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In this paper, we describe the system design and capabilities of the Australian Square Kilometre Array Pathfinder (ASKAP) radio telescope at the conclusion of its construction project and commencement of science operations. ASKAP is one of the first radio telescopes to deploy phased array feed (PAF) technology on a large scale, giving it an instantaneous field of view that covers $31\,\textrm{deg}^{2}$ at $800\,\textrm{MHz}$. As a two-dimensional array of 36$\times$12 m antennas, with baselines ranging from 22 m to 6 km, ASKAP also has excellent snapshot imaging capability and 10 arcsec resolution. This, combined with 288 MHz of instantaneous bandwidth and a unique third axis of rotation on each antenna, gives ASKAP the capability to create high dynamic range images of large sky areas very quickly. It is an excellent telescope for surveys between 700 and $1800\,\textrm{MHz}$ and is expected to facilitate great advances in our understanding of galaxy formation, cosmology, and radio transients while opening new parameter space for discovery of the unknown.
Direct numerical simulations at $Re=200$ have been conducted of the flow past rows of tandem cylinders. It is shown that when the pitch between the two upstream cylinders is large, the wake downstream is characterised by a two-row vortex structure. Placing a third body on the wake centreline in the majority of this two-row structure has basically no impact both upstream and downstream – the third body is cloaked. However, a region is identified where the placement of a body suppresses vortex shedding from the first cylinder and the two-row structure is destroyed, globally broadcasting the presence of the third body. The effect is shown to occur for different third-body shapes. To understand the existence of this broadcasting region, local instability analysis is conducted which shows the majority of the two-row structure to be convectively unstable, with only a small region adjacent to the rear of the second cylinder that is absolutely unstable. This suggests only bodies placed close to the second body will trigger the global change, and this is supported by a global sensitivity analysis and observation from the simulations. However, neither the local analysis nor the global sensitivity analysis explains the presence of a lower limit for the third-body position that will trigger a global change. However the simulation results clearly show that a third body placed very close to the second body does not trigger this change.
Precise measurements of the calcium (Ca) isotopes have provided constraints on Ca cycling at global and local scales, and quantified rates of carbonate diagenesis in marine sedimentary systems. Key to applying Ca isotopes as a geochemical tracer of Ca cycling, carbonate (bio)mineralization, and diagenesis is an understanding of the impact of multiple factors potentially impacting Ca isotopes in the rock record. These factors include variations in stable isotopic fractionation factors, the influence of local-scale Ca cycling on Ca isotopic gradients in carbonate settings, carbonate dissolution and reprecipitation, and the relationship between the Ca isotopic composition of seawater and mineral phases that record the secular evolution of seawater chemistry.
The Rapid ASKAP Continuum Survey (RACS) is the first large-area survey to be conducted with the full 36-antenna Australian Square Kilometre Array Pathfinder (ASKAP) telescope. RACS will provide a shallow model of the ASKAP sky that will aid the calibration of future deep ASKAP surveys. RACS will cover the whole sky visible from the ASKAP site in Western Australia and will cover the full ASKAP band of 700–1800 MHz. The RACS images are generally deeper than the existing NRAO VLA Sky Survey and Sydney University Molonglo Sky Survey radio surveys and have better spatial resolution. All RACS survey products will be public, including radio images (with
$\sim$
15 arcsec resolution) and catalogues of about three million source components with spectral index and polarisation information. In this paper, we present a description of the RACS survey and the first data release of 903 images covering the sky south of declination
$+41^\circ$
made over a 288-MHz band centred at 887.5 MHz.
Across the globe, there has been a marked increase in longevity, but significant inequalities remain. These are exacerbated by inadequate access to proper nutrition and health care services and to reliable information to make the decisions related to nutrition and health care. Many in economically developing as well as developed societies are plagued with the double-burden of energy excess and undernutrition. This has resulted in mental and physical deterioration, increased non-communicable disease rates, lost productivity, increased medical costs and reduced quality of life. While adequate nutrition is fundamental to good health at all stages of the life course, the impact of diet on prolonging good quality of life during ageing remains unclear. For progress to continue, there is need for new and/or innovative approaches to promoting health as individuals age, as well as qualitative and quantitative biomarkers and other accepted tools that can measure improvements in physiological integrity throughout life. A framework for progress has been proposed by the World Health Organization in their Global Strategy and Action Plan on Ageing and Health. Here, we focused on the impact of nutrition within this framework, which takes a broad, person-centred emphasis on healthy ageing, stressing the need to better understand each individual's intrinsic capacity, their functional abilities at various life stages, and the impact of their mental, and physical health, as well as the environments they inhabit.
Non-invasive prenatal testing (NIPT) for the detection of foetal aneuploidy through analysis of cell-free DNA (cfDNA) in maternal blood is offered routinely by many healthcare providers across the developed world. This testing has recently been recommended for evaluative implementation in the UK National Health Service (NHS) foetal anomaly screening pathway as a contingent screen following an increased risk of trisomy 21, 18 or 13. In preparation for delivering a national service, we have implemented cfDNA-based NIPT in our Regional Genetics Laboratory. Here, we describe our validation and verification processes and initial experiences of the technology prior to rollout of a national screening service.
Methods
Data are presented from more than 1000 patients (215 retrospective and 840 prospective) from ‘high- and low-risk pregnancies’ with outcome data following birth or confirmatory invasive prenatal sampling. NIPT was by the Illumina Verifi® test.
Results
Our data confirm a high-fidelity service with a failure rate of ~0.24% and a high sensitivity and specificity for the detection of foetal trisomy 13, 18 and 21. Secondly, the data show that a significant proportion of patients continue their pregnancies without prenatal invasive testing or intervention after receiving a high-risk cfDNA-based result. A total of 46.5% of patients referred to date were referred for reasons other than high screen risk. Ten percent (76/840 clinical service referrals) of patients were referred with ultrasonographic finding of a foetal structural anomaly, and data analysis indicates high- and low-risk scan indications for NIPT.
Conclusions
NIPT can be successfully implemented into NHS regional genetics laboratories to provide high-quality services. NHS provision of NIPT in patients with high-risk screen results will allow for a reduction of invasive testing and partially improve equality of access to cfDNA-based NIPT in the pregnant population. Patients at low risk for a classic trisomy or with other clinical indications are likely to continue to access cfDNA-based NIPT as a private test.
The aim of this study is to identify the types of community paramedicine programs and the training for each.
Methods
A systematic review of MEDLINE, Embase, grey literature, and bibliographies followed a search strategy using common community paramedicine terms. All studies published in English up to January 22, 2018, were captured. Screening and extraction were completed in duplicate by two independent reviewers. The Mixed Methods Appraisal Tool (MMAT) was used to assess studies’ methodological quality (full methodology on PROSPERO: CRD42017051774).
Results
From 3,004 papers, there were 64 papers identified (58 unique community paramedicine programs). Of the papers with an appraisable study design (40.6%), the median MMAT score was 3 of 4 criteria met, suggesting moderate quality. Programs most often served frequent 911 callers (48.3%) and individuals at risk for emergency department admission, readmission, or hospitalization (41.4%); and 70.7% of programs were preventive home visits. Common services provided were home assessment (29.5%), medication management (39.7%), and referral and/or transport to community services (37.9%); and 77.6% of programs involved interprofessional collaboration. Community paramedicine training was described by 57% of programs and expanded upon traditional paramedicine training and emphasized technical skills. Study heterogeneity prevented meta-analysis.
Conclusion
Community paramedicine programs and training were diverse and allowed community paramedics to address a spectrum of population health and social needs. Training was poorly described. Enabling more programs to assess and report on program and training outcomes would support community paramedicine growth and the development of formalized training or education frameworks.
Psychosocial disability affects a number of individuals with psychosis and often begins years before the formal onset of disorder. This suggests that for many, their psychosocial disability is enduring, and targeted interventions are therefore needed earlier in their developmental trajectories to ensure that psychosocial disability does not become entrenched. Poor psychosocial functioning also affects individuals with a range of different emerging mental health problems, putting these young people at risk of long-term social marginalisation and economic disadvantage; all of which are known risk factors for the development of psychosis. Identification of the markers of poor psychosocial functioning will help to inform effective treatments. This editorial will discern the early trajectories and markers of poor psychosocial outcome in psychosis, and highlight which individuals are most at risk of having a poor outcome. This editorial will also discuss whether early interventions are currently being targeted appropriately and will propose how intervention and preventative strategies can be implemented, to restore psychosocial trajectories in a way that enables young people to maximise their life chances.
To determine the impact of specialized treatments, relative to comparator treatments, upon the weight and psychological symptoms of anorexia nervosa (AN) at end-of-treatment (EOT) and follow-up.
Methods
Randomized controlled trials (RCTs) between January 1980 and December 2017 that reported the effects of at least two treatments on AN were screened. Weight and psychological symptoms were analyzed separately for each study. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed, and studies were assessed using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) criteria and Cochrane risk of bias tool.
Results
We identified 35 eligible RCTs, comprising data from 2524 patients. Meta-analyses revealed a significant treatment effect on weight outcomes at EOT [g = 0.16, 95% CI (0.05–0.28), p = 0.006], but not at follow-up [g = 0.11, 95% CI (−0.04 to 0.27), p = 0.15]. There was no significant treatment effect on psychological outcomes at either EOT [g = −0.03, 95% CI (−0.14 to 0.08), p = 0.63], or follow-up [g = −0.001, 95% CI (−0.11 to 0.11), p = 0.98]. There was no strong evidence of publication bias or significant moderator effects for illness duration, mean age, year of publication, comparator group category, or risk of bias (all p values > 0.05).
Conclusions
Current specialized treatments are more adept than comparator interventions at imparting change in weight-based AN symptoms at EOT, but not at follow-up. Specialized treatments confer no advantage over comparator interventions in terms of psychological symptoms. Future precision treatment efforts require a specific focus on the psychological symptoms of AN.
A numerical study of the flow-induced vibration of two elastically mounted cylinders in tandem and staggered arrangements at Reynolds number
$Re=200$
is presented. The cylinder centres are set at a streamwise distance of 1.5 cylinder diameters, placing the rear cylinder in the near-wake region of the front cylinder for the tandem arrangement. The cross-stream or lateral offset is varied between 0 and 5 cylinder diameters. The two cylinders are identical, with the same elastic mounting, and constrained to oscillate only in the cross-flow direction. The variation of flow behaviours is examined for static cylinders and for elastic mountings of a range of spring stiffnesses, or reduced velocity. At least seven major modes of flow response are identified, delineated by whether the oscillation is effectively symmetric, and the strength of the influence of the flow through the gap between the two cylinders. Submodes of these are also identified based on whether or not the flow remains periodic. More subtle temporal behaviours, such as period doubling, quasi-periodicity and chaos, are also identified and mapped. Across all of these regimes, the amplitudes of vibration and the magnitude of the fluid forces are quantified. The modes identified span the parameter space between two important limiting cases: two static bodies at varying lateral offset; and two elastically mounted bodies in a tandem configuration at varying spring stiffnesses. Some similarity in the response of extremely stiff or static bodies and extremely slack bodies is shown. This is explained by the fact that the slack bodies are free to move to an equilibrium position and stop, effectively becoming a static system. However, the most complex behaviour appears between these limits, when the bodies are in reasonably close proximity, and the natural structural frequency is close to the vortex shedding frequency of a single cylinder. This appears to be driven by the interplay between a series of time scales, including the vortex formation time, the advection time across the gap between the cylinders and the oscillation period of both bodies. This points out an important difference between this multi-body system and the classic single-cylinder vortex-induced vibration: two bodies in close proximity will not oscillate in a synchronised, periodic manner when their natural structural frequencies are close to the nominal vortex shedding frequency of a single cylinder.
We describe the performance of the Boolardy Engineering Test Array, the prototype for the Australian Square Kilometre Array Pathfinder telescope. Boolardy Engineering Test Array is the first aperture synthesis radio telescope to use phased array feed technology, giving it the ability to electronically form up to nine dual-polarisation beams. We report the methods developed for forming and measuring the beams, and the adaptations that have been made to the traditional calibration and imaging procedures in order to allow BETA to function as a multi-beam aperture synthesis telescope. We describe the commissioning of the instrument and present details of Boolardy Engineering Test Array’s performance: sensitivity, beam characteristics, polarimetric properties, and image quality. We summarise the astronomical science that it has produced and draw lessons from operating Boolardy Engineering Test Array that will be relevant to the commissioning and operation of the final Australian Square Kilometre Array Path telescope.
This study tested whether accurate dating by accelerator mass spectrometry (AMS) radiocarbon wiggle-matching of short tree-ring series (~30 annual rings) in the Medieval period could be achieved. Scientific dating plays a central role in the conservation of historic buildings in England. Precise dating helps assess the significance of particular buildings or elements of their fabric, thus allowing us to make informed decisions about their repair and protection. Consequently, considerable weight, both financial and legal, can be attached to the precision and accuracy of this dating. Dendrochronology is the method of choice, but in a proportion of cases this is unable to provide calendar dates. Hence, we would like to be able to use 14C wiggle-matching to provide a comparable level of precision and reliability, particularly on shorter tree-ring sequences (~30 annual growth rings) that up until now would not routinely be sampled. We present the results of AMS wiggle-matching five oak tree-ring sequences, spanning the period covered by the vast majority of surviving Medieval buildings in England (about AD 1180–1540) when currently we have only decadal and bidecadal calibration data.
Flowering and successful pollination in wheat are key determinants of both quantity and quality of grain. Bread wheat line ‘Paragon’, introgressed with single or multiple daylength insensitivity alleles was used to dissect the effects on the timing and duration of flowering within a hierarchical plant architecture. Flowering of wheat plants was observed in a series of pot-based and field experiments. Ppd-D1a was the most potent known allele affecting the timing of flowering, requiring the least thermal time to flowering across all experiments. The duration of flowering for individual lines was dominated by the shift in the start of flowering in later tillers and the number of tillers per plant, rather than variation in flowering duration of individual spikes. There was a strong relationship between flowering duration and the start of flowering with the earliest lines flowering for the longest. The greatest flowering overlap between tillers was recorded for the Ppd-1b. Across all lines, a warmer environment significantly reduced the duration of flowering and the influence of Ppd-1a alleles on the start of flowering. These findings provide evidence of pleiotropic effects of the Ppd-1a alleles, and have direct implications for breeding for increased stress resilient wheat varieties.
Introduction: The older adult population is growing. The consequences of minor trauma involving a head injury (MT-HI) in independent older adults are largely unknown. This study assessed the impact of a MT-HI on the functional and cognitive outcomes six months post injury of older adults who sustained a minor trauma. Methods: This multicenter prospective cohort study in eight sites included patients who were: aged 65 years or older, presenting to the emergency department (ED) within two weeks of injury with a chief complaint of a minor trauma, discharged within 48 hours, and independent for their basic activities of daily living prior to the ED visit. Participants underwent a baseline evaluation and a follow-up evaluation at six months post-injury. The main outcome was the functional decline measured with the Older Americans’ Resources and Services (OARS) scale six months after the trauma. Results: All 926 eligible patients were included in the analyses: 344 MT-HI patients and 582 without head injury. After six months, the functional decline was similar in both groups, 10.8% and 11.9% respectively (RR=0.79 [95% CI: 0.55-1.14]). The proportion of participants with mild cognitive disabilities was also similar, 21.7% and 22.8% respectively (RR=0.91 [95% CI: 0.71-1.18]). Furthermore, for the group of patients with a MT-HI, the functional outcome was not statistically different with or without the presence of a co-injury (RR= 1.35 [95% CI: 0.71-2.59]), or with or without the presence of a mTBI as defined by the WHO criteria (RR= 0.90 [95% CI: 0.59-1.13]). Conclusion: This study did not demonstrate that the occurrence of a MT-HI is associated with a worse functional or cognitive prognosis than other minor injuries without a head injury in an elderly population six months after injury.
During 1990 we surveyed the southern sky using a multi-beam receiver at frequencies of 4850 and 843 MHz. The half-power beamwidths were 4 and 25 arcmin respectively. The finished surveys cover the declination range between +10 and −90 degrees declination, essentially complete in right ascension, an area of 7.30 steradians. Preliminary analysis of the 4850 MHz data indicates that we will achieve a five sigma flux density limit of about 30 mJy. We estimate that we will find between 80 000 and 90 000 new sources above this limit. This is a revised version of the paper presented at the Regional Meeting by the first four authors; the surveys now have been completed.
Within the framework of shallow-water magnetohydrodynamics, we investigate the linear instability of horizontal shear flows, influenced by an aligned magnetic field and stratification. Various classical instability results, such as Høiland’s growth-rate bound and Howard’s semi-circle theorem, are extended to this shallow-water system for quite general flow and field profiles. In the limit of long-wavelength disturbances, a generalisation of the asymptotic analysis of Drazin & Howard (J. Fluid Mech., vol. 14, 1962, pp. 257–283) is performed, establishing that flows can be distinguished as either shear layers or jets. These possess contrasting instabilities, which are shown to be analogous to those of certain piecewise-constant velocity profiles (the vortex sheet and the rectangular jet). In both cases it is found that the magnetic field and stratification (as measured by the Froude number) are generally each stabilising, but weak instabilities can be found at arbitrarily large Froude number. With this distinction between shear layers and jets in mind, the results are extended numerically to finite wavenumber for two particular flows: the hyperbolic-tangent shear layer and the Bickley jet. For the shear layer, the instability mechanism is interpreted in terms of counter-propagating Rossby waves, thereby allowing an explication of the stabilising effects of the magnetic field and stratification. For the jet, the competition between even and odd modes is discussed, together with the existence at large Froude number of multiple modes of instability.
Early nutrition is critical for later health and sustainable development. We determined potential effectiveness of the Kenyan Community Health Strategy in promoting exclusive breastfeeding (EBF) in urban poor settings in Nairobi, Kenya. We used a quasi-experimental study design, based on three studies [Pre-intervention (2007–2011; n=5824), Intervention (2012–2015; n=1110) and Comparison (2012–2014; n=487)], which followed mother–child pairs longitudinally to establish EBF rates from 0 to 6 months. The Maternal, Infant and Young Child Nutrition (MIYCN) study was a cluster randomized trial; the control arm (MIYCN-Control) received standard care involving community health workers (CHWs) visits for counselling on antenatal and postnatal care. The intervention arm (MIYCN-Intervention) received standard care and regular MIYCN counselling by trained CHWs. Both groups received MIYCN information materials. We tested differences in EBF rates from 0 to 6 months among four study groups (Pre-intervention, MIYCN-Intervention, MIYCN-Control and Comparison) using a χ2 test and logistic regression. At 6 months, the prevalence of EBF was 2% in the Pre-intervention group compared with 55% in the MIYCN-Intervention group, 55% in the MIYCN-Control group and 3% in the Comparison group (P<0.05). After adjusting for baseline characteristics, the odds ratio for EBF from birth to 6 months was 66.9 (95% CI 45.4–96.4), 84.3 (95% CI 40.7–174.6) and 3.9 (95% CI 1.8–8.4) for the MIYCN-Intervention, MIYCN-Control and Comparison group, respectively, compared with the Pre-intervention group. There is potential effectiveness of the Kenya national Community Health Strategy in promoting EBF in urban poor settings where health care access is limited.
In this study, a new centrifugal instability mode, which dominates within the boundary-layer flow over a slender rotating cone in still fluid, is used for the first time to model the problem within an enforced oncoming axial flow. The resulting problem necessitates an updated similarity solution to represent the basic flow more accurately than previous studies in the literature. The new mean flow field is subsequently perturbed, leading to disturbance equations that are solved via numerical and short-wavelength asymptotic approaches, yielding favourable comparisons with existing experiments. Essentially, the boundary-layer flow undergoes competition between the streamwise flow component, due to the oncoming flow, and the rotational flow component, due to effect of the spinning cone surface, which can be described mathematically in terms of a control parameter, namely the ratio of streamwise to axial flow. For a slender cone rotating in a sufficiently strong axial flow, the instability mode breaks down into Görtler-type counter-rotating spiral vortices, governed by an underlying centrifugal mechanism, which is consistent with experimental and theoretical studies for a slender rotating cone in otherwise still fluid.