Quantifying Arctic contributions to climate predictability in a regional coupled ocean-ice-atmosphere model

The relative importance of regional processes inside the Arctic climate system and the large scale atmospheric circulation for Arctic interannual climate variability has been estimated with the help of a regional Arctic coupled ocean-ice-atmosphere model. The study focuses on sea ice and surface climate during the 1980s and 1990s. Simulations agree reasonably well with observations. Correlations between the winter North Atlantic Oscillation index and the summer Arctic sea ice thickness and summer sea ice extent are found. Spread of sea ice extent within an ensemble of model runs can be associated with a surface pressure gradient between the Nordic Seas and the Kara Sea. Trends in the sea ice thickness field are widely significant and can formally be attributed to large scale forcing outside the Arctic model domain. Concerning predictability, results indicate that the variability generated by the external forcing is more important in most regions than the internally generated variability. However, both are in the same order of magnitude. Local areas such as the Northern Greenland coast together with Fram Straits and parts of the Greenland Sea show a strong importance of internally generated variability, which is associated with wind direction variability due to interaction with atmospheric dynamics on the Greenland ice sheet. High predictability of sea ice extent is supported by north-easterly winds from the Arctic Ocean to Scandinavia

Quantum Field Theory on Quantum Spacetime

Condensed account of the Lectures delivered at the Meeting on {\it Noncommutative Geometry in Field and String Theory}, Corfu, September 18 - 20, 2005.Comment: 10 page

Munchausen by internet: current research and future directions.

The Internet has revolutionized the health world, enabling self-diagnosis and online support to take place irrespective of time or location. Alongside the positive aspects for an individual's health from making use of the Internet, debate has intensified on how the increasing use of Web technology might have a negative impact on patients, caregivers, and practitioners. One such negative health-related behavior is Munchausen by Internet

Infinite square-well, trigonometric P\"oschl-Teller and other potential wells with a moving barrier

Using mainly two techniques, a point transformation and a time dependent supersymmetry, we construct in sequence several quantum infinite potential wells with a moving barrier. We depart from the well known system of a one-dimensional particle in a box. With a point transformation, an infinite square-well potential with a moving barrier is generated. Using time dependent supersymmetry, the latter leads to a trigonometric P\"oschl-Teller potential with a moving barrier. Finally, a confluent time dependent supersymmetry transformation is implemented to generate new infinite potential wells, all of them with a moving barrier. For all systems, solutions of the corresponding time dependent Schr\"odinger equation fulfilling boundary conditions are presented in a closed form

Management Seminar Management Survey of the Simmons Machine Tool Corporation Albany, New York V. 3

In three volumes, available under http://hdl.handle.net/10945/14399 (vol. 1); http://hdl.handle.net/10945/14402 (vol. 2); http://hdl.handle.net/10945/14405 (vol. 3)http://www.archive.org/details/managementsurvey03abelU.S. Navy (U.S.N.) authors.U.S. Marine Corps (U.S.M.C.) authors

Barriers to colorectal cancer screening in community health centers: A qualitative study

<p>Abstract</p> <p>Background</p> <p>Colorectal cancer screening rates are low among disadvantaged patients; few studies have explored barriers to screening in community health centers. The purpose of this study was to describe barriers to/facilitators of colorectal cancer screening among diverse patients served by community health centers.</p> <p>Methods</p> <p>We identified twenty-three outpatients who were eligible for colorectal cancer screening and their 10 primary care physicians. Using in-depth semi-structured interviews, we asked patients to describe factors influencing their screening decisions. For each unscreened patient, we asked his or her physician to describe barriers to screening. We conducted patient interviews in English (n = 8), Spanish (n = 2), Portuguese (n = 5), Portuguese Creole (n = 1), and Haitian Creole (n = 7). We audiotaped and transcribed the interviews, and then identified major themes in the interviews.</p> <p>Results</p> <p>Four themes emerged: 1) Unscreened patients cited lack of trust in doctors as a barrier to screening whereas few physicians identified this barrier; 2) Unscreened patients identified lack of symptoms as the reason they had not been screened; 3) A doctor's recommendation, or lack thereof, significantly influenced patients' decisions to be screened; 4) Patients, but not their physicians, cited fatalistic views about cancer as a barrier. Conversely, physicians identified competing priorities, such as psychosocial stressors or comorbid medical illness, as barriers to screening. In this culturally diverse group of patients seen at community health centers, similar barriers to screening were reported by patients of different backgrounds, but physicians perceived other factors as more important.</p> <p>Conclusion</p> <p>Further study of these barriers is warranted.</p

Length of patient-physician relationship and patients' satisfaction and preventive service use in the rural south: a cross-sectional telephone study

BACKGROUND: Physicians and patients highly value continuity in health care. Continuity can be measured in several ways but few studies have examined the specific association between the duration of the patient-doctor relationship and patient outcomes. This study (1) examines characteristics of rural adults who have had longer relationships with their physicians and (2) assesses if the length of relationship is associated with patients' satisfaction and likelihood of receiving recommended preventive services. METHODS: Cross-sectional telephone survey of health care access indicators of adults in selected non-metropolitan counties of eight U.S. predominantly southern states. Analyses were restricted to adults who see a particular physician for their care and weighted for demographics and county sampling probabilities. RESULTS: Of 3176 eligible respondents, 10.8% saw the same physician for the past 12 months, 11.8% for the previous 13–24 months, 20.7% for the past 25–60 months and 56.7% for more than 60 months. Compared to persons with one year or less continuity with the same physician, respondents with over five years continuity more often were Caucasian, insured, a high school graduate, and more often reported good to excellent health and an income above $25,000. Compared to those with more than five years of continuity, participants with either less than one year or one to two years of continuity with the same physician were more often not satisfied with their overall health care (OR 2.34; OR 1.78), participants with less than one year continuity were more often not satisfied with the concern shown them by their physician (O.R. 1.90) and having their health questions answered, and those with one to two years continuity were more often not satisfied with the quality of their care (OR 2.37). No significant associations were found between physician continuity and use rates of any of the queried preventive services. CONCLUSION: Over half of this rural population has seen the same physician for more than five years. Longer continuity of care was associated with greater patient satisfaction and confidence in one's physician, but not with a greater likelihood of receiving recommended preventive services