Adaptive guidance and control for future remote sensing systems

A unique approach to onboard processing was developed that is capable of acquiring high quality image data for users in near real time. The approach is divided into two steps: the development of an onboard cloud detection system; and the development of a landmark tracker. The results of these two developments are outlined and the requirements of an operational guidance and control system capable of providing continuous estimation of the sensor boresight position are summarized

Interventions by healthcare professionals to improve management of physical long-term conditions in adults who are homeless: a systematic review protocol

Introduction People experiencing homelessness are at increased risk of, and have poorer outcomes from, a range of physical long-term conditions (LTCs). It is increasingly recognised that interventions targeting people who are homeless should be tailored to the specific needs of this population. This systematic review aims to identify, describe and appraise trials of interventions that aim to manage physical LTCs in homeless adults and are delivered by healthcare professionals. Methods and analysis Seven electronic databases (Medline, EMBASE, Cochrane Central Register of Controlled Trials, Assia, Scopus, PsycINFO and CINAHL) will be searched from 1960 (or inception) to October 2016 and supplemented by forward citation searching, handsearching of reference lists and searching grey literature. Two reviewers will independently review titles, abstract and full-texts using DistillerSR software. Inclusion criteria include (1) homeless adults with any physical LTC, (2) interventions delivered by a healthcare professional (any professional trained to provide any form of healthcare, but excluding social workers and professionals without health-related training), (3) comparison with usual care or an alternative intervention, (4) report outcomes such as healthcare usage, physical and psychological health or well-being or cost-effectiveness, (5) randomised controlled trials, non-randomised controlled trials, controlled before-after studies. Quality will be assessed using the Cochrane EPOC Risk of Bias Tool. A meta-analysis will be performed if sufficient data are identified; however, we anticipate a narrative synthesis will be performed. Ethics and dissemination This review will synthesise existing evidence for interventions delivered by healthcare professionals to manage physical LTCs in adults who are homeless. The findings will inform the development of future interventions and research aiming to improve the management of LTCs for people experiencing homelessness. Ethical approval will not be required for this systematic review as it does not contain individual patient data. We will disseminate the results of this systematic review via conference presentations, healthcare professional networks, social media and peer-reviewed publication

A systematic review of interventions by healthcare professionals to improve management of non-communicable diseases and communicable diseases requiring long-term care in adults who are homeless

Objective: Identify, describe and appraise trials of interventions delivered by healthcare professionals to manage non-communicable diseases (NCDs) and communicable diseases that require long-term care or treatment (LT-CDs), excluding mental health and substance use disorders, in homeless adults. Design: Systematic review of randomised controlled trials (RCTs), non-RCTs and controlled before–after studies. Interventions characterised using Effective Practice and Organisation of Care (EPOC) taxonomy. Quality assessed using EPOC risk of bias criteria. Data sources: Database searches (MEDLINE, Embase, PsycINFO, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Applied Social Sciences Index and Abstracts (ASSIA) and Cochrane Central Register of Controlled Trials), hand searching reference lists, citation searches, grey literature and contact with study authors. Setting: Community. Participants: Adults (≥18 years) fulfilling European Typology of Homelessness criteria. Intervention: Delivered by healthcare professionals managing NCD and LT-CDs. Outcomes: Primary outcome: unscheduled healthcare utilisation. Secondary outcomes: mortality, biological markers of disease control, adherence to treatment, engagement in care, patient satisfaction, knowledge, self-efficacy, quality of life and cost-effectiveness. Results: 11 studies were included (8 RCTs, 2 quasi-experimental and 1 feasibility) involving 9–520 participants (67%–94% male, median age 37–49 years). Ten from USA and one from UK. Studies included various NCDs (n=3); or focused on latent tuberculosis (n=4); HIV (n=2); hepatitis C (n=1) or type 2 diabetes (n=1). All interventions were complex with multiple components. Four described theories underpinning intervention. Three assessed unscheduled healthcare utilisation: none showed consistent reduction in hospitalisation or emergency department attendance. Six assessed adherence to specific treatments, of which four showed improved adherence to latent tuberculosis therapy. Three concerned education case management, all of which improved disease-specific knowledge. No improvements in biological markers of disease (two studies) and none assessed mortality. Conclusions: Evidence for management of NCD and LT-CDs in homeless adults is sparse. Educational case-management interventions may improve knowledge and medication adherence. Large trials of theory-based interventions are needed, assessing healthcare utilisation and outcomes as well as assessment of biological outcomes and cost-effectiveness

A 3D radiative transfer framework: II. line transfer problems

Higher resolution telescopes as well as 3D numerical simulations will require the development of detailed 3D radiative transfer calculations. Building upon our previous work we extend our method to include both continuum and line transfer. We present a general method to calculate radiative transfer including scattering in the continuum as well as in lines in 3D static atmospheres. The scattering problem for line transfer is solved via means of an operator splitting (OS) technique. The formal solution is based on a long-characteristics method. The approximate $\Lambda$ operator is constructed considering nearest neighbors {\em exactly}. The code is parallelized over both wavelength and solid angle using the MPI library. We present the results of several test cases with different values of the thermalization parameter and two choices for the temperature structure. The results are directly compared to 1D spherical tests. With our current grid setup the interior resolution is much lower in 3D than in 1D, nevertheless the 3D results agree very well with the well-tested 1D calculations. We show that with relatively simple parallelization that the code scales to very large number of processors which is mandatory for practical applications. Advances in modern computers will make realistic 3D radiative transfer calculations possible in the near future. Our current code scales to very large numbers of processors, but requires larger memory per processor at high spatial resolution.Comment: A&A, in press, 9 pages, 9 Figures. Full resolution version available at ftp://phoenix.hs.uni-hamburg.de/preprints/3DRT_paper2.pd

Comparing the impact of primary care practice design in two inner city UK homelessness services

Background: Specialist homeless primary health care services in the United Kingdom have arisen from the need for bespoke approaches to providing health care for people experiencing homelessness but descriptions of the design characteristics of homeless health services together with associated long-term condition (LTC) prevalence, health care utilization, and prescribing remain unexplored, thereby limiting our understanding of potential impact of service configuration on outcomes. Aim: Description of specialist homeless general practitioner services in Glasgow and Edinburgh, in terms of practice design (staff, skill mix, practice systems of registration, and follow-up); and exploration of the potential impact of differences on LTC prevalence, health care utilization, and prescribing. Method: Patient data were collected from computerized general practitioner records in Glasgow (2015, n = 133) and Edinburgh (2016, n = 150). Homeless health service configuration and anonymized patient data, including demographics, LTCs service utilization, and prescribing were summarized and compared. Results: Marked differences in infrastructure emerged between 2 practices, including the patient registration process, segmentation versus integration of services, recording systems, and the availability of staff expertise. Patient characteristics differed in terms of LTC diagnoses, health care utilization and prescribing. Higher rates of recorded mental health and addiction problems were found in Edinburgh, as well as higher rates of physical LTCs, for example, cardiovascular and respiratory conditions. There were significantly higher rates of consultations with nurses and other staff in Edinburgh, although more patients had consultations with pharmacists in Glasgow. Medication adherence was low in both cohorts, and attendance at referral appointments was particularly poor in Glasgow. Conclusion: Service design and professional skill mix influence recording of LTCs, service uptake, and identification and management of health conditions. Service configuration, professional skill mix, and resources may profoundly affect diagnoses, utilization of health care, and prescribing. Attention to homeless service design is important when providing care to this disadvantaged patient group

A numerical model for multigroup radiation hydrodynamics

We present in this paper a multigroup model for radiation hydrodynamics to account for variations of the gas opacity as a function of frequency. The entropy closure model (M1) is applied to multigroup radiation transfer in a radiation hydrodynamics code. In difference from the previous grey model, we are able to reproduce the crucial effects of frequency-variable gas opacities, a situation omnipresent in physics and astrophysics. We also account for the energy exchange between neighbouring groups which is important in flows with strong velocity divergence. These terms were computed using a finite volume method in the frequency domain. The radiative transfer aspect of the method was first tested separately for global consistency (reversion to grey model) and against a well established kinetic model through Marshak wave tests with frequency dependent opacities. Very good agreement between the multigroup M1 and kinetic models was observed in all tests. The successful coupling of the multigroup radiative transfer to the hydrodynamics was then confirmed through a second series of tests. Finally, the model was linked to a database of opacities for a Xe gas in order to simulate realistic multigroup radiative shocks in Xe. The differences with the previous grey models are discussed.Comment: 27 pages, 11 figures, Accepted for publication in JQSR

Evaluating the Concurrent Validity of Three Web-based IQ Tests and the Reynolds Intellectual Assessment Scales (RIAS)

In a double-blind study, 60 General Psychology students, selected in low, average, and high ACT ranges, were administered the Reynolds Intellectual Assessment Scales (RIAS). On a separate occasion, the students also completed web-based internet IQ tests from tickle.com, queendom.com, and iqtest.com. MANOVA results showed that ACT level had a significant effect on all four IQ scores combined (Wilk’s Lambda = .451,

Sharp interface limits of phase-field models

The use of continuum phase-field models to describe the motion of well-defined interfaces is discussed for a class of phenomena, that includes order/disorder transitions, spinodal decomposition and Ostwald ripening, dendritic growth, and the solidification of eutectic alloys. The projection operator method is used to extract the ``sharp interface limit'' from phase field models which have interfaces that are diffuse on a length scale $\xi$. In particular,phase-field equations are mapped onto sharp interface equations in the limits $\xi \kappa \ll 1$ and $\xi v/D \ll 1$, where $\kappa$ and $v$ are respectively the interface curvature and velocity and $D$ is the diffusion constant in the bulk. The calculations provide one general set of sharp interface equations that incorporate the Gibbs-Thomson condition, the Allen-Cahn equation and the Kardar-Parisi-Zhang equation.Comment: 17 pages, 9 figure