55 research outputs found

    A pre-post study of behavioural determinants and practice change in Ugandan clinical officers

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    Background. Understanding the drivers of ‘provider behaviour’ has been highlighted as one of the six domains of behaviour change in strengthening healthcare systems.Objectives. To assess changes in healthcare provider behaviour, i.e. use of the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach in acute illness management, after participating in a 1-day course on the assessment and management of acutely ill patients. We aimed to assess whether changes in psychological determinants of the ABCDE approach were associated with changes in the use of the approach.Methods. We used a pre-post design to study self-reported change in behaviour after a 1-day training course from pre-course to follow-up 1 month later. We also measured psychological determinants of behaviour immediately before and after and at 1-month follow-up. We explored if changes in psychological determinants were associated with change in practice 1 month later.Results. We found the following: firstly, use of the ABCDE approach increased at 1 month post-course from a median use of 50 - 90%. Secondly, the increase in the ABCDE approach was associated with a positive change in only one of the determinants of practice from pre- to post-course: perception of environmental determinants (r=0.323; p<0.05). Finally, there were no other significant associations with practice change or practice at follow-up.Conclusions. Change in perceptions of availability of resources was associated with increased use of an ABCDE approach, but evidence was limited owing to the pre-post design

    Relationship between ecosystem productivity and photosynthetically active radiation for northern peatlands

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    We analyzed the relationship between new ecosystem exchange of carbon dioxide (NEE) and irradiance (as photosynthetic photon flux density of PPFD), using published and unpublished data that have been collected during midgrowing season for carbon balance studies at seven peatlands in North America and Europe. NEE measurements included both eddy-correlation tower and clear, static chamber methods, which gave very similar results. Data were analyzed by site, as aggregated data set for all peatland type (bog, poor fen, rich fen, and all fens) and as a single aggregated data set for all peatlands. In all cases, a fit with a rectangular hyperbola (NEE = PPFD P max (PPFD + PMAX) + R) better described the NEE-PPFD relationships ,while bogs had lower respiration rates (R = -2.0 umol m-2 s-1 for bogs and -2.7 umol m-2 s-1 for fens) and lower NEE at moderate and high light levels (Pmax = 5.2 umol m-2 s-1) than the upland exosystems (closed canopy forest, grassland, and cropland) summarized by Ruimy et al. [1995]. Despite this low productivity, northern peatland soil carbon pools are generally 5-50 times larger than upland ecosystems because of slow rates of decomposition caused by litter quality and anaerobic, cold soils

    First upper limits from LIGO on gravitational wave bursts

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    We report on a search for gravitational wave bursts using data from the first science run of the LIGO detectors. Our search focuses on bursts with durations ranging from 4 ms to 100 ms, and with significant power in the LIGO sensitivity band of 150 to 3000 Hz. We bound the rate for such detected bursts at less than 1.6 events per day at 90% confidence level. This result is interpreted in terms of the detection efficiency for ad hoc waveforms (Gaussians and sine-Gaussians) as a function of their root-sum-square strain h_{rss}; typical sensitivities lie in the range h_{rss} ~ 10^{-19} - 10^{-17} strain/rtHz, depending on waveform. We discuss improvements in the search method that will be applied to future science data from LIGO and other gravitational wave detectors.Comment: 21 pages, 15 figures, accepted by Phys Rev D. Fixed a few small typos and updated a few reference

    GW190814: gravitational waves from the coalescence of a 23 solar mass black hole with a 2.6 solar mass compact object

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    We report the observation of a compact binary coalescence involving a 22.2–24.3 Me black hole and a compact object with a mass of 2.50–2.67 Me (all measurements quoted at the 90% credible level). The gravitational-wave signal, GW190814, was observed during LIGO’s and Virgo’s third observing run on 2019 August 14 at 21:10:39 UTC and has a signal-to-noise ratio of 25 in the three-detector network. The source was localized to 18.5 deg2 at a distance of - + 241 45 41 Mpc; no electromagnetic counterpart has been confirmed to date. The source has the most unequal mass ratio yet measured with gravitational waves, - + 0.112 0.009 0.008, and its secondary component is either the lightest black hole or the heaviest neutron star ever discovered in a double compact-object system. The dimensionless spin of the primary black hole is tightly constrained to �0.07. Tests of general relativity reveal no measurable deviations from the theory, and its prediction of higher-multipole emission is confirmed at high confidence. We estimate a merger rate density of 1–23 Gpc−3 yr−1 for the new class of binary coalescence sources that GW190814 represents. Astrophysical models predict that binaries with mass ratios similar to this event can form through several channels, but are unlikely to have formed in globular clusters. However, the combination of mass ratio, component masses, and the inferred merger rate for this event challenges all current models of the formation and mass distribution of compact-object binaries

    Relationship between ecosystem productivity and photosynthetically active radiation for northern peatlands

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    We analyzed the relationship between new ecosystem exchange of carbon dioxide (NEE) and irradiance (as photosynthetic photon flux density of PPFD), using published and unpublished data that have been collected during midgrowing season for carbon balance studies at seven peatlands in North America and Europe. NEE measurements included both eddy-correlation tower and clear, static chamber methods, which gave very similar results. Data were analyzed by site, as aggregated data set for all peatland type (bog, poor fen, rich fen, and all fens) and as a single aggregated data set for all peatlands. In all cases, a fit with a rectangular hyperbola (NEE = PPFD P max (PPFD + PMAX) + R) better described the NEE-PPFD relationships ,while bogs had lower respiration rates (R = -2.0 umol m-2 s-1 for bogs and -2.7 umol m-2 s-1 for fens) and lower NEE at moderate and high light levels (Pmax = 5.2 umol m-2 s-1) than the upland exosystems (closed canopy forest, grassland, and cropland) summarized by Ruimy et al. [1995]. Despite this low productivity, northern peatland soil carbon pools are generally 5-50 times larger than upland ecosystems because of slow rates of decomposition caused by litter quality and anaerobic, cold soils

    Local assessments of marine mammals in cross-cultural environments

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    Biodiversity assessments by research scientists are often logistically difficult and expensive to implement in remote areas. Locally-based approaches have the potential to overcome some of these challenges by capitalising on the knowledge and capacity of local people. Many Indigenous people in northern Australia are custodians of coastal areas that support globally significant populations of tropical marine mammals, including coastal dolphins and dugongs. The objective of our study was to design and implement a locally based approach in a cross-cultural environment to assess the distribution of marine mammals in the remote waters of the Gulf of Carpentaria, Northern Territory. The study was conducted as a partnership between Yanyuwa Aboriginal families, research scientists, government officers and the li-anthawirriyarra Sea Rangers. We conducted a series of participatory mapping workshops to share and record local observations of dolphins and dugongs. These observations provided the longitudinal information required to inform the design of the first dedicated marine mammal vessel survey in the Gulf of Carpentaria. The vessel surveys found three species of dolphins present in the area (Australian snubfin, humpback and bottlenose dolphins), even though sightings were low; dugongs being much more common. We found that the integrative and locally-based approach built the capacity of both the li-Anthawirriyarra Sea Rangers and research scientists to assess the distribution of marine mammals. If replicated over longer time-frames and coordinated over broader spatial scales, information on distribution and abundance derived from locally-based approaches has the potential to inform the status of marine mammals

    Agricultural biosecurity

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    The prevention and control of new pest and disease introductions is an agricultural challenge which is attracting growing public interest. This interest is in part driven by an impression that the threat is increasing, but there has been little analysis of the changing rates of biosecurity threat, and existing evidence is equivocal. Traditional biosecurity systems for animals and plants differ substantially but are beginning to converge. Bio-economic modelling of risk will be a valuable tool in guiding the allocation of limited resources for biosecurity. The future of prevention and management systems will be strongly influenced by new technology and the growing role of the private sector. Overall, today's biosecurity systems are challenged by changing national priorities regarding trade, by new concerns about environmental effects of biological invasions and by the question ‘who pays?’. Tomorrow's systems may need to be quite different to be effective. We suggest three changes: an integration of plant and animal biosecurity around a common, proactive, risk-based approach; a greater focus on international cooperation to deal with threats at source; and a commitment to refocus biosecurity on building resilience to invasion into agroecosystems rather than building walls around them
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