Multiple Imputation of Missing Race and Ethnicity in CDC COVID-19 Case-Level Surveillance Data

The COVID-19 pandemic has resulted in a disproportionate burden on racial and ethnic minority groups, but incompleteness in surveillance data limits understanding of disparities. CDC’s case-based surveillance system contains most COVID-19 cases in the United States. Data analyzed in this paper contain COVID-19 cases with case-level information through September 25, 2020, which represent 70.9% of all COVID-19 cases reported to CDC during the period. Case-level surveillance data are used to investigate COVID-19 disparities by race/ethnicity, sex, and age. However, demographic information on race and ethnicity is missing for a substantial percentage of COVID-19 cases (e.g., 35.8% and 47.2% of cases analyzed were missing race and ethnicity information, respectively). Our goal in this study was to impute missing race and ethnicity to derive more accurate incidence and incidence rate ratio (IRR) estimates for different racial and ethnic groups, and evaluate the results from imputation compared to complete case analysis, which involves removing cases with missing race/ethnicity information from the analysis. Two multiple imputation (MI) models were developed. Model 1 imputes race using six binary race variables, and Model 2 imputes race as a composite multinomial variable. Our evaluation found that compared with complete case analysis, MI reduced biases and improved coverage on incidence and IRR estimates for all race/ethnicity groups, except for the Non-Hispanic Multiple/other group. Our research highlights the importance of supplementing complete case analysis with additional methods of analysis to better describe racial and ethnic disparities. When race and ethnicity data are missing, multiple imputation may provide more accurate incidence and IRR estimates to monitor these disparities in tandem with efforts to improve the collection of race and ethnicity information for pandemic surveillance

Emergency Department as an epidemiological observatory of Human Mobility: the experience of the Moroccan population

We conducted a retrospective study of the accesses to the Emergency Department registered from January 2000 to December 2014 in 5 major hospitals in the Metropolitan Area of Rome. We extrapolated data relating to patients of Moroccan origin from about 5 million total accesses, so we compared with Italians data which, in the same period, came to ED. The Moroccan population is distinguished by a larger number of diagnoses belonging to the ICD-9 code of Infectious Diseases and, more precisely, to Respiratory Infectious Diseases. There are also no differences in the assignment of such diagnoses to Moroccans with Italian citizenship, and this led to think that this could play an important role in the use of the ED and moreover that enrollment to the National Health Service may reduce its inappropriate use. Regarding to Degenerative Disorders, the result of our analysis is quite emblematic, showing that the accesses to the ED is due to Cardiovascular Diseases: 6.33% of Italians' accesses against 1.81% of Moroccans and 2.36% of Moroccans with Italian citizenship. The main explanation for this difference is, obviously, due to the age of the population: about 60% of Moroccans who accessed to ED was less than 40 years old. It is interesting how, in the field of ​​Cardiovascular Diseases, Moroccans have a lower percentage of diagnosis compared to Italians for acute diseases and a greater percentage of diagnoses for chronic diseases, suggesting once again that accesses to ED for migrants often is due to the inability to use the general services of the National Health Service. In conclusion, from the point of view of the Emergency Department, Migration Medicine still has Infectious Diseases as the main reason for access. Degenerative Disorders remain a prerogative of the Italians, but we could certainly assume that the Moroccan population would develop at some point with the aging

Space Weathering on Near-Earth Objects investigated by neutral-particle detection

The ion-sputtering (IS) process is active in many planetary environments in the Solar System where plasma precipitates directly on the surface (for instance, Mercury, Moon, Europa). In particular, solar-wind sputtering is one of the most important agents for the surface erosion of a Near-Earth Object (NEO), acting together with other surface release processes, such as Photon Stimulated Desorption (PSD), Thermal Desorption (TD) and Micrometeoroid Impact Vaporization (MIV). The energy distribution of the IS-released neutrals peaks at a few eVs and extends up to hundreds of eVs. Since all other release processes produce particles of lower energies, the presence of neutral atoms in the energy range above 10 eV and below a few keVs (Sputtered High-Energy Atoms - SHEA) identifies the IS process. SHEA easily escape from the NEO, due to NEO's extremely weak gravity. Detection and analysis of SHEA will give important information on surface-loss processes as well as on surface elemental composition. The investigation of the active release processes, as a function of the external conditions and the NEO surface properties, is crucial for obtaining a clear view of the body's present loss rate as well as for getting clues on its evolution, which depends significantly on space weather. In this work, an attempt to analyze the processes that take place on the surface of these small airless bodies, as a result of their exposure to the space environment, has been realized. For this reason a new space weathering model (Space Weathering on NEO - SPAWN), is presented. Moreover, an instrument concept of a neutral-particle analyzer specifically designed for the measurement of neutral density and the detection of SHEA from a NEO is proposedComment: 36 page

Chapter 6: Priority Infrastructure Opportunities for CO2 Utilization, in: Carbon Dioxide Utilization Markets and Infrastructure Status and Opportunities: A First Report

Building on the analyses of carbon dioxide (CO2)-derived products, infrastructure requirements, and policy, regulatory, and societal considerations discussed in Chapters 2 through 5, this chapter presents a summary of priority infrastructure opportunities to enable CO2 utilization. The chapter begins by describing options for CO2 utilization infrastructure funding based on current policy and regulatory regimes, and considering successful examples in related industries. It then examines near-term opportunities for CO2 utilization infrastructure investments, as well as near-term actions to enable longerterm deployment options. A primary consideration for these opportunities is the ability of CO2 utilization to participate in a future circular carbon economy, which depends on the type of CO2 source, CO2-derived product lifetime, and life cycle emissions of other process inputs. The chapt

Chapter 4: Infrastructure Considerations for CO2 Utilization, in: Carbon Dioxide Utilization Markets and Infrastructure Status and Opportunities: A First Report

This chapter describes considerations for developing infrastructure for carbon dioxide (CO2) utilization, taking into account the CO2-derived products identified in Chapter 3 and the existing infrastructure discussed in Chapter 2. Infrastructure needs throughout the CO2 utilization value chain are examined, from capture to purification, transportation, conversion, and, where applicable, transportation of the CO2-derived product. Requirements for enabling infrastructure, namely, clean electricity, hydrogen, water, land, and energy storage, are also considered

Low energy high angular resolution neutral atom detection by means of micro-shuttering techniques: the BepiColombo SERENA/ELENA sensor

The neutral sensor ELENA (Emitted Low-Energy Neutral Atoms) for the ESA cornerstone BepiColombo mission to Mercury (in the SERENA instrument package) is a new kind of low energetic neutral atoms instrument, mostly devoted to sputtering emission from planetary surfaces, from E ~20 eV up to E~5 keV, within 1-D (2x76 deg). ELENA is a Time-of-Flight (TOF) system, based on oscillating shutter (operated at frequencies up to a 100 kHz) and mechanical gratings: the incoming neutral particles directly impinge upon the entrance with a definite timing (START) and arrive to a STOP detector after a flight path. After a brief dissertation on the achievable scientific objectives, this paper describes the instrument, with the new design techniques approached for the neutral particles identification and the nano-techniques used for designing and manufacturing the nano-structure shuttering core of the ELENA sensor. The expected count-rates, based on the Hermean environment features, are shortly presented and discussed. Such design technologies could be fruitfully exported to different applications for planetary exploration.Comment: 11 page

Observations of Mercury's northern cusp region with MESSENGER's Magnetometer

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95510/1/grl29143.pd

Chapter 16 - Cross-cutting investment and finance issues

This is the first time an assessment report by the Intergovernmental Panel on Climate Change (IPCC) contains a chapter dedicated to investment and finance to address climate change. This reflects the growing awareness of the relevance of these issues for the design of efficient and effective climate policies