Atmospheric marine boundary layer measurements in the vicinity of San Nicolas Island during CEWCOM-78

This is a report on the boundary layer aspects of the NPS participation in CEWCOM-78. The primary purpose of the experiment was to determine how representative San Nicolas Island is of an open ocean marine boundary layer and to examine the validity of boundary layer measurements at the NRL tower on the NW tip of the island. Under favorable wind conditions (NW) the turbulence and profile structure of the boundary layer near SNI was characteristic of typical marine conditions. A comparison of simultaneous measurements at the NRL tower and the R/V ACANIA indicated considerable shoreline influence on the velocity fluctuations (U* or epsilon) and the mean wind speed (U) but essentially no influence on temperature fluctuations (CT2). Using the bulk method to calculate T* and xi from the ACANIA data, the actual measurements of CT2 could be predicted to within about a factor of twoNaval Air Systems Command (AIR 3706) Washington, DC and Naval Ocean Systems Center (EOMET).http://archive.org/details/atmosphericmarin00fairN00019-78-WR-81002, N66001-78-WR-00156NAApproved for public release; distribution is unlimited

Direct covariance measurement of CO2 gas transfer velocity during the 2008 Southern Ocean Gas Exchange Experiment: Wind speed dependency

Direct measurements of air-sea heat, momentum, and mass (including CO2, DMS, and water vapor) fluxes using the direct covariance method were made over the open ocean from the NOAA R/V Ronald H. Brown during the Southern Ocean Gas Exchange (SO GasEx) program. Observations of fluxes and the physical processes associated with driving air-sea exchange are key components of SO GasEx. This paper focuses on the exchange of CO2 and the wind speed dependency of the transfer velocity, k, used to model the CO2 flux between the atmosphere and ocean. A quadratic dependence of k on wind speed based on dual tracer experiments is most frequently encountered in the literature. However, in recent years, bubble-mediated enhancement of k, which exhibits a cubic relationship with wind speed, has emerged as a key issue for flux parameterization in high-wind regions. Therefore, a major question addressed in SO GasEx is whether the transfer velocities obey a quadratic or cubic relationship with wind speed. After significant correction to the flux estimates (primarily due to moisture contamination), the direct covariance CO2 fluxes confirm a significant enhancement of the transfer velocity at high winds compared with previous quadratic formulations. Regression analysis suggests that a cubic relationship provides a more accurate parameterization over a wind speed range of 0 to 18 m s−1. The Southern Ocean results are in good agreement with the 1998 GasEx experiment in the North Atlantic and a recent separate field program in the North Sea

Task shifting and integration of HIV care into primary care in South Africa: The development and content of the streamlining tasks and roles to expand treatment and care for HIV (STRETCH) intervention

Background: Task shifting and the integration of human immunodeficiency virus (HIV) care into primary care services have been identified as possible strategies for improving access to antiretroviral treatment (ART). This paper describes the development and content of an intervention involving these two strategies, as part of the Streamlining Tasks and Roles to Expand Treatment and Care for HIV (STRETCH) pragmatic randomised controlled trial. Methods: Developing the intervention: The intervention was developed following discussions with senior management, clinicians, and clinic staff. These discussions revealed that the establishment of separate antiretroviral treatment services for HIV had resulted in problems in accessing care due to the large number of patients at ART clinics. The intervention developed therefore combined the shifting from doctors to nurses of prescriptions of antiretrovirals (ARVs) for uncomplicated patients and the stepwise integration of HIV care into primary care services. Results: Components of the intervention: The intervention consisted of regulatory changes, training, and guidelines to support nurse ART prescription, local management teams, an implementation toolkit, and a flexible, phased introduction. Nurse supervisors were equipped to train intervention clinic nurses in ART prescription using outreach education and an integrated primary care guideline. Management teams were set up and a STRETCH coordinator was appointed to oversee the implementation process. Discussion: Three important processes were used in developing and implementing this intervention: active participation of clinic staff and local and provincial management, educational outreach to train nurses in intervention sites, and an external facilitator to support all stages of the intervention rollout

COLA II - Radio and Spectroscopic Diagnostics of Nuclear Activity in Galaxies

We present optical spectroscopic observations of 93 galaxies taken from the infra-red selected COLA (Compact Objects in Low Power AGN) sample. The sample spans the range of far-IR luminosities from normal galaxies to LIRGs. Of the galaxies observed, 78 (84%) exhibit emission lines. Using a theoretically-based optical emission-line scheme we classify 15% of the emission-line galaxies as Seyferts, 77% as starbursts, and the rest are either borderline AGN/starburst or show ambiguous characteristics. We find little evidence for an increase in the fraction of AGN in the sample as a function of far-IR luminosity but our sample covers only a small range in infrared luminosity and thus a weak trend may be masked. As a whole the Seyfert galaxies exhibit a small, but significant, radio excess on the radio-FIR correlation compared to the galaxies classified as starbursts. Compact (<0.05'') radio cores are detected in 55% of the Seyfert galaxies, and these galaxies exhibit a significantly larger radio excess than the Seyfert galaxies in which cores were not detected. Our results indicate that there may be two distinct populations of Seyferts, ``radio-excess'' Seyferts, which exhibit extended radio structures and compact radio cores, and ``radio-quiet'' Seyferts, in which the majority of the radio emission can be attributed to star-formation in the host galaxy. No significant difference is seen between the IR and optical spectroscopic properties of Seyferts with and without radio cores. (Abridged)Comment: 24 pages, 4 figures, 6 tables. Accepted for publication in ApJ, February 200

The AGN nature of 11 out of 12 Swift/RXTE unidentified sources through optical and X-ray spectroscopy

The Swift Burst Alert Telescope (BAT) is performing a high Galactic latitude survey in the 14-195 keV band at a flux limit of ~10^{-11} erg cm^{-2} s^{-1}, leading to the discovery of new high energy sources, most of which have not so far been properly classified. A similar work has also been performed with the RXTE slew survey leading to the discovery of 68 sources detected above 8 keV, many of which are still unclassified. Follow-up observations with the Swift X-ray Telescope (XRT) provide, for many of these objects, source localization with a positional accuracy of few arcsec, thus allowing the search for optical counterparts to be more efficient and reliable. We present the results of optical/X-ray follow-up studies of 11 Swift BAT detections and one AGN detected in the RXTE Slew Survey, aimed at identifying their counterparts and at assessing their nature. These data allowed, for the first time, the optical classification of 8 objects and a distance determination for 3 of them. For another object, a more refined optical classification than that available in the literature is also provided. For the remaining sources, optical spectroscopy provides a characterization of the source near in time to the X-ray measurement. The sample consists of 6 Seyfert 2 galaxies, 5 Seyferts of intermediate type 1.2-1.8, and one object of Galactic nature - an Intermediate Polar (i.e., magnetic) Cataclysmic Variable. Out of the 11 AGNs, 8 (~70%) including 2 Seyferts of type 1.2 and 1.5, are absorbed with NH > 10^{22} cm^{-2}. Up to 3 objects could be Compton thick (i.e. NH > 1.5 x 10^{24} cm^{-2}), but only in one case (Swift J0609.1-8636) does all the observational evidence strongly suggests this possibility.Comment: 50 pages, including 16 figures and 7 tables. Accepted for publication in Ap

Building capacity for antiretroviral delivery in South Africa: A qualitative evaluation of the PALSA PLUS nurse training programme

BACKGROUND: South Africa recently launched a national antiretroviral treatment programme. This has created an urgent need for nurse-training in antiretroviral treatment (ART) delivery. The PALSA PLUS programme provides guidelines and training for primary health care (PHC) nurses in the management of adult lung diseases and HIV/AIDS, including ART. A process evaluation was undertaken to document the training, explore perceptions regarding the value of the training, and compare the PALSA PLUS training approach (used at intervention sites) with the provincial training model. The evaluation was conducted alongside a randomized controlled trial measuring the effects of the PALSA PLUS nurse-training (Trial reference number ISRCTN24820584). METHODS: Qualitative methods were utilized, including participant observation of training sessions, focus group discussions and interviews. Data were analyzed thematically. RESULTS: Nurse uptake of PALSA PLUS training, with regard not only to ART specific components but also lung health, was high. The ongoing on-site training of all PHC nurses, as opposed to the once-off centralized training provided for ART nurses only at non-intervention clinics, enhanced nurses' experience of support for their work by allowing, not only for ongoing experiential learning, supervision and emotional support, but also for the ongoing managerial review of all those infrastructural and system-level changes required to facilitate health provider behaviour change and guideline implementation. The training of all PHC nurses in PALSA PLUS guideline use, as opposed to ART nurses only, was also perceived to better facilitate the integration of AIDS care within the clinic context. CONCLUSION: PALSA PLUS training successfully engaged all PHC nurses in a comprehensive approach to a range of illnesses affecting both HIV positive and negative patients. PHC nurse-training for integrated systems-based interventions should be prioritized on the ART funding agenda. Training for individual provider behaviour change is nonetheless only one aspect of the ongoing system-wide interventions required to effect lasting improvements in patient care in the context of an over-burdened and under-resourced PHC system

BATSE Observations of the Piccinotti Sample of AGN

BATSE Earth occultation data have been used to search for emission in the 20-100 keV band from all sources in the Piccinotti sample, which represents to date the only complete 2-10 keV survey of the extragalactic sky down to a limiting flux of 3.1 x 10^(-11) erg cm^(-2)$ s^(-1). Nearly four years of observations have been analyzed to reach a 5sigma sensitivity level of about 7.8x 10^(-11) erg cm^(-2) s^(-1) in the band considered. Of the 36 sources in the sample, 14 have been detected above 5sigma confidence level while marginal detection (3<sigma<5) can be claimed for 13 sources; for 9 objects 2sigma upper limits are reported. Comparison of BATSE results with data at higher energies is used to estimate the robustness of our data analysis: while the detection level of each source is reliable, the flux measurement maybe overestimated in some sources by as much as 35%, probably due to incomplete data cleaning. Comparison of BATSE fluxes with X-ray fluxes, obtained in the 2-10 keV range and averaged over years, indicates that a canonical power law of photon index 1.7 gives a good description of the broad band spectra of bright AGNs and that spectral breaks preferentially occur above 100 keV.Comment: 18 pages, 1 figure. Accepted for publication on Apj

Development of an integrated database and data collation system for monitoring and evaluating the public sector antiretroviral treatment (ART) in the Free State province, South Africa

Meeting: 16th International AIDS Conference, Toronto, Canada, August 13 - 18, 2006ISSUES: Paper-based structured clinical records are widely used for monitoring and evaluating the public sector HIV antiretroviral (ART) treatment program in South Africa. Computerized systems are sometimes used for operational data capture but are usually limited to individual clinics and hospitals. Important information also exists in other databases. A requirement exists to collate information into electronic format and integrate data from a variety of sources to facilitate reporting and quality controls. DESCRIPTION: Handheld computers (PDA's) were used to collate data from paper records at urban and rural sites during the first nine months of the ART roll-out program in the Free State province of South Africa. Thereafter a commercial online computer system (Meditech) was implemented. A Microsoft SQL Server 2000 database server was used to deploy the information into a relational and dimensional format using Microsoft Data Transformation Services. External laboratory and resistance data were integrated as well. After 18 months 19013 patients were registered on the system, of which 2743 were ART patients. A total of 143751 forms have been captured with a median of 4 forms/non- ARV patient and 26 forms/ARV patient. Six quality categories with a total of 32 quality routines were implemented. The system has also been used to compile quarterly reports and national indicators. LESSONS LEARNED: PDAs compare favourably with online systems for data collection from remote rural and urban sites and are useful where online systems or connectivity are lacking. Dimensional data modelling and data warehousing techniques are fundamental for creating databases that are optimized for querying, aggregated reporting, longitudinal analysis and research. RECOMMENDATIONS: Data quality remains the most challenging aspect of information systems for monitoring and evaluation. The next phase will be to feed information back to the health care workers and patients to give them the benefit of information systems and to encourage better input data quality