PROJECTION OF HEALTH DEMAND IN TERMS OF HOSPITAL ADMISSIONS FOR SELECTED DIAGNOSES IN HEALTH SYSTEMS AGENCY SERVICE AREAS

The National Health Planning and Resources Development Act of 1974 (Public Law 93-641) requires that health systems agencies (HSAs) plan for their health service areas by the use of existing data to the maximum extent practicable. Health planning is based on the identificaton of health needs; however, HSAs are, at present, identifying health needs in their service areas in some approximate terms. This lack of specificity has greatly reduced the effectiveness of health planning. The intent of this study is, therefore, to explore the feasibility of predicting community levels of hospitalized morbidity by diagnosis by the use of existing data so as to allow health planners to plan for the services associated with specific diagnoses.^ The specific objectives of this study are (a) to obtain by means of multiple regression analysis a prediction equation for hospital admission by diagnosis, i.e., select the variables that are related to demand for hospital admissions; (b) to examine how pertinent the variables selected are; and (c) to see if each equation obtained predicts well for health service areas.^ The existing data on hospital admissions by diagnosis are those collected from the National Hospital Discharge Surveys, and are available in a form aggregated to the nine census divisions. When the equations established with such data are applied to local health service areas for prediction, the application is subject to the criticism of the theory of ecological fallacy. Since HSAs have to rely on the availability of existing data, it is imperative to examine whether or not the theory of ecological fallacy holds true in this case.^ The results of the study show that the equations established are highly significant and the independent variables in the equations explain the variation in the demand for hospital admission well. The predictability of these equations is good when they are applied to areas at the same ecological level but become poor, predominantly due to ecological fallacy, when they are applied to health service areas.^ It is concluded that HSAs can not predict hospital admissions by diagnosis without primary data collection as discouraged by Public Law 93-641. ^

Linear sedimentation rates and approximate mass accumulation rates at DSDP Site 61-462

A 560-meter-thick sequence of Cenomanian through Pleistocene sediments cored at DSDP Site 462 in the Nauru Basin overlies a 500-meter-thick complex unit of altered basalt flows, diabase sills, and thin intercalated volcaniclastic sediments. The Upper Cretaceous and Cenozoic sediments contain a high proportion of calcareous fossils, although the site has apparently been below the calcite compensation depth (CCD) from the late Mesozoic to the Pleistocene. This fact and the contemporaneous fluctuations of the calcite and opal accumulation rates suggest an irregular influx of displaced pelagic sediments from the shallow margins of the basin to its center, resulting in unusually high overall sedimentation rates for such a deep (5190 m) site. Shallow-water benthic fossils and planktonic foraminifers both occur as reworked materials, but usually are not found in the same intervals of the sediment section. We interpret this as recording separate erosional interludes in the shallow-water and intermediate-water regimes. Lower and upper Cenozoic hiatuses also are believed to have resulted from mid-water events. High accumulation rates of volcanogenic material during Santonian time suggest a corresponding significant volcanic episode. The coincidence of increased carbonate accumulation rates during the Campanian and displacement of shallow-water fossils during the late Campanian-early Maestrichtian with the volcanic event implies that this early event resulted in formation of the island chains around the Nauru Basin, which then served as platforms for initial carbonate deposition.

Tab. 1: Approximate dimension of the pingos

A group of nine pingos occurs in the valley of a glacial meltwater river. The pingos rise from a plain of low-center polygons. Some pingos have a typical cone shape, but others are linear, apparently centered on ice wedges . The occurrence of most pingos at the junction of oversize ice wedge polygon ridges suggests that the injection of water and the segregation of ice occurred along pathways provided by the ice wedges.

Stable isotope analysis on planktic foraminifera in sediment cores from the eastern Mediterranean sapropel formation

During the late Pleistocene, sapropels (layers of organic-carbon rich sediment) formed throughout the entire Eastern Mediterranean Basin in close association with glacial/interglacial transitions. The current theory for the mechanism of sapropel formation involves a density stratification of the water column, due to the invasion of a large quantity of low-saline water, which resulted in oxygen depletion of the bottom waters. Most workers believe that this low-salinity water was glacial meltwater that entered the Mediterranean via the Black Sea and a series of interconnected glacial lakes, but the suggestion also has been made that the freshwater originated from the Nile River. In this study the oxygen isotope values of planktonic foraminifera,Globigerinoides ruber, have been examined in six gravity cores and one piston core from the southern Levantine Basin, and compared with the oxygen isotope records ofG. ruber from other areas of the Eastern Mediterranean. This study deals mainly with the latest sapropel which was deposited approximately 7000 to 9000 years ago. Results indicate that Nile discharge probably does reduce salinities somewhat in the immediate area surrounding the mouth of the Nile, but this water is rapidly mixed with the highly saline waters of the easternmost Mediterranean. Using a mixing equation and surface water salinity limitations, an approximate oxygen isotope balance of surface waters was calculated for the time of latest sapropel deposition. This calculation shows that neither Nile River discharge nor Black Sea input (nor both together) are large enough to account for the large-scale oxygen isotope depletion associated with latest sapropel deposition in the Eastern Mediterranean. This suggests that part of the isotopic change at Termination I is probably due to increased surface water salinities during the last glacial maximum. In addition, evidence from the timing of sapropel 1 deposition and the dissolved oxygen balance indicates that deposition of the latest sapropel is associated with increased surface water production of biogenic material, as much as three times higher than that of present day.

Putting prey and predator into the CO2 equation-qualitative and quantitative effects of ocean acidification on predator-prey interactions

Little is known about the impact of ocean acidification on predator-prey dynamics. Herein, we examined the effect of carbon dioxide (CO(2)) on both prey and predator by letting one predatory reef fish interact for 24 h with eight small or large juvenile damselfishes from four congeneric species. Both prey and predator were exposed to control or elevated levels of CO(2). Mortality rate and predator selectivity were compared across CO(2) treatments, prey size and species. Small juveniles of all species sustained greater mortality at high CO(2) levels, while large recruits were not affected. For large prey, the pattern of prey selectivity by predators was reversed under elevated CO(2). Our results demonstrate both quantitative and qualitative consumptive effects of CO(2) on small and larger damselfish recruits respectively, resulting from CO(2)-induced behavioural changes likely mediated by impaired neurological function. This study highlights the complexity of predicting the effects of climate change on coral reef ecosystems.

Geometric Integrability of the Camassa-Holm Equation. II

It is known that the Camassa–Holm (CH) equation describes pseudo-spherical surfaces and that therefore its integrability properties can be studied by geometrical means. In particular, the CH equation admits nonlocal symmetries of “pseudo-potential type”: the standard quadratic pseudo-potential associated with the geodesics of the pseudo-spherical surfaces determined by (generic) solutions to CH, allows us to construct a covering π of the equation manifold of CH on which nonlocal symmetries can be explicitly calculated. In this article, we present the Lie algebra of (first-order) nonlocal π-symmetries for the CH equation, and we show that this algebra contains a semidirect sum of the loop algebra over sl(2,R) and the centerless Virasoro algebra. As applications, we compute explicit solutions, we construct a Darboux transformation for the CH equation, and we recover its recursion operator. We also extend our results to the associated Camassa–Holm equation introduced by J. Schiff.

Equation of state for hot dense matter using a relativistic screened hydrogenic model

The study of matter under conditions of high density, pressure, and temperature is a valuable subject for inertial confinement fusion (ICF), astrophysical phenomena, high-power laser interaction with matter, etc. In all these cases, matter is heated and compressed by strong shocks to high pressures and temperatures, becomes partially or completely ionized via thermal or pressure ionization, and is in the form of dense plasma. The thermodynamics and the hydrodynamics of hot dense plasmas cannot be predicted without the knowledge of the equation of state (EOS) that describes how a material reacts to pressure and how much energy is involved. Therefore, the equation of state often takes the form of pressure and energy as functions of density and temperature. Furthermore, EOS data must be obtained in a timely manner in order to be useful as input in hydrodynamic codes. By this reason, the use of fast, robust and reasonably accurate atomic models, is necessary for computing the EOS of a material.