4,558 research outputs found
The Dutch version of the Child Posttraumatic Cognitions Inventory:validation in a clinical sample and a school sample
With the inclusion of trauma-related cognitions in the DSM-5 criteria for posttraumatic stress disorder (PTSD), the assessment of these cognitions has become essential. Therefore, valid tools for the assessment of these cognitions are warranted
The disappearance of the "revolving door" patient in Scottish general practice: successful policies
<b>Background</b> We describe the health of "revolving door" patients in general practice in Scotland, estimate changes in their number over the timescale of the study, and explore reasons for changes, particularly related to NHS and government policy.<p></p>
<b>Methods</b> A mixed methods predominantly qualitative study, using a grounded theory approach, set in Scottish general practice. Semi-structured interviews were conducted with professional key informants, 6 Practitioner Services staff who administer the GP registration system and 6 GPs with managerial or clinical experience of working with "revolving door" patients. Descriptive statistical analysis and qualitative analysis of patient removal episodes linked with routine hospital admissions, outpatient appointments, drug misuse treatment episodes and deaths were carried out with cohorts of "revolving door" patients identified from 1999 to 2005 in Scotland.<p></p>
<b>Results</b> A "revolving door" patient is removed 4 or more times from GP lists in 7 years. Patients had complex health issues including substance misuse, psychiatric and physical health problems and were at high risk of dying. There was a dramatic reduction in the number of "revolving door" patients during the course of the study.<p></p>
<b>Conclusions</b> "Revolving door" patients in general practice had significant health problems. Their numbers have reduced dramatically since 2004 and this probably resulted from improved drug treatment services, pressure from professional bodies to reduce patient removals and the positive ethical regulatory and financial climate of the 2004 GMS GP contract. This is a positive development for the NHS
Precise Measurement of Gravity Variations During a Total Solar Eclipse
The variations of gravity were measured with a high precision LaCoste-Romberg
D gravimeter during a total solar eclipse to investigate the effect of solar
eclipse on the gravitational field. The observed anomaly m/s during the eclipse implies that there may be a shielding
property of gravitation
Estimating the furrow infiltration characteristic from a single advance point
Management and control of surface irrigation, in particular furrow irrigation, is limited by spatio-temporal soil infiltration variability as well as the high cost and time associated with collecting intensive field data for estimation of the infiltration characteristics. Recent work has proposed scaling the commonly used infiltration function by using a model infiltration curve and a single advance point for every other furrow in an irrigation event. Scaling factors were calculated for a series of furrows at two sites and at four points down the length of the field (0.25 L, 0.5 L, 0.75 L and L). Differences in the value of the scaling factor with distance were found to be a function of the shape of the advance curves. It is concluded that use of points early in the advance results in a substantial loss of accuracy and should be avoided. The scaling factor was also strongly correlated with the furrow-wetted perimeter suggesting that the scaling is an appropriate way of both predicting and accommodating the effect of the hydraulic variability
Marriage and Human Intimacy: Perspectives on same-sex relationships and the life of the church
The Infrared Imaging Spectrograph (IRIS) for TMT: Data Reduction System
IRIS (InfraRed Imaging Spectrograph) is the diffraction-limited first light
instrument for the Thirty Meter Telescope (TMT) that consists of a
near-infrared (0.84 to 2.4 m) imager and integral field spectrograph
(IFS). The IFS makes use of a lenslet array and slicer for spatial sampling,
which will be able to operate in 100's of different modes, including a
combination of four plate scales from 4 milliarcseconds (mas) to 50 mas with a
large range of filters and gratings. The imager will have a field of view of
3434 arcsec with a plate scale of 4 mas with many selectable
filters. We present the preliminary design of the data reduction system (DRS)
for IRIS that need to address all of these observing modes. Reduction of IRIS
data will have unique challenges since it will provide real-time reduction and
analysis of the imaging and spectroscopic data during observational sequences,
as well as advanced post-processing algorithms. The DRS will support three
basic modes of operation of IRIS; reducing data from the imager, the lenslet
IFS, and slicer IFS. The DRS will be written in Python, making use of
open-source astronomical packages available. In addition to real-time data
reduction, the DRS will utilize real-time visualization tools, providing
astronomers with up-to-date evaluation of the target acquisition and data
quality. The quicklook suite will include visualization tools for 1D, 2D, and
3D raw and reduced images. We discuss the overall requirements of the DRS and
visualization tools, as well as necessary calibration data to achieve optimal
data quality in order to exploit science cases across all cosmic distance
scales.Comment: 13 pages, 2 figures, 6 tables, Proceeding 9913-165 of the SPIE
Astronomical Telescopes + Instrumentation 201
The Influence of Physiological Status on age Prediction of Anopheles Arabiensis Using Near Infra-red spectroscopy
Determining the age of malaria vectors is essential for evaluating the impact of interventions that reduce the survival of wild mosquito populations and for estimating changes in vectorial capacity. Near infra-red spectroscopy (NIRS) is a simple and non-destructive method that has been used to determine the age and species of Anopheles gambiae s.l. by analyzing differences in absorption spectra. The spectra are affected by biochemical changes that occur during the life of a mosquito and could be influenced by senescence and also the life history of the mosquito, i.e., mating, blood feeding and egg-laying events. To better understand these changes, we evaluated the influence of mosquito physiological status on NIR energy absorption spectra. Mosquitoes were kept in individual cups to permit record keeping of each individual insect’s life history. Mosquitoes of the same chronological age, but at different physiological stages, were scanned and compared using cross-validations. We observed a slight trend within some physiological stages that suggest older insects tend to be predicted as being physiologically more mature. It was advantageous to include mosquitoes of different chronological ages and physiological stages in calibrations, as it increases the robustness of the model resulting in better age predictions. Progression through different physiological statuses of An. arabiensis influences the chronological age prediction by the NIRS. Entomologists that wish to use NIR technology to predict the age of field-caught An. gambiae s.l from their study area should use a calibration developed from their field strain using mosquitoes of diverse chronological ages and physiological stages to increase the robustness and accuracy of the predictions.\u
Using Mixture Covariance Matrices to Improve Face and Facial Expression Recognitions
Abstract. In several pattern recognition problems, particularly in image recognition ones, there are often a large number of features available, but the number of training examples for each pattern is significantly less than the dimension of the feature space. This statement implies that the sample group covariance matrices often used in the Gaussian maximum probability classifier are singular. A common solution to this problem is to assume that all groups have equal covariance matrices and to use as their estimates the pooled covariance matrix calculated from the whole training set. This paper uses an alternative estimate for the sample group covariance matrices, here called the mixture covariance, given by an appropriate linear combination of the sample group and pooled covariance matrices. Experiments were carried out to evaluate the performance associated with this estimate in two biometric applications: face and facial expression. The average recognition rates obtained by using the mixture covariance matrices were higher than the usual estimates
Insecticide resistance and the future of malaria control in Zambia.
BACKGROUND: In line with the Global trend to improve malaria control efforts a major campaign of insecticide treated net distribution was initiated in 1999 and indoor residual spraying with DDT or pyrethroids was reintroduced in 2000 in Zambia. In 2006, these efforts were strengthened by the President's Malaria Initiative. This manuscript reports on the monitoring and evaluation of these activities and the potential impact of emerging insecticide resistance on disease transmission. METHODS: Mosquitoes were captured daily through a series of 108 window exit traps located at 18 sentinel sites. Specimens were identified to species and analyzed for sporozoites. Adult Anopheles mosquitoes were collected resting indoors and larva collected in breeding sites were reared to F1 and F0 generations in the lab and tested for insecticide resistance following the standard WHO susceptibility assay protocol. Annual cross sectional household parasite surveys were carried out to monitor the impact of the control programme on prevalence of Plasmodium falciparum in children aged 1 to 14 years. RESULTS: A total of 619 Anopheles gambiae s.l. and 228 Anopheles funestus s.l. were captured from window exit traps throughout the period, of which 203 were An. gambiae malaria vectors and 14 An. funestus s.s.. In 2010 resistance to DDT and the pyrethroids deltamethrin, lambda-cyhalothrin and permethrin was detected in both An. gambiae s.s. and An. funestus s.s.. No sporozoites were detected in either species. Prevalence of P. falciparum in the sentinel sites remained below 10% throughout the study period. CONCLUSION: Both An. gambiae s.s. and An. funestus s.s. were controlled effectively with the ITN and IRS programme in Zambia, maintaining a reduced disease transmission and burden. However, the discovery of DDT and pyrethroid resistance in the country threatens the sustainability of the vector control programme
Protective Efficacy of Menthol Propylene Glycol Carbonate Compared to N, N-diethyl-Methylbenzamide Against Mosquito Bites in Northern Tanzania.
The reduction of malaria parasite transmission by preventing human-vector contact is critical in lowering disease transmission and its outcomes. This underscores the need for effective and long lasting arthropod/insect repellents. Despite the reduction in malaria transmission and outcomes in Tanzania, personal protection against mosquito bites is still not well investigated. This study sought to determine the efficacy of menthol propylene glycol carbonate (MR08), Ocimum suave as compared to the gold standard repellent N, N-diethyl-methylbenzamide (DEET), either as a single dose or in combination (blend), both in the laboratory and in the field against Anopheles gambiae s.l and Culex quinquefasciatus. In the laboratory evaluations, repellents were applied on one arm while the other arm of the same individual was treated with a base cream. Each arm was separately exposed in cages with unfed female mosquitoes. Repellents were evaluated either as a single dose or as a blend. Efficacy of each repellent was determined by the number of mosquitoes that landed and fed on treated arms as compared to the control or among them. In the field, evaluations were performed by human landing catches at hourly intervals from 18:00 hr to 01:00 hr. A total of 2,442 mosquitoes were collected during field evaluations, of which 2,376 (97.30%) were An. gambiae s.l while 66 (2.70%) were Cx. quinquefaciatus. MR08 and DEET had comparatively similar protective efficacy ranging from 92% to 100 for both single compound and blends. These findings indicate that MR08 has a similar protective efficacy as DEET for personal protection outside bed nets when used singly and in blends. Because of the personal protection provided by MR08, DEET and blends as topical applicants in laboratory and field situations, these findings suggest that, these repellents could be used efficiently in the community to complement existing tools. Overall, Cx. quinquefasciatus were significantly prevented from blood feeding compared to An. gambiae s.l. The incorporation of these topical repellents for protection against insect bites can be of additional value in the absence or presence of IRS and ITNs coverage. However, a combination of both the physical (bed nets) and the repellent should be used in an integrated manner for maximum protection, especially before going to bed. Additional research is needed to develop repellents with longer duration of protection
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