827 research outputs found

    Probe Vehicle Bluetooth Study for Travel Time Savings Estimation

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    Interstate 69 is a new highway envisioned to eventually travel the length of the United States, from Canada to Mexico. In Indiana, the construction is being completed in a series of segments, as shown below. With the opening of new sections, the travel time savings for travelers can be quantified. By deploying Bluetooth data loggers to capture unique MAC addresses of travelers’ devices, timestamps for corresponding MAC addresses along the study route can be matched to determine travel time. Compared to the posted speeds and lengths of new interstate sections, the travel time saved by using I-69 can be estimated. One such study was completed for the previous opening of I-69 Sections 1-3, and researchers completed a study for Section 4, which opened to public traffic on December 6, 2015

    Socioeconomic inequalities in survival and provision of neonatal care: population based study of very preterm infants

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    Objectives To assess socioeconomic inequalities in survival and provision of neonatal care among very preterm infants

    Mothers working to prevent early stillbirth study (MiNESS 20–28):a case–control study protocol

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    Introduction: In the UK, 1600 babies die every year before, during or immediately after birth at 20–28 weeks’ gestation. This bereavement has a similar impact on parental physical and psychological well-being to late stillbirth (>28 weeks’ gestation). Improved understanding of potentially modifiable risk factors for late stillbirth (including supine going-to-sleep position) has influenced international clinical practice. Information is now urgently required to similarly inform clinical practice and aid decision-making by expectant mothers/parents, addressing inequalities in pregnancy loss between 20 and 28 weeks. Methods and analysis: This study focuses on what portion of risk of pregnancy loss 20–28 weeks’ gestation is associated with exposures amenable to public health campaigns/antenatal care adaptation. A case–control study of non-anomalous singleton baby loss (via miscarriage, stillbirth or early neonatal death) 20+0 to 27+6 (n=316) and randomly selected control pregnancies (2:1 ratio; n=632) at group-matched gestations will be conducted. Data is collected via participant recall (researcher-administered questionnaire) and extraction from contemporaneous medical records. Unadjusted/confounder-adjusted ORs will be calculated. Exposures associated with early stillbirth at OR≥1.5 will be detectable (p0.80) assuming exposure prevalence of 30%–60%. Ethics and dissemination: NHS research ethical approval has been obtained from the London—Seasonal research ethics committee (23/LO/0622). The results will be presented at international conferences and published in peer-reviewed open-access journals. Information from this study will enable development of antenatal care and education for healthcare professionals and pregnant people to reduce risk of early stillbirth. Trial registration number: NCT06005272

    Socioeconomic inequalities in outcome of pregnancy and neonatal mortality associated with congenital anomalies: population based study

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    Objectives To investigate socioeconomic inequalities in outcome of pregnancy and neonatal mortality associated with congenital anomalies

    Nature of socioeconomic inequalities in neonatal mortality: population based study

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    Objective To investigate time trends in socioeconomic inequalities in cause specific neonatal mortality in order to assess changing patterns in mortality due to different causes, particularly prematurity, and identify key areas of focus for future intervention strategies

    Big Data in Maritime Archaeology: Challenges and Prospects from the Middle East and North Africa

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    The Middle East and North Africa have witnessed a surfeit of geospatial data collection projects, resulting in big databases with powerful deductive capacities. Despite the valuable insights and expansive evidentiary record offered by those databases, emphasis on anthropogenic threats to cultural heritage, combined with a limited integration of local perspectives, have raised important questions on the ethical and epistemological dimensions of big data. This paper contextualizes maritime cultural heritage (MCH) in those debates through the lens of the Maritime Endangered Archaeology in the Middle East and North Africa project (MarEA). MarEA is developing a unique for the region database for MCH designed to amalgamate a baseline record emphasizing spatial location, state of preservation, and vulnerability. This record will form a stepping stone toward finer-grained research on MCH and its interdisciplinary intersections. It is also developed as an information resource to facilitate local collaborators in prioritizing site monitoring and developing documentation, management, and mitigation strategies.</p

    Core Health Outcomes In Childhood Epilepsy (CHOICE):Protocol for the selection of a core outcome set

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    This is the final version of the article. Available from BioMed Central via the DOI in this record.BACKGROUND: There is increasing recognition that establishing a core set of outcomes to be evaluated and reported in trials of interventions for particular conditions will improve the usefulness of health research. There is no established core outcome set for childhood epilepsy. The aim of this work is to select a core outcome set to be used in evaluative research of interventions for children with rolandic epilepsy, as an exemplar of common childhood epilepsy syndromes. METHODS: First we will identify what outcomes should be measured; then we will decide how to measure those outcomes. We will engage relevant UK charities and health professional societies as partners, and convene advisory panels for young people with epilepsy and parents of children with epilepsy. We will identify candidate outcomes from a search for trials of interventions for childhood epilepsy, statutory guidance and consultation with our advisory panels. Families, charities and health, education and neuropsychology professionals will be invited to participate in a Delphi survey following recommended practices in the development of core outcome sets. Participants will be able to recommend additional outcome domains. Over three rounds of Delphi survey participants will rate the importance of candidate outcome domains and state the rationale for their decisions. Over the three rounds we will seek consensus across and between families and health professionals on the more important outcomes. A face-to-face meeting will be convened to ratify the core outcome set. We will then review and recommend ways to measure the shortlisted outcomes using clinical assessment and/or patient-reported outcome measures. DISCUSSION: Our methodology is a proportionate and pragmatic approach to expediently produce a core outcome set for evaluative research of interventions aiming to improve the health of children with epilepsy. A number of decisions have to be made when designing a study to develop a core outcome set including defining the scope, choosing which stakeholders to engage, most effective ways to elicit their views, especially children and a potential role for qualitative research.This study is part of Changing Agendas on Sleep, Treatment and Learning in Childhood Epilepsy (CASTLE), which is funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research RP-PG-0615-20007

    Three-dimensional distribution of ejecta in Supernova 1987A at 10 000 days

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    Due to its proximity, SN 1987A offers a unique opportunity to directly observe the geometry of a stellar explosion as it unfolds. Here we present spectral and imaging observations of SN 1987A obtained ~10,000 days after the explosion with HST/STIS and VLT/SINFONI at optical and near-infrared wavelengths. These observations allow us to produce the most detailed 3D map of H-alpha to date, the first 3D maps for [Ca II] \lambda \lambda 7292, 7324, [O I] \lambda \lambda 6300, 6364 and Mg II \lambda \lambda 9218, 9244, as well as new maps for [Si I]+[Fe II] 1.644 \mu m and He I 2.058 \mu m. A comparison with previous observations shows that the [Si I]+[Fe II] flux and morphology have not changed significantly during the past ten years, providing evidence that it is powered by 44Ti. The time-evolution of H-alpha shows that it is predominantly powered by X-rays from the ring, in agreement with previous findings. All lines that have sufficient signal show a similar large-scale 3D structure, with a north-south asymmetry that resembles a broken dipole. This structure correlates with early observations of asymmetries, showing that there is a global asymmetry that extends from the inner core to the outer envelope. On smaller scales, the two brightest lines, H-alpha and [Si I]+[Fe II] 1.644 \mu m, show substructures at the level of ~ 200 - 1000 km/s and clear differences in their 3D geometries. We discuss these results in the context of explosion models and the properties of dust in the ejecta.Comment: Accepted for publication in Ap
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