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The Glasgow area has a combination of highly variable superficial deposits and a legacy of heavy industry, quarrying and mining. These factors create complex foundation and hydrological conditions, influencing the movement of contaminants through the subsurface and giving rise locally to unstable ground conditions. Digital geological three-dimensional models developed by the British Geological Survey are helping to resolve the complex geology underlying Glasgow, providing a key tool for planning and environmental management. The models, covering an area of 3200km2 to a depth of 1.2km, include glacial and post-glacial deposits and the underlying, faulted Carboniferous igneous and sedimentary rocks. Control data, including 95,000 boreholes, digital mine plans and published geological maps, were used in model development. Digital outputs from the models include maps of depth to key horizons, such as rockhead or depth to mine workings. The models have formed the basis for the development of site-scale high-resolution geological models and provide input data for a wide range of other applications from groundwater modelling to stochastic lithological modelling.
Introduction: Point of care ultrasound (US) is a key adjunct in the management of trauma patients, in the form of the extended focused assessment with sonography in trauma (E-FAST) scan. This study assessed the impact of adding an edus2 ultrasound simulator on the diagnostic capabilities of resident and attending physicians participating in simulated trauma scenarios. Methods: 12 residents and 20 attending physicians participated in 114 trauma simulations utilizing a Laerdal 3G mannequin. Participants generated a ranked differential diagnosis list after a standard assessment, and again after completing a simulated US scan for each scenario. We compared reports to determine if US improved diagnostic performance over a physical exam alone. Standard statistical tests (χ2 and Student t tests) were performed. The research team was independent of the edus2 designers. Results: Primary diagnosis improved significantly from 53 (46%) to 97 (85%) correct diagnoses with the addition of simulated US (χ2=37.7, 1df; p=<0.0001). Of the 61 scenarios where an incorrect top ranked diagnosis was given, 51 (84%) improved following US. Participants were assigned a score from 1 to 5 based on where the correct diagnosis was ranked, with a 5 indicating a correct primary diagnosis. Median scores significantly increased from 3.8 (IQR 3, 4.9) to 5 (IQR 4.7, 5; W=219, p<0.0001).Participants were significantly more confident in their diagnoses after using the US simulator, as shown by the increase in their mean confidence in the correct diagnosis from 53.1% (SD 22.8) to 83.5% (SD 19.1; t=9.0; p<0.0001)Additionally, participants significantly narrowed their differential diagnosis lists from an initial medium count of 3.5 (IQR 2.9, 4.4) possible diagnoses to 2.4 (IQR 1.9, 3; W=-378, p<0.0001) following US. The performance of residents was compared to that of attending physicians for each of the above analyses. No differences in performance were detected. Conclusion: This study showed that the addition of ultrasound to simulated trauma scenarios improved the diagnostic capabilities of resident and attending physicians. Specifically, participants improved in diagnostic accuracy, diagnostic confidence, and diagnostic precision. Additionally, we have shown that the edus2 simulator can be integrated into high fidelity simulation in a way that improves diagnostic performance.
A new approach is proposed to analyze Bremsstrahlung X-rays that are emitted from laser-produced plasmas (LPP) and are measured by a stack type spectrometer. This new method is based on a spectral tomographic reconstruction concept with the variational principle for optimization, without referring to the electron energy distribution of a plasma. This approach is applied to the analysis of some experimental data obtained at a few major laser facilities to demonstrate the applicability of the method. Slope temperatures of X-rays from LPP are determined with a two-temperature model, showing different spectral characteristics of X-rays depending on laser properties used in the experiments.
During the Skylab period from June 1973 to January 1974 approximately 1500 type III metre-wave radio bursts or burst groups were reported (Solar Geophysical Data Prompt Reports). The longitudinal distribution of these type III bursts closely resembles that of sunspots and of the coronal transients observed above 2 R⊙ by the white-light coronagraph on Skylab. White light ejection transients appear as large loop or blob-like structures which carry material outward from the Sun and rearrange the corona. In front of the main, bright structures there are weak enhancements of brightness, termed forerunners (Jackson and Hildner 1978; Jackson 1978). In this paper we enquire into whether or not type III bursts are in any way related to the onset of solar mass ejections indicated by coronal transients.
Studies of coronal transients observed in white-light (Gosling et al., 1976) have shown that fast-moving events (≤ 400 km s-1) are closely associated with flares and with type II and IV radio bursts while slow-moving events are not. We now report the first detection of the radio counterpart of a slow-moving transient. The event of 1974 January 21 is shown to be visible on maps of the quiet Sun made at a frequency of 80 MHz.
When I began my studies of solar radio astronomy, Dr J. L. Pawsey, who then led the radio astronomy group in the Division of Radiophysics, CSIRO, explained to me that the internal structure of the Sun was ‘well understood’, thanks to a lack of conflicting observational data, but that for the observable layers of the Sun, the photosphere, chromosphere and corona, a great many mysteries remained. I am sure that he would have been amused by the recent discovery that there are not enough neutrons coming from the core of the Sun. I shall devote most of my talk to matters about which we are fairly certain, but often I will only be able to give part of the story because the details have not yet emerged from the wealth of solar mysteries.
This communication describes techniques, new to radio astronomy, which permit the analysis of electrical signals at radio-frequencies by optical methods.
Two applications will be described: the first is to a spectrograph which gives the instantaneous power spectrum of a single broad-band electrical signal; the second is to the analysis of the signals from a number of aerials of an array in order to form a simultaneous image of the brightness distribution of the region of the sky under observation.
The Culgoora radioheliograph was designed in the early 1960s and commissioned in 1967. Since then there have been dramatic increases in the speed and versatility of digital integrated-circuit devices, and also a marked fall in their cost. It is now possible to replace the original signal processing electronics with equipment, based on modern digital technology, which will significantly enhance the performance of this radio telescope for solar and cosmic radio observations at metre wavelengths.
With a number of important exceptions associated with transitory flare activity, most persistent sources of solar radio emission observed to date with the 80 MHz Culgoora radioheliograph have been stable in position over periods of tens of minutes or hours even though they fluctuated greatly in intensity. During several hours on 1968 November 11, however, we observed some interesting activity which showed frequent changes in the position of a source.
On 1973 March 22 a radio event was observed above the east limb of the Sun with the Culgoora radioheliograph operating at both 80 and 160 MHz. The first stage of this event, a type I storm closely associated with a rising prominence, offers a new insight into the nature of this phenomenon. This storm was followed immediately by a moving type IV burst – the first burst of this kind for which two-dimensional observations are available at two frequencies. The relation between these two stages may help explain the ‘missing hour’ in observations of another moving type IV burst known as ‘Westward Ho’.
For many years we have had evidence from solar radio bursts of violent mass motions in the solar corona: type II bursts reveal the passage of shock waves through the solar corona, and moving type IV bursts show that plasma and magnetic field travel to great distances without any sign of slowing down.
Of the metre-wavelength solar radio bursts which have been recognized, those of type II are characterized by the most complex set of spectral features. Apparently acceptable explanations have now been put forward for most of these features. However, not all these explanations can be considered to be established. In particular the phenomenon of band splitting has been explained in different ways by Sturrock, by Tidman et al., by Zheleznyakov and Zaitsev. However, the theories of Sturrock and Tidman apparently require magnetic fields so strong as to preclude the formation of a magnetohydrodynamic shock wave by a disturbance moving at the velocity (<~ 1000 km/s) attributed to type II bursts. The same problem is encountered in other earlier theories of band splitting involving magnetic effects. The other theory does not involve the magnetic field strength. However, the details of this theory do not appear to have been properly worked out as yet.
For a number of years the occurrence of isolated groups of apparently related type III bursts has been recognized as a common feature of the dynamic spectral records of solar radio emission at metre wavelengths. Interferometer observations supported the simple hypothesis that bursts of a group were usually located in the same position. In this note we report 80 MHz observations made with the Culgoora radioheliograph which show that although the sources of the bursts in a group tend to overlap one another, their centroids may show marked scatter and that their distribution tends to be along narrow lanes across the solar disk. Since the 80 MHz sources occur at heights (≳ 0.6 R⊙) near or above the plasma level, these lanes doubtless reflect some structural feature of the outer corona.
On 17 June 1968 we observed a flare event with the 80 MHz Culgoora radioheliograph consisting of a sequence of two type II bursts followed by enhanced emission possibly of type IV. In this paper we shall attempt to summarize some ofthe profuse data collected by the radioheliograph during this event and relate it to data from the radiospectrograph and Hα films of the associated flare (the Hα films were kindly made available by the Division of Physics, CSIRO).
Undernutrition is prevalent among pregnant women in Cambodia. The provision of fortified dietary supplements is one strategy to help pregnant women meet their nutritional needs. Corn Soya Blend Plus (CSBP) is a widely used prenatal dietary supplement in areas with high rates of undernutrition and food insecurity. However, little is known about its acceptability during pregnancy. The present study aimed to identify factors that affected the acceptability and consumption of CSBP supplements among pregnant women.
Women completed a structured interview designed to provide information on facilitators of and barriers to utilization. In addition, six focus groups were conducted with a subset of women (n 70) to further explore attitudes, perceptions and experiences related to CSBP use.
Two districts in Kampong Chhnang Province, Cambodia.
Pregnant women (n 288) participating in a cluster-randomized trial of CSBP.
The acceptability of CSBP was influenced by sensory attributes, family support, peer influences, and attitudes related to diet, nutritional status and weight gain in pregnancy. Attaining adequate nutrition was considered less important than other concerns during pregnancy, particularly anxiety related to the costs of delivery and postpartum care. Acceptance was lower among new mothers due to fears of weight gain. Health benefits were common reasons for continued use and minor side-effects, such as nausea, were not major barriers to consumption.
CSBP was generally well accepted in this population. However, organoleptic factors and perceptions regarding nutrition and weight gain in pregnancy, particularly for first-time mothers, were barriers to increasing acceptance among Cambodian women.
To report the occurrence of a concurrent oropharyngeal papilloma and branchial cleft cyst linked by p16INK4A and human papillomavirus immunohistochemistry.
A 42-year-old woman presented with a 1-month history of a left lateral neck mass. Contrast enhanced computed tomography showed a hypodense lesion 20 mm in diameter anteromedial to the left sternocleidomastoid muscle. Ultrasound-guided fine needle aspiration suggested a branchial cleft cyst. Panendoscopy was performed at the time of neck mass removal, and a papillomatous lesion was removed from the left hypopharynx. Histopathological analysis showed the neck lesion to be a branchial cyst containing lymphoid tissue, and the oral lesion to be a squamous papilloma. Immunohistochemical analysis showed both the branchial cleft cyst and papilloma to be positive for p16INK4A expression and human papillomavirus DNA.
Histological and immunohistochemical analyses support the cystic transformation of lymph nodes, or the ‘Inclusion Theory’, as the aetiology of branchial apparatus anomalies, and raise the possibility that human papillomavirus infection may play a much larger role in disease of the head and neck than previously supposed.
It is well established that pregnant women are at an increased risk of Plasmodium falciparum infection when compared to non-pregnant individuals and limited epidemiological data suggest Plasmodium vivax risk also increases with pregnancy. The risk of P. falciparum declines with successive pregnancies due to the acquisition of immunity to pregnancy-specific P. falciparum variants. However, despite similar declines in P. vivax risk with successive pregnancies, there is a paucity of evidence P. vivax-specific immunity. Cross-species immunity, as well as immunological and physiological changes that occur during pregnancy may influence the susceptibility to both P. vivax and P. falciparum. The period following delivery, the postpartum period, is relatively understudied and available epidemiological data suggests that it may also be a period of increased risk of infection to Plasmodium spp. Here we review the literature and directly compare and contrast the epidemiology, clinical pathogenesis and immunological features of P. vivax and P. falciparum in pregnancy, with a particular focus on studies performed in areas co-endemic for both species. Furthermore, we review the intriguing epidemiology literature of both P. falciparum and P. vivax postpartum and relate observations to the growing literature pertaining to malaria immunology in the postpartum period.
A randomized controlled trial of three school-based programs and a no-intervention control group was conducted to evaluate their efficacy in reducing eating disorder and obesity risk factors.
A total of 1316 grade 7 and 8 girls and boys (mean age = 13.21 years) across three Australian states were randomly allocated to: Media Smart; Life Smart; the Helping, Encouraging, Listening and Protecting Peers (HELPP) initiative; or control (usual school class). Risk factors were measured at baseline, post-program (5 weeks later), and at the 6- and 12-month follow-ups.
Media Smart girls had half the rate of onset of clinically significant concerns about shape and weight than control girls at the 12-month follow-up. Media Smart and HELPP girls reported significantly lower weight and shape concern than Life Smart girls at the 12-month follow-up. Media Smart and control girls scored significantly lower than HELPP girls on eating concerns and perceived pressure at the 6-month follow-up. Media Smart and HELPP boys experienced significant benefit on media internalization compared with control boys and these were sustained at the 12-month follow-up in Media Smart boys. A group × time effect found that Media Smart participants reported more physical activity than control and HELPP participants at the 6-month follow-up, while a main effect for group found Media Smart participants reported less screen time than controls.
Media Smart was the only program to show benefit on both disordered eating and obesity risk factors. Whilst further investigations are indicated, this study suggests that this program is a promising approach to reducing risk factors for both problems.
The principles embodied by the Developmental Origins of Health and Disease (DOHaD) view of ‘life history’ trajectory are increasingly underpinned by biological data arising from molecular-based epigenomic and transcriptomic studies. Although a number of ‘omic’ platforms are now routinely and widely used in biology and medicine, data generation is frequently confounded by a frequency distribution in the measurement error (an inherent feature of the chemistry and physics of the measurement process), which adversely affect the accuracy of estimation and thus, the inference of relationships to other biological measures such as phenotype. Based on empirical derived data, we have previously derived a probability density function to capture such errors and thus improve the confidence of estimation and inference based on such data. Here we use published open source data sets to calculate parameter values relevant to the most widely used epigenomic and transcriptomic technologies Then by using our own data sets, we illustrate the benefits of this approach by specific application, to measurement of DNA methylation in this instance, in cases where levels of methylation at specific genomic sites represents either (1) a response variable or (2) an independent variable. Further, we extend this formulation to consideration of the ‘bivariate’ case, in which the co-dependency of methylation levels at two distinct genomic sites is tested for biological significance. These tools not only allow greater accuracy of measurement and improved confidence of functional inference, but in the case of epigenomic data at least, also reveal otherwise cryptic information.