Stereographic cloud heights from the imagery of two scan-synchronized geostationary satellites

Scan synchronization of the sensors of two SMS-GOES satellites yields imagery from which cloud heights can be derived stereographically with a theoretical two-sigma random uncertainty of + or - 0.25 km for pairs of satellites separated by 60 degrees of longitude. Systematic height errors due to cloud motion can be kept below 100 m for all clouds with east-west components of speed below hurricane speed, provided the scan synchronization is within 40 seconds at the mid-point latitude, and the spin axis of each satellite is parallel to that of the earth

Foraging in the limpet Patella vulgata: The influence of rock slope on the timing of activity

Preliminary observations of limpet activity at Lough Hyne, in south-west Ireland, showed that individuals on steep slopes were primarily active at night, when emersed; while those on near-horizontal rocks were often active during daytime submersion. Observations over an 11 d period of limpet populations on a near-vertical and a near-horizontal site, only 45 m apart, confirmed that animals on the near-vertical site were active on nocturnal low tides, whilst those on the near-horizontal site were active on daytime high waters. A short-term survey at ten sites, which had limpets on both extremes of slope (i.e. either near-vertical or near-horizontal), showed that limpets on near-horizontal surfaces were, on average, more active at daytime high waters than those on near-vertical faces. In 1996 and 1997 surveys of activity at daytime high, and nocturnal low waters were conducted at sites (14 - 15) with varying rock slopes (~3 - 87°). In all cases, limpets on more steep slopes were active at nocturnal emersion whilst animals on more gentle slopes were active on daytime submersion periods. In most cases these trends were significant and explained between 22 - 40% and 37 - 44% of the variation in activity with site in 1996 and 1997 respectively. Analysis of the head orientation of limpets on their home scars showed that animals orientated in a down shore direction at all sites (1997 data) suggesting that limpets do perceive and respond to slope. Whilst slope does appear to influence the timing of limpets' activity (and especially on very steep or gently sloping sites) it does not account for a large degree of the variation in activity and, on sites with slopes between 30 and 60°, is likely to work in combination with other factors.published_or_final_versio

The Electrically Evoked Compound Action Potential: From Laboratory to Clinic

The electrically evoked compound action potential (eCAP) represents the synchronous firing of a population of electrically stimulated auditory nerve fibers. It can be directly recorded on a surgically exposed nerve trunk in animals or from an intra-cochlear electrode of a cochlear implant. In the past two decades, the eCAP has been widely recorded in both animals and clinical patient populations using different testing paradigms. This paper provides an overview of recording methodologies and response characteristics of the eCAP, as well as its potential applications in research and clinical situations. Relevant studies are reviewed and implications for clinicians are discussed

The role of the smartphone in the transition from medical student to foundation trainee: a qualitative interview and focus group study

Background The transition from medical student to junior doctor is one of the most challenging in medicine, affecting both doctor and patient health. Opportunities to support this transition have arisen from advances in mobile technology and increased smartphone ownership. Methods This qualitative study consisted of six in-depth interviews and two focus groups with Foundation Year 1 Trainees (intern doctors) and final year medical students within the same NHS Trust. A convenience sample of 14 participants was recruited using chain sampling. Interviews and focus groups were recorded, transcribed verbatim, analysed in accordance with thematic analysis and presented below in keeping with the standards for reporting qualitative research. Results Participants represented both high and low intensity users. They used their smartphones to support their prescribing practices, especially antimicrobials through the MicroGuide™ app. Instant messaging, via WhatsApp, contributed to the existing bleep system, allowing coordination of both work and learning opportunities across place and time. Clinical photographs were recognised as being against regulations but there had still been occasions of use despite this. Concerns about public and colleague perceptions were important to both students and doctors, with participants describing various tactics employed to successfully integrate phone use into their practices. Conclusion This study suggests that both final year medical students and foundation trainees use smartphones in everyday practice. Medical schools and healthcare institutions should seek to integrate such use into core curricula/training to enable safe and effective use and further ease the transition to foundation training. We recommend juniors are reminded of the potential risks to patient confidentiality associated with smartphone use

Follow-up after curative treatment for colorectal cancer: longitudinal evaluation of patient initiated follow-up in the first 12 months

Purpose: To compare patient-triggered follow-up (PTFU) for curatively treated colorectal cancer against traditional outpatient follow-up (OPFU). Methods: Questionnaires were mailed at four time points over one-year post-treatment to two prospectively-recruited cohorts: A, patients entering follow-up and receiving OPFU pre-implementation of PTFU; B, patients entering follow-up (FU) and receiving either OPFU (B1) or PTFU (B2) post-implementation of PTFU. Bi-variate tests were used to compare patient characteristics and outcomes eight months after entering follow-up (generic and cancer-specific quality of life (QoL), satisfaction). Regression analysis explored associations between follow-up model and outcomes. Resource implications and costs of models were compared. Results: Patients in Cohort B1 were significantly more likely to have received chemotherapy (p<0.001), radiotherapy (p<0.05), and reported poorer QoL (p=0.001). Having a longstanding co-morbid condition was the most important determinant of QoL (p<0.001); model of care was not significant. Patients were satisfied with their follow-up care regardless of model. Health service costs were higher in PTFU over the first year. Conclusions: PTFU is acceptable to patients with colorectal cancer and can be considered to be a realistic alternative to OPFU for clinically suitable patients. The initial costs are higher due to provision of a self-management (SM) programme and remote surveillance. Further research is needed to establish long-term outcomes and costs

Electrically Evoked Auditory Event-Related Responses in Patients with Auditory Brainstem Implants: Morphological Characteristics, Test–Retest Reliability, Effects of Stimulation Level, and Association with Auditory Detection

This study aimed to 1) characterize morphological characteristics of the electrically-evoked cortical auditory event-related potentials (eERP) and explore the potential association between onset eERP morphology and auditory vs non-auditory stimulation; 2) assess test-retest reliability of onset eERPs; 3) investigate effects of stimulation level on onset eERPs; and 4) explore the feasibility of using the onset eERP to estimate the lowest stimulation level that can be detected for individual stimulating electrodes in patients with auditory brainstem implants (ABIs)

From grey to blue: an ocean economy fit for the future

The ‘blue economy’ or the ‘ocean economy’ are terms often used interchangeably to describe economic aspects of activities that take place in ocean waters, along coastlines or on land supporting those ocean-based activities. Great subjectivity exists around definitions, but here we define the ocean economy as encompassing all economic activities connected to the ocean whereas the blue economy is a social construct, a nascent subset of the ocean economy, embracing the aspiration for sustainable use of the ocean. To avoid major climate change and irreversible damage to marine ecosystems, environments and wider society, it is imperative that by the mid-21st Century, the global ocean economy will have transitioned from grey to blue. This report presents a current snapshot of the ocean economy alongside potential scenarios of the future ocean economy, and pathways for its transition from grey to blue, with a view to the mid-century, considering the incoming possibilities and threats of the future facing the ocean, regarding economy, society and the environment

Carbon dioxide generation and drawdown during active orogenesis of siliciclastic rocks in the Southern Alps, New Zealand

C.D.M. was supported by NERC CASE PhD studentship award NE/G524160/1 (GNS Science, NZ, CASE partner). D.A.H.T. acknowledges support from research grants NE/H012842/1 and NE/J022128/1 and a Royal Society Wolfson Research Merit Award (WM130051). S.C.C. was funded under GNS Science's “Impacts of Global Plate Tectonics in and around New Zealand Programme” (PGST Contract CO5X0203). J.C.A. was supported by NSF OCE1334758. We also thank Matthew Cooper, Andy Milton, Darryl Green and Lora Wingate for laboratory assistance. We thank Mike Bickle for editorial advice and comments, and reviews from two anonymous reviewers that improved this manuscript.Peer reviewedPublisher PD

Objective Measures of Electrode Discrimination With Electrically Evoked Auditory Change Complex and Speech-Perception Abilities in Children With Auditory Neuropathy Spectrum Disorder

This study aimed to 1) determine the sensitivity of the electrically evoked auditory change complex (eACC) to changes in stimulating electrode position; and 2) investigate the association between results of eACC measures and behavioral electrode discrimination and their association with speech-perception performance in pediatric cochlear implant (CI) users who have auditory neuropathy spectrum disorder (ANSD)