LANDSAT Digital Data Base Preparation for the Pennsylvania Defoliation Application Pilot Test

A LANDSAT digital mosaic data base for the State of Pennsylvania was prepared for use in the development of an automated system to annually estimate the extent and severity of Gypsy Moth defoliation of hardward forests. The techniques for detecting the defoliation and development of a geographic information system (GIS) to assess damage is being developed jointly by NASA/Goddard Space Flight Center and Pennsylvania State University using the JPL prepared mosaic base. The JPL processing involved the use of ground control points from the Master Data Processor for planimetric control, resampling of the LANDSAT data to 57 x 57 meter pixels, realignment to north, and reprojection to the Universal Transverse Mercator (UTM) projection in UTM zones 17 and 18. The completed mosaic for each UTM zone was subdivided into 1 degree of latitude by 2 degrees of longitude quadrangles for easy data handling. Consideration is given to the issues of mapping standards, sensor and spacecraft platform characteristics, and their implication to geographic information systems operation. Methods for obtaining measures of accuracy for LANDSAT mosaics are reviewed

Unveiling the nature of bright z ~ 7 galaxies with the Hubble Space Telescope

We present new Hubble Space Telescope/Wide Field Camera 3 imaging of 25 extremely luminous (-23.2 < M_ UV < -21.2) Lyman-break galaxies (LBGs) at z ~ 7. The sample was initially selected from 1.65 deg^2 of ground-based imaging in the UltraVISTA/COSMOS and UDS/SXDS fields, and includes the extreme Lyman-alpha emitters, `Himiko' and `CR7'. A deconfusion analysis of the deep Spitzer photometry available suggests that these galaxies exhibit strong rest-frame optical nebular emission lines (EW_0(H_beta + [OIII]) > 600A). We find that irregular, multiple-component morphologies suggestive of clumpy or merging systems are common (f_multi > 0.4) in bright z ~ 7 galaxies, and ubiquitous at the very bright end (M_UV < -22.5). The galaxies have half-light radii in the range r_1/2 ~ 0.5-3 kpc. The size measurements provide the first determination of the size-luminosity relation at z ~ 7 that extends to M_UV ~ -23. We find the relation to be steep with r_1/2 ~ L^1/2. Excluding clumpy, multi-component galaxies however, we find a shallower relation that implies an increased star-formation rate surface density in bright LBGs. Using the new, independent, HST/WFC3 data we confirm that the rest-frame UV luminosity function at z ~ 7 favours a power-law decline at the bright-end, compared to an exponential Schechter function drop-off. Finally, these results have important implications for the Euclid mission, which we predict will detect > 1000 similarly bright galaxies at z ~ 7. Our new HST imaging suggests that the vast majority of these galaxies will be spatially resolved by Euclid, mitigating concerns over dwarf star contamination.Comment: 26 pages, 11 figures and 5 tables. Updated to match MNRAS accepted versio

A whole-health-economy approach to antimicrobial stewardship: Analysis of current models and future direction.

Antimicrobial stewardship (AMS) strategies are widely implemented in single healthcare sectors and organisations; however, the extent and impact of integrated AMS initiatives across the whole health economy are unknown. Assessing degree of integration of AMS across the whole health economy and its impact is essential if we are to achieve a ‘One Health’ approach to addressing antimicrobial resistance (AMR), and therefore we searched systematically for and analysed published examples of integrated AMS initiatives to address this gap. Application of a system-level framework to analyse integration of AMS initiatives across and within healthcare sectors shows that integration is emerging but needs strengthening. Findings from a small number of evaluations in high-income countries suggest that antimicrobial prescribing and healthcare-associated infections can be reduced using a multisectoral integrated AMS approach. More robust research designs to evaluate and understand the impact of multisectoral integrated AMS are needed, particularly with respect to differing health systems in different countries and local organisational contexts. Our analysis highlights a number of challenges and ways forward for enhancing the delivery of AMS through an integrated approach

The effect of chronotherapy on delirium in critical care - a systematic review

BACKGROUND: Delirium is highly prevalent within critical care and is linked to adverse clinical outcomes, increased mortality and impaired quality of life. Development of delirium is thought to be caused by multiple risk factors, including disruption of the circadian rhythm. Chronotherapeutic interventions, such as light therapy, music and use of eye shades, have been suggested as an option to improve circadian rhythm within intensive care units. AIM: This review aims to answer the question: Can chronotherapy reduce the prevalence of delirium in adult patients in critical care? DESIGN: This study is a systematic review of quantitative studies. RESEARCH METHOD: Six major electronic databases were searched, and a hand search was undertaken using selected key search terms. Research quality was assessed using the critical appraisal skills programme tools. The studies were critically appraised by both authors independently, and data were extracted. Four themes addressing the research question were identified and critically evaluated. FINDINGS: Six primary research articles that investigated different methods of chronotherapy were identified, and the results suggest that multi-component non-pharmacological interventions are the most effective for reducing the prevalence of delirium in critical care. The melatonergic agonist Ramelteon demonstrated statistically significant reductions in delirium; however, the reliability of the results in answering the review question was limited by the research design. The use of bright light therapy (BLT) and dynamic light application had mixed results, with issues with the research design and outcomes measured limiting the validity of the findings. CONCLUSION: Multi-component non-pharmacological interventions, such as noise and light control, can reduce delirium in critical care, whereas other interventions, such as BLT, have mixed outcomes. Melatonin, as a drug, may be a useful alternative to sedative-hypnotics. RELEVANCE TO CLINICAL PRACTICE: Chronotherapy can reduce the incidence of delirium within critical care, although further research is warranted. Staff education is essential in the implementation of chronotherapy

Approximated maximum likelihood estimation in multifractal random walks

We present an approximated maximum likelihood method for the multifractal random walk processes of [E. Bacry et al., Phys. Rev. E 64, 026103 (2001)]. The likelihood is computed using a Laplace approximation and a truncation in the dependency structure for the latent volatility. The procedure is implemented as a package in the R computer language. Its performance is tested on synthetic data and compared to an inference approach based on the generalized method of moments. The method is applied to estimate parameters for various financial stock indices.Comment: 8 pages, 3 figures, 2 table

An exploration into the client at the heart of therapy : a qualitative perspective

Over 50 years ago Eysenck challenged the existing base of research into psychotherapy. Since that time, a large number of investigations have been conducted to verify the efficacy of therapy. Recently however, an increasing number of studies have cast new doubts on this research base. Instead of therapy being a function of the therapist, it is now becoming ever more apparent that the client plays a prime role in the therapeutic process. The qualitative studies presented in this paper provide some examples of research that demonstrates that clients are actively involved in their therapy, even making counselling work despite their counsellor. These studies suggest that clients may not experience therapy as beneficially as traditional outcome studies indicate. This raises a new challenge to researchers to more fully explore the client's experience of therapy, a challenge to which qualitative methods of inquiry would appear well suited

Carboplatin/taxane-induced gastrointestinal toxicity: a pharmacogenomics study on the SCOTROC1 trial

Carboplatin/taxane combination is first-line therapy for ovarian cancer. However, patients can encounter treatment delays, impaired quality of life, even death because of chemotherapy-induced gastrointestinal (GI) toxicity. A candidate gene study was conducted to assess potential association of genetic variants with GI toxicity in 808 patients who received carboplatin/taxane in the Scottish Randomized Trial in Ovarian Cancer 1 (SCOTROC1). Patients were randomized into discovery and validation cohorts consisting of 404 patients each. Clinical covariates and genetic variants associated with grade III/IV GI toxicity in discovery cohort were evaluated in replication cohort. Chemotherapy-induced GI toxicity was significantly associated with seven single-nucleotide polymorphisms in the ATP7B, GSR, VEGFA and SCN10A genes. Patients with risk genotypes were at 1.53 to 18.01 higher odds to develop carboplatin/taxane-induced GI toxicity (P&#60;0.01). Variants in the VEGF gene were marginally associated with survival time. Our data provide potential targets for modulation/inhibition of GI toxicity in ovarian cancer patients