92 research outputs found

    Digital image processing of Landsat data for mapping hydrothermally altered rocks in New Mexico

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    Healthcare providers versus patients\u27 understanding of health beliefs and values

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    This study examined how well healthcare providers perceive and understand their patients’ health beliefs and values compared to patients’ actual beliefs, and to determine if communication relationships maybe improved as a result of healthcare providers’ understanding of their patients’ illness from their perspective. A total of 61 participants (7 healthcare providers and 54 patients) were enrolled in the study. Healthcare providers and patients individually completed survey instruments and each participated in a structured focus group. Healthcare provider and patient differences revealed that patients perceived greater meaning of their illness (p = 0.038), and a greater preference for partnership (p = 0.026) compared to providers. The three qualitative themes most important for understanding patients’ health beliefs and values as perceived by healthcare providers were education, trust, and culture. Educating patients was perceived as having the greatest impact and also the easiest method to implement to foster providers’ understanding, with at least one patient focus group in agreement of same. Likewise, three themes were derived from patients’ perspectives as relatively more important in understanding providers’ beliefs and values; bidirectional communication, comprehensive treatment, and discipline. Overwhelmingly, bidirectional communication was perceived as a critical factor as having the greatest impact and may also be easiest to implement according to these patients. When patients and healthcare providers listen and communicate with each other, they are likely to develop a shared understanding that may improve future decision making and quality of care patients receive

    Calibration and performance of the Galileo solid-state imaging system in Jupiter orbit

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    The solid-state imaging subsystem (SSI) on the National Aeronautics and Space Administration’s (NASA’s) Galileo Jupiter orbiter spacecraft has successfully completed its 2-yr primary mission exploring the Jovian system. The SSI has remained in remarkably stable calibration during the 8-yr flight, and the quality of the returned images is exceptional. Absolute spectral radiometric calibration has been determined to 4 to 6% across its eight spectral filters. Software and calibration files are available to enable radiometric, geometric, modulation transfer function (MTF), and scattered light image calibration. The charge-coupled device (CCD) detector endured the harsh radiation environment at Jupiter without significant damage and exhibited transient image noise effects at about the expected levels. A lossy integer cosine transform (ICT) data compressor proved essential to achieving the SSI science objectives given the low data transmission rate available from Jupiter due to a communication antenna failure. The ICT compressor does introduce certain artifacts in the images that must be controlled to acceptable levels by judicious choice of compression control parameter settings. The SSI team’s expertise in using the compressor improved throughout the orbital operations phase and, coupled with a strategy using multiple playback passes of the spacecraft tape recorder, resulted in the successful return of 1645 unique images of Jupiter and its satellites

    Calibration and performance of the Galileo solid-state imaging system in Jupiter orbit

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    The solid-state imaging subsystem (SSI) on the National Aeronautics and Space Administration’s (NASA’s) Galileo Jupiter orbiter spacecraft has successfully completed its 2-yr primary mission exploring the Jovian system. The SSI has remained in remarkably stable calibration during the 8-yr flight, and the quality of the returned images is exceptional. Absolute spectral radiometric calibration has been determined to 4 to 6% across its eight spectral filters. Software and calibration files are available to enable radiometric, geometric, modulation transfer function (MTF), and scattered light image calibration. The charge-coupled device (CCD) detector endured the harsh radiation environment at Jupiter without significant damage and exhibited transient image noise effects at about the expected levels. A lossy integer cosine transform (ICT) data compressor proved essential to achieving the SSI science objectives given the low data transmission rate available from Jupiter due to a communication antenna failure. The ICT compressor does introduce certain artifacts in the images that must be controlled to acceptable levels by judicious choice of compression control parameter settings. The SSI team’s expertise in using the compressor improved throughout the orbital operations phase and, coupled with a strategy using multiple playback passes of the spacecraft tape recorder, resulted in the successful return of 1645 unique images of Jupiter and its satellites

    Identifying the science and technology dimensions of emerging public policy issues through horizon scanning

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    Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique [1]. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique [1]. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security

    Deep Drilling in the Time Domain with DECam: Survey Characterization

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    This paper presents a new optical imaging survey of four deep drilling fields (DDFs), two Galactic and two extragalactic, with the Dark Energy Camera (DECam) on the 4 meter Blanco telescope at the Cerro Tololo Inter-American Observatory (CTIO). During the first year of observations in 2021, >>4000 images covering 21 square degrees (7 DECam pointings), with \sim40 epochs (nights) per field and 5 to 6 images per night per filter in gg, rr, ii, and/or zz, have become publicly available (the proprietary period for this program is waived). We describe the real-time difference-image pipeline and how alerts are distributed to brokers via the same distribution system as the Zwicky Transient Facility (ZTF). In this paper, we focus on the two extragalactic deep fields (COSMOS and ELAIS-S1), characterizing the detected sources and demonstrating that the survey design is effective for probing the discovery space of faint and fast variable and transient sources. We describe and make publicly available 4413 calibrated light curves based on difference-image detection photometry of transients and variables in the extragalactic fields. We also present preliminary scientific analysis regarding Solar System small bodies, stellar flares and variables, Galactic anomaly detection, fast-rising transients and variables, supernovae, and active galactic nuclei.Comment: 22 pages, 17 figures, 2 tables. Accepted to MNRA

    The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

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    Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care
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