101 research outputs found

    On the development of baroclinic waves influenced by friction and heating

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    The influence of surface skin friction and a specific type of heating on the stability of baroclinic waves in a two-level, quasi-geostrophic model is investigated. It is found that the effect of friction alone changes the neutral stability curve in such a way that a broader band of wavelengths are unstable for a given value of the vertical windshear. The neutral stability curve is independent of the intensity of friction in this case. The effect of heating is to make all waves longer than a certain critical wave length unstable, but the amplification rate is very small for large values of the wavelength. The combined effect of friction and heating will in general tend to stabilize the waves. The amplification rate is investigated in all cases.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43246/1/24_2004_Article_BF00874891.pd

    Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed-methods, multicountry evaluation.

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    Introduction The World Health Organization’s (WHO) Labour Care Guide (LCG) is a “next-generation” partograph based on WHO’s latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG’s usability, feasibility, and acceptability among maternity care practitioners in clinical settings. Methods Mixed-methods evaluation with doctors, midwives, and nurses in 12 health facilities across Argentina, India, Kenya, Malawi, Nigeria, and Tanzania. Purposively sampled and trained practitioners applied the LCG in low-risk women during labor and rated experiences, satisfaction, and usability. Practitioners were invited to focus group discussions (FGDs) to share experiences and perceptions of the LCG, which were subjected to framework analysis. Results One hundred and thirty-six practitioners applied the LCG in managing labor and birth of 1,226 low-risk women. The majority of women had a spontaneous vaginal birth (91.6%); two cases of intrapartum stillbirths (1.63 per 1000 births) occurred. Practitioner satisfaction with the LCG was high, and median usability score was 67.5%. Practitioners described the LCG as supporting precise and meticulous monitoring during labor, encouraging critical thinking in labor management, and improving the provision of woman-centered care. Conclusions The LCG is feasible and acceptable to use across different clinical settings and can promote woman-centered care, though some design improvements would benefit usability. Implementing the LCG needs to be accompanied by training and supportive supervision, and strategies to promote an enabling environment (including updated policies on supportive care interventions, and ensuring essential equipment is available)

    On the maintenance of the axisymmetric part of the flow in the atmosphere

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    The maintenance of the axisymmetric component of the flow in the atmosphere is investigated by means of a steady-state, quasi-geostrophic formulation of the meteorological equations. It is shown that the meridional variations in the time-averaged axisymmetric variables can be expressed as the sum of three contributions, one being due to the eddy heat transport, another to the eddy momentum transport, and a third to the convective-radiative equilibrium temperature which enters the problem through the specification of a Newtonian form of diabatic heating. The contributions by the large scale eddies are evaluated through the use of observed values for the eddy heat and momentum transports.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43251/1/24_2004_Article_BF00878865.pd
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