402 research outputs found

    Maintaining high rates of measles immunization in Africa

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    Supplementary immunization activities (SIAs) are important in achieving high levels of population immunity to measles virus. Using data from a 2006 survey of measles vaccination in Lusaka, Zambia, we developed a model to predict measles immunity following routine vaccination and SIAs, and absent natural infection. Projected population immunity was compared between the current programme and alternatives, including supplementing routine vaccination with a second dose, or SIAs at 1-, 2-, 3-, 4- and 5-year intervals. Current routine vaccination plus frequent SIAs could maintain high levels of population immunity in children aged <5 years, even if each frequent SIA has low coverage (e.g. ≥72% for bi-annual 60% coverage SIAs vs. ≥69% for quadrennial 95% coverage SIAs). A second dose at 12 months with current coverage could achieve 81% immunity. Circulating measles virus will only increase population immunity. Public health officials should consider frequent SIAs when resources for a two-dose strategy are unavailable

    Case Study in Evaluating Time Series Prediction Models Using the Relative Mean Absolute Error

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    Statistical prediction models inform decision-making processes in many real-world settings. Prior to using predictions in practice, one must rigorously test and validate candidate models to ensure that the proposed predictions have sufficient accuracy to be used in practice. In this article, we present a framework for evaluating time series predictions, which emphasizes computational simplicity and an intuitive interpretation using the relative mean absolute error metric. For a single time series, this metric enables comparisons of candidate model predictions against naïve reference models, a method that can provide useful and standardized performance benchmarks. Additionally, in applications with multiple time series, this framework facilitates comparisons of one or more models’ predictive performance across different sets of data. We illustrate the use of this metric with a case study comparing predictions of dengue hemorrhagic fever incidence in two provinces of Thailand. This example demonstrates the utility and interpretability of the relative mean absolute error metric in practice, and underscores the practical advantages of using relative performance metrics when evaluating predictions

    Burnout among nursing home care aides and the effects on resident outcomes

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    While burnout among health care workers has been well studied, little is known about the extent to which burnout among health care workers impacts the outcomes of their care recipients. To test this, we used a multi-year (2014-2020) survey of care aides working in approximately 90 nursing homes (NHs); the survey focused on work-life measures, including the Maslach Burnout Inventory (MBI) and work-unit identifier. Resident Assessment Instrument Minimum Data Set (RAI-MDS 2.0) data were obtained on all residents in the sampled NHs during this time and included a unit identifier for each resident. We used multi-level models to test associations between the MBI emotional exhaustion and cynicism sub-scales reported by care aides and the resident outcomes of antipsychotics without indication, depressive symptoms, and responsive behaviors among residents on units. In 2019/2020, our sample included 3,547 care aides and 10,117 residents in 282 units. The mean frequency of emotional exhaustion and cynicism across units was 43% and 50%, respectively. While residents frequently experienced antipsychotics without indication 1,852 (18.3%), depressive symptoms 2,089 (20.7%), and responsive behaviors 3,891 (38.5%), none were found to be associated with either emotional exhaustion or cynicism among care aides.</p

    Custom Analog VLSI for the Advanced Composition Explorer (ACE)

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    Two custom analog VLSI chips are currently in development for scientific payloads of NASA's Advanced Composition Explorer. One chip will be fabricated in the radiation hard 1.2 um CMOS process of the United Technologies Microelectronics Center (UlMC), and will contain 16 complete discriminator/12 bit pulse-height-analysis chains for the readout of heavy ion Si strip detectors. The second chip will be fabricated by Harris Semiconductor in their dielectrically isolated bipolar VHF process. This chip will contain the active elements of a single precision pulse-height-analysis chain and several precision discriminator chains. The chips designed in this effort and the techniques employed are expected to be applicable in science payloads of future missions, especially those which place extraordinary premiums on weight, power, and/or performance

    Confirmation of a pi_1^0 Exotic Meson in the \eta \pi^0 System

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    The exclusive reaction πpηπ0n\pi^- p \to \eta \pi^0 n, ηπ+ππ0\eta \to \pi^+ \pi^- \pi^0 at 18 GeV/c/c has been studied with a partial wave analysis on a sample of 23~492 ηπ0n\eta \pi^0 n events from BNL experiment E852. A mass-dependent fit is consistent with a resonant hypothesis for the P+P_+ wave, thus providing evidence for a neutral exotic meson with JPC=1+J^{PC} = 1^{-+}, a mass of 1257±20±251257 \pm 20 \pm 25 MeV/c2/c^2, and a width of 354±64±60354 \pm 64 \pm 60 MeV/c2/c^2. New interpretations of the meson exotics in neutral ηπ0\eta \pi^0 system observed in E852 and Crystal Barrel experiments are discussed.Comment: p3, rewording the paragraph (at the bottom) about the phase variations. p4, rewording paragrath "The second method ..." . p4, at the bottom of paragrath "The third method ..." added consistent with the results of methods 1 and 2

    Exotic Meson Production in the f1(1285)πf_{1}(1285)\pi^{-} System observed in the Reaction πpηπ+ππp\pi^{-} p \to \eta\pi^{+}\pi^{-}\pi^{-} p at 18 GeV/c

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    This letter reports results from the partial wave analysis of the πππ+η\pi^{-}\pi^{-}\pi^{+}\eta final state in πp\pi^{-}p collisions at 18GeV/c. Strong evidence is observed for production of two mesons with exotic quantum numbers of spin, parity and charge conjugation, JPC=1+J^{PC} = 1^{-+} in the decay channel f1(1285)πf_{1}(1285)\pi^{-}. The mass M=1709±24±41M = 1709 \pm 24 \pm 41 MeV/c^2 and width Γ=403±80±115\Gamma = 403 \pm 80 \pm 115 MeV/c^2 of the first state are consistent with the parameters of the previously observed π1(1600)\pi_{1}(1600). The second resonance with mass M=2001±30±92M = 2001 \pm 30 \pm 92 MeV/c^2 and width Γ=333±52±49\Gamma = 333 \pm 52 \pm 49 MeV/c^2 agrees very well with predictions from theoretical models. In addition, the presence of π2(1900)\pi_{2}(1900) is confirmed with mass M=2003±88±148M = 2003 \pm 88 \pm 148 MeV/c^2 and width Γ=306±132±121\Gamma = 306 \pm 132 \pm 121 MeV/c^2 and a new state, a1(2096)a_{1}(2096), is observed with mass M=2096±17±121M = 2096 \pm 17 \pm 121 MeV/c^2 and width Γ=451±41±81\Gamma = 451 \pm 41 \pm 81 MeV/c^2. The decay properties of these last two states are consistent with flux tube model predictions for hybrid mesons with non-exotic quantum numbers

    Observation of Pseudoscalar and Axial Vector Resonances in pi- p -> K+ K- pi0 n at 18 GeV

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    A new measurement of the reaction pi- p -> K+ K- pi0 n has been made at a beam energy of 18 GeV. A partial wave analysis of the K+ K- pi0 system shows evidence for three pseudoscalar resonances, eta(1295), eta(1416), and eta(1485), as well as two axial vectors, f1(1285), and f1(1420). Their observed masses, widths and decay properties are reported. No signal was observed for C(1480), an IG J{PC} = 1+ 1{--} state previously reported in phi pi0 decay.Comment: 7 pages, 6 figs, to be submitted to Phys. Let

    Observation of a New J(PC)=1(+-) Isoscalar State in the Reaction Pi- Proton -> Omega Eta Neutron at 18 GeV/c

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    Results are presented on a partial wave analysis of the Omega Eta final state produced in Pi- Proton interactions at 18 GeVc where Omega -> Pi+ Pi- Pi0, Pi0 -> 2 Gammas, and Eta -> 2 Gammas. We observe the previously unreported decay mode Omega(1650) -> Omega Eta and a new 1(+-) meson state h1(1595) with a mass M=1594(15)(+10)(-60) MeV/c^2 and a width Gamma=384(60)(+70)(-100) MeV/c^2. The h1(1595) state exhibits resonant-like phase motion relative to the Omega(1650).Comment: Submitted to Physics Letters B Eight total pages including 11 figures and 1 tabl

    Complete measurement of three-body photodisintegration of 3He for photon energies between 0.35 and 1.55 GeV

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    The three-body photodisintegration of 3He has been measured with the CLAS detector at Jefferson Lab, using tagged photons of energies between 0.35 GeV and 1.55 GeV. The large acceptance of the spectrometer allowed us for the first time to cover a wide momentum and angular range for the two outgoing protons. Three kinematic regions dominated by either two- or three-body contributions have been distinguished and analyzed. The measured cross sections have been compared with results of a theoretical model, which, in certain kinematic ranges, have been found to be in reasonable agreement with the data.Comment: 22 pages, 25 eps figures, 2 tables, submitted to PRC. Modifications: removed 2 figures, improvements on others, a few minor modifications to the tex
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