Vegetation Coverage and Impervious Surface Area Estimated Based on the Estarfm Model and Remote Sensing Monitoring

NASA Astrophysics Data System (ADS)

Hu, Rongming; Wang, Shu; Guo, Jiao; Guo, Liankun

2018-04-01

Impervious surface area and vegetation coverage are important biophysical indicators of urban surface features which can be derived from medium-resolution images. However, remote sensing data obtained by a single sensor are easily affected by many factors such as weather conditions, and the spatial and temporal resolution can not meet the needs for soil erosion estimation. Therefore, the integrated multi-source remote sensing data are needed to carry out high spatio-temporal resolution vegetation coverage estimation. Two spatial and temporal vegetation coverage data and impervious data were obtained from MODIS and Landsat 8 remote sensing images. Based on the Enhanced Spatial and Temporal Adaptive Reflectance Fusion Model (ESTARFM), the vegetation coverage data of two scales were fused and the data of vegetation coverage fusion (ESTARFM FVC) and impervious layer with high spatiotemporal resolution (30 m, 8 day) were obtained. On this basis, the spatial variability of the seepage-free surface and the vegetation cover landscape in the study area was measured by means of statistics and spatial autocorrelation analysis. The results showed that: 1) ESTARFM FVC and impermeable surface have higher accuracy and can characterize the characteristics of the biophysical components covered by the earth's surface; 2) The average impervious surface proportion and the spatial configuration of each area are different, which are affected by natural conditions and urbanization. In the urban area of Xi'an, which has typical characteristics of spontaneous urbanization, landscapes are fragmented and have less spatial dependence.

Seeing the elephant: Importance of spatial and temporal coverage in a large-scale volunteer-based program to monitor horseshoe crabs

USGS Publications Warehouse

Smith, D.R.; Michels, S.F.

2006-01-01

As in John Godfrey Saxe's poem about six blind men and an elephant, conclusions drawn from a monitoring program depend critically on where and when observations are made. We examined results from the Delaware Bay horseshoe crab (Limulus polyphemus) spawning survey to evaluate the effect of spatial and temporal coverage on conclusions about spawning activity. Declines due to previously unregulated harvest triggered an increase in monitoring. Although we detected no apparent trend in bay-wide spawning activity for 1999-2005, conclusions would have differed depending on where and when observations were made. For example, spawning activity in May during the shorebird stopover was a poor predictor of spawning activity over the whole season. Observations made only during peak spawning incorrectly suggested that spawning activity increased during 2001-2005. Trends at one place in the bay were not indicative of trends for the whole bay. Many natural resource issues begin like the blind men and the elephant with dispute partially caused by an incomplete picture of the resource. As sufficient time and funds are directed to gathering necessary data using effective sampling designs, a more complete picture can emerge.

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.

Evaluation of satellite-retrieved extreme precipitation using gauge observations

NASA Astrophysics Data System (ADS)

Lockhoff, M.; Zolina, O.; Simmer, C.; Schulz, J.

2012-04-01

Precipitation extremes have already been intensively studied employing rain gauge datasets. Their main advantage is that they represent a direct measurement with a relatively high temporal coverage. Their main limitation however is their poor spatial coverage and thus a low representativeness in many parts of the world. In contrast, satellites can provide global coverage and there are meanwhile data sets available that are on one hand long enough to be used for extreme value analysis and that have on the other hand the necessary spatial and temporal resolution to capture extremes. However, satellite observations provide only an indirect mean to determine precipitation and there are many potential observational and methodological weaknesses in particular over land surfaces that may constitute doubts concerning their usability for the analysis of precipitation extremes. By comparing basic climatological metrics of precipitation (totals, intensities, number of wet days) as well as respective characteristics of PDFs, absolute and relative extremes of satellite and observational data this paper aims at assessing to which extent satellite products are suitable for analysing extreme precipitation events. In a first step the assessment focuses on Europe taking into consideration various satellite products available, e.g. data sets provided by the Global Precipitation Climatology Project (GPCP). First results indicate that satellite-based estimates do not only represent the monthly averaged precipitation very similar to rain gauge estimates but they also capture the day-to-day occurrence fairly well. Larger differences can be found though when looking at the corresponding intensities.

Accuracy and impact of spatial aids based upon satellite enumeration to improve indoor residual spraying spatial coverage.

PubMed

Bridges, Daniel J; Pollard, Derek; Winters, Anna M; Winters, Benjamin; Sikaala, Chadwick; Renn, Silvia; Larsen, David A

2018-02-23

Indoor residual spraying (IRS) is a key tool in the fight to control, eliminate and ultimately eradicate malaria. IRS protection is based on a communal effect such that an individual's protection primarily relies on the community-level coverage of IRS with limited protection being provided by household-level coverage. To ensure a communal effect is achieved through IRS, achieving high and uniform community-level coverage should be the ultimate priority of an IRS campaign. Ensuring high community-level coverage of IRS in malaria-endemic areas is challenging given the lack of information available about both the location and number of households needing IRS in any given area. A process termed 'mSpray' has been developed and implemented and involves use of satellite imagery for enumeration for planning IRS and a mobile application to guide IRS implementation. This study assessed (1) the accuracy of the satellite enumeration and (2) how various degrees of spatial aid provided through the mSpray process affected community-level IRS coverage during the 2015 spray campaign in Zambia. A 2-stage sampling process was applied to assess accuracy of satellite enumeration to determine number and location of sprayable structures. Results indicated an overall sensitivity of 94% for satellite enumeration compared to finding structures on the ground. After adjusting for structure size, roof, and wall type, households in Nchelenge District where all types of satellite-based spatial aids (paper-based maps plus use of the mobile mSpray application) were used were more likely to have received IRS than Kasama district where maps used were not based on satellite enumeration. The probability of a household being sprayed in Nchelenge district where tablet-based maps were used, did not differ statistically from that of a household in Samfya District, where detailed paper-based spatial aids based on satellite enumeration were provided. IRS coverage from the 2015 spray season benefited from the use of spatial aids based upon satellite enumeration. These spatial aids can guide costly IRS planning and implementation leading to attainment of higher spatial coverage, and likely improve disease impact.

Coverage of health insurance among the near-poor in rural Vietnam and associated factors.

PubMed

Nguyen, Thanh Duc; Wilson, Andrew

2017-02-01

The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4-9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4-6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6-78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7-3.6). The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam.

Dynamics of Phenanthrenequinone on Carbon Nano-Onion Surfaces Probed by Quasielastic Neutron Scattering

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

Anjos, Daniela M; Mamontov, Eugene; Brown, Gilbert M

We used quasielastic neutron scattering (QENS) to study the dynamics of phenanthrenequinone (PQ) on the surface of onion-like carbon (OLC), or so called carbon onions, as a function of surface coverage and temperature. For both the high- and low-coverage samples, we observed two diffusion processes; a faster process and nearly an order of magnitude slower process. On the high-coverage surface, the slow diffusion process is of long-range translational character, whereas the fast diffusion process is spatially localized on the length scale of ~ 4.7 . On the low-coverage surface, both diffusion processes are spatially localized; on the same length scalemore » of ~ 4.7 for the fast diffusion and a somewhat larger length scale for the slow diffusion. Arrhenius temperature dependence is observed except for the long-range diffusion on the high-coverage surface. We attribute the fast diffusion process to the generic localized in-cage dynamics of PQ molecules, and the slow diffusion process to the long-range translational dynamics of PQ molecules, which, depending on the coverage, may be either spatially restricted, or long-range. On the low-coverage surface, uniform surface coverage is not attained, and the PQ molecules experience the effect of spatial constraints on their long-range translational dynamics. Unexpectedly, the dynamics of PQ molecules on OLC as a function of temperature and surface coverage bears qualitative resemblance to the dynamics of water molecules on oxide surfaces, including practically temperature-independent residence times for the low-coverage surface. The dynamics features that we observed may be universal across different classes of surface adsorbates.« less

Computational imaging of defects in commercial substrates for electronic and photonic devices

NASA Astrophysics Data System (ADS)

Fukuzawa, Masayuki; Kashiwagi, Ryo; Yamada, Masayoshi

2012-03-01

Computational defect imaging has been performed in commercial substrates for electronic and photonic devices by combining the transmission profile acquired with an imaging type of linear polariscope and the computational algorithm to extract a small amount of birefringence. The computational images of phase retardation δ exhibited spatial inhomogeneity of defect-induced birefringence in GaP, LiNbO3, and SiC substrates, which were not detected by conventional 'visual inspection' based on simple optical refraction or transmission because of poor sensitivity. The typical imaging time was less than 30 seconds for 3-inch diameter substrate with the spatial resolution of 200 μm, while that by scanning polariscope was 2 hours to get the same spatial resolution. Since our proposed technique have been achieved high sensitivity, short imaging time, and wide coverage of substrate materials, which are practical advantages over the laboratory-scale apparatus such as X-ray topography and electron microscope, it is useful for nondestructive inspection of various commercial substrates in production of electronic and photonic devices.

Measuring suspended sediment: Chapter 10

USGS Publications Warehouse

Gray, J.R.; Landers, M.N.

2013-01-01

Suspended sediment in streams and rivers can be measured using traditional instruments and techniques and (or) surrogate technologies. The former, as described herein, consists primarily of both manually deployed isokinetic samplers and their deployment protocols developed by the Federal Interagency Sedimentation Project. They are used on all continents other than Antarctica. The reliability of the typically spatially rich but temporally sparse data produced by traditional means is supported by a broad base of scientific literature since 1940. However, the suspended sediment surrogate technologies described herein – based on hydroacoustic, nephelometric, laser, and pressure difference principles – tend to produce temporally rich but in some cases spatially sparse datasets. The value of temporally rich data in the accuracy of continuous sediment-discharge records is hard to overstate, in part because such data can often overcome the shortcomings of poor spatial coverage. Coupled with calibration data produced by traditional means, surrogate technologies show considerable promise toward providing the fluvial sediment data needed to increase and bring more consistency to sediment-discharge measurements worldwide.

Spatial assessment of land degradation through key ecosystem services: The role of globally available data.

PubMed

Cerretelli, Stefania; Poggio, Laura; Gimona, Alessandro; Yakob, Getahun; Boke, Shiferaw; Habte, Mulugeta; Coull, Malcolm; Peressotti, Alessandro; Black, Helaina

2018-07-01

Land degradation is a serious issue especially in dry and developing countries leading to ecosystem services (ESS) degradation due to soil functions' depletion. Reliably mapping land degradation spatial distribution is therefore important for policy decisions. The main objectives of this paper were to infer land degradation through ESS assessment and compare the modelling results obtained using different sets of data. We modelled important physical processes (sediment erosion and nutrient export) and the equivalent ecosystem services (sediment and nutrient retention) to infer land degradation in an area in the Ethiopian Great Rift Valley. To model soil erosion/retention capability, and nitrogen export/retention capability, two datasets were used: a 'global' dataset derived from existing global-coverage data and a hybrid dataset where global data were integrated with data from local surveys. The results showed that ESS assessments can be used to infer land degradation and identify priority areas for interventions. The comparison between the modelling results of the two different input datasets showed that caution is necessary if only global-coverage data are used at a local scale. In remote and data-poor areas, an approach that integrates global data with targeted local sampling campaigns might be a good compromise to use ecosystem services in decision-making. Copyright © 2018. Published by Elsevier B.V.

Inefficiency, heterogeneity and spillover effects in maternal care in India: a spatial stochastic frontier analysis.

PubMed

Kinfu, Yohannes; Sawhney, Monika

2015-03-25

Institutional delivery is one of the key and proven strategies to reduce maternal deaths. Since the 1990s, the government of India has made substantial investment on maternal care to reduce the huge burden of maternal deaths in the country. However, despite the effort access to institutional delivery in India remains below the global average. In addition, even in places where health investments have been comparable, inter- and intra-state difference in access to maternal care services remain wide and substantial. This raises a fundamental question on whether the sub-national units themselves differ in terms of the efficiency with which they use available resources, and if so, why? Data obtained from round 3 of the country's District Level Health and Facility Survey was analyzed to measure the level and determinants of inefficiency of institutional delivery in the country. Analysis was conducted using spatial stochastic frontier models that correct for heterogeneity and spatial interactions between sub-national units. Inefficiency differences in maternal care services between and within states are substantial. The top one third of districts in the country has a mean efficiency score of 90 per cent or more, while the bottom 10 per cent of districts exhibit mean inefficiency score of as high as over 75 per cent or more. Overall mean inefficiency is about 30 per cent. The result also reveals the existence of both heterogeneity and spatial correlation in institutional delivery in the country. Given the high level of inefficiency in the system, further progress in improving coverage of institutional delivery in the country should focus both on improving the efficiency of resource utilization--especially where inefficiency levels are extremely high--and on bringing new resources in to the system. The additional investment should specifically focus on those parts of the country where coverage rates are still low but efficiency levels are already at a high level. In addition, given that inefficiency was also associated inversely with literacy and urbanization and positively related with proportion of households belonging to poor households, investment in these areas can also improve coverage of institutional delivery in the country.

TES/Aura L3 Atmospheric Temperatures Daily V5 (TL3ATD)

Atmospheric Science Data Center

2018-05-08

... Platform:  TES Aura L1B Nadir/Limb Spatial Coverage:  (-180, 180)(-90, 90) Spatial Resolution:  0.5 x 5 km nadir 2.3 x 23 km limb Temporal Coverage:  07/15/2004 - Present Temporal Resolution:  ...

Health-financing reforms in southeast Asia: challenges in achieving universal coverage.

PubMed

Tangcharoensathien, Viroj; Patcharanarumol, Walaiporn; Ir, Por; Aljunid, Syed Mohamed; Mukti, Ali Ghufron; Akkhavong, Kongsap; Banzon, Eduardo; Huong, Dang Boi; Thabrany, Hasbullah; Mills, Anne

2011-03-05

In this sixth paper of the Series, we review health-financing reforms in seven countries in southeast Asia that have sought to reduce dependence on out-of-pocket payments, increase pooled health finance, and expand service use as steps towards universal coverage. Laos and Cambodia, both resource-poor countries, have mostly relied on donor-supported health equity funds to reach the poor, and reliable funding and appropriate identification of the eligible poor are two major challenges for nationwide expansion. For Thailand, the Philippines, Indonesia, and Vietnam, social health insurance financed by payroll tax is commonly used for formal sector employees (excluding Malaysia), with varying outcomes in terms of financial protection. Alternative payment methods have different implications for provider behaviour and financial protection. Two alternative approaches for financial protection of the non-poor outside the formal sector have emerged-contributory arrangements and tax-financed schemes-with different abilities to achieve high population coverage rapidly. Fiscal space and mobilisation of payroll contributions are both important in accelerating financial protection. Expanding coverage of good-quality services and ensuring adequate human resources are also important to achieve universal coverage. As health-financing reform is complex, institutional capacity to generate evidence and inform policy is essential and should be strengthened. Copyright © 2011 Elsevier Ltd. All rights reserved.

Determinants of childhood immunisation coverage in urban poor settlements of Delhi, India: a cross-sectional study

PubMed Central

Devasenapathy, Niveditha; Ghosh Jerath, Suparna; Sharma, Saket; Allen, Elizabeth; Shankar, Anuraj H; Zodpey, Sanjay

2016-01-01

Objectives Aggregate data on childhood immunisation from urban settings may not reflect the coverage among the urban poor. This study provides information on complete childhood immunisation coverage among the urban poor, and explores its household and neighbourhood-level determinants. Setting Urban poor community in the Southeast district of Delhi, India. Participants We randomly sampled 1849 children aged 1–3.5 years from 13 451 households in 39 clusters (cluster defined as area covered by a community health worker) in 2 large urban poor settlements. Of these, 1343 completed the survey. We collected information regarding childhood immunisation (BCG, oral polio vaccine, diphtheria–pertussis–tetanus vaccine, hepatitis B and measles) from vaccination cards or mothers’ recall. We used random intercept logistic regression to explore the sociodemographic determinants of complete immunisation. Results Complete immunisation coverage was 46.7% and 7.5% were not immunised. The odds of complete vaccination (OR, 95% CI) were lower in female children (0.70 (0.55 to 0.89)) and Muslim households (0.65 (0.45 to 0.94)). The odds of complete vaccination were higher if the mother was literate (1.6 (1.15 to 2.16)), if the child was born within the city (2.7 (1.97 to 3.65)), in a health facility ( 1.5 (1.19 to 2.02)), belonged to the highest wealth quintile (compared with the poorest; 2.46 (1.5 to 4.02)) or possessed a birth certificate (1.40 (1.03 to 1.91)). Cluster effect due to unmeasured neighbourhood factors expressed as median OR was 1.32. Conclusions Immunisation coverage in this urban poor area was much lower than that of regional surveys reporting overall urban data. Socioeconomic status of the household, female illiteracy, health awareness and gender inequality were important determinants of coverage in this population. Hence, in addition to enhancing the infrastructure for providing mother and child services, efforts are also needed to address these issues in order to improve immunisation coverage in deprived urban communities. Trial registration number CTRI/2011/091/000095. PMID:27566644

Safe motherhood voucher programme coverage of health facility deliveries among poor women in South-western Uganda.

PubMed

Kanya, Lucy; Obare, Francis; Warren, Charlotte; Abuya, Timothy; Askew, Ian; Bellows, Ben

2014-07-01

There has been increased interest in and experimentation with demand-side mechanisms such as the use of vouchers that place purchasing power in the hands of targeted consumers to improve the uptake of healthcare services in low-income settings. A key measure of the success of such interventions is the extent to which the programmes have succeeded in reaching the target populations. This article estimates the coverage of facility deliveries by a maternal health voucher programme in South-western Uganda and examines whether such coverage is correlated with district-level characteristics such as poverty density and the number of contracted facilities. Analysis entails estimating the voucher coverage of health facility deliveries among the general population and poor population (PP) using programme data for 2010, which was the most complete calendar year of implementation of the Uganda safe motherhood (SM) voucher programme. The results show that: (1) the programme paid for 38% of estimated deliveries among the PP in the targeted districts, (2) there was a significant negative correlation between the poverty density in a district and proportions of births to poor women that were covered by the programme and (3) improving coverage of health facility deliveries for poor women is dependent upon increasing the sales and redemption rates. The findings suggest that to the extent that the programme stimulated demand for SM services by new users, it has the potential of increasing facility-based births among poor women in the region. In addition, the significant negative correlation between the poverty density and the proportions of facility-based births to poor women that are covered by the voucher programme suggests that there is need to increase both voucher sales and the rate of redemption to improve coverage in districts with high levels of poverty. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

TES/Aura L3 Atmospheric Temperatures Daily V4 (TL3ATD)

Atmospheric Science Data Center

2018-05-09

... Platform:  TES Aura L1B Nadir/Limb Spatial Coverage:  5.3 x 8.5 km nadir 37 x 23 km limb Spatial ... 0.5 x 5 km nadir 2.3 x 23 km limb Temporal Coverage:  08/22/2004 - present Temporal Resolution:  ...

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.

Modeling of Subsurface Lagrangian Sensor Swarms for Spatially Distributed Current Measurements in High Energy Coastal Environments

NASA Astrophysics Data System (ADS)

Harrison, T. W.; Polagye, B. L.

2016-02-01

Coastal ecosystems are characterized by spatially and temporally varying hydrodynamics. In marine renewable energy applications, these variations strongly influence project economics and in oceanographic studies, they impact accuracy of biological transport and pollutant dispersion models. While stationary point or profile measurements are relatively straight forward, spatial representativeness of point measurements can be poor due to strong gradients. Moving platforms, such as AUVs or surface vessels, offer better coverage, but suffer from energetic constraints (AUVs) and resolvable scales (vessels). A system of sub-surface, drifting sensor packages is being developed to provide spatially distributed, synoptic data sets of coastal hydrodynamics with meter-scale resolution over a regional extent of a kilometer. Computational investigation has informed system parameters such as drifter size and shape, necessary position accuracy, number of drifters, and deployment methods. A hydrodynamic domain with complex flow features was created using a computational fluid dynamics code. A simple model of drifter dynamics propagate the drifters through the domain in post-processing. System parameters are evaluated relative to their ability to accurately recreate domain hydrodynamics. Implications of these results for an inexpensive, depth-controlled Lagrangian drifter system is presented.

Cultivating a Professional Ethic in Covering Marginalized Populations: Learning about the Poor through Service-Learning

ERIC Educational Resources Information Center

Motley, Phillip; Sturgill, Amanda

2014-01-01

As communications students learn to tell stories, the curriculum should teach them to cover diverse groups accurately. Scholars have studied coverage of diversity in gender, nationality, ethnicity, and race. One area that has seen less attention is economic diversity, in particular, coverage of the poor. This paper examines how service-learning…

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.

Continental-scale patterns of canopy tree composition and function across Amazonia.

PubMed

ter Steege, Hans; Pitman, Nigel C A; Phillips, Oliver L; Chave, Jerome; Sabatier, Daniel; Duque, Alvaro; Molino, Jean-François; Prévost, Marie-Françoise; Spichiger, Rodolphe; Castellanos, Hernán; von Hildebrand, Patricio; Vásquez, Rodolfo

2006-09-28

The world's greatest terrestrial stores of biodiversity and carbon are found in the forests of northern South America, where large-scale biogeographic patterns and processes have recently begun to be described. Seven of the nine countries with territory in the Amazon basin and the Guiana shield have carried out large-scale forest inventories, but such massive data sets have been little exploited by tropical plant ecologists. Although forest inventories often lack the species-level identifications favoured by tropical plant ecologists, their consistency of measurement and vast spatial coverage make them ideally suited for numerical analyses at large scales, and a valuable resource to describe the still poorly understood spatial variation of biomass, diversity, community composition and forest functioning across the South American tropics. Here we show, by using the seven forest inventories complemented with trait and inventory data collected elsewhere, two dominant gradients in tree composition and function across the Amazon, one paralleling a major gradient in soil fertility and the other paralleling a gradient in dry season length. The data set also indicates that the dominance of Fabaceae in the Guiana shield is not necessarily the result of root adaptations to poor soils (nodulation or ectomycorrhizal associations) but perhaps also the result of their remarkably high seed mass there as a potential adaptation to low rates of disturbance.

Continental-scale patterns of canopy tree composition and function across Amazonia

NASA Astrophysics Data System (ADS)

Ter Steege, Hans; Pitman, Nigel C. A.; Phillips, Oliver L.; Chave, Jerome; Sabatier, Daniel; Duque, Alvaro; Molino, Jean-François; Prévost, Marie-Françoise; Spichiger, Rodolphe; Castellanos, Hernán; von Hildebrand, Patricio; Vásquez, Rodolfo

2006-09-01

The world's greatest terrestrial stores of biodiversity and carbon are found in the forests of northern South America, where large-scale biogeographic patterns and processes have recently begun to be described. Seven of the nine countries with territory in the Amazon basin and the Guiana shield have carried out large-scale forest inventories, but such massive data sets have been little exploited by tropical plant ecologists. Although forest inventories often lack the species-level identifications favoured by tropical plant ecologists, their consistency of measurement and vast spatial coverage make them ideally suited for numerical analyses at large scales, and a valuable resource to describe the still poorly understood spatial variation of biomass, diversity, community composition and forest functioning across the South American tropics. Here we show, by using the seven forest inventories complemented with trait and inventory data collected elsewhere, two dominant gradients in tree composition and function across the Amazon, one paralleling a major gradient in soil fertility and the other paralleling a gradient in dry season length. The data set also indicates that the dominance of Fabaceae in the Guiana shield is not necessarily the result of root adaptations to poor soils (nodulation or ectomycorrhizal associations) but perhaps also the result of their remarkably high seed mass there as a potential adaptation to low rates of disturbance.

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.

Determinants of childhood immunisation coverage in urban poor settlements of Delhi, India: a cross-sectional study.

PubMed

Devasenapathy, Niveditha; Ghosh Jerath, Suparna; Sharma, Saket; Allen, Elizabeth; Shankar, Anuraj H; Zodpey, Sanjay

2016-08-26

Aggregate data on childhood immunisation from urban settings may not reflect the coverage among the urban poor. This study provides information on complete childhood immunisation coverage among the urban poor, and explores its household and neighbourhood-level determinants. Urban poor community in the Southeast district of Delhi, India. We randomly sampled 1849 children aged 1-3.5 years from 13 451 households in 39 clusters (cluster defined as area covered by a community health worker) in 2 large urban poor settlements. Of these, 1343 completed the survey. We collected information regarding childhood immunisation (BCG, oral polio vaccine, diphtheria-pertussis-tetanus vaccine, hepatitis B and measles) from vaccination cards or mothers' recall. We used random intercept logistic regression to explore the sociodemographic determinants of complete immunisation. Complete immunisation coverage was 46.7% and 7.5% were not immunised. The odds of complete vaccination (OR, 95% CI) were lower in female children (0.70 (0.55 to 0.89)) and Muslim households (0.65 (0.45 to 0.94)). The odds of complete vaccination were higher if the mother was literate (1.6 (1.15 to 2.16)), if the child was born within the city (2.7 (1.97 to 3.65)), in a health facility ( 1.5 (1.19 to 2.02)), belonged to the highest wealth quintile (compared with the poorest; 2.46 (1.5 to 4.02)) or possessed a birth certificate (1.40 (1.03 to 1.91)). Cluster effect due to unmeasured neighbourhood factors expressed as median OR was 1.32. Immunisation coverage in this urban poor area was much lower than that of regional surveys reporting overall urban data. Socioeconomic status of the household, female illiteracy, health awareness and gender inequality were important determinants of coverage in this population. Hence, in addition to enhancing the infrastructure for providing mother and child services, efforts are also needed to address these issues in order to improve immunisation coverage in deprived urban communities. CTRI/2011/091/000095. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

[Spatial and temporal analysis of the coverage for neonatal hearing screening in Brazil (2008-2015)].

PubMed

Paschoal, Monique Ramos; Cavalcanti, Hannalice Gottschalck; Ferreira, Maria Ângela Fernandes

2017-11-01

This article seeks to establish the coverage of neonatal hearing screening in Brazil between January 2008 and June 2015. It is an ecological study that uses the country, through the Urban Articulation Regions, as a base. To calculate the screening coverage percentage, the Live Births Information System, the Outpatient Information System and the Beneficiaries of the National Supplementary Health Agency Information System were used. An exploratory analysis of maps and spatial statistical analysis was conducted using TerraView 4.2.2 software. The coverage of neonatal hearing screening saw an increase of 9.3% to 37.2% during the study period. In 2008-2009 it was observed that the percentage of coverage ranged from 0% to 79.92%, but most areas received coverage from 0% to 20%, though in 2014-2015 coverage ranged from 0% to 171.77%, and there was a visible increase in the percentage of coverage in the country, mainly in the Southern Region. The screening coverage has increased over time, but is still low with an uneven distribution in the territory, which may be explained by local laws and policies and by the existence of different types of auditory health service in the country.

Spatial Coverage Planning for Exploration Robots

NASA Technical Reports Server (NTRS)

Gaines, Daniel; Estlin, Tara; Chouinard, Caroline

2007-01-01

A report discusses an algorithm for an onboard planning and execution technology to support the exploration and characterization of geological features by autonomous rovers. A rover that is capable of deciding which observations are more important relieves the engineering team from much of the burden of attempting to make accurate predictions of what the available rover resources will be in the future. Instead, the science and engineering teams can uplink a set of observation requests that may potentially oversubscribe resources and let the rover use observation priorities and its current assessment of available resources to make decisions about which observations to perform and when to perform them. The algorithm gives the rover the ability to model spatial coverage quality based on data from different scientific instruments, to assess the impact of terrain on coverage quality, to incorporate user-defined priorities among subregions of the terrain to be covered, and to update coverage quality rankings of observations when terrain knowledge changes. When the rover is exploring large geographical features such as craters, channels, or boundaries between two different regions, an important factor in assessing the quality of a mission plan is how the set of chosen observations spatially cover the area of interest. The algorithm allows the rover to evaluate which observation to perform and to what extent the candidate observation will increase the spatial coverage of the plan.

Household Coverage of Fortified Staple Food Commodities in Rajasthan, India.

PubMed

Aaron, Grant J; Sodani, Prahlad R; Sankar, Rajan; Fairhurst, John; Siling, Katja; Guevarra, Ernest; Norris, Alison; Myatt, Mark

2016-01-01

A spatially representative statewide survey was conducted in Rajasthan, India to assess household coverage of atta wheat flour, edible oil, and salt. An even distribution of primary sampling units were selected based on their proximity to centroids on a hexagonal grid laid over the survey area. A sample of n = 18 households from each of m = 252 primary sampling units PSUs was taken. Demographic data on all members of these households were collected, and a broader dataset was collected about a single caregiver and a child in the first 2 years of life. Data were collected on demographic and socioeconomic status; education; housing conditions; recent infant and child mortality; water, sanitation, and hygiene practices; food security; child health; infant and young child feeding practices; maternal dietary diversity; coverage of fortified staples; and maternal and child anthropometry. Data were collected from 4,627 households and the same number of caregiver/child pairs. Atta wheat flour was widely consumed across the state (83%); however, only about 7% of the atta wheat flour was classified as fortifiable, and only about 6% was actually fortified (mostly inadequately). For oil, almost 90% of edible oil consumed by households in the survey was classified as fortifiable, but only about 24% was fortified. For salt, coverage was high, with almost 85% of households using fortified salt and 66% of households using adequately fortified salt. Iodized salt coverage was also high; however, rural and poor population groups were less likely to be reached by the intervention. Voluntary fortification of atta wheat flour and edible oil lacked sufficient industry consolidation to cover significant portions of the population. It is crucial that appropriate delivery channels are utilized to effectively deliver essential micronutrients to at-risk population groups. Government distribution systems are likely the best means to accomplish this goal.

How Important Is Connectivity for Surface Water Fluxes? A Generalized Expression for Flow Through Heterogeneous Landscapes

NASA Astrophysics Data System (ADS)

Larsen, Laurel G.; Ma, Jie; Kaplan, David

2017-10-01

How important is hydrologic connectivity for surface water fluxes through heterogeneous floodplains, deltas, and wetlands? While significant for management, this question remains poorly addressed. Here we adopt spatial resistance averaging, based on channel and patch configuration metrics quantifiable from aerial imagery, to produce an upscaled rate law for discharge. Our model suggests that patch coverage largely controls discharge sensitivity, with smaller effects from channel connectivity and vegetation patch fractal dimension. However, connectivity and patch configuration become increasingly important near the percolation threshold and at low water levels. These effects can establish positive feedbacks responsible for substantial flow change in evolving landscapes (14-36%, in our Everglades case study). Connectivity also interacts with other drivers; flow through poorly connected hydroscapes is less resilient to perturbations in other drivers. Finally, we found that flow through heterogeneous patches is alone sufficient to produce non-Manning flow-depth relationships commonly observed in wetlands but previously attributed to depth-varying roughness.

Capabilities and Limitations of Space-Borne Passive Remote Sensing of Dust

NASA Technical Reports Server (NTRS)

Kalashnikova, Olga

2008-01-01

Atmospheric dust particles have significant effects on the climate and the environment and despite notable recent advances in modeling and observation, wind-blown dust radiative effects remain poorly quantified in both magnitude and sign [IPCC, 2001]. To address this issue, many scientists are using passive satellite observations to study dust properties and to constrain emission/transport models, because the information provided is both time-resolved and global in coverage. In order to assess the effects of individual dust outbreaks on atmospheric radiation and circulation, relatively high temporal resolution (of the order of hours or days) is required in the observational data. Data should also be available over large geographical areas, as dust clouds may cover hundreds of thousands of square kilometers and will exhibit significant spatial variation in their vertical structure, composition and optical properties, both between and within dust events. Spatial and temporal data continuity is necessary if the large-scale impact of dust loading on climate over periods ranging from hours to months is to be assessed.

Dynamic Assessment on the Landscape Patterns and Spatio-temporal Change in the mainstream of Tarim River

NASA Astrophysics Data System (ADS)

Zhang, Hui; Xue, Lianqing; Yang, Changbing; Chen, Xinfang; Zhang, Luochen; Wei, Guanghui

2018-01-01

The Tarim River (TR), as the longest inland river at an arid area in China, is a typical regions of vegetation variation research and plays a crucial role in the sustainable development of regional ecological environment. In this paper, the newest dataset of MODND1M NDVI, at a resolution of 500m, were applied to calculate vegetation index in growing season during the period 2000-2015. Using a vegetation coverage index, a trend line analysis, and the local spatial autocorrelation analysis, this paper investigated the landscape patterns and spatio-temporal variation of vegetation coverage at regional and pixel scales over mainstream of the Tarim River, Xinjiang. The results showed that (1) The bare land area on both sides of Tarim River appeared to have a fluctuated downward trend and there were two obvious valley values in 2005 and 2012. (2) Spatially, the vegetation coverage improved areas is mostly distributed in upstream and the degraded areas is mainly distributed in the left bank of midstream and the end of Tarim River during 2000-2005. (3) The local spatial auto-correlation analysis revealed that vegetation coverage was spatially positive autocorrelated and spatial concentrated. The high-high self-related areas are mainly distributed in upstream, where vegetation cover are relatively good, and the low-low self-related areas are mostly with lower vegetation cover in the lower reaches of Tarim River.

Testing domain general learning in an Australian lizard.

PubMed

Qi, Yin; Noble, Daniel W A; Fu, Jinzhong; Whiting, Martin J

2018-06-02

A key question in cognition is whether animals that are proficient in a specific cognitive domain (domain specific hypothesis), such as spatial learning, are also proficient in other domains (domain general hypothesis) or whether there is a trade-off. Studies testing among these hypotheses are biased towards mammals and birds. To understand constraints on the evolution of cognition more generally, we need broader taxonomic and phylogenetic coverage. We used Australian eastern water skinks (Eulamprus quoyii) with known spatial learning ability in three additional tasks: an instrumental and two discrimination tasks. Under domain specific learning we predicted that lizards that were good at spatial learning would perform less well in the discrimination tasks. Conversely, we predicted that lizards that did not meet our criterion for spatial learning would likewise perform better in discrimination tasks. Lizards with domain general learning should perform approximately equally well (or poorly) in these tasks. Lizards classified as spatial learners performed no differently to non-spatial learners in both the instrumental and discrimination learning tasks. Nevertheless, lizards were proficient in all tasks. Our results reveal two patterns: domain general learning in spatial learners and domain specific learning in non-spatial learners. We suggest that delineating learning into domain general and domain specific may be overly simplistic and we need to instead focus on individual variation in learning ability, which ultimately, is likely to play a key role in fitness. These results, in combination with previously published work on this species, suggests that this species has behavioral flexibility because they are competent across multiple cognitive domains and are capable of reversal learning.

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.

Spatio-temporal variation of methane over Indian region: Seasonal and inter-annual variation .

NASA Astrophysics Data System (ADS)

M, K.; Nair, P. R.

2015-12-01

Methane (CH4) has an important role in the radiation budget and chemistry in the lower and middle atmosphere as a greenhouse and reactive trace gas. The rapid developments in the agriculture and industry over India have lead to the emission of many pollutants like CO, O3, CH4, CO2, SO2 etc into the atmosphere. However, their sources, sinks and concentration levels are poorly understood because of the lack of systematic sampling and monitoring. The advent of satellite remote sensing has helped to analyze the chemical composition of atmosphere with good spatial coverage especially over tropical region which was poorly sampled with the existing surface network. This work attempts an analysis of spatial distribution, seasonal cycle and inter annual variation of CH4 over Indian region during 2003-2009 using SCIAMACHY data onboard ENVISAT. Column CH4 varies from 1740-1890 ppbv over Indian region with distinct spatial and temporal features. We observed a dependence of seasonal CH4 variation on rice cultivation, convective activities and changes in boundary layer characteristics. The comparative study using satellite, aircraft and surface measurement shown CH4 has non-homogeneity in its distribution and seasonal variation in different layers of atmosphere. A comparative study of CH4 at different hot spot regions over the globe was carried out which showed prominent hemispherical variations. Large spread in column CH4 was observed at India and Chinese region compared to other regions with a significant seasonal variability. This study points to the blending of satellite, aircraft and surface measurements for the realization of regional distribution of CH4.

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.

Informal employment and health status in Central America.

PubMed

López-Ruiz, María; Artazcoz, Lucía; Martínez, José Miguel; Rojas, Marianela; Benavides, Fernando G

2015-07-24

Informal employment is assumed to be an important but seldom studied social determinant of health, affecting a large number of workers around the world. Although informal employment arrangements constitute a permanent, structural pillar of many labor markets in low- and middle-income countries, studies about its relationship with health status are still scarce. In Central America more than 60% of non-agricultural workers have informal employment. Therefore, we aimed to assess differences in self-perceived and mental health status of Central Americans with different patterns of informal and formal employment. Employment profiles were created by combining employment relations (employees, self-employed, employers), social security coverage (yes/no) and type of contract--only for employees--(written, oral, none), in a cross-sectional study of 8,823 non-agricultural workers based on the I Central American Survey of Working Conditions and Health of 2011. Using logistic regression models, adjusted odds ratios (aOR) by country, age and occupation, of poor self-perceived and mental health were calculated by sex. Different models were first fitted separately for the three dimensions of employment conditions, then for employment profiles as independent variables. Poor self-perceived health was reported by 34% of women and 27% of men, and 30% of women and 26% of men reported poor mental health. Lack of social security coverage was associated with poor self-perceived health (women, aOR: 1.38, 95% CI: 1.13-1.67; men, aOR: 1.36, 95% CI: 1.13-1.63). Almost all employment profiles with no social security coverage were significantly associated with poor self-perceived and poor mental health in both sexes. Our results show that informal employment is a significant factor in social health inequalities among Central American workers, which could be diminished by policies aimed at increasing social security coverage.

Insurance coverage and financial burden for families of children with special health care needs.

PubMed

Chen, Alex Y; Newacheck, Paul W

2006-01-01

To examine the role of insurance coverage in protecting families of children with special health care needs (CSHCN) from the financial burden associated with care. Data from the 2001 National Survey of Children with Special Health Care Needs were analyzed. We built 2 multivariate regression models by using "work loss/cut back" and "experiencing financial problems" as the dependent variables, and insurance status as the primary independent variable of interest while adjusting for income, race/ethnicity, functional limitation/severity, and other sociodemographic predictors. Approximately 29.9% of CSHCN live in families where their condition led parents to report cutting back on work or stopping work completely. Families of 20.9% of CSHCN reported experiencing financial difficulties due to the child's condition. Insurance coverage significantly reduced the likelihood of financial problems for families at every income level. The proportion of families experiencing financial problems was reduced from 35.7% to 23.0% for the poor and 44.9% to 24.5% for low-income families with continuous insurance coverage (P < .01 for both comparisons). Similarly, the proportion of parents having to cut back or stop work was reduced from 42.8% to 35.9% for the poor (P < .05) and 43.5% to 33.9% for low-income families (P < .01). Continuous health insurance coverage provides protection from financial burden and hardship for families of CSHCN in all income groups. This evidence is supportive of policies designed to promote universal coverage for CSHCN. However, many poor and low-income families continue to experience work loss and financial problems despite insurance coverage. Hence, health insurance should not be viewed as a solution in itself, but instead as one element of a comprehensive strategy to provide financial safety for families with CSHCN.

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

AirMSPI ORACLES Terrain Data V006

Atmospheric Science Data Center

2018-05-05

... ER-2 Instrument:  AirMSPI Spatial Coverage:  United States, California, Georgia, Africa, Southern Africa, ... 10/25 meters per pixel Temporal Coverage:  07/28/2016 - 10/06/2016 Temporal Resolution:  ...

Upper Mantle Seismic Structure for NE Tibet From Multiscale Tomography Method

NASA Astrophysics Data System (ADS)

Guo, B.; Liu, Q.; Chen, J.

2013-12-01

In the real seismic experiments, the spatial sampling of rays inside the studied volume is basically nonuniform because of the unequispaced distribution of the seismic stations as well as the earthquake events. The conventional seismic tomography schemes adopt fixed size of cells or grid spacing while the actual resolution varies. As a result, either the phantom velocity anomalies may be aroused in regions that are poorly illuminated by the seismic rays, or the best detailed velocity model is unable to be extracted from those with fine ray coverage. We present an adaptive wavelet parameterization solution for three-dimensional traveltime seismic tomography problem and apply it to the study of the tectonics in the Northeast Tibet region. Different from the traditional parameterization schemes, we discretize the velocity model in terms of the Haar wavelets and the parameters are adjusted adaptively based on both the density and the azimuthal coverage of rays. Therefore, the fine grids are used in regions with the good data coverage, whereas the poorly resolved areas are represented by the coarse grids. Using the traveltime data recorded by the portable seismic array and the regional seismic network in the northeastern Tibet area, we investigate the P wave velocity structure of the crust and upper mantle. Our results show that the structure of the crust and upper mantle in the northeastern Tibet region manifests a strong laterally inhomogeneity, which appears not only in the adjacent areas between the different blocks, but also within each block. The velocity of the crust and upper mantle is highly different between the northeastern Tibet and the Ordos plateau. Of these two regions, the former possesses a low-velocity feature while the latter is referred to a high-velocity pattern. Between the northeastern Tibet and the Ordos plateau, there is a transition zone of about 200km wide, which is associated with an extremely complex velocity structure in crust and upper mantle.

The contribution of poor and rural populations to national trends in reproductive, maternal, newborn, and child health coverage: analyses of cross-sectional surveys from 64 countries.

PubMed

Victora, Cesar G; Barros, Aluisio J D; França, Giovanny V A; da Silva, Inácio C M; Carvajal-Velez, Liliana; Amouzou, Agbessi

2017-04-01

Coverage levels for essential interventions aimed at reducing deaths of mothers and children are increasing steadily in most low-income and middle-income countries. We assessed how much poor and rural populations in these countries are benefiting from national-level progress. We analysed trends in a composite coverage indicator (CCI) based on eight reproductive, maternal, newborn, and child health interventions in 209 national surveys in 64 countries, from Jan 1, 1994, to Dec 31, 2014. Trends by wealth quintile and urban or rural residence were fitted with multilevel modelling. We used an approach akin to the calculation of population attributable risk to quantify the contribution of poor and rural populations to national trends. From 1994 to 2014, the CCI increased by 0·82 percent points a year across all countries; households in the two poorest quintiles had an increase of 0·99 percent points a year, which was faster than that for the three wealthiest quintiles (0·68 percent points). Gains among poor populations were faster in lower-middle-income and upper-middle-income countries than in low-income countries. Globally, national level increases in CCI were 17·5% faster than they would have been without the contribution of the two poorest quintiles. Coverage increased more rapidly annually in rural (0·93 percent points) than urban (0·52 percent points) areas. National coverage gains were accelerated by important increases among poor and rural mothers and children. Despite progress, important inequalities persist, and need to be addressed to achieve the Sustainable Development Goals. UNICEF, Wellcome Trust. Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.

Closing the Gap Between Formal and Material Health Care Coverage in Colombia

PubMed Central

García, Johnattan

2016-01-01

Abstract This paper explores Colombia’s road toward universal health care coverage. Using a policy-based approach, we show how, in Colombia, the legal expansion of health coverage is not sufficient and requires the development of appropriate and effective institutions. We distinguish between formal and material health coverage in order to underscore that, despite the rapid legal expansion of health care coverage, a considerable number of Colombians—especially those living in poor regions of the country—still lack material access to health care services. As a result of this gap between formal and material coverage, an individual living in a rich region has a much better chance of accessing basic health care than an inhabitant of a poor region. This gap between formal and material health coverage has also resulted in hundreds of thousands of citizens filing lawsuits—tutelas—demanding access to medications and treatments that are covered by the health system, but that health insurance companies—also known as EPS— refuse to provide. We explore why part of the population that is formally insured is still unable to gain material access to health care and has to litigate in order to access mandatory health services. We conclude by discussing the current policy efforts to reform the health sector in order to achieve material, universal health care coverage. PMID:28559676

Recreational-Grade Sidescan Sonar: Transforming a Low-Cost Leisure Gadget into a High Resolution Riverbed Remote Sensing Tool

NASA Astrophysics Data System (ADS)

Hamill, D. D.; Buscombe, D.; Wheaton, J. M.; Wilcock, P. R.

2016-12-01

The size and spatial organization of bed material, bed texture, is a fundamental physical attribute of lotic ecosystems. Traditional methods to map bed texture (such as physical samples and underwater video) are limited by low spatial coverage, and poor precision in positioning. Recreational grade sidescan sonar systems now offer the possibility of imaging submerged riverbed sediments at coverages and resolutions sufficient to identify subtle changes in bed texture, in any navigable body of water, with minimal cost, expertise in sonar, or logistical effort, thereby facilitating the democratization of acoustic imaging of benthic environments, to support ecohydrological studies in shallow water, not subject to the rigors of hydrographic standards, nor the preserve of hydroacoustic expertise and proprietary hydrographic industry software. We investigate the possibility of using recreational grade sidescan sonar for sedimentary change detection using a case study of repeat sidescan imaging of mixed sand-gravel-rock riverbeds in a debris-fan dominated canyon river, at a coverage and resolution that meets the objectives of studies of the effects of changing bed substrates on salmonid spawning. A repeat substrate mapping analysis on data collected between 2012 and 2015 on the Colorado River in Glen, Marble, and Grand Canyons will be presented. A detailed method has been developed to interpret and analyze non-survey-grade sidescan sonar data, encoded within an open source software tool developed by the authors. An automated technique to quantify bed texture directly from sidescan sonar imagery is tested against bed sediment observations from underwater video and multibeam sonar. Predictive relationships between known bed sediment observations and bed texture metrics could provide an objective means to quantify bed textures and to relate changes in bed texture to biological components of an aquatic ecosystem, at high temporal frequency, and with minimal logistical effort and cost.

The impact of transport model differences on CO2 surface flux estimates from OCO-2 retrievals of column average CO2

NASA Astrophysics Data System (ADS)

Basu, Sourish; Baker, David F.; Chevallier, Frédéric; Patra, Prabir K.; Liu, Junjie; Miller, John B.

2018-05-01

We estimate the uncertainty of CO2 flux estimates in atmospheric inversions stemming from differences between different global transport models. Using a set of observing system simulation experiments (OSSEs), we estimate this uncertainty as represented by the spread between five different state-of-the-art global transport models (ACTM, LMDZ, GEOS-Chem, PCTM and TM5), for both traditional in situ CO2 inversions and inversions of XCO2 estimates from the Orbiting Carbon Observatory 2 (OCO-2). We find that, in the absence of relative biases between in situ CO2 and OCO-2 XCO2, OCO-2 estimates of terrestrial flux for TRANSCOM-scale land regions can be more robust to transport model differences than corresponding in situ CO2 inversions. This is due to a combination of the increased spatial coverage of OCO-2 samples and the total column nature of OCO-2 estimates. We separate the two effects by constructing hypothetical in situ networks with the coverage of OCO-2 but with only near-surface samples. We also find that the transport-driven uncertainty in fluxes is comparable between well-sampled northern temperate regions and poorly sampled tropical regions. Furthermore, we find that spatiotemporal differences in sampling, such as between OCO-2 land and ocean soundings, coupled with imperfect transport, can produce differences in flux estimates that are larger than flux uncertainties due to transport model differences. This highlights the need for sampling with as complete a spatial and temporal coverage as possible (e.g., using both land and ocean retrievals together for OCO-2) to minimize the impact of selective sampling. Finally, our annual and monthly estimates of transport-driven uncertainties can be used to evaluate the robustness of conclusions drawn from real OCO-2 and in situ CO2 inversions.

High-resolution whole-brain DCE-MRI using constrained reconstruction: Prospective clinical evaluation in brain tumor patients.

PubMed

Guo, Yi; Lebel, R Marc; Zhu, Yinghua; Lingala, Sajan Goud; Shiroishi, Mark S; Law, Meng; Nayak, Krishna

2016-05-01

To clinically evaluate a highly accelerated T1-weighted dynamic contrast-enhanced (DCE) MRI technique that provides high spatial resolution and whole-brain coverage via undersampling and constrained reconstruction with multiple sparsity constraints. Conventional (rate-2 SENSE) and experimental DCE-MRI (rate-30) scans were performed 20 minutes apart in 15 brain tumor patients. The conventional clinical DCE-MRI had voxel dimensions 0.9 × 1.3 × 7.0 mm(3), FOV 22 × 22 × 4.2 cm(3), and the experimental DCE-MRI had voxel dimensions 0.9 × 0.9 × 1.9 mm(3), and broader coverage 22 × 22 × 19 cm(3). Temporal resolution was 5 s for both protocols. Time-resolved images and blood-brain barrier permeability maps were qualitatively evaluated by two radiologists. The experimental DCE-MRI scans showed no loss of qualitative information in any of the cases, while achieving substantially higher spatial resolution and whole-brain spatial coverage. Average qualitative scores (from 0 to 3) were 2.1 for the experimental scans and 1.1 for the conventional clinical scans. The proposed DCE-MRI approach provides clinically superior image quality with higher spatial resolution and coverage than currently available approaches. These advantages may allow comprehensive permeability mapping in the brain, which is especially valuable in the setting of large lesions or multiple lesions spread throughout the brain.

[Estimation of desert vegetation coverage based on multi-source remote sensing data].

PubMed

Wan, Hong-Mei; Li, Xia; Dong, Dao-Rui

2012-12-01

Taking the lower reaches of Tarim River in Xinjiang of Northwest China as study areaAbstract: Taking the lower reaches of Tarim River in Xinjiang of Northwest China as study area and based on the ground investigation and the multi-source remote sensing data of different resolutions, the estimation models for desert vegetation coverage were built, with the precisions of different estimation methods and models compared. The results showed that with the increasing spatial resolution of remote sensing data, the precisions of the estimation models increased. The estimation precision of the models based on the high, middle-high, and middle-low resolution remote sensing data was 89.5%, 87.0%, and 84.56%, respectively, and the precisions of the remote sensing models were higher than that of vegetation index method. This study revealed the change patterns of the estimation precision of desert vegetation coverage based on different spatial resolution remote sensing data, and realized the quantitative conversion of the parameters and scales among the high, middle, and low spatial resolution remote sensing data of desert vegetation coverage, which would provide direct evidence for establishing and implementing comprehensive remote sensing monitoring scheme for the ecological restoration in the study area.

Mentoring Temporal and Spatial Variations in Rainfall across Wadi Ar-Rumah, Saudi Arabia

NASA Astrophysics Data System (ADS)

Alharbi, T.; Ahmed, M.

2015-12-01

Across the Kingdom of Saudi Arabia (KSA), the fresh water resources are limited only to those found in aquifer systems. Those aquifers were believed to be recharged during the previous wet climatic period but still receiving modest local recharge in interleaving dry periods such as those prevailing at present. Quantifying temporal and spatial variabilities in rainfall patterns, magnitudes, durations, and frequencies is of prime importance when it comes to sustainable management of such aquifer systems. In this study, an integrated approach, using remote sensing and field data, was used to assess the past, the current, and the projected spatial and temporal variations in rainfall over one of the major watersheds in KSA, Wadi Ar-Rumah. This watershed was selected given its larger areal extent and population intensity. Rainfall data were extracted from (1) the Climate Prediction Centers (CPC) Merged Analysis of Precipitation (CMAP; spatial coverage: global; spatial resolution: 2.5° × 2.5°; temporal coverage: January 1979 to April 2015; temporal resolution: monthly), and (2) the Tropical Rainfall Measuring Mission (TRMM; spatial coverage: 50°N to 50°S; spatial resolution: 0.25° × 0.25°; temporal coverage: January 1998 to March 2015; temporal resolution: 3 hours) and calibrated against rainfall measurements extracted from rain gauges. Trends in rainfall patterns were examined over four main investigation periods: period I (01/1979 to 12/1985), period II (01/1986 to 12/1992), period III (01/1993 to 12/2002), and period IV (01/2003 to 12/2014). Our findings indicate: (1) a significant increase (+14.19 mm/yr) in rainfall rates were observed during period I, (2) a significant decrease in rainfall rates were observed during periods II (-5.80 mm/yr), III (-9.38 mm/yr), and IV (-2.46 mm/yr), and (3) the observed variations in rainfall rates are largely related to the temporal variations in the northerlies (also called northwesterlies) and the monsoonal wind regimes.

Integrated approach using multi-platform sensors for enhanced high-resolution daily ice cover product

NASA Astrophysics Data System (ADS)

Bonev, George; Gladkova, Irina; Grossberg, Michael; Romanov, Peter; Helfrich, Sean

2016-09-01

The ultimate objective of this work is to improve characterization of the ice cover distribution in the polar areas, to improve sea ice mapping and to develop a new automated real-time high spatial resolution multi-sensor ice extent and ice edge product for use in operational applications. Despite a large number of currently available automated satellite-based sea ice extent datasets, analysts at the National Ice Center tend to rely on original satellite imagery (provided by satellite optical, passive microwave and active microwave sensors) mainly because the automated products derived from satellite optical data have gaps in the area coverage due to clouds and darkness, passive microwave products have poor spatial resolution, automated ice identifications based on radar data are not quite reliable due to a considerable difficulty in discriminating between the ice cover and rough ice-free ocean surface due to winds. We have developed a multisensor algorithm that first extracts maximum information on the sea ice cover from imaging instruments VIIRS and MODIS, including regions covered by thin, semitransparent clouds, then supplements the output by the microwave measurements and finally aggregates the results into a cloud gap free daily product. This ability to identify ice cover underneath thin clouds, which is usually masked out by traditional cloud detection algorithms, allows for expansion of the effective coverage of the sea ice maps and thus more accurate and detailed delineation of the ice edge. We have also developed a web-based monitoring system that allows comparison of our daily ice extent product with the several other independent operational daily products.

Seasonal Dependence of Geomagnetic Active-Time Northern High-Latitude Upper Thermospheric Winds

NASA Astrophysics Data System (ADS)

Dhadly, Manbharat S.; Emmert, John T.; Drob, Douglas P.; Conde, Mark G.; Doornbos, Eelco; Shepherd, Gordon G.; Makela, Jonathan J.; Wu, Qian; Nieciejewski, Richard J.; Ridley, Aaron J.

2018-01-01

This study is focused on improving the poorly understood seasonal dependence of northern high-latitude F region thermospheric winds under active geomagnetic conditions. The gaps in our understanding of the dynamic high-latitude thermosphere are largely due to the sparseness of thermospheric wind measurements. With current observational facilities, it is infeasible to construct a synoptic picture of thermospheric winds, but enough data with wide spatial and temporal coverage have accumulated to construct a meaningful statistical analysis. We use long-term data from eight ground-based and two space-based instruments to derive climatological wind patterns as a function of magnetic local time, magnetic latitude, and season. These diverse data sets possess different geometries and different spatial and solar activity coverage. The major challenge is to combine these disparate data sets into a coherent picture while overcoming the sampling limitations and biases among them. In our previous study (focused on quiet time winds), we found bias in the Gravity Field and Steady State Ocean Circulation Explorer (GOCE) cross-track winds. Here we empirically quantify the GOCE bias and use it as a correction profile for removing apparent bias before empirical wind formulation. The assimilated wind patterns exhibit all major characteristics of high-latitude neutral circulation. The latitudinal extent of duskside circulation expands almost 10∘ from winter to summer. The dawnside circulation subsides from winter to summer. Disturbance winds derived from geomagnetic active and quiet winds show strong seasonal and latitudinal variability. Comparisons between wind patterns derived here and Disturbance Wind Model (DWM07) (which have no seasonal dependence) suggest that DWM07 is skewed toward summertime conditions.

Divergent and nonuniform gene expression patterns in mouse brain

PubMed Central

Morris, John A.; Royall, Joshua J.; Bertagnolli, Darren; Boe, Andrew F.; Burnell, Josh J.; Byrnes, Emi J.; Copeland, Cathy; Desta, Tsega; Fischer, Shanna R.; Goldy, Jeff; Glattfelder, Katie J.; Kidney, Jolene M.; Lemon, Tracy; Orta, Geralyn J.; Parry, Sheana E.; Pathak, Sayan D.; Pearson, Owen C.; Reding, Melissa; Shapouri, Sheila; Smith, Kimberly A.; Soden, Chad; Solan, Beth M.; Weller, John; Takahashi, Joseph S.; Overly, Caroline C.; Lein, Ed S.; Hawrylycz, Michael J.; Hohmann, John G.; Jones, Allan R.

2010-01-01

Considerable progress has been made in understanding variations in gene sequence and expression level associated with phenotype, yet how genetic diversity translates into complex phenotypic differences remains poorly understood. Here, we examine the relationship between genetic background and spatial patterns of gene expression across seven strains of mice, providing the most extensive cellular-resolution comparative analysis of gene expression in the mammalian brain to date. Using comprehensive brainwide anatomic coverage (more than 200 brain regions), we applied in situ hybridization to analyze the spatial expression patterns of 49 genes encoding well-known pharmaceutical drug targets. Remarkably, over 50% of the genes examined showed interstrain expression variation. In addition, the variability was nonuniformly distributed across strain and neuroanatomic region, suggesting certain organizing principles. First, the degree of expression variance among strains mirrors genealogic relationships. Second, expression pattern differences were concentrated in higher-order brain regions such as the cortex and hippocampus. Divergence in gene expression patterns across the brain could contribute significantly to variations in behavior and responses to neuroactive drugs in laboratory mouse strains and may help to explain individual differences in human responsiveness to neuroactive drugs. PMID:20956311

Health coverage instability for mothers in working families.

PubMed

Anderson, Steven G; Eamon, Mary Keegan

2004-07-01

Using data from the National Longitudinal Survey of Youth, the authors examined the health insurance coverage stability of 1,667 women in working families over a three-year period (1995-1997). Findings revealed that coverage instability is common. Nearly one-half of low-income women experienced health coverage instability over the three-year study period, and low-income women with poor education, single marital status, low work hours, and frequent job changes were at even greater risk of coverage instability. The findings also imply that women affected by recent welfare reforms are likely to experience widespread health coverage problems. The implications for health care policy development, social work administration, and social work practice are discussed.

Health Care Access and Utilization Among Adults Aged 18-64, by Poverty Level: United States, 2013-2015.

PubMed

Martinez, Michael E; Ward, Brian W

2016-10-01

Data from the National Health Interview Survey, 2013-2015 •From 2013 through 2015, the percentage of adults aged 18-64 who were uninsured at the time of interview decreased for poor (40.0% to 26.2%), near-poor (37.8% to 23.9%), and not-poor (11.7% to 7.7%) adults. •The percentage of adults aged 18-64 who had a usual place to go for medical care increased for poor (66.9% to 73.6%) and near-poor (71.1% to 75.9%) adults. •The percentage of adults aged 18-64 who had seen or talked to a health professional in the past 12 months increased for poor (73.2% to 75.8%) and near-poor (71.9% to 75.9%) adults. •The percentage of adults aged 18-64 who did not obtain needed medical care due to cost at some time during the past 12 months decreased for poor (16.8% to 12.4%), near-poor (14.6% to 11.0%), and not-poor (4.9% to 3.8%) adults. In 2014, U.S. adults could purchase a private health insurance plan through the Health Insurance Marketplace or state-based exchanges established as part of the Affordable Care Act (ACA). Additionally, under ACA some states opted to expand Medicaid coverage to low-income adults. Individuals living in or near poverty may have benefited disproportionately from these changes given their lower rates of health insurance coverage (1). Data from the 2013-2015 National Health Interview Survey (NHIS) are used to describe recent changes in health insurance coverage and selected measures of health care access and utilization for adults aged 18-64 by family poverty level. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

High-resolution whole-brain DCE-MRI using constrained reconstruction: Prospective clinical evaluation in brain tumor patients

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

Guo, Yi, E-mail: yiguo@usc.edu; Zhu, Yinghua; Lingala, Sajan Goud

Purpose: To clinically evaluate a highly accelerated T1-weighted dynamic contrast-enhanced (DCE) MRI technique that provides high spatial resolution and whole-brain coverage via undersampling and constrained reconstruction with multiple sparsity constraints. Methods: Conventional (rate-2 SENSE) and experimental DCE-MRI (rate-30) scans were performed 20 minutes apart in 15 brain tumor patients. The conventional clinical DCE-MRI had voxel dimensions 0.9 × 1.3 × 7.0 mm{sup 3}, FOV 22 × 22 × 4.2 cm{sup 3}, and the experimental DCE-MRI had voxel dimensions 0.9 × 0.9 × 1.9 mm{sup 3}, and broader coverage 22 × 22 × 19 cm{sup 3}. Temporal resolution was 5 smore » for both protocols. Time-resolved images and blood–brain barrier permeability maps were qualitatively evaluated by two radiologists. Results: The experimental DCE-MRI scans showed no loss of qualitative information in any of the cases, while achieving substantially higher spatial resolution and whole-brain spatial coverage. Average qualitative scores (from 0 to 3) were 2.1 for the experimental scans and 1.1 for the conventional clinical scans. Conclusions: The proposed DCE-MRI approach provides clinically superior image quality with higher spatial resolution and coverage than currently available approaches. These advantages may allow comprehensive permeability mapping in the brain, which is especially valuable in the setting of large lesions or multiple lesions spread throughout the brain.« less

Factors Impacting Spatial Patterns of Snow Distribution in a Small Catchment near Nome, AK

NASA Astrophysics Data System (ADS)

Chen, M.; Wilson, C. J.; Charsley-Groffman, L.; Busey, R.; Bolton, W. R.

2017-12-01

Snow cover plays an important role in the climate, hydrology and ecological systems of the Arctic due to its influence on the water balance, thermal regimes, vegetation and carbon flux. Thus, snow depth and coverage have been key components in all the earth system models but are often poorly represented for arctic regions, where fine scale snow distribution data is sparse. The snow data currently used in the models is at coarse resolution, which in turn leads to high uncertainty in model predictions. Through the DOE Office of Science Next Generation Ecosystem Experiment, NGEE-Arctic, high resolution snow distribution data is being developed and applied in catchment scale models to ultimately improve representation of snow and its interactions with other model components in the earth system models . To improve these models, it is important to identify key factors that control snow distribution and quantify the impacts of those factors on snow distribution. In this study, two intensive snow depth surveys (1 to 10 meters scale) were conducted for a 2.3 km2 catchment on the Teller road, near Nome, AK in the winter of 2016 and 2017. We used a statistical model to quantify the impacts of vegetation types, macro-topography, micro-topography, and meteorological parameters on measured snow depth. The results show that snow spatial distribution was similar between 2016 and 2017, snow depth was spatially auto correlated over small distance (2-5 meters), but not spatially auto correlated over larger distance (more than 2-5 meters). The coefficients of variation of snow depth was above 0.3 for all the snow survey transects (500-800 meters long). Variation of snow depth is governed by vegetation height, aspect, slope, surface curvature, elevation and wind speed and direction. We expect that this empirical statistical model can be used to estimate end of winter snow depth for the whole watershed and will further develop the model using data from other arctic regions to estimate seasonally dynamic snow coverage and properties for use in catchment scale to pan-Arctic models.

State of inequality in malaria intervention coverage in sub-Saharan African countries.

PubMed

Galactionova, Katya; Smith, Thomas A; de Savigny, Don; Penny, Melissa A

2017-10-18

Scale-up of malaria interventions over the last decade have yielded a significant reduction in malaria transmission and disease burden in sub-Saharan Africa. We estimated economic gradients in the distribution of these efforts and of their impacts within and across endemic countries. Using Demographic and Health Surveys we computed equity metrics to characterize the distribution of malaria interventions in 30 endemic countries proxying economic position with an asset-wealth index. Gradients were summarized in a concentration index, tabulated against level of coverage, and compared among interventions, across countries, and against respective trends over the period 2005-2015. There remain broad differences in coverage of malaria interventions and their distribution by wealth within and across countries. In most, economic gradients are lacking or favor the poorest for vector control; malaria services delivered through the formal healthcare sector are much less equitable. Scale-up of interventions in many countries improved access across the wealth continuum; in some, these efforts consistently prioritized the poorest. Expansions in control programs generally narrowed coverage gaps between economic strata; gradients persist in countries where growth was slower in the poorest quintile or where baseline inequality was large. Despite progress, malaria is consistently concentrated in the poorest, with the degree of inequality in burden far surpassing that expected given gradients in the distribution of interventions. Economic gradients in the distribution of interventions persist over time, limiting progress toward equity in malaria control. We found that, in countries with large baseline inequality in the distribution of interventions, even a small bias in expansion favoring the least poor yielded large gradients in intervention coverage while pro-poor growth failed to close the gap between the poorest and least poor. We demonstrated that dimensions of disadvantage compound for the poor; a lack of economic gradients in the distribution of malaria services does not translate to equity in coverage nor can it be interpreted to imply equity in distribution of risk or disease burden. Our analysis testifies to the progress made by countries in narrowing economic gradients in malaria interventions and highlights the scope for continued monitoring of programs with respect to equity.

Inequities and their determinants in coverage of maternal health services in Burkina Faso.

PubMed

Mwase, Takondwa; Brenner, Stephan; Mazalale, Jacob; Lohmann, Julia; Hamadou, Saidou; Somda, Serge M A; Ridde, Valery; De Allegri, Manuela

2018-05-11

Poor and marginalized segments of society often display the worst health status due to limited access to health enhancing interventions. It follows that in order to enhance the health status of entire populations, inequities in access to health care services need to be addressed as an inherent element of any effort targeting Universal Health Coverage. In line with this observation and the need to generate evidence on the equity status quo in sub-Saharan Africa, we assessed the magnitude of the inequities and their determinants in coverage of maternal health services in Burkina Faso. We assessed coverage for three basic maternal care services (at least four antenatal care visits, facility-based delivery, and at least one postnatal care visit) using data from a cross-sectional household survey including a total of 6655 mostly rural, poor women who had completed a pregnancy in the 24 months prior to the survey date. We assessed equity along the dimensions of household wealth, distance to the health facility, and literacy using both simple comparative measures and concentration indices. We also ran hierarchical random effects regression to confirm the presence or absence of inequities due to household wealth, distance, and literacy, while controlling for potential confounders. Coverage of facility based delivery was high (89%), but suboptimal for at least four antenatal care visits (44%) and one postnatal care visit (53%). We detected inequities along the dimensions of household wealth, literacy and distance. Service coverage was higher among the least poor, those who were literate, and those living closer to a health facility. We detected a significant positive association between household wealth and all outcome variables, and a positive association between literacy and facility-based delivery. We detected a negative association between living farther away from the catchment facility and all outcome variables. Existing inequities in maternal health services in Burkina Faso are likely going to jeopardize the achievement of Universal Health Coverage. It is important that policy makers continue to strengthen and monitor the implementation of strategies that promote proportionate universalism and forge multi-sectoral approach in dealing with social determinants of inequities in maternal health services coverage.

Validation of Satellite Retrieved Land Surface Variables

NASA Technical Reports Server (NTRS)

Lakshmi, Venkataraman; Susskind, Joel

1999-01-01

The effective use of satellite observations of the land surface is limited by the lack of high spatial resolution ground data sets for validation of satellite products. Recent large scale field experiments include FIFE, HAPEX-Sahel and BOREAS which provide us with data sets that have large spatial coverage and long time coverage. It is the objective of this paper to characterize the difference between the satellite estimates and the ground observations. This study and others along similar lines will help us in utilization of satellite retrieved data in large scale modeling studies.

A multiprofessional perspective on the principal barriers to universal health coverage and universal access to health in extremely poor territories: the contributions of nursing1

PubMed Central

de França, Viviane Helena; Modena, Celina Maria; Confalonieri, Ulisses Eugenio Cavalcanti

2016-01-01

Objective: to investigate the knowledge of managers and health professionals, social workers and education professionals regarding the principal barriers to universal health coverage and universal access to health on the part of the extremely poor population; and to point to the contributions made by nursing for the promotion of this right. Method: a qualitative study whose reference was, for ensuring the right to health, the reorientation of the Brazilian Unified Health System (SUS) towards universal coverage and access in these territories. Interviews were held with 27 members of the multi-professional team of a municipality with high social vulnerability. The data were worked on using thematic content analysis. Results: the following were ascertained as the principal barriers to universal health coverage and access to health: failures in the expansion and strengthening of the services; absence of diagnosis of the priority demands; shortage of technology, equipment, and material and human resources; poor local infrastructure; and actions with low resolutive power and absence of interdepartmental policies. Within the multi-professional team, nursing acts in the SUS in unique health actions and social practices in these territories, presenting an in-depth perspective on this harsh reality, being able to contribute with indispensable support for confronting these disparities in universal health coverage and universal access to health. Conclusion: nursing's in-depth understanding regarding these barriers is essential for encouraging the processes reorienting the SUS, geared towards equality in the right to health. PMID:27143541

Coverage vs Frequency : Is Spatial Coverage or Temporal Frequency More Impactful on Transit Ridership?

DOT National Transportation Integrated Search

2017-08-01

Transit ridership has long been studied, and the findings are concisely elucidated by Taylor & Fink (2003) when they say To sum, transit ridership is largely, though not completely, a product of factors outside the control of transit managers. ...

Coverage of Large-Scale Food Fortification of Edible Oil, Wheat Flour, and Maize Flour Varies Greatly by Vehicle and Country but Is Consistently Lower among the Most Vulnerable: Results from Coverage Surveys in 8 Countries123

PubMed Central

Aaron, Grant J; Friesen, Valerie M; Jungjohann, Svenja; Garrett, Greg S; Myatt, Mark

2017-01-01

Background: Large-scale food fortification (LSFF) of commonly consumed food vehicles is widely implemented in low- and middle-income countries. Many programs have monitoring information gaps and most countries fail to assess program coverage. Objective: The aim of this work was to present LSFF coverage survey findings (overall and in vulnerable populations) from 18 programs (7 wheat flour, 4 maize flour, and 7 edible oil programs) conducted in 8 countries between 2013 and 2015. Methods: A Fortification Assessment Coverage Toolkit (FACT) was developed to standardize the assessments. Three indicators were used to assess the relations between coverage and vulnerability: 1) poverty, 2) poor dietary diversity, and 3) rural residence. Three measures of coverage were assessed: 1) consumption of the vehicle, 2) consumption of a fortifiable vehicle, and 3) consumption of a fortified vehicle. Individual program performance was assessed based on the following: 1) achieving overall coverage ≥50%, 2) achieving coverage of ≥75% in ≥1 vulnerable group, and 3) achieving equity in coverage for ≥1 vulnerable group. Results: Coverage varied widely by food vehicle and country. Only 2 of the 18 LSFF programs assessed met all 3 program performance criteria. The 2 main program bottlenecks were a poor choice of vehicle and failure to fortify a fortifiable vehicle (i.e., absence of fortification). Conclusions: The results highlight the importance of sound program design and routine monitoring and evaluation. There is strong evidence of the impact and cost-effectiveness of LSFF; however, impact can only be achieved when the necessary activities and processes during program design and implementation are followed. The FACT approach fills an important gap in the availability of standardized tools. The LSFF programs assessed here need to be re-evaluated to determine whether to further invest in the programs, whether other vehicles are appropriate, and whether other approaches are needed. PMID:28404836

Coverage of Large-Scale Food Fortification of Edible Oil, Wheat Flour, and Maize Flour Varies Greatly by Vehicle and Country but Is Consistently Lower among the Most Vulnerable: Results from Coverage Surveys in 8 Countries.

PubMed

Aaron, Grant J; Friesen, Valerie M; Jungjohann, Svenja; Garrett, Greg S; Neufeld, Lynnette M; Myatt, Mark

2017-05-01

Background: Large-scale food fortification (LSFF) of commonly consumed food vehicles is widely implemented in low- and middle-income countries. Many programs have monitoring information gaps and most countries fail to assess program coverage. Objective: The aim of this work was to present LSFF coverage survey findings (overall and in vulnerable populations) from 18 programs (7 wheat flour, 4 maize flour, and 7 edible oil programs) conducted in 8 countries between 2013 and 2015. Methods: A Fortification Assessment Coverage Toolkit (FACT) was developed to standardize the assessments. Three indicators were used to assess the relations between coverage and vulnerability: 1 ) poverty, 2 ) poor dietary diversity, and 3 ) rural residence. Three measures of coverage were assessed: 1 ) consumption of the vehicle, 2 ) consumption of a fortifiable vehicle, and 3 ) consumption of a fortified vehicle. Individual program performance was assessed based on the following: 1 ) achieving overall coverage ≥50%, 2) achieving coverage of ≥75% in ≥1 vulnerable group, and 3 ) achieving equity in coverage for ≥1 vulnerable group. Results: Coverage varied widely by food vehicle and country. Only 2 of the 18 LSFF programs assessed met all 3 program performance criteria. The 2 main program bottlenecks were a poor choice of vehicle and failure to fortify a fortifiable vehicle (i.e., absence of fortification). Conclusions: The results highlight the importance of sound program design and routine monitoring and evaluation. There is strong evidence of the impact and cost-effectiveness of LSFF; however, impact can only be achieved when the necessary activities and processes during program design and implementation are followed. The FACT approach fills an important gap in the availability of standardized tools. The LSFF programs assessed here need to be re-evaluated to determine whether to further invest in the programs, whether other vehicles are appropriate, and whether other approaches are needed.

Coverage and equitability of interventions to prevent child mortality in rural Jimma and West Hararghe Zones, Oromia Region, Ethiopia.

PubMed

Miller, Nathan P; Degefie, Tedbabe; Hazel, Elizabeth; Legesse, Hailemariam; Tolera, Taye; Amouzou, Agbessi

2014-10-01

Interventions to prevent childhood illnesses are important components of the Ethiopian Health Extension Program (HEP). Although the HEP was designed to reduce inequities in access to health care, there is little evidence on equitability of preventive interventions in Ethiopia. This article describes coverage of preventive interventions and how many interventions individual children received We also examined which factors were associated with the number of preventive interventions received, and assessed the extent to which interventions were equitably distributed. We conducted a cross-sectional survey in 3,200 randomly selected households in the rural Jimma and West Hararghe Zones of Ethiopia's Oromia Region. We calculated coverage of 10 preventive interventions and a composite of eight interventions (co-coverage) representing the number of interventions received by children. Mul- tiple linear regressions were used to assess associations between co-coverage and explanatory variables. Finally, we assessed the equitability of preventive interventions by comparing coverage among children in the poorest and the least poor wealth quintiles. Coverage was less than 50% for six of the 10 interventions. Children received on average only three of the eight interventions included in the co-coverage calculation. Zone, gender, caretaker age, religion, and household wealth were all significantly associated with co-coverage, controlling for key covariates. Exclusive breastfeeding, vaccine uptake, and vitamin A supplementation were all relatively equitable. On the other hand, coverage of insecticide-treated nets or indoor residual spraying (ITN/IRS) and access to safe water were significantly higher among the least poor children compared to children in the poorest quintile. Coverage of key interventions to prevent childhood illnesses is generally low in Jimma and West Hararghe. Although a number of interventions were equitably distributed, there were marked wealth-based inequities for interventions that are possessed at the household level, even among relatively homogeneous rural communities.

Population-level approaches to universal health coverage in resource-poor settings: lessons from tobacco control policy in Vietnam.

PubMed

Higashi, Hideki; Khuong, Tuan A; Ngo, Anh D; Hill, Peter S

2011-07-01

Population-based health promotion and disease prevention approaches are essential elements in achieving universal health coverage; yet they frequently do not appear on national policy agendas. This paper suggests that resource-poor countries should take greater advantage of such approaches to reach all segments of the population to positively affect health outcomes and equity, especially considering the epidemic of chronic non-communicable diseases and associated modifiable risk factors. Tobacco control policy development and implementation in Vietnam provides a case study to discuss opportunities and challenges associated with such strategies.

The Not So Simple Globular Cluster ω Cen. I. Spatial Distribution of the Multiple Stellar Populations

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

Calamida, A.; Saha, A.; Strampelli, G.

2017-04-01

We present a multi-band photometric catalog of ≈1.7 million cluster members for a field of view of ≈2° × 2° across ω Cen. Photometry is based on images collected with the Dark Energy Camera on the 4 m Blanco telescope and the Advanced Camera for Surveys on the Hubble Space Telescope . The unprecedented photometric accuracy and field coverage allowed us, for the first time, to investigate the spatial distribution of ω Cen multiple populations from the core to the tidal radius, confirming its very complex structure. We found that the frequency of blue main-sequence stars is increasing compared to red main-sequencemore » stars starting from a distance of ≈25′ from the cluster center. Blue main-sequence stars also show a clumpy spatial distribution, with an excess in the northeast quadrant of the cluster pointing toward the direction of the Galactic center. Stars belonging to the reddest and faintest red-giant branch also show a more extended spatial distribution in the outskirts of ω Cen, a region never explored before. Both these stellar sub-populations, according to spectroscopic measurements, are more metal-rich compared to the cluster main stellar population. These findings, once confirmed, make ω Cen the only stellar system currently known where metal-rich stars have a more extended spatial distribution compared to metal-poor stars. Kinematic and chemical abundance measurements are now needed for stars in the external regions of ω Cen to better characterize the properties of these sub-populations.« less

Estimating riparian understory vegetation cover with beta regression and copula models

USGS Publications Warehouse

Eskelson, Bianca N.I.; Madsen, Lisa; Hagar, Joan C.; Temesgen, Hailemariam

2011-01-01

Understory vegetation communities are critical components of forest ecosystems. As a result, the importance of modeling understory vegetation characteristics in forested landscapes has become more apparent. Abundance measures such as shrub cover are bounded between 0 and 1, exhibit heteroscedastic error variance, and are often subject to spatial dependence. These distributional features tend to be ignored when shrub cover data are analyzed. The beta distribution has been used successfully to describe the frequency distribution of vegetation cover. Beta regression models ignoring spatial dependence (BR) and accounting for spatial dependence (BRdep) were used to estimate percent shrub cover as a function of topographic conditions and overstory vegetation structure in riparian zones in western Oregon. The BR models showed poor explanatory power (pseudo-R2 ≤ 0.34) but outperformed ordinary least-squares (OLS) and generalized least-squares (GLS) regression models with logit-transformed response in terms of mean square prediction error and absolute bias. We introduce a copula (COP) model that is based on the beta distribution and accounts for spatial dependence. A simulation study was designed to illustrate the effects of incorrectly assuming normality, equal variance, and spatial independence. It showed that BR, BRdep, and COP models provide unbiased parameter estimates, whereas OLS and GLS models result in slightly biased estimates for two of the three parameters. On the basis of the simulation study, 93–97% of the GLS, BRdep, and COP confidence intervals covered the true parameters, whereas OLS and BR only resulted in 84–88% coverage, which demonstrated the superiority of GLS, BRdep, and COP over OLS and BR models in providing standard errors for the parameter estimates in the presence of spatial dependence.

The influence of travel time on emergency obstetric care seeking behavior in the urban poor of Bangladesh: a GIS study.

PubMed

Panciera, Rocco; Khan, Akib; Rizvi, Syed Jafar Raza; Ahmed, Shakil; Ahmed, Tanvir; Islam, Rubana; Adams, Alayne M

2016-08-22

Availability of Emergency Obstetric Care (EmOC) is crucial to avert maternal death due to life-threatening complications potentially arising during delivery. Research on the determinants of utilization of EmOC has neglected urban settings, where traffic congestion can pose a significant barrier to the access of EmOC facilities, particularly for the urban poor due to costly and limited transportation options. This study investigates the impact of travel time to EmOC facilities on the utilization of facility-based delivery services among mothers living in urban poor settlements in Sylhet, Bangladesh. A cross-sectional EmOC health-seeking behavior survey from 39 poor urban clusters was geo-spatially linked to a comprehensive geo-referenced dataset of EmOC facility locations. Geo-spatial techniques and logistic regression were then applied to quantify the impact of travel time on place of delivery (EmOC facility or home), while controlling for confounding socio-cultural and economic factors. Increasing travel time to the nearest EmOC facility is found to act as a strong deterrent to seeking care for the urban poor in Sylhet. Logistic regression results indicate that a 5-min increase in travel time to the nearest EmOC facility is associated with a 30 % decrease (0.655 odds ratio, 95 % CI: 0.529-0.811) in the likelihood of delivery at an EmOC facility rather than at home. Moreover, the impact of travel time varies substantially between public, NGO and private facilities. A 5-min increase in travel time from a private EmOC facility is associated with a 32.9 % decrease in the likelihood of delivering at a private facility, while for public and Non-Government Organizations (NGO) EmOC facilities, the impact is lower (28.2 and 28.6 % decrease respectively). Other strong determinants of delivery at an EmOC facility are the use of antenatal care and mother's formal education, while Muslim mothers are found to be more likely to deliver at home. Geospatial evidence points to the need to strengthen referral and emergency transport systems in order to reduce urban travel time, and establish or relocate EmOC facilities closer to where the poor reside. However, female education and antenatal care coverage remain the most important determinants of facility delivery.

Spatial fuel data products of the LANDFIRE Project

Treesearch

Matt Reeves; Kevin C. Ryan; Matthew G. Rollins; Thomas G. Thompson

2009-01-01

The Landscape Fire and Resource Management Planning Tools (LANDFIRE) Project is mapping wildland fuels, vegetation, and fire regime characteristics across the United States. The LANDFIRE project is unique because of its national scope, creating an integrated product suite at 30-m spatial resolution and complete spatial coverage of all lands within the 50...

Senate, 59-40, defeats move to strike limits on Medicaid abortion coverage.

PubMed

1993-10-05

On September 24 1993, the US Senate voted to limit access to abortion services for poor women under Medicaid to cases of rape, incest, or where pregnancy poses a risk to a woman's health. The US House of Representatives had earlier adopted a similar amendment, so now the bill will be sent to the President. The original amendment limited abortion access under Medicaid to only poor women whose life was endangered. Its sponsor proposed to expand coverage to cases of rape and incest based on pragmatic political grounds and knowing that this expansion would include fewer than 100 abortions. Abortion rights groups considered this 1993 expansion of the amendment as a step toward restoring real equity in access to abortion. Nevertheless, like the antiabortion groups, they do not consider it progress. The 5 female Senators vowed to fight to obtain full abortion coverage under Medicaid. The also pointed out to their male colleagues that this amendment discriminates against poor women. Many senators voted for the amendment because they chose the lesser of 2 evils. Many people are concerned that this bill indicates how Congress will treat poor women when health care reform legislation arrives and its concern for all women's right to access to abortion services under government-sponsored programs. More than 40 Senators can clearly see the difference between direct federal funding of abortion and other forms of government involvement. Further, Congress did approve the bill granting federal employees access to abortion services, but it passed by only 1 vote. Abortion rights proponents and abortion opponents should consider these aforementioned facts when preparing for the debate over abortion coverage under health care reform.

Areosynchronous weather imager

NASA Astrophysics Data System (ADS)

Puschell, Jeffery J.; Lock, Robert

2016-09-01

Mars is characterized by rapidly changing, poorly understood weather that is a concern for future human missions. Future Areosynchronous Mars Orbit (AMO) communication satellites offer possible platforms for Mars weather imagers similar to the geosynchronous Earth orbit (GEO) weather imagers that have been observing Earth since 1966. This paper describes an AReosynchronous Environmental Suite (ARES) that includes two imagers: one with two emissive infrared bands (10.8 μm and 12.0 μm) at 4 km resolution and the other with three VNIR bands (500 nm, 700 nm, 900 nm) at 1 km resolution. ARES stares at Mars and provides full disk coverage as fast as every 40 sec in the VNIR bands and every 2 min in the emissive bands with good sensitivity (SNR 200 in the VNIR for typical radiances and NEDT 0.2K at 180 K scene temperature in the emissive infrared). ARES size, mass, power and data rate characteristics are compatible with expectations for hosted payloads onboard future AMO communication satellites. Nevertheless, more work is needed to optimize ARES for future missions, especially in terms of trades between data rate, full disk coverage rate, sensitivity, number of spectral bands and spatial resolution and in study of approaches for maintaining accurate line of sight knowledge during data collection.

Why has the Universal Coverage Scheme in Thailand achieved a pro-poor public subsidy for health care?

PubMed Central

2012-01-01

Background Thailand has achieved universal health coverage since 2002 through the implementation of the Universal Coverage Scheme (UCS) for 47 million of the population who were neither private sector employees nor government employees. A well performing UCS should achieve health equity goals in terms of health service use and distribution of government subsidy on health. With these goals in mind, this paper assesses the magnitude and trend of government health budget benefiting the poor as compared to the rich UCS members. Method Benefit incidence analysis was conducted using the nationally representative household surveys, Health and Welfare Surveys, between 2003 and 2009. UCS members are grouped into five different socio-economic status using asset indexes and wealth quintiles. Findings The total government subsidy, net of direct household payment, for combined outpatient (OP) and inpatient (IP) services to public hospitals and health facilities provided to UCS members, had increased from 30 billion Baht (US$ 1 billion) in 2003 to 40-46 billion Baht in 2004-2009. In 2003 for 23% and 12% of the UCS members who belonged to the poorest and richest quintiles of the whole-country populations respectively, the share of public subsidies for OP service was 28% and 7% for the poorest and the richest quintiles, whereby for IP services the share was 27% and 6% for the poorest and richest quintiles respectively. This reflects a pro-poor outcome of public subsidies to healthcare. The OP and IP public subsidies remained consistently pro-poor in subsequent years. The pro-poor benefit incidence is determined by higher utilization by the poorest than the richest quintiles, especially at health centres and district hospitals. Thus the probability and the amount of household direct health payment for public facilities by the poorest UCS members were less than their richest counterparts. Conclusions Higher utilization and better financial risk protection benefiting the poor UCS members are the results of extensive geographical coverage of health service infrastructure especially at district level, adequate finance and functioning primary healthcare, comprehensive benefit package and zero copayment at points of services. PMID:22992431

Coverage and Consumption of Micronutrient Powders, Fortified Staples, and Iodized Salt Among Children Aged 6 to 23 Months in Selected Neighborhoods of Nairobi County, Kenya.

PubMed

Leyvraz, Magali; David-Kigaru, Dorcus M; Macharia-Mutie, Catherine; Aaron, Grant J; Roefs, Marlene; Tumilowicz, Alison

2018-03-01

Intake of micronutrient-rich foods among children aged 6 to 23 months in Nairobi is low. This study aimed to assess existing coverage and utilization of micronutrient powders (MNPs), fortified staples, and iodized salt among children aged 6 to 23 months prior to implementation of an MNP program. A cross-sectional survey among caregivers of children aged 6 to 23 months (n = 618) was implemented in 7 neighborhoods within Nairobi County, representing the implementation area of the new MNP program. Results for MNP coverage and utilization showed 28.5% of all caregivers were aware of MNP, 18.5% had ever received MNP for their child, and 10.8% had fed MNP to their child in the previous 7 days. Effective coverage (ie, the child had been given the MNP at least 3 times in the previous 7 days) was 5.8%. Effective coverage of infants and young children with poor feeding practices was significantly lower as compared to those with non-poor feeding practices (coverage ratio, 0.34; confidence interval, 0.12-0.70). Most households purchased iodized salt (96.9%), fortified oil (61.0%), and fortified maize flour (93.9%). An estimated 23.9% of vitamin A requirements of children (6-23 months) were provided from fortified oil and 50.7% of iron from fortified maize flour. Most households consumed processed milk (81%). Coverage of MNPs in the surveyed neighborhoods was low. Coverage of fortified salt, oil, and maize flour was high and provided significant amount of micronutrients to children. Processed milk has potential as a vehicle for food fortification.

Novel color additive for chlorine disinfectants corrects deficiencies in spray surface coverage and wet-contact time and checks for correct chlorine concentration.

PubMed

Tyan, Kevin; Jin, Katherine; Kang, Jason; Kyle, Aaron M

2018-04-18

Bleach sprays suffer from poor surface coverage, dry out before reaching proper contact time, and can be inadvertently over-diluted to ineffective concentrations. Highlight ® , a novel color additive for bleach that fades to indicate elapsed contact time, maintained >99.9% surface coverage over full contact time and checked for correct chlorine concentration. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Mapping cortical haemodynamics during neonatal seizures using diffuse optical tomography: A case study

PubMed Central

Singh, Harsimrat; Cooper, Robert J.; Wai Lee, Chuen; Dempsey, Laura; Edwards, Andrea; Brigadoi, Sabrina; Airantzis, Dimitrios; Everdell, Nick; Michell, Andrew; Holder, David; Hebden, Jeremy C.; Austin, Topun

2014-01-01

Seizures in the newborn brain represent a major challenge to neonatal medicine. Neonatal seizures are poorly classified, under-diagnosed, difficult to treat and are associated with poor neurodevelopmental outcome. Video-EEG is the current gold-standard approach for seizure detection and monitoring. Interpreting neonatal EEG requires expertise and the impact of seizures on the developing brain remains poorly understood. In this case study we present the first ever images of the haemodynamic impact of seizures on the human infant brain, obtained using simultaneous diffuse optical tomography (DOT) and video-EEG with whole-scalp coverage. Seven discrete periods of ictal electrographic activity were observed during a 60 minute recording of an infant with hypoxic–ischaemic encephalopathy. The resulting DOT images show a remarkably consistent, high-amplitude, biphasic pattern of changes in cortical blood volume and oxygenation in response to each electrographic event. While there is spatial variation across the cortex, the dominant haemodynamic response to seizure activity consists of an initial increase in cortical blood volume prior to a large and extended decrease typically lasting several minutes. This case study demonstrates the wealth of physiologically and clinically relevant information that DOT–EEG techniques can yield. The consistency and scale of the haemodynamic responses observed here also suggest that DOT–EEG has the potential to provide improved detection of neonatal seizures. PMID:25161892

AirMISR WISCONSIN

Atmospheric Science Data Center

2014-04-25

AirMISR WISCONSIN 2000 Project Title:  AirMISR Discipline:  ... Platform:  ER-2 Spatial Coverage:  Wisconsin (35.92, 43.79)(-97.94, -90.23) Spatial Resolution:  ... Order Data Readme Files:  Readme Wisconsin Read Software Files :  IDL Code ...

Cataract surgical coverage and outcome in the Tibet Autonomous Region of China

PubMed Central

Bassett, K L; Noertjojo, K; Liu, L; Wang, F S; Tenzing, C; Wilkie, A; Santangelo, M; Courtright, P

2005-01-01

Background: A recently published, population based survey of the Tibet Autonomous Region (TAR) of China reported on low vision, blindness, and blinding conditions. This paper presents detailed findings from that survey regarding cataract, including prevalence, cataract surgical coverage, surgical outcome, and barriers to use of services. Methods: The Tibet Eye Care Assessment (TECA) was a prevalence survey of people from randomly selected households from three of the seven provinces of the TAR (Lhoka, Nakchu, and Lingzhr), representing its three main environmental regions. The survey, conducted in 1999 and 2000, assessed visual acuity, cause of vision loss, and eye care services. Results: Among the 15 900 people enumerated, 12 644 were examined (79.6%). Cataract prevalence was 5.2% and 13.8%, for the total population, and those over age 50, respectively. Cataract surgical coverage (vision <6/60) for people age 50 and older (85–90% of cataract blind) was 56% overall, 70% for men and 47% for women. The most common barriers to use of cataract surgical services were distance and cost. In the 216 eyes with cataract surgery, 60% were aphakic and 40% were pseudophakic. Pseudophakic surgery left 19% of eyes blind (<6/60) and an additional 20% of eyes with poor vision (6/24–6/60). Aphakic surgery left 24% of eyes blind and an additional 21% of eyes with poor vision. Even though more women remained blind than men, 28% versus 18% respectively, the different was not statistically significant (p = 0.25). Conclusions: Cataract surgical coverage was remarkably high despite the difficulty of providing services to such an isolated and sparse population. Cataract surgical outcome was poor for both aphakic and pseudophakic surgery. Two main priorities are improving cataract surgical quality and cataract surgical coverage, particularly for women. PMID:15615736

Immunization, urbanization and slums - a systematic review of factors and interventions.

PubMed

Crocker-Buque, Tim; Mindra, Godwin; Duncan, Richard; Mounier-Jack, Sandra

2017-06-08

In 2014, over half (54%) of the world's population lived in urban areas and this proportion will increase to 66% by 2050. This urbanizing trend has been accompanied by an increasing number of people living in urban poor communities and slums. Lower immunization coverage is found in poorer urban dwellers in many contexts. This study aims to identify factors associated with immunization coverage in poor urban areas and slums, and to identify interventions to improve coverage. We conducted a systematic review, searching Medline, Embase, Global Health, CINAHL, Web of Science and The Cochrane Database with broad search terms for studies published between 2000 and 2016. Of 4872 unique articles, 327 abstracts were screened, leading to 63 included studies: 44 considering factors and 20 evaluating interventions (one in both categories) in 16 low or middle-income countries. A wide range of socio-economic characteristics were associated with coverage in different contexts. Recent rural-urban migration had a universally negative effect. Parents commonly reported lack of awareness of immunization importance and difficulty accessing services as reasons for under-immunization of their children. Physical distance to clinics and aspects of service quality also impacted uptake. We found evidence of effectiveness for interventions involving multiple components, especially if they have been designed with community involvement. Outreach programmes were effective where physical distance was identified as a barrier. Some evidence was found for the effective use of SMS (text) messaging services, community-based education programmes and financial incentives, which warrant further evaluation. No interventions were identified that provided services to migrants from rural areas. Different factors affect immunization coverage in different urban poor and slum contexts. Immunization services should be designed in collaboration with slum-dwelling communities, considering the local context. Interventions should be designed and tested to increase immunization in migrants from rural areas.

The New Destination Disadvantage: Disparities in Hispanic Health Insurance Coverage Rates in Metropolitan and Nonmetropolitan New and Established Destinations

PubMed Central

Monnat, Shannon M.

2016-01-01

Hispanics have the lowest health insurance rates of any racial/ethnic group, but rates vary significantly across the U.S. The unprecedented growth of the Hispanic population since 1990 in rural areas with previously small or non-existent Hispanic populations raises questions about disparities in access to health insurance coverage. Identifying spatial disparities in Hispanic health insurance rates can illuminate the specific contexts within which Hispanics are least likely to have health care access and inform policy approaches for increasing coverage in different spatial contexts. Using county-level data from the 2009/2013 American Community Survey, I find that early new destinations (i.e., those that experienced rapid Hispanic population growth during the 1990s) have the lowest Hispanic adult health insurance coverage rates, with little variation by metropolitan status. Conversely, among the most recent new destinations that experienced significant Hispanic population growth during the 2000s, metropolitan counties have Hispanic health insurance rates that are similar to established destinations, but rural counties have Hispanic health insurance rates that are significantly lower than those in established destinations. Findings demonstrate that the new destination disadvantage is driven entirely by higher concentrations of immigrant non-citizen Hispanics in these counties, but labor market conditions were salient drivers of the spatially uneven distribution of foreign-born non-citizen Hispanics to new destinations, particularly in rural areas. PMID:28479612

Fine resolution mapping of population age-structures for health and development applications.

PubMed

Alegana, V A; Atkinson, P M; Pezzulo, C; Sorichetta, A; Weiss, D; Bird, T; Erbach-Schoenberg, E; Tatem, A J

2015-04-06

The age-group composition of populations varies considerably across the world, and obtaining accurate, spatially detailed estimates of numbers of children under 5 years is important in designing vaccination strategies, educational planning or maternal healthcare delivery. Traditionally, such estimates are derived from population censuses, but these can often be unreliable, outdated and of coarse resolution for resource-poor settings. Focusing on Nigeria, we use nationally representative household surveys and their cluster locations to predict the proportion of the under-five population in 1 × 1 km using a Bayesian hierarchical spatio-temporal model. Results showed that land cover, travel time to major settlements, night-time lights and vegetation index were good predictors and that accounting for fine-scale variation, rather than assuming a uniform proportion of under 5 year olds can result in significant differences in health metrics. The largest gaps in estimated bednet and vaccination coverage were in Kano, Katsina and Jigawa. Geolocated household surveys are a valuable resource for providing detailed, contemporary and regularly updated population age-structure data in the absence of recent census data. By combining these with covariate layers, age-structure maps of unprecedented detail can be produced to guide the targeting of interventions in resource-poor settings.

Why are IPTp coverage targets so elusive in sub-Saharan Africa? A systematic review of health system barriers.

PubMed

Thiam, Sylla; Kimotho, Victoria; Gatonga, Patrick

2013-10-03

Use of intermittent preventive treatment (IPTp) is a proven cost-effective intervention for preventing malaria in pregnancy. However, despite the roll-out of IPTp policies across Africa more than ten years ago, utilization levels remain low. This review sought to consolidate scattered evidence as to the health system barriers for IPTp coverage in the continent. Relevant literature from Africa was systematically searched, reviewed and synthesized. Only studies containing primary data were considered. Studies reveal that: (i) poor leadership and governance contribute to slow decentralization of programme management, lack of harmonized guidelines, poor accountability mechanisms, such as robust monitoring and evaluation systems; (ii) low budgetary allocation towards policy implementation slows scale-up, while out-of-pocket expenditure deters women from seeking antenatal services that include IPTp; (iii) there are rampant human resource challenges including low staff motivation levels attributed to such factors as incorrect knowledge of IPTp recommendations and inadequate staffing; (iv) implementation of IPTp policies is hampered by prevailing service delivery barriers, such as long waiting time, long distances to health facilities and poor service provider/client relations; and (v) drug stock-outs and poor management of information and supply chains impair sustained availability of drugs for IPTp. For successful IPTp policy implementation, it is imperative that malaria control programmes target health system barriers that result in low coverage and hence programme ineffectiveness.

The Liverpool Bay Coastal Observatory

NASA Astrophysics Data System (ADS)

Howarth, Michael John; O'Neill, Clare K.; Palmer, Matthew R.

2010-05-01

A pre-operational Coastal Observatory has been functioning since August 2002 in Liverpool Bay, Irish Sea. Its rationale is to develop the science underpinning the ecosystem based approach to marine management, including distinguishing between natural and man-made variability, with particular emphasis on eutrophication and predicting responses of a coastal sea to climate change. Liverpool Bay has strong tidal mixing, receives fresh water principally from the Dee, Mersey and Ribble estuaries, each with different catchment influences, and has enhanced levels of nutrients. Horizontal and vertical density gradients are variable both in space and time. The challenge is to understand and model accurately this variable region which is turbulent, turbid, receives enhanced nutrients and is productive. The Observatory has three components, for each of which the goal is some (near) real-time operation - measurements; coupled 3-D hydrodynamic, wave and ecological models; a data management and web-based data delivery system which provides free access to the data, http://cobs.pol.ac.uk. The integrated measurements are designed to test numerical models and have as a major objective obtaining multi-year records, covering tidal, event (storm / calm / bloom), seasonal and interannual time scales. The four main strands on different complementary space or time scales are:- a) fixed point time series (in situ and shore-based); very good temporal and very poor spatial resolution. These include tide gauges; a meteorological station on Hilbre Island at the mouth of the Dee; two in situ sites, one by the Mersey Bar, measuring waves and the vertical structure of current, temperature and salinity. A CEFAS SmartBuoy whose measurements include surface nutrients is deployed at the Mersey Bar site. b) regular (nine times per year) spatial water column surveys on a 9 km grid; good vertical resolution for some variables, limited spatial coverage and resolution, and limited temporal resolution. The measurements include nutrients and on board pCO2. c) HF radar for surface currents and waves; very good temporal resolution, limited spatial resolution (4 km grid) and range (~75 km). d) an instrumented ferry between Birkenhead and Dublin; along track 100 m resolution, crossing there and back most days. These are supplemented by weekly composite (because of cloud cover) satellite images of sea surface temperature, suspended sediment and chlorophyll; excellent horizontal resolution for surface properties, poor temporal coverage. A suite of coupled 3-D hydrodynamic, wave and ecological models forced by forecast meteorology is being developed. The model domains are nested from a 12 km grid ocean / shelf domain, 1.8 km Irish Sea and finally to 180 m for Liverpool Bay. Making real time forecasts for comparison with measurements is difficult since the forecast is only as good as the forcing data, for instance the meteorology should be on spatial and temporal scales comparable with the oceanographic models' and real-time river flow data is needed (climatological mean data are not good enough, especially for local models). The Observatory's design naturally involved compromises where model predictions can help, for instance should the detailed coverage be wider, including more of the Irish Sea, and / or should it extend closer to the shore, where biologically activity is greater? How many cruises should there be per year - nine visits will over-sample for a well defined seasonal cycle, such as temperature, but not for a variable with a more unpredictable or shorter time scale, such as salinity or phytoplankton? After seven years the main scientific challenges remain both to understand the processes and to translate this into predictive models whose accuracy has been quantified. The challenges relate to physics (salinity, circulation in Liverpool Bay, the flow through the Irish Sea, flushing events); the role of sediments in the optical characteristics of the water column; the ecosystem and eutrophication.

Mapping bark pH to better understand the cortisphere

NASA Astrophysics Data System (ADS)

Levia, D. F., Jr.; Köhler, S.; Jungkunst, H. F.; Gerold, G.

2016-12-01

The biogeochemistry of the cortisphere is poorly understood, despite the fact that a large variety of microbes, epiphytes, and insects live on, within, and just beneath corticular surfaces. Bark pH is a critical parameter that partially controls the chemodynamics of the cortisphere and its habitability by bark dwelling organisms as well as the chemistry of throughfall and stemflow. This presentation articulates, tests, and validates a method to accurately determine bark pH in situ. We employed agar-agar panels, embedded with a pH marker, to determine the spatiality of bark pH on cacao trees in Indonesia. In contrast to existing ex situ methods, we were able to record spatial differences in bark pH. In particular, bark pH was observed to fluctuate in relation to both morphological features on the bark, possibly corresponding to preferential flowpaths of stemflow, and epiphytic coverage. Due to its simplicity and economical nature, our method may be attractive to a variety of researchers interested in bark pH, its spatial variability, influence on stemflow chemistry, and its effect on organisms dwelling in the cortipshere. Publication note: This presentation is based on the following article: Köhler, S., Levia, D.F., Jungkunst, H.F. and Gerold, G. 2015. An in situ method to measure and map bark pH. Journal of Wood Chemistry and Technology 35(6): 438-449. [DOI: 10.1080/02773813.2015.1025285

Coverage for Gender-Affirming Care: Making Health Insurance Work for Transgender Americans.

PubMed

Padula, William V; Baker, Kellan

2017-08-01

Many transgender Americans continue to remain uninsured or are underinsured because of payers' refusal to cover medically necessary, gender-affirming healthcare services-such as hormone therapy, mental health counseling, and reconstructive surgeries. Coverage refusal results in higher costs and poor health outcomes among transgender people who cannot access gender-affirming care. Research into the value of health insurance coverage for gender-affirming care for transgender individuals shows that the health benefits far outweigh the costs of insuring transition procedures. Although the Affordable Care Act explicitly protects health insurance for transgender individuals, these laws are being threatened; therefore, this article reviews their importance to transgender-inclusive healthcare coverage.

Financing universal health coverage--effects of alternative tax structures on public health systems: cross-national modelling in 89 low-income and middle-income countries.

PubMed

Reeves, Aaron; Gourtsoyannis, Yannis; Basu, Sanjay; McCoy, David; McKee, Martin; Stuckler, David

2015-07-18

How to finance progress towards universal health coverage in low-income and middle-income countries is a subject of intense debate. We investigated how alternative tax systems affect the breadth, depth, and height of health system coverage. We used cross-national longitudinal fixed effects models to assess the relationships between total and different types of tax revenue, health system coverage, and associated child and maternal health outcomes in 89 low-income and middle-income countries from 1995-2011. Tax revenue was a major statistical determinant of progress towards universal health coverage. Each US$100 per capita per year of additional tax revenues corresponded to a yearly increase in government health spending of $9.86 (95% CI 3.92-15.8), adjusted for GDP per capita. This association was strong for taxes on capital gains, profits, and income ($16.7, 9.16 to 24.3), but not for consumption taxes on goods and services (-$4.37, -12.9 to 4.11). In countries with low tax revenues (<$1000 per capita per year), an additional $100 tax revenue per year substantially increased the proportion of births with a skilled attendant present by 6.74 percentage points (95% CI 0.87-12.6) and the extent of financial coverage by 11.4 percentage points (5.51-17.2). Consumption taxes, a more regressive form of taxation that might reduce the ability of the poor to afford essential goods, were associated with increased rates of post-neonatal mortality, infant mortality, and under-5 mortality rates. We did not detect these adverse associations with taxes on capital gains, profits, and income, which tend to be more progressive. Increasing domestic tax revenues is integral to achieving universal health coverage, particularly in countries with low tax bases. Pro-poor taxes on profits and capital gains seem to support expanding health coverage without the adverse associations with health outcomes observed for higher consumption taxes. Progressive tax policies within a pro-poor framework might accelerate progress toward achieving major international health goals. Commission of the European Communities (FP7-DEMETRIQ), the European Union's HRES grants, and the Wellcome Trust. Copyright © 2015 Reeves et al. Open Access article distributed under the terms of CC BY. Published by Elsevier Ltd.. All rights reserved.

Epicentral Determination from Macroseismic Data: Insights from Four Centuries of Observations (Invited)

NASA Astrophysics Data System (ADS)

Szeliga, W. M.; Martin, S.; Hough, S.; Bilham, R.

2009-12-01

A new compilation of more than 8300 newly interpreted intensity observations from 570 earthquakes on the Indian subcontinent between 1636 and 2009 provides a rich data base for examining the utility of recently developed methods for deriving magnitude and location from macroseismic data. Instrumentally determined locations and magnitudes are available for 144 of these earthquakes since 1900, and for a subset of these earthquakes we can calculate differences between instrumental- and intensity-derived parameters. Using a modification of the Bakun and Wentworth (1997) algorithm we find that epicenters determined from well-conditioned intensity distributions are typically within one fault length of those determined from instrumental data. This encouraging result, however, applies to fewer than one third of the events. For a larger number of earthquakes, intensity-derived epicenters are poorly constrained, due to scatter in intensity amplitude and/or to poor spatial coverage. This raises concerns about the accuracy of rupture parameters determined for pre-instrumental earthquakes in India and elsewhere. We find moreover, that where dense spatial intensity values are available, location is recovered reasonably well (e.g. Bhuj 2001, Kashmir 2005), but magnitude is over-estimated by as much as one magnitude unit. This suggests that epicentral locations for well-documented M>7 historical earthquakes might be relatively reliable, but their magnitude might be significantly inflated. The cause for these erroneous locations and magnitudes are examined and we outline the results of our search for numerical rules to determine whether a given set of intensities will provide accurate or misleading results.

The Jupiter ONERA Electron (JOE) and Jupiter ONERA Proton (JOP) specification models

NASA Astrophysics Data System (ADS)

Bourdarie, S.; Sicard-Piet, A.

2008-09-01

The use of recent improvement in the understanding of the Jovian radiation belt structure has allowed to develop a more accurate engineering model of the Jovian electron and proton radiation belts. The basic idea was to combine the results of the Salammbô code when available (for proton and electron species) with the Divine and Garret model 1983 and/or with GIRE. The advantage of such an approach was that the resulting model is global in term of spatial and energy coverage, is optimised inside Europa orbit (the Divine and Garret model is not accurate inside Io orbit due to poor in-situ data there - note that inside Io is the region where ionizing radiation fluxes are maximum) and take advantage of the two models. The resulting JOE-JOP models will be presented, pro and cons will be listed and commented. Finally future plans to upgrade these models will be given.

FIRE_CI2_ETL_RADAR

Atmospheric Science Data Center

2015-11-25

FIRE_CI2_ETL_RADAR Project Title:  FIRE II CIRRUS Discipline:  ... Platform:  Ground Station Instrument:  Radar Spatial Coverage:  (37.06, -95.34) Spatial ... Order Data Guide Documents:  ETL_RADAR Guide Readme Files:  Readme ETL_RADAR (PS) ...

The Devil Is "Not" in the Detail: Representational Absence and Stereotyping in the "Trojan Horse" News Story

ERIC Educational Resources Information Center

Cannizzaro, Sara; Gholami, Reza

2018-01-01

Using content analysis, this study investigated the coverage of the Trojan Horse news story aiming to ascertain whether its representation by the British press emphasized "Islamist extremism" over "poor school governance". The sample coverage was extracted from five national newspapers and ranged from 9 June (the date of…

International Issues, Media Coverage and Public Ignorance: or, So, Where Is Africa, Anyway?

ERIC Educational Resources Information Center

Alexandre, Laurien

It is commonplace to lament the lack of knowledge about world issues and events exhibited by U.S. citizens. Communication scholars criticize the mass media's poor coverage of world affairs and stereotypic portrayals of distant lands and leaders. Despite sophisticated communications networks, U.S. mass media provide only a limited window on the…

The Impact of Healthcare Insurance on the Utilisation of Facility-Based Delivery for Childbirth in the Philippines.

PubMed

Gouda, Hebe N; Hodge, Andrew; Bermejo, Raoul; Zeck, Willibald; Jimenez-Soto, Eliana

2016-01-01

In recent years, the government of the Philippines embarked upon an ambitious Universal Health Care program, underpinned by the rapid scale-up of subsidized insurance coverage for poor and vulnerable populations. With a view of reducing the stubbornly high maternal mortality rates in the country, the program has a strong focus on maternal health services and is supported by a national policy of universal facility-based delivery (FBD). In this study, we examine the impact that recent reforms expanding health insurance coverage have had on FBD. Data from the most recent Philippines 2013 Demographic Health Survey was employed. This study applies quasi-experimental methods using propensity scores along with alternative matching techniques and weighted regression to control for self-selection and investigate the impact of health insurance on the utilization of FBD. Our findings reveal that the likelihood of FBD for women who are insured is between 5 to 10 percent higher than for those without insurance. The impact of health insurance is more pronounced amongst rural and poor women for whom insurance leads to a 9 to 11 per cent higher likelihood of FBD. We conclude that increasing health insurance coverage is likely to be an effective approach to increase women's access to FBD. Our findings suggest that when such coverage is subsidized, as it is the case in the Philippines, women from poor and rural populations are likely to benefit the most.

The Impact of Healthcare Insurance on the Utilisation of Facility-Based Delivery for Childbirth in the Philippines

PubMed Central

Gouda, Hebe N.; Hodge, Andrew; Bermejo, Raoul; Zeck, Willibald; Jimenez-Soto, Eliana

2016-01-01

Objectives In recent years, the government of the Philippines embarked upon an ambitious Universal Health Care program, underpinned by the rapid scale-up of subsidized insurance coverage for poor and vulnerable populations. With a view of reducing the stubbornly high maternal mortality rates in the country, the program has a strong focus on maternal health services and is supported by a national policy of universal facility-based delivery (FBD). In this study, we examine the impact that recent reforms expanding health insurance coverage have had on FBD. Results Data from the most recent Philippines 2013 Demographic Health Survey was employed. This study applies quasi-experimental methods using propensity scores along with alternative matching techniques and weighted regression to control for self-selection and investigate the impact of health insurance on the utilization of FBD. Findings Our findings reveal that the likelihood of FBD for women who are insured is between 5 to 10 percent higher than for those without insurance. The impact of health insurance is more pronounced amongst rural and poor women for whom insurance leads to a 9 to 11 per cent higher likelihood of FBD. Conclusions We conclude that increasing health insurance coverage is likely to be an effective approach to increase women’s access to FBD. Our findings suggest that when such coverage is subsidized, as it is the case in the Philippines, women from poor and rural populations are likely to benefit the most. PMID:27911935

Satellite Remote Sensing of Cirrus: An Overview

NASA Technical Reports Server (NTRS)

Minnis, Patrick

1998-01-01

The determination of cirrus properties over relatively large spatial and temporal scales will, in most instances, require the use of satellite data. Global coverage, at resolutions as high as several meters are attainable with Landsat, while temporal coverage at 1-min intervals is now available with the latest Geostationary Operational Environmental Satellite (GOES) imagers. Cirrus can be analyzed via interpretation of the radiation that they reflect or emit over a wide range of the electromagnetic spectrum. Many of these spectra and high-resolution satellite data can be used to understand certain aspects of cirrus clouds in particular situations. Production of a global climatology of cirrus clouds, however, requires compromises in spatial, temporal, and spectral coverage. This paper summarizes the state of the art and the potential for future passive remote sensing systems for both understanding cirrus formation and acquiring sufficient statistics to constrain and refine weather and climate models.

Heterogeneity in the spread and control of infectious disease: consequences for the elimination of canine rabies

NASA Astrophysics Data System (ADS)

Ferguson, Elaine A.; Hampson, Katie; Cleaveland, Sarah; Consunji, Ramona; Deray, Raffy; Friar, John; Haydon, Daniel T.; Jimenez, Joji; Pancipane, Marlon; Townsend, Sunny E.

2015-12-01

Understanding the factors influencing vaccination campaign effectiveness is vital in designing efficient disease elimination programmes. We investigated the importance of spatial heterogeneity in vaccination coverage and human-mediated dog movements for the elimination of endemic canine rabies by mass dog vaccination in Region VI of the Philippines (Western Visayas). Household survey data was used to parameterise a spatially-explicit rabies transmission model with realistic dog movement and vaccination coverage scenarios, assuming a basic reproduction number for rabies drawn from the literature. This showed that heterogeneous vaccination reduces elimination prospects relative to homogeneous vaccination at the same overall level. Had the three vaccination campaigns completed in Region VI in 2010-2012 been homogeneous, they would have eliminated rabies with high probability. However, given the observed heterogeneity, three further campaigns may be required to achieve elimination with probability 0.95. We recommend that heterogeneity be reduced in future campaigns through targeted efforts in low coverage areas, even at the expense of reduced coverage in previously high coverage areas. Reported human-mediated dog movements did not reduce elimination probability, so expending limited resources on restricting dog movements is unnecessary in this endemic setting. Enhanced surveillance will be necessary post-elimination, however, given the reintroduction risk from long-distance dog movements.

The effect of health-facility admission and skilled birth attendant coverage on maternal survival in India: a case-control analysis.

PubMed

Montgomery, Ann L; Fadel, Shaza; Kumar, Rajesh; Bondy, Sue; Moineddin, Rahim; Jha, Prabhat

2014-01-01

Research in areas of low skilled attendant coverage found that maternal mortality is paradoxically higher in women who seek obstetric care. We estimated the effect of health-facility admission on maternal survival, and how this effect varies with skilled attendant coverage across India. Using unmatched population-based case-control analysis of national datasets, we compared the effect of health-facility admission at any time (antenatal, intrapartum, postpartum) on maternal deaths (cases) to women reporting pregnancies (controls). Probability of maternal death decreased with increasing skilled attendant coverage, among both women who were and were not admitted to a health-facility, however, the risk of death among women who were admitted was higher (at 50% coverage, OR = 2.32, 95% confidence interval 1.85-2.92) than among those women who were not; while at higher levels of coverage, the effect of health-facility admission was attenuated. In a secondary analysis, the probability of maternal death decreased with increasing coverage among both women admitted for delivery or delivered at home but there was no effect of admission for delivery on mortality risk (50% coverage, OR = 1.0, 0.80-1.25), suggesting that poor quality of obstetric care may have attenuated the benefits of facility-based care. Subpopulation analysis of obstetric hemorrhage cases and report of 'excessive bleeding' in controls showed that the probability of maternal death decreased with increasing skilled attendant coverage; but the effect of health-facility admission was attenuated (at 50% coverage, OR = 1.47, 0.95-1.79), suggesting that some of the effect in the main model can be explained by women arriving at facility with complications underway. Finally, highest risk associated with health-facility admission was clustered in women with education ≤ 8 years. The effect of health-facility admission did vary by skilled attendant coverage, and this effect appears to be driven partially by reverse causality; however, inequitable access to and possibly poor quality of healthcare for primary and emergency services appears to play a role in maternal survival as well.

Are we doing enough? Evaluation of the Polio Eradication Initiative in a district of Pakistan's Punjab province: a LQAS study

PubMed Central

2010-01-01

Background The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. The aim of the study was to establish valid and reliable estimate for: routine oral polio vaccine (OPV) coverage, logistics management and the quality of monitoring systems in health facilities, NIDs OPV coverage, the quality of NIDs service delivery in static centers and mobile teams, and to ultimately provide scientific evidence for tailoring future interventions. Methods A cross-sectional study using lot quality assessment sampling was conducted in the District Nankana Sahib of Pakistan's Punjab province. Twenty primary health centers and their catchment areas were selected randomly as 'lots'. The study involved the evaluation of 1080 children aged 12-23 months for routine OPV coverage, 20 health centers for logistics management and quality of monitoring systems, 420 households for NIDs OPV coverage, 20 static centers and 20 mobile teams for quality of NIDs service delivery. Study instruments were designed according to WHO guidelines. Results Five out of twenty lots were rejected for unacceptably low routine immunization coverage. The validity of coverage was questionable to extent that all lots were rejected. Among the 54.1% who were able to present immunization cards, only 74.0% had valid immunization. Routine coverage was significantly associated with card availability and socioeconomic factors. The main reasons for routine immunization failure were absence of a vaccinator and unawareness of need for immunization. Health workers (96.9%) were a major source of information. All of the 20 lots were rejected for poor compliance in logistics management and quality of monitoring systems. Mean compliance score and compliance percentage for logistics management were 5.4 ± 2.0 (scale 0-9) and 59.4% while those for quality of monitoring systems were 3.3 ± 1.2 (scale 0-6) and 54.2%. The 15 out of 20 lots were rejected for unacceptably low NIDs coverage by finger-mark. All of the 20 lots were rejected for poor NIDs service delivery (mean compliance score = 11.7 ± 2.1 [scale 0-16]; compliance percentage = 72.8%). Conclusion Low coverage, both routine and during NIDs, and poor quality of logistics management, monitoring systems and NIDs service delivery were highlighted as major constraints in polio eradication and these should be considered in prioritizing future strategies. PMID:20144212

Are we doing enough? Evaluation of the Polio Eradication Initiative in a district of Pakistan's Punjab province: a LQAS study.

PubMed

Mushtaq, Muhammad Umair; Majrooh, Muhammad Ashraf; Ullah, Mohsin Zia Sana; Akram, Javed; Siddiqui, Arif Mahmood; Shad, Mushtaq Ahmad; Waqas, Muhammad; Abdullah, Hussain Muhammad; Ahmad, Waqar; Shahid, Ubeera; Khurshid, Usman

2010-02-09

The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. The aim of the study was to establish valid and reliable estimate for: routine oral polio vaccine (OPV) coverage, logistics management and the quality of monitoring systems in health facilities, NIDs OPV coverage, the quality of NIDs service delivery in static centers and mobile teams, and to ultimately provide scientific evidence for tailoring future interventions. A cross-sectional study using lot quality assessment sampling was conducted in the District Nankana Sahib of Pakistan's Punjab province. Twenty primary health centers and their catchment areas were selected randomly as 'lots'. The study involved the evaluation of 1080 children aged 12-23 months for routine OPV coverage, 20 health centers for logistics management and quality of monitoring systems, 420 households for NIDs OPV coverage, 20 static centers and 20 mobile teams for quality of NIDs service delivery. Study instruments were designed according to WHO guidelines. Five out of twenty lots were rejected for unacceptably low routine immunization coverage. The validity of coverage was questionable to extent that all lots were rejected. Among the 54.1% who were able to present immunization cards, only 74.0% had valid immunization. Routine coverage was significantly associated with card availability and socioeconomic factors. The main reasons for routine immunization failure were absence of a vaccinator and unawareness of need for immunization. Health workers (96.9%) were a major source of information. All of the 20 lots were rejected for poor compliance in logistics management and quality of monitoring systems. Mean compliance score and compliance percentage for logistics management were 5.4 +/- 2.0 (scale 0-9) and 59.4% while those for quality of monitoring systems were 3.3 +/- 1.2 (scale 0-6) and 54.2%. The 15 out of 20 lots were rejected for unacceptably low NIDs coverage by finger-mark. All of the 20 lots were rejected for poor NIDs service delivery (mean compliance score = 11.7 +/- 2.1 [scale 0-16]; compliance percentage = 72.8%). Low coverage, both routine and during NIDs, and poor quality of logistics management, monitoring systems and NIDs service delivery were highlighted as major constraints in polio eradication and these should be considered in prioritizing future strategies.

Comparative Estimates of Crude and Effective Coverage of Measles Immunization in Low-Resource Settings: Findings from Salud Mesoamérica 2015.

PubMed

Colson, K Ellicott; Zúñiga-Brenes, Paola; Ríos-Zertuche, Diego; Conde-Glez, Carlos J; Gagnier, Marielle C; Palmisano, Erin; Ranganathan, Dharani; Usmanova, Gulnoza; Salvatierra, Benito; Nazar, Austreberta; Tristao, Ignez; Sanchez Monin, Emmanuelle; Anderson, Brent W; Haakenstad, Annie; Murphy, Tasha; Lim, Stephen; Hernandez, Bernardo; Lozano, Rafael; Iriarte, Emma; Mokdad, Ali H

2015-01-01

Timely and accurate measurement of population protection against measles is critical for decision-making and prevention of outbreaks. However, little is known about how survey-based estimates of immunization (crude coverage) compare to the seroprevalence of antibodies (effective coverage), particularly in low-resource settings. In poor areas of Mexico and Nicaragua, we used household surveys to gather information on measles immunization from child health cards and caregiver recall. We also collected dried blood spots (DBS) from children aged 12 to 23 months to compare crude and effective coverage of measles immunization. We used survey-weighted logistic regression to identify individual, maternal, household, community, and health facility characteristics that predict gaps between crude coverage and effective coverage. We found that crude coverage was significantly higher than effective coverage (83% versus 68% in Mexico; 85% versus 50% in Nicaragua). A large proportion of children (19% in Mexico; 43% in Nicaragua) had health card documentation of measles immunization but lacked antibodies. These discrepancies varied from 0% to 100% across municipalities in each country. In multivariate analyses, card-positive children in Mexico were more likely to lack antibodies if they resided in urban areas or the jurisdiction of De Los Llanos. In contrast, card-positive children in Nicaragua were more likely to lack antibodies if they resided in rural areas or the North Atlantic region, had low weight-for-age, or attended health facilities with a greater number of refrigerators. Findings highlight that reliance on child health cards to measure population protection against measles is unwise. We call for the evaluation of immunization programs using serological methods, especially in poor areas where the cold chain is likely to be compromised. Identification of within-country variation in effective coverage of measles immunization will allow researchers and public health professionals to address challenges in current immunization programs.

Comparative Estimates of Crude and Effective Coverage of Measles Immunization in Low-Resource Settings: Findings from Salud Mesoamérica 2015

PubMed Central

Colson, K. Ellicott; Zúñiga-Brenes, Paola; Ríos-Zertuche, Diego; Conde-Glez, Carlos J.; Gagnier, Marielle C.; Palmisano, Erin; Ranganathan, Dharani; Usmanova, Gulnoza; Salvatierra, Benito; Nazar, Austreberta; Tristao, Ignez; Sanchez Monin, Emmanuelle; Anderson, Brent W.; Haakenstad, Annie; Murphy, Tasha; Lim, Stephen; Hernandez, Bernardo; Lozano, Rafael

2015-01-01

Timely and accurate measurement of population protection against measles is critical for decision-making and prevention of outbreaks. However, little is known about how survey-based estimates of immunization (crude coverage) compare to the seroprevalence of antibodies (effective coverage), particularly in low-resource settings. In poor areas of Mexico and Nicaragua, we used household surveys to gather information on measles immunization from child health cards and caregiver recall. We also collected dried blood spots (DBS) from children aged 12 to 23 months to compare crude and effective coverage of measles immunization. We used survey-weighted logistic regression to identify individual, maternal, household, community, and health facility characteristics that predict gaps between crude coverage and effective coverage. We found that crude coverage was significantly higher than effective coverage (83% versus 68% in Mexico; 85% versus 50% in Nicaragua). A large proportion of children (19% in Mexico; 43% in Nicaragua) had health card documentation of measles immunization but lacked antibodies. These discrepancies varied from 0% to 100% across municipalities in each country. In multivariate analyses, card-positive children in Mexico were more likely to lack antibodies if they resided in urban areas or the jurisdiction of De Los Llanos. In contrast, card-positive children in Nicaragua were more likely to lack antibodies if they resided in rural areas or the North Atlantic region, had low weight-for-age, or attended health facilities with a greater number of refrigerators. Findings highlight that reliance on child health cards to measure population protection against measles is unwise. We call for the evaluation of immunization programs using serological methods, especially in poor areas where the cold chain is likely to be compromised. Identification of within-country variation in effective coverage of measles immunization will allow researchers and public health professionals to address challenges in current immunization programs. PMID:26136239

TES/Aura L3 Carbon Monoxide (CO) Monthly (TL3COM)

Atmospheric Science Data Center

2018-02-28

... TES Aura L1B Nadir Spatial Coverage:  5.3 x 8.5 km Spatial Resolution:  0.5 x 5 km ... Guide Documents:  Data User's Guide (PDF):  Level 3 Level 3 Algorithms, Requirements, & Products (PDF) ...

A Spatial Heterodyne Spectrometer for Laboratory Astrophysics; First Interferogram

NASA Technical Reports Server (NTRS)

Lawler, J. E.; Labby, Z. E.; Roesler, F. L.; Harlander, J.

2006-01-01

A Spatial Heterodyne Spectrometer with broad spectral coverage across the VUV - UV region and with a high (> 500,000 ) spectral resolving power is being built for laboratory measurements of spectroscopic data including emission branching fractions, improved level energies, and hyperfine/isotopic parameters.

Financial protection from health spending in the Philippines: policies and progress.

PubMed

Bredenkamp, Caryn; Buisman, Leander R

2016-09-01

The objective of this article is to assess the progress of the Philippines health sector in providing financial protection to the population, as measured by estimates of health insurance coverage, out-of-pocket spending, catastrophic payments and impoverishing health expenditures. Data are drawn from eight household surveys between 2000 and 2013, including two Demographic and Health Surveys, one Family Health Survey and five Family Income and Expenditure Surveys. We find that out-of-pocket spending increased by 150% (real) from 2000 to 2012, with the sharpest increases occurring in recent years. The main driver of health spending is medicines, accounting for almost two-thirds of total health spending, and as much as three-quarters among the poor. The incidence of catastrophic payments has tripled since 2000, from 2.5% to 7.7%. The percentage of people impoverished by health spending has also increased and, in 2012, out-of-pocket spending on health added 1.5 percentage points to the poverty rate, pushing more than 1.5 million people into poverty. In light of these findings, recent policies to enhance financial risk protection-such as the expansion of government-subsidized health insurance from the poor to the near-poor, a policy of zero copayments for the poor, a deepening of the benefit package and provider payment reform aimed at cost-containment-are to be commended. Indeed, between 2008 and 2013, self-reported health insurance coverage increased across all quintiles and its distribution became more pro-poor. To speed progress toward financial protection goals, quick wins could include issuing health insurance cards to the poor to increase awareness of coverage and limiting out-of-pocket spending by clearly defining a clear copayment structure for non-poor members. An in-depth analysis of the pharmaceutical sector would help to shed light on why medicines impose such a large financial burden on households. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

A pilot study of routine immunization data quality in Bunza Local Government area: causes and possible remedies.

PubMed

Omoleke, Semeeh Akinwale; Tadesse, Menberu Getachew

2017-01-01

As a result of poor quality administrative data for routine immunisation (RI) in Nigeria, the real coverage of RI remains unknown, constituting a setback in curtailing vaccine preventable diseases (VPDs). Consequently, the purpose of this pilot study is to identify source(s) and evaluate the magnitude of poor data quality as well as propose recommendations to address the problem. The authors conducted a cross-sectional study in which 5 out of the 22 health facilities providing routine immunization services in Bunza Local Government Area (LGA), Kebbi State, Nigeria, were selected for data quality assessment. The reported coverage of RI in August and September, 2016 was the primary element of evaluation in the selected Health Facilities (HFs). Administered questionnaires were adapted from WHO Data Quality Assurance and RI monitoring tools to generate data from the HFs, as well as standardised community survey tool for household surveys. Data inconsistency was detected in 100% of the selected HFs. Maximum difference between HF monthly summary and RI registration book for penta 3 data quality report analysis was 820% and 767% in MCH Bunza and PHC Balu respectively. However, a minimum difference of 3% was observed at Loko Dispensary. Maximum difference between HF summary and RI registration for measles was 614% at MCH Bunza and 43% minimum difference at Loko. In contrast to the administrative coverage, 60-80% of the children sampled from households were either not immunised or partially immunised. Further, the main sources of poor data quality include heavy workload on RI providers, over-reliance on administrative coverage report, and lack of understanding of the significance of high data quality by RI providers. Substantial data discrepancies were observed in RI reports from all the Health Facilities which is indicative of poor data quality at the LGA level. Community surveys also revealed an over-reporting from administrative coverage data. Consequently, efforts should be geared towards achieving good data quality by immunisation stakeholders as it has implication on disease prevention and control efforts.

A pilot study of routine immunization data quality in Bunza Local Government area: causes and possible remedies

PubMed Central

Omoleke, Semeeh Akinwale; Tadesse, Menberu Getachew

2017-01-01

Introduction As a result of poor quality administrative data for routine immunisation (RI) in Nigeria, the real coverage of RI remains unknown, constituting a setback in curtailing vaccine preventable diseases (VPDs). Consequently, the purpose of this pilot study is to identify source(s) and evaluate the magnitude of poor data quality as well as propose recommendations to address the problem. Methods The authors conducted a cross-sectional study in which 5 out of the 22 health facilities providing routine immunization services in Bunza Local Government Area (LGA), Kebbi State, Nigeria, were selected for data quality assessment. The reported coverage of RI in August and September, 2016 was the primary element of evaluation in the selected Health Facilities (HFs). Administered questionnaires were adapted from WHO Data Quality Assurance and RI monitoring tools to generate data from the HFs, as well as standardised community survey tool for household surveys. Results Data inconsistency was detected in 100% of the selected HFs. Maximum difference between HF monthly summary and RI registration book for penta 3 data quality report analysis was 820% and 767% in MCH Bunza and PHC Balu respectively. However, a minimum difference of 3% was observed at Loko Dispensary. Maximum difference between HF summary and RI registration for measles was 614% at MCH Bunza and 43% minimum difference at Loko. In contrast to the administrative coverage, 60-80% of the children sampled from households were either not immunised or partially immunised. Further, the main sources of poor data quality include heavy workload on RI providers, over-reliance on administrative coverage report, and lack of understanding of the significance of high data quality by RI providers. Conclusion Substantial data discrepancies were observed in RI reports from all the Health Facilities which is indicative of poor data quality at the LGA level. Community surveys also revealed an over-reporting from administrative coverage data. Consequently, efforts should be geared towards achieving good data quality by immunisation stakeholders as it has implication on disease prevention and control efforts. PMID:28979641

Superwide-angle coverage code-multiplexed optical scanner.

PubMed

Riza, Nabeel A; Arain, Muzammil A

2004-05-01

A superwide-angle coverage code-multiplexed optical scanner is presented that has the potential to provide 4 pi-sr coverage. As a proof-of-concept experiment, an angular scan range of 288 degrees for six randomly distributed beams is demonstrated. The proposed scanner achieves its superwide coverage by exploiting a combination of phase-encoded transmission and reflection holography within an in-line hologram recording-retrieval geometry. The basic scanner unit consists of one phase-only digital mode spatial light modulator for code entry (i.e., beam scan control) and a holographic material from which we obtained what we believe is the first-of-a-kind extremely wide coverage, low component count, high speed (e.g., microsecond domain), and large aperture (e.g., > 1-cm diameter) scanner.

The Distribution of Basal Water Beneath the Greenland Ice Sheet from Radio-Echo Sounding

NASA Astrophysics Data System (ADS)

Jordan, T.; Williams, C.; Schroeder, D. M.; Martos, Y. M.; Cooper, M.; Siegert, M. J.; Paden, J. D.; Huybrechts, P.; Bamber, J. L.

2017-12-01

There is widespread, but often indirect, evidence that a significant fraction of the Greenland Ice Sheet is thawed at the bed. This includes major outlet glaciers and around the NorthGRIP ice-core in the interior. However, the ice-sheet-wide distribution of basal water is poorly constrained by existing observations, and the spatial relationship between basal water and other ice-sheet and subglacial properties is therefore largely unexplored. In principle, airborne radio-echo sounding (RES) surveys provide the necessary information and spatial coverage to infer the presence of basal water at the ice-sheet scale. However, due to uncertainty and spatial variation in radar signal attenuation, the commonly used water diagnostic, bed-echo reflectivity, is highly ambiguous and prone to spatial bias. Here we introduce a new RES diagnostic for the presence of basal water which incorporates both sharp step-transitions and rapid fluctuations in bed-echo reflectivity. This has the advantage of being (near) independent of attenuation model, and enables a decade of recent Operation Ice Bride RES survey data to be combined in a single map for basal water. The ice-sheet-wide water predictions are compared with: bed topography and drainage network structure, existing knowledge of the thermal state and geothermal heat flux, and ice velocity. In addition to the fast flowing ice-sheet margins, we also demonstrate widespread water routing and storage in parts of the slow-flowing northern interior. Notably, this includes a quasi-linear `corridor' of basal water, extending from NorthGRIP to Petermann glacier, which spatially correlates with a region of locally high (magnetic-derived) geothermal heat flux. The predicted water distribution places a new constraint upon the basal thermal state of the Greenland Ice Sheet, and could be used as an input for ice-sheet model simulations.

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.

Spatial autocorrelation in uptake of antenatal care and relationship to individual, household and village-level factors: results from a community-based survey of pregnant women in six districts in western Kenya.

PubMed

Prudhomme O'Meara, Wendy; Platt, Alyssa; Naanyu, Violet; Cole, Donald; Ndege, Samson

2013-12-07

The majority of maternal deaths, stillbirths, and neonatal deaths are concentrated in a few countries, many of which have weak health systems, poor access to health services, and low coverage of key health interventions. Early and consistent antenatal care (ANC) attendance could significantly reduce maternal and neonatal morbidity and mortality. Despite this, most Kenyan mothers initiate ANC care late in pregnancy and attend fewer than the recommended visits. We used survey data from 6,200 pregnant women across six districts in western Kenya to understand demand-side factors related to use of ANC. Bayesian multi-level models were developed to explore the relative importance of individual, household and village-level factors in relation to ANC use. There is significant spatial autocorrelation of ANC attendance in three of the six districts and considerable heterogeneity in factors related to ANC use between districts. Working outside the home limited ANC attendance. Maternal age, the number of small children in the household, and ownership of livestock were important in some districts, but not all. Village proportions of pregnancy in women of child-bearing age was significantly correlated to ANC use in three of the six districts. Geographic distance to health facilities and the type of nearest facility was not correlated with ANC use. After incorporating individual, household and village-level covariates, no residual spatial autocorrelation remained in the outcome. ANC attendance was consistently low across all the districts, but factors related to poor attendance varied. This heterogeneity is expected for an outcome that is highly influenced by socio-cultural values and local context. Interventions to improve use of ANC must be tailored to local context and should include explicit approaches to reach women who work outside the home.

Road infrastructure, spatial spillover and county economic growth

NASA Astrophysics Data System (ADS)

Hu, Zhenhua; Luo, Shuang

2017-09-01

This paper analyzes the spatial spillover effect of road infrastructure on the economic growth of poverty-stricken counties, based on the spatial Durbin model, by using the panel data of 37 poor counties in Hunan province from 2006 to 2015. The results showed that there is a significant spatial dependence of economic growth in Poor Counties. Road infrastructure has a positive impact on economic growth, and the results will be overestimated without considering spatial factors. Considering the spatial factors, the road infrastructure will promote the economic growth of the surrounding areas through the spillover effect, but the spillover effect is restricted by the distance factor. Capital investment is the biggest factor of economic growth in poor counties, followed by urbanization, labor force and regional openness.

Cherenkov detectors for spatial imaging applications using discrete-energy photons

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

Rose, Paul B.; Erickson, Anna S., E-mail: erickson@gatech.edu

Cherenkov detectors can offer a significant advantage in spatial imaging applications when excellent timing response, low noise and cross talk, large area coverage, and the ability to operate in magnetic fields are required. We show that an array of Cherenkov detectors with crude energy resolution coupled with monochromatic photons resulting from a low-energy nuclear reaction can be used to produce a sharp image of material while providing large and inexpensive detector coverage. The analysis of the detector response to relative transmission of photons with various energies allows for reconstruction of material's effective atomic number further aiding in high-Z material identification.

The Area Coverage of Geophysical Fields as a Function of Sensor Field-of View

NASA Technical Reports Server (NTRS)

Key, Jeffrey R.

1994-01-01

In many remote sensing studies of geophysical fields such as clouds, land cover, or sea ice characteristics, the fractional area coverage of the field in an image is estimated as the proportion of pixels that have the characteristic of interest (i.e., are part of the field) as determined by some thresholding operation. The effect of sensor field-of-view on this estimate is examined by modeling the unknown distribution of subpixel area fraction with the beta distribution, whose two parameters depend upon the true fractional area coverage, the pixel size, and the spatial structure of the geophysical field. Since it is often not possible to relate digital number, reflectance, or temperature to subpixel area fraction, the statistical models described are used to determine the effect of pixel size and thresholding operations on the estimate of area fraction for hypothetical geophysical fields. Examples are given for simulated cumuliform clouds and linear openings in sea ice, whose spatial structures are described by an exponential autocovariance function. It is shown that the rate and direction of change in total area fraction with changing pixel size depends on the true area fraction, the spatial structure, and the thresholding operation used.

Continuous strife for better coverage and more details in ocean surface winds measurements - from Midori and ADEOS-2 to GCOM

NASA Technical Reports Server (NTRS)

Xie, X.; Liu, W.; Hu, H.; Tang, W.

2001-01-01

The series of joint U.S.-Japan spaceborne scatterometers missions to provide continuous measurements of ocean wind vectors is reviewed. Examples of the scientific impact of the continuous effort in improving spatial resolution and coverage are provided. The plan for the future is reviewed.

TES/Aura L3 Methane (CH4) Monthly (TL3CH4M)

Atmospheric Science Data Center

2018-02-28

... TES Aura L1B Nadir Spatial Coverage:  5.3 x 8.5 km Spatial Resolution:  0.5 x 5 km ... Guide Documents:  Data User's Guide (PDF):  Level 3 Level 3 Algorithms, Requirements, & Products (PDF) ...

Health insurance and use of alternative medicine in Mexico

PubMed Central

van Gameren, Edwin

2014-01-01

Objectives I analyze the effect of coverage by health insurance on the use of alternative medicine such as folk healers and homeopaths, in particular if it complements or substitutes conventional services. Methods Panel data from the Mexican Health and Aging Study (MHAS) is used to estimate bivariate probit models in order to explain the use of alternative medicine while allowing the determinant of interest, access to health insurance, to be an endogenous factor. Results The findings indicate that households with insurance coverage less often use alternative medicine, and that the effect is much stronger among poor than among rich households. Conclusions Poor households substitute away from traditional medicine towards conventional medicine. PMID:20546965

Health coverage of low-income citizen and noncitizen wage earners: sources and disparities.

PubMed

Ponce, Ninez A; Cochran, Susan D; Mays, Vickie M; Chia, Jenny; Brown, E Richard

2008-04-01

The health coverage of low-income workers represents an area of continuing disparities in the United States system of health insurance. Using the 2001 California Health Interview Survey, we estimate the effect of low-income wage earners' citizenship and gender on the odds of obtaining primary employment-based health insurance (EBHI), dependent EBHI, public program coverage, and coverage from any source. We find that noncitizen men and women who comprise 40% of California's low-income workforce, share the disadvantage of much lower rates of insurance coverage, compared to naturalized and U.S.-born citizens. However, poor coverage rates of noncitizen men, regardless of permanent residency status, result from the cumulative disadvantage in obtaining dependent EBHI and public insurance. If public policies designed to provide a health care safety net fail to address the health care coverage needs of low-wage noncitizens, health disparities will continue to increase in this group that contributes essentially to the U.S. economy.

Assessment of the quality and content of website health information about herbal remedies for menopausal symptoms.

PubMed

Sowter, Julie; Astin, Felicity; Dye, Louise; Marshall, Paul; Knapp, Peter

2016-06-01

To assess the quality, readability and coverage of website information about herbal remedies for menopausal symptoms. A purposive sample of commercial and non-commercial websites was assessed for quality (DISCERN), readability (SMOG) and information coverage. Non-parametric and parametric tests were used to explain the variability of these factors across types of websites and to assess associations between website quality and information coverage. 39 sites were assessed. Median quality and information coverage scores were 44/80 and 11/30 respectively. The median readability score was 18.7, similar to UK broadsheets. Commercial websites scored significantly lower on quality (p=0.014), but there were no statistical differences for information coverage or readability. There was a significant positive correlation between information quality and coverage scores irrespective of website provider (r=0.69, p<0.001, n=39). Overall website quality and information coverage are poor and the required reading level high. Copyright © 2016 Elsevier Ireland 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.

[Correlationships between the coverage of vegetation and the quality of groundwater in the lower reaches of the Tarim River].

PubMed

Chen, Yong-jin; Chen, Ya-ning; Liu, Jia-zhen

2010-03-01

The variations vegetation coverage is the result of conjunct effects of inner and outer energy of the earth, however, the human activity always makes the coverage of vegetation change a lot. Based on the monitoring data of chemistry of groundwater and the coverage of vegetation from 2002 to 2007 in the lower reaches of Tarim River, relations between vegetation coverage and groundwater chemistry were studied. It is found that vegetation coverage at Sector A was more than 80%, and decreased from sector to sector, the coverage of Sector I was less than 10%. At the same sector, samples near to water source owned high coverage index, and samples far away from the river had low coverage index. The variations of pH in groundwater expressed similar regulation to vegetation coverage, that is, Sectors near the water source had higher pH index comparing than those far away. Regression between groundwater quality and vegetation coverage disclosed that the coverage of Populus euphratica climbed up along with increase of pH in groundwater, change of Tamarix ramosissima coverage expressed an opposite trend to the Populus euphratica with the same environmental factors. This phenomenon can interpret spatial distribution of Populus euphratica and Tamarix ramosissima in lower reaches of the Tarim River.

Coverage, social mobilization and challenges of mass Zithromax administration campaign in South and South East zones of Tigray, Northern Ethiopia: A cross sectional study.

PubMed

Mulugeta, Afework; Gebregergs, Gebremedhin Berhe; Asfaw, Selamawit; Yemane, Dejen; Mitiku, Mengistu; Meresa, Beyene; Gigar, Goitom; Kidane, Amanuel

2018-02-01

The antibiotic treatment of people with trachoma helps to prevent transmission the disease in a community. Currently, Zithromax is the drug recommended for mass drug administration (MDA). MDA should be carried out annually for three to five years in trachoma endemic areas. Coverage survey is essential to track progress towards program goals and to identify communities with poor coverage in order to permit timely and appropriate actions. We assessed mass Zithromax administration coverage, social mobilization and campaign challenges in south and southeast zones of Tigray, Ethiopia. We conducted a survey in community in Southern and South East zones of Tigray region from August 15 to August 31, 2016. The survey included nine Woredas. It was supported by qualitative methods. A total of 3741 individuals were enrolled from 933 households using multistage sampling. We used structured questionnaire. In-depth interview and focus group discussion were also applied. Descriptive statistics was performed using SPSS version 20.We thematically analyzed the qualitative data using Atlas 7. The overall coverage of Zithromax MDA was 93.3%. It ranges from 90.0% in Seharti Samre to 97.9% in Endamokoni. The coverage was 93.4% for males and 93.1% for females. A higher proportion (98.3%) of children aged 5 to 15 years and 409 (87.8%) under five children took Zithromax. The coverage was 94% in rural and 91.2% in urban. Women development army (43.3%) and health extension workers (32.5%) were the main source of information. Frequent occurrence of drug side effects, rumors, lack of community and leaders' engagement in the campaign, fasting, shortage of human power and short term unavailability of supplies were barriers during the campaign. The Zithromax MDA coverage in the study zones was higher than the minimum WHO set criteria of 80%. There was a wide difference in coverage among Woredas and Kebeles. The MDA coverage was lower in urban than rural. Misconceptions and poor mobilization were common challenges. Thus, proper planning, community mobilization and uniform training will need to be done ahead of the campaign in the future.

Hierarchical spatial models of abundance and occurrence from imperfect survey data

USGS Publications Warehouse

Royle, J. Andrew; Kery, M.; Gautier, R.; Schmid, Hans

2007-01-01

Many estimation and inference problems arising from large-scale animal surveys are focused on developing an understanding of patterns in abundance or occurrence of a species based on spatially referenced count data. One fundamental challenge, then, is that it is generally not feasible to completely enumerate ('census') all individuals present in each sample unit. This observation bias may consist of several components, including spatial coverage bias (not all individuals in the Population are exposed to sampling) and detection bias (exposed individuals may go undetected). Thus, observations are biased for the state variable (abundance, occupancy) that is the object of inference. Moreover, data are often sparse for most observation locations, requiring consideration of methods for spatially aggregating or otherwise combining sparse data among sample units. The development of methods that unify spatial statistical models with models accommodating non-detection is necessary to resolve important spatial inference problems based on animal survey data. In this paper, we develop a novel hierarchical spatial model for estimation of abundance and occurrence from survey data wherein detection is imperfect. Our application is focused on spatial inference problems in the Swiss Survey of Common Breeding Birds. The observation model for the survey data is specified conditional on the unknown quadrat population size, N(s). We augment the observation model with a spatial process model for N(s), describing the spatial variation in abundance of the species. The model includes explicit sources of variation in habitat structure (forest, elevation) and latent variation in the form of a correlated spatial process. This provides a model-based framework for combining the spatially referenced samples while at the same time yielding a unified treatment of estimation problems involving both abundance and occurrence. We provide a Bayesian framework for analysis and prediction based on the integrated likelihood, and we use the model to obtain estimates of abundance and occurrence maps for the European Jay (Garrulus glandarius), a widespread, elusive, forest bird. The naive national abundance estimate ignoring imperfect detection and incomplete quadrat coverage was 77 766 territories. Accounting for imperfect detection added approximately 18 000 territories, and adjusting for coverage bias added another 131 000 territories to yield a fully corrected estimate of the national total of about 227 000 territories. This is approximately three times as high as previous estimates that assume every territory is detected in each quadrat.

TES/Aura L3 Ammonia (NH3) Daily V3 (TL3NH3D)

Atmospheric Science Data Center

2018-03-14

... TES Aura L1B Nadir Spatial Coverage:  5.3 x 8.5 km Spatial Resolution:  0.5 x 5 km ... Guide Documents:  Data User's Guide (PDF):  Level 3 Level 3 Algorithms, Requirements, & Products (PDF) ...

Are two systemic fish assemblage sampling programmes on the upper Mississippi River telling us the same thing?

USGS Publications Warehouse

Dukerschein, J.T.; Bartels, A.D.; Ickes, B.S.; Pearson, M.S.

2013-01-01

We applied an Index of Biotic Integrity (IBI) used on Wisconsin/Minnesota waters of the upper Mississippi River (UMR) to compare data from two systemic sampling programmes. Ability to use data from multiple sampling programmes could extend spatial and temporal coverage of river assessment and monitoring efforts. We normalized for effort and tested fish community data collected by the Environmental Monitoring and Assessment Program-Great Rivers Ecosystems (EMAP-GRE) 2004–2006 and the Long Term Resource Monitoring Program (LTRMP) 1993–2006. Each programme used daytime electrofishing along main channel borders but with some methodological and design differences. EMAP-GRE, designed for baseline and, eventually, compliance monitoring, used a probabilistic, continuous design. LTRMP, designed primarily for baseline and trend monitoring, used a stratified random design in five discrete study reaches. Analysis of similarity indicated no significant difference between EMAP-GRE and LTRMP IBI scores (n=238; Global R= 0.052; significance level=0.972). Both datasets distinguished clear differences only between 'Fair' and 'Poor' condition categories, potentially supporting a 'pass–fail' assessment strategy. Thirteen years of LTRMP data demonstrated stable IBI scores through time in four of five reaches sampled. LTRMP and EMAPGRE IBI scores correlated along the UMR's upstream to downstream gradient (df [3, 25]; F=1.61; p=0.22). A decline in IBI scores from upstream to downstream was consistent with UMR fish community studies and a previous, empirically modelled human disturbance gradient. Comparability between EMAP-GRE (best upstream to downstream coverage) and LTRMP data (best coverage over time and across the floodplain) supports a next step of developing and testing a systemic, multi-metric fish index on the UMR that both approaches could inform.

Identification of burden hotspots and risk factors for cholera in India: An observational study

PubMed Central

Sen Gupta, Sanjukta; Arora, Nisha; Khasnobis, Pradeep; Venkatesh, Srinivas; Sur, Dipika; Nair, Gopinath B.; Sack, David A.; Ganguly, Nirmal K.

2017-01-01

Background Even though cholera has existed for centuries and many parts of the country have sporadic, endemic and epidemic cholera, it is still an under-recognized health problem in India. A Cholera Expert Group in the country was established to gather evidence and to prepare a road map for control of cholera in India. This paper identifies cholera burden hotspots and factors associated with an increased risk of the disease. Methodology/Principle findings We acquired district level data on cholera case reports of 2010–2015 from the Integrated Disease Surveillance Program. Socioeconomic characteristics and coverage of water and sanitation was obtained from the 2011 census. Spatial analysis was performed to identify cholera hotspots, and a zero-inflated Poisson regression was employed to identify the factors associated with cholera and predicted case count in the district. 27,615 cholera cases were reported during the 6-year period. Twenty-four of 36 states of India reported cholera during these years, and 13 states were classified as endemic. Of 641 districts, 78 districts in 15 states were identified as “hotspots” based on the reported cases. On the other hand, 111 districts in nine states were identified as “hotspots” from model-based predicted number of cases. The risk for cholera in a district was negatively associated with the coverage of literate persons, households using treated water source and owning mobile telephone, and positively associated with the coverage of poor sanitation and drainage conditions and urbanization level in the district. Conclusions/Significance The study reaffirms that cholera continues to occur throughout a large part of India and identifies the burden hotspots and risk factors. Policymakers may use the findings of the article to develop a roadmap for prevention and control of cholera in India. PMID:28837645

Identification of burden hotspots and risk factors for cholera in India: An observational study.

PubMed

Ali, Mohammad; Sen Gupta, Sanjukta; Arora, Nisha; Khasnobis, Pradeep; Venkatesh, Srinivas; Sur, Dipika; Nair, Gopinath B; Sack, David A; Ganguly, Nirmal K

2017-01-01

Even though cholera has existed for centuries and many parts of the country have sporadic, endemic and epidemic cholera, it is still an under-recognized health problem in India. A Cholera Expert Group in the country was established to gather evidence and to prepare a road map for control of cholera in India. This paper identifies cholera burden hotspots and factors associated with an increased risk of the disease. We acquired district level data on cholera case reports of 2010-2015 from the Integrated Disease Surveillance Program. Socioeconomic characteristics and coverage of water and sanitation was obtained from the 2011 census. Spatial analysis was performed to identify cholera hotspots, and a zero-inflated Poisson regression was employed to identify the factors associated with cholera and predicted case count in the district. 27,615 cholera cases were reported during the 6-year period. Twenty-four of 36 states of India reported cholera during these years, and 13 states were classified as endemic. Of 641 districts, 78 districts in 15 states were identified as "hotspots" based on the reported cases. On the other hand, 111 districts in nine states were identified as "hotspots" from model-based predicted number of cases. The risk for cholera in a district was negatively associated with the coverage of literate persons, households using treated water source and owning mobile telephone, and positively associated with the coverage of poor sanitation and drainage conditions and urbanization level in the district. The study reaffirms that cholera continues to occur throughout a large part of India and identifies the burden hotspots and risk factors. Policymakers may use the findings of the article to develop a roadmap for prevention and control of cholera in India.

Competition between plant functional types in the Canadian Terrestrial Ecosystem Model (CTEM) v. 2.0

NASA Astrophysics Data System (ADS)

Melton, J. R.; Arora, V. K.

2015-06-01

The Canadian Terrestrial Ecosystem Model (CTEM) is the interactive vegetation component in the Earth system model of the Canadian Centre for Climate Modelling and Analysis. CTEM models land-atmosphere exchange of CO2 through the response of carbon in living vegetation, and dead litter and soil pools, to changes in weather and climate at timescales of days to centuries. Version 1.0 of CTEM uses prescribed fractional coverage of plant functional types (PFTs) although, in reality, vegetation cover continually adapts to changes in climate, atmospheric composition, and anthropogenic forcing. Changes in the spatial distribution of vegetation occur on timescales of years to centuries as vegetation distributions inherently have inertia. Here, we present version 2.0 of CTEM which includes a representation of competition between PFTs based on a modified version of the Lotka-Volterra (L-V) predator-prey equations. Our approach is used to dynamically simulate the fractional coverage of CTEM's seven natural, non-crop PFTs which are then compared with available observation-based estimates. Results from CTEM v. 2.0 show the model is able to represent the broad spatial distributions of its seven PFTs at the global scale. However, differences remain between modelled and observation-based fractional coverages of PFTs since representing the multitude of plant species globally, with just seven non-crop PFTs, only captures the large scale climatic controls on PFT distributions. As expected, PFTs that exist in climate niches are difficult to represent either due to the coarse spatial resolution of the model, and the corresponding driving climate, or the limited number of PFTs used. We also simulate the fractional coverages of PFTs using unmodified L-V equations to illustrate its limitations. The geographic and zonal distributions of primary terrestrial carbon pools and fluxes from the versions of CTEM that use prescribed and dynamically simulated fractional coverage of PFTs compare reasonably well with each other and observation-based estimates. The parametrization of competition between PFTs in CTEM v. 2.0 based on the modified L-V equations behaves in a reasonably realistic manner and yields a tool with which to investigate the changes in spatial distribution of vegetation in response to future changes in climate.

Competition between plant functional types in the Canadian Terrestrial Ecosystem Model (CTEM) v. 2.0

NASA Astrophysics Data System (ADS)

Melton, J. R.; Arora, V. K.

2016-01-01

The Canadian Terrestrial Ecosystem Model (CTEM) is the interactive vegetation component in the Earth system model of the Canadian Centre for Climate Modelling and Analysis. CTEM models land-atmosphere exchange of CO2 through the response of carbon in living vegetation, and dead litter and soil pools, to changes in weather and climate at timescales of days to centuries. Version 1.0 of CTEM uses prescribed fractional coverage of plant functional types (PFTs) although, in reality, vegetation cover continually adapts to changes in climate, atmospheric composition and anthropogenic forcing. Changes in the spatial distribution of vegetation occur on timescales of years to centuries as vegetation distributions inherently have inertia. Here, we present version 2.0 of CTEM, which includes a representation of competition between PFTs based on a modified version of the Lotka-Volterra (L-V) predator-prey equations. Our approach is used to dynamically simulate the fractional coverage of CTEM's seven natural, non-crop PFTs, which are then compared with available observation-based estimates. Results from CTEM v. 2.0 show the model is able to represent the broad spatial distributions of its seven PFTs at the global scale. However, differences remain between modelled and observation-based fractional coverage of PFTs since representing the multitude of plant species globally, with just seven non-crop PFTs, only captures the large-scale climatic controls on PFT distributions. As expected, PFTs that exist in climate niches are difficult to represent either due to the coarse spatial resolution of the model, and the corresponding driving climate, or the limited number of PFTs used. We also simulate the fractional coverage of PFTs using unmodified L-V equations to illustrate its limitations. The geographic and zonal distributions of primary terrestrial carbon pools and fluxes from the versions of CTEM that use prescribed and dynamically simulated fractional coverage of PFTs compare reasonably well with each other and observation-based estimates. The parametrization of competition between PFTs in CTEM v. 2.0 based on the modified L-V equations behaves in a reasonably realistic manner and yields a tool with which to investigate the changes in spatial distribution of vegetation in response to future changes in climate.

Undernutrition, poor feeding practices, and low coverage of key nutrition interventions.

PubMed

Lutter, Chessa K; Daelmans, Bernadette M E G; de Onis, Mercedes; Kothari, Monica T; Ruel, Marie T; Arimond, Mary; Deitchler, Megan; Dewey, Kathryn G; Blössner, Monika; Borghi, Elaine

2011-12-01

To estimate the global burden of malnutrition and highlight data on child feeding practices and coverage of key nutrition interventions. Linear mixed-effects modeling was used to estimate prevalence rates and numbers of underweight and stunted children according to United Nations region from 1990 to 2010 by using surveys from 147 countries. Indicators of infant and young child feeding practices and intervention coverage were calculated from Demographic and Health Survey data from 46 developing countries between 2002 and 2008. In 2010, globally, an estimated 27% (171 million) of children younger than 5 years were stunted and 16% (104 million) were underweight. Africa and Asia have more severe burdens of undernutrition, but the problem persists in some Latin American countries. Few children in the developing world benefit from optimal breastfeeding and complementary feeding practices. Fewer than half of infants were put to the breast within 1 hour of birth, and 36% of infants younger than 6 months were exclusively breastfed. Fewer than one-third of 6- to 23-month-old children met the minimum criteria for dietary diversity, and only ∼50% received the minimum number of meals. Although effective health-sector-based interventions for tackling childhood undernutrition are known, intervention-coverage data are available for only a small proportion of them and reveal mostly low coverage. Undernutrition continues to be high and progress toward reaching Millennium Development Goal 1 has been slow. Previously unrecognized extremely poor breastfeeding and complementary feeding practices and lack of comprehensive data on intervention coverage require urgent action to improve child nutrition.

Inequities in coverage of preventive child health interventions: the rural drinking water supply program and the universal immunization program in Rajasthan, India.

PubMed

Mohan, Pavitra

2005-02-01

I assessed whether the Rural Drinking Water Supply Program (RDWSP) and the Universal Immunization Program (UIP) have achieved equitable coverage in Rajasthan, India, and explored program characteristics that affect equitable coverage of preventive health interventions. A total of 2460 children presenting at 12 primary health facilities in one district of Rajasthan were enrolled and classified into economic quartiles based on possession of assets. Immunization coverage and prime source of drinking water were compared across quartiles. A higher access to piped water by wealthier families (P< .001) was compensated by higher access to hand pumps by poorer families (P<.001), resulting in equal access to a safe source (P=.9). Immunization coverage was inequitable, favoring the wealthier children (P<.001). The RDWSP has achieved equitable coverage, while UIP coverage remains highly inequitable. Programs can make coverage more equitable by formulating explicit objectives to ensure physical access to all, promoting the intervention's demand by the poor, and enhancing the support and monitoring of frontline workers who deliver these interventions.

Financing universal health coverage—effects of alternative tax structures on public health systems: cross-national modelling in 89 low-income and middle-income countries

PubMed Central

Reeves, Aaron; Gourtsoyannis, Yannis; Basu, Sanjay; McCoy, David; McKee, Martin; Stuckler, David

2015-01-01

Summary Background How to finance progress towards universal health coverage in low-income and middle-income countries is a subject of intense debate. We investigated how alternative tax systems affect the breadth, depth, and height of health system coverage. Methods We used cross-national longitudinal fixed effects models to assess the relationships between total and different types of tax revenue, health system coverage, and associated child and maternal health outcomes in 89 low-income and middle-income countries from 1995–2011. Findings Tax revenue was a major statistical determinant of progress towards universal health coverage. Each US$100 per capita per year of additional tax revenues corresponded to a yearly increase in government health spending of $9·86 (95% CI 3·92–15·8), adjusted for GDP per capita. This association was strong for taxes on capital gains, profits, and income ($16·7, 9·16 to 24·3), but not for consumption taxes on goods and services (−$4·37, −12·9 to 4·11). In countries with low tax revenues (<$1000 per capita per year), an additional $100 tax revenue per year substantially increased the proportion of births with a skilled attendant present by 6·74 percentage points (95% CI 0·87–12·6) and the extent of financial coverage by 11·4 percentage points (5·51–17·2). Consumption taxes, a more regressive form of taxation that might reduce the ability of the poor to afford essential goods, were associated with increased rates of post-neonatal mortality, infant mortality, and under-5 mortality rates. We did not detect these adverse associations with taxes on capital gains, profits, and income, which tend to be more progressive. Interpretation Increasing domestic tax revenues is integral to achieving universal health coverage, particularly in countries with low tax bases. Pro-poor taxes on profits and capital gains seem to support expanding health coverage without the adverse associations with health outcomes observed for higher consumption taxes. Progressive tax policies within a pro-poor framework might accelerate progress toward achieving major international health goals. Funding Commission of the European Communities (FP7–DEMETRIQ), the European Union's HRES grants, and the Wellcome Trust. PMID:25982041

Promoting universal financial protection: health insurance for the poor in Georgia--a case study.

PubMed

Zoidze, Akaki; Rukhazde, Natia; Chkhatarashvili, Ketevan; Gotsadze, George

2013-11-15

The present study focuses on the program "Medical Insurance for the Poor (MIP)" in Georgia. Under this program, the government purchased coverage from private insurance companies for vulnerable households identified through a means testing system, targeting up to 23% of the total population. The benefit package included outpatient and inpatient services with no co-payments, but had only limited outpatient drug benefits. This paper presents the results of the study on the impact of MIP on access to health services and financial protection of the MIP-targeted and general population. With a holistic case study design, the study employed a range of quantitative and qualitative methods. The methods included document review and secondary analysis of the data obtained through the nationwide household health expenditure and utilisation surveys 2007-2010 using the difference-in-differences method. The study findings showed that MIP had a positive impact in terms of reduced expenditure for inpatient services and total household health care costs, and there was a higher probability of receiving free outpatient benefits among the MIP-insured. However, MIP insurance had almost no effect on health services utilisation and the households' expenditure on outpatient drugs, including for those with MIP insurance, due to limited drug benefits in the package and a low claims ratio. In summary, the extended MIP coverage and increased financial access provided by the program, most likely due to the exclusion of outpatient drug coverage from the benefit package and possibly due to improper utilisation management by private insurance companies, were not able to reverse adverse effects of economic slow-down and escalating health expenditure. MIP has only cushioned the negative impact for the poorest by decreasing the poor/rich gradient in the rates of catastrophic health expenditure. The recent governmental decision on major expansion of MIP coverage and inclusion of additional drug benefit will most likely significantly enhance the overall MIP impact and its potential as a viable policy instrument for achieving universal coverage. The Georgian experience presented in this paper may be useful for other low- and middle-income countries that are contemplating ways to ensure universal coverage for their populations.

Gaps in universal health coverage in Malawi: A qualitative study in rural communities

PubMed Central

2014-01-01

Background In sub-Saharan Africa, universal health coverage (UHC) reforms have often adopted a technocratic top-down approach, with little attention being paid to the rural communities’ perspective in identifying context specific gaps to inform the design of such reforms. This approach might shape reforms that are not sufficiently responsive to local needs. Our study explored how rural communities experience and define gaps in universal health coverage in Malawi, a country which endorses free access to an Essential Health Package (EHP) as a means towards universal health coverage. Methods We conducted a qualitative cross-sectional study in six rural communities in Malawi. Data was collected from 12 Focus Group Discussions with community residents and triangulated with 8 key informant interviews with health care providers. All respondents were selected through stratified purposive sampling. The material was tape-recorded, fully transcribed, and coded by three independent researchers. Results The results showed that the EHP has created a universal sense of entitlements to free health care at the point of use. However, respondents reported uneven distribution of health facilities and poor implementation of public-private service level agreements, which have led to geographical inequities in population coverage and financial protection. Most respondents reported affordability of medical costs at private facilities and transport costs as the main barriers to universal financial protection. From the perspective of rural Malawians, gaps in financial protection are mainly triggered by supply-side access-related barriers in the public health sector such as: shortages of medicines, emergency services, shortage of health personnel and facilities, poor health workers’ attitudes, distance and transportation difficulties, and perceived poor quality of health services. Conclusions Moving towards UHC in Malawi, therefore, implies the introduction of appropriate interventions to fill the financial protection gaps in the private sector and the access-related gaps in the public sector and/or an effective public-private partnership that completely integrates both sectors. Current universal health coverage reforms need to address context specific gaps and be carefully crafted to avoid creating a sense of universal entitlements in principle, which may not be effectively received by beneficiaries due to contextual and operational bottlenecks. PMID:24884788

Changes in Arctic and Antarctic Sea Ice as a Microcosm of Global Climate Change

NASA Technical Reports Server (NTRS)

Parkinson, Claire L.

2014-01-01

Polar sea ice is a key element of the climate system and has now been monitored through satellite observations for over three and a half decades. The satellite observations reveal considerable information about polar ice and its changes since the late 1970s, including a prominent downward trend in Arctic sea ice coverage and a much lesser upward trend in Antarctic sea ice coverage, illustrative of the important fact that climate change entails spatial contrasts. The decreasing ice coverage in the Arctic corresponds well with contemporaneous Arctic warming and exhibits particularly large decreases in the summers of 2007 and 2012, influenced by both preconditioning and atmospheric conditions. The increasing ice coverage in the Antarctic is not as readily explained, but spatial differences in the Antarctic trends suggest a possible connection with atmospheric circulation changes that have perhaps been influenced by the Antarctic ozone hole. The changes in the polar ice covers and the issues surrounding those changes have many commonalities with broader climate changes and their surrounding issues, allowing the sea ice changes to be viewed in some important ways as a microcosm of global climate change.

Analysis on Temporal-Spatial Changes of Vegetation Cverrge in Farming-Pastoral Ecotone of Inner Mongolia

NASA Astrophysics Data System (ADS)

Yan, X.; Li, J.; Yang, Z.

2018-04-01

Chen Barag Banner is located in the typical farming-pastoral ecotone of Inner Mongolia, and it is also the core area of Hulunbuir steppe. Typical agricultural and pastoral staggered production mode so that the vegetation growth of the region not only determines the local ecological environment, and animal husbandry production, but also have a significant impact on the whole Hulunbuir ecological security and economic development. Therefore, it is necessary to monitor the change of vegetation in this area. Based on 17 MODIS Normalized Difference Vegetation Index (NDVI) images, the authors reconstructed the dynamic change characteristics of Fraction vegetation coverage (FVC) in Chen Barag Banner from 2000 to 2016. In this paper, first at all, Pixel Decomposition Models was introduced to inversion FVC, and the time series of vegetation coverage was reconstructed. Then we analyzed the temporal-spatial changes of FVC by employing transition matrix. Finally, through image analyzing and processing, the results showed that the vegetation coverage in the study area was influenced by effectors including climate, topography and human actives. In the past 17 years, the overall effect of vegetation coverage showed a downward trend of fluctuation. The average vegetation coverage decreased from 58.81 % in 2000 to 48.14 % in 2016, and the area of vegetation cover degradation accounts for 40.09 % of the total change area. Therefore, the overall degradation trend was obvious.

Improving polio vaccination coverage in Nigeria through the use of geographic information system technology.

PubMed

Barau, Inuwa; Zubairu, Mahmud; Mwanza, Michael N; Seaman, Vincent Y

2014-11-01

Historically, microplanning for polio vaccination campaigns in Nigeria relied on inaccurate and incomplete hand-drawn maps, resulting in the exclusion of entire settlements and missed children. The goal of this work was to create accurate, coordinate-based maps for 8 polio-endemic states in northern Nigeria to improve microplanning and support tracking of vaccination teams, thereby enhancing coverage, supervision, and accountability. Settlement features were identified in the target states, using high-resolution satellite imagery. Field teams collected names and geocoordinates for each settlement feature, with the help of local guides. Global position system (GPS) tracking of vaccination teams was conducted in selected areas and daily feedback provided to supervisors. Geographic information system (GIS)-based maps were created for 2238 wards in the 8 target states. The resulting microplans included all settlements and more-efficient team assignments, owing to the improved spatial reference. GPS tracking was conducted in 111 high-risk local government areas, resulting in improved team performance and the identification of missed/poorly covered settlements. Accurate and complete maps are a necessary part of an effective polio microplan, and tracking vaccinators gives supervisors a tool to ensure that all settlements are visited. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh

PubMed Central

Adams, Alayne M; Islam, Rubana; Ahmed, Tanvir

2015-01-01

In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of healthcare services proximate to where the poor reside. Three methods were employed: (1) Social mapping and listing of all Health Service Delivery Points (HSDPs); (2) Creation of a geospatial map including Global Positioning System (GPS) co-ordinates of all HSPDs in the six study areas and (3) Implementation of a facility survey of all HSDPs within six study areas. Descriptive statistics are used to examine the number, type and concentration of service provider types, as well as indicators of their accessibility in terms of location and hours of service. A total of 1041 HSDPs were mapped, of which 80% are privately operated and the rest by NGOs and the public sector. Phamacies and non-formal or traditional doctors make up 75% of the private sector while consultation chambers account for 20%. Most NGO and Urban Primary Health Care Project (UPHCP) static clinics are open 5–6 days/week, but close by 4–5 pm in the afternoon. Evening services are almost exclusively offered by private HSDPs; however, only 37% of private sector health staff possess some kind of formal medical qualification. This spatial analysis of health service supply in poor urban settlements emphasizes the importance of taking the informal private sector into account in efforts to increase effective coverage of quality services. Features of informal private sector service provision that have facilitated market penetration may be relevant in designing formal services that better meet the needs of the urban poor. PMID:25759453

Systematic review of the incremental costs of interventions that increase immunization coverage.

PubMed

Ozawa, Sachiko; Yemeke, Tatenda T; Thompson, Kimberly M

2018-05-10

Achieving and maintaining high vaccination coverage requires investments, but the costs and effectiveness of interventions to increase coverage remain poorly characterized. We conducted a systematic review of the literature to identify peer-reviewed studies published in English that reported interventions aimed at increasing immunization coverage and the associated costs and effectiveness of the interventions. We found limited information in the literature, with many studies reporting effectiveness estimates, but not providing cost information. Using the available data, we developed a cost function to support future programmatic decisions about investments in interventions to increase immunization coverage for relatively low and high-income countries. The cost function estimates the non-vaccine cost per dose of interventions to increase absolute immunization coverage by one percent, through either campaigns or routine immunization. The cost per dose per percent increase in absolute coverage increased with higher baseline coverage, demonstrating increasing incremental costs required to reach higher coverage levels. Future studies should evaluate the performance of the cost function and add to the database of available evidence to better characterize heterogeneity in costs and generalizability of the cost function. Copyright © 2018. Published by Elsevier Ltd.

Spatial Coverage Planning for a Planetary Rover

NASA Technical Reports Server (NTRS)

Gaines, Daniel M.; Estlin, Tara; Chouinard, Caroline

2008-01-01

We are developing onboard planning and execution technologies to support the exploration and characterization of geological features by autonomous rovers. In order to generate high quality mission plans, an autonomous rover must reason about the relative importance of the observations it can perform. In this paper we look at the scientific criteria of selecting observations that improve the quality of the area covered by samples. Our approach makes use of a priori information, if available, and allows scientists to mark sub-regions of the area with relative priorities for exploration. We use an efficient algorithm for prioritizing observations based on spatial coverage that allows the system to update observation rankings as new information is gained during execution.

Programming an Artificial Neural Network Tool for Spatial Interpolation in GIS - A Case Study for Indoor Radio Wave Propagation of WLAN.

PubMed

Sen, Alper; Gümüsay, M Umit; Kavas, Aktül; Bulucu, Umut

2008-09-25

Wireless communication networks offer subscribers the possibilities of free mobility and access to information anywhere at any time. Therefore, electromagnetic coverage calculations are important for wireless mobile communication systems, especially in Wireless Local Area Networks (WLANs). Before any propagation computation is performed, modeling of indoor radio wave propagation needs accurate geographical information in order to avoid the interruption of data transmissions. Geographic Information Systems (GIS) and spatial interpolation techniques are very efficient for performing indoor radio wave propagation modeling. This paper describes the spatial interpolation of electromagnetic field measurements using a feed-forward back-propagation neural network programmed as a tool in GIS. The accuracy of Artificial Neural Networks (ANN) and geostatistical Kriging were compared by adjusting procedures. The feedforward back-propagation ANN provides adequate accuracy for spatial interpolation, but the predictions of Kriging interpolation are more accurate than the selected ANN. The proposed GIS ensures indoor radio wave propagation model and electromagnetic coverage, the number, position and transmitter power of access points and electromagnetic radiation level. Pollution analysis in a given propagation environment was done and it was demonstrated that WLAN (2.4 GHz) electromagnetic coverage does not lead to any electromagnetic pollution due to the low power levels used. Example interpolated electromagnetic field values for WLAN system in a building of Yildiz Technical University, Turkey, were generated using the selected network architectures to illustrate the results with an ANN.

Programming an Artificial Neural Network Tool for Spatial Interpolation in GIS - A Case Study for Indoor Radio Wave Propagation of WLAN

PubMed Central

Şen, Alper; Gümüşay, M. Ümit; Kavas, Aktül; Bulucu, Umut

2008-01-01

Wireless communication networks offer subscribers the possibilities of free mobility and access to information anywhere at any time. Therefore, electromagnetic coverage calculations are important for wireless mobile communication systems, especially in Wireless Local Area Networks (WLANs). Before any propagation computation is performed, modeling of indoor radio wave propagation needs accurate geographical information in order to avoid the interruption of data transmissions. Geographic Information Systems (GIS) and spatial interpolation techniques are very efficient for performing indoor radio wave propagation modeling. This paper describes the spatial interpolation of electromagnetic field measurements using a feed-forward back-propagation neural network programmed as a tool in GIS. The accuracy of Artificial Neural Networks (ANN) and geostatistical Kriging were compared by adjusting procedures. The feedforward back-propagation ANN provides adequate accuracy for spatial interpolation, but the predictions of Kriging interpolation are more accurate than the selected ANN. The proposed GIS ensures indoor radio wave propagation model and electromagnetic coverage, the number, position and transmitter power of access points and electromagnetic radiation level. Pollution analysis in a given propagation environment was done and it was demonstrated that WLAN (2.4 GHz) electromagnetic coverage does not lead to any electromagnetic pollution due to the low power levels used. Example interpolated electromagnetic field values for WLAN system in a building of Yildiz Technical University, Turkey, were generated using the selected network architectures to illustrate the results with an ANN. PMID:27873854

A Revisit of Global Dimming and Brightening Based on the Sunshine Duration

NASA Astrophysics Data System (ADS)

He, Yanyi; Wang, Kaicun; Zhou, Chunlüe; Wild, Martin

2018-05-01

Observations show that the surface incident solar radiation (Rs) decreased over land from the 1950s to the 1980s and increased thereafter, known as global dimming and brightening. This claim has been questioned due to the inhomogeneity and low spatial-temporal coverage of Rs observations. Based on direct comparisons of 200 observed and sunshine duration (SunDu) derived Rs station pairs, meeting data record lengths exceeding 60 months and spatial distances less than 110 km, we show that meteorological observations of SunDu can be used as a proxy for measured Rs. Our revised results from 2,600 stations show global dimming from the 1950s to the 1980s over China (-1.90 W/m2 per decade), Europe (-1.36 W/m2 per decade), and the United States (-1.10 W/m2 per decade), brightening from 1980 to 2009 in Europe (1.66 W/m2 per decade) and a decline from 1994 to 2010 in China (-1.06 W/m2 per decade). Even if 1994-2010 is well known as a period of global brightening, the observed and SunDu-derived Rs over China still exhibit declining trends. Trends in Rs from 1923 to 1950 are also found over Europe (1.91 W/m2 per decade) and the United States (-1.31 W/m2 per decade), but the results in Europe may not well represent the actual trend for the European continent due to poor spatial sampling.

Globalization and multi-spatial trends in the coverage of protected-area conservation (1980-2000).

PubMed

Zimmerer, Karl S; Galt, Ryan E; Buck, Margaret V

2004-12-01

This study is focused on the global expansion of protected-area coverage that occurred during the 1980--2000 period. We examine the multi-scale patterning of four of the basic facets of this expansion: i) estimated increases at the world-regional and country-level scales of total protected-area coverage; ii) transboundary protected areas; iii) conservation corridor projects; and iv) type of conservation management. Geospatial patterning of protected-area designations is a reflection of the priorities of global conservation organizations and the globalization of post-Cold War political and economic arrangements. Local and national-level factors (political leadership and infrastructure) as well as international relations such as multilateral and bilateral aid combine with these globalization processes to impact the extent, type, and location of protected-area designations. We conclude that the interaction of these factors led to the creation and reinforcement of marked spatial differences (rather than tendencies toward worldwide evenness or homogenization) in the course of protected-area expansion during the 1980--2000 period.

Environmental Risk Factors for the Incidence of American Cutaneous Leishmaniasis in a Sub-Andean Zone of Colombia (Chaparral, Tolima)

PubMed Central

Valderrama-Ardila, Carlos; Alexander, Neal; Ferro, Cristina; Cadena, Horacio; Marín, Dairo; Holford, Theodore R.; Munstermann, Leonard E.; Ocampo, Clara B.

2010-01-01

Environmental risk factors for cutaneous leishmaniasis were investigated for the largest outbreak recorded in Colombia. The outbreak began in 2003 in Chaparral, and in the following five years produced 2,313 cases in a population of 56,228. Candidate predictor variables were land use, elevation, and climatic variables such as mean temperature and precipitation. Spatial analysis showed that incidence of cutaneous leishmaniasis was higher in townships with mean temperatures in the middle of the county's range. Incidence was independently associated with higher coverage with forest or shrubs (2.6% greater for each additional percent coverage, 95% credible interval [CI] = 0.5–4.9%), and lower population density (22% lower for each additional 100 persons/km2, 95% CI = 7–41%). The extent of forest or shrub coverage did not show major changes over time. These findings confirmed the roles of climate and land use in leishmaniasis transmission. However, environmental variables were not sufficient to explain the spatial variation in incidence. PMID:20134000

Fine resolution mapping of population age-structures for health and development applications

PubMed Central

Alegana, V. A.; Atkinson, P. M.; Pezzulo, C.; Sorichetta, A.; Weiss, D.; Bird, T.; Erbach-Schoenberg, E.; Tatem, A. J.

2015-01-01

The age-group composition of populations varies considerably across the world, and obtaining accurate, spatially detailed estimates of numbers of children under 5 years is important in designing vaccination strategies, educational planning or maternal healthcare delivery. Traditionally, such estimates are derived from population censuses, but these can often be unreliable, outdated and of coarse resolution for resource-poor settings. Focusing on Nigeria, we use nationally representative household surveys and their cluster locations to predict the proportion of the under-five population in 1 × 1 km using a Bayesian hierarchical spatio-temporal model. Results showed that land cover, travel time to major settlements, night-time lights and vegetation index were good predictors and that accounting for fine-scale variation, rather than assuming a uniform proportion of under 5 year olds can result in significant differences in health metrics. The largest gaps in estimated bednet and vaccination coverage were in Kano, Katsina and Jigawa. Geolocated household surveys are a valuable resource for providing detailed, contemporary and regularly updated population age-structure data in the absence of recent census data. By combining these with covariate layers, age-structure maps of unprecedented detail can be produced to guide the targeting of interventions in resource-poor settings. PMID:25788540

High Coverage and Utilization of Fortified Take-Home Rations among Children 6-35 Months of Age Provided through the Integrated Child Development Services Program: Findings from a Cross-Sectional Survey in Telangana, India.

PubMed

Leyvraz, Magali; Wirth, James P; Woodruff, Bradley A; Sankar, Rajan; Sodani, Prahlad R; Sharma, Narottam D; Aaron, Grant J

2016-01-01

The Integrated Child Development Services (ICDS) in the State of Telangana, India, freely provides a fortified complementary food product, Bal Amrutham, as a take-home ration to children 6-35 months of age. In order to understand the potential for impact of any intervention, it is essential to assess coverage and utilization of the program and to address the barriers to its coverage and utilization. A two-stage, stratified cross-sectional cluster survey was conducted to estimate the coverage and utilization of Bal Amrutham and to identify their barriers and drivers. In randomly selected catchment areas of ICDS centers, children under 36 months of age were randomly selected. A questionnaire, constructed from different validated and standard modules and designed to collect coverage data on nutrition programs, was administered to caregivers. A total of 1,077 children were enrolled in the survey. The coverage of the fortified take-home ration was found to be high among the target population. Nearly all caregivers (93.7%) had heard of Bal Amrutham and 86.8% had already received the product for the target child. Among the children surveyed, 57.2% consumed the product regularly. The ICDS program's services were not found to be a barrier to product coverage. In fact, the ICDS program was found to be widely available, accessible, accepted, and utilized by the population in both urban and rural catchment areas, as well as among poor and non-poor households. However, two barriers to optimal coverage were found: the irregular supply of the product to the beneficiaries and the intra-household sharing of the product. Although sharing was common, the product was estimated to provide the target children with significant proportions of the daily requirements of macro- and micronutrients. Bal Amrutham is widely available, accepted, and consumed among the target population in the catchment areas of ICDS centers. The coverage of the product could be further increased by improving the supply chain.

Estimating Carbon Storage and Sequestration by Urban Trees at Multiple Spatial Resolutions

NASA Astrophysics Data System (ADS)

Wu, J.; Tran, A.; Liao, A.

2010-12-01

Urban forests are an important component of urban-suburban environments. Urban trees provide not only a full range of social and psychological benefits to city dwellers, but also valuable ecosystem services to communities, such as removing atmospheric carbon dioxide, improving air quality, and reducing storm water runoff. There is an urgent need for developing strategic conservation plans for environmentally sustainable urban-suburban development based on the scientific understanding of the extent and function of urban forests. However, several challenges remain to accurately quantify various environmental benefits provided by urban trees, among which is to deal with the effect of changing spatial resolution and/or scale. In this study, we intended to examine the uncertainties of carbon storage and sequestration associated with the tree canopy coverage of different spatial resolutions. Multi-source satellite imagery data were acquired for the City of Fullerton, located in Orange County of California. The tree canopy coverage of the study area was classified at three spatial resolutions, ranging from 30 m (Landsat-5 Thematic Mapper), 15 m (Advanced Spaceborne Thermal Emission and Reflection Radiometer), to 2.5 m (QuickBird). We calculated the amount of carbon stored in the trees represented on the individual tree coverage maps and the annual carbon taken up by the trees with a model (i.e., CITYgreen) developed by the U.S. Forest Service. The results indicate that urban trees account for significant proportions of land cover in the study area even with the low spatial resolution data. The estimated carbon fixation benefits vary greatly depending on the details of land use and land cover classification. The extrapolation of estimation from the fine-resolution stand-level to the low-resolution landscape-scale will likely not preserve reasonable accuracy.

The Gradual Expansion Muscle Flap

DTIC Science & Technology

2014-01-01

acute shortening and angulation of the tibia and rotational muscle flap coverage and split thickness skin grafting of the soft tissue defect...is also amenable to split-thickness skin grafting after tissue incorporation.11 In addition to donor site morbidity, free tissue transfer is dependent...necessary soft tissue coverage. In the second stage, after the flap has adequately set and overlying skin graft has full adherence, a Taylor Spatial

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.

Utilisation of health services and the poor: deconstructing wealth-based differences in facility-based delivery in the Philippines.

PubMed

Hodge, Andrew; Firth, Sonja; Bermejo, Raoul; Zeck, Willibald; Jimenez-Soto, Eliana

2016-07-06

Despite achieving some success, wealth-related disparities in the utilisation of maternal and child health services persist in the Philippines. The aim of this study is to decompose the principal factors driving the wealth-based utilisation gap. Using national representative data from the 2013 Philippines Demographic and Health Survey, we examine the extent overall differences in the utilisation of maternal health services can be explained by observable factors. We apply nonlinear Blinder-Oaxaca-type decomposition methods to quantify the effect of differences in measurable characteristics on the wealth-based coverage gap in facility-based delivery. The mean coverage of facility-based deliveries was respectively 41.1 % and 74.6 % for poor and non-poor households. Between 67 and 69 % of the wealth-based coverage gap was explained by differences in observed characteristics. After controlling for factors characterising the socioeconomic status of the household (i.e. the mothers' and her partners' education and occupation), the birth order of the child was the major factor contributing to the disparity. Mothers' religion and the subjective distance to the health facility were also noteworthy. This study has found moderate wealth-based disparities in the utilisation of institutional delivery in the Philippines. The results confirm the importance of recent efforts made by the Philippine government to implement equitable, pro-poor focused health programs in the most deprived geographic areas of the country. The importance of addressing the social determinants of health, particularly education, as well as developing and implementing effective strategies to encourage institutional delivery for higher order births, should be prioritised.

Fertilization of black spruce or poor site peatland in Minnesota.

Treesearch

David H. Alban; Richard F. Watt

1981-01-01

Fertilization of poor site black spruce on organic soil with various rates of nitrogen and phosphorus increased height and diameter growth from 2 to 4 times. The growth response declined with time but was still apparent 16 years after fertilization. Shrub biomass and coverage, and nutrient levels of spruce foliage were strongly affected by fertilization.

Analysis of FY 1990 Budget Proposals and Their Impact on Low Income Programs.

ERIC Educational Resources Information Center

Center on Budget and Policy Priorities, Washington, DC.

Despite claims that benefits for the needy have not been reduced, the Reagan Administration's final budget for fiscal year 1990 is marked by substantial reductions in programs for the poor. Actual spending for low-income programs would be sliced $6.75 billion below current levels. Medicaid, which provides health care coverage for poor families…

Temporal and spatial analysis of vegetation coverage changes in Ordos area based on time series GIMMS-NDVI data

NASA Astrophysics Data System (ADS)

Han, Ruimei; Zou, Youfeng; Ma, Chao; Liu, Pei

2014-11-01

Ordos area is the desert-wind erosion desertification steppe transition zone and the complex ecological zone. As the research area, Ordos City has the similar natural geographic environment to ShenDong coalfield. To research its ecological patterns and natural evolution law, it has instructive to reveal temporal and spatial changes of ecological environment with artificial disturbance in western mining. In this paper, a time series of AVHRR-NDVI(Normalized Difference Vegetation Index) data was used to monitor the change of vegetation temporal and spatial dynamics from 1981 to 2006 in Ordos City and ShenDong coalfield, where were as the research area. The MVC (Maximum Value Composites) method, average operation, linear regression, and gradation for NDVI change trend were used to obtained some results, as follows: ¬vegetation coverage had obvious characteristics with periodic change in research area for 26 years, and vegetation growth peak appeared on August, while the lowest appeared on January. The extreme values in Ordos City were 0.2351 and 0.1176, while they were 0.2657 and 0.1272 in ShenDong coalfield. The NDVI value fluctuation was a modest rise trend overall in research area. The extreme values were 0.3071 and 0.1861 in Ordos City, while they were 0.3454 and 0.1904 in ShenDong coalfield. In spatial distribution, slight improvement area and slight degradation area were accounting for 42.49% and 8.37% in Ordos City, while slight improvement area moderate improvement area were accounting for 70.59% and 29.41% in ShenDong coalfield. Above of results indicated there was less vegetation coverage in research area, which reflected the characteristics of fragile natural geographical environment. In addition, vegetation coverage was with a modest rise on the whole, which reflected the natural environment change.

Multiple sources of Medicare supplementary insurance.

PubMed

Short, P F; Vistnes, J P

1992-01-01

Estimates from the National Medical Expenditure Survey imply that in 1987 only two-thirds of elderly Medicare beneficiaries held the amount and type of insurance that is generally recommended to supplement Medicare, namely, 57.7% with private hospital/medical insurance from one source and 6.6% with only Medicaid. Of the remainder, 19.8% had more than one source of private insurance; slightly more than 1% had one source of extra-cash or disease-specific insurance as their only supplementary coverage; and 12.9% had no supplementary coverage at all. In addition, more than 500,000 Medicaid enrollees had purchased private insurance, despite the comprehensive coverage offered by Medicaid. Although the issue of multiple coverage has been dramatized by stories of poor, very elderly persons who have purchased numerous Medigap plans, beneficiaries who purchase coverage from more than one source are likely to be relatively young, more highly educated, and financially better off.

The EarthServer Geology Service: web coverage services for geosciences

NASA Astrophysics Data System (ADS)

Laxton, John; Sen, Marcus; Passmore, James

2014-05-01

The EarthServer FP7 project is implementing web coverage services using the OGC WCS and WCPS standards for a range of earth science domains: cryospheric; atmospheric; oceanographic; planetary; and geological. BGS is providing the geological service (http://earthserver.bgs.ac.uk/). Geoscience has used remote sensed data from satellites and planes for some considerable time, but other areas of geosciences are less familiar with the use of coverage data. This is rapidly changing with the development of new sensor networks and the move from geological maps to geological spatial models. The BGS geology service is designed initially to address two coverage data use cases and three levels of data access restriction. Databases of remote sensed data are typically very large and commonly held offline, making it time-consuming for users to assess and then download data. The service is designed to allow the spatial selection, editing and display of Landsat and aerial photographic imagery, including band selection and contrast stretching. This enables users to rapidly view data, assess is usefulness for their purposes, and then enhance and download it if it is suitable. At present the service contains six band Landsat 7 (Blue, Green, Red, NIR 1, NIR 2, MIR) and three band false colour aerial photography (NIR, green, blue), totalling around 1Tb. Increasingly 3D spatial models are being produced in place of traditional geological maps. Models make explicit spatial information implicit on maps and thus are seen as a better way of delivering geosciences information to non-geoscientists. However web delivery of models, including the provision of suitable visualisation clients, has proved more challenging than delivering maps. The EarthServer geology service is delivering 35 surfaces as coverages, comprising the modelled superficial deposits of the Glasgow area. These can be viewed using a 3D web client developed in the EarthServer project by Fraunhofer. As well as remote sensed imagery and 3D models, the geology service is also delivering DTM coverages which can be viewed in the 3D client in conjunction with both imagery and models. The service is accessible through a web GUI which allows the imagery to be viewed against a range of background maps and DTMs, and in the 3D client; spatial selection to be carried out graphically; the results of image enhancement to be displayed; and selected data to be downloaded. The GUI also provides access to the Glasgow model in the 3D client, as well as tutorial material. In the final year of the project it is intended to increase the volume of data to 20Tb and enhance the WCPS processing, including depth and thickness querying of 3D models. We have also investigated the use of GeoSciML, developed to describe and interchange the information on geological maps, to describe model surface coverages. EarthServer is developing a combined WCPS and xQuery query language, and we will investigate applying this to the GeoSciML described surfaces to answer questions such as 'find all units with a predominant sand lithology within 25m of the surface'.

Socio-economic factors associated with maternal health-seeking behaviours among women from poor households in rural Egypt.

PubMed

Benova, Lenka; Campbell, Oona M R; Sholkamy, Hania; Ploubidis, George B

2014-11-25

Socio-economic inequalities in basic maternal health interventions exist in Egypt, yet little is known about health-seeking of poor households. This paper assesses levels of maternal health-seeking behaviours in women living in poor households in rural Upper Egypt, and compares these to national averages. Secondly, we construct innovative measures of socio-economic resourcefulness among the rural poor in order to examine the association between the resulting variables and the four dimensions of maternal health-seeking behaviour. We analysed a cross-sectional survey conducted in Assiut and Sohag governorates in 2010-2011 of 2,242 women in households below the poverty line in 65 poorest villages in Egypt. The associations between four latent socio-economic constructs (socio-cultural resourcefulness, economic resourcefulness, dwelling quality and woman's status) and receipt of any antenatal care (ANC), regular ANC (four or more visits), facility delivery and private sector delivery for women's most recent pregnancy in five years preceding survey were assessed using multivariate logistic regression. In the sample, 58.5% of women reported using any ANC and 51.1% facility delivery, lower than national coverage (74.2% and 72.4%, respectively). The proportion of ANC users receiving regular ANC was lower (67%) than nationally (91%). Among women delivering in facilities, 18% of women in the poor Upper Egypt sample used private providers (63% nationally). In multivariate analysis, higher economic resourcefulness was associated with higher odds of receiving ANC but with lower odds of facility delivery. Socio-cultural resourcefulness was positively associated with receiving any ANC, regular ANC and facility delivery, whereas it was not associated with private delivery care. Dwelling quality was positively associated with private delivery facility use. Woman's status was not independently associated with any of the four behaviours. Coverage of basic maternal health interventions and utilisation of private providers are lower among rural poor women in Upper Egypt than nationally. Variables capturing socio-cultural resourcefulness and economic resourcefulness were useful predictors of ANC and facility delivery. Further understanding of issues surrounding availability, affordability and quality of maternal health services among the poor is crucial to eliminating inequalities in maternal health coverage in Egypt.

An intercomparison of remotely sensed soil moisture products at various spatial scales over the Iberian penisula

USDA-ARS?s Scientific Manuscript database

Soil moisture (SM) can be retrieved from active microwave (AM)-, passive microwave (PM)- and thermal infrared (TIR)-observations, each having their unique spatial- and temporal-coverage. A limitation of TIR-based SM retrievals is its dependency on cloud-free conditions, while microwave retrievals ar...

Classification of High Spatial Resolution, Hyperspectral Remote Sensing Imagery of the Little Miami River Watershed in Southwest Ohio, USA (Final)

EPA Science Inventory

EPA announced the availability of the final report,. This report and associated land use/land cover (LULC) coverage is the result o...

Electrophysiological Indices of Spatial Attention during Global/Local Processing in Good and Poor Phonological Decoders

ERIC Educational Resources Information Center

Matthews, Allison Jane; Martin, Frances Heritage

2009-01-01

Previous research suggests a relationship between spatial attention and phonological decoding in developmental dyslexia. The aim of this study was to examine differences between good and poor phonological decoders in the allocation of spatial attention to global and local levels of hierarchical stimuli. A further aim was to investigate the…

Impacts of field of view configuration of Cross-track Infrared Sounder on clear-sky observations.

PubMed

Wang, Likun; Chen, Yong; Han, Yong

2016-09-01

Hyperspectral infrared radiance measurements from satellite sensors contain valuable information on atmospheric temperature and humidity profiles and greenhouse gases, and therefore are directly assimilated into numerical weather prediction (NWP) models as inputs for weather forecasting. However, data assimilations in current operational NWP models still mainly rely on cloud-free observations due to the challenge of simulating cloud-contaminated radiances when using hyperspectral radiances. The limited spatial coverage of the 3×3 field of views (FOVs) in one field of regard (FOR) (i.e., spatial gap among FOVs) as well as relatively large footprint size (14 km) in current Cross-track Infrared Sounder (CrIS) instruments limits the amount of clear-sky observations. This study explores the potential impacts of future CrIS FOV configuration (including FOV size and spatial coverage) on the amount of clear-sky observations by simulation experiments. The radiance measurements and cloud mask products (VCM) from the Visible Infrared Imager Radiometer Suite (VIIRS) are used to simulate CrIS clear-sky observation under different FOV configurations. The results indicate that, given the same FOV coverage (e.g., 3×3), the percentage of clear-sky FOVs and the percentage of clear-sky FORs (that contain at least one clear-sky FOV) both increase as the FOV size decreases. In particular, if the CrIS FOV size were reduced from 14 km to 7 km, the percentage of clear-sky FOVs increases from 9.02% to 13.51% and the percentage of clear-sky FORs increases from 18.24% to 27.51%. Given the same FOV size but with increasing FOV coverage in each FOR, the clear-sky FOV observations increases proportionally with the increasing sampling FOVs. Both reducing FOV size and increasing FOV coverage can result in more clear-sky FORs, which benefit data utilization of NWP data assimilation.

FIRE_AX_SOF_SUR_MET

Atmospheric Science Data Center

2015-11-25

... Buoy Instrument:  Barometer Sonic Anemometer Thermistor Spatial Coverage:  (34.60, ... Earthdata Search Parameters:  Dry Bulb Temperature Pressure Sea Surface Temperature Wet Bulb Temperature ...

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.

Microwat : a new Earth Explorer mission proposal to measure the Sea surface Temperature and the Sea Ice Concentration

NASA Astrophysics Data System (ADS)

Prigent, Catherine; Aires, Filipe; Heygster, Georg

2017-04-01

Ocean surface characterization from satellites is required to understand, monitor and predict the general circulation of the ocean and atmosphere. With more than 70% global cloud coverage at any time, visible and infrared satellite observations only provide limited information. The polar regions are particularly vulnerable to the climate changes and are home to complex mesoscale mechanisms that are still poorly understood. They are also under very persis- tent cloudiness. Passive microwave observations can provide surface information such as Sea Surface Temperature (SST) and Sea Ice Concentration (SIC) regardless of the cloud cover, but up to now they were limited in spatial resolution. Here, we propose a passive microwave conically scanning imager, MICROWAT, in a polar orbit, for the retrieval of the SST and SIC, with a spatial resolution of 15km. It observes at 6 and 10GHz, with low-noise dual polarization receivers, and a foldable mesh antenna of 5m-diameter. Furthermore, MICROWAT will fly in tandem with MetOp-SG B to benefit from the synergy with scatterometers (SCA) and microwave imagers (MWI). MICROWAT will provide global SST estimates, twice daily, regardless of cloud cover, with an accuracy of 0.3K and a spatial resolution of 15km. The SIC will be derived with an accuracy of 3%. With its unprecedented "all weather" accurate SST and SIC at 15km, MICROWAT will provide the atmospheric and oceanic forecasting sys- tems with products compatible with their increasing spatial resolution and complexity, with impact for societal applications. It will also answer fundamental science questions related to the ocean, the atmosphere and their interactions. * Prigent, Aires, Bernardo, Orlhac, Goutoule, Roquet, & Donlon, Analysis of the potential and limitations of microwave radiometry for the retrieval of sea surface temperature: Definition

Technique development of 3D dynamic CS-EPSI for hyperpolarized 13 C pyruvate MR molecular imaging of human prostate cancer.

PubMed

Chen, Hsin-Yu; Larson, Peder E Z; Gordon, Jeremy W; Bok, Robert A; Ferrone, Marcus; van Criekinge, Mark; Carvajal, Lucas; Cao, Peng; Pauly, John M; Kerr, Adam B; Park, Ilwoo; Slater, James B; Nelson, Sarah J; Munster, Pamela N; Aggarwal, Rahul; Kurhanewicz, John; Vigneron, Daniel B

2018-03-25

The purpose of this study was to develop a new 3D dynamic carbon-13 compressed sensing echoplanar spectroscopic imaging (EPSI) MR sequence and test it in phantoms, animal models, and then in prostate cancer patients to image the metabolic conversion of hyperpolarized [1- 13 C]pyruvate to [1- 13 C]lactate with whole gland coverage at high spatial and temporal resolution. A 3D dynamic compressed sensing (CS)-EPSI sequence with spectral-spatial excitation was designed to meet the required spatial coverage, time and spatial resolution, and RF limitations of the 3T MR scanner for its clinical translation for prostate cancer patient imaging. After phantom testing, animal studies were performed in rats and transgenic mice with prostate cancers. For patient studies, a GE SPINlab polarizer (GE Healthcare, Waukesha, WI) was used to produce hyperpolarized sterile GMP [1- 13 C]pyruvate. 3D dynamic 13 C CS-EPSI data were acquired starting 5 s after injection throughout the gland with a spatial resolution of 0.5 cm 3 , 18 time frames, 2-s temporal resolution, and 36 s total acquisition time. Through preclinical testing, the 3D CS-EPSI sequence developed in this project was shown to provide the desired spectral, temporal, and spatial 5D HP 13 C MR data. In human studies, the 3D dynamic HP CS-EPSI approach provided first-ever simultaneously volumetric and dynamic images of the LDH-catalyzed conversion of [1- 13 C]pyruvate to [1- 13 C]lactate in a biopsy-proven prostate cancer patient with full gland coverage. The results demonstrate the feasibility to characterize prostate cancer metabolism in animals, and now patients using this new 3D dynamic HP MR technique to measure k PL , the kinetic rate constant of [1- 13 C]pyruvate to [1- 13 C]lactate conversion. © 2018 International Society for Magnetic Resonance in Medicine.

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

Family planning, abortion, and HIV in Ghanaian print media: a 15-month content analysis of a national Ghanaian newspaper.

PubMed

Laar, Amos K

2010-12-01

This study assessed coverage of reproductive health (RH) issues--family planning (FP), abortion, and HIV--in the Ghanaian Daily Graphic newspaper. Using the composite week sampling technique, the researcher analyzed the contents of 62 editions of the paper. Prominence was measured using various attributes, and differences in mean coverage over time were assessed using analysis of variance. This review shows that coverage of RH issues was extraordinarily poor, less than 1 percent each for FP, abortion, and HIV. RH news that was covered was given little prominence. These findings support the popular impression that the Daily Graphic does not give priority to reproductive health issues in its coverage. RH advocates need to develop innovative means of integrating RH content into existing media outlets.

[Extension of health coverage and community based health insurance schemes in Africa: Myths and realities].

PubMed

Boidin, B

2015-02-01

This article tackles the perspectives and limits of the extension of health coverage based on community based health insurance schemes in Africa. Despite their strong potential contribution to the extension of health coverage, their weaknesses challenge their ability to play an important role in this extension. Three limits are distinguished: financial fragility; insufficient adaptation to characteristics and needs of poor people; organizational and institutional failures. Therefore lessons can be learnt from the limits of the institutionalization of community based health insurance schemes. At first, community based health insurance schemes are to be considered as a transitional but insufficient solution. There is also a stronger role to be played by public actors in improving financial support, strengthening health services and coordinating coverage programs.

FIRE_AX_UW_DSCRT

Atmospheric Science Data Center

2015-11-25

... Analyzer IR CO2 Analyzer Optical Counter Platinum Resistance Spectrometer Spatial Coverage:  (32.34, ... Diameter Particle Number Concentration Potential Temperature Sulfate Sulfur Dioxide Temperature Order Data:  ...

Effects of cloud cover and meteorology in estimating ground-level air pollution using MAIAC AOD in the Yangtze River Delta

NASA Astrophysics Data System (ADS)

Xiao, Q.; Liu, Y.

2017-12-01

Satellite aerosol optical depth (AOD) has been used to assess fine particulate matter (PM2.5) pollution worldwide. However, non-random missing AOD due to cloud cover or high surface reflectance can cause up to 80% data loss and bias model-estimated spatial and temporal trends of PM2.5. Previous studies filled the data gap largely by spatial smoothing which ignored the impact of cloud cover and meteorology on aerosol loadings and has been shown to exhibit poor performance when monitoring stations are sparse or when there is seasonal large-scale missingness. Using the Yangtze River Delta of China as an example, we present a flexible Multiple Imputation (MI) method that combines cloud fraction, elevation, humidity, temperature, and spatiotemporal trends to impute the missing AOD. A two-stage statistical model driven by gap-filled AOD, meteorology and land use information was then fitted to estimate daily ground PM2.5 concentrations in 2013 and 2014 at 1 km resolution with complete coverage in space and time. The daily MI models have an average R2 of 0.77, with an inter-quartile range of 0.71 to 0.82 across days. The overall model 10-fold cross-validation R2 were 0.81 and 0.73 (for year 2013 and 2014, respectively. Predictions with only observational AOD or only imputed AOD showed similar accuracy. This method provides reliable PM2.5 predictions with complete coverage at high resolution. By including all the pixels of all days into model development, this method corrected the sampling bias in satellite-driven air pollution modelling due to non-random missingness in AOD. Comparing with previously reported gap-filling methods, the MI method has the strength of not relying on ground PM2.5 measurements, therefore allows the prediction of historical PM2.5 levels prior to the establishment of regular ground monitoring networks.

Access to and use of health services among undocumented Mexican immigrants in a US urban area.

PubMed

Nandi, Arijit; Galea, Sandro; Lopez, Gerald; Nandi, Vijay; Strongarone, Stacey; Ompad, Danielle C

2008-11-01

We assessed access to and use of health services among Mexican-born undocumented immigrants living in New York City in 2004. We used venue-based sampling to recruit participants from locations where undocumented immigrants were likely to congregate. Participants were 18 years or older, born in Mexico, and current residents of New York City. The main outcome measures were health insurance coverage, access to a regular health care provider, and emergency department care. In multivariable models, living in a residence with fewer other adults, linguistic acculturation, higher levels of formal income, higher levels of social support, and poor health were associated with health insurance coverage. Female gender, fewer children, arrival before 1997, higher levels of formal income, health insurance coverage, greater social support, and not reporting discrimination were associated with access to a regular health care provider. Higher levels of education, higher levels of formal income, and poor health were associated with emergency department care. Absent large-scale political solutions to the challenges of undocumented immigrants, policies that address factors shown to limit access to care may improve health among this growing population.

Snow Coverage Analysis Using ASTER over the Sierra Nevada Mountain Range

NASA Astrophysics Data System (ADS)

Ross, B.

2017-12-01

Snow has strong impacts on human behavior, state and local activities, and the economy. The Sierra Nevada snowpack is California's most important natural reservoir of water. Such snow is melting sooner and faster. A recent California drought study showed that there was a deficit of 1.5 million acre-feet of water in 2014 due to the fast melting rates. Scientists have been using the Moderate Resolution Imaging Spectrometer (MODIS) which is available at the spatial resolution of 500-meter, to analyze the changes in snow coverage. While such analysis provides us with the valuable information, it would be more beneficial to employ the imageries at a higher spatial resolution for snow studies. Advanced Spaceborne Thermal Emission and Reflectance Radiometer (ASTER), which acquires the high-resolution imageries ranging from 15-meter to 90-meter, has recently become freely available to the public. Our study utilized two scenes obtained from ASTER to investigate the changes in snow extent over the Sierra Nevada's mountain area for an 8-year period. These two scenes were collected on April 11, 2007 and April 16, 2015 covering the same geographic region. Normalized Difference Snow Index (NDSI) was adopted to delineate the snow coverage in each scene. Our study shows a substantial decrease of snow coverage in the studied geographic region by pixel count.

EEG source localization: Sensor density and head surface coverage.

PubMed

Song, Jasmine; Davey, Colin; Poulsen, Catherine; Luu, Phan; Turovets, Sergei; Anderson, Erik; Li, Kai; Tucker, Don

2015-12-30

The accuracy of EEG source localization depends on a sufficient sampling of the surface potential field, an accurate conducting volume estimation (head model), and a suitable and well-understood inverse technique. The goal of the present study is to examine the effect of sampling density and coverage on the ability to accurately localize sources, using common linear inverse weight techniques, at different depths. Several inverse methods are examined, using the popular head conductivity. Simulation studies were employed to examine the effect of spatial sampling of the potential field at the head surface, in terms of sensor density and coverage of the inferior and superior head regions. In addition, the effects of sensor density and coverage are investigated in the source localization of epileptiform EEG. Greater sensor density improves source localization accuracy. Moreover, across all sampling density and inverse methods, adding samples on the inferior surface improves the accuracy of source estimates at all depths. More accurate source localization of EEG data can be achieved with high spatial sampling of the head surface electrodes. The most accurate source localization is obtained when the voltage surface is densely sampled over both the superior and inferior surfaces. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

Hospital consolidation and racial/income disparities in health insurance coverage.

PubMed

Town, Robert J; Wholey, Douglas R; Feldman, Roger D; Burns, Lawton R

2007-01-01

Non-Hispanic whites are significantly more likely to have health insurance coverage than most racial/ethnic minorities, and this differential grew during the 1990s. Similarly, wealthier Americans are more likely to have health insurance than the poor, and this difference also grew over the 1990s. This paper examines the role of provider competition in increasing these disparities in insurance coverage. Over the 1990s, the hospital industry consolidated; we analyze the impact of this consolidation on health insurance take-up for different racial/ethnic minorities and income groups. We found that the hospital consolidation wave increased health insurance disparities along racial and income dimensions.

Digital image processing techniques for detecting surface alteration - An application on the Alaska Peninsula: A section in The United States Geological Survey in Alaska: Accomplishments during 1983

USGS Publications Warehouse

York, James; Wilson, Frederic H.; Gamble, Bruce M.

1985-01-01

The tectonic evolution of the Alaska Peninsula makes it a likely area for the discovery of significant mineral deposits. However, because of problems associated with remoteness and poor weather, little detailed mineral exploration work has been carried on there. This study focuses on using Landsat multispectral scanner data for the Port Moller, Stepovak Bay, and Simeon of Island Quadrangles to detect surface alteration, probably limonitic (iron oxide staining) and(or) argillic (secondary clay minerals) in character, that could be indicative of mineral deposits. The techniques used here are useful for mapping deposits that have exposed surface alteration of at least an hectare, the approximate spatial resolution of the Landsat data. Virtually cloud-free Landsat coverage was used, but to be detected, the alteration area must also be unobscured by vegetation. Not all mineral deposits will be associated with surface alteration, and not all areas of surface alteration will have valuable mineral deposits.

Regional TEC dynamic modeling based on Slepian functions

NASA Astrophysics Data System (ADS)

Sharifi, Mohammad Ali; Farzaneh, Saeed

2015-09-01

In this work, the three-dimensional state of the ionosphere has been estimated by integrating the spherical Slepian harmonic function and Kalman filter. The spherical Slepian harmonic functions have been used to establish the observation equations because of their properties in local modeling. Spherical harmonics are poor choices to represent or analyze geophysical processes without perfect global coverage but the Slepian functions afford spatial and spectral selectivity. The Kalman filter has been utilized to perform the parameter estimation due to its suitable properties in processing the GPS measurements in the real-time mode. The proposed model has been applied to the real data obtained from the ground-based GPS observations across some portion of the IGS network in Europe. Results have been compared with the estimated TECs by the CODE, ESA, IGS centers and IRI-2012 model. The results indicated that the proposed model which takes advantage of the Slepian basis and Kalman filter is efficient and allows for the generation of the near-real-time regional TEC map.

Interpreting forest and grassland biome productivity utilizing nested scales of image resolution and biogeographical analysis

NASA Technical Reports Server (NTRS)

Iverson, L. R.; Olson, J. S.; Risser, P. G.; Treworgy, C.; Frank, T.; Cook, E.; Ke, Y.

1986-01-01

Data acquisition, initial site characterization, image and geographic information methods available, and brief evaluations of first-year for NASA's Thematic Mapper (TM) working group are presented. The TM and other spectral data are examined in order to relate local, intensive ecosystem research findings to estimates of carbon cycling rates over wide geographic regions. The effort is to span environments ranging from dry to moist climates and from good to poor site quality using the TM capability, with and without the inclusion of geographic information system (GIS) data, and thus to interpret the local spatial pattern of factors conditioning biomass or productivity. Twenty-eight TM data sets were acquired, archived, and evaluated. The ERDAS image processing and GIS system were installed on the microcomputer (PC-AT) and its capabilities are being investigated. The TM coverage of seven study areas were exported via ELAS software on the Prime to the ERDAS system. Statistical analysis procedures to be used on the spectral data are being identified.

A functional model for monitoring equity and effectiveness in purchasing health insurance premiums for the poor: evidence from Cambodia and the Lao PDR.

PubMed

Annear, Peter Leslie; Bigdeli, Maryam; Jacobs, Bart

2011-10-01

To assess the impact on equity and effectiveness of introducing targeted subsidies for the poor into existing voluntary health insurance schemes in Low Income Countries with special reference to cross-subsidisation. A functional model was constructed using routine collected financial data to analyse changes in financial flows and resulting shifts in cross-subsidization between poor and non-poor. Data were collected from two sites, in Cambodia at Kampot operational health district and in the Lao People's Democratic Republic at Nambak district. Six key variables were identified as determining the financial flows between the subsidy and the insurance schemes and with health providers: population coverage, premium rate, facility contact rate, capitation rate, cost of treatment and changes in administration costs. Negative cross-subsidization was revealed where capitation was used as the payment mechanism and where utilisation rates of the poor were significantly below the non-poor. The same level of access for the poor could have been achieved with a lower Health Equity Fund subsidy if used as a direct reimbursement of user charges by the Health Equity Fund to the provider rather than through the Community Based Health Insurance scheme. Purchasing premiums for the poor under these conditions is more costly than direct reimbursement to the provider for the same level of service delivery. Negative cross-subsidization is a serious risk that must be managed appropriately and the benefits of a larger risk pool (cross-subsidization of the poor) are not evident. Benefits from combined coverage may accrue in the longer term with an expanded base of voluntary payers or when those with subsidized premiums are lifted out of poverty. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

TES/Aura L2 Ozone (O3) Limb V6 (TL2O3LS)

Atmospheric Science Data Center

2018-03-01

TES/Aura L2 Ozone (O3) Limb (TL2O3LS) News:  TES News Join ... Project Title:  TES Discipline:  Tropospheric Composition Version:  V6 Level:  L2 Platform:  TES/Aura L2 Ozone Spatial Coverage:  27 x 23 km Limb Spatial ...

TES/Aura L2 Ozone (O3) Limb V6 (TL2O3L)

Atmospheric Science Data Center

2018-03-01

TES/Aura L2 Ozone (O3) Limb (TL2O3L) News:  TES News Join TES ... Project Title:  TES Discipline:  Tropospheric Composition Version:  V6 Level:  L2 Platform:  TES/Aura L2 Ozone Spatial Coverage:  27 x 23 km Limb Spatial ...

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

Integration of MODIS Snow, Cloud and Land Area Coverage Data with SNOTEL to Generate Inter-Annual and Within-Season Snow Depletion Curves and Maps

NASA Astrophysics Data System (ADS)

Qualls, R. J.; Woodruff, C.

2017-12-01

The behavior of inter-annual trends in mountain snow cover would represent extremely useful information for drought and climate change assessment; however, individual data sources exhibit specific limitations for characterizing this behavior. For example, SNOTEL data provide time series point values of Snow Water Equivalent (SWE), but lack spatial content apart from that contained in a sparse network of point values. Satellite observations in the visible spectrum can provide snow covered area, but not SWE at present, and are limited by cloud cover which often obscures visibility of the ground, especially during the winter and spring in mountainous areas. Cloud cover, therefore, often limits both temporal and spatial coverage of satellite remote sensing of snow. Among the platforms providing the best combination of temporal and spatial coverage to overcome the cloud obscuration problem by providing frequent overflights, the Aqua and Terra satellites carrying the MODIS instrument package provide 500 m, daily resolution observations of snow cover. These were only launched in 1999 and the early 2000's, thus limiting the historical period over which these data are available. A hybrid method incorporating SNOTEL and MODIS data has been developed which accomplishes cloud removal, and enables determination of the time series of watershed spatial snow cover when either SNOTEL or MODIS data are available. This allows one to generate spatial snow cover information for watersheds with SNOTEL stations for periods both before and after the launch of the Aqua and Terra satellites, extending the spatial information about snow cover over the period of record of the SNOTEL stations present in a watershed. This method is used to quantify the spatial time series of snow over the 9000 km2 Upper Snake River watershed and to evaluate inter-annual trends in the timing, rate, and duration of melt over the nearly 40 year period from the early 1980's to the present, and shows promise for generating snow cover depletion maps for drought and climate change scenarios.

SU-E-J-157: Improving the Quality of T2-Weighted 4D Magnetic Resonance Imaging for Clinical Evaluation

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

Du, D; Mutic, S; Hu, Y

2014-06-01

Purpose: To develop an imaging technique that enables us to acquire T2- weighted 4D Magnetic Resonance Imaging (4DMRI) with sufficient spatial coverage, temporal resolution and spatial resolution for clinical evaluation. Methods: T2-weighed 4DMRI images were acquired from a healthy volunteer using a respiratory amplitude triggered T2-weighted Turbo Spin Echo sequence. 10 respiratory states were used to equally sample the respiratory range based on amplitude (0%, 20%i, 40%i, 60%i, 80%i, 100%, 80%e, 60%e, 40%e and 20%e). To avoid frequent scanning halts, a methodology was devised that split 10 respiratory states into two packages in an interleaved manner and packages were acquiredmore » separately. Sixty 3mm sagittal slices at 1.5mm in-plane spatial resolution were acquired to offer good spatial coverage and reasonable spatial resolution. The in-plane field of view was 375mm × 260mm with nominal scan time of 3 minutes 42 seconds. Acquired 2D images at the same respiratory state were combined to form the 3D image set corresponding to that respiratory state and reconstructed in the coronal view to evaluate whether all slices were at the same respiratory state. 3D image sets of 10 respiratory states represented a complete 4D MRI image set. Results: T2-weighted 4DMRI image were acquired in 10 minutes which was within clinical acceptable range. Qualitatively, the acquired MRI images had good image quality for delineation purposes. There were no abrupt position changes in reconstructed coronal images which confirmed that all sagittal slices were in the same respiratory state. Conclusion: We demonstrated it was feasible to acquire T2-weighted 4DMRI image set within a practical amount of time (10 minutes) that had good temporal resolution (10 respiratory states), spatial resolution (1.5mm × 1.5mm × 3.0mm) and spatial coverage (60 slices) for future clinical evaluation.« less

Using Electromagnetic Induction Technique to Detect Hydropedological Dynamics: Principles and Applications

NASA Astrophysics Data System (ADS)

Zhu, Qing; Liao, Kaihua; Doolittle, James; Lin, Henry

2014-05-01

Hydropedological dynamics including soil moisture variation, subsurface flow, and spatial distributions of different soil properties are important parameters in ecological, environmental, hydrological, and agricultural modeling and applications. However, technical gap exists in mapping these dynamics at intermediate spatial scale (e.g., farm and catchment scales). At intermediate scales, in-situ monitoring provides detailed data, but is restricted in number and spatial coverage; while remote sensing provides more acceptable spatial coverage, but has comparatively low spatial resolution, limited observation depths, and is greatly influenced by the surface condition and climate. As a non-invasive, fast, and convenient geophysical tool, electromagnetic induction (EMI) measures soil apparent electrical conductivity (ECa) and has great potential to bridge this technical gap. In this presentation, principles of different EMI meters are briefly introduced. Then, case studies of using repeated EMI to detect spatial distributions of subsurface convergent flow, soil moisture dynamics, soil types and their transition zones, and different soil properties are presented. The suitability, effectiveness, and accuracy of EMI are evaluated for mapping different hydropedological dynamics. Lastly, contributions of different hydropedological and terrain properties on soil ECa are quantified under different wetness conditions, seasons, and land use types using Classification and Regression Tree model. Trend removal and residual analysis are then used for further mining of EMI survey data. Based on these analyses, proper EMI survey designs and data processing are proposed.

Spatial Coverage Planning and Optimization for Planetary Exploration

NASA Technical Reports Server (NTRS)

Gaines, Daniel M.; Estlin, Tara; Chouinard, Caroline

2008-01-01

We are developing onboard planning and scheduling technology to enable in situ robotic explorers, such as rovers and aerobots, to more effectively assist scientists in planetary exploration. In our current work, we are focusing on situations in which the robot is exploring large geographical features such as craters, channels or regional boundaries. In to develop valid and high quality plans, the robot must take into account a range of scientific and engineering constraints and preferences. We have developed a system that incorporates multiobjective optimization and planning allowing the robot to generate high quality mission operations plans that respect resource limitations and mission constraints while attempting to maximize science and engineering objectives. An important scientific objective for the exploration of geological features is selecting observations that spatially cover an area of interest. We have developed a metric to enable an in situ explorer to reason about and track the spatial coverage quality of a plan. We describe this technique and show how it is combined in the overall multiobjective optimization and planning algorithm.

Strengthening institutional and organizational capacity for social health protection of the informal sector in lesser-developed countries: a study of policy barriers and opportunities in Cambodia.

PubMed

Annear, Peter Leslie; Ahmed, Shakil; Ros, Chhun Eang; Ir, Por

2013-11-01

Reaching out to the poor and the informal sector is a major challenge for achieving universal coverage in lesser-developed countries. In Cambodia, extensive coverage by health equity funds for the poor has created the opportunity to consolidate various non-government health financing schemes under the government's proposed social health protection structure. This paper identifies the main policy and operational challenges to strengthening existing arrangements for the poor and the informal sector, and considers policy options to address these barriers. Conducted in conjunction with the Cambodian Ministry of Health in 2011-12, the study reviewed policy documents and collected qualitative data through 18 semi-structured key informant interviews with government, non-government and donor officials. Data were analysed using the Organizational Assessment for Improving and Strengthening Health Financing conceptual framework. We found that a significant shortfall related to institutional, organisational and health financing issues resulted in fragmentation and constrained the implementation of social health protection schemes, including health equity funds, community-based health insurance, vouchers and others. Key documents proposed the establishment of a national structure for the unification of the informal-sector schemes but left unresolved issues related to structure, institutional capacity and the third-party status of the national agency. This study adds to the evidence base on appropriate and effective institutional and organizational arrangements for social health protection in the informal sector in developing countries. Among the key lessons are: the need to expand the fiscal space for health care; a commitment to equity; specific measures to protect the poor; building national capacity for administration of universal coverage; and working within the specific national context. Copyright © 2013 Elsevier Ltd. All rights reserved.

Full-Coverage High-Resolution Daily PM(sub 2.5) Estimation using MAIAC AOD in the Yangtze River Delta of China

NASA Technical Reports Server (NTRS)

Xiao, Qingyang; Wang, Yujie; Chang, Howard H.; Meng, Xia; Geng, Guannan; Lyapustin, Alexei Ivanovich; Liu, Yang

2017-01-01

Satellite aerosol optical depth (AOD) has been used to assess population exposure to fine particulate matter (PM (sub 2.5)). The emerging high-resolution satellite aerosol product, Multi-Angle Implementation of Atmospheric Correction(MAIAC), provides a valuable opportunity to characterize local-scale PM(sub 2.5) at 1-km resolution. However, non-random missing AOD due to cloud snow cover or high surface reflectance makes this task challenging. Previous studies filled the data gap by spatially interpolating neighboring PM(sub 2.5) measurements or predictions. This strategy ignored the effect of cloud cover on aerosol loadings and has been shown to exhibit poor performance when monitoring stations are sparse or when there is seasonal large-scale missngness. Using the Yangtze River Delta of China as an example, we present a Multiple Imputation (MI) method that combines the MAIAC high-resolution satellite retrievals with chemical transport model (CTM) simulations to fill missing AOD. A two-stage statistical model driven by gap-filled AOD, meteorology and land use information was then fitted to estimate daily ground PM(sub 2.5) concentrations in 2013 and 2014 at 1 km resolution with complete coverage in space and time. The daily MI models have an average R(exp 2) of 0.77, with an inter-quartile range of 0.71 to 0.82 across days. The overall Ml model 10-fold cross-validation R(exp 2) (root mean square error) were 0.81 (25 gm(exp 3)) and 0.73 (18 gm(exp 3)) for year 2013 and 2014, respectively. Predictions with only observational AOD or only imputed AOD showed similar accuracy.Comparing with previous gap-filling methods, our MI method presented in this study performed bette rwith higher coverage, higher accuracy, and the ability to fill missing PM(sub 2.5) predictions without ground PM(sub 2.5) measurements. This method can provide reliable PM(sub 2.5)predictions with complete coverage that can reduce biasin exposure assessment in air pollution and health studies.

Excitability in the H{sub 2}+O{sub 2} reaction on a Rh(110) surface induced by high coverages of coadsorbed potassium

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

Rafti, Matías; Imbihl, Ronald, E-mail: imbihl@pci.uni-hannover.de

2014-12-07

By means of photoemission electron microscopy as spatially resolving method, the effect of high coverages of coadsorbed potassium (0.16 ≤ θ{sub K} ≤ 0.21) on the dynamical behavior of the H{sub 2} + O{sub 2} reaction over a Rh(110) surface was investigated. We observe that the originally bistable system is transformed into an excitable system as evidenced by the formation of target patterns and spiral waves. At K coverages close to saturation (θ{sub K} ≈ 0.21) mass transport of potassium with pulses is seen.

New insights on historic droughts in the UK: Analysis of 200 river flow reconstructions for 1890-2015

NASA Astrophysics Data System (ADS)

Parry, Simon; Barker, Lucy; Hannaford, Jamie; Prudhomme, Christel; Smith, Katie; Svensson, Cecilia; Tanguy, Maliko

2017-04-01

Hydrological droughts of the last 50 years in the UK have been well characterised owing to a relatively dense hydrometric network. Prior to this, observed river flow data were generally limited in their spatial coverage and often subject to considerable uncertainty. Whilst qualitative records indicate the occurrence of severe droughts in the late 19th and early 20th centuries, including scenarios which may cause substantial impacts to contemporary water supply systems, existing observations are not sufficient to describe their spatio-temporal characteristics. As such, insights on drought in the UK are constrained and a range of stakeholders including water companies and regulators would benefit from a more thorough assessment of historic drought characteristics and their variability. The multi-disciplinary Historic Droughts project aims to rigorously characterise droughts in the UK to inform improved drought management and communication. Driven by rainfall and potential evapotranspiration data that have been extended using recovered records, lumped catchment hydrological models are used to reconstruct daily river flows from 1890 to 2015 for more than 200 catchments across the UK. The reconstructions are derived within a state-of-the-art modelling framework which allows a comprehensive assessment of model, structure and parameter uncertainty. Standardised and threshold-based indicators are applied to the river flow reconstructions to identify and characterise hydrological drought events. The reconstructions are most beneficial in comprehensively describing well known but poorly quantified late 19th and early 20th century droughts, placing the spatial and temporal footprint of these often extreme events within the context of modern episodes for the first time. Oscillations between drought-rich and drought-poor periods are shown not to be limited to the recent observational past, providing an increased sample size of events against which to test a range of airflow and oceanic index patterns as potential drivers of streamflow drought. The quantification of changes over time in both the mean and the variability of drought frequency, duration, severity and termination benefits from the temporal extent of the river flow reconstructions, assessing the temporal variability of drought over more prolonged timescales than previous drought trend studies. When considered alongside complimentary reconstructions of rainfall and groundwater levels, the characteristics of propagation from meteorological to hydrological drought are analysed to an extent not previously possible. The unprecedented spatio-temporal coverage of the river flow reconstructions has yielded important new insights on historic droughts in the UK. It is hoped that this more robust assessment of the historical variability of hydrological drought in the UK will underpin enhanced drought planning and management.

A 'Scottish Poor Law of Lunacy'? Poor Law, Lunacy Law and Scotland's parochial asylums.

PubMed

Farquharson, Lauren

2017-03-01

Scotland's parochial asylums are unfamiliar institutional spaces. Representing the concrete manifestation of the collision between two spheres of legislation, the Poor Law and the Lunacy Law, six such asylums were constructed in the latter half of the nineteenth century. These sites expressed the enduring mandate of the Scottish Poor Law 1845 over the domain of 'madness'. They were institutions whose very existence was fashioned at the directive of the local arm of the Poor Law, the parochial board, and they constituted a continuing 'Scottish Poor Law of Lunacy'. Their origins and operation significantly subverted the intentions and objectives of the Lunacy Act 1857, the aim of which had been to institute a public district asylum network with nationwide coverage.

Using ArcGIS software in the pre-hospital emergency medical system.

PubMed

Manole, M; Duma, Odetta; Custură, Maria Alexandra; Petrariu, F D; Manole, Alina

2014-01-01

To measure the accessibility to healtcare services in order to reveal their quality and to improve the overall coverage, continuity and other features. We used the software ESRI Arc GIS 9.3, the Network Analyst function and data provided by Ambulance Service of Iasi (A.S.I.) with emergencies statistics for the first four months of 2012, processed by Microsoft Office Excel 2010. As examples, we chose "St. Maria" Children's Emergency Hospital and "St. Spiridon" Emergency Hospital. ArcGIS Network Analyst finds the best route to get from one location to another or a route that includes multiple locations. Each route is characterized by three stops. The starting point is always the office of Ambulance Service of Iasi (A.S.I.), a second stop at the case address and the third to the hospital unit chosen according to the patient's diagnosis and age. Spatial distribution of emergency cases for the first four months of 2012 in these two examples is one unequable, with higher concentrations in districts located in two areas of the city. The presented examples highlight the poor coverage of healthcare services for the population of Iasi, Romania, especially the South-West area and its vulnerability in situations of emergency. Implementing such a broad project would lead to more complex analyses that would improve the situation of pre-hospital emergency medical services, with final goal to deserve the population, improve the quality of healthcare and develop the interdisciplinary relationships.

Spatial memory enhances the evacuation efficiency of virtual pedestrians under poor visibility condition

NASA Astrophysics Data System (ADS)

Ma, Yi; Lee, Eric Wai Ming; Shi, Meng; Kwok Kit Yuen, Richard

2018-03-01

Spatial memory is a critical navigation support tool for disoriented evacuees during evacuation under adverse environmental conditions such as dark or smoky conditions. Owing to the complexity of memory, it is challenging to understand the effect of spatial memory on pedestrian evacuation quantitatively. In this study, we propose a simple method to quantitatively represent the evacueeʼs spatial memory about the emergency exit, model the evacuation of pedestrians under the guidance of the spatial memory, and investigate the effect of the evacueeʼs spatial memory on the evacuation from theoretical and physical perspectives. The result shows that (i) a good memory can significantly assist the evacuation of pedestrians under poor visibility conditions, and the evacuation can always succeed when the degree of the memory exceeds a threshold (\\varphi > 0.5); (ii) the effect of memory is superior to that of “follow-the-crowd” under the same environmental conditions; (iii) in the case of multiple exits, the difference in the degree of the memory between evacuees has a significant effect (the greater the difference, the faster the evacuation) for the evacuation under poor visibility conditions. Our study provides a new quantitative insight into the effect of spatial memory on crowd evacuation under poor visibility conditions. Project supported by the Research Grants Council of the Hong Kong Special Administrative Region, China (Grant No. 11203615).

The Not So Simple Globular Cluster ω Cen. I. Spatial Distribution of the Multiple Stellar Populations

NASA Astrophysics Data System (ADS)

Calamida, A.; Strampelli, G.; Rest, A.; Bono, G.; Ferraro, I.; Saha, A.; Iannicola, G.; Scolnic, D.; James, D.; Smith, C.; Zenteno, A.

2017-04-01

We present a multi-band photometric catalog of ≈1.7 million cluster members for a field of view of ≈2° × 2° across ω Cen. Photometry is based on images collected with the Dark Energy Camera on the 4 m Blanco telescope and the Advanced Camera for Surveys on the Hubble Space Telescope. The unprecedented photometric accuracy and field coverage allowed us, for the first time, to investigate the spatial distribution of ω Cen multiple populations from the core to the tidal radius, confirming its very complex structure. We found that the frequency of blue main-sequence stars is increasing compared to red main-sequence stars starting from a distance of ≈25‧ from the cluster center. Blue main-sequence stars also show a clumpy spatial distribution, with an excess in the northeast quadrant of the cluster pointing toward the direction of the Galactic center. Stars belonging to the reddest and faintest red-giant branch also show a more extended spatial distribution in the outskirts of ω Cen, a region never explored before. Both these stellar sub-populations, according to spectroscopic measurements, are more metal-rich compared to the cluster main stellar population. These findings, once confirmed, make ω Cen the only stellar system currently known where metal-rich stars have a more extended spatial distribution compared to metal-poor stars. Kinematic and chemical abundance measurements are now needed for stars in the external regions of ω Cen to better characterize the properties of these sub-populations. Based on observations made with the Dark Energy Camera (DECam) on the 4 m Blanco telescope (NOAO) under programs 2014A-0327, 2015A-0151, 2016A-0189, PIs: A. Calamida, A. Rest, and on observations made with the NASA/ESA Hubble Space Telescope, obtained by the Space Telescope Science Institute. STScI is operated by the Association of Universities for Research in Astronomy, Inc., under NASA contract NAS 5-26555.

Using GPS TEC measurements to probe ionospheric spatial spectra at mid-latitudes

NASA Astrophysics Data System (ADS)

Lay, E. H.; Parker, P. A.; Light, M. E.; Carrano, C. S.; Debchoudhury, S.; Haaser, R. A.

2017-12-01

The physics of how random ionospheric structure causes signal degradation is well understood as weak forward scattering through an effective diffraction grating created by plasma irregularities in the ionosphere. However, the spatial scale spectrum of those irregularities required for input into scintillation models and models of traveling ionospheric disturbances is poorly characterized, particularly at the kilometer to tens of kilometer scale lengths important for very-high-frequency (VHF) scintillation prediction. Furthermore, the majority of characterization studies have been performed in low-latitude or high-latitude regions where geomagnetic activity dominates the physical processes. At mid-latitudes, tropospheric and geomagnetic phenomena compete in disturbing the ionosphere, and it is not well understood how these multiple sources affect the drivers that influence the spatial spectrum. In this study, we are interested in mid-latitude electron density irregularities on the order of 10s of kilometers that would affect VHF signals. Data from the GPS networks Japan GEONET and the Plate Boundary Observatory (PBO, UNAVCO) in the western United States were analyzed for this study. Japan GEONET is a dense network of GPS receivers (station spacing of tens of km), with fairly evenly spaced positions over all of Japan. The PBO, on the other hand, has several pockets of extremely dense coverage (station spacing within a few km), but is less dense on average. We analyze a day with a large solar storm (2015/03/17, St. Patrick's Day Storm) to allow high scintillation potential at mid-latitudes, a day with low geomagnetic activity and low thunderstorm activity (2016/01/31), and a day with low geomagnetic activity and high thunderstorm activity (2015/08/02). We then perform two-dimensional spatial analyses on the TEC data from these two networks on scale lengths of 20 to 200 km to infer the spatial scale spectra.

Is essential newborn care provided by institutions and after home births? Analysis of prospective data from community trials in rural South Asia

PubMed Central

2014-01-01

Background Provision of essential newborn care (ENC) can save many newborn lives in poor resource settings but coverage is far from universal and varies by country and place of delivery. Understanding gaps in current coverage and where coverage is good, in different contexts and places of delivery, could make a valuable contribution to the future design of interventions to reduce neonatal mortality. We sought to describe the coverage of essential newborn care practices for births in institutions, at home with a skilled birth attendant, and at home without a skilled birth attendant (SBA) in rural areas of Bangladesh, Nepal, and India. Methods We used data from the control arms of four cluster randomised controlled trials in Bangladesh, Eastern India and from Makwanpur and Dhanusha districts in Nepal, covering periods from 2001 to 2011. We used these data to identify essential newborn care practices as defined by the World Health Organization. Each birth was allocated to one of three delivery types: home birth without an SBA, home birth with an SBA, or institutional delivery. For each study, we calculated the observed proportion of births that received each care practice by delivery type with 95% confidence intervals, adjusted for clustering and, where appropriate, stratification. Results After exclusions, we analysed data for 8939 births from Eastern India, 27 553 births from Bangladesh, 6765 births from Makwanpur and 15 344 births from Dhanusha. Across all study areas, coverage of essential newborn care practices was highest in institutional deliveries, and lowest in home non-SBA deliveries. However, institutional deliveries did not provide universal coverage of the recommended practices, with relatively low coverage (20%-70%) across all study areas for immediate breastfeeding and thermal care. Institutions in Bangladesh had the highest coverage for almost all care practices except thermal care. Across all areas, fewer than 20% of home non-SBA deliveries used a clean delivery kit, the use of plastic gloves was very low and coverage of recommended thermal care was relatively poor. There were large differences between study areas in handwashing, immediate breastfeeding and delayed bathing. Conclusions There remains substantial scope for health facilities to improve thermal care for the newborn and to encourage immediate and exclusive breastfeeding. For unattended home deliveries, increased handwashing, use of clean delivery kits and basic thermal care offer great scope for improvement. PMID:24606612

Is there a correlation between malaria incidence and IRS coverage in western Zambezi region, Namibia?

PubMed Central

Sturrock, H.; Hsiang, M.; Roberts, K.; Kleinschmidt, I.; Nghipumbwa, M.; Uusiku, P.; Smith, J.; Bennet, A.; Kizito, W.; Takarinda, K.; Ade, S.; Gosling, R.

2018-01-01

Setting: A comparison of routine Namibia National Malaria Programme data (reported) vs. household survey data (administrative) on indoor residual spraying (IRS) in western Zambezi region, Namibia, for the 2014–2015 malaria season. Objectives: To determine 1) IRS coverage (administrative and reported), 2) its effect on malaria incidence, and 3) reasons for non-uptake of IRS in western Zambezi region, Namibia, for the 2014–2015 malaria season. Design: This was a descriptive study. Results: IRS coverage in western Zambezi region was low, ranging from 42.3% to 52.2% for administrative coverage vs. 45.9–66.7% for reported coverage. There was no significant correlation between IRS coverage and malaria incidence for this region (r = −0.45, P = 0.22). The main reasons for households not being sprayed were that residents were not at home during spraying times or that spray operators did not visit the households. Conclusions: IRS coverage in western Zambezi region, Namibia, was low during the 2014–2015 malaria season because of poor community engagement and awareness of times for spray operations within communities. Higher IRS coverage could be achieved through improved community engagement. Better targeting of the highest risk areas by the use of malaria surveillance will be required to mitigate malaria transmission. PMID:29713594

Is there a correlation between malaria incidence and IRS coverage in western Zambezi region, Namibia?

PubMed

Mumbengegwi, D R; Sturrock, H; Hsiang, M; Roberts, K; Kleinschmidt, I; Nghipumbwa, M; Uusiku, P; Smith, J; Bennet, A; Kizito, W; Takarinda, K; Ade, S; Gosling, R

2018-04-25

Setting: A comparison of routine Namibia National Malaria Programme data (reported) vs. household survey data (administrative) on indoor residual spraying (IRS) in western Zambezi region, Namibia, for the 2014-2015 malaria season. Objectives: To determine 1) IRS coverage (administrative and reported), 2) its effect on malaria incidence, and 3) reasons for non-uptake of IRS in western Zambezi region, Namibia, for the 2014-2015 malaria season. Design: This was a descriptive study. Results: IRS coverage in western Zambezi region was low, ranging from 42.3% to 52.2% for administrative coverage vs. 45.9-66.7% for reported coverage. There was no significant correlation between IRS coverage and malaria incidence for this region ( r = -0.45, P = 0.22). The main reasons for households not being sprayed were that residents were not at home during spraying times or that spray operators did not visit the households. Conclusions: IRS coverage in western Zambezi region, Namibia, was low during the 2014-2015 malaria season because of poor community engagement and awareness of times for spray operations within communities. Higher IRS coverage could be achieved through improved community engagement. Better targeting of the highest risk areas by the use of malaria surveillance will be required to mitigate malaria transmission.

FIRE_ACE_C130_RAMS

Atmospheric Science Data Center

2017-04-26

... NCAR C-130 Instrument:  Radiation Measurement System Spatial Coverage:  Fairbanks, Alaska and the ... Parameters:  Upwelling and Downwelling Total Solar Flux Infrared Flux and Narrowband Flux Order Data:  ...

Solutions for extracting file level spatial metadata from airborne mission data

NASA Astrophysics Data System (ADS)

Schwab, M. J.; Stanley, M.; Pals, J.; Brodzik, M.; Fowler, C.; Icebridge Engineering/Spatial Metadata

2011-12-01

Authors: Michael Stanley Mark Schwab Jon Pals Mary J. Brodzik Cathy Fowler Collaboration: Raytheon EED and NSIDC Raytheon / EED 5700 Rivertech Court Riverdale, MD 20737 NSIDC University of Colorado UCB 449 Boulder, CO 80309-0449 Data sets acquired from satellites and aircraft may differ in many ways. We will focus on the differences in spatial coverage between the two platforms. Satellite data sets over a given period typically cover large geographic regions. These data are collected in a consistent, predictable and well understood manner due to the uniformity of satellite orbits. Since satellite data collection paths are typically smooth and uniform the data from satellite instruments can usually be described with simple spatial metadata. Subsequently, these spatial metadata can be stored and searched easily and efficiently. Conversely, aircraft have significantly more freedom to change paths, circle, overlap, and vary altitude all of which add complexity to the spatial metadata. Aircraft are also subject to wind and other elements that result in even more complicated and unpredictable spatial coverage areas. This unpredictability and complexity makes it more difficult to extract usable spatial metadata from data sets collected on aircraft missions. It is not feasible to use all of the location data from aircraft mission data sets for use as spatial metadata. The number of data points in typical data sets poses serious performance problems for spatial searching. In order to provide efficient spatial searching of the large number of files cataloged in our systems, we need to extract approximate spatial descriptions as geo-polygons from a small number of vertices (fewer than two hundred). We present some of the challenges and solutions for creating airborne mission-derived spatial metadata. We are implementing these methods to create the spatial metadata for insertion of IceBridge mission data into ECS for public access through NSIDC and ECHO but, they are potentially extensible to any aircraft mission data.

TES/Aura L2 Ammonia (NH3) Lite Nadir V6 (TL2NH3LN)

Atmospheric Science Data Center

2017-07-20

TES/Aura L2 Ammonia (NH3) Lite Nadir (TL2NH3LN) News:  TES News ... Level:  L2 Instrument:  TES/Aura L2 Ammonia Spatial Coverage:  5.3 km nadir Spatial ... OPeNDAP Access:  OPeNDAP Parameters:  Ammonia Order Data:  Earthdata Search:   Order Data ...

The current situation of voluntary vaccination and the factors influencing its coverage among children in Takatsuki, Japan: focus on Hib and pneumococcal vaccines.

PubMed

Tsuda, Yuko; Watanabe, Misuzu; Tanimoto, Yoshimi; Hayashida, Itsushi; Kusabiraki, Toshiyuki; Komiyama, Maki; Kono, Koichi

2015-03-01

This study aimed to understand the current scenario of voluntary vaccination and the factors influencing its coverage among 18-month-old children of Takatsuki City, Japan. Based on 1167 parents responses, we found that voluntary vaccination coverage rates were low when compared with routine vaccination rates. The children who were not the first born of the family and who had young and poorly educated parents were less likely to receive voluntary vaccination. Japanese government-supported vaccines, such as Haemophilus influenzae type b and pneumococcal vaccine, had a higher coverage than the vaccines for which parents had to bear the entire vaccination cost. Furthermore, it was found that mass communication media and family pediatricians were effective means to disseminate voluntary vaccination-related information. We envisage that an active participation of medical professionals, easy access to vaccinations, and mass awareness programs will increase voluntary vaccination coverage in Takatsuki. © 2013 APJPH.

[The health system of Guatemala].

PubMed

Becerril-Montekio, Víctor; López-Dávila, Luis

2011-01-01

This paper describes the health conditions in Guatemala and, in more detail, the characteristics of the Guatemalan health system, including its structure en coverage, its financial sources, the stewardship functions developed by the Ministry of Health, as well as the generation of health information and the development of research activities. It also discusses the recent efforts to extend coverage of essential health services, mostly to poor rural areas.The most recent innovations also discussed in this paper include the Program for the Expansion of Coverage of Essential Services, the Program to Expand Access to Essential Drugs and the agreements between the Ministry of Health and several non-governmental organizations to provide essential services in rural settings.

Spatio-temporal variation of vegetation coverage and its response to climate change in North China plain in the last 33 years

NASA Astrophysics Data System (ADS)

A, Duo; Zhao, Wenji; Qu, Xinyuan; Jing, Ran; Xiong, Kai

2016-12-01

Global climate change has led to significant vegetation changes in the past half century. North China Plain, the most important grain production base of china, is undergoing a process of prominent warming and drying. The vegetation coverage, which is used to monitor vegetation change, can respond to climate change (temperature and precipitation). In this study, GIMMS (Global Inventory Modelling and Mapping Studies)-NDVI (Normalized Difference Vegetation Index) data, MODIS (Moderate-resolution Imaging Spectroradiometer) - NDVI data and climate data, during 1981-2013, were used to investigate the spatial distribution and changes of vegetation. The relationship between climate and vegetation on different spatial (agriculture, forest and grassland) and temporal (yearly, decadal and monthly) scales were also analyzed in North China Plain. (1) It was found that temperature exhibiting a slight increase trend (0.20 °C/10a, P < 0.01). This may be due to the disappearance of 0 °C isotherm, the rise of spring temperature. At the same time, precipitation showed a significant reduction trend (-1.75 mm/10a, P > 0.05). The climate mutation period was during 1991-1994. (2) Vegetation coverage slight increase was observed in the 55% of total study area, with a change rate of 0.00039/10a. Human activities may not only accelerate the changes of the vegetation coverage, but also c effect to the rate of these changes. (3) Overall, the correlation between the vegetation coverage and climatic factor is higher in monthly scale than yearly scale. The correlation analysis between vegetation coverage and climate changes showed that annual vegetation coverage was better correlatend with precipitation in grassland biome; but it showed a better correlated with temperature i the agriculture biome and forest biome. In addition, the vegetation coverage had sensitive time-effect respond to precipitation. (4) The vegetation coverage showed the same increasing trend before and after the climatic variations, but the rate of increase slowed down. From the vegetation coverage point of view, the grassland ecological zone had an obvious response to the climatic variations, but the agricultural ecological zones showed a significant response from the vegetation coverage change rate point of view. The effect of human activity in degradation region was higher than that in improvement area. But after the climate abruptly changing, the effect of human activity in improvement area was higher than that in degradation region, and the influence of human activity will continue in the future.

Socioeconomic inequality in self-reported oral health status: the experience of Thailand after implementation of the universal coverage policy.

PubMed

Somkotra, Tewarit

2011-06-01

This study aimed to quantify the extent to which socioeconomic-related inequality in self-reported oral health status among Thais is present after the country implemented the Universal Coverage policy and to decompose the determinants and their associations with inequality in self-reported oral health status in particular with the worse condition. The study employed a concentration index to measure socioeconomic-related inequality in self-reported oral health status, and the decomposition method to identify the determinants and their associations with inequality in oral health-related measures. Data from 32,748 Thai adults aged 15-75 years from the nationally representative Health &Welfare Survey and Socio-Economic Survey 2006 were used in analyses. Reports of worse oral health status of the lower socioeconomic-status group were more common than their higher socioeconomic-status counterparts. The concentration index (equaling -0.208) corroborates the finding of pro-poor inequality in self-reported worse oral health. Decomposition analysis demonstrated certain demographic-, socioeconomic-, and geographic characteristics are particularly associated with poor-rich differences in self-reported oral health status among Thai adults. This study demonstrated socioeconomic-related inequality in oral health is discernable along the entire spectrum of socioeconomic status. Inequality in perceived oral health status among Thais is present even while the country has virtually achieved universality of health coverage. The study also indicates population subgroups, particularly the poor, should receive consideration for improving oral health status as revealed by underlying determinants.

NARSTO PAC2001 GOLDEN EARS GAS PM DATA

Atmospheric Science Data Center

2018-04-09

... Parameters:  Atmospheric Pressure Measurements Air Temperature Humidity Ozone Aerosol Particle Properties Surface ... Data:  Spatial Coverage: Canada Pacific 2001 Air Quality Study SCAR-B Block:  SCAR-B ...

NARSTO PAC2001 LANGLEY GAS PM MET DATA

Atmospheric Science Data Center

2018-04-09

... Parameters:  Atmospheric Pressure Measurements Air Temperature Humidity Surface Winds Ozone Aerosol Particle ... Data:  Spatial Coverage: Canada Pacific 2001 Air Quality Study SCAR-B Block:  SCAR-B ...

Impact of vaccination on the incidence of measles in Mozambique in the period 2000 to 2011.

PubMed

Muloliwa, Artur Manuel; Camacho, Luiz Antonio Bastos; Verani, José Fernando Souza; Simões, Taynãna César; Dgedge, Martinho do Carmo

2013-02-01

The aim of this study was to contribute to the better planning of measles elimination actions in Mozambique, by considering the impact of vaccination actions over the period 2000 to 2011. Descriptive and ecological studies and case records made available by the Ministry of Health were used to analyze measles vaccination coverage. Statistical analysis was performed using time series and spatial analysis. Vaccine coverage rates ranged from 82% to 99%. Coverage rates in Maputo city were under 70% and in Niassa province they were over 100%. Coverage showed a clustered pattern in the districts. The measles incidence rate was 1.58 per 100,000 inhabitants (0.00-40.08 per 100,000 inhabitants); districts bordering neighboring countries presented high incidence rates. Although measles morbidity and mortality has decreased in Mozambique, vaccine coverage has been insufficient to interrupt measles transmission. Enhanced surveillance, including investigation of cases and outbreaks, and improvements in measles vaccination are recommended in order to achieve a homogenous coverage rate of ≥ 95% for both routine and mass vaccination campaigns.

Comparative assessment of immunization coverage of migrant children between national immunization program vaccines and non-national immunization program vaccines in East China

PubMed Central

Hu, Yu; Luo, Shuying; Tang, Xuewen; Lou, Linqiao; Chen, Yaping; Guo, Jing

2015-01-01

This study aimed to describe the disparities in immunization coverage between National Immunization Program (NIP) vaccines and non-NIP vaccines in Yiwu and to identify potential determinants. A face-to-face interview-based questionnaire survey among 423 migrant children born from 1 June 2010 to 31 May 2013 was conducted. Immunization coverage was estimated according to the vaccines scheduled at different age, the birth cohorts, and socio- demographic characteristics. Single-level logistic regression analysis was applied to identify the determinants of coverage of non-NIP vaccines. We found that NIP vaccines recorded higher immunization coverage compared with non-NIP vaccines (87.9100%– vs 0%-74.8%). Among the non-NIP vaccines, varicella vaccine (VarV) recorded the highest coverage of 85.4%, which was introduced in 1998; while 7-valent pneumococcal conjugate vaccine(PCV7) recorded the lowest coverage of 0% for primary series, which was introduced recently. Lower coverage rate of non-NIP vaccines was significantly associated with more siblings in household, shorter duration of living in the surveyed areas, lower family income, mother with a job, mother with poor awareness of vaccination, and mother with lower education level. We found the immunization coverage rate of non-NIP vaccines was significant lower than that of NIP vaccines. Expansion of NIP to include non-NIP vaccines can provide better protection against the vaccine preventable diseases through increased immunization coverage. PMID:25760670

Comparative assessment of immunization coverage of migrant children between national immunization program vaccines and non-national immunization program vaccines in East China.

PubMed

Hu, Yu; Luo, Shuying; Tang, Xuewen; Lou, Linqiao; Chen, Yaping; Guo, Jing

2015-01-01

This study aimed to describe the disparities in immunization coverage between National Immunization Program (NIP) vaccines and non-NIP vaccines in Yiwu and to identify potential determinants. A face-to-face interview-based questionnaire survey among 423 migrant children born from 1 June 2010 to 31 May 2013 was conducted. Immunization coverage was estimated according to the vaccines scheduled at different age, the birth cohorts, and socio- demographic characteristics. Single-level logistic regression analysis was applied to identify the determinants of coverage of non-NIP vaccines. We found that NIP vaccines recorded higher immunization coverage compared with non-NIP vaccines (87.9100%- vs 0%-74.8%). Among the non-NIP vaccines, varicella vaccine (VarV) recorded the highest coverage of 85.4%, which was introduced in 1998; while 7-valent pneumococcal conjugate vaccine(PCV7) recorded the lowest coverage of 0% for primary series, which was introduced recently. Lower coverage rate of non-NIP vaccines was significantly associated with more siblings in household, shorter duration of living in the surveyed areas, lower family income, mother with a job, mother with poor awareness of vaccination, and mother with lower education level. We found the immunization coverage rate of non-NIP vaccines was significant lower than that of NIP vaccines. Expansion of NIP to include non-NIP vaccines can provide better protection against the vaccine preventable diseases through increased immunization coverage.

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.

Joint Offshore Wind Field Monitoring with Spaceborne SAR and Platform-Based Doppler LIDAR Measurements

NASA Astrophysics Data System (ADS)

Jacobsen, S.; Lehner, S.; Hieronimus, J.; Schneemann, J.; Kuhn, M.

2015-04-01

The increasing demand for renewable energy resources has promoted the construction of offshore wind farms e.g. in the North Sea. While the wind farm layout consists of an array of large turbines, the interrelation of wind turbine wakes with the remaining array is of substantial interest. The downstream spatial evolution of turbulent wind turbine wakes is very complex and depends on manifold parameters such as wind speed, wind direction and ambient atmospheric stability conditions. To complement and validate existing numerical models, corresponding observations are needed. While in-situ measurements with e.g. anemometers provide a time-series at the given location, the merits of ground-based and space- or airborne remote sensing techniques are indisputable in terms of spatial coverage. Active microwave devices, such as Scatterometer and Synthetic Aperture Radar (SAR), have proven their capabilities of providing sea surface wind measurements and particularly SAR images reveal wind variations at a high spatial resolution while retaining the large coverage area. Platform-based Doppler LiDAR can resolve wind fields with a high spatial coverage and repetition rates of seconds to minutes. In order to study the capabilities of both methods for the investigation of small scale wind field structures, we present a direct comparison of observations obtained by high resolution TerraSAR-X (TS-X) X-band SAR data and platform-based LiDAR devices at the North Sea wind farm alpha ventus. We furthermore compare the results with meteorological data from the COSMO-DE model run by the German Weather Service DWD. Our study indicates that the overall agreement between SAR and LiDAR wind fields is good and that under appropriate conditions small scale wind field variations compare significantly well.

On the Challenge of Observing Pelagic Sargassum in Coastal Oceans: A Multi-sensor Assessment

NASA Astrophysics Data System (ADS)

Hu, C.; Feng, L.; Hardy, R.; Hochberg, E. J.

2016-02-01

Remote detection of pelagic Sargassum is often hindered by its spectral similarity to other floating materials and by the inadequate spatial resolution. Using measurements from multi-spectral satellite sensors (Moderate Resolution Imaging Spectroradiometer or MODIS), Landsat, WorldView-2 (or WV-2) as well as hyperspectral sensors (Hyperspectral Imager for the Coastal Ocean or HICO, Airborne Visible-InfraRed Imaging Spectrometer or AVIRIS) and airborne digital photos, we analyze and compare their ability (in terms of spectral and spatial resolutions) to detect Sargassum and to differentiate from other floating materials such as Trichodesmium, Syringodium, Ulva, garbage, and emulsified oil. Field measurements suggest that Sargassum has a distinctive reflectance curvature around 630 nm due to its chlorophyll c pigments, which provides a unique spectral signature when combined with the reflectance ratio between brown ( 650 nm) and green ( 555 nm) wavelengths. For a 10-nm resolution sensor on the hyperspectral HyspIRI mission currently being planned by NASA, a stepwise rule to examine several indexes established from 6 bands (centered at 555, 605, 625, 645, 685, 755 nm) is shown to be effective to unambiguously differentiate Sargassum from all other floating materials Numerical simulations using spectral endmembers and noise in the satellite-derived reflectance suggest that spectral discrimination is degraded when a pixel is mixed between Sargassum and water. A minimum of 20-30% Sargassum coverage within a pixel is required to retain such ability, while the partial coverage can be as low as 1-2% when detecting floating materials without spectral discrimination. With its expected signal-to-noise ratios (SNRs 200:1), the hyperspectral HyspIRI mission may provide a compromise between spatial resolution and spatial coverage to improve our capacity to detect, discriminate, and quantify Sargassum.

NARSTO PAC2001 SLOCAN PARK GAS PM MET DATA

Atmospheric Science Data Center

2018-04-09

... Parameters:  Atmospheric Pressure Measurements Air Temperature Humidity Surface Winds Ozone Aerosol Particle ... Data:  Spatial Coverage: Canada Pacific 2001 Air Quality Study SCAR-B Block:  SCAR-B ...

Early appraisal of China's huge and complex health-care reforms.

PubMed

Yip, Winnie Chi-Man; Hsiao, William C; Chen, Wen; Hu, Shanlian; Ma, Jin; Maynard, Alan

2012-03-03

China's 3 year, CN¥850 billion (US$125 billion) reform plan, launched in 2009, marked the first phase towards achieving comprehensive universal health coverage by 2020. The government's undertaking of systemic reform and its affirmation of its role in financing health care together with priorities for prevention, primary care, and redistribution of finance and human resources to poor regions are positive developments. Accomplishing nearly universal insurance coverage in such a short time is commendable. However, transformation of money and insurance coverage into cost-effective services is difficult when delivery of health care is hindered by waste, inefficiencies, poor quality of services, and scarcity and maldistribution of the qualified workforce. China must reform its incentive structures for providers, improve governance of public hospitals, and institute a stronger regulatory system, but these changes have been slowed by opposition from stakeholders and lack of implementation capacity. The pace of reform should be moderated to allow service providers to develop absorptive capacity. Independent, outcome-based monitoring and evaluation by a third-party are essential for mid-course correction of the plans and to make officials and providers accountable. Copyright © 2012 Elsevier Ltd. All rights reserved.

Global patterns of kelp forest change over the past half-century.

PubMed

Krumhansl, Kira A; Okamoto, Daniel K; Rassweiler, Andrew; Novak, Mark; Bolton, John J; Cavanaugh, Kyle C; Connell, Sean D; Johnson, Craig R; Konar, Brenda; Ling, Scott D; Micheli, Fiorenza; Norderhaug, Kjell M; Pérez-Matus, Alejandro; Sousa-Pinto, Isabel; Reed, Daniel C; Salomon, Anne K; Shears, Nick T; Wernberg, Thomas; Anderson, Robert J; Barrett, Nevell S; Buschmann, Alejandro H; Carr, Mark H; Caselle, Jennifer E; Derrien-Courtel, Sandrine; Edgar, Graham J; Edwards, Matt; Estes, James A; Goodwin, Claire; Kenner, Michael C; Kushner, David J; Moy, Frithjof E; Nunn, Julia; Steneck, Robert S; Vásquez, Julio; Watson, Jane; Witman, Jon D; Byrnes, Jarrett E K

2016-11-29

Kelp forests (Order Laminariales) form key biogenic habitats in coastal regions of temperate and Arctic seas worldwide, providing ecosystem services valued in the range of billions of dollars annually. Although local evidence suggests that kelp forests are increasingly threatened by a variety of stressors, no comprehensive global analysis of change in kelp abundances currently exists. Here, we build and analyze a global database of kelp time series spanning the past half-century to assess regional and global trends in kelp abundances. We detected a high degree of geographic variation in trends, with regional variability in the direction and magnitude of change far exceeding a small global average decline (instantaneous rate of change = -0.018 y -1 ). Our analysis identified declines in 38% of ecoregions for which there are data (-0.015 to -0.18 y -1 ), increases in 27% of ecoregions (0.015 to 0.11 y -1 ), and no detectable change in 35% of ecoregions. These spatially variable trajectories reflected regional differences in the drivers of change, uncertainty in some regions owing to poor spatial and temporal data coverage, and the dynamic nature of kelp populations. We conclude that although global drivers could be affecting kelp forests at multiple scales, local stressors and regional variation in the effects of these drivers dominate kelp dynamics, in contrast to many other marine and terrestrial foundation species.

Assessing the statistical relationships among water-derived climate variables, rainfall, and remotely sensed features of vegetation: implications for evaluating the habitat of ticks.

PubMed

Alonso-Carné, J; García-Martín, A; Estrada-Peña, A

2015-01-01

Ticks are sensitive to changes in relative humidity and saturation deficit at the microclimate scale. Trends and changes in rainfall are commonly used as descriptors of field observations of tick populations, to capture the climate niche of ticks or to predict the climate suitability for ticks under future climate scenarios. We evaluated daily and monthly relationships between rainfall, relative humidity and saturation deficit over different ecosystems in Europe using daily climate values from 177 stations over a period of 10 years. We demonstrate that rainfall is poorly correlated with both relative humidity and saturation deficit in any of the ecological domains studied. We conclude that the amount of rainfall recorded in 1 day does not correlate with the values of humidity or saturation deficit recorded 24 h later: rainfall is not an adequate surrogate for evaluating the physiological processes of ticks at regional scales. We compared the Normalized Difference Vegetation Index (NDVI), a descriptor of photosynthetic activity, at a spatial resolution of 0.05°, with monthly averages of relative humidity and saturation deficit and also determined a lack of significant correlation. With the limitations of spatial scale and habitat coverage of this study, we suggest that the rainfall or NDVI cannot replace relative humidity or saturation deficit as descriptors of tick processes.

Tracking LNOx Downwind to Investigate Driving Production Physics

NASA Astrophysics Data System (ADS)

Lapierre, J. L.; Pusede, S.

2016-12-01

Emissions of nitrogen oxides (NOx) influence atmospheric oxidation chemistry and drive ozone production. In the upper troposphere, lightning production (LNOx) is believed to contribute as much as 70% of the total NOx. Therefore, accurate, process-driven constraints on LNOx are required to understand the global NOx and ozone burden. However, estimates of the amount of NOx produced per lightning flash remain highly uncertain, ranging across multiple orders of magnitude ( 10-1000 moles NOx/flash). Satellite measurements provide unique advantages to study LNOx due to their extensive spatial coverage of the Earth, but despite the mechanism by which lightning produces NOx being generally known, correlations between satellite NO2 and measured flash counts are often observed to be poor. Here, we combine NO2 measurements from the Ozone Monitoring Instrument (OMI), lightning data from the National Lightning Detection Network (NLDN), and wind data from the NCEP North American Regional Reanalysis (NARR) over a 4 year period (2012-2015) to study observed relationships between the occurrence and physical characteristics of lightning (e.g., intracloud/cloud-to-ground ratio, polarity, peak current, and multiplicity) with elevated NO2 columns. We investigate the observed spatial mismatch between high flash rates and elevated upper tropospheric NO2, highlight a number of individual storms as case studies, and describe the winds and chemistry that dislocate LNOx from storms. We then use these new constraints on LNOx to investigate the physical drivers of LNOx production rates.

Global patterns of kelp forest change over the past half-century

PubMed Central

Krumhansl, Kira A.; Okamoto, Daniel K.; Rassweiler, Andrew; Novak, Mark; Bolton, John J.; Cavanaugh, Kyle C.; Connell, Sean D.; Johnson, Craig R.; Konar, Brenda; Ling, Scott D.; Micheli, Fiorenza; Norderhaug, Kjell M.; Pérez-Matus, Alejandro; Sousa-Pinto, Isabel; Reed, Daniel C.; Salomon, Anne K.; Shears, Nick T.; Wernberg, Thomas; Anderson, Robert J.; Barrett, Nevell S.; Buschmann, Alejandro H.; Carr, Mark H.; Caselle, Jennifer E.; Derrien-Courtel, Sandrine; Edgar, Graham J.; Edwards, Matt; Estes, James A.; Goodwin, Claire; Kenner, Michael C.; Kushner, David J.; Nunn, Julia; Steneck, Robert S.; Vásquez, Julio; Watson, Jane; Witman, Jon D.

2016-01-01

Kelp forests (Order Laminariales) form key biogenic habitats in coastal regions of temperate and Arctic seas worldwide, providing ecosystem services valued in the range of billions of dollars annually. Although local evidence suggests that kelp forests are increasingly threatened by a variety of stressors, no comprehensive global analysis of change in kelp abundances currently exists. Here, we build and analyze a global database of kelp time series spanning the past half-century to assess regional and global trends in kelp abundances. We detected a high degree of geographic variation in trends, with regional variability in the direction and magnitude of change far exceeding a small global average decline (instantaneous rate of change = −0.018 y−1). Our analysis identified declines in 38% of ecoregions for which there are data (−0.015 to −0.18 y−1), increases in 27% of ecoregions (0.015 to 0.11 y−1), and no detectable change in 35% of ecoregions. These spatially variable trajectories reflected regional differences in the drivers of change, uncertainty in some regions owing to poor spatial and temporal data coverage, and the dynamic nature of kelp populations. We conclude that although global drivers could be affecting kelp forests at multiple scales, local stressors and regional variation in the effects of these drivers dominate kelp dynamics, in contrast to many other marine and terrestrial foundation species. PMID:27849580

Strategies for satellite-based monitoring of CO2 from distributed area and point sources

NASA Astrophysics Data System (ADS)

Schwandner, Florian M.; Miller, Charles E.; Duren, Riley M.; Natraj, Vijay; Eldering, Annmarie; Gunson, Michael R.; Crisp, David

2014-05-01

Atmospheric CO2 budgets are controlled by the strengths, as well as the spatial and temporal variabilities of CO2 sources and sinks. Natural CO2 sources and sinks are dominated by the vast areas of the oceans and the terrestrial biosphere. In contrast, anthropogenic and geogenic CO2 sources are dominated by distributed area and point sources, which may constitute as much as 70% of anthropogenic (e.g., Duren & Miller, 2012), and over 80% of geogenic emissions (Burton et al., 2013). Comprehensive assessments of CO2 budgets necessitate robust and highly accurate satellite remote sensing strategies that address the competing and often conflicting requirements for sampling over disparate space and time scales. Spatial variability: The spatial distribution of anthropogenic sources is dominated by patterns of production, storage, transport and use. In contrast, geogenic variability is almost entirely controlled by endogenic geological processes, except where surface gas permeability is modulated by soil moisture. Satellite remote sensing solutions will thus have to vary greatly in spatial coverage and resolution to address distributed area sources and point sources alike. Temporal variability: While biogenic sources are dominated by diurnal and seasonal patterns, anthropogenic sources fluctuate over a greater variety of time scales from diurnal, weekly and seasonal cycles, driven by both economic and climatic factors. Geogenic sources typically vary in time scales of days to months (geogenic sources sensu stricto are not fossil fuels but volcanoes, hydrothermal and metamorphic sources). Current ground-based monitoring networks for anthropogenic and geogenic sources record data on minute- to weekly temporal scales. Satellite remote sensing solutions would have to capture temporal variability through revisit frequency or point-and-stare strategies. Space-based remote sensing offers the potential of global coverage by a single sensor. However, no single combination of orbit and sensor provides the full range of temporal sampling needed to characterize distributed area and point source emissions. For instance, point source emission patterns will vary with source strength, wind speed and direction. Because wind speed, direction and other environmental factors change rapidly, short term variabilities should be sampled. For detailed target selection and pointing verification, important lessons have already been learned and strategies devised during JAXA's GOSAT mission (Schwandner et al, 2013). The fact that competing spatial and temporal requirements drive satellite remote sensing sampling strategies dictates a systematic, multi-factor consideration of potential solutions. Factors to consider include vista, revisit frequency, integration times, spatial resolution, and spatial coverage. No single satellite-based remote sensing solution can address this problem for all scales. It is therefore of paramount importance for the international community to develop and maintain a constellation of atmospheric CO2 monitoring satellites that complement each other in their temporal and spatial observation capabilities: Polar sun-synchronous orbits (fixed local solar time, no diurnal information) with agile pointing allow global sampling of known distributed area and point sources like megacities, power plants and volcanoes with daily to weekly temporal revisits and moderate to high spatial resolution. Extensive targeting of distributed area and point sources comes at the expense of reduced mapping or spatial coverage, and the important contextual information that comes with large-scale contiguous spatial sampling. Polar sun-synchronous orbits with push-broom swath-mapping but limited pointing agility may allow mapping of individual source plumes and their spatial variability, but will depend on fortuitous environmental conditions during the observing period. These solutions typically have longer times between revisits, limiting their ability to resolve temporal variations. Geostationary and non-sun-synchronous low-Earth-orbits (precessing local solar time, diurnal information possible) with agile pointing have the potential to provide, comprehensive mapping of distributed area sources such as megacities with longer stare times and multiple revisits per day, at the expense of global access and spatial coverage. An ad hoc CO2 remote sensing constellation is emerging. NASA's OCO-2 satellite (launch July 2014) joins JAXA's GOSAT satellite in orbit. These will be followed by GOSAT-2 and NASA's OCO-3 on the International Space Station as early as 2017. Additional polar orbiting satellites (e.g., CarbonSat, under consideration at ESA) and geostationary platforms may also become available. However, the individual assets have been designed with independent science goals and requirements, and limited consideration of coordinated observing strategies. Every effort must be made to maximize the science return from this constellation. We discuss the opportunities to exploit the complementary spatial and temporal coverage provided by these assets as well as the crucial gaps in the capabilities of this constellation. References Burton, M.R., Sawyer, G.M., and Granieri, D. (2013). Deep carbon emissions from volcanoes. Rev. Mineral. Geochem. 75: 323-354. Duren, R.M., Miller, C.E. (2012). Measuring the carbon emissions of megacities. Nature Climate Change 2, 560-562. Schwandner, F.M., Oda, T., Duren, R., Carn, S.A., Maksyutov, S., Crisp, D., Miller, C.E. (2013). Scientific Opportunities from Target-Mode Capabilities of GOSAT-2. NASA Jet Propulsion Laboratory, California Institute of Technology, Pasadena CA, White Paper, 6p., March 2013.

Understanding Mn-nodule distribution and evaluation of related deep-sea mining impacts using AUV-based hydroacoustic and optical data

NASA Astrophysics Data System (ADS)

Peukert, Anne; Schoening, Timm; Alevizos, Evangelos; Köser, Kevin; Kwasnitschka, Tom; Greinert, Jens

2018-04-01

In this study, ship- and autonomous underwater vehicle (AUV)-based multibeam data from the German ferromanganese-nodule (Mn-nodule) license area in the Clarion-Clipperton Zone (CCZ; eastern Pacific) are linked to ground-truth data from optical imaging. Photographs obtained by an AUV enable semi-quantitative assessments of nodule coverage at a spatial resolution in the range of meters. Together with high-resolution AUV bathymetry, this revealed a correlation of small-scale terrain variations ( < 5 m horizontally, < 1 m vertically) with nodule coverage. In the presented data set, increased nodule coverage could be correlated with slopes > 1.8° and concave terrain. On a more regional scale, factors such as the geological setting (existence of horst and graben structures, sediment thickness, outcropping basement) and influence of bottom currents seem to play an essential role for the spatial variation of nodule coverage and the related hard substrate habitat. AUV imagery was also successfully employed to map the distribution of resettled sediment following a disturbance and sediment cloud generation during a sampling deployment of an epibenthic sledge. Data from before and after the disturbance allow a direct assessment of the impact. Automated image processing analyzed the nodule coverage at the seafloor, revealing nodule blanketing by resettling of suspended sediment within 16 h after the disturbance. The visually detectable impact was spatially limited to a maximum of 100 m distance from the disturbance track, downstream of the bottom water current. A correlation with high-resolution AUV bathymetry reveals that the blanketing pattern varies in extent by tens of meters, strictly following the bathymetry, even in areas of only slightly undulating seafloor ( < 1 m vertical change). These results highlight the importance of detailed terrain knowledge when engaging in resource assessment studies for nodule abundance estimates and defining mineable areas. At the same time, it shows the importance of high-resolution mapping for detailed benthic habitat studies that show a heterogeneity at scales of 10 to 100 m. Terrain knowledge is also needed to determine the scale of the impact by seafloor sediment blanketing during mining operations.

Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh.

PubMed

Adams, Alayne M; Islam, Rubana; Ahmed, Tanvir

2015-03-01

In Bangladesh, the health risks of unplanned urbanization are disproportionately shouldered by the urban poor. At the same time, affordable formal primary care services are scarce, and what exists is almost exclusively provided by non-government organizations (NGOs) working on a project basis. So where do the poor go for health care? A health facility mapping of six urban slum settlements in Dhaka was undertaken to explore the configuration of healthcare services proximate to where the poor reside. Three methods were employed: (1) Social mapping and listing of all Health Service Delivery Points (HSDPs); (2) Creation of a geospatial map including Global Positioning System (GPS) co-ordinates of all HSPDs in the six study areas and (3) Implementation of a facility survey of all HSDPs within six study areas. Descriptive statistics are used to examine the number, type and concentration of service provider types, as well as indicators of their accessibility in terms of location and hours of service. A total of 1041 HSDPs were mapped, of which 80% are privately operated and the rest by NGOs and the public sector. Phamacies and non-formal or traditional doctors make up 75% of the private sector while consultation chambers account for 20%. Most NGO and Urban Primary Health Care Project (UPHCP) static clinics are open 5-6 days/week, but close by 4-5 pm in the afternoon. Evening services are almost exclusively offered by private HSDPs; however, only 37% of private sector health staff possess some kind of formal medical qualification. This spatial analysis of health service supply in poor urban settlements emphasizes the importance of taking the informal private sector into account in efforts to increase effective coverage of quality services. Features of informal private sector service provision that have facilitated market penetration may be relevant in designing formal services that better meet the needs of the urban poor. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2015; all rights reserved.

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.

Spatial and socio-demographic predictors of time-to-immunization in a rural area in Kenya: Is equity attainable?

PubMed

Moïsi, Jennifer C; Kabuka, Jonathan; Mitingi, Dorah; Levine, Orin S; Scott, J Anthony G

2010-08-09

We conducted a vaccine coverage survey in Kilifi District, Kenya in order to identify predictors of childhood immunization. We calculated travel time to vaccine clinics and examined its relationship to immunization coverage and timeliness among the 2169 enrolled children (median age: 12.5 months). 86% had vaccine cards available, >95% had received three doses of DTP-HepB-Hib and polio vaccines and 88% of measles. Travel time did not affect vaccination coverage or timeliness. The Kenyan EPI reaches nearly all children in Kilifi and delays in vaccination are few, suggesting that vaccines will have maximal impact on child morbidity and mortality. Copyright 2010 Elsevier Ltd. All rights reserved.

Mapping the Antarctic grounding line with CryoSat-2 radar altimetry

NASA Astrophysics Data System (ADS)

Bamber, J. L.; Dawson, G. J.

2017-12-01

The grounding line, where grounded ice begins to float, is the boundary at which the ocean has the greatest influence on the ice-sheet. Its position and dynamics are critical in assessing the stability of the ice-sheet, for mass budget calculations and as an input into numerical models. The most reliable approaches to map the grounding line remotely are to measure the limit of tidal flexure of the ice shelf using differential synthetic aperture radar interferometry (DInSAR) or ICESat repeat-track measurements. However, these methods are yet to provide satisfactory spatial and temporal coverage of the whole of the Antarctic grounding zone. It has not been possible to use conventional radar altimetry to map the limit of tidal flexure of the ice shelf because it performs poorly near breaks in slope, commonly associated with the grounding zone. The synthetic aperture radar interferometric (SARin) mode of CryoSat-2, performs better over steeper margins of the ice sheet and allows us to achieve this. The SARin mode combines "delay Doppler" processing with a cross-track interferometer, and enables us to use elevations based on the first return (point of closest approach or POCA) and "swath processed" elevations derived from the time-delayed waveform beyond the first return, to significantly improve coverage. Here, we present a new method to map the limit of tidal motion from a combination of POCA and swath data. We test this new method on the Siple Coast region of the Ross Ice Shelf, and the mapped grounding line is in good agreement with previous observations from DinSAR and ICESat measurements. There is, however, an approximately constant seaward offset between these methods and ours, which we believe is due to the poorer precision of CryoSat-2. This new method has improved the coverage of the grounding zone across the Siple Coast, and can be applied to the rest of Antarctica.

An equity analysis of utilization of health services in Afghanistan using a national household survey.

PubMed

Kim, Christine; Saeed, Khwaja Mir Ahad; Salehi, Ahmad Shah; Zeng, Wu

2016-12-05

Afghanistan has made great strides in the coverage of health services across the country but coverage of key indicators remains low nationally and whether the poorest households are accessing these services is not well understood. We analyzed the Afghanistan Mortality Survey 2010 on utilization of inpatient and outpatient care, institutional delivery and antenatal care by wealth quintiles. Concentration indexes (CIs) were generated to measure the inequality of using the four services. Additional analyses were conducted to examine factors that explain the health inequalities (e.g. age, gender, education and residence). Among households reporting utilization of health services, public health facilities were used more often for inpatient care, while they were used less for outpatient care. Overall, the utilization of inpatient and outpatient care, and antenatal care was equally distributed among income groups, with CIs of 0.04, 0.03 and 0.08, respectively. However, the poor used more public facilities while the wealthy used more private facilities. There was a substantial inequality in the use of institutional delivery services, with a CI of 0.31. Poorer women had a lower rate of institutional deliveries overall, in both public and private facilities, compared to the wealthy. Location was an important factor in explaining the inequality in the use of health services. The large gap between the rich and poor in access to and utilization of key maternal services, such as institutional delivery, may be a central factor to the high rates of maternal mortality and morbidity and impedes efforts to make progress toward universal health coverage. While poorer households use public health services more often, the use of public facilities for outpatient visits remains half that of private facilities. Pro-poor targeting as well as a better understanding of the private sector's role in increasing equitable coverage of maternal health services is needed. Equity-oriented approaches in health should be prioritized to promote more inclusive health system reforms.

Action Monitoring for Equity and Gender in Health

PubMed Central

Bhuiya, Abbas; Hanifi, S.M.A.; Mahmood, Shehrin Shaila

2008-01-01

Equity and gender, despite being universal concerns for all health programmes in Bangladesh, are often missing in many of the health agenda. The health programmes fail to address these important dimensions unless these are specifically included in the planning stage of a programme and are continually monitored for progress. This paper presents the situation of equity in health in Bangladesh, innovations in monitoring equity in the use of health services in general and by the poor in particular, and impact of targeted non-health interventions on health outcomes of the poor. It was argued that an equitable use of health services might also result in enhanced overall coverage of the services. The findings show that government services at the upazila level are used by the poor proportionately more than they are in the community, while at the private facilities, the situation is reverse. Commonly-used monitoring tools, at times, are not very useful for the programme managers to know how well they are doing in reaching the poor. Use of benefit-incidence ratio may provide a quick feedback to the health facility managers about their extent of serving the poor. Similarly, Lot Quality Assurance Sampling can be an easy-to-use tool for monitoring coverage at the community level requiring a very small sample size. Although health problems are biomedical phenomena, their solutions may include actions beyond the biomedical framework. Studies have shown that non-health interventions targeted towards the poor improve the use of health services and reduce mortality among children in poor households. The study on equity and health deals with various interlocking issues, and the examples and views presented in this paper intend to introduce their importance in designing and managing health and development programmes. PMID:18831232

Action monitoring for equity and gender in health.

PubMed

Bhuiya, Abbas; Hanifi, S M A; Mahmood, Shehrin Shaila

2008-09-01

Equity and gender, despite being universal concerns for all health programmes in Bangladesh, are often missing in many of the health agenda. The health programmes fail to address these important dimensions unless these are specifically included in the planning stage of a programme and are continually monitored for progress. This paper presents the situation of equity in health in Bangladesh, innovations in monitoring equity in the use of health services in general and by the poor in particular, and impact of targeted non-health interventions on health outcomes of the poor. It was argued that an equitable use of health services might also result in enhanced overall coverage of the services. The findings show that government services at the upazila level are used by the poor proportionately more than they are in the community, while at the private facilities, the situation is reverse. Commonly-used monitoring tools, at times, are not very useful for the programme managers to know how well they are doing in reaching the poor. Use of benefit-incidence ratio may provide a quick feedback to the health facility managers about their extent of serving the poor. Similarly, Lot Quality Assurance Sampling can be an easy-to-use tool for monitoring coverage at the community level requiring a very small sample size. Although health problems are biomedical phenomena, their solutions may include actions beyond the biomedical framework. Studies have shown that non-health interventions targeted towards the poor improve the use of health services and reduce mortality among children in poor households. The study on equity and health deals with various interlocking issues, and the examples and views presented in this paper intend to introduce their importance in designing and managing health and development programmes.

Factors Associated With Poor Glycemic Control or Wide Glycemic Variability Among Diabetes Patients in Hawaii, 2006–2009

PubMed Central

Sentell, Tetine; Tokumaru, Sheri; Goo, Roy; Davis, James W.; Mau, Marjorie M.

2012-01-01

Introduction Although glycemic control is known to reduce complications associated with diabetes, it is an elusive goal for many patients with diabetes. The objective of this study was to identify factors associated with sustained poor glycemic control, some glycemic variability, and wide glycemic variability among diabetes patients over 3 years. Methods This retrospective study was conducted among 2,970 diabetes patients with poor glycemic control (hemoglobin A1c [HbA1c] >9%) who were enrolled in a health plan in Hawaii in 2006. We conducted multivariable logistic regressions to examine factors related to sustained poor control, some glycemic variability, and wide glycemic variability during the next 3 years. Independent variables evaluated as possible predictors were age, sex, type of insurance coverage, morbidity, diabetes duration, history of cardiovascular disease, and number of medications. Results Longer duration of diabetes, being under age 35, and taking 15 or more medications were significantly associated with sustained poor glycemic control. Preferred provider organization and Medicare (vs health maintenance organization) enrollees and patients with high morbidity were less likely to have sustained poor glycemic control. Wide glycemic variability was significantly related to being younger than age 50, longer duration of diabetes, having coronary artery disease, and taking 5 to 9 medications per year. Conclusion Results indicate that duration of diabetes, age, number of medications, morbidity, and type of insurance coverage are risk factors for sustained poor glycemic control. Patients with these characteristics may need additional therapies and targeted interventions to improve glycemic control. Patients younger than age 50 and those with a history of coronary heart disease should be warned of the health risks of wide glycemic variability. PMID:23017247

SAGE III L2 Monthly Cloud Presence Data (Binary)

Atmospheric Science Data Center

2016-06-14

... degrees South Spatial Resolution:  1 km vertical Temporal Coverage:  02/27/2002 - 12/31/2005 ... Parameters:  Cloud Amount/Frequency Cloud Height Cloud Vertical Distribution Order Data:  Search and ...

Beyond new vaccine introduction: the uptake of pneumococcal conjugate vaccine in the African Region.

PubMed

Olayinka, Folake; Ewald, Leah; Steinglass, Robert

2017-01-01

The number of vaccines available to low-income countries has increased dramatically over the last decade. Overall infant immunization coverage in the WHO African region has stagnated in the past few years while countries' ability to maintain high immunization coverage rates following introduction of new vaccines has been uneven. This case study examines post-introduction coverage among African countries that introduced PCV between 2008 and 2013 and the factors affecting Pneumococcal Conjugate Vaccine (PCV) introduction. Nearly one-third of countries did not achieve 80% infant PCV3 coverage by two years post-introduction and 58% of countries experienced a decline in coverage between post introduction years two and four. Major factors affecting coverage rates included introduction without adequate preparation, insufficient supply chain capacity and management, poor communication between organizations and with the public, and data collection systems that were insufficient to meet information needs. Deliberately addressing these issues as well as longstanding weaknesses during new vaccine introduction can strengthen the immunization and broader health system. Further study is required to identify and address factors that affect maintenance of high coverage following introduction of new vaccines in the African region. Immunization with PCV is one of the most important interventions protecting against pneumonia, the second leading cause of death for children under five globally.

Spatial analysis of MODIS aerosol optical depth, PM2.5, and chronic coronary heart disease.

PubMed

Hu, Zhiyong

2009-05-12

Numerous studies have found adverse health effects of acute and chronic exposure to fine particulate matter (PM2.5). Air pollution epidemiological studies relying on ground measurements provided by monitoring networks are often limited by sparse and unbalanced spatial distribution of the monitors. Studies have found correlations between satellite aerosol optical depth (AOD) and PM2.5 in some land regions. Satellite aerosol data may be used to extend the spatial coverage of PM2.5 exposure assessment. This study was to investigate correlation between PM2.5 and AOD in the conterminous USA, to derive a spatially complete PM2.5 surface by merging satellite AOD data and ground measurements based on the potential correlation, and to examine if there is an association of coronary heart disease with PM2.5. Years 2003 and 2004 daily MODIS (Moderate Resolution Imaging Spectrometer) Level 2 AOD images were collated with US EPA PM2.5 data covering the conterminous USA. Pearson's correlation analysis and geographically weighted regression (GWR) found that the relationship between PM2.5 and AOD is not spatially consistent across the conterminous states. The average correlation is 0.67 in the east and 0.22 in the west. GWR predicts well in the east and poorly in the west. The GWR model was used to derive a PM2.5 grid surface using the mean AOD raster calculated using the daily AOD data (RMSE = 1.67 microg/m3). Fitting of a Bayesian hierarchical model linking PM2.5 with age-race standardized mortality rates (SMRs) of chronic coronary heart disease found that areas with higher values of PM2.5 also show high rates of CCHD mortality: = 0.802, posterior 95% Bayesian credible interval (CI) = (0.386, 1.225). There is a spatial variation of the relationship between PM2.5 and AOD in the conterminous USA. In the eastern USA where AOD correlates well with PM2.5, AOD can be merged with ground PM2.5 data to derive a PM2.5 surface for epidemiological study. The study found that chronic coronary heart disease mortality rate increases with exposure to PM2.5.

Gain in Insurance Coverage and Residual Uninsurance Under the Affordable Care Act: Texas, 2013-2016.

PubMed

Pickett, Stephen; Marks, Elena; Ho, Vivian

2017-01-01

To examine the effects of the Affordable Care Act's (ACA's) Marketplace on Texas residents and determine which population subgroups benefited the most and which the least. We analyzed insurance coverage rates among nonelderly Texas adults using the Health Reform Monitoring Survey-Texas from September 2013, just before the first open enrollment period in the Marketplace, through March 2016. Texas has experienced a roughly 6-percentage-point increase in insurance coverage (from 74.7% to 80.6%; P = .012) after implementation of the major insurance provisions of the ACA. The 4 subgroups with the largest increases in adjusted insurance coverage between 2013 and 2016 were persons aged 50 to 64 years (12.1 percentage points; P = .002), Hispanics (10.9 percentage points; P = .002), persons reporting fair or poor health status (10.2 percentage points; P = .038), and those with a high school diploma as their highest educational attainment (9.2 percentage points; P = .023). Many population subgroups have benefited from the ACA's Marketplace, but approximately 3 million Texas residents still lack health coverage. Adopting the ACA's Medicaid expansion is a means to address the lack of coverage.

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.

Oil slick morphology derived from AVIRIS measurements of the Deepwater Horizon oil spill: Implications for spatial resolution requirements of remote sensors

USGS Publications Warehouse

Sun, Shaojie; Hu, Chuanmin; Feng, Lian; Swayze, Gregg A.; Holmes, Jamie; Graettinger, George; MacDonald, Ian R.; Garcia, Oscar; Leifer, Ira

2016-01-01

Using fine spatial resolution (~ 7.6 m) hyperspectral AVIRIS data collected over the Deepwater Horizon oil spill in the Gulf of Mexico, we statistically estimated slick lengths, widths and length/width ratios to characterize oil slick morphology for different thickness classes. For all AVIRIS-detected oil slicks (N = 52,100 continuous features) binned into four thickness classes (≤ 50 μm but thicker than sheen, 50–200 μm, 200–1000 μm, and > 1000 μm), the median lengths, widths, and length/width ratios of these classes ranged between 22 and 38 m, 7–11 m, and 2.5–3.3, respectively. The AVIRIS data were further aggregated to 30-m (Landsat resolution) and 300-m (MERIS resolution) spatial bins to determine the fractional oil coverage in each bin. Overall, if 50% fractional pixel coverage were to be required to detect oil with thickness greater than sheen for most oil containing pixels, a 30-m resolution sensor would be needed.

Spatial and Temporal Response of Auroral and Subauroral Plasma Convection to High- Latitude Drivers of Geomagnetic Activity

NASA Astrophysics Data System (ADS)

Greenwald, R. A.; Ruohoniemi, M.; Baker, J. B.; Talaat, E.; Lester, M.; Oksavik, K.

2008-12-01

During the IPY, the second of two lower-latitude SuperDARN radars was put into operation in the eastern U.S. Located at Blackstone, VA and directed toward central Canada, it extends the coverage of the preexisting Wallops Island radar to more than 4 hours of magnetic local time and covers 50-70 degrees geomagnetic latitude providing coverage of ionospheric plasma convection and electric fields on magnetic field lines connected to the inner boundary of the plasmasheet, ring current and plasmapause. Although initial measurements with this coordinated pair of radars were made at a time of low geomagnetic activity, there have been many opportunities to examine both the spatial and temporal response of low-latitude auroral and subauroral plasma convection and its associated electric field to a variety of high-latitude magnetospheric drivers including dayside reconnection and midnight sector substorms. In this paper, we discuss the dynamical response of these flows to both dayside reconnection and substorms. We specifically examine the timing, location, spatial extent and intensity of these flow enhancements versus the nature and strength of the driver.

An assessment of geographical distribution of different plant functional types over North America simulated using the CLASS-CTEM modelling framework

NASA Astrophysics Data System (ADS)

Shrestha, Rudra K.; Arora, Vivek K.; Melton, Joe R.; Sushama, Laxmi

2017-10-01

The performance of the competition module of the CLASS-CTEM (Canadian Land Surface Scheme and Canadian Terrestrial Ecosystem Model) modelling framework is assessed at 1° spatial resolution over North America by comparing the simulated geographical distribution of its plant functional types (PFTs) with two observation-based estimates. The model successfully reproduces the broad geographical distribution of trees, grasses and bare ground although limitations remain. In particular, compared to the two observation-based estimates, the simulated fractional vegetation coverage is lower in the arid southwest North American region and higher in the Arctic region. The lower-than-observed simulated vegetation coverage in the southwest region is attributed to lack of representation of shrubs in the model and plausible errors in the observation-based data sets. The observation-based data indicate vegetation fractional coverage of more than 60 % in this arid region, despite only 200-300 mm of precipitation that the region receives annually, and observation-based leaf area index (LAI) values in the region are lower than one. The higher-than-observed vegetation fractional coverage in the Arctic is likely due to the lack of representation of moss and lichen PFTs and also likely because of inadequate representation of permafrost in the model as a result of which the C3 grass PFT performs overly well in the region. The model generally reproduces the broad spatial distribution and the total area covered by the two primary tree PFTs (needleleaf evergreen trees, NDL-EVG; and broadleaf cold deciduous trees, BDL-DCD-CLD) reasonably well. The simulated fractional coverage of tree PFTs increases after the 1960s in response to the CO2 fertilization effect and climate warming. Differences between observed and simulated PFT coverages highlight model limitations and suggest that the inclusion of shrubs, and moss and lichen PFTs, and an adequate representation of permafrost will help improve model performance.

Hydrological Responses of Weather Conditions and Crop Change of Agricultural Area in the Rincon Valley, New Mexico

NASA Astrophysics Data System (ADS)

Ahn, S.; Sheng, Z.; Abudu, S.

2017-12-01

Hydrologic cycle of agricultural area has been changing due to the impacts of climate and land use changes (crop coverage changes) in an arid region of Rincon Valley, New Mexico. This study is to evaluate the impacts of weather condition and crop coverage change on hydrologic behavior of agricultural area in Rincon Valley (2,466km2) for agricultural watershed management using a watershed-scale hydrologic model, SWAT (Soil and Water Assessment Tool). The SWAT model was developed to incorporate irrigation of different crops using auto irrigation function. For the weather condition and crop coverage change evaluation, three spatial crop coverages including a normal (2008), wet (2009), and dry (2011) years were prepared using USDA crop data layer (CDL) for fourteen different crops. The SWAT model was calibrated for the period of 2001-2003 and validated for the period of 2004-2006 using daily-observed streamflow data. Scenario analysis was performed for wet and dry years based on the unique combinations of crop coverages and releases from Caballo Reservoir. The SWAT model simulated the present vertical water budget and horizontal water transfer considering irrigation practices in the Rincon Valley. Simulation results indicated the temporal and spatial variability for irrigation and non-irrigation seasons of hydrologic cycle in agricultural area in terms of surface runoff, evapotranspiration, infiltration, percolation, baseflow, soil moisture, and groundwater recharge. The water supply of the dry year could not fully cover whole irrigation period due to dry weather conditions, resulting in reduction of crop acreage. For extreme weather conditions, the temporal variation of water budget became robust, which requires careful irrigation management of the agricultural area. The results could provide guidelines for farmers to decide crop patterns in response to different weather conditions and water availability.

Tip-Enhanced Raman Voltammetry: Coverage Dependence and Quantitative Modeling.

PubMed

Mattei, Michael; Kang, Gyeongwon; Goubert, Guillaume; Chulhai, Dhabih V; Schatz, George C; Jensen, Lasse; Van Duyne, Richard P

2017-01-11

Electrochemical atomic force microscopy tip-enhanced Raman spectroscopy (EC-AFM-TERS) was employed for the first time to observe nanoscale spatial variations in the formal potential, E 0' , of a surface-bound redox couple. TERS cyclic voltammograms (TERS CVs) of single Nile Blue (NB) molecules were acquired at different locations spaced 5-10 nm apart on an indium tin oxide (ITO) electrode. Analysis of TERS CVs at different coverages was used to verify the observation of single-molecule electrochemistry. The resulting TERS CVs were fit to the Laviron model for surface-bound electroactive species to quantitatively extract the formal potential E 0' at each spatial location. Histograms of single-molecule E 0' at each coverage indicate that the electrochemical behavior of the cationic oxidized species is less sensitive to local environment than the neutral reduced species. This information is not accessible using purely electrochemical methods or ensemble spectroelectrochemical measurements. We anticipate that quantitative modeling and measurement of site-specific electrochemistry with EC-AFM-TERS will have a profound impact on our understanding of the role of nanoscale electrode heterogeneity in applications such as electrocatalysis, biological electron transfer, and energy production and storage.

Heredity Factors in Spatial Visualization.

ERIC Educational Resources Information Center

Vandenberg, S. G.

Spatial visualization is not yet clearly understood. Some researchers have concluded that two factors or abilities are involved, spatial orientation and spatial visualization. Different definitions and different tests have been proposed for these two abilities. Several studies indicate that women generally perform more poorly on spatial tests than…

Wisconsin's approach to variation in traffic data

DOT National Transportation Integrated Search

2000-08-01

Traffic data exhibits considerable variability, both spatially and temporally. Given limited resources and the large geographic coverage required for data collection efforts, short period (24-hours to 7-day) traffic data collection must often serve t...

SAGE III L2 Monthly Cloud Presence Data (HDF-EOS)

Atmospheric Science Data Center

2016-06-14

... degrees South Spatial Resolution:  1 km vertical Temporal Coverage:  02/27/2002 - 12/31/2005 ... Parameters:  Cloud Amount/Frequency Cloud Height Cloud Vertical Distribution Order Data:  Search and ...

Sub-national variation in measles vaccine coverage and outbreak risk: a case study from a 2010 outbreak in Malawi.

PubMed

Kundrick, Avery; Huang, Zhuojie; Carran, Spencer; Kagoli, Matthew; Grais, Rebecca Freeman; Hurtado, Northan; Ferrari, Matthew

2018-06-15

Despite progress towards increasing global vaccination coverage, measles continues to be one of the leading, preventable causes of death among children worldwide. Whether and how to target sub-national areas for vaccination campaigns continues to remain a question. We analyzed three metrics for prioritizing target areas: vaccination coverage, susceptible birth cohort, and the effective reproductive ratio (R E ) in the context of the 2010 measles epidemic in Malawi. Using case-based surveillance data from the 2010 measles outbreak in Malawi, we estimated vaccination coverage from the proportion of cases reporting with a history of prior vaccination at the district and health facility catchment scale. Health facility catchments were defined as the set of locations closer to a given health facility than to any other. We combined these estimates with regional birth rates to estimate the size of the annual susceptible birth cohort. We also estimated the effective reproductive ratio, R E , at the health facility polygon scale based on the observed rate of exponential increase of the epidemic. We combined these estimates to identify spatial regions that would be of high priority for supplemental vaccination activities. The estimated vaccination coverage across all districts was 84%, but ranged from 61 to 99%. We found that 8 districts and 354 health facility catchments had estimated vaccination coverage below 80%. Areas that had highest birth cohort size were frequently large urban centers that had high vaccination coverage. The estimated R E ranged between 1 and 2.56. The ranking of districts and health facility catchments as priority areas varied depending on the measure used. Each metric for prioritization may result in discrete target areas for vaccination campaigns; thus, there are tradeoffs to choosing one metric over another. However, in some cases, certain areas may be prioritized by all three metrics. These areas should be treated with particular concern. Furthermore, the spatial scale at which each metric is calculated impacts the resulting prioritization and should also be considered when prioritizing areas for vaccination campaigns. These methods may be used to allocate effort for prophylactic campaigns or to prioritize response for outbreak response vaccination.

Image Stability Requirements For a Geostationary Imaging Fourier Transform Spectrometer (GIFTS)

NASA Technical Reports Server (NTRS)

Bingham, G. E.; Cantwell, G.; Robinson, R. C.; Revercomb, H. E.; Smith, W. L.

2001-01-01

A Geostationary Imaging Fourier Transform Spectrometer (GIFTS) has been selected for the NASA New Millennium Program (NMP) Earth Observing-3 (EO-3) mission. Our paper will discuss one of the key GIFTS measurement requirements, Field of View (FOV) stability, and its impact on required system performance. The GIFTS NMP mission is designed to demonstrate new and emerging sensor and data processing technologies with the goal of making revolutionary improvements in meteorological observational capability and forecasting accuracy. The GIFTS payload is a versatile imaging FTS with programmable spectral resolution and spatial scene selection that allows radiometric accuracy and atmospheric sounding precision to be traded in near real time for area coverage. The GIFTS sensor combines high sensitivity with a massively parallel spatial data collection scheme to allow high spatial resolution measurement of the Earth's atmosphere and rapid broad area coverage. An objective of the GIFTS mission is to demonstrate the advantages of high spatial resolution (4 km ground sample distance - gsd) on temperature and water vapor retrieval by allowing sampling in broken cloud regions. This small gsd, combined with the relatively long scan time required (approximately 10 s) to collect high resolution spectra from geostationary (GEO) orbit, may require extremely good pointing control. This paper discusses the analysis of this requirement.

Getting essential health products to their end users: Subsidize, but how much?

PubMed Central

Dupas, Pascaline

2015-01-01

Although coverage rates and health outcomes are improving, many poor people around the world still do not benefit from essential health products. An estimated two-thirds of child deaths could be prevented with increased coverage of products such as vaccines, point-of-use water treatment, iron fortification, and insecticide-treated bednets. What limits the flow of products from the producer's laboratory bench to the end users, and what can be done about it? Recent empirical research suggests a crucial role for heavy subsidies. PMID:25214612

[Responses of alpine grassland landscape in the source region of Shule River Basin to topographical factors and frozen ground types].

PubMed

Chen, Jian-Jun; Yi, Shu-Hua; Qin, Yu; Wang, Xiao-Yun

2014-06-01

This paper retrieved the fractional vegetation cover of alpine grassland in the source region of the Shule River Basin based on Chinese environmental satellite (HJ-1A/1B) images and field data, and analyzed the response of the vegetation cover to topographic factors and types of frozen ground. The results showed that the vegetation coverage of this region was low with large spatial heterogeneity and high degree of dispersion. The landscape consisted mainly of non-vegetation surface types, eg. ice, snow, the bare rock gravel land and bare land. Slopes and aspects were the main limiting factors of vegetation distribution. The average vegetation coverage decreased with the increase of slope. The average vegetation coverage was the lowest on the sunny slope, and the highest on the shady slope. There were significant differences of vegetation coverage among different types of frozen ground. The distribution of vegetation coverage presented a reversed "U" curve trend by extremely stable permafrost, stable permafrost, sub-stable permafrost, transition permafrost, unstable permafrost and seasonal frost, and the average vegetation coverage was the highest in the sub-stable permafrost.

Global effects of land use on local terrestrial biodiversity.

PubMed

Newbold, Tim; Hudson, Lawrence N; Hill, Samantha L L; Contu, Sara; Lysenko, Igor; Senior, Rebecca A; Börger, Luca; Bennett, Dominic J; Choimes, Argyrios; Collen, Ben; Day, Julie; De Palma, Adriana; Díaz, Sandra; Echeverria-Londoño, Susy; Edgar, Melanie J; Feldman, Anat; Garon, Morgan; Harrison, Michelle L K; Alhusseini, Tamera; Ingram, Daniel J; Itescu, Yuval; Kattge, Jens; Kemp, Victoria; Kirkpatrick, Lucinda; Kleyer, Michael; Correia, David Laginha Pinto; Martin, Callum D; Meiri, Shai; Novosolov, Maria; Pan, Yuan; Phillips, Helen R P; Purves, Drew W; Robinson, Alexandra; Simpson, Jake; Tuck, Sean L; Weiher, Evan; White, Hannah J; Ewers, Robert M; Mace, Georgina M; Scharlemann, Jörn P W; Purvis, Andy

2015-04-02

Human activities, especially conversion and degradation of habitats, are causing global biodiversity declines. How local ecological assemblages are responding is less clear--a concern given their importance for many ecosystem functions and services. We analysed a terrestrial assemblage database of unprecedented geographic and taxonomic coverage to quantify local biodiversity responses to land use and related changes. Here we show that in the worst-affected habitats, these pressures reduce within-sample species richness by an average of 76.5%, total abundance by 39.5% and rarefaction-based richness by 40.3%. We estimate that, globally, these pressures have already slightly reduced average within-sample richness (by 13.6%), total abundance (10.7%) and rarefaction-based richness (8.1%), with changes showing marked spatial variation. Rapid further losses are predicted under a business-as-usual land-use scenario; within-sample richness is projected to fall by a further 3.4% globally by 2100, with losses concentrated in biodiverse but economically poor countries. Strong mitigation can deliver much more positive biodiversity changes (up to a 1.9% average increase) that are less strongly related to countries' socioeconomic status.

Global effects of land use on local terrestrial biodiversity

NASA Astrophysics Data System (ADS)

Newbold, Tim; Hudson, Lawrence N.; Hill, Samantha L. L.; Contu, Sara; Lysenko, Igor; Senior, Rebecca A.; Börger, Luca; Bennett, Dominic J.; Choimes, Argyrios; Collen, Ben; Day, Julie; de Palma, Adriana; Díaz, Sandra; Echeverria-Londoño, Susy; Edgar, Melanie J.; Feldman, Anat; Garon, Morgan; Harrison, Michelle L. K.; Alhusseini, Tamera; Ingram, Daniel J.; Itescu, Yuval; Kattge, Jens; Kemp, Victoria; Kirkpatrick, Lucinda; Kleyer, Michael; Correia, David Laginha Pinto; Martin, Callum D.; Meiri, Shai; Novosolov, Maria; Pan, Yuan; Phillips, Helen R. P.; Purves, Drew W.; Robinson, Alexandra; Simpson, Jake; Tuck, Sean L.; Weiher, Evan; White, Hannah J.; Ewers, Robert M.; Mace, Georgina M.; Scharlemann, Jörn P. W.; Purvis, Andy

2015-04-01

Human activities, especially conversion and degradation of habitats, are causing global biodiversity declines. How local ecological assemblages are responding is less clear--a concern given their importance for many ecosystem functions and services. We analysed a terrestrial assemblage database of unprecedented geographic and taxonomic coverage to quantify local biodiversity responses to land use and related changes. Here we show that in the worst-affected habitats, these pressures reduce within-sample species richness by an average of 76.5%, total abundance by 39.5% and rarefaction-based richness by 40.3%. We estimate that, globally, these pressures have already slightly reduced average within-sample richness (by 13.6%), total abundance (10.7%) and rarefaction-based richness (8.1%), with changes showing marked spatial variation. Rapid further losses are predicted under a business-as-usual land-use scenario; within-sample richness is projected to fall by a further 3.4% globally by 2100, with losses concentrated in biodiverse but economically poor countries. Strong mitigation can deliver much more positive biodiversity changes (up to a 1.9% average increase) that are less strongly related to countries' socioeconomic status.

Risk factors for measles mortality and the importance of decentralized case management during an unusually large measles epidemic in eastern Democratic Republic of Congo in 2013

PubMed Central

Polonsky, Jonathan; Ciglenecki, Iza; Bichet, Mathieu; Coldiron, Matthew; Thuambe Lwiyo, Enoch; Akonda, Innocent; Serafini, Micaela; Porten, Klaudia

2018-01-01

In 2013, a large measles epidemic occurred in the Aketi Health Zone of the Democratic Republic of Congo. We conducted a two-stage, retrospective cluster survey to estimate the attack rate, the case fatality rate, and the measles-specific mortality rate during the epidemic. 1424 households containing 7880 individuals were included. The estimated attack rate was 14.0%, (35.0% among children aged <5 years). The estimated case fatality rate was 4.2% (6.1% among children aged <5 years). Spatial analysis and linear regression showed that younger children, those who did not receive care, and those living farther away from Aketi Hospital early in the epidemic had a higher risk of measles related death. Vaccination coverage prior to the outbreak was low (76%), and a delayed reactive vaccination campaign contributed to the high attack rate. We provide evidences suggesting that a comprehensive case management approach reduced measles fatality during this epidemic in rural, inaccessible resource-poor setting. PMID:29538437

Risk factors for measles mortality and the importance of decentralized case management during an unusually large measles epidemic in eastern Democratic Republic of Congo in 2013.

PubMed

Gignoux, Etienne; Polonsky, Jonathan; Ciglenecki, Iza; Bichet, Mathieu; Coldiron, Matthew; Thuambe Lwiyo, Enoch; Akonda, Innocent; Serafini, Micaela; Porten, Klaudia

2018-01-01

In 2013, a large measles epidemic occurred in the Aketi Health Zone of the Democratic Republic of Congo. We conducted a two-stage, retrospective cluster survey to estimate the attack rate, the case fatality rate, and the measles-specific mortality rate during the epidemic. 1424 households containing 7880 individuals were included. The estimated attack rate was 14.0%, (35.0% among children aged <5 years). The estimated case fatality rate was 4.2% (6.1% among children aged <5 years). Spatial analysis and linear regression showed that younger children, those who did not receive care, and those living farther away from Aketi Hospital early in the epidemic had a higher risk of measles related death. Vaccination coverage prior to the outbreak was low (76%), and a delayed reactive vaccination campaign contributed to the high attack rate. We provide evidences suggesting that a comprehensive case management approach reduced measles fatality during this epidemic in rural, inaccessible resource-poor setting.

High-resolution surface velocity and strain rate mapping across the Alpine-Himalayan belt using InSAR and GNSS data

NASA Astrophysics Data System (ADS)

Weiss, J. R.; Walters, R. J.; Wright, T. J.; Hussain, E.; González, P. J.; Hooper, A. J.

2017-12-01

Accurate and high-resolution measurements of interseismic crustal velocity and the strain-rate fields derived from these measurements are an important input for the assessment of earthquake hazard. However, most strain-rate estimation methods and associated seismicity forecasts rely heavily on Global Navigation Satellite System (GNSS) networks with sparse and heterogeneous spatial coverage, limiting both accuracy and resolution. Interferometric Synthetic Aperture Radar (InSAR) provides remotely-sensed observations of surface motion, with accuracy comparable to GNSS data, and with a spatial resolution of a few tens of meters. The recently launched Sentinel-1 (S1) radar satellites can measure deformation at the tectonic-plate scale and across slowly straining regions where earthquake hazard is poorly characterised. We are producing large-scale crustal velocity and strain-rate fields for the Alpine-Himalayan belt (AHB) by augmenting global GNSS data compilations with InSAR-derived surface velocities. We are also systematically processing S1 interferograms for the AHB and these products are freely available to the geoscience community. We focus on the Anatolian microplate, where we have used both Envisat and S1 data to measure crustal velocity. We address some of the challenges associated with merging the complementary geodetic datasets including reference-frame issues, treatment of uncertainties, and comparison of different velocity/strain-rate inversion methods. We use synthetic displacement fields to illustrate how inclusion of InSAR can aid in identifying features such as unmapped active faults and fault segments that are creeping. From our preliminary results for Anatolia, we investigate the spatial distribution of strain and variation of strain rates during the seismic cycle.

Validation of Ground-based Optical Estimates of Auroral Electron Precipitation Energy Deposition

NASA Astrophysics Data System (ADS)

Hampton, D. L.; Grubbs, G. A., II; Conde, M.; Lynch, K. A.; Michell, R.; Zettergren, M. D.; Samara, M.; Ahrns, M. J.

2017-12-01

One of the major energy inputs into the high latitude ionosphere and mesosphere is auroral electron precipitation. Not only does the kinetic energy get deposited, the ensuing ionization in the E and F-region ionosphere modulates parallel and horizontal currents that can dissipate in the form of Joule heating. Global models to simulate these interactions typically use electron precipitation models that produce a poor representation of the spatial and temporal complexity of auroral activity as observed from the ground. This is largely due to these precipitation models being based on averages of multiple satellite overpasses separated by periods much longer than typical auroral feature durations. With the development of regional and continental observing networks (e.g. THEMIS ASI), the possibility of ground-based optical observations producing quantitative estimates of energy deposition with temporal and spatial scales comparable to those known to be exhibited in auroral activity become a real possibility. Like empirical precipitation models based on satellite overpasses such optics-based estimates are subject to assumptions and uncertainties, and therefore require validation. Three recent sounding rocket missions offer such an opportunity. The MICA (2012), GREECE (2014) and Isinglass (2017) missions involved detailed ground based observations of auroral arcs simultaneously with extensive on-board instrumentation. These have afforded an opportunity to examine the results of three optical methods of determining auroral electron energy flux, namely 1) ratio of auroral emissions, 2) green line temperature vs. emission altitude, and 3) parametric estimates using white-light images. We present comparisons from all three methods for all three missions and summarize the temporal and spatial scales and coverage over which each is valid.

Identifying high-risk areas for sporadic measles outbreaks: lessons from South Africa.

PubMed

Sartorius, Benn; Cohen, C; Chirwa, T; Ntshoe, G; Puren, A; Hofman, K

2013-03-01

To develop a model for identifying areas at high risk for sporadic measles outbreaks based on an analysis of factors associated with a national outbreak in South Africa between 2009 and 2011. Data on cases occurring before and during the national outbreak were obtained from the South African measles surveillance programme, and data on measles immunization and population size, from the District Health Information System. A Bayesian hierarchical Poisson model was used to investigate the association between the risk of measles in infants in a district and first-dose vaccination coverage, population density, background prevalence of human immunodeficiency virus (HIV) infection and expected failure of seroconversion. Model projections were used to identify emerging high-risk areas in 2012. A clear spatial pattern of high-risk areas was noted, with many interconnected (i.e. neighbouring) areas. An increased risk of measles outbreak was significantly associated with both the preceding build-up of a susceptible population and population density. The risk was also elevated when more than 20% of infants in a populous area had missed a first vaccine dose. The model was able to identify areas at high risk of experiencing a measles outbreak in 2012 and where additional preventive measures could be undertaken. The South African measles outbreak was associated with the build-up of a susceptible population (owing to poor vaccine coverage), high prevalence of HIV infection and high population density. The predictive model developed could be applied to other settings susceptible to sporadic outbreaks of measles and other vaccine-preventable diseases.

Thematic mapper flight model preshipment review data package. Volume 4: Appendix. Part G: Miscellaneous system data

NASA Technical Reports Server (NTRS)

1982-01-01

Functional and design data from various thematic mapper subsystems are presented. Coarse focus, modulation transfer function, and shim requirements are addressed along with spectral matching and spatial coverage tests.

Efficient receptive field tiling in primate V1

PubMed Central

Nauhaus, Ian; Nielsen, Kristina J.; Callaway, Edward M.

2017-01-01

The primary visual cortex (V1) encodes a diverse set of visual features, including orientation, ocular dominance (OD) and spatial frequency (SF), whose joint organization must be precisely structured to optimize coverage within the retinotopic map. Prior experiments have only identified efficient coverage based on orthogonal maps. Here, we used two-photon calcium imaging to reveal an alternative arrangement for OD and SF maps in macaque V1; their gradients run parallel but with unique spatial periods, whereby low SF regions coincide with monocular regions. Next, we mapped receptive fields and find surprisingly precise micro-retinotopy that yields a smaller point-image and requires more efficient inter-map geometry, thus underscoring the significance of map relationships. While smooth retinotopy is constraining, studies suggest that it improves both wiring economy and the V1 population code read downstream. Altogether, these data indicate that connectivity within V1 is finely tuned and precise at the level of individual neurons. PMID:27499086

Retrieved Products from Simulated Hyperspectral Observations of a Hurricane

NASA Technical Reports Server (NTRS)

Susskind, Joel; Kouvaris, Louis C.; Iredell, Lena; Blaisdell, John; Pagano, Thomas; Mathews, William

2015-01-01

This research uses GCM derived products, with 1 km spatial resolution and sampled every 10 minutes, over a moving area following the track of a simulated severe Atlantic storm. Model products were aggregated over sounder footprints corresponding to 13 km in LEO, 2 km in LEO, and 5 km in GEO sampled every 72 minutes. We simulated radiances for instruments with AIRS-like spectral coverage, spectral resolution, and channel noise, using these aggregated products as the truth, and analyzed them using a slightly modified version of the operational AIRS Version-6 retrieval algorithm. Accuracy of retrievals obtained using simulated AIRS radiances with a 13 km footprint was similar to that obtained using real AIRS data. Spatial coverage and accuracy of retrievals are shown for all three sounding scenarios. The research demonstrates the potential significance of flying Advanced AIRS-like instruments on future LEO and GEO missions.

Effective coverage of primary care services in eight high-mortality countries

PubMed Central

Malata, Address; Ndiaye, Youssoupha; Kruk, Margaret E

2017-01-01

Introduction Measurement of effective coverage (quality-corrected coverage) of essential health services is critical to monitoring progress towards the Sustainable Development Goal for health. We combine facility and household surveys from eight low-income and middle-income countries to examine effective coverage of maternal and child health services. Methods We developed indices of essential clinical actions for antenatal care, family planning and care for sick children from existing guidelines and used data from direct observations of clinical visits conducted in Haiti, Kenya, Malawi, Namibia, Rwanda, Senegal, Tanzania and Uganda between 2007 and 2015 to measure quality of care delivered. We calculated healthcare coverage for each service from nationally representative household surveys and combined quality with utilisation estimates at the subnational level to quantify effective coverage. Results Health facility and household surveys yielded over 40 000 direct clinical observations and over 100 000 individual reports of healthcare utilisation. Coverage varied between services, with much greater use of any antenatal care than family planning or sick-child care, as well as within countries. Quality of care was poor, with few regions demonstrating more than 60% average performance of basic clinical practices in any service. Effective coverage across all eight countries averaged 28% for antenatal care, 26% for family planning and 21% for sick-child care. Coverage and quality were not strongly correlated at the subnational level; effective coverage varied by as much as 20% between regions within a country. Conclusion Effective coverage of three primary care services for women and children in eight countries was substantially lower than crude service coverage due to major deficiencies in care quality. Better performing regions can serve as examples for improvement. Systematic increases in the quality of care delivered—not just utilisation gains—will be necessary to progress towards truly beneficial universal health coverage. PMID:29632704

Tracking Vaccination Teams During Polio Campaigns in Northern Nigeria by Use of Geographic Information System Technology: 2013-2015.

PubMed

Touray, Kebba; Mkanda, Pascal; Tegegn, Sisay G; Nsubuga, Peter; Erbeto, Tesfaye B; Banda, Richard; Etsano, Andrew; Shuaib, Faisal; Vaz, Rui G

2016-05-01

Nigeria is among the 3 countries in which polio remains endemic. The country made significant efforts to reduce polio transmission but remains challenged by poor-quality campaigns and poor team performance in some areas. This article demonstrates the application of geographic information system technology to track vaccination teams to monitor settlement coverage, reduce the number of missed settlements, and improve team performance. In each local government area where tracking was conducted, global positioning system-enabled Android phones were given to each team on a daily basis and were used to record team tracks. These tracks were uploaded to a dashboard to show the level of coverage and identify areas missed by the teams. From 2012 to June 2015, tracking covered 119 immunization days. A total of 1149 tracking activities were conducted. Of these, 681 (59%) were implemented in Kano state. There was an improvement in the geographic coverage of settlements and an overall reduction in the number of missed settlements. The tracking of vaccination teams provided significant feedback during polio campaigns and enabled supervisors to evaluate performance of vaccination teams. The reports supported other polio program activities, such as review of microplans and the deployment of other interventions, for increasing population immunity in northern Nigeria. © 2016 World Health Organization; licensee Oxford Journals.

Cervical cancer burden and prevention strategies: Asia Oceania perspective.

PubMed

Garland, Suzanne M; Bhatla, Neerja; Ngan, Hextan Y S

2012-09-01

The Asia Oceania region contributes to more than 50% of cervical cancer cases worldwide. Yet cervical cancer is one of few cancers that can be prevented through comprehensive screening for precancerous lesions, with their subsequent treatment. Screening with cervical cytology, a very old technology, has reduced cervical cancer mortality and incidence when applied in comprehensive programs with high coverage and high quality assurance. However, of those countries within this region that have set up such programs, many have been opportunistic, had poor coverage, or inadequate treatment facilities for lesions found. Consequently, they have not seen large reductions in cancer incidence or mortality. Some have therefore adopted visual inspection by acetic acid (VIA) and Lugol's iodine (VILI) or human papillomavirus (HPV) DNA assays for screening. With two safe, immunogenic and efficacious prophylactic vaccines licensed, the way forward to reduction of cervical cancer to becoming uncommon is within reach. Where governments have supported high coverage public-health vaccination programs, reductions in disease burden with shortest incubation (genital warts, high-grade abnormalities) are already being reported. One of the biggest impediments is the cost of vaccines that are affordable to resource-poor countries. Other challenges include, infrastructure for delivery of vaccines, plus general acceptance of vaccination by the community. ©2012 AACR

Increasing the coverage area through relay node deployment in long term evolution advanced cellular networks

NASA Astrophysics Data System (ADS)

Aldhaibani, Jaafar A.; Ahmad, R. B.; Yahya, A.; Azeez, Suzan A.

2015-05-01

Wireless multi-hop relay networks have become very important technologies in mobile communications. These networks ensure high throughput and coverage extension with a low cost. The poor capacity at cell edges is not enough to meet with growing demand of high capacity and throughput irrespective of user's placement in the cellular network. In this paper we propose optimal placement of relay node that provides maximum achievable rate at users and enhances the throughput and coverage at cell edge region. The proposed scheme is based on the outage probability at users and taken on account the interference between nodes. Numerical analyses along with simulation results indicated there are an improvement in capacity for users at the cell edge is 40% increment from all cell capacity.

Validity of vaccination cards and parental recall to estimate vaccination coverage: a systematic review of the literature.

PubMed

Miles, Melody; Ryman, Tove K; Dietz, Vance; Zell, Elizabeth; Luman, Elizabeth T

2013-03-15

Immunization programs frequently rely on household vaccination cards, parental recall, or both to calculate vaccination coverage. This information is used at both the global and national level for planning and allocating performance-based funds. However, the validity of household-derived coverage sources has not yet been widely assessed or discussed. To advance knowledge on the validity of different sources of immunization coverage, we undertook a global review of literature. We assessed concordance, sensitivity, specificity, positive and negative predictive value, and coverage percentage point difference when subtracting household vaccination source from a medical provider source. Median coverage difference per paper ranged from -61 to +1 percentage points between card versus provider sources and -58 to +45 percentage points between recall versus provider source. When card and recall sources were combined, median coverage difference ranged from -40 to +56 percentage points. Overall, concordance, sensitivity, specificity, positive and negative predictive value showed poor agreement, providing evidence that household vaccination information may not be reliable, and should be interpreted with care. While only 5 papers (11%) included in this review were from low-middle income countries, low-middle income countries often rely more heavily on household vaccination information for decision making. Recommended actions include strengthening quality of child-level data and increasing investments to improve vaccination card availability and card marking. There is also an urgent need for additional validation studies of vaccine coverage in low and middle income countries. Copyright © 2013. Published by Elsevier Ltd.

A mystery caller evaluation of Medicaid staff responses about state coverage of abortion care.

PubMed

Dennis, Amanda; Blanchard, Kelly

2012-03-01

The Hyde Amendment prohibits federal Medicaid funding for abortion except when a woman is seeking an abortion for a pregnancy that is the result of rape or incest, or that threatens her life. We investigated how Medicaid staff in 17 states responded to inquiries about coverage for abortion in the few circumstances that qualify for federal Medicaid funding. Using a mystery caller approach, we surveyed Medicaid staff about the availability of abortion coverage, the process for obtaining coverage, and the associated costs for an abortion in circumstances of rape and life endangerment in five states where Medicaid coverage should be available to cover most abortions and in 12 states with restrictions on the circumstances under which Medicaid funding can be used for abortion. We were able to complete 82% of surveys. Medicaid staff definitively provided information about the availability of coverage that was consistent with state policies in 64% of surveys. However, 52% of staff reported that coverage could be difficult to obtain and that rigorous documentation of the circumstances of the abortion was required. Information about copays for abortion was given in 78% of surveys. We subjectively rated the caller's experience with Medicaid staff as excellent during 32% of the surveys, adequate in 61% of surveys, and poor in 7% of surveys. Medicaid staff provided inconsistent information that was often discouraging of women seeking abortion coverage, suggesting that women may have difficulties obtaining accurate information about Medicaid coverage of abortion, which may deter access to care. Copyright © 2012 Jacobs Institute of Women

Dynamic Positron Emission Tomography [PET] in Man Using Small Bismuth Germanate Crystals

DOE R&D Accomplishments Database

Derenzo, S. E.; Budinger, T. F.; Huesman, R. H.; Cahoon, J. L.

1982-04-01

Primary considerations for the design of positron emission tomographs for medical studies in humans are the need for high imaging sensitivity, whole organ coverage, good spatial resolution, high maximum data rates, adequate spatial sampling with minimum mechanical motion, shielding against out of plane activity, pulse height discrimination against scattered photons, and timing discrimination against accidental coincidences. We discuss the choice of detectors, sampling motion, shielding, and electronics to meet these objectives.

Location-Allocation and Accessibility Models for Improving the Spatial Planning of Public Health Services

PubMed Central

Polo, Gina; Acosta, C. Mera; Ferreira, Fernando; Dias, Ricardo Augusto

2015-01-01

This study integrated accessibility and location-allocation models in geographic information systems as a proposed strategy to improve the spatial planning of public health services. To estimate the spatial accessibility, we modified the two-step floating catchment area (2SFCA) model with a different impedance function, a Gaussian weight for competition among service sites, a friction coefficient, distances along a street network based on the Dijkstra’s algorithm and by performing a vectorial analysis. To check the accuracy of the strategy, we used the data from the public sterilization program for the dogs and cats of Bogot´a, Colombia. Since the proposed strategy is independent of the service, it could also be applied to any other public intervention when the capacity of the service is known. The results of the accessibility model were consistent with the sterilization program data, revealing that the western, central and northern zones are the most isolated areas under the sterilization program. Spatial accessibility improvement was sought by relocating the sterilization sites using the maximum coverage with finite demand and the p-median models. The relocation proposed by the maximum coverage model more effectively maximized the spatial accessibility to the sterilization service given the non-uniform distribution of the populations of dogs and cats throughout the city. The implementation of the proposed strategy would provide direct benefits by improving the effectiveness of different public health interventions and the use of financial and human resources. PMID:25775411

Wide Swath Stereo Mapping from Gaofen-1 Wide-Field-View (WFV) Images Using Calibration

PubMed Central

Chen, Shoubin; Liu, Jingbin; Huang, Wenchao

2018-01-01

The development of Earth observation systems has changed the nature of survey and mapping products, as well as the methods for updating maps. Among optical satellite mapping methods, the multiline array stereo and agile stereo modes are the most common methods for acquiring stereo images. However, differences in temporal resolution and spatial coverage limit their application. In terms of this issue, our study takes advantage of the wide spatial coverage and high revisit frequencies of wide swath images and aims at verifying the feasibility of stereo mapping with the wide swath stereo mode and reaching a reliable stereo accuracy level using calibration. In contrast with classic stereo modes, the wide swath stereo mode is characterized by both a wide spatial coverage and high-temporal resolution and is capable of obtaining a wide range of stereo images over a short period. In this study, Gaofen-1 (GF-1) wide-field-view (WFV) images, with total imaging widths of 800 km, multispectral resolutions of 16 m and revisit periods of four days, are used for wide swath stereo mapping. To acquire a high-accuracy digital surface model (DSM), the nonlinear system distortion in the GF-1 WFV images is detected and compensated for in advance. The elevation accuracy of the wide swath stereo mode of the GF-1 WFV images can be improved from 103 m to 30 m for a DSM with proper calibration, meeting the demands for 1:250,000 scale mapping and rapid topographic map updates and showing improved efficacy for satellite imaging. PMID:29494540

Science Objectives of EOS-Aura's Ozone Monitoring Instrument (OMI)

NASA Technical Reports Server (NTRS)

Levelt, P. F.; Veefkind, J. P.; Stammes, P.; Hilsenrath, E.; Bhartia, P. K.; Chance, K. V.; Leppelmeier, G. W.; Maelkki, A.; Bhartia, Pawan (Technical Monitor)

2002-01-01

OMI is a UV/VIS nadir solar backscatter spectrograph, which provides near global coverage in one day with a spatial resolution of 13 x 24 sq km. OMI is a new instrument, with a heritage from the European satellite instruments GOME, GOMOS and SCIAMACHY. OMI's unique capabilities for measuring important trace gases with a small footprint and daily global coverage, in conjunction with the other Aura instruments, will make a major contribution to our understanding of stratospheric and tropospheric chemistry and climate change. OMI will measure solar irradiance and Earth radiances in the wavelength range of 270 to 500 nm with spectral resolution of about 0.5 nm and a spectral sampling of about 2-3 per FWHM. From these observations, total columns of O3, NO2, BrO and SO2 will be derived from the back-scattered solar radiance using differential absorption spectroscopy (DOAS). The TOMS total ozone record will also be continued by employing the well established TOMS algorithm. Because of the high accuracy and spatial resolution of the measurements, a good estimate of tropospheric amounts of ozone and NO2 are expected. Ozone profiles will be derived using the optimal estimation method. The spectral aerosol optical depth will be determined from measurements between 340 and 500 nm. This will provide information on aerosol concentration, aerosol size distribution and aerosol type. This wavelength range makes it possible to retrieve aerosol information over both land and sea. OMI observations will also allow retrievals of cloud coverage and cloud heights. From these products, the UV-B flux at the surface can then be derived with high spatial resolution.

Strategies for minimizing sample size for use in airborne LiDAR-based forest inventory

USGS Publications Warehouse

Junttila, Virpi; Finley, Andrew O.; Bradford, John B.; Kauranne, Tuomo

2013-01-01

Recently airborne Light Detection And Ranging (LiDAR) has emerged as a highly accurate remote sensing modality to be used in operational scale forest inventories. Inventories conducted with the help of LiDAR are most often model-based, i.e. they use variables derived from LiDAR point clouds as the predictive variables that are to be calibrated using field plots. The measurement of the necessary field plots is a time-consuming and statistically sensitive process. Because of this, current practice often presumes hundreds of plots to be collected. But since these plots are only used to calibrate regression models, it should be possible to minimize the number of plots needed by carefully selecting the plots to be measured. In the current study, we compare several systematic and random methods for calibration plot selection, with the specific aim that they be used in LiDAR based regression models for forest parameters, especially above-ground biomass. The primary criteria compared are based on both spatial representativity as well as on their coverage of the variability of the forest features measured. In the former case, it is important also to take into account spatial auto-correlation between the plots. The results indicate that choosing the plots in a way that ensures ample coverage of both spatial and feature space variability improves the performance of the corresponding models, and that adequate coverage of the variability in the feature space is the most important condition that should be met by the set of plots collected.

Progress Toward Universal Health Coverage: A Comparative Analysis in 5 South Asian Countries.

PubMed

Rahman, Md Mizanur; Karan, Anup; Rahman, Md Shafiur; Parsons, Alexander; Abe, Sarah Krull; Bilano, Ver; Awan, Rabia; Gilmour, Stuart; Shibuya, Kenji

2017-09-01

Achieving universal health coverage is one of the key targets in the newly adopted Sustainable Development Goals of the United Nations. To investigate progress toward universal health coverage in 5 South Asian countries and assess inequalities in health services and financial risk protection indicators. In a population-based study, nationally representative household (335 373 households) survey data from Afghanistan (2014 and 2015), Bangladesh (2010 and 2014), India (2012 and 2014), Nepal (2014 and 2015), and Pakistan (2014) were used to calculate relative indices of health coverage, financial risk protection, and inequality in coverage among wealth quintiles. The study was conducted from June 2012 to February 2016. Three dimensions of universal health coverage were assessed: access to basic services, financial risk protection, and equity. Composite and indicator-specific coverage rates, stratified by wealth quintiles, were then estimated. Slope and relative index of inequality were used to assess inequalities in service and financial indicators. Access to basic care varied substantially across all South Asian countries, with mean rates of overall prevention coverage and treatment coverage of 53.0% (95% CI, 42.2%-63.6%) and 51.2% (95% CI, 45.2%-57.1%) in Afghanistan, 76.5% (95% CI, 61.0%-89.0%) and 44.8% (95% CI, 37.1%-52.5%) in Bangladesh, 74.2% (95% CI, 57.0%-88.1%) and 83.5% (95% CI, 54.4%-99.1%) in India, 76.8% (95% CI, 66.5%-85.7%) and 57.8% (95% CI, 50.1%-65.4%) in Nepal, and 69.8% (95% CI, 58.3%-80.2%) and 50.4% (95% CI, 37.1%-63.6%) in Pakistan. Financial risk protection was generally low, with 15.3% (95% CI, 14.7%-16.0%) of respondents in Afghanistan, 15.8% (95% CI, 14.9%-16.8%) in Bangladesh, 17.9% (95% CI, 17.7%-18.2%) in India, 11.8% (95% CI, 11.8%-11.9%) in Nepal, and 4.4% (95% CI, 4.0%-4.9%) in Pakistan reporting incurred catastrophic payments due to health care costs. Access to at least 4 antenatal care visits, institutional delivery, and presence of skilled attendant during delivery were at least 3 times higher among the wealthiest mothers in Afghanistan, Bangladesh, Nepal, and Pakistan compared with the rates among poor mothers. Access to institutional delivery was 60 to 65 percentage points higher among wealthy than poor mothers in Afghanistan, Bangladesh, Nepal, and Pakistan compared with 21 percentage points higher in India. Coverage was least equitable among the countries for adequate sanitation, institutional delivery, and the presence of skilled birth attendants. Health coverage and financial risk protection was low, and inequality in access to health care remains a serious issue for these South Asian countries. Greater progress is needed to improve treatment and preventive services and financial security.

Comparison of Spatial Skills of Students Entering Different Engineering Majors

ERIC Educational Resources Information Center

Veurink, N.; Sorby, S. A.

2012-01-01

Spatial skills have been shown to be important to success in an engineering curriculum, and some question if poor spatial skills prevent students from entering STEM fields or if students with weak spatial skills avoid engineering disciplines believed to highly spatially-oriented. Veurink and Hamlin (2011) found that freshmen students entering…

Rapid orthophoto development system.

DOT National Transportation Integrated Search

2013-06-01

The DMC system procured in the project represented state-of-the-art, large-format digital aerial camera systems at the start of : project. DMC is based on the frame camera model, and to achieve large ground coverage with high spatial resolution, the ...

High Spatial Resolution Europa Coverage by the Galileo Near Infrared Mapping Spectrometer NIMS

NASA Image and Video Library

1998-03-26

NASA Galileo spacecraft, which was used to map the mineral and ice properties over the surfaces of the Jovian moons, producing global spectral images for small selected regions on the satellites in 1996-97.

Underwater Sensor Network Redeployment Algorithm Based on Wolf Search

PubMed Central

Jiang, Peng; Feng, Yang; Wu, Feng

2016-01-01

This study addresses the optimization of node redeployment coverage in underwater wireless sensor networks. Given that nodes could easily become invalid under a poor environment and the large scale of underwater wireless sensor networks, an underwater sensor network redeployment algorithm was developed based on wolf search. This study is to apply the wolf search algorithm combined with crowded degree control in the deployment of underwater wireless sensor networks. The proposed algorithm uses nodes to ensure coverage of the events, and it avoids the prematurity of the nodes. The algorithm has good coverage effects. In addition, considering that obstacles exist in the underwater environment, nodes are prevented from being invalid by imitating the mechanism of avoiding predators. Thus, the energy consumption of the network is reduced. Comparative analysis shows that the algorithm is simple and effective in wireless sensor network deployment. Compared with the optimized artificial fish swarm algorithm, the proposed algorithm exhibits advantages in network coverage, energy conservation, and obstacle avoidance. PMID:27775659

Inferior rabies vaccine quality and low immunization coverage in dogs (Canis familiaris) in China

PubMed Central

HU, R. L.; FOOKS, A. R.; ZHANG, S. F.; LIU, Y.; ZHANG, F.

2008-01-01

SUMMARY Human rabies in China continues to increase exponentially, largely due to an inadequate veterinary infrastructure and poor vaccine coverage of naive dogs. We performed an epidemiological survey of rabies both in humans and animals, examined vaccine quality for animal use, evaluated the vaccination coverage in dogs, and checked the dog samples for the presence of rabies virus. The lack of surveillance in dog rabies, together with the low immunization coverage (up to 2·8% in rural areas) and the high percentage of rabies virus prevalence (up to 6·4%) in dogs, suggests that the dog population is a continual threat for rabies transmission from dogs to humans in China. Results also indicated that the quality of rabies vaccines for animal use did not satisfy all of the requirements for an efficacious vaccine capable of fully eliminating rabies. These data suggest that the factors noted above are highly correlated with the high incidence of human rabies in China. PMID:18177524

Remote sensing, geographical information systems, and spatial modeling for analyzing public transit services

NASA Astrophysics Data System (ADS)

Wu, Changshan

Public transit service is a promising transportation mode because of its potential to address urban sustainability. Current ridership of public transit, however, is very low in most urban regions, particularly those in the United States. This woeful transit ridership can be attributed to many factors, among which poor service quality is key. Given this, there is a need for transit planning and analysis to improve service quality. Traditionally, spatially aggregate data are utilized in transit analysis and planning. Examples include data associated with the census, zip codes, states, etc. Few studies, however, address the influences of spatially aggregate data on transit planning results. In this research, previous studies in transit planning that use spatially aggregate data are reviewed. Next, problems associated with the utilization of aggregate data, the so-called modifiable areal unit problem (MAUP), are detailed and the need for fine resolution data to support public transit planning is argued. Fine resolution data is generated using intelligent interpolation techniques with the help of remote sensing imagery. In particular, impervious surface fraction, an important socio-economic indicator, is estimated through a fully constrained linear spectral mixture model using Landsat Enhanced Thematic Mapper Plus (ETM+) data within the metropolitan area of Columbus, Ohio in the United States. Four endmembers, low albedo, high albedo, vegetation, and soil are selected to model heterogeneous urban land cover. Impervious surface fraction is estimated by analyzing low and high albedo endmembers. With the derived impervious surface fraction, three spatial interpolation methods, spatial regression, dasymetric mapping, and cokriging, are developed to interpolate detailed population density. Results suggest that cokriging applied to impervious surface is a better alternative for estimating fine resolution population density. With the derived fine resolution data, a multiple route maximal covering/shortest path (MRMCSP) model is proposed to address the tradeoff between public transit service quality and access coverage in an established bus-based transit system. Results show that it is possible to improve current transit service quality by eliminating redundant or underutilized service stops. This research illustrates that fine resolution data can be efficiently generated to support urban planning, management and analysis. Further, this detailed data may necessitate the development of new spatial optimization models for use in analysis.

The floor effect: impoverished spatial memory for elevator buttons.

PubMed

Vendetti, Michael; Castel, Alan D; Holyoak, Keith J

2013-05-01

People typically remember objects to which they have frequently been exposed, suggesting that memory is a by-product of perception. However, prior research has shown that people have exceptionally poor memory for the features of some objects (e.g., coins) to which they have been exposed over the course of many years. Here, we examined how people remember the spatial layout of the buttons on a frequently used elevator panel, to determine whether physical interaction (rather than simple exposure) would ensure the incidental encoding of spatial information. Participants who worked in an eight-story office building displayed very poor recall for the elevator panel but above-chance performance on a recognition test. Performance was related to how often and how recently the person had used the elevator. In contrast to their poor memory for the spatial layout of the elevator buttons, most people readily recalled small distinctive graffiti on the elevator walls. In a more implicit test, the majority were able to locate their office floor and the eighth floor button when asked to point toward these buttons when in the actual elevator, with the button labels covered. However, identification was very poor for other floors (including the first floor), suggesting that even frequent interaction with information does not always lead to accurate spatial memory. These findings have implications for understanding the complex relationships among attention, expertise, and memory.

Gain in Insurance Coverage and Residual Uninsurance Under the Affordable Care Act: Texas, 2013–2016

PubMed Central

Pickett, Stephen; Marks, Elena

2017-01-01

Objectives. To examine the effects of the Affordable Care Act’s (ACA’s) Marketplace on Texas residents and determine which population subgroups benefited the most and which the least. Methods. We analyzed insurance coverage rates among nonelderly Texas adults using the Health Reform Monitoring Survey-Texas from September 2013, just before the first open enrollment period in the Marketplace, through March 2016. Results. Texas has experienced a roughly 6–percentage-point increase in insurance coverage (from 74.7% to 80.6%; P = .012) after implementation of the major insurance provisions of the ACA. The 4 subgroups with the largest increases in adjusted insurance coverage between 2013 and 2016 were persons aged 50 to 64 years (12.1 percentage points; P = .002), Hispanics (10.9 percentage points; P = .002), persons reporting fair or poor health status (10.2 percentage points; P = .038), and those with a high school diploma as their highest educational attainment (9.2 percentage points; P = .023). Conclusions. Many population subgroups have benefited from the ACA’s Marketplace, but approximately 3 million Texas residents still lack health coverage. Adopting the ACA’s Medicaid expansion is a means to address the lack of coverage. PMID:27854535

Spatial database of mining-related features in 2001 at selected phosphate mines, Bannock, Bear Lake, Bingham, and Caribou Counties, Idaho

USGS Publications Warehouse

Moyle, Phillip R.; Kayser, Helen Z.

2006-01-01

This report describes the spatial database, PHOSMINE01, and the processes used to delineate mining-related features (active and inactive/historical) in the core of the southeastern Idaho phosphate resource area. The spatial data have varying degrees of accuracy and attribution detail. Classification of areas by type of mining-related activity at active mines is generally detailed; however, for many of the closed or inactive mines the spatial coverage does not differentiate mining-related surface disturbance features. Nineteen phosphate mine sites are included in the study, three active phosphate mines - Enoch Valley (nearing closure), Rasmussen Ridge, and Smoky Canyon - and 16 inactive (or historical) phosphate mines - Ballard, Champ, Conda, Diamond Gulch, Dry Valley, Gay, Georgetown Canyon, Henry, Home Canyon, Lanes Creek, Maybe Canyon, Mountain Fuel, Trail Canyon, Rattlesnake, Waterloo, and Wooley Valley. Approximately 6,000 hc (15,000 ac), or 60 km2 (23 mi2) of phosphate mining-related surface disturbance are documented in the spatial coverage. Spatial data for the inactive mines is current because no major changes have occurred; however, the spatial data for active mines were derived from digital maps prepared in early 2001 and therefore recent activity is not included. The inactive Gay Mine has the largest total area of disturbance, 1,900 hc (4,700 ac) or about 19 km2 (7.4 mi2). It encompasses over three times the disturbance area of the next largest mine, the Conda Mine with 610 hc (1,500 ac), and it is nearly four times the area of the Smoky Canyon Mine, the largest of the active mines with about 550 hc (1,400 ac). The wide range of phosphate mining-related surface disturbance features (141) from various industry maps were reduced to 15 types or features based on a generic classification system used for this study: mine pit; backfilled mine pit; waste rock dump; adit and waste rock dump; ore stockpile; topsoil stockpile; tailings or tailings pond; sediment catchment; facilities; road; railroad; water reservoir; disturbed land, undifferentiated; and undisturbed land. In summary, the spatial coverage includes polygons totaling about 1,100 hc (2,800 ac) of mine pits, 440 hc (1100 ac) of backfilled mine pits, 1,600 hc (3,800 ac) of waste rock dumps, 31 hc (75 ac) of ore stockpiles, and 44 hc (110 ac) of tailings or tailings ponds. Areas of undifferentiated phosphate mining-related land disturbances, called 'disturbed land, undifferentiated,' total about 2,200 hc (5,500 ac) or nearly 22 km2 (8.6 mi2). No determination has been made as to status of reclamation on any of the lands. Subsequent site-specific studies to delineate distinct mine features will allow additional revisions to this spatial database.

Myocardial perfusion magnetic resonance imaging using sliding-window conjugate-gradient HYPR methods in canine with stenotic coronary arteries.

PubMed

Ge, Lan; Kino, Aya; Lee, Daniel; Dharmakumar, Rohan; Carr, James C; Li, Debiao

2010-01-01

First-pass perfusion magnetic resonance imaging (MRI) is a promising technique for detecting ischemic heart disease. However, the diagnostic value of the method is limited by the low spatial coverage, resolution, signal-to-noise ratio (SNR), and cardiac motion-related image artifacts. A combination of sliding window and conjugate-gradient HighlY constrained back-PRojection reconstruction (SW-CG-HYPR) method has been proposed in healthy volunteer studies to reduce the acquisition window for each slice while maintaining the temporal resolution of 1 frame per heartbeat in myocardial perfusion MRI. This method allows for improved spatial coverage, resolution, and SNR. In this study, we use a controlled animal model to test whether the myocardial territory supplied by a stenotic coronary artery can be detected accurately by SW-CG-HYPR perfusion method under pharmacological stress. Results from 6 mongrel dogs (15-25 kg) studies demonstrate the feasibility of SW-CG-HYPR to detect regional perfusion defects. Using this method, the acquisition time per cardiac cycle was reduced by a factor of 4, and the spatial coverage was increased from 2 to 3 slices to 6 slices as compared with the conventional techniques including both turbo-Fast Low Angle Short (FLASH) and echoplanar imaging (EPI). The SNR of the healthy myocardium at peak enhancement with SW-CG-HYPR (12.68 ± 2.46) is significantly higher (P < 0.01) than the turbo-FLASH (8.65 ± 1.93) and EPI (5.48 ± 1.24). The spatial resolution of SW-CG-HYPR images is 1.2 × 1.2 × 8.0 mm, which is better than the turbo-FLASH (1.8 × 1.8 × 8.0 mm) and EPI (2.0 × 1.8 × 8.0 mm). Sliding-window CG-HYPR is a promising technique for myocardial perfusion MRI. This technique provides higher image quality with respect to significantly improved SNR and spatial resolution of the myocardial perfusion images, which might improve myocardial perfusion imaging in a clinical setting.

Inequality decomposition and geographic targeting with applications to China and Vietnam.

PubMed

Wagstaff, Adam

2005-06-01

How far are income-related inequalities in the health sector due to gaps between poor and less poor areas, rather than due to differences between poor and less poor people within areas? This note sets out a method for answering this question, and illustrates it with two empirical examples. The disproportionate accrual of health subsidies to Vietnam's better-off is found to be largely due to the fact that richer provinces have larger per capita subsidies, while pro-rich inequalities in health insurance coverage in rural China are found to be largely due to the fact that better-off villages have been more successful at preventing the collapse of their insurance schemes. Copyright 2005 John Wiley & Sons, Ltd.

Assessment of Drought Scenario in Western Nepal

NASA Astrophysics Data System (ADS)

Pandey, V. P.; Khatiwada, K. R.

2017-12-01

Drought is a frequent phenomenon in relatively drier western Nepal. Lack of hydro-climatic information with wider spatial coverage is hindering effective assessment of the drought events. Furthermore, drought assessment is not getting adequate attention in Nepal. This study aims to develop drought scenario for Western Nepal by evaluating various types of drought indices in Karnali River Basin (area = 4,6150 km2) and recommend the most suited set of indices for data-poor regions. On the climatic data at ten stations, drought indices were calculated from following seven selected indices: Standardized Precipitation Index (SPI), Standardized Precipitation Evapotranspiration Index (SPEI), Palmer Drought Severity Index (PDSI), (self-calibrating) Palmer Drought Severity Index (scPDSI), Reconnaissance Drought Index (RDI), Standardized Streamflow Index (SSFI), and Palmer Hydrological Drought Index (PHDI). Initial results reflect that the basin is affected by severe meteorological drought. Most of the indices show the extreme dryness scenario during the years 1984-85, 1992-93, 1995, 2000, 20002, 2008-09, and 2012. The results from the stations with long-term temperature and precipitation data sets showed a higher (up to 0.9) correlation between SPI and RDI than for SPEI and other Palmer Drought Indices, which ranged from 0.6 to 0.8 only. This suggests ability of SPI to represent magnitude and duration of the drought events fairly well in the study basin, and therefore, has potential to represent drought dynamics in data-poor regions. Keywords: Drought; Karnali River Basin; Nepal Himalaya

Viewing the Kenyan health system through an equity lens: implications for universal coverage

PubMed Central

2011-01-01

Introduction Equity and universal coverage currently dominate policy debates worldwide. Health financing approaches are central to universal coverage. The way funds are collected, pooled, and used to purchase or provide services should be carefully considered to ensure that population needs are addressed under a universal health system. The aim of this paper is to assess the extent to which the Kenyan health financing system meets the key requirements for universal coverage, including income and risk cross-subsidisation. Recommendations on how to address existing equity challenges and progress towards universal coverage are made. Methods An extensive review of published and gray literature was conducted to identify the sources of health care funds in Kenya. Documents were mainly sourced from the Ministry of Medical Services and the Ministry of Public Health and Sanitation. Country level documents were the main sources of data. In cases where data were not available at the country level, they were sought from the World Health Organisation website. Each financing mechanism was analysed in respect to key functions namely, revenue generation, pooling and purchasing. Results The Kenyan health sector relies heavily on out-of-pocket payments. Government funds are mainly allocated through historical incremental approach. The sector is largely underfunded and health care contributions are regressive (i.e. the poor contribute a larger proportion of their income to health care than the rich). Health financing in Kenya is fragmented and there is very limited risk and income cross-subsidisation. The country has made little progress towards achieving international benchmarks including the Abuja target of allocating 15% of government's budget to the health sector. Conclusions The Kenyan health system is highly inequitable and policies aimed at promoting equity and addressing the needs of the poor and vulnerable have not been successful. Some progress has been made towards addressing equity challenges, but universal coverage will not be achieved unless the country adopts a systemic approach to health financing reforms. Such an approach should be informed by the wider health system goals of equity and efficiency. PMID:21612669

Modelling the implications of moving towards universal coverage in Tanzania.

PubMed

Borghi, Josephine; Mtei, Gemini; Ally, Mariam

2012-03-01

A model was developed to assess the impact of possible moves towards universal coverage in Tanzania over a 15-year time frame. Three scenarios were considered: maintaining the current situation ('the status quo'); expanded health insurance coverage (the estimated maximum achievable coverage in the absence of premium subsidies, coverage restricted to those who can pay); universal coverage to all (government revenues used to pay the premiums for the poor). The model estimated the costs of delivering public health services and all health services to the population as a proportion of Gross Domestic Product (GDP), and forecast revenue from user fees and insurance premiums. Under the status quo, financial protection is provided to 10% of the population through health insurance schemes, with the remaining population benefiting from subsidized user charges in public facilities. Seventy-six per cent of the population would benefit from financial protection through health insurance under the expanded coverage scenario, and 100% of the population would receive such protection through a mix of insurance cover and government funding under the universal coverage scenario. The expanded and universal coverage scenarios have a significant effect on utilization levels, especially for public outpatient care. Universal coverage would require an initial doubling in the proportion of GDP going to the public health system. Government health expenditure would increase to 18% of total government expenditure. The results are sensitive to the cost of health system strengthening, the level of real GDP growth, provider reimbursement rates and administrative costs. Promoting greater cross-subsidization between insurance schemes would provide sufficient resources to finance universal coverage. Alternately, greater tax funding for health could be generated through an increase in the rate of Value-Added Tax (VAT) or expanding the income tax base. The feasibility and sustainability of efforts to promote universal coverage will depend on the ability of the system to contain costs.

On the Nexus of the Spatial Dynamics of Global Urbanization and the Age of the City

PubMed Central

Scheuer, Sebastian; Haase, Dagmar; Volk, Martin

2016-01-01

A number of concepts exist regarding how urbanization can be described as a process. Understanding this process that affects billions of people and its future development in a spatial manner is imperative to address related issues such as human quality of life. In the focus of spatially explicit studies on urbanization is typically a city, a particular urban region, an agglomeration. However, gaps remain in spatially explicit global models. This paper addresses that issue by examining the spatial dynamics of urban areas over time, for a full coverage of the world. The presented model identifies past, present and potential future hotspots of urbanization as a function of an urban area's spatial variation and age, whose relation could be depicted both as a proxy and as a path of urban development. PMID:27490199

On the Nexus of the Spatial Dynamics of Global Urbanization and the Age of the City.

PubMed

Scheuer, Sebastian; Haase, Dagmar; Volk, Martin

2016-01-01

A number of concepts exist regarding how urbanization can be described as a process. Understanding this process that affects billions of people and its future development in a spatial manner is imperative to address related issues such as human quality of life. In the focus of spatially explicit studies on urbanization is typically a city, a particular urban region, an agglomeration. However, gaps remain in spatially explicit global models. This paper addresses that issue by examining the spatial dynamics of urban areas over time, for a full coverage of the world. The presented model identifies past, present and potential future hotspots of urbanization as a function of an urban area's spatial variation and age, whose relation could be depicted both as a proxy and as a path of urban development.

Assessment of universal health coverage for adults aged 50 years or older with chronic illness in six middle-income countries

PubMed Central

Frenz, Patricia; Grabenhenrich, Linus; Keil, Thomas; Tinnemann, Peter

2016-01-01

Abstract Objective To assess universal health coverage for adults aged 50 years or older with chronic illness in China, Ghana, India, Mexico, the Russian Federation and South Africa. Methods We obtained data on 16 631 participants aged 50 years or older who had at least one diagnosed chronic condition from the World Health Organization Study on Global Ageing and Adult Health. Access to basic chronic care and financial hardship were assessed and the influence of health insurance and rural or urban residence was determined by logistic regression analysis. Findings The weighted proportion of participants with access to basic chronic care ranged from 20.6% in Mexico to 47.6% in South Africa. Access rates were unequally distributed and disadvantaged poor people, except in South Africa where primary health care is free to all. Rural residence did not affect access. The proportion with catastrophic out-of-pocket expenditure for the last outpatient visit ranged from 14.5% in China to 54.8% in Ghana. Financial hardship was more common among the poor in most countries but affected all income groups. Health insurance generally increased access to care but gave insufficient protection against financial hardship. Conclusion No country provided access to basic chronic care for more than half of the participants with chronic illness. The poor were less likely to receive care and more likely to face financial hardship in most countries. However, inequity of access was not fully determined by the level of economic development or insurance coverage. Future health reforms should aim to improve service quality and increase democratic oversight of health care. PMID:27034521

The equity impact of the universal coverage policy: lessons from Thailand.

PubMed

Prakongsai, Phusit; Limwattananon, Supon; Tangcharoensathien, Viroj

2009-01-01

This chapter assesses health equity achievements of the Thai health system before and after the introduction of the universal coverage (UC) policy. It examines five dimensions of equity: equity in financial contributions, the incidence of catastrophic health expenditure, the degree of impoverishment as a result of household out-of-pocket payments for health, equity in health service use and the incidence of public subsidies for health. The standard methods proposed by O'Donnell, van Doorslaer, and Wagstaff (2008b) were used to measure equity in financial contribution, healthcare utilization and public subsidies, and in assessing the incidence of catastrophic health expenditure and impoverishment. Two major national representative household survey datasets were used: Socio-Economic Surveys and Health and Welfare Surveys. General tax was the most progressive source of finance in Thailand. Because this source dominates total financing, the overall outcome was progressive, with the rich contributing a greater share of their income than the poor. The low incidence of catastrophic health expenditure and impoverishment before UC was further reduced after UC. Use of healthcare and the distribution of government subsidies were both pro-poor: in particular, the functioning of primary healthcare (PHC) at the district level serves as a "pro-poor hub" in translating policy into practice and equity outcomes. The Thai health financing reforms have been accompanied by nationwide extension of PHC coverage, mandatory rural health service by new graduates and systems redesign, especially the introduction of a contracting model and closed-ended provider payment methods. Together, these changes have led to a more equitable and more efficient health system. Institutional capacity to generate evidence and to translate it into policy decisions, effective implementation and comprehensive monitoring and evaluation are essential to successful system-level reforms.

Quasi-periodic patterns (QPP): large-scale dynamics in resting state fMRI that correlate with local infraslow electrical activity.

PubMed

Thompson, Garth John; Pan, Wen-Ju; Magnuson, Matthew Evan; Jaeger, Dieter; Keilholz, Shella Dawn

2014-01-01

Functional connectivity measurements from resting state blood-oxygen level dependent (BOLD) functional magnetic resonance imaging (fMRI) are proving a powerful tool to probe both normal brain function and neuropsychiatric disorders. However, the neural mechanisms that coordinate these large networks are poorly understood, particularly in the context of the growing interest in network dynamics. Recent work in anesthetized rats has shown that the spontaneous BOLD fluctuations are tightly linked to infraslow local field potentials (LFPs) that are seldom recorded but comparable in frequency to the slow BOLD fluctuations. These findings support the hypothesis that long-range coordination involves low frequency neural oscillations and establishes infraslow LFPs as an excellent candidate for probing the neural underpinnings of the BOLD spatiotemporal patterns observed in both rats and humans. To further examine the link between large-scale network dynamics and infraslow LFPs, simultaneous fMRI and microelectrode recording were performed in anesthetized rats. Using an optimized filter to isolate shared components of the signals, we found that time-lagged correlation between infraslow LFPs and BOLD is comparable in spatial extent and timing to a quasi-periodic pattern (QPP) found from BOLD alone, suggesting that fMRI-measured QPPs and the infraslow LFPs share a common mechanism. As fMRI allows spatial resolution and whole brain coverage not available with electroencephalography, QPPs can be used to better understand the role of infraslow oscillations in normal brain function and neurological or psychiatric disorders. © 2013.

Quasi-periodic patterns (QPP): large-scale dynamics in resting state fMRI that correlate with local infraslow electrical activity

PubMed Central

Thompson, Garth John; Pan, Wen-Ju; Magnuson, Matthew Evan; Jaeger, Dieter; Keilholz, Shella Dawn

2013-01-01

Functional connectivity measurements from resting state blood-oxygen level dependent (BOLD) functional magnetic resonance imaging (fMRI) are proving a powerful tool to probe both normal brain function and neuropsychiatric disorders. However, the neural mechanisms that coordinate these large networks are poorly understood, particularly in the context of the growing interest in network dynamics. Recent work in anesthetized rats has shown that the spontaneous BOLD fluctuations are tightly linked to infraslow local field potentials (LFPs) that are seldom recorded but comparable in frequency to the slow BOLD fluctuations. These findings support the hypothesis that long-range coordination involves low frequency neural oscillations and establishes infraslow LFPs as an excellent candidate for probing the neural underpinnings of the BOLD spatiotemporal patterns observed in both rats and humans. To further examine the link between large-scale network dynamics and infraslow LFPs, simultaneous fMRI and microelectrode recording were performed in anesthetized rats. Using an optimized filter to isolate shared components of the signals, we found that time-lagged correlation between infraslow LFPs and BOLD is comparable in spatial extent and timing to a quasi-periodic pattern (QPP) found from BOLD alone, suggesting that fMRI-measured QPPs and the infraslow LFPs share a common mechanism. As fMRI allows spatial resolution and whole brain coverage not available with electroencephalography, QPPs can be used to better understand the role of infraslow oscillations in normal brain function and neurological or psychiatric disorders. PMID:24071524

Impact of multiconstellation satellite signal reception on performance of satellite-based navigation under adverse ionospheric conditions

NASA Astrophysics Data System (ADS)

Paul, Ashik; Paul, Krishnendu Sekhar; Das, Aditi

2017-03-01

Application of multiconstellation satellites to address the issue of satellite signal outages during periods of equatorial ionospheric scintillations could prove to be an effective tool for maintaining the performance of satellite-based communication and navigation without compromise in accuracy and integrity. A receiver capable of tracking GPS, Global Navigation Satellite System (GLONASS), and Galileo satellites is operational at the Institute of Radio Physics and Electronics, University of Calcutta, Calcutta, India, located near the northern crest of the equatorial ionization anomaly in the Indian longitude sector. The present paper shows increased availability of satellites combining GPS, GLONASS, and Galileo constellations from Calcutta compared to GPS-only scenario and estimates intense scintillation-free (S4 < 0.6) satellite vehicle look angles at different hours of the postsunset period 19:00-01:00 LT during March 2014. A representative case of 1 March 2014 is highlighted in the paper and overall statistics for March 2014 presented to indicate quantitative advantages in terms of scintillation-free satellite vehicle look angles that may be utilized for planning communication and navigation channel spatial distribution under adverse ionospheric conditions. The number of satellites tracked and receiver position deviations has been found to show a good correspondence with the occurrence of intense scintillations and poor user receiver-satellite link geometry. The ground projection of the 350 km subionospheric points corresponding to multiconstellation shows extended spatial coverage during periods of scintillations (0.2 < S4 < 0.6) compared to GPS.

Initial results of the Global Thermospheric Mapping Study (GTMS)

NASA Technical Reports Server (NTRS)

Oliver, W. L.; Salah, J. E.; Musgrove, R. G.; Holt, J. M.; Wickwar, V. B.; Hernandez, G. J.; Roble, R. G.

1986-01-01

The Global Thermospheric Mapping Study (GTMS) is a multi-technique experimental study of the thermosphere designed to map simultaneously its spatial and temporal morphology with a thoroughness and diversity of measurement techniques heretofore unachieved. The GTMS is designed around the Incoherent Scatter Radar Chain in the western hemisphere. The European incoherent scatter radars and the worldwide communities of Fabry-Perot interferometers, meteor wind radars, partial reflection drifts radars, MST radars, and satellite probes are included to extend the spatial coverage and types of measurements available. Theoretical and modeling support in the areas of thermospheric and ionospheric structure, tides, and electric fields are included to aid in program planning and data interpretation. Solar activity was low on the three observation days (F10.7 = 97, 98, 96) and magnetic conditions were unsettled to active (A = 10, 12, 20). All six incoherent scatter radar facilities collected data. Each collected F region data day and night while Saint Santin and Millstone Hill additionally collected E region data during daylight hours. Initial results from Sondrestrom and Millstone Hill are presented. Good quality Fabry Perot data were collected at Fritz Peak and San Jose dos Campos. Weather conditions produced poor results at Arequipa and Arecibo. Initial results from Fritz Peak are presented. Mesosphere/lower-thermosphere observations were conducted under the ATMAP organization. The magnetometer chains also were operational during this campaign. Initial thermospheric general circulation model predictions were made for assumed solar-geophysical conditions, and selected results are presented.

Estimating Morning Change in Land Surface Temperature from MODIS Day/Night Observations: Applications for Surface Energy Balance Modeling.

PubMed

Hain, Christopher R; Anderson, Martha C

2017-10-16

Observations of land surface temperature (LST) are crucial for the monitoring of surface energy fluxes from satellite. Methods that require high temporal resolution LST observations (e.g., from geostationary orbit) can be difficult to apply globally because several geostationary sensors are required to attain near-global coverage (60°N to 60°S). While these LST observations are available from polar-orbiting sensors, providing global coverage at higher spatial resolutions, the temporal sampling (twice daily observations) can pose significant limitations. For example, the Atmosphere Land Exchange Inverse (ALEXI) surface energy balance model, used for monitoring evapotranspiration and drought, requires an observation of the morning change in LST - a quantity not directly observable from polar-orbiting sensors. Therefore, we have developed and evaluated a data-mining approach to estimate the mid-morning rise in LST from a single sensor (2 observations per day) of LST from the Moderate Resolution Imaging Spectroradiometer (MODIS) sensor on the Aqua platform. In general, the data-mining approach produced estimates with low relative error (5 to 10%) and statistically significant correlations when compared against geostationary observations. This approach will facilitate global, near real-time applications of ALEXI at higher spatial and temporal coverage from a single sensor than currently achievable with current geostationary datasets.

A vorticity transport model to restore spatial gaps in velocity data

NASA Astrophysics Data System (ADS)

Ameli, Siavash; Shadden, Shawn

2017-11-01

Often measurements of velocity data do not have full spatial coverage in the probed domain or near boundaries. These gaps can be due to missing measurements or masked regions of corrupted data. These gaps confound interpretation, and are problematic when the data is used to compute Lagrangian or trajectory-based analyses. Various techniques have been proposed to overcome coverage limitations in velocity data such as unweighted least square fitting, empirical orthogonal function analysis, variational interpolation as well as boundary modal analysis. In this talk, we present a vorticity transport PDE to reconstruct regions of missing velocity vectors. The transport model involves both nonlinear anisotropic diffusion and advection. This approach is shown to preserve the main features of the flow even in cases of large gaps, and the reconstructed regions are continuous up to second order. We illustrate results for high-frequency radar (HFR) measurements of the ocean surface currents as this is a common application of limited coverage. We demonstrate that the error of the method is on the same order of the error of the original velocity data. In addition, we have developed a web-based gateway for data restoration, and we will demonstrate a practical application using available data. This work is supported by the NSF Grant No. 1520825.

Multiscale site-response mapping: A case study of Parkfield, California

USGS Publications Warehouse

Thompson, E.M.; Baise, L.G.; Kayen, R.E.; Morgan, E.C.; Kaklamanos, J.

2011-01-01

The scale of previously proposed methods for mapping site-response ranges from global coverage down to individual urban regions. Typically, spatial coverage and accuracy are inversely related.We use the densely spaced strong-motion stations in Parkfield, California, to estimate the accuracy of different site-response mapping methods and demonstrate a method for integrating multiple site-response estimates from the site to the global scale. This method is simply a weighted mean of a suite of different estimates, where the weights are the inverse of the variance of the individual estimates. Thus, the dominant site-response model varies in space as a function of the accuracy of the different models. For mapping applications, site-response models should be judged in terms of both spatial coverage and the degree of correlation with observed amplifications. Performance varies with period, but in general the Parkfield data show that: (1) where a velocity profile is available, the square-rootof- impedance (SRI) method outperforms the measured VS30 (30 m divided by the S-wave travel time to 30 m depth) and (2) where velocity profiles are unavailable, the topographic slope method outperforms surficial geology for short periods, but geology outperforms slope at longer periods. We develop new equations to estimate site response from topographic slope, derived from the Next Generation Attenuation (NGA) database.

High Spatial Resolution Europa Coverage by the Galileo Near Infrared Mapping Spectrometer (NIMS)

NASA Technical Reports Server (NTRS)

1997-01-01

The NIMS instrument on the Galileo spacecraft, which is being used to map the mineral and ice properties over the surfaces of the Jovian moons, produces global spectral images at modest spatial resolution and high resolution spectral images for small selected regions on the satellites. This map illustrates the high resolution coverage of Europa obtained by NIMS through the April 1997 G7 orbit.

The areas covered are displayed on a Voyager-derived map. A good sampling of the dark trailing-side material (180 to 360 degrees) has been obtained, with less coverage of Europa's leading side.

The false-color composites use red, green and blue to represent the infrared brightnesses at 0.7, 1.51 and 1.82 microns respectively. Considerable variations are evident and are related to the composition and sizes of the surface grains.

The Jet Propulsion Laboratory, Pasadena, CA manages the mission for NASA's Office of Space Science, Washington, DC.

The Jet Propulsion Laboratory, Pasadena, CA manages the mission for NASA's Office of Space Science, Washington, DC.

This image and other images and data received from Galileo are posted on the World Wide Web, on the Galileo mission home page at URL http://galileo.jpl.nasa.gov.

Coverage and inequalities in maternal and child health interventions in Afghanistan.

PubMed

Akseer, Nadia; Bhatti, Zaid; Rizvi, Arjumand; Salehi, Ahmad S; Mashal, Taufiq; Bhutta, Zulfiqar A

2016-09-12

Afghanistan has made considerable gains in improving maternal and child health and survival since 2001. However, socioeconomic and regional inequities may pose a threat to reaching universal coverage of health interventions and further health progress. We explored coverage and socioeconomic inequalities in key life-saving reproductive, maternal, newborn and child health (RMNCH) interventions at the national level and by region in Afghanistan. We also assessed gains in child survival through scaling up effective community-based interventions across wealth groups. Using data from the Afghanistan Multiple Indicator Cluster Survey (MICS) 2010/11, we explored 11 interventions that spanned all stages of the continuum of care, including indicators of composite coverage. Asset-based wealth quintiles were constructed using standardised methods, and absolute inequalities were explored using wealth quintile (Q) gaps (Q5-Q1) and the slope index of inequality (SII), while relative inequalities were assessed with ratios (Q5/Q1) and the concentration index (CIX). The lives saved tool (LiST) modeling used to estimate neonatal and post-neonatal deaths averted from scaling up essential community-based interventions by 90 % coverage by 2025. Analyses considered the survey design characteristics and were conducted via STATA version 12.0 and SAS version 9.4. Our results underscore significant pro-rich socioeconomic absolute and relative inequalities, and mass population deprivation across most all RMNCH interventions studied. The most inequitable are antenatal care with a skilled attendant (ANCS), skilled birth attendance (SBA), and 4 or more antenatal care visits (ANC4) where the richest have between 3.0 and 5.6 times higher coverage relative to the poor, and Q5-Q1 gaps range from 32 % - 65 %. Treatment of sick children and breastfeeding interventions are the most equitably distributed. Across regions, inequalities were highest in the more urbanised East, West and Central regions of the country, while they were lowest in the South and Southeast. About 7700 newborns and 26,000 post-neonates could be saved by scaling up coverage of community outreach interventions to 90 %, with the most gains in the poorest quintiles. Afghanistan is a pervasively poor and conflict-prone nation that has only recently experienced a decade of relative stability. Though donor investments during this period have been plentiful and have contributed to rebuilding of health infrastructure in the country, glaring inequities remain. A resolution to scaling up health coverage in insecure and isolated regions, and improving accessibility for the poorest and marginalised populations, should be at the forefront of national policy and programming efforts.

The Node Deployment of Intelligent Sensor Networks Based on the Spatial Difference of Farmland Soil.

PubMed

Liu, Naisen; Cao, Weixing; Zhu, Yan; Zhang, Jingchao; Pang, Fangrong; Ni, Jun

2015-11-11

Considering that agricultural production is characterized by vast areas, scattered fields and long crop growth cycles, intelligent wireless sensor networks (WSNs) are suitable for monitoring crop growth information. Cost and coverage are the most key indexes for WSN applications. The differences in crop conditions are influenced by the spatial distribution of soil nutrients. If the nutrients are distributed evenly, the crop conditions are expected to be approximately uniform with little difference; on the contrary, there will be great differences in crop conditions. In accordance with the differences in the spatial distribution of soil information in farmland, fuzzy c-means clustering was applied to divide the farmland into several areas, where the soil fertility of each area is nearly uniform. Then the crop growth information in the area could be monitored with complete coverage by deploying a sensor node there, which could greatly decrease the deployed sensor nodes. Moreover, in order to accurately judge the optimal cluster number of fuzzy c-means clustering, a discriminant function for Normalized Intra-Cluster Coefficient of Variation (NICCV) was established. The sensitivity analysis indicates that NICCV is insensitive to the fuzzy weighting exponent, but it shows a strong sensitivity to the number of clusters.

A Comparison of Foliage Profiles in the Sierra National Forest Obtained with a Full-Waveform Under-Canopy EVI Lidar System with the Foliage Profiles Obtained with an Airborne Full-Waveform LVIS Lidar System

NASA Technical Reports Server (NTRS)

Zhao, Feng; Yang, Xiaoyuan; Strahler, Alan H.; Schaaf, Crystal L.; Yao, Tian; Wang, Zhuosen; Roman, Miguel O.; Woodcock, Curtis E.; Ni-Meister, Wenge; Jupp, David L. B.;

Selective Spatial Working Memory Impairment in a Group of Children with Mathematics Learning Disabilities and Poor Problem-Solving Skills

ERIC Educational Resources Information Center

Passolunghi, Maria Chiara; Mammarella, Irene Cristina

2012-01-01

This study examines visual and spatial working memory skills in 35 third to fifth graders with both mathematics learning disabilities (MLD) and poor problem-solving skills and 35 of their peers with typical development (TD) on tasks involving both low and high attentional control. Results revealed that children with MLD, relative to TD children,…

The role of insurance in the achievement of universal coverage within a developing country context: South Africa as a case study.

PubMed

van den Heever, Alex M

2012-01-01

Achieving universal coverage as an objective needs to confront the reality of multiple mechanisms, with healthcare financing and provision occurring in both public and private settings. South Africa has both large and mature public and private health systems offering useful insights into how they can be effectively harmonized to optimise coverage. Private healthcare in South Africa has also gone through many phases and regulatory regimes which, through careful review, can help identify potential policy frameworks that can optimise their ability to deepen coverage in a manner that complements the basic coverage of public arrangements. Using South Africa as a case study, this review examines whether private health systems are susceptible to regulation and therefore able to support an extension and deepening of coverage when complementing a pre-existing publicly funded and delivered health system? The approach involves a review of different stages in the development of the South African private health system and its response to policy changes. The focus is on the time-bound characteristics of the health system and associated policy responses and opportunities. A distinction is consequently made between the early, largely unregulated, phases of development and more mature phases with alternative regulatory regimes. The private health system in South Africa has played an important supplementary role in achieving universal coverage throughout its history, but more especially in the post-Apartheid period. However, the quality of this role has been erratic, influenced predominantly by policy vacillation.The private system expanded rapidly during the 1980s mainly due to the pre-existence of a mature health insurance system and a weakening public hospital system which could accommodate and facilitate an increased demand for private hospital services. This growth served to expand commercial interest in health insurance, in the form of regulated medical schemes, which until this point took the form of non-commercial occupational (employer-based) schemes. During the 1980s government acquiesced to industry lobbies arguing for the deregulation of health insurance from 1989, with an extreme deregulation occurring in 1994, evidently in anticipation of the change of government associated with the democratic dispensation. Dramatic unintended consequences followed, with substantial increases in provider and funder costs coinciding with uncontrolled discrimination against poor health risks.Against significant industry opposition, including legal challenges, partial re-regulation took effect from 2000 which removed the discretion of schemes to discriminate against poor health risks. This included: the implementation of a strong regulator of health insurance; the establishment of one allowable vehicle able to provide health insurance; open enrolment, whereby schemes could not refuse membership applications; mandatory minimum benefit requirements; and a prohibition on setting contributions or premiums on the basis of health status. After a two-year lag, dramatically reduced cost trends and contributions became evident. Aside from generally tighter regulation across a range of fronts, this appears related to the need for schemes to compete more on the basis of healthcare provider costs than demographic risk profiles. Despite an incomplete reform improved equitable coverage and cost-containment was nevertheless achieved.A more complete regulatory regime is consequently likely to deepen coverage by: further stabilising and even decreasing costs; enhanced risk pooling; and access for low income groups. This would occur if South Africa: improved the quality of free public services, thereby creating competitive constraints for medical schemes; introduced risk-equalisation, increasing the pressure on schemes to compete on the cost and quality of coverage rather than their risk profile; and through the establishment of improved price regulation. The objective of universal coverage can be seen in two dimensions, horizontal extension and vertical deepening. Private systems play an important role in deepening coverage by mobilising revenue from income earners for health services over-and-above the horizontal extension role of public systems and related subsidies. South Africa provides an example of how this natural deepening occurs whether regulated or unregulated. It also demonstrates how poor regulation of mature private systems can severely undermine this role and diminish achievements below attainable levels of social protection. The mature South African system has demonstrated its sensitivity to regulatory design and responds rapidly to changes both positive and negative. When measures to enhance risk pooling are introduced, coverage is expanded and becomes increasingly fair and sustainable. When removed, however, the system becomes less stable and fair as costs rise and people with poor health status are systematically excluded from cover. This susceptibility to regulation therefore presents an opportunity to policymakers to achieve social protection objectives through the strategic management of markets rather than exclusively through less responsive systems based on tax-funded direct provision. This is especially relevant as private markets for healthcare are inevitable, with policy discretion reduced to a choice between functional or dysfunctional regimes.

The role of insurance in the achievement of universal coverage within a developing country context: South Africa as a case study

PubMed Central

2012-01-01

Background Achieving universal coverage as an objective needs to confront the reality of multiple mechanisms, with healthcare financing and provision occurring in both public and private settings. South Africa has both large and mature public and private health systems offering useful insights into how they can be effectively harmonized to optimise coverage. Private healthcare in South Africa has also gone through many phases and regulatory regimes which, through careful review, can help identify potential policy frameworks that can optimise their ability to deepen coverage in a manner that complements the basic coverage of public arrangements. Research question Using South Africa as a case study, this review examines whether private health systems are susceptible to regulation and therefore able to support an extension and deepening of coverage when complementing a pre-existing publicly funded and delivered health system? Methods The approach involves a review of different stages in the development of the South African private health system and its response to policy changes. The focus is on the time-bound characteristics of the health system and associated policy responses and opportunities. A distinction is consequently made between the early, largely unregulated, phases of development and more mature phases with alternative regulatory regimes. Results The private health system in South Africa has played an important supplementary role in achieving universal coverage throughout its history, but more especially in the post-Apartheid period. However, the quality of this role has been erratic, influenced predominantly by policy vacillation. The private system expanded rapidly during the 1980s mainly due to the pre-existence of a mature health insurance system and a weakening public hospital system which could accommodate and facilitate an increased demand for private hospital services. This growth served to expand commercial interest in health insurance, in the form of regulated medical schemes, which until this point took the form of non-commercial occupational (employer-based) schemes. During the 1980s government acquiesced to industry lobbies arguing for the deregulation of health insurance from 1989, with an extreme deregulation occurring in 1994, evidently in anticipation of the change of government associated with the democratic dispensation. Dramatic unintended consequences followed, with substantial increases in provider and funder costs coinciding with uncontrolled discrimination against poor health risks. Against significant industry opposition, including legal challenges, partial re-regulation took effect from 2000 which removed the discretion of schemes to discriminate against poor health risks. This included: the implementation of a strong regulator of health insurance; the establishment of one allowable vehicle able to provide health insurance; open enrolment, whereby schemes could not refuse membership applications; mandatory minimum benefit requirements; and a prohibition on setting contributions or premiums on the basis of health status. After a two-year lag, dramatically reduced cost trends and contributions became evident. Aside from generally tighter regulation across a range of fronts, this appears related to the need for schemes to compete more on the basis of healthcare provider costs than demographic risk profiles. Despite an incomplete reform improved equitable coverage and cost-containment was nevertheless achieved. A more complete regulatory regime is consequently likely to deepen coverage by: further stabilising and even decreasing costs; enhanced risk pooling; and access for low income groups. This would occur if South Africa: improved the quality of free public services, thereby creating competitive constraints for medical schemes; introduced risk-equalisation, increasing the pressure on schemes to compete on the cost and quality of coverage rather than their risk profile; and through the establishment of improved price regulation. Conclusions The objective of universal coverage can be seen in two dimensions, horizontal extension and vertical deepening. Private systems play an important role in deepening coverage by mobilising revenue from income earners for health services over-and-above the horizontal extension role of public systems and related subsidies. South Africa provides an example of how this natural deepening occurs whether regulated or unregulated. It also demonstrates how poor regulation of mature private systems can severely undermine this role and diminish achievements below attainable levels of social protection. The mature South African system has demonstrated its sensitivity to regulatory design and responds rapidly to changes both positive and negative. When measures to enhance risk pooling are introduced, coverage is expanded and becomes increasingly fair and sustainable. When removed, however, the system becomes less stable and fair as costs rise and people with poor health status are systematically excluded from cover. This susceptibility to regulation therefore presents an opportunity to policymakers to achieve social protection objectives through the strategic management of markets rather than exclusively through less responsive systems based on tax-funded direct provision. This is especially relevant as private markets for healthcare are inevitable, with policy discretion reduced to a choice between functional or dysfunctional regimes. PMID:22992410

SSE Global Data

Atmospheric Science Data Center

2018-04-12

SSE Global Data Text files of monthly averaged data for the entire ... Version:  V6 Location:  Global Spatial Coverage:  (90N, 90S)(180W,180E) ... File Format:  ASCII Order Data:  SSE Global Data: Order Data SCAR-B Block:  ...

CERES GEO Ed4 Available Data

Atmospheric Science Data Center

2017-10-11

... Spatial Resolution Temporal Coverage CER_GEO_Ed4_GOE08 Hourly 2-4km observation at nadir, subsampled every 8-9 km 2000-03-01 to 2003-04-01 CER_GEO_Ed4_GOE09 Hourly 2-4km observation at nadir, subsampled ...

Comparison of Aerodynamic Resistance Parameterizations and Implications for Dry Deposition Modeling

EPA Science Inventory

Nitrogen deposition data used to support the secondary National Ambient Air Quality Standards and critical loads research derives from both measurements and modeling. Data sets with spatial coverage sufficient for regional scale deposition assessments are currently generated fro...

Children's disaster reactions: the influence of family and social factors.

PubMed

Pfefferbaum, Betty; Jacobs, Anne K; Houston, J Brian; Griffin, Natalie

2015-07-01

This review examines family (demographics, parent reactions and interactions, and parenting style) and social (remote effects, disaster media coverage, exposure to secondary adversities, and social support) factors that influence children's disaster reactions. Lower family socioeconomic status, high parental stress, poor parental coping, contact with media coverage, and exposure to secondary adversities have been associated with adverse outcomes. Social support may provide protection to children in the post-disaster environment though more research is needed to clarify the effects of certain forms of social support. The interaction of the factors described in this review with culture needs further exploration.

Getting essential health products to their end users: subsidize, but how much?

PubMed

Dupas, Pascaline

2014-09-12

Although coverage rates and health outcomes are improving, many poor people around the world still do not benefit from essential health products. An estimated two-thirds of child deaths could be prevented with increased coverage of products such as vaccines, point-of-use water treatment, iron fortification, and insecticide-treated bednets. What limits the flow of products from the producer's laboratory bench to the end users, and what can be done about it? Recent empirical research suggests a crucial role for heavy subsidies. Copyright © 2014, American Association for the Advancement of Science.

A Phenomenological Two-Ribbon Model for Spatially Unresolved Observations of Stellar Flares

NASA Astrophysics Data System (ADS)

Kowalski, Adam

2018-06-01

Solar flares and flares that occur in much more magnetically active stars share some striking properties, such as the observed Neupert effect. However, stellar flares with the most impressive multi-wavelength data sets are typically much more energetic than solar flares, thus making robust connections difficult to establish. Whereas solar data have the advantage of high spatial resolution providing critical information about the development of flare ribbons, the major advantage of stellar flare data is the readily available broad-wavelength coverage of the white-light radiation and the Balmer jump spectral region. Due to the lack of direct spatial resolution for stellar flares and rarely coverage of the Balmer jump region for solar flares, it is not clear how to make a direct comparison. I will present a new method for modeling stellar flares based on high spatial resolution information of solar flare two-ribbon development for comparisons of the physics of their observed phenomena, such as the red-wing asymmetries in chromospheric lines and the white-light continuum radiation. The new modeling method combines aspects of "multi-thread" modeling and 1D radiative-hydrodynamic modeling. Our algorithm is important for interpreting the impulsive phase of superflares in young G dwarfs in Kepler and understanding how hour-long decay timescales are attained in the gradual phase of some very energetic stellar flares.

Mapping plastic greenhouse with medium spatial resolution satellite data: Development of a new spectral index

NASA Astrophysics Data System (ADS)

Yang, Dedi; Chen, Jin; Zhou, Yuan; Chen, Xiang; Chen, Xuehong; Cao, Xin

2017-06-01

Plastic greenhouses (PGs) are an important agriculture development technique to protect and control the growing environment for food crops. The extensive use of PGs can change the agriculture landscape and affects the local environment. Accurately mapping and estimating the coverage of PGs is a necessity to the strategic planning of modern agriculture. Unfortunately, PG mapping over large areas is methodologically challenging, as the medium spatial resolution satellite imagery (such as Landsat data) used for analysis lacks spatial details and spectral variations. To fill the gap, the paper proposes a new plastic greenhouse index (PGI) based on the spectral, sensitivity, and separability analysis of PGs using medium spatial resolution images. In the context of the Landsat Enhanced Thematic Mapper Plus (ETM+) imagery, the paper examines the effectiveness and capability of the proposed PGI. The results indicate that PGs in Landsat ETM+ image can be successfully detected by the PGI if the PG fraction is greater than 12% in a mixed pixel. A kappa coefficient of 0.83 and overall accuracy of 91.2% were achieved when applying the proposed PGI in the case of Weifang District, Shandong, China. These results show that the proposed index can be applied to identifying transparent PGs in atmospheric corrected Landsat image and has the potential for the digital mapping of plastic greenhouse coverage over a large area.

Strategy Training Eliminates Sex Differences in Spatial Problem Solving in a STEM Domain

ERIC Educational Resources Information Center

Stieff, Mike; Dixon, Bonnie L.; Ryu, Minjung; Kumi, Bryna C.; Hegarty, Mary

2014-01-01

Poor spatial ability can limit success in science, technology, engineering, and mathematics (STEM) disciplines. Many initiatives aim to increase STEM achievement and degree attainment through selective recruitment of high-spatial students or targeted training to improve spatial ability. The current study examines an alternative approach to…

Permafrost thaw and fire history: implications of boreal tree cover changes on land surface properties and turbulent energy fluxes in the Taiga Plains, Canada

NASA Astrophysics Data System (ADS)

Sonnentag, Oliver; Helbig, Manuel; Payette, Fanny; Wischnewski, Karoline; Kljun, Natascha; Chasmer, Laura; Pappas, Christoforos; Detto, Matteo; Baltzer, Jennifer; Quinton, William; Marsh, Philip

2016-04-01

Given their large areal coverage, high carbon densities, and unique land surface properties and disturbance regimes (e.g., wildfires), the world's boreal forests are integral components of the global and regional climate systems. A large portion of boreal forests contain permafrost, i.e., perennially cryotic ground. In the Taiga Plains ecozone in northwestern Canada, the northernmost boreal forests grow on cold (<-1.5 °C) and thick (>100 m) continuous permafrost (>90 % in areal extent). More southerly boreal forests occur in areas with discontinuous (>50 - 90 % in areal extent), sporadic (>10 - 50 % in areal extent) and isolated permafrost (<10 % in areal extent). Using annual MODIS Percent Tree Cover (PTC) data from the MOD44B product in combination with spatial information on fire history, and permafrost and drainage characteristics, we show that in low-lying, poorly-drained areas along the southern fringe of permafrost, thawing induces widespread decreases in PTC and dominates over PTC increases due to post-fire regrowth. In contrast, PTC appears to be slightly increasing in the central and northern Taiga Plains with more stable discontinuous and continuous permafrost, respectively. While these increases are partly explained by post-fire regrowth, more favourable growing conditions may also contribute to increasing PTC. To better understand the implications of permafrost thaw on land surface properties (e.g., aerodynamic conductance for heat [ga] and surface conductance for water vapour [gs]), and the turbulent fluxes of latent (LE) and sensible heat (H) along the southern fringe of permafrost, we examined nested eddy covariance flux measurements made at two nearby locations at Scotty Creek (61°18' N; 121°18' W) starting May 2013. The low-lying, poorly-drained southern portion of this 152 km2-watershed contains rapidly thawing sporadic permafrost resulting in a highly dynamic mosaic dominated by decreasing forested permafrost peat plateaus, and increasing permafrost-free wetlands. The spatial heterogeneities within the eddy covariance flux footprints (forest/wetland vs. wetland) were resolved with a two-dimensional footprint model parameterized with various remote sensing data sets. Our results suggest that an increasing coverage of wetlands at the expense of forests reduces ga and thus the efficiency of the land surface to transfer heat to the atmosphere. At the same time gs is increased and thus more moisture is lost to the atmosphere from saturated wetland surfaces. The alteration of bulk transfer land surface properties lead to drastic decreases in Bowen ratios by reducing H and increasing LE with increasing coverage of wetlands. The most pronounced contrasts between forests and wetlands are observed in H during the late snow cover period in April. We used a similar set of eddy covariance flux measurements made concurrently at Havikpak Creek (68°19' N; 133°31' W) and Trail Valley Creek (68°44' N; 133°26' W), a boreal forest and a nearby tundra site in the boreal-tundra ecotone, respectively, as a first-order proxy for potentially increasing PTC under more stable permafrost conditions in contrast to Scotty Creek. Preliminary results indicate trends in ga, gs, H and LE opposite to those observed at Scotty Creek between forests and wetlands. Our study demonstrates diverging implications of boreal tree cover changes on land surface properties and turbulent energy fluxes, thus on regional climate system feedback directions and strengths, as a function of permafrost conditions and fire history.

An Agent-Based Model of School Closing in Under-Vacccinated Communities During Measles Outbreaks.

PubMed

Getz, Wayne M; Carlson, Colin; Dougherty, Eric; Porco Francis, Travis C; Salter, Richard

2016-04-01

The winter 2014-15 measles outbreak in the US represents a significant crisis in the emergence of a functionally extirpated pathogen. Conclusively linking this outbreak to decreases in the measles/mumps/rubella (MMR) vaccination rate (driven by anti-vaccine sentiment) is critical to motivating MMR vaccination. We used the NOVA modeling platform to build a stochastic, spatially-structured, individual-based SEIR model of outbreaks, under the assumption that R 0 ≈ 7 for measles. We show this implies that herd immunity requires vaccination coverage of greater than approximately 85%. We used a network structured version of our NOVA model that involved two communities, one at the relatively low coverage of 85% coverage and one at the higher coverage of 95%, both of which had 400-student schools embedded, as well as students occasionally visiting superspreading sites (e.g. high-density theme parks, cinemas, etc.). These two vaccination coverage levels are within the range of values occurring across California counties. Transmission rates at schools and superspreading sites were arbitrarily set to respectively 5 and 15 times background community rates. Simulations of our model demonstrate that a 'send unvaccinated students home' policy in low coverage counties is extremely effective at shutting down outbreaks of measles.

An Agent-Based Model of School Closing in Under-Vacccinated Communities During Measles Outbreaks

PubMed Central

Getz, Wayne M.; Carlson, Colin; Dougherty, Eric; Porco, Travis C.; Salter, Richard

2016-01-01

The winter 2014–15 measles outbreak in the US represents a significant crisis in the emergence of a functionally extirpated pathogen. Conclusively linking this outbreak to decreases in the measles/mumps/rubella (MMR) vaccination rate (driven by anti-vaccine sentiment) is critical to motivating MMR vaccination. We used the NOVA modeling platform to build a stochastic, spatially-structured, individual-based SEIR model of outbreaks, under the assumption that R0 ≈ 7 for measles. We show this implies that herd immunity requires vaccination coverage of greater than approximately 85%. We used a network structured version of our NOVA model that involved two communities, one at the relatively low coverage of 85% coverage and one at the higher coverage of 95%, both of which had 400-student schools embedded, as well as students occasionally visiting superspreading sites (e.g. high-density theme parks, cinemas, etc.). These two vaccination coverage levels are within the range of values occurring across California counties. Transmission rates at schools and superspreading sites were arbitrarily set to respectively 5 and 15 times background community rates. Simulations of our model demonstrate that a ‘send unvaccinated students home’ policy in low coverage counties is extremely effective at shutting down outbreaks of measles. PMID:27668297

Analysis and simulation of wireless signal propagation applying geostatistical interpolation techniques

NASA Astrophysics Data System (ADS)

Kolyaie, S.; Yaghooti, M.; Majidi, G.

2011-12-01

This paper is a part of an ongoing research to examine the capability of geostatistical analysis for mobile networks coverage prediction, simulation and tuning. Mobile network coverage predictions are used to find network coverage gaps and areas with poor serviceability. They are essential data for engineering and management in order to make better decision regarding rollout, planning and optimisation of mobile networks.The objective of this research is to evaluate different interpolation techniques in coverage prediction. In method presented here, raw data collected from drive testing a sample of roads in study area is analysed and various continuous surfaces are created using different interpolation methods. Two general interpolation methods are used in this paper with different variables; first, Inverse Distance Weighting (IDW) with various powers and number of neighbours and second, ordinary kriging with Gaussian, spherical, circular and exponential semivariogram models with different number of neighbours. For the result comparison, we have used check points coming from the same drive test data. Prediction values for check points are extracted from each surface and the differences with actual value are computed. The output of this research helps finding an optimised and accurate model for coverage prediction.

Cloud Statistics and Discrimination in the Polar Regions

NASA Astrophysics Data System (ADS)

Chan, M.; Comiso, J. C.

2012-12-01

Despite their important role in the climate system, cloud cover and their statistics are poorly known, especially in the polar regions, where clouds are difficult to discriminate from snow covered surfaces. The advent of the A-train, which included Aqua/MODIS, CALIPSO/CALIOP and CloudSat/CPR sensors has provided an opportunity to improve our ability to accurately characterize the cloud cover. MODIS provides global coverage at a relatively good temporal and spatial resolution while CALIOP and CPR provide limited nadir sampling but accurate characterization of the vertical structure and phase of the cloud cover. Over the polar regions, cloud detection from a passive sensors like MODIS is challenging because of the presence of cold and highly reflective surfaces such as snow, sea-ice, glaciers, and ice-sheet, which have surface signatures similar to those of clouds. On the other hand, active sensors such as CALIOP and CPR are not only very sensitive to the presence of clouds but can also provide information about its microphysical characteristics. However, these nadir-looking sensors have sparse spatial coverage and their global data can have data spatial gaps of up to 100 km. We developed a polar cloud detection system for MODIS that is trained using collocated data from CALIOP and CPR. In particular, we employ a machine learning system that reads the radiative profile observed by MODIS and determine whether the field of view is cloudy or clear. Results have shown that the improved cloud detection scheme performs better than typical cloud mask algorithms using a validation data set not used for training. A one-year data set was generated and results indicate that daytime cloud detection accuracies improved from 80.1% to 92.6% (over sea-ice) and 71.2% to 87.4% (over ice-sheet) with CALIOP data used as the baseline. Significant improvements are also observed during nighttime, where cloud detection accuracies increase by 19.8% (over sea-ice) and 11.6% (over ice-sheet). The immediate impact of the new algorithm is that it can minimize large biases of MODIS-derived cloud amount over the Polar Regions and thus a more realistic and high quality global cloud statistics. In particular, our results show that cloud fraction in the Arctic is typically 81.2 % during daytime and 84.0% during nighttime. This is significantly higher than the 71.8% and 58.5%, respectively, derived from standard MODIS cloud product.

High Efficiency Multi-shot Interleaved Spiral-In/Out Acquisition for High Resolution BOLD fMRI

PubMed Central

Jung, Youngkyoo; Samsonov, Alexey A.; Liu, Thomas T.; Buracas, Giedrius T.

2012-01-01

Growing demand for high spatial resolution BOLD functional MRI faces a challenge of the spatial resolution vs. coverage or temporal resolution tradeoff, which can be addressed by methods that afford increased acquisition efficiency. Spiral acquisition trajectories have been shown to be superior to currently prevalent echo-planar imaging in terms of acquisition efficiency, and high spatial resolution can be achieved by employing multiple-shot spiral acquisition. The interleaved spiral in-out trajectory is preferred over spiral-in due to increased BOLD signal CNR and higher acquisition efficiency than that of spiral-out or non-interleaved spiral in/out trajectories (1), but to date applicability of the multi-shot interleaved spiral in-out for high spatial resolution imaging has not been studied. Herein we propose multi-shot interleaved spiral in-out acquisition and investigate its applicability for high spatial resolution BOLD fMRI. Images reconstructed from interleaved spiral-in and -out trajectories possess artifacts caused by differences in T2* decay, off-resonance and k-space errors associated with the two trajectories. We analyze the associated errors and demonstrate that application of conjugate phase reconstruction and spectral filtering can substantially mitigate these image artifacts. After applying these processing steps, the multishot interleaved spiral in-out pulse sequence yields high BOLD CNR images at in-plane resolution below 1x1 mm while preserving acceptable temporal resolution (4 s) and brain coverage (15 slices of 2 mm thickness). Moreover, this method yields sufficient BOLD CNR at 1.5 mm isotropic resolution for detection of activation in hippocampus associated with cognitive tasks (Stern memory task). The multi-shot interleaved spiral in-out acquisition is a promising technique for high spatial resolution BOLD fMRI applications. PMID:23023395

Insurance-Related Barriers to Accessing Dental Care Among African American Adults With Oral Health Symptoms in Harlem, New York City

PubMed Central

Siegel, Karolynn; Wolfson, Natalie H.; Mitchell, Dennis A.; Kunzel, Carol

2011-01-01

Although ability to pay is associated with dental care utilization, provision of public or private dental insurance has not eliminated dental care disparities between African American and White adults. We examined insurance-related barriers to dental care in interviews with a street-intercept sample of 118 African American adults in Harlem, New York City, with recent oral health symptoms. Although most participants reported having dental insurance (21% private, 50% Medicaid), reported barriers included (1) lack of coverage, (2) insufficient coverage, (3) inability to find a dentist who accepts their insurance, (4) having to wait for coverage to take effect, and (5) perceived poor quality of care for the uninsured or underinsured. These findings provide insights into why disparities persist and suggest strategies to removing these barriers to dental care. PMID:21680926

In need of combined topography and bathymetry DEM

NASA Astrophysics Data System (ADS)

Kisimoto, K.; Hilde, T.

2003-04-01

In many geoscience applications, digital elevation models (DEMs) are now more commonly used at different scales and greater resolution due to the great advancement in computer technology. Increasing the accuracy/resolution of the model and the coverage of the terrain (global model) has been the goal of users as mapping technology has improved and computers get faster and cheaper. The ETOPO5 (5 arc minutes spatial resolution land and seafloor model), initially developed in 1988 by Margo Edwards, then at Washington University, St. Louis, MO, has been the only global terrain model for a long time, and it is now being replaced by three new topographic and bathymetric DEMs, i.e.; the ETOPO2 (2 arc minutes spatial resolution land and seafloor model), the GTOPO30 land model with a spatial resolution of 30 arc seconds (c.a. 1km at equator) and the 'GEBCO 1-MINUTE GLOBAL BATHYMETRIC GRID' ocean floor model with a spatial resolution of 1 arc minute (c.a. 2 km at equator). These DEMs are products of projects through which compilation and reprocessing of existing and/or new datasets were made to meet user's new requirements. These ongoing efforts are valuable and support should be continued to refine and update these DEMs. On the other hand, a different approach to create a global bathymetric (seafloor) database exists. A method to estimate the seafloor topography from satellite altimetry combined with existing ships' conventional sounding data was devised and a beautiful global seafloor database created and made public by W.H. Smith and D.T. Sandwell in 1997. The big advantage of this database is the uniformity of coverage, i.e. there is no large area where depths are missing. It has a spatial resolution of 2 arc minute. Another important effort is found in making regional, not global, seafloor databases with much finer resolutions in many countries. The Japan Hydrographic Department has compiled and released a 500m-grid topography database around Japan, J-EGG500, in 1999. Although the coverage of this database is only a small portion of the Earth, the database has been highly appreciated in the academic community, and accepted in surprise by the general public when the database was displayed in 3D imagery to show its quality. This database could be rather smoothly combined with the finer land DEM of 250m spatial resolution (Japan250m.grd, K. Kisimoto, 2000). One of the most important applications of this combined DEM of topography and bathymetry is tsunami modeling. Understanding of the coastal environment, management and development of the coastal region are other fields in need of these data. There is, however, an important issue to consider when we create a combined DEM of topography and bathymetry in finer resolutions. The problem arises from the discrepancy of the standard datum planes or reference levels used for topographic leveling and bathymetric sounding. Land topography (altitude) is defined by leveling from the single reference point determined by average mean sea level, in other words, land height is measured from the geoid. On the other hand, depth charts are made based on depth measured from locally determined reference sea surface level, and this value of sea surface level is taken from the long term average of the lowest tidal height. So, to create a combined DEM of topography and bathymetry in very fine scale, we need to avoid this inconsistency between height and depth across the coastal region. Height and depth should be physically continuous relative to a single reference datum across the coast within such new high resolution DEMs. (N.B. Coast line is not equal to 'altitude-zero line' nor 'depth-zero line'. It is defined locally as the long term average of the highest tide level.) All of this said, we still need a lot of work on the ocean side. Global coverage with detailed bathymetric mapping is still poor. Seafloor imaging and other geophysical measurements/experiments should be organized and conducted internationally and interdisciplinary ways more than ever. We always need greater technological advancement and application of this technology in marine sciences, and more enthusiastic minds of seagoing researchers as well. Recent seafloor mapping technology/quality both in bathymetry and imagery is very promising and even favorably compared with the terrain mapping. We discuss and present on recent achievement and needs on the seafloor mapping using several most up-to-date global- and regional- DEMs available for science community at the poster session.

Socioeconomic Status Accounts for Rapidly Increasing Geographic Variation in the Incidence of Poor Fetal Growth

PubMed Central

Ball, Stephen J.; Jacoby, Peter; Zubrick, Stephen R.

2013-01-01

Fetal growth is an important risk factor for infant morbidity and mortality. In turn, socioeconomic status is a key predictor of fetal growth; however, other sociodemographic factors and environmental effects may also be important. This study modelled geographic variation in poor fetal growth after accounting for socioeconomic status, with a fixed effect for socioeconomic status and a combination of spatially-correlated and spatially-uncorrelated random effects. The dataset comprised 88,246 liveborn singletons, aggregated within suburbs in Perth, Western Australia. Low socioeconomic status was strongly associated with an increased risk of poor fetal growth. An increase in geographic variation of poor fetal growth from 1999–2001 (interquartile odds ratio among suburbs = 1.20) to 2004–2006 (interquartile odds ratio = 1.40) indicated a widening risk disparity by socioeconomic status. Low levels of residual spatial patterns strengthen the case for targeting policies and practices in areas of low socioeconomic status for improved outcomes. This study indicates an alarming increase in geographic inequalities in poor fetal growth in Perth which warrants further research into the specific aspects of socioeconomic status that act as risk factors. PMID:23799513

2007 costs and coverage of antiretrovirals under Medicare Part D for people with HIV/AIDS living in North Carolina.

PubMed

Sengupta, Sohini

2008-01-01

Effective January 1, 2006 Medicare Part D became a new source of prescription drug coverage for people with HIV/AIDS in the United States. The implementation of Part D has affected access to antiretrovirals for people with HIV/AIDS. In North Carolina, access can be difficult because of the state's struggling safety net programs and the growing HIV-infected populations among Blacks and in poor rural counties. This analysis examines Medicare Part D antiretroviral coverage in 2007 for beneficiaries with HIV/AIDS in North Carolina, particularly those who did not qualify as dual eligibles or for a full low-income subsidy. Data describing program coverage were obtained from the Web site www.medicare.gov and descriptive analyses were performed to assess changes in antiretroviral coverage in Part D prescription drug plans in North Carolina. Most of the 26 antiretrovirals are covered in some way by 76 North Carolina prescription drug plans. There may be variability in coverage however associated with (a) antiretroviral classification within formularies; (b) drug premiums; (c) whether premiums can be waived; (d) annual deductibles; and (e) whether coverage is provided in the "doughnut hole." The data may not reflect actual patterns of drug use and realized access to the drugs. The findings are limited to antiretroviral coverage in North Carolina's Part D offerings but could be generalized to other states with similar prescription drug plan costs and coverage. These concerns continue to pose significant challenges to accessing antiretrovirals for Part D beneficiaries with HIV/AIDS in North Carolina. Variability demonstrated within prescription drug plans will continue, and beneficiaries with HIV/AIDS who do not qualify as dual eligibles or for low-income subsidies will need to evaluate these issues when selecting a prescription drug plan in future enrollment periods.

Severity of pain is associated with insufficient energy coverage in hospitalised patients: A cross-sectional study.

PubMed

Makhlouf, Anne-Marie; Kossovsky, Michel P; Gurba, France; Pautex, Sophie; Chikhi, Marinette; Pichard, Claude; Genton, Laurence

2018-03-17

The severity of pain is routinely assessed in hospitalised patients but the impact of pain and pain control on energy coverage has been poorly studied. This One-day cross-sectional observational study assessed the association between severity of pain and coverage of energy needs in hospitalised patients. Foods provided and consumed were assessed on one day by dedicated dieticians for unselected hospitalised patients receiving three meals per day. Severity of pain was evaluated by a visual analogue scale at the mealtimes, averaged over the study day, and categorized as no pain, slight, moderate or severe pain. The coverage of energy needs was expressed in percentage of predicted needs. Among the 755 included patients, 63% reported having pain. Severe pain was associated with a lower energy coverage than no pain (p = 0.001) or slight pain (p = 0.001). Insufficient energy coverage, defined as ≤70% of predicted needs, occurred in 13% of the patients. In univariate logistic regressions, predictors of insufficient energy coverage were severe pain as compared to no pain (OR 2.38; 95% CI 1.21, 4.64) and treatment with opioid drugs as compared to no pain killer (OR 1.73; 95% CI 1.07, 2.79). When including sex, age, body mass index, treatment with analgesics and severity of pain in a multivariate logistic regression, severe pain more than doubled the risk of insufficient energy coverage (OR 2.32; CI 1.15, 4.66). Patients experiencing severe pain have a high risk of insufficient energy coverage. Optimal pain control is probably critical to prevent underfeeding in the hospital. Identifier no NCT02463565 on www.ClinicalTrials.gov. Copyright © 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Filling in the GAPS: evaluating completeness and coverage of open-access biodiversity databases in the United States

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

Troia, Matthew J.; McManamay, Ryan A.

Primary biodiversity data constitute observations of particular species at given points in time and space. Open-access electronic databases provide unprecedented access to these data, but their usefulness in characterizing species distributions and patterns in biodiversity depend on how complete species inventories are at a given survey location and how uniformly distributed survey locations are along dimensions of time, space, and environment. Our aim was to compare completeness and coverage among three open-access databases representing ten taxonomic groups (amphibians, birds, freshwater bivalves, crayfish, freshwater fish, fungi, insects, mammals, plants, and reptiles) in the contiguous United States. We compiled occurrence records frommore » the Global Biodiversity Information Facility (GBIF), the North American Breeding Bird Survey (BBS), and federally administered fish surveys (FFS). In this study, we aggregated occurrence records by 0.1° × 0.1° grid cells and computed three completeness metrics to classify each grid cell as well-surveyed or not. Next, we compared frequency distributions of surveyed grid cells to background environmental conditions in a GIS and performed Kolmogorov–Smirnov tests to quantify coverage through time, along two spatial gradients, and along eight environmental gradients. The three databases contributed >13.6 million reliable occurrence records distributed among >190,000 grid cells. The percent of well-surveyed grid cells was substantially lower for GBIF (5.2%) than for systematic surveys (BBS and FFS; 82.5%). Still, the large number of GBIF occurrence records produced at least 250 well-surveyed grid cells for six of nine taxonomic groups. Coverages of systematic surveys were less biased across spatial and environmental dimensions but were more biased in temporal coverage compared to GBIF data. GBIF coverages also varied among taxonomic groups, consistent with commonly recognized geographic, environmental, and institutional sampling biases. Lastly, this comprehensive assessment of biodiversity data across the contiguous United States provides a prioritization scheme to fill in the gaps by contributing existing occurrence records to the public domain and planning future surveys.« less

Filling in the GAPS: evaluating completeness and coverage of open-access biodiversity databases in the United States

DOE PAGES

Troia, Matthew J.; McManamay, Ryan A.

2016-06-12

Primary biodiversity data constitute observations of particular species at given points in time and space. Open-access electronic databases provide unprecedented access to these data, but their usefulness in characterizing species distributions and patterns in biodiversity depend on how complete species inventories are at a given survey location and how uniformly distributed survey locations are along dimensions of time, space, and environment. Our aim was to compare completeness and coverage among three open-access databases representing ten taxonomic groups (amphibians, birds, freshwater bivalves, crayfish, freshwater fish, fungi, insects, mammals, plants, and reptiles) in the contiguous United States. We compiled occurrence records frommore » the Global Biodiversity Information Facility (GBIF), the North American Breeding Bird Survey (BBS), and federally administered fish surveys (FFS). In this study, we aggregated occurrence records by 0.1° × 0.1° grid cells and computed three completeness metrics to classify each grid cell as well-surveyed or not. Next, we compared frequency distributions of surveyed grid cells to background environmental conditions in a GIS and performed Kolmogorov–Smirnov tests to quantify coverage through time, along two spatial gradients, and along eight environmental gradients. The three databases contributed >13.6 million reliable occurrence records distributed among >190,000 grid cells. The percent of well-surveyed grid cells was substantially lower for GBIF (5.2%) than for systematic surveys (BBS and FFS; 82.5%). Still, the large number of GBIF occurrence records produced at least 250 well-surveyed grid cells for six of nine taxonomic groups. Coverages of systematic surveys were less biased across spatial and environmental dimensions but were more biased in temporal coverage compared to GBIF data. GBIF coverages also varied among taxonomic groups, consistent with commonly recognized geographic, environmental, and institutional sampling biases. Lastly, this comprehensive assessment of biodiversity data across the contiguous United States provides a prioritization scheme to fill in the gaps by contributing existing occurrence records to the public domain and planning future surveys.« less

Estimating Landscape Pattern Metrics from a Sample of Land Cover

EPA Science Inventory

Although landscape pattern metrics can be computed directly from wall-to-wall land-cover maps, statistical sampling offers a practical alternative when complete coverage land-cover information is unavailable. Partitioning a region into spatial units (“blocks”) to create a samplin...

The association between reading abilities and visual-spatial attention in Hong Kong Chinese children.

PubMed

Liu, Sisi; Liu, Duo; Pan, Zhihui; Xu, Zhengye

2018-03-25

A growing body of research suggests that visual-spatial attention is important for reading achievement. However, few studies have been conducted in non-alphabetic orthographies. This study extended the current research to reading development in Chinese, a logographic writing system known for its visual complexity. Eighty Hong Kong Chinese children were selected and divided into poor reader and typical reader groups, based on their performance on the measures of reading fluency, Chinese character reading, and reading comprehension. The poor and typical readers were matched on age and nonverbal intelligence. A Posner's spatial cueing task was adopted to measure the exogenous and endogenous orienting of visual-spatial attention. Although the typical readers showed the cueing effect in the central cue condition (i.e., responses to targets following valid cues were faster than those to targets following invalid cues), the poor readers did not respond differently in valid and invalid conditions, suggesting an impairment of the endogenous orienting of attention. The two groups, however, showed a similar cueing effect in the peripheral cue condition, indicating intact exogenous orienting in the poor readers. These findings generally supported a link between the orienting of covert attention and Chinese reading, providing evidence for the attentional-deficit theory of dyslexia. Copyright © 2018 John Wiley & Sons, Ltd.

[Coverage of cervical cancer screening in Catalonia, Spain (2008-2011)].

PubMed

Rodríguez-Salés, Vanesa; Roura, Esther; Ibáñez, Raquel; Peris, Mercè; Bosch, F Xavier; Coma E, Ermengol; Silvia de Sanjosé

2014-01-01

To estimate cervical cytology coverage for the period 2008-2011 by age groups and health regions from data recorded in the medical records of women attending centers within the Catalan national health system. The data used to estimate coverage were obtained from the primary care information system. This information was anonymous and included age, center, date, and the results of cytological smears for a total of 2,292,564 women aged 15 years or more. A total of 758,690 smears were performed in 595,868 women. Among women aged 25-65 years, the estimated coverage was 32.4% of the assigned population and was 40.8% in the population attended. Geographical variation was observed, with higher coverage among health regions closer to Barcelona. Abnormal Pap smears increased slightly from 2008 to 2011 (from 3% to 3.5%, respectively, p <0.001). In women with a negative first smear, the mean interval until the second smear was 2.4 years, but only 50% of women with a negative first smear in 2008 attended a second round during the study period. Cervical screening coverage in the National Health Service of Catalonia includes one in three women. Second round participation was poor. Existing computer systems in primary care centers can ensure monitoring of population-based screening programs for cervical cancer. These systems could be used to plan an organized screening program to ensure wider coverage and better follow-up. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

Measuring effective coverage of curative child health services in rural Burkina Faso: a cross-sectional study

PubMed Central

Koulidiati, Jean-Louis; Nesbitt, Robin C; Ouedraogo, Nobila; Hien, Hervé; Robyn, Paul Jacob; Compaoré, Philippe; Souares, Aurélia; Brenner, Stephan

2018-01-01

Objective To estimate both crude and effective curative health services coverage provided by rural health facilities to under 5-year-old (U5YO) children in Burkina Faso. Methods We surveyed 1298 child health providers and 1681 clinical cases across 494 primary-level health facilities, as well as 12 497 U5YO children across 7347households in the facilities’ catchment areas. Facilities were scored based on a set of indicators along three quality-of-care dimensions: management of common childhood diseases, management of severe childhood diseases and general service readiness. Linking service quality to service utilisation, we estimated both crude and effective coverage of U5YO children by these selected curative services. Results Measured performance quality among facilities was generally low with only 12.7% of facilities surveyed reaching our definition of high and 57.1% our definition of intermediate quality of care. The crude coverage was 69.5% while the effective coverages indicated that 5.3% and 44.6% of children reporting an illness episode received services of only high or high and intermediate quality, respectively. Conclusion Our study showed that the quality of U5YO child health services provided by primary-level health facilities in Burkina Faso was low, resulting in relatively ineffective population coverage. Poor adherence to clinical treatment guidelines combined with the lack of equipment and qualified clinical staff that performed U5YO consultations seemed to be contributors to the gap between crude and effective coverage. PMID:29858415

Workers who decline employment-related health insurance.

PubMed

Bernard, Didem M; Selden, Thomas M

2006-05-01

Families of workers who decline coverage represent a substantial share of the uninsured and publicly-insured population in the United States. We examined health status, access to health care, utilization, and expenditures among families that declined health insurance coverage offered by employers using data from the Medical Expenditure Panel Survey for 2001 and 2002. We found differences in insurance status for adults and children among families with offers. We found that among low-income families with offers, children are less likely to have private insurance compared with adults. However, the majority of children who decline private insurance end up with public coverage, whereas most of adults who decline offers remain uninsured. Decliners are more likely to report poor health, yet they are also less likely to have high cost medical conditions. Families declining coverage have weaker preferences for insurance than families that take up. Although access to care is lower among the decliners who remain uninsured, decliners with public insurance have similar access to care as those with private insurance. Families turning down coverage are more likely to face high expenditure burdens as a percentage of income and more likely to have financial barriers to care. Families who decline coverage rely heavily on the safety net. Public sources and uncompensated care account for 72% of total expenditures among adults who decline coverage. Our results suggest that policy initiatives aimed at increasing take up among workers need to take into account the incentives workers face given the availability of care through public sources and uncompensated care.

AFRICOM Engineers: Using Water in the Fight for Regional Security

DTIC Science & Technology

2008-01-01

states-states in which government authority has collapsed, violence has become endemic, and functional governance has ceased-have emerged in the period...primary health care services • Low immunization coverage • Lack of emergency obstetric care/child & mother preventive care • Poor education system

Place, Time and Experience: Barriers to Universalization Of Institutional Child Delivery in Rural Mozambique

PubMed Central

Agadjanian, Victor; Yao, Jing; Hayford, Sarah R.

2017-01-01

CONTEXT Although institutional coverage of childbirth is increasing in the developing world, a substantial minority of births in rural Mozambique still occur outside of health facilities. Identifying the remaining barriers to safe professional delivery services can aid in achieving universal coverage. METHODS Survey data collected in 2009 from 1,373 women in Gaza, Mozambique, were used in combination with spatial, meteorological and health facility data to examine patterns in place of delivery. Geographic information system–based visualization and mapping and exploratory spatial data analysis were used to outline the spatial distribution of home deliveries. Multilevel logistic regression models were constructed to identify associations between individual, spatial and other characteristics and whether women’s most recent delivery took place at home. RESULTS Spatial analysis revealed high- and low-prevalence clusters of home births. In multivariate analyses, women with a higher number of clinics within 10 kilometers of their home had a reduced likelihood of home delivery, but those living closer to urban centers had an increased likelihood. Giving birth during the rainy, high agricultural season was positively associated with home delivery, while household wealth was negatively associated with home birth. No associations were evident for measures of exposure to and experience with health institutions. CONCLUSIONS The results suggest the need for a comprehensive approach to expansion of professional delivery services. Such an approach should complement measures facilitating physical access to health institutions for residents of harder-to-reach areas with community-based interventions aimed at improving rural women’s living conditions and opportunities, while also taking into account seasonal and other variables. PMID:28770025

The impact of health insurance on maternal health care utilization: evidence from Ghana, Indonesia and Rwanda.

PubMed

Wang, Wenjuan; Temsah, Gheda; Mallick, Lindsay

2017-04-01

While research has assessed the impact of health insurance on health care utilization, few studies have focused on the effects of health insurance on use of maternal health care. Analyzing nationally representative data from the Demographic and Health Surveys (DHS), this study estimates the impact of health insurance status on the use of maternal health services in three countries with relatively high levels of health insurance coverage-Ghana, Indonesia and Rwanda. The analysis uses propensity score matching to adjust for selection bias in health insurance uptake and to assess the effect of health insurance on four measurements of maternal health care utilization: making at least one antenatal care visit; making four or more antenatal care visits; initiating antenatal care within the first trimester and giving birth in a health facility. Although health insurance schemes in these three countries are mostly designed to focus on the poor, coverage has been highly skewed toward the rich, especially in Ghana and Rwanda. Indonesia shows less variation in coverage by wealth status. The analysis found significant positive effects of health insurance coverage on at least two of the four measures of maternal health care utilization in each of the three countries. Indonesia stands out for the most systematic effect of health insurance across all four measures. The positive impact of health insurance appears more consistent on use of facility-based delivery than use of antenatal care. The analysis suggests that broadening health insurance to include income-sensitive premiums or exemptions for the poor and low or no copayments can increase use of maternal health care. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Insurance + Access ≠ Health Care: Typology of Barriers to Health Care Access for Low-Income Families

PubMed Central

DeVoe, Jennifer E.; Baez, Alia; Angier, Heather; Krois, Lisa; Edlund, Christine; Carney, Patricia A.

2007-01-01

PURPOSE Public health insurance programs have expanded coverage for the poor, and family physicians provide essential services to these vulnerable populations. Despite these efforts, many Americans do not have access to basic medical care. This study was designed to identify barriers faced by low-income parents when accessing health care for their children and how insurance status affects their reporting of these barriers. METHODS A mixed methods analysis was undertaken using 722 responses to an open-ended question on a health care access survey instrument that asked low-income Oregon families, “Is there anything else you would like to tell us?” Themes were identified using immersion/crystallization techniques. Pertinent demographic attributes were used to conduct matrix coded queries. RESULTS Families reported 3 major barriers: lack of insurance coverage, poor access to services, and unaffordable costs. Disproportionate reporting of these themes was most notable based on insurance status. A higher percentage of uninsured parents (87%) reported experiencing difficulties obtaining insurance coverage compared with 40% of those with insurance. Few of the uninsured expressed concerns about access to services or health care costs (19%). Access concerns were the most common among publicly insured families, and costs were more often mentioned by families with private insurance. Families made a clear distinction between insurance and access, and having one or both elements did not assure care. Our analyses uncovered a 3-part typology of barriers to health care for low-income families. CONCLUSIONS Barriers to health care can be insurmountable for low-income families, even those with insurance coverage. Patients who do not seek care in a family medicine clinic are not necessarily getting their care elsewhere. PMID:18025488

Insurance + access not equal to health care: typology of barriers to health care access for low-income families.

PubMed

Devoe, Jennifer E; Baez, Alia; Angier, Heather; Krois, Lisa; Edlund, Christine; Carney, Patricia A

2007-01-01

Public health insurance programs have expanded coverage for the poor, and family physicians provide essential services to these vulnerable populations. Despite these efforts, many Americans do not have access to basic medical care. This study was designed to identify barriers faced by low-income parents when accessing health care for their children and how insurance status affects their reporting of these barriers. A mixed methods analysis was undertaken using 722 responses to an open-ended question on a health care access survey instrument that asked low-income Oregon families, "Is there anything else you would like to tell us?" Themes were identified using immersion/crystallization techniques. Pertinent demographic attributes were used to conduct matrix coded queries. Families reported 3 major barriers: lack of insurance coverage, poor access to services, and unaffordable costs. Disproportionate reporting of these themes was most notable based on insurance status. A higher percentage of uninsured parents (87%) reported experiencing difficulties obtaining insurance coverage compared with 40% of those with insurance. Few of the uninsured expressed concerns about access to services or health care costs (19%). Access concerns were the most common among publicly insured families, and costs were more often mentioned by families with private insurance. Families made a clear distinction between insurance and access, and having one or both elements did not assure care. Our analyses uncovered a 3-part typology of barriers to health care for low-income families. Barriers to health care can be insurmountable for low-income families, even those with insurance coverage. Patients who do not seek care in a family medicine clinic are not necessarily getting their care elsewhere.

Mobile Phone Incentives for Childhood Immunizations in Rural India.

PubMed

Seth, Rajeev; Akinboyo, Ibukunoluwa; Chhabra, Ankur; Qaiyum, Yawar; Shet, Anita; Gupte, Nikhil; Jain, Ajay K; Jain, Sanjay K

2018-04-01

Young children in resource-poor settings remain inadequately immunized. We evaluated the role of compliance-linked incentives versus mobile phone messaging to improve childhood immunizations. Children aged ≤24 months from a rural community in India were randomly assigned to either a control group or 1 of 2 study groups. A cloud-based, biometric-linked software platform was used for positive identification, record keeping for all groups, and delivery of automated mobile phone reminders with or without compliance-linked incentives (Indian rupee Rs30 or US dollar $0.50 of phone talk time) for the study groups. Immunization coverage was analyzed by using multivariable Poisson regression. Between July 11, 2016, and July 20, 2017, 608 children were randomly assigned to the study groups. Five hundred and forty-nine (90.3%) children fulfilled eligibility criteria, with a median age of 5 months; 51.4% were girls, 83.6% of their mothers had no schooling, and they were in the study for a median duration of 292 days. Median immunization coverage at enrollment was 33% in all groups and increased to 41.7% (interquartile range [IQR]: 23.1%-69.2%), 40.1% (IQR: 30.8%-69.2%), and 50.0% (IQR: 30.8%-76.9%) by the end of the study in the control group, the group with mobile phone reminders, and the compliance-linked incentives group, respectively. The administration of compliance-linked incentives was independently associated with improvement in immunization coverage and a modest increase in timeliness of immunizations. Compliance-linked incentives are an important intervention for improving the coverage and timeliness of immunizations in young children in resource-poor settings. Copyright © 2018 by the American Academy of Pediatrics.

Towards real-time thermometry using simultaneous multislice MRI

NASA Astrophysics Data System (ADS)

Borman, P. T. S.; Bos, C.; de Boorder, T.; Raaymakers, B. W.; Moonen, C. T. W.; Crijns, S. P. M.

2016-09-01

MR-guided thermal therapies, such as high-intensity focused ultrasound (MRgHIFU) and laser-induced thermal therapy (MRgLITT) are increasingly being applied in oncology and neurology. MRI is used for guidance since it can measure temperature noninvasively based on the proton resonance frequency shift (PRFS). For therapy guidance using PRFS thermometry, high temporal resolution and large spatial coverage are desirable. We propose to use the parallel imaging technique simultaneous multislice (SMS) in combination with controlled aliasing (CAIPIRINHA) to accelerate the acquisition. We compare this with the sensitivity encoding (SENSE) acceleration technique. Two experiments were performed to validate that SMS can be used to increase the spatial coverage or the temporal resolution. The first was performed in agar gel using LITT heating and a gradient-echo sequence with echo-planar imaging (EPI), and the second was performed in bovine muscle using HIFU heating and a gradient-echo sequence without EPI. In both experiments temperature curves from an unaccelerated scan and from SMS, SENSE, and SENSE/SMS accelerated scans were compared. The precision was quantified by a standard deviation analysis of scans without heating. Both experiments showed a good agreement between the temperature curves obtained from the unaccelerated, and SMS accelerated scans, confirming that accuracy was maintained during SMS acceleration. The standard deviations of the temperature measurements obtained with SMS were significantly smaller than when SENSE was used, implying that SMS allows for higher acceleration. In the LITT and HIFU experiments SMS factors up to 4 and 3 were reached, respectively, with a loss of precision of less than a factor of 3. Based on these results we conclude that SMS acceleration of PRFS thermometry is a valuable addition to SENSE, because it allows for a higher temporal resolution or bigger spatial coverage, with a higher precision.

Determining the specific microbial populations and their spatial distribution within the stromatolite ecosystem of Shark Bay.

PubMed

Goh, Falicia; Allen, Michelle A; Leuko, Stefan; Kawaguchi, Tomohiro; Decho, Alan W; Burns, Brendan P; Neilan, Brett A

2009-04-01

The stromatolites at Shark Bay, Western Australia, are analogues of some of the oldest evidence of life on Earth. The aim of this study was to identify and spatially characterize the specific microbial communities associated with Shark Bay intertidal columnar stromatolites. Conventional culturing methods and construction of 16S rDNA clone libraries from community genomic DNA with both universal and specific PCR primers were employed. The estimated coverage, richness and diversity of stromatolite microbial populations were compared with earlier studies on these ecosystems. The estimated coverage for all clone libraries indicated that population coverage was comprehensive. Phylogenetic analyses of stromatolite and surrounding seawater sequences were performed in ARB with the Greengenes database of full-length non-chimaeric 16S rRNA genes. The communities identified exhibited extensive diversity. The most abundant sequences from the stromatolites were alpha- and gamma-proteobacteria (58%), whereas the cyanobacterial community was characterized by sequences related to the genera Euhalothece, Gloeocapsa, Gloeothece, Chroococcidiopsis, Dermocarpella, Acaryochloris, Geitlerinema and Schizothrix. All clones from the archaeal-specific clone libraries were related to the halophilic archaea; however, no archaeal sequence was identified from the surrounding seawater. Fluorescence in situ hybridization also revealed stromatolite surfaces to be dominated by unicellular cyanobacteria, in contrast to the sub-surface archaea and sulphate-reducing bacteria. This study is the first to compare the microbial composition of morphologically similar stromatolites over time and examine the spatial distribution of specific microorganismic groups in these intertidal structures and the surrounding seawater at Shark Bay. The results provide a platform for identifying the key microbial physiology groups and their potential roles in modern stromatolite morphogenesis and ecology.

2010-2011 Performance of the AirNow Satellite Data Processor

NASA Astrophysics Data System (ADS)

Pasch, A. N.; DeWinter, J. L.; Haderman, M. D.; van Donkelaar, A.; Martin, R. V.; Szykman, J.; White, J. E.; Dickerson, P.; Zahn, P. H.; Dye, T. S.

2012-12-01

The U.S. Environmental Protection Agency's (EPA) AirNow program provides maps of real time hourly Air Quality Index (AQI) conditions and daily AQI forecasts nationwide (http://www.airnow.gov). The public uses these maps to make health-based decisions. The usefulness of the AirNow air quality maps depends on the accuracy and spatial coverage of air quality measurements. Currently, the maps use only ground-based measurements, which have significant gaps in coverage in some parts of the United States. As a result, contoured AQI levels have high uncertainty in regions far from monitors. To improve the usefulness of air quality maps, scientists at EPA, Dalhousie University, and Sonoma Technology, Inc. have been working in collaboration with the National Aeronautics and Space Administration (NASA) and the National Oceanic and Atmospheric Administration (NOAA) to incorporate satellite-estimated surface PM2.5 concentrations into the maps via the AirNow Satellite Data Processor (ASDP). These satellite estimates are derived using NASA/NOAA satellite aerosol optical depth (AOD) retrievals and GEOS-Chem modeled ratios of surface PM2.5 concentrations to AOD. GEOS-Chem is a three-dimensional chemical transport model for atmospheric composition driven by meteorological input from the Goddard Earth Observing System (GOES). The ASDP can fuse multiple PM2.5 concentration data sets to generate AQI maps with improved spatial coverage. The goal of ASDP is to provide more detailed AQI information in monitor-sparse locations and augment monitor-dense locations with more information. We will present a statistical analysis for 2010-2011 of the ASDP predictions of PM2.5 focusing on performance at validation sites. In addition, we will present several case studies evaluating the ASDP's performance for multiple regions and seasons, focusing specifically on days when large spatial gradients in AQI and wildfire smoke impact were observed.

Ocean surface partitioning strategies using ocean colour remote Sensing: A review

NASA Astrophysics Data System (ADS)

Krug, Lilian Anne; Platt, Trevor; Sathyendranath, Shubha; Barbosa, Ana B.

2017-06-01

The ocean surface is organized into regions with distinct properties reflecting the complexity of interactions between environmental forcing and biological responses. The delineation of these functional units, each with unique, homogeneous properties and underlying ecosystem structure and dynamics, can be defined as ocean surface partitioning. The main purposes and applications of ocean partitioning include the evaluation of particular marine environments; generation of more accurate satellite ocean colour products; assimilation of data into biogeochemical and climate models; and establishment of ecosystem-based management practices. This paper reviews the diverse approaches implemented for ocean surface partition into functional units, using ocean colour remote sensing (OCRS) data, including their purposes, criteria, methods and scales. OCRS offers a synoptic, high spatial-temporal resolution, multi-decadal coverage of bio-optical properties, relevant to the applications and value of ocean surface partitioning. In combination with other biotic and/or abiotic data, OCRS-derived data (e.g., chlorophyll-a, optical properties) provide a broad and varied source of information that can be analysed using different delineation methods derived from subjective, expert-based to unsupervised learning approaches (e.g., cluster, fuzzy and empirical orthogonal function analyses). Partition schemes are applied at global to mesoscale spatial coverage, with static (time-invariant) or dynamic (time-varying) representations. A case study, the highly heterogeneous area off SW Iberian Peninsula (NE Atlantic), illustrates how the selection of spatial coverage and temporal representation affects the discrimination of distinct environmental drivers of phytoplankton variability. Advances in operational oceanography and in the subject area of satellite ocean colour, including development of new sensors, algorithms and products, are among the potential benefits from extended use, scope and applications of ocean surface partitioning using OCRS.

Breast cancer survival in Canada and the USA: meta-analytic evidence of a Canadian advantage in low-income areas.

PubMed

Gorey, Kevin M

2009-12-01

This study tested the hypothesis that relatively poor Canadian women with breast cancer have a survival advantage over their counterparts in the USA. Seventy-eight independent retrospective cohort (incidence between 1984 and 2000, followed until 2006) outcomes were synthesized. Fixed effects meta-regression models compared women with breast cancer in low-income areas of Canada and the USA. Low-income Canadian women were advantaged on survival [rate ratio (RR) = 1.14; 95% confidence interval (CI) 1.13-1.15] and their advantage was even larger among women <65 years of age who are not yet eligible for Medicare coverage in the USA (RR = 1.21, 95% CI 1.18-1.24). Canadian advantages were also larger for node positive breast cancer, which may present with greater clinical and managerial discretion (RR = 1.40, 95% CI 1.30-1.50), and smaller when Hawaii, the state providing the most Canadian-like access, was the US comparator (RR = 1.12, 95% CI 1.01-1.20). More inclusive health care insurance coverage in Canada vs the USA, particularly among each country's relatively poor people, seems the most plausible explanation for such Canadian advantages. Provision of health care for all Americans would likely prevent countless early deaths, particularly among the relatively poor.

Using photometrically selected metal-poor stars to study dwarf galaxies and the Galactic stellar halo

NASA Astrophysics Data System (ADS)

Youakim, Kris; Starkenburg, Else; Martin, Nicolas; Pristine Team

2018-06-01

The Pristine survey is a narrow-band photometric survey designed to efficiently search for extremely metal-poor (EMP) stars. In the first three years of the survey, it has demonstrated great efficiency at finding EMP stars, and also great promise for increasing the current, small sample of the most metal-poor stars. The present sky coverage is ~2500 square degrees in the Northern Galactic Halo, including several individual fields targeting dwarf galaxies. By efficiently identifying member stars in the outskirts of known faint dwarf galaxies, the dynamical histories and chemical abundance patterns of these systems can be understood in greater detail. Additionally, with reliable photometric metallicities over a large sky coverage it is possible to perform a large scale clustering analysis in the Milky Way halo, and investigate the characteristic scale of substructure at different metallicities. This can reveal important details about the process of building up the halo through dwarf galaxy accretion, and offer insight into the connection between dwarf galaxies and the Milky Way halo. In this talk I will outline our results on the search for the most pristine stars, with a focus on how we are using this information to advance our understanding of dwarf galaxies and their contribution to the formation of the Galactic stellar halo.

An analysis of perceived access to health care in Europe: How universal is universal coverage?

PubMed

Cylus, Jonathan; Papanicolas, Irene

2015-09-01

The objective of this paper is to examine variations in perceptions of access to health care across and within 29 European countries. Using data from the 2008 round of the European Social Survey, we investigate the likelihood of an individual perceiving that they will experience difficulties accessing health care in the next 12 months, should they need it (N=51,835). We find that despite most European countries having mandates for universal health coverage, individuals who are low income, in poor health, lack citizenship in the country where they reside, 20-30 years old, unemployed and/or female have systematically greater odds of feeling unable to access care. Focusing on the role of income, we find that while there is a strong association between low income and perceived access barriers across countries, within many countries, perceptions of difficulties accessing care are not concentrated uniquely among low-income groups. This implies that factors that affect all income groups, such as poor quality care and long waiting times may serve as important barriers to access in these countries. Despite commitments to move towards universal health coverage in Europe, our results suggest that there is still significant heterogeneity among individuals' perceptions of access and important barriers to accessing health care. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Tracking Vaccination Teams During Polio Campaigns in Northern Nigeria by Use of Geographic Information System Technology: 2013–2015

PubMed Central

Touray, Kebba; Mkanda, Pascal; Tegegn, Sisay G.; Nsubuga, Peter; Erbeto, Tesfaye B.; Banda, Richard; Etsano, Andrew; Shuaib, Faisal; Vaz, Rui G.

2016-01-01

Introduction. Nigeria is among the 3 countries in which polio remains endemic. The country made significant efforts to reduce polio transmission but remains challenged by poor-quality campaigns and poor team performance in some areas. This article demonstrates the application of geographic information system technology to track vaccination teams to monitor settlement coverage, reduce the number of missed settlements, and improve team performance. Methods. In each local government area where tracking was conducted, global positioning system–enabled Android phones were given to each team on a daily basis and were used to record team tracks. These tracks were uploaded to a dashboard to show the level of coverage and identify areas missed by the teams. Results. From 2012 to June 2015, tracking covered 119 immunization days. A total of 1149 tracking activities were conducted. Of these, 681 (59%) were implemented in Kano state. There was an improvement in the geographic coverage of settlements and an overall reduction in the number of missed settlements. Conclusions. The tracking of vaccination teams provided significant feedback during polio campaigns and enabled supervisors to evaluate performance of vaccination teams. The reports supported other polio program activities, such as review of microplans and the deployment of other interventions, for increasing population immunity in northern Nigeria. PMID:26609004

Improving Radar QPE's in Complex Terrain for Improved Flash Flood Monitoring and Prediction

NASA Astrophysics Data System (ADS)

Cifelli, R.; Streubel, D. P.; Reynolds, D.

2010-12-01

Quantitative Precipitation Estimation (QPE) is extremely challenging in regions of complex terrain due to a combination of issues related to sampling. In particular, radar beams are often blocked or scan above the liquid precipitation zone while rain gauge density is often too low to properly characterize the spatial distribution of precipitation. Due to poor radar coverage, rain gauge networks are used by the National Weather Service (NWS) River Forecast Centers as the principal source for QPE across the western U.S. The California Nevada River Forecast Center (CNRFC) uses point rainfall measurements and historical rainfall runoff relationships to derive river stage forecasts. The point measurements are interpolated to a 4 km grid using Parameter-elevation Regressions on Independent Slopes Model (PRISM) data to develop a gridded 6-hour QPE product (hereafter referred to as RFC QPE). Local forecast offices can utilize the Multi-sensor Precipitation Estimator (MPE) software to improve local QPE’s and thus local flash flood monitoring and prediction. MPE uses radar and rain gauge data to develop a combined QPE product at 1-hour intervals. The rain gauge information is used to bias correct the radar precipitation estimates so that, in situations where the rain gauge density and radar coverage are adequate, MPE can take advantage of the spatial coverage of the radar and the “ground truth” of the rain gauges to provide an accurate QPE. The MPE 1-hour QPE analysis should provide better spatial and temporal resolution for short duration hydrologic events as compared to 6-hour analyses. These hourly QPEs are then used to correct radar derived rain rates used by the Flash Flood Monitoring and Prediction (FFMP) software in forecast offices for issuance of flash flood warnings. Although widely used by forecasters across the eastern U.S., MPE is not used extensively by the NWS in the west. Part of the reason for the lack of use of MPE across the west is that there has been little quantitative evaluation of MPE performance in this region compared to simply using a gage only analysis. In this study, an evaluation of MPE and RFC QPE is performed in a portion of the CNRFC (including the Russian and American River basins) using an independent set of rain gauge data from the Hydrometeorology Testbed (HMT). Data from a precipitation event in January 2010 are used to establish the comparison methodology and for preliminary evaluation. For this multi-day event, it is shown that the RFC QPE shows generally better agreement with the HMT gauges compared to MPE in terms of storm total precipitation. However, the bias in RFC:MPE is shown to vary as a function of terrain and time. Moreover, for a subset of the HMT gauges in Sonoma county, the 1-hour MPE precipitation totals are found to be generally well correlated to the HMT gauge totals with correlation coefficients ranging from 0.6-0.9. For the Sonoma county gauges, the MPE product generally underestimates rainfall compared to HMT, probably as a consequence of low-level, orographically forced precipitation that was not well captured by the MPE radar analysis.

Low, slow, small target recognition based on spatial vision network

NASA Astrophysics Data System (ADS)

Cheng, Zhao; Guo, Pei; Qi, Xin

2018-03-01

Traditional photoelectric monitoring is monitored using a large number of identical cameras. In order to ensure the full coverage of the monitoring area, this monitoring method uses more cameras, which leads to more monitoring and repetition areas, and higher costs, resulting in more waste. In order to reduce the monitoring cost and solve the difficult problem of finding, identifying and tracking a low altitude, slow speed and small target, this paper presents spatial vision network for low-slow-small targets recognition. Based on camera imaging principle and monitoring model, spatial vision network is modeled and optimized. Simulation experiment results demonstrate that the proposed method has good performance.

Visuo-spatial cueing in children with differential reading and spelling profiles

PubMed Central

Kemény, Ferenc; Gangl, Melanie; Schulte-Körne, Gerd; Moll, Kristina; Landerl, Karin

2017-01-01

Dyslexia has been claimed to be causally related to deficits in visuo-spatial attention. In particular, inefficient shifting of visual attention during spatial cueing paradigms is assumed to be associated with problems in graphemic parsing during sublexical reading. The current study investigated visuo-spatial attention performance in an exogenous cueing paradigm in a large sample (N = 191) of third and fourth graders with different reading and spelling profiles (controls, isolated reading deficit, isolated spelling deficit, combined deficit in reading and spelling). Once individual variability in reaction times was taken into account by means of z-transformation, a cueing deficit (i.e. no significant difference between valid and invalid trials) was found for children with combined deficits in reading and spelling. However, poor readers without spelling problems showed a cueing effect comparable to controls, but exhibited a particularly strong right-over-left advantage (position effect). Isolated poor spellers showed a significant cueing effect, but no position effect. While we replicated earlier findings of a reduced cueing effect among poor nonword readers (indicating deficits in sublexical processing), we also found a reduced cueing effect among children with particularly poor orthographic spelling (indicating deficits in lexical processing). Thus, earlier claims of a specific association with nonword reading could not be confirmed. Controlling for ADHD-symptoms reported in a parental questionnaire did not impact on the statistical analysis, indicating that cueing deficits are not caused by more general attentional limitations. Between 31 and 48% of participants in the three reading and/or spelling deficit groups as well as 32% of the control group showed reduced spatial cueing. These findings indicate a significant, but moderate association between certain aspects of visuo-spatial attention and subcomponents of written language processing, the causal status of which is yet unclear. PMID:28686635

Visuo-spatial cueing in children with differential reading and spelling profiles.

PubMed

Banfi, Chiara; Kemény, Ferenc; Gangl, Melanie; Schulte-Körne, Gerd; Moll, Kristina; Landerl, Karin

2017-01-01

Dyslexia has been claimed to be causally related to deficits in visuo-spatial attention. In particular, inefficient shifting of visual attention during spatial cueing paradigms is assumed to be associated with problems in graphemic parsing during sublexical reading. The current study investigated visuo-spatial attention performance in an exogenous cueing paradigm in a large sample (N = 191) of third and fourth graders with different reading and spelling profiles (controls, isolated reading deficit, isolated spelling deficit, combined deficit in reading and spelling). Once individual variability in reaction times was taken into account by means of z-transformation, a cueing deficit (i.e. no significant difference between valid and invalid trials) was found for children with combined deficits in reading and spelling. However, poor readers without spelling problems showed a cueing effect comparable to controls, but exhibited a particularly strong right-over-left advantage (position effect). Isolated poor spellers showed a significant cueing effect, but no position effect. While we replicated earlier findings of a reduced cueing effect among poor nonword readers (indicating deficits in sublexical processing), we also found a reduced cueing effect among children with particularly poor orthographic spelling (indicating deficits in lexical processing). Thus, earlier claims of a specific association with nonword reading could not be confirmed. Controlling for ADHD-symptoms reported in a parental questionnaire did not impact on the statistical analysis, indicating that cueing deficits are not caused by more general attentional limitations. Between 31 and 48% of participants in the three reading and/or spelling deficit groups as well as 32% of the control group showed reduced spatial cueing. These findings indicate a significant, but moderate association between certain aspects of visuo-spatial attention and subcomponents of written language processing, the causal status of which is yet unclear.

SU-E-T-309: Dosimetric Comparison of Simultaneous Integrated Boost Treatment Plan Between Intensity Modulated Radiotherapies (IMRTs), Dual Arc Volumetric Modulated Arc Therapy (DA-VMAT) and Single Arc Volumetric Modulated Arc Therapy (SA-VMAT) for Nasopharyngeal Carcinoma (NPC)

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

Sivakumar, R; Janardhan, N; Bhavani, P

Purpose: To compare the plan quality and performance of Simultaneous Integrated Boost (SIB) Treatment plan between Seven field (7F) and Nine field(9F) Intensity Modulated Radiotherapies and Single Arc (SA) and Dual Arc (DA) Volumetric Modulated Arc Therapy( VMAT). Methods: Retrospective planning study of 16 patients treated in Elekta Synergy Platform (mlci2) by 9F-IMRT were replanned with 7F-IMRT, Single Arc VMAT and Dual Arc VMAT using CMS, Monaco Treatment Planning System (TPS) with Monte Carlo simulation. Target delineation done as per Radiation Therapy Oncology Protocols (RTOG 0225&0615). Dose Prescribed as 70Gy to Planning Target Volumes (PTV70) and 61Gy to PTV61 inmore » 33 fraction as a SIB technique. Conformity Index(CI), Homogeneity Index(HI) were used as analysis parameter for Target Volumes as well as Mean dose and Max dose for Organ at Risk(OAR,s).Treatment Delivery Time(min), Monitor unit per fraction (MU/fraction), Patient specific quality assurance were also analysed. Results: A Poor dose coverage and Conformity index (CI) was observed in PTV70 by 7F-IMRT among other techniques. SA-VMAT achieved poor dose coverage in PTV61. No statistical significance difference observed in OAR,s except Spinal cord (P= 0.03) and Right optic nerve (P=0.03). DA-VMAT achieved superior target coverage, higher CI (P =0.02) and Better HI (P=0.03) for PTV70 other techniques (7F-IMRT/9F-IMRT/SA-VMAT). A better dose spare for Parotid glands and spinal cord were seen in DA-VMAT. The average treatment delivery time were 5.82mins, 6.72mins, 3.24mins, 4.3mins for 7F-IMRT, 9F-IMRT, SA-VMAT and DA-VMAT respectively. Significance difference Observed in MU/fr (P <0.001) and Patient quality assurance pass rate were >95% (Gamma analysis (Γ3mm, 3%). Conclusion: DA-VAMT showed better target dose coverage and achieved better or equal performance in sparing OARs among other techniques. SA-VMAT offered least Treatment Time than other techniques but achieved poor target coverage. DA-VMAT offered shorter delivery time than 7F-IMRT and 9F-IMRT without compromising the plan quality.« less

Solving Large-scale Spatial Optimization Problems in Water Resources Management through Spatial Evolutionary Algorithms

NASA Astrophysics Data System (ADS)

Wang, J.; Cai, X.

2007-12-01

A water resources system can be defined as a large-scale spatial system, within which distributed ecological system interacts with the stream network and ground water system. Water resources management, the causative factors and hence the solutions to be developed have a significant spatial dimension. This motivates a modeling analysis of water resources management within a spatial analytical framework, where data is usually geo- referenced and in the form of a map. One of the important functions of Geographic information systems (GIS) is to identify spatial patterns of environmental variables. The role of spatial patterns in water resources management has been well established in the literature particularly regarding how to design better spatial patterns for satisfying the designated objectives of water resources management. Evolutionary algorithms (EA) have been demonstrated to be successful in solving complex optimization models for water resources management due to its flexibility to incorporate complex simulation models in the optimal search procedure. The idea of combining GIS and EA motivates the development and application of spatial evolutionary algorithms (SEA). SEA assimilates spatial information into EA, and even changes the representation and operators of EA. In an EA used for water resources management, the mathematical optimization model should be modified to account the spatial patterns; however, spatial patterns are usually implicit, and it is difficult to impose appropriate patterns to spatial data. Also it is difficult to express complex spatial patterns by explicit constraints included in the EA. The GIS can help identify the spatial linkages and correlations based on the spatial knowledge of the problem. These linkages are incorporated in the fitness function for the preference of the compatible vegetation distribution. Unlike a regular GA for spatial models, the SEA employs a special hierarchical hyper-population and spatial genetic operators to represent spatial variables in a more efficient way. The hyper-population consists of a set of populations, which correspond to the spatial distributions of the individual agents (organisms). Furthermore spatial crossover and mutation operators are designed in accordance with the tree representation and then applied to both organisms and populations. This study applies the SEA to a specific problem of water resources management- maximizing the riparian vegetation coverage in accordance with the distributed groundwater system in an arid region. The vegetation coverage is impacted greatly by the nonlinear feedbacks and interactions between vegetation and groundwater and the spatial variability of groundwater. The SEA is applied to search for an optimal vegetation configuration compatible to the groundwater flow. The results from this example demonstrate the effectiveness of the SEA. Extension of the algorithm for other water resources management problems is discussed.

Multiple imputation of missing fMRI data in whole brain analysis

PubMed Central

Vaden, Kenneth I.; Gebregziabher, Mulugeta; Kuchinsky, Stefanie E.; Eckert, Mark A.

2012-01-01

Whole brain fMRI analyses rarely include the entire brain because of missing data that result from data acquisition limits and susceptibility artifact, in particular. This missing data problem is typically addressed by omitting voxels from analysis, which may exclude brain regions that are of theoretical interest and increase the potential for Type II error at cortical boundaries or Type I error when spatial thresholds are used to establish significance. Imputation could significantly expand statistical map coverage, increase power, and enhance interpretations of fMRI results. We examined multiple imputation for group level analyses of missing fMRI data using methods that leverage the spatial information in fMRI datasets for both real and simulated data. Available case analysis, neighbor replacement, and regression based imputation approaches were compared in a general linear model framework to determine the extent to which these methods quantitatively (effect size) and qualitatively (spatial coverage) increased the sensitivity of group analyses. In both real and simulated data analysis, multiple imputation provided 1) variance that was most similar to estimates for voxels with no missing data, 2) fewer false positive errors in comparison to mean replacement, and 3) fewer false negative errors in comparison to available case analysis. Compared to the standard analysis approach of omitting voxels with missing data, imputation methods increased brain coverage in this study by 35% (from 33,323 to 45,071 voxels). In addition, multiple imputation increased the size of significant clusters by 58% and number of significant clusters across statistical thresholds, compared to the standard voxel omission approach. While neighbor replacement produced similar results, we recommend multiple imputation because it uses an informed sampling distribution to deal with missing data across subjects that can include neighbor values and other predictors. Multiple imputation is anticipated to be particularly useful for 1) large fMRI data sets with inconsistent missing voxels across subjects and 2) addressing the problem of increased artifact at ultra-high field, which significantly limit the extent of whole brain coverage and interpretations of results. PMID:22500925

Monitoring Ocean CO2 Fluxes from Space: GOSAT and OCO-2

NASA Technical Reports Server (NTRS)

Crisp, David

2012-01-01

The ocean is a major component of the global carbon cycle, emitting over 330 billion tons of carbon dioxide (CO2) into the atmosphere each year, or about 10 times that emitted fossil fuel combustion and all other human activities [1, 2]. The ocean reabsorbs a comparable amount of CO2 each year, along with 25% of the CO2 emitted by these human activities. The nature and geographic distribution of the processes controlling these ocean CO2 fluxes are still poorly constrained by observations. A better understanding of these processes is essential to predict how this important CO2 sink may evolve as the climate changes.While in situ measurements of ocean CO2 fluxes can be very precise, the sampling density is far too sparse to quantify ocean CO2 sources and sinks over much of the globe. One way to improve the spatial resolution, coverage, and sampling frequency is to make observations of the column averaged CO2 dry air mole fraction, XCO2, from space [4, 5, 6]. Such measurements could provide global coverage at high resolution (< 100 km) on monthly time scales. High precision (< 1 part per million, ppm) is essential to resolve the small, near-surface CO2 variations associated with ocean fluxes and to better constrain the CO2 transport over the ocean. The Japanese Greenhouse gases Observing Satellite (GOSAT) and the NASA Orbiting Carbon Observatory (OCO) were first two space based sensors designed specifically for this task. GOSAT was successfully launched on January 23, 2009, and has been returning measurements of XCO2 since April 2009. The OCO mission was lost in February 2009, when its launch vehicle malfunctioned and failed to reach orbit. In early 2010, NASA authorized a re-flight of OCO, called OCO-2, which is currently under development.

Effectiveness and Sensitivity of the Arctic Observing Network in a Coupled Ocean-Sea Ice State Estimation Framework

NASA Astrophysics Data System (ADS)

Nguyen, A. T.; Heimbach, P.; Garg, V.; Ocana, V.

2016-12-01

Over the last few decades, various agencies have invested heavily in the development and deployment of Arctic ocean and sea ice observing platforms, especially moorings, profilers, gliders, and satellite-based instruments. These observational assets are heterogeneous in terms of variables sampled and spatio-temporal coverage, which calls for a dynamical synthesis framework of the diverse data streams. Here we introduce an adjoint-based Arctic Subpolar gyre sTate estimate (ASTE), a medium resolution model-data synthesis that leverages all the possible observational assets. Through an established formal state and parameter estimation framework, the ASTE framework produces a 2002-present ocean-sea ice state that can be used to address Arctic System science questions. It is dynamically and kinematically consistent with known equations of motion and consistent with observations. Four key aspects of ASTE will be discussed: (1) How well is ASTE constrained by the existing observations; (2) which data most effectively constrain the system, and what impact on the solution does spatial and temporal coverage have; (3) how much information does one set of observation (e.g. Fram Strait heat transport) carry about a remote, but dynamically linked component (e.g. heat content in the Beaufort Gyre); and (4) how can the framework be used to assess the value of hypothetical observations in constraining poorly observed parts of the Arctic Ocean and the implied mechanisms responsible for the changes occurring in the Arctic. We will discuss the suggested geographic distribution of new observations to maximize the impact on improving our understanding of the general circulation, water mass distribution and hydrographic changes in the Arctic.

TES/Aura L3 Nitric Acid (HNO3) Daily V4 (TL3HNOD)

Atmospheric Science Data Center

2018-02-28

... 37 x 23 km Spatial Resolution:  2.3 x 23 km Temporal Coverage:  08/22/2004 - 04/10/2005 ... Guide Documents:  Data User's Guide (PDF):  Level 3 Level 3 Algorithms, Requirements, & Products (PDF) ...

Evaluation of NASA satellite- and assimilation model-derived long-term daily temperature date over the continental US

USDA-ARS?s Scientific Manuscript database

Agricultural research increasingly is expected to provide precise, quantitative information with an explicit geographic coverage. Limited availability of continuous daily meteorological records often constrains efforts to provide such information through integrated use of simulation models, spatial ...

Integrating stations from the North America Gravity Database into a local GPS-based land gravity survey

USGS Publications Warehouse

Shoberg, Thomas G.; Stoddard, Paul R.

2013-01-01

The ability to augment local gravity surveys with additional gravity stations from easily accessible national databases can greatly increase the areal coverage and spatial resolution of a survey. It is, however, necessary to integrate such data seamlessly with the local survey. One challenge to overcome in integrating data from national databases is that these data are typically of unknown quality. This study presents a procedure for the evaluation and seamless integration of gravity data of unknown quality from a national database with data from a local Global Positioning System (GPS)-based survey. The starting components include the latitude, longitude, elevation and observed gravity at each station location. Interpolated surfaces of the complete Bouguer anomaly are used as a means of quality control and comparison. The result is an integrated dataset of varying quality with many stations having GPS accuracy and other reliable stations of unknown origin, yielding a wider coverage and greater spatial resolution than either survey alone.

Next-generation Event Horizon Telescope developments: new stations for enhanced imaging

NASA Astrophysics Data System (ADS)

Palumbo, Daniel; Johnson, Michael; Doeleman, Sheperd; Chael, Andrew; Bouman, Katherine

2018-01-01

The Event Horizon Telescope (EHT) is a multinational Very Long Baseline Interferometry (VLBI) network of dishes joined to resolve general relativistic behavior near a supermassive black hole. The imaging quality of the EHT is largely dependent upon the sensitivity and spatial frequency coverage of the many baselines between its constituent telescopes. The EHT already contains many highly sensitive dishes, including the crucial Atacama Large Millimeter/Submillimeter Array (ALMA), making it viable to add smaller, cheaper telescopes to the array, greatly improving future capabilities of the EHT. We develop tools for optimizing the positions of new dishes in planned arrays. We also explore the feasibility of adding small orbiting dishes to the EHT, and develop orbital optimization tools for space-based VLBI imaging. Unlike the Millimetron mission planned to be at L2, we specifically treat near-earth orbiters, and find rapid filling of spatial frequency coverage across a large range of baseline lengths. Finally, we demonstrate significant improvement in image quality when adding small dishes to planned arrays in simulated observations.

Second Chances Academy: Alternative School or Pathway to Prison?

ERIC Educational Resources Information Center

Horsford, Sonya Douglass; Powell, Keyona L.

2016-01-01

This case considers the leadership challenge facing district officials in a mid-sized urban-suburban school district receiving negative media coverage for the overrepresentation of poor, Black, and Latino males in its alternative high school, Second Chances Academy. Many of its students also qualify for special education and English learner…

CNNdel: Calling Structural Variations on Low Coverage Data Based on Convolutional Neural Networks

PubMed Central

2017-01-01

Many structural variations (SVs) detection methods have been proposed due to the popularization of next-generation sequencing (NGS). These SV calling methods use different SV-property-dependent features; however, they all suffer from poor accuracy when running on low coverage sequences. The union of results from these tools achieves fairly high sensitivity but still produces low accuracy on low coverage sequence data. That is, these methods contain many false positives. In this paper, we present CNNdel, an approach for calling deletions from paired-end reads. CNNdel gathers SV candidates reported by multiple tools and then extracts features from aligned BAM files at the positions of candidates. With labeled feature-expressed candidates as a training set, CNNdel trains convolutional neural networks (CNNs) to distinguish true unlabeled candidates from false ones. Results show that CNNdel works well with NGS reads from 26 low coverage genomes of the 1000 Genomes Project. The paper demonstrates that convolutional neural networks can automatically assign the priority of SV features and reduce the false positives efficaciously. PMID:28630866

Factors Affecting the Delivery, Access, and Use of Interventions to Prevent Malaria in Pregnancy in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

PubMed Central

Hill, Jenny; Hoyt, Jenna; van Eijk, Anna Maria; D'Mello-Guyett, Lauren; ter Kuile, Feiko O.; Steketee, Rick; Smith, Helen; Webster, Jayne

2013-01-01

Background Malaria in pregnancy has important consequences for mother and baby. Coverage with the World Health Organization–recommended prevention strategy for pregnant women in sub-Saharan Africa of intermittent preventive treatment in pregnancy (IPTp) and insecticide-treated nets (ITNs) is low. We conducted a systematic review to explore factors affecting delivery, access, and use of IPTp and ITNs among healthcare providers and women. Methods and Results We searched the Malaria in Pregnancy Library and Global Health Database from 1 January 1990 to 23 April 2013, without language restriction. Data extraction was performed by two investigators independently, and data was appraised for quality and content. Data on barriers and facilitators, and the effect of interventions, were explored using content analysis and narrative synthesis. We conducted a meta-analysis of determinants of IPTp and ITN uptake using random effects models, and performed subgroup analysis to evaluate consistency across interventions and study populations, countries, and enrolment sites. We did not perform a meta-ethnography of qualitative data. Ninety-eight articles were included, of which 20 were intervention studies. Key barriers to the provision of IPTp and ITNs were unclear policy and guidance on IPTp; general healthcare system issues, such as stockouts and user fees; health facility issues stemming from poor organisation, leading to poor quality of care; poor healthcare provider performance, including confusion over the timing of each IPTp dose; and women's poor antenatal attendance, affecting IPTp uptake. Key determinants of IPTp coverage were education, knowledge about malaria/IPTp, socio-economic status, parity, and number and timing of antenatal clinic visits. Key determinants of ITN coverage were employment status, education, knowledge about malaria/ITNs, age, and marital status. Predictors showed regional variations. Conclusions Delivery of ITNs through antenatal clinics presents fewer problems than delivery of IPTp. Many obstacles to IPTp delivery are relatively simple barriers that could be resolved in the short term. Other barriers are more entrenched within the overall healthcare system or socio-economic/cultural contexts, and will require medium- to long-term strategies. Please see later in the article for the Editors' Summary PMID:23935459

Solution-grown small-molecule organic semiconductor with enhanced crystal alignment and areal coverage for organic thin film transistors

DOE PAGES

Bi, Sheng; He, Zhengran; Chen, Jihua; ...

2015-07-24

Drop casting of small-molecule organic semiconductors typically forms crystals with random orientation and poor areal coverage, which leads to significant performance variations of organic thin-film transistors (OTFTs). In this study, we utilize the controlled evaporative self-assembly (CESA) method combined with binary solvent system to control the crystal growth. A small-molecule organic semiconductor,2,5-Di-(2-ethylhexyl)-3,6-bis(5"-n-hexyl-2,2',5',2"]terthiophen-5-yl)-pyrrolo[3,4-c]pyrrole-1,4-dione (SMDPPEH), is used as an example to demonstrate the effectiveness of our approach. By optimizing the double solvent ratios, well-aligned SMDPPEH crystals with significantly improved areal coverage were achieved. As a result, the SMDPPEH based OTFTs exhibit a mobility of 1.6 × 10 -2 cm 2/V s, whichmore » is the highest mobility from SMDPPEH ever reported.« less

Measles hectic in Pakistan; Upsurge versus the lurking vaccination.

PubMed

2015-02-01

Measles has claimed more lives than anticipated, as the outbreaks hit Pakistan severely in 2013 as compared to 2012. Claiming 350 lives through the year 2013, Measles became a headache for the health agencies, authorities and common people. The sudden appearance of the virus in different parts of the country both rural and urban at the same time can be linked to more than one cause. The notable being corruption in health system, poor health infrastructure, destabilized routine immunization, shortage in number of vaccinators, negligence among parents, and floods. As a consequence of these causative factors, the unclear picture of immunization coverage can be presumed as the ultimate etiology of outbreaks in such numbers. Therefore, there is an urgent need to draw out the actual data of immunisation coverage and focus on elimination of hurdles in the road to success in fully coverage with vaccines.

Stability and Change in Health Insurance Among Older Mexican Americans: Longitudinal Evidence From the Hispanic Established Populations for Epidemiologic Study of the Elderly

PubMed Central

Angel, Ronald J.; Angel, Jacqueline L.; Markides, Kyriakos S.

2002-01-01

Objectives. This study examined the association between health insurance coverage, medical care use, limitations in activities of daily living, and mortality among older Mexican-origin individuals. Methods. We analyzed longitudinal data from the Hispanic Established Populations for Epidemiologic Study of the Elderly (H-EPESE). Results. The uninsured tend to be younger, female, poor, and foreign born. They report fewer health care visits, are less likely to have a usual source of care, and more often receive care in Mexico. Conversely, those with private health insurance are economically better off and use more health care services. Over time, the data reveal substantial changes in type of insurance coverage. Conclusions. The data reveal serious vulnerabilities among older Mexican Americans that result from a lack of private Medigap supplemental coverage. (Am J Public Health. 2002;92:1264–1271) PMID:12144982

Examining levels, distribution and correlates of health insurance coverage in Kenya.

PubMed

Kazungu, Jacob S; Barasa, Edwine W

2017-09-01

To examine the levels, inequalities and factors associated with health insurance coverage in Kenya. We analysed secondary data from the Kenya Demographic and Health Survey (KDHS) conducted in 2009 and 2014. We examined the level of health insurance coverage overall, and by type, using an asset index to categorise households into five socio-economic quintiles with quintile 5 (Q5) being the richest and quintile 1 (Q1) being the poorest. The high-low ratio (Q5/Q1 ratio), concentration curve and concentration index (CIX) were employed to assess inequalities in health insurance coverage, and logistic regression to examine correlates of health insurance coverage. Overall health insurance coverage increased from 8.17% to 19.59% between 2009 and 2014. There was high inequality in overall health insurance coverage, even though this inequality decreased between 2009 (Q5/Q1 ratio of 31.21, CIX = 0.61, 95% CI 0.52-0.0.71) and 2014 (Q5/Q1 ratio 12.34, CIX = 0.49, 95% CI 0.45-0.52). Individuals that were older, employed in the formal sector; married, exposed to media; and male, belonged to a small household, had a chronic disease and belonged to rich households, had increased odds of health insurance coverage. Health insurance coverage in Kenya remains low and is characterised by significant inequality. In a context where over 80% of the population is in the informal sector, and close to 50% live below the national poverty line, achieving high and equitable coverage levels with contributory and voluntary health insurance mechanism is problematic. Kenya should consider a universal, tax-funded mechanism that ensures revenues are equitably and efficiently collected, and everyone (including the poor and those in the informal sector) is covered. © 2017 The Authors. Tropical Medicine & International Health published by John Wiley & Sons Ltd.

Seasonal influenza vaccination coverage and its determinants among nursing homes personnel in western France.

PubMed

Elias, Christelle; Fournier, Anna; Vasiliu, Anca; Beix, Nicolas; Demillac, Rémi; Tillaut, Hélène; Guillois, Yvonnick; Eyebe, Serge; Mollo, Bastien; Crépey, Pascal

2017-07-07

Influenza-associated deaths is an important risk for the elderly in nursing homes (NHs) worldwide. Vaccination coverage among residents is high but poorly effective due to immunosenescence. Hence, vaccination of personnel is an efficient way to protect residents. Our objective was to quantify the seasonal influenza vaccination (IV) coverage among NH for elderly workers and identify its determinants in France. We conducted a cross-sectional study in March 2016 in a randomized sample of NHs of the Ille-et-Vilaine department of Brittany, in western France. A standardized questionnaire was administered to a randomized sample of NH workers for face-to-face interviews. General data about the establishment was also collected. Among the 33 NHs surveyed, IV coverage for the 2015-2016 season among permanent workers was estimated at 20% (95% Confidence Interval (CI) 15.3%-26.4%) ranging from 0% to 69% depending on the establishments surveyed. Moreover, IV was associated with having previously experienced a "severe" influenza episode in the past (Prevalence Ratio 1.48, 95% CI 1.01-2.17), and varied by professional categories (p < 0.004) with better coverage among administrative staff. Better knowledge about influenza prevention tools was also correlated (p < 0.001) with a higher IV coverage. Individual perceptions of vaccination benefits had a significant influence on the IV coverage (p < 0.001). Although IV coverage did not reach a high rate, our study showed that personnel considered themselves sufficiently informed about IV. IV coverage remains low in the NH worker population in Ille-et-Vilaine and also possibly in France. Strong variations of IV coverage among NHs suggest that management and working environment play an important role. To overcome vaccine "hesitancy", specific communication tools may be required to be adapted to the various NH professionals to improve influenza prevention.

Health facility and skilled birth deliveries among poor women with Jamkesmas health insurance in Indonesia: a mixed-methods study.

PubMed

Brooks, Mohamad I; Thabrany, Hasbullah; Fox, Matthew P; Wirtz, Veronika J; Feeley, Frank G; Sabin, Lora L

2017-02-02

The growing momentum for quality and affordable health care for all has given rise to the recent global universal health coverage (UHC) movement. As part of Indonesia's strategy to achieve the goal of UHC, large investments have been made to increase health access for the poor, resulting in the implementation of various health insurance schemes targeted towards the poor and near-poor, including the Jamkesmas program. In the backdrop of Indonesia's aspiration to reach UHC is the high rate of maternal mortality that disproportionally affects poor women. The objective of this study was to evaluate the association of health facility and skilled birth deliveries among poor women with and without Jamkesmas and explore perceived barriers to health insurance membership and maternal health service utilization. We used a mixed-methods design. Utilizing data from the 2012 Indonesian Demographic and Health Survey (n = 45,607), secondary analysis using propensity score matching was performed on key outcomes of interest: health facility delivery (HFD) and skilled birth delivery (SBD). In-depth interviews (n = 51) were conducted in the provinces of Jakarta and Banten among poor women, midwives, and government representatives. Thematic framework analysis was performed on qualitative data to explore perceived barriers. In 2012, 63.0% of women did not have health insurance; 19.1% had Jamkesmas. Poor women with Jamkesmas were 19% (OR = 1.19 [1.03-1.37]) more likely to have HFD and 17% (OR = 1.17 [1.01-1.35]) more likely to have SBD compared to poor women without insurance. Qualitative interviews highlighted key issues, including: lack of proper documentation for health insurance registration; the preference of pregnant women to deliver in their parents' village; the use of traditional birth attendants; distance to health facilities; shortage of qualified health providers; overcrowded health facilities; and lack of health facility accreditation. Poor women with Jamkesmas membership had a modest increase in HFD and SBD. These findings are consistent with economic theory that health insurance coverage can reduce financial barriers to care and increase service uptake. However, factors such as socio-cultural beliefs, accessibility, and quality of care are important elements that need to be addressed as part of the national UHC agenda to improve maternal health services in Indonesia.

Mars Operational Environmental Satellite (MOES): A post-Mars Observer discovery mission

NASA Technical Reports Server (NTRS)

Limaye, Sanjay S.

1993-01-01

Mars Operational Environmental Satellite (MOES) is a Discovery concept mission that is designed to observe the global short-term weather phenomena on Mars in a systematic fashion. Even after the Mariner, Viking, and, soon, Mars Observer missions, crucial aspects of the martian atmosphere will remain unobserved systematically. Achieving a better understanding of the cycles of dust, water vapor, and ices on Mars requires detailed information about atmospheric transports of those quantities associated with the weather systems, particularly those arising in mid latitudes during fall and winter. It also requires a quantitive understanding of the processes responsible for the onset and evolution of dust storms on all scales. Whereas on Earth the system of geosynchronous and polar orbiting satellites provides continuous coverage of the weather systems, on Mars the time history of important events such as regional and global dust storms remains unobserved. To understand the transport of tracers in the martian atmosphere and particularly to identify their sources and sinks, it is necessary to have systematic global, synoptic observations that have yet to be attained. Clearly these requirements are not easy to achieve from a single spacecraft in orbit, but if we focus on specific regions of the planet, e.g., polar vs. low and mid latitudes, then it is possible to attain a nearly ideal coverage at a reasonable spatial and temporal resolution with a system of just two satellites. Mars Observer is about to yield good coverage of the polar latitudes, so we focus initially on the region not covered well in terms of diurnal coverage, and in terms of desired observations will provide the initial data for the numerical models of the martian weather and climate that can be verified only with better temporal and spatial data.

Spatial and temporal variation in seagrass coverage in Southwest Florida: assessing the relative effects of anthropogenic nutrient load reductions and rainfall in four contiguous estuaries.

PubMed

Tomasko, D A; Corbett, C A; Greening, H S; Raulerson, G E

2005-08-01

The estuaries of Tampa Bay, Sarasota Bay, Lemon Bay, and Upper Charlotte Harbor are contiguous waterbodies located within the subtropical environment of Southwest Florida. Based on an examination of rainfall data over the period of record (1916-2001) within the watersheds of these estuaries, there is no evidence for spatial differences (at the watershed level) or monotonic trends in annual rainfall. During the 1980s, nitrogen loads into Tampa Bay and Sarasota Bay (generated primarily by domestic wastewater treatment facilities) were reduced by 57% and 46%, respectively. In response, both Tampa Bay and Sarasota Bay have lower phytoplankton concentrations, greater water clarity and more extensive seagrass coverage in 2002 than in the early 1980s. As there is no evidence of a concurrent trend in rainfall during the period of 1982-2001, it is unlikely that variation in rainfall can account for the observed increase in seagrass coverage in these two bays. In contrast, seagrass coverage has remained relatively constant since the mid 1980s in Lemon Bay and Charlotte Harbor. Domestic wastewater treatment facilities are minor sources of nitrogen to Lemon Bay, and water clarity in Charlotte Harbor varies mostly as a function of dissolved organic matter and non-chlorophyll associated turbidity, not phytoplankton levels. Even in estuaries that share boundaries and are within 100 km of each other, varied responses to anthropogenic changes and natural phenomena were observed in water quality and associated seagrass extent. Resource management strategies must take into account system-specific factors-not all strategies will result in similar results in different systems.

NARSTO PAC2001 GVRD CAPMON AIR QUAL DATA

Atmospheric Science Data Center

2018-04-09

NARSTO PAC2001 GVRD CAPMON AIR QUAL DATA Project Title:  NARSTO Discipline:  ... Order:   E arthdata Search Parameters:  Air Temperature Humidity Upper Level Winds Ozone Aerosol Particle ... Data:  Spatial Coverage: Canada Pacific 2001 Air Quality Study SCAR-B Block:  SCAR-B ...

Remote Access to Earth Science Data by Content, Space and Time

NASA Technical Reports Server (NTRS)

Dobinson, E.; Raskin, G.

1998-01-01

This demo presents the combination on an http-based client/server application that facilitates internet access to Earth science data coupled with a Java applet GUI that allows the user to graphically select data based on spatial and temporal coverage plots and scientific parameters.

Traffic monitoring using satellite and ground data : preparation for feasibility tests and an operational system, final report.

DOT National Transportation Integrated Search

2000-04-01

Satellite imagery could conceivably be added to data traditionally collected in traffic monitoring programs to allow wide spatial coverage unobtainable from ground-based sensors in a safe, off-the-road environment. Previously, we estimated that 1-m r...

Traffic monitoring using satellite and ground data : preparation for feasibility tests and an operational system, executive summary.

DOT National Transportation Integrated Search

2000-04-01

Satellite imagery could conceivably be added to data traditionally collected in traffic monitoring programs to allow wide spatial coverage unobtainable from ground-based sensors in a safe, off-the-road environment. Previously, we estimated that 1-m r...

Acquisition and management of continuous data streams for crop water management

USDA-ARS?s Scientific Manuscript database

Wireless sensor network systems for decision support in crop water management offer many advantages including larger spatial coverage and multiple types of data input. However, collection and management of multiple and continuous data streams for near real-time post analysis can be problematic. Thi...

A High-Resolution Aerosol Retrieval Method for Urban Areas Using MISR Data

NASA Astrophysics Data System (ADS)

Moon, T.; Wang, Y.; Liu, Y.; Yu, B.

2012-12-01

Satellite-retrieved Aerosol Optical Depth (AOD) can provide a cost-effective way to monitor particulate air pollution without using expensive ground measurement sensors. One of the current state-of-the-art AOD retrieval method is NASA's Multi-angle Imaging SpectroRadiometer (MISR) operational algorithm, which has the spatial resolution of 17.6 km x 17.6 km. While the MISR baseline scheme already leads to exciting research opportunities to study particle compositions at regional scale, its spatial resolution is too coarse for analyzing urban areas where the AOD level has stronger spatial variations. We develop a novel high-resolution AOD retrieval algorithm that still uses MISR's radiance observations but has the resolution of 4.4km x 4.4km. We achieve the high resolution AOD retrieval by implementing a hierarchical Bayesian model and Monte-Carlo Markov Chain (MCMC) inference method. Our algorithm not only improves the spatial resolution, but also extends the coverage of AOD retrieval and provides with additional composition information of aerosol components that contribute to the AOD. We validate our method using the recent NASA's DISCOVER-AQ mission data, which contains the ground measured AOD values for Washington DC and Baltimore area. The validation result shows that, compared to the operational MISR retrievals, our scheme has 41.1% more AOD retrieval coverage for the DISCOVER-AQ data points and 24.2% improvement in mean-squared error (MSE) with respect to the AERONET ground measurements.

Internal Consistency of the NVAP Water Vapor Dataset

NASA Technical Reports Server (NTRS)

Suggs, Ronnie J.; Jedlovec, Gary J.; Arnold, James E. (Technical Monitor)

2001-01-01

The NVAP (NASA Water Vapor Project) dataset is a global dataset at 1 x 1 degree spatial resolution consisting of daily, pentad, and monthly atmospheric precipitable water (PW) products. The analysis blends measurements from the Television and Infrared Operational Satellite (TIROS) Operational Vertical Sounder (TOVS), the Special Sensor Microwave/Imager (SSM/I), and radiosonde observations into a daily collage of PW. The original dataset consisted of five years of data from 1988 to 1992. Recent updates have added three additional years (1993-1995) and incorporated procedural and algorithm changes from the original methodology. Since each of the PW sources (TOVS, SSM/I, and radiosonde) do not provide global coverage, each of these sources compliment one another by providing spatial coverage over regions and during times where the other is not available. For this type of spatial and temporal blending to be successful, each of the source components should have similar or compatible accuracies. If this is not the case, regional and time varying biases may be manifested in the NVAP dataset. This study examines the consistency of the NVAP source data by comparing daily collocated TOVS and SSM/I PW retrievals with collocated radiosonde PW observations. The daily PW intercomparisons are performed over the time period of the dataset and for various regions.

The Node Deployment of Intelligent Sensor Networks Based on the Spatial Difference of Farmland Soil

PubMed Central

Liu, Naisen; Cao, Weixing; Zhu, Yan; Zhang, Jingchao; Pang, Fangrong; Ni, Jun

2015-01-01

Considering that agricultural production is characterized by vast areas, scattered fields and long crop growth cycles, intelligent wireless sensor networks (WSNs) are suitable for monitoring crop growth information. Cost and coverage are the most key indexes for WSN applications. The differences in crop conditions are influenced by the spatial distribution of soil nutrients. If the nutrients are distributed evenly, the crop conditions are expected to be approximately uniform with little difference; on the contrary, there will be great differences in crop conditions. In accordance with the differences in the spatial distribution of soil information in farmland, fuzzy c-means clustering was applied to divide the farmland into several areas, where the soil fertility of each area is nearly uniform. Then the crop growth information in the area could be monitored with complete coverage by deploying a sensor node there, which could greatly decrease the deployed sensor nodes. Moreover, in order to accurately judge the optimal cluster number of fuzzy c-means clustering, a discriminant function for Normalized Intra-Cluster Coefficient of Variation (NICCV) was established. The sensitivity analysis indicates that NICCV is insensitive to the fuzzy weighting exponent, but it shows a strong sensitivity to the number of clusters. PMID:26569243

A New Method for Estimating the Coverage of Mass Vaccination Campaigns Against Poliomyelitis From Surveillance Data

PubMed Central

O'Reilly, K. M.; Cori, A.; Durry, E.; Wadood, M. Z.; Bosan, A.; Aylward, R. B.; Grassly, N. C.

2015-01-01

Mass vaccination campaigns with the oral poliovirus vaccine targeting children aged <5 years are a critical component of the global poliomyelitis eradication effort. Monitoring the coverage of these campaigns is essential to allow corrective action, but current approaches are limited by their cross-sectional nature, nonrandom sampling, reporting biases, and accessibility issues. We describe a new Bayesian framework using data augmentation and Markov chain Monte Carlo methods to estimate variation in vaccination coverage from children's vaccination histories investigated during surveillance for acute flaccid paralysis. We tested the method using simulated data with at least 200 cases and were able to detect undervaccinated groups if they exceeded 10% of all children and temporal changes in coverage of ±10% with greater than 90% sensitivity. Application of the method to data from Pakistan for 2010–2011 identified undervaccinated groups within the Balochistan/Federally Administered Tribal Areas and Khyber Pakhtunkhwa regions, as well as temporal changes in coverage. The sizes of these groups are consistent with the multiple challenges faced by the program in these regions as a result of conflict and insecurity. Application of this new method to routinely collected data can be a useful tool for identifying poorly performing areas and assisting in eradication efforts. PMID:26568569

Holocene vegetation and fire dynamics at Crveni Potok, a small mire in the Dinaric Alps (Tara National Park, Serbia)

NASA Astrophysics Data System (ADS)

Finsinger, Walter; Morales-Molino, Cesar; Gałka, Mariusz; Valsecchi, Verushka; Bojovic, Srdjan; Tinner, Willy

2017-07-01

We analysed sediments from Crveni Potok (Tara Mountains, Serbia), a key site in the Dinaric Alps because it is located within the restricted distribution range of the endemic conifer Picea omorika (Serbian spruce), and thereby bears a unique potential in revealing its Holocene history. We used a set of proxies (pollen, plant-macrofossils, charcoal) to reconstruct the long-term vegetation and fire histories at different spatial scales. The comprehensive snapshot provided by the reconstructions fill an important gap of European long-term vegetation and fire histories in the overall data-coverage poor region of the Dinaric Alps. The reconstructions unfolded an unusual late-Holocene persistence of high forest cover that contrasts with the large majority of European landscape-scale forest-cover records, which show massive anthropogenic openings in the past two millennia. We also found evidence for good post-fire recovery of the currently threatened endemic P. omorika populations. This leads us to suggest that prescribed-burning programmes may be beneficial to reduce the vulnerability of the species, and for ecological restoration and conservation purposes of the declining and endangered populations.

Characterizing Open Water Bodies and Their Color Properties Through Optical Remote Sensing to Identify Areas of Vector-Borne Disease Risk

NASA Astrophysics Data System (ADS)

Podest, E.; De La Torre Juarez, M.; McDonald, K. C.; Jensen, K.; Ceccato, P.

2014-12-01

Predicting the risk of vector-borne disease outbreaks is a required step towards their control and eradication. Satellite observations can provide needed data to support agency decisions with respect to deployment of preventative measures and control resources. The coverage and persistence of open water is one of the primary indicators of conditions suitable for mosquito breeding habitats. This is currently a poorly measured variable due to its spatial and temporal variability across landscapes, especially in remote areas. Here we develop a methodology for monitoring these conditions through optical remote sensing images from Landsat. We pansharpen the images and apply a decision tree classification approach using Random Forests to generate 15 meter resolution maps of open water. In addition, since some mosquitos breed in clear water while others in turbid water, we classify water bodies according to their water color properties and we validate the results using field knowledge. We focus in East Africa where we assses the usefulness of these products to improve prediction of malaria outbreaks. Portions of this work were carried out at the Jet Propulsion Laboratory, California Institute of Technology, under contract with the National Aeronautics and Space Administration.

COCMP Surface Current Mapping Reveals Eddy and Upwelling Jet off Cape Mendocino

NASA Astrophysics Data System (ADS)

Crawford, G. B.; Halle, C.; Largier, J.; Stone, S.

2008-12-01

Ocean surface currents are now being measured continuously over a roughly 2000 km stretch of the western US continental shelf from south of Tijuana, Mexico to the Columbia River. A long-standing gap in this coverage was finally filled on August 12, 2008, with the installation of a long-range Seasonde radar system at Shelter Cove, California (as a part of California's COCMP project). During its first three weeks of operation, this radar has revealed a large (~170 km diameter), stable, anticyclonic eddy southwest of Cape Mendocino in this poorly studied region. Upwelling-favorable winds appear to create an upwelling jet along the eastern edge of the eddy, leading to maximum daily-averaged current speeds up to 80 cm/s, and MODIS-derived chlorophyll concentrations up to 30 mg/m3 in the jet (compared to ~1 mg/m3 in the eddy center). AVHRR data reveal SST differences between the jet and the eddy center of 1.5 to 2.5 °C during these 3 weeks. These complex circulation structures modify water pathways and may interrupt nutrient delivery to locations farther south. We discuss the spatial and temporal evolution of these features.

Ice Nucleating Particles around the world - a global review

NASA Astrophysics Data System (ADS)

Kanji, Zamin A.; Atkinson, James; Sierau, Berko; Lohmann, Ulrike

2017-04-01

In the atmosphere the formation of new ice particles at temperatures above -36 °C is due to a subset of aerosol called Ice Nucleating Particles (INP). However, the spatial and temporal evolution of such particles is poorly understood. Current modelling of INP is attempting to estimate the sources and transport of INP, but is hampered by the availability and convenience of INP observations. As part of the EU FP7 project impact of Biogenic versus Anthropogenic emissions on Clouds and Climate: towards a Holistic UnderStanding (BACCHUS), historical and contemporary observations of INP have been collated into a database (http://www.bacchus-env.eu/in/) and are reviewed here. Outside of Europe and North America the coverage of measurements is sparse, especially for modern day climate - in many areas the only measurements available are from the mid-20th century. As well as an overview of all the data in the database, correlations with several accompanying variables are presented. For example, immersion freezing INP seem to be negatively correlated with altitude, whereas CFDC based condensation freezing INP show no height correlation. An initial global parameterisation of INP concentrations taking into account freezing temperature and relative humidity for use in modelling is provided.

The Canadian Hydrogen Intensity Mapping Experiment (CHIME)

NASA Astrophysics Data System (ADS)

Vanderlinde, Keith; Chime Collaboration

2014-04-01

Hydrogen Intensity (HI) mapping uses redshifted 21cm emission from neutral hydrogen as a 3D tracer of Large Scale Structure (LSS) in the Universe. Imprinted in the LSS is a remnant of the acoustic waves which propagated through the primordial plasma. This feature, the Baryon Acoustic Oscillation (BAO), has a characteristic scale of ~150 co-moving Mpc, which appears in the spatial correlation of LSS. By charting the evolution of this scale over cosmic time, we trace the expansion history of the Universe, constraining the Dark Energy equation of state as it becomes a significant component, particularly at redshifts poorly probed by current BAO surveys. In this talk I will introduce CHIME, a transit radio interferometer designed specifically for this purpose. CHIME is an ambitious new telescope, being built in British Columbia, Canada, and composed of five 20m x 100m parabolic reflectors which focus radiation in one direction (east-west) while interferometry is used to resolve beams in the other (north-south). Earth rotation sweeps them across the sky, resulting in complete daily coverage of the northern celestial hemisphere. Commissioning is underway on the 40 x 37m "Pathfinder" telescope, and the full sized 100m x 100m instrument is funded and under development.

Dynamic in-plane potential gradients for actively controlling electrochemical reactions: Part I. Characterization of 1- and 2-component alkanethiol monolayer gradients on thin gold films. Part II. Applications of in-plane potential gradients

NASA Astrophysics Data System (ADS)

Balss, Karin Maria

The research contained in this thesis is focused on the formation and characterization of surface composition gradients on thin gold films that are formed by applications of in-plane potential gradients. Injecting milliamp currents into thin Au films yields significant in-plane voltage drops so that, rather than assuming a single value of potential, an in-plane potential gradient is imposed on the film which depends on the resistivity of the film, the cross sectional area and the magnitude of the potential drop. Furthermore, the in-plane electric potential gradient means that, relative to a solution reference couple, electrochemical reactions occurs at defined spatial positions corresponding to the local potential, V(x) ˜ E0. The spatial gradient in electrochemical potential can then produce spatially dependent electrochemistry. Surface-chemical potential gradients can be prepared by arranging the spread of potentials to span an electrochemical wave mediating redox-associated adsorption or desorption. Examples of reactions that can be spatially patterned include the electrosorption of alkanethiols and over-potential metal deposition. The unique advantage of this method for patterning spatial compositions is the control of surface coverage in both space and time. The thesis is organized into two parts. In Part I, formation and characterization of 1- and 2-component alkanethiol monolayer gradients is investigated. Numerous surface science tools are employed to examine the distribution in coverage obtained by application of in-plane potential gradients. Macroscopic characterization was obtained by sessile water drop contact angle measurements and surface plasmon resonance imaging. Gradients were also imaged on micron length scales with pulsed-force mode atomic force microscopy. Direct chemical evidence of surface compositions in aromatic thiol surface coverage was obtained by surface-enhanced Raman spectroscopy. In Part II, the applications of in-plane potential gradients is discussed. Electrochemical reactions other than electrosorption of alkanethiols were demonstrated with over-potential deposition of copper onto gold films. One application of these patterns is to control the movement of supermolecular objects. As a first step towards this goal, biological cells were seeded onto gradient patterns containing adhesion promoters and inhibitors. The morphology and adhesion was investigated as a function of concentration along the gradient.

Evaluation of a community-based intervention to improve maternal and neonatal health service coverage in the most rural and remote districts of Zambia

PubMed Central

Michelo, Charles; Chola, Mumbi; Oliphant, Nicholas; Halwiindi, Hikabasa; Maswenyeho, Sitali; Baboo, Kumar Sridutt; Moshabela, Mosa

2018-01-01

Background A community-based intervention comprising both men and women, known as Safe Motherhood Action Groups (SMAGs), was implemented in four of Zambia’s poorest and most remote districts to improve coverage of selected maternal and neonatal health interventions. This paper reports on outcomes in the coverage of maternal and neonatal care interventions, including antenatal care (ANC), skilled birth attendance (SBA) and postnatal care (PNC) in the study areas. Methodology Three serial cross-sectional surveys were conducted between 2012 and 2015 among 1,652 mothers of children 0–5 months of age using a ‘before-and-after’ evaluation design with multi-stage sampling, combining probability proportional to size and simple random sampling. Logistic regression and chi-square test for trend were used to assess effect size and changes in measures of coverage for ANC, SBA and PNC during the intervention. Results Mothers’ mean age and educational status were non-differentially comparable at all the three-time points. The odds of attending ANC at least four times (aOR 1.63; 95% CI 1.38–1.99) and SBA (aOR 1.72; 95% CI 1.38–1.99) were at least 60% higher at endline than baseline surveillance. A two-fold and four-fold increase in the odds of mothers receiving PNC from an appropriate skilled provider (aOR 2.13; 95% CI 1.62–2.79) and a SMAG (aOR 4.87; 95% CI 3.14–7.54), respectively, were observed at endline. Receiving birth preparedness messages from a SMAG during pregnancy (aOR 1.76; 95% CI, 1.20–2.19) and receiving ANC from a skilled provider (aOR 4.01; 95% CI, 2.88–5.75) were significant predictors for SBA at delivery and PNC. Conclusions Strengthening community-based action groups in poor and remote districts through the support of mothers by SMAGs was associated with increased coverage of maternal and newborn health interventions, measured through ANC, SBA and PNC. In remote and marginalised settings, where the need is greatest, context-specific and innovative task-sharing strategies using community health volunteers can be effective in improving coverage of maternal and neonatal services and hold promise for better maternal and child survival in poorly-resourced parts of sub-Saharan Africa. PMID:29337995

Annual Cycles of Multiyear Sea Ice Coverage of the Arctic Ocean: 1999-2003

NASA Technical Reports Server (NTRS)

Kwok, R.

2004-01-01

For the years 1999-2003, we estimate the time-varying perennial ice zone (PIZ) coverage and construct the annual cycles of multiyear (MY, including second year) ice coverage of the Arctic Ocean using QuikSCAT backscatter, MY fractions from RADARSAT, and the record of ice export from satellite passive microwave observations. An area balance approach extends the winter MY coverage from QuikSCAT to the remainder of the year. From these estimates, the coverage of MY ice at the beginning of each year is 3774 x 10(exp 3) sq km (2000), 3896 x 10(exp 3) sq km (2001), 4475 x 10(exp 3) sq km (2002), and 4122 x 10(exp 3) sq km (2003). Uncertainties in coverage are approx.150 x 10(exp 3) sq km. In the mean, on 1 January, MY ice covers approx.60% of the Arctic Ocean. Ice export reduces this coverage to approx.55% by 1 May. From the multiple annual cycles, the area of first-year (FY) ice that survives the intervening summers are 1192 x 10(exp 3) sq km (2000), 1509 x 10(exp 3) sq km (2001), and 582 x 10(exp 3) sq km (2002). In order for the MY coverage to remain constant from year to year, these replenishment areas must balance the overall area export and melt during the summer. The effect of the record minimum in Arctic sea ice area during the summer of 2002 is seen in the lowest area of surviving FY ice of the three summers. In addition to the spatial coverage, the location of the PIZ is important. One consequence of the unusual location of the PIZ at the end of the summer of 2002 is the preconditioning for enhanced export of MY ice into the Barents and Kara seas. Differences between the minimums in summer sea ice coverage from our estimates and passive microwave observations are discussed.

Deriving pragmatic factors behind geo-spatial variation of public sanitation relating to health: A case from a mega-city in lower-middle income developing country

NASA Astrophysics Data System (ADS)

Biswas, R.; Arya, K.; Deshpande, S. C.

2017-12-01

Sanitation is the daily water-human interaction, but Billions of people are still far away from access to improved public sanitation - mostly in developing countries. This challenges Millennium Development Goals across the globe. Economic growth with provision of basic services is unable to assure improvements in sanitation & health. Policymakers & researchers often focus on building infrastructural-capacity without considering empirical factors behind poor sanitation. What are these driving factors? Is there a nexus between sanitation & health? How it is spatially distributed? We have conducted geo-spatial assessment and exploratory regression to interpret spatial-distribution data and deriving influential pragmatic factors in the process. Mumbai is our test-bed, where we have accumulated and applied a total of 40 ward-wise-attributes related to socio-demographic, spatial, services, diseases and infrastructural data. The results indicate that: higher population per toilet-seat, numerous toilet-issues, low toilet density and poor/moderate toilet-condition may be the reason behind the spread of Diarrhoea. On the other hand, illiteracy, per capita waste generation, excreta overflow to open gutter/nallah from toilets and poor/moderate toilet-condition may be the reasons for the spread of Malaria. Strong correlation or associations observed, as in our Malaria-model has an adjusted R2 of 0.65 and the Diarrhoea-model has 0.76. The identified variables are significant enough, since the p-value is <0.05 for the Malaria-model and <0.08 for the Diarrhoea-model. The spatial assessment identifies that ward-FS is most vulnerable followed by ward-GN, considering poor public sanitation & excessive waste generation along with Malaria & Diarrhoea disease-cases. This study and its methods contribute to the advancement of scientific method as a tool that may be useful for researchers, stakeholders and policymakers to conduct further scientific studies in analogous cities. This also permits us to model them to explore policy amendments to mitigate poor sanitation practices that affect public health in contemporary societies.

Sex Differences in Mental Rotation and Spatial Visualization Ability: Can They Be Accounted for by Differences in Working Memory Capacity?

ERIC Educational Resources Information Center

Kaufman, Scott Barry

2007-01-01

Sex differences in spatial ability are well documented, but poorly understood. In order to see whether working memory is an important factor in these differences, 50 males and 50 females performed tests of three-dimensional mental rotation and spatial visualization, along with tests of spatial and verbal working memory. Substantial differences…

Estimation of the fractional coverage of rainfall in climate models

NASA Technical Reports Server (NTRS)

Eltahir, E. A. B.; Bras, R. L.

1993-01-01

The fraction of the grid cell area covered by rainfall, mu, is an essential parameter in descriptions of land surface hydrology in climate models. A simple procedure is presented for estimating this fraction, based on extensive observations of storm areas and rainfall volumes. Storm area and rainfall volume are often linearly related; this relation can be used to compute the storm area from the volume of rainfall simulated by a climate model. A formula is developed for computing mu, which describes the dependence of the fractional coverage of rainfall on the season of the year, the geographical region, rainfall volume, and the spatial and temporal resolution of the model. The new formula is applied in computing mu over the Amazon region. Significant temporal variability in the fractional coverage of rainfall is demonstrated. The implications of this variability for the modeling of land surface hydrology in climate models are discussed.

Spatial distribution of epibenthic molluscs on a sandstone reef in the Northeast of Brazil.

PubMed

Martinez, A S; Mendes, L F; Leite, T S

2012-05-01

The present study investigated the distribution and abundance of epibenthic molluscs and their feeding habits associated to substrate features (coverage and rugosity) in a sandstone reef system in the Northeast of Brazil. Rugosity, low coral cover and high coverage of zoanthids and fleshy alga were the variables that influenced a low richness and high abundance of a few molluscan species in the reef habitat. The most abundant species were generalist carnivores, probably associated to a lesser offer and variability of resources in this type of reef system, when compared to the coral reefs. The results found in this study could reflect a normal characteristic of the molluscan community distribution in sandstone reefs, with low coral cover, or could indicate a degradation state of this habitat if it is compared to coral reefs, once that the significantly high coverage of fleshy alga has been recognized as a negative indicator of reef ecosystems health.

Dynamic monitoring of the Poyang Lake wetland by integrating Landsat and MODIS observations

NASA Astrophysics Data System (ADS)

Chen, Bin; Chen, Lifan; Huang, Bo; Michishita, Ryo; Xu, Bing

2018-05-01

The spatial and temporal adaptive reflectance fusion models (STARFM) have limited practical applications, because they often enforce the invalid assumption that land cover change does not occur between prior/posterior and target dates. To deal with this challenge, we proposed a spatiotemporal adaptive fusion model for NDVI products (STAFFN), to better blend highly resolved spatial and temporal information from multiple sensors. Compared with existing spatiotemporal fusion models, the proposed model integrates an initial prediction into a hierarchical selection strategy of similar pixels, and can capture landscape changes very well. Experiments using spatial details and temporal abundance comparison among MODIS, Landsat, and fusion results show that the predicted data can accurately capture temporal changes while preserving fine-spatial-resolution details. Model comparison also shows that STAFFNs produce consistently lower biases than STARFMs and the flexible spatiotemporal data fusion models (FSDAFs). A synthetic NDVI product (342 scenes in total) was produced with STAFFNs having a 16-day revisit frequency at 30-m spatial resolution from 2000 to 2014. With this product, we further provided a 15-year spatiotemporal change monitoring map of the Poyang Lake wetland. Results show that the water area in the dry season tended to lose 38.3 km2 yr-1 in coverage over the past 15 years, decreasing by 18.24% of the lake area between 2001 and 2014. The wetland vegetation group tended to increase in coverage, increasing by 10.08% of the lake area in the past 15 years. Our study indicates the STAFFN model can be reasonably applied in monitoring wetland dynamics, and can be easily adapted for the use with other ecosystems.

Evaluating PRISM precipitation grid data as possible surrogates for station data at four sites in Oklahoma

USDA-ARS?s Scientific Manuscript database

The development of climate-sensitive decision support for agriculture or water resource management requires long time series of monthly precipitation for specific locations. Archived station data for many locations is available, but time continuity, quality, and spatial coverage of station data rem...

INDICATOR OF EUTROPHICATION AND SEDIMENT LOAD: HYPERSPECTRAL TECHNIQUE FOR CONTINUOUS COVERAGE OF DEEP RIVERS

EPA Science Inventory

Remote sensing techniques were used to characterize and quantify spatial and temporal variation in water quality of the Great Miami River in Ohio. An initial feasibility study was conducted in the summer of 1999 using a non-imaging hand-held spectroradiometer to ascertain the pr...

A MOVING AVERAGE BAYESIAN MODEL FOR SPATIAL SURFACE AND COVERAGE PREDICTION FROM ENVIRONMENTAL POINT-SOURCE DATA

EPA Science Inventory

This paper addresses the general problem of estimating at arbitrary locations the value of an unobserved quantity that varies over space, such as ozone concentration in air or nitrate concentrations in surface groundwater, on the basis of approximate measurements of the quantity ...

TES/Aura L2 Atmospheric Temperatures Nadir V6 (TL2ATMTN)

Atmospheric Science Data Center

2018-01-18

TES/Aura L2 Atmospheric Temperatures Nadir (TL2ATMTN) News:  TES News ... Level:  L2 Platform:  TES/Aura L2 Atmospheric Temperatures Spatial Coverage:  5.3 x 8.5 km nadir ... Contact User Services Parameters:  Atmospheric Temperature Temperature Precision Vertical Resolution ...

TES/Aura L2 Atmospheric Temperatures Limb V6 (TL2TLS)

Atmospheric Science Data Center

2018-03-01

TES/Aura L2 Atmospheric Temperatures Limb (TL2TLS) News:  TES News ... Level:  L2 Platform:  TES/Aura L2 Atmospheric Temperatures Spatial Coverage:  27 x 23 km Limb ... OPeNDAP Access: OPeNDAP Parameters:  Atmospheric Temperature Temperature Precision Vertical Resolution ...

TES/Aura L2 Atmospheric Temperatures Limb V6 (TL2ATMTL)

Atmospheric Science Data Center

2018-03-01

TES/Aura L2 Atmospheric Temperatures Limb (TL2ATMTL) News:  TES News ... Level:  L2 Platform:  TES/Aura L2 Atmospheric Temperatures Spatial Coverage:  27 x 23 km Limb ... OPeNDAP Access: OPeNDAP Parameters:  Atmospheric Temperature Temperature Precision Vertical Resolution ...

Color maps of Arp 146

NASA Technical Reports Server (NTRS)

Schultz, A. B.; Spight, L. D.; Colegrove, P. T.; Disanti, M. A.; Fink, U.

1990-01-01

Four color maps of Arp 146 are given. The structure and color of the ring galaxy and its companion show evidence of a bridge of material between the companion and the remnant nucleus of the original galaxy now forming the ring. Broad band spatial coverage clearly defines regions of starburst occurrence.

Use of NDVI and land surface temperature for assessing vegetation health: merits and limitations

USDA-ARS?s Scientific Manuscript database

To date, most drought indices used in drought monitoring are based on precipitation and meteorological data collected on the ground from distributed monitoring networks. Few satellite-based drought indices are currently in production, although these afford better spatial and temporal coverage and r...

Improvement of axial excitation confinement in temporal focusing-based multiphoton microscopy via spatially modulated illumination

NASA Astrophysics Data System (ADS)

Chang, Chia-Yuan; Chen, Shean-Jen

2017-02-01

Conventional temporal focusing-based multiphoton excitation microscopy (TFMPEM) can offer widefield optical sectioning with an axial excitation confinement (AEC) of a few microns. Herein, a developed TFMPEM with a digital micromirror device (DMD), acting as the blazed grating for light spatial dispersion and simultaneous patterned illumination, has been extended to implement spatially modulated illumination at structured frequency and orientation. By implementing the spatially modulated illumination, the beam coverage at the back-focal aperture of the objective lens can be increased. As a result, the AEC can be condensed from 3.0 μm to 1.5 μm in full width at half maximum for a 2-fold enhancement. Furthermore, by using HiLo microscopy with two structured illuminations at the same spatial frequency but different orientation, biotissue images according to the structured illumination with condensed AEC is obviously superior in contrast and scattering suppression.

Coverage and timing of antenatal care among poor women in 6 Mesoamerican countries.

PubMed

Dansereau, Emily; McNellan, Claire R; Gagnier, Marielle C; Desai, Sima S; Haakenstad, Annie; Johanns, Casey K; Palmisano, Erin B; Ríos-Zertuche, Diego; Schaefer, Alexandra; Zúñiga-Brenes, Paola; Hernandez, Bernardo; Iriarte, Emma; Mokdad, Ali H

2016-08-19

Poor women in the developing world have a heightened need for antenatal care (ANC) but are often the least likely to attend it. This study examines factors associated with the number and timing of ANC visits for poor women in Guatemala, Honduras, Mexico, Nicaragua, Panama, and El Salvador. We surveyed 8366 women regarding the ANC they attended for their most recent birth in the past two years. We conducted logistic regressions to examine demographic, household, and health characteristics associated with attending at least one skilled ANC visit, four skilled visits, and a skilled visit in the first trimester. Across countries, 78 % of women attended at least one skilled ANC visit, 62 % attended at least four skilled visits, and 56 % attended a skilled visit in the first trimester. The proportion of women attending four skilled visits was highest in Nicaragua (81 %) and lowest in Guatemala (18 %) and Panama (38 %). In multiple countries, women who were unmarried, less-educated, adolescent, indigenous, had not wanted to conceive, and lacked media exposure were less likely to meet international ANC guidelines. In countries with health insurance programs, coverage was associated with attending skilled ANC, but not the timeliness. Despite significant policy reforms and initiatives targeting the poor, many women living in the poorest regions of Mesoamérica are not meeting ANC guidelines. Both supply and demand interventions are needed to prioritize vulnerable groups, reduce unplanned pregnancies, and reach populations not exposed to common forms of media. Top performing municipalities can inform effective practices across the region.

Digital database of mining-related features at selected historic and active phosphate mines, Bannock, Bear Lake, Bingham, and Caribou counties, Idaho

USGS Publications Warehouse

Causey, J. Douglas; Moyle, Phillip R.

2001-01-01

This report provides a description of data and processes used to produce a spatial database that delineates mining-related features in areas of historic and active phosphate mining in the core of the southeastern Idaho phosphate resource area. The data have varying degrees of accuracy and attribution detail. Classification of areas by type of mining-related activity at active mines is generally detailed; however, the spatial coverage does not differentiate mining-related surface disturbance features at many of the closed or inactive mines. Nineteen phosphate mine sites are included in the study. A total of 5,728 hc (14,154 ac), or more than 57 km2 (22 mi2), of phosphate mining-related surface disturbance are documented in the spatial coverage of the core of the southeast Idaho phosphate resource area. The study includes 4 active phosphate mines—Dry Valley, Enoch Valley, Rasmussen Ridge, and Smoky Canyon—and 15 historic phosphate mines—Ballard, Champ, Conda, Diamond Gulch, Gay, Georgetown Canyon, Henry, Home Canyon, Lanes Creek, Maybe Canyon, Mountain Fuel, Trail Canyon, Rattlesnake Canyon, Waterloo, and Wooley Valley. Spatial data on the inactive historic mines is relatively up-to-date; however, spatially described areas for active mines are based on digital maps prepared in early 1999. The inactive Gay mine has the largest total area of disturbance: 1,917 hc (4,736 ac) or about 19 km2 (7.4 mi2). It encompasses over three times the disturbance area of the next largest mine, the Conda mine with 607 hc (1,504 ac), and it is nearly four times the area of the Smoky Canyon mine, the largest of the active mines with 497 hc (1,228 ac). The wide range of phosphate mining-related surface disturbance features (approximately 80) were reduced to 13 types or features used in this study—adit and pit, backfilled mine pit, facilities, mine pit, ore stockpile, railroad, road, sediment catchment, tailings or tailings pond, topsoil stockpile, water reservoir, and disturbed land (undifferentiated). In summary, the spatial coverage includes polygons totaling 1,114 hc (2,753 ac) of mine pits, 272 hc (671 ac) of backfilled mine pits, 1,570 hc (3,880 ac) of waste dumps, 26 hc (64 ac) of ore stockpiles, and 44 hc (110 ac) of tailings or tailings ponds. Areas of undifferentiated phosphate mining-related land disturbances, called “disturbed land,” total 2,176 (5,377 ac) or nearly 21.8 km2 (8.4 mi2). No determination has been made as to status of reclamation on these lands. Subsequent site-specific studies to delineate distinct mine features will allow modification of this preliminary spatial database.

Fusion of UAV photogrammetry and digital optical granulometry for detection of structural changes in floodplains

NASA Astrophysics Data System (ADS)

Langhammer, Jakub; Lendzioch, Theodora; Mirijovsky, Jakub

2016-04-01

Granulometric analysis represents a traditional, important and for the description of sedimentary material substantial method with various applications in sedimentology, hydrology and geomorphology. However, the conventional granulometric field survey methods are time consuming, laborious, costly and are invasive to the surface being sampled, which can be limiting factor for their applicability in protected areas.. The optical granulometry has recently emerged as an image analysis technique, enabling non-invasive survey, employing semi-automated identification of clasts from calibrated digital imagery, taken on site by conventional high resolution digital camera and calibrated frame. The image processing allows detection and measurement of mixed size natural grains, their sorting and quantitative analysis using standard granulometric approaches. Despite known limitations, the technique today presents reliable tool, significantly easing and speeding the field survey in fluvial geomorphology. However, the nature of such survey has still limitations in spatial coverage of the sites and applicability in research at multitemporal scale. In our study, we are presenting novel approach, based on fusion of two image analysis techniques - optical granulometry and UAV-based photogrammetry, allowing to bridge the gap between the needs of high resolution structural information for granulometric analysis and spatially accurate and data coverage. We have developed and tested a workflow that, using UAV imaging platform enabling to deliver seamless, high resolution and spatially accurate imagery of the study site from which can be derived the granulometric properties of the sedimentary material. We have set up a workflow modeling chain, providing (i) the optimum flight parameters for UAV imagery to balance the two key divergent requirements - imagery resolution and seamless spatial coverage, (ii) the workflow for the processing of UAV acquired imagery by means of the optical granulometry and (iii) the workflow for analysis of spatial distribution and temporal changes of granulometric properties across the point bar. The proposed technique was tested on a case study of an active point bar of mid-latitude mountain stream at Sumava mountains, Czech Republic, exposed to repeated flooding. The UAV photogrammetry was used to acquire very high resolution imagery to build high-precision digital terrain models and orthoimage. The orthoimage was then analyzed using the digital optical granulometric tool BaseGrain. This approach allowed us (i) to analyze the spatial distribution of the grain size in a seamless transects over an active point bar and (ii) to assess the multitemporal changes of granulometric properties of the point bar material resulting from flooding. The tested framework prove the applicability of the proposed method for granulometric analysis with accuracy comparable with field optical granulometry. The seamless nature of the data enables to study spatial distribution of granulometric properties across the study sites as well as the analysis of multitemporal changes, resulting from repeated imaging.

MISR Level 2 TOA/Cloud Classifier parameters (MIL2TCCL_V3)

NASA Technical Reports Server (NTRS)

Diner, David J. (Principal Investigator)

The TOA/Cloud Classifiers contain the Angular Signature Cloud Mask (ASCM), a scene classifier calculated using support vector machine technology (SVM) both of which are on a 1.1 km grid, and cloud fractions at 17.6 km resolution that are available in different height bins (low, middle, high) and are also calculated on an angle-by-angle basis. [Temporal_Coverage: Start_Date=2000-02-24; Stop_Date=] [Spatial_Coverage: Southernmost_Latitude=-90; Northernmost_Latitude=90; Westernmost_Longitude=-180; Easternmost_Longitude=180] [Data_Resolution: Latitude_Resolution=1.1 km; Longitude_Resolution=1.1 km; Temporal_Resolution=about 15 orbits/day].

Travelling fronts of the CO oxidation on Pd(111) with coverage-dependent diffusion

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

Cisternas, Jaime, E-mail: jecisternas@miuandes.cl; Karpitschka, Stefan; Wehner, Stefan

2014-10-28

In this work, we study a surface reaction on Pd(111) crystals under ultra-high-vacuum conditions that can be modeled by two coupled reaction-diffusion equations. In the bistable regime, the reaction exhibits travelling fronts that can be observed experimentally using photo electron emission microscopy. The spatial profile of the fronts reveals a coverage-dependent diffusivity for one of the species. We propose a method to solve the nonlinear eigenvalue problem and compute the direction and the speed of the fronts based on a geometrical construction in phase-space. This method successfully captures the dependence of the speed on control parameters and diffusivities.

Implementation of softcopy photogrammetric workstations at the US Geological Survey

USGS Publications Warehouse

Skalet, C.D.; Lee, G.Y.G.; Ladner, L. J.

1992-01-01

The US Geological Survey has provided the Nation with primary quadrangle maps and map products for the last 50 years. The Survey recently completed initial coverage of the conterminous United States and Hawaii at 1:24 000 scale. In Alaska, complete coverage exists at 1:63 360 scale. Effort is underway to build a National Digital Cartographic Data Base (NDCDB) composed of the digital representation of these and other map series. In addition the Survey plans to meet the demand for more current and complete data through the development and promotion of spatial data standards in cooperation with other Federal, State, local and private organizations. -from Authors

Validation of NH3 satellite observations by ground-based FTIR measurements

NASA Astrophysics Data System (ADS)

Dammers, Enrico; Palm, Mathias; Van Damme, Martin; Shephard, Mark; Cady-Pereira, Karen; Capps, Shannon; Clarisse, Lieven; Coheur, Pierre; Erisman, Jan Willem

2016-04-01

Global emissions of reactive nitrogen have been increasing to an unprecedented level due to human activities and are estimated to be a factor four larger than pre-industrial levels. Concentration levels of NOx are declining, but ammonia (NH3) levels are increasing around the globe. While NH3 at its current concentrations poses significant threats to the environment and human health, relatively little is known about the total budget and global distribution. Surface observations are sparse and mainly available for north-western Europe, the United States and China and are limited by the high costs and poor temporal and spatial resolution. Since the lifetime of atmospheric NH3 is short, on the order of hours to a few days, due to efficient deposition and fast conversion to particulate matter, the existing surface measurements are not sufficient to estimate global concentrations. Advanced space-based IR-sounders such as the Tropospheric Emission Spectrometer (TES), the Infrared Atmospheric Sounding Interferometer (IASI), and the Cross-track Infrared Sounder (CrIS) enable global observations of atmospheric NH3 that help overcome some of the limitations of surface observations. However, the satellite NH3 retrievals are complex requiring extensive validation. Presently there have only been a few dedicated satellite NH3 validation campaigns performed with limited spatial, vertical or temporal coverage. Recently a retrieval methodology was developed for ground-based Fourier Transform Infrared Spectroscopy (FTIR) instruments to obtain vertical concentration profiles of NH3. Here we show the applicability of retrieved columns from nine globally distributed stations with a range of NH3 pollution levels to validate satellite NH3 products.

Detecting Patterns of Changing Carbon Uptake in Alaska Using Sustained In Situ and Remote Sensing CO2 Observations

NASA Astrophysics Data System (ADS)

Parazoo, N.; Miller, C. E.; Commane, R.; Wofsy, S. C.; Koven, C.; Lawrence, D. M.; Lindaas, J.; Chang, R. Y. W.; Sweeney, C.

2015-12-01

The future trajectory of Arctic ecosystems as a carbon sink or source is of global importance due to vast quantities of carbon in permafrost soils. Over the last few years, a sustained set of airborne (NOAA-PFA, NOAA-ACG, and CARVE) and satellite (OCO-2 and GOSAT) atmospheric CO2 mole fraction measurements have provided unprecedented space and time scale sampling density across Alaska, making it possible to study the Arctic carbon cycle in more detail than ever before. Here, we use a synthesis of airborne and satellite CO2 over the 2009-2013 period with simulated concentrations from CLM4.5 and GEOS-Chem to examine the extent to which regional-scale carbon cycle changes in Alaska can be distinguished from interannual variability and long-range transport. We show that observational strategies focused on sustained profile measurements spanning continental interiors provide key insights into magnitude, duration, and variability of Summer sink activity, but that cold season sources are currently poorly resolved due to lack of sustained spatial sampling. Consequently, although future CO2 budgets dominated by enhanced cold season emission sources under climate warming and permafrost thaw scenarios are likely to produce substantial changes to near-surface CO2 gradients and seasonal cycle amplitude, they are unlikely to be detected by current observational strategies. We conclude that airborne and ground-based networks that provide more spatial coverage in year round profiles will help compensate for systematic sampling gaps in NIR passive satellite systems and provide essential constraints for Arctic carbon cycle changes.

Temporal and spatial variations of greenhouse gas fluxes from a tidal mangrove wetland in Southeast China.

PubMed

Wang, Haitao; Liao, Guanshun; D'Souza, Melissa; Yu, Xiaoqing; Yang, Jun; Yang, Xiaoru; Zheng, Tianling

2016-01-01

Tidal mangrove wetlands are a source of methane (CH4) and nitrous oxide (N2O); but considering the high productivity of mangroves, they represent a significant sink for carbon dioxide (CO2). An exotic plant Spartina alterniflora has invaded east China over the last few decades, threatening these coastal mangrove ecosystems. However, the atmospheric gas fluxes in mangroves are poorly characterized and the impact of biological invasion on greenhouse gas (GHG) fluxes in the wetland remains unclear. In this study, the temporal and spatial dynamics of key GHG fluxes (CO2, CH4, and N2O) at an unvegetated mudflat, cordgrass (S. alterniflora), and mangrove (Kandelia obovata) sites along an estuary of the Jiulong River in Southeast China were investigated over a 2-year period. The CO2 and CH4 fluxes demonstrated a seasonal and vegetation-dependent variation while N2O fluxes showed no such dependent pattern. Air temperature was the main factor influencing CO2 and CH4 fluxes. Cumulative global warming potential (GWP) ranked in the order of mangrove > cordgrass > mudflat and summer > spring > autumn > winter. Moreover, CH4 accounted for the largest proportion (68%) of GWP, indicating its dominant contribution to the warming potential in mangroves. Notwithstanding the lack of information on plant coverage, cordgrass invasion exhibited a minor influence on GHG emissions. These findings support the notion that mangrove forests are net accumulation sites for GHGs. As vegetation showed considerable effects on fluxes, more information about the significance of vegetation type with a special emphasis on the effects of invasive plants is crucial.

City of Flagstaff Project: Ground Water Resource Evaluation, Remote Sensing Component

USGS Publications Warehouse

Chavez, Pat S.; Velasco, Miguel G.; Bowell, Jo-Ann; Sides, Stuart C.; Gonzalez, Rosendo R.; Soltesz, Deborah L.

1996-01-01

Many regions, cities, and towns in the Western United States need new or expanded water resources because of both population growth and increased development. Any tools or data that can help in the evaluation of an area's potential water resources must be considered for this increasingly critical need. Remotely sensed satellite images and subsequent digital image processing have been under-utilized in ground water resource evaluation and exploration. Satellite images can be helpful in detecting and mapping an area's regional structural patterns, including major fracture and fault systems, two important geologic settings for an area's surface to ground water relations. Within the United States Geological Survey's (USGS) Flagstaff Field Center, expertise and capabilities in remote sensing and digital image processing have been developed over the past 25 years through various programs. For the City of Flagstaff project, this expertise and these capabilities were combined with traditional geologic field mapping to help evaluate ground water resources in the Flagstaff area. Various enhancement and manipulation procedures were applied to the digital satellite images; the results, in both digital and hardcopy format, were used for field mapping and analyzing the regional structure. Relative to surface sampling, remotely sensed satellite and airborne images have improved spatial coverage that can help study, map, and monitor the earth surface at local and/or regional scales. Advantages offered by remotely sensed satellite image data include: 1. a synoptic/regional view compared to both aerial photographs and ground sampling, 2. cost effectiveness, 3. high spatial resolution and coverage compared to ground sampling, and 4. relatively high temporal coverage on a long term basis. Remotely sensed images contain both spectral and spatial information. The spectral information provides various properties and characteristics about the surface cover at a given location or pixel (that is, vegetation and/or soil type). The spatial information gives the distribution, variation, and topographic relief of the cover types from pixel to pixel. Therefore, the main characteristics that determine a pixel's brightness/reflectance and, consequently, the digital number (DN) assigned to the pixel, are the physical properties of the surface and near surface, the cover type, and the topographic slope. In this application, the ability to detect and map lineaments, especially those related to fractures and faults, is critical. Therefore, the extraction of spatial information from the digital images was of prime interest in this project. The spatial information varies among the different spectral bands available; in particular, a near infrared spectral band is better than a visible band when extracting spatial information in highly vegetated areas. In this study, both visible and near infrared bands were analyzed and used to extract the desired spatial information from the images. The wide swath coverage of remotely sensed satellite digital images makes them ideal for regional analysis and mapping. Since locating and mapping highly fractured and faulted areas is a major requirement for ground water resource evaluation and exploration this aspect of satellite images was considered critical; it allowed us to stand back (actually up about 440 miles), look at, and map the regional structural setting of the area. The main focus of the remote sensing and digital image processing component of this project was to use both remotely sensed digital satellite images and a Digital Elevation Model (DEM) to extract spatial information related to the structural and topographic patterns in the area. The data types used were digital satellite images collected by the United States' Landsat Thematic Mapper (TM) and French Systeme Probatoire d'Observation de laTerre (SPOT) imaging systems, along with a DEM of the Flagstaff region. The USGS Mini Image Processing Sy

Spatial correlation of auroral zone geomagnetic variations

NASA Astrophysics Data System (ADS)

Jackel, B. J.; Davalos, A.

2016-12-01

Magnetic field perturbations in the auroral zone are produced by a combination of distant ionospheric and local ground induced currents. Spatial and temporal structure of these currents is scientifically interesting and can also have a significant influence on critical infrastructure.Ground-based magnetometer networks are an essential tool for studying these phenomena, with the existing complement of instruments in Canada providing extended local time coverage. In this study we examine the spatial correlation between magnetic field observations over a range of scale lengths. Principal component and canonical correlation analysis are used to quantify relationships between multiple sites. Results could be used to optimize network configurations, validate computational models, and improve methods for empirical interpolation.

Progressive universalism? The impact of targeted coverage on health care access and expenditures in Peru.

PubMed

Neelsen, Sven; O'Donnell, Owen

2017-12-01

Like other countries seeking a progressive path to universalism, Peru has attempted to reduce inequalities in access to health care by granting the poor entitlement to tax-financed basic care without charge. We identify the impact of this policy by comparing the target population's change in health care utilization with that of poor adults already covered through employment-based insurance. There are positive effects on receipt of ambulatory care and medication that are largest among the elderly and the poorest. The probability of getting formal health care when sick is increased by almost two fifths, but the likelihood of being unable to afford treatment is reduced by more than a quarter. Consistent with the shallow coverage offered, there is no impact on use of inpatient care. Neither is there any effect on average out-of-pocket health care expenditure, but medical spending is reduced by up to 25% in the top quarter of the distribution. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

Textbook coverage of a common topic: fluid management of patients after surgery.

PubMed

Chawla, Gunjan; Drummond, Gordon B

2008-06-01

Maintenance fluid therapy is a protean topic but is clinically often mismanaged. Our teaching of medical students led us to suspect that textbooks provide limited information about the topic, so we set out to verify this possibility by reviewing the content of books written in English that covered perioperative care. We reviewed publishers' lists of textbooks and found 22 suitable books. After compiling a standard list of questions on intravenous therapy, we read each book to find out to what extent it delivered the answers, and listed the information obtained. Only 13 books answered more than half of the questions. The information varied considerably. Suggested quantities of daily fluid, sodium and potassium requirements varied hugely. Information provided in standard textbooks to guide fluid prescription is scant and variable. This could be a cogent reason why junior doctors prescribe postoperative fluids badly: the information in textbooks is inadequate and varies from book to book. The reasons for the poor coverage are not clear. Perhaps other common topics that are often poorly managed are also badly addressed by standard books.

[Cognitive disorders in patients with chronic mercury intoxication].

PubMed

Katamanova, E V; Shevchenko, O I; Lakhman, O L; Denisova, I A

2014-01-01

To assess severity of cognitive disorders in chronic mercury intoxication, the authors performed claster and discrimination analysis of neuropsychologic and neurophysiologic research data from workers exposed to mercury during long length of service, from patients with early and marked stages of chronic mercurial intoxication. Cognitive disorders in chronic mercurial intoxication have three severity degrees, in the light degree disorders patients demonstrate lower amplitude of cognitive evoked potentials, poor long-term memory and associative thinking. Moderate cognitive disorders are characterized by decreased visual, long-term memory, concentration of attention, poor optic and spatial gnosis. Marked cognitive disorders with chronic mercurial intoxication present with more decreased long-term, short-term, picturesque memory, poor intellect, optic and spatial gnosis and associative thinking.

Variation in Empiric Coverage Versus Detection of Methicillin-Resistant Staphylococcus aureus and Pseudomonas aeruginosa in Hospitalizations for Community-Onset Pneumonia Across 128 US Veterans Affairs Medical Centers.

PubMed

Jones, Barbara E; Brown, Kevin Antoine; Jones, Makoto M; Huttner, Benedikt D; Greene, Tom; Sauer, Brian C; Madaras-Kelly, Karl; Rubin, Michael A; Bidwell Goetz, Matthew; Samore, Matthew H

2017-08-01

OBJECTIVE To examine variation in antibiotic coverage and detection of resistant pathogens in community-onset pneumonia. DESIGN Cross-sectional study. SETTING A total of 128 hospitals in the Veterans Affairs health system. PARTICIPANTS Hospitalizations with a principal diagnosis of pneumonia from 2009 through 2010. METHODS We examined proportions of hospitalizations with empiric antibiotic coverage for methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa (PAER) and with initial detection in blood or respiratory cultures. We compared lowest- versus highest-decile hospitals, and we estimated adjusted probabilities (AP) for patient- and hospital-level factors predicting coverage and detection using hierarchical regression modeling. RESULTS Among 38,473 hospitalizations, empiric coverage varied widely across hospitals (MRSA lowest vs highest, 8.2% vs 42.0%; PAER lowest vs highest, 13.9% vs 44.4%). Detection rates also varied (MRSA lowest vs highest, 0.5% vs 3.6%; PAER lowest vs highest, 0.6% vs 3.7%). Whereas coverage was greatest among patients with recent hospitalizations (AP for anti-MRSA, 54%; AP for anti-PAER, 59%) and long-term care (AP for anti-MRSA, 60%; AP for anti-PAER, 66%), detection was greatest in patients with a previous history of a positive culture (AP for MRSA, 7.9%; AP for PAER, 11.9%) and in hospitals with a high prevalence of the organism in pneumonia (AP for MRSA, 3.9%; AP for PAER, 3.2%). Low hospital complexity and rural setting were strong negative predictors of coverage but not of detection. CONCLUSIONS Hospitals demonstrated widespread variation in both coverage and detection of MRSA and PAER, but probability of coverage correlated poorly with probability of detection. Factors associated with empiric coverage (eg, healthcare exposure) were different from those associated with detection (eg, microbiology history). Providing microbiology data during empiric antibiotic decision making could better align coverage to risk for resistant pathogens and could promote more judicious use of broad-spectrum antibiotics. Infect Control Hosp Epidemiol 2017;38:937-944.

User experience with a health insurance coverage and benefit-package access: implications for policy implementation towards expansion in Nigeria.

PubMed

Mohammed, Shafiu; Aji, Budi; Bermejo, Justo Lorenzo; Souares, Aurelia; Dong, Hengjin; Sauerborn, Rainer

2016-04-01

Developing countries are devising strategies and mechanisms to expand coverage and benefit-package access for their citizens through national health insurance schemes (NHIS). In Nigeria, the scheme aims to provide affordable healthcare services to insured-persons and their dependants. However, inclusion of dependants is restricted to four biological children and a spouse per user. This study assesses the progress of implementation of the NHIS in Nigeria, relating to coverage and benefit-package access, and examines individual factors associated with the implementation, according to users' perspectives. A retrospective, cross-sectional survey was done between October 2010 and March 2011 in Kaduna state and 796 users were randomly interviewed. Questions regarding coverage of immediate-family members and access to benefit-package for treatment were analysed. Indicators of coverage and benefit-package access were each further aggregated and assessed by unit-weighted composite. The additive-ordinary least square regression model was used to identify user factors that may influence coverage and benefit-package access. With respect to coverage, immediate-dependants were included for 62.3% of the users, and 49.6 rated this inclusion 'good' (49.6%). In contrast, 60.2% supported the abolishment of the policy restriction for non-inclusion of enrolees' additional children and spouses. With respect to benefit-package access, 82.7% of users had received full treatments, and 77.6% of them rated this as 'good'. Also, 14.4% of users had been refused treatments because they could not afford them. The coverage of immediate-dependants was associated with age, sex, educational status, children and enrolment duration. The benefit-package access was associated with types of providers, marital status and duration of enrolment. This study revealed that coverage of family members was relatively poor, while benefit-package access was more adequate. Non-inclusion of family members could hinder effective coverage by the scheme. Potential policy implications towards effective coverage and benefit-package access are discussed. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Examining the impact of larval source management and insecticide-treated nets using a spatial agent-based model of Anopheles gambiae and a landscape generator tool.

PubMed

Arifin, S M Niaz; Madey, Gregory R; Collins, Frank H

2013-08-21

Agent-based models (ABMs) have been used to estimate the effects of malaria-control interventions. Early studies have shown the efficacy of larval source management (LSM) and insecticide-treated nets (ITNs) as vector-control interventions, applied both in isolation and in combination. However, the robustness of results can be affected by several important modelling assumptions, including the type of boundary used for landscapes, and the number of replicated simulation runs reported in results. Selection of the ITN coverage definition may also affect the predictive findings. Hence, by replication, independent verification of prior findings of published models bears special importance. A spatially-explicit entomological ABM of Anopheles gambiae is used to simulate the resource-seeking process of mosquitoes in grid-based landscapes. To explore LSM and replicate results of an earlier LSM study, the original landscapes and scenarios are replicated by using a landscape generator tool, and 1,800 replicated simulations are run using absorbing and non-absorbing boundaries. To explore ITNs and evaluate the relative impacts of the different ITN coverage schemes, the settings of an earlier ITN study are replicated, the coverage schemes are defined and simulated, and 9,000 replicated simulations for three ITN parameters (coverage, repellence and mortality) are run. To evaluate LSM and ITNs in combination, landscapes with varying densities of houses and human populations are generated, and 12,000 simulations are run. General agreement with an earlier LSM study is observed when an absorbing boundary is used. However, using a non-absorbing boundary produces significantly different results, which may be attributed to the unrealistic killing effect of an absorbing boundary. Abundance cannot be completely suppressed by removing aquatic habitats within 300 m of houses. Also, with density-dependent oviposition, removal of insufficient number of aquatic habitats may prove counter-productive. The importance of performing large number of simulation runs is also demonstrated. For ITNs, the choice of coverage scheme has important implications, and too high repellence yields detrimental effects. When LSM and ITNs are applied in combination, ITNs' mortality can play more important roles with higher densities of houses. With partial mortality, increasing ITN coverage is more effective than increasing LSM coverage, and integrating both interventions yields more synergy as the densities of houses increase. Using a non-absorbing boundary and reporting average results from sufficiently large number of simulation runs are strongly recommended for malaria ABMs. Several guidelines (code and data sharing, relevant documentation, and standardized models) for future modellers are also recommended.

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.

Exploring models for the roles of health systems’ responsiveness and social determinants in explaining universal health coverage and health outcomes

PubMed Central

Bonsel, Gouke J.

2016-01-01

Background Intersectoral perspectives of health are present in the rhetoric of the sustainable development goals. Yet its descriptions of systematic approaches for an intersectoral monitoring vision, joining determinants of health, and barriers or facilitators to accessing healthcare services are lacking. Objective To explore models of associations between health outcomes and health service coverage, and health determinants and health systems responsiveness, and thereby to contribute to monitoring, analysis, and assessment approaches informed by an intersectoral vision of health. Design The study is designed as a series of ecological, cross-country regression analyses, covering between 23 and 57 countries with dependent health variables concentrated on the years 2002–2003. Countries cover a range of development contexts. Health outcome and health service coverage dependent variables were derived from World Health Organization (WHO) information sources. Predictor variables representing determinants are derived from the WHO and World Bank databases; variables used for health systems’ responsiveness are derived from the WHO World Health Survey. Responsiveness is a measure of acceptability of health services to the population, complementing financial health protection. Results Health determinants’ indicators – access to improved drinking sources, accountability, and average years of schooling – were statistically significant in particular health outcome regressions. Statistically significant coefficients were more common for mortality rate regressions than for coverage rate regressions. Responsiveness was systematically associated with poorer health and health service coverage. With respect to levels of inequality in health, the indicator of responsiveness problems experienced by the unhealthy poor groups in the population was statistically significant for regressions on measles vaccination inequalities between rich and poor. For the broader determinants, the Gini mattered most for inequalities in child mortality; education mattered more for inequalities in births attended by skilled personnel. Conclusions This paper adds to the literature on comparative health systems research. National and international health monitoring frameworks need to incorporate indicators on trends in and impacts of other policy sectors on health. This will empower the health sector to carry out public health practices that promote health and health equity. PMID:26942516

Exploring models for the roles of health systems' responsiveness and social determinants in explaining universal health coverage and health outcomes.

PubMed

Valentine, Nicole Britt; Bonsel, Gouke J

2016-01-01

Intersectoral perspectives of health are present in the rhetoric of the sustainable development goals. Yet its descriptions of systematic approaches for an intersectoral monitoring vision, joining determinants of health, and barriers or facilitators to accessing healthcare services are lacking. To explore models of associations between health outcomes and health service coverage, and health determinants and health systems responsiveness, and thereby to contribute to monitoring, analysis, and assessment approaches informed by an intersectoral vision of health. The study is designed as a series of ecological, cross-country regression analyses, covering between 23 and 57 countries with dependent health variables concentrated on the years 2002-2003. Countries cover a range of development contexts. Health outcome and health service coverage dependent variables were derived from World Health Organization (WHO) information sources. Predictor variables representing determinants are derived from the WHO and World Bank databases; variables used for health systems' responsiveness are derived from the WHO World Health Survey. Responsiveness is a measure of acceptability of health services to the population, complementing financial health protection. Health determinants' indicators - access to improved drinking sources, accountability, and average years of schooling - were statistically significant in particular health outcome regressions. Statistically significant coefficients were more common for mortality rate regressions than for coverage rate regressions. Responsiveness was systematically associated with poorer health and health service coverage. With respect to levels of inequality in health, the indicator of responsiveness problems experienced by the unhealthy poor groups in the population was statistically significant for regressions on measles vaccination inequalities between rich and poor. For the broader determinants, the Gini mattered most for inequalities in child mortality; education mattered more for inequalities in births attended by skilled personnel. This paper adds to the literature on comparative health systems research. National and international health monitoring frameworks need to incorporate indicators on trends in and impacts of other policy sectors on health. This will empower the health sector to carry out public health practices that promote health and health equity.

Quantifying nitrogen inputs to the Choptank River estuary

NASA Astrophysics Data System (ADS)

Mccarty, G.; Hapeman, C. J.; Sadeghi, A. M.; Hively, W. D.; Denver, J. M.; Lang, M. W.; Downey, P. M.; Rice, C. P.

2015-12-01

The Chesapeake Bay is the largest estuary in the US, and over 50% of its streams have been rated as poor or very poor, based on the biological integrity yearly index. The Choptank River, a Bay tributary on the Delmarva Peninsula, is dominated by intensive corn and soybean farming associated with poultry and some dairy production. The Choptank River is under Environmental Protection Agency (USEPA) total maximum daily load restrictions. However, reducing nonpoint source pollution contributions from agriculture requires that source predictions be improved and that mitigation and conservation measures be properly targeted. Therefore, new measurement strategies have been implemented. In-situ sensors have been deployed adjacent to US Geological Survey gauging stations in the Tuckahoe and Greensboro sub-basins of the Choptank River watershed. These sensors measure stream water concentrations of nitrate along and water quality parameters every 30 min. Initial results indicate that ~40% less nitrate is exported from the Greensboro sub-basin, even though the total amount of agricultural land use is similar to that in the Tuckahoe sub-basin. This is most likely due to more efficient nitrate processing in the Greensboro sub-basin where the amount of cropland on poorly-drained soils is much larger. Another potential nitrogen source to the Choptank River estuary is atmospheric deposition of ammonia. Over 550 million broilers are produced yearly on the Delmarva Peninsula potentially leading to the release of 20,000 Mtons of ammonia. USEPA recently estimated that as much as 22% of nitrogen in the Bay is due to ammonia deposition. We have initiated a collaborative effort within the LTAR network to increase coverage of ammonia sampling and to explore the spatial and temporal variability of ammonia, particularly in the Choptank River watershed. All these measurements will be useful in improving the handling of nitrogen sources and its fate and transport in the Chesapeake Bay model.

Experience of socioeconomic-related inequality in dental care utilization among Thai elderly under universal coverage.

PubMed

Somkotra, Tewarit

2013-04-01

To assess the socioeconomic-related inequality in dental care utilization among Thai elderly and to determine factors associated with the observed inequality after the country achieved universal coverage. The data were taken from the nationally representative Thailand Health & Welfare Survey 2007. Data of 10,096 Thai elderly (aged over 60 years) were selected. Descriptive analyses of the features of dental care utilization among Thai elderly were carried out, in addition to the concentration index (Cindex ) being used to quantify the extent of socioeconomic-related inequality in dental care utilization. Logistic regression was used to determine factors associated with inequality in dental care. Socioeconomic-related inequality in dental care utilization among Thai elderly was shown. Also, utilization was more concentrated among wealthier older adults, as shown by the positive value of Cindex (equals 0.244). The poor elderly, however, were more likely to utilize dental care at public facilities, particularly primary care facilities. Multivariate analysis showed that certain demographic, socioeconomic and geographic characteristics were particularly associated with poor-rich differences in dental care utilization among Thai elderly. Although socioeconomic-related inequality in dental care utilization among Thai elderly exists, the pro-poor utilization at public facilities, particularly primary care facilities, substantiates the concerted effort to reducing inequality in dental care utilization for Thai elderly. © 2012 Japan Geriatrics Society.

Trends and inequities in where women delivered their babies in 25 low-income countries: evidence from Demographic and Health Surveys.

PubMed

Limwattananon, Supon; Tangcharoensathien, Viroj; Sirilak, Supakit

2011-05-01

In low-income countries, the coverage of institutional births is low. Using data from the two most recent Demographic and Health Surveys (1995-2001 and 2001-2006) for 25 low-income countries, this study examined trends in where women delivered their babies--public or private facilities or non-institutional settings. More than half of deliveries were in institutional settings in ten countries, mostly public facilities. In the other 15 countries, the majority of births were in women's homes, which was often their only option. Between the two survey periods, all five Asian countries studied (except Bangladesh) had an increase of 10-20 percentage points in institutional coverage, whereas none of the 19 sub-Saharan African countries saw an increase of more than 10 percentage points. More urban women and more in the richest (least poor) quintile gave birth in public or private facilities than rural and poorest quintile women. The rich-poor gap of institutional births was wider than the urban-rural gap. Inadequate public investment in health system infrastructure in rural areas and lack of skilled health professionals are major obstacles in reducing maternal mortality. Governments in low-income countries must invest more, especially in rural maternity services. Strengthening private, for-profit providers is not a policy choice for poor, rural communities. Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

[Benchmarking of performance of Mexican states with effective coverage].

PubMed

Lozano, Rafael; Soliz, Patricia; Gakidou, Emmanuela; Abbott-Klafter, Jesse; Feehan, Dennis M; Vidal, Cecilia; Ortiz, Juan Pablo; Murray, Christopher J L

2007-01-01

Benchmarking of the performance of states, provinces, or districts in a decentralised health system is important for fostering of accountability, monitoring of progress, identification of determinants of success and failure, and creation of a culture of evidence. The Mexican Ministry of Health has, since 2001, used a benchmarking approach based on the World Health Organization (WHO) concept of effective coverage of an intervention, which is defined as the proportion of potential health gain that could be delivered by the health system to that which is actually delivered. Using data collection systems, including state representative examination surveys, vital registration, and hospital discharge registries, we have monitored the delivery of 14 interventions for 2005-06. Overall effective coverage ranges from 54.0% in Chiapas, a poor state, to 65.1% in the Federal District. Effective coverage for maternal and child health interventions is substantially higher than that for interventions that target other health problems. Effective coverage for the lowest wealth quintile is 52% compared with 61% for the highest quintile. Effective coverage is closely related to public-health spending per head across states; this relation is stronger for interventions that are not related to maternal and child health than those for maternal and child health. Considerable variation also exists in effective coverage at similar amounts of spending. We discuss the implications of these issues for the further development of the Mexican health-information system. Benchmarking of performance by measuring effective coverage encourages decision-makers to focus on quality service provision, not only service availability. The effective coverage calculation is an important device for health-system stewardship. In adopting this approach, other countries should select interventions to be measured on the basis of the criteria of affordability, effect on population health, effect on health inequalities, and capacity to measure the effects of the intervention. The national institutions undertaking this benchmarking must have the mandate, skills, resources, and independence to succeed.

Benchmarking of performance of Mexican states with effective coverage.

PubMed

Lozano, Rafael; Soliz, Patricia; Gakidou, Emmanuela; Abbott-Klafter, Jesse; Feehan, Dennis M; Vidal, Cecilia; Ortiz, Juan Pablo; Murray, Christopher J L

2006-11-11

Benchmarking of the performance of states, provinces, or districts in a decentralised health system is important for fostering of accountability, monitoring of progress, identification of determinants of success and failure, and creation of a culture of evidence. The Mexican Ministry of Health has, since 2001, used a benchmarking approach based on the WHO concept of effective coverage of an intervention, which is defined as the proportion of potential health gain that could be delivered by the health system to that which is actually delivered. Using data collection systems, including state representative examination surveys, vital registration, and hospital discharge registries, we have monitored the delivery of 14 interventions for 2005-06. Overall effective coverage ranges from 54.0% in Chiapas, a poor state, to 65.1% in the Federal District. Effective coverage for maternal and child health interventions is substantially higher than that for interventions that target other health problems. Effective coverage for the lowest wealth quintile is 52% compared with 61% for the highest quintile. Effective coverage is closely related to public-health spending per head across states; this relation is stronger for interventions that are not related to maternal and child health than those for maternal and child health. Considerable variation also exists in effective coverage at similar amounts of spending. We discuss the implications of these issues for the further development of the Mexican health-information system. Benchmarking of performance by measuring effective coverage encourages decision-makers to focus on quality service provision, not only service availability. The effective coverage calculation is an important device for health-system stewardship. In adopting this approach, other countries should select interventions to be measured on the basis of the criteria of affordability, effect on population health, effect on health inequalities, and capacity to measure the effects of the intervention. The national institutions undertaking this benchmarking must have the mandate, skills, resources, and independence to succeed.

Poverty and blindness in Pakistan: results from the Pakistan national blindness and visual impairment survey.

PubMed

Gilbert, Clare E; Shah, S P; Jadoon, M Z; Bourne, R; Dineen, B; Khan, M A; Johnson, G J; Khan, M D

2008-01-05

To explore the association between blindness and deprivation in a nationally representative sample of adults in Pakistan. Cross sectional population based survey. 221 rural and urban clusters selected randomly throughout Pakistan. Nationally representative sample of 16 507 adults aged 30 or above (95.3% response rate). Associations between visual impairment and poverty assessed by a cluster level deprivation index and a household level poverty indicator; prevalence and causes of blindness; measures of the rate of uptake and quality of eye care services. 561 blind participants (<3/60 in the better eye) were identified during the survey. Clusters in urban Sindh province were the most affluent, whereas rural areas in Balochistan were the poorest. The prevalence of blindness in adults living in affluent clusters was 2.2%, compared with 3.7% in medium clusters and 3.9% in poor clusters (P<0.001 for affluent v poor). The highest prevalence of blindness was found in rural Balochistan (5.2%). The prevalence of total blindness (bilateral no light perception) was more than three times higher in poor clusters than in affluent clusters (0.24% v 0.07%, P<0.001). The prevalences of blindness caused by cataract, glaucoma, and corneal opacity were lower in affluent clusters and households. Reflecting access to eye care services, cataract surgical coverage was higher in affluent clusters (80.6%) than in medium (76.8%) and poor areas (75.1%). Intraocular lens implantation rates were significantly lower in participants from poorer households. 10.2% of adults living in affluent clusters presented to the examination station wearing spectacles, compared with 6.7% in medium clusters and 4.4% in poor cluster areas. Spectacle coverage in affluent areas was more than double that in poor clusters (23.5% v 11.1%, P<0.001). Blindness is associated with poverty in Pakistan; lower access to eye care services was one contributory factor. To reduce blindness, strategies targeting poor people will be needed. These interventions may have an impact on deprivation in Pakistan.

Risk factors for spatial memory impairment in patients with temporal lobe epilepsy.

PubMed

Amlerova, Jana; Laczo, Jan; Vlcek, Kamil; Javurkova, Alena; Andel, Ross; Marusic, Petr

2013-01-01

At present, the risk factors for world-centered (allocentric) navigation impairment in patients with temporal lobe epilepsy (TLE) are not known. There is some evidence on the importance of the right hippocampus but other clinical features have not been investigated yet. In this study, we used an experimental human equivalent to the Morris water maze to examine spatial navigation performance in patients with drug-refractory unilateral TLE. We included 47 left-hemisphere speech dominant patients (25 right sided; 22 left sided). The aim of our study was to identify clinical and demographic characteristics of TLE patients who performed poorly in allocentric spatial memory tests. Our results demonstrate that poor spatial navigation is significantly associated with younger age at epilepsy onset, longer disease duration, and lower intelligence level. Allocentric navigation in TLE patients was impaired irrespective of epilepsy lateralization. Good and poor navigators did not differ in their age, gender, or preoperative/postoperative status. This study provides evidence on risk factors that increase the likelihood of allocentric navigation impairment in TLE patients. The results indicate that not only temporal lobe dysfunction itself but also low general cognitive abilities may contribute to the navigation impairment. Copyright © 2012 Elsevier Inc. All rights reserved.

Planning the Breast Boost: Comparison of Three Techniques and Evolution of Tumor Bed During Treatment

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

Hepel, Jaroslaw T.; Department of Radiation Oncology, Brown University, Rhode Island Hospital, Providence, RI; Evans, Suzanne B.

2009-06-01

Purpose: To evaluate the accuracy of two clinical techniques for electron boost planning compared with computed tomography (CT)-based planning. Additionally, we evaluated the tumor bed characteristics at whole breast planning and boost planning. Methods and Materials: A total of 30 women underwent tumor bed boost planning within 2 weeks of completing whole breast radiotherapy using three planning techniques: scar-based planning, palpation/clinical-based planning, and CT-based planning. The plans were analyzed for dosimetric coverage of the CT-delineated tumor bed. The cavity visualization score was used to define the CT-delineated tumor bed as well or poorly defined. Results: Scar-based planning resulted in inferiormore » tumor bed coverage compared with CT-based planning, with the minimal dose received by 90% of the target volume >90% in 53% and a geographic miss in 53%. The results of palpation/clinical-based planning were significantly better: 87% and 10% for the minimal dose received by 90% of the target volume >90% and geographic miss, respectively. Of the 30 tumor beds, 16 were poorly defined by the cavity visualization score. Of these 16, 8 were well demarcated by the surgical clips. The evaluation of the 22 well-defined tumor beds revealed similar results. A comparison of the tumor bed volume from the initial planning CT scan to the boost planning CT scan revealed a decrease in size in 77% of cases. The mean decrease in volume was 52%. Conclusion: The results of our study have shown that CT-based planning allows for optimal tumor bed coverage compared with clinical and scar-based approaches. However, in the setting of a poorly visualized cavity on CT without surgical clips, palpation/clinical-based planning can help delineate the appropriate target volumes and is superior to scar-based planning. CT simulation at boost planning could allow for a reduction in the boost volumes.« less

A systematic review of factors that affect uptake of community-based health insurance in low-income and middle-income countries.

PubMed

Adebayo, Esther F; Uthman, Olalekan A; Wiysonge, Charles S; Stern, Erin A; Lamont, Kim T; Ataguba, John E

2015-12-08

Low-income and middle-income countries (LMICs) have difficulties achieving universal financial protection, which is primordial for universal health coverage. A promising avenue to provide universal financial protection for the informal sector and the rural populace is community-based health insurance (CBHI). We systematically assessed and synthesised factors associated with CBHI enrolment in LMICs. We searched PubMed, Scopus, ERIC, PsychInfo, Africa-Wide Information, Academic Search Premier, Business Source Premier, WHOLIS, CINAHL, Cochrane Library, conference proceedings, and reference lists for eligible studies available by 31 October 2013; regardless of publication status. We included both quantitative and qualitative studies in the review. Both quantitative and qualitative studies demonstrated low levels of income and lack of financial resources as major factors affecting enrolment. Also, poor healthcare quality (including stock-outs of drugs and medical supplies, poor healthcare worker attitudes, and long waiting times) was found to be associated with low CBHI coverage. Trust in both the CBHI scheme and healthcare providers were also found to affect enrolment. Educational attainment (less educated are willing to pay less than highly educated), sex (men are willing to pay more than women), age (younger are willing to pay more than older individuals), and household size (larger households are willing to pay more than households with fewer members) also influenced CBHI enrolment. In LMICs, while CBHI schemes may be helpful in the short term to address the issue of improving the rural population and informal workers' access to health services, they still face challenges. Lack of funds, poor quality of care, and lack of trust are major reasons for low CBHI coverage in LMICs. If CBHI schemes are to serve as a means to providing access to health services, at least in the short term, then attention should be paid to the issues that militate against their success.

Regional forest land cover characterisation using medium spatial resolution satellite data

USGS Publications Warehouse

Huang, Chengquan; Homer, Collin G.; Yang, Limin; Wulder, Michael A.; Franklin, Steven E.

2003-01-01

Increasing demands on forest resources require comprehensive, consistent and up-to-date information on those resources at spatial scales appropriate for management decision-making and for scientific analysis. While such information can be derived using coarse spatial resolution satellite data (e.g. Tucker et al. 1984; Zhu and Evans 1994; Cihlar et al. 1996; Cihlar et al., Chapter 12), many regional applications require more spatial and thematic details than can be derived by using coarse resolution imagery. High spatial resolution satellite data such as IKONOS and Quick Bird images (Aplin et al. 1997), though usable for deriving detailed forest information (Culvenor, Chapter 9), are currently not feasible for wall-to-wall regional applications because of extremely high data cost, huge data volume, and lack of contiguous coverage over large areas. Forest studies over large areas have often been accomplished using data acquired by intermediate spatial resolution sensor systems, including the Multi-Spectral Scanner (MSS), Thematic Mapper (TM) and the Enhanced Thematic Mapper Plus (ETM+) of Landsat, the High Resolution Visible (HRV) of the Systeme Pour l'Observation de la Terre (SPOT), and the Linear Image Self-Scanner (LISS) of the Indian Remote Sensing satellite. These sensor systems are more appropriate for regional applications because they can routinely produce spatially contiguous data over large areas at relatively low cost, and can be used to derive a host of forest attributes (e.g. Cohen et al. 1995; Kimes et al. 1999; Cohen et al. 2001; Huang et al. 2001; Sugumaran 2001). Of the above intermediate spatial resolution satellites, Landsat is perhaps the most widely used in various types of land remote sensing applications, in part because it has provided more extensive spatial and temporal coverage of the globe than any other intermediate resolution satellite. Spatially contiguous Landsat data have been developed for many regions of the globe (e.g. Lunetta and Sturdevant 1993; Fuller et al. 1994b; Skole et al. 1997), and a circa 1990 Landsat image data set covering the entire land area of the globe has also been developed recently (Jones and Smith 2001). An acquisition strategy aimed at acquiring at least one cloud free image per year for the entire land area of the globe has been initiated for Landsat-7 (Arvidson et al. 2001). This will probably ensure the continued dominance of Landsat in the near future.

Health Financing And Insurance Reform In Morocco

PubMed Central

Ruger, Jennifer Prah; Kress, Daniel

2010-01-01

The government of Morocco approved two reforms in 2005 to expand health insurance coverage. The first is a payroll-based mandatory health insurance plan for public-and formal private–sector employees to extend coverage from the current 16 percent of the population to 30 percent. The second creates a publicly financed fund to cover services for the poor. Both reforms aim to improve access to high-quality care and reduce disparities in access and financing between income groups and between rural and urban dwellers. In this paper we analyze these reforms: the pre-reform debate, benefits covered, financing, administration, and oversight. We also examine prospects and future challenges for implementing the reforms. PMID:17630444

A novel habitat-based approach to predict impacts of marine protected areas on fishers.

PubMed

Teixeira, João B; Moura, Rodrigo L; Mills, Morena; Klein, Carissa; Brown, Christopher J; Adams, Vanessa M; Grantham, Hedley; Watts, Matthew; Faria, Deborah; Amado-Filho, Gilberto M; Bastos, Alex C; Lourival, Reinaldo; Possingham, Hugh P

2017-06-24

While marine protected areas (MPAs) can simultaneously contribute to biodiversity conservation and fisheries management, the global network is biased towards particular ecosystem types, as it was largely established in an ad hoc fashion. The optimization of trade-offs between biodiversity benefits and socio-economic values increases implementation success and minimizes enforcement costs in the long run, but is often neglected in marine spatial planning (MSP). Although the acquisition of spatially explicit socioeconomic data is often perceived as a costly/secondary step in MSP, it is critical to account for lost opportunities by people whose activities will be restricted, especially fishers. Here we present an easily-reproducible habitat-based approach to estimate the spatial distribution of opportunity cost to fishers in data poor regions, assuming that the most accessible areas have higher values and their designation as no-take zones represents increased loss of fishing opportunities. Our method requires only habitat and bathymetric maps, a list of target species, the location of ports, and the relative importance for each port and/or vessel/gear type. The potential distribution of fishing resources is estimated from bathymetric ranges and benthic habitat distribution, while the relative importance of the different resources is estimated for each port, considering total catches (kg), revenues and/or stakeholder perception. Finally, the model can combine different cost layers to produce a comprehensive cost layer, and also allows for the evaluation of tradeoffs. The development of FishCake was based on data from a contentious conservation-planning arena (Abrolhos Bank, Brazil) in which attempts to expand MPA coverage failed due to fishers' resistance. The opportunity cost approach that we introduce herein allows for the incorporation of economic interests of different stakeholders and evaluation of tradeoffs among different stakeholder groups. The novel approach can be directly used to support conservation planning, in Abrolhos and elsewhere, and is expected to facilitate community consultation. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Localized Spatio-Temporal Constraints for Accelerated CMR Perfusion

PubMed Central

Akçakaya, Mehmet; Basha, Tamer A.; Pflugi, Silvio; Foppa, Murilo; Kissinger, Kraig V.; Hauser, Thomas H.; Nezafat, Reza

2013-01-01

Purpose To develop and evaluate an image reconstruction technique for cardiac MRI (CMR)perfusion that utilizes localized spatio-temporal constraints. Methods CMR perfusion plays an important role in detecting myocardial ischemia in patients with coronary artery disease. Breath-hold k-t based image acceleration techniques are typically used in CMR perfusion for superior spatial/temporal resolution, and improved coverage. In this study, we propose a novel compressed sensing based image reconstruction technique for CMR perfusion, with applicability to free-breathing examinations. This technique uses local spatio-temporal constraints by regularizing image patches across a small number of dynamics. The technique is compared to conventional dynamic-by-dynamic reconstruction, and sparsity regularization using a temporal principal-component (pc) basis, as well as zerofilled data in multi-slice 2D and 3D CMR perfusion. Qualitative image scores are used (1=poor, 4=excellent) to evaluate the technique in 3D perfusion in 10 patients and 5 healthy subjects. On 4 healthy subjects, the proposed technique was also compared to a breath-hold multi-slice 2D acquisition with parallel imaging in terms of signal intensity curves. Results The proposed technique results in images that are superior in terms of spatial and temporal blurring compared to the other techniques, even in free-breathing datasets. The image scores indicate a significant improvement compared to other techniques in 3D perfusion (2.8±0.5 vs. 2.3±0.5 for x-pc regularization, 1.7±0.5 for dynamic-by-dynamic, 1.1±0.2 for zerofilled). Signal intensity curves indicate similar dynamics of uptake between the proposed method with a 3D acquisition and the breath-hold multi-slice 2D acquisition with parallel imaging. Conclusion The proposed reconstruction utilizes sparsity regularization based on localized information in both spatial and temporal domains for highly-accelerated CMR perfusion with potential utility in free-breathing 3D acquisitions. PMID:24123058

Spatial and Temporal Monitoring Resolutions for CO2 Leakage Detection at Carbon Storage Sites

NASA Astrophysics Data System (ADS)

Yang, Y. M.; Dilmore, R. M.; Daley, T. M.; Carroll, S.; Mansoor, K.; Gasperikova, E.; Harbert, W.; Wang, Z.; Bromhal, G. S.; Small, M.

2016-12-01

Different leakage monitoring techniques offer different strengths in detection sensitivity, coverage, feedback time, cost, and technology availability, such that they may complement each other when applied together. This research focuses on quantifying the spatial coverage and temporal resolution of detection response for several geophysical remote monitoring and direct groundwater monitoring techniques for an optimal monitoring plan for CO2 leakage detection. Various monitoring techniques with different monitoring depths are selected: 3D time-lapse seismic survey, wellbore pressure, groundwater chemistry and soil gas. The spatial resolution in terms of leakage detectability is quantified through the effective detection distance between two adjacent monitors, given the magnitude of leakage and specified detection probability. The effective detection distances are obtained either from leakage simulations with various monitoring densities or from information garnered from field test data. These spatial leakage detection resolutions are affected by physically feasible monitoring design and detection limits. Similarly, the temporal resolution, in terms of leakage detectability, is quantified through the effective time to positive detection of a given size of leak and a specified detection probability, again obtained either from representative leakage simulations with various monitoring densities or from field test data. The effective time to positive detection is also affected by operational feedback time (associated with sampling, sample analysis and data interpretation), with values obtained mainly through expert interviews and literature review. In additional to the spatial and temporal resolutions of these monitoring techniques, the impact of CO2 plume migration speed and leakage detection sensitivity of each monitoring technique are also discussed with consideration of how much monitoring is necessary for effective leakage detection and how these monitoring techniques can be better combined in a time-space framework. The results of the spatial and temporal leakage detection resolutions for several geophysical monitoring techniques and groundwater monitoring are summarized to inform future monitoring designs at carbon storage sites.

High efficiency multishot interleaved spiral-in/out: acquisition for high-resolution BOLD fMRI.

PubMed

Jung, Youngkyoo; Samsonov, Alexey A; Liu, Thomas T; Buracas, Giedrius T

2013-08-01

Growing demand for high spatial resolution blood oxygenation level dependent (BOLD) functional magnetic resonance imaging faces a challenge of the spatial resolution versus coverage or temporal resolution tradeoff, which can be addressed by methods that afford increased acquisition efficiency. Spiral acquisition trajectories have been shown to be superior to currently prevalent echo-planar imaging in terms of acquisition efficiency, and high spatial resolution can be achieved by employing multiple-shot spiral acquisition. The interleaved spiral in/out trajectory is preferred over spiral-in due to increased BOLD signal contrast-to-noise ratio (CNR) and higher acquisition efficiency than that of spiral-out or noninterleaved spiral in/out trajectories (Law & Glover. Magn Reson Med 2009; 62:829-834.), but to date applicability of the multishot interleaved spiral in/out for high spatial resolution imaging has not been studied. Herein we propose multishot interleaved spiral in/out acquisition and investigate its applicability for high spatial resolution BOLD functional magnetic resonance imaging. Images reconstructed from interleaved spiral-in and -out trajectories possess artifacts caused by differences in T2 decay, off-resonance, and k-space errors associated with the two trajectories. We analyze the associated errors and demonstrate that application of conjugate phase reconstruction and spectral filtering can substantially mitigate these image artifacts. After applying these processing steps, the multishot interleaved spiral in/out pulse sequence yields high BOLD CNR images at in-plane resolution below 1 × 1 mm while preserving acceptable temporal resolution (4 s) and brain coverage (15 slices of 2 mm thickness). Moreover, this method yields sufficient BOLD CNR at 1.5 mm isotropic resolution for detection of activation in hippocampus associated with cognitive tasks (Stern memory task). The multishot interleaved spiral in/out acquisition is a promising technique for high spatial resolution BOLD functional magnetic resonance imaging applications. © 2012 Wiley Periodicals, Inc.

High resolution age-structured mapping of childhood vaccination coverage in low and middle income countries.

PubMed

Utazi, C Edson; Thorley, Julia; Alegana, Victor A; Ferrari, Matthew J; Takahashi, Saki; Metcalf, C Jessica E; Lessler, Justin; Tatem, Andrew J

2018-03-14

The expansion of childhood vaccination programs in low and middle income countries has been a substantial public health success story. Indicators of the performance of intervention programmes such as coverage levels and numbers covered are typically measured through national statistics or at the scale of large regions due to survey design, administrative convenience or operational limitations. These mask heterogeneities and 'coldspots' of low coverage that may allow diseases to persist, even if overall coverage is high. Hence, to decrease inequities and accelerate progress towards disease elimination goals, fine-scale variation in coverage should be better characterized. Using measles as an example, cluster-level Demographic and Health Surveys (DHS) data were used to map vaccination coverage at 1 km spatial resolution in Cambodia, Mozambique and Nigeria for varying age-group categories of children under five years, using Bayesian geostatistical techniques built on a suite of publicly available geospatial covariates and implemented via Markov Chain Monte Carlo (MCMC) methods. Measles vaccination coverage was found to be strongly predicted by just 4-5 covariates in geostatistical models, with remoteness consistently selected as a key variable. The output 1 × 1 km maps revealed significant heterogeneities within the three countries that were not captured using province-level summaries. Integration with population data showed that at the time of the surveys, few districts attained the 80% coverage, that is one component of the WHO Global Vaccine Action Plan 2020 targets. The elimination of vaccine-preventable diseases requires a strong evidence base to guide strategies and inform efficient use of limited resources. The approaches outlined here provide a route to moving beyond large area summaries of vaccination coverage that mask epidemiologically-important heterogeneities to detailed maps that capture subnational vulnerabilities. The output datasets are built on open data and methods, and in flexible format that can be aggregated to more operationally-relevant administrative unit levels. Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Two complementary reversed-phase separations for comprehensive coverage of the semipolar and nonpolar metabolome.

PubMed

Naser, Fuad J; Mahieu, Nathaniel G; Wang, Lingjue; Spalding, Jonathan L; Johnson, Stephen L; Patti, Gary J

2018-02-01

Although it is common in untargeted metabolomics to apply reversed-phase liquid chromatography (RPLC) and hydrophilic interaction liquid chromatography (HILIC) methods that have been systematically optimized for lipids and central carbon metabolites, here we show that these established protocols provide poor coverage of semipolar metabolites because of inadequate retention. Our objective was to develop an RPLC approach that improved detection of these metabolites without sacrificing lipid coverage. We initially evaluated columns recently released by Waters under the CORTECS line by analyzing 47 small-molecule standards that evenly span the nonpolar and semipolar ranges. An RPLC method commonly used in untargeted metabolomics was considered a benchmarking reference. We found that highly nonpolar and semipolar metabolites cannot be reliably profiled with any single method because of retention and solubility limitations of the injection solvent. Instead, we optimized a multiplexed approach using the CORTECS T3 column to analyze semipolar compounds and the CORTECS C 8 column to analyze lipids. Strikingly, we determined that combining these methods allowed detection of 41 of the total 47 standards, whereas our reference RPLC method detected only 10 of the 47 standards. We then applied credentialing to compare method performance at the comprehensive scale. The tandem method showed more than a fivefold increase in credentialing coverage relative to our RPLC benchmark. Our results demonstrate that comprehensive coverage of metabolites amenable to reversed-phase separation necessitates two reconstitution solvents and chromatographic methods. Thus, we suggest complementing HILIC methods with a dual T3 and C 8 RPLC approach to increase coverage of semipolar metabolites and lipids for untargeted metabolomics. Graphical abstract Analysis of semipolar and nonpolar metabolites necessitates two reversed-phase chromatography (RPLC) methods, which extend metabolome coverage more than fivefold for untargeted profiling. HILIC hydrophilic interaction liquid chromatography.

Enhancing Spatial Resolution of Remotely Sensed Imagery Using Deep Learning

NASA Astrophysics Data System (ADS)

Beck, J. M.; Bridges, S.; Collins, C.; Rushing, J.; Graves, S. J.

2017-12-01

Researchers at the Information Technology and Systems Center at the University of Alabama in Huntsville are using Deep Learning with Convolutional Neural Networks (CNNs) to develop a method for enhancing the spatial resolutions of moderate resolution (10-60m) multispectral satellite imagery. This enhancement will effectively match the resolutions of imagery from multiple sensors to provide increased global temporal-spatial coverage for a variety of Earth science products. Our research is centered on using Deep Learning for automatically generating transformations for increasing the spatial resolution of remotely sensed images with different spatial, spectral, and temporal resolutions. One of the most important steps in using images from multiple sensors is to transform the different image layers into the same spatial resolution, preferably the highest spatial resolution, without compromising the spectral information. Recent advances in Deep Learning have shown that CNNs can be used to effectively and efficiently upscale or enhance the spatial resolution of multispectral images with the use of an auxiliary data source such as a high spatial resolution panchromatic image. In contrast, we are using both the spatial and spectral details inherent in low spatial resolution multispectral images for image enhancement without the use of a panchromatic image. This presentation will discuss how this technology will benefit many Earth Science applications that use remotely sensed images with moderate spatial resolutions.

Path Dependence and Universal Health Coverage: The Case of Egypt

PubMed Central

Fouda, Ayman; Paolucci, Francesco

2017-01-01

Universal health coverage (UHC) is the big objective in health policy which several countries are seeking to achieve. Egypt is no different and its endeavors to attain UHC have been going on since the 1960s. This article discusses the status of UHC in Egypt using theories of political science and economics by analyzing the historical transformations in the Egyptian health system and its institutional settings. This article then specifically examines the path dependence theory against the sociopolitical background of Egypt and assesses any pattern between the theory and the current UHC status in Egypt. The important finding of this analysis is that the health policies and reforms in Egypt have been significantly influenced and limited by its historical institutional structure and development. Both the health policies and the institutional settings adopted a dependent path that limited Egypt’s endeavors to achieve the universal coverage. This dependent path also yielded many of the present-day challenges as in the weaknesses of the healthcare financing system and the inability to extend health coverage to the poor and the informal sector. These challenges subsequently had a negative impact on the accessibility of the healthcare services. PMID:29276704

Did Health Care Reform Help Kentucky Address Disparities in Coverage and Access to Care among the Poor?

PubMed

Benitez, Joseph A; Adams, E Kathleen; Seiber, Eric E

2018-06-01

To evaluate the impact of Kentucky's full rollout of the Affordable Care Act on disparities in access to care due to poverty. Restricted version of the Behavioral Risk Factor Surveillance System (BRFSS) for Kentucky and years 2011-2015. We use a difference-in-differences framework to compare trends before and after implementation of the Affordable Care Act (ACA) in health insurance coverage, several access measures, and health care utilization for residents in higher versus lower poverty ZIP codes. Much of the reduction in Kentucky's uninsured rate appears driven by large uptakes in coverage from areas with higher concentrations of poverty. Residents in high-poverty communities experienced larger reductions, 8 percentage points (pp) in uninsured status and 7.5 pp in reporting unmet needs due to costs, than residents of lower poverty areas. These effects helped remove pre-ACA disparities in uninsured rates across these areas. Because we observe positive effects on coverage and reductions in financial barriers to care among those from poorer communities, our findings suggest that expanding Medicaid helps address the health care needs of the impoverished. © Health Research and Educational Trust.

QBCov: A Linked Data interface for Discrete Global Grid Systems, a new approach to delivering coverage data on the web

NASA Astrophysics Data System (ADS)

Zhang, Z.; Toyer, S.; Brizhinev, D.; Ledger, M.; Taylor, K.; Purss, M. B. J.

2016-12-01

We are witnessing a rapid proliferation of geoscientific and geospatial data from an increasing variety of sensors and sensor networks. This data presents great opportunities to resolve cross-disciplinary problems. However, working with it often requires an understanding of file formats and protocols seldom used outside of scientific computing, potentially limiting the data's value to other disciplines. In this paper, we present a new approach to serving satellite coverage data on the web, which improves ease-of-access using the principles of linked data. Linked data adapts the concepts and protocols of the human-readable web to machine-readable data; the number of developers familiar with web technologies makes linked data a natural choice for bringing coverages to a wider audience. Our approach to using linked data also makes it possible to efficiently service high-level SPARQL queries: for example, "Retrieve all Landsat ETM+ observations of San Francisco between July and August 2016" can easily be encoded in a single query. We validate the new approach, which we call QBCov, with a reference implementation of the entire stack, including a simple web-based client for interacting with Landsat observations. In addition to demonstrating the utility of linked data for publishing coverages, we investigate the heretofore unexplored relationship between Discrete Global Grid Systems (DGGS) and linked data. Our conclusions are informed by the aforementioned reference implementation of QBCov, which is backed by a hierarchical file format designed around the rHEALPix DGGS. Not only does the choice of a DGGS-based representation provide an efficient mechanism for accessing large coverages at multiple scales, but the ability of DGGS to produce persistent, unique identifiers for spatial regions is especially valuable in a linked data context. This suggests that DGGS has an important role to play in creating sustainable and scalable linked data infrastructures. QBCov is being developed as a contribution to the Spatial Data on the Web working group--a joint activity of the Open Geospatial Consortium and World Wide Web Consortium.

Wide coverage by volume CT: benefits for cardiac imaging

NASA Astrophysics Data System (ADS)

Sablayrolles, Jean-Louis; Cesmeli, Erdogan; Mintandjian, Laura; Adda, Olivier; Dessalles-Martin, Diane

2005-04-01

With the development of new technologies, computed tomography (CT) is becoming a strong candidate for non-invasive imaging based tool for cardiac disease assessment. One of the challenges of cardiac CT is that a typical scan involves a breath hold period consisting of several heartbeats, about 20 sec with scanners having a longitudinal coverage of 2 cm, and causing the image quality (IQ) to be negatively impacted since beat to beat variation is high likely to occur without any medication, e.g. beta blockers. Because of this and the preference for shorter breath hold durations, a CT scanner with a wide coverage without the compromise in the spatial and temporal resolution of great clinical value. In this study, we aimed at determining the optimum scan duration and the delay relative to beginning of breath hold, to achieve high IQ. We acquired EKG data from 91 consecutive patients (77 M, 14 F; Age: 57 +/- 14) undergoing cardiac CT exams with contrast, performed on LightSpeed 16 and LightSpeed Pro16. As an IQ metric, we adopted the standard deviation of "beat-to-beat variation" (stdBBV) within a virtual scan period. Two radiologists evaluated images by assigning a score of 1 (worst) to 4 best). We validated stdBBV with the radiologist scores, which resulted in a population distribution of 9.5, 9.5, 31, and 50% for the score groups 1, 2, 3, and 4, respectively. Based on the scores, we defined a threshold for stdBBV and identified an optimum combination of virtual scan period and a delay. With the assumption that the relationship between the stdBBV and diagnosable scan IQ holds, our analysis suggested that the success rate can be improved to 100% with scan durations equal or less than 5 sec with a delay of 1 - 2 sec. We confirmed the suggested conclusion with LightSpeed VCT (GE Healthcare Technologies, Waukesha, WI), which has a wide longitudinal coverage, fine isotropic spatial resolution, and high temporal resolution, e.g. 40 mm coverage per rotation of 0.35 sec. Under the light of this study, LightSpeed VCT lends itself to be a clinically tested unique platform to achieve routine cardiac imaging.

Expanding the network of crossdated tree-ring chronologies for Sequoia sempervirens

Treesearch

Allyson L. Carroll; Stephen C. Sillett; Ethan J. Coonen; Benjamin G. Iberle

2017-01-01

Crossdated tree-ring chronologies for the Arcata Community Forest (ACF) and Muir Woods National Monument (Muir Woods) expand the spatial coverage of dated coast redwood (Sequoia sempervirens (D. Don) Endl.) series. Crossdating relies on the common pattern of ring-width variation among tree populations, and dated chronologies have many applications...

40 CFR Appendix W to Part 51 - Guideline on Air Quality Models

Code of Federal Regulations, 2011 CFR

2011-07-01

... sufficient spatial and temporal coverage are available. c. It would be advantageous to categorize the various... control strategies. These are referred to as refined models. c. The use of screening techniques followed... location of the source in question and its expected impacts. c. In all regulatory analyses, especially if...

TES/Aura L2 Atmospheric Temperatures Nadir V6 (TL2TNS)

Atmospheric Science Data Center

2018-01-22

TES/Aura L2 Atmospheric Temperatures Nadir (TL2TNS) News:  TES News ... Level:  L2 Platform:  TES/Aura L2 Atmospheric Temperatures Spatial Coverage:  5.3 x 8.5 km nadir ... Contact ASDC User Services Parameters:  Atmospheric Temperature Temperature Precision Vertical Resolution ...

Are Two Systemic Fish Assemblage Sampling Programmes on the Upper Mississippi River Telling Us the Same Thing?

EPA Science Inventory

We applied an Index of Biotic Integrity (IBI) used on the Upper Mississippi River (UMR) to compare data from three sampling programs. Ability to use multiple sampling programs could greatly extend spatial and temporal coverage of river assessment and monitoring efforts. We an...

A large scale GIS geodatabase of soil parameters supporting the modeling of conservation practice alternatives in the United States

USDA-ARS?s Scientific Manuscript database

Water quality modeling requires across-scale support of combined digital soil elements and simulation parameters. This paper presents the unprecedented development of a large spatial scale (1:250,000) ArcGIS geodatabase coverage designed as a functional repository of soil-parameters for modeling an...

Drawing a representative sample from the NCSS soil database: Building blocks for the national wind erosion network

USDA-ARS?s Scientific Manuscript database

Developing national wind erosion models for the continental United States requires a comprehensive spatial representation of continuous soil particle size distributions (PSD) for model input. While the current coverage of soil survey is nearly complete, the most detailed particle size classes have c...

Making management recommendations from annual bird point count data

Treesearch

Gary M. Peters

2005-01-01

In the past decade, more than one hundred thousand breeding bird occurrences have been recorded on Southern National Forests in the United Sates. The majority of these occurrences have been geo-referenced using global positioning satellite (GPS) technology. This spatial information is available for use as a coverage in several geographic information system (GIS)...

A Global Map of Thermal Inertia from Mars Global Surveyor Mapping-Mission Data

NASA Technical Reports Server (NTRS)

Mellon, M. T.; Kretke, K. A.; Smith, M. D.; Pelkey, S. M.

2002-01-01

TES (thermal emission spectrometry) has obtained high spatial resolution surface temperature observations from which thermal inertia has been derived. Seasonal coverage of these data now provides a nearly global view of Mars, including the polar regions, at high resolution. Additional information is contained in the original extended abstract.

The cloud imaging and particle size experiment on the aeronomy of ice in the mesosphere mission: Cloud morphology for the northern 2007 season

NASA Astrophysics Data System (ADS)

Rusch, D. W.; Thomas, G. E.; McClintock, W.; Merkel, A. W.; Bailey, S. M.; Russell, J. M., III; Randall, C. E.; Jeppesen, C.; Callan, M.

2009-03-01

The Aeronomy of Ice in the Mesosphere (AIM) mission was launched from Vandenberg Air Force Base in California at 4:26:03 EDT on April 25, 2007, becoming the first satellite mission dedicated to the study of noctilucent clouds (NLCs), also known as polar mesospheric clouds (PMC) when viewed from space. We present the first results from one of the three instruments on board the satellite, the Cloud Imaging and Particle Size (CIPS) instrument. CIPS has produced detailed morphology of the Northern 2007 PMC and Southern 2007/2008 seasons with 5 km horizontal spatial resolution. CIPS, with its very large angular field of view, images cloud structures at multiple scattering angles within a narrow spectral bandpass centered at 265 nm. Spatial coverage is 100% above about 70° latitude, where camera views overlap from orbit to orbit, and terminates at about 82°. Spatial coverage decreases to about 50% at the lowest latitudes where data are collected (35°). Cloud structures have for the first time been mapped out over nearly the entire summertime polar region. These structures include [`]ice rings', spatially small but bright clouds, and large regions ([`]ice-free regions') in the heart of the cloud season essentially devoid of ice particles. The ice rings bear a close resemblance to tropospheric convective outflow events, suggesting a point source of mesospheric convection. These rings (often circular arcs) are most likely Type IV NLC ([`]whirls' in the standard World Meteorological Organization (WMO) nomenclature).

Temporal Dynamics and Spatial Patterns of Aedes aegypti Breeding Sites, in the Context of a Dengue Control Program in Tartagal (Salta Province, Argentina).

PubMed

Espinosa, Manuel; Weinberg, Diego; Rotela, Camilo H; Polop, Francisco; Abril, Marcelo; Scavuzzo, Carlos Marcelo

2016-05-01

Since 2009, Fundación Mundo Sano has implemented an Aedes aegypti Surveillance and Control Program in Tartagal city (Salta Province, Argentina). The purpose of this study was to analyze temporal dynamics of Ae. aegypti breeding sites spatial distribution, during five years of samplings, and the effect of control actions over vector population dynamics. Seasonal entomological (larval) samplings were conducted in 17,815 fixed sites in Tartagal urban area between 2009 and 2014. Based on information of breeding sites abundance, from satellite remote sensing data (RS), and by the use of Geographic Information Systems (GIS), spatial analysis (hotspots and cluster analysis) and predictive model (MaxEnt) were performed. Spatial analysis showed a distribution pattern with the highest breeding densities registered in city outskirts. The model indicated that 75% of Ae. aegypti distribution is explained by 3 variables: bare soil coverage percentage (44.9%), urbanization coverage percentage(13.5%) and water distribution (11.6%). This results have called attention to the way entomological field data and information from geospatial origin (RS/GIS) are used to infer scenarios which could then be applied in epidemiological surveillance programs and in the determination of dengue control strategies. Predictive maps development constructed with Ae. aegypti systematic spatiotemporal data, in Tartagal city, would allow public health workers to identify and target high-risk areas with appropriate and timely control measures. These tools could help decision-makers to improve health system responses and preventive measures related to vector control.

Accuracy comparison in mapping water bodies using Landsat images and Google Earth Images

NASA Astrophysics Data System (ADS)

Zhou, Z.; Zhou, X.

2016-12-01

A lot of research has been done for the extraction of water bodies with multiple satellite images. The Water Indexes with the use of multi-spectral images are the mostly used methods for the water bodies' extraction. In order to extract area of water bodies from satellite images, accuracy may depend on the spatial resolution of images and relative size of the water bodies. To quantify the impact of spatial resolution and size (major and minor lengths) of the water bodies on the accuracy of water area extraction, we use Georgetown Lake, Montana and coalbed methane (CBM) water retention ponds in the Montana Powder River Basin as test sites to evaluate the impact of spatial resolution and the size of water bodies on water area extraction. Data sources used include Landsat images and Google Earth images covering both large water bodies and small ponds. Firstly we used water indices to extract water coverage from Landsat images for both large lake and small ponds. Secondly we used a newly developed visible-index method to extract water coverage from Google Earth images covering both large lake and small ponds. Thirdly, we used the image fusion method in which the Google Earth Images are fused with multi-spectral Landsat images to obtain multi-spectral images of the same high spatial resolution as the Google earth images. The actual area of the lake and ponds are measured using GPS surveys. Results will be compared and the optimal method will be selected for water body extraction.

Temporal Dynamics and Spatial Patterns of Aedes aegypti Breeding Sites, in the Context of a Dengue Control Program in Tartagal (Salta Province, Argentina)

PubMed Central

Espinosa, Manuel; Weinberg, Diego; Rotela, Camilo H.; Polop, Francisco; Abril, Marcelo; Scavuzzo, Carlos Marcelo

2016-01-01

Background Since 2009, Fundación Mundo Sano has implemented an Aedes aegypti Surveillance and Control Program in Tartagal city (Salta Province, Argentina). The purpose of this study was to analyze temporal dynamics of Ae. aegypti breeding sites spatial distribution, during five years of samplings, and the effect of control actions over vector population dynamics. Methodology/Principal Findings Seasonal entomological (larval) samplings were conducted in 17,815 fixed sites in Tartagal urban area between 2009 and 2014. Based on information of breeding sites abundance, from satellite remote sensing data (RS), and by the use of Geographic Information Systems (GIS), spatial analysis (hotspots and cluster analysis) and predictive model (MaxEnt) were performed. Spatial analysis showed a distribution pattern with the highest breeding densities registered in city outskirts. The model indicated that 75% of Ae. aegypti distribution is explained by 3 variables: bare soil coverage percentage (44.9%), urbanization coverage percentage(13.5%) and water distribution (11.6%). Conclusions/Significance This results have called attention to the way entomological field data and information from geospatial origin (RS/GIS) are used to infer scenarios which could then be applied in epidemiological surveillance programs and in the determination of dengue control strategies. Predictive maps development constructed with Ae. aegypti systematic spatiotemporal data, in Tartagal city, would allow public health workers to identify and target high-risk areas with appropriate and timely control measures. These tools could help decision-makers to improve health system responses and preventive measures related to vector control. PMID:27223693

Improve observation-based ground-level ozone spatial distribution by compositing satellite and surface observations: A simulation experiment

NASA Astrophysics Data System (ADS)

Zhang, Yuzhong; Wang, Yuhang; Crawford, James; Cheng, Ye; Li, Jianfeng

2018-05-01

Obtaining the full spatial coverage of daily surface ozone fields is challenging because of the sparsity of the surface monitoring network and the difficulty in direct satellite retrievals of surface ozone. We propose an indirect satellite retrieval framework to utilize the information from satellite-measured column densities of tropospheric NO2 and CH2O, which are sensitive to the lower troposphere, to derive surface ozone fields. The method is applicable to upcoming geostationary satellites with high-quality NO2 and CH2O measurements. To prove the concept, we conduct a simulation experiment using a 3-D chemical transport model for July 2011 over the eastern US. The results show that a second order regression using both NO2 and CH2O column densities can be an effective predictor for daily maximum 8-h average ozone. Furthermore, this indirect retrieval approach is shown to be complementary to spatial interpolation of surface observations, especially in regions where the surface sites are sparse. Combining column observations of NO2 and CH2O with surface site measurements leads to an improved representation of surface ozone over simple kriging, increasing the R2 value from 0.53 to 0.64 at a surface site distance of 252 km. The improvements are even more significant with larger surface site distances. The simulation experiment suggests that the indirect satellite retrieval technique can potentially be a useful tool to derive the full spatial coverage of daily surface ozone fields if satellite observation uncertainty is moderate.

[Spatial distribution of aboveground biomass of shrubs in Tianlaochi catchment of the Qilian Mountains].

PubMed

Liang, Bei; Di, Li; Zhao, Chuan-Yan; Peng, Shou-Zhang; Peng, Huan-Hua; Wang, Chao

2014-02-01

This study estimated the spatial distribution of the aboveground biomass of shrubs in the Tianlaochi catchment of Qilian Mountains based on the field survey and remote sensing data. A relationship model of the aboveground biomass and its feasibly measured factors (i. e. , canopy perimeter and plant height) was built. The land use was classified by object-oriented technique with the high resolution image (GeoEye-1) of the study area, and the distribution of shrub coverage was extracted. Then the total aboveground biomass of shrubs in the study area was estimated by the relationship model with the distribution of shrub coverage. The results showed that the aboveground biomass of shrubs in the study area was 1.8 x 10(3) t and the aboveground biomass per unit area was 1598.45 kg x m(-2). The distribution of shrubs mainly was at altitudes of 3000-3700 m, and the aboveground biomass of shrubs on the sunny slope (1.15 x 10(3) t) was higher than that on the shady slope (0.65 x 10(3) t).

Disk Density Tuning of a Maximal Random Packing

PubMed Central

Ebeida, Mohamed S.; Rushdi, Ahmad A.; Awad, Muhammad A.; Mahmoud, Ahmed H.; Yan, Dong-Ming; English, Shawn A.; Owens, John D.; Bajaj, Chandrajit L.; Mitchell, Scott A.

2016-01-01

We introduce an algorithmic framework for tuning the spatial density of disks in a maximal random packing, without changing the sizing function or radii of disks. Starting from any maximal random packing such as a Maximal Poisson-disk Sampling (MPS), we iteratively relocate, inject (add), or eject (remove) disks, using a set of three successively more-aggressive local operations. We may achieve a user-defined density, either more dense or more sparse, almost up to the theoretical structured limits. The tuned samples are conflict-free, retain coverage maximality, and, except in the extremes, retain the blue noise randomness properties of the input. We change the density of the packing one disk at a time, maintaining the minimum disk separation distance and the maximum domain coverage distance required of any maximal packing. These properties are local, and we can handle spatially-varying sizing functions. Using fewer points to satisfy a sizing function improves the efficiency of some applications. We apply the framework to improve the quality of meshes, removing non-obtuse angles; and to more accurately model fiber reinforced polymers for elastic and failure simulations. PMID:27563162

Compressed Sensing for Resolution Enhancement of Hyperpolarized 13C Flyback 3D-MRSI

PubMed Central

Hu, Simon; Lustig, Michael; Chen, Albert P.; Crane, Jason; Kerr, Adam; Kelley, Douglas A.C.; Hurd, Ralph; Kurhanewicz, John; Nelson, Sarah J.; Pauly, John M.; Vigneron, Daniel B.

2008-01-01

High polarization of nuclear spins in liquid state through dynamic nuclear polarization has enabled the direct monitoring of 13C metabolites in vivo at very high signal to noise, allowing for rapid assessment of tissue metabolism. The abundant SNR afforded by this hyperpolarization technique makes high resolution 13C 3D-MRSI feasible. However, the number of phase encodes that can be fit into the short acquisition time for hyperpolarized imaging limits spatial coverage and resolution. To take advantage of the high SNR available from hyperpolarization, we have applied compressed sensing to achieve a factor of 2 enhancement in spatial resolution without increasing acquisition time or decreasing coverage. In this paper, the design and testing of compressed sensing suited for a flyback 13C 3D-MRSI sequence are presented. The key to this design was the undersampling of spectral k-space using a novel blipped scheme, thus taking advantage of the considerable sparsity in typical hyperpolarized 13C spectra. Phantom tests validated the accuracy of the compressed sensing approach and initial mouse experiments demonstrated in vivo feasibility. PMID:18367420

Search strategy in a complex and dynamic environment (the Indian Ocean case)

NASA Astrophysics Data System (ADS)

Loire, Sophie; Arbabi, Hassan; Clary, Patrick; Ivic, Stefan; Crnjaric-Zic, Nelida; Macesic, Senka; Crnkovic, Bojan; Mezic, Igor; UCSB Team; Rijeka Team

2014-11-01

The disappearance of Malaysia Airlines Flight 370 (MH370) in the early morning hours of 8 March 2014 has exposed the disconcerting lack of efficient methods for identifying where to look and how to look for missing objects in a complex and dynamic environment. The search area for plane debris is a remote part of the Indian Ocean. Searches, of the lawnmower type, have been unsuccessful so far. Lagrangian kinematics of mesoscale features are visible in hypergraph maps of the Indian Ocean surface currents. Without a precise knowledge of the crash site, these maps give an estimate of the time evolution of any initial distribution of plane debris and permits the design of a search strategy. The Dynamic Spectral Multiscale Coverage search algorithm is modified to search a spatial distribution of targets that is evolving with time following the dynamic of ocean surface currents. Trajectories are generated for multiple search agents such that their spatial coverage converges to the target distribution. Central to this DSMC algorithm is a metric for the ergodicity.

Disk Density Tuning of a Maximal Random Packing.

PubMed

Ebeida, Mohamed S; Rushdi, Ahmad A; Awad, Muhammad A; Mahmoud, Ahmed H; Yan, Dong-Ming; English, Shawn A; Owens, John D; Bajaj, Chandrajit L; Mitchell, Scott A

2016-08-01

We introduce an algorithmic framework for tuning the spatial density of disks in a maximal random packing, without changing the sizing function or radii of disks. Starting from any maximal random packing such as a Maximal Poisson-disk Sampling (MPS), we iteratively relocate, inject (add), or eject (remove) disks, using a set of three successively more-aggressive local operations. We may achieve a user-defined density, either more dense or more sparse, almost up to the theoretical structured limits. The tuned samples are conflict-free, retain coverage maximality, and, except in the extremes, retain the blue noise randomness properties of the input. We change the density of the packing one disk at a time, maintaining the minimum disk separation distance and the maximum domain coverage distance required of any maximal packing. These properties are local, and we can handle spatially-varying sizing functions. Using fewer points to satisfy a sizing function improves the efficiency of some applications. We apply the framework to improve the quality of meshes, removing non-obtuse angles; and to more accurately model fiber reinforced polymers for elastic and failure simulations.

Spatial patterns of atmospheric deposition of nitrogen and sulfur using ion-exchange resin collectors in Rocky Mountain National Park, USA

USGS Publications Warehouse

Clow, David W.; Roop, Heidi; Nanus, Leora; Fenn, Mark; Sexstone, Graham A.

2015-01-01

Lakes and streams in Class 1 wilderness areas in the western United States (U.S.) are at risk from atmospheric deposition of nitrogen (N) and sulfur (S), and protection of these resources is mandated under the Federal Clean Air Act and amendments. Assessment of critical loads, which are the maximum exposure to pollution an area can receive without adverse effects on sensitive ecosystems, requires accurate deposition estimates. However, deposition is difficult and expensive to measure in high-elevation wilderness, and spatial patterns in N and S deposition in these areas remain poorly quantified. In this study, ion-exchange resin (IER) collectors were used to measure dissolved inorganic N (DIN) and S deposition during June 2006–September 2007 at approximately 20 alpine/subalpine sites spanning the Continental Divide in Rocky Mountain National Park. Results indicated good agreement between deposition estimated from IER collectors and commonly used wet + dry methods during summer, but poor agreement during winter. Snowpack sampling was found to be a more accurate way of quantifying DIN and S deposition during winter. Summer DIN deposition was significantly greater on the east side of the park than on the west side (25–50%; p ≤ 0.03), consistent with transport of pollutants to the park from urban and agricultural areas to the east. Sources of atmospheric nitrate (NO3−) were examined using N isotopes. The average δ15N of NO3− from IER collectors was 3.5‰ higher during winter than during summer (p < 0.001), indicating a seasonal shift in the relative importance of regional NOxsources, such as coal combustion and vehicular sources of atmospheric NO3−. There were no significant differences in δ15N of NO3− between east and west sides of the park during summer or winter (p = 0.83), indicating that the two areas may have similar sources of atmospheric NO3−. Results from this study indicate that a combination of IER collectors and snowpack sampling can be used to characterize spatial variability in DIN and S deposition in high-elevation wilderness areas. These data can improve our ability to model critical loads by filling gaps in geographic coverage of deposition monitoring/modeling programs and thus may enable policy makers to better protect sensitive natural resources in Class 1 Wilderness areas.

Development and evaluation of a high-resolution aerosol optical depth product for the southern California region during the October 2007 wildfires

NASA Astrophysics Data System (ADS)

McCarthy, M. C.; Raffuse, S. M.; Dewinter, J. L.; Lurmann, F.; Craig, K. J.; Fruin, S.

2010-12-01

Current methods for estimating acute exposure to high levels of air pollution (e.g., particles, CO, NOx, aldehydes) during fire events require spatial interpolation over the study area using concentrations at central air quality monitors to represent the population of interest. This may inaccurately represent the magnitude of exposure because pollutant concentrations vary widely depending on the location of the fire plume, vertical mixing, and prevailing winds dispersing the pollutant. Remotely sensed datasets, such as aerosol optical depth (AOD) from the NASA MODIS instrument, can provide greater spatial coverage than ground-based air quality monitors. Past studies have shown positive correlations between AOD, a measure of aerosols in an atmospheric column, and ground-level measurements of PM2.5 and PM10 concentrations. However, current standard AOD products are not sufficient for assessing intra-urban variability due to the low spatial resolution (e.g., 10x10 km for MODIS) of datasets. In addition such products typically perform poorly with very dense smoke in the atmosphere and over reflective, semi-arid land surfaces such as southern California. A highly resolved AOD product (500m resolution) was developed for southern California during the October 2007 fires using radiance data obtained from the National Aeronautics and Space Administration (NASA) MODIS instrument. AOD was calculated at 0.55µm wavelength using a unique algorithm tailored to the southern California region and for an atmosphere dominated by biomass burning aerosols. The AOD product was compared with column measurements of AOD from surface-based AERONET sites. AOD was not predictive of surface PM during the October 2007 fires when compared to surface PM concentrations throughout southern California; R-square correlation coefficients were low. However, the relationship varied during the time period studied: correlations were weak early in the event (0.02) but improved during the later days of the event (0.3). Heavy dust episodes early in the fire event were poorly represented by the biomass-specific aerosol optical properties model. In addition, lofted smoke plumes from active fires did not mix down to the surface, resulting in high AOD column estimates and low surface PM concentrations. The aerosol was more dispersed later in the event; elevated surface PM concentrations were coincident with moderate AOD values. The case study demonstrates the challenges in using remote measurements in quantifying surface concentrations during active fire events in areas of complex terrain.

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.

Improve EPA's AIRNow Air Quality Index Maps with NASA/NOAA Satellite Data

NASA Astrophysics Data System (ADS)

Pasch, A.; Zahn, P. H.; DeWinter, J. L.; Haderman, M. D.; White, J. E.; Dickerson, P.; Dye, T. S.; Martin, R. V.

2011-12-01

The U.S. Environmental Protection Agency's (EPA) AIRNow program provides maps of real-time hourly Air Quality Index (AQI) conditions and daily AQI forecasts nationwide (http://www.airnow.gov). The public uses these maps to make decisions concerning their respiratory health. The usefulness of the AIRNow air quality maps depends on the accuracy and spatial coverage of air quality measurements. Currently, the maps use only ground-based measurements, which have significant gaps in coverage in some parts of the United States. As a result, contoured AQI levels have high uncertainty in regions far from monitors. To improve the usefulness of air quality maps, scientists at EPA and Sonoma Technology, Inc. are working in collaboration with the National Aeronautics and Space Administration (NASA), the National Oceanic and Atmospheric Administration (NOAA), and university researchers on a project to incorporate additional measurements into the maps via the AIRNow Satellite Data Processor (ASDP). These measurements include estimated surface PM

A New Method for Estimating the Coverage of Mass Vaccination Campaigns Against Poliomyelitis From Surveillance Data.

PubMed

O'Reilly, K M; Cori, A; Durry, E; Wadood, M Z; Bosan, A; Aylward, R B; Grassly, N C

2015-12-01

Mass vaccination campaigns with the oral poliovirus vaccine targeting children aged <5 years are a critical component of the global poliomyelitis eradication effort. Monitoring the coverage of these campaigns is essential to allow corrective action, but current approaches are limited by their cross-sectional nature, nonrandom sampling, reporting biases, and accessibility issues. We describe a new Bayesian framework using data augmentation and Markov chain Monte Carlo methods to estimate variation in vaccination coverage from children's vaccination histories investigated during surveillance for acute flaccid paralysis. We tested the method using simulated data with at least 200 cases and were able to detect undervaccinated groups if they exceeded 10% of all children and temporal changes in coverage of ±10% with greater than 90% sensitivity. Application of the method to data from Pakistan for 2010-2011 identified undervaccinated groups within the Balochistan/Federally Administered Tribal Areas and Khyber Pakhtunkhwa regions, as well as temporal changes in coverage. The sizes of these groups are consistent with the multiple challenges faced by the program in these regions as a result of conflict and insecurity. Application of this new method to routinely collected data can be a useful tool for identifying poorly performing areas and assisting in eradication efforts. © The Author 2015. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.

Overcoming Student Misconceptions about Photosynthesis: A Model- and Inquiry-Based Approach Using Aquatic Plants

ERIC Educational Resources Information Center

Ray, Andrew M.; Beardsley, Paul M.

2008-01-01

Even though photosynthesis is an obligatory part of the science curriculum, research has shown that students often have a poor understanding of it. The authors advocate that classroom coverage of the topic of photosynthesis should include not only its biochemical properties but also the role of photosynthesis or photosynthetic organisms in matter…

Bark coverage and insects influence wood decomposition: direct and indirect effects

Treesearch

Michael D. Ulyshen; Jorg Muller; Sebastian Seibold

2016-01-01

Rates of terrestrial wood decomposition are known to vary widely depending on regional and local climatic conditions, substrate characteristics and the organisms involved but the influence of many factors remain poorly quantified. We sought to determine how bark and insects contribute to decomposition in a southeastern U.S. forest. Open-topped stainless steel pans with...

Agreement and Coverage of Indicators of Response to Intervention: A Multimethod Comparison and Simulation

ERIC Educational Resources Information Center

Fletcher, Jack M.; Stuebing, Karla K.; Barth, Amy E.; Miciak, Jeremy; Francis, David J.; Denton, Carolyn

2014-01-01

Purpose: Agreement across methods for identifying students as inadequate responders or as learning disabled is often poor. We report (1) an empirical examination of final status (postintervention benchmarks) and dual-discrepancy growth methods based on growth during the intervention and final status for assessing response to intervention and (2) a…

Perinatal Morbidity and Mortality in Offsprings of Diabetic Mothers in Qatif, Saudi Arabia.

ERIC Educational Resources Information Center

Al-Dabbous, Ibrahim A. Al-; And Others

1995-01-01

Studied perinatal and neonatal morbidity and mortality of diabetic mothers and their offspring in Qatif, Saudi Arabia. Suggests diabetes mellitus in pregnancy may be a common problem in Saudi Arabia, as poor maternal diabetic control results in high perinatal morbidity and mortality. Results suggest that health education and improved coverage of…

Poliomyelitis Outbreak,Pointe-Noire, Republic of the Congo, September 2010–February 2011

PubMed Central

Llosa, Augusto E.; Mouniaman-Nara, Isabelle; Kouassi, Felix; Ngala, Joseph; Boxall, Naomi; Porten, Klaudia; Grais, Rebecca F.

2011-01-01

On November 4, 2010, the Republic of the Congo declared a poliomyelitis outbreak. A cross-sectional survey in Pointe-Noire showed poor sanitary conditions and low vaccination coverage (55.5%), particularly among young adults. Supplementary vaccination should focus on older age groups in countries with evidence of immunity gaps. PMID:21801636

Socio-economic determinants and inequities in coverage and timeliness of early childhood immunisation in rural Ghana.

PubMed

Gram, Lu; Soremekun, Seyi; ten Asbroek, Augustinus; Manu, Alexander; O'Leary, Maureen; Hill, Zelee; Danso, Samuel; Amenga-Etego, Seeba; Owusu-Agyei, Seth; Kirkwood, Betty R

2014-07-01

To assess the extent of socio-economic inequity in coverage and timeliness of key childhood immunisations in Ghana. Secondary analysis of vaccination card data collected from babies born between January 2008 and January 2010 who were registered in the surveillance system supporting the ObaapaVita and Newhints Trials was carried out. 20 251 babies had 6 weeks' follow-up, 16 652 had 26 weeks' follow-up, and 5568 had 1 year's follow-up. We performed a descriptive analysis of coverage and timeliness of vaccinations by indicators for urban/rural status, wealth and educational attainment. The association of coverage with socio-economic indicators was tested using a chi-square-test and the association with timeliness using Cox regression. Overall coverage at 1 year of age was high (>95%) for Bacillus Calmette-Guérin (BCG), all three pentavalent diphtheria-pertussis-tetanus-haemophilus influenzae B-hepatitis B (DPTHH) doses and all polio doses except polio at birth (63%). Coverage against measles and yellow fever was 85%. Median delay for BCG was 1.7 weeks. For polio at birth, the median delay was 5 days; all other vaccine doses had median delays of 2-4 weeks. We found substantial health inequity across all socio-economic indicators for all vaccines in terms of timeliness, but not coverage at 1 year. For example, for the last DPTHH dose, the proportion of children delayed more than 8 weeks were 27% for urban children and 31% for rural children (P < 0.001), 21% in the wealthiest quintile and 41% in the poorest quintile (P < 0.001), and 9% in the most educated group and 39% in the least educated group (P < 0.001). However, 1-year coverage of the same dose remained above 90% for all levels of all socio-economic indicators. Ghana has substantial health inequity across urban/rural, socio-economic and educational divides. While overall coverage was high, most vaccines suffered from poor timeliness. We suggest that countries achieving high coverage should include timeliness indicators in their surveillance systems. © 2014 John Wiley & Sons Ltd.

Measles vaccination coverage estimates from surveys, clinic records, and immune markers in oral fluid and blood: a population-based cross-sectional study.

PubMed

Hayford, Kyla T; Shomik, Mohammed S; Al-Emran, Hassan M; Moss, William J; Bishai, David; Levine, Orin S

2013-12-20

Recent outbreaks of measles and polio in low-income countries illustrate that conventional methods for estimating vaccination coverage do not adequately identify susceptible children. Immune markers of protection against vaccine-preventable diseases in oral fluid (OF) or blood may generate more accurate measures of effective vaccination history, but questions remain about whether antibody surveys are feasible and informative tools for monitoring immunization program performance compared to conventional vaccination coverage indicators. This study compares six indicators of measles vaccination status, including immune markers in oral fluid and blood, from children in rural Bangladesh and evaluates the implications of using each indicator to estimate measles vaccination coverage. A cross-sectional population-based study of children ages 12-16 months in Mirzapur, Bangladesh, ascertained measles vaccination (MCV1) history from conventional indicators: maternal report, vaccination card records, 'card+history' and EPI clinic records. Oral fluid from all participants (n=1226) and blood from a subset (n=342) were tested for measles IgG antibodies as indicators of MCV1 history and compared to conventional MCV1 coverage indicators. Maternal report yielded the highest MCV1 coverage estimates (90.8%), followed by EPI records (88.6%), and card+history (84.2%). Seroprotection against measles by OF (57.3%) was significantly lower than other indicators, even after adjusting for incomplete seroconversion and assay performance (71.5%). Among children with blood results, 88.6% were seroprotected, which was significantly higher than coverage by card+history and OF serostatus but consistent with coverage by maternal report and EPI records. Children with vaccination cards or EPI records were more likely to have a history of receiving MCV1 than those without cards or records. Despite similar MCV1 coverage estimates across most indicators, within-child agreement was poor for all indicators. Measles IgG antibodies in OF was not a suitable immune marker for monitoring measles vaccination coverage in this setting. Because agreement between conventional MCV1 indicators was mediocre, immune marker surveillance with blood samples could be used to validate conventional MCV1 indicators and generate adjusted results that can be compared across indicators.

Geoinformatics for the Mapping of Nexus Between Poverty and Land Degradation in Drylands of Thar Desert

NASA Astrophysics Data System (ADS)

Gaur, Mahesh

2012-07-01

Poverty and land degradation are major problems in majority of world dry lands, where meagre vegetative coverage (of forests and trees) contribute significantly to rural livelihoods. In order to eradicate poverty in the dry lands, it is important to protect the land from deforestation, fragmentation, degradation, drought and sometimes flash floods. Satellite remote sensing is a critical need for India - for spatial and temporal inter-linking of poverty and land degradation nexus and its prioritization. Remote sensing and geographical information system (GIS) is often used to generate and apply knowledge in the complex local context. Connecting natural resources and ecosystem services with attributes of poverty is amenable through Remote Sensing and GIS. Such linkages in a typical local context are important to recognize while building rural assets and natural resources conservation leading to poverty alleviation. A large proportion of the poor in the Rajasthan state live in resource poor western region who lack productive assets (especially land) and also lack adequate livelihoods skills or capacities due to illiteracy. People are inadequately organized to assert their rights and utilize available resources and services. The state also continues to be plagued by high levels of gender and caste discrimination (World Bank, 2007). Incidence of Poverty: The number of population below poverty line in Rajasthan in 2004-05 were 22.1 percent. The corresponding figures for rural areas are 18.7 percent. In urban areas, the number of poor people are 32.9 percent. Rural poverty situation is significantly better than urban poverty. (HDR, 2008) Despite the fact that poverty rates in Rajasthan are lower than the national average, the incidence of poverty in Western Rajasthan is nevertheless high. The incidence of poverty varies between 11.2% in Jodhpur to as much as 35.2% in Jalore. The poor households suffer from both lack of resources and the means to access them, which contributes to the relatively low Human Development Index (HDI) indicators. Besides the extreme deprivations in the normal course of life, the poor become particularly vulnerable at the time of recurrent drought induced crisis. (MPOWER, 2010) The present study demonstrates application of earth observations for the mapping of nexus between poverty and land degradation. The empirical study carried out by the investigator in the Pali district highlights that such technological inputs could be applied in support of the poor and marginal farming community in the different parts of State and the country at cadastral level.

Automated Topographic Change Detection via Dem Differencing at Large Scales Using The Arcticdem Database

NASA Astrophysics Data System (ADS)

Candela, S. G.; Howat, I.; Noh, M. J.; Porter, C. C.; Morin, P. J.

2016-12-01

In the last decade, high resolution satellite imagery has become an increasingly accessible tool for geoscientists to quantify changes in the Arctic land surface due to geophysical, ecological and anthropomorphic processes. However, the trade off between spatial coverage and spatial-temporal resolution has limited detailed, process-level change detection over large (i.e. continental) scales. The ArcticDEM project utilized over 300,000 Worldview image pairs to produce a nearly 100% coverage elevation model (above 60°N) offering the first polar, high spatial - high resolution (2-8m by region) dataset, often with multiple repeats in areas of particular interest to geo-scientists. A dataset of this size (nearly 250 TB) offers endless new avenues of scientific inquiry, but quickly becomes unmanageable computationally and logistically for the computing resources available to the average scientist. Here we present TopoDiff, a framework for a generalized. automated workflow that requires minimal input from the end user about a study site, and utilizes cloud computing resources to provide a temporally sorted and differenced dataset, ready for geostatistical analysis. This hands-off approach allows the end user to focus on the science, without having to manage thousands of files, or petabytes of data. At the same time, TopoDiff provides a consistent and accurate workflow for image sorting, selection, and co-registration enabling cross-comparisons between research projects.

High-frame-rate full-vocal-tract 3D dynamic speech imaging.

PubMed

Fu, Maojing; Barlaz, Marissa S; Holtrop, Joseph L; Perry, Jamie L; Kuehn, David P; Shosted, Ryan K; Liang, Zhi-Pei; Sutton, Bradley P

2017-04-01

To achieve high temporal frame rate, high spatial resolution and full-vocal-tract coverage for three-dimensional dynamic speech MRI by using low-rank modeling and sparse sampling. Three-dimensional dynamic speech MRI is enabled by integrating a novel data acquisition strategy and an image reconstruction method with the partial separability model: (a) a self-navigated sparse sampling strategy that accelerates data acquisition by collecting high-nominal-frame-rate cone navigator sand imaging data within a single repetition time, and (b) are construction method that recovers high-quality speech dynamics from sparse (k,t)-space data by enforcing joint low-rank and spatiotemporal total variation constraints. The proposed method has been evaluated through in vivo experiments. A nominal temporal frame rate of 166 frames per second (defined based on a repetition time of 5.99 ms) was achieved for an imaging volume covering the entire vocal tract with a spatial resolution of 2.2 × 2.2 × 5.0 mm 3 . Practical utility of the proposed method was demonstrated via both validation experiments and a phonetics investigation. Three-dimensional dynamic speech imaging is possible with full-vocal-tract coverage, high spatial resolution and high nominal frame rate to provide dynamic speech data useful for phonetic studies. Magn Reson Med 77:1619-1629, 2017. © 2016 International Society for Magnetic Resonance in Medicine. © 2016 International Society for Magnetic Resonance in Medicine.

Ordering Transitions in Liquid Crystals Permit Imaging of Spatial and Temporal Patterns Formed by Proteins Penetrating into Lipid-Laden Interfaces

PubMed Central

Daschner De Tercero, Maren; Abbott, Nicholas L.

2013-01-01

Recent studies have reported that full monolayers of L-α-dilaurylphosphatidylcholine (L-DLPC) and D-α-dipalmitoylphosphatidylcholine (D-DPPC) formed at interfaces between thermotropic liquid crystals (LCs) and aqueous phases lead to homeotropic (perpendicular) orientations of nematic LCs and that specific binding of proteins to these interfaces (such as phospholipase A2 binding to D-DPPC) can trigger orientational ordering transitions in the liquid crystals. We report on the nonspecific interactions of proteins with aqueous-LC interfaces decorated with partial monolayer coverage of L-DLPC. Whereas nonspecific interactions of four proteins (cytochrome c, bovine serum albumin,immunoglobulins, and neutravidin) do not perturb the ordering of the LC when a full monolayer of L-DLPC is assembled at the aqueous-LC interface, we observe patterned orientational transitions in the LC that reflect penetration of proteins into the interface of the LC with partial monolayer coverage of L-DLPC. The spatial patterns formed by the proteins and lipids at the interface are surprisingly complex, and in some cases the protein domains are found to compartmentalize lipid within the interfaces. These results suggest that phospholipid-decorated interfaces between thermotropic liquid crystals and aqueous phases offer the basis of a simple and versatile tool to study the spatial organization and dynamics ofprotein networks formed at mobile, lipid-decorated interfaces. PMID:23671353

A Malaria Ecology Index Predicted Spatial and Temporal Variation of Malaria Burden and Efficacy of Antimalarial Interventions Based on African Serological Data.

PubMed

McCord, Gordon C; Anttila-Hughes, Jesse K

2017-03-01

Reducing the global health burden of malaria is complicated by weak reporting systems for infectious diseases and a paucity of vital statistics registration. This limits our ability to predict changes in malaria health burden intensity, target antimalarial resources where needed, and identify malaria impacts in retrospective data. We refined and deployed a temporally and spatially varying Malaria Ecology Index (MEI) incorporating climatological and ecological data to estimate malaria transmission strength and validate it against cross-sectional serology data from 39,875 children from seven sub-Saharan African countries. The MEI is strongly associated with malaria burden; a 1 standard deviation higher MEI is associated with a 50-117% increase in malaria risk and a 3-5 g/dL lower level of Hg. Results show that the relationship between malaria ecology and disease burden is attenuated with sufficient coverage of insecticide treated nets (ITNs) or indoor residual spraying (IRS). Having both ITNs and IRS reduce the added risk from adverse malaria ecology conditions by half. Readily available climate and ecology data can be used to estimate the spatial and temporal variation in malaria disease burden, providing a feasible alternative to direct surveillance. This will help target resources for malaria programs in the absence of national coverage of active case detection systems, and facilitate malaria research using retrospective health data.

Coronal Heating and the Need for High-Resolution Observations

NASA Technical Reports Server (NTRS)

Klimchuk, James A.

2008-01-01

Despite excellent progress in recent years in understanding coronal heating, there remain many crucial questions that are still unanswered. Limitations in the observations are one important reason. Both theoretical and observational considerations point to the importance of small spatial scales, impulsive energy release, strong dynamics, and extreme plasma nonuniformity. As a consequence, high spatial resolution, broad temperature coverage, high temperature fidelity, and sensitivity to velocities and densities are all critical observational parameters. Current instruments lack one or more of these properties, and this has led to considerable ambiguity and confusion. In this talk, I will discuss recent ideas about coronal heating and emphasize that high spatial resolution observations, especially spectroscopic observations, are needed to make major progress on this important problem.

Effect of Visual-Spatial Ability on Medical Students' Performance in a Gross Anatomy Course

ERIC Educational Resources Information Center

Lufler, Rebecca S.; Zumwalt, Ann C.; Romney, Carla A.; Hoagland, Todd M.

2012-01-01

The ability to mentally manipulate objects in three dimensions is essential to the practice of many clinical medical specialties. The relationship between this type of visual-spatial ability and performance in preclinical courses such as medical gross anatomy is poorly understood. This study determined if visual-spatial ability is associated with…

Predicting the spatial distribution of Lonicera japonica, based on species occurrence data from two watersheds in Western Kentucky and Tennessee

Treesearch

Dongjiao Liu; Hao Jiang; Robin Zhang; Kate S. He

2011-01-01

The spatial distribution of most invasive plants is poorly documented and studied. This project examined and compared the spatial distribution of a successful invasive plant, Japanese honeysuckle (Lonicera japonica), in two similar-sized but ecologically distinct watersheds in western Kentucky (Ledbetter Creek) and western Tennessee (Panther Creek)....

Influence of Polymers on the Crystal Growth Rate of Felodipine: Correlating Adsorbed Polymer Surface Coverage to Solution Crystal Growth Inhibition.

PubMed

Schram, Caitlin J; Taylor, Lynne S; Beaudoin, Stephen P

2015-10-20

The bioavailability of orally administered drugs that exhibit poor aqueous solubility can be enhanced with the use of supersaturating dosage forms. Stabilization of these forms by preventing or inhibiting crystallization in solution is an important area of study. Polymers can be used to stabilize supersaturated systems; however, the properties that impact their effectiveness as crystal growth rate inhibitors are not yet fully understood. In this study, the impact of various polymers on the crystal growth rate of felodipine and the conformation of these polymers adsorbed to crystalline felodipine was investigated in order to gain a mechanistic understanding of crystal growth inhibition. It was determined that polymer hydrophobicity impacted polymer adsorption as well as adsorbed polymer conformation. Polymer conformation impacts its surface coverage, which was shown to directly correlate to the polymer's effectiveness as a growth rate inhibitor. By modeling this correlation, it is possible to predict polymer effectiveness given the surface coverage of the polymer.

Moving Toward Universal Health Coverage (UHC) to Achieve Inclusive and Sustainable Health Development: Three Essential Strategies Drawn From Asian Experience

PubMed Central

Xu, Ye; Huang, Cheng; Colón-Ramos, Uriyoán

2015-01-01

Binagwaho and colleagues’ perspective piece provided a timely reflection on the experience of Rwanda in achieving the Millennium Development Goals (MDGs) and a proposal of 5 principles to carry forward in post-2015 health development. This commentary echoes their viewpoints and offers three lessons for health policy reforms consistent with these principles beyond 2015. Specifically, we argue that universal health coverage (UHC) is an integrated solution to advance the global health development agenda, and the three essential strategies drawn from Asian countries’ health reforms toward UHC are: (1) Public financing support and sequencing health insurance expansion by first extending health insurance to the extremely poor, vulnerable, and marginalized population are critical for achieving UHC; (2) Improved quality of delivered care ensures supply-side readiness and effective coverage; (3) Strategic purchasing and results-based financing creates incentives and accountability for positive changes. These strategies were discussed and illustrated with experience from China and other Asian economies. PMID:26673477

Strengthening routine immunization systems to improve global vaccination coverage.

PubMed

Sodha, S V; Dietz, V

2015-03-01

Global coverage with the third dose of diphtheria-tetanus-pertussis vaccine among children under 1 year of age stagnated at ∼ 83-84% during 2008-13. Annual World Health Organization and UNICEF-derived national vaccination coverage estimates. Incomplete vaccination is associated with poor socioeconomic status, lower education, non-use of maternal-child health services, living in conflict-affected areas, missed immunization opportunities and cancelled vaccination sessions. Vaccination platforms must expand to include older ages including the second year of life. Immunization programmes, including eradication and elimination initiatives such as those for polio and measles, must integrate within the broader health system. The Global Vaccine Action Plan (GVAP) 2011-20 is a framework for strengthening immunization systems, emphasizing country ownership, shared responsibility, equity, integration, sustainability and innovation. Immunization programmes should identify, monitor and evaluate gaps and interventions within the GVAP framework. Published by Oxford University Press 2015. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Utilization of the Local Government Health Insurance Scheme (JKA) for Maternal Health Services Among Women Living in Underdeveloped Areas of Aceh Province, Indonesia.

PubMed

Kesuma, Zurnila Marli; Chongsuvivatwong, Virasakdi

2015-04-01

Aceh province of Indonesia created its own health coverage scheme called Jaminan Kesehatan Aceh (JKA) to cover Aceh's populations who were not registered under insurance for the poor (Jamkesmas). This study aims to compare the utilization rate of maternal health care (MHC) services and contraceptive prevalence rate (CPR) before JKA, during the transition period, and after JKA had been established. A cross-sectional household survey was conducted from June 2011 to July 2012. Utilization of MHC services and CPR during the 3 periods was assessed using a questionnaire. The Mantel-Haenszel χ(2) test was used to examine the association between period and coverage. Generalized estimating equations (GEEs) were used to examine utilization and type of service, period of service, and type of scheme. Coverage of utilization of skilled birth attendants significantly improved among the JKA holders (odds ratio = 1.84; 95% confidence interval = 1.18-2.89). JKA, thus, has shown its positive impact. © 2014 APJPH.

The Affordable Care Act’s Impacts on Access to Insurance and Health Care for Low-Income Populations

PubMed Central

Kominski, Gerald F.; Nonzee, Narissa J.; Sorensen, Andrea

2018-01-01

The Patient Protection and Affordable Care Act (ACA) expands access to health insurance in the United States, and, to date, an estimated 20 million previously uninsured individuals have gained coverage. Understanding the law’s impact on coverage, access, utilization, and health outcomes, especially among low-income populations, is critical to informing ongoing debates about its effectiveness and implementation. Early findings indicate that there have been significant reductions in the rate of uninsurance among the poor and among those who live in Medicaid expansion states. In addition, the law has been associated with increased health care access, affordability, and use of preventive and outpatient services among low-income populations, though impacts on inpatient utilization and health outcomes have been less conclusive. Although these early findings are generally consistent with past coverage expansions, continued monitoring of these domains is essential to understand the long-term impact of the law for underserved populations. PMID:27992730

Recent developments and future directions in the monitoring of terrestrial sun-induced chlorophyll fluorescence from space

NASA Astrophysics Data System (ADS)

Guanter, L.

2017-12-01

Sun-induced chlorophyll fluorescence (SIF) is an electromagnetic signal emitted by the chlorophyll-a of assimilating plants in the 650-850 nm spectral range. The SIF emission has a mechanistic link to photosynthesis and responds instantaneously to perturbations in environmental conditions such as light and water stress, which makes it a powerful proxy for plants' photosynthetic activity. Global measurements of SIF from space have been available since late 2011 from four different atmospheric satellite missions (chronologically, GOSAT, SCIAMACHY, GOME-2 and OCO-2). The potential of the derived SIF data sets to represent the photosynthetic activity of different ecosystems, including large crop belts worldwide, the Amazon rainforest and boreal evergreen forests has been demonstrated in the relatively short life-time of global SIF data. Despite the demonstrated potential of SIF data as a proxy for global terrestrial gross primary production, current observations are partly hampered by a coarse spatial resolution or the lack of spatial coverage. For this reason, great expectations are put on the upcoming TROPOMI instrument onboard the Copernicus' Sentinel 5-Precursor mission to be launched by mid-end of 2017. TROPOMI will provide daily global coverage with a spatial resolution between 3 and 7 km and continuous spectral coverage of the visible and near-infrared part of the spectrum. The recent selection of FLEX as the ESA Earth Explorer 8 to be launched around 2022 and several upcoming geostationary missions (TEMPO, Sentinel-4 and GeoCARB, covering Europe and the Americas) with potential for SIF retrievals complete an exciting near-future scenario for the monitoring of SIF from space. In this contribution, we will provide an overview of recent developments in the global monitoring of SIF and will introduce the near-future observational scenario with especial emphasis on TROPOMI and the geostationary missions to be launched in the coming years.

Comparison of Marine Spatial Planning Methods in Madagascar Demonstrates Value of Alternative Approaches

PubMed Central

Allnutt, Thomas F.; McClanahan, Timothy R.; Andréfouët, Serge; Baker, Merrill; Lagabrielle, Erwann; McClennen, Caleb; Rakotomanjaka, Andry J. M.; Tianarisoa, Tantely F.; Watson, Reg; Kremen, Claire

2012-01-01

The Government of Madagascar plans to increase marine protected area coverage by over one million hectares. To assist this process, we compare four methods for marine spatial planning of Madagascar's west coast. Input data for each method was drawn from the same variables: fishing pressure, exposure to climate change, and biodiversity (habitats, species distributions, biological richness, and biodiversity value). The first method compares visual color classifications of primary variables, the second uses binary combinations of these variables to produce a categorical classification of management actions, the third is a target-based optimization using Marxan, and the fourth is conservation ranking with Zonation. We present results from each method, and compare the latter three approaches for spatial coverage, biodiversity representation, fishing cost and persistence probability. All results included large areas in the north, central, and southern parts of western Madagascar. Achieving 30% representation targets with Marxan required twice the fish catch loss than the categorical method. The categorical classification and Zonation do not consider targets for conservation features. However, when we reduced Marxan targets to 16.3%, matching the representation level of the “strict protection” class of the categorical result, the methods show similar catch losses. The management category portfolio has complete coverage, and presents several management recommendations including strict protection. Zonation produces rapid conservation rankings across large, diverse datasets. Marxan is useful for identifying strict protected areas that meet representation targets, and minimize exposure probabilities for conservation features at low economic cost. We show that methods based on Zonation and a simple combination of variables can produce results comparable to Marxan for species representation and catch losses, demonstrating the value of comparing alternative approaches during initial stages of the planning process. Choosing an appropriate approach ultimately depends on scientific and political factors including representation targets, likelihood of adoption, and persistence goals. PMID:22359534

Impact of grass cover on the magnetic susceptibility measurements for assessing metal contamination in urban topsoil.

PubMed

Golden, Nessa; Zhang, Chaosheng; Potito, Aaron P; Gibson, Paul J; Bargary, Norma; Morrison, Liam

2017-05-01

In recent decades, magnetic susceptibility monitoring has developed as a useful technique in environmental pollution studies, particularly metal contamination of soil. This study provides the first ever examination of the effects of grass cover on magnetic susceptibility (MS) measurements of underlying urban soils. Magnetic measurements were taken in situ to determine the effects on κ (volume magnetic susceptibility) when the grass layer was present (κ grass ) and after the grass layer was trimmed down to the root (κ no grass ). Height of grass was recorded in situ at each grid point. Soil samples (n=185) were collected and measurements of mass specific magnetic susceptibility (χ) were performed in the laboratory and frequency dependence (χ fd %) calculated. Metal concentrations (Pb, Cu, Zn and Fe) in the soil samples were determined and a gradiometry survey carried out in situ on a section of the study area. Significant correlations were found between each of the MS measurements and the metal content of the soil at the p<0.01 level. Spatial distribution maps were created using Inverse Distance Weighting (IDW) and Local Indicators of Spatial Association (LISA) to identify common patterns. κ grass (ranged from 1.67 to 301.00×10 -5 SI) and κ no grass (ranged from 2.08 to 530.67×10 -5 SI) measured in situ are highly correlated [r=0.966, n=194, p<0.01]. The volume susceptibility datasets in the presence and absence of grass coverage share a similar spatial distribution pattern. This study re-evaluates in situ κ monitoring techniques and the results suggest that the removal of grass coverage prior to obtaining in situ κ measurements of urban soil is unnecessary. This layer does not impede the MS sensor from accurately measuring elevated κ in soils, and therefore κ measurements recorded with grass coverage present can be reliably used to identify areas of urban soil metal contamination. Copyright © 2017 Elsevier Inc. All rights reserved.