Observations of a stratospheric depletion and annual mean interhemispheric gradient in the atmospheric Ar/N2 ratio from the HIPPO Global campaign

NASA Astrophysics Data System (ADS)

Bent, J. D.; Keeling, R. F.; Stephens, B. B.; Wofsy, S. C.; Daube, B. C.; Kort, E. A.; Pittman, J. V.; Jimenez-Pizarro, R.; Santoni, G.

2014-12-01

The atmospheric Ar/N2 ratio varies on a seasonal basis due to temperature-dependent solubility changes in the surface ocean. Low signal:noise ratios, limited vertical coverage, and sampler-sampler offsets have historically hampered characterization of vertical and inter-hemispheric gradients. We present data from the HIPPO Global campaign (2009-11) showing that Ar/N2 and interannually-detrended N2O correlate well in the lower stratosphere, suggesting that, as stratospheric air ages and loses N2O to photolysis and photo-oxidation, it also gradually loses argon to gravity as the heavier atom preferentially "rains out" of the air parcel. The HIPPO Ar/N2 data from the lower troposphere also resolve seasonal cycles in each hemisphere, as well as a gradient in the annual mean between hemispheres, with higher values in the southern hemisphere. The HIPPO cycles and inter-hemispheric gradient are in good agreement with data from surface stations.

Rhea North Polar Maps - January 2011

NASA Image and Video Library

2011-05-02

The northern and southern hemispheres of Rhea are seen in these polar stereographic maps, mosaicked from the best-available NASA Cassini and Voyager images. Six Voyager images fill in gaps in Cassini coverage of the moon north pole.

Rhea South Polar Map - January 2011

NASA Image and Video Library

2011-05-02

The northern and southern hemispheres of Rhea are seen in these polar stereographic maps, mosaicked from the best-available NASA Cassini and Voyager images. Six Voyager images fill in gaps in Cassini coverage of the moon north pole.

The Effectiveness of 1 Hz rTMS Over the Primary Motor Area of the Unaffected Hemisphere to Improve Hand Function After Stroke Depends on Hemispheric Dominance.

PubMed

Lüdemann-Podubecká, Jitka; Bösl, Kathrin; Theilig, Steven; Wiederer, Ralf; Nowak, Dennis Alexander

2015-01-01

Inhibition of motor cortex excitability of the contralesional hemisphere may improve dexterity of the affected hand after stroke. 40 patients (17 dominant hemispheric stroke, 23 non-dominant hemispheric stroke) with a mild to moderate upper limb motor impairment were enrolled in a double-blind, randomized, placebo-controlled trial with two parallel-groups. Both groups received 15 daily sessions of motor training preceded by either 1 Hz rTMS or sham rTMS. Behavioral and neurophysiological evaluations were performed at baseline, after the first week and after the third week of treatment, and after a 6 months follow-up. In both groups motor function of the affected hand improved significantly. Patients with stroke of the non-dominant hemisphere made a similar improvement, regardless of whether the motor training was preceded by sham or 1 Hz rTMS. Patients with stroke of the dominant hemisphere had a less favorable improvement than those with stroke of the non-dominant hemisphere after motor training preceded by sham rTMS. However, when 1 Hz rTMS preceded the motor training, patients with stroke of the dominant hemisphere made a similar improvement as those with stroke of the non-dominant hemisphere. Motor recovery of the affected upper limb after stroke is determined by dominance of the affected hemisphere. Stroke of the dominant hemisphere is associated with per se poorer improvement of the affected hand. 1 Hz rTMS over the contralesional M1 significantly improves dexterity of the affected hand in patients with stroke of the dominant hemisphere, but not in those with stroke of the non-dominant hemisphere. Copyright © 2015 Elsevier Inc. All rights reserved.

Expansion of seasonal influenza vaccination in the Americas

PubMed Central

Ropero-Álvarez, Alba María; Kurtis, Hannah J; Danovaro-Holliday, M Carolina; Ruiz-Matus, Cuauhtémoc; Andrus, Jon K

2009-01-01

Background Seasonal influenza is a viral disease whose annual epidemics are estimated to cause three to five million cases of severe illness and 250,000 to 500,000 deaths worldwide. Vaccination is the main strategy for primary prevention. Methods To assess the status of influenza vaccination in the Americas, influenza vaccination data reported to the Pan American Health Organization (PAHO) through 2008 were analyzed. Results Thirty-five countries and territories administered influenza vaccine in their public health sector, compared to 13 countries in 2004. Targeted risk groups varied. Sixteen countries reported coverage among older adults, ranging from 21% to 100%; coverage data were not available for most countries and targeted populations. Some tropical countries used the Northern Hemisphere vaccine formulation and others used the Southern Hemisphere vaccine formulation. In 2008, approximately 166.3 million doses of seasonal influenza vaccine were purchased in the Americas; 30 of 35 countries procured their vaccine through PAHO's Revolving Fund. Conclusion Since 2004 there has been rapid uptake of seasonal influenza vaccine in the Americas. Challenges to fully implement influenza vaccination remain, including difficulties measuring coverage rates, variable vaccine uptake, and limited surveillance and effectiveness data to guide decisions regarding vaccine formulation and timing, especially in tropical countries. PMID:19778430

Climatology 2011: An MLS and Sonde Derived Ozone Climatology for Satellite Retrieval Algorithms

NASA Technical Reports Server (NTRS)

McPeters, Richard D.; Labow, Gordon J.

2012-01-01

The ozone climatology used as the a priori for the version 8 Solar Backscatter Ultraviolet (SBUV) retrieval algorithms has been updated. The Microwave Limb Sounder (MLS) instrument on Aura has excellent latitude coverage and measures ozone daily from the upper troposphere to the lower mesosphere. The new climatology consists of monthly average ozone profiles for ten degree latitude zones covering pressure altitudes from 0 to 65 km. The climatology was formed by combining data from Aura MLS (2004-2010) with data from balloon sondes (1988-2010). Ozone below 8 km (below 12 km at high latitudes) is based on balloons sondes, while ozone above 16 km (21 km at high latitudes) is based on MLS measurements. Sonde and MLS data are blended in the transition region. Ozone accuracy in the upper troposphere is greatly improved because of the near uniform coverage by Aura MLS, while the addition of a large number of balloon sonde measurements improves the accuracy in the lower troposphere, in the tropics and southern hemisphere in particular. The addition of MLS data also improves the accuracy of climatology in the upper stratosphere and lower mesosphere. The revised climatology has been used for the latest reprocessing of SBUV and TOMS satellite ozone data.

SAGE 1 and SAM 2 measurements of 1 micron aerosol extinction in the free troposphere

NASA Technical Reports Server (NTRS)

Kent, G. S.; Farrukh, U. O.; Wang, P. H.; Deepak, A.

1988-01-01

The SAGE 1 and SAM 2 satellite sensors were designed to measure, with global coverage, the 1 micron extinction produced by the stratospheric aerosol. In the absence of high altitude cloud, similar measurements may be made for the free tropospheric aerosol. Median extinction values in the Northern Hemisphere, for altitudes between 5 and 10 km, are found to be one-half to one order of magnitude greater than values at corresponding latitudes in the Southern Hemisphere. In addition, a seasonal increase by a factor of 1.5 yields 2 is observed in both hemispheres in local spring and summer. Following major volcanic eruptions, a long-lived enhancement of the aerosol extinction is observed for altitudes above 5 km.

Polar Mesospheric Clouds (PMCs) Observed by the Ozone Monitoring Instrument (OMI) on Aura

NASA Technical Reports Server (NTRS)

DeLand, Matthew T.; Shettle, Eric P.; Levelt, Pieternel F.; Kowalewski, Matthew G.

2010-01-01

Backscattered ultraviolet (BUV) instruments designed for measuring stratospheric ozone profiles have proven to be robust tools for observing polar mesospheric clouds (PMCs). These measurements are available for more than 30 years, and have been used to demonstrate the existence of long-term variations in PMC occurrence frequency and brightness. The Ozone Monitoring Instrument (OMI) on the EOS Aura satellite provides new and improved capabilities for PMC characterization. OMI uses smaller pixels than previous BUV instruments, which increases its ability to identify PMCs and discern more spatial structure, and its wide cross-track viewing swath provides full polar coverage up to 90 latitude every day in both hemispheres. This cross-track coverage allows the evolution of PMC regions to be followed over several consecutive orbits. Localized PMC variations determined from OMI measurements are consistent with coincident SBUV/2 measurements. Nine seasons of PMC observations from OMI are now available, and clearly demonstrate the advantages of these measurements for PMC analysis.

An overview of GOES-8 diurnal fire and smoke results for SCAR-B and 1995 fire season in South America

NASA Astrophysics Data System (ADS)

Prins, Elaine M.; Feltz, Joleen M.; Menzel, W. Paul; Ward, Darold E.

1998-12-01

The launch of the eighth Geostationary Operational Environmental Satellite (GOES-8) in 1994 introduced an improved capability for diurnal fire and smoke monitoring throughout the western hemisphere. In South America the GOES-8 automated biomass burning algorithm (ABBA) and the automated smoke/aerosol detection algorithm (ASADA) are being used to monitor biomass burning. This paper outlines GOES-8 ABBA and ASADA development activities and summarizes results for the Smoke, Clouds, and Radiation in Brazil (SCAR-B) experiment and the 1995 fire season. GOES-8 ABBA results document the diurnal, spatial, and seasonal variability in fire activity throughout South America. A validation exercise compares GOES-8 ABBA results with ground truth measurements for two SCAR-B prescribed burns. GOES-8 ASADA aerosol coverage and derived albedo results provide an overview of the extent of daily and seasonal smoke coverage and relative intensities. Day-to-day variability in smoke extent closely tracks fluctuations in fire activity.

Polar Geophysics Products Derived from AVHRR: The "AVHRR Polar Pathfinder

NASA Technical Reports Server (NTRS)

Maslanik, James; Fowler, Charles; Scambos, Theodore

1999-01-01

This NOAA/NASA Pathfinder effort was established to locate, acquire, and process Advanced Very High Resolution Radiometer (AVHRR) imagery into geo-located and calibrated radiances, cloud masks, surface clear-sky broadband albedo, clear-sky skin temperatures, satellite viewing times, and viewing and solar geometry for the, high-latitude portions of the northern and southern hemispheres (all area north of 48N and south of 53S). AVHRR GAC data for August 1981 - July 1998 were acquired, with some gaps remaining, and processed into twice-daily 5-km grids, with some products also provided at 25-km resolution. AVHRR LAC data for 3.5 years of coverage in the northern hemisphere and 2.75 years of coverage in the southern hemisphere were processed into 1.25-km grids for the same suite of products. The resulting data sets are presently being transferred to the National Snow and Ice Data Center (NSIDC) for archiving and distribution. Using these data, researchers now have at their disposal an extensive AVHRR data set for investigations of high-latitude processes. In addition, the data lend themselves to development and testing of algorithms. The products are particularly relevant for climate research and algorithm development as applied to relatively long time periods and large areas.

Comparison of solar wind driving of the aurora in the two hemispheres due to the solar wind dynamo

NASA Astrophysics Data System (ADS)

Reistad, Jone Peter; Østgaard, Nikolai; Magnus Laundal, Karl; Haaland, Stein; Tenfjord, Paul; Oksavik, Kjellmar

2014-05-01

Event studies of simultaneous global imaging of the aurora in both hemispheres have suggested that an asymmetry of the solar wind driving between the two hemispheres could explain observations of non-conjugate aurora during specific driving conditions. North-South asymmetries in energy transfer from the solar wind across the magnetopause is believed to depend upon the dipole tilt angle and the x-component of the interplanetary magnetic field (IMF). Both negative tilt (winter North) and negative IMF Bx is expected to enhance the efficiency of the solar wind dynamo in the Northern Hemisphere. By the same token, positive tilt and IMF Bx is expected to enhance the solar wind dynamo efficiency in the Southern Hemisphere. We show a statistical study of the auroral response from both hemispheres using global imaging where we compare results during both favourable and not favourable conditions in each hemisphere. By this study we will address the question of general impact on auroral hemispheric asymmetries by this mechanism - the asymmetric solar wind dynamo. We use data from the Wideband Imaging Camera on the IMAGE spacecraft which during its lifetime from 2000-2005 covered both hemispheres. To ease comparison of the two hemispheres, seasonal differences in auroral brightness is removed as far as data coverage allows by only using events having small dipole tilt angles. Hence, the IMF Bx is expected to be the controlling parameter for the hemispheric preference of strongest solar wind dynamo efficiency in our dataset. Preliminary statistical results indicate the expected opposite behaviour in the two hemispheres, however, the effect is believed to be weak.

Evaluation of the Simulation of Arctic and Antarctic Sea Ice Coverages by Eleven Major Global Climate Models

NASA Technical Reports Server (NTRS)

Parksinson, Claire; Vinnikov, Konstantin Y.; Cavalieri, Donald J.

2005-01-01

Comparison of polar sea ice results from 11 major global climate models and satellite-derived observations for 1979-2004 reveals that each of the models is simulating seasonal cycles that are phased at least approximately correctly in both hemispheres. Each is also simulating various key aspects of the observed ice cover distributions, such as winter ice not only throughout the central Arctic basin but also throughout Hudson Bay, despite its relatively low latitudes. However, some of the models simulate too much ice, others too little ice (in some cases varying depending on hemisphere and/or season), and some match the observations better in one season versus another. Several models do noticeably better in the Northern Hemisphere than in the Southern Hemisphere, and one does noticeably better in the Southern Hemisphere. In the Northern Hemisphere all simulate monthly average ice extents to within +/-5.1 x 10(exp 6)sq km of the observed ice extent throughout the year; and in the Southern Hemisphere all except one simulate the monthly averages to within +/-6.3 x 10(exp 6) sq km of the observed values. All the models properly simulate a lack of winter ice to the west of Norway; however, most do not obtain as much absence of ice immediately north of Norway as the observations show, suggesting an under simulation of the North Atlantic Current. The spread in monthly averaged ice extents amongst the 11 model simulations is greater in the Southern Hemisphere than in the Northern Hemisphere and greatest in the Southern Hemisphere winter and spring.

Near-Infrared Surveys and the Potential of an Upgraded WFCAM on UKIRT

NASA Astrophysics Data System (ADS)

Green, Richard F.; Kerr, Tom; Varricatt, Watson; Bold, Matthew; Kendrick, Rick; Hodapp, Klaus

2015-08-01

Near-infrared surveys provide the samples of faint objects essential for characterizing the assembly and evolution of galaxies, both at earliest cosmic times and near the peak of star formation and black hole activity. Near-IR broad and medium-band filter measurements are critical for accurate photometric redshifts and spectral energy distributions. The same areal coverage combined with time domain sampling reveals the variability properties of pre-main sequence stars in regions of active star formation, particularly in the presence of appreciable reddening. The possibility of deep, very wide-area K-band coverage creates the opportunity to trace the outer regions of the Galaxy and the Local Group. Targeting for James Webb Space Telescope will depend on accurate contemporaneous Near-IR astrometry. NASA's mission objectives for protecting working spacecraft from orbital debris are facilitated by near-IR characterization of debris, particularly for objects dark in the visible like solar panels.As one realization of advanced survey capability, we describe a proposed upgrade to the Wide-Field camera on the UKIRT 3.8-m. The powerful performance of an array of Teledyne Hawaii-4RG detectors combined with a new corrector and filters promise a Northern Hemisphere capability matched to the next generation of science requirements. Anticipated improvements include (nearly) contiguous detectors (alleviating the need for a large-step dither pattern), higher DQE, and no restriction on field because of guide stars. We would be assured of better wide-area astrometry and sensitivity compared to the generation of devices used for UKIDSS and HEMISPHERE.

Climatology of cloud (radiative) parameters at two stations in Switzerland using hemispherical sky-cameras

NASA Astrophysics Data System (ADS)

Aebi, Christine; Gröbner, Julian; Kämpfer, Niklaus; Vuilleumier, Laurent

2017-04-01

Our study analyses climatologies of cloud fraction, cloud type and cloud radiative effect depending on different parameters at two stations in Switzerland. The calculations have been performed for shortwave (0.3 - 3 μm) and longwave (3 - 100 μm) radiation separately. Information about fractional cloud coverage and cloud type is automatically retrieved from images taken by visible all-sky cameras at the two stations Payerne (490 m asl) and Davos (1594 m asl) using a cloud detection algorithm developed by PMOD/WRC (Wacker et al., 2015). Radiation data are retrieved from pyranometers and pyrgeometers, the cloud base height from a ceilometer and IWV data from GPS measurements. Interestingly, Davos and Payerne show different trends in terms of cloud coverage and cloud fraction regarding seasonal variations. The absolute longwave cloud radiative effect (LCE) for low-level clouds and a cloud coverage of 8 octas has a median value between 61 and 72 Wm-2. It is shown that the fractional cloud coverage, the cloud base height (CBH) and integrated water vapour (IWV) all have an influence on the magnitude of the LCE and will be illustrated with key examples. The relative values of the shortwave cloud radiative effect (SCE) for low-level clouds and a cloud coverage of 8 octas are between -88 to -62 %. The SCE is also influenced by the latter parameters, but also if the sun is covered or not by clouds. At both stations situations of shortwave radiation cloud enhancements have been observed and will be discussed. Wacker S., J. Gröbner, C. Zysset, L. Diener, P. Tzoumanikas, A. Kazantzidis, L. Vuilleumier, R. Stöckli, S. Nyeki, and N. Kämpfer (2015) Cloud observations in Switzerland using hemispherical sky cameras, J. Geophys. Res. Atmos, 120, 695-707.

Access to safe water in rural Artibonite, Haiti 16 months after the onset of the cholera epidemic.

PubMed

Patrick, Molly; Berendes, David; Murphy, Jennifer; Bertrand, Fabienne; Husain, Farah; Handzel, Thomas

2013-10-01

Haiti has the lowest improved water and sanitation coverage in the Western Hemisphere and is suffering from the largest cholera epidemic on record. In May of 2012, an assessment was conducted in rural areas of the Artibonite Department to describe the type and quality of water sources and determine knowledge, access, and use of household water treatment products to inform future programs. It was conducted after emergency response was scaled back but before longer-term water, sanitation, and hygiene activities were initiated. The household survey and source water quality analysis documented low access to safe water, with only 42.3% of households using an improved drinking water source. One-half (50.9%) of the improved water sources tested positive for Escherichia coli. Of households with water to test, 12.7% had positive chlorine residual. The assessment reinforces the identified need for major investments in safe water and sanitation infrastructure and the importance of household water treatment to improve access to safe water in the near term.

The UKIRT Hemisphere Survey: definition and J-band data release

NASA Astrophysics Data System (ADS)

Dye, S.; Lawrence, A.; Read, M. A.; Fan, X.; Kerr, T.; Varricatt, W.; Furnell, K. E.; Edge, A. C.; Irwin, M.; Hambly, N.; Lucas, P.; Almaini, O.; Chambers, K.; Green, R.; Hewett, P.; Liu, M. C.; McGreer, I.; Best, W.; Zhang, Z.; Sutorius, E.; Froebrich, D.; Magnier, E.; Hasinger, G.; Lederer, S. M.; Bold, M.; Tedds, J. A.

2018-02-01

This paper defines the UK Infra-Red Telescope (UKIRT) Hemisphere Survey (UHS) and release of the remaining ∼12 700 deg2 of J-band survey data products. The UHS will provide continuous J- and K-band coverage in the Northern hemisphere from a declination of 0° to 60° by combining the existing Large Area Survey, Galactic Plane Survey and Galactic Clusters Survey conducted under the UKIRT Infra-red Deep Sky Survey (UKIDSS) programme with this new additional area not covered by UKIDSS. The released data include J-band imaging and source catalogues over the new area, which, together with UKIDSS, completes the J-band UHS coverage over the full ∼17 900 deg2 area. 98 per cent of the data in this release have passed quality control criteria. The remaining 2 per cent have been scheduled for re-observation. The median 5σ point source sensitivity of the released data is 19.6 mag (Vega). The median full width at half-maximum of the point spread function across the data set is 0.75 arcsec. In this paper, we outline the survey management, data acquisition, processing and calibration, quality control and archiving as well as summarizing the characteristics of the released data products. The data are initially available to a limited consortium with a world-wide release scheduled for 2018 August.

The Expected Performance from the NASA OCO-2 Mission

NASA Astrophysics Data System (ADS)

Crisp, D.; Eldering, A.; Gunson, M. R.; Pollock, H.

2013-12-01

The NASA Orbiting Carbon Observatory-2 (OCO-2) will be launched from Vandenberg Air Force Base on a Delta-II 7320 launch vehicle as early as 1 July 2014. Once deployed in the 705-km Afternoon Constellation (A-Train), it will collect the measurements needed to estimate the column-averaged, atmospheric carbon dioxide (CO2) dry air mole fraction (XCO2) with improved precision, resolution, and coverage. The OCO-2 spacecraft carries and points a 3-channel, imaging, grating spectrometer that collects high resolution spectra of reflected sunlight in the 765 nm O2 A-band and in the CO2 bands centered near 1610 and 2060 nm. These spectral ranges overlap those used by the Japanese Greenhouse gases Observing SATellite (GOSAT) TANSO-FTS, the current standard in space-based XCO2 measurements. The OCO-2 instrument performance was extensively characterized during pre-launch testing, facilitating comparisons with the TANSO-FTS. OCO-2 has slightly lower spectral resolution, but the far wings of its instrument line shape functions decay more rapidly, such that it yields similar spectral contrast within O2 and CO2 bands. The instruments have similar continuum signal to noise ratios (SNR) for bright scenes, but the OCO-2 instrument has higher SNR at low light levels associated with absorption lines or dark surfaces. The OCO-2 spectrometers will collect 24 soundings per second, yielding up to a million soundings per day over the sunlit hemisphere. For routine operations, the OCO-2 instrument boresight will be pointed at the local nadir or at the 'glint spot,' where sunlight is specularly reflected from the surface. Nadir observations provide the best spatial resolution and are expected to yield more cloud-free soundings. Glint observations will have much better SNR over dark, ocean surfaces. The nominal plan is to alternate between glint and nadir observations on successive 16-day ground-track repeat cycles, so that the entire sunlit hemisphere is sampled in both modes at 32-day intervals. The instrument's rapid sampling, small (< 3 km2) sounding footprint, and high SNR, combined with the spacecraft's ability to point the instrument's aperture toward the glint spot over the entire sunlit hemisphere, are expected to provide more complete coverage of the ocean, cloudy regions, and high latitude continents. While the OCO-2 measurement capabilities provide opportunities to improve the XCO2 precision, resolution, and coverage, they also pose some formidable challenges for calibration, retrieval, and validation. To fully exploit this instrument's capabilities, the 24,000 spectral/spatial channels must be cross-calibrated to within a fraction of 1%. Substantial increases in algorithm speed and more efficient data screening techniques are needed to fully utilize the much larger data volume. Finally, a comprehensive validation program will be needed to ensure the accuracy of the retrieved XCO2 estimates. This presentation will summarize the OCO-2 measurement capabilities and observation strategies, and the methods adopted to address these challenges.

Improving precipitation estimates over the western United States using GOES-R precipitation data

NASA Astrophysics Data System (ADS)

Karbalaee, N.; Kirstetter, P. E.; Gourley, J. J.

2017-12-01

Satellite remote sensing data with fine spatial and temporal resolution are widely used for precipitation estimation for different applications such as hydrological modeling, storm prediction, and flash flood monitoring. The Geostationary Operational Environmental Satellites-R series (GOES-R) is the next generation of environmental satellites that provides hydrologic, atmospheric, and climatic information every 30 seconds over the western hemisphere. The high-resolution and low-latency of GOES-R observations is essential for the monitoring and prediction of floods, specifically in the Western United States where the vantage point of space can complement the degraded weather radar coverage of the NEXRAD network. The GOES-R rainfall rate algorithm will yield deterministic quantitative precipitation estimates (QPE). Accounting for inherent uncertainties will further advance the GOES-R QPEs since with quantifiable error bars, the rainfall estimates can be more readily fused with ground radar products. On the ground, the high-resolution NEXRAD-based precipitation estimation from the Multi-Radar/Multi-Sensor (MRMS) system, which is now operational in the National Weather Service (NWS), is challenged due to a lack of suitable coverage of operational weather radars over complex terrain. Distribution of QPE uncertainties associated with the GOES-R deterministic retrievals are derived and analyzed using MRMS over regions with good radar coverage. They will be merged with MRMS-based probabilistic QPEs developed to advance multisensor QPE integration. This research aims at improving precipitation estimation over the CONUS by combining the observations from GOES-R and MRMS to provide consistent, accurate and fine resolution precipitation rates with uncertainties over the CONUS.

High Temporal and Spatial Resolution Coverage of Earth from Commercial AVSTAR Systems in Geostationary Orbit

NASA Astrophysics Data System (ADS)

Lecompte, M. A.; Heaps, J. F.; Williams, F. H.

Imaging the earth from Geostationary Earth Orbit (GEO) allows frequent updates of environmental conditions within an observable hemisphere at time and spatial scales appropriate to the most transient observable terrestrial phenomena. Coverage provided by current GEO Meteorological Satellites (METSATS) fails to fully exploit this advantage due primarily to obsolescent technology and also institutional inertia. With the full benefit of GEO based imaging unrealized, rapidly evolving phenomena, occurring at the smallest spatial and temporal scales that frequently have significant environmental impact remain unobserved. These phenomena may be precursors for the most destructive natural processes that adversely effect society. Timely distribution of information derived from "real-time" observations thus may provide opportunities to mitigate much of the damage to life and property that would otherwise occur. AstroVision International's AVStar Earth monitoring system is designed to overcome the current limitations if GEO Earth coverage and to provide real time monitoring of changes to the Earth's complete atmospheric, land and marine surface environments including fires, volcanic events, lightning and meteoritic events on a "live," true color, and multispectral basis. The understanding of severe storm dynamics and its coupling to the earth's electro-sphere will be greatly enhanced by observations at unprecedented sampling frequencies and spatial resolution. Better understanding of these natural phenomena and AVStar operational real-time coverage may also benefit society through improvements in severe weather prediction and warning. AstroVision's AVStar system, designed to provide this capability with the first of a constellation of GEO- based commercial environmental monitoring satellites to be launched in late 2003 will be discussed, including spatial and temporal resolution, spectral coverage with applications and an inventory of the potential benefits to society, science, commerce and education.

Data Assimilation Experiments using Quality Controlled AIRS Version 5 Temperature Soundings

NASA Technical Reports Server (NTRS)

Susskind, Joel

2008-01-01

The AIRS Science Team Version 5 retrieval algorithm has been finalized and is now operational at the Goddard DAAC in the processing (and reprocessing) of all AlRS data. Version 5 contains accurate case-by-case error estimates for most derived products, which are also used for quality control. We have conducted forecast impact experiments assimilating AlRS quality controlled temperature profiles using the NASA GEOS-5 data assimilation system, consisting of the NCEP GSI analysis coupled with the NASA FVGCM. Assimilation of quality controlled temperature profiles resulted in significantly improved forecast skill in both the Northern Hemisphere and Southern Hemisphere Extra-Tropics, compared to that obtained from analyses obtained when all data used operationally by NCEP except for AlRS data is assimilated. Experiments using different Quality Control thresholds for assimilation of AlRS temperature retrievals showed that a medium quality control threshold performed better than a tighter threshold, which provided better overall sounding accuracy; or a looser threshold, which provided better spatial coverage of accepted soundings. We are conducting more experiments to further optimize this balance of spatial coverage and sounding accuracy from the data assimilation perspective. In all cases, temperature soundings were assimilated well below cloud level in partially cloudy cases. The positive impact of assimilating AlRS derived atmospheric temperatures all but vanished when only AIRS stratospheric temperatures were assimilated. Forecast skill resulting from assimilation of AlRS radiances uncontaminated by clouds, instead of AlRS temperature soundings, was only slightly better than that resulting from assimilation of only stratospheric AlRS temperatures. This reduction in forecast skill is most likely the result of significant loss of tropospheric information when only AIRS radiances unaffected by clouds are used in the data assimilation process.

Access to Safe Water in Rural Artibonite, Haiti 16 Months after the Onset of the Cholera Epidemic

PubMed Central

Patrick, Molly; Berendes, David; Murphy, Jennifer; Bertrand, Fabienne; Husain, Farah; Handzel, Thomas

2013-01-01

Haiti has the lowest improved water and sanitation coverage in the Western Hemisphere and is suffering from the largest cholera epidemic on record. In May of 2012, an assessment was conducted in rural areas of the Artibonite Department to describe the type and quality of water sources and determine knowledge, access, and use of household water treatment products to inform future programs. It was conducted after emergency response was scaled back but before longer-term water, sanitation, and hygiene activities were initiated. The household survey and source water quality analysis documented low access to safe water, with only 42.3% of households using an improved drinking water source. One-half (50.9%) of the improved water sources tested positive for Escherichia coli. Of households with water to test, 12.7% had positive chlorine residual. The assessment reinforces the identified need for major investments in safe water and sanitation infrastructure and the importance of household water treatment to improve access to safe water in the near term. PMID:24106191

Titan Polar Maps - 2015

NASA Image and Video Library

2015-10-09

The northern and southern hemispheres of Titan are seen in these polar stereographic maps, assembled in 2015 using the best-available images of the giant Saturnian moon from NASA's Cassini mission. The images were taken by Cassini's imaging cameras using a spectral filter centered at 938 nanometers, allowing researchers to examine variations in albedo (or inherent brightness) across the surface of Titan. These maps utilize imaging data collected through Cassini's flyby on April 7, 2014, known as "T100." Titan's north pole was not well illuminated early in Cassini's mission, because it was winter in the northern hemisphere when the spacecraft arrived at Saturn. Cassini has been better able to observe northern latitudes in more recent years due to seasonal changes in solar illumination. Compared to the previous version of Cassini's north polar map (see PIA11146), this map provides much more detail and fills in a large area of missing data. The imaging data in these maps complement Cassini synthetic aperture radar (SAR) mapping of Titan's north pole (see PIA17655). The uniform gray area in the northern hemisphere indicates a gap in the imaging coverage of Titan's surface, to date. The missing data will be imaged by Cassini during flybys on December 15, 2016 and March 5, 2017. Lakes are also seen in the southern hemisphere map, but they are much less common than in the north polar region. Only a lakes have been confirmed in the south. The dark, footprint-shaped feature at 180 degrees west is Ontario Lacus; a smaller lake named Crveno Lacus can be seen as a very dark spot just above Ontario. The dark-albedo area seen at the top of the southern hemisphere map (at 0 degrees west) is an area called Mezzoramia. Each map is centered on one of the poles, and surface coverage extends southward to 60 degrees latitude. Grid lines indicate latitude in 10-degree increments and longitude in 30-degree increments. The scale in the full-size versions of these maps is 4,600 feet (1,400 meters) per pixel. The mean radius of Titan used for projection of these maps is 1,600 miles (2,575 kilometers). http://photojournal.jpl.nasa.gov/catalog/PIA19657

STEM connections to the GOES-R Satellite Series

NASA Astrophysics Data System (ADS)

Mooney, M. E.; Schmit, T.

2015-12-01

GOES-R, a new Geostationary Operational Environmental Satellite (GOES) is scheduled to be launched in October of 2016. Its role is to continue western hemisphere satellite coverage while the existing GOES series winds down its 20-year operation. However, instruments on the next generation GOES-R satellite series will provide major improvements to the current GOES, both in the frequency of images acquired and the spectral and spatial resolution of the images, providing a perfect conduit for STEM education. Most of these improvements will be provided by the Advanced Baseline Imager (ABI). ABI will provide three times more spectral information, four times the spatial resolution, and more than five times faster temporal coverage than the current GOES. Another exciting addition to the GOES-R satellite series will be the Geostationary Lightning Mapper (GLM). The all new GLM on GOES-R will measure total lightning activity continuously over the Americas and adjacent ocean regions with near uniform spatial resolution of approximately 10 km! Due to ABI, GLM and improved spacecraft calibration and navigation, the next generation GOES-R satellite series will usher in an exciting era of satellite applications and opportunities for STEM education. This session will present and demonstrate exciting next-gen imagery advancements and new HTML5 WebApps that demonstrate STEM connections to these improvements. Participants will also be invited to join the GOES-R Education Proving Ground, a national network of educators who will receive stipends to attend 4 webinars during the spring of 2016, pilot a STEM lesson plan, and organize a school-wide launch awareness event.

UHF coplanar-slot antenna for aircraft-to-satellite data communications

NASA Technical Reports Server (NTRS)

Myhre, R. W.

1979-01-01

A lightweight low drag coplanar slot antenna was developed for use on commercial jet aircraft that will provide upper hemisphere coverage in the UHF band at frequencies of 402 and 468 MHz is described. The antenna is designed to transmit meteorological data from wide body jet aircraft to ground users via synchronous meteorological data relay satellites. The low profile antenna (23.5 cm wide by 38.1 cm long slot by 1.9 cm high) is a conformal antenna utilizing the coplanar approach with the advantages of broad frequency bandwidth and improved electrical integrity over wide range of temperature. The antenna is circular polarized, has anon axis gain of near +2.5 dB, and a HPBW greater than 90 deg. Areas discussed include antenna design, radiation characteristics, flight testing, and system performance.

On the cross-polarization characteristics of crooked wire antennas designed by genetic-algorithms

NASA Technical Reports Server (NTRS)

Rengarajan, S. R.; Rahmat-Samii, Y.

2002-01-01

In many modern communication applications there is a need for simple circularly polarized antennas for hemispherical coverage with good axial ratio or low value of cross polarization. We revisited the crooked wire antenna because of its simplicity. This paper presents results of our investigation on the crooked wire antennas and other elements.

A Multi-scale Modeling System: Developments, Applications and Critical Issues

NASA Technical Reports Server (NTRS)

Tao, Wei-Kuo; Chern, Jiundar; Atlas, Robert; Randall, David; Lin, Xin; Khairoutdinov, Marat; Li, Jui-Lin; Waliser, Duane E.; Hou, Arthur; Peters-Lidard, Christa;

Influenza vaccination in the Americas: Progress and challenges after the 2009 A(H1N1) influenza pandemic

PubMed Central

Ropero-Álvarez, Alba María; El Omeiri, Nathalie; Kurtis, Hannah Jane; Danovaro-Holliday, M. Carolina; Ruiz-Matus, Cuauhtémoc

2016-01-01

ABSTRACT Background: There has been considerable uptake of seasonal influenza vaccines in the Americas compared to other regions. We describe the current influenza vaccination target groups, recent progress in vaccine uptake and in generating evidence on influenza seasonality and vaccine effectiveness for immunization programs. We also discuss persistent challenges, 5 years after the A(H1N1) 2009 influenza pandemic. Methods: We compiled and summarized data annually reported by countries to the Pan American Health Organization/World Health Organization (PAHO/WHO) through the WHO/UNICEF joint report form on immunization, information obtained through PAHO's Revolving Fund for Vaccine Procurement and communications with managers of national Expanded Programs on Immunization (EPI). Results: Since 2008, 25 countries/territories in the Americas have introduced new target groups for vaccination or expanded the age ranges of existing target groups. As of 2014, 40 (89%) out of 45 countries/territories have policies established for seasonal influenza vaccination. Currently, 29 (64%) countries/territories target pregnant women for vaccination, the highest priority group according to WHO´s Stategic Advisory Group of Experts and PAHO/WHO's Technical Advisory Group on Vaccine-preventable Diseases, compared to only 7 (16%) in 2008. Among 23 countries reporting coverage data, on average, 75% of adults ≥60 years, 45% of children aged 6–23 months, 32% of children aged 5–2 years, 59% of pregnant women, 78% of healthcare workers, and 90% of individuals with chronic conditions were vaccinated during the 2013–14 Northern Hemisphere or 2014 Southern Hemisphere influenza vaccination activities. Difficulties however persist in the estimation of vaccination coverage, especially for pregnant women and persons with chronic conditions. Since 2007, 6 tropical countries have changed their vaccine formulation from the Northern to the Southern Hemisphere formulation and the timing of their campaigns to April-May following the review of national evidence. LAC countries have also established an official network dedicated to evaluating influenza vaccines effectiveness and impact. Conclusion: Following the A(H1N1)2009 influenza pandemic, countries of the Americas have continued their efforts to sustain or increase seasonal influenza vaccine uptake among high risk groups, especially among pregnant women. Countries also continued strengthening influenza surveillance, immunization platforms and information systems, indirectly improving preparedness for future pandemics. Influenza vaccination is particularly challenging compared to other vaccines included in EPI schedules, due to the need for annual, optimally timed vaccination, the wide spectrum of target groups, and the limitations of the available vaccines. Countries should continue to monitor influenza vaccination coverage, generate evidence for vaccination programs and implement social communication strategies addressing existing gaps. PMID:27196006

Influenza vaccination in the Americas: Progress and challenges after the 2009 A(H1N1) influenza pandemic.

PubMed

Ropero-Álvarez, Alba María; El Omeiri, Nathalie; Kurtis, Hannah Jane; Danovaro-Holliday, M Carolina; Ruiz-Matus, Cuauhtémoc

2016-08-02

There has been considerable uptake of seasonal influenza vaccines in the Americas compared to other regions. We describe the current influenza vaccination target groups, recent progress in vaccine uptake and in generating evidence on influenza seasonality and vaccine effectiveness for immunization programs. We also discuss persistent challenges, 5 years after the A(H1N1) 2009 influenza pandemic. We compiled and summarized data annually reported by countries to the Pan American Health Organization/World Health Organization (PAHO/WHO) through the WHO/UNICEF joint report form on immunization, information obtained through PAHO's Revolving Fund for Vaccine Procurement and communications with managers of national Expanded Programs on Immunization (EPI). Since 2008, 25 countries/territories in the Americas have introduced new target groups for vaccination or expanded the age ranges of existing target groups. As of 2014, 40 (89%) out of 45 countries/territories have policies established for seasonal influenza vaccination. Currently, 29 (64%) countries/territories target pregnant women for vaccination, the highest priority group according to WHO´s Stategic Advisory Group of Experts and PAHO/WHO's Technical Advisory Group on Vaccine-preventable Diseases, compared to only 7 (16%) in 2008. Among 23 countries reporting coverage data, on average, 75% of adults ≥60 years, 45% of children aged 6-23 months, 32% of children aged 5-2 years, 59% of pregnant women, 78% of healthcare workers, and 90% of individuals with chronic conditions were vaccinated during the 2013-14 Northern Hemisphere or 2014 Southern Hemisphere influenza vaccination activities. Difficulties however persist in the estimation of vaccination coverage, especially for pregnant women and persons with chronic conditions. Since 2007, 6 tropical countries have changed their vaccine formulation from the Northern to the Southern Hemisphere formulation and the timing of their campaigns to April-May following the review of national evidence. LAC countries have also established an official network dedicated to evaluating influenza vaccines effectiveness and impact. Following the A(H1N1)2009 influenza pandemic, countries of the Americas have continued their efforts to sustain or increase seasonal influenza vaccine uptake among high risk groups, especially among pregnant women. Countries also continued strengthening influenza surveillance, immunization platforms and information systems, indirectly improving preparedness for future pandemics. Influenza vaccination is particularly challenging compared to other vaccines included in EPI schedules, due to the need for annual, optimally timed vaccination, the wide spectrum of target groups, and the limitations of the available vaccines. Countries should continue to monitor influenza vaccination coverage, generate evidence for vaccination programs and implement social communication strategies addressing existing gaps.

Right hemisphere performance and competence in processing mental images, in a case of partial interhemispheric disconnection.

PubMed

Blanc-Garin, J; Faure, S; Sabio, P

1993-05-01

The objective of this study was to analyze dynamic aspects of right hemisphere implementation in processing visual images. Two tachistoscopic, divided visual field experiments were carried out on a partial split-brain patient with no damage to the right hemisphere. In the first experiment, image generation performance for letters presented in the right visual field (/left hemisphere) was undeniably optimal. In the left visual field (/right hemisphere), performance was no better than chance level at first, but then improved dramatically across stimulation blocks, in each of five successive sessions. This was interpreted as revealing the progressive spontaneous activation of the right hemisphere's competence not shown initially. The aim of the second experiment was to determine some conditions under which this pattern was obtained. The experimental design contrasted stimuli (words and pictures) and representational activity (phonologic and visuo-imaged processing). The right visual field (/left hemisphere: LH) elicited higher performance than the left visual field (/right hemisphere, RH) in the three situations where verbal activity was required. No superiority could be found when visual images were to be generated from pictures: parallel and weak improvement of both hemispheres was observed across sessions. Two other patterns were obtained: improvement in RH performance (although LH performance remained superior) and an unexpectedly large decrease in RH performance. These data are discussed in terms of RH cognitive competence and hemisphere implementation.

Re-Analysis of the Solar Phase Curves of the Icy Galilean Satellites

NASA Technical Reports Server (NTRS)

Domingue, Deborah; Verbiscer, Anne

1997-01-01

Re-analysis of the solar phase curves of the icy Galilean satellites demonstrates that the quantitative results are dependent on the single particle scattering function incorporated into the photometric model; however, the qualitative properties are independent. The results presented here show that the general physical characteristics predicted by a Hapke model (B. Hapke, 1986, Icarus 67, 264-280) incorporating a two parameter double Henyey-Greenstein scattering function are similar to the predictions given by the same model incorporating a three parameter double Henyey-Greenstein scattering function as long as the data set being modeled has adequate coverage in phase angle. Conflicting results occur when the large phase angle coverage is inadequate. Analysis of the role of isotropic versus anisotropic multiple scattering shows that for surfaces as bright as Europa the two models predict very similar results over phase angles covered by the data. Differences arise only at those phase angles for which there are no data. The single particle scattering behavior between the leading and trailing hemispheres of Europa and Ganymede is commensurate with magnetospheric alterations of their surfaces. Ion bombardment will produce more forward scattering single scattering functions due to annealing of potential scattering centers within regolith particles (N. J. Sack et al., 1992, Icarus 100, 534-540). Both leading and trailing hemispheres of Europa are consistent with a high porosity model and commensurate with a frost surface. There are no strong differences in predicted porosity between the two hemispheres of Callisto, both are consistent with model porosities midway between that deduced for Europa and the Moon. Surface roughness model estimates predict that surface roughness increases with satellite distance from Jupiter, with lunar surface roughness values falling midway between those measured for Ganymede and Callisto. There is no obvious variation in predicted surface roughness with hemisphere for any of the Galilean satellites.

Non-invasive brain stimulation: a new strategy to improve neurorehabilitation after stroke?

PubMed

Hummel, Friedhelm C; Cohen, Leonardo G

2006-08-01

Motor impairment resulting from chronic stroke can have extensive physical, psychological, financial, and social implications despite available neurorehabilitative treatments. Recent studies in animals showed that direct epidural stimulation of the primary motor cortex surrounding a small infarct in the lesioned hemisphere (M1(lesioned hemisphere)) elicits improvements in motor function. In human beings, proof of principle studies from different laboratories showed that non-invasive transcranial magnetic stimulation and direct current stimulation that upregulate excitability within M1(lesioned hemisphere) or downregulate excitability in the intact hemisphere (M1(intact hemisphere)) results in improvement in motor function in patients with stroke. Possible mechanisms mediating these effects can include the correction of abnormally persistent interhemispheric inhibitory drive from M1(intact hemisphere) to M1(lesioned hemisphere) in the process of generation of voluntary movements by the paretic hand, a disorder correlated with the magnitude of impairment. In this paper we review these mechanistically oriented interventional approaches. WHAT NEXT?: These findings suggest that transcranial magnetic stimulation and transcranial direct current stimulation could develop into useful adjuvant strategies in neurorehabilitation but have to be further assessed in multicentre clinical trials.

SHADOZ (Southern Hemisphere Additional Ozonesondes): A Project Overview and New Insights on Tropical Tropospheric Ozone

NASA Technical Reports Server (NTRS)

Thompson, Anne M.; Witte, Jacquelyn C.; Oltmans, S. J.; Schmidlin, F. J.

2004-01-01

The SHADOZ (Southern Hemisphere Additional Ozonesondes) ozone sounding network was initiated in 1998 to improve the coverage of tropical in-situ ozone measurements for satellite validation, algorithm development and related process studies. Over 2000 soundings have been archived at the website, http://croc.gsfc.nasa.gov/shadoz, for 12 stations: Ascension Island; Nairobi and Malindi, Kenya; Irene, South Africa; Reunion Island; Watukosek, Java; Fiji; Tahiti; American Samoa; San Cristobal, Galapagos; Natal, Brazil; Paramaribo, Surinam. Key results from SHADOZ will be described from among the following: 1) By using ECC sondes with similar procedures, 5-10% accuracy and precision (1-sigma) of the sonde total ozone measurement is achieved; 2) Week-to-week variability in tropospheric ozone is so great that statistics are frequently not Gaussian; most stations vary up to a factor of 3 in tropospheric column over the course of a year; 3) Longitudinal variability in tropospheric ozone profiles is a consistent feature, with a 10-15 DU column-integrated difference between Atlantic and Pacific sites; this causes a "zonal wave-one" feature in total ozone; 4) The ozone record from Paramaribo, Surinam (6N, 55W) is a marked contrast to southern tropical ozone because Surinam is often north of the Intertropical Convergence Zone.

High-resolution probing of inner core structure with seismic interferometry

NASA Astrophysics Data System (ADS)

Huang, Hsin-Hua; Lin, Fan-Chi; Tsai, Victor C.; Koper, Keith D.

2015-12-01

Increasing complexity of Earth's inner core has been revealed in recent decades as the global distribution of seismic stations has improved. The uneven distribution of earthquakes, however, still causes a biased geographical sampling of the inner core. Recent developments in seismic interferometry, which allow for the retrieval of core-sensitive body waves propagating between two receivers, can significantly improve ray path coverage of the inner core. In this study, we apply such earthquake coda interferometry to 1846 USArray stations deployed across the U.S. from 2004 through 2013. Clear inner core phases PKIKP2 and PKIIKP2 are observed across the entire array. Spatial analysis of the differential travel time residuals between the two phases reveals significant short-wavelength variation and implies the existence of strong structural variability in the deep Earth. A linear N-S trending anomaly across the middle of the U.S. may reflect an asymmetric quasi-hemispherical structure deep within the inner core with boundaries of 99°W and 88°E.

High-Latitude Topside Ionospheric Vertical Electron Density Profile Changes in Response to Large Magnetic Storms

NASA Technical Reports Server (NTRS)

Benson, Robert F.; Fainberg, Joseph; Osherovich, Vladimir A.; Truhlik, Vladimir; Wang, Yongli; Bilitza, Dieter; Fung, Shing F.

2016-01-01

Large magnetic-storm-induced changes were detected in high-latitude topside vertical electron density profiles Ne(h) in a database of profiles and digital topside ionograms, from the International Satellites for Ionospheric Studies (ISIS) program, that enabled Ne(h) profiles to be obtained in nearly the same region of space before, during, and after a major magnetic storm (Dst -100nT). Storms where Ne(h) profiles were available in the high-latitude Northern Hemisphere had better coverage of solar wind parameters than storms with available Ne(h) profiles in the high-latitude Southern Hemisphere. Large Ne(h) changes were observed during all storms, with enhancements and depletions sometimes near a factor of 10 and 0.1, respectively, but with substantial differences in the responses in the two hemispheres. Large spatial andor temporal Ne(h) changes were often observed during Dst minimum and during the storm recovery phase. The storm-induced Ne(h) changes were the most pronounced and consistent in the Northern Hemisphere in that large enhancements were observed during winter nighttime and large depletions during winter and spring daytime. The limited available cases suggested that these Northern Hemisphere enhancements increased with increases of the time-shifted solar wind velocity v, magnetic field B, and with more negative values of the B components except for the highest common altitude (1100km) of the profiles. There was also some evidence suggesting that the Northern Hemisphere depletions were related to changes in the solar wind parameters. Southern Hemisphere storm-induced enhancements and depletions were typically considerably less with depletions observed during summer nighttime conditions and enhancements during summer daytime and fall nighttime conditions.

High-latitude topside ionospheric vertical electron density profile changes in response to large magnetic storms

NASA Astrophysics Data System (ADS)

Benson, Robert F.; Fainberg, Joseph; Osherovich, Vladimir A.; Truhlik, Vladimir; Wang, Yongli; Bilitza, Dieter; Fung, Shing F.

2016-05-01

Large magnetic-storm-induced changes were detected in high-latitude topside vertical electron density profiles Ne(h) in a database of profiles and digital topside ionograms, from the International Satellites for Ionospheric Studies (ISIS) program, that enabled Ne(h) profiles to be obtained in nearly the same region of space before, during, and after a major magnetic storm (Dst < -100 nT). Storms where Ne(h) profiles were available in the high-latitude Northern Hemisphere had better coverage of solar wind parameters than storms with available Ne(h) profiles in the high-latitude Southern Hemisphere. Large Ne(h) changes were observed during all storms, with enhancements and depletions sometimes near a factor of 10 and 0.1, respectively, but with substantial differences in the responses in the two hemispheres. Large spatial and/or temporal Ne(h) changes were often observed during Dst minimum and during the storm recovery phase. The storm-induced Ne(h) changes were the most pronounced and consistent in the Northern Hemisphere in that large enhancements were observed during winter nighttime and large depletions during winter and spring daytime. The limited available cases suggested that these Northern Hemisphere enhancements increased with increases of the time-shifted solar wind velocity v, magnetic field B, and with more negative values of the B components except for the highest common altitude (1100 km) of the profiles. There was also some evidence suggesting that the Northern Hemisphere depletions were related to changes in the solar wind parameters. Southern Hemisphere storm-induced enhancements and depletions were typically considerably less with depletions observed during summer nighttime conditions and enhancements during summer daytime and fall nighttime conditions.

Three-Dimensional Analysis of Deep Space Network Antenna Coverage

NASA Technical Reports Server (NTRS)

Kegege, Obadiah; Fuentes, Michael; Meyer, Nicholas; Sil, Amy

2012-01-01

There is a need to understand NASA s Deep Space Network (DSN) coverage gaps and any limitations to provide redundant communication coverage for future deep space missions, especially for manned missions to Moon and Mars. The DSN antennas are required to provide continuous communication coverage for deep space flights, interplanetary missions, and deep space scientific observations. The DSN consists of ground antennas located at three sites: Goldstone in USA, Canberra in Australia, and Madrid in Spain. These locations are not separated by the exactly 120 degrees and some DSN antennas are located in the bowl-shaped mountainous terrain to shield against radiofrequency interference resulting in a coverage gap in the southern hemisphere for the current DSN architecture. To analyze the extent of this gap and other coverage limitations, simulations of the DSN architecture were performed. In addition to the physical properties of the DSN assets, the simulation incorporated communication forward link calculations and azimuth/elevation masks that constrain the effects of terrain for each DSN antenna. Analysis of the simulation data was performed to create coverage profiles with the receiver settings at a deep space altitudes ranging from 2 million to 10 million km and a spherical grid resolution of 0.25 degrees with respect to longitude and latitude. With the results of these simulations, two- and three-dimensional representations of the area without communication coverage and area with coverage were developed, showing the size and shape of the communication coverage gap projected in space. Also, the significance of this communication coverage gap is analyzed from the simulation data.

Changes in biologically active ultraviolet radiation reaching the Earth's surface.

PubMed

Madronich, S; McKenzie, R L; Björn, L O; Caldwell, M M

1998-10-01

Stratospheric ozone levels are near their lowest point since measurements began, so current ultraviolet-B (UV-B) radiation levels are thought to be close to their maximum. Total stratospheric content of ozone-depleting substances is expected to reach a maximum before the year 2000. All other things being equal, the current ozone losses and related UV-B increases should be close to their maximum. Increases in surface erythemal (sunburning) UV radiation relative to the values in the 1970s are estimated to be: about 7% at Northern Hemisphere mid-latitudes in winter/spring; about 4% at Northern Hemisphere mid-latitudes in summer/fall; about 6% at Southern Hemisphere mid-latitudes on a year-round basis; about 130% in the Antarctic in spring; and about 22% in the Arctic in spring. Reductions in atmospheric ozone are expected to result in higher amounts of UV-B radiation reaching the Earth's surface. The expected correlation between increases in surface UV-B radiation and decreases in overhead ozone has been further demonstrated and quantified by ground-based instruments under a wide range of conditions. Improved measurements of UV-B radiation are now providing better geographical and temporal coverage. Surface UV-B radiation levels are highly variable because of cloud cover, and also because of local effects including pollutants and surface reflections. These factors usually decrease atmospheric transmission and therefore the surface irradiances at UV-B as well as other wavelengths. Occasional cloud-induced increases have also been reported. With a few exceptions, the direct detection of UV-B trends at low- and mid-latitudes remains problematic due to this high natural variability, the relatively small ozone changes, and the practical difficulties of maintaining long-term stability in networks of UV-measuring instruments. Few reliable UV-B radiation measurements are available from pre-ozone-depletion days. Satellite-based observations of atmospheric ozone and clouds are being used, together with models of atmospheric transmission, to provide global coverage and long-term estimates of surface UV-B radiation. Estimates of long-term (1979-1992) trends in zonally averaged UV irradiances that include cloud effects are nearly identical to those for clear-sky estimates, providing evidence that clouds have not influenced the UV-B trends. However, the limitations of satellite-derived UV estimates should be recognized. To assess uncertainties inherent in this approach, additional validations involving comparisons with ground-based observations are required. Direct comparisons of ground-based UV-B radiation measurements between a few mid-latitude sites in the Northern and Southern Hemispheres have shown larger differences than those estimated using satellite data. Ground-based measurements show that summertime erythemal UV irradiances in the Southern Hemisphere exceed those at comparable latitudes of the Northern Hemisphere by up to 40%, whereas corresponding satellite-based estimates yield only 10-15% differences. Atmospheric pollution may be a factor in this discrepancy between ground-based measurements and satellite-derived estimates. UV-B measurements at more sites are required to determine whether the larger observed differences are globally representative. High levels of UV-B radiation continue to be observed in Antarctica during the recurrent spring-time ozone hole. For example, during ozone-hole episodes, measured biologically damaging radiation at Palmer Station, Antarctica (64 degrees S) has been found to approach and occasionally even exceed maximum summer values at San Diego, CA, USA (32 degrees N). Long-term predictions of future UV-B levels are difficult and uncertain. Nevertheless, current best estimates suggest that a slow recovery to pre-ozone depletion levels may be expected during the next half-century. (ABSTRACT TRUNCATED)

Reactive strategies for containing developing outbreaks of pandemic influenza

PubMed Central

2011-01-01

Background In 2009 and the early part of 2010, the northern hemisphere had to cope with the first waves of the new influenza A (H1N1) pandemic. Despite high-profile vaccination campaigns in many countries, delays in administration of vaccination programs were common, and high vaccination coverage levels were not achieved. This experience suggests the need to explore the epidemiological and economic effectiveness of additional, reactive strategies for combating pandemic influenza. Methods We use a stochastic model of pandemic influenza to investigate realistic strategies that can be used in reaction to developing outbreaks. The model is calibrated to documented illness attack rates and basic reproductive number (R0) estimates, and constructed to represent a typical mid-sized North American city. Results Our model predicts an average illness attack rate of 34.1% in the absence of intervention, with total costs associated with morbidity and mortality of US$81 million for such a city. Attack rates and economic costs can be reduced to 5.4% and US$37 million, respectively, when low-coverage reactive vaccination and limited antiviral use are combined with practical, minimally disruptive social distancing strategies, including short-term, as-needed closure of individual schools, even when vaccine supply-chain-related delays occur. Results improve with increasing vaccination coverage and higher vaccine efficacy. Conclusions Such combination strategies can be substantially more effective than vaccination alone from epidemiological and economic standpoints, and warrant strong consideration by public health authorities when reacting to future outbreaks of pandemic influenza. PMID:21356128

Comprehensive amateur coverage of the Mars 2015-2017 apparition from the Southern Hemisphere

NASA Astrophysics Data System (ADS)

Foster, C.

2017-09-01

Although there are current, active scientific assets orbiting and on the surface of Mars, comprehensive amateur monitoring of the planet can still add value. With latest technology and improved high resolution imaging techniques, amateurs are still in a position to observe and report in real time on any significant atmospheric activity on the planet. The author was able to follow the 2015-2017 Mars apparition comprehensively from December 2015 through until February 2017. The planet was imaged on 198 nights by the author during this period, and although no major(non-regional) dust storms occurred during the apparition, a number of atmospheric phenomena were noted and imaged. Orographic cloud formations, Northern and southern polar hood development, high latitude weather systems and the changing weather systems and conditions in and around the Hellas basin were observed and recorded.

Operational satellites and the global monitoring of snow and ice

NASA Technical Reports Server (NTRS)

Walsh, John E.

1991-01-01

The altitudinal dependence of the global warming projected by global climate models is at least partially attributable to the albedo-temperature feedback involving snow and ice, which must be regarded as key variables in the monitoring for global change. Statistical analyses of data from IR and microwave sensors monitoring the areal coverage and extent of sea ice have led to mixed conclusions about recent trends of hemisphere sea ice coverage. Seasonal snow cover has been mapped for over 20 years by NOAA/NESDIS on the basis of imagery from a variety of satellite sensors. Multichannel passive microwave data show some promise for the routine monitoring of snow depth over unforested land areas.

The Health Impact of Rabies in Haiti and Recent Developments on the Path Toward Elimination, 2010–2015

PubMed Central

Wallace, Ryan; Etheart, Melissa; Ludder, Fleurinord; Augustin, Pierre; Fenelon, Natael; Franka, Richard; Crowdis, Kelly; Dely, Patrick; Adrien, Paul; Pierre-Louis, J.; Osinubi, Modupe; Orciari, Lillian; Vigilato, Marco; Blanton, Jesse; Patel, Roopal; Lowrance, David; Liverdieu, Andrecy; Coetzer, Andre; Boone, John; Lindenmayer, Joanne; Millien, M.

2017-01-01

Abstract. Haiti, a Caribbean country of 10.5 million people, is estimated to have the highest burden of canine-mediated human rabies deaths in the Western Hemisphere, and one of the highest rates of human rabies deaths in the world. Haiti is also the poorest country in the Western Hemisphere and has numerous economic and health priorities that compete for rabies-control resources. As a result, primary rabies-control actions, including canine vaccination programs, surveillance systems for human and animal rabies, and appropriate postbite treatment, have not been fully implemented at a national scale. After the 2010 earthquake that further hindered the development of public health program infrastructure and services, the U.S. Centers for Disease Control and Prevention worked with the Ministry of Public Health and Population and key health development partners (including the Pan-American Health Organization) to provide technical expertise and funding for general disease surveillance systems, laboratory capacity, and selected disease control programs; including rabies. In 2011, a cross-ministerial rabies consortium was convened with participation from multiple international rabies experts to develop a strategy for successful rabies control in Haiti. The consortium focused on seven pillars: 1) enhancement of laboratory diagnostic capacity, 2) development of comprehensive animal surveillance system, 3) development of comprehensive human rabies surveillance system, 4) educational outreach, 5) sustainable human rabies biologics supply, 6) achievement of sustained canine vaccination rates of ≥ 70%, and 7) finalization of a national rabies control strategy. From 2010 until 2015, Haiti has seen improvements in the program infrastructure for canine rabies control. The greatest improvements were seen in the area of animal rabies surveillance, in support of which an internationally recognized rabies laboratory was developed thereby leading to an 18-fold increase in the detection of rabid animals. Canine rabies vaccination practices also improved, from a 2010 level of approximately 12% to a 2015 dog population coverage level estimated to be 45%. Rabies vaccine coverage is still below the goal of 70%, however, the positive trend is encouraging. Gaps exist in the capacity to conduct national surveillance for human rabies cases and access to human rabies vaccine is lacking in many parts of the country. However, control has improved over the past 5 years as a result of the efforts of Haiti’s health and agriculture sectors with assistance from multiple international organizations. Haiti is well situated to eliminate canine-mediated human rabies deaths in the near future and should serve as a great example to many developing countries struggling with similar barriers and limitations. PMID:29064363

The Health Impact of Rabies in Haiti and Recent Developments on the Path Toward Elimination, 2010-2015.

PubMed

Wallace, Ryan; Etheart, Melissa; Ludder, Fleurinord; Augustin, Pierre; Fenelon, Natael; Franka, Richard; Crowdis, Kelly; Dely, Patrick; Adrien, Paul; Pierre-Louis, J; Osinubi, Modupe; Orciari, Lillian; Vigilato, Marco; Blanton, Jesse; Patel, Roopal; Lowrance, David; Liverdieu, Andrecy; Coetzer, Andre; Boone, John; Lindenmayer, Joanne; Millien, M

2017-10-01

Haiti, a Caribbean country of 10.5 million people, is estimated to have the highest burden of canine-mediated human rabies deaths in the Western Hemisphere, and one of the highest rates of human rabies deaths in the world. Haiti is also the poorest country in the Western Hemisphere and has numerous economic and health priorities that compete for rabies-control resources. As a result, primary rabies-control actions, including canine vaccination programs, surveillance systems for human and animal rabies, and appropriate postbite treatment, have not been fully implemented at a national scale. After the 2010 earthquake that further hindered the development of public health program infrastructure and services, the U.S. Centers for Disease Control and Prevention worked with the Ministry of Public Health and Population and key health development partners (including the Pan-American Health Organization) to provide technical expertise and funding for general disease surveillance systems, laboratory capacity, and selected disease control programs; including rabies. In 2011, a cross-ministerial rabies consortium was convened with participation from multiple international rabies experts to develop a strategy for successful rabies control in Haiti. The consortium focused on seven pillars: 1) enhancement of laboratory diagnostic capacity, 2) development of comprehensive animal surveillance system, 3) development of comprehensive human rabies surveillance system, 4) educational outreach, 5) sustainable human rabies biologics supply, 6) achievement of sustained canine vaccination rates of ≥ 70%, and 7) finalization of a national rabies control strategy. From 2010 until 2015, Haiti has seen improvements in the program infrastructure for canine rabies control. The greatest improvements were seen in the area of animal rabies surveillance, in support of which an internationally recognized rabies laboratory was developed thereby leading to an 18-fold increase in the detection of rabid animals. Canine rabies vaccination practices also improved, from a 2010 level of approximately 12% to a 2015 dog population coverage level estimated to be 45%. Rabies vaccine coverage is still below the goal of 70%, however, the positive trend is encouraging. Gaps exist in the capacity to conduct national surveillance for human rabies cases and access to human rabies vaccine is lacking in many parts of the country. However, control has improved over the past 5 years as a result of the efforts of Haiti's health and agriculture sectors with assistance from multiple international organizations. Haiti is well situated to eliminate canine-mediated human rabies deaths in the near future and should serve as a great example to many developing countries struggling with similar barriers and limitations.

Mars Global Surveyor Thermal Emission Spectrometer (TES) Observations of Dust Opacity During Aerobraking and Science Phasing

NASA Technical Reports Server (NTRS)

Smith, Michael D.; Pearl, John C.; Conrath, Barney J.; Christensen, Philip R.

1999-01-01

The Mars Global Surveyor (MGS) arrived at Mars in September 1997 near Mars southern spring equinox and has now provided monitoring of conditions in the Mars atmosphere for more than half a Mars year. The large majority of the spectra taken by the Thermal Emission Spectrometer (TES) are in a nadir geometry (downward looking mode) where Mars is observed through the atmosphere. Most of these contain the distinct spectral signature of atmospheric dust. For these nadir-geometry spectra we retrieve column-integrated infrared aerosol (dust) opacities. TES observations during the aerobraking and science-phasing portions of the MGS mission cover the seasonal range L(sub s)=184 deg - 28 deg. Excellent spatial coverage was obtained in the southern hemisphere. Northern hemisphere coverage is generally limited to narrow strips taken during the periapsis pass but is still very valuable. At the beginning of the mission the 9-(micron)meter dust opacity at midsouthern latitudes was low (0.15-0.25). As the season advanced through southern spring and into summer, TES observed several regional dust storms (including the Noachis dust storm of November 1997) where peak 9-(micron)meter dust opacities approached or exceeded unity, as well as numerous smaller local storms. Both large and small dust storms exhibited significant changes in both spatial coverage and intensity over a timescale of a day. Throughout southern spring and summer the region at the edge of the retreating southern seasonal polar ice cap was observed to be consistently more dusty than other latitudes.

Presurgical EEG-fMRI in a complex clinical case with seizure recurrence after epilepsy surgery

PubMed Central

Zhang, Jing; Liu, Qingzhu; Mei, Shanshan; Zhang, Xiaoming; Wang, Xiaofei; Liu, Weifang; Chen, Hui; Xia, Hong; Zhou, Zhen; Li, Yunlin

2013-01-01

Epilepsy surgery has improved over the last decade, but non-seizure-free outcome remains at 10%–40% in temporal lobe epilepsy (TLE) and 40%–60% in extratemporal lobe epilepsy (ETLE). This paper reports a complex multifocal case. With a normal magnetic resonance imaging (MRI) result and nonlocalizing electroencephalography (EEG) findings (bilateral TLE and ETLE, with more interictal epileptiform discharges [IEDs] in the right frontal and temporal regions), a presurgical EEG-functional MRI (fMRI) was performed before the intraoperative intracranial EEG (icEEG) monitoring (icEEG with right hemispheric coverage). Our previous EEG-fMRI analysis results (IEDs in the left hemisphere alone) were contradictory to the EEG and icEEG findings (IEDs in the right frontal and temporal regions). Thus, the EEG-fMRI data were reanalyzed with newly identified IED onsets and different fMRI model options. The reanalyzed EEG-fMRI findings were largely concordant with those of EEG and icEEG, and the failure of our previous EEG-fMRI analysis may lie in the inaccurate identification of IEDs and wrong usage of model options. The right frontal and temporal regions were resected in surgery, and dual pathology (hippocampus sclerosis and focal cortical dysplasia in the extrahippocampal region) was found. The patient became seizure-free for 3 months, but his seizures restarted after antiepileptic drugs (AEDs) were stopped. The seizures were not well controlled after resuming AEDs. Postsurgical EEGs indicated that ictal spikes in the right frontal and temporal regions reduced, while those in the left hemisphere became prominent. This case suggested that (1) EEG-fMRI is valuable in presurgical evaluation, but requires caution; and (2) the intact seizure focus in the remaining brain may cause the non-seizure-free outcome. PMID:23926432

Lunar Topography: Results from the Lunar Orbiter Laser Altimeter

NASA Technical Reports Server (NTRS)

Neumann, Gregory; Smith, David E.; Zuber, Maria T.; Mazarico, Erwan

2012-01-01

The Lunar Orbiter Laser Altimeter (LOLA) onboard the Lunar Reconnaissance Orbiter (LRO) has been operating nearly continuously since July 2009, accumulating over 6 billion measurements from more than 2 billion in-orbit laser shots. LRO's near-polar orbit results in very high data density in the immediate vicinity of the lunar poles, with full coverage at the equator from more than 12000 orbital tracks averaging less than 1 km in spacing at the equator. LRO has obtained a global geodetic model of the lunar topography with 50-meter horizontal and 1-m radial accuracy in a lunar center-of-mass coordinate system, with profiles of topography at 20-m horizontal resolution, and 0.1-m vertical precision. LOLA also provides measurements of reflectivity and surface roughness down to its 5-m laser spot size. With these data LOLA has measured the shape of all lunar craters 20 km and larger. In the proposed extended mission commencing late in 2012, LOLA will concentrate observations in the Southern Hemisphere, improving the density of the polar coverage to nearly 10-m pixel resolution and accuracy to better than 20 m total position error. Uses for these data include mission planning and targeting, illumination studies, geodetic control of images, as well as lunar geology and geophysics. Further improvements in geodetic accuracy are anticipated from the use of re ned gravity fields after the successful completion of the Gravity Recovery and Interior Laboratory (GRAIL) mission in 2012.

Preliminary Global Topographic Model of Mars Based on MOLA Altimetry, Earth-Based Radar, and Viking, Mariner and MGS Occultations

NASA Technical Reports Server (NTRS)

Smith, David E.; Zuber, Maria T.; Neumann, Gregory A.

1999-01-01

The recent altimetry data acquired by MOLA over the northern hemisphere of Mars have been combined with the Earth-based radar data obtained between 1971 and 1982, and occultation measurements of the Viking 1 and 2 Orbiters, Mariner 9, and MGS to derive a global model of the shape and topography of Mars. This preliminary model has a horizontal resolution of about 300 km. Vertical accuracy is on average a few hundred meters in the region of the data. Datasets: The altimetry and radar datasets were individually binned in 1.25 degree grids and merged with the occultation data. The Viking and Mariner occultation data in the northern hemisphere were excluded from the combined dataset where MOLA altimetry were available. The laser altimetry provided extensive and almost complete coverage of the northern hemisphere north of latitude 30 while the radar provided longitudinal coverage at several latitude bands between 23N and 23S. South of this region the only data were occultations. The majority of the occultations were obtained from Mariner 9, and the rest from Viking 1 & 2, and MGS. Earlier studies had shown that the Viking and Mariner occultations were on average only accurate to 500 meters. The recent MGS occultations are accurate to a few tens of meters. However, the highest southern latitude reached by the MGS occultations is only about 64S and data near the target region for the Mars 98 lander is limited to a few Viking and Mariner observations of relatively poor quality. In addition to the above datasets the locations of the Viking 1, Viking 2, and Pathfinder landers, obtained from the radio tracking of their signals, were included.

Adaptive multibeam phased array design for a Spacelab experiment

NASA Technical Reports Server (NTRS)

Noji, T. T.; Fass, S.; Fuoco, A. M.; Wang, C. D.

1977-01-01

The parametric tradeoff analyses and design for an Adaptive Multibeam Phased Array (AMPA) for a Spacelab experiment are described. This AMPA Experiment System was designed with particular emphasis to maximize channel capacity and minimize implementation and cost impacts for future austere maritime and aeronautical users, operating with a low gain hemispherical coverage antenna element, low effective radiated power, and low antenna gain-to-system noise temperature ratio.

UCAC1: New Proper Motions for 27 Million Stars on the Southern Hemisphere

NASA Astrophysics Data System (ADS)

Zacharias, N.; Monet, S. Urban D. G.; Platais, I.; Wycoff, G. L.; Zacharias, M. I.; Rafferty, T. J.

The big impact of UCAC on galactic kinematics and dynamics studies will be outlined. The USNO CCD Astrograph (UCA) started an astrometric sky survey in February 1998 at Cerro Tololo, Chile. By January 2000 about 90% of the Southern Hemisphere has been observed and full sky coverage is expected by early 2003. In addition, calibration fields around extragalactic reference frame sources and selected open clusters are observed frequently. The UCAC project is a huge dedicated astrometric survey similar to the AGK2 and AGK3 projects but vastly exceeding those with respect to higher accuracy, limiting magnitude (16th) and full sky coverage. A first catalog (UCAC1) is being published in early 2000 for 27 million stars. Stars in the range of 9 to 14th magnitude have a positional precision of 20 mas. The UCAC1 will utilize positions from the USNO A2.0 catalog for determining proper motions, which are expected to be about 8 mas/yr for this initial release. Higher precision proper motions, expected to be in the 3 to 4 mas/yr range, will be derived utilizing a variety of early epoch data, including re-measuring of the Southern Proper Motion (SPM) survey first epoch plates.

Multi-scale enhancement of climate prediction over land by improving the model sensitivity to vegetation variability

NASA Astrophysics Data System (ADS)

Alessandri, A.; Catalano, F.; De Felice, M.; Hurk, B. V. D.; Doblas-Reyes, F. J.; Boussetta, S.; Balsamo, G.; Miller, P. A.

2017-12-01

Here we demonstrate, for the first time, that the implementation of a realistic representation of vegetation in Earth System Models (ESMs) can significantly improve climate simulation and prediction across multiple time-scales. The effective sub-grid vegetation fractional coverage vary seasonally and at interannual time-scales in response to leaf-canopy growth, phenology and senescence. Therefore it affects biophysical parameters such as the surface resistance to evapotranspiration, albedo, roughness lenght, and soil field capacity. To adequately represent this effect in the EC-Earth ESM, we included an exponential dependence of the vegetation cover on the Leaf Area Index.By comparing two sets of simulations performed with and without the new variable fractional-coverage parameterization, spanning from centennial (20th Century) simulations and retrospective predictions to the decadal (5-years), seasonal (2-4 months) and weather (4 days) time-scales, we show for the first time a significant multi-scale enhancement of vegetation impacts in climate simulation and prediction over land. Particularly large effects at multiple time scales are shown over boreal winter middle-to-high latitudes over Canada, West US, Eastern Europe, Russia and eastern Siberia due to the implemented time-varying shadowing effect by tree-vegetation on snow surfaces. Over Northern Hemisphere boreal forest regions the improved representation of vegetation-cover consistently correct the winter warm biases, improves the climate change sensitivity, the decadal potential predictability as well as the skill of forecasts at seasonal and weather time-scales. Significant improvements of the prediction of 2m temperature and rainfall are also shown over transitional land surface hot spots. Both the potential predictability at decadal time-scale and seasonal-forecasts skill are enhanced over Sahel, North American Great Plains, Nordeste Brazil and South East Asia, mainly related to improved performance in the surface evapotranspiration.Above results are discussed in a peer-review paper just being accepted for publication on Climate Dynamics (Alessandri et al., 2017; doi:10.1007/s00382-017-3766-y).

Spatial patterns of increases and decreases in the length of the sea ice season in the north polar region, 1979-1986

NASA Technical Reports Server (NTRS)

Parkinson, Claire L.

1992-01-01

Recently it was reported that sea ice extents in the Northern Hemisphere showed a very slight but statistically significant decrease over the 8.8-year period of the Nimbus 7 scanning multichannel microwave radiometer (SMMR) data set. In this paper the same SMMR data are used to reveal spatial patterns in increasing and decreasing sea ice coverage. Specifically, the length of the ice season is mapped for each full year of the SMMR data set (1979-1986), and the trends over the 8 years in these ice season lengths are also mapped. These trends show considerable spatial coherence, with a shortening in the sea ice season apparent in much of the eastern hemisphere of the north polar ice cover, particularly in the Sea of Okhotsk, the Barents Sea, and the Kara Sea, and a lengthening of the sea ice season apparent in much of the western hemisphere of the north polar ice cover, particularly in Davis Strait, the Labrador Sea, and the Beaufort Sea.

Monte Carlo performance studies for the site selection of the Cherenkov Telescope Array

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

Hassan, T.; Arrabito, L.; Bernlöhr, K.

The Cherenkov Telescope Array (CTA) represents the next generation of ground-based instruments for very-high-energy (VHE) gamma-ray astronomy, aimed at improving on the sensitivity of current-generation experiments by an order of magnitude and providing coverage over four decades of energy. The current CTA design consists of two arrays of tens of imaging atmospheric Cherenkov Telescopes, comprising Small, Medium and Large-Sized Telescopes, with one array located in each of the Northern and Southern Hemispheres. To study the effect of the site choice on the overall CTA performance and support the site evaluation process, detailed Monte Carlo simulations have been performed. These resultsmore » show the impact of different site-related attributes such as altitude, night-sky background and local geomagnetic field on CTA performance for the observation of VHE gamma rays.« less

Monte Carlo performance studies for the site selection of the Cherenkov Telescope Array

DOE PAGES

Hassan, T.; Arrabito, L.; Bernlöhr, K.; ...

2017-05-03

The Cherenkov Telescope Array (CTA) represents the next generation of ground-based instruments for very-high-energy (VHE) gamma-ray astronomy, aimed at improving on the sensitivity of current-generation experiments by an order of magnitude and providing coverage over four decades of energy. The current CTA design consists of two arrays of tens of imaging atmospheric Cherenkov Telescopes, comprising Small, Medium and Large-Sized Telescopes, with one array located in each of the Northern and Southern Hemispheres. To study the effect of the site choice on the overall CTA performance and support the site evaluation process, detailed Monte Carlo simulations have been performed. These resultsmore » show the impact of different site-related attributes such as altitude, night-sky background and local geomagnetic field on CTA performance for the observation of VHE gamma rays.« less

Assessment of DSN Communication Coverage for Space Missions to Potentially Hazardous Asteroids

NASA Technical Reports Server (NTRS)

Kegege, Obadiah; Bittner, David; Gati, Frank; Bhasin, Kul

2012-01-01

A communication coverage gap exists for Deep Space Network (DSN) antennas. This communication coverage gap is on the southern hemisphere, centered at approximate latitude of -47deg and longitude of -45deg. The area of this communication gap varies depending on the altitude from the Earth s surface. There are no current planetary space missions that fall within the DSN communication gap because planetary bodies in the Solar system lie near the ecliptic plane. However, some asteroids orbits are not confined to the ecliptic plane. In recent years, Potentially Hazardous Asteroids (PHAs) have passed within 100,000 km of the Earth. NASA s future space exploration goals include a manned mission to asteroids. It is important to ensure reliable and redundant communication coverage/capabilities for manned space missions to dangerous asteroids that make a sequence of close Earth encounters. In this paper, we will describe simulations performed to determine whether near-Earth objects (NEO) that have been classified as PHAs fall within the DSN communication coverage gap. In the study, we reviewed literature for a number of PHAs, generated binary ephemeris for selected PHAs using JPL s HORIZONS tool, and created their trajectories using Satellite Took Kit (STK). The results show that some of the PHAs fall within DSN communication coverage gap. This paper presents the simulation results and our analyses

Autistic spectrum disorders as functional disconnection syndrome.

PubMed

Melillo, Robert; Leisman, Gerry

2009-01-01

We outline the basis of how functional disconnection with reduced activity and coherence in the right hemisphere would explain all of the symptoms of autistic spectrum disorder as well as the observed increases in sympathetic activation. If the problem of autistic spectrum disorder is primarily one of desynchronization and ineffective interhemispheric communication, then the best way to address the symptoms is to improve coordination between areas of the brain. To do that the best approach would include multimodal therapeusis that would include a combination of somatosensory, cognitive, behavioral, and biochemical interventions all directed at improving overall health, reducing inflammation and increasing right hemisphere activity to the level that it becomes temporally coherent with the left hemisphere. We hypothesize that the unilateral increased hemispheric stimulation has the effect of increasing the temporal oscillations within the thalamocortical pathways bringing it closer to the oscillation rate of the adequately functioning hemisphere. We propose that increasing the baseline oscillation speed of one entire hemisphere will enhance the coordination and coherence between the two hemispheres allowing for enhanced motor and cognitive binding.

The New Intelligence, Surveillance, and Reconnaissance Cockpit: Examining the Contributions of Emerging Unmanned Aircraft Systems

DTIC Science & Technology

2010-04-25

similar to the architecture of the right hemisphere of the brain. 169 The other method involves the development of software-based pheromones ...borrowing from the genetic behaviors employed by ants and termites . 170 UAVs and UCAVs employing this theoretical technique can essentially mark...coverage areas and targets with “digital pheromones .” 171 Both concepts are being designed to allow relatively inexpensive unmanned aircraft to cue

Modelling the enigmatic Late Pliocene Glacial Event - Marine Isotope Stage M2

USGS Publications Warehouse

Dolan, Aisling M.; Haywood, Alan M.; Hunter, Stephen J.; Tindall, Julia C.; Dowsett, Harry J.; Hill, Daniel J.; Pickering, Steven J.

2015-01-01

The Pliocene Epoch (5.2 to 2.58 Ma) has often been targeted to investigate the nature of warm climates. However, climate records for the Pliocene exhibit significant variability and show intervals that apparently experienced a cooler than modern climate. Marine Isotope Stage (MIS) M2 (~ 3.3 Ma) is a globally recognisable cooling event that disturbs an otherwise relatively (compared to present-day) warm background climate state. It remains unclear whether this event corresponds to significant ice sheet build-up in the Northern and Southern Hemisphere. Estimates of sea level for this interval vary, and range from modern values to estimates of 65 m sea level fall with respect to present day. Here we implement plausible M2 ice sheet configurations into a coupled atmosphere–ocean climate model to test the hypothesis that larger-than-modern ice sheet configurations may have existed at M2. Climate model results are compared with proxy climate data available for M2 to assess the plausibility of each ice sheet configuration. Whilst the outcomes of our data/model comparisons are not in all cases straight forward to interpret, there is little indication that results from model simulations in which significant ice masses have been prescribed in the Northern Hemisphere are incompatible with proxy data from the North Atlantic, Northeast Arctic Russia, North Africa and the Southern Ocean. Therefore, our model results do not preclude the possibility of the existence of larger ice masses during M2 in the Northern or Southern Hemisphere. Specifically they are not able to discount the possibility of significant ice masses in the Northern Hemisphere during the M2 event, consistent with a global sea-level fall of between 40 m and 60 m. This study highlights the general need for more focused and coordinated data generation in the future to improve the coverage and consistency in proxy records for M2, which will allow these and future M2 sensitivity tests to be interrogated further.

Crossed Wernicke's aphasia: a case report.

PubMed

Sheehy, Laurie M; Haines, Mary E

2004-04-01

Crossed aphasia is a phenomenon in which an individual sustains a lesion in the right hemisphere (typically non-language dominant), but who exhibits an aphasic syndrome. The authors present a case study of an individual with crossed aphasia (CA) in an attempt to provide anecdotal information for four questions posed by : (a). Is CA a reversal of the normal cerebral hemisphere pattern of language function? (b). Does the presence of aphasia following a right cerebral hemisphere lesion indicate that typical right hemisphere functions (e.g., visual perception) are intact? (c). How may the aphasia's presentation differ from typical left hemisphere aphasias? And (d). is the pattern of improvement following CA similar to that of typical left hemisphere aphasias? We longitudinally examined the communicative-cognitive performance of an adult man with crossed aphasia of the Wernicke's type following a cerebrovascular accident. A 21-week follow-up evaluation indicated improvements in his language functioning from our initial evaluation, but he continued to exhibit a classic, moderately severe Wernicke's aphasia.

Improving 7-Day Forecast Skill by Assimilation of Retrieved AIRS Temperature Profiles

NASA Technical Reports Server (NTRS)

Susskind, Joel; Rosenberg, Bob

2016-01-01

We conducted a new set of Data Assimilation Experiments covering the period January 1 to February 29, 2016 using the GEOS-5 DAS. Our experiments assimilate all data used operationally by GMAO (Control) with some modifications. Significant improvement in Global and Southern Hemisphere Extra-tropical 7-day forecast skill was obtained when: We assimilated AIRS Quality Controlled temperature profiles in place of observed AIRS radiances, and also did not assimilate CrISATMS radiances, nor did we assimilate radiosonde temperature profiles or aircraft temperatures. This new methodology did not improve or degrade 7-day Northern Hemispheric Extra-tropical forecast skill. We are conducting experiments aimed at further improving of Northern Hemisphere Extra-tropical forecast skill.

New Wisdom to Defy an Old Enemy: Summary from a scientific symposium at the 4th Influenza Vaccines for the World (IVW) 2012 Congress, 11 October, Valencia, Spain.

PubMed

Poland, Gregory A; Fleming, Douglas M; Treanor, John J; Maraskovsky, Eugene; Luke, Thomas C; Ball, Emma M A; Poland, Caroline M

2013-04-17

Both seasonal and pandemic influenza cause considerable morbidity and mortality globally. In addition, the ongoing threat of new, unpredictable influenza pandemics from emerging variant strains cannot be underestimated. Recently bioCSL (previously known as CSL Biotherapies) sponsored a symposium 'New Wisdom to Defy an Old Enemy' at the 4th Influenza Vaccines for the World Congress in Valencia, Spain. This symposium brought together a renowned faculty of experts to discuss lessons from past experience, novel influenza vaccine developments, and new methods to increase vaccine acceptance and coverage. Specific topics reviewed and discussed included new vaccine development efforts focused on improving efficacy via alternative administration routes, dose modifications, improved adjuvants, and the use of master donor viruses. Improved safety was also discussed, particularly the new finding of an excess of febrile reactions isolated to children who received the 2010 Southern Hemisphere (SH) trivalent inactivated influenza vaccine (TIV). Significant work has been done to both identify the cause and minimize the risk of febrile reactions in children. Other novel prophylactic and therapeutic advances were discussed including immunotherapy. Standard IVIg and hIVIg have been used in ferret studies and human case reports with promising results. New adjuvants, such as ISCOMATRIX™ adjuvant, were noted to provide single-dose, prolonged protection with seasonal vaccine after lethal H5N1 virus challenge in a ferret model of human influenza disease. The data suggest that adjuvanted seasonal influenza vaccines may provide broader protection than unadjuvanted vaccines. The use of an antigen-formulated vaccine to induce broad protection between pandemics that could bridge the gap between pandemic declaration and the production of a homologous vaccine was also discussed. Finally, despite the availability of effective vaccines, most current efforts to increase influenza vaccine coverage rates to higher levels (i.e., above 70-80%) have been ineffective in highly developed countries where the vaccine is used, hindered by the public's skepticism towards vaccines in general. New educational and social media methods to increase vaccine acceptance and coverage were discussed. While the first priority should be the development of improved influenza vaccines, a particular focus on the aging global population is critical. It is also important to draw lessons from other academic disciplines that can help to inform vaccine education programs, policy, and communication. By tailoring communications and patient education using an understanding of cognitive bias and the model of preferred cognitive styles, the likelihood of effecting desirable health decisions can be maximized, leading to improved vaccine coverage and control of influenza and other vaccine-preventable diseases. Copyright © 2013 Elsevier Ltd. All rights reserved.

On Land Ice Mass Change in Southernmost South America, Antarctic Peninsula and Coastal Antarctica consistent with GRACE, GPS and Reconstructed Ice History for Past 1000 years.

NASA Astrophysics Data System (ADS)

Ivins, Erik; Wiese, David; Watkins, Michael; Yuan, Dah-Ning; Landerer, Felix; Simms, Alex; Boening, Carmen

2014-05-01

The improved spatial coverage provided by high-quality Global Positioning System observing systems on exposed bedrock has allowed these space geodetic experiments to play an increasingly important role in constraining both glacial isostatic adjustment (GIA) processes and viscoelastic responses to present-day glacial mass changes (PGMC). Improved constraints on models of ice mass change in the Southern Hemisphere at present-day, during the Little Ice Age, and during the Late Holocene are invaluable for reconciling climate and sea-level variability on a global scale during the present solar radiation forcing and Milankovic orbital configuration. Studies by Jacobs et al. (1992), Whitehouse et al. (2012), King et al. (2012), Boening et al (2012), and others, support the contention that GRACE observations of both GIA and PGMC in the Southern Hemisphere are dominated by the geography and climate of coastal environments. This makes the proper masking of those environments for GRACE-determinations of secular mass balance especially sensitive, and downscaling, rescaling, and use of correlation mascon methods a non-trivial part of the analysis. Here we employ two analysis methods to determine the mass balances of the Antarctic Peninsula and Patagonia and incorporate GPS observations of ongoing uplift for GIA correction into both. Using data that roughly span 2002-2013, we determine -25 ± 5 Gt/yr for the uncorrected Antarctic Peninsula (AP) and -12 Gt/yr for southern Patagonia and the Cordillera Darwin (PCD). With corrections for GIA these are increased to -34 ± 8 Gt/yr for AP and -22 ± 6 Gt/yr for PCD.

The USNO-UKIRT K-band Hemisphere Survey

NASA Astrophysics Data System (ADS)

Dahm, Scott; Bruursema, Justice; Munn, Jeffrey A.; Vrba, Fred J.; Dorland, Bryan; Dye, Simon; Kerr, Tom; Varricatt, Watson; Irwin, Mike; Lawrence, Andy; McLaren, Robert; Hodapp, Klaus; Hasinger, Guenther

2018-01-01

We present initial results from the United States Naval Observatory (USNO) and UKIRT K-band Hemisphere Survey (U2HS), currently underway using the Wide Field Camera (WFCAM) installed on UKIRT on Maunakea. U2HS is a collaborative effort undertaken by USNO, the Institute for Astronomy, University of Hawaii, the Cambridge Astronomy Survey Unit (CASU) and the Wide Field Astronomy Unit (WFAU) in Edinburgh. The principal objective of the U2HS is to provide continuous northern hemisphere K-band coverage over a declination range of δ=0o – +60o by combining over 12,700 deg2 of new imaging with the existing UKIRT Infrared Deep Sky Survey (UKIDSS) Large Area Survey (LAS), Galactic Plane Survey (GPS) and Galactic Cluster Survey (GCS). U2HS will achieve a 5-σ point source sensitivity of K~18.4 mag (Vega), over three magnitudes deeper than the Two Micron All Sky Survey (2MASS). In this contribution we discuss survey design, execution, data acquisition and processing, photometric calibration and quality control. The data obtained by the U2HS will be made publicly available through the Wide Field Science Archive (WSA) maintained by the WFAU.

Double Take: Parallel Processing by the Cerebral Hemispheres Reduces Attentional Blink

ERIC Educational Resources Information Center

Scalf, Paige E.; Banich, Marie T.; Kramer, Arthur F.; Narechania, Kunjan; Simon, Clarissa D.

2007-01-01

Recent data have shown that parallel processing by the cerebral hemispheres can expand the capacity of visual working memory for spatial locations (J. F. Delvenne, 2005) and attentional tracking (G. A. Alvarez & P. Cavanagh, 2005). Evidence that parallel processing by the cerebral hemispheres can improve item identification has remained elusive.…

Characteristics of tropical cyclones and overshooting from GPS radio occultation data

NASA Astrophysics Data System (ADS)

Biondi, Riccardo; Rieckh, Therese; Steiner, Andrea; Kirchengast, Gottfried

2014-05-01

Tropical cyclones (TCs) are extreme weather events causing every year huge damages and several deaths. In some countries they are the natural catastrophes accounting for the major economic damages. The thermal structure of TCs gives important information on the cloud top height allowing for a better understanding of the troposphere-stratosphere transport, which is still poorly understood. The measurement of atmospheric parameters (such as temperature, pressure and humidity) with high vertical resolution and accuracy in the upper troposphere and lower stratosphere (UTLS) is difficult especially during severe weather events (e.g TCs). Satellite remote sensing has improved the TC forecast and monitoring accuracy. In the last decade the Global Positioning Systems (GPS) Radio Occultation (RO) technique contributed to improve our knowledge especially at high troposphere altitudes and in remote regions of the globe thanks to the high vertical resolution, avoiding temperature smoothing issues (given by microwave and infrared instruments) in the UTLS and improving the poor temporal resolution and global coverage given by lidars and radars. We selected more than twenty-thousand GPS RO profiles co-located with TC best tracks for the period 2001 to 2012 and computed temperature anomaly profiles relative to a RO background climatology in order to detect TC cloud tops. We characterized the thermal structure for different ocean basins and for different TC intensities, distinguishing between tropical and extra-tropical cases. The analysis shows that all investigated storms have a common feature: they warm the troposphere and cool the UTLS near the cloud top. This behavior is amplified in the extra-tropical areas. Results reveal that the storms' cloud tops in the southern hemisphere basins reach higher altitudes and lower temperatures than in the northern hemisphere basins. We furthermore compared the cloud top height of each profile with the mean tropopause altitude (from the RO archive) in order to detect overshooting. We present a map of TC overshooting events indicating tropical areas which contribute most to UTLS transport and the large-scale atmospheric circulation.

Multi-scale enhancement of climate prediction over land by increasing the model sensitivity to vegetation variability in EC-Earth

NASA Astrophysics Data System (ADS)

Alessandri, Andrea; Catalano, Franco; De Felice, Matteo; Van Den Hurk, Bart; Doblas Reyes, Francisco; Boussetta, Souhail; Balsamo, Gianpaolo; Miller, Paul

2016-04-01

The EC-Earth earth system model has been recently developed to include the dynamics of vegetation. In its original formulation, vegetation variability is simply operated by the Leaf Area Index (LAI), which affects climate basically by changing the vegetation physiological resistance to evapotranspiration. This coupling has been found to have only a weak effect on the surface climate modeled by EC-Earth. In reality, the effective sub-grid vegetation fractional coverage will vary seasonally and at interannual time-scales in response to leaf-canopy growth, phenology and senescence. Therefore it affects biophysical parameters such as the albedo, surface roughness and soil field capacity. To adequately represent this effect in EC-Earth, we included an exponential dependence of the vegetation cover on the LAI. By comparing two sets of simulations performed with and without the new variable fractional-coverage parameterization, spanning retrospective predictions at the decadal (5-years), seasonal and sub-seasonal time-scales, we show for the first time a significant multi-scale enhancement of vegetation impacts in climate simulation and prediction over land. Particularly large effects at multiple time scales are shown over boreal winter middle-to-high latitudes over Canada, West US, Eastern Europe, Russia and eastern Siberia due to the implemented time-varying shadowing effect by tree-vegetation on snow surfaces. Over Northern Hemisphere boreal forest regions the improved representation of vegetation cover tends to correct the winter warm biases, improves the climate change sensitivity, the decadal potential predictability as well as the skill of forecasts at seasonal and sub-seasonal time-scales. Significant improvements of the prediction of 2m temperature and rainfall are also shown over transitional land surface hot spots. Both the potential predictability at decadal time-scale and seasonal-forecasts skill are enhanced over Sahel, North American Great Plains, Nordeste Brazil and South East Asia, mainly related to improved performance in the surface evapotranspiration.

Multi-scale enhancement of climate prediction over land by increasing the model sensitivity to vegetation variability in EC-Earth

NASA Astrophysics Data System (ADS)

Alessandri, A.; Catalano, F.; De Felice, M.; van den Hurk, B.; Doblas-Reyes, F. J.; Boussetta, S.; Balsamo, G.; Miller, P. A.

2016-12-01

The European consortium earth system model (EC-Earth; http://www.ec-earth.org) has been recently developed to include the dynamics of vegetation. In its original formulation, vegetation variability is simply operated by the Leaf Area Index (LAI), which affects climate basically by changing the vegetation physiological resistance to evapotranspiration. This coupling has been found to have only a weak effect on the surface climate modeled by EC-Earth. In reality, the effective sub-grid vegetation fractional coverage will vary seasonally and at interannual time-scales in response to leaf-canopy growth, phenology and senescence. Therefore it affects biophysical parameters such as the albedo, surface roughness and soil field capacity. To adequately represent this effect in EC-Earth, we included an exponential dependence of the vegetation cover on the LAI. By comparing two sets of simulations performed with and without the new variable fractional-coverage parameterization, spanning from centennial (20th Century) simulations and retrospective predictions to the decadal (5-years), seasonal and weather time-scales, we show for the first time a significant multi-scale enhancement of vegetation impacts in climate simulation and prediction over land. Particularly large effects at multiple time scales are shown over boreal winter middle-to-high latitudes over Canada, West US, Eastern Europe, Russia and eastern Siberia due to the implemented time-varying shadowing effect by tree-vegetation on snow surfaces. Over Northern Hemisphere boreal forest regions the improved representation of vegetation cover tends to correct the winter warm biases, improves the climate change sensitivity, the decadal potential predictability as well as the skill of forecasts at seasonal and weather time-scales. Significant improvements of the prediction of 2m temperature and rainfall are also shown over transitional land surface hot spots. Both the potential predictability at decadal time-scale and seasonal-forecasts skill are enhanced over Sahel, North American Great Plains, Nordeste Brazil and South East Asia, mainly related to improved performance in the surface evapotranspiration.

Multi-scale enhancement of climate prediction over land by increasing the model sensitivity to vegetation variability in EC-Earth

NASA Astrophysics Data System (ADS)

Alessandri, Andrea; Catalano, Franco; De Felice, Matteo; Van Den Hurk, Bart; Doblas Reyes, Francisco; Boussetta, Souhail; Balsamo, Gianpaolo; Miller, Paul A.

2017-08-01

The EC-Earth earth system model has been recently developed to include the dynamics of vegetation. In its original formulation, vegetation variability is simply operated by the Leaf Area Index (LAI), which affects climate basically by changing the vegetation physiological resistance to evapotranspiration. This coupling has been found to have only a weak effect on the surface climate modeled by EC-Earth. In reality, the effective sub-grid vegetation fractional coverage will vary seasonally and at interannual time-scales in response to leaf-canopy growth, phenology and senescence. Therefore it affects biophysical parameters such as the albedo, surface roughness and soil field capacity. To adequately represent this effect in EC-Earth, we included an exponential dependence of the vegetation cover on the LAI. By comparing two sets of simulations performed with and without the new variable fractional-coverage parameterization, spanning from centennial (twentieth century) simulations and retrospective predictions to the decadal (5-years), seasonal and weather time-scales, we show for the first time a significant multi-scale enhancement of vegetation impacts in climate simulation and prediction over land. Particularly large effects at multiple time scales are shown over boreal winter middle-to-high latitudes over Canada, West US, Eastern Europe, Russia and eastern Siberia due to the implemented time-varying shadowing effect by tree-vegetation on snow surfaces. Over Northern Hemisphere boreal forest regions the improved representation of vegetation cover tends to correct the winter warm biases, improves the climate change sensitivity, the decadal potential predictability as well as the skill of forecasts at seasonal and weather time-scales. Significant improvements of the prediction of 2 m temperature and rainfall are also shown over transitional land surface hot spots. Both the potential predictability at decadal time-scale and seasonal-forecasts skill are enhanced over Sahel, North American Great Plains, Nordeste Brazil and South East Asia, mainly related to improved performance in the surface evapotranspiration.

Multi-scale enhancement of climate prediction over land by increasing the model sensitivity to vegetation variability in EC-Earth

NASA Astrophysics Data System (ADS)

Alessandri, Andrea; Catalano, Franco; De Felice, Matteo; Van Den Hurk, Bart; Doblas Reyes, Francisco; Boussetta, Souhail; Balsamo, Gianpaolo; Miller, Paul A.

2017-04-01

The EC-Earth earth system model has been recently developed to include the dynamics of vegetation. In its original formulation, vegetation variability is simply operated by the Leaf Area Index (LAI), which affects climate basically by changing the vegetation physiological resistance to evapotranspiration. This coupling has been found to have only a weak effect on the surface climate modeled by EC-Earth. In reality, the effective sub-grid vegetation fractional coverage will vary seasonally and at interannual time-scales in response to leaf-canopy growth, phenology and senescence. Therefore it affects biophysical parameters such as the albedo, surface roughness and soil field capacity. To adequately represent this effect in EC-Earth, we included an exponential dependence of the vegetation cover on the LAI. By comparing two sets of simulations performed with and without the new variable fractional-coverage parameterization, spanning from centennial (20th Century) simulations and retrospective predictions to the decadal (5-years), seasonal and weather time-scales, we show for the first time a significant multi-scale enhancement of vegetation impacts in climate simulation and prediction over land. Particularly large effects at multiple time scales are shown over boreal winter middle-to-high latitudes over Canada, West US, Eastern Europe, Russia and eastern Siberia due to the implemented time-varying shadowing effect by tree-vegetation on snow surfaces. Over Northern Hemisphere boreal forest regions the improved representation of vegetation cover tends to correct the winter warm biases, improves the climate change sensitivity, the decadal potential predictability as well as the skill of forecasts at seasonal and weather time-scales. Significant improvements of the prediction of 2m temperature and rainfall are also shown over transitional land surface hot spots. Both the potential predictability at decadal time-scale and seasonal-forecasts skill are enhanced over Sahel, North American Great Plains, Nordeste Brazil and South East Asia, mainly related to improved performance in the surface evapotranspiration.

Dust coatings on basaltic rocks and implications for thermal infrared spectroscopy of Mars

USGS Publications Warehouse

Johnson, J. R.; Christensen, P.R.; Lucey, P.G.

2002-01-01

Thin coatings of atmospherically deposited dust can mask the spectral characteristics of underlying surfaces on Mars from the visible to thermal infrared wavelengths, making identification of substrate and coating mineralogy difficult from lander and orbiter spectrometer data. To study the spectral effects of dust coatings, we acquired thermal emission and hemispherical reflectance spectra (5-25 μm; 2000-400 cm-1) of basaltic andesite coated with different thicknesses of air fall-deposited palagonitic soils, fine-grained ceramic clay powders, and terrestrial loess. The results show that thin coatings (10-20 μm) reduce the spectral contrast of the rock substrate substantially, consistent with previous work. This contrast reduction continues linearly with increasing coating thickness until a "saturation thickness" is reached, after which little further change is observed. The saturation thickness of the spectrally flat palagonite coatings is ~100-120 μm, whereas that for coatings with higher spectral contrast is only ~50-75 μm. Spectral differences among coated and uncoated samples correlate with measured coating thicknesses in a quadratic manner, whereas correlations with estimated surface area coverage are better fit by linear functions. Linear mixture modeling of coated samples using the rock substrate and coating materials as end-members is also consistent with their measured coating thicknesses and areal coverage. A comparison of ratios of Thermal Emission Spectrometer (TES) spectra of dark and bright intracrater and windstreak deposits associated with Radau crater suggests that the dark windstreak material may be coated with as much as 90% areal coverage of palagonitic dust. The data presented here also will help improve interpretations of upcoming mini-TES and Thermal Emission Imaging System (THEMIS) observations of coated Mars surface materials.

Costs and benefits of integrating information between the cerebral hemispheres: a computational perspective.

PubMed

Belger, A; Banich, M T

1998-07-01

Because interaction of the cerebral hemispheres has been found to aid task performance under demanding conditions, the present study examined how this effect is moderated by computational complexity, the degree of lateralization for a task, and individual differences in asymmetric hemispheric activation (AHA). Computational complexity was manipulated across tasks either by increasing the number of inputs to be processed or by increasing the number of steps to a decision. Comparison of within- and across-hemisphere trials indicated that the size of the between-hemisphere advantage increased as a function of task complexity, except for a highly lateralized rhyme decision task that can only be performed by the left hemisphere. Measures of individual differences in AHA revealed that when task demands and an individual's AHA both load on the same hemisphere, the ability to divide the processing between the hemispheres is limited. Thus, interhemispheric division of processing improves performance at higher levels of computational complexity only when the required operations can be divided between the hemispheres.

Reduction of Kinematic Short Baseline Multipath Effects Based on Multipath Hemispherical Map

PubMed Central

Cai, Miaomiao; Chen, Wen; Dong, Danan; Song, Le; Wang, Minghua; Wang, Zhiren; Zhou, Feng; Zheng, Zhengqi; Yu, Chao

2016-01-01

Multipath hemispherical map (MHM) is a kind of multipath mitigation approach that takes advantage of the spatial repeatability of the multipath effect under an unchanged environment. This approach is not only suitable for static environments, but also for some kinematic platforms, such as a moving ship and airplane, where the dominant multipath effects come from the platform itself and the multipath effects from the surrounding environment are considered minor or negligible. Previous studies have verified the feasibility of the MHM approach in static environments. In this study, we expanded the MHM approach to a kinematic shipborne environment. Both static and kinematic tests were carried out to demonstrate the feasibility of the MHM approach. The results indicate that, after MHM multipath mitigation, the root mean square (RMS) of baseline length deviations are reduced by 10.47% and 10.57%, and the RMS of residual values are reduced by 39.89% and 21.91% for the static and kinematic tests, respectively. Power spectrum analysis has shown that the MHM approach is more effective in mitigating multipath in low-frequency bands; the high-frequency multipath effects still exist, and are indistinguishable from observation noise. Taking the observation noise into account, the residual reductions increase to 41.68% and 24.51% in static and kinematic tests, respectively. To further improve the performance of MHM for kinematic platforms, we also analyzed the influence of spatial coverage and resolution on residual reduction. PMID:27754322

Updated Global Data from the Guvi Instrument: New Products, Updated Calibration, and a New Web Interface

NASA Astrophysics Data System (ADS)

Schaefer, R. K.; Paxton, L. J.; Romeo, G.; Wolven, B. C.; Zhang, Y.; Comberiate, J.

2014-12-01

With it's high inclination orbit, GUVI provides global coverage of the ionosphere/thermosphere system, revisiting each polar region 15 times a day. The GUVI instrument has long been a resource for the ITM community with a panoply of data products available from the GUVI website (http://guvi.jhuapl.edu). GUVI is in a high inclination orbit and so provides coverage of both hemispheres. With the release last year of the data products from the DMSO/SSUSI instrument, particularly more detailed auroral zone products (Q, E0, Hemispheric Power, discrete auroral arcs, proton precipitation regions), new equatorial ionospheric products (3D electron densities, bubbles), a whole new set of UV data products has become available. SSUSI are available from http://ssusi.jhuapl.edu. To leverage the experience and knowledge gained from running all of these instruments we have adapted the SSUSI products so they can be made from GUVI telemetry. There are now updated versions of GUVI legacy products as well as brand new products. In addition, better on-orbit calibration techniques developed for SSUSI have now been applied to the GUVI instrument calibration - there is now a common set of software for calibrating both instruments. With a common data format, calibration, and product definition, the data from all SSUSI and GUVI instruments can now be easily combined to get multiple instruments to cover the hemispheres to do a variety of global studies. In addition, the GUVI spectrographic mode data provides great detail about spectrographic features (e.g. O/N2 ratios, NO band emission) that are important for understanding dynamical processes in the thermosphere. A new version of the GUVI website (with the same interface as the SSUSI website) has been launched from guvi.jhuapl.edu to showcase the legacy products made with the new calibration and also highlight the newly developed products for the GUVI imaging and spectrographic modes.

The impact of equilibrating hemispheric albedos on tropical performance in the HadGEM2-ES coupled climate model

DOE PAGES

Haywood, Jim M.; Jones, Andy; Dunstone, Nick; ...

2016-01-14

Despite the fact that the southern hemisphere contains a far greater proportion of dark ocean than the northern hemisphere, the total amount of sunlight reflected from the hemispheres is equal. However, the majority of climate models do not adequately represent this equivalence. Here we examine the impact of equilibrating hemispheric albedos by various idealised methods in a comprehensive coupled climate model and find significant improvements in what have been considered longstanding and apparently intractable model biases. Monsoon precipitation biases almost vanish over all continental land areas, the penetration of monsoon rainfall across the Sahel and the west African monsoon “jump”more » become well represented, and indicators of hurricane frequency are significantly improved. The results appear not to be model specific, implying that hemispheric albedo equivalence may provide a fundamental constraint for climate models that must be satisfied if the dynamics driving these processes, in particular the strength of the Hadley cell, are to be adequately represented. Cross-equatorial energy transport is implicated as a crucial component that must be accurately modelled in coupled general circulation models. The results also suggest that the commonly used practice of prescribing sea-surface temperatures in models provides a less accurate represention of precipitation than constraining the hemispheric albedos.« less

Degradation of Auditory Localization Performance Due to Helmet Ear Coverage: The Effects of Normal Acoustic Reverberation

DTIC Science & Technology

2009-07-01

Therefore, it’s safe to assume that most large errors are due to front-back confusions. Front-back confusions occur in part because the binaural ...two ear) cues that dominate sound localization do not distinguish the front and rear hemispheres. The two binaural cues relied on are interaural...121 (5), 3094–3094. Shinn-Cunningham, B. G.; Kopčo, N.; Martin, T. J. Localizing Nearby Sound Sources in a Classroom: Binaural Room Impulse

Maser radiometer for cosmic background radiation anisotropy measurements

NASA Technical Reports Server (NTRS)

Fixsen, D. J.; Wilkinson, D. T.

1982-01-01

A maser amplifier was incorporated into a low noise radiometer designed to measure large-scale anisotropy in the 3 deg K microwave background radiation. To minimize emission by atmospheric water vapor and oxygen, the radiometer is flown in a small balloon to an altitude to 25 km. Three successful flights were made - two from Palestine, Texas and one from Sao Jose dos Campos, Brazil. Good sky coverage is important to the experiment. Data from the northern hemisphere flights has been edited and calibrated.

The Holocene Geomagnetic Field: Spikes, Low Field Anomalies, and Asymmetries

NASA Astrophysics Data System (ADS)

Constable, C.

2017-12-01

Our understanding of the Holocene magnetic field is constrained by individual paleomagnetic records of variable quality and resolution, composite regional secular variation curves, and low resolution global time-varying geomagnetic field models. Although spatial and temporal data coverages have greatly improved in recent years, typical views of millennial-scale secular variation and the underlying physical processes continue to be heavily influenced by more detailed field structure and short term variability inferred from the historical record and modern observations. Recent models of gyre driven decay of the geomagnetic dipole on centennial time scales, and studies of the evolution of the South Atlantic Anomaly provide one prominent example. Since 1840 dipole decay has largely been driven by meridional flux advection, with generally smaller fairly steady contributions from magnetic diffusion. The decay is dominantly associated with geomagnetic activity in the Southern Hemisphere. In contrast to the present decay, dipole strength generally grew between 1500 and 1000 BC, sustaining high but fluctuating values around 90-100 ZAm2 until after 1500 AD. Thus high dipole moments appear to have been present shortly after 1000 AD at the time of the Levantine spikes, which represent extreme variations in regional geomagnetic field strength. It has been speculated that the growth in dipole moment originated from a strong flux patch near the equatorial region at the core-mantle boundary that migrated north and west to augment the dipole strength, suggesting the presence of a large-scale anticyclonic gyre in the northern hemisphere, not totally unlike the southern hemisphere flow that dominates present day dipole decay. The later brief episodes of high field strength in the Levant may have contributed to prolonged values of high dipole strength until the onset of dipole decay in the late second millennium AD. This could support the concept of a large-scale stable flow configuration for several millennia.

HIRAX: a probe of dark energy and radio transients

NASA Astrophysics Data System (ADS)

Newburgh, L. B.; Bandura, K.; Bucher, M. A.; Chang, T.-C.; Chiang, H. C.; Cliche, J. F.; Davé, R.; Dobbs, M.; Clarkson, C.; Ganga, K. M.; Gogo, T.; Gumba, A.; Gupta, N.; Hilton, M.; Johnstone, B.; Karastergiou, A.; Kunz, M.; Lokhorst, D.; Maartens, R.; Macpherson, S.; Mdlalose, M.; Moodley, K.; Ngwenya, L.; Parra, J. M.; Peterson, J.; Recnik, O.; Saliwanchik, B.; Santos, M. G.; Sievers, J. L.; Smirnov, O.; Stronkhorst, P.; Taylor, R.; Vanderlinde, K.; Van Vuuren, G.; Weltman, A.; Witzemann, A.

2016-08-01

The Hydrogen Intensity and Real-time Analysis eXperiment (HIRAX) is a new 400{800MHz radio interferometer under development for deployment in South Africa. HIRAX will comprise 1024 six meter parabolic dishes on a compact grid and will map most of the southern sky over the course of four years. HIRAX has two primary science goals: to constrain Dark Energy and measure structure at high redshift, and to study radio transients and pulsars. HIRAX will observe unresolved sources of neutral hydrogen via their redshifted 21-cm emission line (`hydrogen intensity mapping'). The resulting maps of large-scale structure at redshifts 0.8{2.5 will be used to measure Baryon Acoustic Oscillations (BAO). BAO are a preferential length scale in the matter distribution that can be used to characterize the expansion history of the Universe and thus understand the properties of Dark Energy. HIRAX will improve upon current BAO measurements from galaxy surveys by observing a larger cosmological volume (larger in both survey area and redshift range) and by measuring BAO at higher redshift when the expansion of the universe transitioned to Dark Energy domination. HIRAX will complement CHIME, a hydrogen intensity mapping experiment in the Northern Hemisphere, by completing the sky coverage in the same redshift range. HIRAX's location in the Southern Hemisphere also allows a variety of cross-correlation measurements with large-scale structure surveys at many wavelengths. Daily maps of a few thousand square degrees of the Southern Hemisphere, encompassing much of the Milky Way galaxy, will also open new opportunities for discovering and monitoring radio transients. The HIRAX correlator will have the ability to rapidly and efficiently detect transient events. This new data will shed light on the poorly understood nature of fast radio bursts (FRBs), enable pulsar monitoring to enhance long-wavelength gravitational wave searches, and provide a rich data set for new radio transient phenomena searches. This paper discusses the HIRAX instrument, science goals, and current status.

Drivers of routine immunization coverage improvement in Africa: findings from district-level case studies

PubMed Central

LaFond, Anne; Kanagat, Natasha; Steinglass, Robert; Fields, Rebecca; Sequeira, Jenny; Mookherji, Sangeeta

2015-01-01

There is limited understanding of why routine immunization (RI) coverage improves in some settings in Africa and not in others. Using a grounded theory approach, we conducted in-depth case studies to understand pathways to coverage improvement by comparing immunization programme experience in 12 districts in three countries (Ethiopia, Cameroon and Ghana). Drawing on positive deviance or assets model techniques we compared the experience of districts where diphtheria–tetanus–pertussis (DTP3)/pentavalent3 (Penta3) coverage improved with districts where DTP3/Penta3 coverage remained unchanged (or steady) over the same period, focusing on basic readiness to deliver immunization services and drivers of coverage improvement. The results informed a model for immunization coverage improvement that emphasizes the dynamics of immunization systems at district level. In all districts, whether improving or steady, we found that a set of basic RI system resources were in place from 2006 to 2010 and did not observe major differences in infrastructure. We found that the differences in coverage trends were due to factors other than basic RI system capacity or service readiness. We identified six common drivers of RI coverage performance improvement—four direct drivers and two enabling drivers—that were present in well-performing districts and weaker or absent in steady coverage districts, and map the pathways from driver to improved supply, demand and coverage. Findings emphasize the critical role of implementation strategies and the need for locally skilled managers that are capable of tailoring strategies to specific settings and community needs. The case studies are unique in their focus on the positive drivers of change and the identification of pathways to coverage improvement, an approach that should be considered in future studies and routine assessments of district-level immunization system performance. PMID:24615431

Cortical activation changes underlying stimulation-induced behavioural gains in chronic stroke

PubMed Central

Bachtiar, Velicia; O'Shea, Jacinta; Allman, Claire; Bosnell, Rosemary Ann; Kischka, Udo; Matthews, Paul McMahan; Johansen-Berg, Heidi

2012-01-01

Transcranial direct current stimulation, a form of non-invasive brain stimulation, is showing increasing promise as an adjunct therapy in rehabilitation following stroke. However, although significant behavioural improvements have been reported in proof-of-principle studies, the underlying mechanisms are poorly understood. The rationale for transcranial direct current stimulation as therapy for stroke is that therapeutic stimulation paradigms increase activity in ipsilesional motor cortical areas, but this has not previously been directly tested for conventional electrode placements. This study was performed to test directly whether increases in ipsilesional cortical activation with transcranial direct current stimulation are associated with behavioural improvements in chronic stroke patients. Patients at least 6 months post-first stroke participated in a behavioural experiment (n = 13) or a functional magnetic resonance imaging experiment (n = 11), each investigating the effects of three stimulation conditions in separate sessions: anodal stimulation to the ipsilesional hemisphere; cathodal stimulation to the contralesional hemisphere; and sham stimulation. Anodal (facilitatory) stimulation to the ipsilesional hemisphere led to significant improvements (5–10%) in response times with the affected hand in both experiments. This improvement was associated with an increase in movement-related cortical activity in the stimulated primary motor cortex and functionally interconnected regions. Cathodal (inhibitory) stimulation to the contralesional hemisphere led to a functional improvement only when compared with sham stimulation. We show for the first time that the significant behavioural improvements produced by anodal stimulation to the ipsilesional hemisphere are associated with a functionally relevant increase in activity within the ipsilesional primary motor cortex in patients with a wide range of disabilities following stroke. PMID:22155982

Semantic processing in the left versus right cerebral hemispheres following unilateral hand contractions.

PubMed

Turner, Casey E; Hahn, Michael E; Kellogg, Ronald T

2017-03-01

Unilateral hand contractions increase activation in the motor cortex of the contralateral hemisphere, providing a means to alter the relative degree of activation in the right hemisphere versus the left hemisphere through spreading activation. Prior research reported enhanced verbal creativity as measured by performance on remote associate problems in Hebrew from left-hand contractions (right-hemisphere activation). We sought to extend the previous findings to English problems and to homograph interpretation. In Experiment 1, unilateral hand contractions in fact altered performance on the English remote associates, but in the direction of improved performance following right-hand contractions and left-hemisphere activation. In Experiment 2, the probability of retrieving atypical interpretations of homographs with multiple meanings was least likely for left-hemisphere dominant strong right handers, but the hand contraction manipulation had no effect.

Immediate improvement of motor function after epilepsy surgery in congenital hemiparesis.

PubMed

Pascoal, Tharick; Paglioli, Eliseu; Palmini, André; Menezes, Rafael; Staudt, Martin

2013-08-01

Hemispherectomy often leads to a loss of contralateral hand function. In some children with congenital hemiparesis, however, paretic hand function remains unchanged. An immediate improvement of hand function has never been reported. A 17-year-old boy with congenital hemiparesis and therapy-refractory seizures due to a large infarction in the territory of the middle cerebral artery underwent epilepsy surgery. Intraoperatively, electrical cortical stimulation of the affected hemisphere demonstrated preserved motor projections from the sensorimotor cortex to the (contralateral) paretic hand. A frontoparietal resection was performed, which included a complete disconnection of all motor projections originating in the sensorimotor cortex of the affected hemisphere. Surprisingly, the paretic hand showed a significant functional improvement immediately after the operation. This observation demonstrates that, in congenital hemiparesis, crossed motor projections from the affected hemisphere are not always beneficial, but can be dysfunctional, interfering with ipsilateral motor control over the paretic hand by the contralesional hemisphere. Wiley Periodicals, Inc. © 2013 International League Against Epilepsy.

Volumetrically-Derived Global Navigation Satellite System Performance Assessment from the Earths Surface through the Terrestrial Service Volume and the Space Service Volume

NASA Technical Reports Server (NTRS)

Welch, Bryan W.

2016-01-01

NASA is participating in the International Committee on Global Navigation Satellite Systems (GNSS) (ICG)'s efforts towards demonstrating the benefits to the space user from the Earth's surface through the Terrestrial Service Volume (TSV) to the edge of the Space Service Volume (SSV), when a multi-GNSS solution space approach is utilized. The ICG Working Group: Enhancement of GNSS Performance, New Services and Capabilities has started a three phase analysis initiative as an outcome of recommendations at the ICG-10 meeting, in preparation for the ICG-11 meeting. The first phase of that increasing complexity and fidelity analysis initiative was recently expanded to compare nadir-facing and zenith-facing user hemispherical antenna coverage with omnidirectional antenna coverage at different distances of 8,000 km altitude and 36,000 km altitude. This report summarizes the performance using these antenna coverage techniques at distances ranging from 100 km altitude to 36,000 km to be all encompassing, as well as the volumetrically-derived system availability metrics.

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

Haywood, Jim M.; Jones, Andy; Dunstone, Nick

Despite the fact that the southern hemisphere contains a far greater proportion of dark ocean than the northern hemisphere, the total amount of sunlight reflected from the hemispheres is equal. However, the majority of climate models do not adequately represent this equivalence. Here we examine the impact of equilibrating hemispheric albedos by various idealised methods in a comprehensive coupled climate model and find significant improvements in what have been considered longstanding and apparently intractable model biases. Monsoon precipitation biases almost vanish over all continental land areas, the penetration of monsoon rainfall across the Sahel and the west African monsoon “jump”more » become well represented, and indicators of hurricane frequency are significantly improved. The results appear not to be model specific, implying that hemispheric albedo equivalence may provide a fundamental constraint for climate models that must be satisfied if the dynamics driving these processes, in particular the strength of the Hadley cell, are to be adequately represented. Cross-equatorial energy transport is implicated as a crucial component that must be accurately modelled in coupled general circulation models. The results also suggest that the commonly used practice of prescribing sea-surface temperatures in models provides a less accurate represention of precipitation than constraining the hemispheric albedos.« less

Climate Simulations with an Isentropic Finite Volume Dynamical Core

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

Chen, Chih-Chieh; Rasch, Philip J.

2012-04-15

This paper discusses the impact of changing the vertical coordinate from a hybrid pressure to a hybrid-isentropic coordinate within the finite volume dynamical core of the Community Atmosphere Model (CAM). Results from a 20-year climate simulation using the new model coordinate configuration are compared to control simulations produced by the Eulerian spectral and FV dynamical cores of CAM which both use a pressure-based ({sigma}-p) coordinate. The same physical parameterization package is employed in all three dynamical cores. The isentropic modeling framework significantly alters the simulated climatology and has several desirable features. The revised model produces a better representation of heatmore » transport processes in the atmosphere leading to much improved atmospheric temperatures. We show that the isentropic model is very effective in reducing the long standing cold temperature bias in the upper troposphere and lower stratosphere, a deficiency shared among most climate models. The warmer upper troposphere and stratosphere seen in the isentropic model reduces the global coverage of high clouds which is in better agreement with observations. The isentropic model also shows improvements in the simulated wintertime mean sea-level pressure field in the northern hemisphere.« less

Sea Ice

NASA Technical Reports Server (NTRS)

Parkinson, Claire L.; Cavalieri, Donald J.

2005-01-01

Sea ice covers vast areas of the polar oceans, with ice extent in the Northern Hemisphere ranging from approximately 7 x 10(exp 6) sq km in September to approximately 15 x 10(exp 6) sq km in March and ice extent in the Southern Hemisphere ranging from approximately 3 x 10(exp 6) sq km in February to approximately 18 x 10(exp 6) sq km in September. These ice covers have major impacts on the atmosphere, oceans, and ecosystems of the polar regions, and so as changes occur in them there are potential widespread consequences. Satellite data reveal considerable interannual variability in both polar sea ice covers, and many studies suggest possible connections between the ice and various oscillations within the climate system, such as the Arctic Oscillation, North Atlantic Oscillation, and Antarctic Oscillation, or Southern Annular Mode. Nonetheless, statistically significant long-term trends are also apparent, including overall trends of decreased ice coverage in the Arctic and increased ice coverage in the Antarctic from late 1978 through the end of 2003, with the Antarctic ice increases following marked decreases in the Antarctic ice during the 1970s. For a detailed picture of the seasonally varying ice cover at the start of the 21st century, this chapter includes ice concentration maps for each month of 2001 for both the Arctic and the Antarctic, as well as an overview of what the satellite record has revealed about the two polar ice covers from the 1970s through 2003.

Southern Hemisphere Upper Thermospheric Wind Climatology

NASA Astrophysics Data System (ADS)

Dhadly, M. S.; Emmert, J. T.; Drob, D. P.

2017-12-01

This study is focused on the poorly understood large-scale upper thermospheric wind dynamics in the southern polar cap, auroral, and mid latitudes. The gaps in our understanding of the dynamic high-latitude thermosphere are largely due to the sparseness of thermospheric wind measurements. Using data from current observational facilities, it is unfeasible to construct a synoptic picture of the Southern Hemisphere upper thermospheric winds. However, enough data with wide spatial and temporal coverage have accumulated to construct a meaningful statistical analysis of winds as function of season, magnetic latitude, and magnetic local time. We use long-term data from nine ground-based stations located at different southern high latitudes and three space-based instruments. These diverse data sets possess different geometries and different spatial and solar coverage. The major challenge of the effort is to combine these disparate sources of data into a coherent picture while overcoming the sampling limitations and biases among the datasets. Our preliminary analyses show mutual biases present among some of them. We first address the biases among various data sets and then combine them in a coherent way to construct maps of neutral winds for various seasons. We then validate the fitted climatology against the observational data and compare with corresponding fits of 25 years of simulated winds from the National Center for Atmospheric Research Thermosphere-Ionosphere-Electrodynamics General Circulation Model. This study provides critical insight into magnetosphere-ionosphere-thermosphere coupling and sets a necessary benchmark for validating new observations and tuning first-principles models.

Development of a MODIS-Derived Surface Albedo Data Set: An Improved Model Input for Processing the NSRDB

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

Maclaurin, Galen; Sengupta, Manajit; Xie, Yu

A significant source of bias in the transposition of global horizontal irradiance to plane-of-array (POA) irradiance arises from inaccurate estimations of surface albedo. The current physics-based model used to produce the National Solar Radiation Database (NSRDB) relies on model estimations of surface albedo from a reanalysis climatalogy produced at relatively coarse spatial resolution compared to that of the NSRDB. As an input to spectral decomposition and transposition models, more accurate surface albedo data from remotely sensed imagery at finer spatial resolutions would improve accuracy in the final product. The National Renewable Energy Laboratory (NREL) developed an improved white-sky (bi-hemispherical reflectance)more » broadband (0.3-5.0 ..mu..m) surface albedo data set for processing the NSRDB from two existing data sets: a gap-filled albedo product and a daily snow cover product. The Moderate Resolution Imaging Spectroradiometer (MODIS) sensors onboard the Terra and Aqua satellites have provided high-quality measurements of surface albedo at 30 arc-second spatial resolution and 8-day temporal resolution since 2001. The high spatial and temporal resolutions and the temporal coverage of the MODIS sensor will allow for improved modeling of POA irradiance in the NSRDB. However, cloud and snow cover interfere with MODIS observations of ground surface albedo, and thus they require post-processing. The MODIS production team applied a gap-filling methodology to interpolate observations obscured by clouds or ephemeral snow. This approach filled pixels with ephemeral snow cover because the 8-day temporal resolution is too coarse to accurately capture the variability of snow cover and its impact on albedo estimates. However, for this project, accurate representation of daily snow cover change is important in producing the NSRDB. Therefore, NREL also used the Integrated Multisensor Snow and Ice Mapping System data set, which provides daily snow cover observations of the Northern Hemisphere for the temporal extent of the NSRDB (1998-2015). We provide a review of validation studies conducted on these two products and describe the methodology developed by NREL to remap the data products to the NSRDB grid and integrate them into a seamless daily data set.« less

Novel fabrication method of microlens arrays with High OLED outcoupling efficiency

NASA Astrophysics Data System (ADS)

Kim, Hyun Soo; Moon, Seong Il; Hwang, Dong Eui; Jeong, Ki Won; Kim, Chang Kyo; Moon, Dae-Gyu; Hong, Chinsoo

2016-03-01

We presented a novel fabrication method of pyramidal and hemispherical polymethylmethacrylate (PMMA) microlens arrays to improve the outcoupling efficiency. Pyramidal microlens arrays were fabricated by replica molding processes using concave-pyramidal silicon molds prepared by the wet etching method. Concave-hemispherical PMMA thin film was used as a template for fabrication of the hemispherical microlens array. The concave-hemispherical PMMA template was prepared by blowing a N2 gas stream onto the thin PMMA film suspended on a silicon pedestal. A PMMA microlens arrays with hemispherical structure were fabricated by a replica molding process. The outcoupling efficiency of the hemispherical microlens array was greater than that of the pyramidal microlens array. The outcoupling efficiency of hemispherical microlens arrays with a higher contact angle was larger than that of those with lower contact angle. This indicates that, for the hemispherical microlens with larger contact angle, more light can be extracted from the OLEDs due to the decrease in the incident angle of the light at the interface between an air and a hemispherical microlens arrays. After attaching a hemispherical microlens array with contact angle of 50.4° onto the OLEDs, the luminance was enhanced by approximately 117%.

Global features of ionospheric slab thickness derived from JPL TEC and COSMIC observations

NASA Astrophysics Data System (ADS)

Huang, He; Liu, Libo

2016-04-01

The ionospheric equivalent slab thickness (EST) is the ratio of total electron content (TEC) to F2-layer peak electron density (NmF2), describing the thickness of the ionospheric profile. In this study, we retrieve EST from Jet Propulsion Laboratory (JPL) TEC data and NmF2 retrieved from Constellation Observing System for Meteorology, Ionosphere and Climate (COSMIC) ionospheric radio occultation data. The diurnal, seasonal and solar activity variations of global EST are analyzed as the excellent spatial coverage of JPL TEC and COSMIC data. During solstices, daytime EST in the summer hemisphere is larger than that in the winter hemisphere, except in some high-latitude regions; and the reverse is true for the nighttime EST. The peaks of EST often appear at 0400 local time. The pre-sunrise enhancement in EST appears in all seasons, while the post-sunset enhancement in EST is not readily observed in equinox. The dependence of EST on solar activity is very complicated. Furthermore, an interesting phenomenon is found that EST is enhanced from 0° to 120° E in longitude and 30° to 75° S in latitude during nighttime, just to the east of Weddell Sea Anomaly, during equinox and southern hemisphere summer.

Hemispherically asymmetric trade wind changes as signatures of past ITCZ shifts

NASA Astrophysics Data System (ADS)

McGee, David; Moreno-Chamarro, Eduardo; Green, Brian; Marshall, John; Galbraith, Eric; Bradtmiller, Louisa

2018-01-01

The atmospheric Hadley cells, which meet at the Intertropical Convergence Zone (ITCZ), play critical roles in transporting heat, driving ocean circulation and supplying precipitation to the most heavily populated regions of the globe. Paleo-reconstructions can provide concrete evidence of how these major features of the atmospheric circulation can change in response to climate perturbations. While most such reconstructions have focused on ITCZ-related rainfall, here we show that trade wind proxies can document dynamical aspects of meridional ITCZ shifts. Theoretical expectations based on angular momentum constraints and results from freshwater hosing simulations with two different climate models predict that ITCZ shifts due to anomalous cooling of one hemisphere would be accompanied by a strengthening of the Hadley cell and trade winds in the colder hemisphere, with an opposite response in the warmer hemisphere. This expectation of hemispherically asymmetric trade wind changes is confirmed by proxy data of coastal upwelling and windblown dust from the Atlantic basin during Heinrich stadials, showing trade wind strengthening in the Northern Hemisphere and weakening in the Southern Hemisphere subtropics in concert with southward ITCZ shifts. Data from other basins show broadly similar patterns, though improved constraints on past trade wind changes are needed outside the Atlantic Basin. The asymmetric trade wind changes identified here suggest that ITCZ shifts are also marked by intensification of the ocean's wind-driven subtropical cells in the cooler hemisphere and a weakening in the warmer hemisphere, which induces cross-equatorial oceanic heat transport into the colder hemisphere. This response would be expected to prevent extreme meridional ITCZ shifts in response to asymmetric heating or cooling. Understanding trade wind changes and their coupling to cross-equatorial ocean cells is key to better constraining ITCZ shifts and ocean and atmosphere dynamical changes in the past, especially for regions and time periods for which few paleodata exist, and also improves our understanding of what changes may occur in the future.

The Ionosphere's Pocket Litter: Exploiting Crowd-Sourced Observations

NASA Astrophysics Data System (ADS)

Miller, E. S.; Frissell, N. A.; Kaeppler, S. R.; Demajistre, R.; Knuth, A. A.

2015-12-01

One of the biggest challenges faced in developing and testing our understanding of the ionosphere is acquiring data that characterizes the latitudinal and longitudinal variability of the ionosphere. While there are extensive networks of ground sites that sample the vertical distribution, we have rather poor coverage over the oceans and in parts of the southern hemisphere. Our ability to validate the ionospheric models is limited by the lack of point measurements and those measurements that essentially constitute characterization of horizontal gradients. In this talk, we discuss and demonstrate the use of various types of crowd-sourced information that enables us to extend our coverage over these regions. We will discuss new sources of these data, concepts for new experiments and the use of these data in assimilative models. We note that there are new, low cost options for obtaining data that broaden the participation beyond the aeronomy/ionospheric community.

Construction of Improved Maps of Mercury's Crustal Magnetic Field at Northern Midlatitudes

NASA Astrophysics Data System (ADS)

Hood, L. L.; Oliveira, J. S.

2017-12-01

We report progress toward the construction of a refined version of the northern midlatitude crustal magnetic field map of Hood [GRL, 2016], extended to cover latitudes from 35N to 80N and all longitudes. The main improvements include: (1) Combining MESSENGER magnetometer data from August and September of 2014 with that from February, March, and April of 2015 to provide the best overall input data set for mapping and the largest possible area of coverage; (2) improving the elimination of external and core field contamination by using a model for Mercury's core field and a more conservative high-pass filter length; and (3) improving the equivalent source dipole (ESD) mapping technique using an equidistant equivalent source dipole array and varying the depth, orientation, and resolution of the array to minimize the overall root mean square misfit. Combining data from the two time intervals allows the total latitude range of the final map to be increased by at least 5 degrees to 35N - 80N. Also, previous mapping has concentrated on the hemisphere from 90E to 270E; inclusion of all available data will allow the final maps to be extended to all longitudes, more than doubling the coverage reported by Hood [2016]. Previous work has demonstrated a concentration of relatively strong magnetic anomalies near and within the Caloris impact basin. A secondary concentration near Sobkou Planitia, which contains an older impact basin, was also found. The existence of anomalies within the Caloris rim implies that a steady magnetizing field, i.e., a core dynamo, was present when this basin formed. A major application of the improved map will be to investigate whether anomalies are concentrated near and within other impact basins. If some basins are found not to have concentrations of magnetic anomalies, this could imply a role of impactor composition (e.g., iron content) in producing the crustal materials that are most strongly magnetized, as has previously been proposed to be the case on the Moon [Wieczorek et al., Science, 2012].

Brain Stimulation and the Role of the Right Hemisphere in Aphasia Recovery.

PubMed

Turkeltaub, Peter E

2015-11-01

Aphasia is a common consequence of left hemisphere stroke and causes a disabling loss of language and communication ability. Current treatments for aphasia are inadequate, leaving a majority of aphasia sufferers with ongoing communication difficulties for the rest of their lives. In the past decade, two forms of noninvasive brain stimulation, repetitive transcranial magnetic stimulation and transcranial direct current stimulation, have emerged as promising new treatments for aphasia. The most common brain stimulation protocols attempt to inhibit the intact right hemisphere based on the hypothesis that maladaptive activity in the right hemisphere limits language recovery in the left. There is now sufficient evidence to demonstrate that this approach, at least for repetitive transcranial magnetic stimulation, improves specific language abilities in aphasia. However, the biological mechanisms that produce these behavioral improvements remain poorly understood. Taken in the context of the larger neurobiological literature on aphasia recovery, the role of the right hemisphere in aphasia recovery remains unclear. Additional research is needed to understand biological mechanisms of recovery, in order to optimize brain stimulation treatments for aphasia. This article summarizes the current evidence on noninvasive brain stimulation methods for aphasia and the neuroscientific considerations surrounding treatments using right hemisphere inhibition. Suggestions are provided for further investigation and for clinicians whose patients ask about brain stimulation treatments for aphasia.

Proceedings of the Annual Seismic Research Symposium on Monitoring a Comprehensive Test Ban Treaty (17th) Held in Scottsdale, Arizona on 12-15 September, 1995.

DTIC Science & Technology

1995-08-14

Observaciones de refracci6n sismica en el noroeste Colombiano en la latitud 5.5*N. In Investigaciones Geofisicas sobre las Estructuras Oc6ano...636 Levander, A.; S.P. Larkin; L.M. La Flame; S. Pullammanapaflil and J.A. Goff Crustal Heterogeneity in the Basin...with cabled connections to land The coverage of the six stations is strongly biased toward the Southern Hemisphere in part for the rea- son that

Free form hemispherical shaped charge

DOEpatents

Haselman, L.C. Jr.

1996-06-04

A hemispherical shaped charge has been modified such that one side of the hemisphere is spherical and the other is aspherical allowing a wall thickness variation in the liner. A further modification is to use an elongated hemispherical shape. The liner has a thick wall at its pole and a thin wall at the equator with a continually decreasing wall thickness from the pole to the equator. The ratio of the wall thickness from the pole to the equator varies depending on liner material and HE shape. Hemispherical shaped charges have previously been limited to spherical shapes with no variations in wall thicknesses. By redesign of the basic liner thicknesses, the jet properties of coherence, stability, and mass distribution have been significantly improved. 8 figs.

Free form hemispherical shaped charge

DOEpatents

Haselman, Jr., Leonard C.

1996-01-01

A hemispherical shaped charge has been modified such that one side of the hemisphere is spherical and the other is aspherical allowing a wall thickness variation in the liner. A further modification is to use an elongated hemispherical shape. The liner has a thick wall at its pole and a thin wall at the equator with a continually decreasing wall thickness from the pole to the equator. The ratio of the wall thickness from the pole to the equator varies depending on liner material and HE shape. Hemispherical shaped charges have previously been limited to spherical shapes with no variations in wall thicknesses. By redesign of the basic liner thicknesses, the jet properties of coherence, stability, and mass distribution have been significantly improved.

Hemispheric contributions to language reorganisation: An MEG study of neuroplasticity in chronic post stroke aphasia.

PubMed

Mohr, Bettina; MacGregor, Lucy J; Difrancesco, Stephanie; Harrington, Karen; Pulvermüller, Friedemann; Shtyrov, Yury

2016-12-01

Previous studies have demonstrated that efficient neurorehabilitation in post stroke aphasia leads to clinical language improvements and promotes neuroplasticity. Brain areas frequently implicated in functional restitution of language after stroke comprise perilesional sites in the left hemisphere and homotopic regions in the right hemisphere. However, the neuronal mechanisms underlying therapy-induced language restitution are still largely unclear. In this study, magnetoencephalography was used to investigate neurophysiological changes in a group of chronic aphasia patients who underwent intensive language action therapy (ILAT), also known as constraint-induced aphasia therapy (CIAT). Before and immediately after ILAT, patients' language and communication skills were assessed and their brain responses were recorded during a lexical magnetic mismatch negativity (MMNm) paradigm, presenting familiar spoken words and meaningless pseudowords. After the two-week therapy interval, patients showed significant clinical improvements of language and communication skills. Spatio-temporal dynamics of neuronal changes revealed a significant increase in word-specific neuro-magnetic MMNm activation around 200ms after stimulus identification points. This enhanced brain response occurred specifically for words and was most pronounced over perilesional areas in the left hemisphere. Therapy-related changes in neuromagnetic activation for words in both hemispheres significantly correlated with performance on a clinical language test. The findings indicate that functional recovery of language in chronic post stroke aphasia is associated with neuroplastic changes in both cerebral hemispheres, with stronger left-hemispheric contribution during automatic stages of language processing. Copyright © 2016 Elsevier Ltd. All rights reserved.

Investigating the auroral electrojets with low altitude polar orbiting satellites

NASA Astrophysics Data System (ADS)

Moretto, T.; Olsen, N.; Ritter, P.; Lu, G.

2002-07-01

Three geomagnetic satellite missions currently provide high precision magnetic field measurements from low altitude polar orbiting spacecraft. We demonstrate how these data can be used to determine the intensity and location of the horizontal currents that flow in the ionosphere, predominantly in the auroral electrojets. First, we examine the results during a recent geomagnetic storm. The currents derived from two satellites at different altitudes are in very good agreement, which verifies good stability of the method. Further, a very high degree of correlation (correlation coefficients of 0.8 0.9) is observed between the amplitudes of the derived currents and the commonly used auroral electrojet indices based on magnetic measurements at ground. This points to the potential of defining an auroral activity index based on the satellite observations, which could be useful for space weather monitoring. A specific advantage of the satellite observations over the ground-based magnetic measurements is their coverage of the Southern Hemisphere, as well as the Northern. We utilize this in an investigation of the ionospheric currents observed in both polar regions during a period of unusually steady interplanetary magnetic field with a large negative Y-component. A pronounced asymmetry is found between the currents in the two hemispheres, which indicates real inter-hemispheric differences beyond the mirror-asymmetry between hemispheres that earlier studies have revealed. The method is also applied to another event for which the combined measurements of the three satellites provide a comprehensive view of the current systems. The analysis hereof reveals some surprising results concerning the connection between solar wind driver and the resulting ionospheric currents. Specifically, preconditioning of the magnetosphere (history of the interplanetary magnetic field) is seen to play an important role, and in the winther hemisphere, it seems to be harder to drive currents on the nightside than on the dayside.

Patagonian and southern South Atlantic view of Holocene climate

NASA Astrophysics Data System (ADS)

Kaplan, M. R.; Schaefer, J. M.; Strelin, J. A.; Denton, G. H.; Anderson, R. F.; Vandergoes, M. J.; Finkel, R. C.; Schwartz, R.; Travis, S. G.; Garcia, J. L.; Martini, M. A.; Nielsen, S. H. H.

2016-06-01

We present a comprehensive 10Be chronology for Holocene moraines in the Lago Argentino basin, on the east side of the South Patagonian Icefield. We focus on three different areas, where prior studies show ample glacier moraine records exist because they were formed by outlet glaciers sensitive to climate change. The 10Be dated records are from the Lago Pearson, Herminita Península-Brazo Upsala, and Lago Frías areas, which span a distance of almost 100 km adjacent to the modern Icefield. New 10Be ages show that expanded glaciers and moraine building events occurred at least at 6120 ± 390 (n = 13), 4450 ± 220 (n = 7), 1450 or 1410 ± 110 (n = 18), 360 ± 30 (n = 5), and 240 ± 20 (n = 8) years ago. Furthermore, other less well-dated glacier expansions of the Upsala Glacier occurred between 1400 and ∼1000 and ∼2300 and ∼2000 years ago. The most extensive glaciers occurred over the interval from ∼6100 to ∼4500 years ago, and their margins over the last ∼600 years were well within and lower than those in the middle Holocene. The 10Be ages agree with 14C-limiting data for the glacier histories in this area. We then link southern South American, adjacent South Atlantic, and other Southern Hemisphere records to elucidate broader regional patterns of climate and their possible causes. In the early Holocene, a far southward position of the westerly winds fostered warmth, small Patagonian glaciers, and reduced sea ice coverage over the South Atlantic. Although we infer a pronounced southward displacement of the westerlies during the early Holocene, these conditions did not occur throughout the southern mid-high latitudes, an important exception being over the southwest Pacific sector. Subsequently, a northward locus and/or expansion of the winds over the Patagonia-South Atlantic sector promoted the largest glaciers between ∼6100 and ∼4500 years ago and greatest sea ice coverage. Over the last few millennia, the South Patagonian Icefield has experienced successive century-scale advances superimposed on a long-term net decrease in size. Our findings indicate that glaciers and sea ice in the Patagonian-South Atlantic sector of the Southern Hemisphere did not achieve their largest Holocene extents over the last millennium. We conclude that a pattern of more extensive Holocene ice prior to the last millennium is characteristic of the Southern Hemisphere middle latitudes, which differs from the glacier history traditionally thought for the Northern Hemisphere.

Monitoring the Carbon Cycle: Improving Our Ability to Proved Policy Relevant Information

NASA Astrophysics Data System (ADS)

Bruhwiler, L.

2017-12-01

Humans have altered the energy balance of the climate system mainly by producing and consuming fossil fuels, but also by emissions from food production. Manufacture and use of halocarbons, many of which are also strong greenhouse gases (GHGs) have added to anthropogenic radiative forcing. In response, the global atmosphere has warmed over the last half century at a rate of 0.17°C. The largest contribution to radiative forcing is due to CO2, and at present, about half of all anthropogenic CO2 emissions have been taken up by the oceans and terrestrial biosphere. The size of this "carbon emission discount" may change in the future as more carbon accumulates in the oceans, as human alter landscapes, and as climate changes. Efforts to limit global average temperature increases to 2°C and avoid the most catastrophic consequences of climate change depend on keeping track of both human emissions of greenhouse gases and changes in natural fluxes of carbon and nitrogen that occur in response to human activities and changing climate. Global in situ network observations provide information about changes in global GHG abundances over recent decades, as well as changing distributions between hemispheres. This information gives insight into changes in global and hemispheric sources and sinks of GHGs. It is, however, currently difficult to obtain robust information about regional sources and to discriminate between natural and anthropogenic fluxes. Information about regional sources is needed for GHG policymaking, while discrimination of natural sources is necessary for detection of trends in GHG fluxes and evaluation of coupled carbon cycle climate models. Although column average GHG abundances from space-based remote sensing data could provide considerable constraints on GHG budgets, there are still technical challenges to be overcome. Possible strategies for making progress involve greater increased observational coverage and more international collaboration, as well as improved modeling and assimilation techniques for estimating fluxes from observations.

Improvement of white matter and functional connectivity abnormalities by repetitive transcranial magnetic stimulation in crossed aphasia in dextral.

PubMed

Lu, Haitao; Wu, Haiyan; Cheng, Hewei; Wei, Dongjie; Wang, Xiaoyan; Fan, Yong; Zhang, Hao; Zhang, Tong

2014-01-01

As a special aphasia, the occurrence of crossed aphasia in dextral (CAD) is unusual. This study aims to improve the language ability by applying 1 Hz repetitive transcranial magnetic stimulation (rTMS). We studied multiple modality imaging of structural connectivity (diffusion tensor imaging), functional connectivity (resting fMRI), PET, and neurolinguistic analysis on a patient with CAD. Furthermore, we applied rTMS of 1 Hz for 40 times and observed the language function improvement. The results indicated that a significantly reduced structural and function connectivity was found in DTI and fMRI data compared with the control. The PET imaging showed hypo-metabolism in right hemisphere and left cerebellum. In conclusion, one of the mechanisms of CAD is that right hemisphere is the language dominance. Stimulating left Wernicke area could improve auditory comprehension, stimulating left Broca's area could enhance expression, and the results outlasted 6 months by 1 Hz rTMS balancing the excitability inter-hemisphere in CAD.

Improving land vehicle situational awareness using a distributed aperture system

NASA Astrophysics Data System (ADS)

Fortin, Jean; Bias, Jason; Wells, Ashley; Riddle, Larry; van der Wal, Gooitzen; Piacentino, Mike; Mandelbaum, Robert

2005-05-01

U.S. Army Research, Development, and Engineering Command (RDECOM) Communications Electronics Research, Development and Engineering Center (CERDEC) Night Vision and Electronic Sensors Directorate (NVESD) has performed early work to develop a Distributed Aperture System (DAS). The DAS aims at improving the situational awareness of armored fighting vehicle crews under closed-hatch conditions. The concept is based on a plurality of sensors configured to create a day and night dome of surveillance coupled with heads up displays slaved to the operator's head to give a "glass turret" feel. State-of-the-art image processing is used to produce multiple seamless hemispherical views simultaneously available to the vehicle commander, crew members and dismounting infantry. On-the-move automatic cueing of multiple moving/pop-up low silhouette threats is also done with the possibility to save/revisit/share past events. As a first step in this development program, a contract was awarded to United Defense to further develop the Eagle VisionTM system. The second-generation prototype features two camera heads, each comprising four high-resolution (2048x1536) color sensors, and each covering a field of view of 270°hx150°v. High-bandwidth digital links interface the camera heads with a field programmable gate array (FPGA) based custom processor developed by Sarnoff Corporation. The processor computes the hemispherical stitch and warp functions required for real-time, low latency, immersive viewing (360°hx120°v, 30° down) and generates up to six simultaneous extended graphics array (XGA) video outputs for independent display either on a helmet-mounted display (with associated head tracking device) or a flat panel display (and joystick). The prototype is currently in its last stage of development and will be integrated on a vehicle for user evaluation and testing. Near-term improvements include the replacement of the color camera heads with a pixel-level fused combination of uncooled long wave infrared (LWIR) and low light level intensified imagery. It is believed that the DAS will significantly increase situational awareness by providing the users with a day and night, wide area coverage, immersive visualization capability.

Stationary Planetary Waves in the Mars Winter Atmosphere as seen by the Radio Science Experiment MaRS on Mars Express

NASA Astrophysics Data System (ADS)

Tellmann, Silvia; Pätzold, Martin; Häusler, Bernd; Tyler, Leonard G.; Hinson, David P.

2015-11-01

Stationary (Rossby) Waves are excited by the interaction of the zonally varying topography with the strong eastward winter jets. They lead to distinctive longitudinal temperature variations which contribute significantly to the asymmetry of the seasonal polar CO2 ice caps and are also important for the dust redistribution in the planetary atmosphere.Radio Science profiles from the Mars Express Radio Science Experiment MaRS at northern and southern high latitudes are used to gain insight into winter stationary wave structures on both hemispheres.Mars Global Surveyor (MGS) radio occultation measurements from the same season and year with their exceptionally good longitudinal and temporal coverage can be used to estimate the influence of transient eddies. Transient waves are especially important in the northern winter hemisphere.Wave number 2 stationary waves, driven by topography, are dominant in the northern winter latitudes while the wave number 1 wave is the most significant wave number during southern winter. The wave amplitudes peak around winter solstice on both hemispheres.Radio occultation measurements provide the unique opportunity to determine simultaneous measurements of temperature and geopotential height structures. Assuming geostrophic balance, these measurements can be used to determine meridional winds and eddy heat fluxes which provide further insight into the contribution of stationary waves to the heat exchange between the poles and the lower latitudes.

Analysis of error in TOMS total ozone as a function of orbit and attitude parameters

NASA Technical Reports Server (NTRS)

Gregg, W. W.; Ardanuy, P. E.; Braun, W. C.; Vallette, B. J.; Bhartia, P. K.; Ray, S. N.

1991-01-01

Computer simulations of orbital scenarios were performed to examine the effects of orbital altitude, equator crossing time, attitude uncertainty, and orbital eccentricity on ozone observations by future satellites. These effects were assessed by determining changes in solar and viewing geometry and earth daytime coverage loss. The importance of these changes on ozone retrieval was determined by simulating uncertainties in the TOMS ozone retrieval algorithm. The major findings are as follows: (1) Drift of equator crossing time from local noon would have the largest effect on the quality of ozone derived from TOMS. The most significant effect of this drift is the loss of earth daytime coverage in the winter hemisphere. The loss in coverage increases from 1 degree latitude for + or - 1 hour from noon, 6 degrees for + or - 3 hours from noon, to 53 degrees for + or - 6 hours from noon. An additional effect is the increase in ozone retrieval errors due to high solar zenith angles. (2) To maintain contiguous earth coverage, the maximum scan angle of the sensor must be increased with decreasing orbital altitude. The maximum scan angle required for full coverage at the equator varies from 60 degrees at 600 km altitude to 45 degrees at 1200 km. This produces an increase in spacecraft zenith angle, theta, which decreases the ozone retrieval accuracy. The range in theta was approximately 72 degrees for 600 km to approximately 57 degrees at 1200 km. (3) The effect of elliptical orbits is to create gaps in coverage along the subsatellite track. An elliptical orbit with a 200 km perigee and 1200 km apogee produced a maximum earth coverage gap of about 45 km at the perigee at nadir. (4) An attitude uncertainty of 0.1 degree in each axis (pitch, roll, yaw) produced a maximum scan angle to view the pole, and maximum solar zenith angle).

High-Latitude Topside Ionospheric Vertical Electron-Density-Profile Changes in Response to Large Magnetic Storms

NASA Technical Reports Server (NTRS)

Benson, Robert F.; Fainberg, Joseph; Osherovich, Vladimir A.; Truhlik, Vladimir; Wang, Yongli; Bilitza, Dieter; Fung, Shing F.

2015-01-01

Large magnetic-storm induced changes have been detected in high-latitude topside vertical electron-density profiles Ne(h). The investigation was based on the large database of topside Ne(h) profiles and digital topside ionograms from the International Satellites for Ionospheric Studies (ISIS) program available from the NASA Space Physics Data Facility (SPDF) at http://spdf.gsfc.nasa.gov/isis/isis-status.html. This large database enabled Ne(h) profiles to be obtained when an ISIS satellite passed through nearly the same region of space before, during, and after a major magnetic storm. A major goal was to relate the magnetic-storm induced high-latitude Ne(h) profile changes to solar-wind parameters. Thus an additional data constraint was to consider only storms where solar-wind data were available from the NASA/SPDF OMNIWeb database. Ten large magnetic storms (with Dst less than -100 nT) were identified that satisfied both the Ne(h) profile and the solar-wind data constraints. During five of these storms topside ionospheric Ne(h) profiles were available in the high-latitude northern hemisphere and during the other five storms similar ionospheric data were available in the southern hemisphere. Large Ne(h) changes were observed during each one of these storms. Our concentration in this paper is on the northern hemisphere. The data coverage was best for the northern-hemisphere winter. Here Ne(h) profile enhancements were always observed when the magnetic local time (MLT) was between 00 and 03 and Ne(h) profile depletions were always observed between 08 and 10 MLT. The observed Ne(h) deviations were compared with solar-wind parameters, with appropriate time shifts, for four storms.

Historical Trends in Pm2.5-Related Premature Mortality During 1990-2010 Across the Northern Hemisphere

EPA Science Inventory

Background: Air quality across the northern hemisphere over the past two decades has witnessed dramatic changes, with continuous improvement in developed countries in North America and Europe, but a contrasting sharp deterioration in developing regions of Asia. Objective: This...

Look over there! Unilateral gaze increases geographical memory of the 50 United States.

PubMed

Propper, Ruth E; Brunyé, Tad T; Christman, Stephen D; Januszewskia, Ashley

2012-02-01

Based on their specialized processing abilities, the left and right hemispheres of the brain may not contribute equally to recall of general world knowledge. US college students recalled the verbal names and spatial locations of the 50 US states while sustaining leftward or rightward unilateral gaze, a procedure that selectively activates the contralateral hemisphere. Compared to a no-unilateral gaze control, right gaze/left hemisphere activation resulted in better recall, demonstrating left hemisphere superiority in recall of general world knowledge and offering equivocal support for the hemispheric encoding asymmetry model of memory. Unilateral gaze- regardless of direction- improved recall of spatial, but not verbal, information. Future research could investigate the conditions under which unilateral gaze increases recall. Sustained unilateral gaze can be used as a simple, inexpensive, means for testing theories of hemispheric specialization of cognitive functions. Results support an overall deficit in US geographical knowledge in undergraduate college students. Copyright © 2011 Elsevier Inc. All rights reserved.

Tropical Tropospheric Ozone Climatology: Approaches Based on SHADOZ Observations

NASA Technical Reports Server (NTRS)

Thompson, Anne M.; Witte, Jacquelyn C.; Chatfield, Robert B.; Hudson, Robert D.; Andrade, Marcos; Coetzee, Geert J. R.; Posny, Francoise

2004-01-01

The SHADOZ (Southern Hemisphere Additional Ozonesondes) ozone sounding network was initiated in 1998 to improve the coverage of tropical in-situ ozone measurements for satellite validation, algorithm development and related process studies. Over 2000 soundings have been archived at the central website, , for 12 stations that span the entire equatorial zone [Thompson et al., JGR, 108,8238, 2003]. The most striking features of tropospheric ozone profiles in SHADOZ are: (1) persistent longitudinal variability in tropospheric ozone profiles, with a 10-15 DU column-integrated difference between Atlantic and Pacific sites; (2) intense short-term variability triggered by changing meteorological conditions and advection of pollution. The implications of these results for profile climatologies and trends are described along with several approaches to classifying ozone profiles: 1) Seasonal means during MAM (March-April-May) and SON (September-October-November); 2) Maxima and minima, identified through correlation of TOMS-derived TTO (tropical tropospheric ozone) column depth with the sonde integrated tropospheric ozone column; and 3) Meteorological regimes, a technique that is effective in the subtropics where tropical and mid-latitude conditions alternate.

Contralesional motor deficits after unilateral stroke reflect hemisphere-specific control mechanisms

PubMed Central

Mani, Saandeep; Mutha, Pratik K.; Przybyla, Andrzej; Haaland, Kathleen Y.; Good, David C.

2013-01-01

We have proposed a model of motor lateralization, in which the left and right hemispheres are specialized for different aspects of motor control: the left hemisphere for predicting and accounting for limb dynamics and the right hemisphere for stabilizing limb position through impedance control mechanisms. Our previous studies, demonstrating different motor deficits in the ipsilesional arm of stroke patients with left or right hemisphere damage, provided a critical test of our model. However, motor deficits after stroke are most prominent on the contralesional side. Post-stroke rehabilitation has also, naturally, focused on improving contralesional arm impairment and function. Understanding whether contralesional motor deficits differ depending on the hemisphere of damage is, therefore, of vital importance for assessing the impact of brain damage on function and also for designing rehabilitation interventions specific to laterality of damage. We, therefore, asked whether motor deficits in the contralesional arm of unilateral stroke patients reflect hemisphere-dependent control mechanisms. Because our model of lateralization predicts that contralesional deficits will differ depending on the hemisphere of damage, this study also served as an essential assessment of our model. Stroke patients with mild to moderate hemiparesis in either the left or right arm because of contralateral stroke and healthy control subjects performed targeted multi-joint reaching movements in different directions. As predicted, our results indicated a double dissociation; although left hemisphere damage was associated with greater errors in trajectory curvature and movement direction, errors in movement extent were greatest after right hemisphere damage. Thus, our results provide the first demonstration of hemisphere specific motor control deficits in the contralesional arm of stroke patients. Our results also suggest that it is critical to consider the differential deficits induced by right or left hemisphere lesions to enhance post-stroke rehabilitation interventions. PMID:23358602

SYSTEMATIC REGULARITY OF HEMISPHERIC SUNSPOT AREAS OVER THE PAST 140 YEARS

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

Deng, L. H.; Xiang, Y. Y.; Qu, Z. N.

2016-03-15

Solar magnetic activity varies with time in the two hemispheres in different ways. The hemispheric interconnection of solar activity phenomena provides an important clue to understanding the dynamical behavior of solar dynamo actions. In this paper, several analysis approaches are proposed to analyze the systematic regularity of hemispheric asynchronism and amplitude asymmetry of long-term sunspot areas during solar cycles 9–24. It is found that, (1) both the hemispheric asynchronism and the amplitude asymmetry of sunspot areas are prevalent behaviors and are not anomalous, but the hemispheric asynchronism exhibits a much more regular behavior than the amplitude asymmetry; (2) the phase-leadingmore » hemisphere returns back to the identical hemisphere every 8 solar cycles, and the secular periodic pattern of hemispheric phase differences follows 3 (south leading) + 5 (north leading) solar cycles, which probably corresponds to the Gleissberg cycle; and (3) the pronounced periodicities of (absolute and normalized) asymmetry indices and lines of synchronization (LOSs) are not identical: the significant periodic oscillations are 80.65 ± 6.31, 20.91 ± 0.40, and 13.45 ± 0.16 years for the LOS values, and 51.34 ± 2.48, 8.83/8.69 ± 0.07, and 3.77 ± 0.02 years for the (absolute and normalized) asymmetry indices. The analysis results improve our knowledge on the hemispheric interrelation of solar magnetic activity and may provide valuable constraints for solar dynamo models.« less

Historical Trends in Pm2.5-Related Premature Mortality During 1990-2010 Across the Northern Hemisphere

EPA Science Inventory

Background: Air quality across the northern hemisphere over the past two decades has witnessed dramatic changes, with continuous improvement in developed countries in North America and Europe, but a contrasting sharp deterioration in developing regions of Asia. Objective: This s...

Europa in the Far-UV: Spatial and Spectral Analysis from HST Observations

NASA Astrophysics Data System (ADS)

Becker, Tracy M.; Retherford, Kurt D.; Roth, Lorenz; Hendrix, Amanda R.; McGrath, Melissa; Alday, Juan; Saur, Joachim; Molyneux, Philippa M.; Raut, Ujjwal; Teolis, Benjamin

2017-10-01

We present a spatial and spectral analysis of Europa using far-UV observations from 1999 - 2015 made by the Space Telescope Imaging Spectrograph (STIS) on the Hubble Space Telescope (HST). Disk-integrated observations show that the far-UV spectrum from ~130 nm - 170 nm is blue (increasing albedo with decreasing wavelength) for the studied hemispheres: the leading, trailing, and anti-Jovian hemispheres. At Lyman-alpha (121.6 nm), the albedo of the trailing hemisphere continues the blue trend, but it reddens for the leading hemisphere. At wavelengths shorter than 133.5 nm, the leading hemisphere, which is brighter than the trailing hemisphere at near-UV and visible wavelengths, becomes darker than the trailing hemisphere. We find no evidence of a sharp water-ice absorption edge at 165 nm on any hemisphere of Europa, which is intriguing since such an absorption feature has been observed on most icy moons. This suggests the possibility that radiolytic alteration by Jovian magnetospheric plasma has made the surface more strongly absorbing, masking the absorption edge. We will also present a spatial map of Lyman-alpha across the entire surface of Europa. This map can then be used to distinguish variable H emissions in the atmosphere from surface reflectance, improving our ability to detect potential plumes occurring on the disk of Europa during an observation.

Objective sea level pressure analysis for sparse data areas

NASA Technical Reports Server (NTRS)

Druyan, L. M.

1972-01-01

A computer procedure was used to analyze the pressure distribution over the North Pacific Ocean for eleven synoptic times in February, 1967. Independent knowledge of the central pressures of lows is shown to reduce the analysis errors for very sparse data coverage. The application of planned remote sensing of sea-level wind speeds is shown to make a significant contribution to the quality of the analysis especially in the high gradient mid-latitudes and for sparse coverage of conventional observations (such as over Southern Hemisphere oceans). Uniform distribution of the available observations of sea-level pressure and wind velocity yields results far superior to those derived from a random distribution. A generalization of the results indicates that the average lower limit for analysis errors is between 2 and 2.5 mb based on the perfect specification of the magnitude of the sea-level pressure gradient from a known verification analysis. A less than perfect specification will derive from wind-pressure relationships applied to satellite observed wind speeds.

Jovian aurora from Juno perijove passes: comparison of ultraviolet and infrared images

NASA Astrophysics Data System (ADS)

Gérard, J.-C.; Bonfond, B.; Adriani, A.; Gladstone, G. R.; Mura, A.; Grodent, D.; Versteeg, M. H.; Greathouse, T. K.; Hue, V.; Altieri, F.; Dinelli, B. M.; Moriconi, M. L.; Migliorini, A.; Radioti, A.; Bolton, S. J.; Connerney, J. E. P.; Levin, S. M.; Fabiano, F.

2017-09-01

The electromagnetic radiation emitted by the Jovian aurora extends from the X-Rays presumably caused by heavy ion precipitation and electron bremsstrahlung to thermal infrared radiation resulting from enhanced heating by high-energy charged particles. Many observations have been made since the 1990s with the Hubble Space Telescope, which was able to image the H2 Lyman and Werner bands that are directly excited by collisions of auroral electrons with H2. Ground-based telescopes obtained spectra and images of the thermal H3+ emission produced by charge transfer between H2+ and H+ ions and neutral H2 molecules in the lower thermosphere. However, so far the geometry of the observations limited the coverage from Earth orbit and only one case of simultaneous UV and infrared emissions has been described in the literature. The Juno mission provides the unique advantage to observe both Jovian hemispheres simultaneously in the two wavelength regions simultaneously and offers a more global coverage with unprecedented spatial resolution. This was the case.

Can One Satellite Data Set Validation Another? Validation of Envisat SCIAMACHY Data by Comparisons with NOAA-16 SBUV/2 and ERS-2 GOME

NASA Technical Reports Server (NTRS)

Hilsenrath, E.; Bojkov, B. R.; Labow, G.; Weber, M.; Burrows, J.

2004-01-01

Validation of satellite data remains a high priority for the construction of climate data sets. Traditionally ground based measurements have provided the primary comparison data for validation. For some atmospheric parameters such as ozone, a thoroughly validated satellite data record can be used to validate a new instrument s data product in addition to using ground based data. Comparing validated data with new satellite data has several advantages; availability of much more data, which will improve precision, larger geographical coverage, and the footprints are closer in size, which removes uncertainty due to different observed atmospheric volumes. To demonstrate the applicability and some limitations of this technique, observations from the newly launched SCIAMACHY instrument were compared with the NOM-16 SBW/2 and ERS-2 GOME instruments. The SBW/2 data had all ready undergone validation by comparing to the total ozone ground network. Overall the SCIAMACHY data were found to low by 3% with respect to satellite data and 1% low with respect to ground station data. There appears to be seasonal and or solar zenith angle dependences in the comparisons with SBW/2 where differences increase with higher solar zenith angles. It is known that accuracies in both satellite and ground based total ozone algorithms decrease at high solar zenith angles. There is a strong need for more accurate measurement from and the ground under these conditions. At the present time SCIAMACHY data are limited and longer data set with more coverage in both hemispheres is needed to unravel the cause of these differences.

Paradoxical effect of dopamine medication on cognition in Parkinson's disease: relationship to side of motor onset.

PubMed

Hanna-Pladdy, Brenda; Pahwa, Rajesh; Lyons, Kelly E

2015-04-01

Parkinson's disease (PD) is characterized by asymmetric motor symptom onset attributed to greater degeneration of dopamine neurons contralateral to the affected side. However, whether motor asymmetries predict cognitive profiles in PD, and to what extent dopamine influences cognition remains controversial. This study evaluated cognitive variability in PD by measuring differential response to dopamine replacement therapy (DRT) based on hemispheric asymmetries. The influence of DRT on cognition was evaluated in mild PD patients (n = 36) with left or right motor onset symptoms. All subjects were evaluated on neuropsychological measures on and off DRT and compared to controls (n = 42). PD patients were impaired in executive, memory and motor domains irrespective of side of motor onset, although patients with left hemisphere deficit displayed greater cognitive impairment. Patients with right hemisphere deficit responded to DRT with significant improvement in sensorimotor deficits, and with corresponding improvement in attention and verbal memory functions. Conversely, patients with greater left hemisphere dopamine deficiency did not improve in attentional functions and declined in verbal memory recall following DRT. These findings support the presence of extensive mild cognitive deficits in early PD not fully explained by dopamine depletion alone. The paradoxical effects of levodopa on verbal memory were predicted by extent of fine motor impairment and sensorimotor response to levodopa, which reflects extent of dopamine depletion. The findings are discussed with respect to factors influencing variable cognitive profiles in early PD, including hemispheric asymmetries and differential response to levodopa based on dopamine levels predicting amelioration or overdosing.

Phylogenetic classification of the world's tropical forests.

PubMed

Slik, J W Ferry; Franklin, Janet; Arroyo-Rodríguez, Víctor; Field, Richard; Aguilar, Salomon; Aguirre, Nikolay; Ahumada, Jorge; Aiba, Shin-Ichiro; Alves, Luciana F; K, Anitha; Avella, Andres; Mora, Francisco; Aymard C, Gerardo A; Báez, Selene; Balvanera, Patricia; Bastian, Meredith L; Bastin, Jean-François; Bellingham, Peter J; van den Berg, Eduardo; da Conceição Bispo, Polyanna; Boeckx, Pascal; Boehning-Gaese, Katrin; Bongers, Frans; Boyle, Brad; Brambach, Fabian; Brearley, Francis Q; Brown, Sandra; Chai, Shauna-Lee; Chazdon, Robin L; Chen, Shengbin; Chhang, Phourin; Chuyong, George; Ewango, Corneille; Coronado, Indiana M; Cristóbal-Azkarate, Jurgi; Culmsee, Heike; Damas, Kipiro; Dattaraja, H S; Davidar, Priya; DeWalt, Saara J; Din, Hazimah; Drake, Donald R; Duque, Alvaro; Durigan, Giselda; Eichhorn, Karl; Eler, Eduardo Schmidt; Enoki, Tsutomu; Ensslin, Andreas; Fandohan, Adandé Belarmain; Farwig, Nina; Feeley, Kenneth J; Fischer, Markus; Forshed, Olle; Garcia, Queila Souza; Garkoti, Satish Chandra; Gillespie, Thomas W; Gillet, Jean-Francois; Gonmadje, Christelle; Granzow-de la Cerda, Iñigo; Griffith, Daniel M; Grogan, James; Hakeem, Khalid Rehman; Harris, David J; Harrison, Rhett D; Hector, Andy; Hemp, Andreas; Homeier, Jürgen; Hussain, M Shah; Ibarra-Manríquez, Guillermo; Hanum, I Faridah; Imai, Nobuo; Jansen, Patrick A; Joly, Carlos Alfredo; Joseph, Shijo; Kartawinata, Kuswata; Kearsley, Elizabeth; Kelly, Daniel L; Kessler, Michael; Killeen, Timothy J; Kooyman, Robert M; Laumonier, Yves; Laurance, Susan G; Laurance, William F; Lawes, Michael J; Letcher, Susan G; Lindsell, Jeremy; Lovett, Jon; Lozada, Jose; Lu, Xinghui; Lykke, Anne Mette; Mahmud, Khairil Bin; Mahayani, Ni Putu Diana; Mansor, Asyraf; Marshall, Andrew R; Martin, Emanuel H; Calderado Leal Matos, Darley; Meave, Jorge A; Melo, Felipe P L; Mendoza, Zhofre Huberto Aguirre; Metali, Faizah; Medjibe, Vincent P; Metzger, Jean Paul; Metzker, Thiago; Mohandass, D; Munguía-Rosas, Miguel A; Muñoz, Rodrigo; Nurtjahy, Eddy; de Oliveira, Eddie Lenza; Onrizal; Parolin, Pia; Parren, Marc; Parthasarathy, N; Paudel, Ekananda; Perez, Rolando; Pérez-García, Eduardo A; Pommer, Ulf; Poorter, Lourens; Qie, Lan; Piedade, Maria Teresa F; Pinto, José Roberto Rodrigues; Poulsen, Axel Dalberg; Poulsen, John R; Powers, Jennifer S; Prasad, Rama Chandra; Puyravaud, Jean-Philippe; Rangel, Orlando; Reitsma, Jan; Rocha, Diogo S B; Rolim, Samir; Rovero, Francesco; Rozak, Andes; Ruokolainen, Kalle; Rutishauser, Ervan; Rutten, Gemma; Mohd Said, Mohd Nizam; Saiter, Felipe Z; Saner, Philippe; Santos, Braulio; Dos Santos, João Roberto; Sarker, Swapan Kumar; Schmitt, Christine B; Schoengart, Jochen; Schulze, Mark; Sheil, Douglas; Sist, Plinio; Souza, Alexandre F; Spironello, Wilson Roberto; Sposito, Tereza; Steinmetz, Robert; Stevart, Tariq; Suganuma, Marcio Seiji; Sukri, Rahayu; Sultana, Aisha; Sukumar, Raman; Sunderland, Terry; Supriyadi; Suresh, H S; Suzuki, Eizi; Tabarelli, Marcelo; Tang, Jianwei; Tanner, Ed V J; Targhetta, Natalia; Theilade, Ida; Thomas, Duncan; Timberlake, Jonathan; de Morisson Valeriano, Márcio; van Valkenburg, Johan; Van Do, Tran; Van Sam, Hoang; Vandermeer, John H; Verbeeck, Hans; Vetaas, Ole Reidar; Adekunle, Victor; Vieira, Simone A; Webb, Campbell O; Webb, Edward L; Whitfeld, Timothy; Wich, Serge; Williams, John; Wiser, Susan; Wittmann, Florian; Yang, Xiaobo; Adou Yao, C Yves; Yap, Sandra L; Zahawi, Rakan A; Zakaria, Rahmad; Zang, Runguo

2018-02-20

Knowledge about the biogeographic affinities of the world's tropical forests helps to better understand regional differences in forest structure, diversity, composition, and dynamics. Such understanding will enable anticipation of region-specific responses to global environmental change. Modern phylogenies, in combination with broad coverage of species inventory data, now allow for global biogeographic analyses that take species evolutionary distance into account. Here we present a classification of the world's tropical forests based on their phylogenetic similarity. We identify five principal floristic regions and their floristic relationships: ( i ) Indo-Pacific, ( ii ) Subtropical, ( iii ) African, ( iv ) American, and ( v ) Dry forests. Our results do not support the traditional neo- versus paleotropical forest division but instead separate the combined American and African forests from their Indo-Pacific counterparts. We also find indications for the existence of a global dry forest region, with representatives in America, Africa, Madagascar, and India. Additionally, a northern-hemisphere Subtropical forest region was identified with representatives in Asia and America, providing support for a link between Asian and American northern-hemisphere forests. Copyright © 2018 the Author(s). Published by PNAS.

Phylogenetic classification of the world’s tropical forests

PubMed Central

Franklin, Janet; Arroyo-Rodríguez, Víctor; Field, Richard; Aguilar, Salomon; Aguirre, Nikolay; Ahumada, Jorge; Aiba, Shin-Ichiro; K, Anitha; Avella, Andres; Mora, Francisco; Aymard C., Gerardo A.; Báez, Selene; Balvanera, Patricia; Bastian, Meredith L.; Bastin, Jean-François; Bellingham, Peter J.; van den Berg, Eduardo; da Conceição Bispo, Polyanna; Boeckx, Pascal; Boehning-Gaese, Katrin; Bongers, Frans; Boyle, Brad; Brearley, Francis Q.; Brown, Sandra; Chai, Shauna-Lee; Chazdon, Robin L.; Chen, Shengbin; Chhang, Phourin; Chuyong, George; Ewango, Corneille; Coronado, Indiana M.; Cristóbal-Azkarate, Jurgi; Culmsee, Heike; Damas, Kipiro; Dattaraja, H. S.; Davidar, Priya; DeWalt, Saara J.; Din, Hazimah; Drake, Donald R.; Durigan, Giselda; Eichhorn, Karl; Eler, Eduardo Schmidt; Enoki, Tsutomu; Ensslin, Andreas; Fandohan, Adandé Belarmain; Farwig, Nina; Feeley, Kenneth J.; Fischer, Markus; Forshed, Olle; Garcia, Queila Souza; Garkoti, Satish Chandra; Gillespie, Thomas W.; Gillet, Jean-Francois; Gonmadje, Christelle; Granzow-de la Cerda, Iñigo; Griffith, Daniel M.; Grogan, James; Hakeem, Khalid Rehman; Harris, David J.; Harrison, Rhett D.; Hector, Andy; Hemp, Andreas; Hussain, M. Shah; Ibarra-Manríquez, Guillermo; Hanum, I. Faridah; Imai, Nobuo; Jansen, Patrick A.; Joly, Carlos Alfredo; Joseph, Shijo; Kartawinata, Kuswata; Kearsley, Elizabeth; Kelly, Daniel L.; Kessler, Michael; Killeen, Timothy J.; Kooyman, Robert M.; Laumonier, Yves; Laurance, William F.; Lawes, Michael J.; Letcher, Susan G.; Lovett, Jon; Lozada, Jose; Lu, Xinghui; Lykke, Anne Mette; Mahmud, Khairil Bin; Mahayani, Ni Putu Diana; Mansor, Asyraf; Marshall, Andrew R.; Martin, Emanuel H.; Calderado Leal Matos, Darley; Meave, Jorge A.; Melo, Felipe P. L.; Mendoza, Zhofre Huberto Aguirre; Metali, Faizah; Medjibe, Vincent P.; Metzger, Jean Paul; Metzker, Thiago; Mohandass, D.; Munguía-Rosas, Miguel A.; Muñoz, Rodrigo; Nurtjahy, Eddy; de Oliveira, Eddie Lenza; Onrizal; Parolin, Pia; Parren, Marc; Parthasarathy, N.; Paudel, Ekananda; Perez, Rolando; Pérez-García, Eduardo A.; Pommer, Ulf; Poorter, Lourens; Qie, Lan; Piedade, Maria Teresa F.; Pinto, José Roberto Rodrigues; Poulsen, Axel Dalberg; Poulsen, John R.; Powers, Jennifer S.; Prasad, Rama Chandra; Puyravaud, Jean-Philippe; Rangel, Orlando; Reitsma, Jan; Rocha, Diogo S. B.; Rolim, Samir; Rovero, Francesco; Ruokolainen, Kalle; Rutishauser, Ervan; Rutten, Gemma; Mohd. Said, Mohd. Nizam; Saiter, Felipe Z.; Saner, Philippe; Santos, Braulio; dos Santos, João Roberto; Sarker, Swapan Kumar; Schoengart, Jochen; Schulze, Mark; Sheil, Douglas; Sist, Plinio; Souza, Alexandre F.; Spironello, Wilson Roberto; Sposito, Tereza; Steinmetz, Robert; Stevart, Tariq; Suganuma, Marcio Seiji; Sukri, Rahayu; Sukumar, Raman; Sunderland, Terry; Supriyadi; Suresh, H. S.; Suzuki, Eizi; Tabarelli, Marcelo; Tang, Jianwei; Tanner, Ed V. J.; Targhetta, Natalia; Theilade, Ida; Thomas, Duncan; Timberlake, Jonathan; de Morisson Valeriano, Márcio; van Valkenburg, Johan; Van Do, Tran; Van Sam, Hoang; Vandermeer, John H.; Verbeeck, Hans; Vetaas, Ole Reidar; Adekunle, Victor; Vieira, Simone A.; Webb, Campbell O.; Webb, Edward L.; Whitfeld, Timothy; Wich, Serge; Williams, John; Wiser, Susan; Wittmann, Florian; Yang, Xiaobo; Adou Yao, C. Yves; Yap, Sandra L.; Zahawi, Rakan A.; Zakaria, Rahmad; Zang, Runguo

2018-01-01

Knowledge about the biogeographic affinities of the world’s tropical forests helps to better understand regional differences in forest structure, diversity, composition, and dynamics. Such understanding will enable anticipation of region-specific responses to global environmental change. Modern phylogenies, in combination with broad coverage of species inventory data, now allow for global biogeographic analyses that take species evolutionary distance into account. Here we present a classification of the world’s tropical forests based on their phylogenetic similarity. We identify five principal floristic regions and their floristic relationships: (i) Indo-Pacific, (ii) Subtropical, (iii) African, (iv) American, and (v) Dry forests. Our results do not support the traditional neo- versus paleotropical forest division but instead separate the combined American and African forests from their Indo-Pacific counterparts. We also find indications for the existence of a global dry forest region, with representatives in America, Africa, Madagascar, and India. Additionally, a northern-hemisphere Subtropical forest region was identified with representatives in Asia and America, providing support for a link between Asian and American northern-hemisphere forests. PMID:29432167

The Importance of Neurological and Cognitive Research for Reading Instruction.

ERIC Educational Resources Information Center

MacRae-Campbell, Linda

New views of intelligence and cognitive learning styles highlight ways to increase educational effectiveness by improving instructional methods. Research shows that both hemispheres of the brain play a role in learning, but evidence indicates that one hemisphere may be more aroused than the other in the case of a particular child. Individuals with…

Cloud radiative effect, cloud fraction and cloud type at two stations in Switzerland using hemispherical sky cameras

NASA Astrophysics Data System (ADS)

Aebi, Christine; Gröbner, Julian; Kämpfer, Niklaus; Vuilleumier, Laurent

2017-11-01

The current study analyses the cloud radiative effect during the daytime depending on cloud fraction and cloud type at two stations in Switzerland over a time period of 3 to 5 years. Information on fractional cloud coverage and cloud type is retrieved from images taken by visible all-sky cameras. Cloud-base height (CBH) data are retrieved from a ceilometer and integrated water vapour (IWV) data from GPS measurements. The longwave cloud radiative effect (LCE) for low-level clouds and a cloud coverage of 8 oktas has a median value between 59 and 72 Wm-2. For mid- and high-level clouds the LCE is significantly lower. It is shown that the fractional cloud coverage, the CBH and IWV all have an influence on the magnitude of the LCE. These observed dependences have also been modelled with the radiative transfer model MODTRAN5. The relative values of the shortwave cloud radiative effect (SCErel) for low-level clouds and a cloud coverage of 8 oktas are between -90 and -62 %. Also here the higher the cloud is, the less negative the SCErel values are. In cases in which the measured direct radiation value is below the threshold of 120 Wm-2 (occulted sun) the SCErel decreases substantially, while cases in which the measured direct radiation value is larger than 120 Wm-2 (visible sun) lead to a SCErel of around 0 %. In 14 and 10 % of the cases in Davos and Payerne respectively a cloud enhancement has been observed with a maximum in the cloud class cirrocumulus-altocumulus at both stations. The calculated median total cloud radiative effect (TCE) values are negative for almost all cloud classes and cloud coverages.

Feasibility of blocking detection in observations from radio occultation

NASA Astrophysics Data System (ADS)

Brunner, Lukas; Steiner, Andrea Karin; Scherllin-Pirscher, Barbara; Jury, Martin

2015-04-01

Blocking describes an atmospheric situation in which the climatological westerly flow at mid latitudes is weakened or reversed. This is caused by a persistent high pressure system which can be stationary for several days to weeks. In the Northern Hemisphere blocking preferably occurs over the Atlantic/European and the Pacific regions. In recent years blocking has been under close scientific investigation due to its effect on weather extremes, triggering heat waves in summer and cold spells in winter. So far, scientific literature mainly focused on the investigation of blocking in reanalysis and global climate model data sets. However, blocking is underestimated in most climate models due to small-scale processes involved in its evolution. For a detection of blocking, most commonly applied methods are based on the computation of meridional geopotential height gradients at the 500 hPa level. Therefore measurements with adequate vertical, horizontal, and temporal resolution and coverage are required. We use an observational data set based on Global Positioning System (GPS) Radio Occultation (RO) measurements fulfilling these requirements. RO is a relatively new, satellite based remote sensing technique, delivering profiles of atmospheric parameters such as geopotential height, pressure, and temperature. It is characterized by favorable properties like long-term stability, global coverage, and high vertical resolution. Our data set is based on the most recent WEGC RO retrieval. Here we report on a feasibility study for blocking detection and analysis in RO data for two exemplary blocking events: the blocking over Russia in summer 2010 and the blocking over Greenland in late winter 2013. For these two events about 700 RO measurements per day are available in the Northern Hemisphere. We will show that the measurement density and quality of RO observations are favorable for blocking analysis and can therefore contribute to blocking research.

Improvement of language functions in a chronic non-fluent post-stroke aphasic patient following bilateral sequential theta burst magnetic stimulation.

PubMed

Vuksanović, Jasmina; Jelić, Milan B; Milanović, Sladjan D; Kačar, Katarina; Konstantinović, Ljubica; Filipović, Saša R

2015-01-01

In chronic non-fluent aphasia patients, inhibition of the intact right hemisphere (RH), by transcranial magnetic stimulation (TMS) or similar methods, can induce improvement in language functions. The supposed mechanism behind this improvement is a release of preserved left hemisphere (LH) language networks from RH transcallosal inhibition. Direct stimulation of the damaged LH can sometimes bring similar results too. Therefore, we developed a novel treatment approach that combined direct LH (Broca's area (BA)) stimulation, by intermittent theta burst stimulation (TBS), with homologue RH area's inhibition, by continuous TBS. We present the results of application of 15 daily sessions of the described treatment approach in a right-handed patient with chronic post-stroke non-fluent aphasia. The intervention appeared to improve several language functions, but most notably propositional speech, semantic fluency, short-term verbal memory, and verbal learning. Bilateral TBS modulation of activation of the language-related areas of both hemispheres seems to be a feasible and promising way to induce recovery in chronic aphasic patients. Due to potentially cumulative physiological effects of bilateral stimulation, the improvements may be even greater than following unilateral interventions.

Can Combined Bypass Surgery at Middle Cerebral Artery Territory Save Anterior Cerebral Artery Territory in Adult Moyamoya Disease?

PubMed

Cho, Won-Sang; Kim, Jeong Eun; Paeng, Jin Chul; Suh, Minseok; Kim, Yong-Il; Kang, Hyun-Seung; Son, Young Je; Bang, Jae Seung; Oh, Chang Wan

2017-03-01

Patients with moyamoya disease are frequently encountered with improved symptoms related to anterior cerebral artery territory (ACAt) and middle cerebral artery territory (MCAt) after bypass surgery at MCAt. To evaluate hemodynamic changes in MCAt and ACAt after bypass surgery in adult moyamoya disease. Combined bypass surgery was performed on 140 hemispheres in 126 patients with MCAt symptoms. Among them, 87 hemispheres (62.1%) accompanied preoperative ACAt symptoms. Clinical, hemodynamic, and angiographic states were evaluated preoperatively and approximately 6 months after surgery. Preoperative symptoms resolved in 127 MCAt (90.7%) and 82 ACAt (94.3%). Hemodynamic analysis of total patients showed a significant improvement in MCAt basal perfusion and reservoir capacity ( P < .001 and P = .002, respectively) and ACAt basal perfusion ( P = .001). In a subgroup analysis, 82 hemispheres that completely recovered from preoperative ACAt symptoms showed a significant improvement in MCAt basal perfusion and reservoir capacity ( P < .001 and P = .05, respectively) and ACAt basal perfusion ( P = .04). Meanwhile, 53 hemispheres that had never experienced ACAt symptoms significantly improved MCAt basal perfusion and reservoir capacity ( P < .001 and P = .05, respectively); however, no ACAt changes were observed. A qualitative angiographic analysis demonstrated a higher trend of leptomeningeal formation from MCAt to ACAt in the former subgroup ( P = .05). During follow-up, no ACAt infarctions were observed. Combined bypass surgery at MCAt resulted in hemodynamic improvements in ACAt and MCAt, especially in patients with preoperative ACAt symptoms. Copyright © 2017 by the Congress of Neurological Surgeons

Community based rehabilitation: Does it really improve the level of productivity among persons with physical disabilities?

PubMed

Moniruzzaman; Saha, Palash Chandra; Habib, Md Monjurul

2015-01-01

The Community Based Rehabilitation (CBR) is a common approach to work with disable people to improve their quality of life by improving the level of productivity and integrating them into society. But the effectiveness of CBR varies by country to country. The aim of the study was to find out whether CBR programs really improved the level of productivity among persons with physical disabilities. A cross-sectional study was conducted among equal number of respondents (n=51) from each CBR coverage and non-coverage areas from two different upazilla (sub-districts) located 40 km away from the capital city of Bangladesh. Respondents were selected purposively and data were collected by face to face interviews. Willer's (1994) version of the Community Integration Questionnaire (CIQ) was used to measure the level of productivity among adult with physical disabilities. The mean score of total productivity integration in CBR coverage and non-coverage areas were 4.3 ± 2.4 and 4.5 ± 2.2 respectively. This difference was statistically non-significant (p=0.602).The levels of productivity integration between CBR coverage and non-coverage areas varied only 2-4% (p=0.793). The mean score of productivity integration and levels of productivity were not different significantly in CBR coverage and non-coverage areas.

Properties of sunspot cycles and hemispheric wings since the 19th century

NASA Astrophysics Data System (ADS)

Leussu, Raisa; Usoskin, Ilya G.; Arlt, Rainer; Mursula, Kalevi

2016-08-01

Aims: The latitudinal evolution of sunspot emergence over the course of the solar cycle, the so-called butterfly diagram, is a fundamental property of the solar dynamo. Here we present a study of the butterfly diagram of sunspot group occurrence for cycles 7-10 and 11-23 using data from a recently digitized sunspot drawings by Samuel Heinrich Schwabe in 1825-1867, and from RGO/USAF/NOAA(SOON) compilation of sunspot groups in 1874-2015. Methods: We developed a new, robust method of hemispheric wing separation based on an analysis of long gaps in sunspot group occurrence in different latitude bands. The method makes it possible to ascribe each sunspot group to a certain wing (solar cycle and hemisphere), and separate the old and new cycle during their overlap. This allows for an improved study of solar cycles compared to the common way of separating the cycles. Results: We separated each hemispheric wing of the butterfly diagram and analysed them with respect to the number of groups appearing in each wing, their lengths, hemispheric differences, and overlaps. Conclusions: The overlaps of successive wings were found to be systematically longer in the northern hemisphere for cycles 7-10, but in the southern hemisphere for cycles 16-22. The occurrence of sunspot groups depicts a systematic long-term variation between the two hemispheres. During Schwabe time, the hemispheric asymmetry was north-dominated during cycle 9 and south-dominated during cycle 10.

A Two-Phase Coverage-Enhancing Algorithm for Hybrid Wireless Sensor Networks.

PubMed

Zhang, Qingguo; Fok, Mable P

2017-01-09

Providing field coverage is a key task in many sensor network applications. In certain scenarios, the sensor field may have coverage holes due to random initial deployment of sensors; thus, the desired level of coverage cannot be achieved. A hybrid wireless sensor network is a cost-effective solution to this problem, which is achieved by repositioning a portion of the mobile sensors in the network to meet the network coverage requirement. This paper investigates how to redeploy mobile sensor nodes to improve network coverage in hybrid wireless sensor networks. We propose a two-phase coverage-enhancing algorithm for hybrid wireless sensor networks. In phase one, we use a differential evolution algorithm to compute the candidate's target positions in the mobile sensor nodes that could potentially improve coverage. In the second phase, we use an optimization scheme on the candidate's target positions calculated from phase one to reduce the accumulated potential moving distance of mobile sensors, such that the exact mobile sensor nodes that need to be moved as well as their final target positions can be determined. Experimental results show that the proposed algorithm provided significant improvement in terms of area coverage rate, average moving distance, area coverage-distance rate and the number of moved mobile sensors, when compare with other approaches.

Brain Hemispheric Consensus and the Quality of Investment Decisions.

ERIC Educational Resources Information Center

Boyd, Michael

This on-going study explores the hypothesis that stock fund managers who underperform do so because they make bad decisions, and examines whether their choices can be improved by using a decision model that invokes principles of brain hemispheric consensus. The study, begun in fall 1999, involves two groups of business students: the control group…

Visual Basic Programming Impact on Cognitive Style of College Students: Need for Prerequisites

ERIC Educational Resources Information Center

White, Garry L.

2012-01-01

This research investigated the impact learning a visual programming language, Visual Basic, has on hemispheric cognitive style, as measured by the Hemispheric Mode Indicator (HMI). The question to be answered is: will a computer programming course help students improve their cognitive abilities in order to perform well? The cognitive styles for…

NSW annual immunisation coverage report, 2011.

PubMed

Hull, Brynley; Dey, Aditi; Campbell-Lloyd, Sue; Menzies, Robert I; McIntyre, Peter B

2012-12-01

This annual report, the third in the series, documents trends in immunisation coverage in NSW for children, adolescents and the elderly, to the end of 2011. Data from the Australian Childhood Immunisation Register, the NSW School Immunisation Program and the NSW Population Health Survey were used to calculate various measures of population coverage. During 2011, greater than 90% coverage was maintained for children at 12 and 24 months of age. For children at 5 years of age the improvement seen in 2010 was sustained, with coverage at or near 90%. For adolescents, there was improved coverage for all doses of human papillomavirus vaccine, both doses of hepatitis B vaccine, varicella vaccine and the dose of diphtheria, tetanus and acellular pertussis given to school attendees in Years 7 and 10. Pneumococcal vaccination coverage in the elderly has been steadily rising, although it has remained lower than the influenza coverage estimates. This report provides trends in immunisation coverage in NSW across the age spectrum. The inclusion of coverage estimates for the pneumococcal conjugate, varicella and meningococcal C vaccines in the official coverage assessments for 'fully immunised' in 2013 is a welcome initiative.

2MASS - The 2 Micron All Sky Survey

NASA Technical Reports Server (NTRS)

Kleinmann, S. G.

1992-01-01

This paper describes a new sky survey to be carried out in three wavebands, J(1.25 m), H(1.65 m), and K(2.2 m). The limiting sensitivity of the survey, 10 sigma detection of point sources with K not greater than 14 mag, coupled with its all-sky coverage, were selected primarily to support studies of the large-scale structure of the Milky Way and the Local Universe. The survey requires construction of a pair of observing facilities, one each for the Northern and Southern Hemispheres. Operations are scheduled to begin in 1995. The data will begin becoming publicly available soon thereafter.

Electronic switching spherical array antenna

NASA Technical Reports Server (NTRS)

Stockton, R.

1978-01-01

This work was conducted to demonstrate the performance levels attainable with an ESSA (Electronic Switching Spherical Array) antenna by designing and testing an engineering model. The antenna was designed to satisfy general spacecraft environmental requirements and built to provide electronically commandable beam pointing capability throughout a hemisphere. Constant gain and beam shape throughout large volumetric coverage regions are the principle characteristics. The model is intended to be a prototype of a standard communications and data handling antenna for user scientific spacecraft with the Tracking and Data Relay Satellite System (TDRSS). Some additional testing was conducted to determine the feasibility of an integrated TDRSS and GPS (Global Positioning System) antenna system.

Dual-hemisphere transcranial direct current stimulation over primary motor cortex enhances consolidation of a ballistic thumb movement.

PubMed

Koyama, Soichiro; Tanaka, Satoshi; Tanabe, Shigeo; Sadato, Norihiro

2015-02-19

Transcranial direct current stimulation (tDCS) is a noninvasive technique that modulates motor performance and learning. Previous studies have shown that tDCS over the primary motor cortex (M1) can facilitate consolidation of various motor skills. However, the effect of tDCS on consolidation of newly learned ballistic movements remains unknown. The present study tested the hypothesis that tDCS over M1 enhances consolidation of ballistic thumb movements in healthy adults. Twenty-eight healthy subjects participated in an experiment with a single-blind, sham-controlled, between-group design. Fourteen subjects practiced a ballistic movement with their left thumb during dual-hemisphere tDCS. Subjects received 1mA anodal tDCS over the contralateral M1 and 1mA cathodal tDCS over the ipsilateral M1 for 25min during the training session. The remaining 14 subjects underwent identical training sessions, except that dual-hemisphere tDCS was applied for only the first 15s (sham group). All subjects performed the task again at 1h and 24h later. Primary measurements examined improvement in peak acceleration of the ballistic thumb movement at 1h and 24h after stimulation. Improved peak acceleration was significantly greater in the tDCS group (144.2±15.1%) than in the sham group (98.7±9.1%) (P<0.05) at 24h, but not 1h, after stimulation. Thus, dual-hemisphere tDCS over M1 enhanced consolidation of ballistic thumb movement in healthy adults. Dual-hemisphere tDCS over M1 may be useful to improve elemental motor behaviors, such as ballistic movements, in patients with subcortical strokes. Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities.

PubMed

Kimura, Akiko C; Nguyen, Christine N; Higa, Jeffrey I; Hurwitz, Eric L; Vugia, Duc J

2007-04-01

We examined barriers to influenza vaccination among long-term care facility (LTCF) health care workers in Southern California and developed simple, effective interventions to improve influenza vaccine coverage of these workers. In 2002, health care workers at LTCFs were surveyed regarding their knowledge and attitudes about influenza and the influenza vaccine. Results were used to develop 2 interventions, an educational campaign and Vaccine Day (a well-publicized day for free influenza vaccination of all employees at the worksite). Seventy facilities were recruited to participate in an intervention trial and randomly assigned to 4 study groups. The combination of Vaccine Day and an educational campaign was most effective in increasing vaccine coverage (53% coverage; prevalence ratio [PR]=1.45; 95% confidence interval [CI]=1.24, 1.71, compared with 27% coverage in the control group). Vaccine Day alone was also effective (46% coverage; PR= 1.41; 95% CI=1.17, 1.71). The educational campaign alone was not effective in improving coverage levels (34% coverage; PR=1.18; 95% CI=0.93, 1.50). Influenza vaccine coverage of LTCF health care workers can be improved by providing free vaccinations at the worksite with a well-publicized Vaccine Day.

A Two-Phase Coverage-Enhancing Algorithm for Hybrid Wireless Sensor Networks

PubMed Central

Zhang, Qingguo; Fok, Mable P.

2017-01-01

Providing field coverage is a key task in many sensor network applications. In certain scenarios, the sensor field may have coverage holes due to random initial deployment of sensors; thus, the desired level of coverage cannot be achieved. A hybrid wireless sensor network is a cost-effective solution to this problem, which is achieved by repositioning a portion of the mobile sensors in the network to meet the network coverage requirement. This paper investigates how to redeploy mobile sensor nodes to improve network coverage in hybrid wireless sensor networks. We propose a two-phase coverage-enhancing algorithm for hybrid wireless sensor networks. In phase one, we use a differential evolution algorithm to compute the candidate’s target positions in the mobile sensor nodes that could potentially improve coverage. In the second phase, we use an optimization scheme on the candidate’s target positions calculated from phase one to reduce the accumulated potential moving distance of mobile sensors, such that the exact mobile sensor nodes that need to be moved as well as their final target positions can be determined. Experimental results show that the proposed algorithm provided significant improvement in terms of area coverage rate, average moving distance, area coverage–distance rate and the number of moved mobile sensors, when compare with other approaches. PMID:28075365

Hemisphere Differences in Speech-Sound Event-Related Potentials in Intensive Care Neonates: Associations and Predictive Value for Development in Infancy

PubMed Central

Maitre, Nathalie L.; Slaughter, James C.; Aschner, Judy L.; Key, Alexandra P.

2014-01-01

Neurodevelopmental delays in intensive care neonates are common but difficult to predict. In children, hemisphere differences in cortical processing of speech are predictive of cognitive performance. We hypothesized that hemisphere differences in auditory event-related potentials in intensive care neonates are predictive of neurodevelopment in infancy, even in those born preterm. Event-related potentials to speech sounds were prospectively recorded in 57 infants (gestational age 24–40 weeks) prior to discharge. The Developmental Assessment of Young Children was performed at 6 and 12 months. Hemisphere differences in mean amplitudes increased with postnatal age (P < .01) but not with gestational age. Greater hemisphere differences were associated with improved communication and cognitive scores at 6 and 12 months, but decreased in significance at 12 months after adjusting for socioeconomic and clinical factors. Auditory cortical responses can be used in intensive care neonates to help identify infants at higher risk for delays in infancy. PMID:23864588

Design of a broadband hemispherical wave collimator lens using the ray inserting method.

PubMed

Taskhiri, Mohammad Mahdi; Amirhosseini, Mohammad Khalaj

2017-07-01

This paper presents a novel inhomogeneous hemispherical dielectric lens. The proposed lens is designed based on the ray inserting method (RIM). Applying this approach, a uniform distribution of the rays' end points over the lens plane aperture is achieved while lens matching to the environment refractive index is perfectly fulfilled. We can change the antenna features such as sidelobe level and gain by controlling the end point of each ray propagated through the hemispherical lens. The refractive index of the designed hemispherical inhomogeneous lens is derived and it is validated using COMSOL Multiphysics. The proposed lens is realized using material drilling and multilayer techniques. Analysis of the realized lens is performed using CST-Microwave Studio. The structure has been fabricated. The results of a simulation and experiment indicate good performances of realized planar lens in a wide frequency bandwidth. Comparing with other hemispherical lenses like classical half Maxwell fish-eye, the improvements in the gain, sidelobe levels, and input matching are achieved by using the RIM.

PHARYNGEAL SWALLOWING MECHANICS SECONDARY TO HEMISPHERIC STROKE

PubMed Central

May, Nelson H; Pisegna, Jessica M; Marchina, Sarah; Langmore, Susan E; Kumar, Sandeep; Pearson, William G

2016-01-01

Goals Computational Analysis of Swallowing Mechanics is a method that utilizes multivariate shape change analysis to uncover covariant elements of pharyngeal swallowing mechanics associated with impairment using videofluoroscopic swallowing studies. The goals of this preliminary study were to (1) characterize swallowing mechanics underlying stroke related dysphagia, (2) decipher the impact of left and right hemispheric stroke on pharyngeal swallowing mechanics, and (3) determine pharyngeal swallowing mechanics associated with penetration-aspiration status. Materials and Methods Videofluoroscopic swallowing studies of 18 dysphagic patients with hemispheric infarcts and age and gender matched controls were selected from well-controlled data sets. Patient data including laterality, and penetration-aspiration status was collected. Coordinates mapping muscle group action during swallowing were collected from videos. Multivariate morphometric analyses of coordinates associated with stroke, affected hemisphere, and penetration-aspiration status were performed. Findings Pharyngeal swallowing mechanics differed significantly in the following comparisons: stroke vs. controls (D=2.19, p<.0001); right hemispheric stroke vs. controls (D=3.64, p<.0001); left hemispheric stroke vs. controls (D=2.06, p<.0001); right hemispheric stroke vs. left hemispheric stroke (D=2.89, p<.0001); and penetration-aspiration vs. within normal limits (D=2.25, p<.0001). Differences in pharyngeal swallowing mechanics associated with each comparison were visualized using eigenvectors. Conclusion While current literature focuses on timing changes in stroke-related dysphagia, this data suggests that mechanical changes are also functionally important. Pharyngeal swallowing mechanics differed by affected hemisphere and penetration-aspiration status. Computational Analysis of Swallowing Mechanics can be used to identify patient specific swallowing impairment associated with stroke injury that could help guide rehabilitation strategies to improve swallowing outcomes. PMID:27913200

Memetic Algorithm-Based Multi-Objective Coverage Optimization for Wireless Sensor Networks

PubMed Central

Chen, Zhi; Li, Shuai; Yue, Wenjing

2014-01-01

Maintaining effective coverage and extending the network lifetime as much as possible has become one of the most critical issues in the coverage of WSNs. In this paper, we propose a multi-objective coverage optimization algorithm for WSNs, namely MOCADMA, which models the coverage control of WSNs as the multi-objective optimization problem. MOCADMA uses a memetic algorithm with a dynamic local search strategy to optimize the coverage of WSNs and achieve the objectives such as high network coverage, effective node utilization and more residual energy. In MOCADMA, the alternative solutions are represented as the chromosomes in matrix form, and the optimal solutions are selected through numerous iterations of the evolution process, including selection, crossover, mutation, local enhancement, and fitness evaluation. The experiment and evaluation results show MOCADMA can have good capabilities in maintaining the sensing coverage, achieve higher network coverage while improving the energy efficiency and effectively prolonging the network lifetime, and have a significant improvement over some existing algorithms. PMID:25360579

Memetic algorithm-based multi-objective coverage optimization for wireless sensor networks.

PubMed

Chen, Zhi; Li, Shuai; Yue, Wenjing

2014-10-30

Maintaining effective coverage and extending the network lifetime as much as possible has become one of the most critical issues in the coverage of WSNs. In this paper, we propose a multi-objective coverage optimization algorithm for WSNs, namely MOCADMA, which models the coverage control of WSNs as the multi-objective optimization problem. MOCADMA uses a memetic algorithm with a dynamic local search strategy to optimize the coverage of WSNs and achieve the objectives such as high network coverage, effective node utilization and more residual energy. In MOCADMA, the alternative solutions are represented as the chromosomes in matrix form, and the optimal solutions are selected through numerous iterations of the evolution process, including selection, crossover, mutation, local enhancement, and fitness evaluation. The experiment and evaluation results show MOCADMA can have good capabilities in maintaining the sensing coverage, achieve higher network coverage while improving the energy efficiency and effectively prolonging the network lifetime, and have a significant improvement over some existing algorithms.

Assessing Coverage of Population-Based and Targeted Fortification Programs with the Use of the Fortification Assessment Coverage Toolkit (FACT): Background, Toolkit Development, and Supplement Overview.

PubMed

Friesen, Valerie M; Aaron, Grant J; Myatt, Mark; Neufeld, Lynnette M

2017-05-01

Food fortification is a widely used approach to increase micronutrient intake in the diet. High coverage is essential for achieving impact. Data on coverage is limited in many countries, and tools to assess coverage of fortification programs have not been standardized. In 2013, the Global Alliance for Improved Nutrition developed the Fortification Assessment Coverage Toolkit (FACT) to carry out coverage assessments in both population-based (i.e., staple foods and/or condiments) and targeted (e.g., infant and young child) fortification programs. The toolkit was designed to generate evidence on program coverage and the use of fortified foods to provide timely and programmatically relevant information for decision making. This supplement presents results from FACT surveys that assessed the coverage of population-based and targeted food fortification programs across 14 countries. It then discusses the policy and program implications of the findings for the potential for impact and program improvement.

Correlation between measles vaccine doses: implications for the maintenance of elimination.

PubMed

McKee, A; Ferrari, M J; Shea, K

2018-03-01

Measles eradication efforts have been successful at achieving elimination in many countries worldwide. Such countries actively work to maintain this elimination by continuing to improve coverage of two routine doses of measles vaccine following measles elimination. While improving measles vaccine coverage is always beneficial, we show, using a steady-state analysis of a dynamical model, that the correlation between populations receiving the first and second routine dose also has a significant impact on the population immunity achieved by a specified combination of first and second dose coverage. If the second dose is administered to people independently of whether they had the first dose, high second-dose coverage improves the proportion of the population receiving at least one dose, and will have a large effect on population immunity. If the second dose is administered only to people who have had the first dose, high second-dose coverage reduces the rate of primary vaccine failure, but does not reach people who missed the first dose; this will therefore have a relatively small effect on population immunity. When doses are administered dependently, and assuming the first dose has higher coverage, increasing the coverage of the first dose has a larger impact on population immunity than does increasing the coverage of the second. Correlation between vaccine doses has a significant impact on the level of population immunity maintained by current vaccination coverage, potentially outweighing the effects of age structure and, in some cases, recent improvements in vaccine coverage. It is therefore important to understand the correlation between vaccine doses as such correlation may have a large impact on the effectiveness of measles vaccination strategies.

Evaluation of a vaccine passport to improve vaccine coverage in people living with HIV.

PubMed

Chadwick, D R; Corbett, K; Mann, S; Teruzzi, B; Horner, S

2018-01-01

An increased risk of vaccine-preventable infections (VPIs) is seen in people living with HIV (PLWH), and current vaccine coverage and immunity is variable. Vaccine passports have the potential to improve vaccine coverage. The objective was to assess how successful a vaccine passport was in improving vaccine coverage in PLWH. Baseline immunity to VPIs was established in PLWH attending a single HIV clinic and vaccinations required were determined based on the BHIVA Vaccination Guidelines (2015). The passport was completed and the PLWH informed about additional vaccines they should obtain from primary care. After 6-9 months the passport was reviewed including confirmation if vaccines were given. PLWH satisfaction with the system was evaluated by a survey. Seventy-three PLWH provided sufficient data for analysis. At baseline significant proportions of PLWH were not immune/unvaccinated to the main VPIs, especially human papillomavirus, pneumococcus and measles. After the passport was applied immunity improved significantly (56% overall, p < 0.01) for most VPIs; however, full coverage was not achieved. The system was popular with PLWH. The passport was successful in increasing vaccination coverage although full or near-full coverage was not achieved. A more successful service would probably be achieved by commissioning English HIV clinics to provide all vaccines.

Improved Impact Hazard Assessment with Existing Radar Sites and a New 70-m Southern Hemisphere Radar Installation

NASA Technical Reports Server (NTRS)

Giorgini, J. D.; Slade, M. A.; Silva, A.; Preston, R. A.; Brozovic, M.; Taylor, P. A.; Magri, C.

2009-01-01

Add radar capability to the existing southern hemisphere 70-m Deep Space Network (DSN) site at Canberra, Australia, thereby increasing by 1.5-2x the observing time available for high-precision NEO trajectory refinement and characterization. Estimated cost: approx.$16 million over 3 years, $2.5 million/year for operations (FY09).

Transcranial Magnetic Stimulation and Aphasia Rehabilitation

PubMed Central

Naeser, Margaret A.; Martin, Paula I; Ho, Michael; Treglia, Ethan; Kaplan, Elina; Bhashir, Shahid; Pascual-Leone, Alvaro

2013-01-01

Repetitive transcranial magnetic stimulation (rTMS) has been reported to improve naming in chronic stroke patients with nonfluent aphasia since 2005. In Part 1, we review the rationale for applying slow, 1 Hz, rTMS to the undamaged right hemisphere in chronic nonfluent aphasia patients following a left hemisphere stroke; and present a TMS protocol used with these patients that is associated with long-term, improved naming post- TMS. In Part, 2 we present results from a case study with chronic nonfluent aphasia where TMS treatments were followed immediately by speech therapy (constraint-induced language therapy). In Part 3, some possible mechanisms associated with improvement following a series of TMS treatments in stroke patients with aphasia are discussed. PMID:22202188

Electrowetting Lens Employing Hemispherical Cavity Formed by Hydrofluoric Acid, Nitric Acid, and Acetic Acid Etching of Silicon

NASA Astrophysics Data System (ADS)

Lee, June Kyoo; Choi, Ju Chan; Jang, Won Ick; Kim, Hak-Rin; Kong, Seong Ho

2012-06-01

We demonstrate the design of an electrowetting lens employing a high-aspect-ratio hemispherical lens cavity and its micro-electro-mechanical-system (MEMS) fabrication process in this study. Our preliminary simulation results showed that the physical and electrical durability of the lens can be improved by the mitigation of stresses on the insulator at the hemispherical cavity. High-aspect-ratio hemispherical cavities with various diameters and very smooth sidewall surfaces were uniformly fabricated on a silicon wafer by a sophisticated isotropic wet etching technique. Moreover, we experimentally investigated the optical properties of the MEMS-based electrowetting lens with the proposed cavity. Two immiscible liquids in the proposed lens cavity were electrostatically controlled with negligible optical distortion and low focal-length hysteresis due to the fully axis-symmetrical geometry and smooth sidewall of the cavity.

Improving care for patients on antiretroviral therapy through a gap analysis framework.

PubMed

Massoud, M Rashad; Shakir, Fazila; Livesley, Nigel; Muhire, Martin; Nabwire, Juliana; Ottosson, Amanda; Jean-Baptiste, Rachel; Megere, Humphrey; Karamagi-Nkolo, Esther; Gaudreault, Suzanne; Marks, Pamela; Jennings, Larissa

2015-07-01

To improve quality of care through decreasing existing gaps in the areas of coverage, retention, and wellness of patients receiving HIV care and treatment. The antiretroviral therapy (ART) Framework utilizes improvement methods and the Chronic Care Model to address the coverage, retention, and wellness gaps in HIV care and treatment. This is a time-series study. The ART Framework was applied in five health centers in Buikwe District, Uganda. Quality improvement teams, consisting of healthcare workers and expert patients, were established in each of the five healthcare facilities. The intervention period was October 2010 to September 2012. It consisted of quality improvement teams analyzing their facility and systems of care from the perspective of the Chronic Care Model to identify areas of improvement. They implemented the ART Framework, collected data and assessed outcomes, focused on self-management support for patients, to improve coverage, retention, and wellness gaps in HIV care and treatment. Coverage was defined as every patient who needs ART in the catchment area, receives it. Retention was defined as every patient who receives ART stays on ART, and wellness defined as having a positive clinical, immunological, and/or virological response to treatment without intolerable or unmanageable side-effects. Results from Buikwe show the gaps in coverage, retention, and wellness greatly decreased a gap in coverage of 44-19%, gap in retention of 49-24%, and gap in wellness of 53-14% during a 2-year intervention period. The ART Framework is an innovative and practical tool for HIV program managers to improve HIV care and treatment.

Hemispherical Scanning Imaging DOAS: Resolving nitrogen dioxide in the urban environment

NASA Astrophysics Data System (ADS)

Leigh, R. J.; Graves, R. R.; Lawrence, J.; Faloon, K.; Monks, P. S.

2012-12-01

Imaging DOAS techniques have been used for nitrogen dioxide and sulfer dioxide for a number of years. This presentation describes a novel system which images concentrations of nitrogen dioxide by scanning an imaging spectrometer 360 degrees azimuthally, covering a region from 5 degrees below the horizon, to the zenith. The instrument has been built at the University of Leicester (UK), on optical designs by Surrey Satellite Technologies Ltd, and incorporates an Offner relay with Schwarzchild fore-optics, in a rotating mount. The spectrometer offers high fidelity spectroscopic retrievals of nitrogen dioxide as a result of a reliable Gaussian line shape, zero smile and low chromatic aberration. The full hemispherical scanning provides complete coverage of nitrogen dioxide concentrations above approximately 5 ppbv in urban environments. Through the use of multiple instruments, the three-dimensional structure of nitrogen dioxide can be sampled and tomographically reconstructed, providing valuable information on nitrogen dioxide emissions and downwind exposure, in addition to new understanding of boundary layer dynamics through the use of nitrogen dioxide as a tracer. Furthermore, certain aerosol information can be retrieved through absolute intensity measurements in each azimuthal direction supplemented by traditional techniques of O4 spectroscopy. Such measurements provide a new tool for boundary layer measurement and monitoring at a time when air quality implications on human health and climate are under significant scrutiny. This presentation will describe the instrument and tomographic potential of this technique. First measurements were taken as part of the international PEGASOS campaign in Bologna, Italy. Results from these measurements will be shown, including imaging of enhanced NO2 in the Bologna urban boundary layer during a severe thunderstorm. A Hemispherical Scanning Imaging DOAS instrument operating in Bologna, Italy in June 2012. Visible in the background over Bologna is an instrumented Zepplin measuring NO2 and ozone among other species. A hemispherical panorama of nitrogen dioxide concentrations, as measured by the HSI-DOAS instrument in Bologna.

High-Resolution Spatial Distribution and Estimation of Access to Improved Sanitation in Kenya.

PubMed

Jia, Peng; Anderson, John D; Leitner, Michael; Rheingans, Richard

2016-01-01

Access to sanitation facilities is imperative in reducing the risk of multiple adverse health outcomes. A distinct disparity in sanitation exists among different wealth levels in many low-income countries, which may hinder the progress across each of the Millennium Development Goals. The surveyed households in 397 clusters from 2008-2009 Kenya Demographic and Health Surveys were divided into five wealth quintiles based on their national asset scores. A series of spatial analysis methods including excess risk, local spatial autocorrelation, and spatial interpolation were applied to observe disparities in coverage of improved sanitation among different wealth categories. The total number of the population with improved sanitation was estimated by interpolating, time-adjusting, and multiplying the surveyed coverage rates by high-resolution population grids. A comparison was then made with the annual estimates from United Nations Population Division and World Health Organization /United Nations Children's Fund Joint Monitoring Program for Water Supply and Sanitation. The Empirical Bayesian Kriging interpolation produced minimal root mean squared error for all clusters and five quintiles while predicting the raw and spatial coverage rates of improved sanitation. The coverage in southern regions was generally higher than in the north and east, and the coverage in the south decreased from Nairobi in all directions, while Nyanza and North Eastern Province had relatively poor coverage. The general clustering trend of high and low sanitation improvement among surveyed clusters was confirmed after spatial smoothing. There exists an apparent disparity in sanitation among different wealth categories across Kenya and spatially smoothed coverage rates resulted in a closer estimation of the available statistics than raw coverage rates. Future intervention activities need to be tailored for both different wealth categories and nationally where there are areas of greater needs when resources are limited.

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition.

PubMed

Chopra, Mickey; Sharkey, Alyssa; Dalmiya, Nita; Anthony, David; Binkin, Nancy

2012-10-13

Implementation of innovative strategies to improve coverage of evidence-based interventions, especially in the most marginalised populations, is a key focus of policy makers and planners aiming to improve child survival, health, and nutrition. We present a three-step approach to improvement of the effective coverage of essential interventions. First, we identify four different intervention delivery channels--ie, clinical or curative, outreach, community-based preventive or promotional, and legislative or mass media. Second, we classify which interventions' deliveries can be improved or changed within their channel or by switching to another channel. Finally, we do a meta-review of both published and unpublished reviews to examine the evidence for a range of strategies designed to overcome supply and demand bottlenecks to effective coverage of interventions that improve child survival, health, and nutrition. Although knowledge gaps exist, several strategies show promise for improving coverage of effective interventions-and, in some cases, health outcomes in children-including expanded roles for lay health workers, task shifting, reduction of financial barriers, increases in human-resource availability and geographical access, and use of the private sector. Policy makers and planners should be informed of this evidence as they choose strategies in which to invest their scarce resources. Copyright © 2012 Elsevier Ltd. All rights reserved.

Pharyngeal Swallowing Mechanics Secondary to Hemispheric Stroke.

PubMed

May, Nelson H; Pisegna, Jessica M; Marchina, Sarah; Langmore, Susan E; Kumar, Sandeep; Pearson, William G

2017-05-01

Computational analysis of swallowing mechanics (CASM) is a method that utilizes multivariate shape change analysis to uncover covariant elements of pharyngeal swallowing mechanics associated with impairment using videofluoroscopic swallowing studies. The goals of this preliminary study were to (1) characterize swallowing mechanics underlying stroke-related dysphagia, (2) decipher the impact of left and right hemispheric strokes on pharyngeal swallowing mechanics, and (3) determine pharyngeal swallowing mechanics associated with penetration-aspiration status. Videofluoroscopic swallowing studies of 18 dysphagic patients with hemispheric infarcts and age- and gender-matched controls were selected from well-controlled data sets. Patient data including laterality and penetration-aspiration status were collected. Coordinates mapping muscle group action during swallowing were collected from videos. Multivariate morphometric analyses of coordinates associated with stroke, affected hemisphere, and penetration-aspiration status were performed. Pharyngeal swallowing mechanics differed significantly in the following comparisons: stroke versus controls (D = 2.19, P < .0001), right hemispheric stroke versus controls (D = 3.64, P < .0001), left hemispheric stroke versus controls (D = 2.06, P < .0001), right hemispheric stroke versus left hemispheric stroke (D = 2.89, P < .0001), and penetration-aspiration versus within normal limits (D = 2.25, P < .0001). Differences in pharyngeal swallowing mechanics associated with each comparison were visualized using eigenvectors. Whereas current literature focuses on timing changes in stroke-related dysphagia, these data suggest that mechanical changes are also functionally important. Pharyngeal swallowing mechanics differed by the affected hemisphere and the penetration-aspiration status. CASM can be used to identify patient-specific swallowing impairment associated with stroke injury that could help guide rehabilitation strategies to improve swallowing outcomes. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

Medicaid Expansions from 1997 to 2009 Increased Coverage and Improved Access and Mental Health Outcomes for Low-Income Parents.

PubMed

McMorrow, Stacey; Kenney, Genevieve M; Long, Sharon K; Goin, Dana E

2016-08-01

To assess the effects of past Medicaid eligibility expansions to parents on coverage, access to care, out-of-pocket (OOP) spending, and mental health outcomes, and consider implications for the Affordable Care Act (ACA) Medicaid expansion. Person-level data from the National Health Interview Survey (1998-2010) is used to measure insurance coverage and related outcomes for low-income parents. Using state identifiers available at the National Center for Health Statistics Research Data Center, we attach state Medicaid eligibility thresholds for parents collected from a variety of sources to NHIS observations. We use changes in the Medicaid eligibility threshold for parents within states over time to identify the effects of changes in eligibility on low-income parents. We find that expanding Medicaid eligibility increases insurance coverage, reduces unmet needs due to cost and OOP spending, and improves mental health status among low-income parents. Moreover, our findings suggest that uninsured populations in states not currently participating in the ACA Medicaid expansion would experience even larger improvements in coverage and related outcomes than those in participating states if they chose to expand eligibility. The ACA Medicaid expansion has the potential to improve a wide variety of coverage, access, financial, and health outcomes for uninsured parents in states that choose to expand coverage. © Health Research and Educational Trust.

Exposure-response relationship of neighbourhood sanitation and children's diarrhoea.

PubMed

Jung, Youngmee Tiffany; Lou, Wendy; Cheng, Yu-Ling

2017-07-01

To assess the association of neighbourhood sanitation coverage with under-five children's diarrhoeal morbidity and to evaluate its exposure-response relationship. We used the Demographic and Health Surveys (DHS) of 29 developing countries in sub-Saharan Africa and South Asia, conducted between 2010 and 2014. The primary outcome was two-week incidence of diarrhoea in children under 5 years of age (N = 269014). We conducted three-level logistic regression analyses and applied cubic splines to assess the trend between neighbourhood-level coverage of improved household sanitation and diarrhoeal morbidity. A significant association between neighbourhood-level coverage of improved household sanitation and diarrhoeal morbidity (OR [95% CI] = 0.68 [0.62-0.76]) was found. Exposure-relationship analyses results showed improved sanitation coverage threshold at 0.6. We found marginal degree of association (OR [95% CI] = 0.82 [0.77-0.87]) below the threshold, which, beyond the threshold, sharply increased to OR of 0.44 (95% CI: 0.29-0.67) at sanitation coverage of 1 (i.e. neighbourhood-wide use of improved household sanitation). Similar exposure-response trends were identified for urban and rural subgroups. Our findings suggest that neighbourhood sanitation plays a key role in reducing diarrhoeal diseases and that increase in sanitation coverage may only have minimal impact on diarrhoeal illness, unless sufficiently high coverage is achieved. © 2017 John Wiley & Sons Ltd.

GrowYourIC: A Step Toward a Coherent Model of the Earth's Inner Core Seismic Structure

NASA Astrophysics Data System (ADS)

Lasbleis, Marine; Waszek, Lauren; Day, Elizabeth A.

2017-11-01

A complex inner core structure has been well established from seismic studies, showing radial and lateral heterogeneities at various length scales. Yet no geodynamic model is able to explain all the features observed. One of the main limits for this is the lack of tools to compare seismic observations and numerical models successfully. We use here a new Python tool called GrowYourIC to compare models of inner core structure. We calculate properties of geodynamic models of the inner core along seismic raypaths, for random or user-specified data sets. We test kinematic models which simulate fast lateral translation, superrotation, and differential growth. We explore first the influence on a real inner core data set, which has a sparse coverage of the inner core boundary. Such a data set is however able to successfully constrain the hemispherical boundaries due to a good sampling of latitudes. Combining translation and rotation could explain some of the features of the boundaries separating the inner core hemispheres. The depth shift of the boundaries, observed by some authors, seems unlikely to be modeled by a fast translation but could be produced by slow translation associated with superrotation.

Measuring populations to improve vaccination coverage

NASA Astrophysics Data System (ADS)

Bharti, Nita; Djibo, Ali; Tatem, Andrew J.; Grenfell, Bryan T.; Ferrari, Matthew J.

2016-10-01

In low-income settings, vaccination campaigns supplement routine immunization but often fail to achieve coverage goals due to uncertainty about target population size and distribution. Accurate, updated estimates of target populations are rare but critical; short-term fluctuations can greatly impact population size and susceptibility. We use satellite imagery to quantify population fluctuations and the coverage achieved by a measles outbreak response vaccination campaign in urban Niger and compare campaign estimates to measurements from a post-campaign survey. Vaccine coverage was overestimated because the campaign underestimated resident numbers and seasonal migration further increased the target population. We combine satellite-derived measurements of fluctuations in population distribution with high-resolution measles case reports to develop a dynamic model that illustrates the potential improvement in vaccination campaign coverage if planners account for predictable population fluctuations. Satellite imagery can improve retrospective estimates of vaccination campaign impact and future campaign planning by synchronizing interventions with predictable population fluxes.

Measuring populations to improve vaccination coverage

PubMed Central

Bharti, Nita; Djibo, Ali; Tatem, Andrew J.; Grenfell, Bryan T.; Ferrari, Matthew J.

2016-01-01

In low-income settings, vaccination campaigns supplement routine immunization but often fail to achieve coverage goals due to uncertainty about target population size and distribution. Accurate, updated estimates of target populations are rare but critical; short-term fluctuations can greatly impact population size and susceptibility. We use satellite imagery to quantify population fluctuations and the coverage achieved by a measles outbreak response vaccination campaign in urban Niger and compare campaign estimates to measurements from a post-campaign survey. Vaccine coverage was overestimated because the campaign underestimated resident numbers and seasonal migration further increased the target population. We combine satellite-derived measurements of fluctuations in population distribution with high-resolution measles case reports to develop a dynamic model that illustrates the potential improvement in vaccination campaign coverage if planners account for predictable population fluctuations. Satellite imagery can improve retrospective estimates of vaccination campaign impact and future campaign planning by synchronizing interventions with predictable population fluxes. PMID:27703191

Awake right hemisphere brain surgery.

PubMed

Hulou, M Maher; Cote, David J; Olubiyi, Olutayo I; Smith, Timothy R; Chiocca, E Antonio; Johnson, Mark D

2015-12-01

We report the indications and outcomes of awake right hemispheric brain surgery, as well as a rare patient with crossed aphasia. Awake craniotomies are often performed to protect eloquent cortex. We reviewed the medical records for 35 of 96 patients, in detail, who had awake right hemisphere brain operations. Intraoperative cortical mapping of motor and/or language function was performed in 29 of the 35 patients. A preoperative speech impairment and left hand dominance were the main indicators for awake right-sided craniotomies in patients with right hemisphere lesions. Four patients with lesion proximity to eloquent areas underwent awake craniotomies without cortical mapping. In addition, one patient had a broncho-pulmonary fistula, and another had a recent major cardiac procedure that precluded awake surgery. An eloquent cortex representation was identified in 14 patients (48.3%). Postoperatively, seven of 17 patients (41.1%) who presented with weakness, experienced improvements in their motor functions, 11 of 16 (68.7%) with seizures became seizure-free, and seven of nine (77.7%) with moderate to severe headaches and one of two with a visual field deficit improved significantly. There were also improvements in speech and language functions in all patients who presented with speech difficulties. A right sided awake craniotomy is an excellent option for left handed patients, or those with right sided cortical lesions that result in preoperative speech impairments. When combined with intraoperative cortical mapping, both speech and motor function can be well preserved. Copyright © 2015 Elsevier Ltd. All rights reserved.

A global picture of ionospheric slab thickness derived from GIM TEC and COSMIC radio occultation observations

NASA Astrophysics Data System (ADS)

Huang, He; Liu, Libo; Chen, Yiding; Le, Huijun; Wan, Weixing

2016-01-01

The ionospheric equivalent slab thickness (EST), defined as the ratio of total electron content (TEC) to F2 layer peak electron density (NmF2), describes the thickness of the ionospheric profile. In this study, we retrieve EST from TEC data obtained from Global Ionospheric Map (GIM) and NmF2 retrieved from Constellation Observing System for Meteorology, Ionosphere and Climate (COSMIC) ionospheric radio occultation data. The diurnal, seasonal, and solar activity variations of global EST are analyzed as the excellent spatial coverage of GIM and COSMIC data. During solstices, daytime EST in the summer hemisphere is larger than that in the winter hemisphere, except in some high-latitude regions, and the reverse is true for the nighttime EST. The peaks of EST often appear at 0400 local time. The presunrise enhancement in EST appears in all seasons, while the postsunset enhancement in EST is not readily observed in equinox. Both enhancements are attributed to the more remarkable electron density decay of NmF2 compared to that of TEC. The dependence of EST on solar activity is related to the inconsistent solar activity dependences of electron density at different altitudes. Furthermore, it is interesting that EST is enhanced from 0° to 120°E in longitude and 30° to 75°S in latitude during nighttime, just to the east of Weddell Sea Anomaly, during equinox and the Southern Hemisphere summer. This phenomenon is supposed to be related to the effects of geomagnetic declination-related plasma vertical drifts.

Factors associated with routine immunization coverage of children under one year old in Lao People's Democratic Republic.

PubMed

Phoummalaysith, Bounfeng; Yamamoto, Eiko; Xeuatvongsa, Anonh; Louangpradith, Viengsakhone; Keohavong, Bounxou; Saw, Yu Mon; Hamajima, Nobuyuki

2018-05-03

Routine vaccination is administered free of charge to all children under one year old in Lao People's Democratic Republic (Lao PDR) and the national goal is to achieve at least 95% coverage with all vaccines included in the national immunization program by 2025. In this study, factors related to the immunization system and characteristics of provinces and districts in Lao PDR were examined to evaluate the association with routine immunization coverage. Coverage rates for Bacillus Calmette-Guerin (BCG), Diphtheria-Tetanus-Pertussis-Hepatitis B (DTP-HepB), DTP-HepB-Hib (Haemophilus influenzae type B), polio (OPV), and measles (MCV1) vaccines from 2002 to 2014 collected through regular reporting system, were used to identify the immunization coverage trends in Lao PDR. Correlation analysis was performed using immunization coverage, characteristics of provinces or districts (population, population density, and proportion of poor villages and high-risk villages), and factors related to immunization service (including the proportions of the following: villages served by health facility levels, vaccine session types, and presence of well-functioning cold chain equipment). To determine factors associated with low coverage, provinces were categorized based on 80% of DTP-HepB-Hib3 coverage (<80% = low group; ≥80% = high group). Coverages of BCG, DTP-HepB3, OPV3 and MCV1 increased gradually from 2007 to 2014 (82.2-88.3% in 2014). However, BCG coverage showed the least improvement from 2002 to 2014. The coverage of each vaccine correlated with the coverage of the other vaccines and DTP-HepB-Hib dropout rate in provinces as well as districts. The provinces with low immunization coverage were correlated with higher proportions of poor villages. Routine immunization coverage has been improving in the last 13 years, but the national goal is not yet reached in Lao PDR. The results of this study suggest that BCG coverage and poor villages should be targeted to improve nationwide coverage. Copyright © 2018 Elsevier Ltd. All rights reserved.

Medication coverage for lawmakers may worsen access for everyone else.

PubMed

Taglione, Michael S; Boozary, Andrew; Persaud, Nav

2018-03-01

Despite numerous recommendations for universal public coverage of prescription drugs in Canada based on evidence that millions of Canadians cannot afford medications, no province or territory has adopted first dollar coverage for all residents. However, one group unaffected by the lack of public coverage are lawmakers. Lawmakers receive excellent drug coverage plans for themselves and their immediate families. Evidence suggests that lawmakers' decisions are influenced by their personal circumstances; in this case, they are insulated from the effects of poor access to medications by their drug coverage plans. In contrast, a patchwork system of 46 programs across Canada provides some drug coverage to vulnerable populations. Reducing the disparity in prescription drug access between Canadian lawmakers and the public may promote progress towards better medication access for everyone. This could be achieved either by reducing lawmaker coverage or improving upon the public patchwork system. Since the goal should be to improve the overall access of medications for all Canadians, lawmakers included, the latter method is preferred. A universal drug plan with first dollar coverage could replace the current patchwork system and expand coverage to all Canadians. Copyright © 2017 Elsevier Inc. All rights reserved.

Left-hemisphere activation is associated with enhanced vocal pitch error detection in musicians with absolute pitch

PubMed Central

Behroozmand, Roozbeh; Ibrahim, Nadine; Korzyukov, Oleg; Robin, Donald A.; Larson, Charles R.

2014-01-01

The ability to process auditory feedback for vocal pitch control is crucial during speaking and singing. Previous studies have suggested that musicians with absolute pitch (AP) develop specialized left-hemisphere mechanisms for pitch processing. The present study adopted an auditory feedback pitch perturbation paradigm combined with ERP recordings to test the hypothesis whether the neural mechanisms of the left-hemisphere enhance vocal pitch error detection and control in AP musicians compared with relative pitch (RP) musicians and non-musicians (NM). Results showed a stronger N1 response to pitch-shifted voice feedback in the right-hemisphere for both AP and RP musicians compared with the NM group. However, the left-hemisphere P2 component activation was greater in AP and RP musicians compared with NMs and also for the AP compared with RP musicians. The NM group was slower in generating compensatory vocal reactions to feedback pitch perturbation compared with musicians, and they failed to re-adjust their vocal pitch after the feedback perturbation was removed. These findings suggest that in the earlier stages of cortical neural processing, the right hemisphere is more active in musicians for detecting pitch changes in voice feedback. In the later stages, the left-hemisphere is more active during the processing of auditory feedback for vocal motor control and seems to involve specialized mechanisms that facilitate pitch processing in the AP compared with RP musicians. These findings indicate that the left hemisphere mechanisms of AP ability are associated with improved auditory feedback pitch processing during vocal pitch control in tasks such as speaking or singing. PMID:24355545

Syringe needle skull penetration reduces brain injuries and secondary inflammation following intracerebral neural stem cell transplantation.

PubMed

Gao, Mou; Dong, Qin; Zhang, Hongtian; Yang, Yang; Zhu, Jianwei; Yang, Zhijun; Xu, Minhui; Xu, Ruxiang

2017-03-01

Intracerebral neural stem cell (NSC) transplantation is beneficial for delivering stem cell grafts effectively, however, this approach may subsequently result in brain injury and secondary inflammation. To reduce the risk of promoting brain injury and secondary inflammation, two methods were compared in the present study. Murine skulls were penetrated using a drill on the left side and a syringe needle on the right. Mice were randomly divided into three groups (n=84/group): Group A, receiving NSCs in the left hemisphere and PBS in the right; group B, receiving NSCs in the right hemisphere and PBS in the left; and group C, receiving equal NSCs in both hemispheres. Murine brains were stained for morphological analysis and subsequent evaluation of infiltrated immune cells. ELISA was performed to detect neurotrophic and immunomodulatory factors in the brain. The findings indicated that brain injury and secondary inflammation in the left hemisphere were more severe than those in the right hemisphere, following NSC transplantation. In contrast to the left hemisphere, more neurotrophic factors but less pro-inflammatory cytokines were detected in the right hemisphere. In addition, increased levels of neurotrophic factors and interleukin (IL)-10 were observed in the NSC transplantation side when compared with the PBS-treated hemispheres, although lower levels of IL-6 and tumor necrosis factor-α were detected. In conclusion, the present study indicated that syringe needle skull penetration vs. drill penetration is an improved method that reduces the risk of brain injury and secondary inflammation following intracerebral NSC transplantation. Furthermore, NSCs have the potential to modulate inflammation secondary to brain injuries.

Caffeine Improves Left Hemisphere Processing of Positive Words

PubMed Central

Kuchinke, Lars; Lux, Vanessa

2012-01-01

A positivity advantage is known in emotional word recognition in that positive words are consistently processed faster and with fewer errors compared to emotionally neutral words. A similar advantage is not evident for negative words. Results of divided visual field studies, where stimuli are presented in either the left or right visual field and are initially processed by the contra-lateral brain hemisphere, point to a specificity of the language-dominant left hemisphere. The present study examined this effect by showing that the intake of caffeine further enhanced the recognition performance of positive, but not negative or neutral stimuli compared to a placebo control group. Because this effect was only present in the right visual field/left hemisphere condition, and based on the close link between caffeine intake and dopaminergic transmission, this result points to a dopaminergic explanation of the positivity advantage in emotional word recognition. PMID:23144893

Remote canopy hemispherical image collection system

NASA Astrophysics Data System (ADS)

Wan, Xuefen; Liu, Bingyu; Yang, Yi; Han, Fang; Cui, Jian

2016-11-01

Canopies are major part of plant photosynthesis and have distinct architectural elements such as tree crowns, whorls, branches, shoots, etc. By measuring canopy structural parameters, the solar radiation interception, photosynthesis effects and the spatio-temporal distribution of solar radiation under the canopy can be evaluated. Among canopy structure parameters, Leaf Area Index (LAI) is the key one. Leaf area index is a crucial variable in agronomic and environmental studies, because of its importance for estimating the amount of radiation intercepted by the canopy and the crop water requirements. The LAI can be achieved by hemispheric images which are obtained below the canopy with high accuracy and effectiveness. But existing hemispheric images canopy-LAI measurement technique is based on digital SLR camera with a fisheye lens. Users need to collect hemispheric image manually. The SLR camera with fisheye lens is not suit for long-term canopy-LAI outdoor measurement too. And the high cost of SLR limits its capacity. In recent years, with the development of embedded system and image processing technology, low cost remote canopy hemispheric image acquisition technology is becoming possible. In this paper, we present a remote hemispheric canopy image acquisition system with in-field/host configuration. In-field node based on imbed platform, low cost image sensor and fisheye lens is designed to achieve hemispherical image of plant canopy at distance with low cost. Solar radiation and temperature/humidity data, which are important for evaluating image data validation, are obtained for invalid hemispherical image elimination and node maintenance too. Host computer interacts with in-field node by 3G network. The hemispherical image calibration and super resolution are used to improve image quality in host computer. Results show that the remote canopy image collection system can make low cost remote canopy image acquisition for LAI effectively. It will be a potential technology candidate for low-cost remote canopy hemispherical image collection to measure canopy LAI.

The Upper Atmosphere Research Satellite (UARS)

NASA Technical Reports Server (NTRS)

Reber, Carl A.

1993-01-01

The Upper Atmosphere Research Satellite (UARS) was launched by the Space Shuttle on September 12, 1991 into a near circular orbit at 585 km altitude inclined 57 degrees to the Equator. Measurements were initiated a few days later, including solar energy inputs to the atmosphere and vertical profiles of temperature, important minor gas species, and wind fields. The orbital parameters, combined with the sensor measurements characteristics, yield a measurement pattern that produces near global coverage with a duty cycle that periodically favors the Northern or the Southern Hemispheres. A few spacecraft and instrument anomalies have impacted the total amount of data obtained to date, but the overall performance of the mission has been very good.

High Awareness but Low Coverage of a Locally Produced Fortified Complementary Food in Abidjan, Côte d'Ivoire: Findings from a Cross-Sectional Survey.

PubMed

Leyvraz, Magali; Rohner, Fabian; Konan, Amoin G; Esso, Lasme J C E; Woodruff, Bradley A; Norte, Augusto; Adiko, Adiko F; Bonfoh, Bassirou; Aaron, Grant J

2016-01-01

Poor complementary feeding practices among infants and young children in Côte d'Ivoire are major contributing factors to the country's high burden of malnutrition. As part of a broad effort to address this issue, an affordable, nutritious, and locally produced fortified complementary food product was launched in the Côte d'Ivoire in 2011. The objective of the current research was to assess various levels of coverage of the program and to identify coverage barriers. A cross-sectional household survey was conducted among caregivers of children less than 2-years of age living in Abidjan, Côte d'Ivoire. Four measures of coverage were assessed: "message coverage" (i.e., has the caregiver ever heard of the product?), "contact coverage" (i.e., has the caregiver ever fed the child the product?), "partial coverage" (i.e., has the caregiver fed the child the product in the previous month?), and "effective coverage" (i.e., has the caregiver fed the child the product in the previous 7 days?). A total of 1,113 caregivers with children between 0 and 23 months of age were interviewed. Results showed high message coverage (85.0%), moderate contact coverage (37.8%), and poor partial and effective coverages (8.8% and 4.6%, respectively). Product awareness was lower among caregivers from poorer households, but partial and effective coverages were comparable in both poor and non-poor groups. Infant and young child feeding (IYCF) practices were generally poor and did not appear to have improved since previous assessments. In conclusion, the results from the present study indicate that availability on the market and high awareness among the target population is not sufficient to achieve high and effective coverage. With market-based delivery models, significant efforts are needed to improve demand. Moreover, given the high prevalence of malnutrition and poor IYCF practices, additional modes of delivering IYCF interventions and improving IYCF practices should be considered.

Affordable Care Act and Women

MedlinePlus

... quality care for older women, and ends the gender discrimination that requires women to pay more for the ... Coverage Preventive Health Services Improved Medicare Coverage Ending Gender Discrimination in Premiums Expanded Insurance Coverage Endnotes Download "rb. ...

Bias in Magnitude Estimation Following Left Hemisphere Injury

PubMed Central

Woods, Adam J.; Mennemeier, Mark; Garcia-Rill, Edgar; Meythaler, Jay; Mark, Victor W.; Jewel, George R.; Murphy, Heather

2015-01-01

There is a growing interest both in identifying the neural mechanisms of magnitude estimation and in identifying forms of bias that can explain aspects of behavioral syndromes like unilateral neglect. Magnitude estimation is associated with activation of temporo-parietal cortex in both cerebral hemispheres of normal subjects; however, it is unclear if and how left hemisphere lesions bias magnitude estimation because the infrequency of neglect and the presence of aphasia in these subjects confound examination. In contrast, we examined magnitude estimation using 12 different types of sensory stimuli that spanned five sensory domains in two patients with very different clinical presentations following unilateral left hemisphere stroke. One patient had neglect sub-acutely without aphasia. The other had aphasia chronically after a temporo-parietal lesion but not neglect. The neglect patient was re-examined 48 hours after being treated with modafinil (Provigil) for decreased arousal. Both patients demonstrated bias in magnitude estimation relative to normal subjects (n=83). Alertness improved in the neglect patient after taking modafinil. His neglect also resolved and his magnitude estimates more closely resembled those of normal subjects. This is the first evidence, to our knowledge, that the left hemisphere injury can bias magnitude estimation in a manner similar but not identical to that associated with right hemisphere injury. PMID:16434066

Recovery from aphasia after hemicraniectomy for infarction of the speech-dominant hemisphere.

PubMed

Kastrau, Frank; Wolter, Marcus; Huber, Walter; Block, Frank

2005-04-01

The space-occupying effect of cerebral edema limits survival chances of patients with severe ischemic stroke. Besides conventional therapies to reduce intracranial pressure, hemicraniectomy can be considered as a therapeutic option after space-occupying cerebral infarction. There is controversy regarding the use of this method in patients with infarction of the speech-dominant hemisphere. In 14 patients with infarction of the dominant hemisphere and subsequent treatment with hemicraniectomy, recovery from aphasic symptoms was evaluated retrospectively. A group of patients who were treated between 1994 and 2003 in our aphasia ward was selected for the study. In all patients, a psychometric quantification was accomplished applying the Aachen Aphasia Test at least twice within a mean observation period of 470 days. A significant improvement of the statistical parameters representing different aspects of aphasia was observed in 13 of 14 patients. Also, an increase of the ability to communicate was evident in 13 patients. Young age at the time of stroke and early poststroke decompressive surgery were identified as main predictors for recovery from aphasia. A significant improvement of aphasic symptoms can be observed in a preselected group of patients after a massive stroke of the speech-dominant hemisphere treated by consecutive hemicraniectomy. Therefore, decompressive surgery can be considered for the treatment of this kind of stroke.

Changes in Serial Optical Topography and TMS during Task Performance after Constraint-Induced Movement Therapy in Stroke: A Case Study

PubMed Central

Park, Si-Woon; Butler, Andrew J.; Cavalheiro, Vanessa; Alberts, Jay L.; Wolf, Steven L.

2013-01-01

The authors examined serial changes in optical topography in a stroke patient performing a functional task, as well as clinical and physiologic measures while undergoing constraint-induced therapy (CIT). A 73-year-old right hemiparetic patient, who had a subcortical stroke 4 months previously, received 2 weeks of CIT. During the therapy, daily optical topography imaging using near-infrared light was measured serially while the participant performed a functional key-turning task. Clinical outcome measures included the Wolf Motor Function Test (WMFT), Motor Activity Log (MAL), and functional key grip test. Transcranial magnetic stimulation (TMS) and functional magnetic resonance imaging (fMRI) were also used to map cortical areas and hemodynamic brain responses, respectively. Optical topography measurement showed an overall decrease in oxy-hemoglobin concentration in both hemispheres as therapy progressed and the laterality index increased toward the contralateral hemisphere. An increased TMS motor map area was observed in the contralateral cortex following treatment. Posttreatment fMRI showed bilateral primary motor cortex activation, although slightly greater in the contralateral hemisphere, during affected hand movement. Clinical scores revealed marked improvement in functional activities. In one patient who suffered a stroke, 2 weeks of CIT led to improved function and cortical reorganization in the hemisphere contralateral to the affected hand. PMID:15228805

Photometric properties of Titan's surface from Cassini VIMS: Relevance to titan's hemispherical albedo dichotomy and surface stability

USGS Publications Warehouse

Nelson, R.M.; Brown, R.H.; Hapke, B.W.; Smythe, W.D.; Kamp, L.; Boryta, M.D.; Leader, F.; Baines, K.H.; Bellucci, G.; Bibring, J.-P.; Buratti, B.J.; Capaccioni, F.; Cerroni, P.; Clark, R.N.; Combes, M.; Coradini, A.; Cruikshank, D.P.; Drossart, P.; Formisano, V.; Jaumann, R.; Langevin, Y.; Matson, D.L.; McCord, T.B.; Mennella, V.; Nicholson, P.D.; Sicardy, B.; Sotin, Christophe

2006-01-01

The Visual and Infrared Mapping Spectrometer (VIMS) instrument on the Cassini Saturn Orbiter returned spectral imaging data as the spacecraft undertook six close encounters with Titan beginning 7 July, 2004. Three of these flybys each produced overlapping coverage of two distinct regions of Titan's surface. Twenty-four points were selected on approximately opposite hemispheres to serve as photometric controls. Six points were selected in each of four reflectance classes. On one hemisphere each control point was observed at three distinct phase angles. From the derived phase coefficients, preliminary normal reflectances were derived for each reflectance class. The normal reflectance of Titan's surface units at 2.0178 ??m ranged from 0.079 to 0.185 for the most absorbing to the most reflective units assuming no contribution from absorbing haze. When a modest haze contribution of ??=0.1 is considered these numbers increase to 0.089-0.215. We find that the lowest three reflectance classes have comparable normal reflectance on either hemisphere. However, for the highest brightness class the normal reflectance is higher on the hemisphere encompassing longitude 14-65?? compared to the same high brightness class for the hemisphere encompassing 122-156?? longitude. We conclude that an albedo dichotomy observed in continental sized units on Titan is due not only to one unit having more areal coverage of reflective material than the other but the material on the brighter unit is intrinsically more reflective than the most reflective material on the other unit. This suggests that surface renewal processes are more widespread on Titan's more reflective units than on its less reflective units. We note that one of our photometric control points has increased in reflectance by 12% relative to the surrounding terrain from July of 2004 to April and May of 2005. Possible causes of this effect include atmospheric processes such as ground fog or orographic clouds; the suggestion of active volcanism cannot be ruled out. Several interesting circular features which resembled impact craters were identified on Titan's surface at the time of the initial Titan flyby in July of 2004. We traced photometric profiles through two of these candidate craters and attempted to fit these profiles to the photometric properties expected from model depressions. We find that the best-fit attempt to model these features as craters requires that they be unrealistically deep, approximately 70 km deep. We conclude that despite their appearance, these circular features are not craters, however, the possibility that they are palimpsests cannot be ruled out. We used two methods to test for the presence of vast expanses of liquids on Titan's surface that had been suggested to resemble oceans. Specular reflection of sunlight would be indicative of widespread liquids on the surface; we found no evidence of this. A large liquid body should also show uniformity in photometric profile; we found the profiles to be highly variable. The lack of specular reflection and the high photometric variability in the profiles across candidate oceans is inconsistent with the presence of vast expanses of flat-lying liquids on Titan's surface. While liquid accumulation may be present as small, sub-pixel-sized bodies, or in areas of the surface which still remain to be observed by VIMS, the presence of large ocean-sized accumulations of liquids can be ruled out. The Cassini orbital tour offers the opportunity for VIMS to image the same parts of Titan's surface repeatedly at many different illumination and observation geometries. This creates the possibility of understanding the properties of Titan's atmosphere and haze by iteratively adapting models to create a best fit to the surface reflectance properties. ?? 2006 Elsevier Ltd. All rights reserved.

Population-based coverage survey results following the mass drug administration of azithromycin for the treatment of trachoma in Amhara, Ethiopia.

PubMed

Astale, Tigist; Sata, Eshetu; Zerihun, Mulat; Nute, Andrew W; Stewart, Aisha E P; Gessese, Demelash; Ayenew, Gedefaw; Melak, Berhanu; Chanyalew, Melsew; Tadesse, Zerihun; Callahan, E Kelly; Nash, Scott D

2018-02-01

Trachoma is the leading infectious cause of blindness worldwide. In communities where the district level prevalence of trachomatous inflammation-follicular among children ages 1-9 years is ≥5%, WHO recommends annual mass drug administration (MDA) of antibiotics with the aim of at least 80% coverage. Population-based post-MDA coverage surveys are essential to understand the effectiveness of MDA programs, yet published reports from trachoma programs are rare. In the Amhara region of Ethiopia, a population-based MDA coverage survey was conducted 3 weeks following the 2016 MDA to estimate the zonal prevalence of self-reported drug coverage in all 10 administrative zones. Survey households were selected using a multi-stage cluster random sampling design and all individuals in selected households were presented with a drug sample and asked about taking the drug during the campaign. Zonal estimates were weighted and confidence intervals were calculated using survey procedures. Self-reported drug coverage was then compared with regional reported administrative coverage. Region-wide, 24,248 individuals were enumerated, of which, 20,942 (86.4%) individuals were present. The regional self-reported antibiotic coverage was 76.8% (95%Confidence Interval (CI):69.3-82.9%) in the population overall and 77.4% (95%CI = 65.7-85.9%) among children ages 1-9 years old. Zonal coverage ranged from 67.8% to 90.2%. Five out of 10 zones achieved a coverage >80%. In all zones, the reported administrative coverage was greater than 90% and was considerably higher than self-reported MDA coverage. Main reasons reported for MDA campaign non-attendance included being physically unable to get to MDA site (22.5%), traveling (20.6%), and not knowing about the campaign (21.0%). MDA refusal was low (2.8%) in this population. Although self-reported MDA coverage in Amhara was greater than 80% in some zones, programmatic improvements are warranted throughout Amhara to achieve higher coverage. These results will be used to enhance community mobilization and improve training for MDA distributors and supervisors to improve coverage in future MDAs.

A dual task priming investigation of right hemisphere inhibition for people with left hemisphere lesions

PubMed Central

2012-01-01

Background During normal semantic processing, the left hemisphere (LH) is suggested to restrict right hemisphere (RH) performance via interhemispheric suppression. However, a lesion in the LH or the use of concurrent tasks to overload the LH's attentional resource balance has been reported to result in RH disinhibition with subsequent improvements in RH performance. The current study examines variations in RH semantic processing in the context of unilateral LH lesions and the manipulation of the interhemispheric processing resource balance, in order to explore the relevance of RH disinhibition to hemispheric contributions to semantic processing following a unilateral LH lesion. Methods RH disinhibition was examined for nine participants with a single LH lesion and 13 matched controls using the dual task paradigm. Hemispheric performance on a divided visual field lexical decision semantic priming task was compared over three verbal memory load conditions, of zero-, two- and six-words. Related stimuli consisted of categorically related, associatively related, and categorically and associatively related prime-target pairs. Response time and accuracy data were recorded and analyzed using linear mixed model analysis, and planned contrasts were performed to compare priming effects in both visual fields, for each of the memory load conditions. Results Control participants exhibited significant bilateral visual field priming for all related conditions (p < .05), and a LH advantage over all three memory load conditions. Participants with LH lesions exhibited an improvement in RH priming performance as memory load increased, with priming for the categorically related condition occurring only in the 2- and 6-word memory conditions. RH disinhibition was also reflected for the LH damage (LHD) group by the removal of the LH performance advantage following the introduction of the memory load conditions. Conclusions The results from the control group are consistent with suggestions of an age related hemispheric asymmetry reduction and indicate that in healthy aging compensatory bilateral activation may reduce the impact of inhibition. In comparison, the results for the LHD group indicate that following a LH lesion RH semantic processing can be manipulated and enhanced by the introduction of a verbal memory task designed to engage LH resources and allow disinhibition of RH processing. PMID:22429687

Training-induced brain plasticity in aphasia.

PubMed

Musso, M; Weiller, C; Kiebel, S; Müller, S P; Bülau, P; Rijntjes, M

1999-09-01

It has long been a matter of debate whether recovery from aphasia after left perisylvian lesions is mediated by the preserved left hemispheric language zones or by the homologous right hemisphere regions. Using PET, we investigated the short-term changes in the cortical network involved in language comprehension during recovery from aphasia. In 12 consecutive measurements of regional cerebral blood flow (rCBF), four patients with Wernicke's aphasia, caused by a posterior left middle cerebral artery infarction, were tested with a language comprehension task. Comprehension was estimated directly after each scan with a modified version of the Token Test. In the interval between the scans, the patients participated in brief, intense language comprehension training. A significant improvement in performance was observed in all patients. We correlated changes in blood flow measured during the language comprehension task with the scores achieved in the Token Test. The regions which best correlated with the training-induced improvement in verbal comprehension were the posterior part of the right superior temporal gyrus and the left precuneus. This study supports the role of the right hemisphere in recovery from aphasia and demonstrates that the improvement in auditory comprehension induced by specific training is associated with functional brain reorganization.

Analysis on the Change of Vegetation Coverage in Qinghai Province from 2000 TO 2012

NASA Astrophysics Data System (ADS)

Wang, J.; Yan, Q.; Liu, Z.; Luo, C.

2013-07-01

Qinghai Province is one of the important provinces on the Qinghai-Tibet Plateau in China. Its unique alpine meadow ecosystem makes it become the most concentrated areas of biodiversity in high altitudes in the world. Researching the vegetation coverage and changes of Qinghai province can reflect effectively and timely processing of changes and problems of ecological quality in the region. This research will give a long time series monitoring of the vegetation coverage of Qinghai province based on maximum value composite (MVC) and S-G filtering algorithm using MODIS data of the year of 2000-2012, then analyze the change using coefficient of variability(CV) and trend line analysis. According to research, during the past 13 years, more than half of Qinghai Province's vegetation coverage is well, both the east and south have a high coverage, while the northwest is lower. The changing of vegetation coverage also has showed a steady and improving trend in 13 years. The largest area is slight improved area is about 29.08% of the total area, and the second largest area is significant improved area is about 21.09% of the total area. In this research can learn directly the vegetation coverage and changes of Qinghai province and provide reference and scientific basis for the protection and governance of ecological environment.

Evaluation of the three-dimensional bony coverage before and after rotational acetabular osteotomy.

PubMed

Tanaka, Takeyuki; Moro, Toru; Takatori, Yoshio; Oshima, Hirofumi; Ito, Hideya; Sugita, Naohiko; Mitsuishi, Mamoru; Tanaka, Sakae

2018-02-26

Rotational acetabular osteotomy is a type of pelvic osteotomy that involves rotation of the acetabular bone to improve the bony coverage of the femoral head for patients with acetabular dysplasia. Favourable post-operative long-term outcomes have been reported in previous studies. However, there is a paucity of published data regarding three-dimensional bony coverage. The present study investigated the three-dimensional bony coverage of the acetabulum covering the femoral head in hips before and after rotational acetabular osteotomy and in normal hips. The computed tomography data of 40 hip joints (12 joints before and after rotational acetabular osteotomy; 16 normal joints) were analyzed. The three-dimensional bony coverage of each joint was evaluated using original software. The post-operative bony coverage improved significantly compared with pre-operative values. In particular, the anterolateral aspect of the acetabulum tended to be dysplastic in patients with acetabular dysplasia compared to those with normal hip joints. However, greater bony coverage at the anterolateral aspect was obtained after rotational acetabular osteotomy. Meanwhile, the results of the present study may indicate that the bony coverage in the anterior aspect may be excessive. Three-dimensional analysis indicated that rotational acetabular osteotomy achieved favorable bony coverage. Further investigations are necessary to determine the ideal bony coverage after rotational acetabular osteotomy.

Do modern total knee replacements improve tibial coverage?

PubMed

Meier, Malin; Webb, Jonathan; Collins, Jamie E; Beckmann, Johannes; Fitz, Wolfgang

2018-01-25

The purpose of the present study is to compare newer designs of various symmetric and asymmetric tibial components and measure tibial bone coverage using the rotational safe zone defined by two commonly utilized anatomic rotational landmarks. Computed tomography scans (CT scans) of one hundred consecutive patients scheduled for total knee arthroplasty were obtained pre-operatively. A virtual proximal tibial cut was performed and two commonly used rotational axes were added for each image: the medio-lateral axis (ML-axis) and the medial 1/3 tibial tubercle axis (med-1/3-axis). Different symmetric and asymmetric implant designs were then superimposed in various rotational positions for best cancellous and cortical coverage. The images were imported to a public domain imaging software, and cancellous and cortical bone coverage was computed for each image, with each implant design in various rotational positions. One single implant type could not be identified that provided the best cortical and cancellous coverage of the tibia, irrespective of using the med-1/3-axis or the ML-axis for rotational alignment. However, it could be confirmed that the best bone coverage was dependent on the selected rotational landmark. Furthermore, improved bone coverage was observed when tibial implant positions were optimized between the two rotational axes. Tibial coverage is similar for symmetric and asymmetric designs, but depends on the rotational landmark for which the implant is designed. The surgeon has the option to improve tibial coverage by optimizing placement between the two anatomic rotational alignment landmarks, the medial 1/3 and the ML-axis. Surgeons should be careful assessing intraoperative rotational tibial placement using the described anatomic rotational landmarks to optimize tibial bony coverage without compromising patella tracking. III.

Left-hemisphere activation is associated with enhanced vocal pitch error detection in musicians with absolute pitch.

PubMed

Behroozmand, Roozbeh; Ibrahim, Nadine; Korzyukov, Oleg; Robin, Donald A; Larson, Charles R

2014-02-01

The ability to process auditory feedback for vocal pitch control is crucial during speaking and singing. Previous studies have suggested that musicians with absolute pitch (AP) develop specialized left-hemisphere mechanisms for pitch processing. The present study adopted an auditory feedback pitch perturbation paradigm combined with ERP recordings to test the hypothesis whether the neural mechanisms of the left-hemisphere enhance vocal pitch error detection and control in AP musicians compared with relative pitch (RP) musicians and non-musicians (NM). Results showed a stronger N1 response to pitch-shifted voice feedback in the right-hemisphere for both AP and RP musicians compared with the NM group. However, the left-hemisphere P2 component activation was greater in AP and RP musicians compared with NMs and also for the AP compared with RP musicians. The NM group was slower in generating compensatory vocal reactions to feedback pitch perturbation compared with musicians, and they failed to re-adjust their vocal pitch after the feedback perturbation was removed. These findings suggest that in the earlier stages of cortical neural processing, the right hemisphere is more active in musicians for detecting pitch changes in voice feedback. In the later stages, the left-hemisphere is more active during the processing of auditory feedback for vocal motor control and seems to involve specialized mechanisms that facilitate pitch processing in the AP compared with RP musicians. These findings indicate that the left hemisphere mechanisms of AP ability are associated with improved auditory feedback pitch processing during vocal pitch control in tasks such as speaking or singing. Copyright © 2013 Elsevier Inc. All rights reserved.

Infant immunization coverage in Italy: estimates by simultaneous EPI cluster surveys of regions. ICONA Study Group.

PubMed Central

Salmaso, S.; Rota, M. C.; Ciofi Degli Atti, M. L.; Tozzi, A. E.; Kreidl, P.

1999-01-01

In 1998, a series of regional cluster surveys (the ICONA Study) was conducted simultaneously in 19 out of the 20 regions in Italy to estimate the mandatory immunization coverage of children aged 12-24 months with oral poliovirus (OPV), diphtheria-tetanus (DT) and viral hepatitis B (HBV) vaccines, as well as optional immunization coverage with pertussis, measles and Haemophilus influenzae b (Hib) vaccines. The study children were born in 1996 and selected from birth registries using the Expanded Programme of Immunization (EPI) cluster sampling technique. Interviews with parents were conducted to determine each child's immunization status and the reasons for any missed or delayed vaccinations. The study population comprised 4310 children aged 12-24 months. Coverage for both mandatory and optional vaccinations differed by region. The overall coverage for mandatory vaccines (OPV, DT and HBV) exceeded 94%, but only 79% had been vaccinated in accord with the recommended schedule (i.e. during the first year of life). Immunization coverage for pertussis increased from 40% (1993 survey) to 88%, but measles coverage (56%) remained inadequate for controlling the disease; Hib coverage was 20%. These results confirm that in Italy the coverage of only mandatory immunizations is satisfactory. Pertussis immunization coverage has improved dramatically since the introduction of acellular vaccines. A greater effort to educate parents and physicians is still needed to improve the coverage of optional vaccinations in all regions. PMID:10593033

Infant immunization coverage in Italy: estimates by simultaneous EPI cluster surveys of regions. ICONA Study Group.

PubMed

Salmaso, S; Rota, M C; Ciofi Degli Atti, M L; Tozzi, A E; Kreidl, P

1999-01-01

In 1998, a series of regional cluster surveys (the ICONA Study) was conducted simultaneously in 19 out of the 20 regions in Italy to estimate the mandatory immunization coverage of children aged 12-24 months with oral poliovirus (OPV), diphtheria-tetanus (DT) and viral hepatitis B (HBV) vaccines, as well as optional immunization coverage with pertussis, measles and Haemophilus influenzae b (Hib) vaccines. The study children were born in 1996 and selected from birth registries using the Expanded Programme of Immunization (EPI) cluster sampling technique. Interviews with parents were conducted to determine each child's immunization status and the reasons for any missed or delayed vaccinations. The study population comprised 4310 children aged 12-24 months. Coverage for both mandatory and optional vaccinations differed by region. The overall coverage for mandatory vaccines (OPV, DT and HBV) exceeded 94%, but only 79% had been vaccinated in accord with the recommended schedule (i.e. during the first year of life). Immunization coverage for pertussis increased from 40% (1993 survey) to 88%, but measles coverage (56%) remained inadequate for controlling the disease; Hib coverage was 20%. These results confirm that in Italy the coverage of only mandatory immunizations is satisfactory. Pertussis immunization coverage has improved dramatically since the introduction of acellular vaccines. A greater effort to educate parents and physicians is still needed to improve the coverage of optional vaccinations in all regions.

An overview of the situation in radiotherapy with emphasis on the developing countries.

PubMed

Hanson, G P; Stjernswärd, J; Nofal, M; Durosinmi-Etti, F

1990-11-01

Radiotherapy services are closely linked to the level of medical care which, in turn, is an important component of the overall health care program, with its development related to social, economic, and educational factors. As a basis for understanding the situation regarding adequate coverage of the population by radiotherapy services, general information about the world population (currently 5 billion), age distribution, frequency of cancer occurrence, and causes of death is presented. For an appreciation of the obstacles that must be overcome, the situation with regard to Gross National Product (GNP), transfer of economic resources, and per capita expenditures for health services is shown. For example, in the developing world, most countries spend less than 5% of their GNP for health, and on a macro scale at least 20 billion U.S. dollars per year are being transferred from the poor nations of the southern hemisphere to the northern hemisphere. Information about the wide range of population coverage with radiotherapy resources and the trend regarding high-energy radiotherapy machines is presented. For example, in North America (USA) there are six high-energy machines for each one million persons, and each machine is used to treat about 230 new patients per year. In other parts of the world, such as large areas of Africa and South-East Asia, there may only be one high-energy radiotherapy machine for 20 to 40 million people, and one machine may be used to treat more than 600 new patients per year. Many cancer patients have no access to radiotherapy services. When estimates of the need for radiotherapy services in the developing world as a consequence of cancer incidence are compared with the current health expenditures, it is concluded that a combined effort of national authorities, donor and financial institutions, professional and scientific societies, and international organizations is required. The knowledge, skills, and technology are available in many excellent radiotherapy centers throughout the world. The key issues are priority and the commitment of sufficient resources.

The Global Geostationary Wildfire ABBA: Current Implementation and Future Plans

NASA Astrophysics Data System (ADS)

Prins, E.; Schmidt, C. C.; Hoffman, J.; Brunner, J.; Hyer, E. J.; Reid, J. S.

2012-12-01

The Wild Fire Automated Biomass Burning Algorithm (WF_ABBA), developed at the Cooperative Institute for Meteorological Satellite Studies (CIMSS), has a long legacy of operational near real-time wildfire detection and characterization in the Western Hemisphere. The first phase of the global geostationary WF_ABBA was made operational at NOAA NESDIS in 2009 and currently includes diurnal active fire monitoring from GOES-East, GOES-South America, GOES-West, Meteosat-9 and MTSAT-1R/-2. This allows for near global active fire monitoring with coverage of Europe, Africa, Southeast Asia and the Western Pacific utilizing distinct geostationary sensors and a consistent algorithm. Version 6.5.006 of the WF_ABBA was specifically designed to address the capabilities and limitations of diverse geostationary sensors and requests from the global fire monitoring and user community. This presentation will provide an overview of version 6.5.006 of the global WF_ABBA fire product including the new fire and opaque cloud mask and associated metadata. We will demonstrate the WF_ABBA showing examples from around the globe with a focus on the capabilities and plans for integrating new geostationary platforms with coverage of Eastern Europe and Asia (INSAT-3D, Korean COMS, Russian GOMS Elektro-L MSU-GS). We are also preparing for future fire monitoring in the Western Hemisphere, Europe, and Africa utilizing the next generation GOES-R Imager and Meteosat Third Generation Flexible Combined Imager (MTG - FCI). The goal is to create a globally consistent long-term fire product utilizing the capabilities of each of these unique operational systems and a common fire detection algorithm. On an international level, development of a global geostationary fire monitoring system is supported by the IGOS GOFC/GOLD Fire Implementation Team. This work also generally supports Committee on Earth Observation Satellites (CEOS) activities and the Group on Earth Observations (GEO).

Geologic map of Io

USGS Publications Warehouse

Williams, David A.; Keszthelyi, Laszlo P.; Crown, David A.; Yff, Jessica A.; Jaeger, Windy L.; Schenk, Paul M.; Geissler, Paul E.; Becker, Tammy L.

2011-01-01

Io, discovered by Galileo Galilei on January 7–13, 1610, is the innermost of the four Galilean satellites of the planet Jupiter (Galilei, 1610). It is the most volcanically active object in the Solar System, as recognized by observations from six National Aeronautics and Space Administration (NASA) spacecraft: Voyager 1 (March 1979), Voyager 2 (July 1979), Hubble Space Telescope (1990–present), Galileo (1996–2001), Cassini (December 2000), and New Horizons (February 2007). The lack of impact craters on Io in any spacecraft images at any resolution attests to the high resurfacing rate (1 cm/yr) and the dominant role of active volcanism in shaping its surface. High-temperature hot spots detected by the Galileo Solid-State Imager (SSI), Near-Infrared Mapping Spectrometer (NIMS), and Photopolarimeter-Radiometer (PPR) usually correlate with darkest materials on the surface, suggesting active volcanism. The Voyager flybys obtained complete coverage of Io's subjovian hemisphere at 500 m/pixel to 2 km/pixel, and most of the rest of the satellite at 5–20 km/pixel. Repeated Galileo flybys obtained complementary coverage of Io's antijovian hemisphere at 5 m/pixel to 1.4 km/pixel. Thus, the Voyager and Galileo data sets were merged to enable the characterization of the whole surface of the satellite at a consistent resolution. The United States Geological Survey (USGS) produced a set of four global mosaics of Io in visible wavelengths at a spatial resolution of 1 km/pixel, released in February 2006, which we have used as base maps for this new global geologic map. Much has been learned about Io's volcanism, tectonics, degradation, and interior since the Voyager flybys, primarily during and following the Galileo Mission at Jupiter (December 1995–September 2003), and the results have been summarized in books published after the end of the Galileo Mission. Our mapping incorporates this new understanding to assist in map unit definition and to provide a global synthesis of Io's geology.

Spatio-Temporal Gap Analysis of OBIS-SEAMAP Project Data: Assessment and Way Forward

PubMed Central

Kot, Connie Y.; Fujioka, Ei; Hazen, Lucie J.; Best, Benjamin D.; Read, Andrew J.; Halpin, Patrick N.

2010-01-01

The OBIS-SEAMAP project has acquired and served high-quality marine mammal, seabird, and sea turtle data to the public since its inception in 2002. As data accumulated, spatial and temporal biases resulted and a comprehensive gap analysis was needed in order to assess coverage to direct data acquisition for the OBIS-SEAMAP project and for taxa researchers should true gaps in knowledge exist. All datasets published on OBIS-SEAMAP up to February 2009 were summarized spatially and temporally. Seabirds comprised the greatest number of records, compared to the other two taxa, and most records were from shipboard surveys, compared to the other three platforms. Many of the point observations and polyline tracklines were located in northern and central Atlantic and the northeastern and central-eastern Pacific. The Southern Hemisphere generally had the lowest representation of data, with the least number of records in the southern Atlantic and western Pacific regions. Temporally, records of observations for all taxa were the lowest in fall although the number of animals sighted was lowest in the winter. Oceanographic coverage of observations varied by platform for each taxa, which showed that using two or more platforms represented habitat ranges better than using only one alone. Accessible and published datasets not already incorporated do exist within spatial and temporal gaps identified. Other related open-source data portals also contain data that fill gaps, emphasizing the importance of dedicated data exchange. Temporal and spatial gaps were mostly a result of data acquisition effort, development of regional partnerships and collaborations, and ease of field data collection. Future directions should include fostering partnerships with researchers in the Southern Hemisphere while targeting datasets containing species with limited representation. These results can facilitate prioritizing datasets needed to be represented and for planning research for true gaps in space and time. PMID:20886047

Spatio-temporal gap analysis of OBIS-SEAMAP project data: assessment and way forward.

PubMed

Kot, Connie Y; Fujioka, Ei; Hazen, Lucie J; Best, Benjamin D; Read, Andrew J; Halpin, Patrick N

2010-09-24

The OBIS-SEAMAP project has acquired and served high-quality marine mammal, seabird, and sea turtle data to the public since its inception in 2002. As data accumulated, spatial and temporal biases resulted and a comprehensive gap analysis was needed in order to assess coverage to direct data acquisition for the OBIS-SEAMAP project and for taxa researchers should true gaps in knowledge exist. All datasets published on OBIS-SEAMAP up to February 2009 were summarized spatially and temporally. Seabirds comprised the greatest number of records, compared to the other two taxa, and most records were from shipboard surveys, compared to the other three platforms. Many of the point observations and polyline tracklines were located in northern and central Atlantic and the northeastern and central-eastern Pacific. The Southern Hemisphere generally had the lowest representation of data, with the least number of records in the southern Atlantic and western Pacific regions. Temporally, records of observations for all taxa were the lowest in fall although the number of animals sighted was lowest in the winter. Oceanographic coverage of observations varied by platform for each taxa, which showed that using two or more platforms represented habitat ranges better than using only one alone. Accessible and published datasets not already incorporated do exist within spatial and temporal gaps identified. Other related open-source data portals also contain data that fill gaps, emphasizing the importance of dedicated data exchange. Temporal and spatial gaps were mostly a result of data acquisition effort, development of regional partnerships and collaborations, and ease of field data collection. Future directions should include fostering partnerships with researchers in the Southern Hemisphere while targeting datasets containing species with limited representation. These results can facilitate prioritizing datasets needed to be represented and for planning research for true gaps in space and time.

The effects of dune slopes and material heterogeneity on the thermal behavior of dune fields in Mars' Southern Hemisphere

NASA Astrophysics Data System (ADS)

O'Shea, P. M.; Putzig, N. E.; Van Kooten, S.; Fenton, L. K.

2015-12-01

We analyzed the effects of slopes on the thermal properties of three dune fields in Mars' southern hemisphere. Although slope has important thermal effects, it is not the main driver of observed apparent thermal inertia (ATI) for these dunes. Comparing the ATI seasonal behavior as derived from Thermal Emission Spectrometer (TES) data with that modeled for compositional heterogeneities, we found that TES results correlate best with models of duricrust overlying and/or horizontally mixing with fines. We measured slopes and aspects in digital terrain models created from High Resolution Imaging Science Experiment (HiRISE) images of dunes within Proctor, Kaiser, and Wirtz craters. Using the MARSTHERM web toolset, we incorporated the slopes and aspects together with TES albedo, TES thermal inertia, surface pressure, and TES dust opacity, into models of seasonal ATI. Models that incorporate sub-pixel slopes show seasonal day and night ATI values that differ from the TES results by 0-300 J m-2 K-1 s-½. In addition, the models' day-night differences are opposite in sign from those of the TES results, indicating that factors other than slope are involved. We therefore compared the TES data to model results for a broad range of horizontally mixed and two-layered surfaces to seek other possible controls on the observed data, finding that a surface layer of higher thermal inertia is a likely contributor. However, it is clear from this study that the overall composition and morphology of the dune fields are more complex than currently available models allow. Future work will combine slopes with other model parameters such as multi-layered surfaces and lateral changes in layer thickness. Coupling these improvements with broader seasonal coverage from the Thermal Emission Imaging System (THEMIS) at more thermally favorable times of day would allow more accurate characterization of dune thermal behavior.

[Impact of a targeted technical assistance to improve vaccine coverage in Cameroon, Côte d'Ivoire, and Mauritania in 2014].

PubMed

Ahanhanzo, Y Glèlè; Palenfo, D; Saussier, C; Gbèdonou, P; Tonda, A; Da Silva, A; Aplogan, A

2016-08-01

Within the framework of its strategic goal of vaccine coverage (VC) improvement, GAVI, The Vaccine Alliance has entrusted the Agence de médecine préventive (agency for preventive medicine, AMP) with technical assistance services to Cameroon, Cote d'Ivoire (Ivory Coast), and Mauritania. This support was provided to selected priority districts (PDs) with the worst Penta3 coverage performances. In 2014, PDs benefited from technical and management capacities in vaccinology strengthening for district medical officers, supportive supervisions and technical assistance in health logistics, data management and quality. We analyzed the effects of the AMP technical assistance on the improvement of the cumulative Penta3 coverage, which is the key performance indicator of the expanded programme on immunization (EPI) performance. We compared Penta3 coverage between PDs and other non-priority districts (NPDs), Penta3 coverage evolution within each PD, and the distribution of PDs and NPDs according to Penta3 coverage category between January and December 2014. Technical assistance had a positive effect on the EPI performance. Indeed Penta3 coverage progression was higher in PDs than in NPDs throughout the period. Besides, between January and December 2014, the Penta3 VC increased in 70%, 100% and 86% of DPs in Cameroon, Côte d'Ivoire and Mauritania, respectively. Furthermore, the increase in the number of PDs with a Penta3 coverage over 80% was higher in DPs than in NPDs: 20% versus 8% for Cameroon, 58% versus 29% for Côte d'Ivoire and 17% versus 8% for Mauritania. Despite positive and encouraging results, this technical assistance service can be improved and efforts are needed to ensure that all health districts have a VC above 80% for all EPI vaccines. The current challenge is for African countries to mobilize resources for maintaining the knowledge and benefits and scaling such interventions in the public health area.

Improving the Yule-Nielsen modified Neugebauer model by dot surface coverages depending on the ink superposition conditions

NASA Astrophysics Data System (ADS)

Hersch, Roger David; Crété, Frédérique

2004-12-01

Dot gain is different when dots are printed alone, printed in superposition with one ink or printed in superposition with two inks. In addition, the dot gain may also differ depending on which solid ink the considered halftone layer is superposed. In a previous research project, we developed a model for computing the effective surface coverage of a dot according to its superposition conditions. In the present contribution, we improve the Yule-Nielsen modified Neugebauer model by integrating into it our effective dot surface coverage computation model. Calibration of the reproduction curves mapping nominal to effective surface coverages in every superposition condition is carried out by fitting effective dot surfaces which minimize the sum of square differences between the measured reflection density spectra and reflection density spectra predicted according to the Yule-Nielsen modified Neugebauer model. In order to predict the reflection spectrum of a patch, its known nominal surface coverage values are converted into effective coverage values by weighting the contributions from different reproduction curves according to the weights of the contributing superposition conditions. We analyze the colorimetric prediction improvement brought by our extended dot surface coverage model for clustered-dot offset prints, thermal transfer prints and ink-jet prints. The color differences induced by the differences between measured reflection spectra and reflection spectra predicted according to the new dot surface estimation model are quantified on 729 different cyan, magenta, yellow patches covering the full color gamut. As a reference, these differences are also computed for the classical Yule-Nielsen modified spectral Neugebauer model incorporating a single halftone reproduction curve for each ink. Taking into account dot surface coverages according to different superposition conditions considerably improves the predictions of the Yule-Nielsen modified Neugebauer model. In the case of offset prints, the mean difference between predictions and measurements expressed in CIE-LAB CIE-94 ΔE94 values is reduced at 100 lpi from 1.54 to 0.90 (accuracy improvement factor: 1.7) and at 150 lpi it is reduced from 1.87 to 1.00 (accuracy improvement factor: 1.8). Similar improvements have been observed for a thermal transfer printer at 600 dpi, at lineatures of 50 and 75 lpi. In the case of an ink-jet printer at 600 dpi, the mean ΔE94 value is reduced at 75 lpi from 3.03 to 0.90 (accuracy improvement factor: 3.4) and at 100 lpi from 3.08 to 0.91 (accuracy improvement factor: 3.4).

Improving the Yule-Nielsen modified Neugebauer model by dot surface coverages depending on the ink superposition conditions

NASA Astrophysics Data System (ADS)

Hersch, Roger David; Crete, Frederique

2005-01-01

Dot gain is different when dots are printed alone, printed in superposition with one ink or printed in superposition with two inks. In addition, the dot gain may also differ depending on which solid ink the considered halftone layer is superposed. In a previous research project, we developed a model for computing the effective surface coverage of a dot according to its superposition conditions. In the present contribution, we improve the Yule-Nielsen modified Neugebauer model by integrating into it our effective dot surface coverage computation model. Calibration of the reproduction curves mapping nominal to effective surface coverages in every superposition condition is carried out by fitting effective dot surfaces which minimize the sum of square differences between the measured reflection density spectra and reflection density spectra predicted according to the Yule-Nielsen modified Neugebauer model. In order to predict the reflection spectrum of a patch, its known nominal surface coverage values are converted into effective coverage values by weighting the contributions from different reproduction curves according to the weights of the contributing superposition conditions. We analyze the colorimetric prediction improvement brought by our extended dot surface coverage model for clustered-dot offset prints, thermal transfer prints and ink-jet prints. The color differences induced by the differences between measured reflection spectra and reflection spectra predicted according to the new dot surface estimation model are quantified on 729 different cyan, magenta, yellow patches covering the full color gamut. As a reference, these differences are also computed for the classical Yule-Nielsen modified spectral Neugebauer model incorporating a single halftone reproduction curve for each ink. Taking into account dot surface coverages according to different superposition conditions considerably improves the predictions of the Yule-Nielsen modified Neugebauer model. In the case of offset prints, the mean difference between predictions and measurements expressed in CIE-LAB CIE-94 ΔE94 values is reduced at 100 lpi from 1.54 to 0.90 (accuracy improvement factor: 1.7) and at 150 lpi it is reduced from 1.87 to 1.00 (accuracy improvement factor: 1.8). Similar improvements have been observed for a thermal transfer printer at 600 dpi, at lineatures of 50 and 75 lpi. In the case of an ink-jet printer at 600 dpi, the mean ΔE94 value is reduced at 75 lpi from 3.03 to 0.90 (accuracy improvement factor: 3.4) and at 100 lpi from 3.08 to 0.91 (accuracy improvement factor: 3.4).

Orbiting carbon observatory (OCO-2) tracks increase of carbon release to the atmosphere during the 2014-2016 El Niño

NASA Astrophysics Data System (ADS)

Patra, P. K.; Crisp, D.; W Kaiser, J.; Wunch, D.; Saeki, T.; Ichii, K.; Sekiya, T.; Wenneberg, P.; Griffith, D. W. T.; Feist, D. G.; Pollard, D.; Velazco, V. A.; De Maziere, M.; Sha, M. K.; Roehl, C. M.; Chatterjee, A.

2016-12-01

Uncertainties in estimates of regional fluxes of carbon dioxide (CO2) and other greenhouse gases derived from direct inventory methods or inferred from atmospheric observations has hindered the implementation of effective policy for reduction of emissions from anthropogenic activity. To improve the resolution and coverage of the atmospheric CO2 measurements for reducing CO2 flux uncertainty, NASA launched the OCO-2 satellite in 2014, and OCO-2 has been routinely returning almost one million soundings each day over the sunlit hemisphere. A powerful El Niño event in 2015-2016 - the third most intense since the 1950s - has exerted a large impact on the Earth's natural climate system. Here, we analyze column-averaged CO2 dry-air mole fraction (XCO2) observations during the period from September 2014 to February 2016 (18 months) together with ground-based remote sensing and in situ observations. From the differences between observations and simulations from an atmospheric chemistry-transport model, we estimated, that relative to the mean annual fluxes for 2011-2013, this El Niño has contributed to an excess CO2 flux from the Earth's surface (land+ocean) to the atmosphere in the range of 2.24-3.32 PgC (1 Pg = 1015 g). This anomalous CO2 flux results primarily from reduction in vegetation uptake due to drought and biomass burning. Improvements in modeling atmospheric-CO2 are required to attribute CO2 source changes at regional scales.

Transport of fine sediment over a coarse, immobile riverbed

USGS Publications Warehouse

Grams, Paul E.; Wilcock, Peter R.

2014-01-01

Sediment transport in cobble-boulder rivers consists mostly of fine sediment moving over a coarse, immobile bed. Transport rate depends on several interrelated factors: boundary shear stress, the grain size and volume of fine sediment, and the configuration of fine sediment into interstitial deposits and bed forms. Existing models do not incorporate all of these factors. Approaches that partition stress face a daunting challenge because most of the boundary shear is exerted on immobile grains. We present an alternative approach that divides the bed into sand patches and interstitial deposits and is well constrained by two clear end-member cases: full sand cover and absence of sand. Entrainment from sand patches is a function of their aerial coverage. Entrainment from interstices among immobile grains is a function of sand elevation relative to the size of the immobile grains. The bed-sand coverage function is used to predict the ratio of the rate of entrainment from a partially covered bed to the rate of entrainment from a completely sand-covered bed, which is determined using a standard sand transport model. We implement the bed-sand coverage function in a morphodynamic routing model and test it against observations of sand bed elevation and suspended sand concentration for conditions of nonuniform fine sediment transport in a large flume with steady uniform flow over immobile hemispheres. The results suggest that this approach may provide a simple and robust method for predicting the transport and migration of fine sediment through rivers with coarse, immobile beds.

GEO/SAMS - The Geostationary Synthetic Aperture Microwave Sounder

NASA Technical Reports Server (NTRS)

Lambrigtsen, Bjorn H.

2008-01-01

The National Oceanic and Atmospheric Administration (NOAA) has for many years operated two weather satellite systems, the Polar-orbiting Operational Environmental Satellite system (POES), using low-earth orbiting (LEO) satellites, and the Geostationary Operational Environmental Satellite system (GOES), using geostationary earth orbiting (GEO) satellites. (Similar systems are also operated by other nations.) The POES satellites have been equipped with both infrared (IR) and microwave (MW) atmospheric sounders, which makes it possible to determine the vertical distribution of temperature and humidity in the troposphere even under cloudy conditions. Such satellite observations have had a significant impact on weather forecasting accuracy, especially in regions where in situ observations are sparse. In contrast, the GOES satellites have only been equipped with IR sounders, since it has not been feasible to build a large enough antenna to achieve sufficient spatial resolution for a MW sounder in GEO. As a result, GOES soundings can only be obtained in cloud free areas and in the less important upper atmosphere, above the cloud tops. This has hindered the effective use of GOES data in numerical weather prediction. Full sounding capabilities with the GOES system is highly desirable because of the advantageous spatial and temporal coverage that is possible from GEO. While POES satellites provide coverage in relatively narrow swaths, and with a revisit time of 12-24 hours or more, GOES satellites can provide continuous hemispheric coverage, making it possible to monitor highly dynamic phenomena such as hurricanes.

Household survey analysis of the impact of comprehensive strategies to improve the expanded programme on immunisation at the county level in western China, 2006–2010

PubMed Central

Zhou, Yuqing; Xing, Yi; Liang, Xiaofeng; Yue, Chenyan; Zhu, Xu; Hipgrave, David

2016-01-01

Objective To evaluate interventions to improve routine vaccination coverage and caregiver knowledge in China's remote west, where routine immunisation is relatively weak. Design Prospective pre–post (2006–2010) evaluation in project counties; retrospective comparison based on 2004 administrative data at baseline and surveyed post-intervention (2010) data in selected non-project counties. Setting Four project counties and one non-project county in each of four provinces. Participants 3390 children in project counties at baseline, and 3299 in project and 830 in non-project counties post-intervention; and 3279 caregivers at baseline, and 3389 in project and 830 in non-project counties post-intervention. Intervention Multicomponent inexpensive knowledge-strengthening and service-strengthening and innovative, multisectoral engagement. Data collection Standard 30-cluster household surveys of vaccine coverage and caregiver interviews pre-intervention and post-intervention in each project county. Similar surveys in one non-project county selected by local authorities in each province post-intervention. Administrative data on vaccination coverage in non-project counties at baseline. Primary outcome measures Changes in vaccine coverage between baseline and project completion (2010); comparative caregiver knowledge in all counties in 2010. Analysis Crude (χ2) analysis of changes and differences in vaccination coverage and related knowledge. Multiple logistic regression to assess associations with timely coverage. Results Timely coverage of four routine vaccines increased by 21% (p<0.001) and hepatitis B (HepB) birth dose by 35% (p<0.001) over baseline in project counties. Comparison with non-project counties revealed secular improvement in most provinces, except new vaccine coverage was mostly higher in project counties. Ethnicity, province, birthplace, vaccination site, dual-parental out-migration and parental knowledge had significant associations with coverage. Knowledge increased for all variables but one in project counties (highest p<0.05) and was substantially higher than in non-project counties (p<0.01). Conclusions Comprehensive but inexpensive strategies improved vaccination coverage and caretaker knowledge in western China. Establishing multisectoral leadership, involving the education sector and including immunisation in public-sector performance standards, are affordable and effective interventions. PMID:26966053

The Saturnian satellite Rhea as seen by Cassini VIMS

USGS Publications Warehouse

Stephan, K.; Jaumann, R.; Wagner, R.; Clark, R.N.; Cruikshank, D.P.; Giese, B.; Hibbitts, C.A.; Roatsch, T.; Matz, K.-D.; Brown, R.H.; Filacchione, G.; Cappacioni, F.; Scholten, F.; Buratti, B.J.; Hansen, G.B.; Nicholson, P.D.; Baines, K.H.; Nelson, R.M.; Matson, D.L.

2012-01-01

Since the arrival of the Cassini spacecraft at Saturn in June 2004, the Visual and Infrared Mapping Spectrometer has obtained new spectral data of the icy satellites of Saturn in the spectral range from 0.35 to 5.2 ??m. Numerous flybys were performed at Saturn's second largest satellite Rhea, providing a nearly complete coverage with pixel-ground resolutions sufficient to analyze variations of spectral properties across Rhea's surface in detail. We present an overview of the VIMS observations obtained so far, as well as the analysis of the spectral properties identified in the VIMS spectra and their variations across its surface compared with spatially highly resolved Cassini ISS images and digital elevation models. Spectral variations measured across Rhea's surface are similar to the variations observed in the VIMS observations of its neighbor Dione, implying similar processes causing or at least inducing their occurrence. Thus, magnetospheric particles and dust impacting onto the trailing hemisphere appear to be responsible for the concentration of dark rocky/organic material and minor amounts of CO 2 in the cratered terrain on the trailing hemisphere. Despite the prominent spectral signatures of Rhea's fresh impact crater Inktomi, radiation effects were identified that also affect the H 2O ice-rich cratered terrain of the leading hemisphere. The concentration of H 2O ice in the vicinity of steep tectonic scarps near 270??W and geologically fresh impact craters implies that Rhea exhibits an icy crust at least in the upper few kilometers. Despite the evidence for past tectonic events, no indications of recent endogenically powered processes could be identified in the Cassini data. ?? 2011 Elsevier Ltd. All rights reserved.

Are "Sisters in Crime" Finally Being Booked? The Coverage of Women and Crime in Journals and Textbooks.

ERIC Educational Resources Information Center

Wright, Richard A.

1987-01-01

Compares coverage of women and crime in sociology journals published from 1956-1960 and from 1976-1980 with coverage in criminology texts published from 1956-1965 and from 1976-1985. Data shows despite recent increases in publication of research in journals, criminology texts show little improvement in their coverage of women and crime. Concludes…

Using lot quality assurance sampling to improve immunization coverage in Bangladesh.

PubMed Central

Tawfik, Y.; Hoque, S.; Siddiqi, M.

2001-01-01

OBJECTIVE: To determine areas of low vaccination coverage in five cities in Bangladesh (Chittagong, Dhaka, Khulna, Rajshahi, and Syedpur). METHODS: Six studies using lot quality assurance sampling were conducted between 1995 and 1997 by Basic Support for Institutionalizing Child Survival and the Bangladesh National Expanded Programme on Immunization. FINDINGS: BCG vaccination coverage was acceptable in all lots studied; however, the proportion of lots rejected because coverage of measles vaccination was low ranged from 0% of lots in Syedpur to 12% in Chittagong and 20% in Dhaka's zones 7 and 8. The proportion of lots rejected because an inadequate number of children in the sample had been fully vaccinated varied from 11% in Syedpur to 30% in Dhaka. Additionally, analysis of aggregated, weighted immunization coverage showed that there was a high BCG vaccination coverage (the first administered vaccine) and a low measles vaccination coverage (the last administered vaccine) indicating a high drop-out rate, ranging from 14% in Syedpur to 36% in Dhaka's zone 8. CONCLUSION: In Bangladesh, where resources are limited, results from surveys using lot quality assurance sampling enabled managers of the National Expanded Programme on Immunization to identify areas with poor vaccination coverage. Those areas were targeted to receive focused interventions to improve coverage. Since this sampling method requires only a small sample size and was easy for staff to use, it is feasible for routine monitoring of vaccination coverage. PMID:11436470

The impact of transcranial direct current stimulation (tDCS) combined with modified constraint-induced movement therapy (mCIMT) on upper limb function in chronic stroke: a double-blind randomized controlled trial.

PubMed

Rocha, Sérgio; Silva, Evelyn; Foerster, Águida; Wiesiolek, Carine; Chagas, Anna Paula; Machado, Giselle; Baltar, Adriana; Monte-Silva, Katia

2016-01-01

This pilot double-blind sham-controlled randomized trial aimed to determine if the addition of anodal tDCS on the affected hemisphere or cathodal tDCS on unaffected hemisphere to modified constraint-induced movement therapy (mCIMT) would be superior to constraints therapy alone in improving upper limb function in chronic stroke patients. Twenty-one patients with chronic stroke were randomly assigned to receive 12 sessions of either (i) anodal, (ii) cathodal or (iii) sham tDCS combined with mCIMT. Fugl-Meyer assessment (FMA), motor activity log scale (MAL), and handgrip strength were analyzed before, immediately, and 1 month (follow-up) after the treatment. Minimal clinically important difference (mCID) was defined as an increase of ≥5.25 in the upper limb FMA. An increase in the FMA scores between the baseline and post-intervention and follow-up for active tDCS group was observed, whereas no difference was observed in the sham group. At post-intervention and follow-up, when compared with the sham group, only the anodal tDCS group achieved an improvement in the FMA scores. ANOVA showed that all groups demonstrated similar improvement over time for MAL and handgrip strength. In the active tDCS groups, 7/7 (anodal tDCS) 5/7 (cathodal tDCS) of patients experienced mCID against 3/7 in the sham group. The results support the merit of association of mCIMT with brain stimulation to augment clinical gains in rehabilitation after stroke. However, the anodal tDCS seems to have greater impact than the cathodal tDCS in increasing the mCIMT effects on motor function of chronic stroke patients. The association of mCIMT with brain stimulation improves clinical gains in rehabilitation after stroke. The improvement in motor recovery (assessed by Fugl-Meyer scale) was only observed after anodal tDCS. The modulation of damaged hemisphere demonstrated greater improvements than the modulation of unaffected hemispheres.

Association mapping identifies loci for canopy coverage in diverse soybean genotypes

USDA-ARS?s Scientific Manuscript database

Rapid establishment of canopy coverage decreases soil evaporation relative to transpiration (T), improves water use efficiency (WUE) and light interception, and increases soybean competitiveness against weeds. The objective of this study was to identify genomic loci associated with canopy coverage (...

38 CFR 71.45 - Revocation.

Code of Federal Regulations, 2011 CFR

2011-07-01

... the Family Caregiver in transitioning to alternative health care coverage and with mental health... individual with transitioning to alternative health care coverage and with mental health services, unless one... health care coverage and with mental health services. If revocation is due to improvement in the eligible...

38 CFR 71.45 - Revocation.

Code of Federal Regulations, 2012 CFR

2012-07-01

... the Family Caregiver in transitioning to alternative health care coverage and with mental health... individual with transitioning to alternative health care coverage and with mental health services, unless one... health care coverage and with mental health services. If revocation is due to improvement in the eligible...

The Changing Dynamics Of US Health Insurance And Implications For The Future Of The Affordable Care Act.

PubMed

Graves, John A; Nikpay, Sayeh S

2017-02-01

The introduction of Medicaid expansions and state Marketplaces under the Affordable Care Act (ACA) have reduced the uninsurance rate to historic lows, changing the choices Americans make about coverage. In this article we shed light on these changing dynamics. We drew upon multistate transition models fit to nationally representative longitudinal data to estimate coverage transition probabilities between major insurance types in the years leading up to and including 2014. We found that the ACA's unprecedented coverage changes increased transitions to Medicaid and nongroup coverage among the uninsured, while strengthening the existing employer-sponsored insurance system and improving retention of public coverage. However, our results suggest possible weakness of state Marketplaces, since people gaining nongroup coverage were disproportionately older than other potential enrollees. We identified key opportunities for policy makers and insurers to improve underlying Marketplace risk pools by focusing on people transitioning from employer-sponsored coverage; these people are disproportionately younger and saw almost no change in their likelihood of becoming uninsured in 2014 compared to earlier years. Project HOPE—The People-to-People Health Foundation, Inc.

A Antarctic Magnetometer Chain Along the Cusp Latitude: Preliminary Results

NASA Astrophysics Data System (ADS)

Liu, Y.

2016-12-01

A magnetometer chain from Zhongshan Station to Dome-A in Antarctica has been established since February 2009, consisting in five fluxgate magnetometers, with one regular magnetometer at Zhongshan Station and four low power magnetometers along the cusp latitude in the southern hemisphere, over a distance of 1260 Km. It is one part of the magnetometer network in Antarctic continent, filling the void area for magnetic observation over east-southern Antarctica, greatly enlarging the coverage of the Zhongshan Station. It is also magnetically conjugated with Svalbard region in the Arctic, with a leg extending to DNB in east coast Greenland. Conjunction observation among these magnetometers could provide excellent tracing of series of the typical space physical phenomena such as FTE, TCV, MIE, ULF waves, etc.

Design Development of a Combined Deployment and Pointing System for the International Space Station Neutron Star Interior Composition Explorer Telescope

NASA Technical Reports Server (NTRS)

Budinoff, Jason; Gendreau, Keith; Arzoumanian, Zaven; Baker, Charles; Berning, Robert; Colangelo, Todd; Holzinger, John; Lewis, Jesse; Liu, Alice; Mitchell, Alissa;

Design Development of a Combined Deployment and Pointing System for the International Space Station Neutron Star Interior Composition Explorer Telescope

NASA Technical Reports Server (NTRS)

Budinoff, Jason; Gendreau, Keith; Arzoumanian, Zaven; Baker, Charles; Berning, Robert; Colangelo, TOdd; Holzinger, John; Lewis, Jesse; Liu, Alice; Mitchell, Alissa;

Quantitative colorectal cancer perfusion measurement by multidetector-row CT: does greater tumour coverage improve measurement reproducibility?

PubMed

Goh, V; Halligan, S; Gartner, L; Bassett, P; Bartram, C I

2006-07-01

The purpose of this study was to determine if greater z-axis tumour coverage improves the reproducibility of quantitative colorectal cancer perfusion measurements using CT. A 65 s perfusion study was acquired following intravenous contrast administration in 10 patients with proven colorectal cancer using a four-detector row scanner. This was repeated within 48 h using identical technical parameters to allow reproducibility assessment. Quantitative tumour blood volume, blood flow, mean transit time and permeability measurements were determined using commercially available software (Perfusion 3.0; GE Healthcare, Waukesha, WI) for data obtained from a 5 mm z-axis tumour coverage, and from a 20 mm z-axis tumour coverage. Measurement reproducibility was assessed using Bland-Altman statistics, for a 5 mm z-axis tumour coverage, and 20 mm z-axis tumour coverage, respectively. The mean difference (95% limits of agreement) for blood volume, blood flow, mean transit time and permeability were 0.04 (-2.50 to +2.43) ml/100 g tissue; +8.80 (-50.5 to +68.0) ml/100 g tissue/min; -0.99 (-8.19 to +6.20) seconds; and +1.20 (-5.42 to +7.83) ml/100 g tissue/min, respectively, for a 5 mm coverage, and -0.04 (-2.61 to +2.53) ml/100 g tissue; +7.40 (-50.3 to +65.0) ml/100 g tissue/min; -2.46 (-12.61 to +7.69) seconds; and -0.23 (-8.31 to +7.85) ml/100 g tissue/min, respectively, for a 20 mm coverage, indicating similar levels of agreement. In conclusion, increasing z-axis coverage does not improve reproducibility of quantitative colorectal cancer perfusion measurements.

Policy Changes and Improvements in Health Insurance Coverage Among MSM: 20 U.S. Cities, 2008-2014.

PubMed

Cooley, Laura A; Hoots, Brooke; Wejnert, Cyprian; Lewis, Rashunda; Paz-Bailey, Gabriela

2017-03-01

Recent policy changes have improved the ability of gay, bisexual, and other men who have sex with men (MSM) to secure health insurance. We wanted to assess changes over time in self-reported health insurance status among MSM participating in CDC's National HIV Behavioral Surveillance (NHBS) in 2008, 2011, and 2014. We analyzed NHBS data from sexually active MSM interviewed at venues in 20 U.S. cities. To determine if interview year was associated with health insurance status, we used a Poisson model with robust standard errors. Among included MSM, the overall percentage of MSM with health insurance rose 16 % from 2008 (68 %) to 2014 (79 %) (p value for trend < 0.001). The change in coverage over time was greatest in key demographic segments with lower health insurance coverage all three interview years, by age, education, and income. Corresponding with recent policy changes, health insurance improved among MSM participating in NHBS, with greater improvements in historically underinsured demographic segments. Despite these increases, improved coverage is still needed. Improved access to health insurance could lead to a reduction in health disparities among MSM over time.

New Shortwave Array Spectroradiometer-Hemispheric (SAS-He): Hyperspectral Design and Initial Applications

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

Kassianov, Evgueni I.; Flynn, Connor J M.; Barnard, James C.

2016-10-31

Aerosol optical depth (AOD) derived from hyperspectral measurements can serve as an invaluable input for simultaneous retrievals of particle size distributions and major trace gases. The required hyperspectral measurements are provided by a new ground-based radiometer, the so-called Shortwave Array Spectroradiometer-Hemispheric (SAS-He), recently developed with support from the Department of Energy (DOE) Office Atmospheric Radiation Measurement (ARM) Program. The SAS-He has wide spectral coverage (350-1700nm) and high spectral resolution: about 2.4 nm and 6 nm within 350-1000 nm and 970-1700 nm spectral ranges, respectively. To illustrate an initial performance of the SAS-He, we take advantage of integrated dataset collected duringmore » the ARM-supported Two-Column Aerosol Project (TCAP) over the US coastal region (Cape Cod, Massachusetts). This dataset includes AODs derived using data from Aerosol Robotic Network (AERONET) sunphotometer and Multi-Filter Rotating Shadowband Radiometer (MFRSR). We demonstrate that, on average, the SAS-He AODs closely match the MFRSR and AERONET AODs in the ultraviolet and visible spectral ranges for this area with highly variable AOD. Also, we discuss corrections of SAS-He total optical depth for gas absorption in the near-infrared spectral range and their operational implementation.« less

Global circulation as the main source of cloud activity on Titan

USGS Publications Warehouse

Rodriguez, S.; Le, Mouelic S.; Rannou, P.; Tobie, G.; Baines, K.H.; Barnes, J.W.; Griffith, C.A.; Hirtzig, M.; Pitman, K.M.; Sotin, Christophe; Brown, R.H.; Buratti, B.J.; Clark, R.N.; Nicholson, P.D.

2009-01-01

Clouds on Titan result from the condensation of methane and ethane and, as on other planets, are primarily structured by circulation of the atmosphere. At present, cloud activity mainly occurs in the southern (summer) hemisphere, arising near the pole and at mid-latitudes from cumulus updrafts triggered by surface heating and/or local methane sources, and at the north (winter) pole, resulting from the subsidence and condensation of ethane-rich air into the colder troposphere. General circulation models predict that this distribution should change with the seasons on a 15-year timescale, and that clouds should develop under certain circumstances at temperate latitudes (40??) in the winter hemisphere. The models, however, have hitherto been poorly constrained and their long-term predictions have not yet been observationally verified. Here we report that the global spatial cloud coverage on Titan is in general agreement with the models, confirming that cloud activity is mainly controlled by the global circulation. The non-detection of clouds at latitude 40??N and the persistence of the southern clouds while the southern summer is ending are, however, both contrary to predictions. This suggests that Titans equator-to-pole thermal contrast is overestimated in the models and that its atmosphere responds to the seasonal forcing with a greater inertia than expected. ?? 2009 Macmillan Publishers Limited. All rights reserved.

First report of Amynthas carnosus (Goto & Hatai, 1899) (Oligochaeta: Megascolecidae) in the Western Hemisphere.

PubMed

Carrera-Martínez, Roberto; Snyder, Bruce A

2016-05-16

The earthworm fauna of North America is still greatly unknown, with undescribed native species and new records of invasive species continually being discovered. The most recent checklists are difficult to reconcile, since they vary in their geographic coverage and taxonomy. Reynolds & Wetzel (2012) state that North America (including all of Mexico, some of the Caribbean, and Hawaii) is home for 256 species of earthworms, from which 188 are considered native or endemic and 68 are peregrine, exotic, and invasive species. Blakemore (2008) listed North America north of Mexico as having 183 earthworm species, of which 59 species are exotic. One Megascolecidae genus, Amynthas, is mostly located in the warmer subtropical and tropical regions of the world, with a few species that are able to survive the winter in the temperate zones of North America (Edwards & Bohlen 1995; Görres et al. 2014). Here we report for the first time the occurrence of Amynthas carnosus (Goto & Hatai, 1899) in the United States. To our knowledge, this is not only the first report of A. carnosus in North America, but also its first report in the Western Hemisphere. The description below is intended to place our specimens in the correct taxon while avoiding future confusion with similar species, without making changes to the existing classification system.

Coverage of Nutrition Interventions Intended for Infants and Young Children Varies Greatly across Programs: Results from Coverage Surveys in 5 Countries.

PubMed

Leyvraz, Magali; Aaron, Grant J; Poonawala, Alia; van Liere, Marti J; Schofield, Dominic; Myatt, Mark; Neufeld, Lynnette M

2017-05-01

Background: The efficacy of a number of interventions that include fortified complementary foods (FCFs) or other products to improve infant and young child feeding (IYCF) is well established. Programs that provide such products free or at a subsidized price are implemented in many countries around the world. Demonstrating the impact at scale of these programs has been challenging, and rigorous information on coverage and utilization is lacking. Objective: The objective of this article is to review key findings from 11 coverage surveys of IYCF programs distributing or selling FCFs or micronutrient powders in 5 countries. Methods: Programs were implemented in Ghana, Cote d'Ivoire, India, Bangladesh, and Vietnam. Surveys were implemented at different stages of program implementation between 2013 and 2015. The Fortification Assessment Coverage Toolkit (FACT) was developed to assess 3 levels of coverage (message: awareness of the product; contact: use of the product ≥1 time; and effective: regular use aligned with program-specific goals), as well as barriers and factors that facilitate coverage. Analyses included the coverage estimates, as well as an assessment of equity of coverage between the poor and nonpoor, and between those with poor and adequate child feeding practices. Results: Coverage varied greatly between countries and program models. Message coverage ranged from 29.0% to 99.7%, contact coverage from 22.6% to 94.4%, and effective coverage from 0.8% to 88.3%. Beyond creating awareness, programs that achieved high coverage were those with effective mechanisms in place to overcome barriers for both supply and demand. Conclusions: Variability in coverage was likely due to the program design, delivery model, quality of implementation, and product type. Measuring program coverage and understanding its determinants is essential for program improvement and to estimate the potential for impact of programs at scale. Use of the FACT can help overcome this evidence gap.

Coverage of Nutrition Interventions Intended for Infants and Young Children Varies Greatly across Programs: Results from Coverage Surveys in 5 Countries123

PubMed Central

Aaron, Grant J; Poonawala, Alia; van Liere, Marti J; Schofield, Dominic; Myatt, Mark

2017-01-01

Background: The efficacy of a number of interventions that include fortified complementary foods (FCFs) or other products to improve infant and young child feeding (IYCF) is well established. Programs that provide such products free or at a subsidized price are implemented in many countries around the world. Demonstrating the impact at scale of these programs has been challenging, and rigorous information on coverage and utilization is lacking. Objective: The objective of this article is to review key findings from 11 coverage surveys of IYCF programs distributing or selling FCFs or micronutrient powders in 5 countries. Methods: Programs were implemented in Ghana, Cote d’Ivoire, India, Bangladesh, and Vietnam. Surveys were implemented at different stages of program implementation between 2013 and 2015. The Fortification Assessment Coverage Toolkit (FACT) was developed to assess 3 levels of coverage (message: awareness of the product; contact: use of the product ≥1 time; and effective: regular use aligned with program-specific goals), as well as barriers and factors that facilitate coverage. Analyses included the coverage estimates, as well as an assessment of equity of coverage between the poor and nonpoor, and between those with poor and adequate child feeding practices. Results: Coverage varied greatly between countries and program models. Message coverage ranged from 29.0% to 99.7%, contact coverage from 22.6% to 94.4%, and effective coverage from 0.8% to 88.3%. Beyond creating awareness, programs that achieved high coverage were those with effective mechanisms in place to overcome barriers for both supply and demand. Conclusions: Variability in coverage was likely due to the program design, delivery model, quality of implementation, and product type. Measuring program coverage and understanding its determinants is essential for program improvement and to estimate the potential for impact of programs at scale. Use of the FACT can help overcome this evidence gap. PMID:28404839

Integrating expert- and algorithm-derived data to generate a hemispheric ice edge

NASA Astrophysics Data System (ADS)

Tsatsoulis, C.; Komp, E.

The Arctic ice edge is the area of the Arctic where sea ice concentration is less than 15%, and is considered navigable by most vessels. Experts at the National Ice Center generate a daily ice edge product that is available to the public. Data of preference is that of active, high resolution satellite sensors such as RADARSAT which yields all-weather images of 100m resolution, and a second source is OLS data with 550m resolution. Unfortunately, RADARSAT does not provide full, daily coverage of the Arctic and OLS can be obscured by clouds. The SSM/I sensor provides complete coverage of the Arctic at 25km resolution and is independent of cloud cover and solar illumination during the Arctic winter. SSM/I data is analyzed by the NASA Team algorithm to establish ice concentration. Our work integrates the ice edge created by experts using high resolution data with the ice edge generated out of the coarser SSM/I microwave data. The result is a product that combines human and algorithmic outputs, deals with gross differences in resolution of the underlying data sets, and results in a useful, operational product.

Accelerating progress towards universal health coverage in Asia and Pacific: improving the future for women and children

PubMed Central

Beattie, Allison; Yates, Robert; Noble, Douglas J

2016-01-01

Universal health coverage generates significant health and economic benefits and enables governments to reduce inequity. Where universal health coverage has been implemented well, it can contribute to nation-building. This analysis reviews evidence from Asia and Pacific drawing out determinants of successful systems and barriers to progress with a focus on women and children. Access to healthcare is important for women and children and contributes to early childhood development. Universal health coverage is a political process from the start, and public financing is critical and directly related to more equitable health systems. Closing primary healthcare gaps should be the foundation of universal health coverage reforms. Recommendations for policy for national governments to improve universal health coverage are identified, including countries spending < 3% of gross domestic product in public expenditure on health committing to increasing funding by at least 0.3%/year to reach a minimum expenditure threshold of 3%. PMID:28588989

Time-Distance Helioseismology with the HMI Instrument

NASA Technical Reports Server (NTRS)

Duvall, Thomas L., Jr.

2010-01-01

We expect considerable improvement of time-distance results from the Helioseismic and Magnetic Imager (HMI) instrument as opposed to the earlier MDI and GONG data. The higher data rate makes possible several improvements, including faster temporal sampling (45 sec), smaller spatial pixels (0.5 arc sec), better wavelength coverage (6 samples across the line all transmitted to the ground), and year-round coverage of the full disk. The higher spatial resolution makes possible better longitude coverage of active regions and supergranulation and also better latitude coverage. Doppler, continuum, and line depth images have a strong granulation signal. Line core images show little granulation. Analyses to test the limits of these new capabilities will be presented.

Satellite Remote Sensing of Atmospheric Pollution: the Far-Reaching Impact of Burning in Southern Africa

NASA Technical Reports Server (NTRS)

Fishman, Jack; Al-Saadi, Jassim A.; Neil, Doreen O.; Creilson, John K.; Severance, Kurt; Thomason, Larry W.; Edwards, David R.

2008-01-01

When the first observations of a tropospheric trace gas were obtained in the 1980s, carbon monoxide enhancements from tropical biomass burning dominated the observed features. In 2005, an active remote-sensing system to provide detailed information on the vertical distribution of aerosols and clouds was launched, and again, one of the most imposing features observed was the presence of emissions from tropical biomass burning. This paper presents a brief overview of space-borne observations of the distribution of trace gases and aerosols and how tropical biomass burning, primarily in the Southern Hemisphere, has provided an initially surprising picture of the distribution of these species and how they have evolved from prevailing transport patterns in that hemisphere. We also show how interpretation of these observations has improved significantly as a result of the improved capability of trajectory modeling in recent years and how information from this capability has provided additional insight into previous measurements form satellites. Key words: pollution; biomass burning; aerosols; tropical trace gas emissions; Southern Hemisphere; carbon monoxide.

Universal health coverage in Latin American countries: how to improve solidarity-based schemes.

PubMed

Titelman, Daniel; Cetrángolo, Oscar; Acosta, Olga Lucía

2015-04-04

In this Health Policy we examine the association between the financing structure of health systems and universal health coverage. Latin American health systems encompass a wide range of financial sources, which translate into different solidarity-based schemes that combine contributory (payroll taxes) and non-contributory (general taxes) sources of financing. To move towards universal health coverage, solidarity-based schemes must heavily rely on countries' capacity to increase public expenditure in health. Improvement of solidarity-based schemes will need the expansion of mandatory universal insurance systems and strengthening of the public sector including increased fiscal expenditure. These actions demand a new model to integrate different sources of health-sector financing, including general tax revenue, social security contributions, and private expenditure. The extent of integration achieved among these sources will be the main determinant of solidarity and universal health coverage. The basic challenges for improvement of universal health coverage are not only to spend more on health, but also to reduce the proportion of out-of-pocket spending, which will need increased fiscal resources. Copyright © 2015 Elsevier Ltd. All rights reserved.

External carotid compression: a novel technique to improve cerebral perfusion during selective antegrade cerebral perfusion for aortic arch surgery.

PubMed

Grocott, Hilary P; Ambrose, Emma; Moon, Mike

2016-10-01

Selective antegrade cerebral perfusion (SACP) involving cannulation of either the axillary or innominate artery is a commonly used technique for maintaining cerebral blood flow (CBF) during the use of hypothermic cardiac arrest (HCA) for operations on the aortic arch. Nevertheless, asymmetrical CBF with hypoperfusion of the left cerebral hemisphere is a common occurrence during SACP. The purpose of this report is to describe an adjunctive maneuver to improve left hemispheric CBF during SACP by applying extrinsic compression to the left carotid artery. A 77-yr-old male patient with a history of aortic valve replacement presented for emergent surgical repair of an acute type A aortic dissection of a previously known ascending aortic aneurysm. His intraoperative course included cannulation of the right axillary artery, which was used as the aortic inflow during cardiopulmonary bypass and also allowed for subsequent SACP during HCA. After the onset of HCA, the innominate artery was clamped at its origin to allow for SACP. Shortly thereafter, however, the left-sided cerebral oxygen saturation (SrO2) began to decrease. Augmenting the PaO2, PaCO2 and both SACP pressure and flow failed to increase left hemispheric SrO2. Following the use of ultrasound guidance to confirm the absence of atherosclerotic disease in the carotid artery, external pressure was applied partially compressing the artery. With the carotid compression, the left cerebral saturation abruptly increased, suggesting pressurization of the left cerebral hemispheric circulation and augmentation of CBF. Direct ultrasound visualization and cautious partial compression of the left carotid artery may address asymmetrical CBF that occurs with SACP during HCA for aortic arch surgery. This strategy may lead to improved symmetry of CBF and corresponding cerebral oximetry measurements during aortic arch surgery.

GABA-mediated changes in inter-hemispheric beta frequency activity in early-stage Parkinson’s disease

PubMed Central

Hall, S.D.; Prokic, E.J.; McAllister, C.J.; Ronnqvist, K.C.; Williams, A.C.; Yamawaki, N.; Witton, C.; Woodhall, G.L.; Stanford, I.M.

2014-01-01

In Parkinson’s disease (PD), elevated beta (15–35 Hz) power in subcortical motor networks is widely believed to promote aspects of PD symptomatology, moreover, a reduction in beta power and coherence accompanies symptomatic improvement following effective treatment with l-DOPA. Previous studies have reported symptomatic improvements that correlate with changes in cortical network activity following GABAA receptor modulation. In this study we have used whole-head magnetoencephalography to characterize neuronal network activity, at rest and during visually cued finger abductions, in unilaterally symptomatic PD and age-matched control participants. Recordings were then repeated following administration of sub-sedative doses of the hypnotic drug zolpidem (0.05 mg/kg), which binds to the benzodiazepine site of the GABAA receptor. A beamforming based ‘virtual electrode’ approach was used to reconstruct oscillatory power in the primary motor cortex (M1), contralateral and ipsilateral to symptom presentation in PD patients or dominant hand in control participants. In PD patients, contralateral M1 showed significantly greater beta power than ipsilateral M1. Following zolpidem administration contralateral beta power was significantly reduced while ipsilateral beta power was significantly increased resulting in a hemispheric power ratio that approached parity. Furthermore, there was highly significant correlation between hemispheric beta power ratio and Unified Parkinson’s Disease Rating Scale (UPDRS). The changes in contralateral and ipsilateral beta power were reflected in pre-movement beta desynchronization and the late post-movement beta rebound. However, the absolute level of movement-related beta desynchronization was not altered. These results show that low-dose zolpidem not only reduces contralateral beta but also increases ipsilateral beta, while rebalancing the dynamic range of M1 network oscillations between the two hemispheres. These changes appear to underlie the symptomatic improvements afforded by low-dose zolpidem. PMID:25261686

Quality Improvement to Immunization Coverage in Primary Care Measured in Medical Record and Population-Based Registry Data.

PubMed

Harder, Valerie S; Barry, Sara E; Ahrens, Bridget; Davis, Wendy S; Shaw, Judith S

Despite the proven benefits of immunizations, coverage remains low in many states, including Vermont. This study measured the impact of a quality improvement (QI) project on immunization coverage in childhood, school-age, and adolescent groups. In 2013, a total of 20 primary care practices completed a 7-month QI project aimed to increase immunization coverage among early childhood (29-33 months), school-age (6 years), and adolescent (13 years) age groups. For this study, we examined random cross-sectional medical record reviews from 12 of the 20 practices within each age group in 2012, 2013, and 2014 to measure improvement in immunization coverage over time using chi-squared tests. We repeated these analyses on population-level data from Vermont's immunization registry for the 12 practices in each age group each year. We used difference-in-differences regressions in the immunization registry data to compare improvements over time between the 12 practices and those not participating in QI. Immunization coverage increased over 3 years for all ages and all immunization series (P ≤ .009) except one, as measured by medical record review. Registry results aligned partially with medical record review with increases in early childhood and adolescent series over time (P ≤ .012). Notably, the adolescent immunization series completion, including human papillomavirus, increased more than in the comparison practices (P = .037). Medical record review indicated that QI efforts led to increases in immunization coverage in pediatric primary care. Results were partially validated in the immunization registry particularly among early childhood and adolescent groups, with a population-level impact of the intervention among adolescents. Copyright © 2018 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Item hierarchy-based analysis of the Rivermead Mobility Index resulted in improved interpretation and enabled faster scoring in patients undergoing rehabilitation after stroke.

PubMed

Roorda, Leo D; Green, John R; Houwink, Annemieke; Bagley, Pam J; Smith, Jane; Molenaar, Ivo W; Geurts, Alexander C

2012-06-01

To enable improved interpretation of the total score and faster scoring of the Rivermead Mobility Index (RMI) by studying item ordering or hierarchy and formulating start-and-stop rules in patients after stroke. Cohort study. Rehabilitation center in the Netherlands; stroke rehabilitation units and the community in the United Kingdom. Item hierarchy of the RMI was studied in an initial group of patients (n=620; mean age ± SD, 69.2±12.5y; 297 [48%] men; 304 [49%] left hemisphere lesion, and 269 [43%] right hemisphere lesion), and the adequacy of the item hierarchy-based start-and-stop rules was checked in a second group of patients (n=237; mean age ± SD, 60.0±11.3y; 139 [59%] men; 103 [44%] left hemisphere lesion, and 93 [39%] right hemisphere lesion) undergoing rehabilitation after stroke. Not applicable. Mokken scale analysis was used to investigate the fit of the double monotonicity model, indicating hierarchical item ordering. The percentages of patients with a difference between the RMI total score and the scores based on the start-and-stop rules were calculated to check the adequacy of these rules. The RMI had good fit of the double monotonicity model (coefficient H(T)=.87). The interpretation of the total score improved. Item hierarchy-based start-and-stop rules were formulated. The percentages of patients with a difference between the RMI total score and the score based on the recommended start-and-stop rules were 3% and 5%, respectively. Ten of the original 15 items had to be scored after applying the start-and-stop rules. Item hierarchy was established, enabling improved interpretation and faster scoring of the RMI. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

76 FR 37049 - Improving Wireless Coverage Through the Use of Signal Boosters

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-24

... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Parts 1, 2, 22, 24, 27, 90 and 95 [WT Docket No. 10-4; DA 11-1078] Improving Wireless Coverage Through the Use of Signal Boosters AGENCY: Federal Communications Commission. ACTION: Proposed rule; extension of comment period. SUMMARY: The Federal...

Assessing levels and trends of child health inequality in 88 developing countries: from 2000 to 2014

PubMed Central

Li, Zhihui; Li, Mingqiang; Subramanian, S. V.; Lu, Chunling

2017-01-01

ABSTRACT Background: Reducing child mortality was one of the Millennium Development Goals. In the current Sustainable Development Goals era, achieving equity is prioritized as a major aim. Objective: This study aims to provide a comprehensive and updated picture of inequalities in child health intervention coverage and child health outcomes by wealth status, as well as their trends between 2000 and 2014. Methods: Using data from Demographic Health Surveys and Multiple Indicator Cluster Surveys, we adopted three measures of inequality, including one absolute inequality indicator and two relative inequality indicators, to estimate the level and trends of inequalities in three child health outcome variables and 17 intervention coverages in 88 developing countries. Results: While improvements in child health outcomes and coverage of interventions have been observed between 2000 and 2014, large inequalities remain. There was a high level of variation between countries’ progress toward reducing child health inequalities, with some countries significantly improving, some deteriorating, and some remaining statistically unchanged. Among child health interventions, the least equitable one was access to improved sanitation (The absolute difference in coverages between the richest quintile and the poorest quintile reached 49.5% [42.7, 56.2]), followed by access to improved water (34.1% [29.5, 38.6]), and skilled birth attendant (SBA) (34.1% [28.8, 39.4]). The most equitable intervention coverage was insecticide-treated bed net for children (1.0% [−3.9, 5.9]), followed by oral rehydration therapy for diarrhea ((8.0% [5.2, 10.8]), and vitamin A supplement (8.4% [5.1, 11.7]). These findings were robust to various inequality measurements. Conclusions: Although child health outcomes and coverage of interventions have improved largely over the study period for almost all wealth quintiles, insufficient progress was made in reducing child health inequalities between the poorest and richest wealth quintiles. Future efforts should focus on reaching the poorest children by increasing investments toward expanding the coverage of interventions in resource-limited settings. PMID:29228888

Universal health coverage in Turkey: enhancement of equity.

PubMed

Atun, Rifat; Aydın, Sabahattin; Chakraborty, Sarbani; Sümer, Safir; Aran, Meltem; Gürol, Ipek; Nazlıoğlu, Serpil; Ozgülcü, Senay; Aydoğan, Ulger; Ayar, Banu; Dilmen, Uğur; Akdağ, Recep

2013-07-06

Turkey has successfully introduced health system changes and provided its citizens with the right to health to achieve universal health coverage, which helped to address inequities in financing, health service access, and health outcomes. We trace the trajectory of health system reforms in Turkey, with a particular emphasis on 2003-13, which coincides with the Health Transformation Program (HTP). The HTP rapidly expanded health insurance coverage and access to health-care services for all citizens, especially the poorest population groups, to achieve universal health coverage. We analyse the contextual drivers that shaped the transformations in the health system, explore the design and implementation of the HTP, identify the factors that enabled its success, and investigate its effects. Our findings suggest that the HTP was instrumental in achieving universal health coverage to enhance equity substantially, and led to quantifiable and beneficial effects on all health system goals, with an improved level and distribution of health, greater fairness in financing with better financial protection, and notably increased user satisfaction. After the HTP, five health insurance schemes were consolidated to create a unified General Health Insurance scheme with harmonised and expanded benefits. Insurance coverage for the poorest population groups in Turkey increased from 2·4 million people in 2003, to 10·2 million in 2011. Health service access increased across the country-in particular, access and use of key maternal and child health services improved to help to greatly reduce the maternal mortality ratio, and under-5, infant, and neonatal mortality, especially in socioeconomically disadvantaged groups. Several factors helped to achieve universal health coverage and improve outcomes. These factors include economic growth, political stability, a comprehensive transformation strategy led by a transformation team, rapid policy translation, flexible implementation with continuous learning, and simultaneous improvements in the health system, on both the demand side (increased health insurance coverage, expanded benefits, and reduced cost-sharing) and the supply side (expansion of infrastructure, health human resources, and health services). Copyright © 2013 Elsevier Ltd. All rights reserved.

Can coverage of schistosomiasis and soil transmitted helminthiasis control programmes targeting school-aged children be improved? New approaches.

PubMed

Massa, K; Olsen, A; Sheshe, A; Ntakamulenga, R; Ndawi, B; Magnussen, P

2009-11-01

Control programmes generally use a school-based strategy of mass drug administration to reduce morbidity of schistosomiasis and soil-transmitted helminthiasis (STH) in school-aged populations. The success of school-based programmes depends on treatment coverage. The community-directed treatment (ComDT) approach has been implemented in the control of onchocerciasis and lymphatic filariasis in Africa and improves treatment coverage. This study compared the treatment coverage between the ComDT approach and the school-based treatment approach, where non-enrolled school-aged children were invited for treatment, in the control of schistosomiasis and STH among enrolled and non-enrolled school-aged children. Coverage during the first treatment round among enrolled children was similar for the two approaches (ComDT: 80.3% versus school: 82.1%, P=0.072). However, for the non-enrolled children the ComDT approach achieved a significantly higher coverage than the school-based approach (80.0 versus 59.2%, P<0.001). Similar treatment coverage levels were attained at the second treatment round. Again, equal levels of treatment coverage were found between the two approaches for the enrolled school-aged children, while the ComDT approach achieved a significantly higher coverage in the non-enrolled children. The results of this study showed that the ComDT approach can obtain significantly higher treatment coverage among the non-enrolled school-aged children compared to the school-based treatment approach for the control of schistosomiasis and STH.

Improving coverage measurement for reproductive, maternal, neonatal and child health: gaps and opportunities.

PubMed

Munos, Melinda K; Stanton, Cynthia K; Bryce, Jennifer

2017-06-01

Regular monitoring of coverage for reproductive, maternal, neonatal, and child health (RMNCH) is central to assessing progress toward health goals. The objectives of this review were to describe the current state of coverage measurement for RMNCH, assess the extent to which current approaches to coverage measurement cover the spectrum of RMNCH interventions, and prioritize interventions for a novel approach to coverage measurement linking household surveys with provider assessments. We included 58 interventions along the RMNCH continuum of care for which there is evidence of effectiveness against cause-specific mortality and stillbirth. We reviewed household surveys and provider assessments used in low- and middle-income countries (LMICs) to determine whether these tools generate measures of intervention coverage, readiness, or quality. For facility-based interventions, we assessed the feasibility of linking provider assessments to household surveys to provide estimates of intervention coverage. Fewer than half (24 of 58) of included RMNCH interventions are measured in standard household surveys. The periconceptional, antenatal, and intrapartum periods were poorly represented. All but one of the interventions not measured in household surveys are facility-based, and 13 of these would be highly feasible to measure by linking provider assessments to household surveys. We found important gaps in coverage measurement for proven RMNCH interventions, particularly around the time of birth. Based on our findings, we propose three sets of actions to improve coverage measurement for RMNCH, focused on validation of coverage measures and development of new measurement approaches feasible for use at scale in LMICs.

Hemispheric lateralization of verbal and spatial working memory during adolescence

PubMed Central

Nagel, Bonnie J.; Herting, Megan M.; Maxwell, Emily C.; Bruno, Richard; Fair, Damien

2013-01-01

Adult functional magnetic resonance imaging (fMRI) literature suggests that a left-right hemispheric dissociation may exist between verbal and spatial working memory (WM), respectively. However, investigation of this type has been obscured by incomparable verbal and spatial WM tasks and/or visual inspection at arbitrary thresholds as means to assess lateralization. Furthermore, it is unclear whether this hemispheric lateralization is present during adolescence, a time in which WM skills are improving, and whether there is a developmental association with laterality of brain functioning. This study used comparable verbal and spatial WM n-back tasks during fMRI and a bootstrap analysis approach to calculate lateralization indices (LI) across several thresholds to examine the potential of a left-right WM hemispheric dissociation in healthy adolescents. We found significant left hemispheric lateralization for verbal WM, most notably in the frontal and parietal lobes, as well as right hemisphere lateralization for spatial WM, seen in frontal and temporal cortices. Although no significant relationships were observed between LI and age or LI and performance, significant age-related patterns of brain activity were demonstrated during both verbal and spatial WM. Specifically, increased adolescent age was associated with less activity in the default mode brain network during verbal WM. In contrast, increased adolescent age was associated with greater activity in task-positive posterior parietal cortex during spatial working memory. Our findings highlight the importance of utilizing non-biased statistical methods and comparable tasks for determining patterns of functional lateralization. Our findings also suggest that, while a left-right hemispheric dissociation of verbal and spatial WM is apparent by early adolescence, age-related changes in functional activation during WM are also present. PMID:23511846

Role of inter-hemispheric transfer in generating visual evoked potentials in V1-damaged brain hemispheres

PubMed Central

Kavcic, Voyko; Triplett, Regina L.; Das, Anasuya; Martin, Tim; Huxlin, Krystel R.

2015-01-01

Partial cortical blindness is a visual deficit caused by unilateral damage to the primary visual cortex, a condition previously considered beyond hopes of rehabilitation. However, recent data demonstrate that patients may recover both simple and global motion discrimination following intensive training in their blind field. The present experiments characterized motion-induced neural activity of cortically blind (CB) subjects prior to the onset of visual rehabilitation. This was done to provide information about visual processing capabilities available to mediate training-induced visual improvements. Visual Evoked Potentials (VEPs) were recorded from two experimental groups consisting of 9 CB subjects and 9 age-matched, visually-intact controls. VEPs were collected following lateralized stimulus presentation to each of the 4 visual field quadrants. VEP waveforms were examined for both stimulus-onset (SO) and motion-onset (MO) related components in postero-lateral electrodes. While stimulus presentation to intact regions of the visual field elicited normal SO-P1, SO-N1, SO-P2 and MO-N2 amplitudes and latencies in contralateral brain regions of CB subjects, these components were not observed contralateral to stimulus presentation in blind quadrants of the visual field. In damaged brain hemispheres, SO-VEPs were only recorded following stimulus presentation to intact visual field quadrants, via inter-hemispheric transfer. MO-VEPs were only recorded from damaged left brain hemispheres, possibly reflecting a native left/right asymmetry in inter-hemispheric connections. The present findings suggest that damaged brain hemispheres contain areas capable of responding to visual stimulation. However, in the absence of training or rehabilitation, these areas only generate detectable VEPs in response to stimulation of the intact hemifield of vision. PMID:25575450

Structural integrity of the contralesional hemisphere predicts cognitive impairment in ischemic stroke at three months.

PubMed

Dacosta-Aguayo, Rosalia; Graña, Manuel; Fernández-Andújar, Marina; López-Cancio, Elena; Cáceres, Cynthia; Bargalló, Núria; Barrios, Maite; Clemente, Immaculada; Monserrat, Pere Toran; Sas, Maite Alzamora; Dávalos, Antoni; Auer, Tibor; Mataró, Maria

2014-01-01

After stroke, white matter integrity can be affected both locally and distally to the primary lesion location. It has been shown that tract disruption in mirror's regions of the contralateral hemisphere is associated with degree of functional impairment. Fourteen patients suffering right hemispheric focal stroke (S) and eighteen healthy controls (HC) underwent Diffusion Weighted Imaging (DWI) and neuropsychological assessment. The stroke patient group was divided into poor (SP; n = 8) and good (SG; n = 6) cognitive recovery groups according to their cognitive improvement from the acute phase (72 hours after stroke) to the subacute phase (3 months post-stroke). Whole-brain DWI data analysis was performed by computing Diffusion Tensor Imaging (DTI) followed by Tract Based Spatial Statistics (TBSS). Assessment of effects was obtained computing the correlation of the projections on TBSS skeleton of Fractional Anisotropy (FA) and Radial Diffusivity (RD) with cognitive test results. Significant decrease of FA was found only in right brain anatomical areas for the S group when compared to the HC group. Analyzed separately, stroke patients with poor cognitive recovery showed additional significant FA decrease in several left hemisphere regions; whereas SG patients showed significant decrease only in the left genu of corpus callosum when compared to the HC. For the SG group, whole brain analysis revealed significant correlation between the performance in the Semantic Fluency test and the FA in the right hemisphere as well as between the performance in the Grooved Pegboard Test (GPT) and the Trail Making Test-part A and the FA in the left hemisphere. For the SP group, correlation analysis revealed significant correlation between the performance in the GPT and the FA in the right hemisphere.

Structural Integrity of the Contralesional Hemisphere Predicts Cognitive Impairment in Ischemic Stroke at Three Months

PubMed Central

Dacosta-Aguayo, Rosalia; Graña, Manuel; Fernández-Andújar, Marina; López-Cancio, Elena; Cáceres, Cynthia; Bargalló, Núria; Barrios, Maite; Clemente, Immaculada; Monserrat, Pere Toran; Sas, Maite Alzamora; Dávalos, Antoni

2014-01-01

After stroke, white matter integrity can be affected both locally and distally to the primary lesion location. It has been shown that tract disruption in mirror’s regions of the contralateral hemisphere is associated with degree of functional impairment. Fourteen patients suffering right hemispheric focal stroke (S) and eighteen healthy controls (HC) underwent Diffusion Weighted Imaging (DWI) and neuropsychological assessment. The stroke patient group was divided into poor (SP; n = 8) and good (SG; n = 6) cognitive recovery groups according to their cognitive improvement from the acute phase (72 hours after stroke) to the subacute phase (3 months post-stroke). Whole-brain DWI data analysis was performed by computing Diffusion Tensor Imaging (DTI) followed by Tract Based Spatial Statistics (TBSS). Assessment of effects was obtained computing the correlation of the projections on TBSS skeleton of Fractional Anisotropy (FA) and Radial Diffusivity (RD) with cognitive test results. Significant decrease of FA was found only in right brain anatomical areas for the S group when compared to the HC group. Analyzed separately, stroke patients with poor cognitive recovery showed additional significant FA decrease in several left hemisphere regions; whereas SG patients showed significant decrease only in the left genu of corpus callosum when compared to the HC. For the SG group, whole brain analysis revealed significant correlation between the performance in the Semantic Fluency test and the FA in the right hemisphere as well as between the performance in the Grooved Pegboard Test (GPT) and theTrail Making Test-part A and the FA in the left hemisphere. For the SP group, correlation analysis revealed significant correlation between the performance in the GPT and the FA in the right hemisphere. PMID:24475078

Suboptimal MMR2 vaccine coverage in six counties in Norway detected through the national immunisation registry, April 2014 to April 2017

PubMed Central

Hagerup-Jenssen, Maria; Kongsrud, Sigrun; Riise, Øystein Rolandsen

2017-01-01

In 2014, Norway became aware of potential low vaccination coverage for the second dose of measles-mumps-rubella vaccine (MMR2) in six of 19 counties. This was detected by comparing the national coverage (NC) for 16-year-olds extracted from the national immunisation registry SYSVAK with the annual status update for elimination of measles and rubella (ASU) reported to the World Health Organization (WHO). The existing method for calculating NC in 2014 did not show MMR2 coverage. ASU reporting on MMR2 was significantly lower then the NC and below the WHO-recommended 95% coverage. SYSVAK is based on the Norwegian personal identification numbers, which allows monitoring of vaccinations at aggregateded as well as individual level. It is an important tool for active surveillance of the performance of the Norwegian Childhood Immunisation Programme (NCIP). The method for calculating NC was improved in 2015 to reflect MMR2 coverage for 16-year-olds. As a result, Norway has improved its real-time surveillance and monitoring of the actual MMR2 coverage also through SYSVAK (the annual publication of NC). Vaccinators receive feedback for follow-up if 15-year-olds are missing MMR2. In 2017, only three counties had an MMR2 coverage below 90%. PMID:28489000

Increased immunization coverage addresses the equity gap in Nepal

PubMed Central

Nelin, Viktoria; Raaijmakers, Hendrikus; Kim, Hyung Joon; Singh, Chahana; Målqvist, Mats

2017-01-01

Abstract Objective To compare immunization coverage and equity distribution of coverage between 2001 and 2014 in Nepal. Methods We used data from the Demographic and Health Surveys carried out in 2001, 2006 and 2011 together with data from the 2014 Multiple Indicator Cluster Survey. We calculated the proportion, in mean percentage, of children who had received bacille Calmette–Guérin (BCG) vaccine, three doses of polio vaccine, three doses of diphtheria–pertussis–tetanus (DPT) vaccine and measles vaccine. To measure inequities between wealth quintiles, we calculated the slope index of inequality (SII) and relative index of inequality (RII) for all surveys. Findings From 2001 to 2014, the proportion of children who received all vaccines at the age of 12 months increased from 68.8% (95% confidence interval, CI: 67.5–70.1) to 82.4% (95% CI: 80.7–84.0). While coverage of BCG, DPT and measles immunization statistically increased during the study period, the proportion of children who received the third dose of polio vaccine decreased from 93.3% (95% CI: 92.7–93.9) to 88.1% (95% CI: 86.8–89.3). The poorest wealth quintile showed the greatest improvement in immunization coverage, from 58% to 77.9%, while the wealthiest quintile only improved from 84.8% to 86.0%. The SII for children who received all vaccines improved from 0.070 (95% CI: 0.061–0.078) to 0.026 (95% CI: 0.013–0.039) and RII improved from 1.13 to 1.03. Conclusion The improvement in immunization coverage between 2001 and 2014 in Nepal can mainly be attributed to the interventions targeting the disadvantaged populations. PMID:28479621

Quantifying the impact of cross coverage on physician's workload and performance in radiation oncology.

PubMed

Mosaly, Prithima R; Mazur, Lukasz M; Jones, Ellen L; Hoyle, Lesley; Zagar, Timothy; Chera, Bhishamjit S; Marks, Lawrence B

2013-01-01

To quantitatively assess the difference in workload and performance of radiation oncology physicians during radiation therapy treatment planning tasks under the conditions of "cross coverage" versus planning a patient with whom they were familiar. Eight physicians (3 experienced faculty physicians and 5 physician residents) performed 2 cases. The first case represented a "cross-coverage" scenario where the physicians had no prior information about the case to be planned. The second exposure represented a "regular-coverage" scenario where the physicians were familiar with the patient case to be planned. Each case involved 3 tasks to be completed systematically. Workload was assessed both subjectively (perceived) using National Aeronautics and Space Administration-Task Load Index (NASA-TLX), and objectively (physiological) throughout the task using eye data (via monitoring pupil size and blink rate). Performance of each task and the case was measured using completion time. Subjective willingness to approve or disapprove the generated plan was obtained after completion of the case only. Forty-eight perceived and 48 physiological workload assessments were obtained. Overall, results revealed a significant increase in perceived workload (high NASA-TLX score) and decrease in performance (longer completion time and reduced approval rate) during cross coverage. There were nonsignificant increases in pupil diameter and decreases in the blink rate during cross-coverage versus regular-coverage scenario. In both cross-coverage and regular-coverage scenarios the level of experience did not affect workload and performance. The cross-coverage scenario significantly increases perceived workload and degrades performance versus regular coverage. Hence, to improve patient safety, efforts must be made to develop policies, standard operating procedures, and usability improvements to electronic medical record and treatment planning systems for "easier" information processing to deal with cross coverage, while recognizing strengths and limitations of human performance. Published by Elsevier Inc.

The Effects of Child-Only Insurance Coverage and Family Coverage on Health Care Access and Use: Recent Findings among Low-Income Children in California

PubMed Central

Guendelman, Sylvia; Wier, Megan; Angulo, Veronica; Oman, Doug

2006-01-01

Objective To compare the extent with which child-only and family coverage (child and parent insured) ensure health care access and use for low income children in California and discuss the policy implications of extending the State Children's Health Insurance Program (California's Healthy Families) to uninsured parents of child enrollees. Data Sources/Setting We used secondary data from the 2001 California Health Interview Survey (CHIS), a representative telephone survey. Study Design We conducted a cross-sectional study of 5,521 public health insurance–eligible children and adolescents and their parents to examine the effects of insurance (family coverage, child-only coverage, and no coverage) on measures of health care access and utilization including emergency room visits and hospitalizations. Data Collection We linked the CHIS adult, child, and adolescent datasets, including the adolescent insurance supplement. Findings Among the sampled children, 13 percent were uninsured as were 22 percent of their parents. Children without insurance coverage were more likely than children with child-only coverage to lack a usual source of care and to have decreased use of health care. Children with child-only coverage fared worse than those with family coverage on almost every access indicator, but service utilization was comparable. Conclusions While extending public benefits to parents of children eligible for Healthy Families may not improve child health care utilization beyond the gains that would be obtained by exclusively insuring the children, family coverage would likely improve access to a regular source of care and private sector providers, and reduce perceived discrimination and breaks in coverage. These advantages should be considered by states that are weighing the benefits of expanding health insurance to parents. PMID:16430604

High-precision measurements of cementless acetabular components using model-based RSA: an experimental study.

PubMed

Baad-Hansen, Thomas; Kold, Søren; Kaptein, Bart L; Søballe, Kjeld

2007-08-01

In RSA, tantalum markers attached to metal-backed acetabular cups are often difficult to detect on stereo radiographs due to the high density of the metal shell. This results in occlusion of the prosthesis markers and may lead to inconclusive migration results. Within the last few years, new software systems have been developed to solve this problem. We compared the precision of 3 RSA systems in migration analysis of the acetabular component. A hemispherical and a non-hemispherical acetabular component were mounted in a phantom. Both acetabular components underwent migration analyses with 3 different RSA systems: conventional RSA using tantalum markers, an RSA system using a hemispherical cup algorithm, and a novel model-based RSA system. We found narrow confidence intervals, indicating high precision of the conventional marker system and model-based RSA with regard to migration and rotation. The confidence intervals of conventional RSA and model-based RSA were narrower than those of the hemispherical cup algorithm-based system regarding cup migration and rotation. The model-based RSA software combines the precision of the conventional RSA software with the convenience of the hemispherical cup algorithm-based system. Based on our findings, we believe that these new tools offer an improvement in the measurement of acetabular component migration.

Do Patients With Borderline Dysplasia Have Inferior Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement Compared With Patients With Normal Acetabular Coverage?

PubMed

Cvetanovich, Gregory L; Levy, David M; Weber, Alexander E; Kuhns, Benjamin D; Mather, Richard C; Salata, Michael J; Nho, Shane J

2017-07-01

The literature contains conflicting reports regarding whether outcomes of hip arthroscopic surgery for patients with borderline dysplasia are inferior to outcomes in patients with normal acetabular coverage. To assess differences in the outcomes of hip arthroscopic surgery for femoroacetabular impingement (FAI) in groups of patients with borderline dysplasia and normal coverage. Cohort study; Level of evidence, 3. A registry of consecutive patients who had undergone primary hip arthroscopic surgery with capsular plication for FAI between January 2012 and January 2014 were divided based on the preoperative lateral center-edge angle (LCEA) into 2 distinct groups: (1) borderline dysplasia (LCEA 18°-25°) and (2) normal acetabular coverage (LCEA 25.1°-40°). There were 36 patients in the borderline dysplastic group and 312 patients in the normal coverage group. The primary outcome measure was the Hip Outcome Score-Activities of Daily Living (HOS-ADL) at a minimum of 2 years postoperatively. Secondary outcome measures included the HOS-Sports and modified Harris Hip Score (mHHS). The mean preoperative LCEA differed significantly between groups (23.4° ± 1.5° for borderline dysplastic, 32.5° ± 3.8° for normal coverage; P < .001). The borderline dysplastic group had a higher percentage of female patients than the normal coverage group (27/36 [75%] vs 177/312 [57%], respectively; P = .048). There were no differences in other preoperative demographics and radiographic parameters. At a minimum 2 years after hip arthroscopic surgery (mean follow-up, 2.6 ± 0.6 years), both groups demonstrated significant improvements in all patient-reported outcome scores ( P < .001 in all cases). There were no significant differences between the borderline dysplastic and normal coverage groups in final outcome scores, score improvements, or percentage of patients experiencing clinically significant improvements. One patient in the borderline dysplastic group (3%) underwent revision hip arthroscopic surgery, and none underwent total hip arthroplasty during the follow-up period. There were no differences between the borderline dysplastic and normal coverage groups with regard to subsequent surgery. Female patients in the borderline dysplastic group had greater improvements in the mean HOS-ADL (25.9 ± 16.3 vs 10.8 ± 18.5, respectively; P = .05) and mHHS (27.9 ± 12.9 vs 8.1 ± 19.0, respectively; P = .005) compared with male patients in the borderline dysplastic group, but male and female patients did not differ in outcomes for the normal coverage group. Patients who underwent hip arthroscopic surgery for FAI with capsular plication experienced significant clinical improvements with low rates of subsequent surgery, regardless of whether their acetabulum had borderline dysplasia or normal coverage.

Compiling Mercury relief map using several data sources

NASA Astrophysics Data System (ADS)

Zakharova, Maria; Lazarev, Evgeniy

2015-04-01

There are several data of Mercury topography obtained as the result of processing materials collected by two spacecrafts - the Mariner-10 and the MESSENGER during their Mercury flybys. The history of the visual mapping of the Mercury begins at the recent times as the first significant observations were made during the latter half of the 20th century, whereas today we have no data with 100% coverage for the entire surface of the Mercury except the global mosaic composed of the images acquired by MESSENGER. The Mercury relief map has been created with the help of four different types of data: - global mosaic with 100% coverage of Mercury's surface created by using MESSENGER orbital images (30% of the final map); - Digital Terrain Models obtained by the treating stereo images made during the Mariner 10's flybys (10% of the map) (Cook and Robinson, 2000); - Digital Terrain Models obtained from images acquired during the Messenger flybys (20% of the map) (F. Preusker et al., 2011); - the data sets produced by the MESSENGER Mercury Laser Altimeter (MLA) (40 % of the map). The main objective of this work is to collect, combine and process the existing data and then to merge them correctly for one single map compiling. The final map is created in the Lambert azimuthal Equal area projection and mainly shows the hypsometric features of the planet. It represents two hemispheres - western and eastern. In order not to divide data sources the eastern hemisphere takes an interval from 50 degrees east longitude to 130 degrees west longitude and the western one takes respectively the interval from 130 degrees west longitude to 50 degrees east longitude. References: Global mosaics of Mercury's surface. Available mosaics include one created prior to MESSENGER's orbital operations, high resolution versions that use MESSENGER's orbital images that are available in NASA's Planetary Data System (PDS) (http://messenger.jhuapl.edu/the_mission/mosaics.html). Cook, A.C., Robinson, M.S., 2000. Mariner 10 stereo image coverage of Mercury. J. Geophys. Res. 105, 9429-9443. Preusker, F., Oberst, J., Head, J.W., Watters, T.R., Robinson, M.S., Zuber, M.T., Solomon, S.C., 2010. Stereo topographic models of Mercury after three MESSENGER flybys. Planetary and Space Science 59 (2011), 1910-1917. The MLA is a time-of-flight laser rangefinder that uses direct detection and pulse-edge timing to determine precisely the range from the MESSENGER spacecraft to Mercury's surface (http://pds-geosciences.wustl.edu/missions/messenger/mla.htm).

Retrieval of seasonal dynamics of forest understory reflectance from semi-arid to boreal forests using MODIS BRDF data

NASA Astrophysics Data System (ADS)

Pisek, Jan; Chen, Jing; Kobayashi, Hideki; Rautiainen, Miina; Schaepman, Michael; Karnieli, Arnon; Sprintsin, Michael; Ryu, Youngryel; Nikopensius, Maris; Raabe, Kairi

2016-04-01

Ground vegetation (understory) provides an essential contribution to the whole-stand reflectance signal in many boreal, sub-boreal, and temperate forests. Accurate knowledge about forest understory reflectance is urgently needed in various forest reflectance modelling efforts. However, systematic collections of understory reflectance data covering different sites and ecosystems are almost missing. Measurement of understory reflectance is a real challenge because of an extremely high variability of irradiance at the forest floor, weak signal in some parts of the spectrum, spectral separability issues of over- and understory and its variable nature. Understory can consist of several sub-layers (regenerated tree, shrub, grasses or dwarf shrub, mosses, lichens, litter, bare soil), it has spatially-temporally variable species composition and ground coverage. Additional challenges are introduced by patchiness of ground vegetation, ground surface roughness, and understory-overstory relations. Due to this variability, remote sensing might be the only means to provide consistent data at spatially relevant scales. In this presentation, we report on retrieving seasonal courses of understory Normalized Difference Vegetation Index (NDVI) from multi-angular MODIS BRDF/Albedo data. We compared satellite-based seasonal courses of understory NDVI against an extended collection of different types of forest sites with available in-situ understory reflectance measurements. These sites are distributed along a wide latitudinal gradient on the Northern hemisphere: a sparse and dense black spruce forests in Alaska and Canada, a northern European boreal forest in Finland, hemiboreal needleleaf and deciduous stands in Estonia, a mixed temperate forest in Switzerland, a cool temperate deciduous broadleaf forest in Korea, and a semi-arid pine plantation in Israel. Our results indicated the retrieval method performs well particularly over open forests of different types. We also demonstrated the limitations of the method for closed canopies, where the understory signal retrieval is much attenuated. The retrieval of understory signal can be used e.g. to improve the estimates of leaf area index (LAI), fAPAR in sparsely vegetated areas, and also to study the phenology of understory layer. Our results are particularly useful to producing Northern hemisphere maps of seasonal dynamics of forests, allowing to separately retrieve understory variability, being a main contributor to spring emergence and fall senescence uncertainty. The inclusion of understory variability in ecological models will ultimately improve prediction and forecast horizons of vegetation dynamics.

CYGNSS Surface Wind Observations and Surface Flux Estimates within Low-Latitude Extratropical Cyclones

NASA Astrophysics Data System (ADS)

Crespo, J.; Posselt, D. J.

2017-12-01

The Cyclone Global Navigation Satellite System (CYGNSS), launched in December 2016, aims to improve estimates of surface wind speeds over the tropical oceans. While CYGNSS's core mission is to provide better estimates of surface winds within the core of tropical cyclones, previous research has shown that the constellation, with its orbital inclination of 35°, also has the ability to observe numerous extratropical cyclones that form in the lower latitudes. Along with its high spatial and temporal resolution, CYGNSS can provide new insights into how extratropical cyclones develop and evolve, especially in the presence of thick clouds and precipitation. We will demonstrate this by presenting case studies of multiple extratropical cyclones observed by CYGNSS early on in its mission in both Northern and Southern Hemispheres. By using the improved estimates of surface wind speeds from CYGNSS, we can obtain better estimates of surface latent and sensible heat fluxes within and around extratropical cyclones. Surface heat fluxes, driven by surface winds and strong vertical gradients of water vapor and temperature, play a key role in marine cyclogenesis as they increase instability within the boundary layer and may contribute to extreme marine cyclogenesis. In the past, it has been difficult to estimate surface heat fluxes from space borne instruments, as these fluxes cannot be observed directly from space, and deficiencies in spatial coverage and attenuation from clouds and precipitation lead to inaccurate estimates of surface flux components, such as surface wind speeds. While CYGNSS only contributes estimates of surface wind speeds, we can combine this data with other reanalysis and satellite data to provide improved estimates of surface sensible and latent heat fluxes within and around extratropical cyclones and throughout the entire CYGNSS mission.

Increased functional connectivity between cortical hand areas and praxis network associated with training-related improvements in non-dominant hand precision drawing.

PubMed

Philip, Benjamin A; Frey, Scott H

2016-07-01

Chronic forced use of the non-dominant left hand yields substantial improvements in the precision and quality of writing and drawing. These changes may arise from increased access by the non-dominant (right) hemisphere to dominant (left) hemisphere mechanisms specialized for end-point precision control. To evaluate this prediction, 22 healthy right-handed adults underwent resting state functional connectivity (FC) MRI scans before and after 10 days of training on a left hand precision drawing task. 89% of participants significantly improved left hand speed, accuracy, and smoothness. Smoothness gains were specific to the trained left hand and persistent: 6 months after training, 71% of participants exhibited above-baseline movement smoothness. Contrary to expectations, we found no evidence of increased FC between right and left hemisphere hand areas. Instead, training-related improvements in left hand movement smoothness were associated with increased FC between both sensorimotor hand areas and a left-lateralized parieto-prefrontal network implicated in manual praxis. By contrast, skill retention at 6 months was predicted by changes including decreased FC between the representation of the trained left hand and bilateral sensorimotor, parietal, and premotor cortices, possibly reflecting consolidation and a disengagement of early learning processes. These data indicate that modest amounts of training (<200min total) can induce substantial, persistent improvements the precision and quality of non-dominant hand control in healthy adults, supported by strengthened connectivity between bilateral sensorimotor hand areas and a left-lateralized parieto-prefrontal praxis network. Copyright © 2016 Elsevier Ltd. All rights reserved.

The paradox of parity: limitations in the breakthrough law for mental health equality.

PubMed

Dowches, Jessica; West, Daniel J

2013-01-01

The intent of parity laws is to improve equity in private insurance coverage for mental health care. The groundbreaking legislation of the 1996 Mental Health Parity Act (MHPA) was initially hailed as a major achievement in improving mental health coverage. However, research suggests that because of political compromises and employer exemptions, the potential impact of the MHPA was weakened. This paper summarizes the extent and scope of the MHPA and the 2008 Mental Health Parity and Addiction Equity Act, highlighting the goals and accomplishments of each; examines limitations of the legislation, explicitly accounting for exemptions, uninsured Americans, and access to care; and provides recommendations for further improvement and implementation of mental health coverage.

Spatial-temporal Evolution of Vegetation Coverage and Analysis of it’s Future Trends in Wujiang River Basin

NASA Astrophysics Data System (ADS)

Xiao, Jianyong; Bai, Xiaoyong; Zhou, Dequan; Qian, Qinghuan; Zeng, Cheng; Chen, Fei

2018-01-01

Vegetation coverage dynamics is affected by climatic, topography and human activities, which is an important indicator reflecting the regional ecological environment. Revealing the spatial-temporal characteristics of vegetation coverage is of great significance to the protection and management of ecological environment. Based on MODIS NDVI data and the Maximum Value Composites (MVC), we excluded soil spectrum interference to calculate Fractional Vegetation Coverage (FVC). Then the long-term FVC was used to calculate the spatial pattern and temporal variation of vegetation in Wujiang River Basin from 2000 to 2016 by using Trend analysis and Hurst index. The relationship between topography and spatial distribution of FVC was analyzed. The main conclusions are as follows: (1) The multi-annual mean vegetation coverage reveals a spatial distribution variation characteristic of low value in midstream and high level in other parts of the basin, owing a mean value of 0.6567. (2) From 2000 to 2016, the FVC of the Wujiang River Basin fluctuated between 0.6110 and 0.7380, and the overall growth rate of FVC was 0.0074/a. (3) The area of vegetation coverage tending to improve is more than that going to degrade in the future. Grass land, Arable land and Others improved significantly; karst rocky desertification comprehensive management project lead to persistent vegetation coverage improvement of Grass land, Arable land and Others. Residential land is covered with obviously degraded vegetation, resulting of urban sprawl; (4) The spatial distribution of FVC is positively correlated with TNI. Researches of spatial-temporal evolution of vegetation coverage have significant meaning for the ecological environment protection and management of the Wujiang River Basin.

Improved measurement for mothers, newborns and children in the era of the Sustainable Development Goals.

PubMed

Marchant, Tanya; Bryce, Jennifer; Victora, Cesar; Moran, Allisyn C; Claeson, Mariam; Requejo, Jennifer; Amouzou, Agbessi; Walker, Neff; Boerma, Ties; Grove, John

2016-06-01

An urgent priority in maternal, newborn and child health is to accelerate the scale-up of cost-effective essential interventions, especially during labor, the immediate postnatal period and for the treatment of serious infectious diseases and acute malnutrition.  Tracking intervention coverage is a key activity to support scale-up and in this paper we examine priorities in coverage measurement, distinguishing between essential interventions that can be measured now and those that require methodological development. We conceptualized a typology of indicators related to intervention coverage that distinguishes access to care from receipt of an intervention by the population in need.  We then built on documented evidence on coverage measurement to determine the status of indicators for essential interventions and to identify areas for development. Contact indicators from pregnancy to childhood were identified as current indicators for immediate use, but indicators reflecting the quality of care provided during these contacts need development. At each contact point, some essential interventions can be measured now, but the need for development of indicators predominates around interventions at the time of birth and interventions to treat infections. Addressing this need requires improvements in routine facility based data capture, methods for linking provider and community-based data, and improved guidance for effective coverage measurement that reflects the provision of high-quality care. Coverage indicators for some essential interventions can be measured accurately through household surveys and be used to track progress in maternal, newborn and child health.  Other essential interventions currently rely on contact indicators as proxies for coverage but urgent attention is needed to identify new measurement approaches that directly and reliably measure their effective coverage.

Impact of Medicare Part D on Antidepressant Treatment, Medication Choice and Adherence among Older Adults with Depression

PubMed Central

Donohue, Julie M.; Zhang, Yuting; Men, Aiju; Perera, Subashan; Lave, Judith R.; Hanlon, Joseph T.; Reynolds, Charles F.

2010-01-01

Objectives Depression in older adults is often undertreated due, in part, to medication costs. We examined the impact of improved prescription drug coverage under Medicare Part D on use of antidepressants, medication choice and adherence. Design, Setting and Participants Observational claims-based study of older adults with depression (ICD-9: 296.2, 296.3, 311, 300.4) continuously enrolled in a Medicare managed care plan between 2004–2007. Three groups with limited ($150 or $350 quarterly caps) or no drug coverage in 2004–2005 obtained Part D benefits in 2006. A comparison group had stable employer-sponsored coverage throughout. Measurements Any antidepressant prescription fill, antidepressant choice (tricyclics or monoamine oxidase inhibitors vs. newer antidepressants), and adherence (80% of days covered) in the first 6 months of treatment. Results Part D was associated with increased odds of any antidepressant use among those who previously lacked coverage [Odds Ratio (OR) 1.61, 95% confidence interval (CI) 1.41–1.85] but odds of use did not change among those with limited prior coverage. Use of older antidepressant agents did not change with Part D. All three groups whose coverage improved with Part D had significantly higher odds of 80% of days covered with an antidepressant [OR=1.86 (95% CI, 1.44–2.39) for No coverage, 1.74 (95% CI, 1.25–3.42) for $150 cap; and 1.19 (95% CI 1.06–1.34) for the $350 cap groups]. Conclusions Medicare Part D was associated with improvements in antidepressant use and adherence in depressed older adults who previously had no or limited drug coverage but not with changes in use of older agents. PMID:22123272

Increasing Coverage of Hepatitis B Vaccination in China

PubMed Central

Wang, Shengnan; Smith, Helen; Peng, Zhuoxin; Xu, Biao; Wang, Weibing

2016-01-01

Abstract This study used a system evaluation method to summarize China's experience on improving the coverage of hepatitis B vaccine, especially the strategies employed to improve the uptake of timely birth dosage. Identifying successful methods and strategies will provide strong evidence for policy makers and health workers in other countries with high hepatitis B prevalence. We conducted a literature review included English or Chinese literature carried out in mainland China, using PubMed, the Cochrane databases, Web of Knowledge, China National Knowledge Infrastructure, Wanfang data, and other relevant databases. Nineteen articles about the effectiveness and impact of interventions on improving the coverage of hepatitis B vaccine were included. Strong or moderate evidence showed that reinforcing health education, training and supervision, providing subsidies for facility birth, strengthening the coordination among health care providers, and using out-of-cold-chain storage for vaccines were all important to improving vaccination coverage. We found evidence that community education was the most commonly used intervention, and out-reach programs such as out-of-cold chain strategy were more effective in increasing the coverage of vaccination in remote areas where the facility birth rate was respectively low. The essential impact factors were found to be strong government commitment and the cooperation of the different government departments. Public interventions relying on basic health care systems combined with outreach care services were critical elements in improving the hepatitis B vaccination rate in China. This success could not have occurred without exceptional national commitment. PMID:27175710

Increasing Coverage of Hepatitis B Vaccination in China: A Systematic Review of Interventions and Implementation Experiences.

PubMed

Wang, Shengnan; Smith, Helen; Peng, Zhuoxin; Xu, Biao; Wang, Weibing

2016-05-01

This study used a system evaluation method to summarize China's experience on improving the coverage of hepatitis B vaccine, especially the strategies employed to improve the uptake of timely birth dosage. Identifying successful methods and strategies will provide strong evidence for policy makers and health workers in other countries with high hepatitis B prevalence.We conducted a literature review included English or Chinese literature carried out in mainland China, using PubMed, the Cochrane databases, Web of Knowledge, China National Knowledge Infrastructure, Wanfang data, and other relevant databases.Nineteen articles about the effectiveness and impact of interventions on improving the coverage of hepatitis B vaccine were included. Strong or moderate evidence showed that reinforcing health education, training and supervision, providing subsidies for facility birth, strengthening the coordination among health care providers, and using out-of-cold-chain storage for vaccines were all important to improving vaccination coverage.We found evidence that community education was the most commonly used intervention, and out-reach programs such as out-of-cold chain strategy were more effective in increasing the coverage of vaccination in remote areas where the facility birth rate was respectively low. The essential impact factors were found to be strong government commitment and the cooperation of the different government departments.Public interventions relying on basic health care systems combined with outreach care services were critical elements in improving the hepatitis B vaccination rate in China. This success could not have occurred without exceptional national commitment.

Global Lunar Geochemistry and Its Significant Parallel With Terrestrial One

NASA Astrophysics Data System (ADS)

Kochemasov, G.

Planetary geochemistry reflects planetary tectonic pattern. The most global tectonic feature is the ubiquitous dichotomy (Theorem 1, [1]) with one hemisphere of a di- minished radius (concave) opposed by the convex hemisphere with an increased ra- dius. The terrestrial case is well known: the pressed in Pacific hemisphere is opposed by the bulging out continental one. This tectonics finds its demonstration in global geochemistry: the concave part is filled with denser basalts, rich in Fe, Ti, and the convex part is built of more acidic less dense lithologies, on average of andesitic composition. Much smaller Moon (almost 100 times less massive) reveals the same tectonic-geochemical construction. The near concave side is occupied by Procellarum basin and large marea filled with dense basalts rich in Fe, Ti. The far convex side is built of less dense anarthosites. On both planetary bodies the convex hemispheres are complicated by large subsided sectors (Theorem 2, [1]) filled with, as required by Theorem 4 [1], denser basalts. At Earth it is the Indoceanic sector, on the Moon the South Pole-Aitken basin. Genetically they are similar and constitute regular parts of global tectono-geochemistry (here there is no place for random impact or plate tec- tonic origin of these deep global depressions, they are components of "wave1-wave2" produced structures). The Lunar Prospector global geochemical coverage [2] allows to make lunar - terrestrial parallels not only in dichotomic distribution of iron and ti- tanium but also in distribution of potassium and thorium marking a contact between two dichotomic hemispheres. At Earth the seismically active contact is famous by its andesitic volcanism. Andesites comparative to basalts are richer in K and Th. On the Moon this transitional zone between the dichotomic halves is enriched with Th and K as well [2]. The transition to highlands requires less dense than mare basalts lithologies and they appear as feldspar-rich KREEP basalts enriched with K and Th. The geochemical parallel between two planetary bodies is not occasional and is a con- sequence of the wave planetary tectonics. References: [1] Kochemasov G.G. (1999) Theorems of wave planetary tectonics //Geophys. Res. Abstr., v.1, #3, 700; [2]Chevrel 1 S.D., Pinet P.C., Daydou Y. et al (2001) Global scale multielement analysis of the lunar surface using iron, titanium and thorium abundances // 34th Vernadsky-Brown microsymposium. Topics in comparative planetology. Moscow, Vernadsky Inst., Oct. 8-9, 2001,Abstracts, (CD-ROM).

Comparison of satellite derived dynamical quantities in the stratosphere of the Southern Hemisphere

NASA Technical Reports Server (NTRS)

Miles, Thomas (Editor); Oneill, Alan (Editor)

1989-01-01

The proceedings are summarized from a pre-MASH planning workshop on the intercomparison of Southern Hemisphere observations, analyses and derived dynamical quantities held in Williamsburg, Virginia during April 1986. The aims of this workshop were primarily twofold: (1) comparison of Southern Hemisphere dynamical quantities derived from various satellite data archives (e.g., from limb scanners and nadir sounders); and (2) assessing the impact of different base-level height information on such derived quantities. These tasks are viewed as especially important in the Southern Hemisphere because of the paucity of conventional measurements. A further strong impetus for the MASH program comes from the recent discovery of the springtime ozone hold over Antarctica. Insight gained from validation studies such as the one reported here will contribute to an improved understanding of the role of meteorology in the development and evolution of the hold, in its interannual variability, and in its interhemispheric differences. The dynamical quantities examined in this workshop included geopotential height, zonal wind, potential vorticity, eddy heat and momentum fluxes, and Eliassen-Palm fluxes. The time periods and data sources constituting the MASH comparisons are summarized.

Comparison of satellite-derived dynamical quantities for the stratosphere of the Southern Hemisphere

NASA Technical Reports Server (NTRS)

Miles, Thomas (Editor); Oneill, Alan (Editor)

1989-01-01

As part of the international Middle Atmosphere Program (MAP), a project was instituted to study the dynamics of the Middle Atmosphere in the Southern Hemisphere (MASH). A pre-MASH workshop was held with two aims: comparison of Southern Hemisphere dynamical quantities derived from various archives of satellite data; and assessing the impact of different base-level height information on such derived quantities. The dynamical quantities examined included geopotential height, zonal wind, potential vorticity, eddy heat and momentum fluxes, and Eliassen-Palm fluxes. It was found that while there was usually qualitative agreement between the different sets of fields, substantial quantitative differences were evident, particularly in high latitudes. The fidelity of the base-level analysis was found to be of prime importance in calculating derived quantities - especially the Eliassen-Palm flux divergence and potential vorticity. Improvements in base-level analyses are recommended. In particular, quality controls should be introduced to remove spurious localized features from analyses, and information from all Antarctic radiosondes should be utilized where possible. Caution in drawing quantitative inferences from satellite data for the middle atmosphere of the Southern Hemisphere is advised.

24 CFR 203.16a - Mortgagor and mortgagee requirement for maintaining flood insurance coverage.

Code of Federal Regulations, 2010 CFR

2010-04-01

... for maintaining flood insurance coverage. 203.16a Section 203.16a Housing and Urban Development... requirement for maintaining flood insurance coverage. (a) If the mortgage is to cover property improvements (dwelling and related structures/equipment essential to the value of the property and subject to flood...

Benefit Coverage and Employee Cost: Critical Factors in Explaining Compensation Satisfaction.

ERIC Educational Resources Information Center

Dreher, George F.; And Others

1988-01-01

Examined joint effects of benefit coverage and costs borne by employees on multiple dimensions of compensation satisfaction among 2,925 highway patrol, state police, and department of public safety employees in eight states. Found that satisfaction with benefits increased with improved coverage and decreased with higher employee costs. Employees…

Measuring coverage in MNCH: design, implementation, and interpretation challenges associated with tracking vaccination coverage using household surveys.

PubMed

Cutts, Felicity T; Izurieta, Hector S; Rhoda, Dale A

2013-01-01

Vaccination coverage is an important public health indicator that is measured using administrative reports and/or surveys. The measurement of vaccination coverage in low- and middle-income countries using surveys is susceptible to numerous challenges. These challenges include selection bias and information bias, which cannot be solved by increasing the sample size, and the precision of the coverage estimate, which is determined by the survey sample size and sampling method. Selection bias can result from an inaccurate sampling frame or inappropriate field procedures and, since populations likely to be missed in a vaccination coverage survey are also likely to be missed by vaccination teams, most often inflates coverage estimates. Importantly, the large multi-purpose household surveys that are often used to measure vaccination coverage have invested substantial effort to reduce selection bias. Information bias occurs when a child's vaccination status is misclassified due to mistakes on his or her vaccination record, in data transcription, in the way survey questions are presented, or in the guardian's recall of vaccination for children without a written record. There has been substantial reliance on the guardian's recall in recent surveys, and, worryingly, information bias may become more likely in the future as immunization schedules become more complex and variable. Finally, some surveys assess immunity directly using serological assays. Sero-surveys are important for assessing public health risk, but currently are unable to validate coverage estimates directly. To improve vaccination coverage estimates based on surveys, we recommend that recording tools and practices should be improved and that surveys should incorporate best practices for design, implementation, and analysis.

Satellite Phenology Observations Inform Peak Season of Allergenic Grass Pollen Aerobiology across Two Continents

NASA Astrophysics Data System (ADS)

Huete, A. R.; Devadas, R.; Davies, J.

2015-12-01

Pollen exposure and prevalence of allergenic diseases have increased in many parts of the world during the last 30 years, with exposure to aeroallergen grass pollen expected to intensify with climate change, raising increased concerns for allergic diseases. The primary contributing factors to higher allergenic plant species presence are thought to be climate change, land conversion, and biotic mixing of species. Conventional methods for monitoring airborne pollen are hampered by a lack of sampling sites and heavily rely on meteorology with less attention to land cover updates and monitoring of key allergenic species phenology stages. Satellite remote sensing offers an alternative method to overcome the restrictive coverage afforded by in situ pollen networks by virtue of its synoptic coverage and repeatability of measurements that enable timely updates of land cover and land use information and monitoring landscape dynamics and interactions with human activity and climate. In this study, we assessed the potential of satellite observations of urban/peri-urban environments to directly inform landscape conditions conducive to pollen emissions. We found satellite measurements of grass cover phenological evolution to be highly correlated with in situ aerobiological grass pollen concentrations in five urban centres located across two hemispheres (Australia and France). Satellite greenness data from the Moderate Resolution Imaging Spectroradiometer (MODIS) were found to be strongly synchronous with grass pollen aerobiology in both temperate grass dominated sites (France and Melbourne), as well as in Sydney, where multiple pollen peaks coincided with the presence of subtropical grasses. Employing general additive models (GAM), the satellite phenology data provided strong predictive capabilities to inform airborne pollen levels and forecast periods of grass pollen emissions at all five sites. Satellite phenology offer promising opportunities of improving public health risk management through dissemination of timely data for use in public health action and alerts and to minimise the impact of these common chronic conditions.

GARS O'Higgins as a core station for geodesy in Antarctica

NASA Astrophysics Data System (ADS)

Klügel, Thomas; Diedrich, Erhard; Falk, Reinhard; Hessels, Uwe; Höppner, Kathrin; Kühmstedt, Elke; Metzig, Robert; Plötz, Christian; Reinhold, Andreas; Schüler, Torben; Wojdziak, Reiner

2014-05-01

The German Antarctic Receiving Station GARS O'Higgins at the northern tip of the Antarctic Peninsula is a dual purpose facility for Earth observation since more than 20 years. It serves as a satellite ground station for payload data downlink and telecommanding of remote sensing satellites as well as a geodetic observatory for global reference frames and global change. Both applications use the same 9m diameter radio telescope. For space geodesy and astrometry the radio telescope significantly improves the coverage on the southern hemisphere and plays an essential role within the global Very Long Baseline Interferometry (VLBI) network. In particular the determination of the Earth Orientation Parameters (EOP) and the sky coverage of the International Celectial Reference Frame (ICRF) benefit from the location at high southern latitude. Further geodetic instrumentation includes different permanent GNSS receivers (since 1995), two SAR corner reflectors (since 2013) and in the past a PRARE system (1996 - 2004). In addition absolute gravity measurements were performed in 1997 and 2011. All geodetic reference points are tied together by a local survey network. The various geodetic instrumentation and the long time series at O'Higgins allow a reliable determination of crustal motions. VLBI station velocities, continuous GNSS time series and absolute gravity measurements consistently document an uplift rate of about 5 mm/a. A pressure gauge and a radar tide gauge being refererenced to space by a GNSS antenna on top allow the measurement of sea level changes independently from crustal motions, and the determination of the ellipsoidal height of the sea surface, which is, the geoid height plus the mean dynamic topography. The outstanding location on the Antarctic continent makes GARS O'Higgins also in future attractive for polar orbiting satellite missions and an essential station for the global VLBI network. Future plans envisage a development towards an observatory for environmentally relevant research.

Intelsat VI - A continuing evolution

NASA Astrophysics Data System (ADS)

Bennett, S. B.; Braverman, D. J.

1984-11-01

Design, launch, and performance features of the Intelsat VI satellite scheduled for 1986 launch are described. The spacecraft will operated with SS/TDMA techniques and six antenna beams, weigh 23 kg at the beginning of life, carry 80,000 half-circuits, and will be borne aloft by either the STS or Ariane 4. The communications equipment will include Cand K-band receivers, 14/11 GHz upconverters, traveling wave tube amplifiers, and 50 input and output filters. Total interconnectivity will be present for all uplinks and downlinks, which will issue spot and shaped beam coverage of the hemisphere. Satellite power is to be supplied by solar panels furnishing 2 kW continuously and eclipse power is to be drawn from two 44 Ah NiH batteries. Orbit maintenance and attitude control are assigned to six 22 N thrusters.

A slow-adapting microfluidic-based tactile sensor

NASA Astrophysics Data System (ADS)

Tseng, W.-Y.; Fisher, J. S.; Prieto, J. L.; Rinaldi, K.; Alapati, G.; Lee, A. P.

2009-08-01

We present a microfluidic-based tactile sensor mimicking the human slow-adapting mechanoreceptor such as Merkel's disc. The sensor is composed of a polyimide (PI)/polydimethylsiloxane (PDMS) multilayer structure. The device uses a hemispherical reservoir filled with electrolyte solution in the PDMS layer, a microchannel in the PI layer and a pair of sensing electrodes below the microchannel as the force transducer. The tactile signal is detected as the impedance change resulting predominantly from the resistance variance due to the electrodes coverage by the 1M NaCl solution and is measured across the electrode pair. The sensor response is linear and the working range is shown to be in the range of 0-1.8 N. The characterization results also demonstrate the sensing of various levels of forces and its long-term signal stability.

Planet Mercury

NASA Technical Reports Server (NTRS)

1974-01-01

Mariner 10's first image of Mercury acquired on March 24, 1974. During its flight, Mariner 10's trajectory brought it behind the lighted hemisphere of Mercury, where this image was taken, in order to acquire important measurements with other instruments.

This picture was acquired from a distance of 3,340,000 miles (5,380,000 km) from the surface of Mercury. The diameter of Mercury (3,031 miles; 4,878 km) is about 1/3 that of Earth.

Images of Mercury were acquired in two steps, an inbound leg (images acquired before passing into Mercury's shadow) and an outbound leg (after exiting from Mercury's shadow). More than 2300 useful images of Mercury were taken, both moderate resolution (3-20 km/pixel) color and high resolution (better than 1 km/pixel) black and white coverage.

Global Distribution of Shallow Water on Mars: Neutron Mapping of Summer-Time Surface by HEND/Odyssey

NASA Technical Reports Server (NTRS)

Mitrofanov, I. G.; Litvak, M. L.; Kozyrev, A. S.; Sanin, A. B.; Tretyakov, V. I.; Boynton, W.; Hamara, D.; Shinohara, C.; Saunders, R. S.; Drake, D.

2003-01-01

Orbital mapping of induced neutrons and gamma-rays by Odyssey has recently successfully proven the applicability of nuclear methods for studying of the elementary composition of Martian upper-most subsurface. In particular, the suite of Gamma-Ray Spectrometer (GRS) has discovered the presence of large water-ice rich regions southward and northward on Mars. The data of neutron mapping of summer-time surface are presented below from the Russian High Energy Neutron Spectrometer (HEND), which is a part of GRS suite. These maps represent the content of water in the soil for summer season at Southern and Northern hemispheres, when the winter deposit of CO2 is absent on the surface. The seasonal evolution of CO2 coverage on Mars is the subject of the complementary paper.

How changes in coverage affect equity in maternal and child health interventions in 35 Countdown to 2015 countries: an analysis of national surveys.

PubMed

Victora, Cesar G; Barros, Aluisio J D; Axelson, Henrik; Bhutta, Zulfiqar A; Chopra, Mickey; França, Giovanny V A; Kerber, Kate; Kirkwood, Betty R; Newby, Holly; Ronsmans, Carine; Boerma, J Ties

2012-09-29

Achievement of global health goals will require assessment of progress not only nationally but also for population subgroups. We aimed to assess how the magnitude of socioeconomic inequalities in health changes in relation to different rates of national progress in coverage of interventions for the health of mothers and children. We assessed coverage in low-income and middle-income countries for which two Demographic Health Surveys or Multiple Indicator Cluster Surveys were available. We calculated changes in overall coverage of skilled birth attendants, measles vaccination, and a composite coverage index, and examined coverage of a newly introduced intervention, use of insecticide-treated bednets by children. We stratified coverage data according to asset-based wealth quintiles, and calculated relative and absolute indices of inequality. We adjusted correlation analyses for time between surveys and baseline coverage levels. We included 35 countries with surveys done an average of 9·1 years apart. Pro-rich inequalities were very prevalent. We noted increased coverage of skilled birth attendants, measles vaccination, and the composite index in most countries from the first to the second survey, while inequalities were reduced. Rapid changes in overall coverage were associated with improved equity. These findings were not due to a capping effect associated with limited scope for improvement in rich households. For use of insecticide-treated bednets, coverage was high for the richest households, but countries making rapid progress did almost as well in reaching the poorest groups. National increases in coverage were primarily driven by how rapidly coverage increased in the poorest quintiles. Equity should be accounted for when planning the scaling up of interventions and assessing national progress. Bill & Melinda Gates Foundation; World Bank; Governments of Australia, Brazil, Canada, Norway, Sweden, and UK. Copyright © 2012 Elsevier Ltd. All rights reserved.

A new role for primary care teams in the United States after “Obamacare:” Track and improve health insurance coverage rates

PubMed Central

DeVoe, Jennifer; Angier, Heather; Hoopes, Megan; Gold, Rachel

2017-01-01

Maintaining continuous health insurance coverage is important. With recent expansions in access to coverage in the United States after “Obamacare,” primary care teams have a new role in helping to track and improve coverage rates and to provide outreach to patients. We describe efforts to longitudinally track health insurance rates using data from the electronic health record (EHR) of a primary care network and to use these data to support practice-based insurance outreach and assistance. Although we highlight a few examples from one network, we believe there is great potential for doing this type of work in a broad range of family medicine and community health clinics that provide continuity of care. By partnering with researchers through practice-based research networks and other similar collaboratives, primary care practices can greatly expand the use of EHR data and EHR-based tools targeting improvements in health insurance and quality health care. PMID:28966926

Suboptimal MMR2 vaccine coverage in six counties in Norway detected through the national immunisation registry, April 2014 to April 2017.

PubMed

Hagerup-Jenssen, Maria; Kongsrud, Sigrun; Riise, Øystein Rolandsen

2017-04-27

In 2014, Norway became aware of potential low vaccination coverage for the second dose of measles-mumps-rubella vaccine (MMR2) in six of 19 counties. This was detected by comparing the national coverage (NC) for 16-year-olds extracted from the national immunisation registry SYSVAK with the annual status update for elimination of measles and rubella (ASU) reported to the World Health Organization (WHO). The existing method for calculating NC in 2014 did not show MMR2 coverage. ASU reporting on MMR2 was significantly lower then the NC and below the WHO-recommended 95% coverage. SYSVAK is based on the Norwegian personal identification numbers, which allows monitoring of vaccinations at aggregateded as well as individual level. It is an important tool for active surveillance of the performance of the Norwegian Childhood Immunisation Programme (NCIP). The method for calculating NC was improved in 2015 to reflect MMR2 coverage for 16-year-olds. As a result, Norway has improved its real-time surveillance and monitoring of the actual MMR2 coverage also through SYSVAK (the annual publication of NC). Vaccinators receive feedback for follow-up if 15-year-olds are missing MMR2. In 2017, only three counties had an MMR2 coverage below 90%. This article is copyright of The Authors, 2017.

Using Brain Oscillations and Corticospinal Excitability to Understand and Predict Post-Stroke Motor Function

PubMed Central

Thibaut, Aurore; Simis, Marcel; Battistella, Linamara Rizzo; Fanciullacci, Chiara; Bertolucci, Federica; Huerta-Gutierrez, Rodrigo; Chisari, Carmelo; Fregni, Felipe

2017-01-01

What determines motor recovery in stroke is still unknown and finding markers that could predict and improve stroke recovery is a challenge. In this study, we aimed at understanding the neural mechanisms of motor function recovery after stroke using neurophysiological markers by means of cortical excitability (transcranial magnetic stimulation—TMS) and brain oscillations (electroencephalography—EEG). In this cross-sectional study, 55 subjects with chronic stroke (62 ± 14 yo, 17 women, 32 ± 42 months post-stroke) were recruited in two sites. We analyzed TMS measures (i.e., motor threshold—MT—of the affected and unaffected sides) and EEG variables (i.e., power spectrum in different frequency bands and different brain regions of the affected and unaffected hemispheres) and their correlation with motor impairment as measured by Fugl-Meyer. Multiple univariate and multivariate linear regression analyses were performed to identify the predictors of good motor function. A significant interaction effect of MT in the affected hemisphere and power in beta bandwidth over the central region for both affected and unaffected hemispheres was found. We identified that motor function positively correlates with beta rhythm over the central region of the unaffected hemisphere, while it negatively correlates with beta rhythm in the affected hemisphere. Our results suggest that cortical activity in the affected and unaffected hemisphere measured by EEG provides new insights on the association between high-frequency rhythms and motor impairment, highlighting the role of an excess of beta in the affected central cortical region in poor motor function in stroke recovery. PMID:28539912

Using Brain Oscillations and Corticospinal Excitability to Understand and Predict Post-Stroke Motor Function.

PubMed

Thibaut, Aurore; Simis, Marcel; Battistella, Linamara Rizzo; Fanciullacci, Chiara; Bertolucci, Federica; Huerta-Gutierrez, Rodrigo; Chisari, Carmelo; Fregni, Felipe

2017-01-01

What determines motor recovery in stroke is still unknown and finding markers that could predict and improve stroke recovery is a challenge. In this study, we aimed at understanding the neural mechanisms of motor function recovery after stroke using neurophysiological markers by means of cortical excitability (transcranial magnetic stimulation-TMS) and brain oscillations (electroencephalography-EEG). In this cross-sectional study, 55 subjects with chronic stroke (62 ± 14 yo, 17 women, 32 ± 42 months post-stroke) were recruited in two sites. We analyzed TMS measures (i.e., motor threshold-MT-of the affected and unaffected sides) and EEG variables (i.e., power spectrum in different frequency bands and different brain regions of the affected and unaffected hemispheres) and their correlation with motor impairment as measured by Fugl-Meyer. Multiple univariate and multivariate linear regression analyses were performed to identify the predictors of good motor function. A significant interaction effect of MT in the affected hemisphere and power in beta bandwidth over the central region for both affected and unaffected hemispheres was found. We identified that motor function positively correlates with beta rhythm over the central region of the unaffected hemisphere, while it negatively correlates with beta rhythm in the affected hemisphere. Our results suggest that cortical activity in the affected and unaffected hemisphere measured by EEG provides new insights on the association between high-frequency rhythms and motor impairment, highlighting the role of an excess of beta in the affected central cortical region in poor motor function in stroke recovery.

Electrochemical and pitting corrosion resistance of AISI 4145 steel subjected to massive laser shock peening treatment with different coverage layers

NASA Astrophysics Data System (ADS)

Lu, J. Z.; Han, B.; Cui, C. Y.; Li, C. J.; Luo, K. Y.

2017-02-01

The effects of massive laser shock peening (LSP) treatment with different coverage layers on residual stress, pitting morphologies in a standard corrosive solution and electrochemical corrosion resistance of AISI 4145 steel were investigated by pitting corrosion test, potentiodynamic polarisation test, and SEM observations. Results showed massive LSP treatment can effectively cause an obvious improvement of pitting corrosion resistance of AISI 4145 steel, and increased coverage layer can also gradually improve its corrosion resistance. Massive LSP treatment with multiple layers was shown to influence pitting corrosion behaviour in a standard corrosive solution.

Towards a realistic simulation of boreal summer tropical rainfall climatology in state-of-the-art coupled models: role of the background snow-free land albedo

NASA Astrophysics Data System (ADS)

Terray, P.; Sooraj, K. P.; Masson, S.; Krishna, R. P. M.; Samson, G.; Prajeesh, A. G.

2017-07-01

State-of-the-art global coupled models used in seasonal prediction systems and climate projections still have important deficiencies in representing the boreal summer tropical rainfall climatology. These errors include prominently a severe dry bias over all the Northern Hemisphere monsoon regions, excessive rainfall over the ocean and an unrealistic double inter-tropical convergence zone (ITCZ) structure in the tropical Pacific. While these systematic errors can be partly reduced by increasing the horizontal atmospheric resolution of the models, they also illustrate our incomplete understanding of the key mechanisms controlling the position of the ITCZ during boreal summer. Using a large collection of coupled models and dedicated coupled experiments, we show that these tropical rainfall errors are partly associated with insufficient surface thermal forcing and incorrect representation of the surface albedo over the Northern Hemisphere continents. Improving the parameterization of the land albedo in two global coupled models leads to a large reduction of these systematic errors and further demonstrates that the Northern Hemisphere subtropical deserts play a seminal role in these improvements through a heat low mechanism.

Hemicraniectomy after middle cerebral artery infarction with life-threatening Edema trial (HAMLET). Protocol for a randomised controlled trial of decompressive surgery in space-occupying hemispheric infarction.

PubMed

Hofmeijer, Jeannette; Amelink, G Johan; Algra, Ale; van Gijn, Jan; Macleod, Malcolm R; Kappelle, L Jaap; van der Worp, H Bart

2006-09-11

Patients with a hemispheric infarct and massive space-occupying brain oedema have a poor prognosis. Despite maximal conservative treatment, the case fatality rate may be as high as 80%, and most survivors are left severely disabled. Non-randomised studies suggest that decompressive surgery reduces mortality substantially and improves functional outcome of survivors. This study is designed to compare the efficacy of decompressive surgery to improve functional outcome with that of conservative treatment in patients with space-occupying supratentorial infarction The study design is that of a multi-centre, randomised clinical trial, which will include 112 patients aged between 18 and 60 years with a large hemispheric infarct with space-occupying oedema that leads to a decrease in consciousness. Patients will be randomised to receive either decompressive surgery in combination with medical treatment or best medical treatment alone. Randomisation will be stratified for the intended mode of conservative treatment (intensive care or stroke unit care). The primary outcome measure will be functional outcome, as determined by the score on the modified Rankin Scale, at one year.

Node Self-Deployment Algorithm Based on Pigeon Swarm Optimization for Underwater Wireless Sensor Networks

PubMed Central

Yu, Shanen; Xu, Yiming; Jiang, Peng; Wu, Feng; Xu, Huan

2017-01-01

At present, free-to-move node self-deployment algorithms aim at event coverage and cannot improve network coverage under the premise of considering network connectivity, network reliability and network deployment energy consumption. Thus, this study proposes pigeon-based self-deployment algorithm (PSA) for underwater wireless sensor networks to overcome the limitations of these existing algorithms. In PSA, the sink node first finds its one-hop nodes and maximizes the network coverage in its one-hop region. The one-hop nodes subsequently divide the network into layers and cluster in each layer. Each cluster head node constructs a connected path to the sink node to guarantee network connectivity. Finally, the cluster head node regards the ratio of the movement distance of the node to the change in the coverage redundancy ratio as the target function and employs pigeon swarm optimization to determine the positions of the nodes. Simulation results show that PSA improves both network connectivity and network reliability, decreases network deployment energy consumption, and increases network coverage. PMID:28338615

Influence of infrared stimulation on spectroscopy characteristics of co-planar grid CdZnTe detectors

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

Fjodorov, V.; Ivanov, V.; Loutchanski, A.

It was previously found that illumination with monochromatic infrared (IR) light with wavelengths close to the absorption edge of the CdZnTe exert significant positive influence on the spectrometric characteristics of quasi-hemispherical CdZnTe detectors at room temperature. In this paper, preliminary results of IR stimulation on the spectrometric characteristics of coplanar-grid CdZnTe detectors as well as results of further studies of planar and quasi-hemispherical detectors are presented. Coplanar-grid detectors of 10 mm x 10 mm x 10 mm from Redlen Technologies and commercial available IR LEDs with different wavelengths of 800-1000 nm were used in the experiments. Influence of intensity andmore » direction of IR illumination on the detector's characteristics was studied. Analysis of signals shapes from the preamplifiers outputs at registration of alpha particles showed that IR illumination leads to a change in the shapes of these signals. This may indicate changes in electric fields distributions. An improvement in energy resolution at gamma-energy of 662 keV was observed with quasi-hemispherical and co-planar detectors at the certain levels of IR illumination intensity. The most noticeable effect of IR stimulation was observed with quasi-hemispherical detectors. It is due with optimization of charge collection conditions in the quasi-hemispherical detectors under IT stimulation. (authors)« less

Sanitation and water supply coverage thresholds associated with active trachoma: Modeling cross-sectional data from 13 countries

PubMed Central

Boisson, Sophie; Willis, Rebecca; Bakhtiari, Ana; al-Khatib, Tawfik; Amer, Khaled; Batcho, Wilfrid; Courtright, Paul; Dejene, Michael; Goepogui, Andre; Kalua, Khumbo; Kebede, Biruck; Macleod, Colin K.; Madeleine, Kouakou IIunga Marie; Mbofana, Mariamo Saide Abdala; Mpyet, Caleb; Ndjemba, Jean; Olobio, Nicholas; Pavluck, Alexandre L.; Sokana, Oliver; Southisombath, Khamphoua; Taleo, Fasihah

2018-01-01

Background Facial cleanliness and sanitation are postulated to reduce trachoma transmission, but there are no previous data on community-level herd protection thresholds. We characterize associations between active trachoma, access to improved sanitation facilities, and access to improved water sources for the purpose of face washing, with the aim of estimating community-level or herd protection thresholds. Methods and findings We used cluster-sampled Global Trachoma Mapping Project data on 884,850 children aged 1–9 years from 354,990 households in 13 countries. We employed multivariable mixed-effects modified Poisson regression models to assess the relationships between water and sanitation coverage and trachomatous inflammation—follicular (TF). We observed lower TF prevalence among those with household-level access to improved sanitation (prevalence ratio, PR = 0.87; 95%CI: 0.83–0.91), and household-level access to an improved washing water source in the residence/yard (PR = 0.81; 95%CI: 0.75–0.88). Controlling for household-level water and latrine access, we found evidence of community-level protection against TF for children living in communities with high sanitation coverage (PR80–90% = 0.87; 95%CI: 0.73–1.02; PR90–100% = 0.76; 95%CI: 0.67–0.85). Community sanitation coverage levels greater than 80% were associated with herd protection against TF (PR = 0.77; 95%CI: 0.62–0.97)—that is, lower TF in individuals whose households lacked individual sanitation but who lived in communities with high sanitation coverage. For community-level water coverage, there was no apparent threshold, although we observed lower TF among several of the higher deciles of community-level water coverage. Conclusions Our study provides insights into the community water and sanitation coverage levels that might be required to best control trachoma. Our results suggest access to adequate water and sanitation can be important components in working towards the 2020 target of eliminating trachoma as a public health problem. PMID:29357365

[Strategies to improve influenza vaccination coverage in Primary Health Care].

PubMed

Antón, F; Richart, M J; Serrano, S; Martínez, A M; Pruteanu, D F

2016-04-01

Vaccination coverage reached in adults is insufficient, and there is a real need for new strategies. To compare strategies for improving influenza vaccination coverage in persons older than 64 years. New strategies were introduced in our health care centre during 2013-2014 influenza vaccination campaign, which included vaccinating patients in homes for the aged as well as in the health care centre. A comparison was made on vaccination coverage over the last 4 years in 3 practices of our health care centre: P1, the general physician vaccinated patients older than 64 that came to the practice; P2, the general physician systematically insisted in vaccination in elderly patients, strongly advising to book appointments, and P3, the general physician did not insist. These practices looked after P1: 278; P2: 320; P3: 294 patients older than 64 years. Overall/P1/P2/P3 coverages in 2010: 51.2/51.4/55/46.9% (P=NS), in 2011: 52.4/52.9/53.8/50.3% (P=NS), in 2012: 51.9/52.5/55.3/47.6% (P=NS), and in 2013: 63.5/79.1/59.7/52.7 (P=.000, P1 versus P2 and P3; P=NS between P2 and P3). Comparing the coverages in 2012-2013 within each practice P1 (P=.000); P2 (P=.045); P3 (P=.018). In P2 and P3 all vaccinations were given by the nurses as previously scheduled. In P3, 55% of the vaccinations were given by the nurses, 24.1% by the GP, 9.7% rejected vaccination, and the remainder did not come to the practice during the vaccination period (October 2013-February 2014). The strategy of vaccinating in the homes for the aged improved the vaccination coverage by 5% in each practice. The strategy of "I've got you here, I jab you here" in P1 improved the vaccination coverage by 22%. Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

IMPROVED COOK STOVES FOR HAITI USING THERMOELECTRICS TO REDUCE DEFORESTATION AND IMPROVE QUALITY OF LIFE

EPA Science Inventory

Haiti, the poorest country in the Western Hemisphere, is plagued with continual problems due to severe deforestation throughout the country. Haiti was once nearly completely covered by lush forest, but now less than three percent of Haiti is forested. This environmental cala...

Remaining missed opportunities of child survival in Peru: modelling mortality impact of universal and equitable coverage of proven interventions.

PubMed

Tam, Yvonne; Huicho, Luis; Huayanay-Espinoza, Carlos A; Restrepo-Méndez, María Clara

2016-10-04

Peru has made great improvements in reducing stunting and child mortality in the past decade, and has reached the Millennium Development Goals 1 and 4. The remaining challenges or missed opportunities for child survival needs to be identified and quantified, in order to guide the next steps to further improve child survival in Peru. We used the Lives Saved Tool (LiST) to project the mortality impact of proven interventions reaching every women and child in need, and the mortality impact of eliminating inequalities in coverage distribution between wealth quintiles and urban-rural residence. Our analyses quantified the remaining missed opportunities in Peru, where prioritizing scale-up of facility-based case management for all small and sick babies will be most effective in mortality reduction, compared to other evidenced-based interventions that prevent maternal and child deaths. Eliminating coverage disparities between the poorest quintiles and the richest will reduce under-five and neonatal mortality by 22.0 and 40.6 %, while eliminating coverage disparities between those living in rural and urban areas will reduce under-five and neonatal mortality by 29.3 and 45.2 %. This projected neonatal mortality reduction achieved by eliminating coverage disparities is almost comparable to that already achieved by Peru over the past decade. Although Peru has made great strides in improving child survival, further improvement in child health, especially in newborn health can be achieved if there is universal and equitable coverage of proven, quality health facility-based interventions. The magnitude of reduction in mortality will be similar to what has been achieved in the past decade. Strengthening health system to identify, understand, and direct resources to the poor and rural areas will ensure that Peru achieve the Sustainable Development Goals by 2030.

2 CFR 200.310 - Insurance coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

.... The non-Federal entity must, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired or improved with Federal funds as provided to property owned by the non-Federal...

Factors predictive of increased influenza and pneumococcal vaccination coverage in long-term care facilities: the CMS-CDC standing orders program Project.

PubMed

Bardenheier, Barbara H; Shefer, Abigail; McKibben, Linda; Roberts, Henry; Rhew, David; Bratzler, Dale

2005-01-01

Between 1999 and 2002, a multistate demonstration project was conducted in long-term care facilities (LTCFs) to encourage implementation of standing orders programs (SOP) as evidence-based vaccine delivery strategies to increase influenza and pneumococcal vaccination coverage in LTCFs. Examine predictors of increase in influenza and pneumococcal vaccination coverage in LTCFs. Intervention study. Self-administered surveys of LTCFs merged with data from OSCAR (On-line Survey Certification and Reporting System) and immunization coverage was abstracted from residents' medical charts in LTCFs. Twenty LTCFs were sampled from 9 intervention and 5 control states in the 2000 to 2001 influenza season for baseline and during the 2001 to 2002 influenza season for postintervention. Each state's quality improvement organization (QIO) promoted the use of standing orders for immunizations as well as other strategies to increase immunization coverage among LTCF residents. Multivariate analysis included Poisson regression to determine independent predictors of at least a 10 percentage-point increase in facility influenza and pneumococcal vaccination coverage. Forty-two (20%) and 59 (28%) of the facilities had at least a 10 percentage-point increase in influenza and pneumococcal immunizations, respectively. In the multivariate analysis, predictors associated with increase in influenza vaccination coverage included adoption of requirement in written immunization protocol to document refusals, less-demanding consent requirements, lower baseline influenza coverage, and small facility size. Factors associated with increase in pneumococcal vaccination coverage included adoption of recording pneumococcal immunizations in a consistent place, affiliation with a multifacility chain, and provision of resource materials. To improve the health of LTCF residents, strategies should be considered that increase immunization coverage, including written protocol for immunizations and documentation of refusals, documenting vaccination status in a consistent place in medical records, and minimal consent requirements for vaccinations.

The Association Between Primary Source of Healthcare Coverage and Colorectal Cancer Screening Among US Veterans.

PubMed

May, Folasade P; Yano, Elizabeth M; Provenzale, Dawn; Neil Steers, W; Washington, Donna L

2017-08-01

Colorectal cancer (CRC) is a deadly but largely preventable disease. Screening improves outcomes, but screening rates vary across healthcare coverage models. In the Veterans Health Administration (VA), screening rates are high; however, it is unknown how CRC screening rates compare for Veterans with other types of healthcare coverage. To determine whether Veterans with Veteran-status-related coverage (VA, military, TRICARE) have higher rates of CRC screening than Veterans with alternate sources of healthcare coverage. We conducted a cross-sectional analysis of Veterans 50-75 years from the 2014 Behavioral Risk Factor Surveillance System survey. We examined CRC screening rates and screening modalities. We performed multivariable logistic regression to identify the role of coverage type, demographics, and clinical factors on screening status. The cohort included 22,138 Veterans. Of these, 76.7% reported up-to-date screening. Colonoscopy was the most common screening modality (83.7%). Screening rates were highest among Veterans with Veteran-status-related coverage (82.3%), as was stool-based screening (10.8%). The adjusted odds of up-to-date screening among Veterans with Veteran-status-related coverage were 83% higher than among Veterans with private coverage (adjusted OR = 1.83, 95% CI = 1.52-2.22). Additional predictors of screening included older age, black race, high income, access to medical care, frequent medical visits, and employed or married status. CRC screening rates were highest among Veterans with Veteran-status-related coverage. High CRC screening rates among US Veterans may be related to system-level characteristics of VA and military care. Insight to these system-level characteristics may inform mechanisms to improve CRC screening in non-VA settings.

Measuring Coverage in MNCH: Design, Implementation, and Interpretation Challenges Associated with Tracking Vaccination Coverage Using Household Surveys

PubMed Central

Cutts, Felicity T.; Izurieta, Hector S.; Rhoda, Dale A.

2013-01-01

Vaccination coverage is an important public health indicator that is measured using administrative reports and/or surveys. The measurement of vaccination coverage in low- and middle-income countries using surveys is susceptible to numerous challenges. These challenges include selection bias and information bias, which cannot be solved by increasing the sample size, and the precision of the coverage estimate, which is determined by the survey sample size and sampling method. Selection bias can result from an inaccurate sampling frame or inappropriate field procedures and, since populations likely to be missed in a vaccination coverage survey are also likely to be missed by vaccination teams, most often inflates coverage estimates. Importantly, the large multi-purpose household surveys that are often used to measure vaccination coverage have invested substantial effort to reduce selection bias. Information bias occurs when a child's vaccination status is misclassified due to mistakes on his or her vaccination record, in data transcription, in the way survey questions are presented, or in the guardian's recall of vaccination for children without a written record. There has been substantial reliance on the guardian's recall in recent surveys, and, worryingly, information bias may become more likely in the future as immunization schedules become more complex and variable. Finally, some surveys assess immunity directly using serological assays. Sero-surveys are important for assessing public health risk, but currently are unable to validate coverage estimates directly. To improve vaccination coverage estimates based on surveys, we recommend that recording tools and practices should be improved and that surveys should incorporate best practices for design, implementation, and analysis. PMID:23667334

How does the use of multiple needles/syringes per injecting episode impact on the measurement of individual level needle and syringe program coverage?

PubMed

O'Keefe, Daniel; McCormack, Angus; Cogger, Shelley; Aitken, Campbell; Burns, Lucinda; Bruno, Raimondo; Stafford, Jenny; Butler, Kerryn; Breen, Courtney; Dietze, Paul

2017-08-01

Recent work by McCormack et al. (2016) showed that the inclusion of syringe stockpiling improves the measurement of individual-level syringe coverage. We explored whether including the use of a new parameter, multiple sterile syringes per injecting episode, further improves coverage measures. Data comes from 838 people who inject drugs, interviewed as part of the 2015 Illicit Drug Reporting System. Along with syringe coverage questions, the survey recorded the number of sterile syringes used on average per injecting episode. We constructed three measures of coverage: one adapted from Bluthenthal et al. (2007), the McCormack et al. measure, and a new coverage measure that included use of multiple syringes. Predictors of multiple syringe use and insufficient coverage (<100% of injecting episodes using a sterile syringe) using the new measure, were tested in logistic regression and the ability of the measures to discriminate key risk behaviours was compared using ROC curve analysis. 134 (16%) participants reported needing multiple syringes per injecting episode. Women showed significantly increased odds of multiple syringe use, as did those reporting injection related injuries/diseases and injecting of opioid substitution drugs or pharmaceutical opioids. Levels of insufficient coverage across the three measures were substantial (20%-28%). ROC curve analysis suggested that our new measure was no better at discriminating injecting risk behaviours than the existing measures. Based on our findings, there appears to be little need for adding a multiple syringe use parameter to existing coverage formulae. Hence, we recommend that multiple syringe use is not included in the measurement of individual-level syringe coverage. Copyright © 2017 Elsevier B.V. All rights reserved.

Strategies to improve treatment coverage in community-based public health programs: A systematic review of the literature.

PubMed

Deardorff, Katrina V; Rubin Means, Arianna; Ásbjörnsdóttir, Kristjana H; Walson, Judd

2018-02-01

Community-based public health campaigns, such as those used in mass deworming, vitamin A supplementation and child immunization programs, provide key healthcare interventions to targeted populations at scale. However, these programs often fall short of established coverage targets. The purpose of this systematic review was to evaluate the impact of strategies used to increase treatment coverage in community-based public health campaigns. We systematically searched CAB Direct, Embase, and PubMed archives for studies utilizing specific interventions to increase coverage of community-based distribution of drugs, vaccines, or other public health services. We identified 5,637 articles, from which 79 full texts were evaluated according to pre-defined inclusion and exclusion criteria. Twenty-eight articles met inclusion criteria and data were abstracted regarding strategy-specific changes in coverage from these sources. Strategies used to increase coverage included community-directed treatment (n = 6, pooled percent change in coverage: +26.2%), distributor incentives (n = 2, +25.3%), distribution along kinship networks (n = 1, +24.5%), intensified information, education, and communication activities (n = 8, +21.6%), fixed-point delivery (n = 1, +21.4%), door-to-door delivery (n = 1, +14.0%), integrated service distribution (n = 9, +12.7%), conversion from school- to community-based delivery (n = 3, +11.9%), and management by a non-governmental organization (n = 1, +5.8%). Strategies that target improving community member ownership of distribution appear to have a large impact on increasing treatment coverage. However, all strategies used to increase coverage successfully did so. These results may be useful to National Ministries, programs, and implementing partners in optimizing treatment coverage in community-based public health programs.

Strategies to improve treatment coverage in community-based public health programs: A systematic review of the literature

PubMed Central

2018-01-01

Background Community-based public health campaigns, such as those used in mass deworming, vitamin A supplementation and child immunization programs, provide key healthcare interventions to targeted populations at scale. However, these programs often fall short of established coverage targets. The purpose of this systematic review was to evaluate the impact of strategies used to increase treatment coverage in community-based public health campaigns. Methodology/ principal findings We systematically searched CAB Direct, Embase, and PubMed archives for studies utilizing specific interventions to increase coverage of community-based distribution of drugs, vaccines, or other public health services. We identified 5,637 articles, from which 79 full texts were evaluated according to pre-defined inclusion and exclusion criteria. Twenty-eight articles met inclusion criteria and data were abstracted regarding strategy-specific changes in coverage from these sources. Strategies used to increase coverage included community-directed treatment (n = 6, pooled percent change in coverage: +26.2%), distributor incentives (n = 2, +25.3%), distribution along kinship networks (n = 1, +24.5%), intensified information, education, and communication activities (n = 8, +21.6%), fixed-point delivery (n = 1, +21.4%), door-to-door delivery (n = 1, +14.0%), integrated service distribution (n = 9, +12.7%), conversion from school- to community-based delivery (n = 3, +11.9%), and management by a non-governmental organization (n = 1, +5.8%). Conclusions/significance Strategies that target improving community member ownership of distribution appear to have a large impact on increasing treatment coverage. However, all strategies used to increase coverage successfully did so. These results may be useful to National Ministries, programs, and implementing partners in optimizing treatment coverage in community-based public health programs. PMID:29420534

Electrical stimulation of motor cortex in the uninjured hemisphere after chronic unilateral injury promotes recovery of skilled locomotion through ipsilateral control.

PubMed

Carmel, Jason B; Kimura, Hiroki; Martin, John H

2014-01-08

Partial injury to the corticospinal tract (CST) causes sprouting of intact axons at their targets, and this sprouting correlates with functional improvement. Electrical stimulation of motor cortex augments sprouting of intact CST axons and promotes functional recovery when applied soon after injury. We hypothesized that electrical stimulation of motor cortex in the intact hemisphere after chronic lesion of the CST in the other hemisphere would restore function through ipsilateral control. To test motor skill, rats were trained and tested to walk on a horizontal ladder with irregularly spaced rungs. Eight weeks after injury, produced by pyramidal tract transection, half of the rats received forelimb motor cortex stimulation of the intact hemisphere. Rats with injury and stimulation had significantly improved forelimb control compared with rats with injury alone and achieved a level of proficiency similar to uninjured rats. To test whether recovery of forelimb function was attributable to ipsilateral control, we selectively inactivated the stimulated motor cortex using the GABA agonist muscimol. The dose of muscimol we used produces strong contralateral but no ipsilateral impairments in naive rats. In rats with injury and stimulation, but not those with injury alone, inactivation caused worsening of forelimb function; the initial deficit was reinstated. These results demonstrate that electrical stimulation can promote recovery of motor function when applied late after injury and that motor control can be exerted from the ipsilateral motor cortex. These results suggest that the uninjured motor cortex could be targeted for brain stimulation in people with large unilateral CST lesions.

The Deep South Clouds & Aerosols project: Improving the modelling of clouds in the Southern Ocean region

NASA Astrophysics Data System (ADS)

Morgenstern, Olaf; McDonald, Adrian; Harvey, Mike; Davies, Roger; Katurji, Marwan; Varma, Vidya; Williams, Jonny

2016-04-01

Southern-Hemisphere climate projections are subject to persistent climate model biases affecting the large majority of contemporary climate models, which degrade the reliability of these projections, particularly at the regional scale. Southern-Hemisphere specific problems include the fact that satellite-based observations comparisons with model output indicate that cloud occurrence above the Southern Ocean is substantially underestimated, with consequences for the radiation balance, sea surface temperatures, sea ice, and the position of storm tracks. The Southern-Ocean and Antarctic region is generally characterized by an acute paucity of surface-based and airborne observations, further complicating the situation. In recognition of this and other Southern-Hemisphere specific problems with climate modelling, the New Zealand Government has launched the Deep South National Science Challenge, whose purpose is to develop a new Earth System Model which reduces these very large radiative forcing problems associated with erroneous clouds. The plan is to conduct a campaign of targeted observations in the Southern Ocean region, leveraging off international measurement campaigns in this area, and using these and existing measurements of cloud and aerosol properties to improve the representation of clouds in the nascent New Zealand Earth System Model. Observations and model development will target aerosol physics and chemistry, particularly sulphate, sea salt, and non-sulphate organic aerosol, its interactions with clouds, and cloud microphysics. The hypothesis is that the cloud schemes in most GCMs are trained on Northern-Hemisphere data characterized by substantial anthropogenic or terrestrial aerosol-related influences which are almost completely absent in the Deep South.

Imaging 'top-down' mobilization of visual information: a case study in a posterior split-brain patient.

PubMed

Naccache, Lionel; Sportiche, Sarah; Strauss, Mélanie; El Karoui, Imen; Sitt, Jacobo; Cohen, Laurent

2014-01-01

During visual perception, automatic bottom-up and controlled top-down processes occur simultaneously and interact in a complex way, making them difficult to isolate and characterize. In rare neurological conditions, such a dissociation can be achieved more easily. In the present work, we studied a patient (AC) with a posterior lesion of the corpus callosum (CC), using a combination of behavioural, structural MRI and high-density scalp EEG measures. Given the complete disruption of the posterior half of the CC, we speculated that inter-hemispheric transfer of visual information was only possible through top-down mobilization across the preserved anterior segment of the CC. We designed a matching-to-sample visual task during which this patient was randomly presented with two successive numerical targets (T1 and T2) flashed with either a short or a long stimulus-onset asynchrony (SOA), each presented within one visual hemifield (HF). Intra-hemispheric processing of visual stimuli was essentially preserved. In sharp contrast, patient's performance was massively impaired during inter-HFs trials with a short-SOA, confirming the lack of fast inter-hemispheric transfer. Crucially, patient AC spontaneously improved his performance in inter-HFs trials with a long-SOA. This behavioral improvement was correlated with a mid-frontal ERP effect occurring during the T1-T2 interval, concomitant with an increase of functional connectivity of this region with distant areas including occipital regions. These results put to light a slow, non-automatic, and frontally mediated route of inter-hemispheric transfer dependent on top-down control. © 2013 Published by Elsevier Ltd.

Reshaping the brain after stroke: The effect of prismatic adaptation in patients with right brain damage.

PubMed

Crottaz-Herbette, Sonia; Fornari, Eleonora; Notter, Michael P; Bindschaedler, Claire; Manzoni, Laura; Clarke, Stephanie

2017-09-01

Prismatic adaptation has been repeatedly reported to alleviate neglect symptoms; in normal subjects, it was shown to enhance the representation of the left visual space within the left inferior parietal cortex. Our study aimed to determine in humans whether similar compensatory mechanisms underlie the beneficial effect of prismatic adaptation in neglect. Fifteen patients with right hemispheric lesions and 11 age-matched controls underwent a prismatic adaptation session which was preceded and followed by fMRI using a visual detection task. In patients, the prismatic adaptation session improved the accuracy of target detection in the left and central space and enhanced the representation of this visual space within the left hemisphere in parts of the temporal convexity, inferior parietal lobule and prefrontal cortex. Across patients, the increase in neuronal activation within the temporal regions correlated with performance improvements in this visual space. In control subjects, prismatic adaptation enhanced the representation of the left visual space within the left inferior parietal lobule and decreased it within the left temporal cortex. Thus, a brief exposure to prismatic adaptation enhances, both in patients and in control subjects, the competence of the left hemisphere for the left space, but the regions extended beyond the inferior parietal lobule to the temporal convexity in patients. These results suggest that the left hemisphere provides compensatory mechanisms in neglect by assuming the representation of the whole space within the ventral attentional system. The rapidity of the change suggests that the underlying mechanism relies on uncovering pre-existing synaptic connections. Copyright © 2017 Elsevier Ltd. All rights reserved.

Development of a Double Hemispherical Probe for Improved Space Plasma Measurements

NASA Astrophysics Data System (ADS)

Wang, X.; Samaniego, J. I.; Hsu, H.-W.; Horányi, M.; Wahlund, J.-E.; Ergun, R. E.; Bering, E. A.

2018-04-01

Langmuir probes have been widely used for space plasma measurements for decades. However, there are still challenges in the interpretation of their measurements. Due to the interaction of the ambient plasma with a spacecraft and an onboard probe itself, the local plasma conditions around the probe could be very different from the true ambient plasma of interest. These local plasma conditions are often anisotropic and/or inhomogeneous. Most of the Langmuir probes that are made of a single electrode have difficulties to remove these local plasma effects, introducing errors in the derived plasma characteristics. Directional probes are able to characterize anisotropic and inhomogeneous plasmas. The split Langmuir probe and the Segmented Langmuir Probe have been developed to characterize the plasma flow in the Earth's ionosphere. Here we introduce a new type of a directional Langmuir probe, the Double Hemispherical Probe (DHP), to improve the space plasma measurements in a broad range of scenarios: (a) low-density plasmas, (b) high surface-emission (photo and/or secondary electron emission) environments, (c) flowing plasmas, and (d) dust-rich plasma environments. The DHP consists of two identical hemispheres that are electrically insulated and swept with the same voltages simultaneously. The difference currents between the two hemispheres are used to characterize the anisotropic/inhomogeneous plasma conditions created around the probe, which will be then removed or minimized on the interpretation of their current-voltage curves. This paper describes the basic concept and design of the DHP sensor, as well as its initial results tested in the laboratory plasma environments.

Evaluation of the Multi-Angle Implementation of Atmospheric Correction (MAIAC) Aerosol Algorithm through Intercomparison with VIIRS Aerosol Products and AERONET

NASA Technical Reports Server (NTRS)

Superczynski, Stephen D.; Kondragunta, Shobha; Lyapustin, Alexei I.

2017-01-01

The Multi-Angle Implementation of Atmospheric Correction (MAIAC) algorithm is under evaluation for use in conjunction with the Geostationary Coastal and Air Pollution Events (GEO-CAPE) mission. Column aerosol optical thickness (AOT) data from MAIAC are compared against corresponding data. from the Visible Infrared Imaging Radiometer Suite (VIIRS) instrument over North America during 2013. Product coverage and retrieval strategy, along with regional variations in AOT through comparison of both matched and un-matched seasonally gridded data are reviewed. MAIAC shows extended coverage over parts of the continent when compared to VIIRS, owing to its pixel selection process and ability to retrieve aerosol information over brighter surfaces. To estimate data accuracy, both products are compared with AERONET Level 2 measurements to determine the amount of error present and discover if there is any dependency on viewing geometry and/or surface characteristics. Results suggest that MAIAC performs well over this region with a relatively small bias of -0.01; however there is a tendency for greater negative biases over bright surfaces and at larger scattering angles. Additional analysis over an expanded area and longer time period are likely needed to determine a comprehensive assessment of the products capability over the Western Hemisphere. and meet the levels of accuracy needed for aerosol monitoring.

Mixing and the fractal geometry of piecewise isometries.

PubMed

Park, Paul P; Lynn, Thomas F; Umbanhowar, Paul B; Ottino, Julio M; Lueptow, Richard M

2017-04-01

Mathematical concepts often have applicability in areas that may have surprised their original developers. This is the case with piecewise isometries (PWIs), which transform an object by cutting it into pieces that are then rearranged to reconstruct the original object, and which also provide a paradigm to study mixing via cutting and shuffling in physical sciences and engineering. Every PWI is characterized by a geometric structure called the exceptional set, E, whose complement comprises nonmixing regions in the domain. Varying the parameters that define the PWI changes both the structure of E as well as the degree of mixing the PWI produces, which begs the question of how to determine which parameters produce the best mixing. Motivated by mixing of yield stress materials, for example granular media, in physical systems, we use numerical simulations of PWIs on a hemispherical shell and examine how the fat fractal properties of E relate to the degree of mixing for any particular PWI. We present numerical evidence that the fractional coverage of E negatively correlates with the intensity of segregation, a standard measure for the degree of mixing, which suggests that fundamental properties of E such as fractional coverage can be used to predict the effectiveness of a particular PWI as a mixing mechanism.

Evaluation of the multi-angle implementation of atmospheric correction (MAIAC) aerosol algorithm through intercomparison with VIIRS aerosol products and AERONET

NASA Astrophysics Data System (ADS)

Superczynski, Stephen D.; Kondragunta, Shobha; Lyapustin, Alexei I.

2017-03-01

The multi-angle implementation of atmospheric correction (MAIAC) algorithm is under evaluation for use in conjunction with the Geostationary Coastal and Air Pollution Events mission. Column aerosol optical thickness (AOT) data from MAIAC are compared against corresponding data from the Visible Infrared Imaging Radiometer Suite (VIIRS) instrument over North America during 2013. Product coverage and retrieval strategy, along with regional variations in AOT through comparison of both matched and unmatched seasonally gridded data, are reviewed. MAIAC shows extended coverage over parts of the continent when compared to VIIRS, owing to its pixel selection process and ability to retrieve aerosol information over brighter surfaces. To estimate data accuracy, both products are compared with Aerosol Robotic Network level 2 measurements to determine the amount of error present and discover if there is any dependency on viewing geometry and/or surface characteristics. Results suggest that MAIAC performs well over this region with a relatively small bias of -0.01; however, there is a tendency for greater negative biases over bright surfaces and at larger scattering angles. Additional analysis over an expanded area and longer time period are likely needed to determine a comprehensive assessment of the products' capability over the Western Hemisphere.

Colombian health care system: results on equity for five health dimensions, 2003-2008.

PubMed

Ruiz Gómez, Fernando; Zapata Jaramillo, Teana; Garavito Beltrán, Liz

2013-02-01

To assess the change in five health equity dimensions for the Colombian health system: health condition, social health insurance coverage, health services utilization, quality, and health expenditure. A common standardization methodology was used to assess equity in countries in the western hemisphere. Data come from the Colombian Life Quality Survey. After indirect standardization, concentration indices and horizontal inequity were estimated. A decomposition analysis was developed. Aggregate household monthly expenditure per equivalent adult was considered as the standard of living. Results show important progress in equity with regard to social health insurance affiliation, access to medicine and curative services, and perception of the quality of health care service. Important gaps persist, which affect poorer populations, especially their perception of having a bad health condition and their access to preventive medical and dental services. The Colombian model needs to advance in implementing preventive public health strategies to cope with increasing demand concomitant with increased social insurance coverage. The population's access to total services in cases of chronic illness and oral health services must increase and benefit plans must be integrated while preserving the recorded achievements in equity. Decomposition of the concentration index shows that inequities are mostly explained by socioeconomic variables and not by health-related factors.

Evaluation of the Multi-Angle Implementation of Atmospheric Correction (MAIAC) Aerosol Algorithm through Intercomparison with VIIRS Aerosol Products and AERONET

PubMed Central

Superczynski, Stephen D.; Kondragunta, Shobha; Lyapustin, Alexei I.

2018-01-01

The Multi-Angle Implementation of Atmospheric Correction (MAIAC) algorithm is under evaluation for use in conjunction with the Geostationary Coastal and Air Pollution Events (GEO-CAPE) mission. Column aerosol optical thickness (AOT) data from MAIAC are compared against corresponding data from the Visible Infrared Imaging Radiometer Suite (VIIRS) instrument over North America during 2013. Product coverage and retrieval strategy, along with regional variations in AOT through comparison of both matched and un-matched seasonally gridded data are reviewed. MAIAC shows extended coverage over parts of the continent when compared to VIIRS, owing to its pixel selection process and ability to retrieve aerosol information over brighter surfaces. To estimate data accuracy, both products are compared with AERONET Level 2 measurements to determine the amount of error present and discover if there is any dependency on viewing geometry and/or surface characteristics. Results suggest that MAIAC performs well over this region with a relatively small bias of −0.01; however there is a tendency for greater negative biases over bright surfaces and at larger scattering angles. Additional analysis over an expanded area and longer time period are likely needed to determine a comprehensive assessment of the products capability over the Western Hemisphere. PMID:29796366

Evaluation of the Multi-Angle Implementation of Atmospheric Correction (MAIAC) Aerosol Algorithm through Intercomparison with VIIRS Aerosol Products and AERONET.

PubMed

Superczynski, Stephen D; Kondragunta, Shobha; Lyapustin, Alexei I

2017-03-16

The Multi-Angle Implementation of Atmospheric Correction (MAIAC) algorithm is under evaluation for use in conjunction with the Geostationary Coastal and Air Pollution Events (GEO-CAPE) mission. Column aerosol optical thickness (AOT) data from MAIAC are compared against corresponding data from the Visible Infrared Imaging Radiometer Suite (VIIRS) instrument over North America during 2013. Product coverage and retrieval strategy, along with regional variations in AOT through comparison of both matched and un-matched seasonally gridded data are reviewed. MAIAC shows extended coverage over parts of the continent when compared to VIIRS, owing to its pixel selection process and ability to retrieve aerosol information over brighter surfaces. To estimate data accuracy, both products are compared with AERONET Level 2 measurements to determine the amount of error present and discover if there is any dependency on viewing geometry and/or surface characteristics. Results suggest that MAIAC performs well over this region with a relatively small bias of -0.01; however there is a tendency for greater negative biases over bright surfaces and at larger scattering angles. Additional analysis over an expanded area and longer time period are likely needed to determine a comprehensive assessment of the products capability over the Western Hemisphere.

Health-system reform and universal health coverage in Latin America.

PubMed

Atun, Rifat; de Andrade, Luiz Odorico Monteiro; Almeida, Gisele; Cotlear, Daniel; Dmytraczenko, T; Frenz, Patricia; Garcia, Patrícia; Gómez-Dantés, Octavio; Knaul, Felicia M; Muntaner, Carles; de Paula, Juliana Braga; Rígoli, Felix; Serrate, Pastor Castell-Florit; Wagstaff, Adam

2015-03-28

Starting in the late 1980s, many Latin American countries began social sector reforms to alleviate poverty, reduce socioeconomic inequalities, improve health outcomes, and provide financial risk protection. In particular, starting in the 1990s, reforms aimed at strengthening health systems to reduce inequalities in health access and outcomes focused on expansion of universal health coverage, especially for poor citizens. In Latin America, health-system reforms have produced a distinct approach to universal health coverage, underpinned by the principles of equity, solidarity, and collective action to overcome social inequalities. In most of the countries studied, government financing enabled the introduction of supply-side interventions to expand insurance coverage for uninsured citizens--with defined and enlarged benefits packages--and to scale up delivery of health services. Countries such as Brazil and Cuba introduced tax-financed universal health systems. These changes were combined with demand-side interventions aimed at alleviating poverty (targeting many social determinants of health) and improving access of the most disadvantaged populations. Hence, the distinguishing features of health-system strengthening for universal health coverage and lessons from the Latin American experience are relevant for countries advancing universal health coverage. Copyright © 2015 Elsevier Ltd. All rights reserved.

Differential hemispheric and visual stream contributions to ensemble coding of crowd emotion

PubMed Central

Im, Hee Yeon; Albohn, Daniel N.; Steiner, Troy G.; Cushing, Cody A.; Adams, Reginald B.; Kveraga, Kestutis

2017-01-01

In crowds, where scrutinizing individual facial expressions is inefficient, humans can make snap judgments about the prevailing mood by reading “crowd emotion”. We investigated how the brain accomplishes this feat in a set of behavioral and fMRI studies. Participants were asked to either avoid or approach one of two crowds of faces presented in the left and right visual hemifields. Perception of crowd emotion was improved when crowd stimuli contained goal-congruent cues and was highly lateralized to the right hemisphere. The dorsal visual stream was preferentially activated in crowd emotion processing, with activity in the intraparietal sulcus and superior frontal gyrus predicting perceptual accuracy for crowd emotion perception, whereas activity in the fusiform cortex in the ventral stream predicted better perception of individual facial expressions. Our findings thus reveal significant behavioral differences and differential involvement of the hemispheres and the major visual streams in reading crowd versus individual face expressions. PMID:29226255

Transcranial direct current stimulation for motor recovery of upper limb function after stroke.

PubMed

Lüdemann-Podubecká, Jitka; Bösl, Kathrin; Rothhardt, Sandra; Verheyden, Geert; Nowak, Dennis Alexander

2014-11-01

Changes in neural processing after stroke have been postulated to impede recovery from stroke. Transcranial direct current stimulation has the potential to alter cortico-spinal excitability and thereby might be beneficial in stroke recovery. We review the pertinent literature prior to 30/09/2013 on transcranial direct current stimulation in promoting motor recovery of the affected upper limb after stroke. We found overall 23 trials (they included 523 participants). All stimulation protocols pride on interhemispheric imbalance model. In a comparative approach, methodology and effectiveness of (a) facilitation of the affected hemisphere, (b) inhibition of the unaffected hemisphere and (c) combined application of transcranial direct current stimulation over the affected and unaffected hemispheres to treat impaired hand function after stroke are presented. Transcranial direct current stimulation is associated with improvement of the affected upper limb after stroke, but current evidence does not support its routine use. Copyright © 2014 Elsevier Ltd. All rights reserved.

A Novel Deployment Scheme Based on Three-Dimensional Coverage Model for Wireless Sensor Networks

PubMed Central

Xiao, Fu; Yang, Yang; Wang, Ruchuan; Sun, Lijuan

2014-01-01

Coverage pattern and deployment strategy are directly related to the optimum allocation of limited resources for wireless sensor networks, such as energy of nodes, communication bandwidth, and computing power, and quality improvement is largely determined by these for wireless sensor networks. A three-dimensional coverage pattern and deployment scheme are proposed in this paper. Firstly, by analyzing the regular polyhedron models in three-dimensional scene, a coverage pattern based on cuboids is proposed, and then relationship between coverage and sensor nodes' radius is deduced; also the minimum number of sensor nodes to maintain network area's full coverage is calculated. At last, sensor nodes are deployed according to the coverage pattern after the monitor area is subdivided into finite 3D grid. Experimental results show that, compared with traditional random method, sensor nodes number is reduced effectively while coverage rate of monitor area is ensured using our coverage pattern and deterministic deployment scheme. PMID:25045747

Neuromagnetic Index of Hemispheric Asymmetry Prognosticating the Outcome of Sudden Hearing Loss

PubMed Central

Li, Lieber Po-Hung; Shiao, An-Suey; Chen, Kuang-Chao; Lee, Po-Lei; Niddam, David M.; Chang, Shyue-Yih; Hsieh, Jen-Chuen

2012-01-01

The longitudinal relationship between central plastic changes and clinical presentations of peripheral hearing impairment remains unknown. Previously, we reported a unique plastic pattern of “healthy-side dominance” in acute unilateral idiopathic sudden sensorineural hearing loss (ISSNHL). This study aimed to explore whether such hemispheric asymmetry bears any prognostic relevance to ISSNHL along the disease course. Using magnetoencephalography (MEG), inter-hemispheric differences in peak dipole amplitude and latency of N100m to monaural tones were evaluated in 21 controls and 21 ISSNHL patients at two stages: initial and fixed stage (1 month later). Dynamics/Prognostication of hemispheric asymmetry were assessed by the interplay between hearing level/hearing gain and ipsilateral/contralateral ratio (I/C) of N100m latency and amplitude. Healthy-side dominance of N100m amplitude was observed in ISSNHL initially. The pattern changed with disease process. There is a strong correlation between the hearing level at the fixed stage and initial I/Camplitude on affected-ear stimulation in ISSNHL. The optimal cut-off value with the best prognostication effect for the hearing improvement at the fixed stage was an initial I/Clatency on affected-ear stimulation of 1.34 (between subgroups of complete and partial recovery) and an initial I/Clatency on healthy-ear stimulation of 0.76 (between subgroups of partial and no recovery), respectively. This study suggested that a dynamic process of central auditory plasticity can be induced by peripheral lesions. The hemispheric asymmetry at the initial stage bears an excellent prognostic potential for the treatment outcomes and hearing level at the fixed stage in ISSNHL. Our study demonstrated that such brain signature of central auditory plasticity in terms of both N100m latency and amplitude at defined time can serve as a prognostication predictor for ISSNHL. Further studies are needed to explore the long-term temporal scenario of auditory hemispheric asymmetry and to get better psychoacoustic correlates of pathological hemispheric asymmetry in ISSNHL. PMID:22532839

Impact of epilepsy surgery on development of preschool children: identification of a cohort likely to benefit from early intervention.

PubMed

Shurtleff, Hillary A; Barry, Dwight; Firman, Timothy; Warner, Molly H; Aguilar-Estrada, Rafael L; Saneto, Russell P; Kuratani, John D; Ellenbogen, Richard G; Novotny, Edward J; Ojemann, Jeffrey G

2015-10-01

Outcomes of focal resection in young children with early-onset epilepsy are varied in the literature due to study differences. In this paper, the authors sought to define the effect of focal resection in a small homogeneous sample of children who were otherwise cognitively intact, but who required early surgical treatment. Preservation of and age-appropriate development of intelligence following focal resection was hypothesized. Cognitive outcome after focal resection was retrospectively reviewed for 15 cognitively intact children who were operated on at the ages of 2-6 years for lesion-related, early-onset epilepsy. Intelligence was tested prior to and after surgery. Effect sizes and confidence intervals for means and standard deviations were used to infer changes and differences in intelligence between 1) groups (pre vs post), 2) left versus right hemisphere resections, and 3) short versus long duration of seizures prior to resection. No group changes from baseline occurred in Full Scale, verbal, or nonverbal IQ. No change from baseline intelligence occurred in children who underwent left or right hemisphere surgery, including no group effect on verbal scores following surgery in the dominant hemisphere. Patients with seizure durations of less than 6 months prior to resection showed improvement from their presurgical baseline in contrast to those with seizure duration of greater than 6 months prior to surgery, particularly in Wechsler Full Scale IQ and nonverbal intelligence. This study suggests that surgical treatment of focal seizures in cognitively intact preschool children is likely to result in seizure remediation, antiepileptic drug discontinuation, and no significant decrement in intelligence. The latter finding is particularly significant in light of the longstanding concern associated with performing resections in the language-dominant hemisphere. Importantly, shorter seizure duration prior to resection can result in improved cognitive outcome, suggesting that surgery for this population should occur sooner to help improve intelligence outcomes.

Integrated development of light armored vehicles based on wargaming simulators

NASA Astrophysics Data System (ADS)

Palmarini, Marc; Rapanotti, John

2004-08-01

Vehicles are evolving into vehicle networks through improved sensors, computers and communications. Unless carefully planned, these complex systems can result in excessive crew workload and difficulty in optimizing the use of the vehicle. To overcome these problems, a war-gaming simulator is being developed as a common platform to integrate contributions from three different groups. The simulator, OneSAF, is used to integrate simplified models of technology and natural phenomena from scientists and engineers with tactics and doctrine from the military and analyzed in detail by operations analysts. This approach ensures the modelling of processes known to be important regardless of the level of information available about the system. Vehicle survivability can be improved as well with better sensors, computers and countermeasures to detect and avoid or destroy threats. To improve threat detection and reliability, Defensive Aids Suite (DAS) designs are based on three complementary sensor technologies including: acoustics, visible and infrared optics and radar. Both active armour and softkill countermeasures are considered. In a typical scenario, a search radar, providing continuous hemispherical coverage, detects and classifies the threat and cues a tracking radar. Data from the tracking radar is processed and an explosive grenade is launched to destroy or deflect the threat. The angle of attack and velocity from the search radar can be used by the soft-kill system to carry out an infrared search and track or an illuminated range-gated scan for the threat platform. Upon detection, obscuration, countermanoeuvres and counterfire can be used against the threat. The sensor suite is completed by acoustic detection of muzzle blast and shock waves. Automation and networking at the platoon level contribute to improved vehicle survivability. Sensor data fusion is essential in avoiding catastrophic failure of the DAS. The modular DAS components can be used with Light Armoured Vehicle (LAV) variants including: armoured personnel carriers and direct-fire support vehicles. OneSAF will be used to assess the performance of these DAS-equipped vehicles on a virtual battlefield.

Horizontal visual search in a large field by patients with unilateral spatial neglect.

PubMed

Nakatani, Ken; Notoya, Masako; Sunahara, Nobuyuki; Takahashi, Shusuke; Inoue, Katsumi

2013-06-01

In this study, we investigated the horizontal visual search ability and pattern of horizontal visual search in a large space performed by patients with unilateral spatial neglect (USN). Subjects included nine patients with right hemisphere damage caused by cerebrovascular disease showing left USN, nine patients with right hemisphere damage but no USN, and six healthy individuals with no history of brain damage who were age-matched to the groups with brain right hemisphere damage. The number of visual search tasks accomplished was recorded in the first experiment. Neck rotation angle was continuously measured during the task and quantitative data of the measurements were collected. There was a strong correlation between the number of visual search tasks accomplished and the total Behavioral Inattention Test Conventional Subtest (BITC) score in subjects with right hemisphere damage. In both USN and control groups, the head position during the visual search task showed a balanced bell-shaped distribution from the central point on the field to the left and right sides. Our results indicate that compensatory strategies, including cervical rotation, may improve visual search capability and achieve balance on the neglected side. Copyright © 2012 Elsevier Ltd. All rights reserved.

Periodic analysis of total ozone and its vertical distribution

NASA Technical Reports Server (NTRS)

Wilcox, R. W.; Nastrom, G. D.; Belmont, A. D.

1975-01-01

Both total ozone and vertical distribution ozone data from the period 1957 to 1972 are analyzed. For total ozone, improved monthly zonal means for both hemispheres are computed by weighting individual station monthly means by a factor which compensates for the close grouping of stations in certain regions of latitude bands. Longitudinal variability show maxima in summer in both hemispheres, but, in winter, only in the Northern Hemisphere. The geographical distributions of the long term mean, and the annual, quasibiennial and semiannual waves in total ozone over the Northern Hemisphere are presented. The extratropical amplitude of the annual wave is by far the largest of the three, as much as 120 m atm cm over northern Siberia. There is a tendency for all three waves to have maxima in high latitudes. Monthly means of the vertical distribution of ozone determined from 3 to 8 years of ozonesonde data over North America are presented. Number density is highest in the Arctic near 18 km. The region of maximum number density slopes upward toward 10 N, where the long term mean is 45 x 10 to the 11th power molecules cm/3 near 26 km.

Ice particle production in mid-level stratiform mixed-phase clouds observed with collocated A-Train measurements

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

Zhang, Damao; Wang, Zhien; Kollias, Pavlos

In this study, collocated A-Train CloudSat radar and CALIPSO lidar measurements between 2006 and 2010 are analyzed to study primary ice particle production characteristics in mid-level stratiform mixed-phase clouds on a global scale. For similar clouds in terms of cloud top temperature and liquid water path, Northern Hemisphere latitude bands have layer-maximum radar reflectivity (ZL) that is ~1 to 8 dBZ larger than their counterparts in the Southern Hemisphere. The systematically larger ZL under similar cloud conditions suggests larger ice number concentrations in mid-level stratiform mixed-phase clouds over the Northern Hemisphere, which is possibly related to higher background aerosol loadings.more » Furthermore, we show that springtime northern mid- and high latitudes have ZL that is larger by up to 6 dBZ (a factor of 4 higher ice number concentration) than other seasons, which might be related to more dust events that provide effective ice nucleating particles. Our study suggests that aerosol-dependent ice number concentration parameterizations are required in climate models to improve mixed-phase cloud simulations, especially over the Northern Hemisphere.« less

Tracking Training-Related Plasticity by Combining fMRI and DTI: The Right Hemisphere Ventral Stream Mediates Musical Syntax Processing.

PubMed

Oechslin, Mathias S; Gschwind, Markus; James, Clara E

2018-04-01

As a functional homolog for left-hemispheric syntax processing in language, neuroimaging studies evidenced involvement of right prefrontal regions in musical syntax processing, of which underlying white matter connectivity remains unexplored so far. In the current experiment, we investigated the underlying pathway architecture in subjects with 3 levels of musical expertise. Employing diffusion tensor imaging tractography, departing from seeds from our previous functional magnetic resonance imaging study on music syntax processing in the same participants, we identified a pathway in the right ventral stream that connects the middle temporal lobe with the inferior frontal cortex via the extreme capsule, and corresponds to the left hemisphere ventral stream, classically attributed to syntax processing in language comprehension. Additional morphometric consistency analyses allowed dissociating tract core from more dispersed fiber portions. Musical expertise related to higher tract consistency of the right ventral stream pathway. Specifically, tract consistency in this pathway predicted the sensitivity for musical syntax violations. We conclude that enduring musical practice sculpts ventral stream architecture. Our results suggest that training-related pathway plasticity facilitates the right hemisphere ventral stream information transfer, supporting an improved sound-to-meaning mapping in music.

Ice particle production in mid-level stratiform mixed-phase clouds observed with collocated A-Train measurements

DOE PAGES

Zhang, Damao; Wang, Zhien; Kollias, Pavlos; ...

2018-03-28

In this study, collocated A-Train CloudSat radar and CALIPSO lidar measurements between 2006 and 2010 are analyzed to study primary ice particle production characteristics in mid-level stratiform mixed-phase clouds on a global scale. For similar clouds in terms of cloud top temperature and liquid water path, Northern Hemisphere latitude bands have layer-maximum radar reflectivity (ZL) that is ~1 to 8 dBZ larger than their counterparts in the Southern Hemisphere. The systematically larger ZL under similar cloud conditions suggests larger ice number concentrations in mid-level stratiform mixed-phase clouds over the Northern Hemisphere, which is possibly related to higher background aerosol loadings.more » Furthermore, we show that springtime northern mid- and high latitudes have ZL that is larger by up to 6 dBZ (a factor of 4 higher ice number concentration) than other seasons, which might be related to more dust events that provide effective ice nucleating particles. Our study suggests that aerosol-dependent ice number concentration parameterizations are required in climate models to improve mixed-phase cloud simulations, especially over the Northern Hemisphere.« less

44 CFR 64.5 - Relationship of rates to zone designations.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the entire community at chargeable rates (i.e., subsidized) for first layer coverage of existing... improvements. Upon the effective date of a FIRM, second layer coverage is available only at risk premium rates...

Recovered vs. not-recovered from post-stroke aphasia: The contributions from the dominant and non-dominant hemispheres

PubMed Central

Szaflarski, Jerzy P.; Allendorfer, Jane B.; Banks, Christi; Vannest, Jennifer; Holland, Scott K.

2013-01-01

Purpose Several adult studies have documented the importance of the peri-stroke areas to aphasia recovery. But, studies examining the differences in patterns of cortical participation in language comprehension in patients who have (LMCA-R) or have not recovered (LMCA-NR) from left middle cerebral artery infarction have not been performed up to date. Methods In this study, we compare cortical correlates of language comprehension using fMRI and semantic decision/tone decision task in 9 LMCA-R and 18 LMCA-NR patients matched at the time of stroke for age and handedness. We examine the cortical correlates of language performance by correlating intra- and extra-scanner measures of linguistic performance with fMRI activation and stroke volumes. Results Our analyses show that LMCA-R at least 1 year after stroke show a return to typical fMRI language activation patterns and that there is a compensatory reorganization of language function in LMCA-NR patients with shifts to the right hemispheric brain regions. Further, with increasing strength of the left-hemispheric fMRI signal shift there are associated improvements in performance as tested with standardized linguistic measures. A negative correlation between the size of the stroke and performance on some of the linguistic tests is also observed. Conclusions This right-hemispheric shift as a mechanism of post-stroke recovery in adults appears to be an ineffective mode of language function recovery with increasing right-hemispheric shift associated with lower language performance. Thus, normalization of the post-stroke language activation patterns is needed for better language performance while shifts of the activation patterns to the non-dominant (right) hemisphere and/or large stroke size are associated with decreased linguistic abilities after stroke. PMID:23482065

Arts, Brain and Cognition.

PubMed

Demarin, Vida; Bedeković, Marina Roje; Puretić, Marijana Bosnar; Pašić, Marija Bošnjak

2016-12-01

Art is a product of human creativity; it is a superior skill that can be learned by study, practice and observation. Modern neuroscience and neuroimaging enable study of the processes during artistic performance. Creative people have less marked hemispheric dominance. It was found that the right hemisphere is specialized for metaphoric thinking, playfulness, solution finding and synthesizing, it is the center of visualization, imagination and conceptualization, but the left hemisphere is still needed for artistic work to achieve balance. A specific functional organization of brain areas was found during visual art activities. Marked hemispheric dominance and area specialization is also very prominent for music perception. Brain is capable of making new connections, activating new pathways and unmasking secondary roads, it is "plastic". Music is a strong stimulus for neuroplasticity. fMRI studies have shown reorganization of motor and auditory cortex in professional musicians. Other studies showed the changes in neurotransmitter and hormone serum levels in correlation to music. The most prominent connection between music and enhancement of performance or changing of neuropsychological activity was shown by studies involving Mozart's music from which the theory of "The Mozart Effect" was derived. Results of numerous studies showed that listening to music can improve cognition, motor skills and recovery after brain injury. In the field of visual art, brain lesion can lead to the visuospatial neglect, loss of details and significant impairment of artistic work while the lesions affecting the left hemisphere reveal new artistic dimensions, disinhibit the right hemisphere, work is more spontaneous and emotional with the gain of artistic quality. All kinds of arts (music, painting, dancing...) stimulate the brain. They should be part of treatment processes. Work of many artists is an excellent example for the interweaving the neurology and arts.

Transcranial Direct Current Stimulation Over the Primary and Secondary Somatosensory Cortices Transiently Improves Tactile Spatial Discrimination in Stroke Patients

PubMed Central

Fujimoto, Shuhei; Kon, Noriko; Otaka, Yohei; Yamaguchi, Tomofumi; Nakayama, Takeo; Kondo, Kunitsugu; Ragert, Patrick; Tanaka, Satoshi

2016-01-01

In healthy subjects, dual hemisphere transcranial direct current stimulation (tDCS) over the primary (S1) and secondary somatosensory cortices (S2) has been found to transiently enhance tactile performance. However, the effect of dual hemisphere tDCS on tactile performance in stroke patients with sensory deficits remains unknown. The purpose of this study was to investigate whether dual hemisphere tDCS over S1 and S2 could enhance tactile discrimination in stroke patients. We employed a double-blind, crossover, sham-controlled experimental design. Eight chronic stroke patients with sensory deficits participated in this study. We used a grating orientation task (GOT) to measure the tactile discriminative threshold of the affected and non-affected index fingers before, during, and 10 min after four tDCS conditions. For both the S1 and S2 conditions, we placed an anodal electrode over the lesioned hemisphere and a cathodal electrode over the opposite hemisphere. We applied tDCS at an intensity of 2 mA for 15 min in both S1 and S2 conditions. We included two sham conditions in which the positions of the electrodes and the current intensity were identical to that in the S1 and S2 conditions except that current was delivered for the initial 15 s only. We found that GOT thresholds for the affected index finger during and 10 min after the S1 and S2 conditions were significantly lower compared with each sham condition. GOT thresholds were not significantly different between the S1 and S2 conditions at any time point. We concluded that dual-hemisphere tDCS over S1 and S2 can transiently enhance tactile discriminative task performance in chronic stroke patients with sensory dysfunction. PMID:27064531

Geographical Inequalities in Use of Improved Drinking Water Supply and Sanitation across Sub-Saharan Africa: Mapping and Spatial Analysis of Cross-sectional Survey Data

PubMed Central

Pullan, Rachel L.; Freeman, Matthew C.; Gething, Peter W.; Brooker, Simon J.

2014-01-01

Background Understanding geographic inequalities in coverage of drinking-water supply and sanitation (WSS) will help track progress towards universal coverage of water and sanitation by identifying marginalized populations, thus helping to control a large number of infectious diseases. This paper uses household survey data to develop comprehensive maps of WSS coverage at high spatial resolution for sub-Saharan Africa (SSA). Analysis is extended to investigate geographic heterogeneity and relative geographic inequality within countries. Methods and Findings Cluster-level data on household reported use of improved drinking-water supply, sanitation, and open defecation were abstracted from 138 national surveys undertaken from 1991–2012 in 41 countries. Spatially explicit logistic regression models were developed and fitted within a Bayesian framework, and used to predict coverage at the second administrative level (admin2, e.g., district) across SSA for 2012. Results reveal substantial geographical inequalities in predicted use of water and sanitation that exceed urban-rural disparities. The average range in coverage seen between admin2 within countries was 55% for improved drinking water, 54% for use of improved sanitation, and 59% for dependence upon open defecation. There was also some evidence that countries with higher levels of inequality relative to coverage in use of an improved drinking-water source also experienced higher levels of inequality in use of improved sanitation (rural populations r = 0.47, p = 0.002; urban populations r = 0.39, p = 0.01). Results are limited by the quantity of WSS data available, which varies considerably by country, and by the reliability and utility of available indicators. Conclusions This study identifies important geographic inequalities in use of WSS previously hidden within national statistics, confirming the necessity for targeted policies and metrics that reach the most marginalized populations. The presented maps and analysis approach can provide a mechanism for monitoring future reductions in inequality within countries, reflecting priorities of the post-2015 development agenda. Please see later in the article for the Editors' Summary PMID:24714528

Geographical inequalities in use of improved drinking water supply and sanitation across Sub-Saharan Africa: mapping and spatial analysis of cross-sectional survey data.

PubMed

Pullan, Rachel L; Freeman, Matthew C; Gething, Peter W; Brooker, Simon J

2014-04-01

Understanding geographic inequalities in coverage of drinking-water supply and sanitation (WSS) will help track progress towards universal coverage of water and sanitation by identifying marginalized populations, thus helping to control a large number of infectious diseases. This paper uses household survey data to develop comprehensive maps of WSS coverage at high spatial resolution for sub-Saharan Africa (SSA). Analysis is extended to investigate geographic heterogeneity and relative geographic inequality within countries. Cluster-level data on household reported use of improved drinking-water supply, sanitation, and open defecation were abstracted from 138 national surveys undertaken from 1991-2012 in 41 countries. Spatially explicit logistic regression models were developed and fitted within a Bayesian framework, and used to predict coverage at the second administrative level (admin2, e.g., district) across SSA for 2012. Results reveal substantial geographical inequalities in predicted use of water and sanitation that exceed urban-rural disparities. The average range in coverage seen between admin2 within countries was 55% for improved drinking water, 54% for use of improved sanitation, and 59% for dependence upon open defecation. There was also some evidence that countries with higher levels of inequality relative to coverage in use of an improved drinking-water source also experienced higher levels of inequality in use of improved sanitation (rural populations r = 0.47, p = 0.002; urban populations r = 0.39, p = 0.01). Results are limited by the quantity of WSS data available, which varies considerably by country, and by the reliability and utility of available indicators. This study identifies important geographic inequalities in use of WSS previously hidden within national statistics, confirming the necessity for targeted policies and metrics that reach the most marginalized populations. The presented maps and analysis approach can provide a mechanism for monitoring future reductions in inequality within countries, reflecting priorities of the post-2015 development agenda. Please see later in the article for the Editors' Summary.

Annual immunisation coverage report, 2010.

PubMed

Hull, Brynley; Dey, Aditi; Menzies, Rob; McIntyre, Peter

2013-03-31

This, the fourth annual immunisation coverage report, documents trends during 2010 for a range of standard measures derived from Australian Childhood Immunisation Register (ACIR) data. These include coverage at standard age milestones and for individual vaccines included on the National Immunisation Program (NIP). For the first time, coverage from other sources for adolescents and the elderly are included. The proportion of children 'fully vaccinated' at 12, 24 and 60 months of age was 91.6%, 92.1% and 89.1% respectively. For vaccines available on the NIP but not currently assessed for 'fully immunised' status or for eligibility for incentive payments (rotavirus and pneumococcal at 12 months and meningococcal C and varicella at 24 months) coverage varied. Although pneumococcal vaccine had similar coverage at 12 months to other vaccines, coverage was lower for rotavirus at 12 months (84.7%) and varicella at 24 months (83.0%). Overall coverage at 24 months of age exceeded that at 12 months of age nationally and for most jurisdictions, but as receipt of varicella vaccine at 18 months is excluded from calculations, this represents delayed immunisation, with some contribution from immunisation incentives. The 'fully immunised' coverage estimates for immunisations due by 60 months increased substantially in 2009, reaching almost 90% in 2010, probably related to completed immunisation by 60 months of age being introduced in 2009 as a requirement for GP incentive payments. As previously documented, vaccines recommended for Indigenous children only (hepatitis A and pneumococcal polysaccharide vaccine) had suboptimal coverage at around 57%. Delayed receipt of vaccines by Indigenous children at the 60-month milestone age improved from 56% to 62% but the disparity in on-time vaccination between Indigenous and non-Indigenous children at earlier age milestones did not improve. Coverage data for human papillomavirus (HPV)from the national HPV register are consistent with high coverage in the school-based program (73%) but were lower for the catch-up program for women outside school (30-38%). Coverage estimates for vaccines on the NIP from 65 years of age were comparable with other developed countries.

Overcoming Spatial and Temporal Barriers to Public Access Defibrillators Via Optimization

PubMed Central

Sun, Christopher L. F.; Demirtas, Derya; Brooks, Steven C.; Morrison, Laurie J.; Chan, Timothy C.Y.

2016-01-01

BACKGROUND Immediate access to an automated external defibrillator (AED) increases the chance of survival from out-of-hospital cardiac arrest (OHCA). Current deployment usually considers spatial AED access, assuming AEDs are available 24 h a day. OBJECTIVES We sought to develop an optimization model for AED deployment, accounting for spatial and temporal accessibility, to evaluate if OHCA coverage would improve compared to deployment based on spatial accessibility alone. METHODS This was a retrospective population-based cohort study using data from the Toronto Regional RescuNET cardiac arrest database. We identified all nontraumatic public-location OHCAs in Toronto, Canada (January 2006 through August 2014) and obtained a list of registered AEDs (March 2015) from Toronto emergency medical services. We quantified coverage loss due to limited temporal access by comparing the number of OHCAs that occurred within 100 meters of a registered AED (assumed 24/7 coverage) with the number that occurred both within 100 meters of a registered AED and when the AED was available (actual coverage). We then developed a spatiotemporal optimization model that determined AED locations to maximize OHCA actual coverage and overcome the reported coverage loss. We computed the coverage gain between the spatiotemporal model and a spatial-only model using 10-fold cross-validation. RESULTS We identified 2,440 atraumatic public OHCAs and 737 registered AED locations. A total of 451 OHCAs were covered by registered AEDs under assumed 24/7 coverage, and 354 OHCAs under actual coverage, representing a coverage loss of 21.5% (p < 0.001). Using the spatiotemporal model to optimize AED deployment, a 25.3% relative increase in actual coverage was achieved over the spatial-only approach (p < 0.001). CONCLUSIONS One in 5 OHCAs occurred near an inaccessible AED at the time of the OHCA. Potential AED use was significantly improved with a spatiotemporal optimization model guiding deployment. PMID:27539176

A U.S. Geological Survey Data Standard (Specifications for representation of geographic point locations for information interchange)

USGS Publications Warehouse

,

1983-01-01

This standard establishes uniform formats for geographic point location data. Geographic point location refers to the use of a coordinate system to define the position of a point that may be on, above, or below the Earth's surface. It provides a means for representing these data in digital form for the purpose of interchanging information among data systems and improving clarity and accuracy of interpersonal communications. This document is an expansion and clarification of National Bureau of Standards FIPS PUB 70, issued October 24, 1980. There are minor editorial changes, plus the following additions and modifications: (I) The representation of latitude and longitude using radian measure was added. (2) Alternate 2 for Representation of Hemispheric Information was deleted. (3) Use of the maximum precision for all numerical values was emphasized. The Alternate Representation of Precision was deleted. (4) The length of the zone representation for the State Plane Coordinate System was standardized. (5) The term altitude was substituted for elevation throughout to conform with international usage. (6) Section 3, Specifications for Altitude Data, was expanded and upgraded significantly to the same level of detail as for the horizontal values. (7) A table delineating the coverage of Universal Transverse Mercator zones and the longitudes of the Central Meridians was added and the other tables renumbered. (8) The total length of the representation of point location data at maximum precision was standardized.

Macroeconomic Analysis of Universal Coverage in the U.S.

NASA Astrophysics Data System (ADS)

Feng, Zhigang

In this paper I employ a dynamic general equilibrium model to study macroeconomic effects and welfare implications of health policies for universal coverage in the U.S. The model is calibrated to the U.S. data. Numerical simulations indicate that adopting universal coverage has several important macroeconomic effects on health expenditures, hours worked, and increases welfare by improving aggregate health status, and removing adverse selection.

Mars aerosol studies with the MGS TES emission phase function observations: Optical depths, particle sizes, and ice cloud types versus latitude and solar longitude

NASA Astrophysics Data System (ADS)

Clancy, R. Todd; Wolff, Michael J.; Christensen, Philip R.

2003-09-01

Emission phase function (EPF) observations taken in 1999-2001 by Mars Global Surveyor Thermal Emission Spectrometer (MGS TES) support the broadest study of Martian aerosol properties to date. TES solar band and infrared (IR) spectral EPF sequences are analyzed to obtain first-time seasonal/latitudinal distributions of visible optical depths, particle sizes, and single scattering phase functions. This combined angular and wavelength coverage enables identification of two distinct ice cloud types over 45°S-45°N. Type 1 ice clouds exhibit small particle sizes (reff = 1-2 μm) and a distinctive backscattering increase. They are most prevalent in the southern hemisphere during aphelion, but also appear more widely distributed in season and latitude as topographic and high-altitude (>=20 km) ice hazes. Type 2 ice clouds exhibit larger particle sizes (reff = 3-4 μm), a distinct side-scattering minimum at 90-100° phase angles (characteristic of a change in particle shape relative to the type 1), and appear most prominently in the northern subtropical aphelion cloud belt. The majority of retrieved dust visible-to-IR optical depth ratios are indicative of reff = 1.5 +/- 0.1 μm, consistent with Pathfinder and Viking/Mariner 9 reanalyses. However, increased ratios (2.7 versus 1.7) appear frequently in the northern hemisphere over LS = 50-200°, indicating substantially smaller dust particles sizes (reff = 1.0 +/- 0.2 μm) at this time. In addition, larger (reff = 1.8-2.5 μm) dust particles were observed locally in the southern hemisphere during the peak of the 2001 global dust storm. Detailed spectral modeling of the TES visible band pass indicates agreement of EPF-derived dust single scattering albedos (0.92-0.94) with the spectrally resolved results from Pathfinder observations.

Consistent global responses of marine ecosystems to future climate change across the IPCC AR5 earth system models

NASA Astrophysics Data System (ADS)

Cabré, Anna; Marinov, Irina; Leung, Shirley

2015-09-01

We analyze for the first time all 16 Coupled Model Intercomparison Project Phase 5 models with explicit marine ecological modules to identify the common mechanisms involved in projected phytoplankton biomass, productivity, and organic carbon export changes over the twenty-first century in the RCP8.5 scenario (years 2080-2099) compared to the historical scenario (years 1980-1999). All models predict decreases in primary and export production globally of up to 30 % of the historical value. We divide the ocean into biomes using upwelling velocities, sea-ice coverage, and maximum mixed layer depths. Models generally show expansion of subtropical, oligotrophic biomes and contraction of marginal sea-ice biomes. The equatorial and subtropical biomes account for 77 % of the total modern oceanic primary production (PP), but contribute 117 % to the global drop in PP, slightly compensated by an increase in PP in high latitudes. The phytoplankton productivity response to climate is surprisingly similar across models in low latitude biomes, indicating a common set of modeled processes controlling productivity changes. Ecological responses are less consistent across models in the subpolar and sea-ice biomes. Inter-hemispheric asymmetries in physical drivers result in stronger climate-driven relative decreases in biomass, productivity, and export of organic matter in the northern compared to the southern hemisphere low latitudes. The export ratio, a measure of the efficiency of carbon export to the deep ocean, decreases across low and mid-latitude biomes and models with more than one phytoplankton type, particularly in the northern hemisphere. Inter-model variability is much higher for biogeochemical than physical variables in the historical period, but is very similar among predicted 100-year biogeochemical and physical changes. We include detailed biome-by-biome analyses, discuss the decoupling between biomass, productivity and export across biomes and models, and present statistical significance and consistency across models using a novel technique based on bootstrapping combined with a weighting scheme based on similarity across models.

Detection of the SO2 atmosphere on Io with the Hubble Space Telescope

NASA Technical Reports Server (NTRS)

Ballester, G. E.; Mcgrath, M. A.; Stobel, D. F.; Zhu, Xun; Feldman, P. D.; Moos, H. W.

1994-01-01

Observations of the trailing hemisphere of Io made with the Faint Object Spectrograph of the Hubble Space Telescope (HST) in March 1992 have resulted in the first detection of atmospheric SO2 absorption bands in the ultraviolet. These observations represent only the third positive means of detection of what is widely believed to be Io's primary atmospheric constituent. Below approximately 2130 A the geometric albedo of the satellite is dominated by SO2 gas absorption band signatures, which have been analyzed using models that include the effects of optical thickness, temperature, and spatial distribution. The disk-intergrated HST data cannot resolve the spatial distribution, but it is possible to define basic properties and set constraints on the atmosphere at the time of the observations. Hemispheric atmospheres with average column density N = 6 - 10 x 10(exp 15)/sq sm and T(gas) = 110 - 500 K fit the data, with preference for temperatures of approximately 200 - 250 K. Better fits are found as the atmosphere is spatially confined, with a limit of approximately 8% hemispheric areal coverage and N approximately equal to 3 x 10(exp 17)/sq cm with colder 110 - 250 K temepratures. A dense (N greater than or equal to 10(exp 16)/sq cm), localized component of SO2 gas, such as that possibly associated with active volcanoes, can generate the observed spectral constrast only when the atmosphere is cold (110 K) and an extended component such as Pele is included. The combination of a dense, localized atmosphere with a tenuous component (N less than 10(exp 16)/sq cm, either patchy or extended) also fits the data. In all cases the best fit models imply a disk-averaged column density larger than exospheric but approximately 10 - 30 times less than the previous upper limit from near-UV observations.

Recent 210Pb, 137Cs and 241Am accumulation in an ombrotrophic peatland from Amsterdam Island (Southern Indian Ocean).

PubMed

Li, Chuxian; Le Roux, Gaël; Sonke, Jeroen; van Beek, Pieter; Souhaut, Marc; Van der Putten, Nathalie; De Vleeschouwer, François

2017-09-01

Over the past 50 years, 210 Pb, 137 Cs and 241 Am have been abundantly used in reconstructing recent sediment and peat chronologies. The study of global aerosol-climate interaction is also partially depending on our understanding of 222 Rn- 210 Pb cycling, as radionuclides are useful aerosol tracers. However, in comparison with the Northern Hemisphere, few data are available for these radionuclides in the Southern Hemisphere, especially in the South Indian Ocean. A peat core was collected in an ombrotrophic peatland from the remote Amsterdam Island (AMS) and was analyzed for 210 Pb, 137 Cs and 241 Am radionuclides using an underground ultra-low background gamma spectrometer. The 210 Pb Constant Rate of Supply (CRS) model of peat accumulations is validated by peaks of artificial radionuclides ( 137 Cs and 241 Am) that are related to nuclear weapon tests. We compared the AMS 210 Pb data with an updated 210 Pb deposition database. The 210 Pb flux of 98 ± 6 Bq·m -2 ·y -1 derived from the AMS core agrees with data from Madagascar and South Africa. The elevated flux observed at such a remote location may result from the enhanced 222 Rn activity and frequent rainfall in AMS. This enhanced 222 Rn activity itself may be explained by continental air masses passing over southern Africa and/or Madagascar. The 210 Pb flux at AMS is higher than those derived from cores collected in coastal areas in Argentina and Chile, which are areas dominated by marine westerly winds with low 222 Rn activities. We report a 137 Cs inventory at AMS of 144 ± 13 Bq·m -2 (corrected to 1969). Our data thus contribute to the under-represented data coverage in the mid-latitudes of the Southern Hemisphere. Copyright © 2017 Elsevier Ltd. All rights reserved.

Annual and solar cycle dependencies of SuperDARN scatter occurrence and ionospheric convection measurements

NASA Astrophysics Data System (ADS)

Lester, M.; Imber, S. M.; Milan, S. E.

2012-12-01

The Super Dual Auroral Radar Network (SuperDARN) provides a long term data series which enables investigations of the coupled magnetosphere-ionosphere system. The network has been in existence essentially since 1995 when 6 radars were operational in the northern hemisphere and 4 in the southern hemisphere. We have been involved in an analysis of the data over the lifetime of the project and present results here from two key studies. In the first study we calculated the amount of ionospheric scatter which is observed by the radars and see clear annual and solar cycle variations in both hemispheres. The recent extended solar minimum also produces a significant effect in the scatter occurrence. In the second study, we have determined the latitude of the Heppner-Maynard Boundary (HMB) using the northern hemisphere SuperDARN radars. The HMB represents the equatorward extent of ionospheric convection for the interval 1996 - 2011. We find that the average latitude of the HMB at midnight is 61° magnetic latitude during solar the maximum of 2003, but it moves significantly poleward during solar minimum, averaging 64° latitude during 1996, and 68° during 2010. This poleward motion is observed despite the increasing number of low latitude radars built in recent years as part of the StormDARN network, and so is not an artefact of data coverage. We believe that the recent extreme solar minimum led to an average HMB location that was further poleward than the previous solar cycle. We have also calculated the Open-Closed field line Boundary (OCB) from auroral images during a subset of the interval (2000 - 2002) and find that on average the HMB is located equatorward of the OCB by ~7o. We suggest that the HMB may be a useful proxy for the OCB when global images are not available. The work presented in this paper has been undertaken as part of the European Cluster Assimilation Technology (ECLAT) project which is funded through the EU FP7 programme and involves groups at Leicester, Helsinki, Uppsala, FMI, Graz and St. Petersburg. The aim of the project is to provide additional data sets, primarily ground based data, to the Cluster Active Archive, and its successor the Cluster Final Archive, in order to enhance the scientific productivity of the archives.

Curvature Control of Silicon Microlens for THz Dielectric Antenna

NASA Technical Reports Server (NTRS)

Lee, Choonsup; Chattopadhyay, Goutam; Cooper, Ken; Mehdi, Imran

2012-01-01

We have controlled the curvature of silicon microlens by changing the amount of photoresist in order to microfabricate hemispherical silicon microlens which can improve the directivity and reduce substrate mode losses.

Multi-Parameter GEOSCOPE Land Stations and Ocean Bottom Observatories

NASA Astrophysics Data System (ADS)

Stutzmann, E.; Roult, G.; Montagner, J.; Karczewski, J.; Geoscope Group,.

2002-12-01

Since the mid-eighties, the number of high quality broadband stations installed over the world has increased in a spectacular way and these stations cover now most of the emerged lands, with a higher concentration in the northern hemisphere between the latitudes 0 and 60N. The GEOSCOPE program has been the first global network of 3-component broadband seismic stations and has contributed to the elaboration of the FDSN. The 25 broadband GEOSCOPE stations fulfill the FDSN criteria, the data are stored in data-centers at the IPGP and IRIS DMC and are accessible through the netdc procedure (email to netdc@ipgp.jussieu.fr) or via the web. GEOSCOPE data have contributed to the major progresses of our knowledge of the earth interior. The earthquake CMT are now determined in a routine manner and the temporal history of the seismic source is accessible for the largest earthquakes. The geographical distribution of GEOSCOPE stations, specially in the southern hemisphere, has also played an important role in improving the resolution of global tomographic models. Recent P-wave models give high resolution images of subducted slabs whereas recent S-wave models have enable to discover the two super-swells. The evolution of the GEOSCOPE program is now focused on the installation of multi-parameter stations including 3-component broadband seismic sensors, pressure gauge, thermometer and GPS receivers. These stations will enable to decrease the seismic noise, and -among others- to better characterize the background free oscillations of the earth. The seismic station earth coverage is limited by the presence of oceans and the next step is the installation of ocean bottom broadband stations. For this purpose, in 1992, a first temporary station sismobs/OFM has been working for 2 weeks, along the mid atlantic ridge. In 1997, an international multi-parameter station, MOISE has been operating during 3 months in the Monterey Bay. The further step is the installation of the station NERO in a ODP hole along the Ninety East Ridge in collaboration with IFREMER and JAMSTEC. The location of this station has been decided by the ION program and the station will be operating for at least 2 years.

Global mapping of sea-ice production from the satellite microwaves

NASA Astrophysics Data System (ADS)

Ohshima, K. I.; Nihashi, S.; Iwamoto, K.; Tamaru, N.; Nakata, K.; Tamura, T.

2016-12-01

Global overturning circulation is driven by density differences. Saline water rejected by sea-ice production in coastal polynyas is the main source of dense water, and thus sea-ice production is a key factor in the overturning circulation. However, until recently sea-ice production and its interannual variability have not been well understood due to difficulties of in situ observation. The most effective means of detection of thin-ice area and estimation of sea-ice production on large scales is satellite remote sensing using passive microwave sensors, specifically the Special Sensor Microwave/Imager and Advanced Microwave Scanning Radiometer. This is based upon their ability to gain complete polar coverage on a daily basis irrespective of clouds and darkness. We have estimated sea-ice production globally based on heat flux calculations using the satellite-derived thin ice thickness data. The mapping demonstrates that ice production rate is high in Antarctic coastal polynyas, in contrast to Arctic coastal polynyas. This is consistent with the formation of Antarctic Bottom Water (AABW). The Ross Ice Shelf polynya has by far the highest ice production in the Southern Hemisphere. The mapping has revealed that the Cape Darnley polynya is the second highest production area, leading to the discovery of the missing (fourth) source of AABW in this region. In the region off the Mertz Glacier Tongue, sea-ice production decreased by as much as 40 %, due to the glacier calving in early 2010, resulting in a significant decrease in AABW production. The Okhotsk Northwestern polynya exhibits the highest ice production in the Northern Hemisphere, and the resultant dense water formation leads to overturning in the North Pacific. Estimates of its ice production show a significant decrease over the past 30-50 years, likely causing the weakening of the North Pacific overturning. The mapping also provides surface boundary conditions and validation data of heat- and salt-flux associated with sea-ice formation/melting for various ocean and coupled models. Improvement of thin ice microwave algorithm including the comparison with the polynya mooring data is now being made for higher accuracy estimate of sea-ice production.

Surveillance of Vaccination Coverage Among Adult Populations - United States, 2014.

PubMed

Williams, Walter W; Lu, Peng-Jun; O'Halloran, Alissa; Kim, David K; Grohskopf, Lisa A; Pilishvili, Tamara; Skoff, Tami H; Nelson, Noele P; Harpaz, Rafael; Markowitz, Lauri E; Rodriguez-Lainz, Alfonso; Bridges, Carolyn B

2016-02-05

Overall, the prevalence of illness attributable to vaccine-preventable diseases is greater among adults than among children. Adults are recommended to receive vaccinations based on their age, underlying medical conditions, lifestyle, prior vaccinations, and other considerations. Updated vaccination recommendations from CDC are published annually in the U.S. Adult Immunization Schedule. Despite longstanding recommendations for use of many vaccines, vaccination coverage among U.S. adults is low. August 2013-June 2014 (for influenza vaccination) and January-December 2014 (for pneumococcal, tetanus and diphtheria [Td] and tetanus and diphtheria with acellular pertussis [Tdap], hepatitis A, hepatitis B, herpes zoster, and human papillomavirus [HPV] vaccination). The National Health Interview Survey (NHIS) is a continuous, cross-sectional national household survey of the noninstitutionalized U.S. civilian population. In-person interviews are conducted throughout the year in a probability sample of households, and NHIS data are compiled and released annually. The survey objective is to monitor the health of the U.S. population and provide estimates of health indicators, health care use and access, and health-related behaviors. Compared with data from the 2013 NHIS, increases in vaccination coverage occurred for Tdap vaccine among adults aged ≥19 years (a 2.9 percentage point increase to 20.1%) and herpes zoster vaccine among adults aged ≥60 years (a 3.6 percentage point increase to 27.9%). Aside from these modest improvements, vaccination coverage among adults in 2014 was similar to estimates from 2013 (for influenza coverage, similar to the 2012-13 season). Influenza vaccination coverage among adults aged ≥19 years was 43.2%. Pneumococcal vaccination coverage among high-risk persons aged 19-64 years was 20.3% and among adults aged ≥65 years was 61.3%. Td vaccination coverage among adults aged ≥19 years was 62.2%. Hepatitis A vaccination coverage among adults aged ≥19 years was 9.0%. Hepatitis B vaccination coverage among adults aged ≥19 years was 24.5%. HPV vaccination coverage among adults aged 19-26 years was 40.2% for females and 8.2% for males. Racial/ethnic differences in coverage persisted for all seven vaccines, with higher coverage generally for whites compared with most other groups. Adults without health insurance were significantly less likely than those with health insurance to report receipt of influenza vaccine (aged ≥19 years), pneumococcal vaccine (aged 19-64 years with high-risk conditions and aged ≥65 years), Td vaccine (aged ≥19 years), Tdap vaccine (aged ≥19 years and 19-64 years), hepatitis A vaccine (aged ≥19 years overall and among travelers), hepatitis B vaccine (aged ≥19 years, 19-49 years, and 19-59 years with diabetes), herpes zoster vaccine (aged ≥60 years and 60-64 years), and HPV vaccine (females aged 19-26 years and males aged 19-26 years). Adults who reported having a usual place for health care generally were more likely to receive recommended vaccinations than those who did not have a usual place for health care, regardless of whether they had health insurance. Vaccination coverage was significantly higher among those reporting one or more physician contacts in the past year compared with those who had not visited a physician in the past year, regardless of whether they had health insurance. Even among adults who had health insurance and ≥10 physician contacts within the past year, 23.8%-88.8% reported not having received vaccinations that were recommended either for all persons or for those with some specific indication. Overall, vaccination coverage among U.S.-born respondents was significantly higher than that of foreign-born respondents with few exceptions (influenza vaccination [adults aged 19-49 years], hepatitis A vaccination [adults aged ≥19 years], hepatitis B vaccination [adults with diabetes aged ≥60 years], and HPV vaccination [males aged 19-26 years]). Overall, increases in adult vaccination coverage are needed. Although modest gains occurred in Tdap vaccination coverage among adults aged ≥19 years and herpes zoster vaccination coverage among adults aged ≥60 years, coverage for other vaccines and risk groups did not improve, and racial/ethnic disparities persisted for routinely recommended adult vaccines. Coverage for all vaccines for adults remained low, and missed opportunities to vaccinate adults continued. Although having health insurance coverage and a usual place for health care are associated with higher vaccination coverage, these factors alone do not assure optimal adult vaccination coverage. Assessing associations with vaccination is important for understanding factors that contribute to low coverage rates and to disparities in vaccination, and for implementing strategies to improve vaccination coverage. Practices that have been demonstrated to improve vaccination coverage should be used. These practices include assessment of patients' vaccination indications by health care providers and routine recommendation and offer of needed vaccines to adults, implementation of reminder-recall systems, use of standing-order programs for vaccination, and assessment of practice-level vaccination rates with feedback to staff members. For vaccination to be improved among those least likely to be up-to-date on recommended adult vaccines, efforts also are needed to identify adults who do not have a regular provider or insurance and who report fewer health care visits.

Predictive maps for Juno perijoves and identification of significant features

NASA Astrophysics Data System (ADS)

Rogers, J. H.; Adamoli, G.; Jacquesson, M.; Vedovato, M.; Mettig, H.-J.; Eichstädt, G.; Caplinger, M.; Momary, T. W.; Orton, G. S.; Tabataba-Vakili, F.; Hansen, C. J.

2017-09-01

At each Juno perijove, JunoCam takes hi-res images of selected latitudes along the sub-spacecraft track, as determined by public voting. To inform this target election process, we use the continuous coverage of Jupiter's visible clouds by amateur imaging, and the tracking of features from those images by the JUPOS project, to identify the features which are expected to be visible at the upcoming perijove. We produce a predictive map for each perijove, and subsequently annotate the JunoCam images to locate the known jets and circulation. Up to perijove 5, this collaboration has contributed to hi-res imaging of several long-lived circulations in northern and southern hemispheres, of major new convective outbreaks in the North and South Equatorial Belts, and of the North Temperate Belt maturing after a cyclic outbreak.

Close-Range Tracking of Underwater Vehicles Using Light Beacons

PubMed Central

Bosch, Josep; Gracias, Nuno; Ridao, Pere; Istenič, Klemen; Ribas, David

2016-01-01

This paper presents a new tracking system for autonomous underwater vehicles (AUVs) navigating in a close formation, based on computer vision and the use of active light markers. While acoustic localization can be very effective from medium to long distances, it is not so advantageous in short distances when the safety of the vehicles requires higher accuracy and update rates. The proposed system allows the estimation of the pose of a target vehicle at short ranges, with high accuracy and execution speed. To extend the field of view, an omnidirectional camera is used. This camera provides a full coverage of the lower hemisphere and enables the concurrent tracking of multiple vehicles in different positions. The system was evaluated in real sea conditions by tracking vehicles in mapping missions, where it demonstrated robust operation during extended periods of time. PMID:27023547

Close-Range Tracking of Underwater Vehicles Using Light Beacons.

PubMed

Bosch, Josep; Gracias, Nuno; Ridao, Pere; Istenič, Klemen; Ribas, David

2016-03-25

This paper presents a new tracking system for autonomous underwater vehicles (AUVs) navigating in a close formation, based on computer vision and the use of active light markers. While acoustic localization can be very effective from medium to long distances, it is not so advantageous in short distances when the safety of the vehicles requires higher accuracy and update rates. The proposed system allows the estimation of the pose of a target vehicle at short ranges, with high accuracy and execution speed. To extend the field of view, an omnidirectional camera is used. This camera provides a full coverage of the lower hemisphere and enables the concurrent tracking of multiple vehicles in different positions. The system was evaluated in real sea conditions by tracking vehicles in mapping missions, where it demonstrated robust operation during extended periods of time.

An atlas of 1976 GEOS-3 radar altimeter data for tropical cyclone studies

NASA Technical Reports Server (NTRS)

Stanley, H. R.; Chan, B.; Givens, C.; Taylor, R.

1979-01-01

The means for locating and extracting GEOS-3 altimeter data acquired for the analysis of specific hurricanes, typhoons, and other tropical cyclones are presented. These data are also expected to be extremely useful in the analysis of the behavior of the altimeter instrument in the presence of severe meteorological disturbances as well as provide a data base which can be useful in the resolution of apparently anomalous geoid or sea surface characteristics. Geographic locations of 1976 tropical cyclones were correlated with the closest approaching orbits of the GEOS-3 satellite and its radar altimeter. The cyclone locations and altimeter data were correlated for the 1976 season. The area of coverage includes the northern hemisphere. This document is a sequel to NASA TM-X-69364 which covered the majority of the 1975 season.

Planet Mercury

NASA Image and Video Library

1999-06-12

The first image of Mercury acquired by NASA's Mariner 10 in 1974. During its flight, Mariner 10's trajectory brought it behind the lighted hemisphere of Mercury, where this image was taken, in order to acquire important measurements with other instruments. This picture was acquired from a distance of 3,340,000 miles (5,380,000 km) from the surface of Mercury. The diameter of Mercury (3,031 miles; 4,878 km) is about 1/3 that of Earth. Images of Mercury were acquired in two steps, an inbound leg (images acquired before passing into Mercury's shadow) and an outbound leg (after exiting from Mercury's shadow). More than 2300 useful images of Mercury were taken, both moderate resolution (3-20 km/pixel) color and high resolution (better than 1 km/pixel) black and white coverage. http://photojournal.jpl.nasa.gov/catalog/PIA00437

The effect of EDTA in attachment gain and root coverage.

PubMed

Kassab, Moawia M; Cohen, Robert E; Andreana, Sebastiano; Dentino, Andrew R

2006-06-01

Root surface biomodification using low pH agents such as citric acid and tetracycline has been proposed to enhance root coverage following connective tissue grafting. The authors hypothesized that root conditioning with neutral pH edetic acid would improve vertical recession depth, root surface coverage, pocket depth, and clinical attachment levels. Twenty teeth in 10 patients with Miller class I and II recession were treated with connective tissue grafting. The experimental sites received 24% edetic acid in sterile distilled water applied to the root surface for 2 minutes before grafting. Controls were pretreated with only sterile distilled water. Measurements were evaluated before surgery and 6 months after surgery. Analysis of variance was used to determine differences between experimental and control groups. We found significant postoperative improvements in vertical recession depth, root surface coverage, and clinical attachment levels in test and control groups, compared to postoperative data. Pocket depth differences were not significant (P<.01).

Uninsurance, underinsurance, and health care utilization in Mexico by US border residents.

PubMed

Su, Dejun; Pratt, William; Stimpson, Jim P; Wong, Rebeca; Pagán, José A

2014-08-01

Using data from the 2008 Cross-Border Utilization of Health Care Survey, we examined the relationship between United States (US) health insurance coverage plans and the use of health care services in Mexico by US residents of the US-Mexico border region. We found immigrants were far more likely to be uninsured than their native-born counterparts (63 vs. 27.8 %). Adults without health insurance coverage were more likely to purchase medications or visit physicians in Mexico compared to insured adults. However, adults with Medicaid coverage were more likely to visit dentists in Mexico compared to uninsured adults. Improving health care access for US residents in the southwestern border region of the country will require initiatives that target not only providing coverage to the large uninsured population but also improving access to health care services for the large underinsured population.

Increased Transparency and Consumer Protections for 2016 Marketplace Plans.

PubMed

Brooks-LaSure, Chiquita

2015-12-01

The open enrollment period that ends in December 2015 for coverage begin­ning January 2016 marks the third year of the health care exchanges or marketplaces and of coverage through new qualified health plans. This issue brief investigates several key changes to the qualified health plans, with a focus on increased transparency and consumer protections. A new out-of-pocket costs calculator, requirements regarding provider networks, and prescription drug cost-sharing requirements should serve to better inform and improve consumer selection. In addition, several policy changes will help individuals with more severe health needs. These include: improved prescription drug coverage for HIV/ AIDS and other conditions, allowing prescription drugs that are obtained through the "exceptions" process to count toward the out-of-pocket spending cap, more comprehensive and consistent habilitative coverage, and an individual out-of-pocket spending cap within the family out-of-pocket maximum.

To close the childhood immunization gap, we need a richer understanding of parents' decision-making.

PubMed

Corben, Paul; Leask, Julie

2016-12-01

Vaccination is widely acknowledged as one of the most successful public health interventions globally and in most high-income countries childhood vaccination coverage rates are moderately high. Yet in many instances, immunisation rates remain below aspirational targets and have shown only modest progress toward those targets in recent years, despite concerted efforts to improve uptake. In part, coverage rates reflect individual parents' vaccination attitudes and decisions and, because vaccination decision-making is complex and context-specific, it remains challenging at individual and community levels to assist parents to make positive decisions. Consequently, in the search for opportunities to improve immunisation coverage, there has been a renewed research focus on parents' decision-making. This review provides an overview of the literature surrounding parents' vaccination decision-making, offering suggestions for where efforts to increase vaccination coverage should be targeted and identifying areas for further research.

Experiences and Lessons From Polio Eradication Applied to Immunization in 10 Focus Countries of the Polio Endgame Strategic Plan

PubMed Central

Mallya, Apoorva; Sandhu, Hardeep; Anya, Blanche-Philomene; Yusuf, Nasir; Ntakibirora, Marcelline; Hasman, Andreas; Fahmy, Kamal; Agbor, John; Corkum, Melissa; Sumaili, Kyandindi; Siddique, Anisur Rahman; Bammeke, Jane; Braka, Fiona; Andriamihantanirina, Rija; Ziao, Antoine-Marie C.; Djumo, Clement; Yapi, Moise Desire; Sosler, Stephen; Eggers, Rudolf

2017-01-01

Abstract Nine polio areas of expertise were applied to broader immunization and mother, newborn and child health goals in ten focus countries of the Polio Eradication Endgame Strategic Plan: policy & strategy development, planning, management and oversight (accountability framework), implementation & service delivery, monitoring, communications & community engagement, disease surveillance & data analysis, technical quality & capacity building, and partnerships. Although coverage improvements depend on multiple factors and increased coverage cannot be attributed to the use of polio assets alone, 6 out of the 10 focus countries improved coverage in three doses of diphtheria tetanus pertussis containing vaccine between 2013 and 2015. Government leadership, evidence-based programming, country-driven comprehensive operational annual plans, community partnership and strong accountability systems are critical for all programs and polio eradication has illustrated these can be leveraged to increase immunization coverage and equity and enhance global health security in the focus countries. PMID:28838187

Volumetric Image Guidance Using Carina vs Spine as Registration Landmarks for Conventionally Fractionated Lung Radiotherapy

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

Lavoie, Caroline; Higgins, Jane; Bissonnette, Jean-Pierre

2012-12-01

Purpose: To compare the relative accuracy of 2 image guided radiation therapy methods using carina vs spine as landmarks and then to identify which landmark is superior relative to tumor coverage. Methods and Materials: For 98 lung patients, 2596 daily image-guidance cone-beam computed tomography scans were analyzed. Tattoos were used for initial patient alignment; then, spine and carina registrations were performed independently. A separate analysis assessed the adequacy of gross tumor volume, internal target volume, and planning target volume coverage on cone-beam computed tomography using the initial, middle, and final fractions of radiation therapy. Coverage was recorded for primary tumormore » (T), nodes (N), and combined target (T+N). Three scenarios were compared: tattoos alignment, spine registration, and carina registration. Results: Spine and carina registrations identified setup errors {>=}5 mm in 35% and 46% of fractions, respectively. The mean vector difference between spine and carina matching had a magnitude of 3.3 mm. Spine and carina improved combined target coverage, compared with tattoos, in 50% and 34% (spine) to 54% and 46% (carina) of the first and final fractions, respectively. Carina matching showed greater combined target coverage in 17% and 23% of fractions for the first and final fractions, respectively; with spine matching, this was only observed in 4% (first) and 6% (final) of fractions. Carina matching provided superior nodes coverage at the end of radiation compared with spine matching (P=.0006), without compromising primary tumor coverage. Conclusion: Frequent patient setup errors occur in locally advanced lung cancer patients. Spine and carina registrations improved combined target coverage throughout the treatment course, but carina matching provided superior combined target coverage.« less

Electrode Coverage Optimization for Piezoelectric Energy Harvesting from Tip Excitation

PubMed Central

Chen, Guangzhu; Bai, Nan

2018-01-01

Piezoelectric energy harvesting using cantilever-type structures has been extensively investigated due to its potential application in providing power supplies for wireless sensor networks, but the low output power has been a bottleneck for its further commercialization. To improve the power conversion capability, a piezoelectric beam with different electrode coverage ratios is studied theoretically and experimentally in this paper. A distributed-parameter theoretical model is established for a bimorph piezoelectric beam with the consideration of the electrode coverage area. The impact of the electrode coverage on the capacitance, the output power and the optimal load resistance are analyzed, showing that the piezoelectric beam has the best performance with an electrode coverage of 66.1%. An experimental study was then carried out to validate the theoretical results using a piezoelectric beam fabricated with segmented electrodes. The experimental results fit well with the theoretical model. A 12% improvement on the Root-Mean-Square (RMS) output power was achieved with the optimized electrode converge ratio (66.1%). This work provides a simple approach to utilizing piezoelectric beams in a more efficient way. PMID:29518934

Drug Coverage Surveys for Neglected Tropical Diseases: 10 Years of Field Experience

PubMed Central

Worrell, Caitlin; Mathieu, Els

2012-01-01

Mass drug administration is one of the public health strategies recommended by the World Health Organization for the control and elimination of seven neglected tropical diseases (NTDs). Because adequate coverage is vital to achieve program goals, periodically conducting surveys to validate reported coverage to guide NTD programs is recommended. Over the past decade, the Centers for Disease Control and Prevention (CDC) and collaborators conducted more than 30 two-stage cluster household surveys across three continents. The questionnaires gathered coverage data and information relevant to improving NTD programs including NTD-related attitudes and practices. From the 37 coverage survey estimates obtained in those surveys, 73.3% indicated an over reporting of coverage, including all three that assessed school-based distributions. It took an average of 1 week to conduct a survey. Our experiences led us to conclude that coverage surveys are useful and feasible tools to ensure NTD elimination and control goals are reached. PMID:22855750

Monte Carlo Simulations Comparing the Response of a Novel Hemispherical Tepc to Existing Spherical and Cylindrical Tepcs for Neutron Monitoring and Dosimetry.

PubMed

Broughton, David P; Waker, Anthony J

2017-05-01

Neutron dosimetry in reactor fields is currently mainly conducted with unwieldy flux monitors. Tissue Equivalent Proportional Counters (TEPCs) have been shown to have the potential to improve the accuracy of neutron dosimetry in these fields, and Multi-Element Tissue Equivalent Proportional Counters (METEPCs) could reduce the size of instrumentation required to do so. Complexity of current METEPC designs has inhibited their use beyond research. This work proposes a novel hemispherical counter with a wireless anode ball in place of the traditional anode wire as a possible solution for simplifying manufacturing. The hemispherical METEPC element was analyzed as a single TEPC to first demonstrate the potential of this new design by evaluating its performance relative to the reference spherical TEPC design and a single element from a cylindrical METEPC. Energy deposition simulations were conducted using the Monte Carlo code PHITS for both monoenergetic 2.5 MeV neutrons and the neutron energy spectrum of Cf-D2O moderated. In these neutron fields, the hemispherical counter appears to be a good alternative to the reference spherical geometry, performing slightly better than the cylindrical counter, which tends to underrespond to H*(10) for the lower neutron energies of the Cf-D2O moderated field. These computational results are promising, and if follow-up experimental work demonstrates the hemispherical counter works as anticipated, it will be ready to be incorporated into an METEPC design.

Adaptive significance of right hemisphere activation in aphasic language comprehension

PubMed Central

Meltzer, Jed A.; Wagage, Suraji; Ryder, Jennifer; Solomon, Beth; Braun, Allen R.

2013-01-01

Aphasic patients often exhibit increased right hemisphere activity during language tasks. This may represent takeover of function by regions homologous to the left-hemisphere language networks, maladaptive interference, or adaptation of alternate compensatory strategies. To distinguish between these accounts, we tested language comprehension in 25 aphasic patients using an online sentence-picture matching paradigm while measuring brain activation with MEG. Linguistic conditions included semantically irreversible (“The boy is eating the apple”) and reversible (“The boy is pushing the girl”) sentences at three levels of syntactic complexity. As expected, patients performed well above chance on irreversible sentences, and at chance on reversible sentences of high complexity. Comprehension of reversible non-complex sentences ranged from nearly perfect to chance, and was highly correlated with offline measures of language comprehension. Lesion analysis revealed that comprehension deficits for reversible sentences were predicted by damage to the left temporal lobe. Although aphasic patients activated homologous areas in the right temporal lobe, such activation was not correlated with comprehension performance. Rather, patients with better comprehension exhibited increased activity in dorsal fronto-parietal regions. Correlations between performance and dorsal network activity occurred bilaterally during perception of sentences, and in the right hemisphere during a post-sentence memory delay. These results suggest that effortful reprocessing of perceived sentences in short-term memory can support improved comprehension in aphasia, and that strategic recruitment of alternative networks, rather than homologous takeover, may account for some findings of right hemisphere language activation in aphasia. PMID:23566891

Fine tuning breath-hold-based cerebrovascular reactivity analysis models.

PubMed

van Niftrik, Christiaan Hendrik Bas; Piccirelli, Marco; Bozinov, Oliver; Pangalu, Athina; Valavanis, Antonios; Regli, Luca; Fierstra, Jorn

2016-02-01

We elaborate on existing analysis methods for breath-hold (BH)-derived cerebrovascular reactivity (CVR) measurements and describe novel insights and models toward more exact CVR interpretation. Five blood-oxygen-level-dependent (BOLD) fMRI datasets of neurovascular patients with unilateral hemispheric hemodynamic impairment were used to test various BH CVR analysis methods. Temporal lag (phase), percent BOLD signal change (CVR), and explained variance (coherence) maps were calculated using three different sine models and two novel "Optimal Signal" model-free methods based on the unaffected hemisphere and the sagittal sinus fMRI signal time series, respectively. All models showed significant differences in CVR and coherence between the affected-hemodynamic impaired-and unaffected hemisphere. Voxel-wise phase determination significantly increases CVR (0.60 ± 0.18 vs. 0.82 ± 0.27; P < 0.05). Incorporating different durations of breath hold and resting period in one sine model (two-task) did increase coherence in the unaffected hemisphere, as well as eliminating negative phase commonly obtained by one-task frequency models. The novel model-free "optimal signal" methods both explained the BOLD MR data similar to the two task sine model. Our CVR analysis demonstrates an improved CVR and coherence after implementation of voxel-wise phase and frequency adjustment. The novel "optimal signal" methods provide a robust and feasible alternative to the sine models, as both are model-free and independent of compliance. Here, the sagittal sinus model may be advantageous, as it is independent of hemispheric CVR impairment.

Volumetric Analysis of Cerebral Peduncles and Cerebellar Hemispheres for Predicting Hemiparesis After Hemispherectomy.

PubMed

Mullin, Jeffrey P; Soni, Pranay; Lee, Sungho; Jehi, Lara; Naduvil Valappi, Ahsan Moosa; Bingaman, William; Gonzalez-Martinez, Jorge

2016-09-01

In some cases of refractory epilepsy, hemispherectomy is the final invasive treatment option. However, predictors of postoperative hemiparesis in these patients have not been widely studied. To investigate how the volumetric analysis of cerebral peduncles and cerebellar hemispheres in patients who have undergone hemispherectomy may determine prognostic implications for postoperative hemiparesis. Twenty-two patients who underwent hemispherectomy at our institution were retrospectively included. Using iPlan/BrainLAB (BrainLAB, Feldkirchen, Germany) imaging software and a semiautomatic voxel-based segmentation method, we calculated the preoperative cerebral peduncle and cerebellar hemisphere volumes. Cerebral peduncle and cerebellar hemisphere ratios were compared between patients with worsened or unchanged/better hemiparesis postoperatively. The ratios of ipsilateral/contralateral cerebral peduncles (0.570 vs 0.828; P = .02) and contralateral/ipsilateral cerebellar hemispheres (0.885 vs 1.031; P = .009) were significantly lower in patients who had unchanged/improved hemiparesis postoperatively compared with patients who had worsened hemiparesis. Relative risk of worsening hemiparesis was significantly higher in patients with a cerebral peduncle ratio < 0.7 (relative risk, 4.3; P = .03) or a cerebellar ratio < 1.0 (relative risk, 6.4; P = .006). Although patients who undergo hemispherectomy are heterogeneous, we report a method of predicting postoperative hemiparesis using only standard volumetric magnetic resonance imaging. This information could be used in preoperative discussions with patients and families to help better understand that chance of retaining baseline motor function. CST, corticospinal tractfMRI, functional magnetic resonance imagingTMS, transcranial magnetic stimulation.

Characteristics of satellite accelerometer measurements of thermospheric neutral winds at high latitudes

NASA Astrophysics Data System (ADS)

Doornbos, E.; Ridley, A. J.; Cnossen, I.; Aruliah, A. L.; Foerster, M.

2015-12-01

Thermospheric neutral winds play an important part in the coupled thermosphere-ionosphere system at high latitudes. Neutral wind speeds have been derived from the CHAMP and GOCE satellites, which carried precise accelerometers in low Earth orbits. Due to the need to simultaneously determine thermosphere neutral density from the accelerometer in-track measurements, only information on the wind component in the cross-track direction, perpendicular to the flight direction can be derived. However, contrary to ground-based Fabry-Perot interferometer and scanning Doppler imager observations of the thermosphere wind, these satellite-based measurements provide equally distributed coverage over both hemispheres. The sampling of seasonal and local time variations depend on the precession rate of the satellite's orbital plane, with CHAMP covering about 28 cycles of 24-hour local solar time coverage, during its 10 year mission (2000-2010), while the near sun-synchronous orbit of GOCE resulted in a much more limited local time coverage ranging from 6:20 to 8:00 (am and pm), during a science mission duration of 4 years (2009-2013). For this study, the wind data from both CHAMP and GOCE have been analysed in terms of seasonal variations and geographic and geomagnetic local solar time and latitude coordinates, in order to make statistical comparisons for both the Northern and Southern polar areas. The wind data from both satellites were studied independently and in combination, in order to investigate how the strengths and weaknesses of the instruments and orbit parameters of these missions affect investigations of interhemispheric differences. Finally, the data have been compared with results from coupled ionosphere-thermosphere models and from ground-based FPI and SDI measurements.

Antarctic Sea Ice Variability and Trends, 1979-2010

NASA Technical Reports Server (NTRS)

Parkinson, C. L.; Cavalieri, D. J.

2012-01-01

In sharp contrast to the decreasing sea ice coverage of the Arctic, in the Antarctic the sea ice cover has, on average, expanded since the late 1970s. More specifically, satellite passive-microwave data for the period November 1978 - December 2010 reveal an overall positive trend in ice extents of 17,100 +/- 2,300 square km/yr. Much of the increase, at 13,700 +/- 1,500 square km/yr, has occurred in the region of the Ross Sea, with lesser contributions from the Weddell Sea and Indian Ocean. One region, that of the Bellingshausen/Amundsen Seas, has, like the Arctic, instead experienced significant sea ice decreases, with an overall ice extent trend of -8,200 +/- 1,200 square km/yr. When examined through the annual cycle over the 32-year period 1979-2010, the Southern Hemisphere sea ice cover as a whole experienced positive ice extent trends in every month, ranging in magnitude from a low of 9,100 +/- 6,300 square km/yr in February to a high of 24,700 +/- 10,000 square km/yr in May. The Ross Sea and Indian Ocean also had positive trends in each month, while the Bellingshausen/Amundsen Seas had negative trends in each month, and the Weddell Sea and Western Pacific Ocean had a mixture of positive and negative trends. Comparing ice-area results to ice-extent results, in each case the ice-area trend has the same sign as the ice-extent trend, but differences in the magnitudes of the two trends identify regions with overall increasing ice concentrations and others with overall decreasing ice concentrations. The strong pattern of decreasing ice coverage in the Bellingshausen/Amundsen Seas region and increasing ice coverage in the Ross Sea region is suggestive of changes in atmospheric circulation. This is a key topic for future research.

The Sensitivity to Trans-Neptunian Dwarf Planets of the Siding Spring Survey

NASA Astrophysics Data System (ADS)

Bannister, Michele; Brown, M. E.; Schmidt, B. P.; Francis, P.; McNaught, R.; Garrad, G.; Larson, S.; Beshore, E.

2012-10-01

The last decade has seen considerable effort in assessing the populations of icy worlds in the outer Solar System, with major surveys in the Northern and more recently, in the Southern Hemisphere skies. Our archival search of more than ten thousand square degrees of sky south of the ecliptic observed over five years is a bright-object survey, sensitive to dwarf-planet sized trans-Neptunian objects. Our innovative survey analyses observations of the Siding Spring Survey, an ongoing survey for near-Earth asteroids at the 0.5 m Uppsala telescope at Siding Spring Observatory. This survey observed each of 2300 4.55 square degree fields on between 30 and 90 of the nights from early 2004 to late 2009, creating a dataset with dense temporal coverage, which we reprocessed for TNOs with a dedicated pipeline. We assess our survey's sensitivity to trans-Neptunian objects by simulating the observation of the synthetic outer Solar System populations of Grav et al. (2011): Centaurs, Kuiper belt and scattered disk. As our fields span approx. -15 to -70 declination, avoiding the galactic plane by 10 degrees either side, we are particularly sensitive to dwarf planets in high-inclination orbits. Partly due to this coverage far from the ecliptic, all known dwarf planets, including Pluto, do fall outside our survey coverage in its temporal span. We apply the widest plausible range of absolute magnitudes to each observable synthetic object, measuring each subsequent apparent magnitude against the magnitude depth of the survey observations. We evaluate our survey's null detection of new dwarf planets in light of our detection efficiencies as a function of trans-Neptunian orbital parameter space. MTB appreciates the funding support of the Joan Duffield Postgraduate Scholarship, an Australian Postgraduate Award, and the Astronomical Society of Australia.

Recovery of injured arcuate fasciculus in the dominant hemisphere in a patient with an intracerebral hemorrhage.

PubMed

Jang, Sung Ho; Lee, Han Do

2014-12-01

This study reports on a patient with an intracerebral hemorrhage who showed recovery of an injured arcuate fasciculus (AF) in the dominant hemisphere, using follow-up diffusion tensor tractography. A 43-year-old right-handed man presented with severe aphasia and hemiparesis resulting from a spontaneous intracerebral hemorrhage in the left parietotemporal lobes. The patient showed severe aphasia at 1 month after onset, with an aphasia quotient of 5% on the Korean-Western Aphasia Battery. He underwent comprehensive rehabilitative therapy until 22 months after onset and his aphasia showed improvement, with an aphasia quotient of 58% on the Korean-Western Aphasia Battery. On 1-month diffusion tensor tractography, only the thin ascending part of the left AF from the Wernicke area remained. In contrast, on 16-month diffusion tensor tractography, the injured left AF was thickened and elongated to around the left Broca area; however, discontinuation of the left AF was observed around the left Broca area, and this continuation was elongated to the left Broca area on 22-month diffusion tensor tractography. This study reports on a patient who showed recovery from injury of the left AF along with improvement of aphasia. Recovery of the injured AF in the dominant hemisphere appears to be one of the mechanisms for recovery from aphasia.

Compound Event Barrier Coverage in Wireless Sensor Networks under Multi-Constraint Conditions.

PubMed

Zhuang, Yaoming; Wu, Chengdong; Zhang, Yunzhou; Jia, Zixi

2016-12-24

It is important to monitor compound event by barrier coverage issues in wireless sensor networks (WSNs). Compound event barrier coverage (CEBC) is a novel coverage problem. Unlike traditional ones, the data of compound event barrier coverage comes from different types of sensors. It will be subject to multiple constraints under complex conditions in real-world applications. The main objective of this paper is to design an efficient algorithm for complex conditions that can combine the compound event confidence. Moreover, a multiplier method based on an active-set strategy (ASMP) is proposed to optimize the multiple constraints in compound event barrier coverage. The algorithm can calculate the coverage ratio efficiently and allocate the sensor resources reasonably in compound event barrier coverage. The proposed algorithm can simplify complex problems to reduce the computational load of the network and improve the network efficiency. The simulation results demonstrate that the proposed algorithm is more effective and efficient than existing methods, especially in the allocation of sensor resources.

Compound Event Barrier Coverage in Wireless Sensor Networks under Multi-Constraint Conditions

PubMed Central

Zhuang, Yaoming; Wu, Chengdong; Zhang, Yunzhou; Jia, Zixi

2016-01-01

It is important to monitor compound event by barrier coverage issues in wireless sensor networks (WSNs). Compound event barrier coverage (CEBC) is a novel coverage problem. Unlike traditional ones, the data of compound event barrier coverage comes from different types of sensors. It will be subject to multiple constraints under complex conditions in real-world applications. The main objective of this paper is to design an efficient algorithm for complex conditions that can combine the compound event confidence. Moreover, a multiplier method based on an active-set strategy (ASMP) is proposed to optimize the multiple constraints in compound event barrier coverage. The algorithm can calculate the coverage ratio efficiently and allocate the sensor resources reasonably in compound event barrier coverage. The proposed algorithm can simplify complex problems to reduce the computational load of the network and improve the network efficiency. The simulation results demonstrate that the proposed algorithm is more effective and efficient than existing methods, especially in the allocation of sensor resources. PMID:28029118

Feasibility of using global system for mobile communication (GSM)-based tracking for vaccinators to improve oral poliomyelitis vaccine campaign coverage in rural Pakistan.

PubMed

Chandir, Subhash; Dharma, Vijay Kumar; Siddiqi, Danya Arif; Khan, Aamir Javed

2017-09-05

Despite multiple rounds of immunization campaigns, it has not been possible to achieve optimum immunization coverage for poliovirus in Pakistan. Supplementary activities to improve coverage of immunization, such as door-to-door campaigns are constrained by several factors including inaccurate hand-drawn maps and a lack of means to objectively monitor field teams in real time, resulting in suboptimal vaccine coverage during campaigns. Global System for Mobile Communications (GSM) - based tracking of mobile subscriber identity modules (SIMs) of vaccinators provides a low-cost solution to identify missed areas and ensure effective immunization coverage. We conducted a pilot study to investigate the feasibility of using GSM technology to track vaccinators through observing indicators including acceptability, ease of implementation, costs and scalability as well as the likelihood of ownership by District Health Officials. The real-time location of the field teams was displayed on a GSM tracking web dashboard accessible by supervisors and managers for effective monitoring of workforce attendance including 'time in-time out', and discerning if all target areas - specifically remote and high-risk locations - had been reached. Direct access to this information by supervisors eliminated the possibility of data fudging and inaccurate reporting by workers regarding their mobility. The tracking cost per vaccinator was USD 0.26/month. Our study shows that GSM-based tracking is potentially a cost-efficient approach, results in better monitoring and accountability, is scalable and provides the potential for improved geographic coverage of health services. Copyright © 2017 Elsevier Ltd. All rights reserved.

Human resources for health and universal health coverage: fostering equity and effective coverage.

PubMed

Campbell, James; Buchan, James; Cometto, Giorgio; David, Benedict; Dussault, Gilles; Fogstad, Helga; Fronteira, Inês; Lozano, Rafael; Nyonator, Frank; Pablos-Méndez, Ariel; Quain, Estelle E; Starrs, Ann; Tangcharoensathien, Viroj

2013-11-01

Achieving universal health coverage (UHC) involves distributing resources, especially human resources for health (HRH), to match population needs. This paper explores the policy lessons on HRH from four countries that have achieved sustained improvements in UHC: Brazil, Ghana, Mexico and Thailand. Its purpose is to inform global policy and financial commitments on HRH in support of UHC. The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. The AAAQ dimensions make it possible to perform tracing analysis on HRH policy actions since 1990 in the four countries of interest in relation to national trends in workforce numbers and population mortality rates. The findings inform key principles for evidence-based decision-making on HRH in support of UHC. First, HRH are critical to the expansion of health service coverage and the package of benefits; second, HRH strategies in each of the AAAQ dimensions collectively support achievements in effective coverage; and third, success is achieved through partnerships involving health and non-health actors. Facing the unprecedented health and development challenges that affect all countries and transforming HRH evidence into policy and practice must be at the heart of UHC and the post-2015 development agenda. It is a political imperative requiring national commitment and leadership to maximize the impact of available financial and human resources, and improve healthy life expectancy, with the recognition that improvements in health care are enabled by a health workforce that is fit for purpose.

Human resources for health and universal health coverage: fostering equity and effective coverage

PubMed Central

Buchan, James; Cometto, Giorgio; David, Benedict; Dussault, Gilles; Fogstad, Helga; Fronteira, Inês; Lozano, Rafael; Nyonator, Frank; Pablos-Méndez, Ariel; Quain, Estelle E; Starrs, Ann; Tangcharoensathien, Viroj

2013-01-01

Abstract Achieving universal health coverage (UHC) involves distributing resources, especially human resources for health (HRH), to match population needs. This paper explores the policy lessons on HRH from four countries that have achieved sustained improvements in UHC: Brazil, Ghana, Mexico and Thailand. Its purpose is to inform global policy and financial commitments on HRH in support of UHC. The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. The AAAQ dimensions make it possible to perform tracing analysis on HRH policy actions since 1990 in the four countries of interest in relation to national trends in workforce numbers and population mortality rates. The findings inform key principles for evidence-based decision-making on HRH in support of UHC. First, HRH are critical to the expansion of health service coverage and the package of benefits; second, HRH strategies in each of the AAAQ dimensions collectively support achievements in effective coverage; and third, success is achieved through partnerships involving health and non-health actors. Facing the unprecedented health and development challenges that affect all countries and transforming HRH evidence into policy and practice must be at the heart of UHC and the post-2015 development agenda. It is a political imperative requiring national commitment and leadership to maximize the impact of available financial and human resources, and improve healthy life expectancy, with the recognition that improvements in health care are enabled by a health workforce that is fit for purpose. PMID:24347710

Improvements in prenatal insurance coverage and utilization of care in California: an unsung public health victory.

PubMed

Rittenhouse, Diane R; Braveman, Paula; Marchi, Kristen

2003-06-01

To examine trends in prenatal insurance coverage and utilization of care in California over two decades in the context of expansions in Medi-Cal (California's Medicaid) and other public efforts to increase prenatal care utilization. Retrospective univariate and bivariate analysis of prenatal care coverage and utilization data from 10,192,165 California birth certificates, 1980-99; descriptive analysis of California poverty and unemployment data from the U.S. Census Bureau Current Population Survey; review of public health and social policy literature. The proportion of mothers with Medi-Cal coverage for prenatal care increased from 28.2 to 47.5% between 1989 and 1994, and the proportion uninsured throughout pregnancy decreased from 13.2 to 3.2%. Since the mid-1990s, fewer than 3% of women have had no insurance coverage for prenatal care. Between 1989 and 1999, the proportion of women with first trimester initiation of prenatal care increased from 72.6 to 83.6%, reversing the previous decade's trend, and the proportion of women with adequate numbers of visits rose from 70.7 to 83.1%. Improvements in utilization measures were greater among disadvantaged social groups. Improvements in California during the 1990s coincided with a multifaceted public health effort to increase both prenatal care coverage and utilization, and do not appear to be explained by changes in the economy, maternal characteristics, the overall organization/delivery of health care, or other social policies. While this ecologic study cannot produce definitive conclusions regarding causality, these results suggest an important victory for public health in California.

Evaluation of a pilot intervention to redesign the decentralised vaccine supply chain system in Nigeria.

PubMed

Molemodile, Shola; Wotogbe, Maruchi; Abimbola, Seye

2017-05-01

Responsibility for immunisation in Nigeria is decentralised to sub-national governments. So far, they have failed to achieve optimal coverage for their populations. We evaluated a pilot intervention implemented between 2013 and 2014 to redesign a vaccine supply chain management system in Kano, Nigeria. The intervention included financing immunisation services from a designated pool of government and donor funds, a visibility tool to track vaccine stock, and a private vendor engaged to deliver vaccines directly to health facilities. The number of local government areas within the state with adequate vaccine stock increased from 21% to 98% after 10 months. To understand how the intervention achieved this outcome, we analysed immunisation coverage for the period and interviewed 18 respondents across different levels of government. We found that the intervention worked by improving ownership and accountability for immunisation by sub-national governments and their capacity for generating resources and management (of data and the supply chain). While the intervention focused on improving immunisation coverage, we identified gaps in the demand for services. Efforts to improve immunisation coverage and vaccine supply systems should streamline decentralised structures, empower sub-national governments with financial and technical capacity, and promote strategies to improve the demand and use of services.

A portable back massage robot based on Traditional Chinese Medicine.

PubMed

Wang, Wendong; Liang, Chaohong; Zhang, Peng; Shi, Yikai

2018-05-30

A portable back massage robot which can complete the massage operations such as tapping, kneading and rolling was designed to improve the level of intelligence and massage effect. An efficient full covered path planning algorithm was put forward for a portable back massage robot to improve the coverage. Currently, massage robots has become one of important research focuses with the increasing requirements for healthcare. The massage robot is difficult to be widely accepted as there are problems of massage robot in control, structure, and coverage path planning. The 3D electromagnetic simulation model was established to optimize electromagnetic force. By analyzing the Traditional Chinese Medicine massage operation and the demands, the path planning algorithm models were established. The experimental platform of the massage robot was built. The simulation results show presented path planning algorithm is suitable for back massage, which ensures that the massage robot traverse the entire back area with improved massage coverage. The tested results show that the massage effect is best when the duty cycle is in the range of 1/8 to 1/2, and the massage force increases with the increase of the input voltage. The massage robot eventually achieved the desired massage effect, and the proposed efficient algorithm can effectively improve the coverage and promote the massage effect.

Estimation of child vaccination coverage at state and national levels in India

PubMed Central

Gupta, Satish; Kumar, Rakesh; Haldar, Pradeep; Sethi, Raman; Bahl, Sunil

2016-01-01

Abstract Objective To review the data, for 1999–2013, on state-level child vaccination coverage in India and provide estimates of coverage at state and national levels. Methods We collated data from administrative reports, population-based surveys and other sources and used them to produce annual estimates of vaccination coverage. We investigated bacille Calmette–Guérin vaccine, the first and third doses of vaccine against diphtheria, tetanus and pertussis, the third dose of oral polio vaccine and the first dose of vaccine against measles. We obtained relevant data covering the period 1999–2013 for each of 16 states and territories and the period 2001–2013 for the state of Jharkhand – which was only created in 2000. We aggregated the resultant state-level estimates, using a population-weighted approach, to give national values. Findings For each of the vaccinations we investigated, about half of the 253 estimates of annual coverage at state level that we produced were based on survey results. The rest were based on interpolation between – or extrapolation from – so-called anchor points or, more rarely, on administrative data. Our national estimates indicated that, for each of the vaccines we investigated, coverage gradually increased between 1999 and 2010 but then levelled off. Conclusion The delivery of routine vaccination services to Indian children appears to have improved between 1999 and 2013. There remains considerable scope to improve the recording and reporting of childhood vaccination coverage in India and regular systematic reviews of the coverage data are recommended. PMID:27843162

Health Care Reform for Children with Public Coverage: How Can Policymakers Maximize Gains and Prevent Harm? Timely Analysis of Immediate Health Policy Issues

ERIC Educational Resources Information Center

Kenney, Genevieve M.; Dorn, Stan

2009-01-01

Moving toward universal coverage has the potential to increase access to care and improve the health and well-being of uninsured children and adults. The effects of health care reform on the more than 25 million children who currently have coverage under Medicaid or the Children's Health Insurance Program (CHIP) are less clear. Increased parental…

Health workers' attitudes, perceptions and knowledge of influenza immunization in Lima, Peru: A mixed methods study.

PubMed

Bazán, Magdalena; Villacorta, Erika; Barbagelatta, Gisella; Jimenez, M Michelle; Goya, Cecilia; Bartolini, Rosario M; Penny, Mary E

2017-05-19

Vaccination against seasonal influenza in health workers is recommended but coverage is variable. This study aimed to determine coverage of influenza vaccination among health workers in Lima, Peru in 2010; explore barriers and enabling elements for vaccination; and suggest strategies to improve coverage. Qualitative interviews informed the development of a survey instrument that consisted of open and close-ended questions. Sub-analyses were done by occupational group and results were calculated as percentages for each possible response with confidence intervals of 95%. Coverage of the influenza vaccination was 77.2%. Vaccinated staff were less likely to have permanent contracts (p=0.0150) and vaccination coverage was lower in physicians (p=0.0001). Over 90% cited protection of themselves, families and patients as reasons for vaccination and 48% mentioned peer encouragement. Fear of adverse events (47%) and organizational barriers (>30%) were reasons for non-vaccination. To improve coverage, highest priority was given to strategies providing more information. Key factors in driving health worker vaccination include desire for protection and peer encouragement. Perceptual barriers based on a misunderstanding of the epidemiology of influenza and vaccination could be overcome by targeted education and information. Organizational barriers require attention to how vaccination is implemented within health facilities. Copyright © 2017 Elsevier Ltd. All rights reserved.

Count every newborn; a measurement improvement roadmap for coverage data.

PubMed

Moxon, Sarah G; Ruysen, Harriet; Kerber, Kate J; Amouzou, Agbessi; Fournier, Suzanne; Grove, John; Moran, Allisyn C; Vaz, Lara M E; Blencowe, Hannah; Conroy, Niall; Gülmezoglu, A; Vogel, Joshua P; Rawlins, Barbara; Sayed, Rubayet; Hill, Kathleen; Vivio, Donna; Qazi, Shamim A; Sitrin, Deborah; Seale, Anna C; Wall, Steve; Jacobs, Troy; Ruiz Peláez, Juan; Guenther, Tanya; Coffey, Patricia S; Dawson, Penny; Marchant, Tanya; Waiswa, Peter; Deorari, Ashok; Enweronu-Laryea, Christabel; Arifeen, Shams; Lee, Anne C C; Mathai, Matthews; Lawn, Joy E

2015-01-01

The Every Newborn Action Plan (ENAP), launched in 2014, aims to end preventable newborn deaths and stillbirths, with national targets of ≤12 neonatal deaths per 1000 live births and ≤12 stillbirths per 1000 total births by 2030. This requires ambitious improvement of the data on care at birth and of small and sick newborns, particularly to track coverage, quality and equity. In a multistage process, a matrix of 70 indicators were assessed by the Every Newborn steering group. Indicators were graded based on their availability and importance to ENAP, resulting in 10 core and 10 additional indicators. A consultation process was undertaken to assess the status of each ENAP core indicator definition, data availability and measurement feasibility. Coverage indicators for the specific ENAP treatment interventions were assigned task teams and given priority as they were identified as requiring the most technical work. Consultations were held throughout. ENAP published 10 core indicators plus 10 additional indicators. Three core impact indicators (neonatal mortality rate, maternal mortality ratio, stillbirth rate) are well defined, with future efforts needed to focus on improving data quantity and quality. Three core indicators on coverage of care for all mothers and newborns (intrapartum/skilled birth attendance, early postnatal care, essential newborn care) have defined contact points, but gaps exist in measuring content and quality of the interventions. Four core (antenatal corticosteroids, neonatal resuscitation, treatment of serious neonatal infections, kangaroo mother care) and one additional coverage indicator for newborns at risk or with complications (chlorhexidine cord cleansing) lack indicator definitions or data, especially for denominators (population in need). To address these gaps, feasible coverage indicator definitions are presented for validity testing. Measurable process indicators to help monitor health service readiness are also presented. A major measurement gap exists to monitor care of small and sick babies, yet signal functions could be tracked similarly to emergency obstetric care. The ENAP Measurement Improvement Roadmap (2015-2020) outlines tools to be developed (e.g., improved birth and death registration, audit, and minimum perinatal dataset) and actions to test, validate and institutionalise proposed coverage indicators. The roadmap presents a unique opportunity to strengthen routine health information systems, crosslinking these data with civil registration and vital statistics and population-based surveys. Real measurement change requires intentional transfer of leadership to countries with the greatest disease burden and will be achieved by working with centres of excellence and existing networks.

Coverage criteria for test case generation using UML state chart diagram

NASA Astrophysics Data System (ADS)

Salman, Yasir Dawood; Hashim, Nor Laily; Rejab, Mawarny Md; Romli, Rohaida; Mohd, Haslina

2017-10-01

To improve the effectiveness of test data generation during the software test, many studies have focused on the automation of test data generation from UML diagrams. One of these diagrams is the UML state chart diagram. Test cases are generally evaluated according to coverage criteria. However, combinations of multiple criteria are required to achieve better coverage. Different studies used various number and types of coverage criteria in their methods and approaches. The objective of this paper to propose suitable coverage criteria for test case generation using UML state chart diagram especially in handling loops. In order to achieve this objective, this work reviewed previous studies to present the most practical coverage criteria combinations, including all-states, all-transitions, all-transition-pairs, and all-loop-free-paths coverage. Calculation to determine the coverage percentage of the proposed coverage criteria were presented together with an example has they are applied on a UML state chart diagram. This finding would be beneficial in the area of test case generating especially in handling loops in UML state chart diagram.

Variation in rotavirus vaccine coverage by sub-counties in Kenya.

PubMed

Wandera, Ernest Apondi; Mohammad, Shah; Ouko, John Odhiambo; Yatitch, James; Taniguchi, Koki; Ichinose, Yoshio

2017-01-01

Rotavirus gastroenteritis is an important cause of childhood morbidity and mortality in Kenya. In July 2014, Kenya introduced the rotavirus vaccine into her national immunization program. Although immunization coverage is crucial in assessing the real-world impact of this vaccine, variability in the vaccine coverage across the country is likely to occur. In view of this, we estimated the extent of coverage for the rotavirus vaccine at two socio-economically different sub-counties using the administrative data. The findings indicate disparities in vaccine coverage and access between the sub-counties and, thus, underscore the need to strengthen immunization systems to facilitate timely, accessible, and equitable vaccine delivery across the country. Both sub-counties recorded high vaccine dropout, suggestive of poor utilization of the vaccine. In this regard, increased social mobilization is needed to encourage vaccine compliance and to enhance tracking of vaccine defaulters. While efforts to improve the accuracy of the administrative coverage estimates are crucial, vaccination coverage surveys will be needed to verify the administrative coverage data and help identify specific factors relating to rotavirus vaccine coverage in the country.

Brain changes following four weeks of unimanual motor training: Evidence from behavior, neural stimulation, cortical thickness, and functional MRI.

PubMed

Sale, Martin V; Reid, Lee B; Cocchi, Luca; Pagnozzi, Alex M; Rose, Stephen E; Mattingley, Jason B

2017-09-01

Although different aspects of neuroplasticity can be quantified with behavioral probes, brain stimulation, and brain imaging assessments, no study to date has combined all these approaches into one comprehensive assessment of brain plasticity. Here, 24 healthy right-handed participants practiced a sequence of finger-thumb opposition movements for 10 min each day with their left hand. After 4 weeks, performance for the practiced sequence improved significantly (P < 0.05 FWE) relative to a matched control sequence, with both the left (mean increase: 53.0% practiced, 6.5% control) and right (21.0%; 15.8%) hands. Training also induced significant (cluster p-FWE < 0.001) reductions in functional MRI activation for execution of the trained sequence, relative to the control sequence. These changes were observed as clusters in the premotor and supplementary motor cortices (right hemisphere, 301 voxel cluster; left hemisphere 700 voxel cluster), and sensorimotor cortices and superior parietal lobules (right hemisphere 864 voxel cluster; left hemisphere, 1947 voxel cluster). Transcranial magnetic stimulation over the right ("trained") primary motor cortex yielded a 58.6% mean increase in a measure of motor evoked potential amplitude, as recorded at the left abductor pollicis brevis muscle. Cortical thickness analyses based on structural MRI suggested changes in the right precentral gyrus, right post central gyrus, right dorsolateral prefrontal cortex, and potentially the right supplementary motor area. Such findings are consistent with LTP-like neuroplastic changes in areas that were already responsible for finger sequence execution, rather than improved recruitment of previously nonutilized tissue. Hum Brain Mapp 38:4773-4787, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Severity of unilateral spatial neglect is an independent predictor of functional outcome after acute inpatient rehabilitation in individuals with right hemispheric stroke.

PubMed

Di Monaco, Marco; Schintu, Selene; Dotta, Manuela; Barba, Sonia; Tappero, Rosa; Gindri, Patrizia

2011-08-01

To investigate the relationship between severity of unilateral spatial neglect (USN) and functional recovery in activities of daily living after a right-hemisphere stroke. Observational study. Rehabilitation hospital in Italy. We investigated 107 of 131 inpatients with right-hemisphere stroke who were consecutively admitted to our rehabilitation hospital. Not applicable. To assess USN severity, conventional and nonconventional Behavioral Inattention Tests (BITs) were performed at admission to inpatient rehabilitation at a median of 19 days after stroke occurrence. FIM was performed both on admission to and discharge from inpatient rehabilitation to assess functional autonomy. FIM efficiency (improvement of FIM score per day of stay length) and FIM effectiveness (proportion of potential improvement achieved) were calculated. Fifty-four (50.5%) of the 107 patients were affected by USN. In these 54 patients, both conventional and nonconventional BIT scores were significantly correlated with FIM scores assessed at discharge from rehabilitation: ρ values were .385 (P=.004) and .396 (P=.003), respectively. After adjustment for 7 potential confounders, including FIM scores before rehabilitation, we found a significant positive association between either conventional or nonconventional BIT scores and FIM scores after rehabilitation (r=.276, P=.047 and r=.296, P=.033, respectively), FIM efficiency (r=.315, P=.022 and r=.307, P=.025, respectively), and FIM effectiveness (r=.371, P=.006 and r=.306, P=.026, respectively). Data support the independent prognostic role of USN severity assessed at admission to inpatient rehabilitation after a right-hemisphere stroke. Models aimed at predicting the functional outcome in stroke survivors may benefit from inclusion of USN severity. Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Distribution of alcohol consumption and expenditures and the impact of improved measurement on coverage of alcohol sales in the 2000 National Alcohol Survey.

PubMed

Kerr, William C; Greenfield, Thomas K

2007-10-01

To validate improved survey estimates of alcohol volume and new expenditures questions, these measures were aggregated and evaluated through comparison to sales data. Using the new measures, we examined their distributions by estimating the proportion of mean intake, heavy drinking days, and alcohol expenditures among drinkers grouped by volume. The 2000 National Alcohol Survey is a random digit dialed telephone survey of the United States with 7,612 respondents including 323 who were recontacted for drink ethanol measurement. Among drinkers, we utilized improved drink ethanol content estimates and beverage-specific graduated frequency measures to assess alcohol consumption and past month beverage-specific spending reports to estimate expenditures. Coverage of alcohol sales by the new measures was estimated to be 52.3% for consumption and 59.3% for expenditures. Coverage was best for wine at 92.1% of sales, but improved most for spirits from 37.2% to 55.2%, when empirical drink ethanol content was applied. Distribution estimates showed that the top 10% of drinkers drank 55.3% of the total alcohol consumed, accounted for 61.6% of all 5+ and nearly 80% of all 12+ drinking days. Spirits consumption was the most concentrated with the top decile consuming 62.9% of the total for this beverage. This decile accounted for 33% of total expenditures, even though its mean expenditure per drink was considerably lower ($0.79) than the bottom 50% of drinkers ($4.75). The distributions of mean alcohol intake and heavy drinking days are highly concentrated in the U.S. population. Lower expenditures per drink by the heaviest drinkers suggest substantial downward quality substitution, drinking in cheaper contexts or other bargain pricing strategies. Empirical drink ethanol estimates improved survey coverage of sales particularly for spirits, but significant under-coverage remains, highlighting need for further self-report measurement improvement.

Evaluating Childhood Vaccination Coverage of NIP Vaccines: Coverage Survey versus Zhejiang Provincial Immunization Information System.

PubMed

Hu, Yu; Chen, Yaping

2017-07-11

Vaccination coverage in Zhejiang province, east China, is evaluated through repeated coverage surveys. The Zhejiang provincial immunization information system (ZJIIS) was established in 2004 with links to all immunization clinics. ZJIIS has become an alternative to quickly assess the vaccination coverage. To assess the current completeness and accuracy on the vaccination coverage derived from ZJIIS, we compared the estimates from ZJIIS with the estimates from the most recent provincial coverage survey in 2014, which combined interview data with verified data from ZJIIS. Of the enrolled 2772 children in the 2014 provincial survey, the proportions of children with vaccination cards and registered in ZJIIS were 94.0% and 87.4%, respectively. Coverage estimates from ZJIIS were systematically higher than the corresponding estimates obtained through the survey, with a mean difference of 4.5%. Of the vaccination doses registered in ZJIIS, 16.7% differed from the date recorded in the corresponding vaccination cards. Under-registration in ZJIIS significantly influenced the coverage estimates derived from ZJIIS. Therefore, periodic coverage surveys currently provide more complete and reliable results than the estimates based on ZJIIS alone. However, further improvement of completeness and accuracy of ZJIIS will likely allow more reliable and timely estimates in future.

The effect of lack of insurance, poverty and paediatrician supply on immunization rates among children 19-35 months of age in the United States.

PubMed

Becton, James L; Cheng, Lee; Nieman, Linda Z

2008-04-01

Previous studies found that the increasing number of paediatricians in the United States was associated with improved childhood immunization coverage, while the increasing poverty level and the lack of health insurance reduced access to health care. We evaluated whether changes in the number of paediatricians, poverty level and health insurance affected national childhood immunization coverage in the state levels of the United States. Data were collected primarily from the US National Immunization Surveys, series 4:3:1:3:3 from years 1995 and 2003. Ordinal logistic regression analysis was used to analyse the relationships among variables. Over 8 years studied, immunization coverage increased for children aged 19-35 months from 52.3% to 79.8% in the 50 states. The average number of paediatricians per 1000 births increased 28.7% while the percentage of children without health insurance declined 15.6%, and the percentage of children who lived in poverty level declined 17.3%. In 1995, the states with higher immunization coverage were associated with higher numbers of paediatricians [odds ratio (OR), 32.73; 95% confidence interval (CI), 5.96-179.77]. In 2003, the higher numbers of paediatricians still played a role in the increased immunization coverage (OR, 4.69; 95% CI, 1.01-21.78); however, the higher rate of uninsured children in 2003 had an even greater effect upon immunization coverage. Compared with states with lower rates of uninsured children, states with intermediate and higher rates of uninsured children had sixfold (OR, 0.16; 95% CI, 0.03-0.81) and 16-fold (OR, 0.06; 95% CI, 0.01-0.40) decreased childhood immunization coverage, respectively. Between 1995 and 2003 in the United States, the lack of health insurance became more prominent than the supply of paediatricians in affecting immunization coverage for children aged 19-35 months. Future improvements in insurance coverage for children will likely lead to greater immunization coverage.

Differential impacts of public health insurance expansions at the local level.

PubMed

Baughman, Reagan

2007-03-01

Dramatic expansions in public health insurance eligibility for U.S. children have only modestly reduced the aggregate number of uninsured at the national level. This paper shows that Medicaid and SCHIP expansions had different impacts on child health insurance coverage patterns based upon local labor market characteristics. Metropolitan areas with high levels of unemployment were most likely to have seen improvements in overall insurance coverage for children between 1990 and 2001. Areas with greater fractions of employment in services, retail or wholesale trade were more likely to have experienced increases in public coverage but not overall coverage rates.

THE 31 DEG{sup 2} RELEASE OF THE STRIPE 82 X-RAY SURVEY: THE POINT SOURCE CATALOG

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

LaMassa, Stephanie M.; Urry, C. Megan; Ananna, Tonima

We release the next installment of the Stripe 82 X-ray survey point-source catalog, which currently covers 31.3 deg{sup 2} of the Sloan Digital Sky Survey (SDSS) Stripe 82 Legacy field. In total, 6181 unique X-ray sources are significantly detected with XMM-Newton (>5σ) and Chandra (>4.5σ). This catalog release includes data from XMM-Newton cycle AO 13, which approximately doubled the Stripe 82X survey area. The flux limits of the Stripe 82X survey are 8.7 × 10{sup −16} erg s{sup −1} cm{sup −2}, 4.7 × 10{sup −15} erg s{sup −1} cm{sup −2}, and 2.1 × 10{sup −15} erg s{sup −1} cm{sup −2} in the soft (0.5–2 keV), hardmore » (2–10 keV), and full bands (0.5–10 keV), respectively, with approximate half-area survey flux limits of 5.4 × 10{sup −15} erg s{sup −1} cm{sup −2}, 2.9 × 10{sup −14} erg s{sup −1} cm{sup −2}, and 1.7 × 10{sup −14} erg s{sup −1} cm{sup −2}. We matched the X-ray source lists to available multi-wavelength catalogs, including updated matches to the previous release of the Stripe 82X survey; 88% of the sample is matched to a multi-wavelength counterpart. Due to the wide area of Stripe 82X and rich ancillary multi-wavelength data, including coadded SDSS photometry, mid-infrared WISE coverage, near-infrared coverage from UKIDSS and VISTA Hemisphere Survey, ultraviolet coverage from GALEX, radio coverage from FIRST, and far-infrared coverage from Herschel, as well as existing ∼30% optical spectroscopic completeness, we are beginning to uncover rare objects, such as obscured high-luminosity active galactic nuclei at high-redshift. The Stripe 82X point source catalog is a valuable data set for constraining how this population grows and evolves, as well as for studying how they interact with the galaxies in which they live.« less

Affordable Care Act and Diabetes Mellitus.

PubMed

Shi, Qian; Nellans, Frank P; Shi, Lizheng

2015-12-01

The Affordable Care Act (ACA) has the potential for great impact on U.S. health care, especially for chronic disease patients requiring long-term care and management. The act was designed to improve insurance coverage, health care access, and quality of care for all Americans, which will assist patients with diabetes mellitus in acquiring routine monitoring and diabetes-related complication screening for better health management and outcomes. There is great potential for patients with diabetes to benefit from the new policy mandating health insurance coverage and plan improvement, Medicaid expansion, minimum coverage guarantees, and free preventative care. However, policy variability among states and ACA implementation present challenges to people with diabetes in understanding and optimizing ACA impact. This paper aims to select the most influential components of the ACA as relates to people with diabetes and discuss how the ACA may improve health care for this vulnerable population.

Forecast skill impact of drifting buoys in the Southern Hemisphere

NASA Technical Reports Server (NTRS)

Kalnay, E.; Atlas, R.; Baker, W.; Halem, M.

1984-01-01

Two analyses are performed to evaluate the effect of drift buoys and the FGGE's special observing system (SOS) on forecasting. The FGGE analysis utilizes all level II-b conventional and special data, and the Nosat analysis employs only surface and conventional upper air data. Twelve five-day forecasts are produced from these data. An additional experiment utilizing the FGGE data base minus buoys data, and the Nosat data base including buoys data is being conducted. The forecasts are compared and synoptic evaluation of the effect of buoys data is described. The results reveal that the FGGE data base with the SOS significantly improves forecasting in the Southern Hemisphere and the loss of buoys data does not have a great effect on forecasting. The Nosat data has less impact on forecasting; however, the addition of buoys data provides an improvement in forecast skills.

The relationship between mood state, interpersonal attitudes and psychological distress in stroke patients.

PubMed

Turner, Margaret A; Andrewes, David G

2010-03-01

This study investigated whether increasing positive mood improved interpersonal attitudes and relieved depression in depressed stroke patients despite levels of cognitive and emotional dysfunction. Depressed stroke (n = 30) and rheumatic/orthopaedic controls (n = 30) were compared on the effect of verbal and nonverbal positive and neutral mood induction on mood state, interpersonal attitudes, psychological distress and related cognitive and emotional processing deficits. Compared with the neutral mood induction condition, the positive mood induction significantly improved mood state, interpersonal attitudes and psychological distress, irrespective of cognitive and emotional processing deficits. The nonverbal material was effective for all patients but was more marked for the left hemisphere stroke group. There was no obvious influence of humour appreciation despite reduced understanding in the right hemisphere stroke group. Although the effect is likely to be short-lived, these results support the trial of positive mood induction within therapy programmes to relieve depression.

[Clinical efficiency of Vasonat in neurometabolic therapy of patients with ischemic stroke at early rehabilitation period].

PubMed

Abasova, G B; Tyksanbaeva, G U; Orazalieva, D B; Kasymova, S K

2011-01-01

Research of efficiency and safety of Vasonat has been carried out. 31 patients aged 46-75 years who had had hemispheric athero- thrombotic or hemodynamic schemic stroke with moderate severity and being treated in 2-5-month of early rehabilitation period have been observed. The control group of patients received placebo. Results of the study, 4 weeks treatment using Vasonat in the dosage of 500 mg/day have shown positive effect on common signs of the disease by decreasing headache intensity, dizziness, a nausea, and on focal neurological symptoms by decreasing hemiparesis degree; psychoemotional and mnestic activity (main memory and attention) improved as well. It was more distinct in patients with localization of the stroke in the right hemisphere of the brain. It was also noted more rapid improvement of motion function and quality of life of patients.

Titan's topography as a clue to geologic processes and landscape evolution

NASA Astrophysics Data System (ADS)

Kirk, R. L.

2012-12-01

Cassini has revealed a diversity of surface features on Titan rivaled by few bodies in the Solar System. Some of these features are readily identified: dunes, channels, lakes, seas, fresh impact craters, and mountains. Others are enigmatic and in some cases have sparked debate about their mode of origin. Given the limited resolution of the Cassini images, at best 300 m for synthetic aperture RADAR (SAR) images, it can be difficult to identify details that might confirm a particular mode of origin. Supplementing the images with topographic information provides an important and sometimes crucial clue to the origin and evolution of landforms. Topographic profiles from altimetry and SARTopo analysis of the images can shed light on simpler features (e.g., dunes) and led to the surprising conclusion that Titan's largest feature, Xanadu, is not elevated as had been supposed. For more complex structures, digital topographic models (DTMs) provide a full three-dimensional view. About 10% of Titan's surface has been imaged in stereo by RADAR, and we have produced DTMs of about 2% by analyzing these stereopairs. Analysis of the results within the Cassini RADAR team has shed light on a number of geologic problems: * Some putative volcanic features (e.g., the supposed dome Ganesa Macula and various diffuse surface flows) have been shown to lack the expected relief, greatly weakening the case for their volcanic origin. * Conversely, flows in Hotei Regio have been shown to tower over nearby fluvial channels, and those near Sotra Facula are associated with multiple edifices and caldera-like pits, strengthening the case for a volcanic origin. * Depths of the handful of definite impact craters measured so far range from Ganymede-like to nearly zero, and are statistically consistent with a process such as eolian deposition that would steadily reduce the crater depth rather than a process such as surface erosion that would tend to leave craters only partially filled. * Clustering of the small north-polar lakes at a few discrete levels, all of which are hundreds of meters above the major seas, suggests that these bodies of liquid are connected locally but not (over relevant timescales) regionally by subsurface flow. * Evidence for topographic "benches" at multiple levels around the seas suggests that the liquid level has fluctuated over time, perhaps as a result of inter-hemispheric transport of volatiles over multi-seasonal timescales. These examples come primarily from Titan's northern hemisphere and equatorial zone. Cassini's extended mission to date has yielded extensive coverage of the southern hemisphere that we have recently integrated into a global control network, allowing us to begin producing DTMs of multiple southern hemisphere sites with consistent absolute elevations. Of particular interest are apparent basins, for the most part empty of surface liquid, near the South Pole. Are the basin floors or possible shoreline features at consistent elevations? How do the depths and absolute elevations compare to Ontario Lacus and the other small lakes (including transient ones) in the south, and to the lakes and seas of the northern hemisphere? Topomapping now under way will help address these and other questions about the evolution of Titan's southern hemisphere and its volatile distribution over time.

Statistical Patterns of Ionospheric Convection Derived From Mid-latitude, High-Latitude, and Polar SuperDARN HF Radar Observations

NASA Astrophysics Data System (ADS)

Thomas, E. G.; Shepherd, S. G.

2018-04-01

Over the last decade, the Super Dual Auroral Radar Network (SuperDARN) has undergone a dramatic expansion in the Northern Hemisphere with the addition of more than a dozen radars offering improved coverage at mid-latitudes (50°-60° magnetic latitude) and in the polar cap (80°-90° magnetic latitude). In this study, we derive a statistical model of ionospheric convection (TS18) using line-of-sight velocity measurements from the complete network of mid-latitude, high-latitude, and polar radars for the years 2010-2016. These climatological patterns are organized by solar wind, interplanetary magnetic field (IMF), and dipole tilt angle conditions. We find that for weak solar wind driving conditions the TS18 model patterns are largely similar to the average patterns obtained using high-latitude radar data only. For stronger solar wind driving the inclusion of mid-latitude radar data at the equatorward extent of the ionospheric convection can increase the measured cross-polar cap potential (ΦPC) by as much as 40%. We also derive an alternative model organized by the Kp index to better characterize the statistical convection under a range of magnetic activity conditions. These Kp patterns exhibit similar IMF By dependencies as the TS18 model results and demonstrate a linear increase in ΦPC with increasing Kp for a given IMF orientation. Overall, the mid-latitude radars provide a better specification of the flows within the nightside Harang reversal region for moderate to strong solar wind driving or geomagnetic activity, while the polar radars improve the quality of velocity measurements in the deep polar cap under all conditions.

The gravity field and orientation of Mercury after the MESSENGER mission

NASA Astrophysics Data System (ADS)

Mazarico, E.; Genova, A.; Goossens, S. J.; Lemoine, F. G.; Neumann, G. A.; Zuber, M. T.; Smith, D. E.; Solomon, S. C.

2015-12-01

After more than four years in orbit about Mercury, the MErcury Surface, Space ENvironment, GEochemistry, and Ranging (MESSENGER) spacecraft impacted the planet's surface north of Shakespeare crater (54.44° N, 210.12° E,) on 30 April 2015. One of the main goals of the mission was to determine the gravity field of Mercury in order to learn about Mercury's interior. Together with ground-based radar measurements of the obliquity and forced librations, MESSENGER-derived gravity models helped revise models of Mercury's interior. Nevertheless, the refinement of Mercury's orientation with the latest data from MESSENGER can further improve the interior modeling of the planet. The last eight months of the mission provided a special opportunity to conduct low-altitude measurements, with extensive radio tracking coverage below 200 km altitude north of ~30°N. MESSENGER's Mercury Laser Altimeter (MLA) mapped the topography of Mercury's northern hemisphere with a sub-meter vertical precision, an along-track sampling of ~500 m, and a longitudinal resolution (~0.1°) limited by the number of spacecraft orbits (~4,000). The combination of gravity and topography helps determine crustal thickness and interior properties. Altimetric ranges provide geodetic constraints to improve the spacecraft orbit determination, and thus the gravity field model. In particular, whereas the MESSENGER spacecraft was not tracked at each periapsis passage, MLA operated nearly continuously (outside of thermally challenging periods). From an analysis of the entire radiometric and altimetric datasets acquired by MESSENGER, a new gravity field to degree and order 100 has been obtained, resolving features down to ~75 km horizontal scale. The altimetric data help reduce the uncertainties in the determination of the pole position. A reanalysis of the Mercury flybys also constrains the spin rate over the longest available time span.

Public finance policy strategies to increase access to preconception care.

PubMed

Johnson, Kay A

2006-09-01

Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15-44) lack adequate health coverage (i.e., uninsured or underinsured), and others live in medically underserved areas. Service delivery fragmentation and lack of professional guidelines are additional barriers. This paper reviews barriers and opportunities for financing preconception care, based on a review and analysis of state and federal policies. We describe states' experiences with and opportunities to improve health coverage, through public programs such as Medicaid, Medicaid waivers, and the State Children's Health Insurance Program (SCHIP). The potential role of Title V and of community health centers in providing primary and preventive care to women also is discussed. In these and other public health and health coverage programs, opportunities exist to finance preconception care for low-income women. Three major policy directions are discussed. To increase access to preconception care among women of childbearing age, the federal and state governments have opportunities to: (1) improve health care coverage, (2) increase the supply of publicly subsidized health clinics, and (3) direct delivery of preconception screening and interventions in the context of public health programs.

Vestibular deepening by periosteal fenestration and its use as a periosteal pedicle flap for root coverage

PubMed Central

Rajpal, Jaisika; Gupta, Krishna K.; Srivastava, Ruchi; Arora, Aakash

2013-01-01

Gingival recession along with reduced width of attached gingiva and inadequate vestibular depth is a very common finding. Multiple techniques have been developed to obtain predictable root coverage and to increase the width of attached gingiva. Usually, the width of gingiva is first increased and then the second surgery is caried out for root coverage. The newer methods of root coverage are needed, not only to reconstruct the lost periodontal tissues but also to increase predictability, reduce the number of surgical sites, reduce the number of surgeries and improve patient comfort. Hence, this paper describes a single stage technique for increasing the width of attached gingiva and root coverage by using the periosteal pedicle flap. PMID:23869140

[Complete immunization coverage and reasons for non-vaccination in a periurban area of Abidjan].

PubMed

Sackou, K J; Oga, A S S; Desquith, A A; Houenou, Y; Kouadio, K L

2012-10-01

An immunization coverage survey was conducted among children aged 12-59 months in a suburban neighbourhood in Abidjan. The objective was to determine the complete immunization coverage, the reasons for non-vaccination and factors influencing the immunization status of children. The method of exhaustive sampling enabled us to interview the mothers of 669 children using a questionnaire. Overall vaccination coverage was 68.6% with 1.2%, with 1.2% of children never having received vaccine. The logistic regression analysis showed that the level of education, knowledge of the immunization schedule and the marital status of mothers, as well as the type of habitat, were associated with full immunization of children. These determinants must be taken into account to improve vaccination coverage.

Magazine coverage of child sexual abuse, 1992-2004.

PubMed

Cheit, Ross E; Shavit, Yael; Reiss-Davis, Zachary

2010-01-01

This article analyzes trends in the coverage of child sexual abuse in popular magazines since the early 1990s. The article employs systematic analysis to identify and analyze articles in four popular magazines. Articles are analyzed by subject, length, and publication. The results affirm established theories of newsworthiness related to the coverage of specific stories over time. However, interest in the subject waned in the past 10 years, with the brief and dramatic exception of coverage connected to the Catholic Church in 2002. The findings demonstrate systematic differences between the slants of the four magazines studied. The findings also suggest that child abuse professionals could improve the quality of coverage by agreeing to interviews in connection with articles about childhood sexual abuse.

Developing a Scorecard to Assess Global Progress in Scaling Up Diarrhea Control Tools: A Qualitative Study of Academic Leaders and Implementers

PubMed Central

Rosinski, Alexander Anthony; Narine, Steven; Yamey, Gavin

2013-01-01

Background In 2010, diarrhea caused 0.75 million child deaths, accounting for nearly 12% of all under-five mortality worldwide. Many evidence-based interventions can reduce diarrhea mortality, including oral rehydration solution (ORS), zinc, and improved sanitation. Yet global coverage levels of such interventions remain low. A new scorecard of diarrhea control, showing how different countries are performing in their control efforts, could draw greater attention to the low coverage levels of proven interventions. Methods We conducted in-depth qualitative interviews with 21 experts, purposively sampled for their relevant academic or implementation expertise, to explore their views on (a) the value of a scorecard of global diarrhea control and (b) which indicators should be included in such a scorecard. We then conducted a ranking exercise in which we compiled a list of all 49 indicators suggested by the experts, sent the list to the 21 experts, and asked them to choose 10 indicators that they would include and 10 that they would exclude from such a scorecard. Finally, we created a “prototype” scorecard based on the 9 highest-ranked indicators. Results Key themes that emerged from coding the interview transcripts were: a scorecard could facilitate country comparisons; it could help to identify best practices, set priorities, and spur donor action; and it could help with goal-setting and accountability in diarrhea control. The nine highest ranking indicators, in descending order, were ORS coverage, rotavirus vaccine coverage, zinc coverage, diarrhea-specific mortality rate, diarrhea prevalence, proportion of population with access to improved sanitation, proportion with access to improved drinking water, exclusive breastfeeding coverage, and measles vaccine coverage. Conclusion A new scorecard of global diarrhea control could help track progress, focus prevention and treatment efforts on the most effective interventions, establish transparency and accountability, and alert donors and ministries of health to inadequacies in diarrhea control efforts. PMID:23874412

Hemispherical Reflectance and Emittance Properties of Carbon Nanotubes Coatings at Far-Infrared Wavelengths

NASA Technical Reports Server (NTRS)

Quijada, Manuel A.; Hagopian, John G.; Getty, Stephanie; Kinzer, Raymond (Robin) E., Jr.; Wollack, Edward

2011-01-01

Recent visible wavelength observations of Multiwalled Carbon Nanotubes (MWCNT) coatings have revealed that they represent the blackest materials known in nature with a Total Hemispherical Reflectance (THR) less than .25%. This makes them as exceptionally good absorbers, with the potential to provide order-of-magnitude improvement in stray-light suppression over current black surface treatments when used in an optical system. Here we extend the characterization of this class of materials into the infrared spectral region to further evaluate their potential for use on instrument baffles for stray-light suppression and to manage spacecraft thermal properties to dissipate heat through radiant heat transfer process. These characterizations will include the wavelength-dependent Total Hemispherical Reflectance properties in the mid-IR and far-infrared spectral regions (2-100 micrometers). Determination of the temperature-dependent emittance will be investigated in the temperature range of 20 to 300 K. These results will be compared against other more conventional black coatings such as Acktar Fractal Black or Z-306 coatings among others.

Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation

PubMed Central

Patibandla, Mohana Rao; Thotakura, Amit K.; Shukla, Dinesh; Purohit, Anirudh K.; Addagada, Gokul Chowdary; Nukavarapu, Manisha

2017-01-01

Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%. The elderly and alcoholics are commonly affected by CSDH. Even though high percentage of CSDH patients improves after the evacuation, there are some unexpected potential complications altering the postoperative course with neurological deterioration. Poor outcome in postoperative period is due to complications like failure of brain to re-expand, recurrence of hematoma and tension pneumocephalus. We present a case report with multiple intraparenchymal hemorrhages in various locations like brainstem, cerebral and cerebellar peduncles, right cerebellar hemisphere, right thalamus, right capsulo-ganglionic region, right corona radiata and cerebral hemispheres after CSDH evacuation. Awareness of this potential problem and the immediate use of imaging if the patient does not awake from anesthesia or if he develops new onset focal neurological deficits, are the most important concerns to the early diagnosis of this rare complication. PMID:28484546

Periodicity in changes of Jupiter's hemispheres activity factor is continues to recover in 2018

NASA Astrophysics Data System (ADS)

Vidmachenko, A. P.

2018-05-01

From the mid-1990s to 2013 that there was a maximum mismatch between the time of Jupiter's passage at orbit at perihelion and aphelion, and the moments of minima and maxima of Solar activity. In 1963-1995 the correlation between the changes in factor AJ, Solar activity and the moments of passage of perihelion and aphelion of the orbit - was high, and the nature of the changes was synchronized. After 1995, inconsistency in the supply of Solar energy to northern and southern hemispheres of Jupiter and its movement in orbit - has become significant. But after 2014, the periodicity in the change of photometric characteristics of the northern and southern hemispheres of Jupiter, again becomes coordinated. And the data for 2017 and 2018 confirm the improvement of the matching of the course of the Aj(T) dependence, SA index and the regime irradiation by the Sun of Jupiter at it moves along the orbit.

The First US Naval Observatory CCD Astrograph Catalog

NASA Astrophysics Data System (ADS)

Zacharias, N.; Urban, S. E.; Zacharias, M. I.; Hall, D. M.; Wycoff, G. L.; Rafferty, T. J.; Germain, M. E.; Holdenried, E. R.; Pohlman, J. W.; Gauss, F. S.; Monet, D. G.; Winter, L.

2000-10-01

The USNO CCD Astrograph (UCA) started an astrometric survey in 1998 February at Cerro Tololo, Chile. This first, preliminary catalog (UCAC1) includes data taken up to 1999 November with about 80% of the Southern Hemisphere covered. Observing continues, and full sky coverage is expected by mid-2003 after moving the instrument to a Northern Hemisphere site in early 2001. The survey is performed in a single bandpass (579-642 nm), a twofold overlap pattern of fields, and with a long and a short exposure on each field. Stars in the magnitude range 10-14 have positional precisions of <=20 mas. At the limiting magnitude of R~16 mag, the positional precision is 70 mas. The UCAC aims at a density (stars per square degree) larger than that of the Guide Star Catalog (GSC) with a positional accuracy similar to Tycho. The UCAC program is a major step toward a high-precision densification of the optical reference frame in the post-Hipparcos era, and the first stage, the UCAC1 contains over 27 million stars. Preliminary proper motions are included, which were derived from Tycho-2, Hipparcos, and ground-based transit circle and photographic surveys for the bright stars (V<=12.5 mag) and the USNO A2.0 for the fainter stars. The accuracy of the proper motions varies widely, from 1 to over 15 mas yr-1. The UCAC1 is available on CD-ROM from the US Naval Observatory.

Overcoming Spatial and Temporal Barriers to Public Access Defibrillators Via Optimization.

PubMed

Sun, Christopher L F; Demirtas, Derya; Brooks, Steven C; Morrison, Laurie J; Chan, Timothy C Y

2016-08-23

Immediate access to an automated external defibrillator (AED) increases the chance of survival for out-of-hospital cardiac arrest (OHCA). Current deployment usually considers spatial AED access, assuming AEDs are available 24 h a day. The goal of this study was to develop an optimization model for AED deployment, accounting for spatial and temporal accessibility, to evaluate if OHCA coverage would improve compared with deployment based on spatial accessibility alone. This study was a retrospective population-based cohort trial using data from the Toronto Regional RescuNET Epistry cardiac arrest database. We identified all nontraumatic public location OHCAs in Toronto, Ontario, Canada (January 2006 through August 2014) and obtained a list of registered AEDs (March 2015) from Toronto Paramedic Services. Coverage loss due to limited temporal access was quantified by comparing the number of OHCAs that occurred within 100 meters of a registered AED (assumed coverage 24 h per day, 7 days per week) with the number that occurred both within 100 meters of a registered AED and when the AED was available (actual coverage). A spatiotemporal optimization model was then developed that determined AED locations to maximize OHCA actual coverage and overcome the reported coverage loss. The coverage gain between the spatiotemporal model and a spatial-only model was computed by using 10-fold cross-validation. A total of 2,440 nontraumatic public OHCAs and 737 registered AED locations were identified. A total of 451 OHCAs were covered by registered AEDs under assumed coverage 24 h per day, 7 days per week, and 354 OHCAs under actual coverage, representing a coverage loss of 21.5% (p < 0.001). Using the spatiotemporal model to optimize AED deployment, a 25.3% relative increase in actual coverage was achieved compared with the spatial-only approach (p < 0.001). One in 5 OHCAs occurred near an inaccessible AED at the time of the OHCA. Potential AED use was significantly improved with a spatiotemporal optimization model guiding deployment. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Improving the cost-effectiveness of IRS with climate informed health surveillance systems

PubMed Central

Worrall, Eve; Connor, Stephen J; Thomson, Madeleine C

2008-01-01

Background This paper examines how the cost-effectiveness of IRS varies depending on the severity of transmission and level of programme coverage and how efficiency could be improved by incorporating climate information into decision making for malaria control programmes as part of an integrated Malaria Early Warning and Response System (MEWS). Methods A climate driven model of malaria transmission was used to simulate cost-effectiveness of alternative IRS coverage levels over six epidemic and non-epidemic years. Decision rules for a potential MEWS system that triggers different IRS coverage are described. The average and marginal cost per case averted with baseline IRS coverage (24%) and under varying IRS coverage levels (50%, 75% and 100%) were calculated. Results Average cost-effectiveness of 24% coverage varies dramatically between years, from US$108 per case prevented in low transmission to US$0.42 in epidemic years. Similarly for higher coverage (24–100%) cost per case prevented is far higher in low than high transmission years ($108–$267 to $0.88–$2.26). Discussion Efficiency and health benefit gains could be achieved by implementing MEWS that provides timely, accurate information. Evidence from southern Africa, (especially Botswana) supports this. Conclusion Advance knowledge of transmission severity can help managers make coverage decisions which optimise resource use and exploit efficiency gains if a fully integrated MEWS is in place alongside a health system with sufficient flexibility to modify control plans in response to information. More countries and programmes should be supported to use the best available evidence and science to integrate climate informed MEWS into decision making within malaria control programmes. PMID:19108723

I get height with a little help from my friends: herd protection from sanitation on child growth in rural Ecuador

PubMed Central

Fuller, James A; Villamor, Eduardo; Cevallos, William; Trostle, James; Eisenberg, Joseph NS

2016-01-01

Abstract Background: Infectious disease interventions, such as vaccines and bed nets, have the potential to provide herd protection to non-recipients. Similarly, improved sanitation in one household may provide community-wide benefits if it reduces contamination in the shared environment. Sanitation at the household level is an important predictor of child growth, but less is known about the effect of sanitation coverage in the community. Methods: From 2008 to 2013, we took repeated anthropometric measurements on 1314 children under 5 years of age in 24 rural Ecuadorian villages. Using mixed effects regression, we estimated the association between sanitation coverage in surrounding households and child growth. Results: Sanitation coverage in the surrounding households was strongly associated with child height, as those with 100% coverage in their surroundings had a 67% lower prevalence of stunting [prevalence ratio (PR) 0.32, 95% CI 0.15-0.69] compared with those with 0% coverage. Children from households with improved sanitation had a lower prevalence of stunting (PR 0.86, 95% CI 0.64-1.15). When analysing height as a continuous outcome, the protective effect of sanitation coverage is manifested primarily among girls during the second year of life, the time at which growth faltering is most likely to occur. Conclusions: Our study highlights that a household’s sanitation practices can provide herd protection to the overall community. Studies which fail to account for the positive externalities that sanitation provides will underestimate the overall protective effect. Future studies could seek to identify a threshold of sanitation coverage, similar to a herd immunity threshold, to provide coverage and compliance targets. PMID:26936912

Health Insurance Coverage and Take-Up: Lessons from Behavioral Economics

PubMed Central

Baicker, Katherine; Congdon, William J; Mullainathan, Sendhil

2012-01-01

Context Millions of uninsured Americans ostensibly have insurance available to them—many at very low cost—but do not take it up. Traditional economic analysis is based on the premise that these are rational decisions, but it is hard to reconcile observed enrollment patterns with this view. The policy prescriptions that the traditional model generates may thus fail to achieve their goals. Behavioral economics, which integrates insights from psychology into economic analysis, identifies important deviations from the traditional assumptions of rationality and can thus improve our understanding of what drives health insurance take-up and improved policy design. Methods Rather than a systematic review of the coverage literature, this article is a primer for considering issues in health insurance coverage from a behavioral economics perspective, supplementing the standard model. We present relevant evidence on decision making and insurance take-up and use it to develop a behavioral approach to both the policy problem posed by the lack of health insurance coverage and possible policy solutions to that problem. Findings We found that evidence from behavioral economics can shed light on both the sources of low take-up and the efficacy of different policy levers intended to expand coverage. We then applied these insights to policy design questions for public and private insurance coverage and to the implementation of the recently enacted health reform, focusing on the use of behavioral insights to maximize the value of spending on coverage. Conclusions We concluded that the success of health insurance coverage reform depends crucially on understanding the behavioral barriers to take-up. The take-up process is likely governed by psychology as much as economics, and public resources can likely be used much more effectively with behaviorally informed policy design. PMID:22428694

Effectiveness of Muskaan Ek Abhiyan (the smile campaign) for strengthening routine immunization in bihar, India.

PubMed

Goel, Sonu; Dogra, Vishal; Gupta, Satish Kumar; Lakshmi, P Vm; Varkey, Sherin; Pradhan, Narottam; Krishna, Gopal; Kumar, Rajesh

2012-02-01

In Bihar State, proportion of fully immunized children was only 19% ;in Coverage Evaluation Survey of 2005. In October 2007, a special campaign called Muskaan Ek Abhiyan (The Smile Campaign) was launched under National Rural Health Mission to give a fillip to the immunization program. To evaluate improvement in the performance and coverage of the Routine Immunization Program consequent to the launch of Muskaan Ek Abhiyan The main strategies of the Muskaan campaign were reviewing and strengthening immunization micro-plans, enhanced inter-sectoral coordination between the Departments of Health, and Women and Child Development, increased involvement of women groups in awareness generation, enhanced political commitment and budgetary support, strengthening of monitoring and supervision mechanisms, and provision of performance based incentive to service providers. Immunization Coverage Evaluation Surveys conducted in various states of India during 2005 and 2009 were used for evaluation of the effect of Muskaan campaign by measuring the increase in immunization coverage in Bihar in comparison to other Empowered Action Group (EAG) states using the difference-in-difference method. Interviews of the key stakeholders were also done to substantiate the findings. The proportion of fully immunized 12-23 month old children in Bihar has increased significantly from 19% ;in 2005 to 49% ;in 2009. The coverage of BCG also increased significantly from 52.8% to 82.3%, DPT-3 from 36.5 to 59.3%, OPV-3 from 27.1% ;to 61.6% ;and measles from 28.4 to 58.2%. In comparison to other states, the coverage of fully immunized children increased significantly from 16 to 26% ;in Bihar. There was a marked improvement in immunization coverage after the launch of the Campaign in Bihar. Therefore, best practices of the Campaign may be replicated in other areas where full immunization coverage is low.

JADDS - towards a tailored global atmospheric composition data service for CAMS forecasts and reanalysis

NASA Astrophysics Data System (ADS)

Stein, Olaf; Schultz, Martin G.; Rambadt, Michael; Saini, Rajveer; Hoffmann, Lars; Mallmann, Daniel

2017-04-01

Global model data of atmospheric composition produced by the Copernicus Atmospheric Monitoring Service (CAMS) is collected since 2010 at FZ Jülich and serves as boundary condition for use by Regional Air Quality (RAQ) modellers world-wide. RAQ models need time-resolved meteorological as well as chemical lateral boundary conditions for their individual model domains. While the meteorological data usually come from well-established global forecast systems, the chemical boundary conditions are not always well defined. In the past, many models used 'climatic' boundary conditions for the tracer concentrations, which can lead to significant concentration biases, particularly for tracers with longer lifetimes which can be transported over long distances (e.g. over the whole northern hemisphere) with the mean wind. The Copernicus approach utilizes extensive near-realtime data assimilation of atmospheric composition data observed from space which gives additional reliability to the global modelling data and is well received by the RAQ communities. An existing Web Coverage Service (WCS) for sharing these individually tailored model results is currently being re-engineered to make use of a modern, scalable database technology in order to improve performance, enhance flexibility, and allow the operation of catalogue services. The new Jülich Atmospheric Data Distributions Server (JADDS) adheres to the Web Coverage Service WCS2.0 standard as defined by the Open Geospatial Consortium OGC. This enables the user groups to flexibly define datasets they need by selecting a subset of chemical species or restricting geographical boundaries or the length of the time series. The data is made available in the form of different catalogues stored locally on our server. In addition, the Jülich OWS Interface (JOIN) provides interoperable web services allowing for easy download and visualization of datasets delivered from WCS servers via the internet. We will present the prototype JADDS server and address the major issues identified when relocating large four-dimensional datasets into a RASDAMAN raster array database. So far the RASDAMAN support for data available in netCDF format is limited with respect to metadata related to variables and axes. For community-wide accepted solutions, selected data coverages shall result in downloadable netCDF files including metadata complying with the netCDF CF Metadata Conventions standard (http://cfconventions.org/). This can be achieved by adding custom metadata elements for RASDAMAN bands (model levels) on data ingestion. Furthermore, an optimization strategy for ingestion of several TB of 4D model output data will be outlined.

A Northern Hemisphere perspective on Holocene hydroclimate trends in the tropical Andes

NASA Astrophysics Data System (ADS)

Larsen, D. J.; Polissar, P. J.; Abbott, M. B.

2016-12-01

Reconstructions of tropical precipitation are important for determining the sensitivity of rainfall patterns in the tropics to climate variability and improving the accuracy of projected hydrologic changes in a warming world. In tropical South America, precipitation is dominantly controlled by the South American Monsoon system (SAM), which operates in conjunction with the position of the Intertropical Convergence Zone (ITCZ) and the El Niño Southern Oscillation (ENSO) to deliver water resources to hundreds of millions of people. The classic model of South American hydroclimate evolution during the Holocene (past 11 ka) invokes an anti-phased pattern of precipitation between hemispheres, whereby orbital forcing drove a gradual displacement of the ITCZ, causing a southerly shift in seasonal convection and precipitation, and strengthening the SAM as Southern Hemisphere summer insolation increased. Indeed, paleoclimate records derived from multiple geologic archives support this pattern. However, the vast majority of existing records come from the southern tropics and emerging terrestrial datasets from the northern tropics appear contrary to the paradigm. Here, we present lake sediment evidence for coupled hydroclimate and environmental changes from the Venezuelan Andes, a key region for investigating interhemispheric linkages and drivers of tropical hydroclimate variability. Compound specific hydrogen isotope ratios from terrestrial plant waxes and algal lipids, together with supporting sedimentary indicators of runoff and aridity, provide a comprehensive reconstruction of Northern Hemisphere tropical precipitation at local and regional scales. Our results are consistent in sign and magnitude to precipitation reconstructions from both hemispheres, indicating interhemispheric similarities in tropical hydroclimate variability and calling into question the synchronicity and phasing of hydroclimate trends in South America.

Turning off artistic ability: the influence of left DBS in art production.

PubMed

Drago, V; Foster, P S; Okun, M S; Cosentino, F I I; Conigliaro, R; Haq, I; Sudhyadhom, A; Skidmore, F M; Heilman, K M

2009-06-15

The influence of Parkinson's disease (PD) as well as deep brain stimulation (DBS) on visual-artistic production of people who have been artists is unclear. We systematically assessed the artistic-creative productions of a patient with PD who was referred to us for management of a left subthalamic region (STN) DBS. The patient was an artist before her disease started, permitting us to analyze changes in her artistic-creative production over the course of the illness and during her treatment with DBS. We collected her paintings from four time periods: Time 1 (Early Pre-Presymptomatic), Time 2 (Later Presymptomatic), Time 3 (Symptomatic), and Time 4 (DBS Symptomatic). A total of 59 paintings were submitted to a panel of judges, who rated the paintings on 6 different artistic qualities including: aesthetics, closure, evocative impact, novelty, representation, technique. Aesthetics and evocative impact significantly declined from Time 2 to Time 4. Representation and technique indicated a curvilinear relationship, with initial improvement from Time 1 to Time 2 followed by a decline from Time 2 to Time 4. These results suggest that left STN/SNR-DBS impacted artistic performances in our patient. The reason for these alterations is not known, but it might be that alterations of left hemisphere functions induce a hemispheric bias reducing the influence the right hemisphere which is important for artistic creativity. The left hemisphere itself plays a critical role in artistic creativity and DBS might have altered left hemisphere functions or altered the mesolimbic system which might have also influenced creativity. Future studies will be required to learn how PD and DBS influence creativity.

Long-term changes in abundance and diversity of macrophyte and waterfowl populations in an estuary with exotic macrophytes and improving water quality

USGS Publications Warehouse

Rybicki, N.B.; Landwehr, J.M.

2007-01-01

We assessed species-specific coverage (km2) of a submerged aquatic vegetation (SAV) community in the fresh and upper oligohaline Potomac Estuary from 1985 to 2001 using a method combining field observations of species-proportional coverage data with congruent remotely sensed coverage and density (percent canopy cover) data. Biomass (estimated by density-weighted coverage) of individual species was calculated. Under improving water quality conditions, exotic SAV species did not displace native SAV; rather, the percent of natives increased over time. While coverage-based diversity did fluctuate and increased, richness-based community turnover rates were not significantly different from zero. SAV diversity was negatively related to nitrogen concentration. Differences in functional traits, such as reproductive potential, between the dominant native and exotic species may explain some interannual patterns in SAV. Biomass of native, as well as exotic, SAV species varied with factors affecting water column light attenuation. We also show a positive response by a higher trophic level, waterfowl, to SAV communities dominated by exotic SAV from 1959 to 2001. ?? 2007, by the American Society of Limnology and Oceanography, Inc.

Improving Medicare coverage of psychological services for older Americans.

PubMed

Karlin, Bradley E; Humphreys, Keith

2007-10-01

Professional psychology's ability to meet older Americans' psychological needs and to simultaneously thrive as a profession will be closely tied to the federal Medicare program over the coming decades. Despite legislative changes in the 1980s providing professional autonomy to psychologists and expanding coverage for mental health services, Medicare coverage policies, reimbursement mechanisms, and organizational traditions continue to limit older Americans' access to psychological services. This article describes how psychologists can influence Medicare coverage policy. Specifically, the authors examine widely unrecognized policy processes and recent political developments and analyze the recent creation of a new Medicare counseling benefit, applying J. W. Kingdon's (1995) well-known model of policy change. These recent developments offer new opportunities for expanding Medicare coverage of psychological services, particularly in the areas of prevention, screening, and early intervention. The article provides an analysis to guide psychologists in engaging in strategic advocacy and incorporating psychological prevention and early intervention services into Medicare. As Medicare policy entrepreneurs, psychologists can improve the well-being of millions of Americans who rely on the national health insurance program and, in so doing, can help shape the future practice of psychology. Copyright 2007 APA, all rights reserved.

Coverage of Community-Based Management of Severe Acute Malnutrition Programmes in Twenty-One Countries, 2012-2013

PubMed Central

Rogers, Eleanor; Myatt, Mark; Woodhead, Sophie; Guerrero, Saul; Alvarez, Jose Luis

2015-01-01

Objective This paper reviews coverage data from programmes treating severe acute malnutrition (SAM) collected between July 2012 and June 2013. Design This is a descriptive study of coverage levels and barriers to coverage collected by coverage assessments of community-based SAM treatment programmes in 21 countries that were supported by the Coverage Monitoring Network. Data from 44 coverage assessments are reviewed. Setting These assessments analyse malnourished populations from 6 to 59 months old to understand the accessibility and coverage of services for treatment of acute malnutrition. The majority of assessments are from sub-Saharan Africa. Results Most of the programmes (33 of 44) failed to meet context-specific internationally agreed minimum standards for coverage. The mean level of estimated coverage achieved by the programmes in this analysis was 38.3%. The most frequently reported barriers to access were lack of awareness of malnutrition, lack of awareness of the programme, high opportunity costs, inter-programme interface problems, and previous rejection. Conclusions This study shows that coverage of CMAM is lower than previous analyses of early CTC programmes; therefore reducing programme impact. Barriers to access need to be addressed in order to start improving coverage by paying greater attention to certain activities such as community sensitisation. As barriers are interconnected focusing on specific activities, such as decentralising services to satellite sites, is likely to increase significantly utilisation of nutrition services. Programmes need to ensure that barriers are continuously monitored to ensure timely removal and increased coverage. PMID:26042827

45 CFR 144.101 - Basis and purpose.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE General Provisions § 144.101 Basis and purpose. (a) Part 146 of this... is to improve access to individual health insurance coverage for certain individuals who previously...

45 CFR 144.101 - Basis and purpose.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE General Provisions § 144.101 Basis and purpose. (a) Part 146 of this... is to improve access to individual health insurance coverage for certain individuals who previously...

45 CFR 144.101 - Basis and purpose.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Welfare Department of Health and Human Services REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE General Provisions § 144.101 Basis and purpose. (a) Part 146 of this... is to improve access to individual health insurance coverage for certain individuals who previously...

Impact of low altitude coverage requirements on air-ground communications

NASA Astrophysics Data System (ADS)

Magenheim, B.

1981-03-01

A representative area of Appalachia surrounding Charleston, West Virginia is analyzed in terms of existing helicopter traffic patterns and communications facilities. Traffic patterns were established from telephone interviews with pilots flying this area regularly. Communications coverage was established from computer generated coverage contours obtained from the Electromagnetic Compatibility Analysis Center (ECAC) and verified by pilot interviews and one flight test (as reported by the FAA Technical Center). Techniques for improving coverage are discussed. These include two new remote communication outlets located in the mountains west and south of Beckley, W. Va., a high gain antenna at Charleston pointed in a southerly direction, the use of mobile radio telephone to permit pilots to access nearby telephone facilities when on the ground at a remote site, short range less than 150 miles, hf radio, and a discrete frequency for exclusive use by low-flying aircraft. FAA activities directed at improving communications to helicopter flying to and from offshore oil and gas platforms in the Gulf of Mexico is presented in an Appendix.

Experiences and Lessons From Polio Eradication Applied to Immunization in 10 Focus Countries of the Polio Endgame Strategic Plan.

PubMed

van den Ent, Maya M V X; Mallya, Apoorva; Sandhu, Hardeep; Anya, Blanche-Philomene; Yusuf, Nasir; Ntakibirora, Marcelline; Hasman, Andreas; Fahmy, Kamal; Agbor, John; Corkum, Melissa; Sumaili, Kyandindi; Siddique, Anisur Rahman; Bammeke, Jane; Braka, Fiona; Andriamihantanirina, Rija; Ziao, Antoine-Marie C; Djumo, Clement; Yapi, Moise Desire; Sosler, Stephen; Eggers, Rudolf

2017-07-01

Nine polio areas of expertise were applied to broader immunization and mother, newborn and child health goals in ten focus countries of the Polio Eradication Endgame Strategic Plan: policy & strategy development, planning, management and oversight (accountability framework), implementation & service delivery, monitoring, communications & community engagement, disease surveillance & data analysis, technical quality & capacity building, and partnerships. Although coverage improvements depend on multiple factors and increased coverage cannot be attributed to the use of polio assets alone, 6 out of the 10 focus countries improved coverage in three doses of diphtheria tetanus pertussis containing vaccine between 2013 and 2015. Government leadership, evidence-based programming, country-driven comprehensive operational annual plans, community partnership and strong accountability systems are critical for all programs and polio eradication has illustrated these can be leveraged to increase immunization coverage and equity and enhance global health security in the focus countries. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand.

PubMed

Turner, Nikki M; Charania, Nadia A; Chong, Angela; Stewart, Joanna; Taylor, Lynn

2017-01-01

Immunisation coverage rates vary considerably at the local level across New Zealand and challenges remain with effectively translating best available research evidence into public health practice. This study aimed to translate best practices from high performing general practices into strategies to improve childhood immunisation coverage among low performing practices. An intervention study was undertaken of general practices with low immunisation coverage rates and a high percentage of the enrolled population being of Māori ethnicity. Intervention groups received customised action plans and support for a 12 month period while control groups received 'business as usual' support. Structured interviews were conducted with key informants from all participating practices to understand current aspects related to childhood immunisation delivery and surveys were conducted to understand how the intervention worked. Collected data were thematically analysed. Ten sites were randomised to either intervention ( n  = 6) or control group ( n  = 4). Positive aspects of childhood immunisation delivery included high prioritisation at the practice and staff being pro-immunisation and knowledgeable. Key challenges experienced included inaccurate family contact information and discrepancies with referral processes to other providers. Other challenges noted were building rapport with families and vaccine hesitancy. The action plans included various strategies aimed to improve processes at the practice, contact and engagement with parents, and partnership development with local service providers. Creating customised action plans and providing support to providers were considered as helpful approaches when attempting to improve childhood immunisation coverage rates. Our study supports the notion that one strategy will not solely by itself improve childhood immunisation rates and highlights the importance of having a toolkit of strategies from which to draw from.

Health Insurance Coverage and Its Impact on Medical Cost: Observations from the Floating Population in China

PubMed Central

Zhao, Yinjun; Kang, Bowei; Liu, Yawen; Li, Yichong; Shi, Guoqing; Shen, Tao; Jiang, Yong; Zhang, Mei; Zhou, Maigeng; Wang, Limin

2014-01-01

Background China has the world's largest floating (migrant) population, which has characteristics largely different from the rest of the population. Our goal is to study health insurance coverage and its impact on medical cost for this population. Methods A telephone survey was conducted in 2012. 644 subjects were surveyed. Univariate and multivariate analysis were conducted on insurance coverage and medical cost. Results 82.2% of the surveyed subjects were covered by basic insurance at hometowns with hukou or at residences. Subjects' characteristics including age, education, occupation, and presence of chronic diseases were associated with insurance coverage. After controlling for confounders, insurance coverage was not significantly associated with gross or out-of-pocket medical cost. Conclusion For the floating population, health insurance coverage needs to be improved. Policy interventions are needed so that health insurance can have a more effective protective effect on cost. PMID:25386914

Five years later: poor women's health care coverage after welfare reform.

PubMed

Mann, Cindy; Hudman, Julie; Salganicoff, Alina; Folsom, Amanda

2002-01-01

The 1996 welfare reform law aims to increase poor women's participation in the work force and encourage their financial independence. Because women's ability to obtain and retain employment is affected by their health status, welfare reform's success is fundamentally tied to poor women's access to health care and to health insurance. Despite this, the rate of uninsurance among poor women with children has grown by half in recent years, leaving 37% of poor mothers uninsured in 2000. Coverage through employer-sponsored insurance has increased only slightly, and Medicaid participation has dropped. Although many factors contributed to this, welfare policies and procedures and low Medicaid eligibility levels had unintended yet significant negative effects on women's health care coverage. The sharp decline in poor women's health care coverage is likely to be one of several health-related issues that Congress will consider as it debates the reauthorization of the welfare law in 2002. Both public and private efforts will be necessary to improve coverage for poor women with children. Much progress has been made during the past 5 years in covering poor and near-poor children, but their parents have been left behind. The same efforts that proved successful for children, including broadening eligibility for coverage and simplifying the application process, can be used to improve the health and well-being of parents and to strengthen their ability to care for and support their families.

A solar activity monitoring platform for SCADM

NASA Technical Reports Server (NTRS)

Kissell, K. E.; Ratcliff, D. D.

1980-01-01

The adaptation of proven space probe technology is proposed as a means of providing a solar activity monitoring platform which could be injected behind the Earth's orbital position to give 3 to 6 days advanced coverage of the solar phenomenon on the backside hemisphere before it rotates into view and affects terrestrial activities. The probe would provide some three dimensional discrimination within the ecliptic latitude. This relatively simple off-Earth probe could provide very high quality data to support the SCADM program, by transmitting both high resolution video data of the solar surface and such measurements of solar activity as particle, X-ray, ultraviolet, and radio emission fluxes. Topics covered include the orbit; constraints on the spacecraft; subsystems and their embodiments; optical imaging sensors and their operation; and the radiation-pressure attitude control system are described. The platform would be capable of mapping active regions on an hourly basis with one arc-second resolution.

The Neutron Star Interior Composition Explorer (NICER)

NASA Technical Reports Server (NTRS)

Wilson-Hodge, Colleen A.; Gendreau, K.; Arzoumanian, Z.

2014-01-01

The Neutron Star Interior Composition Explorer (NICER) is an approved NASA Explorer Mission of Opportunity dedicated to the study of the extraordinary gravitational, electromagnetic, and nuclear-physics environments embodied by neutron stars. Scheduled to be launched in 2016 as an International Space Station payload, NICER will explore the exotic states of matter, using rotation-resolved spectroscopy of the thermal and non-thermal emissions of neutron stars in the soft (0.2-12 keV) X-ray band. Grazing-incidence "concentrator" optics coupled with silicon drift detectors, actively pointed for a full hemisphere of sky coverage, will provide photon-counting spectroscopy and timing registered to GPS time and position, with high throughput and relatively low background. The NICER project plans to implement a Guest Observer Program, which includes competitively selected user targets after the first year of flight operations. I will describe NICER and discuss ideas for potential Be/X-ray binary science.

Multipoint photonic doppler velocimetry using optical lens elements

DOEpatents

Frogget, Brent Copely; Romero, Vincent Todd

2014-04-29

A probe including a fisheye lens is disclosed to measure the velocity distribution of a moving surface along many lines of sight. Laser light, directed to the surface and then reflected back from the surface, is Doppler shifted by the moving surface, collected into fisheye lens, and then directed to detection equipment through optic fibers. The received light is mixed with reference laser light and using photonic Doppler velocimetry, a continuous time record of the surface movement is obtained. An array of single-mode optical fibers provides an optic signal to an index-matching lens and eventually to a fisheye lens. The fiber array flat polished and coupled to the index-matching lens using index-matching gel. Numerous fibers in a fiber array project numerous rays through the fisheye lens which in turn project many measurement points at numerous different locations to establish surface coverage over a hemispherical shape with very little crosstalk.

[Payment by performance to improve the nutritional status of children: impact of budget support agreements in three peruvian regions with a high prevalence of chronic malnutrition in children in 2010-2014].

PubMed

Cruzado de la Vega, Viviana

2017-01-01

To estimate the impact of a payment scheme by performance, known as a budget support agreement, applied by the government in three regions in Peru with the highest rates of chronic malnutrition (CM) in children in 2008-Apurimac, Ayacucho, and Huancavelica-on indicators of health service coverage (immunization, childhood growth and development, and iron supplementation) and the nutritional status of children (malnutrition, anemia, and diarrhea). These agreements were used to transfer resources to the budgets of these regions with the condition of fulfilling management commitments and coverage goals with a view toward improving the nutritional status of children. Based on data from the Demographic and Family Health Survey conducted from 2008 to 2014, evolution of the indicators in a sample of children residing in the areas where the support programs were signed was compared to that of a control sample in the period in which the agreements were in force and in the subsequent years to estimate differences in the impact of this support strategy. There was a positive impact of the programs on the increase in vaccination coverage provided by the basic health system and rotavirus vaccination, which consequently reduced the rates of diarrhea and malnutrition. The scheme was effective in increasing the vaccination coverage and reducing CM but did not seem to improve the coverage of other benefits, including childhood growth and iron supplementation to children and mothers.

Treating Metaphor Interpretation Deficits Subsequent to Right Hemisphere Brain Damage: Preliminary Results

PubMed Central

Lundgren, Kristine; Brownell, Hiram; Cayer-Meade, Carol; Milione, Janet; Kearns, Kevin

2012-01-01

Purpose This investigation sought to determine whether a structured intervention focused on improving use of semantic associations could improve patients’ ability to provide oral interpretations of metaphors following Right Hemisphere Damage (RHD). Methods Principles of single subject experimental design provided the basis for the study. Five patients received either 10 or 20 baseline assessments of oral metaphor interpretation and, as a control, assessments of line orientation skill. They then received approximately 10 one-hour sessions of structured intervention to improve oral metaphor interpretation followed by post-training assessments and a 3 month follow up. Results Patients’ performances revealed evidence of good response to training as shown by patients' ability to reach criterion on all intervention tasks and by their significant improvement on oral metaphor interpretation. There was relatively little improvement on the line orientation task. Discussion The results of this study support the clinical usefulness of this new approach to treating communication deficits associated with RHD due to stroke, even years post-onset. There are, however, questions that remain unanswered. For example, additional data will be needed to gauge how a patient’s severity of impairment relates to the potential for improvement, to chart the durability and scope of improvement associated with the training, and to determine the type of visuospatial ability needed for using this type of pictorial material. PMID:22837588

TMS Suppression of Right Pars Triangularis, but Not Pars Opercularis, Improves Naming in Aphasia

ERIC Educational Resources Information Center

Naeser, Margaret A.; Martin, Paula I.; Theoret, Hugo; Kobayashi, Masahito; Fregni, Felipe; Nicholas, Marjorie; Tormos, Jose M.; Steven, Megan S.; Baker, Errol H.; Pascual-Leone, Alvaro

2011-01-01

This study sought to discover if an optimum 1 cm[squared] area in the non-damaged right hemisphere (RH) was present, which could temporarily improve naming in chronic, nonfluent aphasia patients when suppressed with repetitive transcranial magnetic stimulation (rTMS). Ten minutes of slow, 1 Hz rTMS was applied to suppress different RH ROIs in…

Evaluating Childhood Vaccination Coverage of NIP Vaccines: Coverage Survey versus Zhejiang Provincial Immunization Information System

PubMed Central

Hu, Yu; Chen, Yaping

2017-01-01

Vaccination coverage in Zhejiang province, east China, is evaluated through repeated coverage surveys. The Zhejiang provincial immunization information system (ZJIIS) was established in 2004 with links to all immunization clinics. ZJIIS has become an alternative to quickly assess the vaccination coverage. To assess the current completeness and accuracy on the vaccination coverage derived from ZJIIS, we compared the estimates from ZJIIS with the estimates from the most recent provincial coverage survey in 2014, which combined interview data with verified data from ZJIIS. Of the enrolled 2772 children in the 2014 provincial survey, the proportions of children with vaccination cards and registered in ZJIIS were 94.0% and 87.4%, respectively. Coverage estimates from ZJIIS were systematically higher than the corresponding estimates obtained through the survey, with a mean difference of 4.5%. Of the vaccination doses registered in ZJIIS, 16.7% differed from the date recorded in the corresponding vaccination cards. Under-registration in ZJIIS significantly influenced the coverage estimates derived from ZJIIS. Therefore, periodic coverage surveys currently provide more complete and reliable results than the estimates based on ZJIIS alone. However, further improvement of completeness and accuracy of ZJIIS will likely allow more reliable and timely estimates in future. PMID:28696387

Statistical properties of superactive regions during solar cycles 19-23

NASA Astrophysics Data System (ADS)

Chen, A. Q.; Wang, J. X.; Li, J. W.; Feynman, J.; Zhang, J.

2011-10-01

Context. Each solar activity cycle is characterized by a small number of superactive regions (SARs) that produce the most violent of space weather events with the greatest disastrous influence on our living environment. Aims: We aim to re-parameterize the SARs and study the latitudinal and longitudinal distributions of SARs. Methods: We select 45 SARs in solar cycles 21-23, according to the following four parameters: 1) the maximum area of sunspot group, 2) the soft X-ray flare index, 3) the 10.7 cm radio peak flux, and 4) the variation in the total solar irradiance. Another 120 SARs given by previous studies of solar cycles 19-23 are also included. The latitudinal and longitudinal distributions of the 165 SARs in both the Carrington frame and the dynamic reference frame during solar cycles 19-23 are studied statistically. Results: Our results indicate that these 45 SARs produced 44% of all the X class X-ray flares during solar cycles 21-23, and that all the SARs are likely to produce a very fast CME. The latitudinal distributions of SARs display the Maunder butterfly diagrams and SARs occur preferentially in the maximum period of each solar cycle. Northern hemisphere SARs dominated in solar cycles 19 and 20 and southern hemisphere SARs dominated in solar cycles 21 and 22. In solar cycle 23, however, SARs occurred about equally in each hemisphere. There are two active longitudes in both the northern and southern hemispheres, about 160°-200° apart. Applying the improved dynamic reference frame to SARs, we find that SARs rotate faster than the Carrington rate and there is no significant difference between the two hemispheres. The synodic periods are 27.19 days and 27.25 days for the northern and southern hemispheres, respectively. The longitudinal distribution of SARs is significantly non-axisymmetric and about 75% SARs occurred near two active longitudes with half widths of 45°. Appendix A is available in electronic form at http://www.aanda.org

Full prescription coverage versus usual prescription coverage after coronary artery bypass graft surgery: analysis from the post-myocardial infarction free Rx event and economic evaluation (FREEE) randomized trial.

PubMed

Kulik, Alexander; Desai, Nihar R; Shrank, William H; Antman, Elliott M; Glynn, Robert J; Levin, Raisa; Reisman, Lonny; Brennan, Troyen; Choudhry, Niteesh K

2013-09-10

Eliminating out-of-pocket costs for patients after myocardial infarction (MI) improves adherence to preventive therapies and reduces clinical events. Because adherence to medical therapy is low among patients treated with coronary artery bypass graft surgery (CABG), we evaluated the impact of providing full prescription coverage to this patient subgroup. The MI Free Rx Event and Economic Evaluation (FREEE) trial randomly assigned 5855 patients with MI to full prescription coverage or usual formulary coverage for all statins, β-blockers, angiotensin-converting enzyme inhibitors, or angiotensin receptor blockers. We assessed the impact of full prescription coverage on adherence, clinical outcomes, and healthcare costs using adjusted models among the 1052 patients who underwent CABG at the index hospitalization and 4803 who did not. CABG patients were older and had more comorbid illness (P<0.01). After MI, CABG patients were significantly more likely to receive β-blockers and statins but were less likely to receive angiotensin-converting enzyme inhibitor/angiotensin receptor blocker therapy (P<0.01). Receiving full drug coverage increased rates of adherence to all preventative medications after CABG (all P<0.05). Full coverage was also associated with nonsignificant reductions in the rate of major vascular events or revascularization for patients treated with CABG (hazard ratio, 0.91; 95% confidence interval, 0.66-1.25) or without CABG (hazard ratio, 0.93; 95% confidence interval, 0.82-1.06), with no interaction noted (Pint=NS). After CABG, full prescription coverage significantly reduced patient out-of-pocket spending for drugs (P=0.001) without increasing overall health expenditures (P=NS). Eliminating drug copayments after MI provides consistent benefits to patients treated with or without CABG, leading to increased medication adherence, trends toward improved clinical outcomes, and reduced patient out-of-pocket expenses.

Postmortem volumetric analysis of the nucleus accumbens in male heroin addicts: implications for deep brain stimulation.

PubMed

Müller, Ulf J; Truebner, Kurt; Schiltz, Kolja; Kuhn, Jens; Mawrin, Christian; Dobrowolny, Henrik; Bernstein, Hans-Gert; Bogerts, Bernhard; Steiner, Johann

2015-12-01

Deep brain stimulation (DBS) of the nucleus accumbens (NAc) is increasingly investigated in neuropsychiatric disorders. DBS requires computer-assisted 3D planning to implant the stimulation electrode precisely. Recently, there has been a debate about the true dimensions of NAc in healthy as well as in mentally ill individuals. Knowing its true dimensions in different neuropsychiatric disorders may improve even more precise targeting of NAc for therapeutic DBS. Volumes of NAc of heroin addicts (n = 14) and healthy controls (n = 12) were calculated by using morphometry of serial whole-brain sections. Total brain volume was larger in the heroin group (mean 1478.85 ± 62.34 vs. mean 1352.38 ± 103.24 cm(3)), as the heroin group was more than 10 years younger (p = 0.001). However, the mean volume of the NAc in heroin addicts was smaller than in controls (0.528 ± 0.166 vs. 0.623 ± 0.196 cm(3); p = 0.019). This group effect did not significantly differ between the hemispheres. When assessed separately, left-hemispheric NAc volume was 15 % lower (p = 0.020), while right-hemispheric NAc volume was 16 % lower (p = 0.047) in the heroin-addicted group compared to controls. Based on these diagnosis-related differences, we believe it is important to further analyze NAc volumes in different psychiatric disorders to further improve precise targeting and electrode placement.

Changes in Resting State Effective Connectivity in the Motor Network Following Rehabilitation of Upper Extremity Poststroke Paresis

PubMed Central

James, G. Andrew; Lu, Zhong-Lin; VanMeter, John W.; Sathian, K.; Hu, Xiaoping P.; Butler, Andrew J.

2013-01-01

Background A promising paradigm in human neuroimaging is the study of slow (<0.1 Hz) spontaneous fluctuations in the hemodynamic response measured by functional magnetic resonance imaging (fMRI). Spontaneous activity (i.e., resting state) refers to activity that cannot be attributed to specific inputs or outputs, that is, activity intrinsically generated by the brain. Method This article presents pilot data examining neural connectivity in patients with poststroke hemiparesis before and after 3 weeks of upper extremity rehabilitation in the Accelerated Skill Acquisition Program (ASAP). Resting-state fMRI data acquired pre and post therapy were analyzed using an exploratory adaptation of structural equation modeling (SEM) to evaluate therapy-related changes in motor network effective connectivity. Results Each ASAP patient showed behavioral improvement. ASAP patients also showed increased influence of the affected hemisphere premotor cortex (a-PM) upon the unaffected hemisphere premotor cortex (u-PM) following therapy. The influence of a-PM on affected hemisphere primary motor cortex (a-M1) also increased with therapy for 3 of 5 patients, including those with greatest behavioral improvement. Conclusions Our findings suggest that network analyses of resting-state fMRI constitute promising tools for functional characterization of functional brain disorders, for intergroup comparisons, and potentially for assessing effective connectivity within single subjects; all of which have important implications for stroke rehabilitation. PMID:19740732

An improved rainfall disaggregation technique for GCMs

NASA Astrophysics Data System (ADS)

Onof, C.; Mackay, N. G.; Oh, L.; Wheater, H. S.

1998-08-01

Meteorological models represent rainfall as a mean value for a grid square so that when the latter is large, a disaggregation scheme is required to represent the spatial variability of rainfall. In general circulation models (GCMs) this is based on an assumption of exponentiality of rainfall intensities and a fixed value of areal rainfall coverage, dependent on rainfall type. This paper examines these two assumptions on the basis of U.K. and U.S. radar data. Firstly, the coverage of an area is strongly dependent on its size, and this dependence exhibits a scaling law over a range of sizes. Secondly, the coverage is, of course, dependent on the resolution at which it is measured, although this dependence is weak at high resolutions. Thirdly, the time series of rainfall coverages has a long-tailed autocorrelation function which is comparable to that of the mean areal rainfalls. It is therefore possible to reproduce much of the temporal dependence of coverages by using a regression of the log of the mean rainfall on the log of the coverage. The exponential assumption is satisfactory in many cases but not able to reproduce some of the long-tailed dependence of some intensity distributions. Gamma and lognormal distributions provide a better fit in these cases, but they have their shortcomings and require a second parameter. An improved disaggregation scheme for GCMs is proposed which incorporates the previous findings to allow the coverage to be obtained for any area and any mean rainfall intensity. The parameters required are given and some of their seasonal behavior is analyzed.

To expand coverage, or increase frequency: Quantifying the tradeoffs between equity and efficiency facing cervical cancer screening programs in low‐resource settings

PubMed Central

Tsu, Vivien; Jeronimo, Jose; Mvundura, Mercy; Lee, Kyueun; Kim, Jane J.

2017-01-01

Cervical cancer is a leading cause of cancer death worldwide, with 85% of the disease burden residing in less developed regions. To inform evidence‐based decision‐making as cervical cancer screening programs are planned, implemented, and scaled in low‐ and middle‐income countries, we used cost and test performance data from the START‐UP demonstration project in Uganda and a microsimulation model of HPV infection and cervical carcinogenesis to quantify the health benefits, distributional equity, cost‐effectiveness, and financial impact of either (1) improving access to cervical cancer screening or (2) increasing the number of lifetime screening opportunities for women who already have access. We found that when baseline screening coverage was low (i.e., 30%), expanding coverage of screening once in a lifetime to 50% can yield comparable reductions in cancer risk to screening two or three times in a lifetime at 30% coverage, lead to greater reductions in health disparities, and cost 150 international dollars (I$) per year of life saved (YLS). At higher baseline screening coverage levels (i.e., 70%), screening three times in a lifetime yielded greater health benefits than expanding screening once in a lifetime to 90% coverage, and would have a cost‐effectiveness ratio (I$590 per YLS) below Uganda's per capita GDP. Given very low baseline coverage at present, we conclude that a policy focus on increasing access for previously unscreened women appears to be more compatible with improving both equity and efficiency than a focus on increasing frequency for a small subset of women. PMID:27925175

THE THIRD US NAVAL OBSERVATORY CCD ASTROGRAPH CATALOG (UCAC3)

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

Zacharias, N.; Finch, C.; Wycoff, G.

2010-06-15

The third US Naval Observatory (USNO) CCD Astrograph Catalog, UCAC3, was released at the IAU General Assembly on 2009 August 10. It is the first all-sky release in this series and contains just over 100 million objects, about 95 million of them with proper motions, covering about R = 8-16 mag. Current epoch positions are obtained from the observations with the 20 cm aperture USNO Astrograph's 'red lens', equipped with a 4k x 4k CCD. Proper motions are derived by combining these observations with over 140 ground- and space-based catalogs, including Hipparcos/Tycho and the AC2000.2, as well as unpublished measuresmore » of over 5000 plates from other astrographs. For most of the faint stars in the southern hemisphere, the Yale/San Juan first epoch plates from the Southern Proper Motion (SPM) program (YSJ1) form the basis for proper motions. These data are supplemented by all-sky Schmidt plate survey astrometry and photometry obtained from the SuperCOSMOS project, as well as 2MASS near-IR photometry. Major differences of UCAC3 data as compared with UCAC2 include a completely new raw data reduction with improved control over systematic errors in positions, significantly improved photometry, slightly deeper limiting magnitude, coverage of the north pole region, greater completeness by inclusion of double stars, and weak detections. This of course leads to a catalog which is not as 'clean' as UCAC2 and problem areas are outlined for the user in this paper. The positional accuracy of stars in UCAC3 is about 15-100 mas per coordinate, depending on magnitude, while the errors in proper motions range from 1 to 10 mas yr{sup -1} depending on magnitude and observing history, with a significant improvement over UCAC2 achieved due to the re-reduced SPM data and inclusion of more astrograph plate data unavailable at the time of UCAC2.« less

Hemispheric Sunspot Unit Area: Comparison with Hemispheric Sunspot Number and Sunspot Area

NASA Astrophysics Data System (ADS)

Li, K. J.; Xiang, N. B.; Qu, Z. N.; Xie, J. L.

2014-03-01

The monthly mean northern and southern hemispheric sunspot numbers (SNs) and sunspot areas (SAs) in the time interval of 1945 January to 2012 December are utilized to construct the monthly northern and southern hemispheric sunspot unit areas (SUAs), which are defined as the ratio of hemispheric SA to SN. Hemispheric SUAs are usually found to rise at the beginning and to fall at the ending time of a solar cycle more rapidly, forming a more irregular cycle profile than hemispheric SNs and SAs, although it also presents Schwabe-cycle-like hemispheric SNs and SAs. Sunspot activity (SN, SA, and SUA) is found asynchronously and is asymmetrically distributed in the northern and southern hemispheres, and hemispheric SNs, SAs, and SUAs are not in phase in the two hemispheres. The similarity of hemispheric SNs and SAs is found to be much more obvious than that of hemispheric SUAs and SNs (or SAs), and also for their north-south asymmetry. A notable feature is found for the behavior of the SUA around the minimum time of cycle 24: the SUA rapidly decreases from the cycle maximum value to the cycle minimum value of sunspot cycles 19-24 within just 22 months.

Hemispheric sunspot unit area: comparison with hemispheric sunspot number and sunspot area

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

Li, K. J.; Xiang, N. B.; Qu, Z. N.

2014-03-01

The monthly mean northern and southern hemispheric sunspot numbers (SNs) and sunspot areas (SAs) in the time interval of 1945 January to 2012 December are utilized to construct the monthly northern and southern hemispheric sunspot unit areas (SUAs), which are defined as the ratio of hemispheric SA to SN. Hemispheric SUAs are usually found to rise at the beginning and to fall at the ending time of a solar cycle more rapidly, forming a more irregular cycle profile than hemispheric SNs and SAs, although it also presents Schwabe-cycle-like hemispheric SNs and SAs. Sunspot activity (SN, SA, and SUA) is foundmore » asynchronously and is asymmetrically distributed in the northern and southern hemispheres, and hemispheric SNs, SAs, and SUAs are not in phase in the two hemispheres. The similarity of hemispheric SNs and SAs is found to be much more obvious than that of hemispheric SUAs and SNs (or SAs), and also for their north-south asymmetry. A notable feature is found for the behavior of the SUA around the minimum time of cycle 24: the SUA rapidly decreases from the cycle maximum value to the cycle minimum value of sunspot cycles 19-24 within just 22 months.« less

Broader health coverage is good for the nation's health: evidence from country level panel data.

PubMed

Moreno-Serra, Rodrigo; Smith, Peter C

2015-01-01

Progress towards universal health coverage involves providing people with access to needed health services without entailing financial hardship and is often advocated on the grounds that it improves population health. The paper offers econometric evidence on the effects of health coverage on mortality outcomes at the national level. We use a large panel data set of countries, examined by using instrumental variable specifications that explicitly allow for potential reverse causality and unobserved country-specific characteristics. We employ various proxies for the coverage level in a health system. Our results indicate that expanded health coverage, particularly through higher levels of publicly funded health spending, results in lower child and adult mortality, with the beneficial effect on child mortality being larger in poorer countries.

Accuracy of indexing coverage information as reported by serials sources.

PubMed Central

Eldredge, J D

1993-01-01

This article reports on the accuracy of indexing service coverage information listed in three serials sources: Ulrich's International Periodicals Directory, SERLINE, and The Serials Directory. The titles studied were randomly selected journals that began publication in either 1981 or 1986. Aggregate results reveal that these serials sources perform at 92%, 97%, and 95% levels of accuracy respectively. When the results are analyzed by specific indexing services by year, the performance scores ranged from 80% to 100%. All three serials sources tend to underreport index coverage. The author advances five recommendations for improving index coverage accuracy and four specific proposals for future research. The results suggest that, for the immediate future, librarians should treat index coverage information reported in these three serials sources with some skepticism. PMID:8251971

Broader health coverage is good for the nation's health: evidence from country level panel data

PubMed Central

Moreno-Serra, Rodrigo; Smith, Peter C

2015-01-01

Progress towards universal health coverage involves providing people with access to needed health services without entailing financial hardship and is often advocated on the grounds that it improves population health. The paper offers econometric evidence on the effects of health coverage on mortality outcomes at the national level. We use a large panel data set of countries, examined by using instrumental variable specifications that explicitly allow for potential reverse causality and unobserved country-specific characteristics. We employ various proxies for the coverage level in a health system. Our results indicate that expanded health coverage, particularly through higher levels of publicly funded health spending, results in lower child and adult mortality, with the beneficial effect on child mortality being larger in poorer countries. PMID:25598588

Count every newborn; a measurement improvement roadmap for coverage data

PubMed Central

2015-01-01

Background The Every Newborn Action Plan (ENAP), launched in 2014, aims to end preventable newborn deaths and stillbirths, with national targets of ≤12 neonatal deaths per 1000 live births and ≤12 stillbirths per 1000 total births by 2030. This requires ambitious improvement of the data on care at birth and of small and sick newborns, particularly to track coverage, quality and equity. Methods In a multistage process, a matrix of 70 indicators were assessed by the Every Newborn steering group. Indicators were graded based on their availability and importance to ENAP, resulting in 10 core and 10 additional indicators. A consultation process was undertaken to assess the status of each ENAP core indicator definition, data availability and measurement feasibility. Coverage indicators for the specific ENAP treatment interventions were assigned task teams and given priority as they were identified as requiring the most technical work. Consultations were held throughout. Results ENAP published 10 core indicators plus 10 additional indicators. Three core impact indicators (neonatal mortality rate, maternal mortality ratio, stillbirth rate) are well defined, with future efforts needed to focus on improving data quantity and quality. Three core indicators on coverage of care for all mothers and newborns (intrapartum/skilled birth attendance, early postnatal care, essential newborn care) have defined contact points, but gaps exist in measuring content and quality of the interventions. Four core (antenatal corticosteroids, neonatal resuscitation, treatment of serious neonatal infections, kangaroo mother care) and one additional coverage indicator for newborns at risk or with complications (chlorhexidine cord cleansing) lack indicator definitions or data, especially for denominators (population in need). To address these gaps, feasible coverage indicator definitions are presented for validity testing. Measurable process indicators to help monitor health service readiness are also presented. A major measurement gap exists to monitor care of small and sick babies, yet signal functions could be tracked similarly to emergency obstetric care. Conclusions The ENAP Measurement Improvement Roadmap (2015-2020) outlines tools to be developed (e.g., improved birth and death registration, audit, and minimum perinatal dataset) and actions to test, validate and institutionalise proposed coverage indicators. The roadmap presents a unique opportunity to strengthen routine health information systems, crosslinking these data with civil registration and vital statistics and population-based surveys. Real measurement change requires intentional transfer of leadership to countries with the greatest disease burden and will be achieved by working with centres of excellence and existing networks. PMID:26391444

Molecular diagnostics using magnetic nanobeads

NASA Astrophysics Data System (ADS)

Zardán Gómez de la Torre, Teresa; Strömberg, Mattias; Göransson, Jenny; Gunnarsson, Klas; Nilsson, Mats; Svedlindh, Peter; Strømme, Maria

2010-01-01

In this paper, we investigate the volume-amplified magnetic nanobead detection assay with respect to bead size, bead concentration and bead oligonucleotide surface coverage in order to improve the understanding of the underlying microscopic mechanisms. It has been shown that: (i) the immobilization efficiency of the beads depends on the surface coverage of oligonucleotides, (ii) by using lower amounts of probe-tagged beads, detection sensitivity can be improved and (iii) using small enough beads enables both turn-off and turn-on detection. Finally, biplex detection was demonstrated.

Effectiveness of a smartphone app on improving immunization of children in rural Sichuan Province, China: a cluster randomized controlled trial.

PubMed

Chen, Li; Du, Xiaozhen; Zhang, Lin; van Velthoven, Michelle Helena; Wu, Qiong; Yang, Ruikan; Cao, Ying; Wang, Wei; Xie, Lihui; Rao, Xiuqin; Zhang, Yanfeng; Koepsell, Jeanne Catherine

2016-08-31

The aim of this study was to assess the effectiveness of an EPI smartphone application (EPI app) on improving vaccination coverage in rural Sichuan Province, China. This matched-pair cluster randomized controlled study included 32 village doctors, matched in 16 pairs, and took place from 2013 to 2015. Village doctors in the intervention group used the EPI app and reminder text messages while village doctors in the control group used their usual procedures and text messages. The primary outcome was full vaccination coverage with all five vaccines (1 dose of BCG, 3 doses of hepatitis B, 3 doses of OPV, 3 doses of DPT and 1 dose of measles vaccine), and the secondary outcome was coverage with each dose of the five individual vaccines. We also conducted qualitative interviews with village doctors to understand perceptions on using the EPI app and how this changed their vaccination work. The full vaccination coverage increased statistically significant from baseline to end-line in both the intervention (67 % [95 % CI:58-75 %] to 84 % [95 % CI:76-90 %], P = 0.028) and control group (71 % [95 % CI:62-79 %] to 82 % [95 % CI:74-88 %], P = 0.014). The intervention group had higher increase in full vaccination coverage from baseline to end-line compared to the control group (17 % vs 10 %), but this was not statistically significant (P = 0.164). Village doctors found it more convenient to use the EPI app to manage child vaccination and also reported saving time by looking up information of caregivers and contacting caregivers for overdue vaccinations quicker. However, village doctors found it hard to manage children who migrated out of the counties. This study showed that an app and text messages can be used by village doctors to improve full vaccination coverage, though no significant increase in vaccination coverage was found when assessing the effect of the app on its own. Village doctors using EPI app reported having improved their working efficiency of managing childhood vaccination. Future studies should be conducted to evaluate the impact of more integrated approach of mHealth intervention on child immunization. Chinese Clinical Trials Registry (ChiCTR): ChiCTR-TRC- 13003960 , registered on December 6, 2013.

NGO facilitation of a government community-based maternal and neonatal health programme in rural India: improvements in equity.

PubMed

Baqui, Abdullah H; Rosecrans, Amanda M; Williams, Emma K; Agrawal, Praween K; Ahmed, Saifuddin; Darmstadt, Gary L; Kumar, Vishwajeet; Kiran, Usha; Panwar, Dharmendra; Ahuja, Ramesh C; Srivastava, Vinod K; Black, Robert E; Santosham, Mathuram

2008-07-01

Socio-economic disparities in health have been well documented around the world. This study examines whether NGO facilitation of the government's community-based health programme improved the equity of maternal and newborn health in rural Uttar Pradesh, India. A quasi-experimental study design included one intervention district and one comparison district of rural Uttar Pradesh. A household survey conducted between January and June 2003 established baseline rates of programme coverage, maternal and newborn care practices, and health care utilization during 2001-02. An endline household survey was conducted after 30 months of programme implementation between January and March 2006 to measure the same indicators during 2004-05. The changes in the indicators from baseline to endline in the intervention and comparison districts were calculated by socio-economic quintiles, and concentration indices were constructed to measure the equity of programme indicators. The equity of programme coverage and antenatal and newborn care practices improved from baseline to endline in the intervention district while showing little change in the comparison district. Equity in health care utilization for mothers and newborns also showed some improvements in the intervention district, but notable socio-economic differentials remained, with the poor demonstrating less ability to access health services. NGO facilitation of government programmes is a feasible strategy to improve equity of maternal and neonatal health programmes. Improvements in equity were most pronounced for household practices, and inequities were still apparent in health care utilization. Furthermore, overall programme coverage remained low, limiting the ability to address equity. Programmes need to identify and address barriers to universal coverage and care utilization, particularly in the poorest segments of the population.

Teaching Critical Analysis of Election Coverage with Video Tape in the Introductory Course

ERIC Educational Resources Information Center

Eisenstein, James; Greenberg, George Douglas

1976-01-01

Improved understanding of political events and increased analytical skills are two contributions of a study of video taped media coverage of important political events, such as national elections. An appendix presents excerpts from the three major television networks' commentaries on election night 1972. (Author/DB)

Utilization of sequence on relatives to improve analysis of individuals' low-coverage NGS data

USDA-ARS?s Scientific Manuscript database

Low-coverage sequence data is expected to have low call rates under the prevailing paradigm that genotypes are first “called” from sequence data of each individual independently and subsequent analyses (including determination of haplotypes) are dependent on those called genotypes. However, provide...

Effects of Mandating Benefits Packages. Background Paper No. 32.

ERIC Educational Resources Information Center

Mitchell, Olivia S.

This study of the potential labor market consequences of government mandating of employee benefits suggests that mandating benefits will increase benefit coverage and generosity for insurance coverage will not be helped; even when mandating benefits does improve benefit provision, there will be other offsetting effects, including wage and other…

Sky-plane discovery rates for Near Earth Object discoveries from Pan-STARRS1 - implications for future search strategies

NASA Astrophysics Data System (ADS)

Wainscoat, Richard J.; Chambers, Kenneth C.; Chastel, Serge; Denneau, Larry; Lilly Schunova, Eva; Micheli, Marco; Weryk, Robert J.

2016-10-01

The Pan-STARRS1 telescope has been spending most of its time for the last 2.5 years searching the sky for Near Earth Objects (NEOs). The surveyed area covers the entire northern sky and extends south to -49 degrees declination. Because Pan-STARRS1 has a large field-of-view, it has been able survey large areas of the sky, and we are now able to examine NEO discovery rates relative to ecliptic latitude.Most contemporary searches, including Pan-STARRS1, have been spending large amounts of their observing time during the dark moon period searching for NEOs close to the ecliptic. The rationale for this is that many objects have low inclination, and all objects in orbit around the Sun must cross the ecliptic. New search capabilities are now available, including Pan-STARRS2, and the upgraded camera in Catalina Sky Survey's G96 telescope. These allow NEO searches to be conducted over wider areas of the sky, and to extend further from the ecliptic.We have examined the discovery rates relative to location on the sky for new NEOs from Pan-STARRS1, and find that the new NEO discoveries are less concentrated on the ecliptic than might be expected. This finding also holds for larger objects. The southern sky has proven to be very productive in new NEO discoveries - this is a direct consequence of the major NEO surveys being located in the northern hemisphere.Our preliminary findings suggest that NEO searches should extend to at least 30 degrees from the ecliptic during the more sensitive dark moon period. At least 6,000 deg2 should therefore be searched each lunation. This is possible with the newly augmented NEO search assets, and repeat coverage will be needed in order to recover most of the NEO candidates found. However, weather challenges will likely make full and repeated coverage of such a large area of sky difficult to achieve. Some simple coordination between observing sites will likely lead to improvement in efficiency.

42 CFR 486.348 - Condition: Quality assessment and performance improvement (QAPI).

Code of Federal Regulations, 2011 CFR

2011-10-01

... OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF... result in performance improvements and track performance to ensure that improvements are sustained. (b...

Earth observations during Space Shuttle flight STS-26: Discovery's mission to earth - September 29-October 3, 1988

NASA Technical Reports Server (NTRS)

Wood, C. A.; Helfert, M. R.; Lulla, K. P.; Covey, R. O.

1989-01-01

During the late September-early October, 1988 flight of the Space Shuttle Discovery, astronauts took 1505 photographs of earth using handheld cameras. The resulting pictures provide an overview, not available from any other source, of dynamic environmental phenomena on five continents. The Discovery photographs show that: (1) atmospheric clarity has improved in the Northern Hemisphere, (2) widespread burning of natural vegetation throughout the Southern Hemisphere continues to generate immense smoke palls and extensive sedimentation in rivers and estuaries, and (3) although the drought in Africa was partially relieved by heavy rains in autumn, 1988, Lakes Chad and Nasser are at the lowest levels ever seen from space.

Interventions for improving coverage of childhood immunisation in low- and middle-income countries.

PubMed

Oyo-Ita, Angela; Wiysonge, Charles S; Oringanje, Chioma; Nwachukwu, Chukwuemeka E; Oduwole, Olabisi; Meremikwu, Martin M

2016-07-10

Immunisation is a powerful public health strategy for improving child survival, not only by directly combating key diseases that kill children but also by providing a platform for other health services. However, each year millions of children worldwide, mostly from low- and middle-income countries (LMICs), do not receive the full series of vaccines on their national routine immunisation schedule. This is an update of the Cochrane review published in 2011 and focuses on interventions for improving childhood immunisation coverage in LMICs. To evaluate the effectiveness of intervention strategies to boost and sustain high childhood immunisation coverage in LMICs. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) 2016, Issue 4, part of The Cochrane Library. www.cochranelibrary.com, including the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register (searched 12 May 2016); MEDLINE In-Process and Other Non-Indexed Citations, MEDLINE Daily and MEDLINE 1946 to Present, OvidSP (searched 12 May 2016); CINAHL 1981 to present, EbscoHost (searched 12 May 2016); Embase 1980 to 2014 Week 34, OvidSP (searched 2 September 2014); LILACS, VHL (searched 2 September 2014); Sociological Abstracts 1952 - current, ProQuest (searched 2 September 2014). We did a citation search for all included studies in Science Citation Index and Social Sciences Citation Index, 1975 to present; Emerging Sources Citation Index 2015 to present, ISI Web of Science (searched 2 July 2016). We also searched the two Trials Registries: ICTRP and ClinicalTrials.gov (searched 5 July 2016) SELECTION CRITERIA: Eligible studies were randomised controlled trials (RCT), non-RCTs, controlled before-after studies, and interrupted time series conducted in LMICs involving children aged from birth to four years, caregivers, and healthcare providers. We independently screened the search output, reviewed full texts of potentially eligible articles, assessed risk of bias, and extracted data in duplicate; resolving discrepancies by consensus. We then conducted random-effects meta-analyses and used GRADE to assess the certainty of evidence. Fourteen studies (10 cluster RCTs and four individual RCTs) met our inclusion criteria. These were conducted in Georgia (one study), Ghana (one study), Honduras (one study), India (two studies), Mali (one study), Mexico (one study), Nicaragua (one study), Nepal (one study), Pakistan (four studies), and Zimbabwe (one study). One study had an unclear risk of bias, and 13 had high risk of bias. The interventions evaluated in the studies included community-based health education (three studies), facility-based health education (three studies), household incentives (three studies), regular immunisation outreach sessions (one study), home visits (one study), supportive supervision (one study), information campaigns (one study), and integration of immunisation services with intermittent preventive treatment of malaria (one study).We found moderate-certainty evidence that health education at village meetings or at home probably improves coverage with three doses of diphtheria-tetanus-pertussis vaccines (DTP3: risk ratio (RR) 1.68, 95% confidence interval (CI) 1.09 to 2.59). We also found low-certainty evidence that facility-based health education plus redesigned vaccination reminder cards may improve DTP3 coverage (RR 1.50, 95% CI 1.21 to 1.87). Household monetary incentives may have little or no effect on full immunisation coverage (RR 1.05, 95% CI 0.90 to 1.23, low-certainty evidence). Regular immunisation outreach may improve full immunisation coverage (RR 3.09, 95% CI 1.69 to 5.67, low-certainty evidence) which may substantially improve if combined with household incentives (RR 6.66, 95% CI 3.93 to 11.28, low-certainty evidence). Home visits to identify non-vaccinated children and refer them to health clinics may improve uptake of three doses of oral polio vaccine (RR 1.22, 95% CI 1.07 to 1.39, low-certainty evidence). There was low-certainty evidence that integration of immunisation with other services may improve DTP3 coverage (RR 1.92, 95% CI 1.42 to 2.59). Providing parents and other community members with information on immunisation, health education at facilities in combination with redesigned immunisation reminder cards, regular immunisation outreach with and without household incentives, home visits, and integration of immunisation with other services may improve childhood immunisation coverage in LMIC. Most of the evidence was of low certainty, which implies a high likelihood that the true effect of the interventions will be substantially different. There is thus a need for further well-conducted RCTs to assess the effects of interventions for improving childhood immunisation coverage in LMICs.

Application of mobile technology for improving expanded program on immunization among highland minority and stateless populations in northern Thailand border.

PubMed

Kaewkungwal, Jaranit; Apidechkul, Tawatchai; Jandee, Kasemsak; Khamsiriwatchara, Amnat; Lawpoolsri, Saranath; Sawang, Surasak; Sangvichean, Aumnuyphan; Wansatid, Peerawat; Krongrungroj, Sarinya

2015-01-14

Studies of undervaccinated children of minority/stateless populations have highlighted significant barriers at individual, community, and state levels. These include geography-related difficulties, poverty, and social norms/beliefs. The objective of this study was to assess project outcomes regarding immunization coverage, as well as maternal attitudes and practices toward immunization. The "StatelessVac" project was conducted in Thailand-Myanmar-Laos border areas using cell phone-based mechanisms to increase immunization coverage by incorporating phone-to-phone information sharing for both identification and prevention. With limitation of the study among vulnerable populations in low-resource settings, the pre/post assessments without comparison group were conducted. Immunization coverage was collected from routine monthly reports while behavior-change outcomes were from repeat surveys. This study revealed potential benefits of the initiative for case identification; immunization coverage showed an improved trend. Prevention strategies were successfully integrated into the routine health care workflows of immunization activities at point-of-care. A behavior-change-communication package contributes significantly in raising both concern and awareness in relation to child care. The mobile technology has proven to be an effective mechanism in improving a children's immunization program among these hard-to-reach populations. Part of the intervention has now been revised for use at health centers across the country.

Public Finance Policy Strategies to Increase Access to Preconception Care

PubMed Central

2006-01-01

Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15–44) lack adequate health coverage (i.e., uninsured or underinsured), and others live in medically underserved areas. Service delivery fragmentation and lack of professional guidelines are additional barriers. This paper reviews barriers and opportunities for financing preconception care, based on a review and analysis of state and federal policies. We describe states’ experiences with and opportunities to improve health coverage, through public programs such as Medicaid, Medicaid waivers, and the State Children's Health Insurance Program (SCHIP). The potential role of Title V and of community health centers in providing primary and preventive care to women also is discussed. In these and other public health and health coverage programs, opportunities exist to finance preconception care for low-income women. Three major policy directions are discussed. To increase access to preconception care among women of childbearing age, the federal and state governments have opportunities to: (1) improve health care coverage, (2) increase the supply of publicly subsidized health clinics, and (3) direct delivery of preconception screening and interventions in the context of public health programs. PMID:16802188

Evaluation of ACCMIP ozone simulations and ozonesonde sampling biases using a satellite-based multi-constituent chemical reanalysis

NASA Astrophysics Data System (ADS)

Miyazaki, Kazuyuki; Bowman, Kevin

2017-07-01

The Atmospheric Chemistry Climate Model Intercomparison Project (ACCMIP) ensemble ozone simulations for the present day from the 2000 decade simulation results are evaluated by a state-of-the-art multi-constituent atmospheric chemical reanalysis that ingests multiple satellite data including the Tropospheric Emission Spectrometer (TES), the Microwave Limb Sounder (MLS), the Ozone Monitoring Instrument (OMI), and the Measurement of Pollution in the Troposphere (MOPITT) for 2005-2009. Validation of the chemical reanalysis against global ozonesondes shows good agreement throughout the free troposphere and lower stratosphere for both seasonal and year-to-year variations, with an annual mean bias of less than 0.9 ppb in the middle and upper troposphere at the tropics and mid-latitudes. The reanalysis provides comprehensive spatiotemporal evaluation of chemistry-model performance that compliments direct ozonesonde comparisons, which are shown to suffer from significant sampling bias. The reanalysis reveals that the ACCMIP ensemble mean overestimates ozone in the northern extratropics by 6-11 ppb while underestimating by up to 18 ppb in the southern tropics over the Atlantic in the lower troposphere. Most models underestimate the spatial variability of the annual mean lower tropospheric concentrations in the extratropics of both hemispheres by up to 70 %. The ensemble mean also overestimates the seasonal amplitude by 25-70 % in the northern extratropics and overestimates the inter-hemispheric gradient by about 30 % in the lower and middle troposphere. A part of the discrepancies can be attributed to the 5-year reanalysis data for the decadal model simulations. However, these differences are less evident with the current sonde network. To estimate ozonesonde sampling biases, we computed model bias separately for global coverage and the ozonesonde network. The ozonesonde sampling bias in the evaluated model bias for the seasonal mean concentration relative to global coverage is 40-50 % over the western Pacific and east Indian Ocean and reaches 110 % over the equatorial Americas and up to 80 % for the global tropics. In contrast, the ozonesonde sampling bias is typically smaller than 30 % for the Arctic regions in the lower and middle troposphere. These systematic biases have implications for ozone radiative forcing and the response of chemistry to climate that can be further quantified as the satellite observational record extends to multiple decades.

Insights on the Feasibility, Modeling and Field Testing of Cirrus Cloud Thinning from Satellite Remote Sensing

NASA Astrophysics Data System (ADS)

Mitchell, D. L.; Garnier, A.; Mejia, J.; Avery, M. A.; Erfani, E.

2016-12-01

To date, it is not clear whether the climate intervention method known as cirrus cloud thinning (CCT) can be viable since it requires cirrus clouds to form through homogeneous ice nucleation (henceforth hom) and some recent GCM studies predict cirrus are formed primarily through heterogeneous ice nucleation (henceforth het). A new CALIPSO infrared retrieval method has been developed for single-layer cirrus cloud that measures the temperature dependence of their layer-averaged number concentration N, effective diameter De and ice water content for optical depths (OD) between 0.3 and 3.0. Based on N, the prevailing ice nucleation mechanism (hom or het) can be estimated as a function of temperature, season, latitude and surface type. These satellite results indicate that seeding cirrus clouds at high latitudes during winter may produce significant global surface cooling. This is because hom often appears to dominate over land during winter north of 30°N latitude while the same appears true for most of the Southern Hemisphere (south of 30°S) during all seasons. Moreover, the sampled cirrus cloud frequency of occurrence in the Arctic is at least twice as large during winter relative to other seasons, while frequency of occurrence in the Antarctic peaks in the spring and is second-highest during winter. During Arctic winter, a combination of frequent hom cirrus, maximum cirrus coverage and an extreme or absent sun angle produces the maximum seasonal cirrus net radiative forcing (warming). Thus a reduction in OD and coverage (via CCT) for these cirrus clouds could yield a significant net cooling effect. From these CALIPSO retrievals, De-T relationships are generated as a function of season, latitude and surface type (land vs. ocean). These will be used in CAM5 to estimate De and the ice fall speed, from which the cirrus radiative forcing will be estimated during winter north of 30°latitude, where hom cirrus are common. Another CAM5 simulation will replace the hom cirrus De-T relationships with those corresponding to het cirrus (at similar latitudes). In this way the potential cooling from CCT in the Northern Hemisphere will be estimated. If a field campaign was ever conducted for testing the efficacy of CCT, this CALIPSO retrieval could be used to help determine whether the seeded hom cirrus were transformed into het cirrus.

The Super Dual Auroral Radar Network (SuperDARN): A ground-based array of HF radars for global-scale studies of ionospheric and magnetospheric processes

NASA Astrophysics Data System (ADS)

Greenwald, R. A.

2004-05-01

Radars have been utilized since early in the 20th century for remote investigations of Earth's upper atmosphere. Many of the terms used to describe the ionosphere in particular were derived from the characteristics of radar soundings. It is now appreciated that the ionosphere also provides a portal for viewing processes in the magnetosphere, including the impact of variability in the solar wind. Beginning in the 1970s, efforts were made to construct small systems of ionospheric radars for research at high latitudes (e.g., STARE, SABRE). These efforts culminated in the last decade with the realization of the SuperDARN concept. An international consortium of researchers and funding agencies assembled networks of HF radars that provide large-scale coverage of the high-latitude ionosphere in both hemispheres. The northern component comprises 9 instruments with sites that extend westward from Scandinavia to Alaska while the southern component consists of 6 instruments with fields of view that converge over Antarctica. The radars observe coherent backscatter from ionization irregularities in the E and F regions and measure their motions. Synthesis of the velocity data sets results in global-scale images of the convection of ionospheric plasma that are analogous to images of auroral luminosity obtained with spaced-based instruments. The radars operate continuously with a cadence of 1 or 2 minutes. Summary information is downloaded from the northern radars via real-time internet links to JHU/APL where they are combined into a nowcast of the ionospheric space weather. Further expansion of SuperDARN is planned for both hemispheres and may include sites that will extend the coverage higher into the polar cap and to mid-latitudes. The range of studies pursued with SuperDARN includes convection dynamics, M-I coupling, atmospheric gravity waves, substorm processes, ionospheric modeling, and ULF pulsations. New areas for development include estimation of the global Poynting flux with the Iridium satellite network, coordinated studies of the polar cap ionosphere with AMISR, and the exploitation of meteor scatter to study the global distribution of mesospheric winds. In this talk we will review the status of SuperDARN, describe some of the scientific and technical accomplishments to date, and discuss the application of the data to the solution of current research problems.

Saturn's icy satellites investigated by Cassini-VIMS. II. Results at the end of nominal mission

USGS Publications Warehouse

Filacchione, G.; Capaccioni, F.; Clark, R.N.; Cuzzi, J.N.; Cruikshank, D.P.; Coradini, A.; Cerroni, P.; Nicholson, P.D.; McCord, T.B.; Brown, R.H.; Buratti, B.J.; Tosi, F.; Nelson, R.M.; Jaumann, R.; Stephan, K.

2010-01-01

We report the detailed analysis of the spectrophotometric properties of Saturn's icy satellites as derived by full-disk observations obtained by visual and infrared mapping spectrometer (VIMS) experiment aboard Cassini. In this paper, we have extended the coverage until the end of the Cassini's nominal mission (June 1st 2008), while a previous paper (Filacchione, G., and 28 colleagues [2007]. Icarus 186, 259-290, hereby referred to as Paper I) reported the preliminary results of this study. During the four years of nominal mission, VIMS has observed the entire population of Saturn's icy satellites allowing us to make a comparative analysis of the VIS-NIR spectral properties of the major satellites (Mimas, Enceladus, Tethys, Dione, Rhea, Hyperion, Iapetus) and irregular moons (Atlas, Prometheus, Pandora, Janus, Epimetheus, Telesto, Calypso, Phoebe). The results we discuss here are derived from the entire dataset available at June 2008 which consists of 1417 full-disk observations acquired from a variety of distances and inclinations from the equatorial plane, with different phase angles and hemispheric coverage. The most important spectrophotometric indicators (as defined in Paper I: I/F continua at 0.55 ??m, 1.822 ??m and 3.547 ??m, visible spectral slopes, water and carbon dioxide bands depths and positions) are calculated for each observation in order to investigate the disk-integrated composition of the satellites, the distribution of water ice respect to "contaminants" abundances and typical regolith grain properties. These quantities vary from the almost pure water ice surfaces of Enceladus and Calypso to the organic and carbon dioxide rich Hyperion, Iapetus and Phoebe. Janus visible colors are intermediate between these two classes having a slightly positive spectral slope. These results could help to decipher the origins and evolutionary history of the minor moons of the Saturn's system. We introduce a polar representation of the spectrophotometric parameters as function of the solar phase angle (along radial distance) and of the effective longitude interval illuminated by the Sun and covered by VIMS during the observation (in azimuth) to better investigate the spatial distribution of the spectrophotometric quantities across the regular satellites hemispheres. Finally, we report the observed spectral positions of the 4.26 ??m band of the carbon dioxide present in the surface material of three outermost moons Hyperion, Iapetus and Phoebe. ?? 2009 Elsevier Inc.

Determining Titan surface topography from Cassini SAR data

USGS Publications Warehouse

Stiles, Bryan W.; Hensley, Scott; Gim, Yonggyu; Bates, David M.; Kirk, Randolph L.; Hayes, Alex; Radebaugh, Jani; Lorenz, Ralph D.; Mitchell, Karl L.; Callahan, Philip S.; Zebker, Howard; Johnson, William T.K.; Wall, Stephen D.; Lunine, Jonathan I.; Wood, Charles A.; Janssen, Michael; Pelletier, Frederic; West, Richard D.; Veeramacheneni, Chandini

2009-01-01

A technique, referred to as SARTopo, has been developed for obtaining surface height estimates with 10 km horizontal resolution and 75 m vertical resolution of the surface of Titan along each Cassini Synthetic Aperture Radar (SAR) swath. We describe the technique and present maps of the co-located data sets. A global map and regional maps of Xanadu and the northern hemisphere hydrocarbon lakes district are included in the results. A strength of the technique is that it provides topographic information co-located with SAR imagery. Having a topographic context vastly improves the interpretability of the SAR imagery and is essential for understanding Titan. SARTopo is capable of estimating surface heights for most of the SAR-imaged surface of Titan. Currently nearly 30% of the surface is within 100 km of a SARTopo height profile. Other competing techniques provide orders of magnitude less coverage. We validate the SARTopo technique through comparison with known geomorphological features such as mountain ranges and craters, and by comparison with co-located nadir altimetry, including a 3000 km strip that had been observed by SAR a month earlier. In this area, the SARTopo and nadir altimetry data sets are co-located tightly (within 5-10 km for one 500 km section), have similar resolution, and as expected agree closely in surface height. Furthermore the region contains prominent high spatial resolution topography, so it provides an excellent test of the resolution and precision of both techniques.

Variability in Tropical Tropospheric Ozone as Observed by SHADOZ

NASA Technical Reports Server (NTRS)

Thompson, Anne M.; Witte, Jacquelyn C.; Coetzee, Geert J. R.; Chatfield, Robert B.; Hudson, Robert D.

2004-01-01

The SHADOZ (Southern Hemisphere Additional Ozonesondes) ozone sounding network was initiated in 1998 to improve the coverage of tropical in-situ ozone measurements for satellite validation, algorithm development and related process studies. Over 2000 soundings have been archived at the central website, , for 12 stations: Ascension Island; Nairobi and Malindi, Kenya; Irene, South Africa; Reunion Island; Watukosek, Java; Fiji; Tahiti; American Samoa; San Cristobal, Galapagos; Natal, Brazil; Paramaribo, Surinam. Some results to date indicate reliability of the measurement and highly variable interactions between ozone and tropical meteorology. For example: 1. By using ECC sondes with similar procedures, 5-10% accuracy and precision (1-sigma) of the sonde total ozone measurement was achieved [Thompson et al., 2003al; 2. Week-to-week variability in tropospheric ozone is so great that statistics are frequently not Gaussian and most stations vary up to a factor of 3 in column amount over the course of a year [Thompson et al., 2002b]. 3. Longitudinal variability in tropospheric ozone profiles is a consistent feature, with a 10- 15 DU column-integrated difference between Atlantic and Pacific sites; this is the cause of the zonal wave-one feature in total ozone [Shiotani, 1992]. The ozone record from Paramaribo, Surinam (6N, 55W) is a marked contrast to southern tropical ozone because Surinam is often north of the Intertropical Convergence Zone. Interpretations of SHADOZ time-series and approaches to classification suggested by SHADOZ data over Africa and the Indian Ocean will be described.

Measles eradication: experience in the Americas.

PubMed Central

de Quadros, C. A.; Hersh, B. S.; Nogueira, A. C.; Carrasco, P. A.; da Silveira, C. M.

1998-01-01

In 1994, the Ministers of Health from the Region of the Americas targeted measles for eradication from the Western Hemisphere by the year 2000. To achieve this goal, the Pan American Health Organization (PAHO) developed an enhanced measles eradication strategy. First, a one-time-only "catch-up" measles vaccination campaign is conducted among children aged 9 months to 14 years. Efforts are then made to vaccinate through routine health services ("keep-up") at least 95% of each newborn cohort at 12 months of age. Finally, to assure high population immunity among preschool-aged children, indiscriminate "follow-up" measles vaccination campaigns are conducted approximately every 4 years. These vaccination activities are accompanied by improvements in measles surveillance, including the laboratory testing of suspected measles cases. The implementation of the PAHO strategy has resulted in a marked reduction in measles incidence in all countries of the Americas. Indeed, in 1996 the all-time regional record low of 2109 measles cases was reported. There was a relative resurgence of measles in 1997 with over 20,000 cases, due to a large measles outbreak among infants, preschool-aged children and young adults in São Paulo, Brazil. Contributing factors for this outbreak included: low routine infant vaccination coverage, failure to conduct a "follow-up" campaign, presence of susceptible young adults, and the importation of measles virus, apparently from Europe. PAHO's strategy has been effective in interrupting measles virus circulation. This experience demonstrates that global measles eradication is an achievable goal using currently available measles vaccines. PMID:10063674

Vestibular stimulation, spatial hemineglect and dysphasia, selective effects.

PubMed

Vallar, G; Papagno, C; Rusconi, M L; Bisiach, E

1995-09-01

The selectivity of the effects of vestibular stimulation was investigated in a left brain-damaged patient suffering from right visuo-spatial hemineglect and severe dysplasia. Vestibular stimulation temporarily improved the former but not the latter disorder. These results support the view that this treatment improves hemineglect by a specific effect, running counter the rightward distortion of egocentric co-ordinates, rather than by a general hemispheric activation.

Interaction initiatives between regulatory, health technology assessment and coverage bodies, and industry.

PubMed

Frønsdal, Katrine; Pichler, Franz; Mardhani-Bayne, Logan; Henshall, Chris; Røttingen, John-Arne; Mørland, Berit; Klemp, Marianne

2012-10-01

There has been an increased focus on the relationship between health technology assessment (HTA) and regulatory assessments and how regulatory, HTA and coverage bodies, and industry can work better together to improve efficiency and alignment of processes. There is increasingly agreement across sectors that improved communication and coordination could contribute to facilitating timely patient access to effective, affordable treatments that offer value to the health system. Discussions on aspects of this relationship are being held in different forums and various forms of coordination and collaboration are being developed or piloted within several jurisdictions. It is therefore both timely and of value to stakeholders to describe and reflect on current initiatives intended to improve interactions between regulatory, HTA and coverage bodies, and industry. Drawing on 2011 meetings of the HTAi Policy Forum and the Center for Innovation in Regulatory Science (CIRS), this study aims to describe and compare initiatives, and point to success factors and challenges that are likely to inform future work and collaboration.

The Right Brain: Surviving Retardation

ERIC Educational Resources Information Center

Science News, 1977

1977-01-01

Describes two studies of brain hemisphere development which indicate children retarded in the functions of one hemisphere may not be retarded in the functions of the second hemisphere. Suggests that the left hemisphere functions may inhibit some right hemisphere functions. (SL)

Hypothalamic digoxin, hemispheric chemical dominance, and eating behavior.

PubMed

Kurup, Ravi Kumar; Kurup, Parameswara Achutha

2003-08-01

The isoprenoid pathway produces an endogenous membrane Na+-K+ ATPase inhibitor, digoxin, which can regulate neurotransmitter and amino acid transport. Digoxin synthesis and neurotransmitter patterns were assessed in eating disorders. The patterns were compared in those with right hemispheric and left hemispheric dominance. The serum HMG CoA reductase activity, RBC membrane Na+-K+ ATPase activity, serum digoxin, magnesium, tryptophan catabolites (serotonin, quinolinic acid, strychnine, and nicotine), and tyrosine catabolites (morphine, dopamine, and noradrenaline) were measured in anorexia nervosa, bulimia nervosa, right hemispheric dominant, left hemispheric dominant, and bihemispheric dominant individuals. Digoxin synthesis was increased with upregulated tryptophan catabolism and downregulated tyrosine catabolism in those with anorexia nervosa and right hemispheric chemical dominance. Digoxin synthesis was reduced with downregulated tryptophan catabolism and upregulated tyrosine catabolism in those with bulimia nervosa and left hemispheric chemical dominance. The membrane Na+-K+ ATPase activity and serum magnesium were decreased in anorexia nervosa and right hemispheric chemical dominance while they were increased in bulimia nervosa and left hemispheric chemical dominance. Hypothalamic digoxin and hemispheric chemical dominance play a central role in the regulation of eating behavior. Anorexia nervosa represents the right hemispheric chemically dominant/hyperdigoxinemic state and bulimia nervosa the left hemispheric chemically dominant/hypodigoxinemic state.

Factors Contributing to Maternal and Child Mortality Reductions in 146 Low- and Middle-Income Countries between 1990 and 2010.

PubMed

Bishai, David M; Cohen, Robert; Alfonso, Y Natalia; Adam, Taghreed; Kuruvilla, Shyama; Schweitzer, Julian

2016-01-01

From 1990-2010, worldwide child mortality declined by 43%, and maternal mortality declined by 40%. This paper compares two sources of progress: improvements in societal coverage of health determinants versus improvements in the impact of health determinants as a result of technical change. This paper decomposes the progress made by 146 low- and middle-income countries (LMICs) in lowering childhood and maternal mortality into one component due to better health determinants like literacy, income, and health coverage and a second component due to changes in the impact of these health determinants. Health determinants were selected from eight distinct health-impacting sectors. Health determinants were selected from eight distinct health-impacting sectors. Regression models are used to estimate impact size in 1990 and again in 2010. Changes in the levels of health determinants were measured using secondary data. The model shows that respectively 100% and 89% of the reductions in maternal and child mortality since 1990 were due to improvements in nationwide coverage of health determinants. The relative share of overall improvement attributable to any single determinant varies by country and by model specification. However, in aggregate, approximately 50% of the mortality reductions were due to improvements in the health sector, and the other 50% of the mortality reductions were due to gains outside the health sector. Overall, countries improved maternal and child health (MCH) from 1990 to 2010 mainly through improvements in the societal coverage of a broad array of health system, social, economic and environmental determinants of child health. These findings vindicate efforts by the global community to obtain such improvements, and align with the post-2015 development agenda that builds on the lessons from the MDGs and highlights the importance of promoting health and sustainable development in a more integrated manner across sectors.

Racial and Ethnic Disparities in Services and the Patient Protection and Affordable Care Act

PubMed Central

Abdus, Salam; Mistry, Kamila B.

2015-01-01

Objectives. We examined prereform patterns in insurance coverage, access to care, and preventive services use by race/ethnicity in adults targeted by the coverage expansions of the Patient Protection and Affordable Care Act (ACA). Methods. We used pre-ACA household data from the Medical Expenditure Panel Survey to identify groups targeted by the coverage provisions of the Act (Medicaid expansions and subsidized Marketplace coverage). We examined racial/ethnic differences in coverage, access to care, and preventive service use, across and within ACA relevant subgroups from 2005 to 2010. The study took place at the Agency for Healthcare Research and Quality in Rockville, Maryland. Results. Minorities were disproportionately represented among those targeted by the coverage provisions of the ACA. Targeted groups had lower rates of coverage, access to care, and preventive services use, and racial/ethnic disparities were, in some cases, widest within these targeted groups. Conclusions. Our findings highlighted the opportunity of the ACA to not only to improve coverage, access, and use for all racial/ethnic groups, but also to narrow racial/ethnic disparities in these outcomes. Our results might have particular importance for states that are deciding whether to implement the ACA Medicaid expansions. PMID:26447920

Racial and Ethnic Disparities in Services and the Patient Protection and Affordable Care Act.

PubMed

Abdus, Salam; Mistry, Kamila B; Selden, Thomas M

2015-11-01

We examined prereform patterns in insurance coverage, access to care, and preventive services use by race/ethnicity in adults targeted by the coverage expansions of the Patient Protection and Affordable Care Act (ACA). We used pre-ACA household data from the Medical Expenditure Panel Survey to identify groups targeted by the coverage provisions of the Act (Medicaid expansions and subsidized Marketplace coverage). We examined racial/ethnic differences in coverage, access to care, and preventive service use, across and within ACA relevant subgroups from 2005 to 2010. The study took place at the Agency for Healthcare Research and Quality in Rockville, Maryland. Minorities were disproportionately represented among those targeted by the coverage provisions of the ACA. Targeted groups had lower rates of coverage, access to care, and preventive services use, and racial/ethnic disparities were, in some cases, widest within these targeted groups. Our findings highlighted the opportunity of the ACA to not only to improve coverage, access, and use for all racial/ethnic groups, but also to narrow racial/ethnic disparities in these outcomes. Our results might have particular importance for states that are deciding whether to implement the ACA Medicaid expansions.

Reported community-level indoor residual spray coverage from two-stage cluster surveys in sub-Saharan Africa.

PubMed

Larsen, David A; Borrill, Lauren; Patel, Ryan; Fregosi, Lauren

2017-06-13

Malaria is an important cause of morbidity and mortality in malaria-endemic areas. Indoor residual spray is an effective intervention to control malaria, but high community-level coverage is needed to maximize its impact. Using thirty-four two-stage cluster surveys (e.g., demographic and health surveys) and lot quality assurance sampling, indoor residual spray was estimated at the community level (i.e. enumeration-area) across sub-Saharan Africa since 2010. For communities receiving indoor residual spray a logistic regression predicted whether community-level coverage exceeded 50% or not. Household-level coverage was equitable both in terms of wealth and urban/rural, with poorer and rural houses more likely to be sprayed than richer and urban houses. Coverage of indoor residual spray at the community level is poor across the continent, with 54% of communities receiving the intervention not reaching 50% coverage. Having >50% coverage at the community-level was not associated with increasing the number of houses sprayed in the country. Implementation and monitoring of indoor residual coverage at small geographical scales need to improve greatly to receive maximum benefit of the intervention.

NSW annual immunisation coverage report, 2010.

PubMed

Hull, Brynley; Dey, Aditi; Campbell-Lloyd, Sue; Menzies, Robert I; McIntyre, Peter B

2011-11-01

This annual report, the second in the series, documents trends in immunisation coverage in NSW for children, adolescents and the elderly, to the end of 2010. Data from the Australian Childhood Immunisation Register, the NSW School Immunisation Program and the NSW Population Health Survey were used to calculate various measures of population coverage, coverage for Aboriginal children and vaccination timeliness for all children. Over 90% coverage has been reached for children at 12 and 24 months of age. For children at 5 years of age there was an improvement during 2010 in timeliness for vaccines due at 4 years and coverage almost reached 90%. Delayed receipt of vaccines is still an issue for Aboriginal children. For adolescents, there is good coverage for the first and second doses of human papillomavirus vaccine and the dose of diphtheria, tetanus and acellular pertussis. The pneumococcal vaccination rate in the elderly has been steadily rising, although it has remained lower than the influenza coverage estimates. Completion of the recommended immunisation schedule at the earliest appropriate age should be the next public health goal at both the state and local health district level. Official coverage assessments for 'fully immunised' should include the 7-valent pneumococcal conjugate and meningococcal C vaccines, and wider dissemination should be considered.

Testing and recommended practices to improve nurse tank safety, phase I : [research brief].

DOT National Transportation Integrated Search

2013-10-01

This study focuses on determining causes and possible inspection remediation strategies to reduce the occurrence of anhydrous ammonia (NH3) nurse tank failures. Nurse tanks are cylindrical steel tank shells with hemispherical or elliptical end caps r...

Comparison of the neural basis for imagined writing and drawing.

PubMed

Harrington, Greg S; Farias, Dana; Davis, Christine H; Buonocore, Michael H

2007-05-01

Drawing and writing are complex processes that require the synchronization of cognition, language, and perceptual-motor skills. Drawing and writing have both been utilized in the treatment of aphasia to improve communication. Recent research suggests that the act of drawing an object facilitated naming, whereas writing the word diminished accurate naming in individuals with aphasia. However, the relationship between object drawing and subsequent phonological output is unclear. Although the right hemisphere is characteristically mute, there is evidence from split-brain research that the right hemisphere can integrate pictures and words, likely via a semantic network. We hypothesized that drawing activates right hemispheric and left perilesional regions that are spared in aphasic individuals and may contribute to semantic activation that supports naming. Eleven right-handed subjects participated in a functional MRI (fMRI) experiment involving imagined drawing and writing and 6 of the 11 subjects participated in a second fMRI experiment involving actual writing and drawing. Drawing and writing produced very similar group activation maps including activation bilaterally in the premotor, inferior frontal, posterior inferior temporal, and parietal areas. The comparison of drawing vs. writing revealed significant differences between the conditions in areas of the brain known for language processing. The direct comparison between drawing and writing revealed greater right hemisphere activation for drawing in language areas such as Brodmann area (BA) 46 and BA 37.

A preliminary study of the impact of the ERS 1 C band scatterometer wind data on the European Centre for Medium-Range Weather Forecasts global data assimilation system

NASA Technical Reports Server (NTRS)

Hoffman, Ross N.

1993-01-01

A preliminary assessment of the impact of the ERS 1 scatterometer wind data on the current European Centre for Medium-Range Weather Forecasts analysis and forecast system has been carried out. Although the scatterometer data results in changes to the analyses and forecasts, there is no consistent improvement or degradation. Our results are based on comparing analyses and forecasts from assimilation cycles. The two sets of analyses are very similar except for the low level wind fields over the ocean. Impacts on the analyzed wind fields are greater over the southern ocean, where other data are scarce. For the most part the mass field increments are too small to balance the wind increments. The effect of the nonlinear normal mode initialization on the analysis differences is quite small, but we observe that the differences tend to wash out in the subsequent 6-hour forecast. In the Northern Hemisphere, analysis differences are very small, except directly at the scatterometer locations. Forecast comparisons reveal large differences in the Southern Hemisphere after 72 hours. Notable differences in the Northern Hemisphere do not appear until late in the forecast. Overall, however, the Southern Hemisphere impacts are neutral. The experiments described are preliminary in several respects. We expect these data to ultimately prove useful for global data assimilation.

Tropospheric Ozone Over a Tropical Atlantic Station in the Northern Hemisphere: Paramaribo, Surinam (6 deg N, 55 deg W)

NASA Technical Reports Server (NTRS)

Peters, W.; Krol, M. C.; Fortuin, J. P. F.; Kelder, H. M.; Thompson, A. M.; Becker, C. R.; Lelieveld, J.; Crutzen, P. J.

2003-01-01

We present an analysis of 2.5 years of weekly ozone soundings conducted at a new monitoring station in Paramaribo, Surinam (6 deg N,55 deg W). This is currently one of only three ozone sounding stations in the northern hemisphere (NH) tropics, and the only one in the equatorial Atlantic region. Paramaribo is part of the Southern Hemisphere ADditional Ozone Sounding program (SHADOZ). Due to its position close to the equator, the Inter Tropical Convergence Zone (ITCZ) passes over Paramaribo twice per year, which results in a semi-annual seasonality of many parameters including relative humidity and ozone. The dataset from Paramaribo is used to: (1) evaluate ozone variability relative to precipitation, atmospheric circulation patterns and biomass burning; (2) contrast ozone at the NH equatorial Atlantic with that at nearby southern hemisphere (SH) stations Natal (6 deg S,35 deg W) and Ascension (8 deg S,14 deg W); (3) compare the seasonality of tropospheric ozone with a satellite-derived ozone product: Tropical Tropospheric Ozone Columns from the Modified Residual method (MR-TTOC). We find that Paramaribo is a distinctly Atlantic station. Despite its position north of the equator, it resembles nearby SH stations during most of the year. Transport patterns in the lower and middle troposphere during February and March differ from SH stations, which leads to a seasonality of ozone with two maxima. MR-TTOC over Paramaribo does not match the observed seasonality of ozone due to the use of a SH ozone sonde climatology in the MR method. The Paramaribo ozone record is used to suggest an improvement for northern hemisphere MR-TTOC retrievals. We conclude that station Paramaribo shows unique features in the region, and clearly adds new information to the existing SHADOZ record.

An evaluation of voluntary 2-dose varicella vaccination coverage in New York City public schools.

PubMed

Doll, Margaret K; Rosen, Jennifer B; Bialek, Stephanie R; Szeto, Hiram; Zimmerman, Christopher M

2015-05-01

We assessed coverage for 2-dose varicella vaccination, which is not required for school entry, among New York City public school students and examined characteristics associated with receipt of 2 doses. We measured receipt of either at least 1 or 2 doses of varicella vaccine among students aged 4 years and older in a sample of 336 public schools (n = 223 864 students) during the 2010 to 2011 school year. Data came from merged student vaccination records from 2 administrative data systems. We conducted multivariable regression to assess associations of age, gender, race/ethnicity, and school location with 2-dose prevalence. Coverage with at least 1 varicella dose was 96.2% (95% confidence interval [CI] = 96.2%, 96.3%); coverage with at least 2 doses was 64.8% (95% CI = 64.6%, 64.9%). Increasing student age, non-Hispanic White race/ethnicity, and attendance at school in Staten Island were associated with lower 2-dose coverage. A 2-dose varicella vaccine requirement for school entry would likely improve 2-dose coverage, eliminate coverage disparities, and prevent disease.

Immunisation coverage, 2012.

PubMed

Hull, Brynley P; Dey, Aditi; Menzies, Rob I; Brotherton, Julia M; McIntyre, Peter B

2014-09-30

This, the 6th annual immunisation coverage report, documents trends during 2012 for a range of standard measures derived from Australian Childhood Immunisation Register (ACIR) data, and National Human Papillomavirus (HPV) Vaccination Program Register data. These include coverage at standard age milestones and for individual vaccines included on the National Immunisation Program (NIP) and coverage in adolescents and adults. The proportion of Australian children 'fully vaccinated' at 12, 24 and 60 months of age was 91.7%, 92.5% and 91.2%, respectively. For vaccines available on the NIP but not assessed during 2012 for 'fully vaccinated' status or for eligibility for incentive payments (rotavirus and pneumococcal at 12 months and meningococcal C and varicella at 24 months) coverage varied. Although pneumococcal vaccine had similar coverage at 12 months to other vaccines, coverage was lower for rotavirus at 12 months (83.6%) and varicella at 24 months (84.4%). Although 'fully vaccinated' coverage at 12 months of age was lower among Indigenous children than non-Indigenous children in all jurisdictions, the extent of the difference varied, reaching a 15 percentage point differential in South Australia but only a 0.4 percentage point differential in the Northern Territory. Overall, Indigenous coverage at 24 months of age exceeded that at 12 months of age nationally and for all jurisdictions, but as receipt of varicella vaccine at 18 months is excluded from calculations, this represents delayed immunisation, with some contribution from immunisation incentives. The 'fully vaccinated' coverage estimates for vaccinations due by 60 months of age for Indigenous children exceeded 90% at 91% in 2012. Unlike in 2011, at 60 months of age, there was no dramatic variation in coverage between Indigenous and non-Indigenous children for individual jurisdictions. As previously documented, vaccines recommended for Indigenous children only, hepatitis A and pneumococcal vaccine, had suboptimal coverage at 60.1% and 73.1%, respectively, although there was a considerable improvement in coverage from 2011, 57.7% and 68.2% respectively. On-time receipt (before 49 months of age) of vaccines by Indigenous children at the 60-month milestone age improved substantially between 2011 (19%) and 2012 (38%) but the disparity in on-time vaccination between Indigenous and non-Indigenous children worsened at the 60-month age milestone from 2011 (from 1.8 to 5.4 percentage points) and remained the same for the 12 and 24-month age milestones. By late 2012, the percentage of children who received the 1st dose of DTPa vaccine dose at less than 8 weeks of age was greater than 50% in all but 1 jurisdiction and greater than 70% for New South Wales, the Australian Capital Territory and Tasmania. Further, by late 2012, the percentage of children who received the 4th dose of DTPa vaccine dose at less than 4 years of age was greater than 30% in 3 jurisdictions. The percentage of children whose parents officially objected to vaccination in Australia was 1.7% and this figure varied by jurisdiction. However, there is a further 2.1% of children whose parents don't officially object but whose children have no vaccines recorded on the ACIR. Coverage data for the 3rd dose of HPV from the national HPV register in the school catch up program was similar to 2011 at 71% but was substantially lower for the catch up program for females outside school (44%-69%), although this was an improvement from 2011.

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

Zhang, JY; Hong, DL

Purpose: The purpose of this study is to investigate the patient set-up error and interfraction target coverage in cervical cancer using image-guided adaptive radiotherapy (IGART) with cone-beam computed tomography (CBCT). Methods: Twenty cervical cancer patients undergoing intensity modulated radiotherapy (IMRT) were randomly selected. All patients were matched to the isocenter using laser with the skin markers. Three dimensional CBCT projections were acquired by the Varian Truebeam treatment system. Set-up errors were evaluated by radiation oncologists, after CBCT correction. The clinical target volume (CTV) was delineated on each CBCT, and the planning target volume (PTV) coverage of each CBCT-CTVs was analyzed.more » Results: A total of 152 CBCT scans were acquired from twenty cervical cancer patients, the mean set-up errors in the longitudinal, vertical, and lateral direction were 3.57, 2.74 and 2.5mm respectively, without CBCT corrections. After corrections, these were decreased to 1.83, 1.44 and 0.97mm. For the target coverage, CBCT-CTV coverage without CBCT correction was 94% (143/152), and 98% (149/152) with correction. Conclusion: Use of CBCT verfication to measure patient setup errors could be applied to improve the treatment accuracy. In addition, the set-up error corrections significantly improve the CTV coverage for cervical cancer patients.« less

Development and enrolee satisfaction with basic medical insurance in China: A systematic review and stratified cluster sampling survey.

PubMed

Jing, Limei; Chen, Ru; Jing, Lisa; Qiao, Yun; Lou, Jiquan; Xu, Jing; Wang, Junwei; Chen, Wen; Sun, Xiaoming

2017-07-01

Basic Medical Insurance (BMI) has changed remarkably over time in China because of health reforms that aim to achieve universal coverage and better health care with adequate efforts by increasing subsidies, reimbursement, and benefits. In this paper, we present the development of BMI, including financing and operation, with a systematic review. Meanwhile, Pudong New Area in Shanghai was chosen as a typical BMI sample for its coverage and management; a stratified cluster sampling survey together with an ordinary logistic regression model was used for the analysis. Enrolee satisfaction and the factors associated with enrolee satisfaction with BMI were analysed. We found that the reenrolling rate superficially improved the BMI coverage and nearly achieved universal coverage. However, BMI funds still faced dual contradictions of fund deficit and insured under compensation, and a long-term strategy is needed to realize the integration of BMI schemes with more homogeneous coverage and benefits. Moreover, Urban Resident Basic Medical Insurance participants reported a higher rate of dissatisfaction than other participants. The key predictors of the enrolees' satisfaction were awareness of the premium and compensation, affordability of out-of-pocket costs, and the proportion of reimbursement. These results highlight the importance that the Chinese government takes measures, such as strengthening BMI fund management, exploring mixed payment methods, and regulating sequential medical orders, to develop an integrated medical insurance system of universal coverage and vertical equity while simultaneously improving enrolee satisfaction. Copyright © 2017 John Wiley & Sons, Ltd.

An Optimized Hidden Node Detection Paradigm for Improving the Coverage and Network Efficiency in Wireless Multimedia Sensor Networks

PubMed Central

Alanazi, Adwan; Elleithy, Khaled

2016-01-01

Successful transmission of online multimedia streams in wireless multimedia sensor networks (WMSNs) is a big challenge due to their limited bandwidth and power resources. The existing WSN protocols are not completely appropriate for multimedia communication. The effectiveness of WMSNs varies, and it depends on the correct location of its sensor nodes in the field. Thus, maximizing the multimedia coverage is the most important issue in the delivery of multimedia contents. The nodes in WMSNs are either static or mobile. Thus, the node connections change continuously due to the mobility in wireless multimedia communication that causes an additional energy consumption, and synchronization loss between neighboring nodes. In this paper, we introduce an Optimized Hidden Node Detection (OHND) paradigm. The OHND consists of three phases: hidden node detection, message exchange, and location detection. These three phases aim to maximize the multimedia node coverage, and improve energy efficiency, hidden node detection capacity, and packet delivery ratio. OHND helps multimedia sensor nodes to compute the directional coverage. Furthermore, an OHND is used to maintain a continuous node– continuous neighbor discovery process in order to handle the mobility of the nodes. We implement our proposed algorithms by using a network simulator (NS2). The simulation results demonstrate that nodes are capable of maintaining direct coverage and detecting hidden nodes in order to maximize coverage and multimedia node mobility. To evaluate the performance of our proposed algorithms, we compared our results with other known approaches. PMID:27618048

An Optimized Hidden Node Detection Paradigm for Improving the Coverage and Network Efficiency in Wireless Multimedia Sensor Networks.

PubMed

Alanazi, Adwan; Elleithy, Khaled

2016-09-07

Successful transmission of online multimedia streams in wireless multimedia sensor networks (WMSNs) is a big challenge due to their limited bandwidth and power resources. The existing WSN protocols are not completely appropriate for multimedia communication. The effectiveness of WMSNs varies, and it depends on the correct location of its sensor nodes in the field. Thus, maximizing the multimedia coverage is the most important issue in the delivery of multimedia contents. The nodes in WMSNs are either static or mobile. Thus, the node connections change continuously due to the mobility in wireless multimedia communication that causes an additional energy consumption, and synchronization loss between neighboring nodes. In this paper, we introduce an Optimized Hidden Node Detection (OHND) paradigm. The OHND consists of three phases: hidden node detection, message exchange, and location detection. These three phases aim to maximize the multimedia node coverage, and improve energy efficiency, hidden node detection capacity, and packet delivery ratio. OHND helps multimedia sensor nodes to compute the directional coverage. Furthermore, an OHND is used to maintain a continuous node- continuous neighbor discovery process in order to handle the mobility of the nodes. We implement our proposed algorithms by using a network simulator (NS2). The simulation results demonstrate that nodes are capable of maintaining direct coverage and detecting hidden nodes in order to maximize coverage and multimedia node mobility. To evaluate the performance of our proposed algorithms, we compared our results with other known approaches.

Federal Parity and Access to Behavioral Health Care in Private Health Plans.

PubMed

Hodgkin, Dominic; Horgan, Constance M; Stewart, Maureen T; Quinn, Amity E; Creedon, Timothy B; Reif, Sharon; Garnick, Deborah W

2018-04-01

The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) sought to improve access to behavioral health care by regulating health plans' coverage and management of services. Health plans have some discretion in how to achieve compliance with MHPAEA, leaving questions about its likely effects on health plan policies. In this study, the authors' objective was to determine how private health plans' coverage and management of behavioral health treatment changed after the federal parity law's full implementation. A nationally representative survey of commercial health plans was conducted in 60 market areas across the continental United States, achieving response rates of 89% in 2010 (weighted N=8,431) and 80% in 2014 (weighted N=6,974). Senior executives at responding plans were interviewed regarding behavioral health services in each year and (in 2014) regarding changes. Student's t tests were used to examine changes in services covered, cost-sharing, and prior authorization requirements for both behavioral health and general medical care. In 2014, 68% of insurance products reported having expanded behavioral health coverage since 2010. Exclusion of eating disorder coverage was eliminated between 2010 (23%) and 2014 (0%). However, more products reported excluding autism treatment in 2014 (24%) than 2010 (8%). Most plans reported no change to prior-authorization requirements between 2010 and 2014. Implementation of federal parity legislation appears to have been accompanied by continuing improvement in behavioral health coverage. The authors did not find evidence of widespread noncompliance or of unintended effects, such as dropping coverage of behavioral health care altogether.

[Effective coverage to manage domestic violence against women in Mexican municipalities: limits of metrics].

PubMed

Viviescas-Vargas, Diana P; Idrovo, Alvaro Javier; López-López, Erika; Uicab-Pool, Gloria; Herrera-Trujillo, Mónica; Balam-Gómez, Maricela; Hidalgo-Solórzano, Elisa

2013-08-01

The study estimated the effective coverage of health services in primary care for the management of domestic violence against women in three municipalities in Mexico. We estimated the prevalence and severity of violence using a validated scale, and the effective coverage proposed by Shengelia and partners with any modifications. Quality care was considered when there was a suggestion to report it to authorities. The use and quality of care was low in the three municipalities analyzed, used most frequently when there was sexual or physical violence. Effective coverage was 29.41%, 16.67% and zero in Guachochi, Jojutla and Tizimín, respectively. The effective coverage indicator had difficulties in measuring events and responses that were not based on biomedical models. Findings suggest that the indicator can be improved by incorporating other dimensions of quality.

Women and health coverage: the affordability gap.

PubMed

Patchias, Elizabeth M; Waxman, Judy

2007-04-01

Although men and women have some similar challenges with regard to health insurance, women face unique barriers to becoming insured. More significantly, women have greater difficulty affording health care services even once they are insured. On average, women have lower incomes than men and therefore have greater difficulty paying premiums. Women also are less likely than men to have coverage through their own employer and more likely to obtain coverage through their spouses; are more likely than men to have higher out-of-pocket health care expenses; and use more healthcare services than men and consequently are in greater need of comprehensive coverage. Proposals for improving health policy need to address these disparities.

Health care access among Mexican Americans with different health insurance coverage.

PubMed

Treviño, R P; Treviño, F M; Medina, R; Ramirez, G; Ramirez, R R

1996-05-01

This study describes the rates of health care access among Mexican Americans with different health insurance coverage. An interview questionnaire was used to collect information regarding sociodemographics, perceived health status, health insurance coverage, and sources of health care from a random sample of 501 Mexican Americans from San Antonio, Texas. Health care access was determined more by having health insurance coverage than by health care needs. Poor Mexican Americans with health insurance had higher health care access rates than did poor Mexican Americans without health insurance. Health care access may improve health care outcomes, but more comprehensive community-based campaigns to promote health and better use of health services in underprivileged populations should be developed.

The nature of hemispheric specialization for linguistic and emotional prosodic perception: a meta-analysis of the lesion literature.

PubMed

Witteman, Jurriaan; van Ijzendoorn, Marinus H; van de Velde, Daan; van Heuven, Vincent J J P; Schiller, Niels O

2011-11-01

It is unclear whether there is hemispheric specialization for prosodic perception and, if so, what the nature of this hemispheric asymmetry is. Using the lesion-approach, many studies have attempted to test whether there is hemispheric specialization for emotional and linguistic prosodic perception by examining the impact of left vs. right hemispheric damage on prosodic perception task performance. However, so far no consensus has been reached. In an attempt to find a consistent pattern of lateralization for prosodic perception, a meta-analysis was performed on 38 lesion studies (including 450 left hemisphere damaged patients, 534 right hemisphere damaged patients and 491 controls) of prosodic perception. It was found that both left and right hemispheric damage compromise emotional and linguistic prosodic perception task performance. Furthermore, right hemispheric damage degraded emotional prosodic perception more than left hemispheric damage (trimmed g=-0.37, 95% CI [-0.66; -0.09], N=620 patients). It is concluded that prosodic perception is under bihemispheric control with relative specialization of the right hemisphere for emotional prosodic perception. Copyright © 2011 Elsevier Ltd. All rights reserved.

An evaluation of the cost-effectiveness of policy navigators to improve access to care for the poor in the Philippines.

PubMed

Solon, Orville; Peabody, John W; Woo, Kimberly; Quimbo, Stella A; Florentino, Jhiedon; Shimkhada, Riti

2009-09-01

Even when health insurance coverage is available, health policies may not be effective at increasing coverage among vulnerable populations. New approaches are needed to improve access to care. We experimentally introduced a novel intervention that uses Policy Navigators to increase health insurance enrollment in a poor population. We used data from the Quality Improvement Demonstration Study (QIDS), a randomized experiment taking place at the district level in the Visayas region of the Philippines. In two arms of the study, we compared the effects of introducing Policy Navigators to controls. The Policy Navigators advocated for improved access to care by providing regular system-level expertise directly to the policy-makers, municipal mayors and governors responsible for paying for and enrolling poor households into the health insurance program. Using regression models, we compared levels of enrollment in our intervention versus control sites. We also assessed the cost-effectiveness of marginal increases in enrollment. We found that Policy Navigators improved enrollment in health insurance between 39% and 102% compared to the controls. Policy navigators were cost-effective at 0.86 USD per enrollee. However, supplementary national government campaigns, which were implemented to further increase coverage, attenuated normal enrollment efforts. Policy Navigators appear to be effective in improving access to care and their success underscores the importance of local-level strategies for improving enrollment.

An Evaluation of the Cost-effectiveness of Policy Navigators to Improve Access to Care for the Poor in the Philippines

PubMed Central

Solon, Orville; Peabody, John W.; Woo, Kimberly; Quimbo, Stella A.; Florentino, Jhiedon; Shimkhada, Riti

2009-01-01

Objectives Even when health insurance coverage is available, health policies may not be effective at increasing coverage among vulnerable populations. New approaches are needed to improve access to care. We experimentally introduced a novel intervention that uses Policy Navigators to increase health insurance enrollment in a poor population. Methods We used data from the Quality Improvement Demonstration Study (QIDS), a randomized experiment taking place at the district level in the Visayas region of the Philippines. In two arms of the study, we compared the effects of introducing Policy Navigators to controls. The Policy Navigators advocated for improved access to care by providing regular system-level expertise directly to the policy-makers, municipal mayors and governors responsible for paying for and enrolling poor households into the health insurance program. Using regression models, we compared levels of enrollment in our intervention versus control sites. We also assessed the cost effectiveness of marginal increases in enrollment. Results We found that Policy Navigators improved enrollment in health insurance between 39 and 102% compared to the controls. Policy navigators were cost-effective at $0.86 USD per enrollee. However, supplementary national government campaigns, which were implemented to further increase coverage, attenuated normal enrollment efforts. Conclusion Policy Navigators appear to be effective in improving access to care and their success underscores the importance of local-level strategies for improving enrollment. PMID:19349090

An Anatomic and Biomechanical Comparison of Bankart Repair Configurations.

PubMed

Judson, Christopher H; Voss, Andreas; Obopilwe, Elifho; Dyrna, Felix; Arciero, Robert A; Shea, Kevin P

2017-11-01

Suture anchor repair for anterior shoulder instability can be performed using a number of different repair techniques, but none has been proven superior in terms of anatomic and biomechanical properties. Purpose/Hypothesis: The purpose was to compare the anatomic footprint coverage and biomechanical characteristics of 4 different Bankart repair techniques: (1) single row with simple sutures, (2) single row with horizontal mattress sutures, (3) double row with sutures, and (4) double row with labral tape. The hypotheses were as follows: (1) double-row techniques would improve the footprint coverage and biomechanical properties compared with single-row techniques, (2) horizontal mattress sutures would increase the footprint coverage compared with simple sutures, and (3) repair techniques with labral tape and sutures would not show different biomechanical properties. Controlled laboratory study. Twenty-four fresh-frozen cadaveric specimens were dissected. The native labrum was removed and the footprint marked and measured. Repair for each of the 4 groups was performed, and the uncovered footprint was measured using a 3-dimensional digitizer. The strength of the repair sites was assessed using a servohydraulic testing machine and a digital video system to record load to failure, cyclic displacement, and stiffness. The double-row repair techniques with sutures and labral tape covered 73.4% and 77.0% of the footprint, respectively. These percentages were significantly higher than the footprint coverage achieved by single-row repair techniques using simple sutures (38.1%) and horizontal mattress sutures (32.8%) ( P < .001). The footprint coverage of the simple suture and horizontal mattress suture groups was not significantly different ( P = .44). There were no significant differences in load to failure, cyclic displacement, or stiffness between the single-row and double-row groups or between the simple suture and horizontal mattress suture techniques. Likewise, there was no difference in the biomechanical properties of the double-row repair techniques with sutures versus labral tape. Double-row repair techniques provided better coverage of the native footprint of the labrum but did not provide superior biomechanical properties compared with single-row repair techniques. There was no difference in footprint coverage or biomechanical strength between the simple suture and horizontal mattress suture repair techniques. Although the double-row repair techniques had no difference in initial strength, they may improve healing in high-risk patients by improving the footprint coverage.

Predicting hemispheric dominance for language production in healthy individuals using support vector machine.

PubMed

Zago, Laure; Hervé, Pierre-Yves; Genuer, Robin; Laurent, Alexandre; Mazoyer, Bernard; Tzourio-Mazoyer, Nathalie; Joliot, Marc

2017-12-01

We used a Support Vector Machine (SVM) classifier to assess hemispheric pattern of language dominance of 47 individuals categorized as non-typical for language from their hemispheric functional laterality index (HFLI) measured on a sentence minus word-list production fMRI-BOLD contrast map. The SVM classifier was trained at discriminating between Dominant and Non-Dominant hemispheric language production activation pattern on a group of 250 participants previously identified as Typicals (HFLI strongly leftward). Then, SVM was applied to each hemispheric language activation pattern of 47 non-typical individuals. The results showed that at least one hemisphere (left or right) was found to be Dominant in every, except 3 individuals, indicating that the "dominant" type of functional organization is the most frequent in non-typicals. Specifically, left hemisphere dominance was predicted in all non-typical right-handers (RH) and in 57.4% of non-typical left-handers (LH). When both hemisphere classifications were jointly considered, four types of brain patterns were observed. The most often predicted pattern (51%) was left-dominant (Dominant left-hemisphere and Non-Dominant right-hemisphere), followed by right-dominant (23%, Dominant right-hemisphere and Non-Dominant left-hemisphere) and co-dominant (19%, 2 Dominant hemispheres) patterns. Co-non-dominant was rare (6%, 2 Non-Dominant hemispheres), but was normal variants of hemispheric specialization. In RH, only left-dominant (72%) and co-dominant patterns were detected, while for LH, all types were found, although with different occurrences. Among the 10 LH with a strong rightward HFLI, 8 had a right-dominant brain pattern. Whole-brain analysis of the right-dominant pattern group confirmed that it exhibited a functional organization strictly mirroring that of left-dominant pattern group. Hum Brain Mapp 38:5871-5889, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Environmental conditions in health care facilities in low- and middle-income countries: Coverage and inequalities.

PubMed

Cronk, Ryan; Bartram, Jamie

2018-04-01

Safe environmental conditions and the availability of standard precaution items are important to prevent and treat infection in health care facilities (HCFs) and to achieve Sustainable Development Goal (SDG) targets for health and water, sanitation, and hygiene. Baseline coverage estimates for HCFs have yet to be formed for the SDGs; and there is little evidence describing inequalities in coverage. To address this, we produced the first coverage estimates of environmental conditions and standard precaution items in HCFs in low- and middle-income countries (LMICs); and explored factors associated with low coverage. Data from monitoring reports and peer-reviewed literature were systematically compiled; and information on conditions, service levels, and inequalities tabulated. We used logistic regression to identify factors associated with low coverage. Data for 21 indicators of environmental conditions and standard precaution items were compiled from 78 LMICs which were representative of 129,557 HCFs. 50% of HCFs lack piped water, 33% lack improved sanitation, 39% lack handwashing soap, 39% lack adequate infectious waste disposal, 73% lack sterilization equipment, and 59% lack reliable energy services. Using nationally representative data from six countries, 2% of HCFs provide all four of water, sanitation, hygiene, and waste management services. Statistically significant inequalities in coverage exist between HCFs by: urban-rural setting, managing authority, facility type, and sub-national administrative unit. We identified important, previously undocumented inequalities and environmental health challenges faced by HCFs in LMICs. The information and analyses provide evidence for those engaged in improving HCF conditions to develop evidence-based policies and efficient programs, enhance service delivery systems, and make better use of available resources. Copyright © 2018 The Authors. Published by Elsevier GmbH.. All rights reserved.

The Utility and Versatility of Perforator-Based Propeller Flaps in Burn Care.

PubMed

Teven, Chad M; Mhlaba, Julie; O'Connor, Annemarie; Gottlieb, Lawrence J

The majority of surgical burn care involves the use of skin grafts. However, there are cases when flaps are required or provide superior outcomes both in the acute setting and for postburn reconstruction. Rarely discussed in the context of burn care, the perforator-based propeller flap is an important option to consider. We describe our experience with perforator-based propeller flaps in the acute and reconstructive phases of burn care. We reviewed demographics, indications, operative details, and outcomes for patients whose burn care included the use of a perforator-based propeller flap at our institution from May 2007 to April 2015. Details of the surgical technique and individual cases are also discussed. Twenty-one perforator-based propeller flaps were used in the care of 17 burn patients. Six flaps (29%) were used in the acute phase for coverage of exposed joints, tendons, cartilage, and bone; coverage of open wounds; and preservation of range of motion (ROM) by minimizing scar contracture. Fifteen flaps (71%) were used for reconstruction of postburn deformities including coverage of chronic wounds, for coverage after scar contracture release, and to improve ROM. The majority of flaps (94% at follow-up) exhibited stable soft tissue coverage and good or improved ROM of adjacent joints. Three cases of partial flap loss and one case of total flap loss occurred. Perforator-based propeller flaps provide reliable vascularized soft tissue for coverage of vital structures and wounds, contracture release, and preservation of ROM across joints. Despite a relatively significant risk of minor complications particularly in the coverage of chronic wounds, our study supports their utility in both the acute and reconstructive phases of burn care.

Incentives Increase Participation in Mass Dog Rabies Vaccination Clinics and Methods of Coverage Estimation Are Assessed to Be Accurate

PubMed Central

Steinmetz, Melissa; Czupryna, Anna; Bigambo, Machunde; Mzimbiri, Imam; Powell, George; Gwakisa, Paul

2015-01-01

In this study we show that incentives (dog collars and owner wristbands) are effective at increasing owner participation in mass dog rabies vaccination clinics and we conclude that household questionnaire surveys and the mark-re-sight (transect survey) method for estimating post-vaccination coverage are accurate when all dogs, including puppies, are included. Incentives were distributed during central-point rabies vaccination clinics in northern Tanzania to quantify their effect on owner participation. In villages where incentives were handed out participation increased, with an average of 34 more dogs being vaccinated. Through economies of scale, this represents a reduction in the cost-per-dog of $0.47. This represents the price-threshold under which the cost of the incentive used must fall to be economically viable. Additionally, vaccination coverage levels were determined in ten villages through the gold-standard village-wide census technique, as well as through two cheaper and quicker methods (randomized household questionnaire and the transect survey). Cost data were also collected. Both non-gold standard methods were found to be accurate when puppies were included in the calculations, although the transect survey and the household questionnaire survey over- and under-estimated the coverage respectively. Given that additional demographic data can be collected through the household questionnaire survey, and that its estimate of coverage is more conservative, we recommend this method. Despite the use of incentives the average vaccination coverage was below the 70% threshold for eliminating rabies. We discuss the reasons and suggest solutions to improve coverage. Given recent international targets to eliminate rabies, this study provides valuable and timely data to help improve mass dog vaccination programs in Africa and elsewhere. PMID:26633821

Routine Vaccination Coverage in Northern Nigeria: Results from 40 District-Level Cluster Surveys, 2014-2015

PubMed Central

Ogbuanu, Ikechukwu U.; Adegoke, Oluwasegun J.; Scobie, Heather M.; Uba, Belinda V.; Wannemuehler, Kathleen A.; Ruiz, Alicia; Elmousaad, Hashim; Ohuabunwo, Chima J.; Mustafa, Mahmud; Nguku, Patrick; Waziri, Ndadilnasiya Endie; Vertefeuille, John F.

2016-01-01

Background Despite recent success towards controlling poliovirus transmission, Nigeria has struggled to achieve uniformly high routine vaccination coverage. A lack of reliable vaccination coverage data at the operational level makes it challenging to target program improvement. To reliably estimate vaccination coverage, we conducted district-level vaccine coverage surveys using a pre-existing infrastructure of polio technical staff in northern Nigeria. Methods Household-level cluster surveys were conducted in 40 polio high risk districts of Nigeria during 2014–2015. Global positioning system technology and intensive supervision by a pool of qualified technical staff were used to ensure high survey quality. Vaccination status of children aged 12–23 months was documented based on vaccination card or caretaker’s recall. District-level coverage estimates were calculated using survey methods. Results Data from 7,815 children across 40 districts were analyzed. District-level coverage with the third dose of diphtheria-pertussis-tetanus vaccine (DPT3) ranged widely from 1–63%, with all districts having DPT3 coverage below the target of 80%. Median coverage across all districts for each of eight vaccine doses (1 Bacille Calmette-Guérin dose, 3 DPT doses, 3 oral poliovirus vaccine doses, and 1 measles vaccine dose) was <50%. DPT3 coverage by survey was substantially lower (range: 28%–139%) than the 2013 administrative coverage reported among children aged <12 months. Common reported reasons for non-vaccination included lack of knowledge about vaccines and vaccination services (50%) and factors related to access to routine immunization services (15%). Conclusions Survey results highlighted vaccine coverage gaps that were systematically underestimated by administrative reporting across 40 polio high risk districts in northern Nigeria. Given the limitations of administrative coverage data, our approach to conducting quality district-level coverage surveys and providing data to assess and remediate issues contributing to poor vaccination coverage could serve as an example in countries with sub-optimal vaccination coverage, similar to Nigeria. PMID:27936077

Routine Vaccination Coverage in Northern Nigeria: Results from 40 District-Level Cluster Surveys, 2014-2015.

PubMed

Gunnala, Rajni; Ogbuanu, Ikechukwu U; Adegoke, Oluwasegun J; Scobie, Heather M; Uba, Belinda V; Wannemuehler, Kathleen A; Ruiz, Alicia; Elmousaad, Hashim; Ohuabunwo, Chima J; Mustafa, Mahmud; Nguku, Patrick; Waziri, Ndadilnasiya Endie; Vertefeuille, John F

2016-01-01

Despite recent success towards controlling poliovirus transmission, Nigeria has struggled to achieve uniformly high routine vaccination coverage. A lack of reliable vaccination coverage data at the operational level makes it challenging to target program improvement. To reliably estimate vaccination coverage, we conducted district-level vaccine coverage surveys using a pre-existing infrastructure of polio technical staff in northern Nigeria. Household-level cluster surveys were conducted in 40 polio high risk districts of Nigeria during 2014-2015. Global positioning system technology and intensive supervision by a pool of qualified technical staff were used to ensure high survey quality. Vaccination status of children aged 12-23 months was documented based on vaccination card or caretaker's recall. District-level coverage estimates were calculated using survey methods. Data from 7,815 children across 40 districts were analyzed. District-level coverage with the third dose of diphtheria-pertussis-tetanus vaccine (DPT3) ranged widely from 1-63%, with all districts having DPT3 coverage below the target of 80%. Median coverage across all districts for each of eight vaccine doses (1 Bacille Calmette-Guérin dose, 3 DPT doses, 3 oral poliovirus vaccine doses, and 1 measles vaccine dose) was <50%. DPT3 coverage by survey was substantially lower (range: 28%-139%) than the 2013 administrative coverage reported among children aged <12 months. Common reported reasons for non-vaccination included lack of knowledge about vaccines and vaccination services (50%) and factors related to access to routine immunization services (15%). Survey results highlighted vaccine coverage gaps that were systematically underestimated by administrative reporting across 40 polio high risk districts in northern Nigeria. Given the limitations of administrative coverage data, our approach to conducting quality district-level coverage surveys and providing data to assess and remediate issues contributing to poor vaccination coverage could serve as an example in countries with sub-optimal vaccination coverage, similar to Nigeria.

Enhanced activation of the left hemisphere promotes normative decision making.

PubMed

Corser, Ryan; Jasper, John D

2014-01-01

Previous studies have reported that enhanced activation of the left cerebral hemisphere reduces risky-choice, attribute, and goal-framing effects relative to enhanced activation of the right cerebral hemisphere. The present study sought to extend these findings and show that enhanced activation of the left hemisphere also reduces violations of other normative principles, besides the invariance principle. Participants completed ratio bias (Experiment 1, N = 296) and base rate neglect problems (Experiment 2, N = 145) under normal (control) viewing or with the right or left hemisphere primarily activated by imposing a unidirectional gaze. In Experiment 1 we found that enhanced left hemispheric activation reduced the ratio bias relative to normal viewing and a group experiencing enhanced right hemispheric activation. In Experiment 2 enhanced left hemispheric activation resulted in using base rates more than normal viewing, but not significantly more than enhanced right hemispheric activation. Results suggest that hemispheric asymmetries can affect higher-order cognitive processes, such as decision-making biases. Possible theoretical accounts are discussed as well as implications for dual-process theories.

Neural dissociation in the production of lexical versus classifier signs in ASL: distinct patterns of hemispheric asymmetry.

PubMed

Hickok, Gregory; Pickell, Herbert; Klima, Edward; Bellugi, Ursula

2009-01-01

We examine the hemispheric organization for the production of two classes of ASL signs, lexical signs and classifier signs. Previous work has found strong left hemisphere dominance for the production of lexical signs, but several authors have speculated that classifier signs may involve the right hemisphere to a greater degree because they can represent spatial information in a topographic, non-categorical manner. Twenty-one unilaterally brain damaged signers (13 left hemisphere damaged, 8 right hemisphere damaged) were presented with a story narration task designed to elicit both lexical and classifier signs. Relative frequencies of the two types of errors were tabulated. Left hemisphere damaged signers produced significantly more lexical errors than did right hemisphere damaged signers, whereas the reverse pattern held for classifier signs. Our findings argue for different patterns of hemispheric asymmetry for these two classes of ASL signs. We suggest that the requirement to encode analogue spatial information in the production of classifier signs results in the increased involvement of the right hemisphere systems.

78 FR 71817 - Liquidity Coverage Ratio: Liquidity Risk Measurement, Standards, and Monitoring

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-29

... arising from financial and economic stress, as well as improvements in the measurement and management of... on a 21- calendar day stress scenario rather than a 30 calendar-day stress scenario for bank holding... economic stress. Subsequently, in January 2013, the BCBS issued ``Basel III: The Liquidity Coverage Ratio...

Efficient Deployment of Key Nodes for Optimal Coverage of Industrial Mobile Wireless Networks

PubMed Central

Li, Xiaomin; Li, Di; Dong, Zhijie; Hu, Yage; Liu, Chengliang

2018-01-01

In recent years, industrial wireless networks (IWNs) have been transformed by the introduction of mobile nodes, and they now offer increased extensibility, mobility, and flexibility. Nevertheless, mobile nodes pose efficiency and reliability challenges. Efficient node deployment and management of channel interference directly affect network system performance, particularly for key node placement in clustered wireless networks. This study analyzes this system model, considering both industrial properties of wireless networks and their mobility. Then, static and mobile node coverage problems are unified and simplified to target coverage problems. We propose a novel strategy for the deployment of clustered heads in grouped industrial mobile wireless networks (IMWNs) based on the improved maximal clique model and the iterative computation of new candidate cluster head positions. The maximal cliques are obtained via a double-layer Tabu search. Each cluster head updates its new position via an improved virtual force while moving with full coverage to find the minimal inter-cluster interference. Finally, we develop a simulation environment. The simulation results, based on a performance comparison, show the efficacy of the proposed strategies and their superiority over current approaches. PMID:29439439

Improved candidate generation and coverage analysis methods for design optimization of symmetric multi-satellite constellations

NASA Astrophysics Data System (ADS)

Matossian, Mark G.

1997-01-01

Much attention in recent years has focused on commercial telecommunications ventures involving constellations of spacecraft in low and medium Earth orbit. These projects often require investments on the order of billions of dollars (US$) for development and operations, but surprisingly little work has been published on constellation design optimization for coverage analysis, traffic simulation and launch sequencing for constellation build-up strategies. This paper addresses the two most critical aspects of constellation orbital design — efficient constellation candidate generation and coverage analysis. Inefficiencies and flaws in the current standard algorithm for constellation modeling are identified, and a corrected and improved algorithm is presented. In the 1970's, John Walker and G. V. Mozhaev developed innovative strategies for continuous global coverage using symmetric non-geosynchronous constellations. (These are sometimes referred to as rosette, or Walker constellations. An example is pictured above.) In 1980, the late Arthur Ballard extended and generalized the work of Walker into a detailed algorithm for the NAVSTAR/GPS program, which deployed a 24 satellite symmetric constellation. Ballard's important contribution was published in his "Rosette Constellations of Earth Satellites."

Improved spatial resolution for U-series dating of opal at Yucca Mountain, Nevada, USA, using ion-microprobe and microdigestion methods

USGS Publications Warehouse

Paces, J.B.; Neymark, L.A.; Wooden, J.L.; Persing, H.M.

2004-01-01

Two novel methods of in situ isotope analysis, ion microprobe and microdigestion, were used for 230Th/U and 234U/238U dating of finely laminated opal hemispheres formed in unsaturated felsic tuff at Yucca Mountain, Nevada, proposed site for a high-level radioactive waste repository. Both methods allow analysis of layers as many as several orders of magnitude thinner than standard methods using total hemisphere digestion that were reported previously. Average growth rates calculated from data at this improved spatial resolution verified that opal grew at extremely slow rates over the last million years. Growth rates of 0.58 and 0.69 mm/m.y. were obtained for the outer 305 and 740 ??m of two opal hemispheres analyzed by ion microprobe, and 0.68 mm/m.y. for the outer 22 ??m of one of these same hemispheres analyzed by sequential microdigestion. These Pleistocene growth rates are 2 to 10 times slower than those calculated for older secondary calcite and silica mineral coatings deposited over the last 5 to 10 m.y. dated by the U-Pb method and may reflect differences between Miocene and Pleistocene seepage flux. The microdigestion data also imply that opal growth rates may have varied over the last 40 k.y. These data are the first indication that growth rates and associated seepage in the proposed repository horizon may correlate with changes in late Pleistocene climate, involving faster growth during wetter, cooler climates (glacial maximum), slower growth during transition climates, and no growth during the most arid climate (modern). Data collected at this refined spatial scale may lead to a better understanding of the hydrologic variability expected within the thick unsaturated zone at Yucca Mountain over the time scale of interest for radioactive waste isolation. ?? 2004 Elsevier Ltd.

Specialist availability in emergencies: contributions of response times and the use of ad hoc coverage in New York State.

PubMed

Rabin, Elaine; Patrick, Lisa

2016-04-01

Nationwide, hospitals struggle to maintain specialist on-call coverage for emergencies. We seek to further understand the issue by examining reliability of scheduled coverage and the role of ad hoc coverage when none is scheduled. An anonymous electronic survey of all emergency department (ED) directors of a large state. Overall and for 10 specialties, respondents were asked to estimate on-call coverage extent and "reliability" (frequency of emergency response in a clinically useful time frame: 2 hours), and use and effect of ad hoc emergency coverage to fill gaps. Descriptive statistics were performed using Fisher exact and Wilcoxon sign rank tests for significance. Contact information was obtained for 125 of 167 ED directors. Sixty responded (48%), representing 36% of EDs. Forty-six percent reported full on-call coverage scheduled for all specialties. Forty-six percent reported consistent reliability. Coverage and reliability were strongly related (P<.01; 33% reported both), and larger ED volume correlated with both (P<.01). Ninety percent of hospitals that had gaps in either employed ad hoc coverage, significantly improving coverage for 8 of 10 specialties. For all but 1 specialty, more than 20% of hospitals reported that specialists are "Never", "Rarely" or "Sometimes" reliable (more than 50% for cardiovascular surgery, hand surgery and ophthalmology). Significant holes in scheduled on-call specialist coverage are compounded by frequent unreliability of on-call specialists, but partially ameliorated by ad hoc specialist coverage. Regionalization may help because a 2-tiered system may exist: larger hospitals have more complete, reliable coverage. Better understanding of specialists' willingness to treat emergencies ad hoc without taking formal call will suggest additional remedies. Copyright © 2015 Elsevier Inc. All rights reserved.

Medulloblastoma with Atypical Dynamic Imaging Changes: Case Report with Literature Review.

PubMed

Song, Shuang-Shuang; Wang, Jian-Hong; Fu, Wei-Wei; Li, Ying; Sui, Qing-Lan; Liu, Xue-Jun

2017-09-01

We analyzed a case of medulloblastoma with atypical dynamic imaging changes retrospectively to summarize the atypical magnetic resonance imaging (MRI) features of medulloblastoma by reviewing the literature. An atypical case of medulloblastoma in the cerebellar hemisphere confirmed by pathology was analyzed retrospectively, and the literature about it was reviewed. The radiologic findings of the patient were based on 3 examinations. The first examination showed that the cortex of the bilateral cerebellar hemisphere had diffuse nodular thickening, with a high signal on diffusion-weighted imaging and significant enhancement. Contrast enhancement MRI 1 year later showed the signal of cerebellar hemisphere returned to normal but revealed an enhanced nodule. A reexamination 6 months later showed an irregular mass with a high-density shadow in the cerebellar vermis on CT scan. The T2-weighted image revealed multiple degenerative cysts, and the mass had significant enhancement. The radiologic characteristics of atypical medulloblastomas vary in adults and children. Understanding the radiologic characteristics of medulloblastomas, such as MRI features, age of onset, and location of atypical medulloblastomas, can help improve the diagnosis of medulloblastomas. Copyright © 2017. Published by Elsevier Inc.

Experimental Evaluation of Fatigue Crack Initiation from Corroded Hemispherical Notches in Aerospace Structural Materials

NASA Technical Reports Server (NTRS)

Garcia, Daniel B.; Forman, Royce; Shindo, David

2010-01-01

A test program was developed and executed to evaluate the influence of corroded hemispherical notches on the fatigue crack initiation and propagation in aluminum 7075-T7351, 4340 steel, and D6AC steel. Surface enhancements such as shot peening and laser shock peening were also incorporated as part of the test effort with the intent of improving fatigue performance. In addition to the testing, fracture mechanics and endurance limit based analysis methods were evaluated to characterize the results with the objective of challenging typical assumptions used in modeling fatigue cracks from corrosion pits. The results specifically demonstrate that the aluminum and steel alloys behave differently with respect to fatigue crack initiation from hemispherical corrosion pits. The aluminum test results were bounded by the fracture mechanics and endurance limit models while exhibiting a general insensitivity to the residual stress field generated by shot peening. The steel specimens were better characterized by the endurance limit fatigue properties and did exhibit sensitivities to residual stresses from the shot peening and laser shock peening

Maritime security report. May 2000 [Organization of American States Tactical Advisory Group on Port Security

DOT National Transportation Integrated Search

2000-05-01

The member countries of the Organization of American States (OAS) have recognized that a coordinated multilateral approach to improving port security in the Western Hemisphere is needed and has established a Technical Advisory Group on Port Security ...

The Nootropic Concept and Dyslexia.

ERIC Educational Resources Information Center

Wilsher, Colin R.

1986-01-01

Studies with Nootropic psychoactive drugs (such as Piracetam) suggest that Piracetam lacks significant side effects; promotes memory and learning; and improves the reading ability of dyslexics, possibly by directly affecting the left-brain hemisphere. Results are contrasted with studies showing the lack of effectiveness of intensive teaching.…

PET AND SPECT STUDIES IN CHILDREN WITH HEMISPHERIC LOW-GRADE GLIOMAS

PubMed Central

Juhász, Csaba; Bosnyák, Edit

2016-01-01

Molecular imaging is playing an increasing role in the pre-treatment evaluation of low-grade gliomas. While glucose positron emission tomography (PET) can be helpful to differentiate low-grade from high-grade tumors, PET imaging with amino acid radiotracers has several advantages, such as better differentiation between tumors and non-tumorous lesions, optimized biopsy targeting and improved detection of tumor recurrence. This review provides a brief overview of single photon emission computed tomography (SPECT) studies followed by a more detailed review of clinical applications of glucose and amino acid PET imaging in low-grade hemispheric gliomas. We discuss key differences in the performance of the most commonly utilized PET radiotracers and highlight the advantage of PET/MRI fusion to obtain optimal information about tumor extent, heterogeneity and metabolism. Recent data also suggest that simultaneous acquisition of PET/MR images and the combination of advanced MRI techniques with quantitative PET can further improve the pre- and post-treatment evaluation of pediatric brain tumors. PMID:27659825

PET and SPECT studies in children with hemispheric low-grade gliomas.

PubMed

Juhász, Csaba; Bosnyák, Edit

2016-10-01

Molecular imaging is playing an increasing role in the pretreatment evaluation of low-grade gliomas. While glucose positron emission tomography (PET) can be helpful to differentiate low-grade from high-grade tumors, PET imaging with amino acid radiotracers has several advantages, such as better differentiation between tumors and non-tumorous lesions, optimized biopsy targeting, and improved detection of tumor recurrence. This review provides a brief overview of single-photon emission computed tomography (SPECT) studies followed by a more detailed review of the clinical applications of glucose and amino acid PET imaging in low-grade hemispheric gliomas. We discuss key differences in the performance of the most commonly utilized PET radiotracers and highlight the advantage of PET/MRI fusion to obtain optimal information about tumor extent, heterogeneity, and metabolism. Recent data also suggest that simultaneous acquisition of PET/MR images and the combination of advanced MRI techniques with quantitative PET can further improve the pretreatment and post-treatment evaluation of pediatric brain tumors.