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Drones are a uniquely promising solution in healthcare logistics, especially in areas not easily served by traditional transportation.This paper synthesizes lessons from four early adopters of drone delivery—Vanuatu, Malawi, Rwanda, and Ghana—drawing general conclusions about the prospects and perils of drone delivery in low- and middle-income countries
Modern Application of Medical-Based Drone Delivery Drones have been used advantageously by militaries for nearly a century, but their uses in civilian life are still mostly cutting-edge, if not theoretical. After a decade of bold proclamations, Amazon’s “PrimeAir” drone delivery system is still in the stage of “preparing” for deliveries, while the public awaits for start ups like SkyDrop (formerly Flirtey) to follow through on impressive promises. Despite the well-publicized disappointment so far in commercial drone delivery, medical drone delivery has already proven itself practical and cheap in several countries, and it promises to expand in the coming years. Drones are uniquely suited to make valuable and urgent deliveries to remote areas, quickly transporting medical supplies where road transportation is prohibitively slow or not available at all. Drones have been used notably to deliver AEDs for out-of-hospital cardiac arrest, frequently beating first-responders to the scene; to deliver blood when there is none on hand at hospitals; to deliver vaccines to an island nation with little transportation infrastructure; and to respond flexibly to medical emergencies in a war zone. Economics make the delivery of food and other cheap goods by drone unattractive in the near-term, but the value and time-sensitivity of medical deliveries mean that drones are already saving lives in healthcare. “We believe the value of new technology is most valuable where it is clearly needed...that’s why we wanted to focus on drones delivering medicine and not delivering pizzas, ”said one executive of a drone system manufacturer. The immediate prospects for the expansion of medical drone use are many; however, they do not exist without their own drawbacks and challenges. Most obvious is the limited range of current commercially-available drones, most of which are isolated to a perimeter of roughly 18 miles. Technological know-how presents another barrier to integration of medical drones on a larger scale. Reports from the United Nations frequently cite a“skill deficit”—a prohibitively low number of qualified drone operators in low-and moderate-income countries (LMICs). Another perhaps more discreet speed bump in global drone development and usage are the various regulations on drone usage. Drone technology has developed so quickly that many states, out of an excess of caution, have nearly snuffed out the fledgling industry with regulation. There also exist significant concerns over the security of private citizens, the efficacy of medical deliveries, and the costs of drone operation. It is these last three barriers which this study will seek to overcome. Put simply, the prospect for human development in LMICs from drone-based medical delivery is far too great to disregard. As of 2020, 3.4 billion people live in rural communities, containing fewer than 5,000 people/km^2. Often lacking infrastructure, these communities are largely isolated from their more populated, urban counterparts. In drones lies the potential to reshape the geographic and developmental distinctions that divide the global population. This development must, therefore, begin first and foremost with advancement in regional well-being and life expectancy. Life expectancy makes up a key facet of human development. The United Nations relies on it as a key indicator of a state’s health. Lars Kunze of the Dortmund University Department of Economic sex plains this as a matter of physical capital accumulation. The longer people live, the more they save as opposed to spend. The more they save, the more which eventually gets invested in themselves and the community as a whole. In providing medical products via drone, it is the intention of this study to enable communities with the means and incentives for long-run savings and investment for future economic development. Through a close analysis of Vanuatu, Rwanda, Tanzania, and Ukraine—four states where drones are currently used to deliver medical supplies—this study develops a framework that LMICs in general and Mexico and particular can adopt and to use medical drones in difficult-to-reach communities for the sake of long-run human developmental initiatives.
The supershield project evaluated the importance of novel shield configurations for suppressing neutron induced background in new classes of gamma-ray detectors such as CZT. The basic concept was to use a two-part shield. The outer shield material heavily moderates the incoming neutron spectrum. This moderated neutron beam is then more easily absorbed by the inner material, which is an efficient neutron absorber. This approach is, in principle, more efficient than that in previous attempts to make neutron shields. These previous attempts involved biatomic, monlithic shields (eg. LiH) in which the shield consisted of a single material but with two types of atoms - one for moderating and one for absorbing. The problem with this type of monolithic shield is that moderating neutrons, without the efficient absorption of them, leads to the leakage into the detector of neutrons with a low energy component (approx. 10-100 KeV). These energy neutrons are particularly problematic for many types of detectors. The project was roughly divided into phases. In the first phase we attempted to carefully define the neutron source function incident on any space instrument. This is essential since the design of any shield depends on the shape of the incident neutron spectrum. We found that approximations commonly used in gamma-ray astronomy for photon background is inadequate. In addition, we found that secondary neutrons produced in any passive shield, and dominated by inelastic neutron scattering, are far more important than background due to neutron activation. The second phase of our work involved design of supershield geometries (one and three dimensional) in order to compare different shield configurations and materials for their effectiveness as neutron shields. Moreover we wanted to compare these supershields with previous neutron shields to confirm the performance differences between the supershield (two material) and monolithic (one material) designs and to understand the physics origins of these differences more clearly. The third phase of the supershield program involved the benchmarking of the supershield designs through direct experimental verification. This required fabricating various supershields and exposing them to beams of neutrons to directly characterize their performance. With explicit verification that our modeling procedures can be used with confidence, we are now in a position to design shields for realistic space geometries. Using the supershield modeling capacity developed as part of this program we are attempting to evaluate their utility for a specific proposed mission--the Energetic X-ray Imaging Survey Telescope (EXIST). It is anticipated that this experiment, which is limited by internal background at high energies, might benefit from a neutron shield.
A major factor affecting a person s happiness is the gap between their income and their neighbors , independent of their own income. This effect is strongest when the neighbor has moderately higher income. In addition a person s lifetime happiness often follows a "U" shape. Previous models have explained subsets of these phenomena, typically assuming the person has limited ability to assess their own (hedonic) utility. Here I present a model that explains all the phenomena, without such assumptions. In this model greater income of your neighbor is statistical data that, if carefully analyzed, would recommend that you explore for a new income-generating strategy. This explains unhappiness that your neighbor has greater income, as an emotional "prod" that induces you to explore, in accord with careful statistical analysis. It explains the "U" shape of happiness similarly. Another benefit of this model is that it makes many falsifiable predictions.
A spectrophotovoltaic converter, a thermophotovoltaic converter, a cassegrainian concentrator, a large silicon cell blanket, and a high flux approach are among the concepts being investigated as part of the multihundred kW solar array program for reducing the cost of photovoltaic energy in space. These concepts involve a range of technology risks, the highest risk being represented by the thermophotovoltaics and spectrophotovoltaics approaches which involve manipulation to of the incoming spectrum to enhance system efficiency. The planar array (solar blanket) has no technology risk and a moderate payback. The primary characteristics, components, and technology concerns of each of these concepts are summarized. An orbital power platform mission in the late 1980's is being used to allow a coherent technology advancement program in order to achieve a ten year life with maintenance at a capital recurring cost of $30/watt based on 1978 dollars.
An experimental study is conducted in an effort to advance the understanding of flow physics associated with a boundary layer ingesting, distributed propulsion system. The influence of incoming boundary layer thickness and flow distortions are studied on the flow downstream and the overall performance of the system. The propulsion model, fabricated using additive manufacturing and integrated with electrical fans, is mounted on a flat plate and tested at subsonic speeds. Detailed characterization of the incoming boundary layer and subsequent assessment of the downstream flow field is performed using hotwire anemometry. Modification of the incoming boundary layer is achieved by placing tripping devices, such as rods and vortex generating ramps, near the leading edge of the flat plate. The overall performance of the system for different incoming flow conditions is analyzed by comparing magnitudes of exhaust velocities as well as estimated propulsive power to the corresponding baseline values. For a constant input power to the fans, smaller upstream flow distortions and moderately thickened boundary layers result in marginal changes in the flow field downstream. On the other hand, notable reductions in downstream flow velocities and propulsive power are observed in the case of a significantly thicker and/or distorted incoming boundary layer. It is hoped that this study will serve as a database for this technologically relevant flow field that has not been explored adequately before.
A method for calculating unsteady flows in cascades is presented. The model, which is based on the linearized unsteady Euler equations, accounts for blade loading shock motion, wake motion, and blade geometry. The mean flow through the cascade is determined by solving the full nonlinear Euler equations. Assuming the unsteadiness in the flow is small, then the Euler equations are linearized about the mean flow to obtain a set of linear variable coefficient equations which describe the small amplitude, harmonic motion of the flow. These equations are discretized on a computational grid via a finite volume operator and solved directly subject to an appropriate set of linearized boundary conditions. The steady flow, which is calculated prior to the unsteady flow, is found via a Newton iteration procedure. An important feature of the analysis is the use of shock fitting to model steady and unsteady shocks. Use of the Euler equations with the unsteady Rankine-Hugoniot shock jump conditions correctly models the generation of steady and unsteady entropy and vorticity at shocks. In particular, the low frequency shock displacement is correctly predicted. Results of this method are presented for a variety of test cases. Predicted unsteady transonic flows in channels are compared to full nonlinear Euler solutions obtained using time-accurate, time-marching methods. The agreement between the two methods is excellent for small to moderate levels of flow unsteadiness. The method is also used to predict unsteady flows in cascades due to blade motion (flutter problem) and incoming disturbances (gust response problem).
A method for calculating unsteady flows in cascades is presented. The model, which is based on the linearized unsteady Euler equations, accounts for blade loading shock motion, wake motion, and blade geometry. The mean flow through the cascade is determined by solving the full nonlinear Euler equations. Assuming the unsteadiness in the flow is small, then the Euler equations are linearized about the mean flow to obtain a set of linear variable coefficient equations which describe the small amplitude, harmonic motion of the flow. These equations are discretized on a computational grid via a finite volume operator and solved directly subject to an appropriate set of linearized boundary conditions. The steady flow, which is calculated prior to the unsteady flow, is found via a Newton iteration procedure. An important feature of the analysis is the use of shock fitting to model steady and unsteady shocks. Use of the Euler equations with the unsteady Rankine-Hugoniot shock jump conditions correctly models the generation of steady and unsteady entropy and vorticity at shocks. In particular, the low frequency shock displacement is correctly predicted. Results of this method are presented for a variety of test cases. Predicted unsteady transonic flows in channels are compared to full nonlinear Euler solutions obtained using time-accurate, time-marching methods. The agreement between the two methods is excellent for small to moderate levels of flow unsteadiness. The method is also used to predict unsteady flows in cascades due to blade motion (flutter problem) and incoming disturbances (gust response problem).
The overall goal of this study is to address issues of environmental health and enhance public health decision making by using NASA remotely sensed data and products. This study is a collaboration between NASA Marshall Space Flight Center, Universities Space Research Association (USRA), the University of Alabama at Birmingham (UAB) School of Public Health and the Centers for Disease Control and Prevention (CDC) Office of Surveillance, Epidemiology and Laboratory Services. The objectives of this study are to develop high-quality spatial data sets of environmental variables, link these with public health data from a national cohort study, and deliver the environmental data sets and associated public health analyses to local, state and federal end ]user groups. Three daily environmental data sets were developed for the conterminous U.S. on different spatial resolutions for the period 2003-2008: (1) spatial surfaces of estimated fine particulate matter (PM2.5) on a 10-km grid using US Environmental Protection Agency (EPA) ground observations and NASA's MODerate-resolution Imaging Spectroradiometer (MODIS) data; (2) a 1-km grid of MODIS Land Surface Temperature (LST); and (3) a 12-km grid of daily incoming solar radiation and maximum and minimum air temperature using the North American Land Data Assimilation System (NLDAS) data. These environmental datasets were linked with public health data from the UAB REasons for Geographic and Racial Differences in Stroke (REGARDS) national cohort study to determine whether exposures to these environmental risk factors are related to cognitive decline, stroke and other health outcomes. These environmental national datasets will also be made available to public health professionals, researchers and the general public via the CDC Wide-ranging Online Data for Epidemiologic Research (WONDER) system, where they can be aggregated to the county-level, state-level, or regional-level as per users f need and downloaded in tabular, graphical, and map formats. This provides a significant addition to the CDC WONDER online system, allowing public health researchers and policy makers to better include environmental exposure data in the context of other health data available in CDC WONDER. It also substantially expands public access to NASA data, making their use by a wide range of decisionmakers feasible.
NASA Marshall Space Flight Center is collaborating with the University of Alabama at Birmingham (UAB) School of Public Health and the Centers for Disease Control and Prevention (CDC) National Center for Public Health Informatics to address issues of environmental health and enhance public health decision-making using NASA remotely-sensed data and products. The objectives of this study are to develop high-quality spatial data sets of environmental variables, link these with public health data from a national cohort study, and deliver the linked data sets and associated analyses to local, state and federal end-user groups. Three daily environmental data sets were developed for the conterminous U.S. on different spatial resolutions for the period 2003-2008: (1) spatial surfaces of estimated fine particulate matter (PM2.5) exposures on a 10-km grid using the US Environmental Protection Agency (EPA) ground observations and NASA's MODerate-resolution Imaging Spectroradiometer (MODIS) data; (2) a 1-km grid of Land Surface Temperature (LST) using MODIS data; and (3) a 12-km grid of daily Incoming Solar Radiation (Insolation) and heat-related products using the North American Land Data Assimilation System (NLDAS) forcing data. These environmental data sets were linked with public health data from the UAB REasons for Geographic And Racial Differences in Stroke (REGARDS) national cohort study to determine whether exposures to these environmental risk factors are related to cognitive decline, stroke and other health outcomes. These environmental datasets and the results of the public health linkage analyses will be disseminated to end-users for decision-making through the CDC Wide-ranging Online Data for Epidemiologic Research (WONDER) system and through peer-reviewed publications respectively. The linkage of these data with the CDC WONDER system substantially expands public access to NASA data, making their use by a wide range of decision makers feasible. By successful completion of this research, decision-making activities, including policy-making and clinical decision-making, can be positively affected through utilization of the data products and analyses provided on the CDC WONDER system.
Global food security is threatened by the effects of COVID-19 on international agricultural supply chains and locusts destroying crops and livelihoods in the Horn of Africa and South Asia. We quantify the possible impacts on global supplies and prices of wheat, rice and maize. We show that local production declines have moderate impacts on global prices and supply – but trade restrictions and precautionary purchases by a few key actors could create global food price spikes and severe local food shortages.
We present a concept for an imaging gamma-ray polarimeter operating from approx. 50 MeV to approx. 1 GeV. Such an instrument would be valuable for the study of high-energy pulsars, active galactic nuclei, supernova remnants, and gamma-ray bursts. The concept makes use of pixelized gas micro-well detectors, under development at Goddard Space Flight Center, to record the electron-positron tracks from pair-production events in a large gas volume. Pixelized micro-well detectors have the potential to form large-volume 3-D track imagers with approx. 100 micron (rms) position resolution at moderate cost. The combination of high spatial resolution and a continuous low-density gas medium permits many thousands of measurements per radiation length, allowing the particle tracks to be imaged accurately before multiple scattering masks their original directions. The polarization of the incoming radiation may then be determined from the azimuthal distribution of the electron-positron pairs. We have performed Geant4 simulations of these processes to estimate the polarization sensitivity as a function of instrument parameters and event selection criteria.
Large-scale deforestation and reforestation have contributed substantially to historical and contemporary global climate change in part through albedo-induced radiative forcing, with meaningful implications for forest management aiming to mitigate climate change. Associated warming or cooling varies widely across the globe due to a range of factors including forest type, snow cover, and insolation, but resulting geographic variation remain spoorly described and has been largely based on model assessments. This study provides an observation-based approach to quantify local and global radiative forcings from large-scale deforestation and reforestation and further examines mechanisms that result in the spatial heterogeneity of radiative forcing. We incorporate a new spatially and temporally explicit land cover-specific albedo product derived from Moderate Resolution Imaging Spectroradiometer with a historical land use data set (Land Use Harmonization product). Spatial variation in radiative forcing was attributed to four mechanisms, including the change in snow-covered albedo, change in snow-free albedo, snow cover fraction, and incoming solar radiation. We find an albedo-only radiative forcing (RF) of -0.819 W m(exp -2) if year 2000 forests were completely deforested and converted to croplands. Albedo RF from global reforestation of present-day croplands to recover year 1700 forests is estimated to be 0.161 W m)exp -2). Snow-cover fraction is identified as the primary factor in determining the spatial variation of radiative forcing in winter, while the magnitude of the change in snow-free albedo is the primary factor determining variations in summertime RF. Findings reinforce the notion that, for conifers at the snowier high latitudes, albedo RF diminishes the warming from forest loss and the cooling from forest gain more so than for other forest types, latitudes, and climate settings.
Measurements with the plasma analyzers on the Mars-2, 3 and 5 spacecraft show that Mars deflects a large fraction of the incoming solar wind flow to form a strong bow shock. The bow shock is about 1.41 Rm from the center of the planet at the subsolar point and about 2.40 Rm at the terminator. These distances are similar to those for Venus at times of moderate solar activity. The inferred effective obstacle altitude is about 400-700 km. An ion cushion has been found which is similar in its properties to the Venus magnetic barrier. The formation of this cushion appears to cause the deflection of the solar wind. Inside the cushion but well above the ionosphere is found a region where the ions are at the background, the electrons are cool and the magnetic pressure dominates. This region may resemble a planetary magnetosphere.
A new multilayer IST-albedo Moderate Resolution Imaging Spectroradiometer (MODIS) product of Greenland was developed to meet the needs of the ice sheet modeling community. The multiple layers of the product enable the relationship between IST and albedo to be evaluated easily. Surface temperature is a fundamental input for dynamical ice sheet models because it is a component of the ice sheet radiation budget and mass balance. Albedo influences absorption of incoming solar radiation. The daily product will combine the existing standard MODIS Collection-6 ice-surface temperature, derived melt maps, snow albedo and water vapor products. The new product is available in a polar stereographic projection in NetCDF format. The product will ultimately extend from March 2000 through the end of 2017.
Particles in the atmosphere reflect incoming sunlight, tending to cool the Earth below. Some particles, such as soot, also absorb sunlight, which tens to warm the ambient atmosphere. Aerosol optical depth (AOD) is a measure of the amount of particulate matter in the atmosphere, and is a key input to computer models that simulate and predict Earth's changing climate. The global AOD products from the Multi-angle Imaging SpectroRadiometer (MISR) and the MODerate resolution Imaging Spectroradiometer (MODIS), both of which fly on the NASA Earth Observing System's Terra satellite, provide complementary views of the particles in the atmosphere. Whereas MODIS offers global coverage about four times as frequent as MISR, the multi-angle data makes it possible to separate the surface and atmospheric contributions to the observed top-of-atmosphere radiances, and also to more effectively discriminate particle type. Surface-based AERONET sun photometers retrieve AOD with smaller uncertainties than the satellite instruments, but only at a few fixed locations. So there are clear reasons to combine these data sets in a way that takes advantage of their respective strengths. This paper represents an effort at combining MISR, MODIS and AERONET AOD products over the continental US, using a common spatial statistical technique called kriging. The technique uses the correlation between the satellite data and the "ground-truth" sun photometer observations to assign uncertainty to the satellite data on a region-by-region basis. The larger fraction of the sun photometer variance that is duplicated by the satellite data, the higher the confidence assigned to the satellite data in that region. In the Western and Central US, MISR AOD correlation with AERONET are significantly higher than those with MODIS, likely due to bright surfaces in these regions, which pose greater challenges for the single-view MODIS retrievals. In the east, MODIS correlations are higher, due to more frequent sampling of the varying AOD. These results demonstrate how the MISR and MODIS aerosol products are complementary. The underlying technique also provides one method for combining these products in such a way that takes advantage of the strengths of each, in the places and times when they are maximal, and in addition, yields an estimate of the associated uncertainties in space and time.
In recent years, Austin, Texas has experienced an increase in population and urban development. Additionally, the City’s climate—already characterized by periods of extreme heat and drought—continues to change. As temperatures and demand for utilities and cooling resources rise, the number of heat-related deaths and illnesses in socially vulnerable populations (e.g., older, lower-income populations) is expected to increase. The City of Austin, The University of Texas at Austin (UT Austin), and The University of Texas Health Science Center at Houston (UT Health) partnered with NASA DEVELOP to examine the distribution of urban heat throughout the City. This project used land surface temperature, greenness, plant water content, and urban surface material analysis parameters derived from NASA Earth observations from Landsat 8 Operational Land Imager (OLI), Landsat 8 Thermal Infrared Sensor (TIRS), and Aqua and Terra Moderate Resolution Imaging Spectroradiometer (MODIS). The project team produced three different indices to create a spatial analysis for the study area including a social vulnerability index (SoVI), heat exposure index (HEI), and an overall heat priority index (HPI) score. This overall score was determined with a weighted analysis of heat-related environmental variables from NASA Earth observations and socioeconomic data from the 2019 American Community Survey. Based on the HPI score, the project team identified 121 census block groups out of 605 total that are designated as being most at risk of adverse impacts from extreme heat events. To test the sensitivity of the HPI, the team used a Monte Carlo analysis using different approaches for geographic scale, variable inclusion, census uncertainty, and index aggregation. Based on the sensitivity analysis, the resulting HPI score showed the metric was consistent with the baseline HPI. This provided increased confidence the score can be used as a tool to make informed infrastructure improvement plans in targeted areas (e.g., siting of cooling centers) and ensure equitable sustainable development.
Wildfire number and burned area temporal dynamics within all of Siberia and along a south-north transect in central Siberia (45deg-73degN) were studied based on NOAA/AVHRR (National Oceanic and Atmospheric Administration/ Advanced Very High Resolution Radiometer) and Terra/MODIS (Moderate Resolution Imaging Spectroradiometer) data and field measurements for the period 1996-2015. In addition, fire return interval (FRI) along the south-north transect was analyzed. Both the number of forest fires and the size of the burned area increased during recent decades (p < 0.05). Significant correlations were found between forest fires, burned areas and air temperature (r = 0.5) and drought index (The Standardized Precipitation Evapotranspiration Index, SPEI) (r = 0.43). Within larch stands along the transect, wildfire frequency was strongly correlated with incoming solar radiation (r = 0.91). Fire danger period length decreased linearly from south to north along the transect. Fire return interval increased from 80 years at 62 N to 200 years at the Arctic Circle (6633' N), and to about 300 years near the northern limit of closed forest stands (about 71+ N). That increase was negatively correlated with incoming solar radiation (r = 0.95). Keywords: wildfires; drought index; larch stands; fire return interval; fire frequency; burned area; climate-induced trends in Siberian wildfires