Further Investigations of a Mesospheric Inversion Layer Observed in the ALOHA-93 Campaign

Temperature and wind data obtained from a Na wind/temperature lidar operated by the University of Illinois group during the Airborne Lidar and Observations of the Hawaiian Airglow (ALOHA-93) Campaign, previously analyzed by Huang et al. [1998] using an isothermal Brunt-Va¨isa¨la¨ frequency, have been reexamined to include temperature gradients in the calculation of the Richardson number. In the previous analysis using the isothermal Brunt-Va¨isa¨la¨ frequency the existence of convective instability could not be assessed. New analysis shows that the nonisothermal Richardson number preserves some features found previously, with some striking differences noticable at times between 0900 and 1030 UT. The nonisothermal Richardson number becomes negative as early as 0930 UT, indicating conditions conducive to the development of convective instability and turbulence. The possibility that turbulence could exist at times earlier than previously thought explains more satisfactorily the large temperature increase observed before 1000 UT

Gravity-wave-induced Variations in Exothermic Heating in the Low-latitude, Equinox Mesophere and Lower Thermosphere Region

We investigate gravity-wave-induced variations in exothermic heating in the OH nightglow region at a latitude of 18° in the Northern and Southern Hemispheres during March. An OH nightglow chemistry model with gravity wavefields from a spectral full-wave model is used for the investigation. Our simulation results show that the wave packet induces a large secular increase in the number densities of the minor species involved in the OH chemistry, a 50% increase in O3, 42% in O, and 29% in OH (v= 8), and the ultimate driver for these increases is the wave-driven downward transport of O. We find that the total exothermic heating rates have increased by ~44.2% for 18°S and ~30.9% for 18°N by the end of the simulation time. Also, the peak values of the mean wave-induced total exothermic heating rates are significant, ~2.0 K d¯¹ at the peak altitude of 88 km and ~2.2 K d¯¹ at 89 km for 18°S and 18°N, respectively. The major reactions contributing to exothermic heating rates are the three-body recombination O + O + M and the H + O3 reaction. The hemispheric asymmetry in the heating rates is mainly due to the different atmospheric conditions at 18°N and 18°S since the same wavefields are used in the numerical simulations

Efficacy of Sanfujiu to Treat Allergies: Patient Outcomes at 1 Year after Treatment

Sanfujiu is a treatment method of applying herbal paste onto the acupoints Fengmen and Feishu during the three hottest days of summer to treat patients with allergies. The objectives of this study were to determine the treatment efficacy at 1 year after the Sanfujiu treatment, and examine variations in the perceived efficacy of Sanfujiu among different subgroups, based on the patients' ages, diagnoses and number of reactive symptoms immediately after the treatment. We enrolled 105 patients who completed Sanfujiu treatment at a medical university hospital in Taipei as the subjects. One year after treatment, trained interviewers conducted telephone interviews with the patients. Approximately 60% of them perceived the treatment as being effective at 1 year later, which was higher than that at 1 week after treatment (45.7%). Younger subjects (<19 years of age) and patients with asthma were more likely to report the treatment as being effective. Patients who had more reactive symptoms after the third Sanfujiu treatment were more likely to report the treatment as being effective. The results demonstrated that Sanfujiu was moderately effective, as perceived by patients in Taiwan, in treating their allergic symptoms

Abnormal Gastroscopy Findings Were Related to Lower Meridian Energy

According to the theories of Traditional Chinese Medicine (TCM), energy runs through 12 meridians longitudinally up and down the body. The study objectives were to compare the meridian energy between subjects with and without abnormal gastroscopy findings. We applied a cross-sectional and correlational research design. The study included 1,223 participants who had their health examinations at a university hospital in Taipei from 1st August 2005 through 31st August 2007. Meridian energy was examined using a meridian energy analysis device. The gastroscopy was operated by certified gastroenterologists. Participants with abnormal stomach and esophageal findings using gastroscopy had significantly lower mean meridian energy. There were no significant differences in meridian energy between participants with and without abnormal duodenum findings. When all of the meridians were examined individually, participants with abnormal findings in esophagus and stomach had significantly lower meridian energy in each of the meridians. The results of this study demonstrated that structural abnormality in the gastric area was related to lower meridian energy. Whether enhancing meridian energy could improve gastric and esophageal health merits further studies

Is chronic kidney disease associated with diabetic retinopathy in Asian adults?

Background: Diabetic nephropathy (DN) is commonly associated with diabetic retinopathy (DR). Few studies have demonstrated that chronic kidney disease (CKD) is associated with DR. However, it is not clear if CKD in the absence of albuminuria is associated with DR. Methods: We included 301 participants with diabetes (Chinese, Malay and Indian ethnicity aged ≥24 years who participated in the Singapore Prospective Study Program (2003-2007). Retinal photographs taken from both eyes were graded for DR using the modified Airlie House Classification. We examined the association of CKD defined by low estimated glomerular filtration rate (eGFR) (&lt;60mL/min per 1.73m2, n=54), and albuminuria (urinary albumin-to-creatinine ratio ≥30, n = 116) with any-DR (n=99) in logistic regression models. We replicated this analysis in another independent population-based sample of Malay adults (n=265) with similar methodology in Singapore. Results: 41% of those with low-eGFR had normoalbuminuria. In separate models, while albuminuria was significantly associated with any-DR, low-eGFR was not significantly associated with any-DR. In a model combining both markers, compared to the referent group (normal-eGFR+normoalbuminuria), the odds ratio (OR) (95% confidence interval [CI]) of any-DR were: 2.33 (1.27-4.27) for normal-eGFR+albuminuria, 1.38 (0.49-3.91) for low-eGFR + normoalbuminuria, and 2.64 (1.05-6.63) for low-eGFR+albuminuria. Similar findings for any-DR were observed in the replication cohort of Malay persons (3.56 [1.49-8.54] for normal-eGFR+albuminuria, 1.69 (0.52-5.55) for low-eGFR+normoalbuminuria, 4.34 [1.68-11.24] for low-eGFR+albuminuria.Conclusion: We demonstrated that CKD is associated with DR only in the presence of albuminuria suggesting that CKD is more likely related to diabetes in the presence of albuminuria.</p

Global Observations of the 630-nm Nightglow and Patterns of Brightness Measured by ISUAL

This study investigates the distributions and occurrence mechanisms of the global local-midnight airglow brightness through FORMOSAT-2/ISUAL satellite imaging observations. We focus on the OI 630.0 nm nightglow emission at altitudes of ~250 km along equatorial space. The database used in this study included data from 2007 to 2008 under solar minimum conditions. The data were classified into four specified types in the statistical study. We found that the occurrence of equatorial brightness was often in the vicinity of the geographic equator and mostly at equinoxes with a tendency to move toward the summer hemisphere as the season changes. Conjugate brightness occurring simultaneously on both sides of the geomagnetic equator was observed predominantly in the northern winter. Furthermore, midnight brightness appeared to have lower luminosity from May to July. We suggest that the global midnight brightness associated with the locations and seasons was the result of several effects which include the influence of the thermospheric midnight temperature maximum (MTM), summer-to-winter neutral wind, and ionospheric anomalies

Syndromic Recognition of Influenza A Infection in a Low Prevalence Community Setting

BACKGROUND: With epidemics of influenza A virus infection, people and medical professionals are all concerned about symptoms or syndromes that may indicate the infection with influenza A virus. METHODOLOGY/PRINCIPAL FINDINGS: A prospective study was performed at a community clinic of a metropolitan area. Throat swab was sampled for 3-6 consecutive adult patients with new episode (<3 days) of respiratory tract infection every weekday from Dec. 8, 2005 to Mar. 31, 2006. Demographic data, relevant history, symptoms and signs were recorded. Samples were processed with multiplex real time PCR for 9 common respiratory tract pathogens and by virus culture. Throat swab samples were positive for Influenza A virus with multiplex real time PCR system in 12 of 240 patients. The 12 influenza A positive cases were with more clusters and chills than the other 228. Certain symptoms and syndromes increased the likelihood of influenza A virus infection. The syndrome of high fever plus chills plus cough, better with clustering of cases in household or workplace, is with the highest likelihood (positive likelihood ratio 95; 95% CI 12-750). Absence of both cluster and chills provides moderate evidence against the infection (negative likelihood ratio 0.51; 95% CI 0.29-0.90). CONCLUSIONS/SIGNIFICANCE: Syndromic recognition is not diagnostic but is useful for discriminating between influenza A infection and common cold. In addition to relevant travel history, confirmatory molecular test can be applied to subjects with high likelihood when the disease prevalence is low