Abyssal origin for the early Holocene pulse of unradiogenic neodymium isotopes in Atlantic seawater

The neodymium isotopic composition of authigenic phases of deep-sea sediment cores can be interpreted as reflecting past changes in water-mass mixing proportions if end-member water-mass compositions are constrained through time. Here we present three new records spanning 2480 to 4360 m depth in the North Atlantic Ocean that show seawater Nd isotope values in the early to mid-Holocene that are more radiogenic than values from the abyssal northwest Atlantic. This finding indicates that that the end-member composition of North Atlantic Deep Water was more stable within its core than it was at abyssal depths. The spatial distribution of the unradiogenic neodymium isotope values observed in the North Atlantic suggests a bottom source, and therefore that they were unlikely to have been due to the production of intermediate-depth Labrador Sea Water. We infer that the unradiogenic authigenic Nd isotope values were most likely derived from a pulse of poorly chemically weathered detrital material that was deposited into the Labrador Sea following Laurentide ice sheet retreat in the early Holocene. This unradiogenic sediment released neodymium into the bottom waters, yielding an unradiogenic seawater signal that was advected southward at abyssal depths and attenuated as it vertically mixed upward in the water column to shallower depths. The southward dispersion of these unradiogenic seawater values traces deep-water advection. However, the exact values observed at the most abyssal sites cannot be interpreted as proportionate to the strength of deep-water production without improved constraints on end-member changes

Interactional positioning and narrative self-construction in the first session of psychodynamic-interpersonal psychotherapy

The purpose of this study is to identify possible session one indicators of end of treatment psychotherapy outcome using the framework of three types of interactional positioning; client’s self-positioning, client’s positioning between narrated self and different partners, and the positioning between client and therapist. Three successful cases of 8-session psychodynamic-interpersonal (PI) therapy were selected on the basis of client Beck Depression Inventory scores. One unsuccessful case was also selected against which identified patterns could be tested. The successful clients were more descriptive about their problems and demonstrated active rapport-building, while the therapist used positionings expressed by the client in order to explore the positionings developed between them during therapy. The unsuccessful case was characterized by lack of positive self-comment, minimization of agentic self-capacity, and empathy-disrupting narrative confusions. We conclude that the theory of interactional positioning has been useful in identifying patterns worth exploring as early indicators of success in PI therapy

Wind-related orientation patterns in diurnal, crepuscular and nocturnal high-altitude insect migrants

Most insect migrants fly at considerable altitudes (hundreds of meters above the ground) where they utilize fast-flowing winds to achieve rapid and comparatively long-distance transport. The nocturnal aerial migrant fauna has been well studied with entomological radars, and many studies have demonstrated that flight orientations are frequently grouped around a common direction in a range of nocturnal insect migrants. Common orientation typically occurs close to the downwind direction (thus ensuring that a large component of the insects' self-powered speed is directed downstream), and in nocturnal insects at least, the downwind headings are seemingly maintained by direct detection of wind-related turbulent cues. Despite being far more abundant and speciose, the day-flying windborne migrant fauna has been much less studied by radar; thus the frequency of wind-related common orientation patterns and the sensory mechanisms involved in their formation remain to be established. Here, we analyze a large dataset of >600,000 radar-detected "medium-sized" windborne insect migrants (body mass from 10 to 70 mg), flying hundreds of meters above southern UK, during the afternoon, in the period around sunset, and in the middle of the night. We found that wind-related common orientation was almost ubiquitous during the day (present in 97% of all “migration events” analyzed), and was also frequent at sunset (85%) and at night (81%). Headings were systematically offset to the right of the flow at night-time (as predicted from the use of turbulence cues for flow assessment), but there was no directional bias in the offsets during the day or at sunset. Orientation "performance” significantly increased with increasing flight altitude throughout the day and night. We conclude by discussing sensory mechanisms which most likely play a role in the selection and maintenance of wind-related flight headings

Increased use of malaria rapid diagnostic tests improves targeting of anti-malarial treatment in rural Tanzania: implications for nationwide rollout of malaria rapid diagnostic tests.

ABSTRACT: BACKGROUND: The World Health Organization recommends parasitological confirmation of all malaria cases. Tanzania is implementing a phased rollout of malaria rapid diagnostic tests (RDTs) for routine use in all levels of care as one strategy to increase parasitological confirmation of malaria diagnosis. This study was carried out to evaluated artemisinin combination therapy (ACT) prescribing patterns in febrile patients with and without uncomplicated malaria in one pre-RDT implementation and one post-RDT implementation area. METHODS: A cross-sectional health facility surveys was conducted during high and low malaria transmission seasons in 2010 in both areas. Clinical information and a reference blood film on all patients presenting for an initial illness consultation were collected. Malaria was defined as a history of fever in the past 48 hours and microscopically confirmed parasitaemia. Routine diagnostic testing was defined as RDT or microscopy ordered by the health worker and performed at the health facility as part of the health worker-patient consultation. Correct diagnostic testing was defined as febrile patient tested with RDT or microscopy. Over-testing was defined as a febrile patient tested with RDT or microscopy. Correct treatment was defined as patient with malaria prescribed ACT. Over-treatment was defined as patient without malaria prescribed ACT. RESULTS: A total of 1,247 febrile patients (627 from pre-implementation area and 620 from post-implementation area) were included in the analysis. In the post-RDT implementation area, 80.9% (95% CI, 68.2-89.3) of patients with malaria received recommended treatment with ACT compared to 70.3% (95% CI, 54.7-82.2) of patients in the pre-RDT implementation area. Correct treatment was significantly higher in the post-implementation area during high transmission season (85.9% (95%CI, 72.0-93.6) compared to 58.3% (95%CI, 39.4-75.1) in pre-implementation area (p=0.01). Over-treatment with ACT of patients without malaria was less common in the post-RDT implementation area (20.9%; 95% CI, 14.7-28.8) compared to the pre-RDT implementation area (45.8%; 95% CI, 37.2-54.6) (p<0.01) in high transmission. The odds of overtreatment was significantly lower in post- RDT area (adjusted Odds Ratio (OR: 95%CI) 0.57(0.36-0.89); and much higher with clinical diagnosis adjusted OR (95%CI) 2.24(1.37-3.67) CONCLUSION: Implementation of RDTs increased use of RDTs for parasitological confirmation and reduced over-treatment with ACT during high malaria transmission season in one area in Tanzania. Continued monitoring of the national RDT rollout will be needed to assess whether these changes in case management practices will be replicated in other areas and sustained over time. Additional measures (such as refresher trainings, closer supervisions, etc) may be needed to improve ACT targeting during low transmission seasons

Fermi-level alignment at metal-carbon nanotube interfaces: application to scanning tunneling spectroscopy

At any metal-carbon nanotube interface there is charge transfer and the induced interfacial field determines the position of the carbon nanotube band structure relative to the metal Fermi-level. In the case of a single-wall carbon nanotube (SWNT) supported on a gold substrate, we show that the charge transfers induce a local electrostatic potential perturbation which gives rise to the observed Fermi-level shift in scanning tunneling spectroscopy (STS) measurements. We also discuss the relevance of this study to recent experiments on carbon nanotube transistors and argue that the Fermi-level alignment will be different for carbon nanotube transistors with low resistance and high resistance contacts.Comment: 4 pages, 3 ps figures, minor corrections, accepted by Phys. Rev. Let

Orientation in high-flying migrant insects in relation to flows: mechanisms and strategies

High-flying insect migrants have been shown to display sophisticated flight orientations that can, for example, maximize distance travelled by exploiting tailwinds, and reduce drift from seasonally optimal directions. Here, we provide a comprehensive overview of the theoretical and empirical evidence for the mechanisms underlying the selection and maintenance of the observed flight headings, and the detection of wind direction and speed, for insects flying hundreds of metres above the ground. Different mechanisms may be used—visual perception of the apparent ground movement or mechanosensory cues maintained by intrinsic features of the wind—depending on circumstances (e.g. day or night migrations). In addition to putative turbulence-induced velocity, acceleration and temperature cues, we present a new mathematical analysis which shows that 'jerks' (the time-derivative of accelerations) can provide indicators of wind direction at altitude. The adaptive benefits of the different orientation strategies are briefly discussed, and we place these new findings for insects within a wider context by comparisons with the latest research on other flying and swimming organisms

An exploratory study of factors that affect the performance and usage of rapid diagnostic tests for malaria in the Limpopo Province, South Africa

<p>Abstract</p> <p>Background</p> <p>Malaria rapid diagnostic tests (RDTs) are relatively simple to perform and provide results quickly for making treatment decisions. However, the accuracy and application of RDT results depends on several factors such as quality of the RDT, storage, transport and end user performance. A cross sectional survey to explore factors that affect the performance and use of RDTs was conducted in the primary care facilities in South Africa.</p> <p>Methods</p> <p>This study was conducted in three malaria risk sub-districts of the Limpopo Province, in South Africa. Twenty nurses were randomly selected from 17 primary health care facilities, three nurses from hospitals serving the study area and 10 other key informants, representing the managers of the malaria control programmes, routine and research laboratories, were interviewed, using semi-structured questionnaires.</p> <p>Results</p> <p>There was a high degree of efficiency in ordering and distribution of RDTs, however only 13/20 (65%) of the health facilities had appropriate air-conditioning and monitoring of room temperatures. Sixty percent (12/20) of the nurses did not receive any external training on conducting and interpreting RDT. Fifty percent of nurses (10/20) reported RDT stock-outs. Only 3/20 nurses mentioned that they periodically checked quality of RDT. Fifteen percent of nurses reported giving antimalarial drugs even if the RDT was negative.</p> <p>Conclusion</p> <p>Storage, quality assurance, end user training and use of RDT results for clinical decision making in primary care facilities in South Africa need to be improved. Further studies of the factors influencing the quality control of RDTs, their performance of RDTs and the ways to improve their use of RDTs are needed.</p

Bayesian echo classification for Australian single-polarization weather radar with application to assimilation of radial velocity observations

The Australian Bureau of Meteorology’s operational weather radar network comprises a heterogeneous radar collection covering diverse geography and climate. A naïve Bayes classifier has been developed to identify a range of common echo types observed with these radars. The success of the classifier has been evaluated against its training dataset and by routine monitoring. The training data indicate that more than 90% of precipitation may be identified correctly. The echo types most difficult to distinguish from rainfall are smoke, chaff, and anomalous propagation ground and sea clutter. Their impact depends on their climatological frequency. Small quantities of frequently misclassified persistent echo (like permanent ground clutter or insects) can also cause quality control issues. The Bayes classifier is demonstrated to perform better than a simple threshold method, particularly for reducing misclassification of clutter as precipitation. However, the result depends on finding a balance between excluding precipitation and including erroneous echo. Unlike many single-polarization classifiers that are only intended to extract precipitation echo, the Bayes classifier also discriminates types of nonprecipitation echo. Therefore, the classifier provides the means to utilize clear air echo for applications like data assimilation, and the class information will permit separate data handling of different echo types

The Reliability of Global and Hemispheric Surface Temperature Records

The purpose of this review article is to discuss the development and associated estimation of uncertainties in the global and hemispheric surface temperature records. The review begins by detailing the groups that produce surface temperature datasets. After discussing the reasons for similarities and differences between the various products, the main issues that must be addressed when deriving accurate estimates, particularly for hemispheric and global averages, are then considered. These issues are discussed in the order of their importance for temperature records at these spatial scales: biases in SST data, particularly before the 1940s; the exposure of land-based thermometers before the development of louvred screens in the late 19th century; and urbanization effects in some regions in recent decades. The homogeneity of land-based records is also discussed; however, at these large scales it is relatively unimportant. The article concludes by illustrating hemispheric and global temperature records from the four groups that produce series in near-real time