Measuring the need for primary health care: an index of relative disadvantage

The prime objective of primary health care provision is the maintenance or improvement of the population's health. The equitable distribution of resources is paramount to this and measures of disadvantage are implemented to assess differential levels of need as a basis for calculating deprivation payments according to general practitioner workload. Despite research that highlights the benefits of measures of social disadvantage, indices have not been used to fundamentally shape resource allocation for health authorities. This paper uses the results from a patient survey into utilization behaviour to define and model the determinants of the need for health care based on components of relative need and accessibility. Proxy indicators are derived from routine sources of data to create an Index of Relative Disadvantage (IRD). A sensitivity analysis confirms the robustness of the index and shows that—although the index employs a wider range of variables than most previous deprivation indices—there is no gross data redundancy. Simplified versions of the index are also explored and evaluated. The IRD developed here is closely correlated with other indices of disadvantage, but its greater breadth and more logical construction mean that it may be more likely to be a more widely applicable instrument for health care planning of resource allocation.     

Prestack depth imaging via model-independent stacking

Most seismic reflection imaging methods are confronted with the difficulty of accurately knowing input velocity information. To eliminate this, we develop a special prestack depth migration technique which avoids the necessity of constructing a macro-velocity model. It is based upon the weighted Kirchhoff-type migration formula expressed in terms of model-independent stacking velocity and arrival angle. This formula is applied to synthetic sub-basaltic data. Numerical results show that the method can be used to successfully image beneath basalts.     

Primary production and community respiration in a warm streamer associated with Kuroshio warm core ring in spring

Daily rates of gross primary production, net community production and community respiration were determined in spring of 1997 at two stations in a warm streamer off Sanriku, Japan fromin vitro changes in dissolved oxygen. The phytoplankton community was composed of chlorophytes, cryptophytes and prymnesiophytes as determined by biomarker pigment analysis. Gross production, integrated from the surface to its 1% light level was 52.5 and 80.4 mmol O₂ m⁻²d⁻¹. The difference in gross production is ascribed to variations in photosynthetic activity of the population. Community respiration was 17.4 and 49.5 mmol O₂ m⁻²d⁻¹, and positive net community production was found within the euphotic zone. The contribution of autotrophic and heterotrophic respiration to community respiration was estimated on the basis of the observed respiration and the phytoplankton composition. Heterotrophic respiration was calculated to be highly variable and the observed difference in community respiration was due to heterotrophic respiration. Heterotrophic respiration was considered to play an important role in the rapid mineralization of organic materials.     

Improved numerical analysis for ultimate behavior of elastomeric seismic isolation bearings

Elastomeric isolation bearings consist of multiple rubber layers with their top and bottom surfaces bonded to steel plates to restrict compressive deformation. Deformation constraints result in a variation of elastic modulus over the cross section of the rubber layers. In this paper, we describe a normalized compression modulus distribution on a circular rubber pad. The compressive and bending moduli of the rubber pad can be reproduced by applying the distribution to a series of axial springs. We also present a mechanical model for predicting the behavior of elastomeric seismic isolation bearings subject to large shear deformation and high compressive load. The mechanical model consists of a series of multiple shear springs at midheight and a series of axial springs at the top and bottom interfaces of the bearing. Simulation analyses of bearing tests were conducted to validate the proposed model. The analyses demonstrated that a model for circular lead-rubber bearings can successfully capture the influence of the axial load magnitude on the bearing shear behavior. The new model can simulate much more realistic behavior than prior models based on a uniform modulus assumption.     

Correlation between Expansion Rate of the Coronal Magnetic Field and Solar Wind Speed in a Solar Activity Cycle

Thirteen synoptic maps of expansion rate of the coronal magnetic field (CMF; RBR) calculated by the so-called ‘potential model’ are constructed for 13 Carrington rotations from the maximum phase of solar activity cycle 22 through the maximum phase of cycle 23. Similar 13 synoptic maps of solar wind speed (SWS) estimated by interplanetary scintillation observations are constructed for the same 13 Carrington rotations as the ones for the RBR. The correlation diagrams between the RBR and the SWS are plotted with the data of these 13 synoptic maps. It is found that the correlation is negative and high in this time period. It is further found that the linear correlation is improved if the data are classified into two groups by the magnitude of radial component of photospheric magnetic field, |B^pho_r|; group 1, 0.0 G ≦ |B_r^pho| < 17.8 G and group 2, 17.8 G ≦ |B_r^pho|. There exists a strong negative correlation between the RBR and the SWS for the group 1 in contrast with a weak negative correlation for the group 2. Group 1 has a double peak in the density distribution of data points in the correlation diagram; a sharp peak for high-speed solar wind and a low peak for low-speed solar wind. These two peaks are located just on the axis of maximum variance of data points in the correlation diagram. This result suggests that the solar wind consists of two major components and both the high-speed and the low-speed winds emanating from weak photospheric magnetic regions are accelerated by the same mechanism in the course of solar activity cycle. It is also pointed out that the SWS can be estimated by the RBR of group 1 with an empirical formula obtained in this paper during the entire solar activity cycle.     

Tropospheric delay correction with dense GPS network in L1-SAIF augmentation

The L1-SAIF (L1 Submeter-class Augmentation with Integrity Function) signal is one of the Quasi-Zenith Satellite System (QZSS) navigation signals, which provides an augmentation function for mobile users in Japan. The tropospheric delay correction in the L1-SAIF augmentation is discussed in detail. Because the topographical features in Japan are complicated, the correction information is generated from GPS observation data collected at 200 GPS stations which are densely distributed over Japan. A total of 210 Tropospheric Grid Points (TGPs) are arranged to fully cover Japan. The TGPs that provide the correction information are selected adaptively to achieve the expected correction accuracy. This selection of TGPs is provided by the TGP mask message. Mobile users acquire the zenith tropospheric delay (ZTD) value at neighboring TGPs from the correction messages, and can estimate the local ZTD value accurately by using a suitable ZTD model. Only up to seven L1-SAIF messages are sufficient to provide the full correction information. Accuracy evaluations have proven that it is possible to achieve a correction accuracy of 13.4 mm RMS. The strategy presented here has been implemented into the augmentation system using the L1-SAIF signal, and its application guidance is presented in the QZSS interface specification.     

Lagrangian observation of phytoplankton dynamics at an artificially enriched subsurface water in Sagami Bay,Japan

Phytoplankton dynamics in the lower euphotic zone were observed by tracking a subsurface water released at 20-m depth from Takumi, an artificial upwelling device. Takumi continually discharged seawater pumped up from a depth of 205 m: this water was mixed with 5-m depth water to adjust the density to that of 20-m depth water of Sagami Bay, Japan. The discharged water was pulse-labeled at Takumi with uranine and tracked for 63.9 h with a drifting buoy equipped with a drogue at 20-m depth. We present a simple model to estimate in situ phytoplankton net growth rates from temporal changes in phytoplankton abundance in the discharged water with correction for the influence of water exchange between the discharged water and neighboring layers. Lagrangian observation showed active growth of pico- and nanophytoplankton, especially cryptophytes and Synechococcus (Cyanobacteria), in the subsurface layer. In contrast, diatoms grew little in spite of micromolar concentrations of nutrients. The active growth of pico- and nanophytoplankton was in good agreement with shipboard serial dilution culture experiments. The low growth activity of diatoms was suggested to be related to low light availability in the subsurface layer.