Assimilative real-time models of HF absorption at high latitudes

Improved real-time HF communications frequency management is required for aircraft on trans-polar routes. Polar cap absorption (PCA) models have therefore been adapted to assimilate real-time measurements of zenithal cosmic radio noise absorption (~ 30 MHz) from a large network of online riometers in Canada and Finland. Two types of PCA model have been developed and improvements to model accuracy following optimisation are quantified. Real-time optimisation is performed by age-weighting riometer measurements in a non-linear regression. This reduces root-mean-square errors (RMSE) from 2-3 dB to less than 1 dB and mean errors to within ±0.2 dB over a wide latitude range. This paper extends previous work by further optimising the models’ dependences on solar-zenith angle to account for differences in the ionospheric response at sunrise and sunset (the Twilight Anomaly). Two models of the rigidity cutoff latitudes are compared and one is optimised in real time by regression to riometer measurements. Whilst measurements from the NASA POES satellites may provide a direct measurement of the rigidity cut-off, it is observed that proton flux measurements from POES often need correcting for relativistic electron contamination for several hours at the start of a PCA event. An optimised real-time absorption model will be integrated into HF ray-tracing propagation predictions relating to measurements of HF signal strengths on a network of HF transmitters and receivers in the high northern latitudes

Clinicans' perceptions of the quality of outsourced radiology and actions taken around perceived imaging errors in practice

Objectives: Outsourcing of radiological reporting services has fundamentally altered communication between radiologists and clinicians in clinical decision making, which relies heavily on diagnostic imaging. The aim of this study was to understand clinicians’ perspectives and experiences of interpretation of outsourced reports in clinical practice, if the author of imaging reports matters to clinicians, and actions taken to deal with perceived errors. Methods A printed survey was distributed to a purposive sample of 50 of the 250 senior medical and surgical staff of a large National Health Service hospital in the United Kingdom who regularly engaged with the Radiology Department between May – October 2017, representing 20% of this hospital workforce. The survey consisted of 10 questions examining clinicians’ opinions on radiology reporting, with comment options to encourage respondents to give further detail. Participants were requested to return the survey to the study investigators. Results: The survey elicited a 100% response rate (n=50). A constant comparative framework was used to guide analysis, revealing themes relevant to the ongoing inter-professional relationship between clinicians and radiologists. The disparity between in-house and externally sourced radiology reports and underlying issues of trust surrounding outsourced reports were the most significant themes identified. Conclusions: This study found outsourcing of radiology reporting needs multi-disciplinary team availability regarding the interpretation and discussions around capacity for effective communication. It raises important issues around often under-acknowledged additional workloads imposed on in-house radiologists. There are financial and pragmatic clinical aspects in pathways of radiology practice which require further research and examination

Progress towards a propagation prediction service for HF communications with aircraft on trans-polar routes

Commercial airlines began operations over polar routes in 1999 with a small number of proving flights. By 2014 the number had increased to in excess of 12,000 flights per year, and further increases are expected. For safe operations, the aircraft have to be able to communicate with air traffic control centres at all times. This is achieved by VHF links whilst within range of the widespread network of ground stations, and is by HF radio in remote areas such as the Polar regions, the North Atlantic and Pacific where VHF ground infrastructure does not exist. Furthermore, the Russian side of the pole only has HF capability. Researchers at the University of Leicester and at Lancaster University have developed various models (outlined below) that can be employed in HF radio propagation predictions. It is anticipated that these models will form the basis of an HF forecasting and nowcasting service for the airline industry. Propagation coverage predictions make use of numerical ray tracing to estimate the ray paths through a model ionosphere. Initially, a background ionospheric model is produced, which is then perturbed to include the various ionospheric features prevalent at high latitudes (in particular patches, arcs, auroral zone irregularities and the mid-latitude trough) that significantly affect the propagation of the radio signals. The approach that we are currently adopting is to start with the IRI and to perturb this based on measurements made near to the time and area of interest to form the basis of the background ionospheric model. This is then further perturbed to include features such as the convecting patches, the parameters of which may also be informed by measurements. A significant problem is the high variability of the high latitude ionosphere, and the relative scarcity of real-time measurements over the region. Real time measurements that we will use as the basis for perturbing the IRI include ionosonde soundings from, e.g. the GIRO database, and TEC measurements from the IGS network. Real-time modelling of HF radiowave absorption in the D-region ionosphere is also included. The geostationary GOES satellites provide real-time information on X-ray flux (causing shortwave fadeout during solar flares) and the flux of precipitating energetic protons which correlates strongly with Polar Cap Absorption (PCA). Real-time solar wind and interplanetary magnetic field measurements from the ACE or DSCOVR spacecraft provide geomagnetic index estimates used to model the location of both auroral absorption (on a probabilistic basis) and the proton rigidity cutoff boundary that defines the latitudinal extent of PCA during solar proton events (SPE). Empirical climatological models have been uniquely adapted to assimilate recent measurements of cosmic noise absorption (at 30 MHz) from a large array of riometers in Canada and Scandinavia. The model parameters are continuously optimised and updated to account for regional and temporal variations in ionospheric composition (and hence HF absorption rate (dB/km)) that can change significantly during the course of an SPE, for example. Real-time optimisation during SPE can also improve estimates of the proton rigidity cutoff and improve the modelled ionospheric response function absorption vs. zenith angle) at twilight

Predictions and observations of HF radio propagation in the northerly ionosphere:the effect of the solar flares and a weak CME in early January 2014

We have previously reported on a significant new multi-national project to provide improved predictions and forecasts of HF radio propagation for commercial aircraft operating on trans-polar routes. In these regions, there are limited or no VHF air-traffic control facilities and geostationary satellites are below the horizon. Therefore HF radio remains important in maintaining communications with the aircraft at all times. Space weather disturbances can have a range of effects on the ionosphere and hence HF radio propagation - particularly in the polar cap. While severe space weather effects can lead to a total loss of communications (i.e. radio blackout), less intense events can still cause significant disruption. In this paper we will present the effect of a series of M and X class solar flares and a relatively weak CME on HF radio performance from 6 to 13 January 2014. This is an interesting interval from the point of view of HF radio propagation because while the solar effects on the ionosphere are significant, except for an interval of approximately 12 hours duration, they are not so intense as to produce a complete radio blackout on all paths. Observations of the signal-to-noise ratio, direction of arrival, and time of flight of HF radio signals on six paths (one entirely within the polar cap, three trans-auroral, and two sub-auroral) will be presented together with riometer measurements of the ionospheric absorption. Global maps of D-region absorption (D-region absorption prediction, DRAP) inferred from satellite measurements of the solar wind parameters will be compared with the HF and riometer observations. In addition, a ray-tracing model using a realistic background ionosphere and including localised features found in the ionospheric polar cap (e.g. polar patches and arcs) will be used to model the expected and observed HF radio propagation characteristics

Synthesis, photophysics and molecular structures of luminescent 2,5-bis(phenylethynyl)thiophenes (BPETs)

International audienceThe Sonogashira cross-coupling of two equivalents of para-substituted ethynylbenzenes with 2,5-diiodothiophene provides a simple synthetic route for the preparation of 2,5-bis(para-R-phenylethynyl)thiophenes (R = H, Me, OMe, CF3, NMe2, NO2, CN and CO2Me) (1a-h). Likewise, 2,5-bis(pentafluorophenylethynyl)thiophene (2) was prepared by the coupling of 2,5-diiodothiophene with pentafluorophenylacetylene. All compounds were characterised by NMR, IR, Raman and mass spectroscopy, elemental analysis, and their absorption and emission spectra, quantum yields and lifetimes were also measured. The spectroscopic studies of 1a-h and 2 show that both electron donating and electron withdrawing para-subsituents on the phenyl rings shift the absorption and emission maxima to lower energies, but that acceptors are more efficient in this regard. The short singlet lifetimes and modest fluorescence quantum yields (ca. 0.2-0.3) observed are characteristic of rapid intersystem crossing. The single-crystal structures of 2,5-bis(phenylethynyl)thiophene, 2,5-bis(para-carbomethoxyphenylethynyl)thiophene, 2,5-bis(para-methylphenylethynyl)thiophene and 2,5-bis(pentafluorophenylethynyl)thiophene were determined by X-ray diffraction at 120 K. DFT calculations show that the all-planar form of the compounds is the lowest in energy, although rotation of the phenyl groups about the C[triple bond, length as m-dash]C bond is facile and TD-DFT calculations suggest that, similar to 1,4-bis(phenylethynyl)benzene analogues, the absorption spectra in solution arise from a variety of rotational conformations. Frequency calculations confirm the assignments of the compounds' IR and Raman spectra

Pressure and pain In Systemic sclerosis/Scleroderma - an evaluation of a simple intervention (PISCES): randomised controlled trial protocol

Background: foot problems associated with Systemic Sclerosis (SSc)/Scleroderma have been reported to be both common and disabling. There are only limited data describing specifically, the mechanical changes occurring in the foot in SSc. A pilot project conducted in preparation for this trial confirmed the previous reports of foot related impairment and reduced foot function in people with SSc and demonstrated a link to mechanical etiologies. To-date there have been no formal studies of interventions directed at the foot problems experienced by people with Systemic Sclerosis. The primary aim of this trial is to evaluate whether foot pain and foot-related health status in people with Systemic Sclerosis can be improved through the provision of a simple pressure-relieving insole. Methods: the proposed trial is a pragmatic, multicenter, randomised controlled clinical trial following a completed pilot study. In four participating centres, 140 consenting patients with SSc and plantar foot pain will be randomised to receive either a commercially available pressure relieving and thermally insulating insole, or a sham insole with no cushioning or thermal properties. The primary end point is a reduction in pain measured using the Foot Function Index Pain subscale, 12 weeks after the start of intervention. Participants will complete the primary outcome measure (Foot Function Index pain sub-scale) prior to randomisation and at 12 weeks post randomisation. Secondary outcomes include participant reported pain and disability as derived from the Manchester Foot Pain and Disability Questionnaire and plantar pressures with and without the insoles in situ. Discussion: this trial protocol proposes a rigorous and potentially significant evaluation of a simple and readily provided therapeutic approach which, if effective, could be of a great benefit for this group of patients

Capturing sequence diversity in metagenomes with comprehensive and scalable probe design.

Metagenomic sequencing has the potential to transform microbial detection and characterization, but new tools are needed to improve its sensitivity. Here we present CATCH, a computational method to enhance nucleic acid capture for enrichment of diverse microbial taxa. CATCH designs optimal probe sets, with a specified number of oligonucleotides, that achieve full coverage of, and scale well with, known sequence diversity. We focus on applying CATCH to capture viral genomes in complex metagenomic samples. We design, synthesize, and validate multiple probe sets, including one that targets the whole genomes of the 356 viral species known to infect humans. Capture with these probe sets enriches unique viral content on average 18-fold, allowing us to assemble genomes that could not be recovered without enrichment, and accurately preserves within-sample diversity. We also use these probe sets to recover genomes from the 2018 Lassa fever outbreak in Nigeria and to improve detection of uncharacterized viral infections in human and mosquito samples. The results demonstrate that CATCH enables more sensitive and cost-effective metagenomic sequencing

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome