A concept for reducing oceanic separation minima through the use of a TCAS-derived CDTI

A concept for using a cockpit display of traffic information (CDTI), as derived from a modified version of the Traffic Alert and Collision Avoidance System 2 (TCAS 2), to support reductions in air traffic separation minima for an oceanic track system is presented. The concept, and the TCAS modifications required to support it, are described. The feasibility of the concept is examined from a number of standpoints, including expected benefits, maximum alert rates, and possible transition strategies. Various implementation issues are analyzed. Pilot procedures are suggested for dealing with alert situations. Possible variations of the concept are also examined. Finally, recommendations are presented for other studies and simulation experiments which can be used to further verify the feasibility of the concept

Primary Care Physicians' Experience with Electronic Medical Records: Barriers to Implementation in a Fee-for-Service Environment

Our aging population has exacerbated strong and divergent trends between health human resource supply and demand. One way to mitigate future inequities is through the adoption of health information technology (HIT). Our previous research showed a number of risks and mitigating factors which affected HIT implementation success. We confirmed these findings through semistructured interviews with nine Alberta clinics. Sociotechnical factors significantly affected physicians' implementation success. Physicians reported that the time constraints limited their willingness to investigate, procure, and implement an EMR. The combination of antiquated exam room design, complex HIT user interfaces, insufficient physician computer skills, and the urgency in patient encounters precipitated by a fee-for-service remuneration model and long waitlists compromised the quantity, if not the quality, of the information exchange. Alternative remuneration and access to services plans might be considered to drive prudent behavior during physician office system implementation

Investigation to relate the chlorophyll and suspended sediment content in the waters of the lower Chesapeake Bay to ERTS-1 imagery

There are no author-identified significant results in this report

Correlation of ERTS multispectral imagery with suspended matter and chlorophyll in lower Chesapeake Bay

The feasibility of using multispectral satellite imagery to monitor the characteristics of estuarine waters is being investigated. Preliminary comparisons of MSS imagery with suspended matter concentrations, particle counts, chlorophyll, transmittance and bathymetry have been made. Some visual correlation of radiance with particulates and chlorophyll has been established. Effects of bathymetry are present, and their relation to transmittance and radiance is being investigated. Greatest detail in suspended matter is revealed by MSS band 5. Near-surface suspended sediment load and chlorophyll can be observed in bands 6 and 7. Images received to date have partially defined extent and location of high suspensate concentrations. Net quantity of suspended matter in the lower Bay has been decreasing since the inception of the study, and represents the diminution of turbid flood waters carried into the Bay in late September, 1972. The results so far point to the utility of MSS imagery in monitoring estuarine water character for the assessment of siltation, productivity, and water types

Quality of Life of Zambians Living with HIV & AIDS

Introduction: The HIV/AIDS disease has changed individual lifestyles and quality of life, as the HIV disease progresses, quality of life deteriorates. It is vital that the quality of life of PLWHA is assessed regularly so that they are given holistic care that is able to ameliorate the symptoms of ill health and improve their quality of life.Purpose: The purpose of this study was to determine the quality of life of Zambians living with HIV/AIDSMethod: The study used a cross-sectional descriptive design. This study was conducted in both rural and urban antiretroviral clinics in Zambia on 160 PLWHAof various HIV ranging from asymptomatic to full blown AIDS. Three scales, “Zambian WHOQOL-HIV Scale” (á = .896); “Zambian WHOHIV SRPB Scale” (á = .699); “Zambian WHOHIV medication dependence Scale” (á = .801); derived from the WHOQOL-HIV were used to assess quality of life.Results: A third of the participants reported very high medication dependence (32.5%). Two thirds of the participants (66%) had good or very good spirituality. Majority of the participants (82.2%) had good or very good quality of life. The results show that the quality of life, medication dependence and spirituality for the Zambian sample were all above average. Quality of life had significant positive relationships with all of its domains and a significant positive relationship with spirituality.Conclusion: Because little investigation has been done on quality of life in HIV/AIDS in developing countries such as Zambia, the current study is a vital step in addressing the issue of quality of life. The finding that quality of life of Zambian people living with HIV/AIDS is above average may mean that thepreventive and health care programs that are being used for education and provision of antiretroviral medication are yielding good results, this progress should be harnessed.Keywords: Quality of Life, HIV & AIDS, Zambia

Correlation of chlorophyll, suspended matter, and related parameters of waters in the lower Chesapeake Bay area to LANDSAT-1 imagery

The author has identified the following significant results. An effort to relate water parameters of the lower Chesapeake Bay area to multispectral scanner images of LANDSAT 1 has shown that some spectral bands can be correlated to water parameters, and has demonstrated the feasibility of synoptic mapping of estuaries by satellite. Bands 5 and 6 were shown to be useful for monitoring total particles. Band 5 showed high correlation with suspended sediment concentration. Attenuation coefficients monitored continuously by ship along three baselines were cross correlated with radiance values on three days. Improved correlations resulted when tidal conditions were taken into consideration. A contouring program was developed to display sediment variation in the lower Chesapeake Bay from the MSS bands

Models for Little Rip Dark Energy

We examine in more detail specific models which yield a little rip cosmology, i.e., a universe in which the dark energy density increases without bound but the universe never reaches a finite-time singularity. We derive the conditions for the little rip in terms of the inertial force in the expanding universe and present two representative models to illustrate in more detail the difference between little rip models and those which are asymptotically de Sitter. We derive conditions on the equation of state parameter of the dark energy to distinguish between the two types of models. We show that coupling between dark matter and dark energy with a little rip equation of state can alter the evolution, changing the little rip into an asymptotic de Sitter expansion. We give conditions on minimally-coupled phantom scalar field models and on scalar-tensor models that indicate whether or not they correspond to a little rip expansion. We show that, counterintuitively, despite local instability, a little-rip cosmology has an infinite lifetime.Comment: LaTeX, 10 pages, no figure, version to appear in Phys.Lett

A study of general practitioners' perspectives on electronic medical records systems in NHS Scotland

<b>Background</b> Primary care doctors in NHSScotland have been using electronic medical records within their practices routinely for many years. The Scottish Health Executive eHealth strategy (2008-2011) has recently brought radical changes to the primary care computing landscape in Scotland: an information system (GPASS) which was provided free-of-charge by NHSScotland to a majority of GP practices has now been replaced by systems provided by two approved commercial providers. The transition to new electronic medical records had to be completed nationally across all health-boards by March 2012. <p></p><b> Methods</b> We carried out 25 in-depth semi-structured interviews with primary care doctors to elucidate GPs' perspectives on their practice information systems and collect more general information on management processes in the patient surgical pathway in NHSScotland. We undertook a thematic analysis of interviewees' responses, using Normalisation Process Theory as the underpinning conceptual framework. <p></p> <b>Results</b> The majority of GPs' interviewed considered that electronic medical records are an integral and essential element of their work during the consultation, playing a key role in facilitating integrated and continuity of care for patients and making clinical information more accessible. However, GPs expressed a number of reservations about various system functionalities - for example: in relation to usability, system navigation and information visualisation. <b>Conclusion </b>Our study highlights that while electronic information systems are perceived as having important benefits, there remains substantial scope to improve GPs' interaction and overall satisfaction with these systems. Iterative user-centred improvements combined with additional training in the use of technology would promote an increased understanding, familiarity and command of the range of functionalities of electronic medical records among primary care doctors

Optimizing Egg Recovery From Wild Northern Corn Rootworm Beetles (Coleoptera: Chrysomelidae)

The northern corn rootworm, Diabrotica barberi Smith & Lawrence (Coleoptera: Chrysomelidae), is one of the most important insect pests in the U.S. Corn Belt. Efforts to obtain eggs from wild northern corn rootworm populations using techniques developed for other rootworm species have been unsuccessful due to lack of oviposition. In 2016, we evaluated four oviposition media in choice tests within each of three female densities in 30.5 × 30.5 × 30.5 cm BugDorm cages. The number of eggs laid per female was significantly affected by female density and the interaction of female density × oviposition media, but oviposition was relatively poor in all oviposition media (1.2 eggs per female when averaging the three female densities and all oviposition media). Single females were also evaluated in nonchoice assays in 6 cm × 6 cm × 8 cm clear plastic boxes and averaged up to 108 eggs per female depending on the oviposition media. In 2017, the cumulative number of eggs laid per female in boxes with one female was not significantly different from the number of eggs laid per female in boxes with 3 females. In 2018, the cumulative number of eggs laid per female was not significantly different between female densities of 1, 3, 5, or 10 females per box. Total egg production per box therefore increased as female density increased. More than 27,000 wild northern corn rootworm eggs were collected from just 190 females when collected relatively early in the field season. We now have an efficient and robust system for obtaining eggs from wild northern corn rootworm females

How does gender influence the recognition of cardiovascular risk and adherence to self-care recommendations? : a study in polish primary care

Background: Studies have shown a correlation between gender and an ability to change lifestyle to reduce the risk of disease. However, the results of these studies are ambiguous, especially where a healthy lifestyle is concerned. Additionally, health behaviors are strongly modified by culture and the environment. Psychological factors also substantially affect engagement with disease-related lifestyle interventions. This study aimed to examine whether there are differences between men and women in the frequency of health care behavior for the purpose of reducing cardiovascular risk (CVR), as well as cognitive appraisal of this type of risk. We also aimed to identify the psychological predictors of engaging in recommended behavior for reducing the risk of cardiovascular disease after providing information about this risk in men and women. Methods: A total of 134 consecutive eligible patients in a family practice entered a longitudinal study. At initial consultation, the individual’s CVR and associated health burden was examined, and preventive measures were recommended by the physician. Self-care behavior, cognitive appraisal of risk, and coping styles were then assessed using psychological questionnaires. Six months after the initial data collection, the frequency of subjects’ self-care behavior was examined. Results: We found an increase in health care behavior after providing information regarding the rate of CVR in both sexes; this increase was greater for women than for men. Women followed self-care guidelines more often than men, particularly for preventive measures and dietary advice. Women were more inclined to recognize their CVR as a challenge. Coping style, cognitive appraisal, age, level of health behaviors at baseline and CVR values accounted for 48% of the variance in adherence to self-care guidelines in women and it was 52% in men. In women, total risk of CVD values were most important, while in men, cognitive appraisal of harm/loss was most important. Conclusions: Different predictors of acquisition of health behavior are encountered in men and women. Our results suggest that gender-adjusted motivation models influencing the recognition process need to be considered to optimize compliance in patients with CVR