordinate ocean component

NASA Astrophysics Data System (ADS)

Persechino, A.; Marsh, R.; Sinha, B.; Megann, A. P.; Blaker, A. T.; New, A. L.

2012-08-01

A wide range of statistical tools is used to investigate the decadal variability of the Atlantic Meridional Overturning Circulation (AMOC) and associated key variables in a climate model (CHIME, Coupled Hadley-Isopycnic Model Experiment), which features a novel ocean component. CHIME is as similar as possible to the 3rd Hadley Centre Coupled Model (HadCM3) with the important exception that its ocean component is based on a hybrid vertical coordinate. Power spectral analysis reveals enhanced AMOC variability for periods in the range 15-30 years. Strong AMOC conditions are associated with: (1) a Sea Surface Temperature (SST) anomaly pattern reminiscent of the Atlantic Multi-decadal Oscillation (AMO) response, but associated with variations in a northern tropical-subtropical gradient; (2) a Surface Air Temperature anomaly pattern closely linked to SST; (3) a positive North Atlantic Oscillation (NAO)-like pattern; (4) a northward shift of the Intertropical Convergence Zone. The primary mode of AMOC variability is associated with decadal changes in the Labrador Sea and the Greenland Iceland Norwegian (GIN) Seas, in both cases linked to the tropical activity about 15 years earlier. These decadal changes are controlled by the low-frequency NAO that may be associated with a rapid atmospheric teleconnection from the tropics to the extratropics. Poleward advection of salinity anomalies in the mixed layer also leads to AMOC changes that are linked to processes in the Labrador Sea. A secondary mode of AMOC variability is associated with interannual changes in the Labrador and GIN Seas, through the impact of the NAO on local surface density.

Person-centred Leadership: a relational approach to leadership derived through action research.

PubMed

Cardiff, Shaun; McCormack, Brendan; McCance, Tanya

2018-04-21

How does person-centred leadership manifest in clinical nursing. Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and healthcare, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing. A three year participatory action research study where participant leaders planned, researched and learned from their practice development. After an orientation phase, four action spirals focused on: critical and creative reflective inquiries into leadership practice change; leading the implementation and evaluation of a new nursing system; facilitating storytelling sessions with staff and annually reflecting on personal leadership change. Multiple data gathering methods offered insight into leadership development from several perspectives. Critical and creative thematic data analysis revealed a set of attributes, relational processes and contextual factors that influenced the being and becoming of a person-centred leader. Comparing the findings with nursing leadership literature supports a conceptual framework for person-centred leadership. Person-centred leadership is a complex, dynamic, relational and contextualised practice that aims to enable associates and leaders achieve self-actualisation, empowerment and wellbeing. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Lunar Roving Vehicle photographed against lunar background during EVA

NASA Image and Video Library

1971-08-01

AS15-88-11901 (31 July-2 Aug. 1971) --- The Lunar Roving Vehicle (LRV) is photographed alone against the desolate lunar background during the third Apollo 15 lunar surface extravehicular activity (EVA) at the Hadley-Apennine landing site. This view is looking north. The west edge of Mount Hadley is at the upper right edge of the picture. Mount Hadley rises approximately 4,500 meters (about 4,765 feet) above the plain. The most distant lunar feature visible is approximately 25 kilometers (about 15.5 statute miles) away. While astronauts David R. Scott, commander; and James B. Irwin, lunar module pilot, descended in the Lunar Module (LM) "Falcon" to explore the moon, astronaut Alfred M. Worden, command module pilot, remained with the Command and Service Modules (CSM) in lunar orbit.

Differences in care burden of patients undergoing dialysis in different centres in the netherlands.

PubMed

de Kleijn, Ria; Uyl-de Groot, Carin; Hagen, Chris; Diepenbroek, Adry; Pasker-de Jong, Pieternel; Ter Wee, Piet

2017-06-01

A classification model was developed to simplify planning of personnel at dialysis centres. This model predicted the care burden based on dialysis characteristics. However, patient characteristics and different dialysis centre categories might also influence the amount of care time required. To determine if there is a difference in care burden between different categories of dialysis centres and if specific patient characteristics predict nursing time needed for patient treatment. An observational study. Two hundred and forty-two patients from 12 dialysis centres. In 12 dialysis centres, nurses filled out the classification list per patient and completed a form with patient characteristics. Nephrologists filled out the Charlson Comorbidity Index. Independent observers clocked the time nurses spent on separate steps of the dialysis for each patient. Dialysis centres were categorised into four types. Data were analysed using regression models. In contrast to other dialysis centres, academic centres needed 14 minutes more care time per patient per dialysis treatment than predicted in the classification model. No patient characteristics were found that influenced this difference. The only patient characteristic that predicted the time required was gender, with more time required to treat women. Gender did not affect the difference between measured and predicted care time. Differences in care burden were observed between academic and other centres, with more time required for treatment in academic centres. Contribution of patient characteristics to the time difference was minimal. The only patient characteristics that predicted care time were previous transplantation, which reduced the time required, and gender, with women requiring more care time. © 2017 European Dialysis and Transplant Nurses Association/European Renal Care Association.

Girls' Groups and Boys' Groups at a Municipal Technology Centre

ERIC Educational Resources Information Center

Salminen-Karlsson, Minna

2007-01-01

This article describes the Swedish initiative of municipal technology centres from a gender point of view. These centres provide after-school technology education for children aged 6-16. By means of an ethnographic study, the effects of the use of single-sex groups in increasing the interest of girls and boys in technical activities have been…

Is trauma centre care helpful for less severely injured patients?

PubMed

Helling, Thomas S; Nelson, Paul W; Moore, B Todd; Kintigh, Denise; Lainhart, Kathy

2005-11-01

Trauma centres have been shown to reduce the number of preventable deaths from serious injuries. This is due largely to the rapid response of surgeons and health care teams to resuscitate, evaluate, and operate if necessary. Less is known about the effectiveness of trauma centre care on those patients who have not incurred immediate life-threatening problems and may not be as critically injured. The purpose of this study was to review the use of physician and hospital resources for this patient population to determine whether trauma team and trauma centre care is helpful or even needed. This was a retrospective study of consecutive trauma patients (n=1592) admitted from 1998 to 2002 to the trauma service of an urban level I trauma centre and recorded in the hospital trauma registry. Patients were triaged in a tiered response to more or less severely injured. All patients' care was directed by trauma surgeons. Of the 1592 patients, 398 (25%) received a full trauma team response (Class I), 1194 were less seriously injured (Class II). The ISS for the Class I patients was 19+/-18 and for Class II patients 10+/-10. Nineteen percent of Class II patients had an ISS>15. Overall mortality in Class II patients was 2% including 20 unexpected deaths. Four hundred and three Class II patients (34%) had multisystem injuries. Of the Class II patients 423 (35%) were sent to the ICU or OR from the ED, 106 of whom required an immediate operation and 345 required an operation prior to discharge. Complications developed in 129 patients (11%), the majority of which were pulmonary. A large proportion of those patients thought initially to be less severely injured required resources available in a trauma centre, including specialty care, intensive care, and operating room accessibility. Over one-third of these patients had multisystem injuries and almost 20% were considered major trauma, needing prioritisation of care and expertise ideally found in a trauma centre environment

Ancient deuterostome origins of vertebrate brain signalling centres.

PubMed

Pani, Ariel M; Mullarkey, Erin E; Aronowicz, Jochanan; Assimacopoulos, Stavroula; Grove, Elizabeth A; Lowe, Christopher J

2012-03-14

Neuroectodermal signalling centres induce and pattern many novel vertebrate brain structures but are absent, or divergent, in invertebrate chordates. This has led to the idea that signalling-centre genetic programs were first assembled in stem vertebrates and potentially drove morphological innovations of the brain. However, this scenario presumes that extant cephalochordates accurately represent ancestral chordate characters, which has not been tested using close chordate outgroups. Here we report that genetic programs homologous to three vertebrate signalling centres-the anterior neural ridge, zona limitans intrathalamica and isthmic organizer-are present in the hemichordate Saccoglossus kowalevskii. Fgf8/17/18 (a single gene homologous to vertebrate Fgf8, Fgf17 and Fgf18), sfrp1/5, hh and wnt1 are expressed in vertebrate-like arrangements in hemichordate ectoderm, and homologous genetic mechanisms regulate ectodermal patterning in both animals. We propose that these genetic programs were components of an unexpectedly complex, ancient genetic regulatory scaffold for deuterostome body patterning that degenerated in amphioxus and ascidians, but was retained to pattern divergent structures in hemichordates and vertebrates. © 2012 Macmillan Publishers Limited. All rights reserved

Teaching clinical skills in developing countries: are clinical skills centres the answer?

PubMed

Stark, Patsy; Fortune, F

2003-11-01

There is growing international interest in teaching clinical skills in a variety of contexts, one of which is Clinical Skills Centres. The drivers for change making Skills Centres an important adjunct to ward and ambulatory teaching come both from within and outside medical education. Educationally, self-directed learning is becoming the accepted norm, encouraging students to seek and maximize learning opportunities. There are global changes in health care practice, increased consumerism and increasing student numbers. In some countries, professional recommendations influence what is taught. Increasingly, core skills curricula and outcome objectives are being defined. This explicit definition encourages assessment of the core skills. In turn, all students require equal opportunities to learn how to practise the skills safely and competently. The moves towards interprofessional education make joint learning in a"neutral" setting, like a Clinical Skills Centre, appear particularly attractive. To discuss the potential role of Clinical Skills Centres in skills training in developing countries and to consider alternative options. Many developing countries seek to establish Clinical Skills Centres to ensure effective and reliable skills teaching. However, the model may not be appropriate,because fully equipped Clinical Skills Centres are expensive to set up, staff; and run. They are not the only way to achieve high quality clinical teaching. Suggested options are based on the philosophy and teaching methods successfully developed in Clinical Skills Centres that may fulfil the local needs to achieve low cost and high quality clinical teaching which is reflective of the local health needs and cultural expectations.

High levels of diversity and population structure in the potato late blight pathogen at the Mexico centre of origin.

PubMed

Wang, Jianan; Fernández-Pavía, Sylvia P; Larsen, Meredith M; Garay-Serrano, Edith; Gregorio-Cipriano, Rosario; Rodríguez-Alvarado, Gerardo; Grünwald, Niklaus J; Goss, Erica M

2017-02-01

Globally destructive crop pathogens often emerge by migrating out of their native ranges. These pathogens are often diverse at their centre of origin and may exhibit adaptive variation in the invaded range via multiple introductions from different source populations. However, source populations are generally unidentified or poorly studied compared to invasive populations. Phytophthora infestans, the causal agent of late blight, is one of the most costly pathogens of potato and tomato worldwide. Mexico is the centre of origin and diversity of P. infestans and migration events out of Mexico have enormously impacted disease dynamics in North America and Europe. The debate over the origin of the pathogen, and population studies of P. infestans in Mexico, has focused on the Toluca Valley, whereas neighbouring regions have been little studied. We examined the population structure of P. infestans across central Mexico, including samples from Michoacán, Tlaxcala and Toluca. We found high levels of diversity consistent with sexual reproduction in Michoacán and Tlaxcala and population subdivision that was strongly associated with geographic region. We determined that population structure in central Mexico has contributed to diversity in introduced populations based on relatedness of U.S. clonal lineages to Mexican isolates from different regions. Our results suggest that P. infestans exists as a metapopulation in central Mexico, and this population structure could be contributing to the repeated re-emergence of P. infestans in the United States and elsewhere. © 2016 John Wiley & Sons Ltd.

Spatiotemporal analysis of projected impacts of climate change on the major C3 and C4 crop yield under representative concentration pathway 4.5: Insight from the coasts of Tamil Nadu, South India

PubMed Central

A, Ramachandran; Praveen, Dhanya; R, Jaganathan; D, RajaLakshmi; K, Palanivelu

2017-01-01

India's dependence on a climate sensitive sector like agriculture makes it highly vulnerable to its impacts. However, agriculture is highly heterogeneous across the country owing to regional disparities in exposure, sensitivity, and adaptive capacity. It is essential to know and quantify the possible impacts of changes in climate on crop yield for successful agricultural management and planning at a local scale. The Hadley Centre Global Environment Model version 2-Earth System (HadGEM-ES) was employed to generate regional climate projections for the study area using the Regional Climate Model (RCM) RegCM4.4. The dynamics in potential impacts at the sub-district level were evaluated using the Representative Concentration Pathway 4.5 (RCPs). The aim of this study was to simulate the crop yield under a plausible change in climate for the coastal areas of South India through the end of this century. The crop simulation model, the Decision Support System for Agrotechnology Transfer (DSSAT) 4.5, was used to understand the plausible impacts on the major crop yields of rice, groundnuts, and sugarcane under the RCP 4.5 trajectory. The findings reveal that under the RCP 4.5 scenario there will be decreases in the major C3 and C4 crop yields in the study area. This would affect not only the local food security, but the livelihood security as well. This necessitates timely planning to achieve sustainable crop productivity and livelihood security. On the other hand, this situation warrants appropriate adaptations and policy intervention at the sub-district level for achieving sustainable crop productivity in the future. PMID:28753605

Antimicrobial resistance pattern of Neisseria gonorrhoeae isolates from peripheral health centres and STD clinic attendees of a tertiary care centre in India.

PubMed

Bala, M; Ray, K; Gupta, S M

2008-06-01

The aim of the study was to compare the antimicrobial resistance pattern of Neisseria gonorrhoeae isolates from urban and rural peripheral health centres and from sexually transmitted disease (STD) clinic attendees. Antimicrobial susceptibility testing of 191 N. gonorrhoeae isolates (165 isolates from STD clinic attendees and 26 from peripheral health centres) was carried out in Delhi, India, using the calibrated dichotomous sensitivity technique for penicillin, tetracycline, ceftriaxone, ciprofloxacin, spectinomycin and nalidixic acid, and minimum inhibitory concentrations were determined using E-test. Penicillin-resistant, ciprofloxacin-resistant, penicillinase-producing N. gonorrhoeae and tetracycline-resistant N. gonorrhoeae strains were higher in STD clinic attendees than in peripheral health centres, probably because of less antibiotic pressure in the peripheral areas. High-level resistance to ciprofloxacin and multiresistant strains were also higher in STD clinic attendees. The present study emphasizes the importance of surveillance of antimicrobial resistance of N. gonorrhoeae in different population subgroups in order to monitor the spread of multiresistant strains and to update the national treatment recommendations.

Discrepancies Between Prototype International Data Centre, International Seismological Centre & USGS Seismic Magnitudes

DTIC Science & Technology

2007-03-01

International Seismological C -DTRA 01-00-C-0074 Centre & USGS Seismic Magnitudes PE - 462D PR- AE TA - EJ 6. AUTHOR(S) WU - DH0203 9 Paul G. Richards, John P...Defense Threat Reduction Agency 8725 John J. Kingman Road, MS 6201 "a Fort Belvoir, VA 22060-6201 ’ DTRA-TR-06-15 Discrepancies Between Prototype...0 Z March 2007 "I 20070420395 Li DTRA 01 -00-C-0074 M Paul G. Richards, et al. Prepared by: Columbia University Lamont-Doherty Earth Observatory 61

The 1997/98 El Nino: A Test for Climate Models

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

Lu, R; Dong, B; Cess, R D

Version 3 of the Hadley Centre Atmospheric Model (HadAM3) has been used to demonstrate one means of comparing a general circulation model with observations for a specific climate perturbation, namely the strong 1997/98 El Nino. This event was characterized by the collapse of the tropical Pacific's Walker circulation, caused by the lack of a zonal sea surface temperature gradient during the El Nino. Relative to normal years, cloud altitudes were lower in the western portion of the Pacific and higher in the eastern portion. HadAM3 likewise produced the observed collapse of the Walker circulation, and it did a reasonable jobmore » of reproducing the west/east cloud structure changes. This illustrates that the 1997/98 El Nino serves as a useful means of testing cloud-climate interactions in climate models.« less

Barriers and facilitators to the implementation of person-centred care in different healthcare contexts.

PubMed

Moore, Lucy; Britten, Nicky; Lydahl, Doris; Naldemirci, Öncel; Elam, Mark; Wolf, Axel

2017-12-01

To empower patients and improve the quality of care, policy-makers increasingly adopt systems to enhance person-centred care. Although models of person-centredness and patient-centredness vary, respecting the needs and preferences of individuals receiving care is paramount. In Sweden, as in other countries, healthcare providers seek to improve person-centred principles and address gaps in practice. Consequently, researchers at the University of Gothenburg Centre for Person-Centred Care are currently delivering person-centred interventions employing a framework that incorporates three routines. These include eliciting the patient's narrative, agreeing a partnership with shared goals between patient and professional, and safeguarding this through documentation. To explore the barriers and facilitators to the delivery of person-centred care interventions, in different contexts. Qualitative interviews were conducted with a purposeful sample of 18 researchers from seven research studies across contrasting healthcare settings. Interviews were transcribed, translated and thematically analysed, adopting some basic features of grounded theory. The ethical code of conduct was followed and conformed to the ethical guidelines adopted by the Swedish Research Council. Barriers to the implementation of person-centred care covered three themes: traditional practices and structures; sceptical, stereotypical attitudes from professionals; and factors related to the development of person-centred interventions. Facilitators included organisational factors, leadership and training and an enabling attitude and approach by professionals. Trained project managers, patients taking an active role in research and adaptive strategies by researchers all helped person-centred care delivery. At the University of Gothenburg, a model of person-centred care is being initiated and integrated into practice through research. Knowledgeable, well-trained professionals facilitate the routines of narrative

From gene to structure: The protein factory of the NBICS Centre of Kurchatov Institute

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

Boyko, K. M.; Lipkin, A. V.; Popov, V. O., E-mail: vpopov@inbi.ras.ru

2013-05-15

The Protein Factory was established at the Centre for Nano, Bio, Info, Cognitive, and Social Sciences and Technologies (NBICS Centre) of the National Research Centre 'Kurchatov Institute' in 2010. The Protein Factory, together with the Centre for Synchrotron Radiation and Nanotechnology, promote research on structural biology. This paper presents the technology platforms developed at the Protein Factory and the facilities available for researchers. The main projects currently being performed at the Protein Factory are briefly described.

Projections for Changes in Natural and Technical Snow Reliability of a Major Turkish Ski Resort by Using RegCM4.3.5

NASA Astrophysics Data System (ADS)

Ozturk, Tugba; Cenk Demiroglu, O.; Tufan Turp, M.; Türkeş, Murat; Kurnaz, M. Levent

2014-05-01

Climate change has been and increasingly will be a major threat to the ski tourism industry whose survival is highly dependent on existence of snow cover of sufficient depth and duration. The common knowledge requires that in order for a ski resort to be viable, it has to perform operations for at least 100 days in seven out of ten winters. For this matter, it is now even more usual for the ski resorts to adapt to this issue by technical snowmaking. In this study, projected future changes for the period of 2010-2040, 2040-2070, and 2070-2100 in air temperature, relative humidity, and snow depth climatology and variability with respect to the control period of 1970-2000 were assessed for the domain of a major ski resort in Turkey. Regional Climate Model (RegCM4.3.5) of ICTP (International Centre for Theoretical Physics) was used for projections of future and present climate conditions. HadGEM2 global climate model of the Met Office Hadley Centre, MPI-ESM-MR of the Max Planck Institute for Meteorology, GFDL-ESM2M of the National Oceanic and Atmospheric Administration Geophysical Fluid Dynamics Laboratory were downscaled to 10 km for the resort and its surrounding region. Both the projections and the downscaling were realized according to the RCP4.5 and the RCP8.5 emission scenarios of the IPCC. The outputs on snow depth were used for a count of the changes on snow cover duration sufficient for skiing actitivies, signaling natural snow-reliability, whereas the outputs on air temperature and relative humidity were utilized for determination of wet-bulb temperatures. The latter measure was used to interpret the changes in the snowmaking capacity, in other words; technical snow-reliability, of the resort. This work was supported by the BU Reasearch Fund under the project number 7362. One of the authors (MLK) was partially supported by Mercator-IPC Fellowship Program.

Observation and control of blinking nitrogen-vacancy centres in discrete nanodiamonds.

PubMed

Bradac, C; Gaebel, T; Naidoo, N; Sellars, M J; Twamley, J; Brown, L J; Barnard, A S; Plakhotnik, T; Zvyagin, A V; Rabeau, J R

2010-05-01

Nitrogen-vacancy colour centres in diamond can undergo strong, spin-sensitive optical transitions under ambient conditions, which makes them attractive for applications in quantum optics, nanoscale magnetometry and biolabelling. Although nitrogen-vacancy centres have been observed in aggregated detonation nanodiamonds and milled nanodiamonds, they have not been observed in very small isolated nanodiamonds. Here, we report the first direct observation of nitrogen-vacancy centres in discrete 5-nm nanodiamonds at room temperature, including evidence for intermittency in the luminescence (blinking) from the nanodiamonds. We also show that it is possible to control this blinking by modifying the surface of the nanodiamonds.

Human-centred approaches in slipperiness measurement

PubMed Central

Grönqvist, Raoul; Abeysekera, John; Gard, Gunvor; Hsiang, Simon M.; Leamon, Tom B.; Newman, Dava J.; Gielo-Perczak, Krystyna; Lockhart, Thurmon E.; Pai, Clive Y.-C.

2010-01-01

A number of human-centred methodologies—subjective, objective, and combined—are used for slipperiness measurement. They comprise a variety of approaches from biomechanically-oriented experiments to psychophysical tests and subjective evaluations. The objective of this paper is to review some of the research done in the field, including such topics as awareness and perception of slipperiness, postural and balance control, rating scales for balance, adaptation to slippery conditions, measurement of unexpected movements, kinematics of slipping, and protective movements during falling. The role of human factors in slips and falls will be discussed. Strengths and weaknesses of human-centred approaches in relation to mechanical slip test methodologies are considered. Current friction-based criteria and thresholds for walking without slipping are reviewed for a number of work tasks. These include activities such as walking on a level or an inclined surface, running, stopping and jumping, as well as stair ascent and descent, manual exertion (pushing and pulling, load carrying, lifting) and particular concerns of the elderly and mobility disabled persons. Some future directions for slipperiness measurement and research in the field of slips and falls are outlined. Human-centred approaches for slipperiness measurement do have many applications. First, they are utilized to develop research hypotheses and models to predict workplace risks caused by slipping. Second, they are important alternatives to apparatus-based friction measurements and are used to validate such methodologies. Third, they are used as practical tools for evaluating and monitoring slip resistance properties of foot wear, anti-skid devices and floor surfaces. PMID:11794763

The impact of the implementation of the postpartum haemorrhage management guidelines at the first regional perinatal centre in Southern Kazakhstan.

PubMed

Nadisauskiene, Ruta J; Dobozinskas, Paulius; Kacerauskiene, Justina; Kliucinskas, Mindaugas; Zhumagali, Ismailov; Kokenova, Madina; Bekeshov, Jesengeldy; Dzabagijeva, Saltanat; Sapargalijeva, Aigul; Glazebnaja, Inna; Konyrbajeva, Gulmyra; Uteshova, Zijas; Tasbulatova, Aina

2016-08-19

Postpartum haemorrhage (PPH) remains one of the most common causes of maternal morbidity and mortality. Therefore, clearly written PPH management guidelines should be used in clinical practice. The aim of this study was to evaluate the effectiveness of the implementation of PPH management guidelines at the First Regional Perinatal Centre of Southern Kazakhstan (FRPC). Between 2012 and 2013 an interventional study was performed whereby the PPH management guidelines were implemented at the FRPC. All of the deliveries that were complicated by PPH 8 months before and 8 months after the intervention were analysed. Prevalence and severity of PPH, and the change in prevention, diagnostics and management of PPH was evaluated and statistical analysis using the SPSS 22.0 was performed. There were in total 5404 and 5956 deliveries in the pre- and post-intervention periods, respectively. The rates of PPH and severe PPH decreased from 1.17 to 1.02 % (p = 0.94) and from 0.24 to 0.22 % (p = 0.94), respectively. Blood loss on average increased from 1055 to 1170 ml in the post-intervention period. The pharmacological treatment of postpartum haemorrhage with uterotonics was administered most frequently during both periods. After the implementation of the guidelines, the number of transfused units of packed red blood cells decreased from 4.76 to 2.48 units/case. In addition, the amount of transfused fresh frozen plasma decreased by 20 %. The number of conservative interventions and conservative operations increased from 7.9 to 52.7 % and from 3.9 to 48.6 %, respectively. The number of hysterectomies decreased from 23.7 % in pre-intervention to 8.1 % in the post-intervention period. The implementation of the PPH management guidelines had a positive effect on PPH prevention, diagnostics and management. It led to a more conservative aproach to the treatment of PPH. Therefore, clearly written PPH management guidelines, adapted for a particular hospital, should be

Ascertainment bias in dementias: a secondary to tertiary centre analysis in Central Italy and conceptual review.

PubMed

Bonanni, L; Bontempo, G; Borrelli, I; Bifolchetti, S; Buongarzone, M P; Carlesi, N; Carolei, A; Ciccocioppo, F; Colangelo, U; Colonna, G; Desiderio, M; Ferretti, S; Fiorelli, L; D'Alessio, O; D'Amico, A; D'Amico, M C; De Lucia, R; Del Re, L; Di Blasio, F; Di Giacomo, R; Di Iorio, A; Di Santo, E; Di Giuseppe, M; Felice, N; Litterio, P; Gabriele, A; Mancino, E; Manzoli, L; Maruotti, V; Mearelli, S; Molino, G; Monaco, D; Nuccetelli, F; Onofrj, M; Perfetti, B; Sacchet, C; Sensi, F; Sensi, S; Sucapane, P; Taylor, J P; Thomas, A; Viola, P; Viola, S; Zito, M; Zhuzhuni, H

2013-06-01

Ascertainment bias (AB) indicates a bias of an evaluation centre in estimating the prevalence/incidence of a disease due to the specific expertise of the centre. The aim of our study was to evaluate classification of different types of dementia in new cases appearing in secondary and tertiary centres, in order to evidence possible occurrence of AB in the various (secondary to tertiary) dementia centres. To assess the mechanism of AB, the rates of new cases of the different forms of dementia reported by different centres were compared. The centres involved in the study were 11 hospital-based centres including a tertiary centre, located in the University Department of Clinical Neurology. The tertiary centre is endowed with state-of-the-art diagnostic facilities and its scientific production is prominently focused on dementia with Lewy bodies (DLB) thus suggesting the possible occurrence of a bias. Four main categories of dementia were identified: Alzheimer's disease (AD), DLB, fronto-temporal dementia (FTD), vascular dementia (VaD), with other forms in a category apart. The classification rate of new cases of dementia in the tertiary centre was compared with rates reported by secondary centres and rates of recoding were calculated during a follow-up of 2 years. The study classified 2,042 newly diagnosed cases of dementia in a population of 1,370,000 inhabitants of which 315,000 were older than 65. AD was categorized in 48-52 % of cases, DLB in 25-28 %, FTD in 2-4 % and VaD in 17-28 %. During the 2-year follow-up the diagnosis was re-classified in 40 patients (3 %). The rate of recoding was 5 % in the tertiary centre, 2-8 % in referrals from secondary to tertiary centre, 2-10 % in recodings performed in secondary centres and addressed to tertiary centre. Recoding or percentages of new cases of AD or DLB were not different in the comparison between secondary or between secondary and tertiary centres. FTD and VaD were instead significantly recoded. The results

Developing substance misuse services in United Arab Emirates: the National Rehabilitation Centre experience

PubMed Central

Al Ghaferi, Hamad A.; Ali, Ahmed Y.; Gawad, Tarek A.

2017-01-01

In 2001 a directive was issued to establish the National Rehabilitation Centre (NRC) to deal with the growing problem of substance misuse in the United Arab Emirates. The NRC has achieved many goals as a treatment and rehabilitation facility as well as a drug and alcohol demand reduction response centre. It is now working towards being an international centre of excellence. PMID:29093960

Institutional profile: the London Centre for Nanotechnology.

PubMed

Weston, David; Bontoux, Thierry

2009-12-01

Located in the London neighborhoods of Bloomsbury and South Kensington, the London Centre for Nanotechnology is a UK-based multidisciplinary research center that operates at the forefront of science and technology. It is a joint venture between two of the world's leading institutions, UCL and Imperial College London, uniting their strong capabilities in the disciplines that underpin nanotechnology: engineering, the physical sciences and biomedicine. The London Centre for Nanotechnology has a unique operating model that accesses and focuses the combined skills of the Departments of Chemistry, Physics, Materials, Medicine, Electrical and Electronic Engineering, Mechanical Engineering, Chemical Engineering, Biochemical Engineering and Earth Sciences across the two universities. It aims to provide the nanoscience and nanotechnology required to solve major problems in healthcare, information processing, energy and the environment.

Industry Restructuring: Extracts from Centre Publications.

ERIC Educational Resources Information Center

Hall, William C., Ed.

This document contains excerpts from material previously published by Australia's TAFE (Technical and Further Education) National Centre for Research and Development on the subjects of industry restructuring, the reasons for restructuring, revising curricula, and providing a service to business and industry. Its contents are "Industry…