SOLAR TERMINATOR AND IONOSPHERIC PROPAGATION OF RADIO WAVES

The paper provides a review of studies devoted to the peculiarities of the propagation of radio waves in the ionosphere in the area of the solar terminator, which is the only global and regular source of acoustic-gravitational waves and other disturbances of the ionosphere. It describes the results of theoretical works devoted to the study of perturbations created by the solar terminator in the area of the difference in the intensity of solar radiation in the atmosphere. The paper gives a review of experimental studies of the effects created by the solar terminator in the entire thickness of the atmosphere. These effects, in particular, include the multipath propagation of radio waves, their phase variations, and variations in amplitudes during the propagation of radio waves in the area of the solar terminator. In the interests of science and practice, a number of problems have been proposed for the further study of wave perturbations arising as a result of the movement of the temperature gradient at sunrise and sunset hours.

Predict Health Care Accessibility for Texas Medicaid Gap

Medicaid is a unique approach in ensuring the below poverty population obtains free insurance coverage under federal and state provisions in the United States. Twelve states without expanded Medicaid caused two million people who were under the poverty line into health insecurity. Principal Component-based logistical regression (PCA-LA) is used to consider health status (HS) as a dependent variable and fourteen social-economic indexes as independent variables. Four composite components incorporated health conditions (i.e., “no regular source of care” (NRC), “last check-up more than a year ago” (LCT)), demographic impacts (i.e., four categorized adults (AS)), education (ED), and marital status (MS). Compared to the unadjusted LA, direct adjusted LA, and PCA-unadjusted LA three methods, the PCA-LA approach exhibited objective and reasonable outcomes in presenting an odd ratio (OR). They included that health condition is positively significant to HS due to beyond one OR, and negatively significant to ED, AS, and MS. This paper provided quantitative evidence for the Medicaid gap in Texas to extend Medicaid, exposed healthcare geographical inequity, offered a sight for the Centers for Disease Control and Prevention (CDC) to improve the Medicaid program and make political justice for the Medicaid gap.

Health service underutilization and its associated factors for chronic diseases patients in poverty-stricken areas in China: a multilevel analysis

Background Underutilization of health services among chronic non-communicable disease sufferers, especially for hypertension (HBP) and diabetes mellitus (DM), was considered as a significant contributing factor to substantial cases in terms of both avoidable morbidity and mortality. However, evidence on health services underutilization and its associated factors in poverty-stricken areas remain scarce based on previous literature. This study aims to describe health services underutilization for people diagnosed with chronic diseases in impoverished regions and to identify its associated factors, which are expected to provide practical implications for the implementations of interventions tailored to the specific needs of disadvantaged residents in rural China to achieve effective utilization of health services in a timely manner. Methods Data were collected from a cross-sectional survey conducted through face-to-face interviews among 2413 patients from six counties in rural central China in 2019. The Anderson behavioral model was adopted to explore the associated factors. A two-level logistic model was employed to investigate the association strengths reflected by adjusted odds ratios (AOR) and 95% confidence intervals in forest plots. Results On average, 17.58% of the respondents with HBP and 14.87% with DM had experienced health services underutilization during 1 month before the survey. Multilevel logistic regression indicated that predisposing factors (age), enabling factors (income and a regular source of care), and need factors (self-reported health score) were the common predictors of health service underutilization both for hypertensive and diabetic patients in impoverished areas, among which obtaining a regular source of care was found to be relatively determinant as a protective factor for health services underutilization after controlling for other covariates. Conclusions Our results suggested that the implementation of a series of comprehensive strategies should be addressed throughout policy-making procedures to improve the provision of regular source of care as a significant determinant for reducing health services underutilization, thus ultimately achieving equal utilization of health services in impoverished regions, especially among chronic disease patients. Our findings are expected to provide practical implications for other developing countries confronted with similar challenges resulting from underdeveloped healthcare systems and aging population structures.

Supporting wellness at pantries (SWAP) nutrition stoplight system aids rural food pantry clients living with chronic disease in selecting nutritious options

Objectives Chronic disease accounts for 70% of U.S. deaths, with suboptimal nutrition an important, preventable risk factor. Food insecurity is a contributor to poor nutrition. Food pantries are a regular source of groceries for the food insecure and an ideal place for nutrition literacy programs. Supporting Wellness at Pantries (SWAP) is a stoplight nutrition ranking system based on 2015–2020 Dietary Guidelines, but has only been implemented in urban areas. Rural communities experience higher rates of poor health and food insecurity. Methods This study implements SWAP at a food pantry in a rural community with high rates of food insecurity and chronic disease. Food was sorted into “green,” “yellow,” and “red” items on color-coded shelves, with green foods the most accessible, and signage explaining the sorting was displayed. Surveys measured whether clients found SWAP helpful in choosing nutritious foods, particularly for households with chronic diseases. Results Clients reported that it was significantly (p <.0001) easier to choose items low in salt, sugar, and fat. The benefits of SWAP extended outside the pantry by increasing confidence in choosing nutritious foods while grocery shopping. Discussion SWAP can be an effective tool for improving nutrition literacy among food insecure rural residents with chronic illnesses.

Social Security Status and Retirement Planning of Salaried Class Investors: A Study of Haryana State

Social security becomes the emergent issue of the world. For developing countries, it is very difficult to provide the social security to whole population but it is very important for the welfare for entire society. In all phases of life, social and economic security is necessary but need of security is increased in the old age because human not remains so efficient to do the work and they have no regular source of income in this phase of life. Main aim of this paper is to find the relationship between the demographic variables and social security conditions and retirement planning of salaried class investors of Haryana state. Total 150 is the sample size. The data is collected through a well structured questionnaire for salaried class investors of Haryana state. Main finding of this paper is salaried class investors have same level of social security conditions on the basis of different demographical variables such as gender, age, marital status, nature of employment, job experience, annual income and number of dependent family members.

Jet Streams as Power Generating Electrical Energy in Libya

The supreme wind sources are extremely huge, and according to estimations, these winds can supply Libya with great quantity of electrical energy. Among the examples of contemporary engineering technologies in this field, is to create a new generation of Airborne Wind Turbines. Scientists realized that winds near the Earth’s surface are too weak to provide a regular source of energy due to the presence of aerobic swirls and obstacles, which represent a source of ground friction being the cause of weakening wind power. Some consider that the Earth’s surface is a totally inappropriate place for investing wind energy. As an alternative solution, we start to think about the establishment of wind farms in another place away from the Earth’s surface by developing a new type that can run within the upper-air layers, precisely at jet streams areas. In comparison with fluctuating winds blowing gently near the Earth’s surface, scientists estimate that the energy of jet streams increases a thousand times than that can be gathered from the most powerful winds on high hills. To be able to provide a clear picture of the possibility of energy investment of jet streams, we shall present, across the pages of this paper, an explanation of the topic through the following aspects: How do Airborne Wind Turbines’ trip start, their advantages and difficulties faced, benefits and economic feasibility, General Atmospheric Circulation and jet streams. Since Libya is among the fortunate countries in the world, through which subtropical jet streams pass, we made an analysis and follow-up of daily synoptic charts, which show jet winds’ speed, direction and their altitudes for a period of 60 consecutive months starting from January 1, 2003 until December 31, 2007. Also, an analysis was made of daily observational data of jet winds recorded by Tripoli Upper-air Station during the period from the beginning of March 1987 until the end of February 1989. The paper’s results summarized that jet streams will be in the future one of the important clean energy strategic sources, and can provide a capacity, whose expected intensity is up to 19 kilowatts per square meter. It recommends giving attention to jet streams at the research, experimental and technological levels because research, experimental and technological proficiencies can provide more exciting solutions for energy problems in Libya.

A Disquisition of Significant Role of Feedback and Counseling on Workforce Performance - Reference of i.t. Companies (delhi-ncr region)

Feedback and counseling are related to proper evaluation statements and regular movement. Executive provides responses and give direction to workers on a regular source to make aware about strengths and weaknesses of employees. Counseling is the process that focuses on improving the performance of employees. Counseling is the activity concerned with the evaluation of human resources and their output, and recognition of additional development. Counseling as a way helps the employee as an individual and in team to manage the huge changes at the work place.

Role of Finance in Resource use Efficiency and Constraints in Banana Cultivation in Uttar Pradesh

The study was conducted using purposive cum random sampling technique and two hundred respondents comprised of 100 each borrowers and non-borrowers were selected from two block of district including marginal, small and medium categories of farm size. Primary data were collected through personal interview technique and required secondary information was taken from the record available at district and block level. Simple tabular and functional analysis and Garrett ranking were done to draw inferences. As per the result obtained from the study, no much difference was seen between the resource use efficiency of borrower and non-borrower farms and constraints faced by borrower. Since banana is a cash crop and it needs initial costs for its establishment, and after harvesting the crop regular source of income was generated by selling of suckers (seed) plant and its fruits. It’s by-product, leaves, etc. also used for various purposes. Minute inspection of the analysis showed that finance played important role for initiating the cultivation of banana crops showed the resource use efficiency that there is no considerable difference found on sample farms of borrower and non-borrower categories. Constraints faced by majority of the farmers were mainly delay in disbursement of loan and lack of the repayment period insufficient and improper management for withdraws on KCC.

Implementation of the Cardiovascular Health Awareness Program (CHAP) for adults on a waiting list for a family physician

Background: The Cardiovascular Health Awareness Program (CHAP) was originally developed and evaluated as a community-based cardiovascular disease (CVD) prevention program in communities where access to family physicians was not a significant issue. Many Canadians now face sub-optimal access to a regular source of primary healthcare. Centralised waiting lists and prioritization based on urgency of medical need were created to address this problem. Our objective was to assess the potential benefits of offering a modified version of the CHAP program to adults on the waiting list.Methods: The implementation was conducted in Laval (Canada), targeting individuals 40 years of age or older who were registered on the waiting list (GACO) and had a priority code of 3. Participants were invited through a personalized letter to attend sessions in community health centres. The sessions were facilitated by trained volunteers and supervised by a nurse. During the sessions, participants completed CVD risk profiles, risk of type 2 diabetes questionnaire (CANRISK); had their blood pressure, height and weight as well as waist circumference measured; received targeted healthy lifestyle and patient education materials; and were referred to local programs including a medical follow-up, when required. Results: A total of 2,036 invitation letters were sent resulting in 281 (14.2%) participants attending one of 26 3-hour sessions held in 4 community health centres, assisted by 33 volunteers and supervised by a nurse. The average age of attendees was 58.1 (SD=8.2) and a majority were female (58%, n=163). Most participants were sedentary (57.3%, n=161), had low fruit and vegetable consumption (54.4%, n=153), and were overweight (38.9%, n=109) or obese (41.7%, n=117). A third of participants (34.2%, n=96) had BP ≥140/90 and 11.4% (n=32) were classified as having a very high risk for developing diabetes. Over 40% (n=117) of participants were referred to health promotion programs offered by local health authorities and 4.6% (n=13) were referred to family physicians or emergency departments (1.8%, n=5) for short-term medical assistance.Conclusions: Many Laval adults on a waiting list for a family physician would greatly benefit from having a regular source of primary healthcare to prevent, delay, and manage their cardiovascular health.

Implementation of the Cardiovascular Health Awareness Program (CHAP) for adults on a waiting list for a family physician

Background The Cardiovascular Health Awareness Program (CHAP) was originally developed and evaluated as a community-based cardiovascular disease (CVD) prevention program in communities where access to family physicians was not a significant issue. Many Canadians now face sub-optimal access to a regular source of primary healthcare. Centralised waiting lists and prioritization based on urgency of medical need were created to address this problem. Our objective was to assess the potential benefits of offering a modified version of the CHAP program to adults on the waiting list.Methods The implementation was conducted in Laval (Canada), targeting individuals 40 years of age or older who were registered on the waiting list (GACO) and had a priority code of 3. Participants were invited through a personalized letter to attend sessions in community health centres. The sessions were facilitated by trained volunteers and supervised by a nurse. During the sessions, participants completed CVD risk profiles, risk of type 2 diabetes questionnaire (CANRISK); had their blood pressure, height and weight as well as waist circumference measured; received targeted healthy lifestyle and patient education materials; and were referred to local programs including a medical follow-up, when required.Results A total of 2,036 invitation letters were sent resulting in 281 (14.2%) participants attending one of 26 3-hour sessions held in 4 community health centres, assisted by 33 volunteers and supervised by a nurse. The average age of attendees was 58.1 (SD=8.2) and a majority were female (58%, n=163). Most participants were sedentary (57.3%, n=161), had low fruit and vegetable consumption (54.4%, n=153), and were overweight (38.9%, n=109) or obese (41.7%, n=117). A third of participants (34.2%, n=96) had BP ≥140/90 and 11.4% (n=32) were classified as having a very high risk for developing diabetes. Over 40% (n=117) of participants were referred to health promotion programs offered by local health authorities and 4.6% (n=13) were referred to family physicians or emergency departments (1.8%, n=5) for short-term medical assistance.Conclusions Many Laval adults on a waiting list for a family physician would greatly benefit from having a regular source of primary healthcare to prevent, delay, and manage their cardiovascular health.