32 research outputs found

    Communication abilities in the clinical interview

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    [Resumen] Las habilidades comunicacionales constituyen una parte importante de la entrevista clínica. Para una mejor comprensión pueden dividirse en los siguientes apartados: contexto, escucha, comprensión, estrategia y resumen general. Se detallan en cada uno de ellos (a excepción del contexto por haber sido bordado en otro artículo) una serie de técnicas o consideraciones de interés que facilitan una mejora en la interacción del profesional de la salud (fisioterapeuta) con el consultante. Esta mejora repercute tanto en una mayor calidad de los resultados como a nivel afectivo y emocional en ambos protagonistas de la relación.[Abstract] The communication skills are an important part of the clinical interview. To get a better comprehension they can be divided into the following steps: context, listening, acknowledgement, strategy and summary. Some techniques or interesting considerations which can improve health care provider (physiotherapist) patient relationship are explained in each one (but the context because it has been considered in another article). This improvement is involved with not only better clinical outcomes, but also affective and emotional level for both relationship's main character

    Revista de Vertebrados de la Estación Biológica de Doñana

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    Página 298 con error de impresiónEstudio cariológico en dos especies de Serránidos del Mediterráneo (Peces: PerciformesRelaciones morfométricas de Atherina boyeri Risso (Pisces: Atherinidae) de la laguna de Zoñar (Córdoba, España)Contribución al conocimiento de la biometríay osteología de Barbus barbus bocagei, Steindachner, 1866 (Pisces: CyprinidaeLa actividad de la salamandra, Salamandra salamandra (L.), en Galicia.Estudios sobre el sapo corredor (Bufo calamita) en el Sur de España.1. BiometríaEstudios sobre el sapo corredor (Bufo calamita) en el Sur de España. II. AlimentaciónBiología de la reproducción de Rana iberica Boulenger 1879 en zonas simpátridas con Rana temporaria Linneo, 1758Nuevos datos sobre la distribución geográfica de Lacerta monticola cantabrica Mertens, 1929. (Sauria, lacertidae).Datos sobre Lacerta monticola Boulenger, 1905 (Saurio: lacertidae)en el oeste del Sistema Central.Nueva especie de Anolis (lacertilia, Iguanidae) para CubaEtograma cuantificado del cortejo en Falco naumannOntogénesis del comportamiento predador en Falco naumanniContaminación xenobiótica del Parque Nacional de Doñana. 1. Residuos de insecticidas organoclorados, bifenilos policlorados y mercurio en anseriformes y gruiformesReproducción del críalo (Clamator glandarius) en Sierra Morena CentraNidificación de Picus viridis en taludes de arcilla en Ramblas de Guadix (Granada)Comportamiento del calamón Porphyrio porphyrio (Linnaeus, 1758) en Doñana, Marismas del GuadalquiviBiología y ecología de la malvasía (Oxyura leucocephala) en Andalucía.On the differential diet of Carnivora in islands:a method for analysing it and a particular case.Notas sobre la distribución pasada y actual del meloncillo Herpestes ichneumon (L.) en la Península IbéricaEstructuración de las interacciones en una camada de lobos (Canís lupus)Nuevos datos sobre la distribución del Cottus gobio L. (pisces, cottidae) en EspañaSobre la alimentación de Callopistes maculatus (Reptilia,teiidaeObservación de Lacerta lepida depredando un nido de Alectoris rufaNueva cita del galápago leproso Mauremys leprosa (Scheigger, 1812) en los pirineosPrimera cita de Psammodromus hispanicus (Fitzinger) para GaliciaSobre la presencia de Gallotia (=Lacerta) atlantica (Peters y Doria, 1882) en Gran CanariaNota sobre las Lacerta monticola Boulenger, 1905 de las zonas del norte de GaliciaPrimeras notas herpetológicas de la provincia de Soria.Datos sobre selección de hábitat y ecología alimenticia del porrón pardo (Aythya nyroca)Probable nueva área de cría del pechiazul (Luscinia svecica cyanecula) en el sistema central. PerisPredación de Falco peregrinus y Falco subbuteo sobre quirópterosResultados de la producción de Oxyura leucocephala en el año 1981 en las lagunas de Zóñar y el rincónAnálisis de la dieta de Tyto alba en un medio árido antropógeno de los alrededores de Almería¿Son Eudocimus ruber y E. albus distintas especies?EL Estornino pinto (Sturnus vulgaris) en Canarias: nueva especie nidifiante en el archipiélagoDatos sobre la alimentación otoñal del cárabo (Strix aluco) en la sierra de CádizObservación primaveral de rapaces y otras aves en el páramo del estado de Mérida (Venezuela).Murciélago hematófago (Desmodus rotundus) parasitando a un chigüire (Hidrochoerus hydrochaeris)Observaciones sobre la reproducción del zacatuche o teporinho Romerolagus diazi (Mammalia: lagomorpha)Estudio electroforético de hemoglobinas y esterasas sanguíneas en Rhinolophus ferrumequinum (Chiroptera: rhinolophidae) y de hemoglobinas en Tadaria taeniotis (chiroptera: molossidae)Peer reviewe

    TOLNet validation of satellite ozone profiles in the troposphere: impact of retrieval wavelengths

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    The Tropospheric Ozone Lidar Network (TOLNet) was used to validate retrievals of ozone (O3) profiles in the troposphere from the TROPOspheric Monitoring Instrument (TROPOMI) ultraviolet (UV), Cross-track Infrared Sounder (CrIS) infrared (IR), and a combined UV + IR wavelength retrieval from TROPOMI/CrIS. Observations from six separate ground-based lidar systems and various locations of ozonesondes distributed throughout North America and in the Netherlands were used to quantify systematic bias and random errors for each satellite retrieval. Furthermore, TOLNet data were used to intercompare idealized UV, IR, and UV + IR convolved lidar profiles of O3 in the troposphere during case studies representative of high-O3 events. This study shows that the improved sensitivity and vertical resolution in UV + IR retrievals in the middle- and upper-troposphere resulted in tropospheric degree of freedom (DOF) values ∼ 33 % higher compared to UV- and IR-only retrievals. The increased DOFs in the UV + IR retrievals allowed for improved reproduction of mid- and upper-tropospheric O3 enhancements and, to a lesser degree, near-surface pollution enhancements compared to single-wavelength satellite products. The validation of O3 profiles in the troposphere retrieved with the UV-only, IR-only, and UV + IR Tikhonov regularised Ozone Profile retrievAl with SCIATRAN (TOPAS) algorithm developed at the Institute for Environmental Physics, University of Bremen, demonstrated the utility of using TOLNet as a satellite evaluation data set. TOPAS UV-only, IR-only, and UV + IR wavelength retrievals had systematic biases, quantified with normalized mean bias, throughout the troposphere of 11.2 ppb (22.1 %), −1.7 ppb (−0.3 %), and 3.5 ppb (7.8 %), respectively, which meet the tropospheric systematic bias requirements defined by the science teams for the TROPOMI and CrIS sensors. The primary drivers of systematic bias were determined to be solar zenith angle, surface albedo, and cloud fraction. Random errors, representative of uncertainty in the retrievals and quantified by root mean squared errors (RMSEs), were large for all three retrievals, with UV-only, IR-only, and UV + IR wavelength retrievals having RMSEs throughout the troposphere of 17.4 ppb (19.8 % of mean tropospheric column values), 10.5 ppb (12.6 % of mean tropospheric column values), and 14.0 ppb (14.6 % of mean tropospheric column values), respectively. TOPAS UV-only profiles did not meet the uncertainty requirements defined for TROPOMI for the troposphere; however, CrIS IR-only retrievals did meet the uncertainty requirements defined by this mission. The larger random errors reflect the challenge of retrieving daily O3 profiles due to the limited sensitivity and vertical resolution of these retrievals in the troposphere. Tropospheric systematic biases and random error were lower in IR-only and combined UV + IR retrievals compared to UV-only products due to the increased sensitivity in the troposphere allowing the retrievals to deviate further from the a priori profiles. Observations from TOLNet demonstrated that the performance of the three satellite products varied by season and altitude in the troposphere. TOLNet was shown to result in similar validation statistics compared to ozonesonde data, which are a commonly used satellite evaluation data source, demonstrating that TOLNet is a sufficient source of satellite O3 profile validation data in the troposphere, which is critical as this data source is the primary product identified for the tropospheric O3 validation of the recently launched Tropospheric Emissions: Monitoring of Pollution (TEMPO) mission.</p

    Vertical wind retrieved by airborne lidar and analysis of island induced gravity waves in combination with numerical models and in situ particle measurements

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    This study presents the analysis of island induced gravity waves observed by an airborne Doppler wind lidar (DWL) during SALTRACE. First, the instrumental corrections required for the retrieval of high spatial resolution vertical wind measurements from an airborne DWL are presented and the measurement accuracy estimated by means of two different methods. The estimated systematic error is below −0.05 m s−1 for the selected case of study, while the random error lies between 0.1 and 0.16 m s−1 depending on the estimation method. Then, the presented method is applied to two measurement flights during which the presence of island induced gravity waves was detected. The first case corresponds to a research flight conducted on 17 June 2013 in the Cabo Verde islands region, while the second case corresponds to a measurement flight on 26 June 2013 in the Barbados region. The presence of trapped lee waves predicted by the calculated Scorer parameter profiles was confirmed by the lidar and in situ observations. The DWL measurements are used in combination with in situ wind and particle number density measurements, large-eddy simulations (LES), and wavelet analysis to determine the main characteristics of the observed island induced trapped waves

    Investigations of boundary layer structure, cloud characteristics and vertical mixing of aerosols at Barbados with large eddy simulations

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    Large eddy simulations (LESs) are performed for the area of the Caribbean island Barbados to investigate island effects on boundary layer modification, cloud generation and vertical mixing of aerosols. Due to the presence of a topographically structured island surface in the domain center, the model setup has to be designed with open lateral boundaries. In order to generate inflow turbulence consistent with the upstream marine boundary layer forcing, we use the cell perturbation method based on finite amplitude potential temperature perturbations. In this work, this method is for the first time tested and validated for moist boundary layer simulations with open lateral boundary conditions. Observational data obtained from the SALTRACE field campaign is used for both model initialization and a comparison with Doppler wind and Raman lidar data. Several numerical sensitivity tests are carried out to demonstrate the problems related to “gray zone modeling” when using coarser spatial grid spacings beyond the inertial subrange of three-dimensional turbulence or when the turbulent marine boundary layer flow is replaced by laminar winds. Especially cloud properties in the downwind area west of Barbados are markedly affected in these kinds of simulations. Results of an additional simulation with a strong trade-wind inversion reveal its effect on cloud layer depth and location. Saharan dust layers that reach Barbados via long-range transport over the North Atlantic are included as passive tracers in the model. Effects of layer thinning, subsidence and turbulent downward transport near the layer bottom at <i>z</i> ≈ 1800 m become apparent. The exact position of these layers and strength of downward mixing is found to be mainly controlled atmospheric stability (especially inversion strength) and wind shear. Comparisons of LES model output with wind lidar data show similarities in the downwind vertical wind structure. Additionally, the model results accurately reproduce the development of the daytime convective boundary layer measured by the Raman lidar

    Aerosol Backscatter and Extinction Retrieval from Airborne Coherent Doppler Wind Lidar Measurements

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    A novel method for coherent Doppler wind lidars (DWLs) calibration is shown in this work. Concurrent measurements of a ground based aerosol lidar operating at 532 nm and an airborne DWL at 2 μm are used in combination with sun photometer measurements for the retrieval of backscatter and extinction profiles. The presented method was successfully applied to the measurements obtained during the Saharan Aerosol Long-range Transport and Aerosol-Cloud-Interaction Experiment (SALTRACE: http://www.pa.op.dlr.de/saltrace), which aimed to characterize the Saharan dust long range transport between Africa and the Caribbean

    Observed versus simulated mountain waves over Scandinavia &ndash; improvement of vertical winds, energy and momentum fluxes by enhanced model resolution?

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    Two mountain wave events, which occurred over northern Scandinavia in December 2013 are analysed by means of airborne observations and global and mesoscale numerical simulations with horizontal mesh sizes of 16, 7.2, 2.4 and 0.8 km. During both events westerly cross-mountain flow induced upward-propagating mountain waves with different wave characteristics due to differing atmospheric background conditions. While wave breaking occurred at altitudes between 25 and 30 km during the first event due to weak stratospheric winds, waves propagated to altitudes above 30 km and interfacial waves formed in the troposphere at a stratospheric intrusion layer during the second event. Global and mesoscale simulations with 16 and 7.2 km grid sizes were not able to simulate the amplitudes and wavelengths of the mountain waves correctly due to unresolved mountain peaks. In simulations with 2.4 and 0.8 km horizontal resolution, mountain waves with horizontal wavelengths larger than 15 km were resolved, but exhibited too small amplitudes and too high energy and momentum fluxes. Simulated fluxes could be reduced by either increasing the vertical model grid resolution or by enhancing turbulent diffusion in the model, which is comparable to an improved representation of small-scale nonlinear wave effects
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