Determination of molecular spectroscopic parameters and energy-transfer rates by double-resonance spectroscopy

The spectroscopy of small to medium-size polyatomic molecules can be extremely complex, especially in higher-lying overtone and combination vibrational levels. The high density of levels also complicates the understanding of inelastic collision processes, which is required to model energy transfer and collision broadening of spectral lines. Both of these problems can be addressed by double-resonance spectroscopy, i.e., time-resolved pump-probe measurements using microwave, infrared, near-infrared, and visible-wavelength sources. Information on excited-state spectroscopy, transition moments, inelastic energy transfer rates and propensity rules, and pressure-broadening parameters may be obtained from such experiments. Examples are given for several species of importance in planetary atmospheres, including ozone, silane, ethane, and ammonia

Diabetic retinopathy and socioeconomic deprivation in Gloucestershire

Objectives To investigate socioeconomic variations in diabetes prevalence, uptake of screening for diabetic retinopathy, and prevalence of diabetic retinopathy. Methods The County of Gloucestershire formed the setting of the study. A cross-sectional study of people with diabetes was done on a countywide retinopathy-screening database. Diabetes prevalence with odds ratios, uptake of screening, prevalence of any retinopathy and prevalence of sight-threatening retinopathy at screening were compared for different area deprivation quintiles. Logistic regression was used to adjust for confounding. Results With each increasing quintile of deprivation, diabetes prevalence increased (odds ratio 0.84), the probability of having been screened for diabetic retinopathy decreased (odds ratio 1.11), and the prevalence of sight-threatening diabetic retinopathy among screened patients increased (odds ratio of 0.98), while the prevalence of non-sight-threatening diabetic retinopathy remained unchanged with each increasing quintile of deprivation. Conclusion Sight-threatening diabetic retinopathy was associated with socioeconomic deprivation, but non-sight-threatening diabetic retinopathy was not. Uptake of screening was inversely related to socioeconomic deprivation

Estimation of mercury emissions from forest fires, lakes, regional and local sources using measurements in Milwaukee and an inverse method

Gaseous elemental mercury is a global pollutant that can lead to serious health concerns via deposition to the biosphere and bio-accumulation in the food chain. Hourly measurements between June 2004 and May 2005 in an urban site (Milwaukee, WI) show elevated levels of mercury in the atmosphere with numerous short-lived peaks as well as longer-lived episodes. The measurements are analyzed with an inverse model to obtain information about mercury emissions. The model is based on high resolution meteorological simulations (WRF), hourly back-trajectories (WRF-FLEXPART) and a chemical transport model (CAMx). The hybrid formulation combining back-trajectories and Eulerian simulations is used to identify potential source regions as well as the impacts of forest fires and lake surface emissions. Uncertainty bounds are estimated using a bootstrap method on the inversions. Comparison with the US Environmental Protection Agency's National Emission Inventory (NEI) and Toxic Release Inventory (TRI) shows that emissions from coal-fired power plants are properly characterized, but emissions from local urban sources, waste incineration and metal processing could be significantly under-estimated. Emissions from the lake surface and from forest fires were found to have significant impacts on mercury levels in Milwaukee, and to be underestimated by a factor of two or more

Information requirements for guidance and control systems

Control or guidance system performance dependency on information handling by subsystem

How do hospitals respond to feedback about blood transfusion practice? A multiple case study investigation

National clinical audits play key roles in improving care and driving system-wide change. However, effects of audit and feedback depend upon both reach (e.g. relevant staff receiving the feedback) and response (e.g. staff regulating their behaviour accordingly). This study aimed to investigate which hospital staff initially receive feedback and formulate a response, how feedback is disseminated within hospitals, and how responses are enacted (including barriers and enablers to enactment). Using a multiple case study approach, we purposively sampled four UK hospitals for variation in infrastructure and resources. We conducted semi-structured interviews with staff from transfusion-related roles and observed Hospital Transfusion Committee meetings. Interviews and analysis were based on the Theoretical Domains Framework of behaviour change. We coded interview transcripts into theoretical domains, then inductively identified themes within each domain to identify barriers and enablers. We also analysed data to identify which staff currently receive feedback and how dissemination is managed within the hospital. Members of the hospital’s transfusion team initially received feedback in all cases, and were primarily responsible for disseminating and responding, facilitated through the Hospital Transfusion Committee. At each hospital, key individuals involved in prescribing transfusions reported never having received feedback from a national audit. Whether audits were discussed and actions explicitly agreed in Committee meetings varied between hospitals. Key enablers of action across all cases included clear lines of responsibility and strategies to remind staff about recommendations. Barriers included difficulties disseminating to relevant staff and needing to amend feedback to make it appropriate for local use. Appropriate responses by hospital staff to feedback about blood transfusion practice depend upon supportive infrastructures and role clarity. Hospitals could benefit from support to disseminate feedback systematically, particularly to frontline staff involved in the behaviours being audited, and practical tools to support strategic decision-making (e.g. action-planning around local response to feedback)

The development of a theory-based intervention to promote appropriate disclosure of a diagnosis of dementia

Background: The development and description of interventions to change professional practice are often limited by the lack of an explicit theoretical and empirical basis. We set out to develop an intervention to promote appropriate disclosure of a diagnosis of dementia based on theoretical and empirical work. Methods: We identified three key disclosure behaviours: finding out what the patient already knows or suspects about their diagnosis; using the actual words 'dementia' or 'Alzheimer's disease' when talking to the patient; and exploring what the diagnosis means to the patient. We conducted a questionnaire survey of older peoples' mental health teams (MHTs) based upon theoretical constructs from the Theory of Planned Behaviour (TPB) and Social Cognitive Theory (SCT) and used the findings to identify factors that predicted mental health professionals' intentions to perform each behaviour. We selected behaviour change techniques likely to alter these factors. Results: The change techniques selected were: persuasive communication to target subjective norm; behavioural modelling and graded tasks to target self-efficacy; persuasive communication to target attitude towards the use of explicit terminology when talking to the patient; and behavioural modelling by MHTs to target perceived behavioural control for finding out what the patient already knows or suspects and exploring what the diagnosis means to the patient. We operationalised these behaviour change techniques using an interactive 'pen and paper' intervention designed to increase intentions to perform the three target behaviours. Conclusion : It is feasible to develop an intervention to change professional behaviour based upon theoretical models, empirical data and evidence based behaviour change techniques. The next step is to evaluate the effect of such an intervention on behavioural intention. We argue that this approach to development and reporting of interventions will contribute to the science of implementation by providing replicable interventions that illuminate the principles and processes underlying change.This project is funded by UK Medical Research Council, Grant reference number G0300999. Jeremy Grimshaw holds a Canada Research Chair in Health Knowledge Transfer and Uptake. Jill Francis is funded by the Chief Scientist Office of the Scottish Government Health Directorate. The views expressed in this study are those of the authors

Exploring Relations between Teachers’ Beliefs, Instructional Practices, and Students’ Beliefs in Statistics

We examined the epistemic climate of statistics classrooms across two different classrooms by measuring teachers’ espoused beliefs about teaching statistics and observing their teaching practices. We then explored whether students’ beliefs became more aligned with the epistemic climate of the classroom over time. Post-secondary students’ beliefs were measured at the beginning and end of the semester. To measure the epistemic climate, teachers completed self-reports of their beliefs about teaching and learning, and participated in two semi-structured interviews at the beginning and end of the semester. Moreover, several classroom observations were conducted over the course of the semester. Analyses of the data revealed that for one group of students in one class, their beliefs were well aligned with the classroom climate and remained stable over time whereas for the other group of students, their beliefs shifted over time to align with the classroom climate

Measurement of ambient aerosols in northern Mexico City by single particle mass spectrometry

International audienceContinuous ambient measurements with aerosol time-of-flight mass spectrometry (ATOFMS) were carried out in an industrial/residential section in the northern part of Mexico City as part of the Mexico City Metropolitan Area ? 2006 campaign (MCMA-2006) between 7?27 March, 2006. Biomass and organic carbon (OC) particle types were found to dominate the accumulation mode both day and night. The concentrations of both organic carbon and biomass particles were roughly equal early in the morning, but biomass became the largest contributor to the accumulation mode mass from the late morning until early evening. The diurnal pattern can be attributed to aging and/or a change in meteorology. Fresh elemental carbon (EC) particles were observed during rush hour. The majority of the EC particles were mixed with nitrate, sulfate, organic carbon and potassium. Submicron particles from industrial sources in the northeast were composed of an internal mixture of Pb, Zn, EC and Cl and peaked early in the morning. A unique nitrogen-containing organic (NOC) particle type was observed, and is hypothesized to be from industrial emissions based on the temporal profile and back trajectory analysis. This study provides unique insights into the real-time changes in single particle mixing state as a function of size and time for aerosols in Mexico City. These new findings indicate that biomass burning and industrial operations make significant contributions to particles in Mexico City. These sources have received relatively little attention in previous intensive field campaigns