The potential of high-rate GPS for strong ground motion assessment

We show that high-rate GPS can have a vital role to play in near real-time monitoring of potentially destructive earthquakes. We do this by investigating the potential of GPS in recording strong ground motions from earthquakes in Switzerland and Japan. The study uses finite-fault stochastic ground motion simulation based on Fourier amplitude spectra and duration models previously developed for both countries, allowing comparisons in terms of both Fourier and time domain characteristics (here the Peak Ground Velocity, PGV). We find that earthquakes of magnitude Mw>5.8 can be expected to be recorded by GPS in real-time at 10 km distance, i.e. their Fourier spectrum exceeds the noise of the instruments enough to be used in strong motion seismology. Post-processing of GPS time series lowers the noise and can improve the minimum observable magnitude by 0.1-0.2. As GPS receivers can record at higher rates (> 10 sps), we investigate which sampling rate is sufficient to optimally record earthquake signals and conclude that a minimum sampling rate of 5 sps is recommended. This is driven by recording events at short distances (below 10 km for magnitude 6 events and below 30 km for magnitude 7 events). Furthermore, the Maximum Ground Velocity derived from GPS is compared to the actual PGV for synthetic signals from the stochastic simulations and the 2008 Mw=6.9 Iwate earthquake. The proposed model, confirmed by synthetic and empirical data, shows that a reliable estimate of PGV for events of about magnitude 7 and greater can be basically retrieved by GPS in real-time and could be included for instance in ShakeMaps for aiding post-event disaster management

Moving upstream in health promoting policies for older people with early frailty in England? A policy analysis.

Objectives Globally, populations are rapidly ageing and countries have developed health promotion and wellbeing strategies to address increasing demand for health care and old-age support. The older population is not homogeneous however, and includes a large group in transition between being active and healthy to being frail, i.e. with early frailty. This review explores the extent to which policy in England has addressed this group with a view to supporting independence and preventing further progression towards frailty. Methods A narrative review was conducted of 157 health and social care policy documents current in 2014-2017 at three levels of the health and social care system in England. Findings We report the policy problem analysis, the shifts over time in language from health promotion to illness prevention, the shift in target populations to mid-life and those most at risk of adverse outcomes through frailty, and changes to delivery mechanisms to incentivize attention to the frailest rather than those with early frailty. We found that older people in general were not identified as a specific population in many of these policies. While this may reflect a welcome lack of age discrimination, it could equally represent omission through ageism. Only at local level did we identify some limited attention to preventative actions with people with early frailty. Conclusion The lack of policy attention to older people with early frailty is a missed opportunity to address some of the demands on health and social care services. Addressing the individual and societal consequences of adverse experiences of those with the greatest frailty should not distract from a more distinct public health perspective which argues for a refocusing upstream to health promotion and illness prevention for those with early frailty

Warming to the ice bath: Don’t go cool on cold water immersion just yet!

Comment on: 1) Arthur J. Cheng. Cooling down the use of cryotherapy for post-exercise skeletal muscle recovery. Temperature. 2018. 5(2): 103-105. doi: 10.1080/23328940.2017.1413284. 2) Cheng et al. Post-exercise recovery of contractile function and endurance in humans and mice is accelerated by heating and slowed by cooling skeletal muscle. Journal of Physiology. 2017. 595(24): 7413-7426. doi: 10.1113/JP27487

Childhood Adversities Increase the Risk of Psychosis: A Meta-analysis of Patient-Control, Prospective- and Cross-sectional Cohort Studies

Evidence suggests that adverse experiences in childhood are associated with psychosis. To examine the association between childhood adversity and trauma (sexual abuse, physical abuse, emotional/psychological abuse, neglect, parental death, and bullying) and psychosis outcome, MEDLINE, EMBASE, PsychINFO, and Web of Science were searched from January 1980 through November 2011. We included prospective cohort studies, large-scale cross-sectional studies investigating the association between childhood adversity and psychotic symptoms or illness, case-control studies comparing the prevalence of adverse events between psychotic patients and controls using dichotomous or continuous measures, and case-control studies comparing the prevalence of psychotic symptoms between exposed and nonexposed subjects using dichotomous or continuous measures of adversity and psychosis. The analysis included 18 case-control studies (n = 2048 psychotic patients and 1856 nonpsychiatric controls), 10 prospective and quasi-prospective studies (n = 41 803) and 8 population-based cross-sectional studies (n = 35 546). There were significant associations between adversity and psychosis across all research designs, with an overall effect of OR = 2.78 (95% CI = 2.34–3.31). The integration of the case-control studies indicated that patients with psychosis were 2.72 times more likely to have been exposed to childhood adversity than controls (95% CI = 1.90–3.88). The association between childhood adversity and psychosis was also significant in population-based cross-sectional studies (OR = 2.99 [95% CI = 2.12–4.20]) as well as in prospective and quasi-prospective studies (OR = 2.75 [95% CI = 2.17–3.47]). The estimated population attributable risk was 33% (16%–47%). These findings indicate that childhood adversity is strongly associated with increased risk for psychosis

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic