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India is largely devoid of high-quality and reliable on-the-ground measurements of fine particulate matter (PM2.5). Ground-level PM2.5 concentrations are estimated from publicly available satellite Aerosol Optical Depth (AOD) products combined with other information. Prior research has largely overlooked the possibility of gaining additional accuracy and insights into the sources of PM using satellite retrievals of tropospheric trace gas columns. We first evaluate the information content of tropospheric trace gas columns for PM2.5 estimates over India within a modeling testbed using an Automated Machine Learning (AutoML) approach, which selects from a menu of different machine learning tools based on the dataset. We then quantify the relative information content of tropospheric trace gas columns, AOD, meteorological fields, and emissions for estimating PM2.5 over four Indian sub-regions on daily and monthly time scales. Our findings suggest that, regardless of the specific model assumptions, incorporating trace gas modeled columns improves PM2.5 estimates. We use the ranking scores produced from the AutoML algorithm and Spearman's rank correlation to infer the relative dominance of primary versus secondary sources of PM2.5 as a first step towards estimating particle composition. Our comparison of AutoML-derived models to selected baseline machine learning models demonstrates that AutoML is at least as good as model selection and hyperparameter tuning prior to training. The idealized pseudo-observations used in this work lay the groundwork for applying satellite retrievals of tropospheric trace gases to estimate fine particle concentrations in India and serve to illustrate the promise of AutoML applications in atmospheric and environmental research.

OBJECTIVE: Increased employment duration has been associated with change in performance on specific neurocognitive domains in populations with schizophrenia, but not in first-episode psychosis. The aim of this exploratory study was to examine whether employment duration over 18 months is associated with neurocognitive outcomes over 18 months among individuals with first-episode psychosis. METHOD: Eighty-eight young people with first-episode psychosis completed a neurocognitive battery at baseline and 18 months. Setwise (hierarchical) multivariate linear regressions were used to examine predictors of change in neurocognitive performance over 18 months. Total hours employed over 18 months were entered after accounting for age, gender, premorbid IQ, and negative symptom change scores. RESULTS: Total hours employed was significantly associated with change in Symbol Digit Modalities Test raw score (p = .020), Letter-Number Sequencing scaled score (p = .016), Digit Span total scaled score (p = .047) and Rey Complex Figure Test delayed recall raw score (p = .016) over 18 months, after controlling demographic characteristics, premorbid IQ, and changes in negative psychotic symptoms. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Total hours worked over 18 months was associated with small improvements on one test of processing speed and one test of working memory. However, total hours worked over 18 months was also associated with decline on one test of attention and working memory and visual organization and memory. The findings implicate that work alone may not be entirely effective in changing neurocognitive functioning for young people with first-episode psychosis. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

AIM: To examine whether baseline neurocognition predicts vocational outcomes over 18 months in patients with first-episode psychosis enrolled in a randomized controlled trial of Individual Placement and Support or treatment as usual. METHODS: One-hundred and thirty-four first-episode psychosis participants completed an extensive neurocognitive battery. Principal axis factor analysis using PROMAX rotation was used to determine the underlying structure of the battery. Setwise (hierarchical) multiple linear and logistic regressions were used to examine predictors of (1) total hours employed over 18 months and (2) employment status, respectively. Neurocognition factors were entered in the models after accounting for age, gender, premorbid IQ, negative symptoms, treatment group allocation and employment status at baseline. RESULTS: Five neurocognitive factors were extracted: (1) processing speed, (2) verbal learning and memory, (3) knowledge and reasoning, (4) attention and working memory and (5) visual organization and memory. Employment status over 18 months was not significantly predicted by any of the predictors in the final model. Total hours employed over 18 months were significantly predicted by gender (P = .027), negative symptoms (P = .032) and verbal learning and memory (P = .040). Every step of the regression model was a significant predictor of total hours worked overall (final model: P = .013). CONCLUSION: Verbal learning and memory, negative symptoms and gender were implicated in duration of employment in first-episode psychosis. The other neurocognitive domains did not significantly contribute to the prediction of vocational outcomes over 18 months. Interventions targeting verbal memory may improve vocational outcomes in early psychosis.

Models of atmospheric composition rely on fire emissions inventories to reconstruct and project impacts of biomass burning on air quality, public health, climate, ecosystem dynamics, and land-atmosphere exchanges. Many such global inventories use satellite measurements of active fires and/or burned area from the Moderate Resolution Imaging Spectroradiometer (MODIS). However, differences across inventories in the interpretation of satellite imagery, the emissions factors assumed for different components of smoke, and the adjustments made for small and obscured fires can result in large regional differences in fire emissions estimates across inventories. Using Google Earth Engine, we leverage 15 years (2003–2017) of MODIS observations and 6 years (2012–2017) of observations from the higher spatial resolution Visible Imaging Infrared Radiometer Suite (VIIRS) sensor to develop metrics to quantify five major sources of spatial bias or uncertainty in the inventories: (1) primary reliance on active fires versus burned area, (2) cloud/haze burden on the ability of satellites to “see” fires, (3) fragmentation of burned area, (4) roughness in topography, and (5) small fires, which are challenging to detect. Based on all these uncertainties, we devise comprehensive “relative fire confidence scores,” mapped globally at 0.25° × 0.25° spatial resolution over 2003–2017. We then focus on fire activity in Indonesia as a case study to analyze how the choice of a fire emissions inventory affects model estimates of smoke-induced health impacts across Equatorial Asia. We use the adjoint of the GEOS-Chem chemical transport model and apply emissions of particulate organic carbon and black carbon (OC + BC smoke) from five global inventories: Global Fire Emissions Database (GFEDv4s), Fire Inventory from NCAR (FINNv1.5), Global Fire Assimilation System (GFASv1.2), Quick Fire Emissions Dataset (QFEDv2.5r1), and Fire Energetics and Emissions Research (FEERv1.0-G1.2). We find that modeled monthly smoke PM2.5 in Singapore from 2003 to 2016 correlates with observed smoke PM2.5, with r ranging from 0.64–0.84 depending on the inventory. However, during the burning season (July to October) of high fire intensity years (e.g., 2006 and 2015), the magnitude of mean Jul-Oct modeled smoke PM2.5 can differ across inventories by >20 μg m−3 (>500%). Using the relative fire confidence metrics, we deduce that uncertainties in this region arise primarily from the small, fragmented fire landscape and very poor satellite observing conditions due to clouds and thick haze at this time of year. Indeed, we find that modeled smoke PM2.5 using GFASv1.2, which adjusts for fires obscured by clouds and thick haze and accounts for peatland emissions, is most consistent with observations in Singapore, as well as in Malaysia and Indonesia. Finally, we develop an online app called FIRECAM for end-users of global fire emissions inventories. The app diagnoses differences in emissions among the five inventories and gauges the relative uncertainty associated with satellite-observed fires on a regional basis.

Objective: To examine the influence of vaginal probiotic administration as an adjunct to standard antibiotic treatment on perinatal outcome in women with preterm premature rupture of membranes (PPROM). Materials and Methods: This was a prospective randomized trial of cases with PPROM (24-34 weeks) that were admitted to our department between 2011 and 2015. Forty-nine cases received vaginal probiotics for 10 days in combination with antibiotic prophylaxis and were compared to 57 others that received only antibiotics for the same time period. Results: The mean gestational age at birth (35.49 vs. 32.53 weeks), the mean duration of the latency period (5.60 vs. 2.48 weeks), and the mean birth weight (2,439.08 vs. 2,004.81 g) were significantly higher in the study group in comparison to the controls. Moreover, the neonates of the study group had a lower chance to enter the neonatal intensive care unit or the neonatal special care unit, shorter total hospitalization time, and lower need for oxygen administration and mechanical ventilation, as well as lower length of oxygen administration. Conclusions: Vaginal probiotics as an adjunct to antibiotic prophylaxis in women with PPROM prolonged the latency period and improved the perinatal outcome.

A rising source of outdoor emissions in northwestern India is crop residue burning, occurring after the monsoon (kharif) and winter (rabi) crop harvests. In particular, post-monsoon rice residue burning, which occurs annually from October to November and is linked to increasing mechanization, coincides with meteorological conditions that enhance short-term air quality degradation. Here we examine the Global Fire Emissions Database (GFED), whose bottom-up emissions are based on the 500-m burned area product, MCD64A1, derived from Moderate Resolution Imaging Spectroradiometer (MODIS) observations. Using a household survey from 2016, we find that MCD64A1 tends to underestimate burned area in many surveyed villages, leading to poor representation of small, scattered fires and consequent spatial biases in model results. To more accurately allocate such small fires and resolve sub-village heterogeneity, we use an experimental hybrid MODIS-Landsat method (ModL2T) to map burned area at 30-m spatial resolution, which results in 44 ± 21% higher burned area than MCD64A1 and up to 105 ± 52% increase in dry matter emissions over GFEDv4s. In our validation and assessments, we find that ModL2T performs better relative to MCD64A1 in terms of bias and omission error, but may introduce commission error due to conflation of burning with harvest and still underestimate burned area due to Landsat’s coarse temporal resolution (every 16 days). We conclude that while MODIS and Landsat provide more than two decades worth of observations, their spatio-temporal resolution is too coarse to overcome several region-specific challenges: small median landholding size (1-3 ha), quick harvest-to-sowing turnover period, prevalence of partial burning, and increasing haziness. To further constrain agricultural fire emissions in northwestern India and improve model estimates of associated public health impacts, integration of finer resolution imagery, as well as better understanding of the spatial patterns in burn rates, burn practices, and fuel loading, is requisite.