318 research outputs found
Small-scale structure and turbulence observed in MAP/WINE)
During MAP/WINE small scale structure and turbulence in the mesosphere and lower thermosphere was studied in situ by rocket-borne instruments as well as from the ground by remote sensing techniques. The eight salvoes launched during the campaign resulted in a wealth of information on the dynamical structure of these regions. The experimental results are reviewed and their interpretation is discussed in terms of gravity waves and turbulence. It is shown that eddy diffusion coefficients and turbulent energy dissipation rates may be derived from the in situ measurements in a consistent manner. The observations are also shown to be consistent with the hypothesis that turbulence can be created by a process of gravity wave saturation
Small scale density variations of electrons and charged particles in the vicinity of polar mesosphere summer echoes
International audienceWe present small scale variations of electron number densities and particle charge number densities measured in situ in the presence of polar mesosphere summer echoes. It turns out that the small scale fluctuations of electrons and negatively charged particles show a strong anticorrelation down to the smallest scales observed. Comparing these small scale structures with the simultaneously measured radar signal to noise profile, we find that the radar profile is well described by the power spectral density of both electrons and charged particles at the radar half wavelength (=the Bragg scale). Finally, we consider the shape of the power spectra of the observed plasma fluctuations and find that both charged particles and electrons show spectra that can be explained in terms of either neutral air turbulence acting on the distribution of a low diffusivity tracer or the fossil remnants of a formerly active turbulent region. All these results are consistent with the theoretical ideas by Rapp and Lübken (2003) suggesting that PMSE can be explained by a combination of active and fossil neutral air turbulence acting on the large and heavy charged aerosol particles which are subsequently mirrored in the electron number density distribution that becomes visible to a VHF radar when small scale fluctuations are present
Irregular structures observed below 71 km in the night-time polar D-region
International audienceA new rocket range, SvalRak, was opened in November 1997 at Ny-Ålesund (79°N) in the Svalbard archipelago. The first instrumented rocket was launched on 20 November, 1997, at 1730 UT during geomagnetically quiet conditions. The payload was instrumented to measure plasma parameters in the mesosphere and lower thermosphere, but the payload only reached an altitude of 71 km. This resulted in a very flat trajectory through the lower D-region. The positive ion concentrations were larger than expected, and some unexpected plasma irregularities were observed below 71 km. The irregularities were typically 100 m in spatial extent, with plasma densities a factor of two to five above the ambient background. In the dark polar night the plasma below 71 km must consist mainly of positive and negative ions and the only conceivable ionising radiation is a flux of energetic particles. Furthermore only relativistic electrons have the large energies and the small gyro radii required in order to explain the observed spatial structure. The source of these electrons is uncertain
Turbulent small-scale neutral and ion density fluctuations as measured during MAC/Epsilon
During the MAC/Epsilon campaign (Fall 1987, from Andoya, Northern Norway, 69 N, 16 E) a total of four altitude profiles of neutral gas number densities and six profiles of ion number densities were measured with high spatial resolution in the height range from 60 to 120 km. First results of these rocket-borne experiments are presented with emphasis on small scale turbulent density variations and related turbulent parameter as structure function constants and energy dissipation rates
Identification of possible ion-drag induced neutral instability in the lower thermosphere over Svalbard
Experiences of non-progressive and augmented labour among nulliparous women: a qualitative interview study in a Grounded Theory approach
<p>Abstract</p> <p>Background</p> <p>Non-progressive labour is the most common complication in nulliparas and is primarily treated by augmentation. Augmented labour is often terminated by instrumental delivery. Little qualitative research has addressed experiences of non-progressive and augmented deliveries. The aim of this study was to gain a deeper understanding of the experience of non-progressive and augmented labour among nulliparas and their experience of the care they received.</p> <p>Methods</p> <p>A qualitative study was conducted using individual interviews. Data was collected and analysed according to the Grounded Theory method. The participants were a purposive sample of ten women. The interviews were conducted 4–15 weeks after delivery.</p> <p>Results</p> <p>The women had contrasting experiences during the birth process. During labour there was a conflict between the expectation of having a natural delivery and actually having a medical delivery. The women experienced a feeling of separation between mind and body. Interacting with the midwife had a major influence on feelings of losing and regaining control. Reconciliation between the contrasting feelings during labour was achieved. The core category was named Dialectical Birth Process and comprised three categories: Balancing natural and medical delivery, Interacting, Losing and regaining control.</p> <p>Conclusion</p> <p>A dialectical process was identified in these women's experiences of non-progressive labour. The process is susceptible to interaction with the midwife; especially her support to the woman's feeling of being in control. Midwives should secure that the woman's recognition of the fact that the labour is non-progressive and augmentation is required is handled with respect for the dialectical process. Augmentation of labour should be managed as close to the course of natural labour and delivery as possible.</p
Temporal Patterns of Medications Dispensed to Children and Adolescents in a National Insured Population
This study aimed to comprehensively describe prevalence and temporal dispensing patterns for medications prescribed to children and adolescents in the United States. Participants were 1.6 million children (49% female) under 18 years old enrolled in a nation-wide, employer-provided insurance plan. All medication claims from 1999–2006 were reviewed retrospectively. Drugs were assigned to 16 broad therapeutic categories. Effects of trend over time, seasonality, age and gender on overall and within category prevalence were examined. Results: Mean monthly prevalence for dispensed medications was 23.5% (range 19.4–27.5), with highest rates in winter and lowest in July. The age group with the highest prevalence was one-year-old children. On average each month, 17.1% of all children were dispensed a single drug and 6.4% were dispensed two or more. Over time, prevalence for two or more drugs did not change, but the proportion of children dispensed a single drug decreased (slope -.02%, p = .001). Overall, boys had higher monthly rates than girls (average difference 0.9%, p = .002). However, differences by gender were greatest during middle childhood, especially for respiratory and central nervous system agents. Contraceptives accounted for a large proportion of dispensed medication to older teenage girls. Rates for the drugs with the highest prevalence in this study were moderately correlated (average Pearson r.66) with those from a previously published national survey. Conclusion: On average, nearly one quarter of a population of insured children in the United States was dispensed medication each month. This rate decreased somewhat over time, primarily because proportionally fewer children were dispensed a single medication. The rate for two or more drugs dispensed simultaneously remained steady
Impact of the Lund Integrated Medicines Management (LIMM) model on medication appropriateness and drug-related hospital revisits
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