Informed citizen and empowered citizen in health: results from an European survey

Background: The knowledge about the relationship between health-related activities on the Internet (i.e. informed citizens) and individuals? control over their own experiences of health or illness (i.e. empowered citizens) is valuable but scarce. In this paper, we investigate the correlation between four ways of using the Internet for information on health or illness and citizens attitudes and behaviours toward health professionals and health systems and establish the profile of empowered eHealth citizens in Europe. Methods: Data was collected during April and May 2007 (N = 7022), through computer-assisted telephone interviews (CATI). Respondents from Denmark, Germany, Greece, Latvia, Norway, Poland and Portugal participated in the survey. The profiles were generated using logistic regressions and are based on: a) socio-demographic and health information, b) the level of use of health-related online services, c) the level of use of the Internet to get health information to decide whether to consult a health professional, prepare for a medical appointment and assess its outcome, and d) the impact of online health information on citizens? attitudes and behavior towards health professionals and health systems. Results: Citizens using the Internet to decide whether to consult a health professional or to get a second opinion are likely to be frequent visitors of health sites, active participants of online health forums and recurrent buyers of medicines and other health related products online, while only infrequent epatients, visiting doctors they have never met face-to-face. Participation in online health communities seems to be related with more inquisitive and autonomous patients. Conclusions: The profiles of empowered eHealth citizens in Europe are situational and country dependent. The number of Europeans using the Internet to get health information to help them deal with a consultation is raising and having access to online health information seems to be associated with growing number of inquisitive and self-reliant patients. Doctors are increasingly likely to experience consultations with knowledgeable and empowered patients, who will challenge them in various ways

Wetland mapping from digitized aerial photography

Computer assisted interpretation of small scale aerial imagery was found to be a cost effective and accurate method of mapping complex vegetation patterns if high resolution information is desired. This type of technique is suited for problems such as monitoring changes in species composition due to environmental factors and is a feasible method of monitoring and mapping large areas of wetlands. The technique has the added advantage of being in a computer compatible form which can be transformed into any georeference system of interest

Counterexamples to the discrete and continuous weighted Weiss conjectures

Counterexamples are presented to weighted forms of the Weiss conjecture in discrete and continuous time. In particular, for certain ranges of $\alpha$, operators are constructed that satisfy a given resolvent estimate, but fail to be $\alpha$-admissible. For $\alpha \in (-1,0)$ the operators constructed are normal, while for $\alpha \in (0,1)$ the operator is the unilateral shift on the Hardy space $H^2(\mathbb{D})$.Comment: 16 page

Analysis of Small Water Management Structures in Irrigation Distribution Systems

The Irrigation and Drainage Research Conference conducted at Utah State University (ASCE, 1964) delineated many of the research needs regarding “Small Low- Cost Hydraulic Structures for Conveyance and Distribution Systems,” which was one of the six topics considered at the conference. In discussing possibilities for accomplishing the recommended research, it was suggested by some panel members that a considerable portion of the work could be undertaken by graduate students, particularly at the Master of Science level. The intent of this report has been to sort through the large volume of literature in an attempt to define the specific research needs regarding small water management structure used in irrigation distribution systems. In particular, the emphasis has been to develop specific research topics which could be accomplished as a thesis by a graduate student at the Master of Science level

Fine-scale hydrodynamics influence the spatio-temporal distribution of harbour porpoises at a coastal hotspot

The coastal Runnelstone Reef, off southwest Cornwall (UK), is characterised by complex topography and strong tidal flows and is a known high-density site for harbour porpoise (. Phocoena phocoena); a European protected species. Using a multidisciplinary dataset including: porpoise sightings from a multi-year land-based survey, Acoustic Doppler Current Profiling (ADCP), vertical profiling of water properties and high-resolution bathymetry; we investigate how interactions between tidal flow and topography drive the fine-scale porpoise spatio-temporal distribution at the site. Porpoise sightings were distributed non-uniformly within the survey area with highest sighting density recorded in areas with steep slopes and moderate depths. Greater numbers of sightings were recorded during strong westward (ebbing) tidal flows compared to strong eastward (flooding) flows and slack water periods. ADCP and Conductivity Temperature Depth (CTD) data identified fine-scale hydrodynamic features, associated with cross-reef tidal flows in the sections of the survey area with the highest recorded densities of porpoises. We observed layered, vertically sheared flows that were susceptible to the generation of turbulence by shear instability. Additionally, the intense, oscillatory near surface currents led to hydraulically controlled flow that transitioned from subcritical to supercritical conditions; indicating that highly turbulent and energetic hydraulic jumps were generated along the eastern and western slopes of the reef. The depression and release of isopycnals in the lee of the reef during cross-reef flows revealed that the flow released lee waves during upslope currents at specific phases of the tidal cycle when the highest sighting rates were recorded. The results of this unique, fine-scale field study provide new insights into specific hydrodynamic features, produced through tidal forcing, that may be important for creating predictable foraging opportunities for porpoises at a local scale. Information on the functional mechanisms linking porpoise distribution to static and dynamic physical habitat variables is extremely valuable to the monitoring and management of the species within the context of European conservation policies and marine renewable energy infrastructure development

Expansion of W 3(OH)

A direct measurement of the expansion of W 3(OH) is made by comparing Very Large Array images taken about 10 yr apart. The expansion is anisotropic with a typical speed of 3 to 5 km/s, indicating a dynamical age of only 2300 yr. These observations are inconsistent with either the freely expanding shell model or a simple bow shock model. The most favored model is a slowly expanding shell-like HII region, with either a fast rarefied flow or another less massive diffuse ionized region moving towards the observer. There is also a rapidly evolving source near the projected center of emission, perhaps related to the central star.Comment: LaTeX file, 28 pages, includes 8 figures. To appear in ApJ in December 10 (1998) issue. Also available at http://www.submm.caltech.edu/~kawamura/w3oh_pp.p