Unraveling the causes of radiation belt enhancements

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/94606/1/eost16149.pd

Beyond the team: understanding interprofessional work in two North American ICUs

OBJECTIVE: To examine the ways in which healthcare professionals work together in the ICU setting, through a consideration of the contextual, organizational, processual, and relational factors that impact their interprofessional collaboration. DESIGN: Data from over 350 hours of ethnographic observation and 35 semistructured interviews with clinicians in two ICUs were collected by two medical anthropologists over a period of 6 months. SETTING: Medical surgical ICUs in two urban research hospitals in Canada and the United States. MAIN RESULTS: Although the concept of teamwork is often central to interventions to improve patient safety in the ICU, our observations suggest that this concept does not fully describe how interprofessional work actually occurs in this setting. With the exception of crisis situations, most interprofessional interactions in the two ICUs we studied could be better described as forms of interprofessional work other than teamwork, which include collaboration, coordination, and networking. CONCLUSIONS: A singular notion of team is too reductive to account for the ways in which work happens in the ICU and therefore cannot be taken for granted in quality improvement initiatives or among healthcare professionals in this setting. Adapting -interventions to the complex nature of interprofessional work and each ICUs unique local context is an important and necessary step to ensure the delivery of safe and effective patient care

Quantifying the fast outflow in the luminous Seyfert galaxy PG1211+143

We report two new XMM-Newton observations of PG1211+143 in December 2007, again finding evidence of the fast outflow of highly ionised gas first detected in 2001. Stacking the new spectra with those from two earlier XMM-Newton observations reveals strong and broad emission lines of FeXXV and OVIII, indicating the fast outflow to be persistent and to have a large covering factor. This finding confirms a high mass rate for the ionised ouflow in PG1211+143 and provides the first direct measurement of a wide angle, sub-relativistic outflow from an AGN transporting mechanical energy with the potential to disrupt the growth of the host galaxy. We suggest PG1211+143 may be typical of an AGN in a rapid super-Eddington growth phase.Comment: Accepted for publication in MNRAS. Extended version with new figures and table

Effect of the Adapted NASA Mission X International Child Fitness Program on Young Children and their Parents in South Korea

Obesity has become a global epidemic. Childhood obesity is global public health concern including in South Korea where 16.2% of boys and 9.9% of girls are overweight or obese in 2011. Effective and sustainable intervention programs are needed for prevention of childhood obesity. Obesity prevention programs for young children may have a greater intervention effect than in older children. The NASA Mission X: Train Like an Astronaut (MX) program was developed to promote children's exercise and healthy eating by tapping into their excitement for training like an astronaut. This study aimed to examine the feasibility and effectiveness of the adapted NASA MX intervention in promoting PA in young children and in improving parents' related perspectives

Measurement error in a multi-level analysis of air pollution and health: a simulation study.

BACKGROUND: Spatio-temporal models are increasingly being used to predict exposure to ambient outdoor air pollution at high spatial resolution for inclusion in epidemiological analyses of air pollution and health. Measurement error in these predictions can nevertheless have impacts on health effect estimation. Using statistical simulation we aim to investigate the effects of such error within a multi-level model analysis of long and short-term pollutant exposure and health. METHODS: Our study was based on a theoretical sample of 1000 geographical sites within Greater London. Simulations of "true" site-specific daily mean and 5-year mean NO2 and PM10 concentrations, incorporating both temporal variation and spatial covariance, were informed by an analysis of daily measurements over the period 2009-2013 from fixed location urban background monitors in the London area. In the context of a multi-level single-pollutant Poisson regression analysis of mortality, we investigated scenarios in which we specified: the Pearson correlation between modelled and "true" data and the ratio of their variances (model versus "true") and assumed these parameters were the same spatially and temporally. RESULTS: In general, health effect estimates associated with both long and short-term exposure were biased towards the null with the level of bias increasing to over 60% as the correlation coefficient decreased from 0.9 to 0.5 and the variance ratio increased from 0.5 to 2. However, for a combination of high correlation (0.9) and small variance ratio (0.5) non-trivial bias (> 25%) away from the null was observed. Standard errors of health effect estimates, though unaffected by changes in the correlation coefficient, appeared to be attenuated for variance ratios > 1 but inflated for variance ratios < 1. CONCLUSION: While our findings suggest that in most cases modelling errors result in attenuation of the effect estimate towards the null, in some situations a non-trivial bias away from the null may occur. The magnitude and direction of bias appears to depend on the relationship between modelled and "true" data in terms of their correlation and the ratio of their variances. These factors should be taken into account when assessing the validity of modelled air pollution predictions for use in complex epidemiological models

Pressure Dependence of the Irreversibility Line in Bi2_{2}Sr2_{2}CaCu2_{2}O8+δ_{8+\delta}:Role of Anisotropy in Flux-Line Formation

One of the important problems of high-temperature superconductivity is to understand and ultimately to control fluxoid motion. We present the results of a new technique for measuring the pressure dependence of the transition to superconductivity in a diamond anvil cell. By measuring the third harmonic of the {\it ac} susceptibility, we determine the onset of irreversible flux motion. This enables us to study the effects of pressure on flux motion. The application of pressure changes interplanar spacing, and hence the interplanar coupling, without significantly disturbing the intraplanar superconductivity. Thus we are able to separate the effects of coupling from other properties that might affect the flux motion. Our results directly show the relationship between lattice spacing, effective- mass anisotropy, and the irreversibility line in Bi$_{2}$Sr$_{2}$CaCu$_{2}$O$_{8+\delta}$. Our results also demonstrate that an application of 2.5 GPa pressure causes a dramatic increase in interplanar coupling.Comment: 4 pages, 4 figure

A systematic review on health resilience to economic crises

Background The health effects of recent economic crises differ markedly by population group. The objective of this systematic review is to examine evidence from longitudinal studies on factors influencing resilience for any health outcome or health behaviour among the general population living in countries exposed to financial crises. Methods We systematically reviewed studies from six electronic databases (EMBASE, Global Health, MEDLINE, PsycINFO, Scopus, Web of Science) which used quantitative longitudinal study designs and included: (i) exposure to an economic crisis; (ii) changes in health outcomes/behaviours over time; (iii) statistical tests of associations of health risk and/or protective factors with health outcomes/behaviours. The quality of the selected studies was appraised using the Quality Assessment Tool for Quantitative Studies. PRISMA reporting guidelines were followed. Results From 14,584 retrieved records, 22 studies met the eligibility criteria. These studies were conducted across 10 countries in Asia, Europe and North America over the past two decades. Ten socio-demographic factors that increased or protected against health risk were identified: gender, age, education, marital status, household size, employment/occupation, income/ financial constraints, personal beliefs, health status, area of residence, and social relations. These studies addressed physical health, mortality, suicide and suicide attempts, mental health, and health behaviours. Women’s mental health appeared more susceptible to crises than men’s. Lower income levels were associated with greater increases in cardiovascular disease, mortality and worse mental health. Employment status was associated with changes in mental health. Associations with age, marital status, and education were less consistent, although higher education was associated with healthier behaviours. Conclusions Despite widespread rhetoric about the importance of resilience, there was a dearth of studies which operationalised resilience factors. Future conceptual and empirical research is needed to develop the epidemiology of resilience

Eliashberg-type equations for correlated superconductors

The derivation of the Eliashberg -- type equations for a superconductor with strong correlations and electron--phonon interaction has been presented. The proper account of short range Coulomb interactions results in a strongly anisotropic equations. Possible symmetries of the order parameter include s, p and d wave. We found the carrier concentration dependence of the coupling constants corresponding to these symmetries. At low hole doping the d-wave component is the largest one.Comment: RevTeX, 18 pages, 5 ps figures added at the end of source file, to be published in Phys.Rev. B, contact: [email protected]

Big Bang Nucleosynthesis and Lepton Number Asymmetry in the Universe

Recently it is reported that there is the discrepancy between big bang nucleosynthesis theory and observations (BBN crisis). We show that BBN predictions agree with the primordial abundances of light elements, He4, D, He3 and Li7 inferred from the observational data if an electron neutrino has a net chemical potential xi_{nu_e} due to lepton asymmetry. We estimate that xi_{nu_e} = 0.043^{+0.040}_{-0.040} (95% C.L.) and Omega_bh^2 = 0.015^{+0.006}_{-0.003} (95% C.L.).Comment: 10 pages, using AAS LATEX and three postscript figure