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Space Infrared Telescope for Cosmology and Astrophysics (SPICA), the cryogenic infrared space telescope recently pre-selected for a ‘Phase A’ concept study as one of the three remaining candidates for European Space Agency (ESA's) fifth medium class (M5) mission, is foreseen to include a far-infrared polarimetric imager [SPICA-POL, now called B-fields with BOlometers and Polarizers (B-BOP)], which would offer a unique opportunity to resolve major issues in our understanding of the nearby, cold magnetised Universe. This paper presents an overview of the main science drivers for B-BOP, including high dynamic range polarimetric imaging of the cold interstellar medium (ISM) in both our Milky Way and nearby galaxies. Thanks to a cooled telescope, B-BOP will deliver wide-field 100–350
m images of linearly polarised dust emission in Stokes Q and U with a resolution, signal-to-noise ratio, and both intensity and spatial dynamic ranges comparable to those achieved by Herschel images of the cold ISM in total intensity (Stokes I). The B-BOP 200
m images will also have a factor
30 higher resolution than Planck polarisation data. This will make B-BOP a unique tool for characterising the statistical properties of the magnetised ISM and probing the role of magnetic fields in the formation and evolution of the interstellar web of dusty molecular filaments giving birth to most stars in our Galaxy. B-BOP will also be a powerful instrument for studying the magnetism of nearby galaxies and testing Galactic dynamo models, constraining the physics of dust grain alignment, informing the problem of the interaction of cosmic rays with molecular clouds, tracing magnetic fields in the inner layers of protoplanetary disks, and monitoring accretion bursts in embedded protostars.
Declining mortality following invasive pneumococcal disease (IPD) has been observed concurrent with a reduced incidence due to effective pneumococcal conjugate vaccines. However, with IPD now increasing due to serotype replacement, we undertook a statistical analysis to estimate the trend in all-cause 30-day case fatality rate (CFR) in the North East of England (NEE) following IPD. Clinical, microbiological and demographic data were obtained for all laboratory-confirmed IPD cases (April 2006–March 2016) and the adjusted association between CFR and epidemiological year estimated using logistic regression. Of the 2510 episodes of IPD included in the analysis, 486 died within 30 days of IPD (CFR 19%). Increasing age, male sex, a diagnosis of septicaemia, being in ⩾1 clinical risk groups, alcohol abuse and individual serotypes were independently associated with increased CFR. A significant decline in CFR over time was observed following adjustment for these significant predictors (adjusted odds ratio 0.93, 95% confidence interval 0.89–0.98; P = 0.003). A small but significant decline in 30-day all-cause CFR following IPD has been observed in the NEE. Nonetheless, certain population groups remain at increased risk of dying following IPD. Despite the introduction of effective vaccines, further strategies to reduce the ongoing burden of mortality from IPD are needed.
Analyzing audiovisual communication is challenging because its content is highly symbolic and less rule-governed than verbal material. But audiovisual messages are important to understand: they amplify, enrich, and complicate the meaning of textual information. We describe a fully-reproducible approach to analyzing video content using minimally—but systematically—trained online workers. By aggregating the work of multiple coders, we achieve reliability, validity, and costs that equal those of traditional, intensively trained research assistants, with much greater speed, transparency, and replicability. We argue that measurement strategies relying on the “wisdom of the crowd” provide unique advantages for researchers analyzing complex and intricate audiovisual political content.
Introduction: Emergency Department Overcrowding (EDOC) is a multifactorial issue that leads to Access Block for patients needing emergency care. Identified as a national problem, patients presenting to a Canadian Emergency Department (ED) at a time of overcrowding have higher rates of admission to hospital and increased seven-day mortality. Using the well accepted input-throughput-output model to study EDOC, current research has focused on throughput as a measure of patient flow, reported as ED length of stay (LOS). In fact, ED LOS and ED beds occupied by inpatients are two “extremely important indicators of EDOC identified by a 2005 survey of Canadian ED directors. One proposed solution to improve ED throughput is to utilize a physician at triage (PAT) to rapidly assess newly arriving patients. In 2017, a pilot PAT program was trialed at Kelowna General Hospital (KGH), a tertiary care hospital, as part of a PDSA cycle. The aim was to mitigate EDOC by improving ED throughput by the end of 2018, to meet the national targets for ED LOS suggested in the 2013 CAEP position statement. Methods: During the fiscal periods 1-6 (April 1 to September 7, 2017) a PAT shift occurred daily from 1000-2200, over four long weekends. ED LOS, time to inpatient bed, time to physician initial assessment (PIA), number of British Columbia Ambulance Service (BCAS) offload delays, and number of patients who left without being seen (LWBS) were extracted from an administrative database. Results were retrospectively analyzed and compared to data from 1000-2200 of non-PAT trial days during the trial periods. Results: Median ED LOS decreased from 3.8 to 3.4 hours for high-acuity patients (CTAS 1-3), from 2.1 to 1.8 hours for low-acuity patients (CTAS 4-5), and from 9.3 to 8.0 hours for all admitted patients. During PAT trial weekends, there was a decrease in the average time to PIA by 65% (from 73 to 26 minutes for CTAS 2-5), average number of daily BCAS offload delays by 39% (from 2.3 to 1.4 delays per day), and number of patients who LWBS from 2.4% to 1.7%. Conclusion: The implementation of PAT was associated with improvements in all five measures of ED throughput, providing a potential solution for EDOC at KGH. ED LOS was reduced compared to non-PAT control days, successfully meeting the suggested national targets. PAT could improve efficiency, resulting in the ability to see more patients in the ED, and increase the quality and safety of ED practice. Next, we hope to prospectively evaluate PAT, continuing to analyze these process measures, perform a cost-benefit analysis, and formally assess ED staff and patient perceptions of the program.
Schmidt hammer (SH) sampling of 54 10Be-dated granite surfaces from the Pyrenees reveals a clear relationship between exposure and weathering through time (n=52, R2=0.96, P<0.01) and permits the use of the SH as a numerical dating tool. To test this 10Be-SH calibration curve, 100 surfaces were sampled from five ice-front positions in the Têt catchment, eastern Pyrenees, with results verified against independent 10Be and 14C ages. Gaussian modelling differentiates Holocene (9.4±0.6 ka), Younger Dryas (12.6±0.9 ka), Oldest Dryas (16.1±0.5 ka), last glacial maximum (LGM; 24.8±0.9 ka) and Würmian maximum ice extent stages (MIE; 40.9±1.1 ka). These data confirm comparable glacier lengths during the LGM and MIE (~300 m difference), in contrast to evidence from the western Pyrenees (≥15 km), reflecting the relative influence of Atlantic and Mediterranean climates. Moreover, Pyrenean glaciers advanced significantly during the LGM, with a local maximum at ~25 ka, driven by growth of the Laurentide Ice Sheet, southward advection of the polar front, and a solar radiation minimum in the Northern Hemisphere. This calibration curve is available online (http://shed.earth) to enable wider application of this method throughout the Pyrenees.
Airborne radio-echo sounding investigations in the upper reaches of Bailey Ice Stream and Slessor Glacier, Coats Land, East Antarctica, have shown that enhanced-flow tributaries are associated with well-defined areas of relatively thicker ice, and are separated from each other by areas of relatively thinner ice. A numerical modelling study has revealed that while internal ice deformation might account for all the observed flow in inter-tributary areas and the majority in the Slessor tributaries, a significant proportion of the flow of Bailey tributary is attributable to basal motion. Further, investigations of depth-corrected basal reflection power indicate that the bed underlying both Bailey and Slessor enhanced-flow tributaries is significantly smoother than in the slower-moving inter-tributary areas. It is thus proposed that enhanced motion within Bailey tributary (and also perhaps Slessor) may be facilitated by a reduction in basal roughness, caused by the accumulation of water and/or sediments within subglacial valleys, or by the erosion and smoothing of bed obstacles.
An almost inertial celestial reference frame based upon extragalactic sources is in the process of being established. This reference frame is to be global with a minimum density of one source/100 square degrees. The source positions will be based upon radio observations and will allow optical reference frames to be related to this frame at the 0.03 arc second level.
Considerable progress has been made over the last few years in ground based optical interferometery. The Mark III optical interferometer at Mount Wilson which at this time is operating with a 12 meter north south baseline is capable of measuring amplitude and phase. Experience gained from this facility will allow for the development of a large optical array. Preliminary plans are described for a facility that will be capable of milliarcsecond imaging of celestial objects at wavelengths from 0.4 to 10 microns. If funded this array will be in operation by 1993.
The refreezing rate of a borehole drilled through a 252 m thick region of the Ross Ice Shelf, Antarctica, is determined using oceanographic measurements over two periods of a day. We first use a method based on the conservation of salt in the supercooled salt water of the borehole. This is compared to a model using a numerical solution of the heat equation to find the temperature distribution in the host ice, allowing ice growth to be calculated from the balance of heat fluxes at the ice/water interface. This second method broadly confirms the refreezing rates deduced from salinity measurements, giving confidence in the generalization of this simple heat-flux model to predict refreezing rates of other boreholes. Predictions from both are subject to uncertainty due to the poorly defined value of the solid fraction of ice that freezes in a supercooled volume of sea water. This is taken to be 0.5 ± 0.1 throughout this study. The predicted rates are also strongly dependent on the initial and boundary conditions chosen, but results show the initial diameter of 600 mm decreases at a rate of ∼3–5 mm h−1 in an ice shelf with a minimum temperature of −22°C.
Measurements made by an underwater glider deployed near the Ross Ice Shelf were used to identify the presence of Ice Shelf Water (ISW), which is defined as seawater with its potential temperature lower than its surface freezing point temperature. Properties logged by the glider included in situ temperature, electrical conductivity, pressure, GPS location at surfacings and time. For most of the first 30 recorded dives of its deployment, evidence suggests the glider was prevented from surfacing due to being under the ice shelf. For dives under the ice shelf, farthest from the ice shelf front, ISW layers of varying thicknesses and depth locations were observed; between 2 m thick (centred at 231 m depth) to >93 m thick (centred at >360 m). For dives under the ice shelf, close to the ice shelf front, either no ISW was observed or ISW layers were centred at shallower depths (116–127 m). Thicker ISW layers (e.g. up to 250 m thickness centred at 421 m) were observed for some glider dives in open water in front of the Ross Ice Shelf. No in situ supercooling (water colder than the pressure-dependent freezing point temperature) was observed.
Late-Wisconsin ice sheets were reconstructed for the CLIMAP 18000 years b.p. experiment. This experiment modeled the ice-age steady-state climate using boundary conditions that differed from present ones mainly in Earth-surface albedos, sea-surface areas, and land-surface topography. These required determinations of the area, volume, and elevation of Late Wisconsin ice sheets. An initial-value finite-difference numerical model for ice-sheet reconstruction was developed from a recursive formula which gave ice thickness for known variations of bed topography and theoretical variations of basal shear stress. Ice thicknesses were calculated in 50 km to 100 km steps along flow lines from margins to domes of late-Wisconsin ice sheets. We assumed that terrestrial margins were along the furthermost moraines, marine margins were along the present 500 m bathymetric contour, domes were centers of maximum post-glacial isostatic rebound, and flow lines were along glacial lineations (eskers, striations, drumlins, etc.) connecting margins to domes. At various locations ice-sheet margins were verified by dated moraines for terrestrial margins and Egga-type moraines for marine margins. Ice-sheet elevations and thicknesses were contoured from profiles reconstructed for 40 Antarctic flow lines and 137 Northern Hemisphere flow lines for a maximum ice-sheet extent, and 86 Northern Hemisphere flow lines for a minimum ice-sheet extent.
The paleoglaciological concept that during the Pleistocene glacial hemi-cycles a super-large, structurally complex ice sheet developed in the Arctic and behaved as a single dynamic system. as the Antarctic ice sheet does today, has not yet been subjected to concerted studies designed to test the predictions of this concept. Yet, it may hold the keys to solutions of major problems of paleoglaciology, to understanding climate and sea-level changes. The Russian Arctic is the least-known region exposed to paleoglaciation by a hypothetical Arctic ice sheet but now it is more open to testing the concept. Implementation of these tests is a challenging task, as the region is extensive and the available data are controversial. Well-planned and coordinated field projects are needed today, as well as broad discussion of the known evidence, existing interpretations and new field results. Here we present the known evidence for paleoglaciation of the Russian Arctic continental shelf and reconstruct possible marine ice sheets that could have produced that evidence.
Pertussis is a vaccine-preventable respiratory infection caused by Bordetella pertussis which can be fatal in infants. Although high vaccine coverage led to prolonged disease control in England, a national outbreak of pertussis in 2011 led to the largest increase in over two decades, including a marked increase in cases aged ⩾15 years. A case-control study in four regions of England was undertaken to investigate risk factors for pertussis in adolescents and adults, specifically employment type and professional and household contact with children. Pertussis cases were laboratory-confirmed and aged ⩾15 years. Controls were recruited through general practitioner nomination. Demographic and risk factor information were collected using an online survey. Multivariable logistic regression was used to estimate independent associations with outcome. Two hundred and thirty-one cases and 190 controls were recruited. None of the four employment variables (social care, education, health sector, patient contact) were significantly associated with pertussis. Professional contact with children aged < 1 year was associated with a significantly reduced odds of pertussis [odds ratio (OR) 0·25, 95% confidence interval (CI) 0·08–0·78, P = 0·017]. Household contact with ⩾1 child aged 10–14 years was associated with significantly increased odds of pertussis (OR 2·61, 95% CI 1·47–4·64, P = 0·001). Occupational contact with very young children was associated with reduced odds of pertussis, probably due to immune boosting by low-level exposures to B. pertussis. Sharing a household with a young adolescent was a significant risk factor for pertussis in adults and older teenagers. The primary focus of the childhood pertussis vaccination programmes is to prevent infant disease. Although evidence is emerging that adolescent vaccination does not provide indirect protection to infants, our results highlight the importance of children aged 10–14 years in pertussis transmission to older adolescents and adults.
Increased intestinal permeability (IP) can lead to compromised health. Limited in vivo IP research has been conducted in chickens. The objectives of the current study were to develop a model of increased IP utilizing lipopolysaccharide (LPS Escherichia coli O55:B5) and to evaluate IP changes using the lactulose, mannitol and rhamnose (LMR) sugar permeability test. In addition, fluorescein isothiocyanate dextran (FITC-d), d-lactate, zonula occludens (ZO-1) and diamine oxidase (DAO) permeability tests were employed. Male Ross chickens were reared until day 14 on the floor in an animal care facility and then transferred to individual cages in three separate experiments. In each of experiments 1 and 2, 36 chicks were randomly allocated to receive either saline (control) or LPS (n=18/group). Lactulose, mannitol and rhamnose sugar concentration in blood was measured at 0, 30, 60, 90, 120 and 180 min in experiment 1, at 60, 90 and 120 min in experiment 2 and at 90 min in experiment 3 (n=16/group). Lipopolysaccharide was injected intraperitoneally at doses of 0.5, 1 and 1 mg/kg BW in experiments 1, 2 and 3, respectively, on days 16, 18 and 20, whereas control received sterile saline. On day 21, only birds in experiments 1 and 2 were fasted for 19.5 h. Chicks were orally gavaged with the LMR sugars (0.25 gL, 0.05 gM, 0.05 gR/bird) followed by blood collection (from the brachial vein) as per time point for each experiment. Only in experiment 3, were birds given an additional oral gavage of FITC-d (2.2 mg/ml per bird) 60 min after the first gavage. Plasma d-lactate, ZO-1 and DAO concentrations were also determined by ELISA in experiment 3 (n=10). Administration of LPS did not affect IP as measured by the LMR sugar test compared with control. This was also confirmed by FITC-d and DAO levels in experiment 3 (P>0.05). The plasma levels of d-lactate were decreased (P<0.05). Plasma levels of ZO-1 were increased in the third experiment only and did not change in the first two experiments. Lipopolysaccharide at doses of 0.5 and 1 mg/kg did not increase IP in this model system. In conclusion, the LMR sugar can be detected in blood 90 min after the oral gavage. Further studies are needed for the applicability of LMR sugars tests.
Differences by ethnic group in STI diagnosis rates have long been recognized in England. We investigated whether these may be explained by ethnic disparities in socioeconomic deprivation (SED). Data on all diagnoses made in sexual health clinics in England in 2013 were obtained from the mandatory STI surveillance system. Poisson regression was used to calculate incidence rate ratios (IRRs) of STIs, by ethnicity, with and without adjustment for index of multiple deprivation (IMD) a measure of area-level deprivation. Unadjusted IRRs (95% confidence intervals) were highest for gonorrhoea [8·18 (7·77–8·61) and 5·76 (5·28–6·29)] and genital herpes [4·24 (3·99–4·51) and 3·58 (3·23–3·98)] for people of black Caribbean and non-Caribbean/non-African black ethnicity and IRRs were highest for syphilis [8·76 (7·97–9·63)] and genital warts [2·23 (2·17–2·29)] for people of non-British/non-Irish white ethnicity compared to white British ethnicity. After adjustment for IMD, IRRs for gonorrhoea [5·76 (5·47–6·07)] and genital herpes [3·73 (3·50–3·97)] declined but remained highest for black Caribbeans and IRRs for syphilis [7·35 (6·68–8·09)] and genital warts [2·10 (2·04–2·16)] declined but remained highest for non-British/non-Irish white compared to white British. In England, ethnic disparities in STI diagnosis rates are partially explained by SED, but behavioural and contextual factors likely contribute. Clinic and community-based interventions should involve social peer networks to ensure they are targeted and culturally sensitive.
In 1987 we began a 5-year program to establish a reference system of at least 400 extragalactic sources which are compact and flat spectrum in the radio and which also display optical emission. This reference frame is to be global with about one source per 100 sq deg (Johnston, et al., 1988). The program incorporates some data which had been obtained previously for other purposes. Altogether, in one or another aspect of the program, 489 sources have been considered so far.
The emerging statistical properties from the first 50 extrasolar planets are startlingly different from the picture that was imagined prior to 1995. About 0.75% of nearby solar type stars harbor jovian planets in 3 to 5 day circular orbits. Another ∽7% of stars have jupiter–mass companions orbiting in eccentric orbits within 3.5 AU. The mass distribution of substellar companions rises abruptly near 5 MJup and continues increasing down to the detection limit near 1 MJup-Orbital eccentricities correlate positively with semimajor axes, even for planets beyond the tidal circularization zone within 0.1 AU, distinguishing planets from binary stars. The planet bearing stars are metal–rich relative to both nearby stars and to the Sun. Analogs of Solar System planets have not been detected to date as they require precision of 3 m s−1 maintained for more than a decade.
Trigonometric parallaxes have been measured by Dahn et al. (2002) for 28 cool dwarfs and brown dwarfs, including 17 L dwarfs and three T dwarfs. Broadband CCD and near-IR photometry (VRIz*JHK) have been obtained for these objects and for 24 additional late-type dwarfs. These data have been supplemented with astrometry and photometry from the literature, including parallaxes for the brighter companions of ten L and two T dwarfs. The absolute magnitudes and colors are reviewed here. The I - J color and the spectral type are both good predictors of absolute magnitude for late-M and L dwarfs. MJ becomes monotonically fainter with I - J color and with spectral type through late-L dwarfs, then brightens for early-T dwarfs. In contrast, the J - K color correlates poorly with absolute magnitude for L dwarfs. Using several other parameters from the literature (Li detection, Hα emission strength, projected rotation velocity, and tangential velocity), we fail to uncover any measurable parameter that correlates with the anomalous J - K color.