295 research outputs found

    IN2 UPPER RESPIRATORY ILLNESS AND EMPLOYEE PRODUCTIVITY—RESULTS FROM THE CHILD AND HOUSEHOLD INFLUENZA-ILLNESS AND EMPLOYEE FUNCTION (CHIEF)

    Get PDF

    Air pollution scenario over China during COVID-19

    Get PDF
    The unprecedented slowdown in China during the COVID-19 period of November 2019 to April 2020 should have reduced pollution in smog-laden cities. However, moderate resolution imaging spectrometer (MODIS) satellite retrievals of aerosol optical depth (AOD) show a marked increase in aerosols over the Beijing–Tianjin–Hebei (BHT) region and most of Northeast and Central China, compared with the previous winter. Fine particulate (PM2.5) data from ground monitoring stations show an increase of 19.5% in Beijing during January and February 2020, and no reduction for Tianjin. In March and April 2020, a different spatial pattern emerges, with very high AOD levels observed over 50% of the Chinese mainland, and including peripheral regions in the northwest and southwest. At the same time, ozone monitoring instrument (OMI) satellite-derived NO2 concentrations fell drastically across China. The increase in PM2.5 while NO2 decreased in BTH and across China is likely due to enhanced production of secondary particulates. These are formed when reductions in NOx result in increased ozone formation, thus increasing the oxidizing capacity of the atmosphere. Support for this explanation is provided by ground level air quality data showing increased volume of fine mode aerosols throughout February and March 2020, and increased levels of PM2.5, relative humidity (RH), and ozone during haze episodes in the COVID-19 lockdown period. Backward trajectories show the origin of air masses affecting industrial centers of North and East China to be local. Other contributors to increased atmospheric particulates may include inflated industrial production in peripheral regions to compensate loss in the main population and industrial centers, and low wind speeds. Satellite monitoring of the extraordinary atmospheric conditions resulting from the COVID-19 shutdown could enhance understanding of smog formation and attempts to control it

    PIN32 THE CHILD AND HOUSEHOLD INFLUENZA-ILLNESS AND EMPLOYEE FUNCTION (CHIEF) STUDY-LINKING SURVEY AND CLAIMS DATA TO UNDERSTAND DISEASE IMPACT ON INDIRECT COSTS

    Get PDF

    Electron spin-flip correlations due to nuclear dynamics in driven GaAs double dots

    Get PDF
    We present experimental data and associated theory for correlations in a series of experiments involving repeated Landau-Zener sweeps through the crossing point of a singlet state and a spin-aligned triplet state in a GaAs double quantum dot containing two conduction electrons, which are loaded in the singlet state before each sweep, and the final spin is recorded after each sweep. The experiments reported here measure correlations on time scales from 4 Ό s to 2 ms. When the magnetic field is aligned in a direction such that spin-orbit coupling cannot cause spin flips, the correlation spectrum has prominent peaks centered at zero frequency and at the differences of the Larmor frequencies of the nuclei, on top of a frequency-independent background. When the spin-orbit field is relevant, there are additional peaks, centered at the frequencies of the individual species. A theoretical model which neglects the effects of high-frequency charge noise correctly predicts the positions of the observed peaks, and gives a reasonably accurate prediction of the size of the frequency-independent background, but gives peak areas that are larger than the observed areas by a factor of 2 or more. The observed peak widths are roughly consistent with predictions based on nuclear dephasing times of the order of 60 Ό s . However, there is extra weight at the lowest observed frequencies, which suggests the existence of residual correlations on the scale of 2 ms. We speculate on the source of these discrepancies

    An integrated method for identifying present status and risk of drought in Bangladesh

    Get PDF
    The occurrence and severity of agricultural droughts may not be dependent upon climatic variables alone. Rather increasingly, drought is affected by human interventions such as irrigation. Anthropogenic activity has introduced uncertainty in the assessment of current drought and future drought risk in many parts of the world; neither climatic nor remote sensing data alone are able to assess drought conditions effectively. In response, we present a simple approach to assess drought by combining a remote sensing-based drought index, the Temperature Vegetation Dryness Index (TVDI), climate data (i.e., rainfall and temperature), and field observations to evaluate recent drought conditions in northwestern Bangladesh (NWB). Applying this approach, we gained five insights: (i) the TVDI successfully indicated the drought conditions of NWB and agrees with field observations, (ii) the integrated use of TVDI and climate data (such as rainfall and temperature) provides the best understanding of the difference between meteorological drought and droughts resulting from surface moisture conditions, (iii) the TVDI results agree with rainfall data (r2 = 0.40 in March and r2 = 46 in April) in a part of the study area (NWB) where irrigation is not available, (iv) the TVDI can be used along with climate data to predict the potential risk of drought, and (v) while meteorological drought exists due to low rainfall and high temperature in this NWB in pre-monsoon season, because of widespread irrigation practices, meteorological drought is unable to trigger agricultural drought over most parts of the study area. The findings imply that there is a potential risk of drought in NWB, since any disruption of irrigation water supply could trigger a severe agricultural drought over the whole region. This is similar to what is currently observed over a small part of NW

    Absence of influenza vaccination among high-risk older adults in Taiwan

    Get PDF
    <p>Abstract</p> <p>Background</p> <p>Older adults, who often have more than one chronic disease, are at greater risk of influenza and its complications. However, because they often see physicians for other more pressing complaints, their physicians, focusing on one condition, may forget to suggest preventive measures for other diseases such as influenza. This study investigates what major factors affect an older adult with more than one chronic condition missing a vaccination opportunity.</p> <p>Methods</p> <p>Retrospectively reviewing a nationally representative random sample of medical claims from Taiwan's National Health Insurance Research Database during the period 2004 - 2006, we first identified patients sixty-five years or older who had visited physicians. Each patient was assigned a proxy for health status, the Charlson Comorbidity Index (CCI) score. An older claimant was defined has having "absence of a vaccination" when he or she had visited a physician during an influenza season but did not receive an influenza vaccination. Multivariate logistic regression was performed to estimate how likely it would be for older adults with various CCI scores to miss a vaccination.</p> <p>Results</p> <p>Out of 200,000 randomly selected claims, 20,923 older adults were included in our final analysis. We found older adults with higher CCIs to be more likely to have an absence of vaccination (<it>p </it>< 0.01). Our multivariate logistic regression results revealed CCI to be the greatest predictor of absence of vaccination, after controlling for individual factors and medical setting. Older adults with CCI scores three or higher were nearly five times more likely to miss a vaccination than those with a CCI of zero [OR: 4.93 (95%CI, 4.47-5.42)]. Those with CCIs of one and two were 2.53 and 3.92 times more likely to miss vaccination than those with a CCI of zero [OR 2.53 (95%CI, 2.26-2.84) and OR 3.92 (95%CI, 3.51-4.38), respectively].</p> <p>Conclusions</p> <p>The greater the number of certain comorbid conditions, the greater the likelihood a flu vaccination will be missed. Physicians would be well advised to not let the presenting problems of older patients distract from other possible health problems that might also need attention, in this case influenza vaccinations.</p

    Health-state utilities in a prisoner population : a cross-sectional survey

    Get PDF
    Background: Health-state utilities for prisoners have not been described. Methods: We used data from a 1996 cross-sectional survey of Australian prisoners (n = 734). Respondent-level SF-36 data was transformed into utility scores by both the SF-6D and Nichol's method. Socio-demographic and clinical predictors of SF-6D utility were assessed in univariate analyses and a multivariate general linear model. Results: The overall mean SF-6D utility was 0.725 (SD 0.119). When subdivided by various medical conditions, prisoner SF-6D utilities ranged from 0.620 for angina to 0.764 for those with none/mild depressive symptoms. Utilities derived by the Nichol's method were higher than SF-6D scores, often by more than 0.1. In multivariate analysis, significant independent predictors of worse utility included female gender, increasing age, increasing number of comorbidities and more severe depressive symptoms. Conclusion: The utilities presented may prove useful for future economic and decision models evaluating prison-based health programs

    OPTIMA-BP: empOwering PaTients in MAnaging Blood Pressure – protocol for a randomised parallel group study comparing use of Kvatchii web-based patient education portal as an addition to home blood pressure monitoring

    Get PDF
    Introduction: Hypertension is the leading modifiable risk factor for cardiovascular disease and is implicated in half of all strokes and myocardial infarctions. One-third of the adults in Scotland have hypertension yet only a quarter of them have their blood pressure (BP) controlled to target (&lt;140/90 mm Hg). Empowering patients to have a better understanding of their condition and becoming actively involved in the monitoring and management of hypertension may lead to improved patient satisfaction, improved BP control and health outcomes and reduction in the use of primary/secondary care hypertension clinics. Methods and analysis: OPTIMA-BP is a randomised parallel group pilot study comparing the use of home BP monitoring accompanied by access to the web-based cardiovascular educational portal (Kvatchii) and home BP monitoring (HBPM) alone in 200 patients with hypertension attending the Glasgow Blood Pressure Clinic, Queen Elizabeth University Hospital, Glasgow. Consented participants will be asked to complete surveys on lifestyle factors, medication adherence, quality of life and hypertension knowledge, understanding and home monitoring. The intervention group will be asked to complete a survey to help evaluate the Kvatchii portal. At 6 and 12 months, the surveys will be repeated via the CASTOR EDC. Both groups will input their HBPM results at 2-month intervals into a CASTOR-EDC survey. OPTIMA-BP will follow-up with participants over 12 months with the study running over 24 months. The primary outcome is HBPM systolic BP area under the curve between baseline and 6 months Ethics and dissemination: OPTIMA-BP was approved by the North of Scotland Research Ethics Committee 2 (22/NS/0095). Current protocol version 1.2 date 6 June 2023. Written informed consent will be provided by all study participants. Study findings will be submitted to international peer-reviewed journals and will be presented at national and international scientific meetings. Trial registration number: ClinicalTrials.gov: NCT05575453. Registered 12 October 2022. https://clinicaltrials.gov/ct2/show/NCT0557545
    • 

    corecore