436 research outputs found

    Targeted industry engagement was ‘spot-on’ for pasture dieback

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    Pasture Dieback (PD) is a condition that has been sporadically affecting sown pasture production in high rainfall zones of eastern Queensland for about 100 years. In recent years, there has been a large increase in the pasture species and area affected by PD. Affected pastures display progressive symptoms of stress which results in otherwise unexplained death, during what should be high growth periods. Currently, pathogenic organisms are the focus of multiple diagnostic research projects (Buck et. al 2021). Our objective was to increase graziers’ capability to accurately identify PD and implement appropriate management practices by conducting an industry engagement program

    An overview of the planned CCAT software system

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    CCAT will be a 25m diameter sub-millimeter telescope capable of operating in the 0.2 to 2.1mm wavelength range. It will be located at an altitude of 5600m on Cerro Chajnantor in northern Chile near the ALMA site. The anticipated first generation instruments include large format (60,000 pixel) kinetic inductance detector (KID) cameras, a large format heterodyne array and a direct detection multi-object spectrometer. The paper describes the architecture of the CCAT software and the development strategy.Comment: 17 pages, 6 figures, to appear in Software and Cyberinfrastructure for Astronomy III, Chiozzi & Radziwill (eds), Proc. SPIE 9152, paper ID 9152-10

    A new HDF5 based raw data model for CCAT

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    CCAT will be a large sub-millimeter telescope to be built near the ALMA site in northern Chile. The telescope must support a varied set of instrumentation including large format KID cameras, a large heterodyne array and a KID-based direct detection multi-object spectrometer. We are developing a new raw data model based on HDF5 that can cope with the expected data rates of order Gbit/s and is flexible enough to hold raw data from all planned instruments.Comment: Submitted to Proceedings of ADASS XXI

    Doula Services Within a Healthy Start Program: Increasing Access for an Underserved Population

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    Purpose: Women of color in the United States, particularly in high-poverty neighborhoods, experience high rates of poor birth outcomes, including cesarean section, preterm birth, low birthweight, and infant mortality. Doula care has been linked to improvements in many perinatal outcomes, but women of color and low-income women often face barriers in accessing doula support. Description: To address this issue, the New York City Department of Health and Mental Hygiene’s Healthy Start Brooklyn introduced the By My Side Birth Support Program in 2010. The goal was to complement other maternal home-visiting programs by providing doula support during labor and birth, along with prenatal and postpartum visits. Between 2010 and 2015, 489 infants were born to women enrolled in the program. Assessment: Data indicate that By My Side is a promising model of support for Healthy Start projects nationwide. Compared to the project area, program participants had lower rates of preterm birth (6.3 vs. 12.4%, p \u3c 0.001) and low birthweight (6.5 vs. 11.1%, p = 0.001); however, rates of cesarean birth did not differ significantly (33.5 vs. 36.9%, p = 0.122). Further research is needed to explore possible reasons for this finding, and to examine the influence of doula support on birth outcomes among populations with high rates of chronic disease and stressors such as poverty, racism, and exposure to violence. However, feedback from participants indicates that doula support is highly valued and helps give women a voice in consequential childbirth decisions. Conclusion: Available evidence suggests that doula services may be an important component of an effort to address birth inequities

    Comparing Generic and Condition-Specific Preference-Based Measures in Epilepsy: EQ-5D-3L and NEWQOL-6D

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    Background: There is debate about the psychometric characteristics of the three-level EuroQol five-dimensional questionnaire (EQ-5D-3L) for use in epilepsy. In response to the concerns, an epilepsy-specific preference-based measure (NEWQOL-6D) was developed. The psychometric characteristics of the NEWQOL-6D, however, have not been assessed. Objectives: To investigate the validity and responsiveness of the EQ-5D-3L and the Quality of Life in Newly Diagnosed Epilepsy Instrument-six dimensions (NEWQOL-6D) for use in the assessment of treatments for newly diagnosed focal epilepsy. Methods: The analysis used data from the Standard And New Antiepileptic Drugs trial including patients with focal epilepsy. We assessed convergent validity using correlations, and known-group validity across different epilepsy and general health severity indicators using analysis of variance and effect sizes. The responsiveness of the measures to change over time was assessed using standardized response means. We also assessed agreement between the measures. Results: There was some level of convergence and agreement between the measures in terms of utility score but divergence in the concepts measured by the descriptive systems. Both instruments displayed known-group validity, with significant differences between severity groups, and generally slightly larger effect sizes for the NEWQOL-6D across the epilepsy-specific indicators. Evidence for responsiveness was less clear, with small to moderate standardized response means demonstrating different levels of change across different indicators. Conclusions: There was an overall tendency for the NEWQOL-6D to better reflect differences across groups, but this does not translate into large absolute utility differences. Both the EQ-5D-3L and the NEWQOL-6D show some evidence of validity for providing utility values for economic evaluations in newly diagnosed focal epilepsy

    Condition-specific or generic preference-based measures in oncology? A comparison of the EORTC-8D and the EQ-5D-3L.

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    PURPOSE: It has been argued that generic health-related quality of life measures are not sensitive to certain disease-specific improvements; condition-specific preference-based measures may offer a better alternative. This paper assesses the validity, responsiveness and sensitivity of a cancer-specific preference-based measure, the EORTC-8D, relative to the EQ-5D-3L. METHODS: A longitudinal prospective population-based cancer genomic cohort, Cancer 2015, was utilised in the analysis. EQ-5D-3L and the EORTC QLQ-C30 (which gives EORTC-8D values) were asked at baseline (diagnosis) and at various follow-up points (3 months, 6 months, 12 months). Baseline values were assessed for convergent validity, ceiling effects, agreement and sensitivity. Quality-adjusted life-years (QALYs) were estimated and similarly assessed. Multivariate regression analyses were employed to understand the determinants of the difference in QALYs. RESULTS: Complete case analysis of 1678 patients found that the EQ-5D-3L values at baseline were significantly lower than the EORTC-8D values (0.748 vs 0.829, p < 0.001). While the correlation between the instruments was high, agreement between the instruments was poor. The baseline health state values using both instruments were found to be sensitive to a number of patient and disease characteristics, and discrimination between disease states was found to be similar. Mean generic QALYs (estimated using the EQ-5D-3L) were significantly lower than condition-specific QALYs (estimated using the EORTC-8D) (0.860 vs 0.909, p < 0.001). The discriminatory power of both QALYs was similar. CONCLUSIONS: When comparing a generic and condition-specific preference-based instrument, divergences are apparent in both baseline health state values and in the estimated QALYs over time for cancer patients. The variability in sensitivity between the baseline values and the QALY estimations means researchers and decision makers are advised to be cautious if using the instruments interchangeably

    Measuring the effect of intimate partner violence on health-related quality of life: a qualitative focus group study

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    Abstract Background Health related quality of life (HRQOL) can be measured by a wide range of instruments, many of which have been designed for specific conditions or uses. Preference-based measures assess the value individuals place on health, and are included in economic evaluations of treatments and interventions (such as cost effectiveness analysis). As economic evaluation becomes more common, it is important to assess the applicability of preference-based health related quality of life (HRQOL) measures to public health issues. This study investigated the usefulness of such instruments in the context of intimate partner violence (IPV), a public health concern that that can seriously affect quality of life. Methods The study consisted of focus groups with abused women to determine the aspects of life affected by IPV, and an analysis of existing HRQOL measures. Eight focus groups (n = 40) were conducted in which participants discussed the domains of health affected by IPV. Results were content analyzed and compared with the domains of health included in four commonly-used, preference-based HRQOL measures. Results The average focus group participant was 43 years old, unemployed, African American, with 3 children. Domains of health reported to be affected by IPV included physical functioning, emotional and psychological functioning, social functioning and children\u27s functioning. Psychological health was the most severely affected domain. The Short Form 36, the Health Utilities Index, the EuroQol 5D, and the Quality of Well-being Scale were found to vary in the degree to which they include domains of health important in IPV. Psychological health is included to a limited extent, and the spill-over effect of a condition on other family members, including children, is not included at all. Conclusion Emotional and psychological health plays an important role in the overall HRQOL of abused women but is relatively underemphasized in preference-based HRQOL measures. This may lead to an underestimation of the impact of partner violence on HRQOL when using these measures and in economic evaluations that rely thereon. Holistic measurement approaches or expanded measures that capture the far-reaching effects of IPV on HRQOL may be needed to accurately measure the effect of this condition on women\u27s health

    Microstructures in subglacial and proglacial sediments : understanding faults, folds and fabrics, and the influence of water on the style of deformation

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    Macroscopic field and micromorphological studies have been carried out on subglacially and proglacially deformed glacigenic sequences at a number of sites throughout Scotland, UK. Examination of microstructures (folds, faults, hydrofractures, plasmic fabrics) aided understanding of the deformation histories preserved in the sediments, but a similar range of structures were developed in both subglacial and proglacial settings. Discrimination between subglacial and proglacial deformation was only possible when micromorphological data was used in conjunction with larger-scale field observations. Variations in lithology and water content were controlling factors influencing the style and apparent intensity of deformation recorded. Changes in pore-water content and pressure during deformation can lead to liquefaction and hydrofracturing, with early formed structures locally controlling the pattern of water-escape. Liquefaction can also lead to homogenisation of the sediments and the destruction of earlier deformation structures, even at relatively low strains. Beds or zones of liquefied sand and silt may form highly ‘lubricated’ detachments within the sediment pile, resulting in a marked reduction in the amount of shear transmitted to underlying units. A multidisciplinary approach, involving sedimentological, geomorphological, stratigraphical and structural field observations, combined with micromorphological analysis, is recommended to confidently unravel the glacitectonic history and depositional environment of most deformed glacigenic sedimentary sequences
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