943 resultados para diagnostics


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A través de los años y en busca de ser partícipes del fenómeno de la globalización y de la integración económica entre países, Colombia ha buscado establecer acuerdos comerciales estratégicamente adecuados para transformar la economía interna, expandirse a nivel internacional e intercambiar productos en los que no se es especializado. Ante esto, Colombia firmó el Tratado de Libre Comercio con la Unión Europea en Junio del 2012, que entró en vigencia en Agosto del 2013, y hasta el momento la situación del sector lechero ha sido crítica, pues carece del nivel de competitividad suficiente para garantizar la perdurabilidad de los pequeños y medianos productores de leche. El diagnóstico del sector lechero colombiano permite tener una visión más clara sobre las principales características de los sistemas de producción del país, es aquí donde se conocen las falencias que se presentan en el sector, pues la productividad es baja, los costos de producción son altos y los precios tienen una tendencia al alza, colocando a los productos nacionales en desventaja frente a la gran oferta internacional que invade el mercado interno con precios reducidos y con mejor calidad. Además, se identifica también que gran parte de los productores de leche son informales y por lo tanto es difícil consolidar la información referente al sector y convertirla en conocimiento para efectuar planes de cambio y transformación para mejorar la situación. Del lado contrario y actuando como principal competidor en este caso de estudio, se encuentra la Unión Europea. Su diagnóstico ubica esta zona geográfica en una posición indudablemente privilegiada: precios bajos, mejor calidad, alta productividad, entre otras características que hacen de la UE una verdadera amenaza para los pequeños y medianos productores colombianos. La sobreproducción que se presencia en esta asociación económica y política crea la necesidad de explorar otros mercados para poner a disposición dicha producción, y el Tratado de Libre Comercio con Colombia es una opción para compensar esa oferta con una demanda insatisfecha. Con el fin de conocer profundamente las implicaciones del TLC con la Unión Europea y cómo afecta este acuerdo a los pequeños y medianos productores de leche en Colombia, fue necesario abordar algunos puntos clave en la negociación establecida y a partir de estos determinar si este tratado es realmente una oportunidad para el campesino informal que se dedica a la producción de leche para el autoconsumo y/o la comercialización en veredas y pueblos, o por el contrario, es una plataforma que afecta negativamente a las 450 mil familias que viven de este oficio y que no tienen los niveles de competitividad exigidos para enfrentar una competencia extranjera tan fuerte como lo es la Unión Europea. Por último, el análisis DOFA permite crear estrategias coherentes y viables relacionando las fortalezas y debilidades de Colombia con las oportunidades y amenazas que implica tener un acuerdo de libre comercio con la Unión Europea. Estas estrategias contribuyen a mejorar la competitividad del sector en busca de garantizar una mayor perdurabilidad de los pequeños y medianos productores de leche, y de esta manera se logrará no sólo aprovechar este acuerdo comercial, si no también conquistar otros mercados internacionales con un producto de mejor calidad.

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El estudio se realizó en 2014 para establecer la prevalencia de los factores de riesgo psicosocial en el personal civil y militar en una unidad militar de Bogotá D.C. De una población universo de 632 funcionarios, se tomó por muestreo probabilístico aleatorio a 264 funcionarios a quienes se les aplicó los cuestionarios para la evaluación de Factores de Riesgo Psicosocial Intralaboral, extralaboral, síntomas de estrés y la ficha de datos sociodemográficos y ocupacionales, de la Batería de Instrumentos del Ministerio de Trabajo Colombia [1]. El estudio permitió establecer que los niveles de riesgo con síntomas de estrés son altos; el 61,74% presenta riesgo Muy alto y Alto, el 15,53% riesgo medio y 22.73% riesgo Bajo y Muy bajo. El riesgo más alto lo presentan los oficiales, seguido del personal civil y suboficiales. De mantenerse las condiciones actuales sin intervención fácilmente podrían incrementarse y de acuerdo con el modelo sistémico expuesto por Villalobos 2005, se podrían asociar a respuestas de estrés [2], por tanto se recomienda implementar un Sistema de Vigilancia Epidemiológica para riesgo psicosocial con base en los diagnósticos y sistema de gestión en seguridad y salud en el trabajo, donde se involucre personal con diagnóstico de patología mental.

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ANTECEDENTES: El aislamiento de células fetales libres o ADN fetal en sangre materna abre una ventana de posibilidades diagnósticas no invasivas para patologías monogénicas y cromosómicas, además de permitir la identificación del sexo y del RH fetal. Actualmente existen múltiples estudios que evalúan la eficacia de estos métodos, mostrando resultados costo-efectivos y de menor riesgo que el estándar de oro. Este trabajo describe la evidencia encontrada acerca del diagnóstico prenatal no invasivo luego de realizar una revisión sistemática de la literatura. OBJETIVOS: El objetivo de este estudio fue reunir la evidencia que cumpla con los criterios de búsqueda, en el tema del diagnóstico fetal no invasivo por células fetales libres en sangre materna para determinar su utilidad diagnóstica.  MÉTODOS: Se realizó una revisión sistemática de la literatura con el fin de determinar si el diagnóstico prenatal no invasivo por células fetales libres en sangre materna es efectivo como método de diagnóstico.  RESULTADOS: Se encontraron 5,893 artículos que cumplían con los criterios de búsqueda; 67 cumplieron los criterios de inclusión: 49.3% (33/67) correspondieron a estudios de corte transversal, 38,8% (26/67) a estudios de cohortes y el 11.9% (8/67) a estudios casos y controles. Se obtuvieron resultados de sensibilidad, especificidad y tipo de prueba. CONCLUSIÓN: En la presente revisión sistemática, se evidencia como el diagnóstico prenatal no invasivo es una técnica feasible, reproducible y sensible para el diagnóstico fetal, evitando el riesgo de un diagnóstico invasivo.

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H. pylori é um microrganismo responsável por gastrites e implicado, em associação com outros factores, na úlcera gastroduodenal e no cancro gástrico. O diagnóstico da infecção por microrganismo pode realizar-se recorrendo a métodos invasivos através da obtenção de uma biópsia gástrica obtida por endoscopia digestiva alta e a métodos não invasivos. Nenhum dos métodos, desenvolvido até hoje, constitui o método ideal. Todos eles possuem as suas vantagens e desvantagens consoante a situação em que são aplicados. A reacção de polimerização em cadeia (PCR) conduziu a uma modificação fundamental no campo da biologia molecular, abrindo novos horizontes nas ciências médicas e biológicas. Apesar da cultura de H. pylori a partir de biópsia gástrica continuar a ser o método de referência para o diagnóstico da infecção por esta bactéria, ela apresenta inconvenientes que podem ser ultrapassados pela utilização da PCR, como sejam o longo período para a obtenção de resultados e o respeito de condições estritas de transporte da biópsia gástrica. Recentemente foi desenvolvido um protocolo baseado no principio da PCR em tempo real, utilizando o aparelho LightCycler Roche Diagnostics. Este protocolo permite a obtenção de um resultado de detecção da presença de H. pylori na biópsia gástrica assim como do seu perfil de susceptibilidade aos macrólidos. A PCR em tempo real é dotada de uma grande sensibilidade e especificidade, rapidez de obtenção de resultados o que aliado à sua capacidade de detecção de mutações responsáveis pela resistência dos microrganismos aos antibióticos faz com que esta técnica seja a metodologia do futuro no diagnóstico das doenças infecciosas.

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This paper provides for the first time an objective short-term (8 yr) climatology of African convective weather systems based on satellite imagery. Eight years of infrared International Satellite Cloud Climatology Project-European Space Agency's Meteorological Satellite (ISCCP-Meteosat) satellite imagery has been analyzed using objective feature identification, tracking, and statistical techniques for the July, August, and September periods and the region of Africa and the adjacent Atlantic ocean. This allows various diagnostics to be computed and used to study the distribution of mesoscale and synoptic-scale convective weather systems from mesoscale cloud clusters and squall lines to tropical cyclones. An 8-yr seasonal climatology (1983-90) and the seasonal cycle of this convective activity are presented and discussed. Also discussed is the dependence of organized convection for this region, on the orography, convective, and potential instability and vertical wind shear using European Centre for Medium-Range Weather Forecasts reanalysis data.

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The aim of this paper is to explore the use of both an Eulerian and system-centered method of storm track diagnosis applied to a wide range of meteorological fields at multiple levels to provide a range of perspectives on the Northern Hemisphere winter transient motions and to give new insight into the storm track organization and behavior. The data used are primarily from the European Centre for Medium-Range Weather Forecasts reanalyses project extended with operational analyses to the period 1979-2000. This is supplemented by data from the National Centers for Environmental Prediction and Goddard Earth Observing System 1 reanalyses. The range of fields explored include the usual mean sea level pressure and the lower- and upper-tropospheric height, meridional wind, vorticity, and temperature, as well as the potential vorticity (PV) on a 330-K isentropic surface (PV330) and potential temperature on a PV = 2 PVU surface (theta(PV2)). As well as reporting the primary analysis based on feature tracking, the standard Eulerian 2-6-day bandpass filtered variance analysis is also reported and contrasted with the tracking diagnostics. To enable the feature points to be identified as extrema for all the chosen fields, a planetary wave background structure is removed at each data time. The bandpass filtered variance derived from the different fields yield a rich picture of the nature and comparative magnitudes of the North Pacific and Atlantic storm tracks, and of the Siberian and Mediterranean candidates for storm tracks. The feature tracking allows the cyclonic and anticyclonic activities to be considered seperately. The analysis indicates that anticyclonic features are generally much weaker with less coherence than the cyclonic systems. Cyclones and features associated with them are shown to have much greater coherence and give tracking diagnostics that create a vivid storm track picture that includes the aspects highlighted by the variances as well as highlighting aspects that are not readily available from Eulerian studies. In particular, the upper-tropospheric features as shown by negative theta(PV2), for example, occur in a band spiraling around the hemisphere from the subtropical North Atlantic eastward to the high latitudes of the same ocean basin. Lower-troposphere storm tracks occupy more limited longitudinal sectors, with many of the individual storms possibly triggered from the upper-tropospheric disturbances in the spiral band of activity.

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Two wavelet-based control variable transform schemes are described and are used to model some important features of forecast error statistics for use in variational data assimilation. The first is a conventional wavelet scheme and the other is an approximation of it. Their ability to capture the position and scale-dependent aspects of covariance structures is tested in a two-dimensional latitude-height context. This is done by comparing the covariance structures implied by the wavelet schemes with those found from the explicit forecast error covariance matrix, and with a non-wavelet- based covariance scheme used currently in an operational assimilation scheme. Qualitatively, the wavelet-based schemes show potential at modeling forecast error statistics well without giving preference to either position or scale-dependent aspects. The degree of spectral representation can be controlled by changing the number of spectral bands in the schemes, and the least number of bands that achieves adequate results is found for the model domain used. Evidence is found of a trade-off between the localization of features in positional and spectral spaces when the number of bands is changed. By examining implied covariance diagnostics, the wavelet-based schemes are found, on the whole, to give results that are closer to diagnostics found from the explicit matrix than from the nonwavelet scheme. Even though the nature of the covariances has the right qualities in spectral space, variances are found to be too low at some wavenumbers and vertical correlation length scales are found to be too long at most scales. The wavelet schemes are found to be good at resolving variations in position and scale-dependent horizontal length scales, although the length scales reproduced are usually too short. The second of the wavelet-based schemes is often found to be better than the first in some important respects, but, unlike the first, it has no exact inverse transform.

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In this paper it is argued that rotational wind is not the best choice of leading control variable for variational data assimilation, and an alternative is suggested and tested. A rotational wind parameter is used in most global variational assimilation systems as a pragmatic way of approximately representing the balanced component of the assimilation increments. In effect, rotational wind is treated as a proxy for potential vorticity, but one that it is potentially not a good choice in flow regimes characterised by small Burger number. This paper reports on an alternative set of control variables which are based around potential vorticity. This gives rise to a new formulation of the background error covariances for the Met Office's variational assimilation system, which leads to flow dependency. It uses similar balance relationships to traditional schemes, but recognises the existence of unbalanced rotational wind which is used with a new anti-balance relationship. The new scheme is described and its performance is evaluated and compared to a traditional scheme using a sample of diagnostics.

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The response of a uniform horizontal temperature gradient to prescribed fixed heating is calculated in the context of an extended version of surface quasigeostrophic dynamics. It is found that for zero mean surface flow and weak cross-gradient structure the prescribed heating induces a mean temperature anomaly proportional to the spatial Hilbert transform of the heating. The interior potential vorticity generated by the heating enhances this surface response. The time-varying part is independent of the heating and satisfies the usual linearized surface quasigeostrophic dynamics. It is shown that the surface temperature tendency is a spatial Hilbert transform of the temperature anomaly itself. It then follows that the temperature anomaly is periodically modulated with a frequency proportional to the vertical wind shear. A strong local bound on wave energy is also found. Reanalysis diagnostics are presented that indicate consistency with key findings from this theory.

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A new objective climatology of polar lows in the Nordic (Norwegian and Barents) seas has been derived from a database of diagnostics of objectively identified cyclones spanning the period January 2000 to April 2004. There are two distinct parts to this study: the development of the objective climatology and a characterization of the dynamical forcing of the polar lows identified. Polar lows are an intense subset of polar mesocyclones. Polar mesocyclones are distinguished from other cyclones in the database as those that occur in cold air outbreaks over the open ocean. The difference between the wet-bulb potential temperature at 700 hPa and the sea surface temperature (SST) is found to be an effective discriminator between the atmospheric conditions associated with polar lows and other cyclones in the Nordic seas. A verification study shows that the objective identification method is reliable in the Nordic seas region. After demonstrating success at identifying polar lows using the above method, the dynamical forcing of the polar lows in the Nordic seas is characterized. Diagnostics of the ratio of mid-level vertical motion attributable to quasi-geostrophic forcing from upper and lower levels (U/L ratio) are used to determine the prevalence of a recently proposed category of extratropical cyclogenesis, type C, for which latent heat release is crucial to development. Thirty-one percent of the objectively identified polar low events (36 from 115) exceeded the U/L ratio of 4.0, previously identified as a threshold for type C cyclones. There is a contrast between polar lows to the north and south of the Nordic seas. In the southern Norwegian Sea, the population of polar low events is dominated by type C cyclones. These possess strong convection and weak low-level baroclinicity. Over the Barents and northern Norwegian seas, the well-known cyclogenesis types A and B dominate. These possess stronger low-level baroclinicity and weaker convection.

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An operational dust forecasting model is developed by including the Met Office Hadley Centre climate model dust parameterization scheme, within a Met Office regional numerical weather prediction (NWP) model. The model includes parameterizations for dust uplift, dust transport, and dust deposition in six discrete size bins and provides diagnostics such as the aerosol optical depth. The results are compared against surface and satellite remote sensing measurements and against in situ measurements from the Facility for Atmospheric Airborne Measurements for a case study when a strong dust event was forecast. Comparisons are also performed against satellite and surface instrumentation for the entire month of August. The case study shows that this Saharan dust NWP model can provide very good guidance of dust events, as much as 42 h ahead. The analysis of monthly data suggests that the mean and variability in the dust model is also well represented.

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A new method of clear-air turbulence (CAT) forecasting based on the Lighthill–Ford theory of spontaneous imbalance and emission of inertia–gravity waves has been derived and applied on episodic and seasonal time scales. A scale analysis of this shallow-water theory for midlatitude synoptic-scale flows identifies advection of relative vorticity as the leading-order source term. Examination of leading- and second-order terms elucidates previous, more empirically inspired CAT forecast diagnostics. Application of the Lighthill–Ford theory to the Upper Mississippi and Ohio Valleys CAT outbreak of 9 March 2006 results in good agreement with pilot reports of turbulence. Application of Lighthill–Ford theory to CAT forecasting for the 3 November 2005–26 March 2006 period using 1-h forecasts of the Rapid Update Cycle (RUC) 2 1500 UTC model run leads to superior forecasts compared to the current operational version of the Graphical Turbulence Guidance (GTG1) algorithm, the most skillful operational CAT forecasting method in existence. The results suggest that major improvements in CAT forecasting could result if the methods presented herein become operational.

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A number of recent papers in the atmospheric science literature have suggested that a dynamical link exists between the stratosphere and troposphere. Numerical modelling studies have shown that the troposphere has a time-mean response to changes to the stratospheric climatological state. In this study the response of the troposphere to an imposed transient stratospheric change is examined. The study uses a high horizontal and vertical resolution numerical weather-prediction model. Experiments compare the tropospheric forecasts of two medium-range forecast ensembles which have identical tropospheric initial conditions and different stratospheric initial conditions. In three case studies described here, stratospheric initial conditions have a statistically significant impact on the tropospheric flow. The mechanism for this change involves, in its most basic step, a change to tropospheric synoptic-scale systems. A consistent change to the tropospheric synoptic-scale systems occurs in response to the stratospheric initial conditions. The aggregated impact of changes to individual synoptic systems maps strongly onto the structure of the Arctic Oscillation, particularly over the North Atlantic storm track. The relationship between the stratosphere and troposphere, while apparent in Arctic Oscillation diagnostics, does not occur on coherent, hemispheric scales.

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Processes in the climate system that can either amplify or dampen the climate response to an external perturbation are referred to as climate feedbacks. Climate sensitivity estimates depend critically on radiative feedbacks associated with water vapor, lapse rate, clouds, snow, and sea ice, and global estimates of these feedbacks differ among general circulation models. By reviewing recent observational, numerical, and theoretical studies, this paper shows that there has been progress since the Third Assessment Report of the Intergovernmental Panel on Climate Change in (i) the understanding of the physical mechanisms involved in these feedbacks, (ii) the interpretation of intermodel differences in global estimates of these feedbacks, and (iii) the development of methodologies of evaluation of these feedbacks (or of some components) using observations. This suggests that continuing developments in climate feedback research will progressively help make it possible to constrain the GCMs’ range of climate feedbacks and climate sensitivity through an ensemble of diagnostics based on physical understanding and observations.