Estimativa dos fluxos de energia à superfície e da evapotranspiração real diária utilizando imagens do sensor MODIS/Aqua na Bacia do Rio Ji-Paraná, RO.

Pesquisas relacionadas com análises dos fluxos de energia e demandas de água em uma dimensão regional são fundamentais para a compreensão do comportamento espaço-temporal da mudança de uso e cobertura da terra e sua influência no clima em escala local, regional e global. Nos últimos anos, técnicas de sensoriamento remoto juntamente com modelos e/ou algoritmos têm sido aplicados de forma bastante promissora para a estimativa dos fluxos de energia e evapotranspiração de áreas extensas. Nesse sentido, o Surface Energy Balance Algorithm for Land (SEBAL) tem sido empregado de forma bem-sucedida em diversas pesquisas ao redor do mundo. Assim, esta pesquisa objetivou estimar os fluxos de energia à superfície e a evapotranspiração real diária com aplicação de imagem do sensor MODIS/Aqua e do algoritmo SEBAL na Bacia do Rio Ji-Paraná, situada no Estado de Rondônia. Para obter os fluxos de energia e evapotranspiração real diária foram utilizados produtos de reflectância e temperatura da superfície (MYD09GA e MYD11A1, respectivamente), juntamente com dados meteorológicos obtidos na estação meteorológica automática (CACOAL ? A939) pertencente ao Instituto Nacional de Meteorologia. Os resultados obtidos indicam que os valores das estimativas dos fluxos de energia e da evapotranspiração real diária mostraram-se coerentes com a literatura, no entanto, pesquisas complementares com maior controle experimental devem ser realizadas.bitstream/item/32676/1/BPD-13.pd

Estimativa do albedo e do saldo de radiação à superfície utilizando imagem MODIS - Aqua na Bacia do Rio Ji-Paraná, RO.

bitstream/item/35296/1/BPD-11.pd

LAVA: a conceptual framework for automated risk assessment

At the Los Alamos National Laboratory we are developing the framework for generating knowledge-based systems that perform automated risk analyses on an organization's assets. An organization's assets can be subdivided into tangible and intangible assets. Tangible assets include facilities, materiel, personnel, and time, while intangible assets include such factors as reputation, employee morale, and technical knowledge. The potential loss exposure of an asset is dependent upon the threats (both static and dynamic), the vulnerabilities in the mechanisms protecting the assets from the threats, and the consequences of the threats successfully exploiting the protective systems vulnerabilities. The methodology is based upon decision analysis, fuzzy set theory, natural-language processing, and event-tree structures. The Los Alamos Vulnerability and Risk Assessment (LAVA) methodology has been applied to computer security. LAVA is modeled using an interactive questionnaire in natural language and is fully automated on a personal computer. The program generates both summary reports for use by both management personnel and detailed reports for use by operations staff. LAVA has been in use by the Nuclear Regulatory Commission and the National Bureau of Standards for nearly two years and is presently under evaluation by other governmental agencies. 7 refs

Disability in young adults following major trauma: 5 year follow up of survivors

BACKGROUND: Injuries are a major cause of mortality and morbidity in young people. Despite this, the long-term consequences for young survivors of severe injury are relatively unexplored. METHODS: Population based cohort study involving 5 year post injury structured interview of all cases of major trauma (Injury Severity Score > 15) identified retrospectively for 12 month period (1988 to 1989) within former Yorkshire Health Authority area of the United Kingdom. RESULTS: 125 individuals aged 11–24 years at time of injury were identified. Of these, 109 (87%) were interviewed. Only 20% (95% CI 14–29%) of those interviewed reported no disability. Mean Office of Population Census and Surveys (OPCS) disability score of the remainder was 7.5 (median 5.8, range 0.5 to 19.4). The most commonly encountered areas of disability were behaviour (54%, 95% CI 45–63%), intellectual functioning (39%, 95% CI 31–49%) and locomotion (29%, 95% CI 22–39%). Many respondents reported that their daily lives were adversely affected by their health problems for example, causing problems with work, 54% (95% CI 45–63%), or looking after the home, 28% (95% CI 21–38%). Higher OPCS scores were usually but not always associated with greater impact on daily activities. The burden of caring responsibilities fell largely on informal carers. 51% (95% CI 42–61%) of those interviewed would have liked additional help to cope with their injury and disability. CONCLUSION: The study has revealed significant disability amongst a cohort of young people 5 years post severe injury. Whilst many of these young people were coping well with the consequences of their injuries, others reported continuing problems with the activities of daily life. The factors underpinning the young people's differing experiences and social outcome should be explored

Practical issues in early switching from intravenous to oral antibiotic therapy in children with uncomplicated acute hematogenous osteomyelitis: Results from an italian survey

Background: The European Society of Pediatric Infectious Diseases (ESPID) guidelines for acute hematogenous osteomyelitis (AHOM) have been published recently. In uncomplicated cases, an early (2-4 days) switch to oral empirical therapy, preferentially with flucloxacillin, is recommended in low methicillin-resistant Staphylococcus aureus settings. We conducted a survey with the aim of evaluating the behaviors of Italian pediatricians at this regard. Methods: An open-ended questionnaire investigating the empiric therapy adopted in uncomplicatedAHOMchildren according to age was sent by email to 31 Italian pediatric clinics taking care of children with infectious diseases, and results were analyzed. Results: The preferred intravenous (IV) regimen was a penicillin plus an aminoglycoside (n = 10; 32.3%) in children aged <3 months, and a combination of a third-generation cephalosporin plus oxacillin (n = 7; 22.6%), or oxacillin alone (n = 6; 19.4%) in those 653 months. In every age class, amoxicillin-clavulanate was the first-choice oral antibiotic. Other antibiotics largely used orally included clindamycin, rifampicin, and trimethoprim/sulfamethoxazole. Flucloxacillin was never prescribed. Only 3 centers switched to oral therapy within 7 days in children 653 months of age. The most commonly reported reason influencing the time to switch to oral therapy concerned caregivers\u2019 adherence to oral therapy. Conclusion: Adherence to guidelines was poor, and early transition to oral therapy in the clinical practice was rarely adopted. Given the large use of potentially effective, but poorly studied, oral antibiotics such as amoxicillin/clavulanate, trimethoprim/sulfamethoxazole, and rifampicin, our data may stimulate further studies of this regard

Providing High-Quality Care for Limited English Proficient Patients: The Importance of Language Concordance and Interpreter Use

Background: Provider–patient language discordance is related to worse quality care for limited English proficient (LEP) patients who speak Spanish. However, little is known about language barriers among LEP Asian-American patients. Objective: We examined the effects of language discordance on the degree of health education and the quality of interpersonal care that patients received, and examined its effect on patient satisfaction. We also evaluated how the presence/absence of a clinic interpreter affected these outcomes. Design: Cross-sectional survey, response rate 74%. Participants: A total of 2,746 Chinese and Vietnamese patients receiving care at 11 health centers in 8 cities. Measurements: Provider–patient language concordance, health education received, quality of interpersonal care, patient ratings of providers, and the presence/absence of a clinic interpreter. Regression analyses were used to adjust for potential confounding. Results: Patients with language-discordant providers reported receiving less health education (β = 0.17, p < 0.05) compared to those with language-concordant providers. This effect was mitigated with the use of a clinic interpreter. Patients with language-discordant providers also reported worse interpersonal care (β = 0.28, p < 0.05), and were more likely to give low ratings to their providers (odds ratio [OR] = 1.61; CI = 0.97–2.67). Using a clinic interpreter did not mitigate these effects and in fact exacerbated disparities in patients’ perceptions of their providers. Conclusion: Language barriers are associated with less health education, worse interpersonal care, and lower patient satisfaction. Having access to a clinic interpreter can facilitate the transmission of health education. However, in terms of patients’ ratings of their providers and the quality of interpersonal care, having an interpreter present does not serve as a substitute for language concordance between patient and provider