Determination of Alternaria spp. Habitats Using 7-Day Volumetric Spore Trap, Hybrid Single Particle Lagrangian Integrated Trajectory Model and Geographic Information System

There are many species among the Alternaria genus, which hosts on economically important crops causing significant yield losses. Less attention has been paid to fungi hosting on plants constituting substantial components of pastures and meadows. Alternaria spp. spores are also recognised as important allergens. A 7-day volumetric spore trap was used to monitor the concentration of airborne fungal spores. Air samples were collected in Worcester, England (2006–2010). Days with a high spore count were then selected. The longest episode that occurred within a five year study was chosen for modelling. Two source maps presenting distribution of crops under rotation and pastures in the UK were produced. Back trajectories were calculated using the HYSPLIT model. In ArcGIS clusters of trajectories were studied in connection with source maps by including the height above ground level and the speed of the air masses. During the episode no evidence for a long distance transport from the continent of Alternaria spp. spores was detected. The overall direction of the air masses fell within the range from South-West to North. The back trajectories indicated that the most important sources of Alternaria spp. spores were located in the West Midlands of England.

A Service Model For Delivering Care Closer to Home.

Upton Surgery (Worcestershire) has developed a flexible and responsive service model that facilitates multi-agency support for adult patients with complex care needs experiencing an acute health crisis. The purpose of this service is to provide appropriate interventions that avoid unnecessary hospital admissions or, alternatively, provide support to facilitate early discharge from secondary care. Key aspects of this service are the collaborative and proactive identification of patients at risk, rapid creation and deployment of a reactive multi-agency team and follow-up of patients with an appropriate long-term care plan. A small team of dedicated staff (the Complex Care Team) are pivotal to coordinating and delivering this service. Key skills are sophisticated leadership and project management skills, and these have been used sensitively to challenge some traditional roles and boundaries in the interests of providing effective, holistic care for the patient. This is a practical example of early implementation of the principles underlying the Department of Health’s (DH) recent Best Practice Guidance, ‘Delivering Care Closer to Home’ (DH, July 2008) and may provide useful learning points for other general practice surgeries considering implementing similar models. This integrated case management approach has had enthusiastic endorsement from patients and carers. In addition to the enhanced quality of care and experience for the patient, this approach has delivered value for money. Secondary care costs have been reduced by preventing admissions and also by reducing excess bed-days. The savings achieved have justified the ongoing commitment to the service and the staff employed in the Complex Care Team. The success of this service model has been endorsed recently by the ‘Customer Care’ award by ‘Management in Practice’. The Surgery was also awarded the ‘Practice of the Year’ award for this and a number of other customer-focussed projects.

Application of the WRF-Chem Model for a High Ozone Episode in SW Poland – Preliminary Results

The Weather Research and Forecasting model, integrated online with chemistry module, is a multi-scale model suitable for both research and operational forecasts of meteorology and air quality. It is used by many institutions for a variety of applications. In this study, the WRF v3.5 with chemistry (WRF-Chem) is applied to the area of Poland, for a period of 3-20 July 2006, when high concentrations of ground level ozone were observed. The meteorological and chemistry simulations were initiated with ERA-Interim reanalysis and TNO MACC II emissions database, respectively. The model physical parameterization includes RRTM shortwave radiation, Kain-Fritsch cumulus scheme, Purdue Lin microphysics and ACM2 PBL, established previously as the optimal configuration. Chemical mechanism used for the study was RADM2 with MADE/SORGAM aerosols. Simulations were performed for three one-way nested domains covering Europe (36 km x 36 km), Central Europe (12 km x 12 km) and Poland (4 km x 4 km). The results from the innermost domain were analyzed and compared to measurements of ozone concentration at three stations in different environments. The results show underestimation of observed values and daily amplitude of ozone concentrations.