728 research outputs found
A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study
Purpose To evaluate the implementation and effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program, an adapted evidence-based cardiovascular disease risk reduction intervention delivered by Community Health Workers (CHW) to rural adults. Design Hybrid implementation-effectiveness study with a pre–post design. Setting North Carolina Federally Qualified Health Center and local health department in a rural, medically underserved area. Sample Participants (n = 255) included 87% Non-Hispanic Black with a mean age of 57 years; 84% had diagnosed hypertension, 55% had diabetes, and 65% had hypercholesterolemia. Intervention A CHW-delivered, low-intensity, 4-month behavioral lifestyle intervention promoting a southern-style Mediterranean dietary pattern and physical activity. Measures We measured number and representativeness of participants reached and retained, intervention delivery fidelity, weight, blood pressure, and self-reported dietary and physical activity behaviors. Analysis Pre–post changes at 4 months were analyzed using paired t-tests. Results Study participants completed 90% of planned intervention contacts; 87% were retained. Intervention delivery fidelity measures showed participants receiving a mean of 3.5 counseling visits, 2.7 booster calls, and on average completing 1.7 modules, setting 1.8 goals, and receiving 1.3 referrals per visit. There were significant mean reductions in systolic (−2.5 mmHg, P < .05) and diastolic blood pressure (−2.1 mmHg, P < .01); the proportion of participants with systolic blood pressure <130 increased by 7 % points (P = .05), and diastolic pressure <80 by 9 percentage points (P < .01). Dietary behaviors improved significantly with average weekly servings of nuts increased by .5 serving (P < .0001), and fruits and vegetables by .8 daily serving (P < .0001). Physical activity also increased on average by 45 min./week (P < .001). Weight did not change significantly. Conclusions The CHANGE program showed both implementation and program effectiveness and adds to the evidence supporting CHW-delivered lifestyle interventions to reduce CVD risk among rural, Non-Hispanic Black, and medically underserved populations
Multi-Gigabit Wireless Link Development
CSIRO ICT Centre is developing millimetre wave point-to-point links suitable for multi-gigabit wireless connectivity. Suitable spectrum for this purpose is allocated at the 60 GHz band and above. This paper reports a new point-to-point link that will be installed at Marsfield site to demonstrate multi-gigabit operation and performance of its key components. The link will operate at the 81-86 GHz band incorporating CSIRO designed millimetre wave MMICs and multi-gigabit modems
The UTMOST: A hybrid digital signal processor transforms the MOST
The Molonglo Observatory Synthesis Telescope (MOST) is an 18,000 square meter
radio telescope situated some 40 km from the city of Canberra, Australia. Its
operating band (820-850 MHz) is now partly allocated to mobile phone
communications, making radio astronomy challenging. We describe how the
deployment of new digital receivers (RX boxes), Field Programmable Gate Array
(FPGA) based filterbanks and server-class computers equipped with 43 GPUs
(Graphics Processing Units) has transformed MOST into a versatile new
instrument (the UTMOST) for studying the dynamic radio sky on millisecond
timescales, ideal for work on pulsars and Fast Radio Bursts (FRBs). The
filterbanks, servers and their high-speed, low-latency network form part of a
hybrid solution to the observatory's signal processing requirements. The
emphasis on software and commodity off-the-shelf hardware has enabled rapid
deployment through the re-use of proven 'software backends' for its signal
processing. The new receivers have ten times the bandwidth of the original MOST
and double the sampling of the line feed, which doubles the field of view. The
UTMOST can simultaneously excise interference, make maps, coherently dedisperse
pulsars, and perform real-time searches of coherent fan beams for dispersed
single pulses. Although system performance is still sub-optimal, a pulsar
timing and FRB search programme has commenced and the first UTMOST maps have
been made. The telescope operates as a robotic facility, deciding how to
efficiently target pulsars and how long to stay on source, via feedback from
real-time pulsar folding. The regular timing of over 300 pulsars has resulted
in the discovery of 7 pulsar glitches and 3 FRBs. The UTMOST demonstrates that
if sufficient signal processing can be applied to the voltage streams it is
possible to perform innovative radio science in hostile radio frequency
environments.Comment: 12 pages, 6 figure
A Giant Outburst at Millimeter Wavelengths in the Orion Nebula
BIMA observations of the Orion nebula discovered a giant flare from a young
star previously undetected at millimeter wavelengths. The star briefly became
the brightest compact object in the nebula at 86 GHz. Its flux density
increased by more than a factor of 5 on a timescale of hours, to a peak of 160
mJy. This is one of the most luminous stellar radio flares ever observed.
Remarkably, the Chandra X-ray observatory was in the midst of a deep
integration of the Orion nebula at the time of the BIMA discovery; the source's
X-ray flux increased by a factor of 10 approximately 2 days before the radio
detection. Follow-up radio observations with the VLA and BIMA showed that the
source decayed on a timescale of days, then flared again several times over the
next 70 days, although never as brightly as during the discovery. Circular
polarization was detected at 15, 22, and 43 GHz, indicating that the emission
mechanism was cyclotron. VLBA observations 9 days after the initial flare yield
a brightness temperature Tb > 5 x 10^7 K at 15 GHz. Infrared spectroscopy
indicates the source is a K5V star with faint Br gamma emission, suggesting
that it is a weak-line T Tauri object. Zeeman splitting measurements in the
infrared spectrum find B ~ 2.6 +/- 1.0 kG. The flare is an extreme example of
magnetic activity associated with a young stellar object. These data suggest
that short observations obtained with ALMA will uncover hundreds of flaring
young stellar objects in the Orion region.Comment: 29 pages, 7 figures, accepted for publication in Ap
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