Climatology of ionospheric slab thickness

The ionospheric slab thickness τ defined as a ratio of the total electron content (TEC) to the F-region peak electron density (<i>Nm</i>F2) has been analysed during the solar maximum (1981) and minimum (1985) phases of an intense, the 21st, solar cycle. Hourly values of TEC and <i>Nm</i>F2 collected at Hawaii (low-latitude), Boulder (mid-latitude) and Goosebay (high-latitude) are used in the study. Climatology of the slab thickness is described by the diurnal, seasonal, solar and magnetic activity variations of τ for the different latitude zones. It is found that, for magnetically quiet days of solar maximum, increased ionization of <i>Nm</i>F2 and TEC during the daytime is accompanied by an increased thickness of the ionosphere compared to the night-time for non-auroral latitudes. However, the reverse is found to be true during the solar minimum compensating TEC against a weak night-time ionization of <i>Nm</i>F2. For the high-latitude the night-time slab thickness is higher compared to the daytime for both the solar phases. Ratios of daily peak to minimum values of slab thickness vary from 1.3 to 3.75 with the peaks of τ often observed at pre-sunrise and post-sunset hours. The average night-to-day ratios of τ vary from 0.68 to 2.23. The day-to-day variability of τ, expressed in percentage standard deviation, varies from 10% by day (equinox, high-latitude) to 67% by night (summer, mid-latitude) during solar minimum and from 10% by day (winter and equinox, mid-latitude) to 56% by night (equinox, high-latitude) during solar maximum. A comprehensive review of slab thickness related literature is given in the paper. <br><br><b>Key words.</b> Ionospheric physic

Deindustrialization in cities of the global south

Recent research by economists has shown that deindustrialization is more severe in Sub-Saharan Africa and Latin America than it ever was in the Organisation for Economic Co-operation and Development (OECD). Nevertheless, most research on deindustrialization is focused on the former centres of Fordist manufacturing in the industrial heartlands of the North Atlantic. In short, there is a mismatch between where deindustrialization is researched and where it is occurring, and the objective of this paper is to shift the geographical focus of research on deindustrialization to the Global South. Case studies from Argentina, India, Tanzania and Turkey demonstrate the variegated nature of deindustrialization beyond the North Atlantic. In the process, it is demonstrated that cities in the Global South can inform wider theoretical discussions on the impacts of deindustrialization at the urban scale

The practice of 'doing' evaluation: Lessons learned from nine complex intervention trials in action

Background: There is increasing recognition among trialists of the challenges in understanding how particular 'real-life' contexts influence the delivery and receipt of complex health interventions. Evaluations of interventions to change health worker and/or patient behaviours in health service settings exemplify these challenges. When interpreting evaluation data, deviation from intended intervention implementation is accounted for through process evaluations of fidelity, reach, and intensity. However, no such systematic approach has been proposed to account for the way evaluation activities may deviate in practice from assumptions made when data are interpreted.Methods: A collective case study was conducted to explore experiences of undertaking evaluation activities in the real-life contexts of nine complex intervention trials seeking to improve appropriate diagnosis and treatment of malaria in varied health service settings. Multiple sources of data were used, including in-depth interviews with investigators, participant-observation of studies, and rounds of discussion and reflection.Results and discussion: From our experiences of the realities of conducting these evaluations, we identified six key 'lessons learned' about ways to become aware of and manage aspects of the fabric of trials involving the interface of researchers, fieldworkers, participants and data collection tools that may affect the intended production of data and interpretation of findings. These lessons included: foster a shared understanding across the study team of how individual practices contribute to the study goals; promote and facilitate within-team communications for ongoing reflection on the progress of the evaluation; establish processes for ongoing collaboration and dialogue between sub-study teams; the importance of a field research coordinator bridging everyday project management with scientific oversight; collect and review reflective field notes on the progress of the evaluation to aid interpretation of outcomes; and these approaches should help the identification of and reflection on possible overlaps between the evaluation and intervention.Conclusion: The lessons we have drawn point to the principle of reflexivity that, we argue, needs to become part of standard practice in the conduct of evaluations of complex interventions to promote more meaningful interpretations of the effects of an intervention and to better inform future implementation and decision-making. © 2014 Reynolds et al.; licensee BioMed Central Ltd

Interpreting the Image of the Human Body in Premodern India

This paper sets out two main arguments. In part one, a description of the adherents of the various intellectual disciplines and religious faiths in premodern India is given, each having developed distinct and different imagined bodies; for example, the body described in Tantric circles had little or nothing in common with the body described in medical circles. In part two, an account is given of the encounter between Ayurvedic anatomy and early colonial European anatomy which led initially to attempts at synthesis; these gave way to an abandonment of the syncretist vision of the body and the acceptance of an epistemological suspension of judgment, in which radically different body conceptualizations are simultaneously held in unacknowledged cognitive dissonance

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Climatology of ionospheric slab thickness

The ionospheric slab thickness τ defined as a ratio of the total electron content (TEC) to the F-region peak electron density (NmF2) has been analysed during the solar maximum (1981) and minimum (1985) phases of an intense, the 21st, solar cycle. Hourly values of TEC and NmF2 collected at Hawaii (low-latitude), Boulder (mid-latitude) and Goosebay (high-latitude) are used in the study. Climatology of the slab thickness is described by the diurnal, seasonal, solar and magnetic activity variations of τ for the different latitude zones. It is found that, for magnetically quiet days of solar maximum, increased ionization of NmF2 and TEC during the daytime is accompanied by an increased thickness of the ionosphere compared to the night-time for non-auroral latitudes. However, the reverse is found to be true during the solar minimum compensating TEC against a weak night-time ionization of NmF2. For the high-latitude the night-time slab thickness is higher compared to the daytime for both the solar phases. Ratios of daily peak to minimum values of slab thickness vary from 1.3 to 3.75 with the peaks of τ often observed at pre-sunrise and post-sunset hours. The average night-to-day ratios of τ vary from 0.68 to 2.23. The day-to-day variability of τ, expressed in percentage standard deviation, varies from 10% by day (equinox, high-latitude) to 67% by night (summer, mid-latitude) during solar minimum and from 10% by day (winter and equinox, mid-latitude) to 56% by night (equinox, high-latitude) during solar maximum. A comprehensive review of slab thickness related literature is given in the paper. Key words. Ionospheric physic