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Characterization and detection of Anopheles vestitipennis and Anopheles punctimacula (Diptera: Culicidae) larval habitats in Belize with field survey and SPOT satellite imagery

Surveys of larval habitats of Anopheles vestitipennis and Anopheles punctimacula were conducted in Belize, Central America. Habitat analysis and classification resulted in delineation of eight habitat types defined by dominant life forms and hydrology. Percent cover of tall dense macrophytes, shrubs, open water, and pH were significantly different between sites with and without An. vestitipennis. For An. punctimacula, percent cover of tall dense macrophytes, trees, detritus, open water, and water depth were significantly different between larvae positive and negative sites. The discriminant function for An. vestitipennis correctly predicted the presence of larvae in 65% of sites and correctly predicted the absence of larvae in 88% of sites. The discriminant function for An. punctimacula correctly predicted 81% of sites for the presence of larvae and 45% for the absence of larvae. Canonical discriminant analysis of the three groups of habitats (An. vestitipennis positive; An. punctimacula positive; all negative) confirmed that while larval habitats of An. punctimacula are clustered in the tree dominated area, larval habitats of An. vestitipennis were found in both tree dominated and tall dense macrophyte dominated environments. The forest larval habitats of An. vestitipennis and An. punctimacula seem to be randomly distributed among different forest types. Both species tend to occur in denser forests with more detritus, shallower water, and slightly higher pH. Classification of dry season (February) SPOT multispectral satellite imagery produced 10 land cover types with the swamp forest and tall dense marsh classes being of particular interest. The accuracy assessment showed that commission errors for the tall, dense marsh and swamp forest appeared to be minor; but omission errors were significant, especially for the swamp forest (perhaps because no swamp forests are flooded in February). This means that where the classification indicates there are An. vestitipennis breeding sites, they probably do exist; but breeding sites in many locations are not identified and could be more abundant than indicated.

NASA Discipline General Space Life Sciences↗

An Orbital "Virtual Radar" from TRMM Passive Microwave and Lightning Observations

The retrieval of vertical structure from joint passive microwave and lightning observations is demonstrated. Three years of data from the TRMM (Tropical Rainfall Measuring Mission) are used as a training dataset for regression and classification neural networks; the TMI (TRMM Microwave Imager) and LIS (Lightning Imaging Sensor) provide the inputs, the PR (Precipitation Radar) provides the training targets. Both vertical reflectivity profile categorization (into 9 convective, 7 stratiform, 2 mixed and 6 anvil types) and geophysical parameters (surface rainfall, vertically integrated liquid (VIL), ice water content (IWC) and echo tops) are retrieved. Retrievals are successful over both land and ocean surfaces. The benefit of using lightning observations as inputs to these retrievals is quantitatively demonstrated; lightning essentially provides an additional convective/stratiform discriminator, and is most important for isolation of midlevel (tops in the mixed phase region) convective profile types (this is because high frequency passive microwave observations already provide good convective/stratiform discrimination for deep convective profiles). This is highly relevant as midlevel convective profiles account for an extremely large fraction of tropical rainfall, and yet are most difficult to discriminate from comparable-depth stratiform profile types using passive microwave observations alone.

Boccippio, Dennis J.↗

Processing Satellite Imagery To Detect Waste Tire Piles

A methodology for processing commercially available satellite spectral imagery has been developed to enable identification and mapping of waste tire piles in California. The California Integrated Waste Management Board initiated the project and provided funding for the method s development. The methodology includes the use of a combination of previously commercially available image-processing and georeferencing software used to develop a model that specifically distinguishes between tire piles and other objects. The methodology reduces the time that must be spent to initially survey a region for tire sites, thereby increasing inspectors and managers time available for remediation of the sites. Remediation is needed because millions of used tires are discarded every year, waste tire piles pose fire hazards, and mosquitoes often breed in water trapped in tires. It should be possible to adapt the methodology to regions outside California by modifying some of the algorithms implemented in the software to account for geographic differences in spectral characteristics associated with terrain and climate. The task of identifying tire piles in satellite imagery is uniquely challenging because of their low reflectance levels: Tires tend to be spectrally confused with shadows and deep water, both of which reflect little light to satellite-borne imaging systems. In this methodology, the challenge is met, in part, by use of software that implements the Tire Identification from Reflectance (TIRe) model. The development of the TIRe model included incorporation of lessons learned in previous research on the detection and mapping of tire piles by use of manual/ visual and/or computational analysis of aerial and satellite imagery. The TIRe model is a computational model for identifying tire piles and discriminating between tire piles and other objects. The input to the TIRe model is the georeferenced but otherwise raw satellite spectral images of a geographic region to be surveyed. The TIRe model identifies the darkest objects in the images and, on the basis of spatial and spectral image characteristics, discriminates against other dark objects, which can include vegetation, some bodies of water, and dark soils. The TIRe model can identify piles of as few as 100 tires. The output of the TIRe model is a binary mask showing areas containing suspected tire piles and spectrally similar features. This mask is overlaid on the original satellite imagery and examined by a trained image analyst, who strives to further discriminate against non-tire objects that the TIRe model tentatively identified as tire piles. After the analyst has made adjustments, the mask is used to create a synoptic, geographically accurate tire-pile survey map, which can be overlaid with a road map and/or any other map or set of georeferenced data, according to a customer s preferences.

Skiles, Joseph↗

The Spatial Standard Observer

The spatial standard observer is a computational model that provides a measure of the visibility of a target in a uniform background image or of the visual discriminability of two images. Standard observers have long been used in science and industry to quantify the discriminability of colors. Color standard observers address the spectral characteristics of visual stimuli, while the spatial standard observer (SSO), as its name indicates, addresses spatial characteristics. The SSO is based on a model of human vision. The SSO was developed in a process that included evaluation of a number of earlier mathematical models that address optical, physiological, and psychophysical aspects of spatial characteristics of human visual perception. Elements of the prior models are incorporated into the SSO, which is formulated as a compromise between accuracy and simplicity. The SSO operates on a digitized monochrome still image or on a pair of such images. The SSO consists of three submodels that operate sequentially on the input image(s): 1. A contrast model, which converts an input monochrome image to a luminance contrast image, wherein luminance values are expressed as excursions from, and normalized to, a mean; 2. A contrast-sensitivity-filter model that includes an oblique-effect filter (which accounts for the decline in contrast sensitivity at oblique viewing angles); and 3. A spatial summation model, in which responses are spatially pooled by raising each pixel to the power beta, adding the results, and raising the sum to the 1/b power. In this model, b=2.9 was found to be a suitable value. The net effect of the SSO is to compute a numerical measure of the perceptual strength of the single image, or of the visible difference (denoted the perceptual distance) between two images. The unit of a measure used in the SSO is the just noticeable difference (JND), which is a standard measure of perceptual discriminability. A target that is just visible has a measure of 1 JND.

Watson, Andrew B.↗

Current Usage and Future Prospects of Multispectral (RGB) Satellite Imagery in Support of NWS Forecast Offices and National Centers

Current and future satellite sensors provide remotely sensed quantities from a variety of wavelengths ranging from the visible to the passive microwave, from both geostationary and low-Earth orbits. The NASA Short-term Prediction Research and Transition (SPoRT) Center has a long history of providing multispectral imagery from the Moderate Resolution Imaging Spectroradiometer (MODIS) aboard NASA s Terra and Aqua satellites in support of NWS forecast office activities. Products from MODIS have recently been extended to include a broader suite of multispectral imagery similar to those developed by EUMETSAT, based upon the spectral channel s available from the Spinning Enhanced Visible and InfraRed Imager (SEVIRI) aboard METEOSAT-9. This broader suite includes products that discriminate between air mass types associated with synoptic-scale features, assists in the identification of dust, and improves upon paired channel difference detection of fog and low cloud events. Similarly, researchers at NOAA/NESDIS and CIRA have developed air mass discrimination capabilities using channels available from the current GOES Sounders. Other applications of multispectral composites include combinations of high and low frequency, horizontal and vertically polarized passive microwave brightness temperatures to discriminate tropical cyclone structures and other synoptic-scale features. Many of these capabilities have been transitioned for evaluation and operational use at NWS Weather Forecast Offices and National Centers through collaborations with SPoRT and CIRA. Future instruments will continue the availability of these products and also expand upon current capabilities. The Advanced Baseline Imager (ABI) on GOES-R will improve the spectral, spatial, and temporal resolution of our current geostationary capabilities, and the recent launch of the Suomi National Polar-Orbiting Partnership (S-NPP) carries instruments such as the Visible Infrared Imager Radiometer Suite (VIIRS), the Cross-track Infrared Sounder (CrIS), and the Advanced Technology Microwave Sounder (ATMS), which have unrivaled spectral and spatial resolution, as precursors to the JPSS era (i.e., the next generation of polar orbiting satellites). At the same time, new image manipulation and display capabilities are available within AWIPS II, the next generation of the NWS forecaster decision support system. This presentation will present a review of SPoRT, CIRA, and NRL collaborations regarding multispectral satellite imagery and articulate an integrated and collaborative path forward with Raytheon AWIPS II development staff for integrating current and future capabilities that support new satellite instrumentation and the AWIPS II decision support system.

Molthan, Andrew L.↗

Low-to-Medium Power Single Chip Digital Controlled DC-DC Regulator for Point-of-Load Applications

A DC-DC converter for generating a DC output voltage includes: a digitally controlled pulse width modulator (DPWM) for controlling a switching power stage to supply a varying voltage to an inductor; and a digital voltage feedback circuit for controlling the DPWM in accordance with a feedback voltage corresponding to the DC output voltage, the digital voltage feedback circuit including: a first voltage controlled oscillator for converting the feedback voltage into a first frequency signal and to supply the first frequency signal to a first frequency discriminator; a second voltage controlled oscillator for converting a reference voltage into a second frequency signal and to supply the second frequency signal to a second frequency discriminator; a digital comparator for comparing digital outputs of the first and second frequency discriminators and for outputting a digital feedback signal; and a controller for controlling the DPWM in accordance with the digital feedback signal.

Adell, Philippe C.↗

Technology Advancement for Active Remote Sensing of Carbon Dioxide from Space Using the ASCENDS CarbonHawk Experiment Simulator: First Results

The ASCENDS CarbonHawk Experiment Simulator (ACES) is a newly developed lidar developed at NASA Langley Research Center and funded by NASA's Earth Science Technology Office (ESTO) Instrument Incubator Program (IIP) that seeks to advance technologies critical to measuring atmospheric column carbon dioxide (CO2) mixing ratios in support of the NASA Active Sensing of CO2 Emissions over Nights, Days, and Seasons (ASCENDS) mission. The technology advancements targeted include: (1) increasing the power-aperture product to approach ASCENDS mission requirements by implementing multi-aperture telescopes and multiple co-aligned laser transmitters; (2) incorporating high-efficiency, high-power Erbium-Doped Fiber Amplifiers (EDFAs); (3) developing and incorporating a high-bandwidth, low-noise HgCdTe detector and transimpedence amplifier (TIA) subsystem capable of long-duration autonomous operation on Global Hawk aircraft, and (4) advancing algorithms for cloud and aerosol discrimination. The ACES instrument architecture is being developed for operation on high-altitude aircraft and will be directly scalable to meet the ASCENDS mission requirements. These technologies are critical towards developing not only spaceborne instruments but also their airborne simulators, with lower platform requirements for size, mass, and power, and with improved instrument performance for the ASCENDS mission. ACES transmits five laser beams: three from commercial EDFAs operating near 1.57 microns, and two from the Exelis oxygen (O2) Raman fiber laser amplifier system operating near 1.26 microns. The three EDFAs are capable of transmitting up to 10 watts average optical output power each and are seeded by compact, low noise, stable, narrow-linewidth laser sources stabilized with respect to a CO2 absorption line using a multi-pass gas absorption cell. The Integrated-Path Differential Absorption (IPDA) lidar approach is used at both wavelengths to independently measure the CO2 and O2 column number densities and retrieve the average column CO2 mixing ratio. The ACES receiver uses three fiber-coupled 17.8-cm diameter athermal telescopes. The transmitter assembly consists of five fiber-coupled laser collimators and an associated Risley prism pair for each laser to co-align the outgoing laser beams and to align them with the telescope field of view. The backscattered return signals collected by the three telescopes are combined in a fiber bundle and sent to a single low noise detector. The detector/TIA development has improved the existing detector subsystem by increasing its bandwidth to 4.7 MHz from 500 kHz and increasing the duration of autonomous, service-free operation periods from 4 hours to >24 hours. The new detector subsystem enables the utilization of higher laser modulation rates, which provides greater flexibility for implementing advanced thin-cloud discrimination algorithms as well as improving range-determination resolution and error reduction. The cloud/aerosol discrimination algorithm development by Langley and Exelis features a new suite of algorithms for the minimization/elimination of bias errors in the return signal induced by the presence of intervening thin clouds. Multiple laser modulation schemes are being tested in an effort to significantly mitigate the effects of thin clouds on the retrieved CO2 column amounts. Full instrument development concluded in the spring of 2014. After ground range tests of the instrument, ACES successfully completed six test flights on the Langley Hu-25 aircraft in July, 2014, and recorded data at multiple altitudes over land and ocean surfaces with and without intervening clouds. Preliminary results from these test flights will be presented in this paper.

Obland, Michael D.↗

Neutron spectroscopy of plutonium using a handheld detection system

The ability to distinguish multiple forms of plutonium from one another, such as oxide and metal, is paramount in areas of nuclear nonproliferation and international safeguards. In its metal form, plutonium can be readily used in a nuclear weapon, while oxide forms are associated with nuclear reactor fuel. Oxide-based plutonium forms emit neutrons with an energy spectrum that is significantly different from the fission neutrons that are emitted from plutonium metal. Organic scintillation detectors output pulses that are proportional to the neutron energy deposited, and therefore present a means of distinguishing these plutonium forms based on their energy spectra. In this work, metal and oxide forms of plutonium were measured using a handheld detection system based on an organic glass scintillator. Monte Carlo modeling of these experiments was performed to provide insight into the origin of the features in the observed light output spectra. Through analysis of multiple regions of these spectra, in a matter of minutes we were able to unambiguously discriminate oxide and metal plutonium forms from one another and from a plutonium-beryllium neutron source, which was considered for comparison because these sources are commonly used in industrial applications. The ability to discriminate weapons-usable material from nuclear reactor fuel has applications in nuclear treaty verification and safeguards.

98 NUCLEAR DISARMAMENT, SAFEGUARDS, AND PHYSICAL P↗

Integration of speed signals in the direction of motion

Speed discrimination tasks were used to examine the spatial and temporal characteristics of the integration mechanism involved when signals are extended in the direction of motion. We varied the aspect ratio of a signal patch whose speed differed from the background, while holding the area of the signal patch constant, so that the signal patch could be either extended in the direction of motion or extended orthogonal to the direction of motion. Speed discrimination thresholds decreased dramatically as the signal patch was extended in the direction of motion. The spatial and temporal integration regions were larger than would be expected if the integration mechanism were a low-level motion detector. The mechanism was tuned for direction of motion. The data are discussed with reference to two alternative integration mechanisms: a low-level detector that is elongated in the direction of motion and a higher level integration mechanism characterized by cooperative or facilitatory interactions between low-level detectors tuned to the same direction of motion. Our data are consistent with a second-level, direction-specific process that integrates the responses of low-level motion detectors.

NASA Discipline Space Human Factors↗

A dual-task investigation of automaticity in visual word processing

An analysis of activation models of visual word processing suggests that frequency-sensitive forms of lexical processing should proceed normally while unattended. This hypothesis was tested by having participants perform a speeded pitch discrimination task followed by lexical decisions or word naming. As the stimulus onset asynchrony between the tasks was reduced, lexical-decision and naming latencies increased dramatically. Word-frequency effects were additive with the increase, indicating that frequency-sensitive processing was subject to postponement while attention was devoted to the other task. Either (a) the same neural hardware shares responsibility for lexical processing and central stages of choice reaction time task processing and cannot perform both computations simultaneously, or (b) lexical processing is blocked in order to optimize performance on the pitch discrimination task. Either way, word processing is not as automatic as activation models suggest.

Attention↗

Intrinsic two-dimensional features as textons

We suggest that intrinsic two-dimensional (i2D) features, computationally defined as the outputs of nonlinear operators that model the activity of end-stopped neurons, play a role in preattentive texture discrimination. We first show that for discriminable textures with identical power spectra the predictions of traditional models depend on the type of nonlinearity and fail for energy measures. We then argue that the concept of intrinsic dimensionality, and the existence of end-stopped neurons, can help us to understand the role of the nonlinearities. Furthermore, we show examples in which models without strong i2D selectivity fail to predict the correct ranking order of perceptual segregation. Our arguments regarding the importance of i2D features resemble the arguments of Julesz and co-workers regarding textons such as terminators and crossings. However, we provide a computational framework that identifies textons with the outputs of nonlinear operators that are selective to i2D features.

Discrimination (Psychology)/physiology↗

A test of the deadline model for speed-accuracy tradeoffs

Two experiments were conducted to evaluate the deadline model for speed-accuracy tradeoffs. According to the deadline model, participants in speeded-response tasks terminate stimulus discrimination as soon as it has run to completion or as soon as a predetermined time deadline has arrived, whichever comes first. Speed is traded for accuracy by varying the time deadlines; short deadlines yield fast but sometimes inaccurate responses, whereas long deadlines allow for slow, accurate responses. A new prediction of this model, based on a comparison of reaction time distributions, was derived and tested in experiments involving the joint manipulation of speed stress and stimulus discriminability. Clear violations of this prediction were observed when participants made relative brightness judgments (Experiment 1) and when they made lexical decisions (Experiment 2), rejecting both the deadline model and the fast-guess model. Several alternative models for speed-accuracy tradeoffs, including random-walk and accumulator models, are compatible with the results.

Discrimination (Psychology)↗

Full-wave and half-wave rectification in second-order motion perception

Microbalanced stimuli are dynamic displays which do not stimulate motion mechanisms that apply standard (Fourier-energy or autocorrelational) motion analysis directly to the visual signal. In order to extract motion information from microbalanced stimuli, Chubb and Sperling [(1988) Journal of the Optical Society of America, 5, 1986-2006] proposed that the human visual system performs a rectifying transformation on the visual signal prior to standard motion analysis. The current research employs two novel types of microbalanced stimuli: half-wave stimuli preserve motion information following half-wave rectification (with a threshold) but lose motion information following full-wave rectification; full-wave stimuli preserve motion information following full-wave rectification but lose motion information following half-wave rectification. Additionally, Fourier stimuli, ordinary square-wave gratings, were used to stimulate standard motion mechanisms. Psychometric functions (direction discrimination vs stimulus contrast) were obtained for each type of stimulus when presented alone, and when masked by each of the other stimuli (presented as moving masks and also as nonmoving, counterphase-flickering masks). RESULTS: given sufficient contrast, all three types of stimulus convey motion. However, only one-third of the population can perceive the motion of the half-wave stimulus. Observers are able to process the motion information contained in the Fourier stimulus slightly more efficiently than the information in the full-wave stimulus but are much less efficient in processing half-wave motion information. Moving masks are more effective than counterphase masks at hampering direction discrimination, indicating that some of the masking effect is interference between motion mechanisms, and some occurs at earlier stages. When either full-wave and Fourier or half-wave and Fourier gratings are presented simultaneously, there is a wide range of relative contrasts within which the motion directions of both gratings are easily determinable. Conversely, when half-wave and full-wave gratings are combined, the direction of only one of these gratings can be determined with high accuracy. CONCLUSIONS: the results indicate that three motion computations are carried out, any two in parallel: one standard ("first order") and two non-Fourier ("second-order") computations that employ full-wave and half-wave rectification.

Motion Perception/physiology↗

Fast Neutron Spectroscopy with Organic Scintillation Detectors in a High-Radiation Environment

Organic scintillators with pulse shape discrimination capability are widely used in both research and practical applications of neutron detection. The neutron and gamma-ray identification performance of the detector depends on the classification algorithms, noise filters and pileup rejection criteria in a high-flux bremsstrahlung radiation environment. In this paper, a technique has been developed and implemented for the neutron detection with multiple filter and discrimination steps, which to a high confidence level eliminates counting of gamma-ray pulses. Such a technique is merited when making measurements in a high flux bremsstrahlung and secondary fluorescence environment. The EJ-309 and stilbene detectors coupled to the digital data acquisition system were used for the calibration assessments with standard gamma-ray and neutron sources such as 137Cs, 60Co, 252Cf, and Am-Be. The MCNPX-PoliMi and GEANT4 toolkits were used to simulate the light output and the optical photon transport in the scintillators and create detector response functions for each type of detector. The neutron spectrum unfolding algorithm, GRAVELW, was used to recreate and calibrate with the Am-Be as final step before applying the neutron detection system to extract fusion neutron spectra generated in an intense bremsstrahlung radiation environment. This new technique described offers the user the ability to measure neutron spectra in a high-flux gamma-ray field and tune the parameters to meet required filtering needs.

Neutron Detector, Organic Scintillator, PulseShape↗

Sensitivity and Detection Limit of Spectroscopic-Grade Perovskite CsPbBr 3 Crystal for Hard X-Ray Detection

We report spectroscopic-grade single crystal detectors can register the energies of individual X-ray interactions enabling photon-counting systems with superior resolution over traditional photoconductive X-ray detection systems. Current technical challenges have limited the preparation of perovskite semiconductors for energy-discrimination X-ray photon-counting detection. Here, this work reports the deployment of a spectroscopic-grade CsPbBr 3 Schottky detector under reverse bias for continuum hard X-ray detection in both the photocurrent and spectroscopic schemes. High surface barriers of approximate to ≈ 1 eV are formed by depositing solid bismuth and gold contacts. The spectroscopic response under a hard X-ray source is assessed in resolving the characteristic X-ray peak. The methodology in enhancing X-ray sensitivity by controlling the X-ray energies and flux, and voltage, is described. The X-ray sensitivity varies between a few tens to over 8000 μC Gy air -1 cm -2 . The detectable dose rate of the CsPbBr 3 detectors is as low as 0.02 nGy air s -1 in the energy discrimination configuration. Finally, the unbiased CsPbBr 3 device forms a spontaneous contact potential difference of about 0.7 V enabling high quality of the CsPbBr 3 single crystals to operate in "passive" self-powered X-ray detection mode and the X-ray sensitivity is estimated as 14 μC Gy air -1 cm -2 . The great potential of spectroscopic-grade CsPbBr 3 devices for X-ray photon-counting systems is anticipated in this work.

36 MATERIALS SCIENCE↗

The Structural Origin of Chiroptical Properties in Perovskite Nanocrystals with Chiral Organic Ligands

Abstract The authors investigate how chiral ligands attached to perovskite nanocrystal (PNC) surfaces structurally distort the perovskite lattice. Chiral electro‐optical properties of the resulting PNCs are demonstrated through the fabrication of a circularly polarized light (CPL) detector with a discrimination of up to 14% between left‐ and right‐handed CPL. Both experimental and electronic‐structure‐based simulations are combined to provide insights into the interactions (both structural and electronic) between chiral organic ligands and PNCs. The major finding is a centro‐asymmetric distortion of the surface lattice that penetrates up to five atomic unit cells deep into the PNCs, which is the likely cause of the chiral‐optical properties. Spin‐polarized transport through chiral‐PNCs results from the chiral‐induced spin selectivity effect and amplifies the discrimination between left and right‐handed CPL as is experimentally demonstrated in the detectors.

36 MATERIALS SCIENCE↗

Leaf 13 C data constrain the uncertainty of the carbon dynamics of temperate forest ecosystems

Stable carbon isotope discrimination occurred in plant biophysical and biogeochemical processes can help understand plant physiology and soil biogeochemistry with respect to carbon cycling. Here, we incorporated the photosynthetic carbon isotope discrimination into a process-based land surface model (iTEM) to test if stable carbon isotope composition (δ 13 C) can impose additional constraint on model parameters. Sequential data assimilation was implemented at six eddy covariance flux tower sites using carbon flux observations including gross primary productivity (GPP) and net ecosystem exchange (NEE) with and without considering foliar δ 13 C (δ 13 C f ) measurement constraints, respectively. Our model-data fusion showed that δ 13 C f can provide useful constraint on photosynthetic (V cmax25 , the maximum rate of carboxylation at 25°C) and stomatal (g1, the slope of stomatal function) parameters as well as the posterior carbon fluxes. When including δ 13 C f measurement, g1 spatially varies among the six sites and is significantly correlated with annual precipitation. We incorporated the statistical relationship between g1 and annual precipitation into iTEM, which is then used to quantify the regional carbon dynamic in temperate forest ecosystems of the Northern Hemisphere. Compared with the simulation only conditioned on carbon flux observations, regional carbon flux estimations performed slightly better against the FLUXCOM products and the uncertainties of modeled carbon fluxes were reduced by 27%. Our study demonstrated that δ 13 C f data constrains carbon flux uncertainties across space.

54 ENVIRONMENTAL SCIENCES↗

A novel methodology to integrate outcomes regarding perioperative pain experience into a composite score: Prediction model development and validation

Abstract Background An integrated score that globally assesses perioperative pain experience and rationally weights each component has not yet been developed. Methods A development dataset specific to adult Chinese patients undergoing orthopaedic surgery was obtained from PAIN OUT (1985 qualified patients of 2244). A more recent validation dataset obeying the same conditions was obtained from the Chinese Anaesthesia Shared‐database Platform (1004 qualified patients of 1032). Outcomes were assessed using the International Pain Outcomes Questionnaire (IPO‐Q), which comprises key patient‐level outcomes of perioperative pain management, including pain experience and perceptions of care. Using principal component analysis and regression models, a composite score (CS) was inferred to integrate pain experience. The discrimination of the CS for dissatisfaction and desire for more pain treatment was compared with that of the worst pain score. Results A CS was developed from the 12 items of the IPO‐Q regarding pain experience. The weight for calculating the CS was worst pain 11, least pain 17, time spent in severe pain 11, interference with activity in bed 9, interference with breathing deeply or coughing 10, interference with sleep 9, anxiety 12, helplessness 12, nausea 0, drowsiness 2, itch 5 and dizziness 2. In external validation, the CS indicated superior discrimination to the worst pain in predicting dissatisfaction ( p < 0.001) and desire for more pain treatment ( p < 0.001). Conclusions This study introduced a methodology to integrate outcomes regarding perioperative pain experience into a CS, which was based on the weight of each item. Significance This novel methodology sheds additional light on the riveting issue of carefully integrating several measures into a composite endpoint, which may be useful for quality improvement purposes when addressing the impact of a change in clinical practice.

Jiang, Bailin↗