2,164 research outputs found
A Bayesian palaeoenvironmental transfer function model for acidified lakes
A Bayesian approach to palaeoecological environmental reconstruction deriving from the unimodal responses generally exhibited by organisms to an environmental gradient is described. The approach uses Bayesian model selection to calculate a collection of probability-weighted, species-specific response curves (SRCs) for each taxon within a training set, with an explicit treatment for zero abundances. These SRCs are used to reconstruct the environmental variable from sub-fossilised assemblages. The approach enables a substantial increase in computational efficiency (several orders of magnitude) over existing Bayesian methodologies. The model is developed from the Surface Water Acidification Programme (SWAP) training set and is demonstrated to exhibit comparable predictive power to existing Weighted Averaging and Maximum Likelihood methodologies, though with improvements in bias; the additional explanatory power of the Bayesian approach lies in an explicit calculation of uncertainty for each individual reconstruction. The model is applied to reconstruct the Holocene acidification history of the Round Loch of Glenhead, including a reconstruction of recent recovery derived from sediment trap data.The Bayesian reconstructions display similar trends to conventional (Weighted Averaging Partial Least Squares) reconstructions but provide a better reconstruction of extreme pH and are more sensitive to small changes in diatom assemblages. The validity of the posteriors as an apparently meaningful representation of assemblage-specific uncertainty and the high computational efficiency of the approach open up the possibility of highly constrained multiproxy reconstructions
Interpretation of Light-Quenching Factor Measurements
We observe that the pattern of the quenching factors for scintillation light
from various ions, recently studied in in connection with dark matter
detectors, can be understood as a saturation phenomenon in which the light
output is simply proportional to track length, independent of the ion and its
energy. This observation is in accord with the high dE/dx limit of Birks' law.
It suggests a simple model for the intrinsic resolution of light detectors for
low energy ions, which we briefly discuss.Comment: Seven pages, seven figures, some with colo
Partners At Care Transitions (PACT). Exploring older peoples’ experiences of transitioning from hospital to home in the UK: protocol for an observation and interview study of older people and their families to understand patient experience and involvement in care at transitions
Introduction: Lengths of hospital inpatient stays have reduced. This benefits patients, who prefer to be at home, and hospitals, which can treat more people when stays are shorter. Patients may, however, leave hospital sicker, with ongoing care needs. The transition period from hospital to home, can be risky, particularly for older patients with complex health and social needs. Improving patient experience, especially through greater patient involvement, may improve outcomes for patients and is a key indicator of care quality and safety. In this research we aim to: capture the experiences of older patients and their families during the transition from hospital to home; and identify opportunities for greater patient involvement in care, particularly where this contributes to greater individual- and organisational-level resilience. Methods and Analysis: A ‘focused ethnography’ comprising observations, ‘Go-Along’ and semi-structured interviews will be used to capture patient and carer experiences during different points in the care transition from admission to 90 days after discharge. We will recruit 30 patients and their carers from six hospital departments across two NHS Trusts. Analysis of observations and interviews will use a Framework approach to identify themes to understand the experience of transitions and generate ideas about how patients could be more actively involved in their care. This will include exploring what ‘good’ care at transitions look like and seeking out examples of success, as well as recommendations for improvement. Ethics and dissemination: Ethical approval was received from the NHS Research Ethics Committee in Wales. The research findings will add to a growing body of knowledge about patient experience of transitions, in particular providing insight into the experiences of patients and carers throughout the transitions process, in ‘real time’. Importantly, the data will be used to inform the development of a patient-centred intervention to improve the quality and safety of transitions
Low-loss criterion and effective area considerations for photonic crystal fibers
We study the class of endlessly single-mode all-silica photonic crystal
fibers with a triangular air-hole cladding. We consider the sensibility to
longitudinal nonuniformities and the consequences and limitations for realizing
low-loss large-mode area photonic crystal fibers. We also discuss the
dominating scattering mechanism and experimentally we confirm that both macro
and micro-bending can be the limiting factor.Comment: Accepted for Journal of Optics A - Pure and Applied Optic
Impact of Electronic Versus Paper Vital Sign Observations on Length of Stay in Trauma Patients: Stepped-Wedge, Cluster Randomized Controlled Trial
Background: Electronic recording of vital sign observations (e-Obs) has become increasingly prevalent in hospital care. The evidence of clinical impact for these systems is mixed.
Objective: The objective of our study was to assess the effect of e-Obs versus paper documentation (paper) on length of stay (time between trauma unit admission and “fit to discharge”) for trauma patients.
Methods: A single-center, randomized stepped-wedge study of e-Obs against paper was conducted in two 26-bed trauma wards at a medium-sized UK teaching hospital. Randomization of the phased intervention order to 12 study areas was computer generated. The primary outcome was length of stay.
Results: A total of 1232 patient episodes were randomized (paper: 628, e-Obs: 604). There were 37 deaths in hospital: 21 in the paper arm and 16 in the e-Obs arm. For discharged patients, the median length of stay was 5.4 (range: 0.2-79.0) days on the paper arm and 5.6 (range: 0.1-236.7) days on the e-Obs arm. Competing risks regression analysis for time to discharge showed no difference between the treatment arms (subhazard ratio: 1.05; 95% CI 0.82-1.35; P=.68). A greater proportion of patient episodes contained an Early Warning Score (EWS) ≥3 using the e-Obs system than using paper (subhazard ratio: 1.63; 95% CI 1.28-2.09; P<.001). However, there was no difference in the time to the subsequent observation, “escalation time” (hazard ratio 1.05; 95% CI 0.80-1.38; P=.70).
Conclusions: The phased introduction of an e-Obs documentation system was not associated with a change in length of stay. A greater proportion of patient episodes contained an EWS≥3 using the e-Obs system, but this was not associated with a change in “escalation time.”
Trial Registration: ISRCTN Registry ISRCTN91040762; http://www.isrctn.com/ISRCTN91040762 (Archived by WebCite at http://www.webcitation.org/72prakGTU
Is Neolithic land use correlated with demography? An evaluation of pollen-derived land cover and radiocarbon-inferred demographic change from Central Europe
The transformation of natural landscapes in Middle Europe began in the Neolithic as a result of the introduction of food-producing economies. This paper examines the relation between land-cover and demographic change in a regionally restricted case study. The study area is the Western Lake Constance area which has very detailed palynological as well as archaeological records. We compare land-cover change derived from nine pollen records using a pseudo-biomisation approach with 14C date probability density functions from archaeological sites which serve as a demographic proxy. We chose the Lake Constance area as a regional example where the pollen signal integrates a larger spatial pattern. The land-cover reconstructions for this region show first notable impacts at the Middle to Young Neolithic transition. The beginning of the Bronze Age is characterised by increases of arable land and pasture/meadow, whereas the deciduous woodland decreases dramatically. Changes in the land-cover classes show a correlation with the 14C density curve: the correlation is best with secondary woodland in the Young Neolithic which reflects the lake shore settlement dynamics. In the Early Bronze Age, the radiocarbon density correlates with open land-cover classes, such as pasture, meadow and arable land, reflecting a change in the land-use strategy. The close overall correspondence between the two archives implies that population dynamics and land-cover change were intrinsically linked. We therefore see human impact as a key driver for vegetation change in the Neolithic. Climate might have an influence on vegetation development, but the changes caused by human land use are clearly detectable from Neolithic times, at least in these densely settled, mid-altitude landscapes
Propagation of Light in Photonic Crystal Fibre Devices
We describe a semi-analytical approach for three-dimensional analysis of
photonic crystal fibre devices. The approach relies on modal transmission-line
theory. We offer two examples illustrating the utilization of this approach in
photonic crystal fibres: the verification of the coupling action in a photonic
crystal fibre coupler and the modal reflectivity in a photonic crystal fibre
distributed Bragg reflector.Comment: 15 pages including 7 figures. Accepted for J. Opt. A: Pure Appl. Op
Optical nanofibers and spectroscopy
We review our recent progress in the production and characterization of
tapered optical fibers with a sub-wavelength diameter waist. Such fibers
exhibit a pronounced evanescent field and are therefore a useful tool for
highly sensitive evanescent wave spectroscopy of adsorbates on the fiber waist
or of the medium surrounding. We use a carefully designed flame pulling process
that allows us to realize preset fiber diameter profiles. In order to determine
the waist diameter and to verify the fiber profile, we employ scanning electron
microscope measurements and a novel accurate in situ optical method based on
harmonic generation. We use our fibers for linear and non-linear absorption and
fluorescence spectroscopy of surface-adsorbed organic molecules and investigate
their agglomeration dynamics. Furthermore, we apply our spectroscopic method to
quantum dots on the surface of the fiber waist and to caesium vapor surrounding
the fiber. Finally, towards dispersive measurements, we present our first
results on building and testing a single-fiber bi-modal interferometer.Comment: 13 pages, 18 figures. Accepted for publication in Applied Physics B.
Changes according to referee suggestions: changed title, clarification of
some points in the text, added references, replacement of Figure 13
Why Do States Develop Multi-tier Emigrant Policies? Evidence from Egypt
Why do states vary their policies towards their citizens abroad, and why are some emigrant groups treated preferentially to others? The literature on the politics of international migration has yet to explore this as a separate field of inquiry, assuming that states adopt a single policy that encourages, sustains or prevents emigration abroad. Yet, in the case of Egypt, the state developed a multi-tiered policy that distinctly favoured specific communities abroad over others. I hypothesise that policy differentiation is based upon the perceived utility of the emigrant group remaining abroad versus the utility of its return. This utility is determined by two factors: the sending state’s domestic political economy priorities and its foreign policy objectives
Quantitative reconstruction of precipitation changes on the NE Tibetan Plateau since the Last Glacial Maximum – extending the concept of pollen source area to pollen-based climate reconstructions from large lakes
Pollen records from large lakes have been used for quantitative
palaeoclimate reconstruction, but the influences that lake size (as a result
of species-specific variations in pollen dispersal patterns that smaller
pollen grains are more easily transported to lake centre) and taphonomy have
on these climatic signals have not previously been systematically
investigated. We introduce the concept of pollen source area to pollen-based
climate calibration using the north-eastern Tibetan
Plateau as our study area. We present a pollen data set collected from large
lakes in the arid to semi-arid region of central Asia. The influences that
lake size and the inferred pollen source areas have on pollen compositions
have been investigated through comparisons with pollen assemblages in
neighbouring lakes of various sizes. Modern pollen samples collected from
different parts of Lake Donggi Cona (in the north-eastern part of the
Tibetan Plateau) reveal variations in pollen assemblages within this large
lake, which are interpreted in terms of the species-specific dispersal and
depositional patterns for different types of pollen, and in terms of fluvial
input components. We have estimated the pollen source area for each lake
individually and used this information to infer modern climate data with
which to then develop a modern calibration data set, using both the
multivariate regression tree (MRT) and weighted-averaging partial least
squares (WA-PLS) approaches. Fossil pollen data from Lake Donggi Cona have
been used to reconstruct the climate history of the north-eastern part of
the Tibetan Plateau since the Last Glacial Maximum (LGM). The mean annual
precipitation was quantitatively reconstructed using WA-PLS: extremely dry
conditions are found to have dominated the LGM, with annual precipitation of
around 100 mm, which is only 32% of present-day precipitation. A
gradually increasing trend in moisture conditions during the Late Glacial is
terminated by an abrupt reversion to a dry phase that lasts for about 1000 yr
and coincides with "Heinrich event 1" in the North Atlantic
region. Subsequent periods corresponding to the Bølling/Allerød
interstadial, with annual precipitation (<i>P</i><sub>ann</sub>) of about 350 mm, and the
Younger Dryas event (about 270 mm <i>P</i><sub>ann</sub>) are followed by moist
conditions in the early Holocene, with annual precipitation of up to 400 mm.
A drier trend after 9 cal. ka BP is followed by a second wet phase in the
middle Holocene, lasting until 4.5 cal. ka BP. Relatively steady conditions
with only slight fluctuations then dominate the late Holocene, resulting in
the present climatic conditions. The climate changes since the LGM have been
primarily driven by deglaciation and fluctuations in the intensity of the
Asian summer monsoon that resulted from changes in the Northern Hemisphere
summer solar insolation, as well as from changes in the North Atlantic
climate through variations in the circulation patterns and intensity of the
westerlies
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