Parameterization of cloud microphysical processes in the CSU general circulation model

February 1992.Includes bibliographical references.The chief microphysical processes required to simulate the formation and dissipation of cloudiness have been implemented in the CSU general circulation model (GCM) with the aim to (1) yield a more physically-based representation of the sources and sinks of the atmospheric moisture components, (2) link the fractional cover and optical properties of model-generated clouds to predicted liquid/ice water amounts; and (3) produce more realistic temporal behaviors of the cloud fields. The bulk microphysics scheme encompasses five prognostic variables of water vapor, cloud water, cloud ice, rain, and snow. Cloud liquid and ice water amounts are predicted to form through large-scale condensation and sublimation processes plus detrainment at the top of convective cumulus towers. The instantaneous production of rain and snow is obtained through autoconversion of liquid water droplets and ice crystals. The growth process of rain drops and snow flakes falling through the free atmosphere is simulated using the continuous collection equation. Evaporation of cloud liquid, cloud ice, rain, and snow occurs in subsaturated layers. Melting and freezing are also taken into account. This document gives a description of the cloud microphysics package and its implementation into the CSU GCM.Sponsored by the National Science Foundation ATM-8907414

The Role of Functional, Social, and Mobility Dynamics in Facilitating Older African Americans Participation in Clinical Research

Purpose: Older African Americans experience disproportionately higher incidence of morbidity and mortality related to chronic and infectious diseases, yet are significantly underrepresented in clinical research compared to other racial and ethnic groups. This study aimed to understand the extent to which social support, transportation access, and physical impediments function as barriers or facilitators to clinical trial recruitment of older African Americans. Methods: Participants (N=221) were recruited from six African American churches in Atlanta and surveyed on various influences on clinical trial participation

Climate of Uncertainty

https://via.library.depaul.edu/museum-publications/1008/thumbnail.jp

Provider Insight on Surmounting Specialty Practice Challenges to Improve Tdap Immunization Rates among Pregnant Women

Background Pertussis, or “whooping cough,” is an acute, contagious pulmonary disease that, despite being vaccine-preventable, has become an increasingly widespread problem in the United States. As a result, the Advisory Committee on Immunization Practices and American College of Obstetricians and Gynecologists updated recommendations stating clinicians should give a Tdap dose during every pregnancy, preferably at 27–36 weeks. Despite this recommendation, reported Tdap vaccine receipt rates during pregnancy vary from 16–61%, and previous studies have shown that clinician recommendation and vaccine administration are strongly associated with vaccine uptake among pregnant women. Methods Our aim was to inform new strategies to increase uptake of the Tdap vaccine among pregnant women and, ultimately, reduce pertussis-related morbidityand mortality in infants. We conducted interviewswith a sample of 24 ob-gyns. We subsequently performed grounded theory analyses of transcripts using deductive and inductive coding strategies followed by intercoder reliability assessment. Results All physicians interviewed were familiar with the most recent recommendation of giving the Tdap vaccine during the third trimester of every pregnancy, and the majority of physicians stated that they felt that the vaccine was important and effective due to the transfer of pertussis antibodies from the mother to the fetus. Most physicians indicated that they recommended the vaccine to patients during pregnancy, but not all reported administering it on site because it was not stocked at their practice. Implementation challenges for physicians included insurance reimbursement and other challenges (i.e., patient refusal). Tdap vaccinationduring pregnancy was a lower clinical priority for some physicians. Physicians recognized the benefits associated with Tdap vaccination during pregnancy. Conclusions Findings indicate while most ob-gyns recognize the benefits of Tdap and recommend vaccination during pregnancy, barriers such as insurance reimbursement and financial concerns for the practice can outweigh the perceived benefits. This resulted in some ob-gyns reporting choosing not to stock and administer the vaccine in their practice. Recommendations to address these concerns include 1) structural support for Tdap vaccine administration in ob-gyns practices; 2) Continuing medical education-equivalent educational interventions that address management techniques, vaccine coding, and other relevant information; and 3) interventions to assist physicians in communicating the importance of Tdap vaccination during pregnancy

Dietary Intake and Energy Expenditure of Female Collegiate Swimmers During Decreased Training Prior to Competition

Swimmers, like all athletes, require a well-balanced diet with adequate energy intake for normal daily activities and the demands of training and competition. Investigators have typically studied nutritional status of athletes during heavy or peak training (1), (2). These studies generally show low levels of energy intake relative to expenditure, and carbohydrate intake also well below recommendations. However, several studies of the effects of exercise on energy intake have shown that as exercise energy expenditure increases or decreases, dietary intake tends to remain the same (3), (4), (5). Because training volume varies with the competitive season, it is important to investigate dietary intake at different levels of training. One period of training during which nutritional intake has not been studied is during taper, a period of decreased training before an athletic event to improve mental and physical readiness for competition (6). An important issue during this period is whether the discrepancy between energy intake and expenditure previously reported during heavy training is maintained during a period of reduced training. Another consideration is the number of reduced-fat food products consumed by female athletes. (In recent years, there has been an overwhelming increase in the availability of low-fat and fat-free food products.) Increased use of these foods may contribute to the increased carbohydrate intake observed in some recent studies of female athletes (7), (8), (9), which contrasts with earlier studies suggesting that carbohydrate intakes of female endurance athletes are 14% to 24% lower than recommended (1)

What is the best approach to benign paroxysmal positional vertigo in the elderly?

A canalith repositioning maneuver(CRM), such as the Epley or Semont maneuver, should be the first-line treatment for benign paroxysmal positional vertigo (BPPV) in the elderly (strength of recommendation [SOR]: A, several good-quality randomized controlled trials [RCTs])

INFLUENCE OF JUMPING MEASURES AND SQUAT 1RM ON SPRINT SPEED IN RUGBY UNION PLAYERS

This study examined the relationship of countermovement (CMJ), squat (SJ), and rebound jumps (RBJ), estimated 1RM back squat (SQ), contact time (CT) and Reactive Strength Index (RSI) for the RBJ to 30 m sprint time of sub-elite, semi-professional Rugby Union players. The results show that with the exception of SQ and CT, all variables were significantly (p .575). The best determinant of predicting 30 m sprint time was RSI. The relationships of SJ, CMJ, and RBJ jump height and RSI to 30 m sprint time suggest that these rapid movements are all common in Rugby Union players. The results show that estimated 1 RM back squat has little influence on sprint performance

Liberation Theology In Battleground Religious Education

Liberation Theology is a twentieth-century theological movement that intersects with grassroots struggles for social justice, especially throughout Latin America. Born out of the Roman Catholic Church, and especially the changes formed at the great church gathering known as "Vatican II" (in Rome in the 1960s), Liberation Theology includes an emphasis on the church's role as one that "relates believers to the modern world" (Gutierrez 1988). Advocates of Liberation Theology interpreted this to mean that the church is to be an advocate for believers, especially poor believers. Liberation Theology took the preferential option for the poor as a rallying cry and, through Christian-based communities (regular gatherings for study and prayer), worked for social and economic justice for the poorest peoples. Connecting to other global movements such as feminism and environmentalism, Liberation Theology has continued to expand, despite resistance from inside and outside the Catholic and Protestant churches

Analysis of the Diurnal Cycle of Precipitation and its Relation to Cloud Radiative Forcing Using TRMM Products

In order to improve our understanding of the interactions between clouds, radiation, and the hydrological cycle simulated in the Colorado State University General Circulation Model (CSU GCM), we focused our research on the analysis of the diurnal cycle of precipitation, top-of-the-atmosphere and surface radiation budgets, and cloudiness using 10-year long Atmospheric Model Intercomparison Project (AMIP) simulations. Comparisons the simulated diurnal cycle were made against the diurnal cycle of Earth Radiation Budget Experiment (ERBE) radiation budget and International Satellite Cloud Climatology Project (ISCCP) cloud products. This report summarizes our major findings over the Amazon Basin