Analyses directionnelles multivariées de la qualité des précipitations sur la région de Québec

La question des précipitations acides est devenue une des principales préoccupations environnementales de ce siècle. Les dommages engendrés touchent l'ensemble des composantes atmosphérique, aquatique et terrestre de notre écosystème. Dans cet article, l'intérêt est tourné vers le transport des substances polluantes en faisant intervenir le vecteur des précipitations acides: le vent. Il existe une croyance populaire, largement répandue dans l'est du Canada, consistant à admettre que les vents d'est ou du nord sont associés à des précipitations faiblement chargées en éléments acides, contrairement aux vents du sud-ouest qui transporteraient les charges plus contaminées des industries situées dans le Midwest nord-américain. Une confirmation expérimentale de la réalité du phénomène est présentée ici.Une analyse factorielle des correspondances permet de mettre en évidence des relations entre la direction des vents et la composition chimique des précipitations. Des analyses de variance permettent ensuite de montrer la signification de l'effet de la direction des vents sur les concentrations de sulfates et de nitrates, en plus de mettre en évidence un effet saisonnier significatif pour ces deux variables. Les concentrations de nitrates et de sulfates associées aux vents de l'ouest sont respec- tivement de 0,33 mg/l-¹ et 1,73 mg/l-¹ comparativement à 0,24 mg/l-¹ et 1,48 mg/l-¹ pour les vents provenant de l'est. En ce qui concerne l'effet saisonnier, les concentrations moyennes de nitrates sont plus élevées durant les mois de janvier et de mars alors que les concentrations de sulfates sont plus elevées durant les mois d'été.The problem of acidic precipitation has become an important environmental concern; related damages can affect atmospheric, terrestrial and aquatic components of our ecosystem. This paper focuses on wind-driven atmospheric transport of contaminants, notably niirates and sulfates. Conventional wisdom in eastern Canada holds that winds originating from the east bring precipitation less loaded with acidic components than winds originating from the southwest; the latter carry contarninants generated by industries located in the American Midwest.An experimental confirmation of this phenomenon is presented here. SPERBER (1987) showed that hourly series of piecipitation content and wind direction, measured at a reception site are adequate to represent the lagrangian history of precipitating systems (New York City region). Following this result, we suppose that the northesastern continental atmospheric system is homogeneous enough so that winds measured at our reception site (Québec City region) are representative of the whole system. Thus, our experiment is performed in eulerian coordinates.The data bank used in the statistic alana|yses contains 10 time series: the weekly concentrations of 9 compounds found in the precipitation (H, Ca, Cl, K, Mg, Na, NO3, NH4 and SO4) gathered at the local Montmorency site and a s:ries ofweekly prevailing winds measured at the nearby Québec City airport. The time series contain 312 observations covering a full six year period (December 1981 to December 1987). As the original data bank of corcentrations is episodic, i.e. an obsercvation is available for each day with a significant precipitation event, volumes and loadings are used to derive the average weekly values of concentrations. In contrast, hourly series of direction (projected in 36 directions) and velocity of the prevailing winds are used to build, via a vectorial addition, a weekly series of wind direitions projected on a 12 point wind rose where directions corespond to the nind origin and not its destination.Classic statistical methods are used to deal with this data bank. Principal component analysis studies relationships between series of concentrations in the precipitations, while correspondence analysis highrights the relationships betwlen tile series of precipitation content and the series ofwind direction. The final statistical method, analysis of variance, is used to test the signilïcance of relationships higtrlighted by the correspondence analysis.The principal component analysis shows that all variables were positively correlated with the first component which reflects the fact that a higtrly loaded precipitation event will show high concentrations for each ofthe nine variables. The second component discriminates two groups of variables: one includes NO3, NH4 and SO4, the other Ca, Mg and Cl. The acidity variable, H, is nearer to the acid ion group (NO3, NH4 and SO4) than to the other ion group (Ca, Mg and Cl).The correspondence analysis shows that high concentrations of acidic compounds (NO3, NH4 and SO4) are highly rerated to winds from the W and WSW directions; conversely lower concentrations of the same compounds are associated with winds from the E and ENE directions. The elements Ca, Mg and Cl, reputed to be of oceanic origin, show high functional relationships between high concentrations and E, ENE winds and also between low concentrations and W, WSW winds. These results support the popular belief initially presented that acid precipitation is largely associated with winds from the southwest.The analyses of variance show that precipitation concentrations (NO3 and SO4) are significantly different according to the wind directions. Nitrate and sulfate concentrations associated with winds originating from the west are respectively 0.33-mg.l-l and 1.73 mg.l-l compared, to 0.24 mg.l-l and 1.48 mg.l-l for winds originating from the east. The analyses ofvariance also indicate a significant seasonal effect where mean monthly concentrations in nitrates are hilhest for winter months and early spring whereas sulfate concentrations are highest for the summer months

Private insurance versus medicaid and adherence to medication in older adults with fibromyalgia

Background: Fibromyalgia, defined as chronic, wide-spread musculoskeletal pain, affects 4 to 10 million Americans and up to 6% of the world population. Medication nonadherence results in $100 to$300 billion in US health expenditures annually. Previous studies have examined medication adherence in commercial health plans or public health plans, but relatively few have compared both populations. The purpose of this study was to estimate the effect of type of insurance on adherence to medication for older adults with fibromyalgia. Methods: The retrospective cohort study analyzed medical claims of fibromyalgia patients collected between January 1, 2005 to June 30, 2011 from the Blue Cross Blue Shield South Carolina State Health Plan (BCBS) and Medicaid data. Older adults age 60 and older were included if they were prescribed duloxetine, milnacipran, or pregabalin (N=3,187). The primary outcome, medication adherence, was defined as having a medication possession ratio (MPR) of ≥ 80%. Independent variables included health insurance, FMS medication, selected comorbidities (FMS-related, musculoskeletal pain, or neuropathic pain), gender, age, and the interaction between health insurance type and treatment. Results: Logistic regression showed older adults with fibromyalgia on Medicaid were over 3 times more likely to be adherent when compared to BCBS in both unadjusted (OR: 3.21, p<0.0001) and adjusted models (OR: 3.74, p<0.0001). Conclusion: Most states do not require a Medicaid prescription co-pay; whereas, private insurers, like Blue Cross Blue Shield, require more out-of-pocket costs. Our study suggests that the co-pays for medications in private plans may present a barrier to patient adherence

Sampling Field Heterogeneity at the Heme of c-Type Cytochromes by Spectral Hole Burning Spectroscopy and Electrostatic Calculations

AbstractWe report on a comparative investigation of the heme pocket fields of two Zn-substituted c-type cytochromes—namely yeast and horse heart cytochromes c—using a combination of hole burning Stark spectroscopy and electrostatic calculations. The spectral hole burning experiments are consistent with different pocket fields experienced at the hemes of the respective cytochromes. In the case of horse heart Zn-cytochrome c, two distinguishable electronic origins with different electrostatic properties are observed. The yeast species, on the other hand, displays a single electronic origin. Electrostatic calculations and graphics modeling using the linearized finite-difference Poisson-Boltzmann equation performed at selected time intervals on nanosecond-molecular dynamics trajectories show that the hemes of the respective cytochromes sample different potentials as they explore conformational space. The electrostatic potentials generated by the protein matrix at the heme show different patterns in both cytochromes, and we suggest that the cytochromes differ by the number of “electrostatic substates” that they can sample, thus accounting for the different spectral populations observed in the two cytochromes

Inhibition of Return in the visual field

Inhibition of return (IOR) as an indicator of attentional control is characterized by an eccentricity effect, that is, the more peripheral visual field shows a stronger IOR magnitude relative to the perifoveal visual field. However, it could be argued that this eccentricity effect may not be an attention effect, but due to cortical magnification. To test this possibility, we examined this eccentricity effect in two conditions: the same-size condition in which identical stimuli were used at different eccentricities, and the size-scaling condition in which stimuli were scaled according to the cortical magnification factor (M-scaling), thus stimuli being larger at the more peripheral locations. The results showed that the magnitude of IOR was significantly stronger in the peripheral relative to the perifoveal visual field, and this eccentricity effect was independent of the manipulation of stimulus size (same-size or size-scaling). These results suggest a robust eccentricity effect of IOR which cannot be eliminated by M-scaling. Underlying neural mechanisms of the eccentricity effect of IOR are discussed with respect to both cortical and subcortical structures mediating attentional control in the perifoveal and peripheral visual field

Economic evaluations of interventions to optimize medication use in older adults with polypharmacy and multimorbidity: A systematic review

Purpose: To conduct a systematic review of the economic impact of interventions intended at optimizing medication use in older adults with multimorbidity and polypharmacy. Methods: We searched Ovid-Medline, Embase, CINAHL, Ageline, Cochrane, and Web of Science, for articles published between 2004 and 2020 that studied older adults with multi-morbidity and polypharmacy. The intervention studied had to be aimed at optimizing medication use and present results on costs. Results: Out of 3,871 studies identified by the search strategy, eleven studies were included. The interventions involved different provider types, with a majority described as a multidisciplinary team involving a pharmacist and a general practitioner, in the decision-making process. Interventions were generally associated with a reduction in medication expenditure. The benefits of the intervention in terms of clinical outcomes remain limited. Five studies were cost-benefit analyses, which had a net benefit that was either null or positive. Cost-utility and cost-effectiveness analyses resulted in incremental cost-effectiveness ratios that were generally within the willingness-to-pay thresholds of the countries in which the studies were conducted. However, the quality of the studies was generally low. Omission of key cost elements of economic evaluations, including intervention cost and payer perspective, limited interpretability. Conclusion: Interventions to optimize medication use may provide benefits that outweigh their implementation costs, but the evidence remains limited. There is a need to identify and address barriers to the scaling-up of such interventions, starting with the current incentive structures for pharmacists, physicians, and patients

Novel Quenched Disorder Fixed Point in a Two-Temperature Lattice Gas

We investigate the effects of quenched randomness on the universal properties of a two-temperature lattice gas. The disorder modifies the dynamical transition rates of the system in an anisotropic fashion, giving rise to a new fixed point. We determine the associated scaling form of the structure factor, quoting critical exponents to two-loop order in an expansion around the upper critical dimension d$_c=7$. The close relationship with another quenched disorder fixed point, discovered recently in this model, is discussed.Comment: 11 pages, no figures, RevTe