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As a result of extreme weather conditions, such as heavy precipitation, natural hillslopes can fail dramatically; these slope failures can occur on a dry day, due to time lags between rainfall and pore-water pressure change at depth, or even after days to years of slow motion. While the prefailure deformation is sometimes apparent in retrospect, it remains challenging to predict the sudden transition from gradual deformation (creep) to runaway failure. We use a network science method-multilayer modularity optimization-to investigate the spatiotemporal patterns of deformation in a region near the 2017 Mud Creek, California landslide. We transform satellite radar data from the study site into a spatially embedded network in which the nodes are patches of ground and the edges connect the nearest neighbors, with a series of layers representing consecutive transits of the satellite. Each edge is weighted by the product of the local slope (susceptibility to failure) measured from a digital elevation model and ground surface deformation (current rheological state) from interferometric synthetic aperture radar (InSAR). We use multilayer modularity optimization to identify strongly connected clusters of nodes (communities) and are able to identify both the location of Mud Creek and nearby creeping landslides which have not yet failed. We develop a metric, i.e., community persistence, to quantify patterns of ground deformation leading up to failure, and find that this metric increased from a baseline value in the weeks leading up to Mud Creek's failure. These methods hold promise as a technique for highlighting regions at risk of catastrophic failure.

Systematic reviews of qualitative research (‘qualitative evidence syntheses’) are increasingly popular and represent a potentially important source of information about people’s views, needs and experiences. Since 2013, Cochrane has published qualitative evidence syntheses, and the Cochrane Effective Practice and Organisation of Care group has been involved in the majority of these reviews. But more guidance is needed on how to prepare these reviews in an environment that is more familiar with reviews of quantitative research. In this paper, we describe and reflect on how Cochrane qualitative evidence syntheses differ from reviews of intervention effectiveness and how these differences have influenced the guidance developed by the EPOC group. In particular, we discuss how it has been important to display to end users, firstly, that qualitative evidence syntheses are carried out with rigour and transparency, and secondly, that these quality standards need to reflect qualitative research traditions. We also discuss lessons that reviews of effectiveness might learn from qualitative research.

A growing number of researchers are preparing systematic reviews of qualitative evidence, often referred to as ‘qualitative evidence syntheses’. Cochrane published its first qualitative evidence synthesis in 2013 and published 27 such syntheses and protocols by August 2020. Most of these syntheses have explored how people experience or value different health conditions, treatments and outcomes. Several have been used by guideline producers and others to identify the topics that matter to people, consider the acceptability and feasibility of different healthcare options and identify implementation considerations, thereby complementing systematic reviews of intervention effectiveness.Guidance on how to conduct and report qualitative evidence syntheses exists. However, methods are evolving, and we still have more to learn about how to translate and integrate existing methodological guidance into practice. Cochrane’s Effective Practice and Organisation of Care (EPOC) (www.epoc.org) has been involved in many of Cochrane’s qualitative evidence syntheses through the provision of editorial guidance and support and through co-authorship. In this article, we describe the development of a template and guidance for EPOC’s qualitative evidence syntheses and reflect on this process.

Background The leading causes of mortality globally in children younger than five years of age (under-fives), and particularly in the regions of sub-Saharan Africa (SSA) and Southern Asia, in 2018 were infectious diseases, including pneumonia (15%), diarrhoea (8%), malaria (5%) and newborn sepsis (7%) (UNICEF 2019). Nutrition-related factors contributed to 45% of under-five deaths (UNICEF 2019). World Health Organization (WHO) and United Nations Children's Fund (UNICEF), in collaboration with other development partners, have developed an approach - now known as integrated community case management (iCCM) - to bring treatment services for children 'closer to home'. The iCCM approach provides integrated case management services for two or more illnesses - including diarrhoea, pneumonia, malaria, severe acute malnutrition or neonatal sepsis - among under-fives at community level (i.e. outside of healthcare facilities) by lay health workers where there is limited access to health facility-based case management services (WHO/UNICEF 2012). Objectives To assess the effects of the integrated community case management (iCCM) strategy on coverage of appropriate treatment for childhood illness by an appropriate provider, quality of care, case load or severity of illness at health facilities, mortality, adverse events and coverage of careseeking for children younger than five years of age in low- and middle-income countries. Search methods We searched CENTRAL, MEDLINE, Embase and CINAHL on 7 November 2019, Virtual Health Library on 8 November 2019, and Popline on 5 December 2018, three other databases on 22 March 2019 and two trial registers on 8 November 2019. We performed reference checking, and citation searching, and contacted study authors to identify additional studies. Selection criteria Randomized controlled trials (RCTs), cluster-RCTs, controlled before-after studies (CBAs), interrupted time series (ITS) studies and repeated measures studies comparing generic WHO/UNICE

The surfaces of many planetary bodies, including asteroids and small moons, are covered with dust to pebble-sized regolith held weakly to the surface by gravity and contact forces. Understanding the reaction of regolith to an external perturbation will allow for instruments, including sensors and anchoring mechanisms for use on such surfaces, to implement optimized design principles. We analyze the behavior of a flexible probe inserted into loose regolith simulant as a function of probe speed and ambient gravitational acceleration to explore the relevant dynamics. The EMPANADA experiment (Ejecta-Minimizing Protocols for Applications Needing Anchoring or Digging on Asteroids) flew on several parabolic flights. It employs a classic granular physics technique, photoelasticity, to quantify the dynamics of a flexible probe during its insertion into a system of bi-disperse, cm-sized model grains. We identify the force-chain structure throughout the system during probe insertion at a variety of speeds and for four different levels of gravity: terrestrial, martian, lunar, and microgravity. We identify discrete, stick-slip failure events that increase in frequency as a function of the gravitational acceleration. In microgravity environments, stick-slip behaviors are negligible, and we find that faster probe insertion can suppress stick-slip behaviors where they are present. We conclude that the mechanical response of regolith on rubble pile asteroids is likely quite distinct from that found on larger planetary objects, and scaling terrestrial experiments to microgravity conditions may not capture the full physical dynamics.

A photoelastic material will reveal its internal stresses when observed through polarizing filters. This eye-catching property has enlightened our understanding of granular materials for over half a century, whether in the service of art, education, or scientific research. In this review article in honor of Robert Behringer, we highlight both his pioneering use of the method in physics research, and its reach into the public sphere through museum exhibits and outreach programs. We aim to provide clear protocols for artists, exhibit-designers, educators, and scientists to use in their own endeavors. It is our hope that this will build awareness about the ubiquitous presence of granular matter in our lives, enlighten its puzzling behavior, and promote conversations about its importance in environmental and industrial contexts. To aid in this endeavor, this paper also serves as a front door to a detailed wiki containing open, community-curated guidance on putting these methods into practice (Abed-Zadeh et al. in Photoelastic methods wiki https://git-xen.lmgc.univ-montp2.fr/PhotoElasticity/Main/wikis/home, 2019).

This is a protocol for a Cohrane Rewiew (intervention). The objectives are as follows: To assess the effects of the integrated community case management (ICCM) strategy for children younger than five yearsh of age in low-and middle-income countys.

Background: The growing burden of non-communicable diseases (NCDs) all over the world calls for a change in peoples’ lifestyles. One way to prevent NCDs is to work with health promotion. The burden of communicable diseases (CDs), however, is still high and resources are limited. Studies suggest that promotion of health should start early in life and in cooperation between preschool teachers and parents. Also health care workers should be included in such work. The aim of the present study was to explore health care professionals’ experiences and their reflections on health promotion in relation to children’s health in two different Western Cape settings, South Africa. Methods: Data was collected in two focus group discussions (FGDs) with twelve health care professionals from health clinics situated in two different settings; one upper-middle income urban suburb and one peri-urban township. Data was analysed with latent content analysis. Results: The findings are presented in four categories and twelve subcategories. The focus group (FG) participants had a holistic view on health and they talked about children’s health from a health promotion perspective where they saw children’s health as affected by an interplay between family, societal and structural factors. Further they saw several possibilities and expressed ideas about how to work from a health promotion perspective. They had a positive attitude to working intersectorally and interdisciplinary and believed that they could contribute to such a work. However, the cooperation with doctors and social service must be improved in order to succeed. Conclusions: The organizers of the health care sector should see to that health professionals have the possibility to work according to health promotion principles. Also the health care workers themselves must engage more actively in the work by considering the attitudes of the staff, the parents and grandparents and develop cultural awareness and sensibility.

Background: The worldwide growth of non-communicable diseases requires important lifestyle adaptations. The earlier a healthy lifestyle is adopted, the better. Enabling a healthy lifestyle for children during the preschool years ideally involves the cooperation of parents and teachers. Health promotion with parents and teachers is most effective if it takes into consideration their views and opinions, as well as context. Objective: The aim of this study was to explore perceptions of health and healthy lifestyle from the perspective of preschool children’s parents, and the staff caring for children attending preschools in three diverse settings. Design: Qualitative in-depth study. Setting: Preschools in Western Cape Province, South Africa. Method: Data were collected through six focus group discussions and analysed using qualitative content analysis. Results: Parents and staff shared a holistic view of health, agreeing that children and their health were primarily the responsibility of the parents. Informants described their own health and that of children as affected by a variety of interconnected factors, including environmental, economic, social and individual influences. Conclusion: When tailoring a health-promoting education programme, it is important to consider the pre-existing knowledge the participants have and the context in which intervention will take place. There is also a need to structurally address social determinants of health that may be beyond the control of the individuals.

This Record of Decision (ROD) documents the Air Force's decision regarding the implementation of the Joint Strike Fighter (JSF or F-35) beddown portion of the Base Realignment and Closure (BRAC) decisions and related actions at Eglin Air Force Base (AFB), Floride1.. In making this decision, the information, analysis, and public comments contained in the Final Supplemental Environmental Impact Statement (SEIS) for F-35 Beddown at Eglin AFB, Florida, January 2014 (Federal Register, Vol. 79, No. 40, EIS No. 20140047, pg. 11428), were considered, among other relevant factors and supporting materials. This ROD is prepared in accordance with the regulations implementing the National Environmental Policy Act (NEPA), Title 42 U.S.C. 4321-4347; the President's Council on Enviromnental Quality (CEQ) NEP A regulations at 40 CFR, 1505.2, Record of decision in cases requiring environmental impact statements; and 32 CFR 989.21, implementing the Air Force Enviromnental Impact Analysis Process (EIAP). Specifically, this ROD: States the Air Force's decision; Identifies all alternatives considered by the Air Force in reaching the Initial Joint Training Site (IJTS) decision and specifies the alternative considered enviromnentally preferable; Identifies and discusses relevant factors balanced by the Air Force in making the IJTS decision, including economic and technical considerations, the Air Force's missions, and essential national policy considerations, and states how those considerations entered into the decision; States whether all practicable means to avoid or minimize enviromnental harm resulting from the selected alternative have been adopted, and if not, why they were not; and Carries forward and continues the existing mitigation, monitoring, and enforcement program based on the February 2009 ROD and directs its revision to reflect the analyses in the SEIS and this ROD.

Dryland ecosystems commonly exhibit periodic bands of vegetation, thought to form due to competition between individual plants for heterogeneously distributed water. In this paper, we develop a Fourier method for locally identifying the pattern wavenumber and orientation, and apply it to aerial images from a region of vegetation patterning near Fort Stockton, TX, USA. We find that the local pattern wavelength and orientation are typically coherent, but exhibit both rapid and gradual variation driven by changes in hillslope gradient and orientation, the potential for water accumulation, or soil type. Endogenous pattern dynamics, when simulated for spatially homogeneous topographic and vegetation conditions, predict pattern properties that are much less variable than the orientation and wavelength observed in natural systems. Our local pattern analysis, combined with ancillary datasets describing soil and topographic variation, highlights a largely unexplored correlation between soil depth, pattern coherence, vegetation cover and pattern wavelength. It also, surprisingly, suggests that downslope accumulation of water may play a role in changing vegetation pattern properties.

NCT00297150., Co-author: Eva-Charlotte Ekström, Barni Nor, Uppsala universitet, Institutionen för kvinnors och barns hälsa, forskargrupp Internationell kvinno- & mödrahälsovård/Essén, ingår i the PROMISE-EBF Study Group.

Background: Recent years have seen a re-emergence of community health worker (CHW) interventions, especially in relation to HIV care, and in increasing coverage of child health interventions. Such programmes can be particularly appealing in the face of human resource shortages and fragmented health systems. However, do we know enough about how these interventions function in order to support the investment? While research based on strong quantitative study designs such as randomised controlled trials increasingly document their impact, there has been less empirical analysis of the internal mechanisms through which CHW interventions succeed or fail. Qualitative process evaluations can help fill this gap. Methods: This qualitative paper reports on the experience of three CHW supervisors who were responsible for supporting infant feeding peer counsellors. The intervention took place in three diverse settings in South Africa. Each setting employed one CHW supervisor, each of whom was individually interviewed for this study. The study forms part of the process evaluation of a large-scale randomized controlled trial of infant feeding peer counselling support. Results: Our findings highlight the complexities of supervising and supporting CHWs. In order to facilitate effective infant feeding peer counselling, supervisors in this study had to move beyond mere technical management of the intervention to broader people management. While their capacity to achieve this was based on their own prior experience, it was enhanced through being supported themselves. In turn, resource limitations and concerns over safety and being in a rural setting were raised as some of the challenges to supervision. Adding to the complexity was the issue of HIV. Supervisors not only had to support CHWs in their attempts to offer peer counselling to mothers who were potentially HIV positive, but they also had to deal with supporting HIV-positive peer counsellors. Conclusions: This study highlights th

Aim: The overall aim is to assess the appropriateness of Lay Health Worker (LHW)programmes as a public health intervention in South Africa by considering the effectivenessof LHW programmes across the world and the experience of LHW programmeimplementation and policy making in South Africa. Methods: This thesis comprises 4 papers that explore the issue of LHWs: (I) A systematicreview of randomised controlled trials (RCTs) of LHW interventions in primary andcommunity health care for maternal and child health and the management of infectiousdiseases; (II) A study of the experiences of farm dwellers trained to be LHWs, as exploredthrough focus group discussions; (III) A study of three LHW supervisors who worked on anintervention to support infant feeding mothers, as explored through individual interviews;and (IV) A study of the process of LHW policy development from the perspective of 11 keyinformants who were individually interviewed. Findings: LHWs were found to be effective in promoting breastfeeding and in improvingpulmonary TB cure rates (I). There was also some indication that LHWs could be effective inreducing child morbidity and child and neonatal mortality, and in increasing the likelihood ofcaregivers seeking care for childhood illness (I). The experience of LHWs and LHWsupervisors suggests that LHW programmes need adequate support and supervision,especially in protecting the LHWs themselves (II, III). The care and protection of LHWs wasconsidered by policy makers (IV), but policy redevelopment processes did not link the needto ensure that LHWs were not exploited to concerns about gender exploitation. Conclusions: LHW interventions can be effective but implementing them in developingcountries such as South Africa needs to be approached with caution

Postnatal transmission of HIV through breastfeeding remains an unsolved problem in resource poor settings, where refraining from breastfeeding is neither feasible nor safe. This study describes how women experienced infant-feeding peer counseling within a community-based intervention trial in 3 settings in South Africa. In total, 17 interviews and 10 observations were done with HIV-infected and uninfected women. The findings raise questions on the concept of "peer." Some women feared the peer counselor visits and questioned their intentions. Others, especially HIV-infected women, valued peer counseling for the emotional support provided. Being HIV infected with limited or no network of support appeared stressful for most women. The effects of data collection on the delivery and uptake of peer counseling are discussed. The findings underline the contextual barriers facing peer counselors and show that these challenges could have important implications for the effectiveness of infant-feeding counseling in high HIV prevalence countries.

Dagstuhl Seminar 07112 took place from Wednesday, 14th March, 2007 to Friday, 16th March. There were 17 participants from a total of 9 different countries. The seminar was led by Graham Kendall and Karen Daniels. Jan van der Veen was designated to collate the proceedings.

From 13.03. to 16.03.2007, the Dagstuhl Seminar 07112 ``Cutting, Packing, Layout and Space Allocation'' was held in the International Conference and Research Center (IBFI), Schloss Dagstuhl. During the seminar, several participants presented their current research, and ongoing work and open problems were discussed. Abstracts of the presentations given during the seminar as well as abstracts of seminar results and ideas are put together in this paper. The first section describes the seminar topics and goals in general. Links to extended abstracts or full papers are provided, if available.

Dagstuhl Seminar 07112 took place from Wednesday, 14th March, 2007 to Friday, 16th March. There were 17 participants from a total of 9 different countries. The seminar was led by Graham Kendall and Karen Daniels. Jan van der Veen was designated to collate the proceedings.

From 13.03. to 16.03.2007, the Dagstuhl Seminar 07112 ``Cutting, Packing, Layout and Space Allocation'' was held in the International Conference and Research Center (IBFI), Schloss Dagstuhl. During the seminar, several participants presented their current research, and ongoing work and open problems were discussed. Abstracts of the presentations given during the seminar as well as abstracts of seminar results and ideas are put together in this paper. The first section describes the seminar topics and goals in general. Links to extended abstracts or full papers are provided, if available.

The United States Air Force (Air Force) will implement the WINDO for Davis-Monthan AFB, in Tucson, Arizona. The WINDO is a plan designed to identify construction and demolition projects proposed for improving the physical infrastructure and functionality of Davis-Monthan AFB. The 355th Wing (355 WG) will implement construction projects associated with their WINDO that would include construction and/ or modification of 23 new facilities, development of new pavements, and demolition of 28 facilities that are either deteriorated, obsolete, and/ or in the footprint of proposed new construction.

Pursuant to the President's Council on Environmental Quality regulations for implementing the procedural provisions of the National Environmental Policy Act promulgated at 40 Code of Federal Regulations 1500-1508 (40 CFR 1500-1508), and the Department of the Air Force's (AF) Environmental Impact Analysis Process (EIAP) rules at 32 CFR 989, the AF has conducted an Environmental Assessment (EA) of the probable environmental consequences for granting an easement for, and installation of, an Okaloosa County water pipeline on Hurlburt Field, Eglin Air Force Base (AFB), Florida. This document serves as both a Finding of No Significant Impact (FONSI) and Finding of No Practicable Alternative (FONPA). The FONPA is required by Executive Order (EO) 11988, Floodplain Management, and EO 11990, Protection of Wetlands. Small portions of the Proposed Action will occur within wetlands or a FEMA-designated 100-year flood plain.

The Eglin Military Complex is a Department of Defense (DoD) Major Range Test Facility Base (MRTFB) that exists to support the DoD mission (Figure 1-1). Its primary function is to support research, development, test, and evaluation of conventional weapons and electronic systems. Its secondary function is to support training of operational units. Eglin range components include: 1) Test Areas/Sites 2) Interstitial Areas (areas beyond and between the test areas) 3) The Eglin Gulf Test Range 4) Airspace (over land and water) The Air Force Air Armament Center (AAC) has responsibility for the Eglin Military Complex and for all its users, which include DoD, other government agencies, foreign countries, and private companies. For range operations, AAC provides environmental analyses and necessary National Environmental Policy Act (NEPA) documentation to ensure compliance with Air Force policy and applicable federal, state, and local environmental laws and regulations. AAC includes two wings and four directorates that collectively operate, manage, and support all activities on the Eglin Military Complex. AAC accomplishes its range operations through the 46th Test Wing with support from the 96th Air Base Wing. The 46th Test Wing Commander is responsible for day-to-day scheduling, executing, and maintaining of this national asset. The continued DoD utilization of the Eglin Military Complex requires flexible and unencumbered access to land ranges and airspace, which support all of Eglin s operations. Eglin controls airspace overlying 127,868 square miles (mi2), of which 2.5 percent (3,226 mi2) is over land and 97.5 percent (124,642 mi2) is over water as shown in Figure 1-1. The 46th Test Wing is analyzing the cumulative environmental impacts of all current and anticipated future operations conducted on Test Area (TA) C-62 (Figure 1-2) in this Programmatic Environmental Assessment.

To expedite the research data management system (RDMS) required for complex and large-scale ecological field studies being done at the U. S. Army Engineer Waterways Experiment Station (WES), a graphical display system was developed. The Statistical Analysis System (SAS) provides the framework for making open-ended RDMS practical and cost-effective. PROC VIVIPLOT is the first of a series of SAS procedures that will produce copy-ready figures with some independence as to choice of plotter. Several approaches are available that minimize errors in coding variables. Numeric codes, 'smart codes,' with embedded information allocated to positions within the value codes are widely used but unacceptable for variables with many values and/or many levels of classification. 'Nonsense' codes, or codes without embedded information, however, efficiently circumvent the problems associated with smart codes. Using nonsense codes, alphanumeric variable values are assigned a sequential numeric code as new values are encountered in the data base, irrespective of the position of the value in the classification scheme for that variable. With the use of nonsense codes, the management approach is open-ended and does not require a knowledge of the number of potential classification levels for the variables. In addition, experience with several large environmental data bases indicates that coding errors appear to be less frequent using nonsense codes than in those studies in which a smart code approach was used., Report on Environmental and Water Quality Operational Studies. See also AD-A099 329.

Item donated by the Upper Mississippi River Conservation Committee (UMRCC) to Murphy Library in 2018. Part of the UMRCC Collection housed at Murphy Library, University of Wisconsin-La Crosse.