851 resultados para Multiple criteria assessment


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Las terminales de contenedores son sistemas complejos en los que un elevado número de actores económicos interactúan para ofrecer servicios de alta calidad bajo una estricta planificación y objetivos económicos. Las conocidas como "terminales de nueva generación" están diseñadas para prestar servicio a los mega-buques, que requieren tasas de productividad que alcanzan los 300 movimientos/ hora. Estas terminales han de satisfacer altos estándares dado que la competitividad entre terminales es elevada. Asegurar la fiabilidad de las planificaciones del atraque es clave para atraer clientes, así como reducir al mínimo el tiempo que el buque permanece en el puerto. La planificación de las operaciones es más compleja que antaño, y las tolerancias para posibles errores, menores. En este contexto, las interrupciones operativas deben reducirse al mínimo. Las principales causas de dichas perturbaciones operacionales, y por lo tanto de incertidumbre, se identifican y caracterizan en esta investigación. Existen una serie de factores que al interactuar con la infraestructura y/o las operaciones desencadenan modos de fallo o parada operativa. Los primeros pueden derivar no solo en retrasos en el servicio sino que además puede tener efectos colaterales sobre la reputación de la terminal, o incluso gasto de tiempo de gestión, todo lo cual supone un impacto para la terminal. En el futuro inmediato, la monitorización de las variables operativas presenta gran potencial de cara a mejorar cualitativamente la gestión de las operaciones y los modelos de planificación de las terminales, cuyo nivel de automatización va en aumento. La combinación del criterio experto con instrumentos que proporcionen datos a corto y largo plazo es fundamental para el desarrollo de herramientas que ayuden en la toma de decisiones, ya que de este modo estarán adaptadas a las auténticas condiciones climáticas y operativas que existen en cada emplazamiento. Para el corto plazo se propone una metodología con la que obtener predicciones de parámetros operativos en terminales de contenedores. Adicionalmente se ha desarrollado un caso de estudio en el que se aplica el modelo propuesto para obtener predicciones de la productividad del buque. Este trabajo se ha basado íntegramente en datos proporcionados por una terminal semi-automatizada española. Por otro lado, se analiza cómo gestionar, evaluar y mitigar el efecto de las interrupciones operativas a largo plazo a través de la evaluación del riesgo, una forma interesante de evaluar el effecto que eventos inciertos pero probables pueden generar sobre la productividad a largo plazo de la terminal. Además se propone una definición de riesgo operativo junto con una discusión de los términos que representan con mayor fidelidad la naturaleza de las actividades y finalmente, se proporcionan directrices para gestionar los resultados obtenidos. Container terminals are complex systems where a large number of factors and stakeholders interact to provide high-quality services under rigid planning schedules and economic objectives. The socalled next generation terminals are conceived to serve the new mega-vessels, which are demanding productivity rates up to 300 moves/hour. These terminals need to satisfy high standards because competition among terminals is fierce. Ensuring reliability in berth scheduling is key to attract clients, as well as to reduce at a minimum the time that vessels stay the port. Because of the aforementioned, operations planning is becoming more complex, and the tolerances for errors are smaller. In this context, operational disturbances must be reduced at a minimum. The main sources of operational disruptions and thus, of uncertainty, are identified and characterized in this study. External drivers interact with the infrastructure and/or the activities resulting in failure or stoppage modes. The later may derive not only in operational delays but in collateral and reputation damage or loss of time (especially management times), all what implies an impact for the terminal. In the near future, the monitoring of operational variables has great potential to make a qualitative improvement in the operations management and planning models of terminals that use increasing levels of automation. The combination of expert criteria with instruments that provide short- and long-run data is fundamental for the development of tools to guide decision-making, since they will be adapted to the real climatic and operational conditions that exist on site. For the short-term a method to obtain operational parameter forecasts in container terminals. To this end, a case study is presented, in which forecasts of vessel performance are obtained. This research has been entirely been based on data gathered from a semi-automated container terminal from Spain. In the other hand it is analyzed how to manage, evaluate and mitigate disruptions in the long-term by means of the risk assessment, an interesting approach to evaluate the effect of uncertain but likely events on the long-term throughput of the terminal. In addition, a definition for operational risk evaluation in port facilities is proposed along with a discussion of the terms that better represent the nature of the activities involved and finally, guidelines to manage the results obtained are provided.

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Disponer de información precisa y actualizada de inventario forestal es una pieza clave para mejorar la gestión forestal sostenible y para proponer y evaluar políticas de conservación de bosques que permitan la reducción de emisiones de carbono debidas a la deforestación y degradación forestal (REDD). En este sentido, la tecnología LiDAR ha demostrado ser una herramienta perfecta para caracterizar y estimar de forma continua y en áreas extensas la estructura del bosque y las principales variables de inventario forestal. Variables como la biomasa, el número de pies, el volumen de madera, la altura dominante, el diámetro o la altura media son estimadas con una calidad comparable a los inventarios tradicionales de campo. La presente tesis se centra en analizar la aplicación de los denominados métodos de masa de inventario forestal con datos LIDAR bajo diferentes condiciones y características de masa forestal (bosque templados puros y mixtos) y utilizando diferentes bases de datos LiDAR (información proveniente de vuelo nacionales e información capturada de forma específica). Como consecuencia de lo anterior, se profundiza en la generación de inventarios forestales continuos con LiDAR en grandes áreas. Los métodos de masa se basan en la búsqueda de relaciones estadísticas entre variables predictoras derivadas de la nube de puntos LiDAR y las variables de inventario forestal medidas en campo con el objeto de generar una cartografía continua de inventario forestal. El rápido desarrollo de esta tecnología en los últimos años ha llevado a muchos países a implantar programas nacionales de captura de información LiDAR aerotransportada. Estos vuelos nacionales no están pensados ni diseñados para fines forestales por lo que es necesaria la evaluación de la validez de esta información LiDAR para la descripción de la estructura del bosque y la medición de variables forestales. Esta información podría suponer una drástica reducción de costes en la generación de información continua de alta resolución de inventario forestal. En el capítulo 2 se evalúa la estimación de variables forestales a partir de la información LiDAR capturada en el marco del Plan Nacional de Ortofotografía Aérea (PNOA-LiDAR) en España. Para ello se compara un vuelo específico diseñado para inventario forestal con la información de la misma zona capturada dentro del PNOA-LiDAR. El caso de estudio muestra cómo el ángulo de escaneo, la pendiente y orientación del terreno afectan de forma estadísticamente significativa, aunque con pequeñas diferencias, a la estimación de biomasa y variables de estructura forestal derivadas del LiDAR. La cobertura de copas resultó más afectada por estos factores que los percentiles de alturas. Considerando toda la zona de estudio, la estimación de la biomasa con ambas bases de datos no presentó diferencias estadísticamente significativas. Las simulaciones realizadas muestran que las diferencias medias en la estimación de biomasa entre un vuelo específico y el vuelo nacional podrán superar el 4% en áreas abruptas, con ángulos de escaneo altos y cuando la pendiente de la ladera no esté orientada hacia la línea de escaneo. En el capítulo 3 se desarrolla un estudio en masas mixtas y puras de pino silvestre y haya, con un enfoque multi-fuente empleando toda la información disponible (vuelos LiDAR nacionales de baja densidad de puntos, imágenes satelitales Landsat y parcelas permanentes del inventario forestal nacional español). Se concluye que este enfoque multi-fuente es adecuado para realizar inventarios forestales continuos de alta resolución en grandes superficies. Los errores obtenidos en la fase de ajuste y de validación de los modelos de área basimétrica y volumen son similares a los registrados por otros autores (usando un vuelo específico y parcelas de campo específicas). Se observan errores mayores en la variable número de pies que los encontrados en la literatura, que pueden ser explicados por la influencia de la metodología de parcelas de radio variable en esta variable. En los capítulos 4 y 5 se evalúan los métodos de masa para estimar biomasa y densidad de carbono en bosques tropicales. Para ello se trabaja con datos del Parque Nacional Volcán Poás (Costa Rica) en dos situaciones diferentes: i) se dispone de una cobertura completa LiDAR del área de estudio (capitulo 4) y ii) la cobertura LiDAR completa no es técnica o económicamente posible y se combina una cobertura incompleta de LiDAR con imágenes Landsat e información auxiliar para la estimación de biomasa y carbono (capitulo 5). En el capítulo 4 se valida un modelo LiDAR general de estimación de biomasa aérea en bosques tropicales y se compara con los resultados obtenidos con un modelo ajustado de forma específica para el área de estudio. Ambos modelos están basados en la variable altura media de copas (TCH por sus siglas en inglés) derivada del modelo digital LiDAR de altura de la vegetación. Los resultados en el área de estudio muestran que el modelo general es una alternativa fiable al ajuste de modelos específicos y que la biomasa aérea puede ser estimada en una nueva zona midiendo en campo únicamente la variable área basimétrica (BA). Para mejorar la aplicación de esta metodología es necesario definir en futuros trabajos procedimientos adecuados de medición de la variable área basimétrica en campo (localización, tamaño y forma de las parcelas de campo). La relación entre la altura media de copas del LiDAR y el área basimétrica (Coeficiente de Stock) obtenida en el área de estudio varía localmente. Por tanto es necesario contar con más información de campo para caracterizar la variabilidad del Coeficiente de Stock entre zonas de vida y si estrategias como la estratificación pueden reducir los errores en la estimación de biomasa y carbono en bosques tropicales. En el capítulo 5 se concluye que la combinación de una muestra sistemática de información LiDAR con una cobertura completa de imagen satelital de moderada resolución (e información auxiliar) es una alternativa efectiva para la realización de inventarios continuos en bosques tropicales. Esta metodología permite estimar altura de la vegetación, biomasa y carbono en grandes zonas donde la captura de una cobertura completa de LiDAR y la realización de un gran volumen de trabajo de campo es económica o/y técnicamente inviable. Las alternativas examinadas para la predicción de biomasa a partir de imágenes Landsat muestran una ligera disminución del coeficiente de determinación y un pequeño aumento del RMSE cuando la cobertura de LiDAR es reducida de forma considerable. Los resultados indican que la altura de la vegetación, la biomasa y la densidad de carbono pueden ser estimadas en bosques tropicales de forma adecuada usando coberturas de LIDAR bajas (entre el 5% y el 20% del área de estudio). ABSTRACT The availability of accurate and updated forest data is essential for improving sustainable forest management, promoting forest conservation policies and reducing carbon emissions from deforestation and forest degradation (REDD). In this sense, LiDAR technology proves to be a clear-cut tool for characterizing forest structure in large areas and assessing main forest-stand variables. Forest variables such as biomass, stem volume, basal area, mean diameter, mean height, dominant height, and stem number can be thus predicted with better or comparable quality than with costly traditional field inventories. In this thesis, it is analysed the potential of LiDAR technology for the estimation of plot-level forest variables under a range of conditions (conifer & broadleaf temperate forests and tropical forests) and different LiDAR capture characteristics (nationwide LiDAR information vs. specific forest LiDAR data). This study evaluates the application of LiDAR-based plot-level methods in large areas. These methods are based on statistical relationships between predictor variables (derived from airborne data) and field-measured variables to generate wall to wall forest inventories. The fast development of this technology in recent years has led to an increasing availability of national LiDAR datasets, usually developed for multiple purposes throughout an expanding number of countries and regions. The evaluation of the validity of nationwide LiDAR databases (not designed specifically for forest purposes) is needed and presents a great opportunity for substantially reducing the costs of forest inventories. In chapter 2, the suitability of Spanish nationwide LiDAR flight (PNOA) to estimate forest variables is analyzed and compared to a specifically forest designed LiDAR flight. This study case shows that scan angle, terrain slope and aspect significantly affect the assessment of most of the LiDAR-derived forest variables and biomass estimation. Especially, the estimation of canopy cover is more affected than height percentiles. Considering the entire study area, biomass estimations from both databases do not show significant differences. Simulations show that differences in biomass could be larger (more than 4%) only in particular situations, such as steep areas when the slopes are non-oriented towards the scan lines and the scan angles are larger than 15º. In chapter 3, a multi-source approach is developed, integrating available databases such as nationwide LiDAR flights, Landsat imagery and permanent field plots from SNFI, with good resultos in the generation of wall to wall forest inventories. Volume and basal area errors are similar to those obtained by other authors (using specific LiDAR flights and field plots) for the same species. Errors in the estimation of stem number are larger than literature values as a consequence of the great influence that variable-radius plots, as used in SNFI, have on this variable. In chapters 4 and 5 wall to wall plot-level methodologies to estimate aboveground biomass and carbon density in tropical forest are evaluated. The study area is located in the Poas Volcano National Park (Costa Rica) and two different situations are analyzed: i) available complete LiDAR coverage (chapter 4) and ii) a complete LiDAR coverage is not available and wall to wall estimation is carried out combining LiDAR, Landsat and ancillary data (chapter 5). In chapter 4, a general aboveground biomass plot-level LiDAR model for tropical forest (Asner & Mascaro, 2014) is validated and a specific model for the study area is fitted. Both LiDAR plot-level models are based on the top-of-canopy height (TCH) variable that is derived from the LiDAR digital canopy model. Results show that the pantropical plot-level LiDAR methodology is a reliable alternative to the development of specific models for tropical forests and thus, aboveground biomass in a new study area could be estimated by only measuring basal area (BA). Applying this methodology, the definition of precise BA field measurement procedures (e.g. location, size and shape of the field plots) is decisive to achieve reliable results in future studies. The relation between BA and TCH (Stocking Coefficient) obtained in our study area in Costa Rica varied locally. Therefore, more field work is needed for assessing Stocking Coefficient variations between different life zones and the influence of the stratification of the study areas in tropical forests on the reduction of uncertainty. In chapter 5, the combination of systematic LiDAR information sampling and full coverage Landsat imagery (and ancillary data) prove to be an effective alternative for forest inventories in tropical areas. This methodology allows estimating wall to wall vegetation height, biomass and carbon density in large areas where full LiDAR coverage and traditional field work are technically and/or economically unfeasible. Carbon density prediction using Landsat imaginery shows a slight decrease in the determination coefficient and an increase in RMSE when harshly decreasing LiDAR coverage area. Results indicate that feasible estimates of vegetation height, biomass and carbon density can be accomplished using low LiDAR coverage areas (between 5% and 20% of the total area) in tropical locations.

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One of the aims of COST C14 action is the assessment and evaluation of pedestrian wind comfort. At present there is no general rule available that is applied across Europe. There are several criteria that have been developed and applied in different countries. These criteria are based on the definition of two independent parameters, a threshold effective wind speed and a probability of exceedence of this threshold speed. The difficulty of the criteria comparison arises from the two-dimensional character of the criteria definition. An effort is being made to compare these criteria, trying both to find commonalities and to clearly identify differences, in order to build up the basis for the next step: to try to define common criteria (perhaps with regional and seasonal variations). The first point is to define clearly the threshold effective wind speed (mean velocity definition parameters: averaging interval and reference height) and equivalence between different ways of defining the threshold effective wind speed (mean wind speed, gust equivalent mean, etc.) in comparable terms (as far as possible). It can be shown that if the wind speed at a given location is defined in terms of a probability distribution, e.g. Weibull function, a given criterion is satisfied by an infinite set of wind conditions, that is, of probability distributions. The criterion parameters and the Weibull function parameters are linked to each other, establishing a set called iso-criteria lines (the locus of the Weibull function parameters that fulfil a given criterion). The relative position of iso-criteria lines when displayed in a suitable two-dimensional plane facilitates the comparison of comfort criteria. The comparison of several wind comfort criteria, coming from several institutes is performed, showing the feasibility and limitations of the method.

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This report documents the error rate in a commercially distributed subset of the IMAGE Consortium mouse cDNA clone collection. After isolation of plasmid DNA from 1189 bacterial stock cultures, only 62.2% were uncontaminated and contained cDNA inserts that had significant sequence identity to published data for the ordered clones. An agarose gel electrophoresis pre-screening strategy identified 361 stock cultures that appeared to contain two or more plasmid species. Isolation of individual colonies from these stocks demonstrated that 7.1% of the original 1189 stocks contained both a correct and an incorrect plasmid. 5.9% of the original 1189 stocks contained multiple, distinct, incorrect plasmids, indicating the likelihood of multiple contaminating events. While only 739 of the stocks purchased contained the desired cDNA clone, agarose gel pre-screening, colony isolation and similarity searching of dbEST allowed for the identification of an additional 420 clones that would have otherwise been discarded. Considering the high error rate in this subset of the IMAGE cDNA clone set, the use of sequence verified clones for cDNA microarray construction is warranted. When this is not possible, pre-screening non-sequence verified clones with agarose gel electrophoresis provides an inexpensive and efficient method to eliminate contaminated clones from the probe set.

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Studies addressing climate variability during the last millennium generally focus on variables with a direct influence on climate variability, like the fast thermal response to varying radiative forcing, or the large-scale changes in atmospheric dynamics (e. g. North Atlantic Oscillation). The ocean responds to these variations by slowly integrating in depth the upper heat flux changes, thus producing a delayed influence on ocean heat content (OHC) that can later impact low frequency SST (sea surface temperature) variability through reemergence processes. In this study, both the externally and internally driven variations of the OHC during the last millennium are investigated using a set of fully coupled simulations with the ECHO-G (coupled climate model ECHAMA4 and ocean model HOPE-G) atmosphere-ocean general circulation model (AOGCM). When compared to observations for the last 55 yr, the model tends to overestimate the global trends and underestimate the decadal OHC variability. Extending the analysis back to the last one thousand years, the main impact of the radiative forcing is an OHC increase at high latitudes, explained to some extent by a reduction in cloud cover and the subsequent increase of short-wave radiation at the surface. This OHC response is dominated by the effect of volcanism in the preindustrial era, and by the fast increase of GHGs during the last 150 yr. Likewise, salient impacts from internal climate variability are observed at regional scales. For instance, upper temperature in the equatorial Pacific is controlled by ENSO (El Nino Southern Oscillation) variability from interannual to multidecadal timescales. Also, both the Pacific Decadal Oscillation (PDO) and the Atlantic Multidecadal Oscillation (AMO) modulate intermittently the interdecadal OHC variability in the North Pacific and Mid Atlantic, respectively. The NAO, through its influence on North Atlantic surface heat fluxes and convection, also plays an important role on the OHC at multiple timescales, leading first to a cooling in the Labrador and Irminger seas, and later on to a North Atlantic warming, associated with a delayed impact on the AMO.

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Nighttime satellite imagery from the Defense Meteorological Satellite Program (DMSP) Operational Linescan System (OLS) has a unique capability to observe nocturnal light emissions from sources including cities, wild fires, and gas flares. Data from the DMSP OLS is used in a wide range of studies including mapping urban areas, estimating informal economies, and estimating urban populations. Given the extensive and increasing list of applications a repeatable method for assessing geolocation accuracy, performing inter-calibration, and defining the minimum detectable brightness would be beneficial. An array of portable lights was designed and taken to multiple field sites known to have no other light sources. The lights were operated during nighttime overpasses by the DMSP OLS and observed in the imagery. A first estimate of the minimum detectable brightness is presented based on the field experiments conducted. An assessment of the geolocation accuracy was performed by measuring the distance between the GPS measured location of the lights and the observed location in the imagery. A systematic shift was observed and the mean distance was measured at 2.9km. A method for in situ radiance calibration of the DMSP OLS using a ground based light source as an active target is presented. The wattage of light used by the active target strongly correlates with the signal measured by the DMSP OLS. This approach can be used to enhance our ability to make inter-temporal and inter-satellite comparisons of DMSP OLS imagery. Exploring the possibility of establishing a permanent active target for the calibration of nocturnal imaging systems is recommended. The methods used to assess the minimum detectable brightness, assess the geolocation accuracy, and build inter-calibration models lay the ground work for assessing the energy expended on light emitted into the sky at night. An estimate of the total energy consumed to light the night sky globally is presented.

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The purposes of this study were (1) to validate of the item-attribute matrix using two levels of attributes (Level 1 attributes and Level 2 sub-attributes), and (2) through retrofitting the diagnostic models to the mathematics test of the Trends in International Mathematics and Science Study (TIMSS), to evaluate the construct validity of TIMSS mathematics assessment by comparing the results of two assessment booklets. Item data were extracted from Booklets 2 and 3 for the 8th grade in TIMSS 2007, which included a total of 49 mathematics items and every student's response to every item. The study developed three categories of attributes at two levels: content, cognitive process (TIMSS or new), and comprehensive cognitive process (or IT) based on the TIMSS assessment framework, cognitive procedures, and item type. At level one, there were 4 content attributes (number, algebra, geometry, and data and chance), 3 TIMSS process attributes (knowing, applying, and reasoning), and 4 new process attributes (identifying, computing, judging, and reasoning). At level two, the level 1 attributes were further divided into 32 sub-attributes. There was only one level of IT attributes (multiple steps/responses, complexity, and constructed-response). Twelve Q-matrices (4 originally specified, 4 random, and 4 revised) were investigated with eleven Q-matrix models (QM1 ~ QM11) using multiple regression and the least squares distance method (LSDM). Comprehensive analyses indicated that the proposed Q-matrices explained most of the variance in item difficulty (i.e., 64% to 81%). The cognitive process attributes contributed to the item difficulties more than the content attributes, and the IT attributes contributed much more than both the content and process attributes. The new retrofitted process attributes explained the items better than the TIMSS process attributes. Results generated from the level 1 attributes and the level 2 attributes were consistent. Most attributes could be used to recover students' performance, but some attributes' probabilities showed unreasonable patterns. The analysis approaches could not demonstrate if the same construct validity was supported across booklets. The proposed attributes and Q-matrices explained the items of Booklet 2 better than the items of Booklet 3. The specified Q-matrices explained the items better than the random Q-matrices.

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Therapeutic Assessment is a semi-structured approach to collaborative assessment developed by Stephen E. Finn and colleagues. In Therapeutic Assessment, psychological assessment is used as a therapeutic intervention (Finn, 2007; Finn & Kamphuis, 2006). The Therapeutic Assessment model differs from traditional assessment with regard to procedure and the roles of both assessor and client. Therapeutic Assessment has yet to be explored in forensic settings, wherein assessors are required to take on a number of varying and conflicting roles. In the current study, five forensic psychologists completed a semi-structured interview to identify their perspectives of Therapeutic Assessment and its utility in forensic contexts. A phenomenological qualitative analysis of the interviews was conducted to derive themes about Therapeutic Assessment, forensic psychology, and the overlap between these two domains. General themes that emerged include (a) the role and the context of the practitioner's work with the forensic population; (b) the potential of using Therapeutic Assessment's paradigm in family law settings; and (c) the increased risk of harm when using Therapeutic Assessment with forensic populations. In addition to these themes, multiple respondents discussed components of collaborative/Therapeutic Assessment that they have found useful with this population. Finally, the implications of these results are discussed.

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LIDAR (LIght Detection And Ranging) first return elevation data of the Boston, Massachusetts region from MassGIS at 1-meter resolution. This LIDAR data was captured in Spring 2002. LIDAR first return data (which shows the highest ground features, e.g. tree canopy, buildings etc.) can be used to produce a digital terrain model of the Earth's surface. This dataset consists of 74 First Return DEM tiles. The tiles are 4km by 4km areas corresponding with the MassGIS orthoimage index. This data set was collected using 3Di's Digital Airborne Topographic Imaging System II (DATIS II). The area of coverage corresponds to the following MassGIS orthophoto quads covering the Boston region (MassGIS orthophoto quad ID: 229890, 229894, 229898, 229902, 233886, 233890, 233894, 233898, 233902, 233906, 233910, 237890, 237894, 237898, 237902, 237906, 237910, 241890, 241894, 241898, 241902, 245898, 245902). The geographic extent of this dataset is the same as that of the MassGIS dataset: Boston, Massachusetts Region 1:5,000 Color Ortho Imagery (1/2-meter Resolution), 2001 and was used to produce the MassGIS dataset: Boston, Massachusetts, 2-Dimensional Building Footprints with Roof Height Data (from LIDAR data), 2002 [see cross references].

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This dataset consists of 2D footprints of the buildings in the metropolitan Boston area, based on tiles in the orthoimage index (orthophoto quad ID: 229890, 229894, 229898, 229902, 233886, 233890, 233894, 233898, 233902, 237890, 237894, 237898, 237902, 241890, 241894, 241898, 241902, 245898, 245902). This data set was collected using 3Di's Digital Airborne Topographic Imaging System II (DATIS II). Roof height and footprint elevation attributes (derived from 1-meter resolution LIDAR (LIght Detection And Ranging) data) are included as part of each building feature. This data can be combined with other datasets to create 3D representations of buildings and the surrounding environment.

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The goals of this program of research were to examine the link between self-reported vulvar pain and clinical diagnoses, and to create a user-friendly assessment tool to aid in that process. These goals were undertaken through a series of four empirical studies (Chapters 2-6): one archival study, two online studies, and one study conducted in a Women’s Health clinic. In Chapter 2, the link between self-report and clinical diagnosis was confirmed by extracting data from multiple studies conducted in the Sexual Health Research Laboratory over the course of several years. We demonstrated the accuracy of diagnosis based on multiple factors, and explored the varied gynecological presentation of different diagnostic groups. Chapter 3 was based on an online study designed to create the Vulvar Pain Assessment Questionnaire (VPAQ) inventory. Following the construct validation approach, a large pool of potential items was created to capture a broad selection of vulvar pain symptoms. Nearly 300 participants completed the entire item pool, and a series of factor analyses were utilized to narrow down the items and create scales/subscales. Relationships were computed among subscales and validated scales to establish convergent and discriminant validity. Chapters 4 and 5 were conducted in the Department of Obstetrics & Gynecology at Oregon Health & Science University. The brief screening version of the VPAQ was employed with patients of the Program in Vulvar Health at the Center for Women’s Health. The accuracy and usefulness of the VPAQscreen was determined from the perspective of patients as well as their health care providers, and the treatment-seeking experiences of patients was explored. Finally, a second online study was conducted to confirm the factor structure, internal consistency, and test-retest reliability of the VPAQ inventory. The results presented in these chapters confirm the link between targeted questions and accurate diagnoses, and provide a guideline that is useful and accessible for providers and patients.

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The Action Plan on visas adopted during the recent EU-Ukraine summit is a success for Ukraine. It is the first time that Kyiv has succeeded in obtaining a definition of the conditions and criteria whose fulfilment will enable Ukraine to apply for the lifting of EU visas for its citizens. Ukraine's strong point has been its political will; the lifting of this visa regime has been a priority for all Ukrainian governments since 2005. Since Viktor Yanukovych became president, Ukraine has adopted or prepared key legal acts that brought it nearer to European standards in the area of border and migration management. One of Kyiv's strengths is also its relatively well reformed and efficiently managed border service. Moreover, illegal transit migration via Ukraine is decreasing, and fewer Ukrainians are trying to enter or stay in the EU illegally. Also, Kyiv has efficiently implemented the EU-Ukraine readmission agreement. The hardest task for Ukraine will be to meet the EU’s expectations concerning values, the condition of Ukrainian democracy, and the rule of law. Corruption remains the main barrier to Ukraine's development and modernisation; the courts are weak and the judicial system inefficient. The main undertaking of the new migration service that is being formed at the moment will be to create a civil system of registration, monitoring and regulating the stays of foreign nationals. This may prove difficult, as the supervisory authority (the Ministry of the Interior) remains an unreformed, police-type bureaucratic institution. Ukraine is lagging behind countries such as Russia, Belarus and Moldova when it comes to the introduction of biometric documents. Another problem is the lack of an electronic information system on foreign nationals, visas and border crossings which would be accessible to all the relevant services and institutions. For these reasons, the complete abolition of visas seems to be a longterm perspective, especially considering that many EU countries, which themselves are faced with the problem of migrants’ integration, are rather sceptical about the further liberalisation of movement of people with their eastern neighbours. In the immediate future, if Ukraine meets some of the requirements set by the EU, it will be able to seek the extension of the visa facilitations that have been in operation since 2008.

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This paper examines both the processes and outcomes of governance in the context of the EU’s relationship with ACP States within the period of the Cotonou Agreement (CA). It discusses and assesses a variety of governance mechanisms, including the European Commission’s use of the governance concept, EPAs, manifestations of partner preferences, the EDF, the revision of the CA, and Fisheries Partnership Agreements. Specific examples of the wielding of each mechanism are assessed based upon two criteria: a) the extent to which the wielding of the mechanism by the EU is a manifestation of “good governance”, and b) the extent to which the EU’s wielding of the mechanism has resulted, or is likely to result, in the sustainable development of and reduction of poverty in ACP countries. The examples are chosen to illustrate contradictions between rhetoric and practice and the consequential negative (actual and potential) impact upon development in ACP States. The final section offers suggestions for improving the EU’s governance processes and their outcomes for development.

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BACKGROUND The monoclonal antibody natalizumab (NAT) inhibits the migration of lymphocytes throughout the blood-brain barrier by blocking very late antigen (VLA)-4 interactions, thereby reducing inflammatory central nervous system (CNS) activity in patients with multiple sclerosis (MS). We evaluated the effects of different NAT treatment regimens. METHODS We developed and optimised a NAT assay to measure free NAT, cell-bound NAT and VLA-4 expression levels in blood and cerebrospinal fluid (CSF) of patients using standard and prolonged treatment intervals and after the cessation of therapy. RESULTS In paired CSF and blood samples of NAT-treated MS patients, NAT concentrations in CSF were approximately 100-fold lower than those in serum. Cell-bound NAT and mean VLA-4 expression levels in CSF were comparable with those in blood. After the cessation of therapy, the kinetics of free NAT, cell-bound NAT and VLA-4 expression levels differed. Prolonged intervals greater than 4 weeks between infusions caused a gradual reduction of free and cell-bound NAT concentrations. Sera from patients with and without NAT-neutralising antibodies could be identified in a blinded assessment. The NAT-neutralising antibodies removed NAT from the cell surface in vivo and in vitro. Intercellular NAT exchange was detected in vitro. CONCLUSIONS Incorporating assays to measure free and cell-bound NAT into clinical practice can help to determine the optimal individual NAT dosing regimen for patients with MS.

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"EPA/600/6-90/001."