Comparison of general and cardiac care-specific indices of spatial access in Australia

© 2019 Versace et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective To identity differences between a general access index (Accessibility/ Remoteness Index of Australia; ARIA+) and a specific acute and aftercare cardiac services access index (Cardiac ARIA). Research design and methods Exploratory descriptive design. ARIA+ (2011) and Cardiac ARIA (2010) were compared using cross-tabulations (chi-square test for independence) and map visualisations. All Australian locations with ARIA+ and Cardiac ARIA values were included in the analysis (n = 20,223). The unit of analysis was Australian locations. Results Of the 20,223 locations, 2757 (14% of total) had the highest level of acute cardiac access coupled with the highest level of general access. There were 1029 locations with the poorest access (5% of total). Approximately two thirds of locations in Australia were classed as having the highest level of cardiac aftercare. Locations in Major Cities, Inner Regional Australia, and Outer Regional Australia accounted for approximately 98% of this category. There were significant associations between ARIA+ and Cardiac ARIA acute (χ2 = 25250.73, df = 28, p<0.001, Cramer’s V = 0.559, p<0.001) and Cardiac ARIA aftercare (χ2 = 17204.38, df = 16, Cramer’s V = 0.461, p<0.001). Conclusions Although there were significant associations between the indices, ARIA+ and Cardiac ARIA are not interchangeable. Systematic differences were apparent which can be attributed largely to the underlying specificity of the Cardiac ARIA (a time critical index that uses distance to the service of interest) compared to general accessibility quantified by the ARIA + model (an index that uses distance to population centre). It is where the differences are located geographically that have a tangible impact upon the communities in these locations–i.e. peri-urban areas of the major capital cities, and around the more remote regional centres. There is a strong case for specific access models to be developed and updated to assist with efficient deployment of resources and targeted service provision. The reasoning behind the differences highlighted will be generalisable to any comparison between general and service-specific access models

Radio sources at low Galactic latitudes

We present high-resolution radio observations of a sample of 65 radio sources at low Galactic latitudes. The sources were all observed at 5 GHz with the Very Large Array A-array. MERLIN observations at 5 GHz of the ultracompact HII region G34.26+0.15 and one of the extragalactic sources, B1857-000, are also presented, as are GMRT observations of HI in the direction of three sources, B1801-203, B1802-196 and B1938+229. These observations were made with the objectives of (i) finding compact components suitable for studying the effects of interstellar scattering at lower frequencies, (ii) identifying high surface-brightness lobes of background radio sources to probe the Galactic magnetic field on different scales via polarization observations, and (iii) searching for young supernova remnants. We discuss the nature of the sources found to have shell or shell-like structure and exhibiting both thermal and non-thermal spectra. Of the remaining sources, B1749-281 is coincident within the positional errors of a known pulsar, not detected earlier at 5 GHz. The rest are likely to be background extragalactic objects.Comment: 12 pages, 6 figures (most with multiple images), 1 table. Accepted for publicaton in MNRA

The JCMT 12CO(3-2) Survey of the Cygnus X Region: I. A Pathfinder

Cygnus X is one of the most complex areas in the sky. This complicates interpretation, but also creates the opportunity to investigate accretion into molecular clouds and many subsequent stages of star formation, all within one small field of view. Understanding large complexes like Cygnus X is the key to understanding the dominant role that massive star complexes play in galaxies across the Universe. The main goal of this study is to establish feasibility of a high-resolution CO survey of the entire Cygnus X region by observing part of it as a Pathfinder, and to evaluate the survey as a tool for investigating the star-formation process. A 2x4 degree area of the Cygnus X region has been mapped in the 12CO(3-2) line at an angular resolution of 15" and a velocity resolution of ~0.4km/s using HARP-B and ACSIS on the James Clerk Maxwell Telescope. The star formation process is heavily connected to the life-cycle of the molecular material in the interstellar medium. The high critical density of the 12CO(3-2) transition reveals clouds in key stages of molecule formation, and shows processes that turn a molecular cloud into a star. We observed ~15% of Cygnus X, and demonstrated that a full survey would be feasible and rewarding. We detected three distinct layers of 12CO(3-2) emission, related to the Cygnus Rift (500-800 pc), to W75N (1-1.8 kpc), and to DR21 (1.5-2.5 kpc). Within the Cygnus Rift, HI self-absorption features are tightly correlated with faint diffuse CO emission, while HISA features in the DR21 layer are mostly unrelated to any CO emission. 47 molecular outflows were detected in the Pathfinder, 27 of them previously unknown. Sequentially triggered star formation is a widespread phenomenon.Comment: 18 pages, 13 figures, accepted for publication in Astronomy & Astrophysic

Do divorcing couples become happier by breaking up?

Divorce is a leap in the dark. The paper investigates whether people who split up actually become happier. Using the British Household Panel Survey, we can observe an individual's level of psychological well-being in the years before and after divorce. Our results show that divorcing couples reap psychological gains from the dissolution of their marriages. Men and women benefit equally. The paper also studies the effects of bereavement, of having dependant children and of remarriage. We measure well-being by using general health questionnaire and life satisfaction scores

Centaurus A: multiple outbursts or bursting bubble?

We present new radio observations of the brighter region of the northern lobe (the Northern Middle Lobe, NML) of Centaurus A obtained at 20 cm with the Australia Telescope Compact Array. The angular resolutions are ~50 and ~130 arcsec, therefore much higher than for the previously available radio images of this region. The most interesting feature detected is a large-scale jet that connects the inner radio lobe and the NML and that is imaged for the first time. The NML itself appears as diffuse emission with a relatively bright ridge on the eastern side. The radio morphology of Centaurus A and, in particular, its NML could be the result of a precessing jet that has undergone a strong interaction with the environment at least in the northern side. The very big drop in intensity between the inner jet and the large-scale jet can be explained with a sequence of bursts of activity at different epochs in the life of the source. Alternatively (or additionally) a ``bursting bubble'' model is proposed which could also explain the good collimation of the large-scale jet. In this model, the plasma accumulated in the inner lobe would be able to ``burst'' out only through one nozzle that would be the region where the large-scale jet forms. From the comparison between the radio emission and the regions of ionized gas we find that the inner optical filament falls about 2 arcmin (~2 kpc) away from the large-scale radio jet. Thus, this filament does not seem to have experienced a direct interaction with the radio plasma. The outer filaments appear to be, in projection, closer to the radio emission, arguing for a direct interaction with the radio jet. However, also in this case a more complicated interaction than assumed so far has to be occuring.Comment: To appear in MNRAS; 11 pages, LateX, 7 figures. Fig 1 is available at http://www.ira.bo.cnr.it/~rmorgant/Centaurus

Combined X-Ray and Fully Leaky Guided Mode Studies of the Smectic Layer and Optic Tensor Configuration in a Ferroelectric Liquid-Crystal Cell

B. Hodder, J. Roy Sambles, S. Jenkins, and R. M. Richardson, Physical Review Letters, Vol. 85, pp. 3181 - 3184 (2000). "Copyright © 2000 by the American Physical Society."X-ray scattering together with optical characterization using fully leaky guided modes have been used for the first time to study the same ferroelectric liquid-crystal cell. This enables direct calculation of an accurate cone and chevron description of the liquid-crystal director profile since the layer structure and optic tensor configuration are both well known

Routine exercise-based cardiac rehabilitation does not increase aerobic fitness: A CARE CR study

Background Recent evidence suggests that routine exercise-based cardiac rehabilitation (CR) may not lead to a substantial increase in estimated peak oxygen uptake (V̇O2peak). This could reduce the potential benefits of CR and explain why CR no longer improves patient survival in recent studies. We aimed to determine whether routine exercise-based CR increases V̇O2peak using gold-standard maximal cardiopulmonary exercise testing (CPET), and to quantify the exercise training stimulus which might be insufficient in patients undertaking CR. Methods We studied the effects of a routine, twice weekly, exercise-based CR programme for eight weeks (intervention group) compared with abstention from supervised exercise training (control group) in patients with coronary heart disease. The primary outcome was V̇O2peak measured using CPET. We also measured changes in body composition using dual X-ray absorptiometry, carotid intima-media thickness, hs-CRP and N-terminal pro B-type natriuretic peptide at baseline, 10 weeks and one year. We also calculated the Calibre 5-year all-cause mortality risk score. Results Seventy patients (age 63.1 SD10.0 years; BMI 29.2 SD4.0 kg·m−2; 86% male) were recruited (n = 48 intervention; n = 22 controls). The mean aerobic exercise training duration was 23 min per training session, and the mean exercise training intensity was 45.9% of heart rate reserve. V̇O2peak was 23·3 ml·kg-1·min−1 at baseline, and there were no changes in V̇O2peak between groups at any time point. The intervention had no effect on any of the secondary endpoints. Conclusion Routine CR does not lead to an increase in V̇O2peak and is unlikely to improve long-term outcomes

Tracking Target Signal Strengths on a Grid using Sparsity

Multi-target tracking is mainly challenged by the nonlinearity present in the measurement equation, and the difficulty in fast and accurate data association. To overcome these challenges, the present paper introduces a grid-based model in which the state captures target signal strengths on a known spatial grid (TSSG). This model leads to \emph{linear} state and measurement equations, which bypass data association and can afford state estimation via sparsity-aware Kalman filtering (KF). Leveraging the grid-induced sparsity of the novel model, two types of sparsity-cognizant TSSG-KF trackers are developed: one effects sparsity through $\ell_1$-norm regularization, and the other invokes sparsity as an extra measurement. Iterative extended KF and Gauss-Newton algorithms are developed for reduced-complexity tracking, along with accurate error covariance updates for assessing performance of the resultant sparsity-aware state estimators. Based on TSSG state estimates, more informative target position and track estimates can be obtained in a follow-up step, ensuring that track association and position estimation errors do not propagate back into TSSG state estimates. The novel TSSG trackers do not require knowing the number of targets or their signal strengths, and exhibit considerably lower complexity than the benchmark hidden Markov model filter, especially for a large number of targets. Numerical simulations demonstrate that sparsity-cognizant trackers enjoy improved root mean-square error performance at reduced complexity when compared to their sparsity-agnostic counterparts.Comment: Submitted to IEEE Trans. on Signal Processin

Morphology and Distribution of Volcanic Vents in the Orientale Basin from Chandrayaan-1 Moon Mineralogy Mapper (M3) Data

One of the most fundamental questions in the geological and thermal evolution of the Moon is the nature and history of mantle melting and its relationship to the formation and evolution of lunar multi-ringed basins. Mare volcanic deposits provide evidence for the nature, magnitude and composition of mantle melting as a function of space and time [1]. Many argue that mantle partial melts are derived from depths well below the influence of multiringed basin impact events [1], while others postulate that the formation of these basins can cause mantle perturbations that are more directly linked to the generation ascent and eruption of mare basalts [2,3]. In any case, longer-term basin evolution will considerably influence the state and orientation of stress in the lithosphere, and the location of mare volcanic vents in basins as a function of time [4]. Thus, the location, nature and ages of volcanic vents and deposits in relation to multi-ringed impact basins provides evidence for the role that these basins played in the generation of volcanism or in the influence of the basins on surface volcanic eruption and deposit concentration. Unfortunately, most lunar multi-ringed impact basins have been eroded by impacts or filled with lunar mare deposits [5-8], with estimates of the thickness of mare fill extending up to more than six km in the central part of some basins [9-11]. The interior of most basins (e.g., Crisium, Serenitatis, Imbrium, Humorum) are almost completely covered and obscured. Although much is known about the lava filling of multi-ringed basins, and particularly the most recent deposits [5-8], little is known about initial stages of mare volcanism and its relationship to the impact event. One multi-ringed basin, Orientale, offers substantial clues to the relationships of basin interiors and mare basalt volcanism