3,551 research outputs found

    Merging high-resolution satellite-based precipitation fields and point-scale rain gauge measurements-A case study in Chile

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    With high spatial-temporal resolution, Satellite-based Precipitation Estimates (SPE) are becoming valuable alternative rainfall data for hydrologic and climatic studies but are subject to considerable uncertainty. Effective merging of SPE and ground-based gauge measurements may help to improve precipitation estimation in both better resolution and accuracy. In this study, a framework for merging satellite and gauge precipitation data is developed based on three steps, including SPE bias adjustment, gauge observation gridding, and data merging, with the objective to produce high-quality precipitation estimates. An inverse-root-mean-square-error weighting approach is proposed to combine the satellite and gauge estimates that are in advance adjusted and gridded, respectively. The model is applied and tested with the Precipitation Estimation from Remotely Sensed Information using Artificial Neural Networks-Cloud Classification System (PERSIANN-CCS) estimates (daily, 0.04° × 0.04°) over Chile, for the 6 year period of 2009-2014. Daily observations from about 90% of collected gauges over the study area are used for model calibration; the rest of the gauged data are regarded as ground “truth” for validation. Evaluation results indicate high effectiveness of the model in producing high-resolution-precision precipitation data. Compared to reference data, the merged data (daily) show correlation coefficients, probabilities of detection, root-mean-square errors, and absolute mean biases that were consistently improved from the original PERSIANN-CCS estimates. The cross-validation evidences that the framework is effective in providing high-quality estimates even over nongauged satellite pixels. The same method can be applied globally and is expected to produce precipitation products in near real time by integrating gauge observations with satellite estimates

    Are there any stable magnetic fields in barotropic stars?

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    We construct barotropic stellar equilibria, containing magnetic fields with both poloidal and toroidal field components. We extend earlier results by exploring the effect of different magnetic field and current distributions. Our results suggest that the boundary treatment plays a major role in whether the poloidal or toroidal field component is globally dominant. Using time evolutions we provide the first stability test for mixed poloidal-toroidal fields in barotropic stars, finding that all these fields suffer instabilities due to one of the field components: these are localised around the pole for toroidal-dominated equilibria and in the closed-field line region for poloidal-dominated equilibria. Rotation provides only partial stabilisation. There appears to be very limited scope for the existence of stable magnetic fields in barotropic stars. We discuss what additional physics from real stars may allow for stable fields.Comment: 16 pages, 11 figures. Some minor revision from v1, including a new figure; results unchanged. Now published in MNRA

    Dynamic modulation of frontal theta power predicts cognitive ability in infancy

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    Cognitive ability is a key factor that contributes to individual differences in life trajectories. Identifying early neural indicators of later cognitive ability may enable us to better elucidate the mechanisms that shape individual differences, eventually aiding identification of infants with an elevated likelihood of less optimal outcomes. A previous study associated a measure of neural activity (theta EEG) recorded at 12-months with non-verbal cognitive ability at ages two, three and seven in individuals with older siblings with autism (Jones et al., 2020). In a pre-registered study (https://osf.io/v5xrw/), we replicate and extend this finding in a younger, low-risk infant sample. EEG was recorded during presentation of a non-social video to a cohort of 6-month-old infants and behavioural data was collected at 6- and 9-months-old. Initial analyses replicated the finding that frontal theta power increases over the course of video viewing, extending this to 6-month-olds. Further, individual differences in the magnitude of this change significantly predicted non-verbal cognitive ability measured at 9-months, but not early executive function. Theta change at 6-months-old may therefore be an early indicator of later cognitive ability. This could have important implications for identification of, and interventions for, children at risk of poor cognitive outcomes

    Should expectations about the rate of new antiretroviral drug development impact the timing of HIV treatment initiation and expectations about treatment benefits?

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    Background: Many analyses of HIV treatment decisions assume a fixed formulary of HIV drugs. However, new drugs are approved nearly twice a year, and the rate of availability of new drugs may affect treatment decisions, particularly when to initiate antiretroviral therapy (ART). Objectives: To determine the impact of considering the availability of new drugs on the optimal initiation criteria for ART and outcomes in patients with HIV/AIDS. Methods: We enhanced a previously described simulation model of the optimal time to initiate ART to incorporate the rate of availability of new antiviral drugs. We assumed that the future rate of availability of new drugs would be similar to the past rate of availability of new drugs, and we estimated the past rate by fitting a statistical model to actual HIV drug approval data from 1982-2010. We then tested whether or not the future availability of new drugs affected the model-predicted optimal time to initiate ART based on clinical outcomes, considering treatment initiation thresholds of 200, 350, and 500 cells/mm 3. We also quantified the impact of the future availability of new drugs on life expectancy (LE) and quality-adjusted life expectancy (QALE). Results: In base case analysis, considering the availability of new drugs raised the optimal starting CD4 threshold for most patients to 500 cells/mm 3. The predicted gains in outcomes due to availability of pipeline drugs were generally small (less than 1%), but for young patients with a high viral load could add as much as a 4.9% (1.73 years) increase in LE and a 8% (2.43 QALY) increase in QALE, because these patients were particularly likely to exhaust currently available ART regimens before they died. In sensitivity analysis, increasing the rate of availability of new drugs did not substantially alter the results. Lowering the toxicity of future ART drugs had greater potential to increase benefit for many patient groups, increasing QALE by as much as 10%. Conclusions: The future availability of new ART drugs without lower toxicity raises optimal treatment initiation for most patients, and improves clinical outcomes, especially for younger patients with higher viral loads. Reductions in toxicity of future ART drugs could impact optimal treatment initiation and improve clinical outcomes for all HIV patients. © 2014 Khademi et al

    Towards sustainable healthcare system performance in the 21st century in high-income countries: A protocol for a systematic review of the grey literature

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    © © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Introduction There is wide recognition that, if healthcare systems continue along current trajectories, they will become harder to sustain. Ageing populations, accelerating rates of chronic disease, increasing costs, inefficiencies, wasteful spending and low-value care pose significant challenges to healthcare system durability. Sustainable healthcare systems are important to patients, society, policy-makers, public and private funders, the healthcare workforce and researchers. To capture current thinking about improving healthcare system sustainability, we present a protocol for the systematic review of grey literature to capture the current state-of-knowledge and to compliment a review of peer-reviewed literature. Methods and analysis The proposed search strategy, based on the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, includes Google Advanced Search, snowballing techniques and targeted hand searching of websites of lead organisations such as WHO, Organisation for Economic Cooperation and Development, governments, public policy institutes, universities and non-government organisations. Documents will be selected after reviewing document summaries. Included documents will undergo full-Text review. The following criteria will be used: grey literature document; English language; published January 2013-March 2018; relevant to the healthcare delivery system; the content has international or national scope in high-income countries. Documents will be assessed for quality, credibility and objectivity using validated checklists. Descriptive data elements will be extracted: identified sustainability threats, definitions of sustainability, attributes of sustainable healthcare systems, solutions for improvement and outcome measures of sustainability. Data will be analysed using novel text-mining methods to identify common concept themes and meanings. This will be triangulated with the more traditional analysis and concept theming by the researchers. Ethics and dissemination No primary data will be collected, therefore ethical approval will not be sought. The results will be disseminated in peer-reviewed literature, as conference presentations and as condensed summaries for policy-makers and health system partners. PROSPERO registration number CRD42018103076
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