Why Rigid Process Management Technology Hampers Computerized Support of Healthcare Processes

Healthcare processes are characterized by frequent changes, numerous exceptions and complex deviations from the norm. Despite the increasing adoption of process-aware healthcare information systems (PAHIS), there still exist numerous issues related to the handling of exceptions in clinical processes that are not effectively supported in contemporary PAHIS. This paper presents preliminary results of a research whose goal is to get a deeper understanding of clinical work practices and to better understand how IT process support should look like for them. Altogether, adequate handling of failure and exceptions in PAHIS, while still enabling a certain level of control and assistance to clinical staff

Towards Comprehensive Observing and Modeling Systems for Monitoring and Predicting Regional to Coastal Sea Level

A major challenge for managing impacts and implementing effective mitigation and adaptation strategies for coastal zones affected by future sea level (SL) rise is our very limited capacity to predict SL change on coastal scales, over various timescales. Predicting coastal SL requires the ability to monitor and simulate a multitude of physical processes affecting SL, from local effects of wind waves and river runoff to remote influences of the large-scale ocean circulation on the coast. Here we assess our current understanding of the causes of coastal SL variability on seasonal to multi-decadal timescales, including geodetic, oceanographic and atmospheric aspects of the problem, and review available observing systems informing on coastal SL. We also review the ability of current models and data assimilation systems to estimate coastal SL variations and of atmosphere-ocean global coupled models and related regional downscaling efforts to project future SL changes. We discuss (1) key observational gaps and uncertainties, and priorities for the development of an optimal and integrated coastal SL observing system, (2) strategies for advancing model capabilities in forecasting short-term processes and projecting long-term changes affecting coastal SL, and (3) possible future developments of sea level services enabling better connection of scientists and user communities and facilitating assessment and decision making for adaptation to future coastal SL change

Coastal Ocean Forecasting: science foundation and user benefits

The advancement of Coastal Ocean Forecasting Systems (COFS) requires the support of continuous scientific progress addressing: (a) the primary mechanisms driving coastal circulation; (b) methods to achieve fully integrated coastal systems (observations and models), that are dynamically embedded in larger scale systems; and (c) methods to adequately represent air-sea and biophysical interactions. Issues of downscaling, data assimilation, atmosphere-wave-ocean couplings and ecosystem dynamics in the coastal ocean are discussed. These science topics are fundamental for successful COFS, which are connected to evolving downstream applications, dictated by the socioeconomic needs of rapidly increasing coastal populations

Il Cristo in forma Pietatis del Rosso Fiorentino fra devozione e bellezza

<p>Differential distribution pattern of root- identified proteins in the four conditions described: TT, 42T, 42FS and 42RS.</p

More than 50 years of successful continuous temperature section measurements by the global expendable bathythermograph network, its integrability, societal benefits, and future

The first eXpendable BathyThermographs (XBTs) were deployed in the 1960s in the North Atlantic Ocean. In 1967 XBTs were deployed in operational mode to provide a continuous record of temperature profile data along repeated transects, now known as the Global XBT Network. The current network is designed to monitor ocean circulation and boundary current variability, basin-wide and trans-basin ocean heat transport, and global and regional heat content. The ability of the XBT Network to systematically map the upper ocean thermal field in multiple basins with repeated trans-basin sections at eddy-resolving scales remains unmatched today and cannot be reproduced at present by any other observing platform. Some repeated XBT transects have now been continuously occupied for more than 30 years, providing an unprecedented long-term climate record of temperature, and geostrophic velocity profiles that are used to understand variability in ocean heat content (OHC), sea level change, and meridional ocean heat transport. Here, we present key scientific advances in understanding the changing ocean and climate system supported by XBT observations. Improvement in XBT data quality and its impact on computations, particularly of OHC, are presented. Technology development for probes, launchers, and transmission techniques are also discussed. Finally, we offer new perspectives for the future of the Global XBT Network

Forcing factors affecting sea level changes at the coast

We review the characteristics of sea level variability at the coast focussing on how it differs from the variability in the nearby deep ocean. Sea level variability occurs on all timescales, with processes at higher frequencies tending to have a larger magnitude at the coast due to resonance and other dynamics. In the case of some processes, such as the tides, the presence of the coast and the shallow waters of the shelves results in the processes being considerably more complex than offshore. However, ‘coastal variability’ should not always be considered as ‘short spatial scale variability’ but can be the result of signals transmitted along the coast from 1000s km away. Fortunately, thanks to tide gauges being necessarily located at the coast, many aspects of coastal sea level variability can be claimed to be better understood than those in the deep ocean. Nevertheless, certain aspects of coastal variability remain under-researched, including how changes in some processes (e.g., wave setup, river runoff) may have contributed to the historical mean sea level records obtained from tide gauges which are now used routinely in large-scale climate research

Global perspectives on observing ocean boundary current systems

Ocean boundary current systems are key components of the climate system, are home to highly productive ecosystems, and have numerous societal impacts. Establishment of a global network of boundary current observing systems is a critical part of ongoing development of the Global Ocean Observing System. The characteristics of boundary current systems are reviewed, focusing on scientific and societal motivations for sustained observing. Techniques currently used to observe boundary current systems are reviewed, followed by a census of the current state of boundary current observing systems globally. The next steps in the development of boundary current observing systems are considered, leading to several specific recommendations.Fil: Todd, Robert E.. Woods Hole Oceanographic Institution; Estados UnidosFil: Chavez, Francisco. Monterey Bay Aquarium Research Institute; Estados UnidosFil: Clayton, Sophie. Old Dominion University; Estados UnidosFil: Cravatte, Sophie E.. Centre National de la Recherche Scientifique. Institut de Recherche pour le Développement; Francia. Universite de Toulouse; FranciaFil: Goes, Marlos P.. University of Miami; Estados UnidosFil: Graco, Michelle I.. Instituto del Mar del Peru; PerúFil: Lin, Xiaopei. Ocean University of China; ChinaFil: Sprintall, Janet. University of California; Estados UnidosFil: Zilberman, Nathalie V.. University of California; Estados UnidosFil: Archer, Matthew. California Institute of Technology; Estados UnidosFil: Arístegui, Javier. Universidad de Las Palmas de Gran Canaria; EspañaFil: Balmaseda, Magdalena A.. European Centre for Medium-Range Weather Forecasts; Reino UnidoFil: Bane, John M.. University of North Carolina; Estados UnidosFil: Baringer, Molly O.. Atlantic Oceanographic and Meteorological Laboratory ; Estados UnidosFil: Barth, John A.. State University of Oregon; Estados UnidosFil: Beal, Lisa M.. University of Miami; Estados UnidosFil: Brandt, Peter. Geomar-Helmholtz Centre for Ocean Research Kiel; AlemaniaFil: Calil, Paulo H.. Universidade Federal do Rio Grande; BrasilFil: Campos, Edmo. Universidade de Sao Paulo; BrasilFil: Centurioni, Luca R.. University of California; Estados UnidosFil: Chidichimo, María Paz. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Ministerio de Defensa. Armada Argentina. Servicio de Hidrografía Naval; ArgentinaFil: Cirano, Mauro. Universidade Federal do Rio de Janeiro; BrasilFil: Cronin, Meghan F.. National Oceanic and Atmospheric Administration. Pacific Marine Environmental Laboratory; Estados UnidosFil: Curchitser, Enrique N.. Rutgers University; Estados UnidosFil: Davis, Russ E.. University of California; Estados UnidosFil: Dengler, Marcus. Geomar-Helmholtz Centre for Ocean Research Kiel; AlemaniaFil: DeYoung, Brad. Memorial University of Newfoundland; CanadáFil: Dong, Shenfu. University of Miami; Estados UnidosFil: Escribano, Ruben. Universidad de Concepción; ChileFil: Fassbender, Andrea J.. Monterey Bay Aquarium Research Institute; Estados Unido

Significant genetic differentiation among populations of Anomalocardia brasiliana (Gmelin, 1791): A bivalve with planktonic larval dispersion

Four Brazilian populations of Anomalocardia brasiliana were tested for mutual genetic homogeneity, using data from 123 sequences of the mtDNA cytochrome oxidase c subunit I gene. A total of 36 haplotypes were identified, those shared being H3 (Canela Island, Prainha and Acupe) and both H5 and H9 (Prainha and Acupe). Haplotype diversity values were high, except for the Camurupim population, whereas nucleotide values were low in all the populations, except for that of Acupe. Only the Prainha population showed a deviation from neutrality and the SSD test did not reject the demographic expansion hypothesis. Fst values showed that the Prainha and Acupe populations represent a single stock, whereas in both the Canela Island and Camurupim stocks, population structures are different and independent. The observed structure at Canela Island may be due to the geographic distance between this population and the remainder. The Camurupim population does not share any haplotype with the remaining populations in northeastern Brazil. The apparent isolation could be due to the rocky barrier located facing the mouth of the Mamanguape River. The results highlight the importance of wide-scale studies to identify and conserve local genetic diversity, especially where migration is restricted

Coastal Ocean Forecasting: science foundation and user benefits

The advancement of Coastal Ocean Forecasting Systems (COFS) requires the support of continuous scientific progress addressing: (a) the primary mechanisms driving coastal circulation; (b) methods to achieve fully integrated coastal systems (observations and models), that are dynamically embedded in larger scale systems; and (c) methods to adequately represent air-sea and biophysical interactions. Issues of downscaling, data assimilation, atmosphere-wave-ocean couplings and ecosystem dynamics in the coastal ocean are discussed. These science topics are fundamental for successful COFS, which are connected to evolving downstream applications, dictated by the socioeconomic needs of rapidly increasing coastal populations

Towards comprehensive observing and modeling systems for monitoring and predicting regional to coastal sea level

A major challenge for managing impacts and implementing effective mitigation measures and adaptation strategies for coastal zones affected by future sea level (SL) rise is our limited capacity to predict SL change at the coast on relevant spatial and temporal scales. Predicting coastal SL requires the ability to monitor and simulate a multitude of physical processes affecting SL, from local effects of wind waves and river runoff to remote influences of the large-scale ocean circulation on the coast. Here we assess our current understanding of the causes of coastal SL variability on monthly to multi-decadal timescales, including geodetic, oceanographic and atmospheric aspects of the problem, and review available observing systems informing on coastal SL. We also review the ability of existing models and data assimilation systems to estimate coastal SL variations and of atmosphere-ocean global coupled models and related regional downscaling efforts to project future SL changes. We discuss (1) observational gaps and uncertainties, and priorities for the development of an optimal and integrated coastal SL observing system, (2) strategies for advancing model capabilities in forecasting short-term processes and projecting long-term changes affecting coastal SL, and (3) possible future developments of sea level services enabling better connection of scientists and user communities and facilitating assessment and decision making for adaptation to future coastal SL change.RP was funded by NASA grant NNH16CT00C. CD was supported by the Australian Research Council (FT130101532 and DP 160103130), the Scientific Committee on Oceanic Research (SCOR) Working Group 148, funded by national SCOR committees and a grant to SCOR from the U.S. National Science Foundation (Grant OCE-1546580), and the Intergovernmental Oceanographic Commission of UNESCO/International Oceanographic Data and Information Exchange (IOC/IODE) IQuOD Steering Group. SJ was supported by the Natural Environmental Research Council under Grant Agreement No. NE/P01517/1 and by the EPSRC NEWTON Fund Sustainable Deltas Programme, Grant Number EP/R024537/1. RvdW received funding from NWO, Grant 866.13.001. WH was supported by NASA (NNX17AI63G and NNX17AH25G). CL was supported by NASA Grant NNH16CT01C. This work is a contribution to the PIRATE project funded by CNES (to TP). PT was supported by the NOAA Research Global Ocean Monitoring and Observing Program through its sponsorship of UHSLC (NA16NMF4320058). JS was supported by EU contract 730030 (call H2020-EO-2016, “CEASELESS”). JW was supported by EU Horizon 2020 Grant 633211, Atlantos