Consistency in statistical moments as a test for bubble cloud clustering

Frequency dependent measurements of attenuation and/or sound speed through clouds of gas bubbles in liquids are often inverted to find the bubble size distribution and the void fraction of gas. The inversions are often done using an effective medium theory as a forward model under the assumption that the bubble positions are Poisson distributed (i.e., statistically independent). Under circumstances in which single scattering does not adequately describe the pressure field, the assumption of independence in position can yield large errors when clustering is present, leading to errors in the inverted bubble size distribution. It is difficult, however, to determine the existence of clustering in bubble clouds without the use of specialized acoustic or optical imaging equipment. A method is described here in which the existence of bubble clustering can be identified by examining the consistency between the first two statistical moments of multiple frequency acoustic measurements

An Estimate of the Gas Transfer Rate from Oceanic Bubbles Derived from Multibeam Sonar Observations of a Ship Wake

Measurements of gas transfer rates from bubbles have been made in the laboratory, but these are difficult to extrapolate to oceanic bubbles where populations of surfactants and particulate matter that inhibit gas transfer are different. Measurements at sea are complicated by unknown bubble creation rates that make it difficult to uniquely identify and observe the evolution of individual bubble clouds. One method that eliminates these difficulties is to measure bubbles in a ship wake where bubble creation at any given location is confined to the duration of the passing ship. This method assumes that the mechanisms slowing the gas dissolution of naturally created bubbles act in a similar manner to slow the dissolution of bubbles in a ship wake. A measurement of the gas transfer rate for oceanic bubbles using this method is reported here. A high-frequency upward-looking multibeam echosounder was used to measure the spatial distribution of bubbles in the wake of a twin screw 61-m research vessel. Hydrodynamic forcing functions are extracted from the multibeam data and used in a bubble cloud evolution model in which the gas transfer rate is treated as a free parameter. The output of model runs corresponding to different gas transfer rates is compared to the time-dependent wake depth observed in the data. Results indicating agreement between the model and the data show that the gas transfer rate must be approximately 15 times less then it would be for surfactant-free bubbles in order to explain the bubble persistence in the wake

Scattering statistics of rock outcrops: Model-data comparisons and Bayesian inference using mixture distributions

The probability density function of the acoustic field amplitude scattered by the seafloor was measured in a rocky environment off the coast of Norway using a synthetic aperture sonar system, and is reported here in terms of the probability of false alarm. Interpretation of the measurements focused on finding appropriate class of statistical models (single versus two-component mixture models), and on appropriate models within these two classes. It was found that two-component mixture models performed better than single models. The two mixture models that performed the best (and had a basis in the physics of scattering) were a mixture between two K distributions, and a mixture between a Rayleigh and generalized Pareto distribution. Bayes' theorem was used to estimate the probability density function of the mixture model parameters. It was found that the K-K mixture exhibits significant correlation between its parameters. The mixture between the Rayleigh and generalized Pareto distributions also had significant parameter correlation, but also contained multiple modes. We conclude that the mixture between two K distributions is the most applicable to this dataset.Comment: 15 pages, 7 figures, Accepted to the Journal of the Acoustical Society of Americ

Resolution dependence of rough surface scattering using a power law roughness spectrum

Contemporary high-resolution sonar systems use broadband pulses and long arrays to achieve high resolution. It is important to understand effects that high-resolution sonar systems might have on quantitative measures of the scattered field due to the seafloor. A quantity called the broadband scattering cross section is defined, appropriate for high-resolution measurements. The dependence of the broadband scattering cross section, $\sigma_{bb}$ and the scintillation index, $SI$ on resolution was investigated for one-dimensional rough surfaces with power-law spectra and backscattering geometries. Using integral equations and Fourier synthesis, no resolution dependence of $\sigma_{bb}$ was found. The incoherently-averaged frequency-domain scattering cross section has negligible bandwidth dependence. $SI$ increases as resolution increases, grazing angle decreases, and spectral strength increases. This trend is confirmed for center frequencies of 100 kHz and 10 kHz, as well as for power-law spectral exponents of 1.5, 2, and 2.5. The hypothesis that local tilting at the scale of the acoustic resolution is responsible for intensity fluctuations was examined using a representative model for the effect of slopes (inspired by the composite roughness approximation). It was found that slopes are responsible in part for the fluctuations, but other effects, such as multiple scattering and shadowing may also play a role.Comment: 22 pages, 10 figures, preprint version of paper published in the Journal of the Acoustical Society of America, at \url{https://doi.org/10.1121/10.0002974

A response-surface approach into the interactive effects of multiple stressors reveals new insights into complex responses

Understanding the difficult to predict interactive effects of anthropogenic stressors is recognized as one of the major challenges facing environmental scientists and ecosystem managers. Despite burgeoning research, predicting stressor interactions is still difficult, in part because the same two stressors can interact, or not, depending on their intensities. While laboratory experiments have provided useful insights about how organisms respond to serial doses of single stressors, we lack ‘response-surface’ field experiments in which naturally occurring assemblages are exposed to multiple types and concentrations of stressors. Here we used a field-based dosing system combined with a ‘response-surface’ design to test the individual and combined effects of two stressors (copper and chlorpyrifos) at five concentrations of each, for a total of 25 replicated treatments (n=4). After six weeks of dosing, chemical uptake and impacts at several levels of biological organization in mussel assemblages were measured. Stressor combinations produced interactive effects that would not have been revealed without using this replicated ‘response-surface approach’. Results show that non-additive effects of multiple stressors may be more complex and more common than previously thought. Additionally, our findings suggest that interactive effects of multiple stressors vary across levels of organization which has implications for monitoring and managing the chemical, biological and ecological impacts of priority pollutants in the real world

Social Connection, Relationships and Older Lesbian and Gay People

This paper presents data from a small study exploring the impacts of homophobia on the lives of older lesbian and gay Australians. Eleven in-depth interviews were conducted with older lesbians (6) and gay men (5) ranging in age from 65 to 79 years. The study found that participants’ sense of self was shaped by the dominant medical, legal and religious institutions of their youth that defined them as sick, immoral or criminal. Participants described enforced “cure” therapies, being imprisoned, having employment terminated and being disowned and disinherited by family. In this context, intimate relationships and social networks provided refuge where trust was rebuilt and sexuality affirmed. Many created safe spaces for themselves. This equilibrium was threatened with increasing age, disability and the reliance on health and social services. Participants feared a return to institutional control and a need to “straighten up” or hide their sexuality. In response, partners stepped into the role of caregiver, at times beyond their capacity and at a cost to their relationship. The study describes the importance of understanding social connections in the lives of older lesbians and gay men. It highlights the need for inclusive services to ensure that social networks are supported and that health and well-being are promoted

Support and Assessment for Fall Emergency Referrals (SAFER) 2: a cluster randomised trial and systematic review of clinical effectiveness and cost-effectiveness of new protocols for emergency ambulance paramedics to assess older people following a fall with referral to community-based care when appropriate.

BACKGROUND: Emergency calls are frequently made to ambulance services for older people who have fallen, but ambulance crews often leave patients at the scene without any ongoing care. We evaluated a new clinical protocol which allowed paramedics to assess older people who had fallen and, if appropriate, refer them to community-based falls services. OBJECTIVES: To compare outcomes, processes and costs of care between intervention and control groups; and to understand factors which facilitate or hinder use. DESIGN: Cluster randomised controlled trial. PARTICIPANTS: Participating paramedics at three ambulance services in England and Wales were based at stations randomised to intervention or control arms. Participants were aged 65 years and over, attended by a study paramedic for a fall-related emergency service call, and resident in the trial catchment areas. INTERVENTIONS: Intervention paramedics received a clinical protocol with referral pathway, training and support to change practice. Control paramedics continued practice as normal. OUTCOMES: The primary outcome comprised subsequent emergency health-care contacts (emergency admissions, emergency department attendances, emergency service calls) or death at 1 month and 6 months. Secondary outcomes included pathway of care, ambulance service operational indicators, self-reported outcomes and costs of care. Those assessing outcomes remained blinded to group allocation. RESULTS: Across sites, 3073 eligible patients attended by 105 paramedics from 14 ambulance stations were randomly allocated to the intervention group, and 2841 eligible patients attended by 110 paramedics from 11 stations were randomly allocated to the control group. After excluding dissenting and unmatched patients, 2391 intervention group patients and 2264 control group patients were included in primary outcome analyses. We did not find an effect on our overall primary outcome at 1 month or 6 months. However, further emergency service calls were reduced at both 1 month and 6 months; a smaller proportion of patients had made further emergency service calls at 1 month (18.5% vs. 21.8%) and the rate per patient-day at risk at 6 months was lower in the intervention group (0.013 vs. 0.017). Rate of conveyance to emergency department at index incident was similar between groups. Eight per cent of trial eligible patients in the intervention arm were referred to falls services by attending paramedics, compared with 1% in the control arm. The proportion of patients left at scene without further care was lower in the intervention group than in the control group (22.6% vs. 30.3%). We found no differences in duration of episode of care or job cycle. No adverse events were reported. Mean cost of the intervention was £17.30 per patient. There were no significant differences in mean resource utilisation, utilities at 1 month or 6 months or quality-adjusted life-years. In total, 58 patients, 25 paramedics and 31 stakeholders participated in focus groups or interviews. Patients were very satisfied with assessments carried out by paramedics. Paramedics reported that the intervention had increased their confidence to leave patients at home, but barriers to referral included patients' social situations and autonomy. CONCLUSIONS: Findings indicate that this new pathway may be introduced by ambulance services at modest cost, without risk of harm and with some reductions in further emergency calls. However, we did not find evidence of improved health outcomes or reductions in overall NHS emergency workload. Further research is necessary to understand issues in implementation, the costs and benefits of e-trials and the performance of the modified Falls Efficacy Scale. TRIAL REGISTRATION: Current Controlled Trials ISRCTN60481756 and PROSPERO CRD42013006418. FUNDING: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 21, No. 13. See the NIHR Journals Library website for further project information

International meta-analysis of PTSD genome-wide association studies identifies sex- and ancestry-specific genetic risk loci.

The risk of posttraumatic stress disorder (PTSD) following trauma is heritable, but robust common variants have yet to be identified. In a multi-ethnic cohort including over 30,000 PTSD cases and 170,000 controls we conduct a genome-wide association study of PTSD. We demonstrate SNP-based heritability estimates of 5-20%, varying by sex. Three genome-wide significant loci are identified, 2 in European and 1 in African-ancestry analyses. Analyses stratified by sex implicate 3 additional loci in men. Along with other novel genes and non-coding RNAs, a Parkinson's disease gene involved in dopamine regulation, PARK2, is associated with PTSD. Finally, we demonstrate that polygenic risk for PTSD is significantly predictive of re-experiencing symptoms in the Million Veteran Program dataset, although specific loci did not replicate. These results demonstrate the role of genetic variation in the biology of risk for PTSD and highlight the necessity of conducting sex-stratified analyses and expanding GWAS beyond European ancestry populations